RC-19-1278Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 06/17/2019
Location Address Parcel Number
29 NW 106TH ST, Miami Shores, FL 33150 1121360060220
Contacts
Permit NO.: RC-06-19-1278
Permit Type: Building (Residential)
Work Classification: Alteration
Permit Status: Approved
Expiration: 12/ 16/2019
ROBERT ROSE Owner PATRICIA ROSE Owner
29 NW 106 ST, MIAMI SHORES, FL 331501245 29 NW 106 ST, MIAMI SHORES, FL 331501245
MF7 SERVICES CORP Contractor
FLAVIENNE SANT ANNA M ANASTACIO
100 BAYVIEW DR APT 1930, SUNNY ISLES BEACH, FL 33160
Business: 7867026610
Description: RAMP TO BE INSTALLED AT FRONT DOOR. Valuation: $ 1,385.00 Requests:
Inspection 305-4949
ALUMINUM HOLD TAMP AT THE DOOR AND A 6 FT RAMP
FROM THE PORCH Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$12.00
Structural Review ($45)
$45.00
Technology Fee
$2.50
Total:
$165.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$165.10
Credit Card
06/17/2019 $115.10
Credit Card
06/04/2019 $50.00
Amount Due:
$0.00
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. Futhermore, I authorize the above name contractor to do the work stated.
06/7 �
Authorized Signature: Owner
/ Applicant / Contractor / Agent
Date
June 17, 2019 Page 2 of 2
. • ��I\`� �' RECEIVED
Mianii Shores Village
AW
JU 4 4 2019
Building Department 10050 N.E.2r .I Avenue, Miami Shores, 'klorida 33138 BY.
Tel: (31 5) 795-2204 Fax: (305) 7 6-8972 N
INSPECTION .INE PHONE NUMBER: (: )S) 762-4949 CQ�
FBC 20
BUILDING f,laster Permit No.r_
PE MIT APPLICATION ' Sub permit No.
BUILDING ❑ ELECTRIC ❑ ROOM, 3 ❑ REVISION ❑ EXTENSION ❑Rt NEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC` •/ORKS ❑ CHANGE 3F ❑ CANCELLATION FIS IOP
CONTRAC, tR C (AWINGS
r
JOB ADDRESS: �2,q i 1'V fU .� `�e•t'.
City: P 'iami Shores Co nty: Miami )ade f i
Folio/Parcel#: i I -` 'a{s; - t •��f(,� ' (✓ -Gc > Is the Building listorically=XBFE:
d: Yes , VO 1,
Occupancy Type: U-' Load: i. ( Construc ion Type: C � �? F god Zone: �' ! -FE: _N1
t
OWNER: Name(F !e Simple Titleholder): "Y��a'Y yK. rlcz�Y1+ i� i1'�` Phone#
Address:21
777
_ i ✓tc: �1.r' {
City: r'�,`f tCt,.� •���:�C`ii St;'_e:
Zip:
Tenant/Lessee Na nne: f - > Phone#: I
vi
Email: L aG� �i ". (� I0"y `t" i 4 e t:1 :7
CONTRACTOR: Cc npany Name: mf I SGRV Ias Cap Phone#: Ise, ' 4Z ^ 66 %d
Address: 1-0o T�AN V 1 C vJ Dk 4 936
City: 5 uaj oPl I s L6.S &-AC N Sta f L. Zip: -Y Gd
Qualifier Name: _f Z. Q V �N N� $ AN iJA T'-\ • ANAS 6<1 O Phone#:
State Certification or Registration #: r c c i S 2 -+J p 8 Certific to of Competency M
DESIGNER: Archit ct/Engineer: Phone#:
Address: , Z, _ City: _ State: Zip
Value of Work foc ¢iris Permit: $ *VIM _ Square/Linea Footage of Work:
Type of work: 1 :1 Addition d Alteration �. f ❑ New � Repair/Replace ❑ Derr flition
Description of Wt -k: �A` VV TC �6 1 N� I,OZ.Z6V l—AT f P-C►VT DQGt . ALu Tn k)j v t'1
Specify color of color thru tile:
Submittal Fee $_yPermit Fee $ _ CCF $ •`C-'C$ x
Scanning Fee $ _ Radon Fee $ DBPR Notary $
Technology Fee $ Training/Edi ration Fee $ Double Fee $
Structural Review , $
Bond $
TOTAL FEE NOW DUE $� I
(Revised02/2412014)
BondinZ Compan;rs Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City h,r i State let r 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 :hat all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. l understand that ,a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIOVERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoinf, information is accurate and that all work will be done in compiianre with all
applicable iaws regulating construction and zoning.
