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1025 NE 91 Terr (4)Date b ` O f Job Address / � A e ft riff. Tax Folio //3 Z OSVC /C6 £ Ci Legal Description Historically Designated: Yes No q( 1 Owner's Address 1-14F44 B /5C Owner/Lessee / Tenan Contracting Co. / r , Qui +e /Lo 4 0, Qualifier 1 f4 d 0 e t+� S t a t e # ('CC 4 4' 3 WORK DESCRIPTION 16 Square Ft. e ,2 ( o_5 1L Notary as to Owner My Commission Expires: FEES: PERMIT RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # A- Condo esident Date MIA IFERDOMO , - . ' :j_ MY COMMISSION;$ CC 898214 EXPIRES: A'ol 24, 2004 Nrmtars Buildin C.C.F. Address 7 S 04,0 3 57 SS# Phone 3O e26 722 Competency # Address Address Signa of Con Notary as o My Commission Expires: Master Permit # /7/ Phone a Electrical Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECT ' h ; i ' ' .. ! OFIN a PAVING FENCE SIGN 00 SP /1 c O Jt' 0 i41:11:1 Ai , 4 1 S D Iii — bi( AP., u l teo e r /Tv) / e', ! Estimated Cost (value) 4 58 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 pe, 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. - Builder ),°1f',lT" 4 :, r 1 d • 19 4,)` — Date tk ete NOTARY TOTAL DUE APPROVED: Zoning Mechanical Plumbing Engineering JU N-•2 01 09:00 FROM: TO:305 858 8187 NOTICE. OF COMMEINIC, 4IENT A RECORDED COPY MUST BE POSED ON TIE JOB SITE AT TIME OF INSPECIV PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: tR282929 2001 JUN 01.16L22 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real propeny, and In accordance Chapter 713, Florida Statutes, the !Wowing information is provided in this Notice of Commencement. 1. Legal description of property and street address: • 2. Description of improvement: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: TAX FOLIO NO.../62"fg.-0114a 5. Surety:(Payment bond required by owner from contractor, if any) NOT* and address: Amount of bond e. Lenders name and address:. PAGE:01 .., • TATF OF e l.r`710.4.. COUNTY OF OAO@ :nal :Ins Is a rode Copy of The 111..0 .6 this &1,& on clay o' IYITNESS ei)o Urficeal SEW: HARVEY Ptilv •Lt:+;.K • 10 , i5 7. Persons within the State of Ronda designated by Owner upon whom notiCus or other documents may be served as by Section 713.13(1)(a)7., Florida Statutes, Name and address: 3. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided irt Section 713.13(1)(b), Florida Statist() Name and address: le 124 7 re) ‘9-24 "NW en•MIMINIMONems. gnature of Owner Print Owners Name\I Sworn to and subscribed before me this CC540464 D Of N TARVBEKr" 4.0 li f e., CLAUDIA P RNERA 0 Irow"..c7 C" COMMISSION NUMMI Notary Public Print Notary's Name My Commission Expires , 20 Prepag 3. Expiration date 01 this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a different Is specified) • tied", age of, le-e16 eye) Ad4rqss: ‘ /Y/ 1 - 38 - /d1 - ; Phu* me O I & ,j ✓ f /;/ i'//r� �tD� __IA- / c IJc an Pc '6Uest- g/iead Ac.§ 17/u oiv Ins - 4(1 4h ®1A - AC e4 A / ( , kl ®v y 717 ,4( �l (4 /( y ov e- A (30S pq R oo TRIANGLE OF VISIBILITY All driveway /roadway entrances and exits shall be constructed al vehicles can enter, exit, and travel along the roadways without p occupants, pedestrians, or other vehicles. Structures and landscaping shall not obscure the visibility trian 2.5 feet in height within the triangle of visibility, ROADWAY TRIANGLE cf VIVI:M.1TY PERMIT NO. ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE ' PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with apt Fedoral, State, Coc nty,Yitlage rules end mutations. Yptage tssxtes no responslbNlty for accurecy otlor mutts (roc these plans. 2. This copy of plans mu be aytlltbla on building site or no Inspection will be condacted. DATE CRITIQUE SHEET JOB ADDRESS APPLICANT PHONE APPUCATION it SHEET OF MISCELLANEOUS 7)) COMMENTS INITIALS Contractor's Name: (0 F t. Ft. /Or Deck type: J - &ui,fzo Qod 7 ROOF CATEGORY n enntication) ❑ (Nail -On Tile) (Mortar - �"_ r- •rr• U (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\ \rood Shingles (1 Shakes) E (Other) • ROOF TYPE ❑ New Roof ❑ Re roofing: ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (IV) /00 Sloped Roof Area (ft) lf" Total (ft ,;(00 ,0 Master Permit No. /14 Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -SS table 1): ' �7 1 ,4/14/0040 ATTACHMENT Fastener Type: / h li /4-' mis SPACING Field: n d L Perimeter: 6 DETAIL 1 & 2 Appendix_ "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. LYE '7 7.