RF-15-1278 Sorts` 9
Miami Shores Village
r�
10050 N.E.2nd Avenue NE �.,
Miami Shores,FL 33138-0000
—was Phone: (305)795-2204 ,.:$
ate,
F9(3
01, Expiration: 12127/2015
Project Address Parcel Number Applicant
t..,__..
8701 NE 4 Avenue Road 11-3206-046-0660
CYNTHIA LAM
I Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone �- Cell
CYNTHIA LAM 8701 NE 4 Avenue Road
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 3,025.00
ISAACS ROOFING&INSULATION COI (305)234-5234 (786)277-9756
Total Sq Feet: 350
Type of Work:Re Roof Available Inspections:
Additional Info:TEAR-OFF EXISTING SHIGNLE ROOF Inspection Type:
Classification:Residential Up Lift Report
Scanning:3
Tin Cap
Final Roof
Tile In Progress
Renailing Affidavit
Review Roof
Review Roof
Cap Sheet
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $2.40
Invoice# RF-5-15-55740
DBPR Fee $3.75
DCA Fee $3.75 06/30/2015 Check#:9862 $222.90 $50.00
Education Surcharge $0.80 05/27/2015 Credit Card $ 50.00 $0.00
Permit Fee-New Roof $250.00
Scanning Fee $9.00
Technology Fee $3.20
Total: $272.90
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
construction and zoning. Fu thorize the above-named contractor to do the work stated.
June 30, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 30, 2015 1
oREs Miami shores Village
logo Building Department
10050 N.E.2nd Avenue
`nwZ_ � Miami Shores, Florida 33138
ORIDp' Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit# >zF - - 1Z, DATE: 1 �z'? I ►r
INSPECTION AFFIDAVIT
licensed as a (n) Contra /Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspector
License#:
On or about 4 Vu t t r' I did personally inspect the roof deck nailing
(Date&time)
T5
work at 1-70 1 N E 4
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553.844 F.S)
C'
Signature
State of Florida
County of Dade:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property
mentioned.
Sworn to and subscribed before me this day of Au GUS C 1 2 0 (S
Notary Public, Sate of Florida at Large ;ospO °r� Notary Puulic State of Florida
sindia Alvarez
c� My Commission FF 156750
of t%. Expires 09/0312018
'General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspe ion.Include photographs of each plane of the roof with
permit#and address#clearly shown marked on the deck for each inspection
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 9
Tel:(305)795-2204 Fax: (305)756-8972 ��p 4 j[j�
N LINE PHONE NUMBER.(305)762-4949
FBC 20/,,&-
BUILDING REV14510ster Permit No. • S-lS • 127d'
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 81 O f -r✓ "I"i T-3>
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): /V I A-WI J 1.cT7L'CS UL //,1-f Phone#:
Address: Qty 3 N-G7 z f q✓ Qz>
City: /M ,S State: _P1 Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: IS, AA---S w Phone#:
Address: I-) `7
City: l� A�,.�� f /' State: �� Zip:
L
Qualifier Name: (.9-�.`) o.A 2A-� Phone#:
State Certification or Registration#: C--cc is 2S ry, Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 8d 0 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: /1Q Z'> /So
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
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.
Signature _ C-- -�� Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of - ��vQq 20 I' by 3 day of 20 by
S—, a. IV who is personally known to l4. j (� rs 'trA&c—&— ,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
�izSi Sign:
Print: ••' " '''s TAMARA DIAZ Print: TAMARA DI
Commission#FF 242658 •; --A Commission#FF 242658
Seal: ''> Expires June 29,2019 Seal: ' Expires June 29,2019
. oi' t
BoMed Thu Troy Fain Iano.800.365�T019 ��`�,• Bonded Thu roy Fen Ygiparft I00JBS7019
################################ ### #######################################################################
APPROVED BY �� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Alain@IsaacsRoofing.com
From: Ismael Naranjo <NaranjoI@miamishoresvillage.com>
Sent: Friday,July 17, 2015 9:25 AM
To: Alain@IsaacsRoofing.com
Subject: Miami Shores condo
Follow Up Flag: Follow up
Flag Status: Flagged
The existing building code section 601.2 does not allow the building to be made less energy efficient. Consequently, the
insulation needs to go back.
There is a prescriptive installation in section 1520.5.7 which can be used to put the insulation back with a plywood sub-
roof and you may do under your license without the need for a GC.
1520.5.7 Suitable nailable decks installed over rigid board roof insulation in buildings of mean roof height of 35 feet(10.7 m)or less,
shall be a minimum of 15/32-inch(12 mm)exterior grade plywood sheathing.These decks shall be fastened to every structural roof
frame member or to the existing deck under the insulation,at intervals of not more than 24 inches(6 10 mm)apart,with a minimum
412 approved insulation fastener spaced at a maximum of 12 inches(305 mm)apart in one direction with a minimum penetration of
11/2 inches(38 mm)into the structural member or deck.In these cases the maximum thickness of the rigid insulation board shall not
exceed 2 inches(51 mm). An alternate method of attachment may be proposed,provided it is in compliance with Chapter 16(High-
Velocity urricane Zones),and it is prepared, signed and sealed by a Florida-registered architect or a Florida professional engineer,
which architect or engineer shall be proficient in structural design.
