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ROOFING
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 -8 -99 Job Address 145 N.E. 91 Street Legal Description Historically Designated: Yes No Owner/Lessee /Tenant JO -Anne Chumbley Master Permit# 7" Owner's Address 145 N.E. 91 Street Miami Shores Phone 759 -5613 Contracting Co.Quali ty Roofing Contractor, Inc. Address 13800 N.W. 1st Avenu Qualifier Carlos Arocho SS# Phone 751-0382 State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, tin cap 301b. ASTM felt as per code install galvanized eave drip and valley metals where required, mop on with type III asphalt one layer of 901b. ASTM felt, install Flat White Colorthru Tile with adhesive foam setting. Square Ft. 3 4 s q. Estimated Cost (value) $ 13,000.00 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. Notary as to Owtler and/or Condo My Commission Expires: FEES: PERIZT U RADON APPROVED: elk, MARYLOU HERNANDEZ S .. MY COMMISSION # CC 680474 "' EXPIRES: October 10, 2001 Ife °p Bonded Thru Notary Public Undeters nruri Tax Folio Signature of Contractor or Owner -Bui der Notary as to Contactor or Owner- My Commission Expires: 3//0/is Date 3,b/ei 5 MARYLOU HERNANDEZ MY COMMISSION # CC 680474 EXPIRES: October 10, 2001 Bonded Thru Notary PebNe Undsrwdters C.C.F. /" go NOTARY 0 — BOND 3r0 / TOTAL DUE 7 8 c�'l Zoning Building � P Electrical Mechanical Plumbing Structural Engineer NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 99R. 183 i 6 1999 PR 09 1 .. PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 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: 145 N . E . 91 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to a new Tile roof . 3. Owner(s) name and address: JO Anne Chumbley 145 N.E. 91 Street Miami Shores, Florida 33138 Interest in property: N/A Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quali Roofing Contractor, Inc. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 00 6. Lender's name and address: N/A 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: .N /A 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is spec' - •) 14 fa ■411iii, Arl v 10111, t• gnature of Owner • Print Owners Name a1 Anne— C.k -r Prepared by: Carlos Arocho Sworn to and subscribed before me this )0 day of (iix 19 CtCt . Quality Roofing Contractor _ Address13800 N.W. 1st Avenue Notary Public `) Q,,� LA.Ii-0,—&)g MARYLOU HERNAam I , Florida 331 68 680474 1 • : II � • _ Print Notary's Name a . .' N..0 EXPIRES: October 10, 2001 .,,off "u Bonded Thru Notary Public Undenvrtters My Commission Expires: 13800 N.W. 1st Avenue Miami, Florida 33168 OF FLORIDA, COUNTY 0= DADE F1ERE8V CERTIFY that this is a 'ru co y { f tho original i is off* day y f , A D •nd tend Ofrrcini Soo /. N CLER of Circuit and County Cou is w 7NE m HARVE r RU • 121o1•52 2193 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Q fit: P..04-3elj Chfa- ( Job Address: 1 y S F_ 9 1 ❑ (Low Slope Application) Re-roofing CATEGORY ❑ (Nail -On Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) • ROOF TYPE ❑ New Roof roofing ❑ Recovering ❑ Repair ❑ Maintenance E (Mortaraesive Set Tile Flat Roof Area (ft') Sloped Roof Area (ft') 3'/ S J Total (ft') ST Master Permit No. Exposure category (per ASCE 7 -88): C Building Classification category (per ASCE 7 -88 table 1): FL Ft. Deck e: Field: A TACHMENT Fastener Type: $PACI Perimeter: Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS • (Draw details as needed) r r r r ' r ' r bj ROOF PLAN 123.01.78 946 Page -1 Appendix "E" UNIFORM RQOFING PERMIT APPLICATION PROCESS No. . • f, MEAN HEIGHT Deck type: a'L (good. z Underlayment: Iiuulation: 1 Ridge Ventibtlon7 1 N)) 1 Fastener type & spacing: 12" AOOYSLOPS D E T A I L 3 SLOPED SYSTEM DESCRIPTION 3o Ib. �sT►° Cap Sheet! RoofCovering: Drip edge: d 9'P.c. /Af) 6 c'v.c• com e,- L 6/ „Tye_ 02/5y. ul e el ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control 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 TILE CALCULATIONS ti I (Pmax1: /a -3 ,x a, (Aerodynamio Multiplier): VO , C 1 9) - M la .9, = M I ,00 PCA: 1V:6 .