REV-16-1980 A
ym\ Miami Shores diflage JUL 15 2016
®A 8 0ding Department ,-j
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 2®
BUILDING fluster Permit NO-."AF—
PERMIT
O-."A -PERMIT APPLICATION Sub Permit Nozpv
BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL r-�PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑SHOP
j CONTRACTOR DRAWINGS
JOB ADDRESS: 1 iV i- q G %+y-e �e
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: 11-3 2.0 CO' Q! ';� —2.2 1 d Is the Building Historically Designated:Yes NO
Occupancy Type: S.t=Q Load: Construction Type >g Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): �ue�.v1 �G�1/1(jS t�fl fa���L Phone#: ,9
Address:_'12." N 1:. q q v e
City: ` 1"1'O, 1�0�--e. 5 State: 'F 1 Com,, Zip: 775-23 13 C�
Tenant/Lessee Name: Phone#:
Email: �---1
CONTRACTOR:Company Name: �C' 3 Phone#: g - -1 Le U
Address:"�t)()()
City: 73;� 5 i qt-, State: , Zip: )
Qualifier Name: - ` .�r�(? ` 'fit C S Phone#:ci,)
State Certification or Registration#: �(^ !C)S-�; 4-1q 1 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1 d D Square/Linear Footage of Work: J
Type of Work: ❑ Addition ❑ Alteration „ ❑ New P Repair/Replace ❑ Demolition
Description of Wor
Specify color of color thru We:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ GJ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ �y
TOTAL FEE NOW DUE$ �C7 '
(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 no be approved and a reinspection fee will be charged
ig natur
OWNER or AGENT CONTRA
The foregoing instrument wMaowledged before me this The foregoing instrument was acknowledged before me this
day of I� .20 by day of 20 Q by
who is personallyknown toS who isrsonally 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:
Sign Sign.
Print: Print:
Seal: o��"°ac Notary Public State of Florida roar°�®� Notary Public State of Florida
? Yvette Borromeo Seal: Yvette Borromeo
o` My Commission FF 974520a a` My Commission FF 974520
Of H°@ Expires 03/23/2020 �'�'o,r of Expires 03/23/2020
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APPROVED BY Z,`' Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
j6 --13 Li9
CITfROOF ASSEMBLIES AND ROOFTOP STRUCTURES
„xt
JUL 15 2016
coply Building Code Sth Edition (2014) J�
locity Hurricane Zone Uniform Permit Application Form.
C12 wwwl ..qE 1 Surfacing:
&swamWaonent
roof assembly components -
anufacturer Fastener Spacing for Anchor/Base Sheet Attachment:
Kis not used,Identify as"NA"}
Field: �„oc Q Lap,#Rows @1 [� "oc
anufacturer: Ce-72 7?f/.,-�� perimeter: "oc Lap,#Rows( $1oc
Product Approval No.:,
Corner L "oc @ Lap,#Rows oc
Design Wind Pressures,From RAS 128 or Calculations:
Z � 3, Number of Fasteners Per Insulation Board: /
Pmax1:'f 1• Pmax2: "8Z, Pmax3:-12 y- l�/�, I'/ Corner
Field Perimeter
Max.Design Pressure,from the specific Product
Approval system: — ® Illustrate Components Noted and Details as
Applicable:
Deck: J!,� r Woodblocking,Gutter,Edge Termination,Stripping,Flashing,
Type: Continuous Cleat,Cant Strip,Base Flashing,Counter-
--7/ Flashing,Coping,Etc.
Gauge/Thickness: -��Y indicate:Mean Roof Height,Parapet Height,Height of Base
u ,, Flashing,Component Material,Material Thickness,Fastener
Slope: lg Z Type,Fastener Spacing or Submit 660*
• '
.. .•
0000
AnchorlBase Sheet&No.of Ply(s): LrrS��S� •• ' "'0 ' •
••...• .• .. .•.
Anchor/Base Sheet FastenerlBonding Material: 00
0 : 00
...... ...
••••••
C �+ '
7/S . .• .
insulation Base Layer: Pati o T� ••1 •• ••
OFT. •
Base Insuiation Size and Thickness: 1.s- 'Fy,`y J�• . . •
oGy IV �� . • •••
Base In FastenerBonding Material: 0 ;'i'moet •
.4&,y r ht . •••
Top Insulation Layer: �S11VCN ry �.s Pocyrs® ••
Top insulation Size and Thickness: '/z " `�'Y CA 3&#$a' F f
Top insulation Ft3stenerfBoolng Material: /N a b b b eZ fe- Mean
Roof
a e Height
Base Sheet(a)&No.of Pty(s): At-
-7,-
Base Sheat Fastener/Bonding Material: u-�— --
Ply Sheet(s)&No.of Pty{s}: /' 7 (z� DAT
PVheotFa enarlSondingMaterial: f _
Top Ply:
Pv � � C� - o �.�,i�i.�t�ricF
-
(, C'ER^
r i (riL.
Top Ply FastenerlBondinlaterial: II� ""'Jr)r,-r,ULA
7b.33
FLORIDA BUILDING CODE Sth Edition (2014)--BUILDING 't) U