"WARNING YO 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 WIT-H 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 a � estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of cot ,mencement and contra :tion lien low brochure will be delivered to the person
whose property is subject to attachment. Also, a certil ted copy of the recorded rotice of commencement must be pr-.;ted at the job site
for the first inspe tion which occurs seven (7) days after the building permir is issued. in the absence of such posted notice, the
inspection will no-i .be approved and a reinspection fee will be charged.
Signature i+-rn� ryC Signature_
OWNER or AGENT ✓ CONTRACTOR
Thetforegoing i -istr.n;ent was acknowledged before me thi-- The f :rc^g^f s �t�wmnilt — uric—ailedged b. fore me this
t day of
_ 20 ,� by f��1' day of 20 by
t Y1(3- who is personally -mown to���_�(�? �,��E , who is perso :illy known to
me or who has produced ,......-..,.. j �'"------ . as me or who gas produced Sr�5 " 19�$'�'���Y as
7
identification a d who did take an oath. identificati ,n and who did take an oath.
NOTARY PUBU NOTARY P +BLIC:
Sign: Sign.
Print: _13 _ ~ tc�?!_S Print:
L.I +�
Seal: r ' ASHLEY$= Seal: RLORM
drillCOWNISSION#0t3323221 'i "24
, = EXPW.&-Aprill4.2023
APPROVED P"t 3 t r Plans Examiner �• 1 �v1 �.� Zoning
Structural Review Clerk
(Revised02J2412014)
Y
Property Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY
APPRAISER
Summary Report
Property Information
Folio:
11-2136-006-0220
Property Address:
29 NW 106 ST
Miami Shores, FL 33150-1245
Owner
ROBERT D ROSE &W PATRICIA W
Mailing Address
29 NW 106 ST
MIAMI SHORES, FL 33150-1245
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
2/1/0
Floors
1
Living Units
1
Actual Area
1,395 Sq.Ft
Living Area
1,379 Sq.Ft
Adjusted Area
1,384 Sq.Ft
Lot Size
9,225 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year
2018
2017
2016
Land Value
$198,007
$198,007
$166,118
Building Value
$96,436
$96,442
$96,448
XF Value
$1,782
$1,782
$1,782
Market Value
$296,225
$296,231
$264,348
Assessed Value
$95,6691
$93,7021
$91,775
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Assessment
$200,556
$202,529
$172,573
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Vet Disability
Exemption
$5,000
$5,000
$5,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
DUNNINGS MIAMI SHORES EXT NO 2
PB 41-78
LOT 14 BLK 206
LOT SIZE 75.000 X 123
Generated On : 6/4/2019
Taxable Value Information
2018
2017
2016
County
Exemption Value
$55,000
$55,000
$55,000
Taxable Value
$40,6691
$38,7021
$36,775
School Board
Exemption Value
$30,000
$30,000
$30,000
Taxable Value
1 $65,669
$63,702
$61,775
City
Exemption Value
$55,000
$55,000
$55,000
Taxable Value
1 $40,669
$38,702
$36,775
Regional
Exemption Value
1 $55,000
$55,000
$55,000
Taxable Value
1 $40,669
$38,702
$36,775
Sales Information
Previous Sale PriceOR Book -Page Qualification Description
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/twww.miamidade.gov/info/disclaimer.asp
Version:
https://www8.miamidade.gov/Apps/PA/propertysearch/ 6/4/2019
Miam
Buil
r I
Notice to Owner —Workers' Compensation Insurai
ores Village
in ; Department
11050 N.E.2nd Av6nue
iam hores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756,8972
Florida Law requires Workers* Compensation insurance coverage under Chapter 430 of the Florida
Sautes.