`1 o (Pmaxl: 03.9 .i X 1 (Aerod Multiplier O , O q ) - M :11) ea M ). 3,10 PCA: I i ( (Pmax3: 103) x ? (Aerod Multiplier): 33o A`) ) - M : to .`11 = M, 13,10 PCA: I \ 11 I • Page -2 METpo -QADE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Metro Roof Tile, Inc. 11501 Northwest 117th Way Medley, FL 33178 Your application for Product Approval of: Metro Roof Tile, Nail -On, Mortar Set, or Adhesive Set "Concrete Flat" Roofing Tile under Chapter 8 of the Miami - Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Redland Technologies, The Center for Applied Engineering, Inc. and Testwell Craig Laboratories & Consultants, Inc. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -11 and the standard conditions on page 12. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372 -6339 ACCEPTANCE NO.: 98- 0423.09 Renews: 94- 1222.14 EXPIRES: 06/04/01 aul Rodrig tez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. APPROVED: 06/04/98 1 Internet mall address: postmaster ©bulldIngcodeonlIne.com wJ/ af-e-e Charles Danger, P.E. Director Building Code Compliance Dept. Miami -Dade County Homepage:.hUp://www.bulldIngcodeonlIne.com• ' METRO ROOF TILE INC. Product Control No.: 98- 0423.09 SYSTEMS (CONTINUED) SYSTEM D: Mortar or Adhesive Set Application Deck Type: Wood, Non - insulated Deck Description: New construction 19/32" or greater plywood or wood plank. Slope Range: 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Underlayment: Install underlayment system in compliance with Miami -Dade County Roofing Application Standard PA 120. (See System Limitation #5.) Roofing Tile: Install tile in compliance with Miami -Dade County Roofing Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. Page 8 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. Product Control No.: 98- 0423.09 SYSTEM LIMITATIONS 1. The standard minimum roof pitch for Metro Roof Tile's "Concrete Flat ", flat profile tile shall comply with Miami -Dade County Roofing Application Standards PA 118 or PA 120, depending on the method of installation. 2. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Protocol PA 115 or PA 127. The Metro Roof Tile "Concrete Flat" tile profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as a 'Moment Based System'. 4. For mortar or adhesive set tile applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance with Miami Dade County Protocol PA 106, shall be performed. 5. For mortar set tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of Metro Roof Tile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 8. The applicant shall retain the services of a Miami -Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Miami -Dade County Protocol PA 112, Appendix 'A'. Page 9 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner Tile Profile Tile Application Attachment Resistance Metro Roof Tile Concrete Flat Mortar Set 39.00 Adhesive Set 118.90 Tile Profile X (ft') Batten Application X. (ft') Direct Deck Application Metro Roof Tile Concrete Flat 0.27 0.29 Table 2: Restoring Moments due to Gravity - M (ft -Ibf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 "•12" or greater Batten s Direct Deck Batten s Direct Deck Batten s Direct Deck Batten s Direct Deck Batten s Direct Deck Metro Roof Tile Concrete Flat 6.53 6.97 6.43 6.86 6.29 6.71 6.14 6.54 5.97 N/A Table 3: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Nail -On Systems Tile Profile Tile Application Approved Nails Approved Screws Approved Field Clip With: Approved Eave Clip With: 1 nail 2 nails 1 screw 2 screws 1 nail 2 nails 1 nail 2 nails Metro Roof Tile Concrete Flat Battens 4.90 7.40 5.40 9.10 24.20 34.80 22.10 32.20 Direct Deck 9.80 18.80 25.30 41.30 24.30 35.50 19.00 31.90 METRO ROOF TILE INC. DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - . (ft') Product Control No.: 98- 0423.09 t Data noted in Table 3 is for instal ation with a 3" tile headlap. 