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BUILDINGMIAMI SHORES VILLAG4C(,5q BUILDING DEPARTMENT 305-795-2204 Building Inspection Request-, Type Insp'n Permit No. l Name i Address 125 0 9 (1:51 S�- Company Phone # Inspection Date [] . Approved Correction ❑ Re-Insp'n Fee ❑ (D O 0 ti N LQ n. �, fp ¢ 00 R o 0 o G `d i3 C A 0. G "C m � �Q ¢0 rA � ¢ �" o �- o 0 llq o O° (D 0 o m o a m C m 0 CDCD r silo 0 0 m y ¢ C R Ep z ( co `° Q� bm w ED 0 m WO 9 G' 0 m m si I 0 0 0 0 BUILDING � MIAMI s1foRE ELECTRICAL ❑ VILLAGE, FLORID PLUMBING ❑Ell A ROOFING ❑ IN IT iv? 10117ute� 34 ��- El Contractor's Owner aE titer's, No. guiIdirtg Work to be performed underPer 0� ~� �- this Per__ Architect -- - � �"' :� —•_ Contractor �- t ns,1 -- •+ Or Build, �.0 Eater Description Address of BI. Subdi- —� Building Vision or o f u Thia.- 3 r flan Permit -.is granted _ Value of herefnr in strict cv to the contra ~� Alans, drawin 'r+Alianee with ctor or builder na PrUjeCt �f -'� c jl fiinour4t of at an gs, statements all vrdinagces r` above to co Y time i# the work is not donein cons that Pertaining thereto and w truer fire huildin Permit Permit rs granted is the undersrandin a tom 'nay have been submitted d ith the and gar to tnstall regulations A,e Ice with such and a tildeved that the w e equipment or device described in t sihility For war& ruing to the work co 1Cdthterebontractor or builderlamed ces or rf the F pro are b changedpro proper opalrk waulbe thoript eSforrned in p 'anti done by his a y wherheror bun Tansit mouth eom ]: gears, servants an above assures the rewithout This Pe �jr en+plo out authorisation. A further rmit may I yetis. e plans or Owingsponsibility for a thorough condition upon or in the statements or g knowledge of the po n Ia consideration of Signed_ , t speci#icativns and pertaining thereto and in the issuance •- "' ; that he assure In arre strict to me of this. cr Pang this permit T conformity with P Permit I agree `• UNSP.EcTOR assure resportsrbilit the plans, drawings ' perform the work rovered her By Y for all work done�i ements r specifications Submitted to the With a!] ar n co►npliance wi my ag�t. servant or ern pa proper authorities a# drnanCe5 and re CONTRACTOR or iiUILDi3ii •� f P yeti. Miami shares I n=p i A UTHORITy 0�� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby matte for the approval of the detailed statement of the plans and specifications herewith submitted for the build- Sor other struchue herein described. This application is made in compliance and conformity with the Builder Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules _id rem and of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved p specifications must be kept at building during progress of the work. Date__. Ju% J e Z `f 6 F Owner's Name and Address.. _!� L �1•!� _ »_----------------------------- - No. Z ---- Street-_t .. �' -� 7— Registered Architect andlo Engineer ..._....- -!V =_.�Gam• S__•• ••__� -_ T_ Name and address of licensed contractor._ r _rr L �•� /IY�- ��,'�• �$L�I »�l� % _ Y Location and legal description of lot to be built on: Lot_ --- � ...... Block ..-..... � � _-•- Subdivision - `����! ����� •-•-.��_� Street and Number where work is to be done--.-_t.SD State work to be done and purpose of building (by floors).._—_»__-�_••_„_••_ ........_.. •- -------__............-�_ �!�e+.l,_Iti'i Iv"`i--• ` • �.--.. _...1___� J � _!�-YiC.�:L_. r �— ]�.___��_._— F- e_�.? � �� �Om c� '?r� ............ and for no other -•-•• �.____ __ purpose. New Building ------------------------------- Remodeling -------------------------- Addition_! ....... Repairs-------------------------- No. of Stories------ ------------------- To be constructed of_4/zv_i-_c= C_----- Kind of foundation_.. __---..-___--- Roof Covering Estimated Total cost of improvements $------- U------------------------- Amount of Permit � Zone cubage required_.__._ .._.._-�..------- -• ----------------- ------------------plan Cubage---- ---------------------------- ------------- --__.._ _ Distance to next nearest building___________ _________ _ ___ ..- . ...- --_.-------.--Size of Building Lat-.....,�1ZC�� .• v Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to-._- Gl.Z_— %_c2 - The undersigned appplicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section $966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the previsions thereof, and will require similar compliance from all contractors or esubcontractors employed by him in the work to be performed under this permit; and will past ar cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, an work to he performed under this permit, as are licensed by Miami Shores Village. Remarks-..------- - - -- --- - .-.... �. _ �..- _... _-..- (Signed)...._ STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ......... -- .------ — .... __.._.—_....`....—___..».__--- . _--to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ......... ---------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.f _ _......... Date_ :. Read, Sworn to and Subscribed before me. Disapproved ---- Date_ ..._� -_ _ __ ___ _ _ _ Notary Public, State of Florida (Signed} .._.� _ .._. i.- .... •-- ._. ." .. --•-. - Building Ins for My Commission Expires_________________________ CANNING BOARD_.. __..--------- ------------------ - - ----------DATE Chairman -_.... _.W ... Member Member .__._ _.._ ...-......._-- Member Member ........ -_..__ .'•..------- - • ----• Member Council Approved-------- ------- _.---- --- - --------- ----Date Disapproved ----------- ------------Date ------------------------------ --- ------------- - - NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re -inspection fee of $1.00 will be charged when such re -inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. i G.C, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby a3ade for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other stsueture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date-.. Owner's Name and Address:=�s-IfiLI�} �.�._.--- o. 12 S Streets4..y �'------- Registered Architect and/or Engineer___-_ __ � Y� � � n Name and address of licensed Location and legal description of lot to be bbuii on: Lot.._7 °�._ _..... Block.__.... Street and Number where work is to be done..—._--. State work to be done and purpose of building (by42 - � _I 3.q,4.A._..__r'fi -31� r_ — ��acad for no other purposel New Building ------------------------------ Remodeling----------------- -------- Addition.... Repairs-------------------------- No. of Stories------ ------------------- To he constructed of---------------------------- Kind of foundation __— - ___.___ _ _ __.__......-- Roof Covering ------------------------------------------------ no Estimated Total cost of improvements $__________1� . ---Amount of Permit $...-_ 7 ._._._._.._.._.______.— Zone cubage required ------------------------------------------ -----------------------------------Plan Cubage.... (fe_Z?' SD _._e+! ...... Distance to next nearest building ------------ ----------------- ------------------------ - ----- Size of Building Lot ._.--- Maximum live load to be borne by each floor--- -- - - ---------------------------------------------------- ...... _...... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to------ ------------------------- ------------- - — --..._..... - . __ _ _ __ _ - -._....--._..__._------ __.._.._-------...._..._... ......... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required y the Act. The undersigned agrees to employ only such subcontractor on w k to be farmed under this permit, as are licensedI Miami Shores Village, .... Remarks .. d' .. ..... .__.�._.._... _ ___ .._.__. �.___...___ __ (Signe)__.... .... ...: ._ .__�........... STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared-- •---- ---- ------------ ------- - ---- -- ---- _ _ ._.._..._._._ -•--..........--- ---- ----------------------- -------- -- -------------------- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ __________ -------------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. f � _ _ __.. Read, Sworn to and Subscribed before me, Permit No._ C "O_� J�-` _ _ __....... Date_..... — Disapproved Date - Notary Public, State of Florida (Signed) ...._._._ zo Building Inspect o My Commission Expires ------------- ___----- _---- ANNING BOARD___________ Chairman __--_.._._..----------- .. Member Member Member Member Member _.__. Council Approved-------- ------- - Disapproved----------------------------•--------------------------------------------------Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re -inspection fee of $1.00 will be charged when such re -inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other strut tore herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Law of the State of Flw-da- all ordinances of Miami Shores Village -nd alI rules and regulations of the Building Division of Miam Shores Village sh. 11 be co .,plied with whether h.-r: in specifie•`• not. A cop of approved plans and specifications must be kept at bu:ld.rig durmg progress of the work. ] '] Dat . r !� Z ry _ 19G8 Owners Name and Address.- N tQ �.1�_a No.. .-. -- - Street_. . Registered Architest_au4/or Engineer --------- 417 ..► N%1 C�t=rlre -- Name and address of licensed contractor--C 4 0,T_-R-0L _�j� _p_ __ • __ _ 6gOC�_N, i Locatioon/ and legal description of lot to be b''uiilt on: Lot..._./..� a — - - - Block �F Subdivision -M - n^_..... 15 Street and Number where work is to be done_________________-- _-- V t.�_ T�._ . State woj4o be done and purpose of building (by floors) ------ --- O.lT�lo �— _ .__.----_-.... ._� ._.._._---__---• __ —_ r ------ and for no other purpose. New building ._.._.. - . t.:,ts m . Remodeling________________________ Addition__epa . Rirs_________ _._______-_ o. o __ No. Stories ___________ - ------------ ! To be constructed of�� .. Kind of foundation__.....— __._. ___ ._ Roof Co ering_4! Estimated Total cost o iinprovenzents $ . __. �Z�_�0�.---Amount of Permit $..�.. . Zone cubage required---- .-•--,_._.---__-------- ----------- ------------------Plan Cubage----------------------------- Distance to next nearest building ------------- ---------- -- -----------------------------Size of Building Lot------- - . -- - - -- ----- ----..... Maximum live load to be borne by each floor---- ------------ -------------------- ------- --___.____---------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to-- ------------- --- ....................... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors ordsub-contractors employed by him in the work to be performed under this permit, and will post or cause to be posted for inspection on the si a of the work such pulalic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra on work to ormed under this permit, as are licensed by Miami Shares Village. (Signed), --- STATE OF FLORIDA, 1 COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ... _..... _....W -----•-_---- __--.. _ --- --- - ..-. __ _ _ _--- --- . - ---- -- to me well known, and who, being by me first duly sworn, upon oath deposes and says t]hat he is the_ ______ _ _. ----- . __ __ _ ____ - - -_ -------- ------- __ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.____ _ 1!___ d_ __ __ __ Date___ _....__ Read, Sworn to and Subscribed before me 9- - Disapproved _ _.. ._ _.._ . te. ( Signed) -- - Notary Public, State of Florida _ .. _ ._ . ... Buildinginspector,_ My Commission Expires _____ __ __ _ ___ _ ----- PLANNING BOARD DATE Chairman _ . _ - _ _ _ _ . _ _ .. Member __ _ _ _ • --•-- --_ _ _. -- _ Member _ _ _______ ___ __-. Member Member ....... Member Council Approved - - Date Disapproved .. --....Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after appr, •,.:.1 has been obtained from the Planning Board, A re -inspection fee of $1.00 will be charged when such re -inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date \3r - 9' ` a U Job Address Z,2 SD a3 r g G s i Tax Folio Legal Descriptionsci Historically Designated: Yes No Owner/I essee / Tenant Tk in/•9 ,�CLL�CG P/ C144FL Sit,7'q Master Permit # 1l � / Owner's Address ZSo N� `X -S 5 �p Phone ,3os -7-5 - % -/6 9s 33139 Contracting Co. K4/57WL QLVE OG[- CO. or M/,,�w/ Address d-0335S 71 C-i M�/j.�� Qualifier /1 FLSo nJ CA S T,, `Lo SS# S-9 f - 03 33 i8 S -,E?/Z Phone 794 State # VC O 5-4 n I Municipal # Architect/Engineer Bonding Company Mortgagor Competency # Address Address Address Ins. Co. Permit Type (circle on : BUiLDING ^ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /eE5 UfZFf}CE7- BOG �- F W —/7 O tz644 `7 Ca_y a,s c� �se.�¢p /fix 4 Jzehl e r.s7a� naL Square Ft. DO c- •' 7 S PA-'7-7: / 3 DLL Estimated Cost (value) X & / 06 • G L WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signa owner and1c, 1591do President Date Si atnre of 6rit&c1or or Owner -Builder Date Rotary as to Ovkr and/or Condo President Date Kotary as to Co6ft actor or Owner -Builder Date My Commission Expires: My Commission Expires: C7�C3CiRL Ei'Jf s '�:•lr `i i�sCi�F.L 3 T, L {�G( ���'et %f e / S`O � P�°Da 5 re �r�i 1 COS4!A1SSION NUMBER ga1_��Fs: � CC797277 ei� .� CC797277 -�.+ E�" fc:I +S755fOM EXPIRES EXPIRES FEES: PE °� t-' -•RA l C.C.F. L4. �� NOTARY APPROVED: C ' ( TOTAL DUE ��� Zoning Building h Electrical Mechanical Plumbing Structural Engineer NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA COUNTY OF DADE TAX FOLIO NO. 1. — Q 3'700 00R219574 2000 MAY 08 14.23 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: aS e t�C if 2. Description of improvement: !� Utie j Awner(s) name and address:, 44 p 30 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: U E peo p Cb �S ScJ 79 C i 3 ISj 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: _ Amount of bond: $- 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as pro- vided in Section 713.13(1)(b), Florida Statutes. Name and address: _ 9. Expiration date of this Notice of Commencement (the expirati to is 1 year from the date of recording unless a different date in specified) Signature of Owner Print Owner's Name - 7-R /66�2 fir✓ L� Sworn to and subscribed �ye a me this QQ da�yy Of &ty19o)aa� ; "M MARTHA E. RUAN© Notary Public _2� Print Notary's Name My Commission Expires: # CC 04 F y �. Prepared by: _ /WW1 � J i 6.. Address: O ,. c,a C. STATE OF FLORIDA, COUNTY OF DADE 1 HEREBY ( E r4FY that this. is a true y of the original t eI i s Dill a on d%Y]pt 0,20 (� W;I1CS5 n t❑+C,tSal. HARVLY of 0 it and t C rfs n., C. a 0 CD o N (o �. u D C a z� 0 ❑ v� 3 N m ID 9-0 v N to M CD m 3 0 o� SD N m CD' N N .' 0. �� CD o N O rr 0 0 m3 O o_ E o m Er o 0 0 m m m fD =Q �3 o m =. m N a O � 3 0 .3 o �. fD N N < f. m E; (93R R 7 !Z Sit (D 0 -. 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MA Y 2004 BUILDING ~ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 PERMIT APPLICATION FBC 2001 Permit N� P 0 Master Permit No. Permit Type (circle< Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) P 1 i; ��� 4 ��N l' 14 { f0f ( Phone # Owner's Address OS-0 A),--:- l (2 _'LL tj_-,e j city —'a( &ZO;r- �rrJ aL-�' - State iL. Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip / Is Building Historically Designated YES NO_ Contractor's Address City �j(z AAl Architect/Engineer's Name (if applicabl ) u $ Value of Work For this Permit,/ a Type of Work: Describe Work: ❑Alteration ❑New Phone # gj� Phone # Square Footage Of Work: ❑ Demolition xx�,�xxx*xxx�xxxx*xxx***xx***FeeS*xx�xxxx�x*x�xx��x��xxxxxx�x�x Submittal Fee 5 C7 Permit Fee $ �( J CCF $ i L/ CO/CC Notary $ Z5 Training/Education Fee $ Technology Fee $ r Scanning $ Radon $ �� Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ oza, (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City ` State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 consn-uctian in this jurisdiction. I understand that a separate permit must be secured for ELE.CTRI.C.AI, iVORI PLUNIBW SIGNS. WP,LLS. POOLS, FURNACES, BOILERS. HEATERS. TANKS and AIR CONDITIONERS- ITRIC.. . OWNER'S AFFIDAVIT: I certif}, that all the foregoing information is accurate and !?.at 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 IIVIPROVEVIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Votice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding S2500, 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/ such pasted notice, the inspection will not be approved and a riins�ton fee will be charged. �, r Owner r gent < - .— - Contractor The foregoing instrument was aekno-ty led.ged befo . me t is The foregoing instrument was acknowledged before me this /0 ay of ?[l day of MAY 20 O i by who is personally known to me or who has produced who is personally known to me or who has produced ` 3 "111 2 identification and who did take an oath. as identification and who did take an oath. NOT Y PI L1C: J' 01`ARY PU . C: Sign: _ t1 =a= hey COMMISSION # DD 188537 Print: _ �_ � , .: _ .�.� - - r. JI _ pri1 �i :. - UPIAPS-IinaaM . My Commission Expires: �t BmdedThr,NomryPnbh,; „ My C;ommissia - _ x�t�t i::: t�ck�c:t*:F�C]C is i:t**iFt.*�c itlF]t]Ei:]E:Fx'LiF]t:Fh]F �F ic;E:F:F�F*]F>Fx*icic �r iC**iP]FtiC:F �F iC.F]F:F]F*�e]E�C]FY:f:1E]F1F]k:F]F �Fh:F]F�C]Fi[:'<iC:G:F::iciC ]F�:*YC*ic f: i:sr:F ac �: ii r: r. (Certificate of Competency Holder) State Certificate or Registration No. Ceitif cat of Competency No. APPLICATION APPROVED BY: Plans Examiner Engineer Che 12/15;03 --` Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305-795-2204 Date C�, Job Address 2 1,0 0 Tax Folio Legal Description S► 1Q �►.� `L4_ Historically Designated: Yes No Owner/Lessee/Tenet L Master Permit # Owner's Address Z s (0 d ;1 S 1 Phone Contracting Co. 1 v~�l� �— l �� Address Qualifier. SS# 3 S --� _ J Phone 3a3 q rc7 (06 State # Municipal # , Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY THERE WILL BE NO INSPECTION. RE -INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): EUILDING � ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION: ROOFING C I'--7ta C-r—: 11 t✓AS 3i ec- Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE YOUR PAYING TWICE TO DO SO MAY RESULT IN FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCINGWITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) , CONSULT Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. Y 4 OWNERS AFFIDAVIT: I certify that all the Foregoing information is accurate and that all work will regulating construction and zoning. Furthermore. 1 authorize the above named contractor to do the work of YWIff570 Owner and/or Condo Commission Expires Date Date of Contract or Owner Data as to Contractor or Ow B with all applicable laws Date nor udder gYAU MApIGAN MY Commission Expires Date �r g DEAN IL YC,pI� �,COMMISSJON # DD 13612 1 4 EXPIRES NOV.2o, 2 5 v- S # DD 13VII �ONpED TnROUGH �g t PU�� 1�0M rrI0I4 20 ?.,As FEES: PERM AD' VANE G NOTARY pIRD 4 u o �gv C.C.F r .....�pTpGEK NOTX A9 BOND APPROVED: Zoning TOTAL DUE Building y(- Electrical Mechanical Plumbing Structural Engineer To: 3058939358 From: PARADISE HARDWARE 3058939358 5l17r02 12 02:20 Page 3 of 18 Sent by the Award Winning Cheyenne Bitvvare 05%17J2002 09:43 FAX 724 327 5890 PGA CORNING MARKETING 2002 PPI*wr9h Corning a oiperation 300 Prosque Isle DHvo o Pittsburgtl, PA 152q9-2799 ^ 724-327-a100 May 1, 2001 TO: Pittsburgh Gornirg Glass Block Distributors (Florida only) Manufacturet's Represen-tatives — Gass Block Products National Accounts (Florida only) Subject: Renewed Dade County Approval for "Glass Unit Masonry Installed with Mortar" TECHNICAL BULLETIN Enclosed for your files and use is a renewed Dade County Notice of Acceptance ONOA) on our "Glass Unit Masonry Installed with Mortar" The old approval (Acceptance 1140. 99-0803,01) was scheduled to expire on Augsist 6`I: of this year. L.aie last year, Dade County announced a newly adopted acceptance. program with 5 year expiration periods to replace the 3-year expiration periods. Gn search 1 st of this year, the appiied to renew our acceptance ea11y enough to avoid possible delays in anticipation of the August expiration date. As You can see, the new approval (Acceptance No. 01- 0306.02), expires 5 years after the August date (08-06-2006). You may begin using this approval immediately. For your Convenience (although not part of Dade County's submittal), I have included a reducers copy (on 8 Y" x 11" paver) of the 11" x 17" approval drawing. The reduced copy makers for easy faxing. Sinceerely, Nicholas T. Loomis, P.E. Senior Systems Engineer NTL:jac cc: VV. Carroll (cover only) D. Daniels M, MacDonald G. Meyer C. Passarell T. Piroskc (cover only) D. Schlegel (cover only) G. Shultz R. Thibodeaux W. Vaughan (cover only) R. Wehman (cover only) L. Wolosencuk (4 copies) J. Zavada (cover only) /17 Glass Block Wehsde_ www.pirtrburghenrnitig,c•orn FDAAl'GLASC!t Webcite: www.fbamgl,�siresuladiurc,cam . 058939358 From: PARADISE HARD\NARE 3C58939358 2 .2 .'� 2 ge 4 o . To: - ..'� ............................. 5117i0� 1 = G,,: G� F ae e 4 or 1 ti Sent by the A\vard Winning Cheyenne BiNvare 05i17r2002 09:44 FAX 724 327 5890 PGH CORNING MARKETING 2003 PRODUCTCONTROL MICE ply ACCEPTA NC E Pittsburgh Corning Corporation �- 800 Presque Isle Drive Pittsburgh ,PA 15239 MIAMI-DADE COUNTY, FLORIDA METRO -DADS I'LAGLER BUILDING BUILDING CODE COMPLIANCE OF•NICE MET RO-LIADF. r•LAGLGR BUILDING 140 WEST FLAGLER STIC'ET, SUITE I5a3 N1IANI1, 1'10lt DA 33130-1563 (305) 375-2901 FAX (30J) 375-2190re CON"INACT014 L.I(TN,NSUNC Sirc]1O.% (395) 375-2527 rAx ra(1s) 375.2558 COYIVACTOR eNl-nt2(ENIENT DIVISION (305) 37-5-2966 FAX (305) 375-2,)0N I'ROt)I1C:"1" L'O\"L'ItC1L I11VFyIQN Your application for Notice oFAccelttance: (NQA) of: (305) 37s.290:1:A\ (301) 372-6339 Glass Unit Masonry Instailed with Mortar tender Chapter 8 of the Code of Mianti-Dade County governing the tine of Alternate Materials and Typcs of Construction, Ind Completely described herein, has been recommended for acceptance by the Mianli-Dade County Building Code* Compliance Office WC;O) under the conditions specified herein, This, NOA shall not be valid after the expiration date statcd below. BCCO reserves the right to smure this Product or n3aterial at any time from a jobsite or 1na.nufaeturcr's plant for quejity control t(:stting. ii tVis pr,iduct or material fails to perfam-. in the approved inanne:r, 11CCO may revoke, modify, or SU'Spend 'he use of such product or material Immediately. RC;CO reserves the right to revoke Iltis approval, if it is deterinincd by l3CCO that This product or matcria! fails to meet the requirements of' the �otlth Florida Building Code. The expense of such testing will be incurred by the manuflcturcr. ACCEPTANCE NO,: OI-0306.02 �07 IA_� D_ (EXPIRES: ®k06/2006 Raul Rodrigit= Chief Product Control Division THis I5 T141'. COVETISH EET. SF A1)1)I'I'I �fn1. PA,C t•5 FC1'It CONDITIONS BUILDING COIDIF &,I kO DUCT RFVIEW CON( IITTIO., This application for Product Approval has been reviewed by the l3CCO and approved by [ate 131.lilding Code and Product Review Committee to bv used in Miarni-Dade County, Florida under the canditions set Forth r bovc. APPROVED: VED: 04 9/2001 Fratic isco _1, QuiMUM, R.A. D i rc ctor Miami-l)acle COU11ty Building Code CuI,spliancc Office IIsO450I1011pc2000iX[rmplaceslnotier. iceepcaneee cover page.dot IntL' tlC( mall address. post snuster(nibuildingcodeonliue.com Honsepagc: hitp://Www.t)vil(lingcoiicottline.coni . . ...... ........ ........ ......... ... ... .. .. .... .. ... .. ..... ..... ... ........ ......... .... ........ � . ... ... To: 3058939358 From PARADISE HARDWARE 30589399358 5/17J02 12 0•_:44 Page 5 of l S Sent by the Award Wirniny Cheyenne Sitware 05,'17.2002 09:44 FAX 724 327 5890 PGA CORNING MARKETING 2004 Pittsburgh Corning Corporation ACCEPTANCE NO: 11I-0306.02 AP1'ROVE,I?: APR 1 S 2001 EXPIRES: 08106/2006 NOTTC F OF ACCEPTANCE: SFIECIIFIC CONDITIONS 1. SCOPE 1.1 This revises the Notice of Acceptance No. 99-0803.01, which was issued on 09/16/99. It approves Pittsburgh Corning Glass Blocks as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County, (SI-13C) for the locations inhere the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure rating, values indicated in the approved drawings. 2.1 The Pittsburgh Corning Glass Blocks shall he fabricated and used in strict compliance with the following documents: Drawing #A, titled "Regular Thickness Glass Block Panels", prepared by Pittsburgh Corning Corporation, dated. L13/01/95 & 03/03/95, with latest revision on 07/'08/99 sheet l of 1. They bear the Miami -Dade County Product Control Approval stamp with the Notice of Acceptancc number and approval date by the Mianti-Dade County Product Control Division. Thesc documents shah hereinafter be referred to as approved drawings. 3. LIMITATIONS 3.1 The Glass Blocks arc. for use as non -load bearing walls. 4. I STAL,LA'1'1ON 4.1 The Pittsburgh Corning Glass Blocks shall be installed in strict compliance with the approved d ra,wi ngs. 4.2 The installation of this 13roduct up to 30 feet above grade %s ill require a Hurricane Protection System. but for installations over 30 tcct above grade it will not require a Ihirricattc Protection Systurn. 5. LABELING 5.1 Each block shall be. permanently !abeled with the manufacturer's name or logo and the Miami=Dada: County Lugo. 6, BUILDEN(; VERMIT REQUIREMENTS 6.1 .Application for Building Permit shall be accompanied by copies of the IbIlowing: 6.1.1 This Notice of Acceptance 6.1.2 Duplicate topics of the approved drawings, as identified to show the components selected for the proposed installation. 6.1.3 Any other clocunacnis recluircd by the Building Official or the SFBC in .girder tag properly evaluate tilt installation of this product. F aradir3o Font, 11E, Sr. PrOdULA C'anu-ul lixan;incr Product Control Division -2- .. ... ... ....... ................. .................. . 7D: 3058959356 From: PARADISE HARDWARE 3058939358 5I17/02 12.04:20 Fade 6 of 18 Sent by the Award'dUinning Cheyenne Bitware 05/17i2002 09:45 FAX 724 327 5890 PGH CORNING MARKETING Zoos Pitts burgk 0�ruiittg C:orporMiun ACCEPTANCE NO: 01-0306.02 APPROVED: APR 1 9 ?170f EXPIRES: 08/06/2006 NO'il'ICE OF ACCEPTANCE STANDARD CONDITIONS I. Renewal of klik, .Acceptance (approval) shall be considered after a renewal opplicution has been tiled acid the original suhmitted documentation, including test supporting data, engineering doCLIIhICntS, arc no older than eight (8) years. 2. Any and all approved prodrrcls shall be permanently l;tbc;lcd with the manufacturer's rwrric, city, slate, and the following statement: "Miaini•Dacic. C:ounly Product Control Approved", or as spceiFic❑lly slated ill [Ile speC.itic conditions oftlnis Acceptance_ 3. Renewals of Acceptance will not be considered it` a) There has been a change in the South Florida Building Code affecting the evaluation of i Iais produce and the product is not in compliance with the: code changes; b) The product is no longer the s:unc product (ideatical) as the one originally approved; c) If the Acceptance holder has not complied with all the rNquirentents ol'this acceptance, including the correct installation of the product; (1) The engineer who originally prepared, signed and sealed thw required doe Lill) C1ltati0(l inhially submitted is no Imager practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product Or pr0Ci:SS shall aut-ninaticalle y b cause for termination of this Aceeptance, unless prior %written approval has hVen MIUCs(cd (through the filing' of sa revision application with nppr+)priate fee) and granted by this office. n. Any of the following slahll jalso be grounds for removal of thus Acceptance: Lt) thnsatisiactoi.y performance of this product or process. b) Misuse of this Acceptance as an endorscinu.nl ol`an} product, for sales. advertising or nny mbar purlose. G. The Notice of Acceptance number preceded by the words kliani i-L7ade County, Florida. mid followed by die expiration date may be displayed in advertising literature. If any portion ofthe Notice of Acceptance is displayed, then it s?lall be dour in its entirety. 7. A -oily of this Acceptance as Nvell as approved drawings and other docunionis, Nvhere it applies, shall be provldcd Lo 1I1c user by the manufacturer or its distributors and shall he aviiilablc for inspectioir at the job site at all tunic. The Crlrin+aer need not reseal the copies. R. Fai lure to coitalaly with any section of thir, ;Vxepiancc shall be cause for termination :ind rent oval of Ac: cptanuu. 9. This-Notleu of Acccprance consists of pages 1, 2 Lind this .ast page 3 (!alidIdo V n,% PE, Sr. I'rodtict C'ontrul E-�Jlliine.r i'roduct Can:rol Division END O TF;IS ACCEPTANCE E To: 3058939358 7rom: PARADISE HARDWARE 3058939358 Sent by the Award Winning Cheyenne 6iNvare 05/17/2002 09:46 FAX 724 327 5890 PGA CORNING MARKETING 5/17102 12:05:02 Page 7 of 18 (1006 Lk5 i J 5 P4 `. cp a 0 % W E p^ 4 a I W O n Z m a y.-R o 1 m Yid u y m m- i� � m ni V, r i. f o� m ui Yry i •R •� y +f A - -! ! -f I -1 % rJ •f Y •f I H �I xx % xw•%x xx N x .; -� -• its r •a I •c .9 S '9 u �.[ r !• w w Q V .� f u � y b CL L 17, 1 •0: n1�'.%aiD�.Otrvl nliR l�•,nn��•N,Q ] lt� p q `4 J� 1 G n' F '•r3i N L 4 y [� N Y'i .,., i; a YS m T �OR 4 I C> V •n � ^ V• z W a a 1� 1 ipf Y V c s 31 i- J Z a d ! cl F Rr rL QkT J CJ w may. 7 2 Zia �nrf 1h r'; Ci J W W IV - H w f' T - st L LJ 3 l] N ..f... elm i .y a .. To: 3058939355 From: PARADISE HARDWARE 3053939355 5/17/02 12:05:50 Page 8 o` 18 Sent bythe Award Winning Ct.-eyenne I3itware , �05/17/2002 09.37 FAX 724 a27 5890 AGH CORNING MARKETING007 Pi ttsburgh Corning Corporation � �� Boo Presque Isle Drive P Pittsburgh, PA 15,23q-2799.724-327-5100 December 5, 2001 TO: Pittsburgh Corning Glass Block Distributors (Florida Only) SUBJECT: Dade County Product Approval For I WiWN EZ@ Silicone System TECHNICAL BULLETIN Enclosed for your files and use is the renewed Dade County Notice of Acceptance (NOA) on our i(Vl IK'N EZO Silicone System (that utilizes our THICKSETS Series glass block products only). The new acceptance number is 01-0928.01 and it expires on 1212.112006. Please note that this silicone system will riot orequlre a hurricane protection system. For your convenience (although not part of Dade County submittal), I have included a reduced copy (on 8 Y?