-Dr. ROOF HEIGHT AND SYSTEM DETAILS L a c Tr,,7 j., (Draw details as needed) IA/ rl, /pp E ,' n HO GNfGh I q Mup ' : E to oJRA ❑ L i r� RR 64FCMS M siitz cAP S- mope ROOF PLAN Corner: Job Address: Page -1 i le) V- , :kt;..,\ • M EA.N HEIGHT /6' Deck type: /Underlayment:I O Cf. D E T A I L J Insulation: Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION Fastc:.:r s acir.g:i Cap Sheet: 1 12" ROOF SLOPE Roof Cove ing: ,,ff TILE CALCULATIONS (Pmax1: `__'I x ). (Aerodynamic Multiplier): lagC1 ) - Mg: 4_30 = M. .o2 PCA: 86.(>, I (Pmax2 II ' x X (Aerodynamic Multiplier): 5(2' ) M: = M r . Z �' � d PCA: (P�' =x C x 2. (Aerodynamic Multiplier): ) - ,f..: = ■ e . Iti/ / AY kat AA a Drip edge: Moo /1._ 1201 •?G - lv- 1) Fire Directory Listing Page Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals Ux pol i 0 ki 5104 APPENDIX "F" APPENDIX "F "REQUE ED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor., 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renasled in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing. contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 1 Owner's/Ageat's Sig tore Signature 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. • Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge wails or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow sou • ers in accordance with Chapter 23 of the SFBC. . 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the inte of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to cor.sider additional venting which can result in extending the service life of the roof. ontractor Signature 0 JAN -11 -00 11:26 AM MARL IN_ROOFING_SYSTEM PRODUCT CONTROL NOTICE O'E' ACCEPTANCE Monier Lifctilc [.LC 135 NW 20 St. Boca Raton Acceptance No.:99- 1 012 . 02 Exhires:12 /16/2002 Approved: 12/30/1999 (Revise.; No.: 97- 1124.16) l of 9 3 05 266 0932 P.E MIAMI -DADE COUNTY, FLC METRO•D.ADE FLAGLER BUIL @lctLn1'C COnF. CO'tPt.lANCE O s1FTR0•D'UE AGLER BUI 110 W EST FLAGLER STREET. SUIT NI(A ?II. FLORIDA 331. (3133):75.2901 F \ (305) 3' CONTRACTOR t.IC.FSSI'G st: (305) 375. :5:7 Fax (305) 3 1 33431 CONTRACTOR ENFt)RCE3IF:'T 5t•: (3135) 373.2966 r,.x (30i> 3 PROM:C 1' CONTROL Dl' Your apph a .% Product Appro\al of (305) 375•2‘3u2 fax (305) 3 Roll C.npri ow Profile Tile under Chapter he Code of Miami-Dade County governing the use 01 Alternate Materials and 1 Construction, arid completely described herein, has been recommended for acceptance by the tliam County" Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to s, product or material at any from a)obsitc or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify. or s the use of such product or material immediately. BCCO reserves the right to revoke this approval, i determined BCCO that this product or material fails w meet the requirements of the South Florida f Code. The expense of such testing will be incurred by the manufacturer. 7 Raul Rodriguez Chief Product Control TFIIS IS TIIE COVI:RSHEET, SE[. ADDITIONAL PAGES FOR SPECIFIC: AND GENT CONDITIONS BUILDING CODE & PRODUCT REVIEW COM\IITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Build and Product Review Committee to be used in Dadc County, Florida under the conditions set fort Lirrancisco ` Quinlan; Director \liaini•Dnde County Bu:ldinl, Code.. Corm' 1 �Il>ii. � 1d f��111i A.'. l'V.n t I H.. nlc{)J �C'. Itt1y 11 ......,huildinceur3, nnlii lnfi•f fit! II fuI .Iddii��� pq�lnl U.�l�f(ry hln !;'� 4. INSTALLATION 4.1 Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall be installed in strict compliance « it11 Miami Dade County Rooting .Application Standard RAS 113, RAS 119, and R.AS 120. MONIER LCFETjLE LLC ��r..« +�. revue i1YG_SYSTEM NOTICE OF . ACCEPTANCE: . STANDARD CONDITIONS 4.2 Data For Attaclunent Calculations Table 1: Aerodynamic Multipliers • 1, (ft') Tile }, (ft') Profile Batten Application Direct De 0.267 Monier Lifetile Villa, Roll and Capri Tile Table 2: Tile 3 " :12" Profile Monier Lifetile Battens 1 Dire Villa. Roll, and Capri Tile 5.57 Tile Profile Monier Lifetile ' 2 -10d Ring Shank Nails 27 8 Ville. Roll, ar I 1- 1 -10d Smooth or Screw 8.8 Capri Tile Shank Nail 2 -10d Smooth cr Screw 16.4 Shank Nails 1 4'8 Screw 25.8 2 #8 Screw 47.1 1.10d Smooth or Screw 24.3 Shank Nail (Field Clip) 1 -10d Smooth or Screw 19 0 I Shank Nail (Cave Clip) 2 . 