Thank you, Please let me know if you need additional information. ......
of 0 .. .
Ismael Naranjo, BO, CFM. t ^, •
Building Director. •••••• "°� •
....
r
1
Florida Building Code Edition 2007
High Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
Roof System Manufacturer: GAF
ProductApproval Number: 14-1022 . 16
Minimum Design Wind Pressures, If Applicable(From RAS 127 or Calculations):
P1: -48 . 8 P2: -85 . 0 P3: -125 . 7
Maximum Design Pressure N/A
ProductApproval Specific System:
Method of Tile Attachment: N/A
Steep Sloped System Description
Deck Type: 000000
. . 9000 9999..
MIN. 19/32" PLYWOOD •�•• ••
9999
Roof Slope: Type Underlayment: •••;•� � •
ASTM D-226 #30 FELT
9999 9999 . .
4 : 12 9999 9999 9999.
Insulation:
3 " ISO WITH #12 SCREWS PMTENE11'12" OC"
Fire Barrier: •• •••
9999..
N/A .. ...
Fastener Type & Spacing: 1-1/411 RS NAIL 12" 0. C
Ridge Ventilation? 2 ROWS AND 1211 O.C.@ LAP
N/A Adhesive Type:
N/A
Type Cap Sheet:
N/A
Roof Covering: ROYAL SOVEREIGN
Mean Roof Height: 22 ' 1 SHINGLES
Type& Size Drips
Edge:
DRIP EDGE
Miami Shores Village
Building Department MAY 2 7 41
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 01
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
��FBCC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑E ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 8701 NE 4th Avenue Road
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-046-0660 Is the Building Historically Designated:Yes NO x
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder):Cynthia K Lam Phone#:
Address:8701 NE 4th Avenue Road
city: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Isaacs Roofing & Insulation Corp. Phone#: 305-234-5234
Address: 17225 S. Dixie Hwy., Suite 200
City: Palmetto Bay State: FL Zip: 33157
Qualifier Name: Alain I. Gonzalez Phone#: 305-234-5234
State Certification or Registration#: ccc1325556 Certificate of Competency#:
DESIGNER:Architect/Engineer: N/A Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$3,025 Square/Linear Footage of Work: 350 sf
Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑ Demolition
Description of work: Tear-off existing shingle roof system and install new 3-tab shingle roof.
Specify color of color thru tile:
Submittal Fee!'5 ' Permit e:-i' CCF$ CO/CC$
Scanning Fee$ Radon Fee DBPR$ Notary$
Technology Fee$ T raini;,,_/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable) N/A
Bonding Company's Address
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appro ed and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
Z day of20 by day of 20 by
GUS (t-00�4e,9r wh s personally kno A., J Gc3o,-jZ-�'�r, o is personally know o
-e
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:__ Sign: d _
Prin': _- �. �i. *s"°<' C �, Print:Its
V .>
A -
HANNA FADUL Seal: h�U�*� = Notary Public-State of Florida
Seal: i `� _ Notary Public -Sta±, ` �'
c of Florida 's . � My Comm. Expires Apr 30, 2016,:
My Comm. Expires Apr 30. 2016 Commission ;x EE 193985
r
v0 Co mission # EE 193985
G L
LOVED BY C �� / Plans Examiner __ Zoning
Structural Review Clerk
(Revise,;0'/'4/2014)