-" x 11" paper) of the 1 V x 17" approval drawing. The reduced copy makes for easier taxing. Sincerely, �'.••. Nicholas T. Loomis Senior Systems Engineer NTL:jac Enclosure cc: W. Carroll (cover only) D. Daniels B. DeAngelis M. Macdonald G. Meyer t . Passarell T. Pirosko (cover only) D. Schlegel (cover only) G. Shultz R. Thibodeaux W. Vaughan (cover only) R, Wehman L. Wolosencul< (4 copies) J. Zavada (cover only) Glass Block lVahcite. tvwti<<,pittsbur;vhcolnirrK.cvm FOAUGLASGk Wcbsile tvww,Ju<trra lus'irts�ctatin�r.;�nr�1 .. ....- . .... . To: 3053939558 Frorn PARADISE HARDWARE 055939356 5/17/02 12.0(3:28 Page go, 18 Sent b/ the Award &rining Cheyenne Bitware 05%17i2042 09:47 FA?( 724 327 5890 PGH CORNING MARKETING '-Nos WAWDAM ACLA b1I-DA-DE COUNTY, fLORTDA METRO-DADF FLAGLER BITTDIXG PRODUCT CONTROL NOTICE OF ACCEPTANCE Pittsburgh Cnrning Corporation 800 Presque Isle Drive Pittsburgh ,PA 15239 BUILDING CODE COMPLIANCE OFFICK METRO -DADS NLjILOL ?R RUILDING 140 WCST FLAGLER STR HET, ST11TE 1603 1 IA ,?LOJUDA33130-1S,3 (305) 37.5-2901 FAX (305) 375-2908 CONTRACTOR LICENSING ISECTION (305) 375-2527 FAX (3n5) 37.5-255S CONTRACTOR ENFORCENIrNT DIVISION (305) 375-2966 FAX (any) 375-29ON PRODUCT CONTROL DRISION (305; 375-2902 FAX (305)372-63".'f Your application foT Notice of Acceptance (NOA) of: KWIK'N EZ Silicone System tmder C.'bapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and -Types of Construction, and completely described herein, has been Teaoxnmended for acceptance by the 3viismi-Dade County Building Code Compliance Office (RCCO) gander the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any lime from a jobsite or manufacturer's plant for quality control testing. V this product or Maeda) fails *o Perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by RCCO that this product or material fails to meet the requirements of the South Florida A -wilding Code. The expense of such, testing will be incurred by the manufacturer. atccrf,PTANC>l NO., 01-0928.0.1 EXHRES- 12/2V2006 Raul Rodriguez Chief Product Control Division T71 E IS TJIE COVERSHLET, SEF ADd MONAL PAGES FOR SPECMC AND GENEK4,L CONDITIONS - IitTll LDrgG CODE & PRti,1I�Va REVIEvV COMAHTrFEE This application for Product: Approval has d>een reviewed by the BCCO and approved by the Building Code: and Product Review Committee to be used in Miami -Dade Cuwlty, ]Florida under the conditions set forth above. APPROVED 11129/2001 Francisco J. Quintana, R.A. Diroclor Miami -Dada 0xinty Building Code CoMpliance OFijee U;0350001\pc2060Atomp1ateslnotica acceptance cover page.doc Internet mail zddress: RostmmRtea@btiildingeodeontiue.corn aI-Iameluxge. la(tp://wsvw.buildingcndenniine.com . ....... .... ...... ... ... ....................... .I ....... ......... ..g........... To: 3058939355 From PARADISE HARDWARE 3058939355 5117/02 12:07:06 Pa e 10 of 18 Sent by the Award Winning Cheyenne BiNvare 05/17,12002 09:48 FAX 724 327 5390 PGH CORNING MARKETING 2 0o9 Pj tsbwrglx Coming Corporation ACCEPTANCE NO. 0141928.01 APPROVED. Noy z 9 zeal EXPIRES: 12/21/2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This renews the Notice of Acceptance No. 99-0105.01, which was issued. on 02/18/99. It approves a Class Blocks as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Fdition for Kami-Dade County, (SFBC). For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure - rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Pittsburgh Corning Thickset Class Blocks shall be fabricated and used in strict compliance with the following documents: Drawing #A, titled "KW1K'N EZ, Silicone Systein with Thickset Series Glass Blocic", prepared ny Pittsburgh Corning Corporation, dated 10/29198, sheet 1 of 1. The dmwring shrtil bear the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval elate by the Miami -Dade Comity Product Control Division. These documents shall hereinafter be. referred to as approved drawings. 3. LIMITATIONS 3.1. The Glass Blocks arc for use as non -load bearing walls. 4. INSTALLATION 4.1 The Pittsburgh Corning Glass Blocks shall be inst,- led in strict compliance. with the approved drawings. 4.2 The installation of this product will not require a Hurricane Protection System. 5. LABE, LING , 5.1 Each block shall be permanently labeled with the n=ufacturer's name or logo and tho Miami -Dade County Logo, 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for Building Permit shall be accompanied by copies of the ibllowine: 6.1.1 This Notice of Acceptance 6.:1.2 Duplicate copies of the approved drawings, as identified to show the components selected for the proposed installation. 6.I.3 Any other documents required by the Building Official or the `_F13C in order to properly evaluate the installation of this product. Candido front, PE, Sr. Product Control .Examiner Product Control Division -2- .. 305$939358 From. PARADISE HARDWARE 3d58935358 5117102 12 07 50 Page t 1 of 18 ten* by the Award W'inn;n Cheyenne Bitvvare 05 17/2002 09:49 FAX 724 327 5890 PGA CORNING MARKETING Zola AI l atl bur In �'�rni� �ar�oration ACCEPTANCE NO: 01-0928.01 APPROVED: NOY 2' 9 2001 EXPIRES,:— 12/21/2006 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1, Renewal of this Acceptance (approval) shall be considcrod after a renewal application has been filed and the original submitted documentation, including test -supporting data, engineering dmistnents, air, no older than eight (9) years. 2. Any and all :approved prodtwts shall be permanently labeled with the manufacturer's came, city, state, and the following statement: "Miami -Dade County Product Control Approved", or as specilimlly stUQd ire the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) 'Chao has been a change ir! the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; li) The product is no longer the same product (identical) as the one originally approved; e) If the Acceptance holder has not complied with all the requirements of this acceptance, Including the corrcet in.stailation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longer practicing the engineering profession, 4. Any revision or change in the inaterials, use, and/or manufacture. of the product or process shall automatically be cause for termination of this Acceptmxo, unlvia prier written approval hae been roquedod (through the tiling of a revision application with appropriate fee) and granted by this office. 5. And of the following shall also be grounds for removal of this Accopl.ance: a�) Unsatisfactory performance of this product or process. b) NifiNuse of this Acceptance as an ondorsetrlent of any product, for sales; advertising cr any other purpose. 6. Tbo ]Notice of Acceptance nuinber pieccdod byl:he words Ndiaini-Dade Courtly, Florida, and followed by tb.v, expiration date, may be displayed in advurl.ising literature. if any portion of Elie Notioc of Acceptance is displayed, tbon it %hall be done in its entirety. 