10d Smooth or Screw 35 5 S hank Nails (Field Clip) 2 -10d Smooth or Screw 31.9 Shank Nails (Elve Clip) L__. 2.14d Ring Shank Nails' I 43.0 I Invaitation with a 4" tile headop and fast.•rner. a ;e 1OC3led a min 5 305 266 0932 P.06 ACCEPTANCE No.: 99 -101 0 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Restoring Moments due to Gravity - M (ft -Ibf) 4 ":12" 5":12" 6,,:12" f 7 ":12" or greater attens ( Direct Battens Direct Barens Direct Battens Direct Deck Deck _ Deck , _ Deck 5.46 I 6.18 5.37 6.05 ! 5.24 J 5 90 I 5.09 I 5.73 Table 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Nail -On Systems Fastener Type . Direct Deck Direct Deck Battens (min 15/32" (min. 19/32" plywood) plywood) 37.4 28.8 21.9 7.1 25.8 22 9 47.1 49.1 - � 24.3 242 19.0 35 5 31.9 Iran" Zuloa;a, RRC Ruofin; Pioducl Contro: Examiner 22 1 11• Z7 AM MARLIN_ROOFING_SYSTEM MONIER LIFETILE LLC 2 See manufactures component approval for installation requirements. 3 Fteviote Products Compiny Tileaund Average weight per patty 11 4 grams. Polyfoam Product. Inc. Average weight per patty 8 rains. • Tile Profile Monter Lifetile Villa, Roll. Polyfoam PolyProT" and Capri Tile "• Polyfoam PolyPron" _ . . 4 Large paddy placement olayrams of PolyPro'" Medium paddy placement of 249rams of PolyPro. Tile Profile Monier Lifetile Villa, Roll, and Capri Tile 6 305 266 0932 P.07 ACCEPTANCE No. :99-1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OrACCEPTANCE.: STANDARD CONDITIONS Table 4: Attachment Resistance Expressed as a Moment M (ft-lbf) for Two Patty Adhesive Set Systems Tile . Tile Application Minimum Attachment Profile Resistance Monier Lifea: Villa, Roll, and Adhesive 26,1 Capri Tile Table 4A: Attachment Resistance Expressed as a Moment - M, (ft for Single Patty Adhesive Set Systems Tile Application Minimum Attachment Resistance Table 4B: Attachment Resistance Expressed as a Moment . M,(ft-Ibf) for Mortar Set Systems Tile 1 Attachment Application Resistance Mortar Set' 20.60 5. LABELLING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or followinc statement. "Miami-Dade County Product Control Approved" 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copic of the followin. 6.1.1 This Notice olAceeptance. 6.1.2 Any other documents required by the Buildina Official or the South Florida Buildiw2 Code (SFBC) in order to properly evaluate the instollotion of this system Luloaga. RRC Rooting Product Control P,Qmincr I11310 AM WAKLINiRODFING-SYSTEM 305 266 0932 P.08 MONIERIIFETILE LLC ACCEPTANCE No. : 99-1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 IDITC1 OF ACCF_PTANCE: STANDARD CONDITIONS PROFILE DRAWINGS 7 MONIER LIFETILE VILLA CONCRETE ROOF TILE 1oN11:111.TELTILE ROLL CONCRE FE ROOF TILE Fran Zulnaga, RC Roofing Product Control E\arniner MONIER LAX mRKLIN_ROOFINC_SYSTEM NOTICE OF ACC.EPTANCE: STANDARD CONDITIONS MONIER LIFETILE CAPRI CONCRETE ROOF TILE 8 305 266 0932 P.09 ACCEPTANCE No. : 99-1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 u nap. R RC Roofing Product Control Examiner ^ry — ne 11:31 AM MARLIN_ROOFING_SYSTEM 305 266 0932 P.10 NiaNTER.LIFTTILE LLC ACCEPTANCE too.: 99-1 [x.09 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICF OF'ACCI PTANCE: STANDARD CONDITIONS I. Renewal of this Acceptance (;approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (S) years. Any and all approved products shall he perrnanenth labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control .Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: - a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no loner the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirement; of this acceptance, including the correct installation 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 materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this of lice. 5. Any of the following shall also he ;rounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. ;disuse of this Acceptance as an endorsement of any product, for sales. ad% erising or any other purposes. 