: � F-
/ !s7 — /�7$lorida Department of MIAMPd
FLorilbA Environmental Protection
Division of Air Resource Management
701 N.W.
NOTICE OF DEMOLITION OR ASBESTOS RENO TI 3 Miami,
TYPE OF NOTICE(CHECK ONE ONLY): D�bRIGINAL ❑ REVISED ❑ CANCELLATION ��❑ COURTESY
TYPE OF PROJECT(CHECK ONE ONLY): ❑ DEMOLITION ❑ RENOVATION U-ROOFING Air Quality
IF DEMOLITION, IS IT AN ORDERED DEMOLITION? ❑YES NO Management Division
IF RENOVATION:
IS IT AN EMERGENCY RENOVATION OPERATION? ❑YES EKNO File#
IS IT A PLANNED RENOVATION OPERATION? ❑YES, ❑ NO Process#
I. Facility Name
Address ' / `l l`1 j' %� t`%F_ — :R -- F
City Lc I ' sa i:4'-1 �1!9`� State ! Zip County
Site Consultant Inspecting Site ----
Building Size
•-
BuildingSize (Square Feet) #of Floors Building Age in Years • •••••• ••••••
Prior Use: ❑School/College/University El Residence ❑Small Business Other 0..* : 0000
•
Present Use: ❑School/College/University ❑Residence ❑Small Business Other0 •
•••••• •• • ••••••
11. Facility Owner a C%r< tir �.�1 �!r`; S C�, 1�' i I J Phone( •?0000
• • •
Address :h ? Q ( `% -si :tit i=1 IC. _ �••••� • • •
City r` ci <.- `� -- ,' l!> State AC Zip
IH. Contractor's Name Phone(��• • • •
Address •
City State." Zai z ,< .� '•y y� • ••••i•
Is the contractor exempt from licensure under section 469 002(4),KS.. YES El No • • T: •
IV. Scheduled Dates: (Notice must be postmar�qpl 10 working days before the project start date) ••• e • ••• : •:
Asbestos Removal(mm/dd/yy)Start: i� '`> Finish: Demo/Renovation(mm/dd/yy)Start: �••Fintsh:
W- Description of planned demolition or renovation work to be performed an j methods to be employed, including demolition or renova ion techniques to
be used and description of affected facility components. //i/i<6rrF- T% �I/
Procedures to be Used(Check AI I That Apply):
❑ Strip and Removal ❑ Glove Bag ❑ Bulldozer ❑ Wrecking Ball
Wet Method E-] Dry Method ❑ Explode ❑ Burn Down
OTHER:
VI. Procedures for Unexpected RACM: 0 X
VII. Asbestos Waste Transporter:Name !-�� ' ! !e/ r r lZ. Phone O
Address
City s ;i r y ., State Zip
VIII.Waste Disposal Site: Namer —
Address
City J ;- ' State .Zip
IX. RACM or ACM:Procedure, including analytical methods,employed to detect the presence of RACM and Category I and II nonfriable ACM.
Amount of RACM or ACM* This is to certify that the required notification(s)
square feet surfacing material square feet cementitious material regar4ki2 asbestos have been submitted in
linear feet pipe square feet resilient flooring corpoVye with applicable regulations.
cubic feet of RACM off facility components ~ t>square feet asphalt roofing
RER O �al Sig�atu+�' Dat"e '
*Identify and describe surfacing material and other materials as appl cabrer
I certify that the above information is correct and that an individual trained in the provisions of this regulation(40 CFR Part 61,Subpart M)will be on-
site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection
during normal business hours.I have read and understood the additional information provided on the back of this form.
6 I aq i sh I it"I':1/...j /4 'Z -
(Print Name of O)wrw/Operate0-., f
(Signature of Owner/Operator) (Date) (Contact phone#)
RER USE ONLY Postmark/Date Received ID#
161_01-158 8/14 DISTRIBUTION: White-RER Yellow-Applicant Pink-Reserve
4 1
DISCLAIMER
This "NOTICE OF [DEMOLITION OR ASBESTOS RENOVATION" is required pursuant to the provisions of 40 CFR
61 Subpart M and Rule 62-257.301, F.A.C. and must be submitted prior to any demolition or regulated asbestos
abatement activity.This document is an Asbestos Notification only and is not a permit.
This NOTICE OF DEMOLITION OR ASBESTOS RENOVATION does not constitute a waiver of or approval for any
federal, state, county, or local permits that may be required for this facility.
*see
...... .... . .
...... . .. .... .
RER/DERM
..... .. .. ...
..... .... .... .
PLAN REVIEW
FINAL...... . . . .
so
......
APPROVAL
REVIEWER:
SIGNATURE:
DATE:-61 as�
THIS APPROVAL IS FOR
ASBESTOS ROOFING
OR DEMOLITION
REVIEW ONLY
, t- S
,� F i S __ /D 74lorida Department of MIMI®DADE
FLOR1bA Environmental Protection r
, esources
YRIGINAL
* ion of Air Resource Management ivlsio r
1 d Floor
NOTICE OFOLITION OR ASBESTOS RENO tt''N ''Mi 33136
TYPE OF NOTICE(CHECK ONE ONLY): ❑ REVISED ❑ CANCELLATION JUUAL2V15Y
TYPE OF PROJECT(CHECK ONE ONLY): ❑ DEMOLITION ❑ RENOVATION D'ROOFING
IF DEMOLITION, IS IT AN ORDERED DEMOLITION? ❑ YES D'NO Air Quality
IF RENOVATION: Management Division
IS IT AN EMERGENCY RENOVATiT)N CIPERATION? ❑YES D'NO File#
IS IT A PLANNED RENOVATION OPERATION? ❑YES, ❑ NO Process#
I. Facility Name
Address
City State Zip County
SiteConsultant Inspecting Site �•�•
Building Size ` ' (Square Feet) #of Floors Building Age in Years •a 0.•000 0000••
Prior Use: ❑School/College/University ❑Residence ❑Small Business Other •• • 0000 •0
Present Use: 0_$chool/College/Univ�Ysity El Residence ❑Small Business Other 0000-- --• ••••�•
It. Facility Owner 1 C? Phone( •Ta•0• • • •
•
Address ! .�H.� ri : l f"" X0.00 •• • • • •
••0• •• •• 0000•
City t' i �` 'T. �t' State Zip 000000 0000 ••i0a0
III. Contractor's Name Phone • 0 • •
aw 0
Address •0
City State _Zip, i R • •0a0i•
• 11i •
YES 1:1 NO
Is the contractor exempt from licensure under section 469.002(4), F.S. ❑ • • • r' 0 •
IV. Scheduled Dates: (Notice must be postmar�e 10 working days before the project start date) 0••0 i • ••• i0000i
Asbestos Removal(mm/dd/yy)Start: / > Finish: 'LL, Demo/Renovation(mm/dd/yy)Start: --Finish:
V. Description of planned demolition or renovation work to be performed and methods to be employed, including-demolition or renovation techniques to
be used and description of affected facility components.