7. A copy of this Acceptance as well a,; npproved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The enginaer need not reseal the copies. S. Failure to comply with any section of this Acceptance shall because for ti:rtriination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. Candido Font, FE, 5r.1'rodruct Comool "Exeaniier Product Control Divisinn END OF THIS ACCEPTANCE -3- . .. . .. . . ....... ...... To: 3056939356 From. PRDSERRROAARES«m72 &1z0z2 g:0a7 Page 2a 3 Sent by me: as winning Cheyenne E&am U 1 2 G2 oR H FAX 72.4 32T 5¥94 FGH CORNING MARKETING [Moil � Z] �2 G § _._«_m_ -.Pi \ cs f « 90 k k $ � g W. Tc 3058939358 Froii) PARADISE HARDWARE 3058939358 5117/02 12:09 2t Page 13 of 18 Sent by the Award Winning Cheyenne Bitware iJj, l!/'.UliS IJl1:�J SZ! 56-l1U YUH L:UK;Vl�I; A1At(1Ltlltif, C U1� abdon Pi :S%urgh Corning corporation 800-reyyUP ISIP. DfIVE y Pittsburgh. PA 24-37.7-3100 November 13, 2001 TO: Pittsburgh Corning Glass Block Distributors (Florida Only) SUBJECT, Dade County Product Approval for Vinyl Framed 2" Glass Block LigtOt9Alise G) Window TECHNICAL BULLETIN Enclosed for your files and use is a new bade County Notice of Acceptance (NOA) on our Vinyl Framed 2" Glass Block UghtWise D Window. The acceptance number is fli-rldln 1A nnrd it ovVinne rin 11_r19_,f1C1F PloRse nn$a that nit LiahlWi-ocC Windowe will reauirc a hurricane protection system_ Also please note that all sizes of wirldovrs Iirtarq raflrant;hnee ciyea 4virtarl in +n AAh8A of-%m f Me For your convenience (although not pail of Dade County's submittal), I Dave irlc:luded reduced copies (on 8--%"x 11" paper) of both 11" x 17" approval drawings. The reduced copies matte for easy faxing. Sincerely, Nicholas T. Loomis, P.E, .Rraninr .r ygtamne � nr ir�car NJ I_:ds Enclosure cc' W. Carroll (cover only) D. Daniels 13. DeAngelis III,. lVlacdonaid G. Meyer C. Passairell T. Pirosko (cover only) D. Schlegel (cover only) R. Thibodeaux W. Vaughan (cover only) R. Wehman (cover only) L Wolosencuk (4 copies) J. Zavada (cover only Glass pluck Website! u'vvvc pi*tchurghc•onung.com FOAMGLAS4] 11'ehmite:.vtivw.f.�rrnegla.rinsuiuiiota.can .. .. .... .. Tc: 3058939355 From. PARADISE HARDWARE 3055939355 5117102 12:10 04 Paege 14 of 18 Sent by the Award'Mrning Cheyenne Bitware 05/17/2002 09:51 FAX 724 327 5890 PCH CORNING MARKETING 2013 a M I A M I•DAOE MIANW-DADS COUNTY, FLOk1L)A M MET., RO-DADF,. H.-AGLER BUILDING BUILDING CODE CODIPLI,ANCE OFFICE METRO-DAiDIi 11-AC LER 11W1,1ANG 1-10 WEST I'L\(;1,]i1L STREI ]', SiJITI; 1603 PRODUCT CONTROL IN TACC ail- ACCE1 TANCE MIAMI, 1 ri\FLO(3,95)DA 175.2910- G3 � + � r (3a5) 775-?901 fAiC (305137:i•19U3 ll'ittsburgh.. Corning Corporatio4>, CONT1 L%CI'OIt I,IC.'N:NSllvf: yli('l'1[?�' 800 Presque. Isle Drive(3U5)375-2327 FA\(305)373-25511 Pittsburgh ,PA 15239 [:(3N"a'I1_ACl'Ok L+NNUitCE69L1'1' llib'ltilON (305) 375-2966 FAX (303 i 375-29(ra I'RODI1C r CONTHOL DIVISION Your application for Notice of Acceptance CNOA) of: (303)375.2902 VAX (105)3721;139 Vielyl Framed 2" Glass Block LightWise Window under Chaptet' 8 c)f the Code of ,Miami -Dade County governing the use of Alternate Materials and `l'ypes or 00113truction, and completely described herein, has -been recolnrtlended for acceptance by the M'sarni-Dade County Fuilding Code Cortlpliance Office (BCCO) under the conditions Specified herein. This NOA shall not be Va'id aTtCr ti)e expiration date stated belo) %, F3CCO reserves the ri gill to secure this product or material at atty time from a jobsile or manufa6ttirer's plan! for quality control testirlgy_ If Lhi;; Product or material fails to perform in the approved manner, f3CCQ may revoke, modify, or suspend the use of such product or rnaWria+.l Immediately. BCCO reserves the right to revoke this approval, if it is determined by i3CC0 that this product or material fails to meet tl)e requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01-0410.14 EXPIRES; i I4111240E R:ILLI t(odnguez Chicf Product Control Divisioct THIS IS THE 4 )VERSHEET SEE ADID1Tl NAL PAGES 1'Q 13HQIFlC AND GEN R.,ki. CQNDITION-S BbiLDINQ CODE c'i pROU�; T I21vVIEW itI IITTEE� This applicatiolt for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the C011ditions set forth above. APPROVED: I IJO112001 Francisco J. Quiutarta, R,A. Director Miami -Dade County Building Code Compliance Office. 11s0454a0i1pSzpQglltemnlateslnoiire 71cccatance 0 ce pw.dot Internet mail address; pnstnlasteraDbuittJiligcoderinline.coalr, a H'ome11+1ge: http:!/r,vivw,buildirigcodconline.conr ...................... _ _ c ..................�------...._.....- . To: 3058939^353 ... . rom PARADISE HARDWARE 3055939,358 5l17/02 1t:10:a4 Pale 15 of 18 Sent by the Award Winning Cheyenne BiNvare Ij5%17,2002 09-52 FAX 724 327 589(1 FGH CORNING MARKETING Z U14 n i'itfs?rurnh Cvrrtir>t Cnr nratigrs. ACCE1"FA:NCE No.: 01-0410.14 APPROVED. NOV EXPIRES: NOV-0 1 2006 NOTICE OF ACCE'l"I'r-NNCE: SFECIFI!C CUIwiLld'I'li)1VLS 1. SCOPE 1.1 This vpproves a blast' block PVC; Cixed window as described in 5ectiorl 7 of this Notice of AEecptant=c designed to comply wily the South FloridaBuilding Code, tSFCj,fiva]liD1994 Ldltion fory. elocations where the pressure requirements, as dclL�rmined by Sl'riC C'110.0tcr 23, do uat exceed the Desi r! l Pressure Rating value, indicated in the approved dravvings. 2- PRODUCT d 1"SCRIPTION Tile w i.ightil'ise Window and its can]ptinents shall be Constructed in strict cnit]pjiwr]ce �tiitli ti c following dc�cumcrt: Drawitlb INV 2LW-I, tilled "? r _ Construction 17 Sheets ! thru 2 c]1 ;, dieted 02176/0I, h ar'rrlg the,ivfia ni5;L3 -NCo ew and Prod r`ttio11 C ott:rol approval Stahl with the ldolire OF Acceptance, number and approval (lute by the A�liur,:i- Dude Gaunt►' Product Can[rci! UiviSion. These docurltztlts si;all hercinaiter be referred to as rlie approved drawings, 3• LIMITATIONS 3.1 This ttpprc] applies tosingle Lin - tile rlpy�roved drawings. t applications of a glass block PVC fixed window, is in 14, INSTALLATION: 4.1 'fllc glass block VVC fixed window aril its S1r1 camponr,?ts shall l�� installed In strict C(]1111)ll'c1I?LC l'r'Ith the approved drawing$, 4.2 Hurricane protection aystctll (sll(1ltcrsj_ the installation ofthis unit ff rc rrirc a lulrri(arie protection s<< om. ►ri 51- LABELING 5.1 CtiCl] unit ShAll bear a pernianclit label with tllC Or logo, city, state and tollowing statement: "Miami -Dade County Product Control llpprovcd". r. BUILDING, !'1;RIWIT REQUIRE.NIENTS 6.1 Application far builtlin g permit shall be accompanied by two topics t>1,11a 6.Lk Thix Notice ❑CAcceptuncc. 4 following C• t � Ju s1i::ate c pir's of Clio ll r �v+e� ; , , � . i i�l] c 1 drawir gs, :l, it.cnti%cd jn section 2 i+ Acceptance, curly marked to sh w ( 1l]i4 N;]ticc of ,t, ., -04-„ . -. ......i_ r,, the can]l�ol]cr;ts se keeled for the p p t osQci iS� iti!]littll?[i, �Si'13Cj its orrl(r to pml3crly cv,tluI(C tEYL' itls l'ation 01, 1his System, „`iwu I;ui:••ii1 y. ti Oar �----- C rodllct C;o;7tro1 iix:iriiuler Product Control Division ic; 3058939355 From PARADISE HARDWARE 3058939358 5,117/02 12:11 22 Page 16 Senn by the Award Winning Cheyenne Bitware 05/17/2002 09:55 FAX 724 327 5890 PGH CORNING MARKETING z o.15 Pittsburgh Corning Corporation. ACCEPTANCE No.: 01-0410.14 APPROVED; NOV 0 1 2001 EXPIRES: NOV 0 1 2006 NOTIC1? OF ACCEPTANCE: STANDARD CONDIVONS # - Renewal of this Acceptance (approval) shall be considered after a renewal application lies 1:ee.;l Filed sled the oripinat ! uUbmittr_d doe, rrv`nuidun, including tr_i:t_supportina, data, engineering dncunlents, are no older than eight (R) years, Any and all approved products shall be permanently la,eled with the manufacturer's name, city, statr, and the following stalumem: "Miami -Dade County Product Control Approved", or as specifically stated in the specific conditions of this Acceptance. Renewals of Acceptance will not be considered if: a) There has been a cliangc in the South Florida Building Code of octirig the evaluation nl' this product and the_product is not in co;ltpliance witll the code cflanges. t7} l lie Pi6L1=t_i9_j10 longer Elie same product (1<clenticai) as the one originailiy approvcci. C) if the ACecpta.tnce holder has nut complied with all the requirements of this acceptance, ..1u.li.,81,-4V..V,1 j..,,Cc.l1-6;W...,rItaa VIV%)%. 