Fla. Stat. a 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement f
any
nstnretion project prior to
obtaining a buildin, permit. Pursuant to the Florida Division of Workers' Compensation Employer �,Icts
a
chure:
An employer in the construction industry who employs one or more part-ttMe
ot I
li-time
employees. including the owner. must obtain xkorkers` compensation Loverage. Cjgrpor
E9
officers
or members of a limited liability_ company tLLC1 in the construction industry'giay
4i
ct to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation,
I
r{ in if
case of
an LLC, a statement attesting to the minimum 10 percent ownership;
?. The officer is listed as an officer of the corporation in the reco
Hof t t
Florida
Department of State. Division of Corporations; and
;. The corporation is registered and listed as active with the Florid i
bep •
ment of
State. Division of Corporations.
i
A
r+
No more than three corporate oil icers per corporation or limited liability comp r
4 nt t
bers are
allowed to be exempt. Construction exemptions are valid for a period of two
-�ars
until at
voluntary revocation is filed or the exemption is revoked by the DiN ision.
i
+,
Your contractor is requesting a permit under this workers` compensation exemption and has acknoW I
ge mai
he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an alf
vi
sting that he or she A411
be the only person allowed to work on your project. in these circumstances. Miami Shores Village ces
no i
equire verification of
workers' compensation insurance coverag41e from the contractor's company for day labor. part-time
t log
s or subcontractors.
BY SIGNING BELOW YOU AC1:V0'LEDGE THAT YOU HAVE READ THIS NOT[
,E KID
UNDERSTAND ITS
CONTENTS.
i
Signature:
OK ner
State of Florida
County of \liami-Dade
I
i
,0 }Q
The foregoing was acknowledge before me thi4 _day of
'
By�Aie l �1 N1t.� ( who is personally knot+n to me or has prodtl
dd
as id ificat�.�„�
'
Notary: _._ .. _ . CRIAv sf rn Q 96277^
ExOres Fctrua, 2 ;.2020
SEAL: 2ondedThv� UyFain insuranez800.885-7019
OXB Number 2900-0156 PO# s R97806
By receiving this purchase order you agree to take appropriate measures to
secure the information and ensure the confidentiality of the patient information
is maintained. ORIGINAL PO AND INVOICE MUST BE SUB14ITTED TO THE VAHC SEA
--------------------------------------------------------------------------------
€>epartment of 'Veterans Affairs I Prosthetic Authorization for Items or Services
---------------------------------------------------------------------------------
1. Name and Address of Vendor 2. Name and Ad€iress of VAS Facility
WARRIOR SERVICE COMPANY LLC MIA (546/122)
1075 E 14th Street 1201 NW lfth Street
HIALEAH, FLORIDA 33010 MIAMI, FL 33125
(305)549-3103 3135
--------------------------------------------------------------------------------
3. Veterans Name 11.6st, First, MIS 4. Date of Authorization
ROSE,RO&ERT DUDLEY MAY 14, 2019
--------------------------------------------------------------------------------
5.. Veterans Address 6. Date Required
29 Nei 106 ST JUIT 13,, 2019
MIAMI SHORES, FLORIDA 33150 9. Authority for Issuance CFR 17.115
305 759 9206 CHARGE MEDICAL APPROPRIATION
--------------------------------------------------------------------------------
10. Statistical Data 11. FOB Point 12. Discount 13. Delivery Ti
SC/OP DEST 4 0 30 Days
14. Delivery To: VETERAN
Attention.