Procedures to be Used(Check All That Apply):
E] E:1 and Removal E:1Glove`.Bag ❑ 1 Bulldozer I ❑ I Wrecking Ball
[al Wet Method ❑ I Dry Method _ ' explode ❑ Burn Down
OTHER:
VI. Procedures for Unexpected RACM:
VII. Asbestos Waste Transport ef:Name r-1 1- f 11 /Ze-7114 Phone( )
Address �> t (`� (al 114, LIE
City ' /t', { ti"L State Zip
VIII.Waste Disposal Site: Name
Address l c.- i.-?'
City } / i i.( _ State Zip
IX., RACM or ACM:Procedure, including analytical methods,employed to detect the presence of RACM and Category I and II nonfriable ACM.
Amount of RACM or ACM* This is to certify that the required notification(s)
square feet surfacing material square feet cementitious material regarw asbestos have been submitted in
linear feet pipe square feet resilient flooring co Iii e with applicable regulations.
cubic feet of RACM off facility components 144 d square feet asphalt roofing i 3
RERIONcialSigwUwfer ' Date
*Identify and describe surfacing material and other materials as applicable:
I
I certify that the above information is correct and that an individual trained in the provisions of this regulation(40 CFR Part 61,Subpart M)will be on-
' i
site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection
during normal business hours.I have read'dnd understood the additional information provided on the back of this form. II
(Print Name of Oyunec/Operator]-
..,.5 -74
(Signature of Owner/Operator) (Date) (Contact phone#)
RER USE ONLY Postmark/Date Received ID#
161_01-158 8/14 DISTRIBUTION: White-RER Yellow-Applicant Pink-Reserve _ ,
DISCLAIMER
This "NOTICE OF DEMOLITION OR ASBESTOS RENOVATION" is required pursuant to the provisions of 40 CFR
61 Subpart M and Rule 62-257.301, F.A.C. and must be submitted prior to any demolition or regulated asbestos
abatement activity.This document is an Asbestos Notification only and is not a permit.
This NOTICE OF DEMOLITION OR ASBESTOS RENOVATION does not constitute a waiver of or approval for any
federal, state, county, or local permits that may be required for this facility.
...... .... . .
• • • • RER/DERM
...... . .. .... .
••••• •• •• ••• PLAN REVIEW
..... .... .... .
...... .... .. .
• •••• • FINAL
...... . . . .
•••' APPROVAL
REVIEWER: I r
SIGNATURE: ,
DATE: 3
THIS APPROVAL IS FOR
ASBESTOS ROOFING
OR DEMOLITION
REVIEW ONLY
r I N AL ^A 7f f
Asbestos Business L-icense 7`-1` Z-A0000218
2,40 1 d & Asbes'-'0 s Surveyrs
& Removal * Phase I Eavironmenta"'I Assessinart * Ad= Moni'oxing
June 18, 2015
The Shores Villas Condominium
8701-9043 NE 4 Avenue
Miami Shores, FL
RE: The Shores Villas Condominium REPORT 1�1-1 5-04&�� AS
8701-9043 NE 4 Avenue ••
Miami Shores, Florida •
Dear Sir :
Pursuant to your request and our agreement, ETS Environment, Inc. haspejoloq•rie"
p•pd an Asbestos Roof*
Survey on June 11, 2015 at the above referenced facility. 0*00:0
SURVEY LIMITATIONS :0900:
This inspection report is the result of a diligent search of the facility for asbestos containing
roofing materials (ACRM). All analyzed samples were l- aUily available to our surveyor. if
in the course of a renovation or demolition activity, additional suspect materials become
exposed, all activities -,hoLi!d wase ase and the suspect material brought to our
attention for evaluation and recommendation(s) if necessary. The scope of this inspection
to pprform a survey cf -roof surfacing material's for suspect ACM. Therefore only roofing
I. If
material was sampled and all other building material is NOT included in this inspection
survey report.
LABORATORY METHODS
FachSaMnll-1AIMs ret,I r,
ed tothe llaboratory at ETS Environment, Inc., logged, and stored
for analysis. All analyses were performed using the Polarized Light Microscope (PLM)
Method 40 CFR 763, Sub"t. F, App. A Fgs. 293-299, 1-1-87 ed.; (Polarized light
microscopy in conjunction with dispersion staining).