6. The Notice of Acceptance number preceded by the tvords Miami -Dade County. Florida. and followed by the expiration date may he displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well ai approved drawinvs and other documents, ■'here it applies. shall be provided to the urger by the manufacturer or its distributors and shall be available for inspection at the job site at all tune. The engineer need not reseal the copies. Failure to comply with any section of this acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pa cs I through S and this last pa_;c 9. END Of THIS ACCEPT.AN 9 Can:: Zuioaga, RRC. Rooting Product Control Examiner r-. W A / a c GU8 Approved: 06/29/2000 su-►rti land Corp (MIA%1I -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE: COMPLIANCE OFFICE METRO -D.. DE FLAGLER BUILDING (- Q wEST fLAGLER STREET: SUITE 1603 MIAMI. FLORIDA 13110 -1563 (305) 375.2901 FAX (305) 375 -2905 CONTRACTOR LICENSING SECTION (. 1•:\\ (105) 375.:551 CONTRACTOR E\FORCE%(FNTS(CTION 0051 37 5-2966 FAX (305) 175. '05 Your application for Product /\ PRODUCT CONTR01.BtvISION GAF Conventional Built-Up ppruval of : (l05) ns -3 o' FAX 005) 172.63;9 p Roof for Wood Deck. under Chapter 3 of the Code of Miami -Dade County governing = the use of Alternate Materials and Types Construction, and completely described herein, has been recommended for County Building Code Compliance Office (BCCO) under the conditions sp e ed herein. her einn . the Miami-Dade This approval shall not be valid after the expiratio date scaled below. BCCO or material at anytime from ajobsite or manufacturer's Cant fo r quality control testing. It this product or material fails to perform in the a pproved m P CO reserves- the right to secure this the use ofsuch product or material immediately. BCCO reserves the right i i anner, BCCO may revoke, modify, or suspe determined BCCO that this product or material tails to meet the o revoke this approval, if t is Code' e requirements ()Idle South Florida Builder; The expense of such testing will be incurred by the manufacturer. - Acceptance No.:00- 0331.1 5 Expires: l I /04/2003 PRODUCT CONTROL NOTICE OF ACCEPTANC C.A.F. Materials Corporation 1361 Alps Road Wayne NJ 07470 Raul Rodrutuez THIS IS THE COVERSIIEET, SEE ADDITIONAL PACES Chief Product Control Division Arcs tort SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE. This application for Product Approval has been reviewed by the IICCO and approved Product Review Committee to be used in Dade County, Florida under the pc conditions set forth above. of32 Internet email address:. post7atas (er@buildingcodeontine.cotn 305 883 0113 •ranclsco J. (quint Ilia I.A. Director (\lianli -Dad County 13uildilr_= Cods: Compliance Office Homepuge: htl p: //www.buitdingcodeonline.cotn p.1 CAF MATERIALS CORPORATION Deck Type 1: Wood, Non - insulated New Construction or Reroof Deck Description: System Type A(2): All General and System Limitations shall apply. Base Sheet: Ply Sheet: Cap Sheet: Surfacing: Maximum Fire Classification: ( Maximum Design Pressure: Maximum Slope: Specification No.: E -d EtTO EBB SOC Iv / " or greater plywood or wood plank decks 32 Base sheet mechanically fastened. AFGLAS® #75, GLAS /f80 Ultima Base Sheet, GAFGLAS® PLY 40, LY 60, GAFGLAS FlexPly, GAFGLAS® STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROID® 20 applied to the deck with approved annular ring shank nails and minimum I ' / tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered along the center line of the sheet in the field. -45 psf. (See General Limitation #7) 16 of 32 duoo pueiTuuns Acceptance No: 00- 0331.15 r three plie A AS® PLY 44 GAFGLAS FIexPIy 6 or GAFGLAS® PLY ® ply sheet adhere. a u mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. (Optional a ply of GAFGLAS® Mineral Surfaced Cap ' t adhered in a full moppin QLannroved asphalt applied_within- the- FVT -ra : - , - at a rate of 20 -40 lbs. /sq.. Required if no cap sheet is used) Install one of the following: (.GAF WEATHER COAT® Emulsion with an application rate of 3 gal. /sq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 gal. /sq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ±20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 lbs. /sq., respectively. See General Limitation k I. See General Limitation #1. N-B -3 -G, N- B -3 -C, N- B -3 -M, N- B-4 -G, N- B- 4 -G /P6, N- B -4.M, N- B- 4 -M /P6, N- B -4 -C, N- B- 4 -C /P6, N- B -5 -C, N- 5- 5 -C /PC, N- B -5 -G, N- B- 5 -G/P6, N- 13-5 -M, N- B- 5 -M/P6 Frank Zuloaga, RRC Roofing Product Control Examiner e0E =TI TO 92 ue' GAF MATERIALS CORPORATION Acceptance Nu: 00- 0331.15 Wood DeckSystem Limitations: 1 A slip sheet is required with Ply 40 Flex PIy 6 and Ply 6® when used as a mechanically fastened base or anchor sheet. 