--------------------------------------------------------------------------------
15. DESCRIPTION OF ITEMS OR SERVICES AUTHORIZED
----------------------------------------------------------------------------------
ITEM! NUMBER 13ESCRIPTIOIi QUANTITY UNIT UNIT AMOUNT
esday, May 14, 2019 ORDERED PRICE 3:22 PM
---------------------------------------------------------------
***SEE ATTACHED CONTINUATION SKEET FOR ITEM DESCRIPTION($)***
--------------------------------------------------------------------------------
16. Contract Numbert Subtotal: $1,355.00
ACCT.#. Discount: S 0.00 Shipping; O.00 Total: $1,3eS.00
--------------------------------------------------------------------------------
17. Signature of Is. Date 19. Signature and Title of 20. Date
Requesting Official Contracting/Accountable Officer
WI ,,IA S-SMI°TH,HERMINIA MA,RIE Joshua Fillinger
------------------------
Order and Receipt Action
21. Order Number 22. Exp Date 23. Gate Item Received 24. Date Delivered
471640000315533R 07/2022
----------------------------------------------------------------------------------
25. The articles or services listed herein have been received, or rendered
ordered in the quantity and quality specified originally or as shown by
authenticated changes, except as noted..
Signature of Veteran or VA Official
Acot. Symbol 546-RS7806
---------------------------------------------------------------------------------
ADP FORM 10-2421PC APR 1991.
Page 2of4
Quick Notes Page 2
CONTINUATION OF PURCHASE CARD ORDER NUMBER: 546-R97806
--------------------------------
Deparweent of Veterans Affairs I
--------- I ------------------------
1. Name and Address of Vendor
VARRIOR SERVICE COMPANY LIZ
1075 E lith Street
HIALEAH, FLORIDA 33010
(305)545-8108
--------------------------------
3. Veterans game (Last, First, M
ROSE, ROBERT DUDLEY
Page 2
------------------------------------------------
Prosthetic Authorization for Items or Services
-----------------------------------------------
2. Name and Address of VA Facility
MIA (546/121)
1202 NW 16th Street
MIAMI, FL 33125
3130
-----------------------------------------------
4. Date of Authorization
MAY 14, 2019
--------------------------------------------------------------------------------
IS. DESCRIPTION OF ITEMS OR SERVICES AUTHORIZED
-------------- ------------------------------------------------------------------
ITEM NUMBER DESCRIPTION QUANTITY UNIT UNIT AMOUNT
ORDERED PRICE
------------------------------- ------------------------------------ I ---------
*1. RAMP, THRESHOLD 1 EA 1,385.00 1,385.00
QUOTE 119906
Page 3 ot 4
Vemiam 2.110
Quick Notes Page 3
Security Requirements Interim Guidance - January 2O13 (Per .acquisition Policy
Flash 12-04, dated 2/2/12, suspending VAAA clause 852..273-75)
A. ,Any contractor and/or subcontractor retained to do work for VA under
this Contract that requires the access., use, storage, modification, or
transmission of VA Sensitive Personal Information (SPI) must follow and
adhere to the security controls, enhancements, compensating controls,
protocols, regulations, and VA directions as the Contracting Officer
(CO) shall direct, including, but not limited to Chase derived from the
Federal Information Security Management Act (FISM), OMB Circular No.
A-130, and VA Handbook 6500/6.500.6. The contractor must report any data
breach according to the protocols and t.imeframes in HB 6.500.
A. If any conzractor/sub-contractor retained to do work for VA under
this contract requires access, use, etc., of VA SPI as aforesaid, and if an
actionable data breach occurs because of the contractor/subcontractor's ants,
omissions, or negligence in following the VA -directed security controls,
enhancement&, compensating controls, protocols, and/or measures, including,
but not limited to the sources above, the contractor/aubcontrac^tor is
further subject to the statutory requirement to assess liquidated damages
against contractors and/or subcontractors under 39 U.S.C. 55725 in the event
of a breach of Sensitive Personal Information (SPI)/Peraonally Identifiable
Information (PII). Said liquidated damages shall be assessed at $S7.50
per affected Veteran or beneficiary. A breach in this context includes
the unauthorized acquisition, access, use, or disclosure of VA SPI which
compromises not only the information's security or privacy but that of the
Veteran or beneficiary as well as the potential exposure or wrongful
disclosure of such information as a result of a failure to follow proper
data security controls and protocols.