The scope of our investigation consisted of the following:
Seven (7) random locations of roof system materials were chosen by our Certified
Technician to secure as bulk samples for analysis
Samples for asbestos analysis were taken on any visibly potential Asbestos Containing
Materials (ACM). Samples were placed in plastic bags and labeled for further analysis.
Ali secured bulk samples were analyzed by Polarized Light Microscopy to verify asbestos
content.
Preparation of final report
r �
SITE DESCRIPTION
The survey was limited to the sloped shingled roofs only of the building. The total roof area
surveyed occupies approximately 26.400 &F
CONCLUSIONS
Rased on n it ci r ey and hi1l4 camplc analysis it was evi deem Thai NO asbestos fibers were
found in any of the samples taken.
CLOSING REMARKS •....•
. .
ETS Environment,Inc.greatly appreciates the o 'qo " • '•""
opportunity to provide gr{$litgenvironm�ntal •
services at a reasonable cost. It has been a pleasure working with yn��ag�.A�e look f^ u ;••••;
to doing so in the near future. Should you have any questions or comnierotet please•d6 of •••••
hesitate to call. •••• ••;•••
.... .. ...
Respectfully submitted, •
. . . . ......
S Environment, Inc. e ......
Dennis Emerson I.H.
AHERA Inspector Certificate No. 144519
ZA#0000218
1 hereby certify that the Roof Asbestos Survey conducted on June 11, 2015, at The Shores Villas
Condominium, 8701-9043 NE 4 Avenue, Miami Shores, Florida, 'A'fps performed by Dennis Emerson, ai i
E.P.A.Accredited A.H.E.R.A. Inspector utilizing the Code of the Federal Regulation Standards,40 C.F.R.,
Part 763,Subpart E, Section 763.80-763.99 and the State Asbestos Regulations, Floriva Statues 469.603.
T�
Reviewed by: r�--
Bruce Marchette, C.I.H. ate
Florida Certified Licensed AshPgtng Consultant No. !Og----
TS
BULK SAMPLE TRANSMITTAL FORM
Client Name : The Shores Villas Condominium
Project Name : The Shores Villas Condominium
8701-9043 NE 4 Avenue
Miami Shores, Florida
Report Number: FL15-0469RAS Date Collected: 06/11/15
. . . .. ......
{I Sample# Location of Sample Description 'tyA'hdition Asbestos•
(( 1 ( Field Asphalt Shingle I .. .C. I NAb {
I 2 Field Asphalt Shin le ."'F'.�, .' . ; NAD II
3 Field Asnhalt ShinalP ••••F,f . .... NAC.:..' IJ
4 Field Asphalt=1e ....F.G. NAD
1E
(I 5 Field Asphalt Shingle ( F.-C. INAp • ••I{
6 Field Asphalt Shingle •• F.b. •• ••: NAb ' I
CiGld n5 halt Shinvic F.C. NAD {
I
II I I I I)
{ {
{ {
Say i pied BY:Dei ni,`f i�8i 5vi i NAD-NO ASBESTOS DETECTED
{I SAMPLE CONDITION CODES I{
�( G.C.Good Condition F.C.Fair Condition P.C.Poor Condition P.D Physical Damage W.D.Water Damage F Friable (I
N.F.Non-Friable H.Con.High Contrast M.Con.Moderate Contrast L.Con.Low Contrast
ETSE4Wv:*04v0fq04j •
12:,34 73 Court North
W.P.B., F=lorida 33412 Project : The Shores Villas Condominium
(954)236-0053 Lab Code : 0355
REPORT OF BULK SAMPLE ANALYSIS
Sample Anal. Sample Item Description Asbestos n-Percentage Percentage&Type NoPercentage
Number Init. 8, Type Identified Asbestos Fibers Non-Fiber Mat.
1
DKE Asahalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28-30 Cellulose
2 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28-30 Cellulose
3 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28-30 Cellulose
4 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28-30 Cellulose
5 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28-30 Cellulose
6 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28.30 Cellulose
7 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28.30 Cellulose
—s- -s- -�---.—
so 000
••• • . . •
•. 0DZA:D,= No Asaestos Detected
Denis Emerson I.H. •• • •
... . . ... .. .
Microscopist
... . . . . ••• . .
• • • • • • • • • •
• •• •• • • • •• ••
••• • • • ••• • •
A
Florida Building Code Edition 2007
High Velocity Hurricane Zone Uniform Permit Application For-fi N
_Section A (General Information)
Maste I'- rmit I`o. Process No.
A6
Conti ', .or's Name Isaacs Roofing and Insulation Cor'
JobAc!aress g� d 1�1 �A-a
ROOF CATEGORY < _ V
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set 116;,
® Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes �
Shingles `r
❑ Prescriptive BUR-RAS 150 '
ROOF TYPE
❑ New Roof El Reroofing ❑ Recovering ❑ Repair ❑ Mai
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total.j5'F} :'. •
0 350 ••03IiD ......
