RF-10-2189Inspection Number: INSP- 154181 Permit Number: RF -12 -10 -2189
Scheduled Inspection Date: February 04, 2011
Inspector: Rodriguez, Jorge
Owner: BUTLER, DIANE
Job Address: 9050 PARK Drive
Project <NONE>
Contractor: JOHN BUSTA ROOFING INC
Building Department Comments
REPAIR REMOVE FLAT TILE AND INSTALL FLAT COLOR
THRU TILE ON SW REAR OF SLOPED ROOF
Passed
,:P1A
Failed
Correction
Needed
Re -InS eo on
Fee ''
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
4/ /' rag-it
February 04, 2011
Miami Shores, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Repair Roof
Phone Number
Parcel Number 1132060400020
Phone: (305)757 -7620
Page 5of8
YiAlo tjk
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building Electrical Plumbing Mechanical 1oofing
Owner's Name (Fee Simple Titleholder) 16/IC. gU
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. RP1 0 — d i f
Master Permit No.
2 t Phone #
Owner's Address 9050 PG ! k ° (i v e
City t"li a ..5L1o(fS State Fl Zip 33f3g
Tenant/Lessee Name 1 / Phone # jt.4 4
Job Address (where the work is being done) 9050 PA (k D (I Ue
City Miami Shores Village County Miami -Dade Zip :3313gS
FOLIO / PARCEL # II- 30 - olio - ®o o
Is Building Historically Designated YES NO 2(
Contractor's Company Name '\j4 B 906-1i ,4 nePhone # 365 a/ 4 - q 6 j 9
Contractor's Address 30 6 NE 9/ S+
City H is IVI`1 0( 9 j 1 State Ft
Qualifier Name � �S
d 40
Zip 33/3
Phone # 365 0u - 96
State Certificate or Registration No. et - E7S ' vec Certificate of Competency No.
******** * * * * * * ** ** * * * * * * * * * ** * * * * * * * * ** F * * * ** * ** * * * * * * * * * * * * * * * * * * * ** **
CCF $
CO /CC
Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Total Fee Now Due $
See Reverse side —*
DEC 1
BY:
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Iv
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. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 13 The foregoing instrument was acknowledged before me this ti
day of DEC,„ , 201, by ('A„ h . 1 L L...(et? day of
who is rsonally known to )e or who has produced wh
- — - - - - - - - —
t �� ", LORRAINAIKK RY I
r � li '' r Notary Public - State of Florida s • My Comm. Expires Apr 16, 2014
Commiswor 6. `I a� J "-
Print: 10. , Bonded Thnu�h
Print: k v V'At MR V- .'1142w
My Commission Expires: Q. ) LL I (r 490 ((f My Commission Expires:C j )4:4i Lt L0 I
NOTARY PUBLIC:
APPLICATION APPROVED BY:
(Revised 02/08/06)
As identification and who did take an oath.
Signature
, 20 AC...? by 'IC y1 Y ,
to me or who has produced
as identification and who did take an oath.
4
SJ BLIC:
Plans Examiner
Engineer
Zoning
Miami
Shores Village
BY
DATE
APPROVED
4ONING DEPT
h B / LDG DEPT
,,/J
TO COMPLIANCE
WITH ALL FEDERAL
SUBJECT
STATE AND COUNTY RULES AND REGULATIONS
• • •
•
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•
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ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
•• • • • •
• • •
Master Permit No.
Contractor's Name
Job Address
❑ Low Slope
❑ Asphaltic
Shingles
Florida Building Code Edition 2
High - Velocity Hurricane Zone Uniform Permh Appll
Section A (General Information
ROOF CATEGORY
ROOF TYPE
❑ New Roof ❑ Reroofing ❑ Recovering
ROOF SYSTEM
INFORMATION
Low Slope Roof Area (SF) / 0 Steep Sloped Roof Area (SF)
Pres No
us +n 12.0 .
9050 Ark VrlJe
Mortar /Adhesive Set Tile
❑ Metal PanelShingles ❑ Wood Shingles/Shakes
❑ Prescriptive BUR -RAS 150
60 0
0 Maintenance
Total (SF) 600
Section B (Roof Plan)
Sketch geO?PI$n: Illustrate all levels and sons, roof drains, scuppers, overflow scuppers and overflow drains.
14clude dhneisions of sections and levels, clearly identify dimensions of elevated pressure zones and location of
• • •
parapets. • • •
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AINIS ANIMA ■iii R ■ ■ ■■ MINIM M. MIME 1111111111111111•1111111111111 ■■■■ ■■ ■■
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15.32 FLORIDA BUILDING CODE — BUILDING
Roof System Manufacturer:
Notice of Acceptance Number: ci 0922.1/
Minimum Design Wind Pressures, if Applicable (From RAS 127 or
Calculations):
P1: P2: P3:
Maximum Design Pressure
(From the Product Approva Specific System):
•
•
•
•
oo
•
•
•
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ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
•
15.34
Florida Building Code Edition 2004
High-Velocity Hurricane Zone Uniform Permit Application Form.
Section D (Steep Sloped Roof System)
•
•
•
•
•
•
•
•
•
•
•
Roof Slope:
• 12
.•••
• •
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• ••
lidgdVentila l .
•• •
• •
• •
• •
•• ••
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•
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.. •
• •
Mean Roof Height:
)5
Stap_Slopecilicwilyst em Description
••••
•
• \ Type Underlayment:
• .. •
• •
• • \ Insulation:
• • •
Fire Barrier:
•
Fastener Type & Spacing:
Adhesive Type:
Type Cap Sheet:
Roof Covering:
Deck Type:
TO 6 V- Join-
wA-
IVIA
j i g 1' 121,
a to t.) 6 O.L. fate
( 1T"
d d "6.. icy,
Type & Size Drip
Edge:
C Plus
'Jere A -VVAi; S ' tkQ (bkOf
FLORIDA BUILDING CODE — BUILDING