PMe4d4
Quick Notes Page 4
AGREEMENT BETWEEN OWNER AND CONTRACTOR
This Agreement between Owner and Contractor (the "Agreement") is effective 05/03/19.
BETWEEN: MF7 SERVICES CORP (the "Contractor")
RECEIVED
AND: Patricia Rose (the "Owner")
JU 17 Z019
BY:
To whom it may concern:
I, Patricia Rose, have an agreement with MF7 Services Corp for a ramp to be installed at my house
located at 29 NW 10611 Street, Miami Shores FL 33150. 1 am also aware that the above contractor will be
installing an aluminum threshold ramp and a ramp section with handrails to provide access to the
house.
Aside that, I am attentive that the job value is $1,000.00 which will be paid by the VA and will have no
cost to me.
��ti��ric���}. � • �s-e
Name
od I u P,019
Date
'11q1✓� `JG;tUSC6 S
Name
x Mlle', ) 2a2eI
Date
Signature owner
Signature Contractor
C]
J�EIv-F
N p 2019
BY: �.
r.
ae-4
"TLC
G
W�n
'k,
0
ru nTfiNLr
COPY
Ed
C6-JC24-;r-rW P&RI-6-2; 7-,t
0
S"
CROSS SECTION
ENTER
5'
1' BTP
6' RAMPING
•
•••
•
• • • •
•
•
•••
•
••
• •
•
•• ••
y '•
416, i aticAal
ramp
JOB NAME:
Rose
LIBERTY
DEALER:
Warrior Service
Company, I.I.C.
APPROVE SPECS:
{ELEVATION:
L�Inches
LENGTH
Feet
WIDTH:
36 Inches
Dual Rails
YES
Picket Rails:
0
Single Grasping Rail:
Dual Grasping Rails:
I - I
Other:
Dated;
/ /2019
Layout File Number;
181471
national?AMP
Your Freedom. 5
our
5 Ramp
8" .g 8"
. ;
• �••
• . ••
...
••. +00
• • .
Project Name:
O
Rose Warrior
Service
Company,
LLC.
Elevation:
6
Total Len the
6
Incline:
4.8 de
ADA
Yes
Complaint
511.
00
• • • •
••00 ••• •
• • • • • •
•! • : • ! • • a ! •!: • •
•
DAVIS DESIGN & CONSULTING
521 W. High Street Womelsdorf, PA 19567 • TEL: 610.589.2647 • FAX: 610.589.2507 • Ei-iiail:jedavis@davisdandc.com
25 September, 2015
•..•
Roy Walker & Jay Mornan • �•
•
"' • •
National Ramp ••....
•
39 Western Highway Goo:**
....
•••••. West Nyack, NY 10994
••••
•
The Liberty Ramp system Sold and Manufactured by National Ramp of West Nyacl�44ew66york
•
has been verified to the attached design specifications as prepared by Davis Desigg" & '
•
......