2. '/_ Type X gypsum board is acceptable to be installed directly over the wood deck.. 2'd EITO E88 SOE 30 of 32 Frank Zuloaga, RRC Roofing Product Control Examiner duoo pueituuns e0E =II IO 92 ueC Jan 26 01 11:23a sunniland corp CAF AiATERIALS CORPORATION 305 883 0113 Acceptance No: u0 -0331. c 5 GENERAL LIMITATIONS: 1 Fire classification is not parrot' this acceptance, refer to a current Approved Rooting Materials Directory for Lire ratings of this product. 2 Insulation may be applied in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer. 3 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum_ 4 An overlay and /or recovery board insulation panel is required on all :applications over closed cell foam insulations when the base sheet is fully stopped. lino recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" mopped 8" ribbons in three rows, one at each sidelap and one- dow n the center of the r sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at minimum rate of 12 lbs. /sq. Nute: Spot attached systems shall be limited to a maximum design pressure of -4S psf. 5 Fastener spacing for insulation attachment is based on a Minimum nintum Characteristic Force (F') value of 275 Ibf, as tested in compliance with TAS 105. !f the fastener value, as field - tested, is below 2.75 Ibf., insulation att<«hmentshall not be acceptable. 6 Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a tniniannm fastener resistance value in conjunction with the maximum design value listed within the specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize the withdrawal resistance value taken from Miami -Dade Protocol TAS 105 and calculations in compliance with Miami -Dade RoolingApp[ieatioat Standard RAS 117. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with. Chapter 23 of the South Florida Building, shall be increase for both insulation and base sheet as needed calculated in dompliance wtithasthes iVMianti -Dade Roofing Application Standard TAS t t7. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 3 Ail attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall conform with Miami -Dade County Rooting Application Standard TAS 1 1 1 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners, and corners). (When Ibis limitation is specifically referred within this NOA, General Limitation #7 %vill not be applicable.) 31 of 32 Frank Zutoaga, RRC Rooting Product Control Examiner p. 10 OAF MATERIALS CORPORATION I'd E I I O C88 SOC NOTICE OF ACCEPTANCE STANDARD CONDITI 32 of 32 Acceptance No: 00-0331.15 • NS Renewal of this Acceptance (approval) shall be considered after a renewal application has been tiled and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code•affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer thesame product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation 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 materials, use, andfor manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved 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 times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 32. END OF THIS ACCEPTANCE Frank Zuloaga, RRC Roofing Product Control Examiner duoo pueituuns eoc :II IO 92 ue' 224 so Deck: NC Foam Cue.: ' ere" a ^.11 6 .l Is qnq i i wnh ' Pole /nem 2 Y n M ••I elel,..e. .1(1:1• 1 i . e Suot9M.. Gaa niw 9 n• MOO" applied 91 1 gay*., (1n 'My •..n.) 'h O" *polled at 1 tud /s4 (111 din t..uq .GAF BUiLDINQ MATERIALS CORP. WAYNE NJ 07470 ahe il T 7S A3PHALT rctT sYsTCMa Wit$4 Nn, M1 WI R1300 (Ni Trn• C.2 asphalt ;p ate ,. et hese sheet 1 "GArGLAS i IUu ` t . 'e ew ..1 ;s ALi G I asphalt slap rib.. ahem (^GACG(A3 l %s * .,. h C i alternate n rtp reel systems O . 11 ;04/00 '.It w. rypo Ply e" Or "GAf G1 A9 My n'') In the r :4.1 The , M74 deck may lose he ensured A. 0 or C resent (Vent•r•l,l whhse(ed" re ' p .vhf. w Tyne C. V.01 asphalt Pl $ l o. hoer ee tl . k ' r; , hopped end n.n.hfe to h. mesh* ^call *3 strata qr Nerd MN Io. ..9debla elat• sheet YA,hewl te tra. As w...ptiwr Type G7 minium prnas msl nwhod Brenta* ( *!re e ^ •. be 3lretawnt I /41.1 foe nail,hle se shwa! 1'GATG I /� halt (page b ^GnfCLAS (GArG(. ss My 4. nr "RAPlir AS My I ) 7 may he d b and 11, G I welW.9f1 glare .. new •* honor. ply w base sheet m9 b. Of the n9f19d base ply h. the cn y ~ Unl.. nthe,wise enflamed. all Inau scold may d• spot urn o !Y resum pond or Itlecn9.lcegy rrgr.