0000•• 0 0'
SECTION B (Roof Plan, ;"":
.0.0.0
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppeps, o v"ow :00
scuppers and overflow drains. Include dimensions of sections and levels, clearly
identify dimensions of elevated pressure zones and location of parapets.
I
" I
A JJ21! I
i
I �
Florida Build': c: "ode Ed;tion '3007
High Velocity Hurricane Zccl - Uniform Permit App"cation Form
Section D (Stee -_!qryd Roof 5vstem
Roof System Manufacturer: GAF
ProductApproval Number: 14-3022 . 16
Minimum Design Wind Pressures,IfAppl:.;able(From RAS 127 or Calculations):
P1: -48 . 8 P2: -85 . 0 P3: -125 .7
Maximum Design Pressure N/A
ProductApproval Specific System:
Method of Tile Attachment: N/A
Steep Sloped System Description "" '•••••
...... .. . ......
Deck Type: •• •
MIN. 19/32" PLYWOOD •
Type Underlayment:
Roof Slope: ASTM D-226 #30 FELT •
4 : 12 '
Insulation: ••••••
.....
.
N/A . .....
.. .
Fire Barrier:
N/A
Fastener Type&Spacing: 1-1/4" RS NAIL 12" O.C
Ridge Ventilation? 2 ROWS AND 1211 O.C.@ LAP
N/A Adhesive Type:
N/A
Type Cap Sheet:
N/A
Roof Covering: ROYAL SOVEREIGN
Mean Roof Height: 22 ' 1 SHINGLES
Type&Size Drips
Edge: 3 11X 3 11 GATIV
DRIP EDGE
SECTION R4402.1
HIGH VELOCITY HURRICANE ZONES REQUIRED OW ;`sti N'OTIFICIATION FOR ROOFING
CONSIDERATION;:
R4402.13.1 Scope. As it pertains to this section, it is the respor,e,Jhl it.,of the roofing contractor to provide the
owner with the required roofing permit,and to explain to the owne thy,content of this section.The provisions of
Section R4402 govern the minimum requirements and standardF of the industry for roofing system installations.
Additionally, the following items should be addressed as part o_i the agreement between the owner and the
contractor.The owner's initial in the adjacent box indicates thal the item has been explained.
1.Aesthetics-Workmanship:The workmanship provisions of Section R4402 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.Aesthetics
(appearance)are not a consideration with respect to workmanship provisions.Aesthetic issues such as color
or architectural appearance,that are not part of a zoning code,should be addressed as part of the agreement
between the owner and the contractor.
2.Renailing Wood Decks:When replacing roofing,the existing wood roof deck may have to be
renailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior
to removing the existing roof system.)
3. Common Roofs: Common roofs are those which have no visible delineation between
neighboring units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
4.Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below.The owner may wish to maintain the architectural appearance,thereforQ*root'icig ••••••
nail penetrations of the underside of the decking may not be acceptable.This provides the option of maintainiMing
this appearance.
Ponding Water: The current roof system and/or deck of the building m3Y ppt drain Vell and ;••••;
may cause water to pond (accumulate) in low-lying areas of the roof. Ponding cc-h"an indtatipp•of •••••
structural distress and may require the review of a professional structural engineer.Jila iug mayshorten
the life expectancy and performance of the new roofing system. Ponding conditione.may not be OWnt
until the original roofing system is removed. Ponding conditions should be correcteelr•••• .•
. . . . ......
016�1
6. Overflow scuppers (wall outlets): It is required that rainwater flow off•sot the roo$is not •
overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this JiscltaiVe ••••
if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the requirements of Sections R4402,R4403 and R4413.
7.Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of
the roof.
OS /S \C
Owner's Agent's Signature Date Contractor's Signature
SRS/ W `/"' Alfie-ID IMAR/
Property Address Permit Number
�G
33>.36
MIAMI-DADE MIAMI-DAD .COUNTY
# PRODUCT CONTROL,S`i:�.TION
11805 SW 26 Stree:.a-vom?09
DEPARTMENT OF REC' :-,TORY AND ECONOMI-c PESOURCES(RER) Miami,Florida 33"1 -2474
BOARD AND CODE AD.,'""ISTJ ATION DIVISION T(786)315-2590 F(7S0 1=-2599
NOTICE OF AC . .7-TTANCE (NOA) www.miamidade.¢ _:'r uromti
GAF
1 Campus Drive
Parsippany,NJ 07054
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section
(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,
if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the
requirements of the applicable building code.
This product is approved as described herein,and has been designed to comply with the FlaridaJ3uildinj�;;8 ......
including the High Velocity Hurricane Zone of the Florida Building Code. : . ... .'
...... .. . ......