Consulting. •.. •
• •
Best Regards,
?e��ie�y �. Davit
Jeffrey E. Davis
.1�
1.4
Liberty / Economy Ramp Design
Liberty/ £co System
Matrix Rev 1 9/25/15
Design Specifications
ADA 2002
IBC 2006
IRC 2012
Ramp Uniform Loading
1000lbs on loading
MATCH IBC
40 PSF
40 PSF
arrangement
Ramp 300lbs Concentrated Load
6" Square
MATCH ISC
NONE
NONE
Space Between Ramp Handrails
37.77"
36"
36"
36"
Ramp Maximum Slope
1:6 Maximum
1:12
1:12
1:12
Ramp Toe Kick
2"
2"
4-
NONE
Platform Uniform Loading
800lbs on4inside 3' x
MATCH ISC
40 PSF
40 PSF
Platform 300 Ibs Concentrated Load
-
MATCH IBC
NONE
NONE
Platform Toe Kick
2"
2"
4 j
NONE
Space Between Platform Handrails
4' — 48"; 5' — 60"
60"
60"
36'
Rest Platform Width
4'-48"; S'-60"
As Wide as Ramp
As Wide as Ramp
NOT REQUIRED
Rest Platform Length
4'-48'; 5'-60"
60"
60"
• NOT FEQUIREL? •
Rest Platform Interval
As Needed
30" Max. Rise
30" Max. Rise
TibT REQUIRED'
Stair Uniform Loading
MATCH IBC
40 PSF
... : APSF
Stair 300 Ibs Concentrated Load
MATCH ISC
4" Square
• • • • 4" •
Space Between Stair Handrails
36"
36"
• • • •6"
Stair Toe Kick
2"
4"
; • • ; $ONE
Stair Handrail Bottom Extension
-
Depth of tread
Depth of tread
• STOP AT LOWEST• • •
• • Ri6ER
Handrail Concentrated Directional Load*
2001bs*
MATCH IBC
200lbs
•
•
200 LBS
Handrail Simultaneous Load
MATCH IBC
NONE
NONE
Guardrail Horizontal Load
none
200lbs
200 LBS
Guardrail Distributed Load
none
none
50LBS OVER 1 SF
AREA
Guardrail Top Height
none
Greater than 42"
36"
Guardrail Maximum Sphere Size
-
none
4"
4"
Handrail Top Height
34"
34"-38"
34"-38"
34"-38"
Handrail Circular Cross Section Minimum and
1.1/4" Minimum 2"
1-1/4" Minimum 2"
1-1/4" Minimum 2"
15„
Maximum Diameter
Maximum
Maximum
Maximum
•
•
•
•
•
•
[go
No
131
ME
1R
B
.. ... .
.
.
. . ..
•' *:0 •
•
• • PVI12terrange IA
••
... . ....
..
.. ..
. . . .
+.43
• • • :0
:
. • •
....
. nATu_I AVhi IT
l
HARDWARE FOR 36" & 48" ONL Y
HARDWARE
QTY.
DESCRIPTION
2
3/8X1-112 ADJUSTABLE CASTER
2
318X1 ADJUSTABLE CASTER
2
3l8X1-1/2 THREADED ROD
2
316X1-1/4 BOLT SLEEVE
6
318 JAM NUT
2
#10X1-1/2 FLAT MEAD SCREW
2. -*.-
AMOX3/4 ELF TAP'SCRE W
2
JCASTPR SUPPORT STRAPS
2 - 318X1 ADJUSTABLE
CASTER
0 2 - 318X1-112
ADJUSTABLE CASTER '
2 - 318X1-3116 BOLT SLEEVE
ft
6 - 3/8 JAM NUT
2 = #10X1-1/2 FIAT
HEAD SCREW
....... ..-2- ASTER SUPPORT STRAPS
.. . . . . ... .
.. ... .. . . . ..
• • 000 2-10-16x3l4 SELF TAP SCREW
. . . . . . . . . .. . .
.. .. ... ...
".;� • ... . . . ... . �IWARNINGII3•THRESHOLD MUST BE ANCHORED
• • ' O WALKIfQG' bRFACE BEFORE USE. WITH THE
• SUPPLIED 1-112" SCREWS.
. .. .. . . . .. ..
... . . . ... . .
ADJUSTABLE CASTER ASSEMBLY INSTRUCTIONS:
IV ADJUSTABLE CASTER
BOLT SLEEVE
JAM NUT ���111111
SUPPORT STRAP
—THREADED ROD
SELF-TAPPfNG SCREW-17
V RIVET NUf
STEP#j, _ l�+srncc�n1
LAYOUT AND IDENTIFY HARDWARE,
THREADED RODS, BOLT SLEEVES, AND
SUPPORT STRAPS ARE ONLY NEEDED IF
THE RISE IS GREATER THAN 3,75'.
THREADED ROD
JAM NUT
STEP#2:
THREAD THE THREADED ROD INTO PRE -
INSTALLED RIVET NUT APPROXIMATELY HALFWAY,
AND SECURE IN PLACE WITH A JAM NUT.
— [�—SOLT SLEEVE
JAM NUT THREADED ROD
STE .
