1037 NE 91 TerrDate
Legal Description Historically Designated: Yes /AO No C
/ Tenant AO. I ' )C ,�'t ! Master Permit # /9 a
/ 56 Q
Owner's Address /63 '7 q Phone 3 "
Contracting Co. l?Pr{ 111 C Q i(- ) 6 11.) C— Address -le ILE I D S 4- --
Qualifier DAY) ) e-) b a SS# - Phone .YS
State # 60.4 1 1 D Municipal # Competency # Ins. Co.
Architect/Engineer Address --""
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL ;PLUMBING MECHANICAL (ItOOFIN( PAVING FENCE SIGN
FEES PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
L Job Address /03`7 / 'q/ rare 62 -Tax Folio
WORK DESCRIPTION '/ L 4 L Lam. gaMtia P.M/nit/FY f 1US Ma 77 LE S fitrnE
A'S CaeilhJ, -- 2 , { l -ti(, u 19-A D 1Ns-T)4 -cu lUETIS b(tLI IJ i
Square Ft. (A }X o J - Estimated Cost (value) * 72 S
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. F ermore, I authorize the above -named contractor to do the work stated.
:EVELYN G. CAPOTE
MY COMMISSION # CC 954228
4 1 EXPIRES: November 11, 2004
Bonded Thor Notary Public Undenratete
RADON
Date
C.C.F. NOTARY
of Contractor a er- Bdllder
No ., . s to Co tractor o • er- Builder
My Commission Expires:
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o c 'ee , ANG. °.t:. , ... 1
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BOND
APPROVED:
irfr.**-2 (4 Zoning Building ��— 0 1 Electrical
Mechanical Plumbing Structural Engineer
TOTAL DUE
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Sit ics) 0 ( fii Recta",T oc4 c1IL:7 , &. r-Y-t} (0±.=-
1 f � �� G2.ltl�C�'?'�
0 New Roof 0Re.roar�g 0RecOYCr :•. Repair an=
az Roo C Al ca (ft) Sic Roo (ft Twat 1 (2) 'r _" P=.:t Yo
F.= r - t Pimo C''Ki*tG�Qtt ==gar! (per.: ASSn t-$$
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•r.�ctdn 'rior_ sad Ad.bcire Se. Tile
li AC Job adds - =': �� � �. �� ✓ �' ' �
ROOF HEIGET 4 ND S'YSI" I DETAILS (Drzw drsus is c =�
SZ rT`t
Ptr' seter..
DETAIL 1 & Z
ROOF r.�T=r-ORY
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Ca sa:
pnap
ROOF PLY
1.
APPENDIX "F "REQUIRED 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 oN. er's initial in the adjacent box iridic,a As that the item has been explained.
. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providiri • 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 - agreement between the owner and the contractor.
: hbor
tracto
ren.i e
conceal
Common Roofs: Common roofs are those which have no visible delineation between
nei g units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
co and/or owner should notify the occupants of adjacent units of roofing work to be performed.
x. osed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
c be vi -wed 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 aintaining this appearance.
ing Water: The current roof system and/or deck of the building may not drain well and
ma caus°'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
untie . ' iginal roofing system is removed. Ponding conditions should be corrected.
A .1 • verflov, Sc::p .,-.Jai: v::ticts): It is r.cquired that rainwater flow off so that the roof is no: ov. oad from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scu,.ers in accordance with Chapter 23 of the SFBC.
l/
" - ntilation: Most roof structures should have some ability to vent natural airflow through the
o e structural assembly (the building itself). The existing amount of attic ventilation shall not
trite
be reduced. It may be beneficial to consider :additional venting which can result in extending the service
life of t e roof.
wne 's /Agen
Signa ure
Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually
prior to removing the existing roof system)
u re
5104 APPENDIX "F"
Date
I� 3 /Q
Contractor's
Signature
MIAMI SHORES VILLAGE
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.
APPLICATIONI FOR BUILDING PERMIT
Date
t ti
Owner's Name and Address
No ..... ... �_ Street
Registered Architect and /or Engineer
Permit No
Name and address of licensed contractor _ . L.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done h .
BUILDING INSPECTION DEPARTMENT
•
State work or
be done and purpose of building (by flows) ;A:41,-::,..4:.-
Date.... /7 -
.;7) /,'„ {{
t ��A _ , +..1 tom ".1
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
.lr ,
To be constructed of Kind of foundation Roof Covering Lit-i".4.1-0% /
4 e"�
Estimated Total cost of improvements $ 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
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 under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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 i spection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sub2�ntractors, on work_to jaw performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed).
•
Read, Sworn to and Subscribed before me.
STATE OF FLORIDA, i
COUNTY OF DADE. f 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.
Disapproved Date- ......
Notary Public, State of Florida
(Signed) — l 7 7.-- -
Building nspector` 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 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
❑ DATE s 195
❑ PERMIT N? 6892 Contractor s
License No.
❑ Work to be performed under this Permit
Owner of _.
Building
Architect
Contractor i
or Builder s fi
Legal Lot
Description Bl.
Address of � � - f
Building 1 / 2/ r
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
r ' 11 Amount of
, -,. _
Project $ f° 11 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 any 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.
Signed. _
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
6