RF-13-2680 Miami Shores Village NOV 2 5 2013
Building Department,
10051 i N.E.2nd Avenue.Nl Florida 33 13,8
Tel:(305)71)5,,2(W Fav(305)756,S97-1
INSPECTION'S PHONE NUMBER:{30.41762,4949
FB(' 20
BUILDING Permit No.
PERMIT APPLICATION Muster Permit No.
Permit Type: BUILDING ROOFING
JOR ADDRESS:
city: Miami'Nhores 0-mit}':. Miami Dikh: zip:
14.the ffiiilding Histodeally Designated:Ye,_ _No F14 H ki Zone:
OWN ER: Na mc(Fec Si mple Tit Icholder j: �T Varmr 0�–' �A;Y% A —14-Ama:
Sudc: till:
Yvrjztnt/Lessce Mime:
CONTRACTOR:("onq)an� Name:
1-7
city Stale:
�7-!�5:5 9
........................................... ........................ .....................................................
Value of 11'cati;ft,r this Permit:q+ Z409 Sqwre/Linear Fo(Aage of Work.
Ty eofWork: JAAb6o JAI(crakon JNcw *i�cIxtir/RclAirvc JI)CII-KAition
Description of'Work: 11 STAU 47–(,M 14 IQ fg S �
Color thru tile:
A:
Submittal Fee Permit Fee ('('F
S
.,AaflfliIV2 Fee R-xk)n Fee DRPR$
Notary$ Trai ning/Etltwat i4on Fee$ Technology Fee
UkKible Fee Stniclural Review.$—
,Ff.*)'rA L FEE NOW DUE S
' Bonding Company*.N Nater-til alalalicable)
I�Csrt<lini>C:otnpaln�,Acklrr�s
City_....................------- - __—.__..__..__.....Stet4 _
1F wt#ag I_rtht%:r' Nance til alylis:ahle)
lint#+air t_rrtdcr';As kir+.
Citt Stat. Zip
Al>i,lis aa<:n is !i rehy nrrttte to sthtaiti it{,erniit to titi thr ttora; ,uts.l instal lilt ion, a.'� ilxtieatrcl. [certify that tits tvcTrk or iltsta}lauttn has
contntrtxed 1-4-ior to the 'tssuatkx ol' it l rmil aril that all work %till tic 1-wk>rutcd to tncct the stmislurds of all late€ regulating
c:Otl',IIVt•tion it')this juriutictioli. I uPxler tarxt tlia€ a sr'mratr:Ivrmit mw t he mxurcd for I.11CTRIC.'AI. W't.)RK.PI._EIMBING. SIGNS.
bb FJJ_S,I'(f<)LS. FURNACES.I10II.I:RS.RI ATI-RS.`I'ANK!+and AIR C."ONiATIONE RS.ETC'.....
OWNER'S AFFIDAVIT: I ecrtiiy that all the l6rctoint infisimition is accurrtte z#xt that all w-trk will he dme incompliance with tit
ajNAiz ahlo htw:rt, ulatilig constrtktic,ri aki zoning.
%iWARNING 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."
1i>tk'e to \pplic'trttr:
Asti condition to the issmance ofa huildii.,J; pe•11nit tvith sill ecrimaied rulue erceolin $25(H), thr applicant must
promiu, in rood 11.011 tilut a cr1l,?v elf the notice<f.<z>nunet:cc•itlelrt<1nd inrstruction tion Intl hrcx*m-e will!x, delit.-ered to the pertson
whovt'ITP)lh171,is vlrhre'ct to uululune'r1t. Also>, a cc�rrilic�d cnp� of thr r 'c<%rele�d n<>ticr<>f<:'onttr��ttc.enreul nntst he lyrlstetl r1t the j«h site
till tilt, first inspec cion which (x'c•uKS se uen (?)dens after lite ht:iklil7g pe emit i3 issued, In the absence of such posted notice, the
itrspee•tior: will not he apprrned tend a reinspection fee tvilllx+char s"if.
