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RF-15-2041 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-241313 Permit Number: RF-8-15-2041 Scheduled Inspection Date: August 21, 2015 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: MCINTOSH,ANDREW Work Classification: Repair Roof Job Address:434 GRAND CONCOURSE Miami Shores, FL Phone Number (305)756-6365 Parcel Number 1132060170050 Project: <NONE> Contractor: OBENOUR ROOFING SHEET METAL&SUPPLY CO. INC Phone: 305-757-2612 Building Department Comments REPLACE APPROX 80' OF TONGU & GROOVE SOFFETT Infractio Passed Comments ENTRANCE FROM ROOF LEAK/TERMITES INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 20,2015 For Inspections please call: (305)762-4949 Page 10 of 29 . Permrt�t . 12 Miami AAA-J6`SHORes t? Miami Shores Village Perfr�7Ype l 10050 N.E.2nd Avenue \ � � #Marl+ Roof Miami Shores,FL 33138-0000 `tee, e6 IN Phone: (305)795 2204 z G'GORIDA - . 811 1 Expiration: 02/09/2016 Project Address Parcel Number Applicant —434--G—RAND CONCOURSE 1132060170050 LMiami Shores, FL Block: Lot: ANDREW MCINTOSH Owner Information Address Phone Cell ANDREW MCINTOSH 434 GRAND CONCOURSE (305)756-6365 MIAMI SHORES FL 33138-2463 Contractor(s) Phone Cell Phone Valuation: $ 800.00 OBENOUR ROOFING SHEET METAL! 305-757-2612 _... Total Sq Feet: 80 Type of Work:Repair Available Inspections: Additional Info:REPLACE APPROX 80'OF TONGU&GROOV 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 DBPR Fee Invoice# RF-8-15-56699 $2.00 08/13/2015 Check#:7709 $ 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. Futherm I author the ab a amed contractor to do the work stated. ti �� August 13, 2015 Authorized Sig at e:Owner / Applicant / Contractor / Agent Date Building Department Copy August 13, 2015 1 Miami Shores Village PFCEIVRD Building Department AUG 13 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201y—% BUILDING Master Permit No. E— /S 20yj1 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC Z/ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP ` �/ CONTRACTOR DRAWINGS , 3 JOB ADDRESS: 7 / �.�'/�/L' �t�M cy' _S'�F City: Miami Shores County: Miami Dade Zip: 3313C? Folio/Parcel#: fir" ��Z`'6 00-4--y Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): r�'t"�✓ /�E✓iG�" Phone#: 3 t'J 3 2 ~jG J-2— Address- 7 City Com, 314 .L !S Stater Zip:-33'&� Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: «� �L/ Gf/` lz`' ��/►/� Phone#: 3,u ?-i l7 G r Address: City: ; 11z J' 1 State: "6 Zip: i S' Qualifier Name: ei We -)o,1 L Phone#: State Certification or Registration#: 15"C 0/5/30 Certificate of Competency#: elollyl& DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: 4610 i Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: 21r19114 C L 4.044-6 ' eel,o t� �•� ` �'eo e 1 -!'G,jA > 145,4k lc f dk%y"''r Specify color of color thru tile: Submittal Fee$ Permit Fee$ 100 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I 1 (Revised 02/24/2014) 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 not be approved and ireinspection fee will be charged. Signature ! �" _ Signature A� YWNER orAGENT ` CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �+ day of 201 by �Q_day of 20 , by who is perste��n to OAAV 4 fi, who is personally known to me�or'who has produced as me or who has produced as i e- ratification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: i 6 Sign: _ Sign: &'s'- � ,t Print: Print: Wota publicsterida Ly/ Sandra Dee Hart Andra Dee HartSeal: MyCommissionFF 010644 Seal: My Commission FF 010644 Expires 04/2112017 `or n. Expires 04/21/2017 ***************************** ***** ********************************************************************** APPROVED BY s J 3 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ROOF ASSEMBLIES AND ROOFTOP STRUCTURES —11 RTVEi D 11�7 AUG 13 2015 SECTION 1525 Y: Ora HIGH-VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATI — 1 Florida Building Code 5th Edition (2014) High-Velocity Hurricane Zone Uniform Permit Application Form r i INSTRUCTION PAGE 1 COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: I Roof System Required Sections of the Attachments Required 1 Permit Application Form See List Below 1 Low Slope Application A,B,C 1,2,3,4,5,6,7 1 Prescriptive BUR-RAS 150 A,B,C 4,5,6,7 1 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 1 Metal Roofs A,B,D 1,2,3,4,5,6,7 001 0 1 Wood Shingles and Shakes A,B,D 1,2,4,5,6,1 ••• •• • • 1 .. . 1 Other As Applicable 1,2,3,41,5,6,7 � • 1 ATTACHMENTS REQUIRED: "" • I 1. Fire Directory Listing Page ••;••� • • ..... I • .. .. .. ...... 1 2. From Product Approval: ....�. • • 1 Front Page : : , •�; Specific System Description • Specific System Limitations •• • 1 General Limitations " • 1 Applicable Detail Drawings 1 3. Design Calculations per Chapter 16,or if applicable, RAS 127 or RAS 128 1 1 4. Other Component of Product Approval 1 5. Municipal Permit Application 1 6. Owners Notification for Roofing Considerations (Reroofing Only) 1 7. Any Required Roof Testing/Calculation Documentation 1 Miami 8hcres Village APPROVED BY DATE ZONING DEPT BLDG DEPT . ` t SUBJECT f"O CCNIPLIANCE WITH ALL FEDERAL STATE AN,)C(.1jN)Y HLL_—�S AND REGIJLATK)NS s 15.36 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) 1 High-Velocity Hurricane Zone Uniform Permit Application Form. 1 1 1 Section A (General Information) 1 Master Permit No. Process No._ 1 1 Contractor's Name 01_3,6wet.1,C Job Address r 1 ROOF CATEGORY 1 1 ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 1 \ ROOF TYPE 1 ❑ New roof ® Repair ❑ Maintenance ❑ Reroofing ❑ Recoverin0g 1 ,4FROOF SYSTEM INFORMATION L>� •.• �....� 0000;. Low Slope Roof Area Steep Sloped Roof AREA(SSF) Totala0 090.0. 0 ..00�.0 0000 . Section B (Roof Plan) :0..:. 0000 . 0000.1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and ovarla4w drains0lnclude dirnen:0J0 sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of0pftW8ts. '0 0'•; 0 0 0 0�• ..0... '� . . . • 99999. 0000.. 1 1 u)f f7 7,1zr- ' 1 1 1 1 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37