•ed. I AS Fleshing w ••Ruberald he ho( mopped / any o t resumed tams listed bats... ' GAMI may ae nrhl ►p. fleshing In IY w send When o any of 1419 Crass A. A w Cara• petite' le ratereewaed. this Includes "GAFTiMP Penne" our a,.r other U( C1wsa.hed 4sa Cru3hed alone a slag rtes sultana a partite aA. hernatef 1or Ofrevill In eny nl Me Chula A. w C . Sl sl commit fing S' Yslems list 1pay;oa Class be r Wilding units are anneld.red so+fable to be included ee a nett it. des f.1. The • A. 0 or C 'yet..." listed aver C 1 6/37 or PIC. . I1 ynum heard tonne. shy 1.111., following Class A. 11 m C sera..., does tint advan.ly nooks enact 37 hn wss The us. t' 1/7 In nos► gypsum bored Is an acceptable eihnorde Iw imulerion ore, The use of preefte.ane h.a,.I,Oon boned hanveen mid 1/4 In, perlite hoard newt awe* with .nsi.. pe . urn Itle.liln/roehr owing Class A. 0 or C of 1 I.i. stns /aorlito) Is a aWrefflw alfe.nwra !w IsoeYamrr ytw hoard In Il.e IuF IevP.er.t R may he eumslhuteA for any IsoeYensrnte InteNwlhw In w norm Any nI the fnpn.vtq l.'Usunet Iles tooling asphalt. he two with CLASS A. 0 and C. t organic and plea* rant* r/. n•wfifiw.l lehorhrel moo :hrehee 1 . Uerh, t: IS /37 Clime A wtl Ineulmt (ODtlnnapt flow .w dtweo Lyen mellow: '1 regulation !Opt • oneitt , nee r, nwrM& wheel Mee. 11 M... 1 16... . u e,;•.0 Ir r, . Floods. genet* / Iihm, and. ma • "rs p ry IIW rvnea. �•MMNIw, wow.. Iil. i.. e; ygrh /9f0 Ply shoot Three or nwhh Lewes 'VPs fj t - 1.3A1 • 01 An Pte •4 '• ,w 'Y:Arr( AS M rnonu.10. $urrt•cing: Crayel. Y S' • ha1 7. Deck! C.15/32 w Inwiennn fOpttonslp: Ones or urn.• I* . !nits*: I nstil pe 031s0o il: te Otte cm/termite. r y ., 0erttle, wood filter plass ri than* pro n c ple9noljc, any th.r s t ert;le /otetllsnw .Vrvwhw9te. tires sour,* wood fiberNsucyanurals Ply Sh.wwp Thew or mores layer* typo r t •'UArGLAS fly 4 • pr 'ItA ►(g.A. ply 0" Cep Sheet 0n. lever Tydn .3 • 'GAFtiI A5 Mi.MM Stele/end Can linter. � Ow.: NC Insebtlon Mennen* (Joe or m0re 1 incline: 2 ra w. p ,:t„n ' er n nrrne/urethane , l rater. ul.:a hh9r me p...de. Pl.n.nlle. 7 let ,leas im ►,1 w, , ar , e1 *ti,w wt�, nup..aitw, *n•el Ilhernencye.dW ors 4 Pig Shoat ye, Ito t ot , f Yl layers s r ,., A t:A►r1.A$ My 4" us ' .M t; A:: I q'• e Shee Deck: NC 1 S Mrnrwl Surf aced ( ;ern nr.ewt'• In944114 ., • - li ,. - ne - tt An 4othann r/ 4 In. man, hot ...,,.... ...__ -. - -- Slip Sheet Onstionelb lied rosin papas. turned la treclu. 1 Om Sham One caltaLfic Shwa One nr Mom of , a;1 p rti 41.75 S Base Sheet Imny hen y 91 Sheet One 'epos nr ryes Ty . G i "GAF1ii AS Pty a•' •w CArGI ee Ply 1•' Y UL CI 70 trJ GArGLA3 memo.' Slwf.yw,l C* Use Sheet •' V ihnwt'�. net: One layer nl Type 117 •AF re tnctlne_i P Iy 91 10•1 : One Print ley... o/ ly G A I - GA AS Ply ro 4 nii C O.e torso " 1 y1ls Cr :1 "RK Mineral :ut earl ( :ere :.. Sl.e.wse t ' S" 7 Deck: 1:.19/:17 . InrWetlotr. One rw 1neerw 2 eo'hnostn. pe.11lw /w p n e yers penile, glass IIoM. lease mn(M. urelhnne. perlha /irh•ey rose* P•rte Shame One w a composite. G2 t I► In. min (WI as from pAwanA jde.y S it. merit lay.. ,d T G2 or 03 •Mt Orr* w thorn layers n/ "111S1e4n41l Teach" (snw.nth m Of w,ndw PChre «h b • f L .1118n..nw1 Mho Iea..nnth nr glnmseh rw "nMvened Mnp Plus ' las n OS Torch il N ett C 1, r 9 MMtMaI jiw local l:eh Slaver, ewN mMMno1. IAn.tlalkaw IOrtlontAk 00 .4 ,N nro.• Peeel.11 wend 7 tin . /lhu/Nsrey any tett IMhalw/e*ethatal compass,. pies, ail elm /isec►anseats c phsaona, Remo Sheet: Two or Mara layers ,,f Teve C17 ee (13 Isty Shoes l0etbrrlk One rd nos. home of Trpe f I M.rwln,ept,. On. Of Ma49 1*9373 W "Ruben:ad Torch" (inmost. ,•. Rua iwenldal, • Nufipald Mop" lsnmuth or we.. m ammie s iarch granule/ m "ht.byrrritl Map M+ri" (O LOOK FOR MARK ON PRODUCT ROOF COVERtNO MATER(At.s (TrrVT1 ROQFING SYSTEMS (TGFU)•- CanN/u,ar1' ■►a.w.n NCO(. 