y� _7't
`;i��rlature%�' CArSignature t �,
t3u�tis r or�1t4�at C"<trnrac tt tr
The f :re}ott tti1trut€1C111 It P .tc ktnx}tiv�lecltrci hciure 11w(his��l�"' }I he loregoing i1wrunictit ivas.��; ,r*
kno\v clgcd belt€,: Pr}e tinyS
_tc_A ., rtay ctl N0J �.?t 3.by° /rt, (��i�nJ24G�2
who i I+er+ssna _ 'lroinrtnainP to aw sir itfic>lya;,lartxlucactl N ic'lx i1-- ��- �s 'i to etc or tvlict hay littPclt>tccl
idtntification axt kvl-gi did tahc an oath, a::idontiticatir'n aitt.l wht)dill take atioMI,
NOTARY PUBLIC: NOTARY PUBLIC-
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tttt(+rninitti•lr n I:\ 231��1: �Lp 1�1�'t_ stitiltl�ti€tti)}:\� �. ....•
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ep
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.�••�• .�I .\;�i'.iz,n ZCit�•3''�•�=+b+lcd�ttQ7k •� rt,+ ,
�Otf• me ��" rn !�r
t,I'I'IttaVI D BY _ ��,. �C ! Z7 ,. ,1,0''•• . .........• .P��`_._.It tiling
..._..__. ... �lattV I"tiirtt'Ptlxr / w
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rt1'r'rr P!r+rtt ����
Stnit umrol Itc t lett Clerk
tkr�tt e t,Ii�i'r)i'i.lt�t'iv'itti7lit}t(t7sil1cliv'etfitt.'lf};?€it3t>,rKc':i*�'el?%l:�'i}�3t
From: 11/27/2013 17:22 #771 P.001/004
"1 ®
'4� CERTIFICATE OF LIABILITY INSURANCE 0/15/'°20 3'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WANED.subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER Theresa Aubrey, CIC
Frank K. Furman, Inc. . (934)943-5030 F (954)442-6320
1314 East Atlantic Blvd. theresalfu:maninsuranee-COM
P. O. Sox 1927 CCv&U= IIA •
Pompano Beach FL 33061 INSURCRAiCanal Indemnity C an skEf
790
INSUREDs:Commerce a Indust Insuranc10
Isaacs Roofing & Insulation Corporation nMwMCOhio securityInsurance Co 82
PO Box 973135 INSURBRD;
INSURER E:
Miami FL 33197-3135 INSURER P:
COVERAGES CERTIFICATE NUMBER:13/14 Auto/aL/vmb REVISION NUMBER:
THIS 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
AD NUMN TYPE OF INSURANCE CY LIMrB
GENERAL LIABILITY EACH OCCURRENCE 11000,000
X CMIMERCIAL GENER�AL.LIABILITY
A CLAIM84AADE I A I OCCUR 105279 0/15/2013 0/15/2014 $ 50,000
MED EXP(Any one pen:at) $ 31000
PERSONAL&ADVINJURY S 11000,000
GP_NERALAGGREGATE $ 3,000,000
GEWLAGGREGATE UM(TAPPLIES PER: PRODUCTS-COMPIOPAGG S 3,000,000
Poucw x 2 Locs
AUTOmOw`s L yo00 00
C x ,N.AUTO 14ss@01@z9 Q/22/2013 0/22/2014 BODILY INJURY(Per pe60n) s
ALL OWNEDWHEDULeo
AUTOS ATTOS @ODILYWNED (NJURY(Peraabad) S
HIRED AUTOS AUTOS $
$
R USISRELLALIASOCCUR
EACH OCCURRENCE $ 51000,000
B U
EXCESS13 HCLAMIS411AW AGGREGATE $ 5,000,000
OED I IRErFumms 8020745106 0/15/2013 0/15/2014 pwducftror jtedOpaAge SWORKERS COMPENSATION 500001000
AND .LI1611J7 Y WC ATT-
"Te JOTW
ANY PROM YIN
OFFICERMONSERB7(CLUDED? */A EJ EACH ACCIDENT $
WARMundw E.L.DISEASE-EA BIPLOYEE $
OF OPERATIONS Wbw P DISEASE-POLICY LIMIT 8
DESCRIPTION CF OPERATIONS I LOCATIONS I VBIOCLES(Aumb ACaw101.AddMmgl Rumwft Sdm dul%ir.m apse lanKpdrso
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
Village Of Miami Shores ACCORDANCE WITH THE POLICY PROVISIONS,
10050 N.E. 2nd Ave.
Miami Shores, FL 33138 AUTHORIZED)E NTAWn
ACORD 25(2010/05) ®1988.2010 ACORD CORPORATION. All rights reserved.
iNSt125rM1nM%n1 The Ar.nRn roma anA Innn okra reniat—A mar4e nr aelrwn
From: 11/27/2013 17:23 #771 P.003/004
STATE OF FLORIDA tP
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
'a 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
GONZALEZ ALAIN IVAN
ISAACS fi&FING & INSULATION CORP
PO BOX 973135
MIAMI FL 33197
Congratulations! With this license you become one of the nearly one million st�TE OF FOMMA AC# 630311
Floridians licensed by the Department of Business and Professional Regulation. pzm- ` .OF BUS NESS.AN' D
Our professionals and businesses a from architects to P1iTOtAEO$IQ, AL REG
9 yacht brokers,from ,
boxers to barbeque restaurants,and they keep Florida's economy strong.