THREADED SECOND JAM NUT ONTO
THE THREADED ROD AHEAD OF THE
BOLT SLEEVE, THREAD THE BOLT
SLEEVE ON TO THE TREADED ROD UP
TO THE JW NIT. <
—T—Ao'L$TA8LE
CAS`fER
JAM NUT
PPORT STRAP
T SLEEVE
SELF-TAPPM SCREW
STEP#4, r--- r --I_t 11
THREAD A JAM NUT APPROXIMATELY HALFWAY
ONTO THE ADJUSTABLE CASTER, PLACE
ADJUSTABLE CASTER THROUGH THE SUPPORT
STRAP AND THREAD ADJUSTABLE CASTER INTO
THE BOLT SLEEVE. SECURE OPPOSITE END WITH
THE SUPPLIED SELF -TAPPING SCREWS.
.. ... . . . . . ..
. .. . . . . ... .
.. ... .. . . . ..
STEP##-
ADJUST TO DESIRED HEIGHT, USING A 9116
WRENCH TORQUE ALL HARDWARE TIGHT.
NOTE: SOME APPLICATIONS MAY NOT REQUIRE
• • • • •
ALL
HARDWARE SHOWN.
..
.
....
.
..
. .
. .
.
...
...
...
.
..
..
...
..
IA.WARNINGIII THRESHOLD MUST BE ANCHORED TO
WALKING SURFACE BEFORE USE, WITH THE
� � �
� � •
SUPPLIED SCREWS.
..
1.112"
.
..
...
.
..
.
.
..
...
. .
....
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.
PERMIT ADDRESS:
29 NW 106TH ST
PARCEL: 1121360060220
Miami Shores, FL 33150
APPLICATION DATE:
06/04/2019 SQUARE FEET:
0.00
DESCRIPTION: RAMP TO BE INSTALLED AT FRONT DOOR.
EXPIRATION DATE:
12/01/2019 VALUATION:
$1,000.00
ALUMINUM HOLD TAMP AT THE DOOR AND A 6 FT
RAMP FROM THE PORCH
CONTACTS
NAME
COMPANY
ADDRESS
Contractor
HOME OWNER
HOME OWNER
HOME OWNER
HOME OWNER
Owner
PATRICIA ROSE
29 NW 106 ST
MIAMI SHORES, FL 33150
ROBERT ROSE
29 NW 106 ST
MIAMI SHORES, FL 33150
Building Review (Full)
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: 1. Is this a permanent ramp. Is so, Please provide foundation details and specifications.
2. Ramps should meet the requirements of section R311.8 of the 2017 FBC, Residential.
Planning v.1 Approved Travis Kendall email: kendallt@msvfl.gov
Review conducted by the planning and zoning department
Structural v.1
Approved Orlando Blanco email: nuII16
June 11, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1
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PERMIT ADDRESS: 29 NW 106TH ST PARCEL: 1121360060220
Miami Shores, FL 33150
APPLICATION DATE: 06/04/2019 SQUARE FEET: 0.00 DESCRIPTION: RAMP TO BE INSTALLED AT FRONT DOOR.
EXPIRATION DATE: 12/01/2019 VALUATION: $1,000.00 ALUMINUM HOLD TAMP AT THE DOOR AND A 6 FT
RAMP FROM THE PORCH
CONTACTS NAME COMPANY ADDRESS
Contractor HOME OWNER HOME OWNER
HOME OWNER HOME OWNER
Owner PATRICIA ROSE 29 NW 106 ST
MIAMI SHORES, FL 33150
ROBERT ROSE 29 NW 106 ST
MIAMI SHORES, FL 33150
Building Review (Full)
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: 1. Is this a permanent ramp. Is so, Please provide foundation details and specifications.
2. Ramps should meet the requirements of section R311.8 of the 2017 FBC, Residential.
Planning v.1 Approved Travis Kendall email: kendallt@msvfl.gov
Review conducted by the planning and zoning department
Structural v.1
Approved Orlando Blanco email: nuII16
June 11, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1