DESCRIPTION: GAF Royal Sovereign®Shingle 666960
••••
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo a otV, state and followinq...
statement: "Miami-Dade County Product Control Approved" unless otherwise noted herein •
RENEWAL of this NOA shall be considered after a renewal application has been filed arrd ther;has been no change..%
in the applicable building code negatively affecting the performance of this product. ••• •••
.. . . ...
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or ch,$ge 4 the
materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA 12-1127.03 and consists of pages 1 through 4.
The submitted documentation was reviewed by Juan E. Collao,R.A.
t4 .6,
Oa t NOA No.: 14-1022.16
MIAMI•DADE COUNTY
�rj..., , Expiration Date:04/22/18
Approval Date:02/05/15
Page 1 of 4
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub-Category: Asphalt Shingles
Materials 3-Tab
Deck Type: Wood
SCOPE
This approves GAF Royal Sovereign®Shingle as manufactured by GAF as described in this Notice of Acceptance,
designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building
Code.
PRODUCT DESCRIPTION
Product Dimensions Test Product Description
Specifications
GAF Royal Sovereign®Shingle 12" x 36" TAS 110 Fiberglas reinforced heavy weight asphalt roof
shingle,with a 3-Tab profile
MANUFACTURING LOCATIONS •••
1. Savannah, GA.
. . .... ......
2. Tuscaloosa,AL.
...... .. . ......
3. Tampa,FL. •
4. Mt. Vernon IN. ••••••
5. Mobile,AL. .... w .. ...
6. Dallas,TX. •••••• w♦♦ .....
7. yerstown,PA.
.. .. .. ......
......
8. Fontana, CA. i
• • w • •wwww♦
9. Minneapolis,MN.
w ......
w♦ • w ww♦ •
EVIDENCE SUBMITTED
Test Agency Test Identifier Test Name/Report ♦w Date
Center for Applied Engineering TAS 100 02/23/94
ASTM D3462 257966 03/21/97
PRI Asphalt Technologies, Inc. TAS 100 GAF-105-02-01 11/14/05
TAS 100 GAF-182-02-01 02/07/08
PRI Construction Materials Technologies,Inc. TAS 100 GAF-332-02-01 01/17/12
TAS 100 GAF-376-02-01 10/15/12
TAS 100 GAF-153-02-01 11/30/06
Underwriters Laboratories,Inc. TAS 107 05CA48258 11/28/05
TAS 107 05CA47804 11/11/05
TAS 107 08NK02337 03/12/08
TAS 107 08NK12906 10/10/08
TAS 107 11CA47919 12/03/11
ASTM D 3161 /TAS 107 09CA41642 09/23/10
ASTM D 3161 /TAS 107 09CA38549 10/30/09
7 7 = NOA No.: 14-1022.16
ia�ii T�sjF-,COJsrl7" Expiration Date: 04/22/18
Approval Hate: 02/05/15
Page 2 of 4
EVIDENCE ; '.;I17.JTT'F,D (CONTINUED)
e a A eTwv Test Identifier Test Name/Report i'af
Underwriters .-boratories,Inc. ASTM D 3462 ASTM D3462 G9/12/06
ASTM D 3462 08NK02337 03/12/08
ASTM D 3462 09CA21715 05/20/09
ASTM D 3462 08CA61515 07/15/09
ASTM D 3462 11CA47919 12/03/11
LIMITATIONS
1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materia;s Directory for
fire ratings of this product.
2. Shall not be installed on roof mean heights in excess of 33 ft.
3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code
and Rule 61 G20-3 of the Florida Administrative Code.
INSTALLATION
1. Shingles shall be installed in compliance with Roofing Applications Standard RAS 115.
2. Flashing shall be in accordance with Roofing Applications Standard RAS 115.
3. The manufacturer shall provide clearly written application instruction.
4. Exposure and course layout shall be in compliance with Detail"A",attached. 060*
. . .... ......
5. Nailing shall be in compliance with Detail"B", attached. •••• ••• ••
...... .. . ......
LABELING •
Shingles shall bear the imprint or identifiable marking of the manufacturer's name or logo,Wt34 a&statf of..• ....•
manufacturing facility,and following statement: "Miami-Dade County Product Control Apprgwed" or the Miami-Dade..•
County Product Control Seal as shown below. •• •• •• ••••••
Iff MIAMI-DADE COUNTY • ' ••••••
, ...�
.. . . ...
9.6 .
BUILDING PERMIT REQUIREMENTS
1. Application for building permit shall be accompanied by copies of the following:
1.1 This Notice of Acceptance.
1.2 Any other documents required by the Building Official or the applicable code in order to properly
evaluate the installation of this system.
NOA No.: 14-1022.15
MIAMtiDADE COUNTY
..,• , Expiration Date: 04/22/18
Approval Date: 02/05/15
Page 3 of 4
COLI?`L LAYOUT
1 st Course of Shingles
2nd Course of Shingles
3rd Course of Shingles
5"
5"
Drip Edge •.••
• • 9999 9096••
. • R •
0
•9.••9
-*00:0:0 09.600
.