Every day we work to Improve the way we do business in order to serve CCC1325555 Q.$/,�9/12 12805182
.
you Bette. ' ..
For Information about our services,please log onto www.mylloridallcense.com. T FI$D 1 FINj; 0__0*M- CTOR:
There you can find more Information about our divisions and the regulations that G �;gz�, r YKy
Impact you,subscribe to department newsletters and team more about the ISFlACS RpOo�SfLATION COR
Department's initiatives.
Our mission at the Department is:License Efficiently,Regulate Fairly.We
constantly strive to serve you better so that you can serve your customers,
Thank you for doing business in Florida,and congratulations on your new Licensel xs o = = eS tAG 9T"te:.pus of cti.489 1
21 4"ttoa Aatai AU12 11, $01$ Z3�0�1SOd619
L
DETACH HERE
AC# 630.3312. STATE OF FLORIDA
DBPARTIS�NTITT1' NI1Y SSINC� BdATION
SEQ#L12082500529
C S NBR.• = 3� ,�"
0A'.2 0il:: :2805 :89. Jdt=132855:6.':'' a" ` :':•
Thee ROOFING conn-ACTOR. ,
Ntit§d. bei ov;I8 CF� '
Under the- ipiovizibh$ of _Chapt1Qrj,*489. 8'S.
E cPiratiQn date: AUG 31, 2014 tr.;=:
GONZALEZ, . ,Afi+AIN IVAN
ISAACS. ROOFING & INSULATION CORP
17225 SOUTH DIXIE HWY '
SUITE 200
PALMETTO BAY FL 33157
RICK SCOTT
GOVERNOR REN LAWSON
SECRETARY
D_ISPLAY A3 REQUIRED BY LAW
From: 11/27/2013 17:23 #771 P.004/004
Tax Receipt
Miami—Dade County, State of Florida
THIS IS NOT A BILL-00 NOT PAY FLBT
5481221
BUSINESS NAt IULOCAT1oN FMaNa'T NO• EXPIRES
ISAACS ROOFING&INSULATION CORP RENEWAL SEPTEMBER 30, 2014
17225 S DIXIE HWY 200 13720942 Must be displayed at place of business
PALMETTO BAY FL 33157 Pursuant to County Code
Chapter 8A-Art.9&10
OWNER SHC.TYPE OR SUSINESS PAYMENT RECEIVED
ISMCS ROCANG&INSULATION CORP 196 SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR
Worker(s) 1 CCC1327401 $45.00 07/31/2013
TXHS1-13-039978
This Local Business Tax Receipt only eonRrma peymaat of the Local Business Tax.The Receipt Is not a license.
permiL or a eertiHostiom of the holder's qutlRln ots.to is
busbmm Holder am cooply with any governments)of
rroago rwomentaf regulatory laws and regairamants which apply to the business.
The RECEIPT NO.above must he displayed on all commercial vehicles-Mlami-Dodo Code See Ba-278.
For more Information,visit wwwMiantaAAarbuslifte
003341
Local Business Tax Receipt
Miami--Dade County, State of Florida
THIS IS NOT A BILL-DO NOT PAY
5936084 LBT
BUSINESS NAMMOCATION RIBCEiPT No. EXPIRES
iSAACS ROORK&INSULAMON CORP RENEWAL SEPTEMBERS 2014
17225 S DWE HW 200 819287.9
PALMETTO BAY FL 33157 Must be displayed at place of business
Pursuant to County Code
Chapter 8A-Art.9&t0
OWNER SEC.TYPE OF BNSINESB
ISAACS ROOFING&INSULATION CORP 196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED
Workers) g CCC1325666 BY TAX COLLECToR
545.00 07/31/2013
TXHSi-13-039978
This Local 1lnsirross Tax Receipt only coMirmsps
ymeat of me Local 8usinan Tax,The Raeeipt is net a license.
