RF-13-1358 � ( MEW
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Miami Shores Village JUN 17 -1.0 3
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Building Department �o voo�000°oeoemm.®m
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBcI0 ��
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING y�ROOFING
JOB ADDRESS: L-brari�LI vD� ," e�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Mom, 5 y P-s Vi LPhone#: 3a�-)CIS _cel
Address: Inaso U E ell'�) h�
City: Vtl 1 i 01GA-I ��Awy State: EL Zip: C33
Tenants essee Name: Phone#:
Email:
CONTRACTOR:Company Name: Phone#:
Address
City: tate: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: (2Q0_Cr Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
6
Value of Work for this Permit:$ -/U 6 Square/Linear FooIaRe of Work:
Type of Work: DAddition OAlteration ❑New ep /Repl eODemolition
Description of Work•
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Color thru tile:
x�x�xxux�xxxxxxxx�m�xxxxxxxxxxxxx�x�xx�Fees�xxx �x�xxx��x�x��xxx�xxxx�xxx�x��xxxxx�x
Submittal Fee$ Permit Fee$ ON CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
o
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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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. the absence of such poste tice, the
inspection will not be approved nd a reinspection fee will be charged.
Signature Signat e jz�
Owner or Agent Contractor '/�
The foregoing instrument was acknowledged before me this The egoi instrument was acknowledged before me this J
day o ,201,by ,e I&A day of ,20�J,by ,
who isersonallyow kno me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign.
Print: Print: of
Notary Public State
My Commission Expires: gnh�� �• BARgpppp Eg�p My Co �p> Sidra Dee Hart
MY COMMISSION#DD 95.5300 I Commission FF 010844
ap� Expires 04/21/2017
EXPIRES:March 29,2014
Bonded lhru Notary PU®IIo Undanrriters
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APPROVED BY _ Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Rovised 3/15/09)
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 govem 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-Workmanship: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. fl 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 to be performed.
4. Exposed Ceiling: 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;therefore, roofing nail
penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the
appearance.
5. -114 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. Pounding can be an indication of structural
distress and may require the review of a professional structural engineer. Pounding may shorten the life
expectancy and performance of the new roofing system. Pounding conditions may not be evident until the
original roofing system is removed.Pounding conditions should be corrected.
6. '0� Overflow scuppers(wall outlets): It is required that rainwater-flows 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.
.y
Owner/Agents Signature Date Contractor Signature Date
Revised on 7/9/2009 LD