"""
DETAIL B
9900 •• r • •
OVERALL DIMENSIONS AND NAILING PATTERN •
09969•
.• .9 ..
.
.99.
•
6
36 0
6.96.9
9.9.9..
•.
00
Lr
Lo
LO
END OF THIS ACCEPTANCE
NOA No.: 14-1022.16
w�*r"DADECouNn Expiration Date: 04/22/18
Approval Date: 02/05/15
Page 4 of 4
ONLINE CERTIFICATIONS DIRECTORY
UL Online Certifications Directc-1-- �
Prepared Roof-coverinE IA f ateriais
GAF R21
1361 Alps Rd
Wayne,NJ 07470-3700 USA
Asphalt glass fiber mat shingles -l."RoyalSovere ghS," "Sentinel®," "Sentinel®ASTM D3462," "Timberline®
HD," "Timberline®Natural Shadow," "Timberline®Ultra HD," "Timberline®Cool Series," "Timberline®
Majestic," "Timberline®Majestic 30," "Timberline®American HarvestTM," "Timberline®ArmorShieldTM II,"
"Grand Timberline®," "Marquis®WeatherMax®," "Grand CanyonTM," "Grand Sequoia®," "Grand Sequoia®IR,"
"Camelot®," "Camelot®II," "Capstone®," "Country Mansion®," "Country Mansion®II," "Grand S1ateTM", "Grand
SlateTM II," "Slateline®," "Woodland®," "MonacoTM" and "Sienna®" for installation as Class A prepared roof
covering. Suitable for installation on'minimum 3/8 �n.`fhck plywood roof decks in combination with minimum one
ply "Shingle-Mate" or Type 15 or Type 30 underlayrrient Also.Classified in accordance with ASTM D3161, Class F.
Also Classified in accordance with ASTM D3462/D3462M. Also Classified in accordance with ICC ES AC438.
. . .... ......
Asphalt glass fiber mat shingles - "WeatherBlocker Starter Strip Shingles", and "Pro'StaYtV Starter.Wip Shingles"
for installation as Class A roof covering. Suitable for installation on minimum 3/8-in.tfrietplywood•in oombixa4I"*b
with minimum one ply "Shingle-Mate" or Type 15 or Type 30 underlayment. Also ClAttfl8d in accordance v41h••,
ASTM D3161/D3161M, Class A. Also Classified in accordance with ASTM D3462/ID3•TVNI. ••
.... . .. .....
Asphalt glass fiber mat shingles=."Royal'Sovereign(g," "Sentinel®," "Timberline®HW,%V17imberliri64 Natural•..
Shadow," "Timberline®Ultra HD," "Timberline®Cool Series," "American Harvest,"I.IMtquis®WmtherMax@;f
"Grand CanyonTM," "Grand Sequoia®," "Grand Sequoia®IR," and "Camelot®" for installation as►rLdiLA prepWd
roof covering when used with minimum Type 30 underlayment;over,11existing wood shhle jbof. ••••
Asphalt glass mat hip and ridge shingles- "Timbertex Hip and Ridge" for installation as Class A prepared roof
covering.Also been evaluated in accordance with ASTM D3161/D3161M, Class F when Henkel "PL Roofing and
Flashing Sealant" or Sonnebom "NP1 Gun-Grade Polyurethane Sealant" is applied as specified in manufacturer's
application instructions." Also Classified in accordance with ASTM D3462/D3462M.
"Z-Ridge" for installation as Class A prepared roof coverings.
"Seal-A-Ridge®ArmorShieldTM" and "Seal-A-Ridge® IR" for installation as Class A prepared roof coverings.Also
been evaluated in accordance with ASTM D3161/D3161M, Class A.Also Classified in accordance with ASTM
D3462/D3462M.
"Seal-A-Ridge®" for installation as Class A prepared roof coverings.Also been evaluated in accordance with ASTM
D3161/D3161M, Class F when Henkel Corp. "Loctite PL S30 Roof&Flashing Sealant" is applied as specified in
manufacturer's application instructions. Also Classified in accordance with ASTM D3462/D3462M.
Last Updated on 2014-06-13
5t►ORFS `
see a 596fer" Miami shores Village
Building Department
�ORtD�
10050 N.E.2nd
Avenue
Miami Shores, Florida
33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: rzF S- ► s - ►i�8 DATE:
o Contractor
(NAME)
o Owner
o Architect
Picked up 2 sets of plans and (other)
Address: $-r�0 % ' kaE 4A T., A.%.i e
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to
Miami Shores Village Building Department to con inue permitting process.
Acknowledged by:
4 Signature)
PERMIT CLERK INITIAL
RESUBMITTED DATE: 10 Z?j
PERMIT CLERK INITIAL: QJ
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138 `FNr 0
Tel: (305) 795.2204 �lOR1DA
Fax: (305) 756.8972
JUNE 01, 2015
Permit No: RF-5-15-1278
Building Critique Review
DERM approval required.
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, replace them with new revised sheets and place behind the most
current page.