permit a eertMteadon of tiro holder's qualH ons,to do budnesa,Holder mint comply with an govemmental or
noagovemmeMaf reguletory laws and requirements which apply to the budnear
The RECEIPT NO.above anal be diaplairod on eg cena oriel vehicles-WO.Ps_^ ,.T,d�e=,'•-
for more(nfermolm visit
From: 09/24/2013 10:23 #531 P.002/002
00267.7
L: `�f� ilness Tax Receipt
Miami—Dade County,State of Florida
THIS IS NOT A BILL-DO NOT PAY LBT
5481221
BUtItESS WAM6/LOCATTon RROMPT IM. EXPIRES
ISAACS ROOF=&INWLAnON CORP RMEwAL SEPTEMBER 30, 2014
17225 S DDaE HW 200 8720942 Must be displayed at piece of business
PALMETTO SAY FL 33157 Pursuant to County Code
Chapter SA-Art.8&10
OWNER Sec.TYPE OF BUSInESS PAYMENT RECEt"
ISAACS ROCRNG&INSULATION CORP 796 SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR
COC1327401 $4540 07/31/2013
Worker(s) 1 TXHS1-13-039978
We Local Booness Tax Recettatdy co:olam of&a Local Busiaess Tax.The Rsew b nm a lioeme,
Permit.or a certification of the Iden s qualHi to do business,Holder am 00014 any governmental or
nongovernmental regulatory lam sad regeiremo0swhich"*to the bodies.
The RECeFr No.above pant be displayed an all commercial vebiolos-Mhani-Oado Code Sec 80-27S
For mora Irdermatim Visit
003341
Local Business Tax Receipt
Miami—Dade County, State of Florida
THIS IS N07 A BILL-DO NOT PAY
vLBTJ5936084
Business 111AAAe&eOCA"Old RECEIPT NO. EXPIRES
W%M ROORMA INsLUMN CORP Ill NEWEL SEPTEMBER 30, 2014
17225 S DWE HWY 200 6192629 Must be displayed at place of business
PALMETTO SAY FL 33157 Pursuant to County Code
Chapter IIA-Art.9&10
OWNER s6Q TYPE OF Busine=ss
ISAACS ROOFING&INSULATION CORP 196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED
BY TAX COLLECTOR
CCC1325M
wotker(s) 5 $45.00 07/31/2013
TXIiS l—13-039978
This Local Business Tex nee sipt anhroardirma�o}"t�Business Tax,The Recelpt is not a lio n",
PBntft Ora norgoven►ma codification of des hotdai$que ran,fo do business Holder mwt sow4iy wifh aey governmental or
►eguiatory fews sad requiremaets wkkb�Y ta the brafbress,
no RECEIPT N0.above mobs di pl"W on all commercial vehicles-Mta�t{-?rii.i;dxaa�
For am"hlformatia4 obit •„
From: 10/16/2013 08:38 #641 P.002/002
.4co CERTIFICATE OF LIABILITY INSURANCE DATE`MWDM"'")
�� 10/15/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the cerdf[cate holder is an ADDITIONAL INSURED,the policy(fes)must be endorsed. U SUBROGATION 18 WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certI foate does not coMer rights to the
certlfEcate holder in lieu of such endorsemen sI.
PRODUCER Theresa Aubrey, CIC
Frank R. Purman, Inc. (954)943-5080 Nw.,19541$42-6310
1314 Nast Atlantic Blvd. Manthereaaefurmeninaurance.cam
P. O. Box 1927 INSURMJ AFFORDING1 COVERAGE Noce
Pompano Beach FL 33061 INSRERAC-anal Indemnity CompgM (sk) 27790
BRIMMED e3Commerce a Industry Insurance 19410
Isaacs Roofing & Insulation Corporation
c:
PO Box 973135 IN :
INSURER E-
Miami FL 33197-3135 RSP;
COVERAGES CERTIFICATE NUMBER:13/14 Auto/GEL/tomb REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
FKSR LTR TYPE OF HISURANCE POLICYNUMBER APTIONO
UNITS
GENERAL LIAmLITY FACFI OCCURRENCE $ 1,000 F
,000,000
R COMMERCIAL GENERALLIABIUTY FSlPBeaaimaneo 5 50,000
A wiMs ®OCCUR =03270 0/1.5/201$ 0/15/2014 MEDEXP(An onepenlaf S $1000
PERSONAL&ADV IMAM $ 11000,000
GENERAL AGGREGATE $ 3,000,000
GEM AGGREGATBLIMIT APPLIES;PER PRODUCTS-COMPAOPAGG S 3,000,000
Y PRO• LOC S
AUTOMOBILE LIAINLnY
ANYAUTO SwLYINJURY(Perpwem) S
ALL OWNEDSCHEDULED
AUTOS AUTOS BODILYINJURY(PwoWdent) S
HIRED AUTOS � P8 �DAMAM $
S
F tArBNmLLA UABHCL,,,,-MADE
OCCUR
EACH OCCURRENCE s 5,000,Doo
B EXCESS UAB AGGREGATE $ 5,000,000
DED I I RMMMMA ON020745105 0/15/2013 0/15/2014 pMglCps,qW $ 51000,000
WORKERS COMPENSATION TMA
ANDM64AYVGWLIABILITY yr" `
ANY PRCPRSiTOWPARTNEPADMCUrW
EXCLUDED? NIA E.L.EACH ACCIDENT $
(Ayys�sd, in� E.L.er DISEASE-EA 04PLO $
—r DESCRiPriON F OPERATIONS(tetaa E.L DISEASE-POLICY UMI? $
DESCRIPTION CFOPERATIONS T LOCATIONS I VEMCLES(A1Meh ACORD 101,Addftnuf Remeft Subedule,Moron span Is re quhaM
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Village of Miami Shores ACCORDANCE WITH THE POLICY PROVISION&