1, d) The c:ngincc:r who originally prepared, signed and scaled tic required d0Gtt1llentati0n initially submitted, is no longer practicing the engineering profession, 4. Any rcvision ar chancre in the allatcrials, LISC, and!or 111aa1ttlac(LITC of the product or process shall autofmdtically be cause for termination of this Acceptance, unless prior written approval lies been requested (through the filing ofa revision application with appropriate fee) and gr7ntcd by this office. S. Any of the following shall .also be grounds for removal of this Acceptance: a) Unsatisfactory pc;:aranance oftllis ptti}duct or process. b) Misuse of this Acceptance as an endorscmcnt ofany product, for saps, advertising or any Other purpose. G. The Notice of Acceptance number preceded by the words Dade County, Florida, and fol lowed by tile: expiration (late may be displayed in advertising hicratutc. If ally pOrtioll cif the: Notiec uf' Acceptance i5 displayed, thetl It shall be done in its entirety. 7- A copy of this Accepwace as well as approved drawings and other (loctiments, where it applicrs, shall he provided to the user by the ttljartttlilcturcr 7r its disiri.butorx and shall be available for itlsl)C,Aiun at the Job site at all bates. '1110 engineer does trot i1e;:4 to resc ill. the coptc.s. h- FallLire to comply with any section. o:7this Acceptance shall be cause for termination and removal of Acceptance, 9, This Acceptance contains T a6CS 1, 2, th is Dist page 3, --- ndidcs l'. Font, III:", Sr. Product Control Examincr Product Control Division END OF THIS ACCEPTANCE -3- .... .... .. .......... Ta: 3055939355 From: PARADISE HARCVVARE 3053932350 5/ 171_' 12:12:06 Page 17 of 13 yen' by the Awa.rd Winn,ng Cheyenne Birivare 05/17�2002 09:54 FAX 724 32`r 5890 PGH CORNING MARKETING Z 016 s ` i2 SC14�, Y „z 7r. cF D h I ti's n wil 01. '.. )7u;u;hl; ll:l uN,Y. CL: ,ii9lcymc;:.G9 ------+'� u z 'i' — 3 J — ; _-{Ji_ m Ex�E� L �"� µ'',1 • ` v3 IN ' I � • !(ll;ll.li�� I!Illil))?�I! 97�n;:S �I'IMlllf.!Y ,,jC i .I ai * r .•�- �- N [q '��.'� ]� .i'• '.� .���� a '.. - kS 8 5�r St4!�P".4 'A999 (2 _! , .-SEE y `Sk1=r`d b�iS �i w;9>R ��:I��stv9�iA51��b'�i"kH5�9txhtaM''kC:��;a! Lu L LL 4 k! t E .� c q a f a n 6 J N E+ E L' 66.,q r.c' E iFam9�� w J tV ..... .... . . . ....,.... 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N W eS _W Z m ! m X D n m v H Z Z 2 O COD � LLI j> Z cc p CCarmi U YamLL �m - aWmQ RE CY) x ,\� V m N Z O Q W Q 0 n� w " J S QI W �o Q a OccLL HOO Ln .a Cti- .rM rM 1 1 Ln C`- r rl EA Miami Fool, Inc. CGC06232 11510 Biscayne Blvd. Miami, Florida 33181 TEL: (305) 940-9666 FAX: (305) 893-9358 October 31, 2002 Affidavit to City of Miami Shores Village: Reference: Kathy Kellogg's (Cabana room) 1250 NE 96th Street Miami Shores, Florida We certify that the installation of glass blocks was performed as per Florida Building code specifications with reinforcement of both sides, top, and bottom as per code requirement. Truly Yours, co Vict;Pature'- uthori2ed J aaj u,dsui-ag �POAojddV a 9117, Q /l CIE ® C:zoloodsul iod f Cauoud �[ua� f f fssoippd f aureN u,dsuI ociAl isanbag uopoodsul Suip fmg VOZZ-96L-90£ ,LNHW LNVaHa CNIQ'7IIlg HJV'I'IIA SHNOHS IWVIW c 13 G) m z ] » z Q z 7 § 0 z § 0 2 $ a I � 0 § < ( G) m 7cl ® m .�0 � ] CO �\ I z _ _ c \ } �§ j2 / 71 § 01- ) z \ ( e z �m � ) U ; 0� §� $ 04 04 z a 9 / z z % � n � 9 �D I — m ' : bT- m cr o a q 7 \ F6 F o / R m 2 � § P, § f � | 7 \ a �k §� I a , n r� $ \- §o 7 z g o - \ CO k \ FJ 7 ` ( ) 2.Co t m � ca E § ;� £ ! 2 E R z 9 ` 2 0 / 2 z --- 4 ; z o p n $ / § \ § �,.J�I.:.���1 17�:� 6EJILDfNG IM1iSP ECTIQ fVS • INSPECTIONS DATE[ i BY RE -INSPECT BY RE -INSPECT BY FOUNDATION _ BEAMS & LINTELS FRAMING .FINAL CLEAN.JP . t GONTRAC'COR ` PHONE PERMIT NO 09Z ■ DATL- r I �'" FEE 5 4,4. :1' NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO DATE FEE T TEMPORARY SERVICE SEPTIC TANK SEWER $ SO.LAI"t HEATER $ GAS $ INSPECTIONS DATE BY RE -INSPECT BY RE -INSPECT BY RQ..UGHING GAS SEWER. SEPTIC TANK C/" s SOLAR HEATER. FTXTURES M '� i I - I-KK AL PERMITS & ;NSPECTIONS PERMIT NO. _ DATE If 3-6= FEES NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ��_ 1• w - f % `5- � H- W. HEATER CONN. I $ RANGE CONN, $ MOTORS g .,FIXTURES $ INSPECTIONS DATE BY RE -INSPECT BY RE -INSPECT BY TEMP. SERVICE t ROUGHING W W. HEATER CON N RANGE CONN. {{ f 1 FIXTE3RE:7 FINAL APPROVAL TO POWER CO. FOR SERVICE DATE MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det, fled statenien, of the plans and specifications herewith submitted for the build- ing or o h. -ructure her i described. This ]-I licabc is made in compliance and con orn yWalk the Building Ordinance of Mia il Shores Mire, or da, and all pro isions of the Laws tf the Statc of 11,rid. all a d nane-es '11f Mi III Shores Village and all rules and r.egu I arion of the Building Div., I of -win Sho, illage I- 'I e -0. 1pl-ed with, whether herein specified or not. A copy of approved plans Lind specificati rw must be kel- at building durin, progress of tI.c werk. Date ------ ._Zanu4r-Y ---- 3.,19-55 ---- ------------- -- - 19 -------- Owner' Name and Address----- Ed_W_..K._C11ae-10­--__ ---_------------------------ No.___10792____. stret_.N.E.,Tnd Pl. ------ ------- Registered Architect and/or Engineer.-Jiarry- _E._Penne_y_(Arc_ht_,_) -------- Shinn.-.&- _Hutcb_e_son_(Engineers_)__ Name nd address of licensed contractor- Mores Bldg s Location and legal description of lot to be built on: Lot- Block--- __84 -- ---- __ --- Subdiision--Mlami Shores Sectionj 3 -------- -- Street and Number where work is to be done_ ------ )_5;Z __5V X.E. 96th Street State work to be done and purpose of building (by floors ...... - --------- ane.. family CBS Residence ... - ...... ------------ ------------ — - - — — - — ---- ------- -------------- --- ---- - and for no other purpose. New Building_ -------- X_ Remodeling-- Addition---- ___ ... Repairs- No. of Stories - To be constructed of- CBS Kind of foundation ------ §pread Footing Boor jo,,,jn_ Tile Estimated -,tal cost of improvements $-- 20,_0 ZA S,- 00 9_Q_0__ Amount ci� Permit $--,-%J7- —_ 6­_ --- Zone -ubage required- -25, 000 cil_ft_@ ------- ----------- --Plan ....... Distance to next nearest building- 20 f t . 100 X.JJ12.5 - -------------------- --Size of Building Lot.— - .. . ... .. ...... . Maximum live load to be borne by each floor_ - - ----- --- ...... - ---------------_-- hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to -----Miami__ Shores _B1dr_s.1nC-.------ ---- -- --- - - -- --9-822- N.E.____2nd__Av_P - - ---------- - -- - ----- The unde signed apill -ant for th-s building permit does hereby certify Ciat lie understands and accepts his 'bligatiOng iL,-; an Ctilployer of l- bar under lie roloric a Workmen's Compensation Act be* S, -tion 5966 Coi p led Gen al Laws of Florida P r anon Sopprent.le ent. and b - s compt ed w:tli -he prov-;jons thereof, and will requirensgmilar comp iance From all - contractors or subcontractors cipplo -ed by him in the wo k to be p rl -med under th s pern it and X post or cause to be posted for inspection on the site of the work su.