RF-15-1838 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-239648 PermitNumber: RF-7-15-1838
Scheduled Inspection Date: January 08, 2016 Permit Type: Roof
Inspector: Rodriguez,Jorge Inspection Type: Final Roof
Owner: IRAHETA, TIFFANY& MARIO Work Classification: Repair Roof
Job Address:501 NE 94 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060140850
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
REPAIR CRACKED SHINGLES ON GARAGE ROOF WITH Infractio Passed Comments
PAPER AND SHINGLE INSPECTOR COMMENTS False
TO CLOSE PERMIT#RF08-399
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 07,2016 For Inspections please call: (305)762-4949 Page 3 of 24
Miami Shores Village Root
10050 N.E.2nd Avenue NE r � `
Miami Shores,FL 3313&0000 :
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b�FHS ,.o Phone: (305)795-2204to g
. ..
Expiration: 07105/2016
Project Address Parcel Number Applicant
501 NE 94 Street 1132060140850 W
TIFFANY&MARIO IRAHETA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
f
FFANY&MARIO IRAHETA 501 NE 94 Street
MIAMI SHORES FL 33138-2847
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
HOME OWNER
_ Total Scl Feet: 120
Type of Work:Repair Available Inspections:
Additional Info:REPAIR CRACKED SHINGLES ON GARAGE R Inspection Type:
Classification:Residential
Roof Repair
Scanning:3 Final Roof
Review Roof
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# RF-7-15-56433
DBPR Fee $2.00 01/07/2016 Check#: 1517 $ 114.60 $0.00
DCA Fee $2.00
Education Surcharge $0.20
Permit Fee-Repairs $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning Futhermore),authorize thbove named contractor to do the work stated.
January 07, 2016
Authorize nat e:0 ner / pplicant / Contractor / Agent Date
Building Department Copy
January 07, 2016 1
Miami Shores Village
Building Department jUL 2 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY-- ------
Tel:
----
Tel: (305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 44
FBC 20 (
BUILDING Master Permit No. v�
PERMIT APPLICATION sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5,0( 1,fe 9N S�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: / t 320 6—6/Y- off' Is the Building Historically Designated:Yes NO.
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
II �M' C-nd
OWNER: Name(Fee Simple Titleholder): �' Zr�� Phone#:
Address: 50 r /'1
City: h aY e State: �L Zip: 3 3138
Tenant/Lessee Name: Phone#: �
Email:
CONTRACTOR:Company J
p y Name: d Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: —State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:1\l
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: /
Rt19,-,(Y C r4-Ck1d .sl:,rjrS fle,
�K leREMl
Specify color of color thru tile:
�zz 0 U - ��
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$ V
(Revised02/24/2014)
Bonding Company's Name(if applicable) r
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 d4Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument wasacknowledgedbefore me this The foregoing instrument was acknowledged before me this
Q-o'- day of �-tU- L—\ 20 V- by day of 20 by
l�F� N� �jt 2kst{(12F l(ZpW; hi o'is personally kno`w,n�two who is personally known to
me or who has produced t=l.._ 3)V—NQ& lLQK:K i� 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:
Print: Print:
Seal: Notary Public State of Florida Seal:
,P �+ Sindia Alvarez
My Commission FF 158750
oFt Expires 09103/2018
APPROVED BY W(( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
,g1 1932 Miami Shores Village
p„ Building Department
10050 N.E.2nd Avenue
ro 0 Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAM E: °I I DATE:
ADDRESS:
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7).And I have
read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption
allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the
construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a
cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or
lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built
for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on
your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and
with-holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all
applicable laws,ordinances,buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an
exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain
restrictions even though I do not have a license.
Initial lj'
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial C462
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and coontcontracts.V 6
Initial -7
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial
building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale or lease.If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete,the law will presume that I built or substantially improved it for sale or lease,which violates the exemption.
Initial '' -7
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial '44-7
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial
0 ' .