10050 N.N. 2nd Ave.
Miami Shores, FL 33138 AUTHOR EDREPROSEWATME
Dirk Dejong/TA A!::g
ACORD 25(2010/0 ®1988-2010 ACORD CORPORATION. All rights reserved.
INS025 f"la m1 M Tho Animn namo="A Inns arm rs+nlatamA marku of et nRn
�eclFon AB
MIAMHADE Miami-Dade County Building & Neighborhood Compliance Department
` HVHZ Electronic Roof Permit Form
"Delivering Excellence Every Day" RECEIV7 D
Section A(General Information) NOV 2 5 200
Master Permit No: Process No: BY:
Contractor's Name: I Isaacs Roofing
Job Address: 1415 NE 105 St
Roof Category
❑✓ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tile
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes
❑ Sprayed Polyurethane Foam ❑ Other:
Roof Type
❑ New Roof ❑ Re-Roofing ❑ Recovering ❑✓ Repair ❑ Maintenance
Are there Gas Vent Stacks located on the roof? ❑Yes ✓❑ No If yes,what type? ❑ Natural ❑ LPGX
Roof System Information
Low slope roof area(ft.2) Steep Sloped area(ft.�
AA.Sq.. Total(ft.-)164
sgft
Section B(Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. Include
dimensions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets.
Perimeter Width(a'): Comer Size(a'x a'):
RTU Curbs
32'
51'
Miami� Shores Vi� II g
APPROVED BY DATE
ZONING DEPT
BLDG DEPT '��
S,BJECT O CU,IPI.tf`NCE WITH ALL FEDERAL
RL,L_S AND REGULATIONS
•� Sec6on C2
MIAMI-DIODE Miami-Dade County Building&Neighborhood Compliance Department
HVHZ Electronic Roof Permit Form
"Delivering Excellence Every Day"
Illustrate Components Noted and Details as Applicable:
Woodblocking, Gutter, Edge Terminations/Stripping/Flashing, Continuous Cleat, Cant Strip, Base
Flashing, Counterflashing, Coping, Etc.
Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material
Thickness, Fastener Type, Fastener Spacing
Or: Submit Manufacturers Details that Comply with RAS-111 and Chapter 15 HVHZ, FBC.
Stucco Stop
T- Bar
HW Smooth
170 FR HW
ParjWdVVW*law 10"
&
10'
Prime existing
felts
file:///Cl/Document4%20and%20Settings/sky/Desktop/roof%20permit%20forms/Section%20C2d.htm9/5/2007 7:18:20 AM
"k,�� 3q
Miami Shores Village
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795-2204 _ £€ nz�
Expiration: 05/2612014
R'
Project Address Parcel Number Applicant
415 NE 105 Street 1122310430010
ST ROSE OF LIMA CATHOLIC Cl
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
ST ROSE OF LIMA CATHOLIC CHURCH 9401 BISC BLVD (305)758-0539
MIAMI FL 33138-2970
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
ISAACS ROOFING&INSULATION COI (305)234-5234 (786)277-9756
__ .,. _...s ....... ... _ ,,, Total Sq Feet: 64
Type of Work:Repair Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final Roof
Scanning:3 Roof Repair
Review Roof
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80 Invoice# RF-11-13-49894
DBPR Fee $2.00 12/02/2013 Credit Card $ 117.80 $0.00
DCA Fee $2.00
Education Surcharge $0.60
Permit Fee-Repairs $100.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $117.80
Applicant Copy
For Inspections, Call(305) 762-4949 or Log on at https:/Ibldg.miamishoresvillage.com/cap/.
Requests must be received by 3 pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMEN'
the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
December 02,2013