-h public notv c or -otit es as are requIr- d by the Act. The It d- r ago--d agrees to employ only such ibcontr- ctors, on Work to be perform d . der this permit as are licensed by NJ am. Shores Nil! ge. Remarks__ (Sig-ied STATE OF FLORIDA, � ss. Edw. K. Olsen Secly. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally op peared ....... -------------- - -to me well known, and who, being by me first dAy sworn, upon oa delym and says that h is the (- of th abov. de.ibed �istruction t: i I has ex y read the application, and that he did sign the same, and that all facts therem by him stated are tr.1 Permit No.----__ . ...... Read, Sworn to and Subscribed before me. Disapproved Date. --yc -_ . ....... ----- - - _T 1/14-1.94 Notary Public State of Florida (Signed) �Zfl­ . ..... .. _ My Commission Expires- _.. _._ -- ----- __ _ PI"Nlmr- BOARD— ____ __ _ _ - ----DATE Chairman ------ 7V Member ...... . . Member Member ---- ------ - Member Member Council Approved ----- - -Date Disapproved ----- -- - ----- Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application ft,,r approval his hecn obtained from the Plani, ng Board A re-nispection fee of $1.00 will be charged when such re -inspection is m,. !e necessary by improper notice for inspe:-t,ai, or fa- ity materials and/or workmanship. BUILDING ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ MIAMI SHORES VILLAGE, FLORIDA Date t _ 19If PERMIT_Np 10162 Contractor's License No. ❑ Work to be performed under this Permit__ Owner of Building �M1I •t 1 t 71- _ F1 .._ _ ! r . f . ..•r .� Architect N L` - -` G x -- L Contractor or Builder �- L- i U r !_roc ] 4 - — 1 `s s'�' ? j J �•�� / - _ Legal Lot .� 8 8 4 Subdi- rr '' �a/5= Description I Bl vision _ryt�w..t Address of Building .-+ > '� �� - �" f Sq. Ft. Value of r ' 11 IC/ � ~ _ Gti Amount of r �- Project I Permit $ -' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applict tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with at plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoke at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which th permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances an regulations pertaining to the work covered hereby whether shown on the plans or wings or in the statements or specifications and that he assumes respoi sibility for work done by his agents, sere orremployCa. Signed. 1-+►( SPECTOR} BY In consideration of the issuance to me of this permit I agree. to perform the work covered hereunder in compliance with all ordinances and regulatioi pertaining thereto and in strict conformity with the plans, drawin�, statements or specifications submitted to the proper authorities of Miami Sbores Village. In accepting this permit I assume responsibility for all work done by either, myself, nuy agent* servant or employee. J� CONTRACTOR or BUILDER BY AUTHORITY 'BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ MIAMI SHORES VILLAGE, FLORIDA ra .. Date� PERMIT N? 10403 Contractor's License No. !/ ✓ _ Work to be performed under this Permit ��r- f� w Owner of -� Building '7 J Contractor or Builder Legal Description Lot Address of Building �� ' f ' fir= f� Bl. Subdi- vision _ Sq. Ft. — Value of Project II Amount of 5r�y G� I Permit % ' ' ` This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applico lion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoke at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which thi permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances an regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes re -spot sibility for work done by his agents, servants or employe a. Signed. { - (INSPECTOR) BY--- -- - In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulatioi 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 � assume responsibility for all work done by either, myself, my agent, servant or employee. . � r CONTRACTOR or BUILDER BY AUTHORITY § ) k \ r < f ! > z g A 2 r 2 Q q T 7 2 Si ;u I � ( 7 zd / o=_ �G � E m ` q � � ? e \ m q }� Q I S \ /) U I m � § 2 U) r r a Q m / \� ) � ;k ®. z \j 23 (I ■ � j mo \ I k m G ! wn ? G + 0 �P jM § o > >f z n §{ 2 � /; ® 23 a \� rl \� °.c Xra M7 i @ Al w ( 61 � ƒ �, - c \) = z rG o w n [ � I [ )® i 9 [ , m c § \ r 2 / §� ) ; \ !- § -1 ® w ,,� ® � 0 ° ! z )/ ! o `� • .�-F, , o ] § z z k -� y ° / a m � `. § \ « | § \ % / P \ } � � 4 )�� ; �' j ! _ z o ® ( §� R � / \ §�— u - z 0 , § § \ w /. ) r m ; § � 0 , I [�I 111 ncnlr l{'JSPFC'TICJNS �i►~ss n'r� L� 1.�+� Ga r INSPECTIONS DATE ' BY INSPECTIONS DATE II BY ~ FOUNDATION ROOF I BEAMS & LI NTELS I I POOL I FRAMING I� AIR COND. FINAL I CLEAN UP I SLAB I SLAB I I NEW BLDG, I ALTERATION 1 AUUI I IVIN SPECIALS PERMITS PERMIT NO. ' DATE FEE TEMPORARY SERVICE I I .t I S SEPTIC TANK ®rN1�4e.. rc�... AIL e7B-AC-- n{-rip S SEWER 1 I s SOLAR HEATER I I s GAS i�� ❑ as e� �� r c, �}� C�,'i' iR f_ i 7� W rd.7 C.. j _I S INSPECTIONS DATE I BY RE -INSPECT BY RE-INSPECTI BY ROUGHING I I TUB & TOP OUT SEWER SEPTIC TANK I SOLAR HEATER I I FIXTURES I GAS CONTRACTOR ��•''+ �V X I EL7'Q PHONE nrexA+T n+r� j03 � I GATE +a-L. Y FEE s NEW BLDG, I ALTFRATION I ADDITI SPECIAL PERMITS I PERMIT NO. I DATE I FEE TEMPORARY SERVICE I I I $ H. W. HEATER CONN. S RANGE CONN. MOTORS I is FIXTLRES I S I i 1s INSPECTIONS I DATE BY I RE-INSPECTI BY RE -INSPECT BY TFMP. SERVICE I ROUGHING H. W. HATER CONK. I I 1 RANGE CONN. I FIXTURES & FINAL I APPROVAL TO POWER CO. FOR SERVICE DATE BY ----------------------------- Inspection Worksheet Miami Shores Village Nu� } 6 j 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number INSP-24433 RC-8-05-2115 Inspection Date: 08/14/2006 Permit Type: Residential Construction Inspector: Grande, Claudio Inspection Type: Re Occupancy Owner: ARTUNDUAGA, GUSTAVO Work Classification: Re -Occupancy Job Address: 1250 96 Street NE Miami Shores Village, FL Phone Number (305)757-0735 Parcel Number 1132060143900 Project: <NONE> Block: Lot: Contractor: Buildinq Department Comments PLEASE CALL ALICE KELLOGG AT305-757-3131 FOR APPOINTMENT 66 "" Inspector Comments Passed Failed E:I_ Correction ❑ Needed Re -Inspection Fee ($75) No Additional Inspections can be scheduled until re -inspection fee is paid . Thursday, August 10, 2006 Page 1 of 2 Mianii Shores Village Building Department RE -OCCUPANCY APPLICATION Date "a AUG 10 2006 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 Permit No. 1 (� OG-2.-` l5 Loc ID Contact Name ��e � Phone # 3!:�15 —7- /' / BLtver Seller Realtor CompanyName Property Address / Z City Miami Shores State Fl Zip I hereby certify that I understand that the zoning of the property is for single-family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re - Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single-family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name Signature 4 / The foregoing instrument was acknowledged b e this /G day of /��, 20 e by who personally known to e or who has produced as identification and who did take an oath_ NOTARY PUBLIC: Sign:C- KWEL A. FERNANDEZ My COMMWON # DD 41gn1 EXPIRES: A0112. 2M Boded Thu Notary Pu* unCarwmers Print: My Commission Expires: Building Officials Approval: (Rev. 10/02/03) Re-Occ. $60.00 Notary $5.00 CCF $0.60 Total