11 OOFING y Cap Shoot. - , :ArG1 Aa klinaogl Dock: I 0 O 1 .rinrow11: 0:10 ,ro ,noon Ihada• ee.lite •I aneteeemwte eaenty, cnmpwoile. pnonnlfn. soy thicknass. Ply !Moot. Two nr neo... leyq,e •II r Cep Sheen. T enn G3 '•tiASGLAS 141, 2. neck: C' 15: :17 Inedkatlon 111potomalp: fine .a mnam than* pertite•,ereSee.n•ele CRn. erewpnnlw• pha.nali any ehi.te, Oeee Sheet: Ian fro more layers of ' M••h••••: Ono as .tent• layer* of Pins lornnt.I.l ^nuhe•rnW Mori line Cap Sheet "IIAPCLAS Margret $ Deck: C.I6/33 InsuI. i,,,. (Option.* Oleo or man Ihan4L $.4 tife/r1nCy9nahel! Caah(wy, compesda. W.e.w.lic. any lnmchress Ply Sheet. rhea. w more lerei3 of T Surfacing' ••$ueci,d Rnninog Shunted COAL TAR FLalT sYSTO 1• meek C 15/37 Insulation IOpttonalk One CO r4V90 thane. ureeh /ea leyanb /S. COlOoDOse ceele04 M. ebeer(le, *toy thickness. Ply S41... TMwe or mu.. ;eyes. of ••onpeA *1941 cunt tar Mldsnea. Surfacing' Ceevol. 1• Much: NC Inrulatlnn (npoionaijt Ono te ensue Is Pty Sheer. Ihre• td mare ferere .0 T1 [its reehg: Gr,.hlt lawh.alrlea "41 Lire . 7 neck: NC t"pI,llon in one •a Gsarn I thane. perhte.•efoc,Menwte rOMpaoit. e.•.^pnsdw, fiS4m iit•. spy thlekwms Ply Sheet: (hr99 p. ,00ay (99913 of Ty Surlaetreg: ' Wp,tneo r:owi (imuosket.• 3 • Deck: Nt: Insulation: flo n• Iwo teem* litother Nry Sheet Any UL Clasad.a® waged v1 I. Deleted. 3. teak: C 19/37 tnsutnllon 1Opdnnell: One no lane perntw;' /Mranw9te manpower Cnmpnsile. phenntle. soy thickness PIr Shut those or mole Ikynov of Surfacing. Grundy In hntrie "fa mica A 3 • rhek: NC Insu,erka. IOptlose•tj• One rm Ina. Mo ms. Pwrs.e /spcyenraf• eoarposel9 Pour.. pl.9gngn. any Ihlekne33 ON Sheet: Iles m mina Isy.■■ n) Tyl Sus feting: ' Westin_* COMt Fmpl*0o70 A0 1. O.ok: C•10/32 insulation (Opthin.lk flea 1A Itense tq - Ply Sheen thee or woe loves. n0 tv Swfecing. U'ursdr Inddenies " are Mp Coot F et 3 391/13. 2 . neck: C 1 6/3? Insulation (OPiklnelk Ono ne Imre iq Inn. pMhte /nneyartea(e Cree neeste CerepMile. pheroehe. any IMCtn *e, Pine Sheet Ihr Surf ee ••r mane 'were n0 ref,' 3 U9akt C.1 r'rr,dy I.hetaelp - dtf MO Ad atte/1 IOMlesshl} this no swore 1a• thane, nernl..asoeyem *ale C campoine. Vhwnnka 9n •s1tn. Pie Sheet nee. nr 4 e terns e3 - w o tecbrq Wean.. rovwl emulsive- re IYW *t (h.lses nlherw:s. indjca 'Pfau PLY M146641 Unless nMerwm i•dkw env c t !Melee M Rubin d Miunbuinw shy o/ eta Potp� LOOK FOR M No. L31 $UJLT No. LLSUILT No. ?MUM(' lie. aESUILN No. aESUL11' 1 -5 Passed 21 -25 Passed 41-45 Passed 61-65 81 -85 6-10 Pass! 26 -30 Passed 46-50 66 -70 86 -90 11 -15 Passed 31 -35 Passed 51 -55 71 -75 91 -95 16 -20 Paned 36-40 Passed 56 -60 76-SO 95 -100 NEI 4C 0 TESTING AND ENGINEERING SERV1kCES PROPERTY ADDRESS: 1025 ale 91 tr OWNER: German I:isclioff CONTRACTOR: Jt'Quinterro Fooling ROOFING SQUARES: 21 sq TILE TYPE: Vanga Roll CONTACT PERSON Yusi (305)205 -0327 ci e; Chz:iiiicr D S 200 THIS ROOF HAS PASSE I>] FAILEII THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADS COUNTY PA 106. 45 16 18 23 25 15 17 14 12 23 10 6 20 8 4 3 22 21 22 TEST RESULT TABULATION 13 35 40 41 44 36 1133390 SW 1311 S>rvee Smite 112 ® Multi, IFIL 33331196 37 17 39 43 38 PERMIT No: 49185 PCANo: ROOF PITCH: 3/12 INSPECTION DATE; 07/18/01 (by roofer) TEST DATE: 07/26/01 JOB NUMBER; R- 0107151 26 5 42 2 13 1 45 32 Prof ssi Ito :e A Martinez o ?`t Fin giner No. 0031509 Stage of F1orids Ve ke: (33 ®S) 2594979 IFaa: 1-066-333 6900 A MIAMI SHORES VILLAGE UILDING INSPECTION DE " ~ LIUATION FOR bLJ LOING PERMOT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building 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 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. Owner's Name and Address _ 4 Registered Architect and /or Engineer Name and address of licensed contractor... %! 1_ Location and 1egzl description of lot to be built on: �4- Lot Block J_ Subdivision Street and Number where work is to be done State work to be done and r7se of building (by floors) Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Date. �// S (J./2- J./ - 19 1 1 No.-/ L-_S1 Street if A and for no other purpose. New Buildirg e - Remodeling Addition Repairs No. of Stories_ .. . To be constructed of Kind of foundation Roo Covering / / _ ( ` /" / ; ( CP K. Amount of Permit $ _Plan Cubage 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 be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor undo'. 