RF-15-1959 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-240636 Permit Number: RF-8-15-1959
Scheduled Inspection Date: August 07, 2015 Permit Type: Roof
Inspector: Rodriguez,Jorge
Inspection Type: Final Roof
Owner: POITIER, JOSEPH Work Classification: Flat
Job Address: 1284 NE 92 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050270520
Project: <NONE>
Contractor: IBS CONSTRUCTION GROUP LLC Phone: (305)527-8303
Building Department Comments
RENEWAL OF EXPIRED PERMIT RF06-2802 Infractio Passed Comments
INSPECTOR COMMENTS False
FLAT ROOF NEEDS FINAL INSPECTION
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 07, 2015 For Inspections please call: (305)762-4949 Page 27 of 42
Miami Shores Village PBf>j#7"y :Roof
s� �r 10050 N.E.2nd Avenue NE {(#�dgStfiCrt1#1?:)^ t
.n
Miami Shores,FL 33138-0000 Pormit S/atus.-APPR£VEQ
"tea` Phone: (305)795-2204
e,Do $14/2111 Expiration: 01/31/2016
Project Address Parcel Number Applicant
1284 NE 92 Street 1132050270520
Miami Shores, FL 33138- Block: Lot: JOSEPH POITIER
Owner Information Address Phone Cell
n
6 JOSEPH POITIER 1284 NE 92 Street
MIAMI SHORES FL 33138-2937
Contractor(s) Phone Cell Phone
Valuation: $ 1,000.00
IBS CONSTRUCTION GROUP LLC (305)527-8303
Total Scl Feet: 875
Type of Work:Re Roof Available Inspections:
Additional Info:RENEWAL OF EXPIRED PERMIT RF06-2802 Inspection Type:
Classification: Residential
Tin Cap
Scanning:3 Final Roof
Roof in Progress
Renailing Affidavit
Review Roof
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# RF-8-15-56584
$3.75 08/04/2015 Cash $268.10 $0.00
DCA Fee $3.75
Education Surcharge $0.20
Permit Fee-New Roof $250.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $268.10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING, MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi Hing. Futhermor , ize the above-named contractor to do the work stated.
August 04, 2015
Authorized Signature:Owne Applicant / Contractor / Agent Date
Building Department Copy
August 04, 2015 1
Miami Shores Village
Building Department 5
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax: (305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201y
BUILDING Master Permit No. T 5— Rsg
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: IvTaQ, j? t-IE- C 2 yt<1
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11 -3 2 GS-- o z 7 C)TZ& Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: ff Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): J_(>5e_ek �(7 i t1 f-A Phone#: 3Ct5 S$(- - 7,2_27
Address: 17-S4 _iN Cr q d 5 �-
City: M kA—k SL.c.'rc S State: f"L Zip: :3 3 09
Tenant/Lessee Name:_ A, 4A- Phone#:
Email: ��-�� /i
CONTRACTOR:Company Name: := B� L.odNS i/tyc;rjo ➢ (�6os:jC Phone#: 3-5"5- a'?-7830 5
Address: i�,.3 7 5- /i fe,- t Ave
City: N M 6 State: FL Zip:
/►ASc,-
(b Z
Qualifier Name: � m P iG(L NS
2 i21 cr, Phone#: -✓b� 5-az e5 3o3
State Certification or Registration#: C CC 13 2 ]tilel Certificate of Competency#:
DESIGNER:Architect/Engineer: Af Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ IJ OCd Square/Linear Footage of Work: '7
5-
Type of Work: ❑ Addition ❑ Alteration ❑ New FXI Repair/Replace ❑ Demolition
�+
Description of Work: FQ nC�i p4e_e*4
4- -FIAT 90c'T ne_M S l i,ns Decd cn.-,
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address ry
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to.the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
r
Signature -e , Signature
OWNER or AGENT CONTRACTOR
The fo egoing ins trume t was acknowledged before m his The foregoing instrLment was acknowledged beforeAlShis
�(l day of 20 byRarJ��115(�Oho
y 20 by
who is personally known to i ersonally know o
me or who has produced 'ID` as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PU C:I NOTARY PUBLIC:
Sign: A Sign:
_ � �.t—l' 4.
Print: Print:
Seal: :' - MCLi1ZA ALVA Seal: V. k`� ✓"r lUI4ALVAREZ
h1Y CC-,SfVISSION#EE18-t 0 s <IN 4 EE187049
EXPIRES April 05,2016
'ls��ci;; EXP pri!05,2016
M(407)398'-0153 FloddallotaryService.com (4071398'-'0 i 53 F tris .';rraryservice.com
APPROVED BY 1 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)