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. 1,as an owner-builder,may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow
these may subject to serious financial risk.
Initial
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and
requirement that govern owner-builders as well as employers.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States
Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.html
Initial /
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
pct to K ff -
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on
this disclosure.
Initial
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or
employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder
permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property
owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this day of L 20
By_VVIPI °v' I{tel TeA wno was personally known tome or who has
Produced there License or l3 Sk_-' as identification.
LhV
OWNER NOTARY oogPC Notary Public State of Florida
? sindia Alvarez
�jy < My Commission FF 156750
r of p Expires 0910312018
r r
I High Velocity Hurricane Zone Uniform Roofing Permit Application Form
Section A(General Information)
Master Permit No. Process No.
' Contractor's N me:.
d lob Aderess: /VC
J Cn
Roof Category
L! lope _Mechanically Fastened Tile _Mort9r/Adhesive Set Tile
As halShingles _Metal Panel/Shingles
--Wood Shingles/Shakes
.rWe'scriplive 8UR-RAS 150 _,Other: ,
Roof Type
Newi%uu, ._ Re-Roofing _RecZNO
ZRep _ Mainlenarwe • • 000•
• • • 0000
•• • 0000••
Are there Gas Vent Slacks located on the roof? ,_YesIf yes,what type? .::.tJ9lt�a1•.!_LPGX• •
0000•• 0000••
i • •
Roof System Information ••.. •
.. • 0000 •.•.•.
Low slope roof area(fl i.f Steep Sloped area(ft.') Total(ft. &000
•••••
....__..-.. • • • • 0000•
Section B Roof Plan). '• ......
Sketch Roof Plan:Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow dralns.Include dimensions •
of sections and levels,clearly Identify dimensions of elevated pressure zones end location of parapets. • ••• •
. • • • 0000••
• • • 0000 •
PCrimeter Width(ij: Corner Size(a's a'): •• •
----------- -
---------------
Arm
. :
12 2.
1
------------
SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES —REQUIRED OWNERS NOTIFICATION
` FOR ROOFING CONSIDERATIONS
R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner
with the required roofing permit,and to explain to the owner the content of the section. The provisions of Section
R4402 govern the minimum requirements and standards of the industry for roofing system installations.
Additionally,the following items should be addressed as part of the agreement between the owner ant the
contractor. The owner's initial in the designated space indicates that the item has been explained.
1. Aesthetics-Worlcmanship: the workmanship provisions of Section R4402 are
for the purpose of providing that the roof system meets the wind resistance and water
instruction 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. -r n Renailing wood decks: When replacing roofing, the existing wood ra f•d�-,ck
may have to be renailed in accordance with the current provisions of S&wjdQ X44037•(The ••••�•
roof deck is usually concealed prior to removing the existing roof systamr A•. •
3. Common roofs: Common roofs are those which have no v1stb1e delindio
between neighboring units (i.e., townhouses, condominiums, etc.) In build4%gs with
.....
common roofs, the roofing contractor and/or owner should notify the eecrtpants oWa;,ent •
units of roofing to be performed.
• ....�.
4. Exposed Ceiling: Exposed;open beam ceilings are whet' the jindersiV of the •
roof decking can be viewed from below. The owner may wish to maintain the arLLiteFtural •
appearance; therefore, roofing nail penetration of the underside of the decking may not be
acceptable. The provides the option of maintaining the appearance.
5. J t11 Ponding water: The current roof system and/or deck of the building may not
drain well and may cause water to pond(accumulate) in low-lying areas of the roof.
Ponding can be an indication of structural distress and may require the review of a
professional structural engineer. Ponding may shorten the life expectancy and performance
of the new roofing system. Ponding conditions may not be evident until the original roofing
system is removed. Ponding conditions should be corrected.
6. �r.'s1 Overflow scuppers (wall outlets): It is required that rainwater flow off so that
the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof
extension may block this discharge 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 structure 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.
Owner/Age ignature Date Contractor Signature Date