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 by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. n , Remarks (Signed: 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 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 state are true. Permit No 26 / Date ` — J Read, Sworn to and Subscribed before me. Disapproved (Signed) - ' Date Notary Public, State of Florida Building Ins i ! or 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 approval has been obtained from the P1.tnning Board. A re- inspection fee of 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Street and Number where work is to be done Permit No. Disapproved (Signed) , 9 &71 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 building or other structure herein described. This application is made in compliance and conformity with the Building 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 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. Owner's Name and Address lc_ r3o r C 0 � � L' - // f ly No. Street _. Name and address of licensed contractor ;- (A. 1 Registered Architect anchor Engineer Locati n and legal description of lot to be built on: //'' ll Y026,5 n Lot / • Block / Subdivision I/ 1 1��1/ // Q/ G `J f QQ' ', Date Date ( 7 � 9 State work to be done and purpose of building (by floors), state exterior colors (submit samples) ' e and for noother purpose. New Building Remodeling Addition Repairs No. of Stories 4/ To be constructed of Kind of foundation Roof Covering �� r ? ., p h ' 6 Estimated Total cost of improvements S g l e ' ) r.00y Amoun of Permit 6 . r 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ,r'`‘ n Remarks (Signed) Read. S i to and Subscribed before me. STATE OF FLORIDA COUNTY OF DADE. } ss. Be the undersigned uthority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Not y Public, State o Flo: ida C OTAPitl RaCC 37A1Z 0 il I9! 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 h did sign the same. and that all facts therein by him st.+tea arc tr;e. Building Inspector My Commission Expires _ PLANNING BOARD DATE Bum na M. ' Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and,or workmanship. BUILDING ❑ ELECTRICAL C_1 PLUMBING C[ ROOFING C' � Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building . CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N9 8769 Bl. Work to be performed under this Permit —_ Signed: Subdi- vision DATE — __ _ _ _ 195 __ Contractor's License No. Sq. Ft Value of Amt, of Project $ 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with ally plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. BY BY INSPECTOR 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, servant or employee. AUTHORITY 7 Registered Architect and /or Engineer.. MIA Name and address of licensed contractor... 4.- I SHIRES VILLAGE BUIL ONG 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 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miam Shores 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. Owner's Name and Address ‹...V ' ,.... e,_ " ._. No./ ..,�� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs 1 No. of Stories b rl To be constructed of Kind of foundation ... Roof Covering - pfd -- - — Estimated Total cost of improvements $ 1 — Amount of Permit S. Zone cubage required plan Cubage Remarks (Signed)... 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 be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Saber 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 by the Act. The undersigned agrees to employ only such subcontractors, op,wprk jbe performed under this permit, as are licensed by Miami Shores Village. �, p STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowlr: gments, personally ap- peared __ �._ .�____..- -• - • - • -- - • - to Qne 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 state ar e. Permit No.. C.) ..: 1 Date _7 s ( Read, Sworn to and Subscribed before mrc. Disapproved '/ . e., . Date -._ — (Signed) Notary Public, State of Floride Building Inspector �� My Commission Expires PLANNING it CARD _.._- .....DATE Chairman Member Member Member Member ...... _..._..---- •- .-- �.._. Member ...._....._...... - .�.._ _ �_.____ Council Approved _ Date Disapproved Date NOTE: A charge of $1.00 will be made for Quaking corrections or changes to this application after approval has been obtain ffnnn the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for iaspectitro ffatata materials and /or workmanship.