2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. • Table 4: Attachment Resistance Expressed as a Moment — M, (ft-Ibf) for Mortar or Adhesive Set Systems Page 10 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. Product Control No.: 98- 0423:09 1 -1/4' - T - / \ , 10" 10' PROFILE DRAWINGS 16' I 16' METRO ROOF TILE CEMENT FLAT TILE Page 11 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. Product Control No.: 98- 0423.09 Metro Roof Tile, Inc. ACCEPTANCE NO: 98- 0423.09 11501 N.W. 117 Way APPROVED : June 4, 1998 Medley, FL. 33178 EXPIRES : June 4, 2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed 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 the same 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, 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 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 14. END OF THIS ACCEPTANCE Page 12 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 c lf<.1? 26 $ 6 D 51 1 ‘ - '59..70 2 27 52 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 --r-- 43 68 19 44 69 20 Ik 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 ---,---. 50 75 Du Quesne & Associates, Inc. UTR 15 25 Consulting Engineers Environmental • Civil • Structural Testing Laboratory Building Inspection Services ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 THIS •:` .BMITT.::Y olti ge Du Quesne, P.E. I Engineer #24513 Du Quesne & Associates, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 SITE SPECIFIC INFORMATION Owner's Name: rO "t N Nt 6-47\0 1--& E: y Job Address 14 s �'F ■, tt-A Roofing Contractor Q ��.IT �90 F Type of Tile: T tV�cTg- - -T Approximate Roof Height: 2 % feet Type of Access to Roof: Scaffolds Approximate Square Footage of Roof• Required Testing Force: 35 lbs. Date Tested •Z �q ft 2 Testing Equipment: TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK _L • J ,J az -9 y �> IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. K Ladder Chatillion DFIS 100 Permit #. 4 4410 Date Installed Roof Pitch " i Z Other Please Note: This form is not valid unless Company logo appears in color (burgundy) 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 SKETCH OF ROOF J08 SHEET NO OF CALCULATED BY DATE CHECKED BY DATE SCALE NOTES. $KETCH OF ROOF JOB '45 1 ` ) E. C I 3 T. k.A 164S,u o�@j FJ . SHEET NO CALCULATED BY CHECKED BY DATE_ SCALE 321 4` OF DATE ( l t annumurgommummi 1111■■■ ■ ■■IMMINI M ■IMMENU1 ■■■■■■ ■■■■■■■■1i■■ ►t i■■■■u i u ul■■■■■■ ■■■■■■nwcgi■ ommaisomm■■mi.■■■■■ ■ ■ ■■■■ ■■ ■■ ■■ui•u 1111 ■■■■■ ■ ■ ■ ■ ■■GII■1 na ■ ■ ■■■ ■11!1 ■ ■ ■■LJ .111 ■ ■ ■ ■■ ■■■r►r.�____�. I. 71r1!rmaram. �G �■■■■■■ ■■ ■■11 ■■■( U\`SM■EMEM 11 ■ ■ ■ ■ ■■ ■■■■I;IANNEMNI ■ MIES■IMMEZI1 ■ ■ ■ ■ ■■ ■■■ PIIII INIONS ■ ■PI■EWRI ■■111 ■ ■ ■ ■ ■■ ■ ■ ■E111`MINIIM A■tJ■■I11■ ■■ ■111■■■■■■ ■ ■ ■ ■1MEI MMI\ \M■ ■■rINII1 ■■MIME ■ ■ ■ ■1MOIME■.'REZ ■ ■■■i11■■■■■■ 111111p11 1 4 1 1111■ ■■ ■■1:' ► ■ g ► 1 ■■■ ■■■ilum \MC■E!i\■ ■■ � mmum ■■■■■ ■ ■ ■II■ moue E■■r-.3cam■\\�■■■11■■■■■■ M ■1111■ ■■11■■LEs ■■11■MEN\■■■ 11■■■■■■ ■■■ ■■ ■IMININ■E■P!IIONWOM1■ ■ ■■■• ■■■ ■■■■1MII■<ENEIE ■Ei iLiiII ■ ■■ ■■■ 1111 ',■ C ry GP■pg NOTES. BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of th do, iled statemen of the plans and specifica,ions herewith submitted for the build- ing or o h -ructure her i described This ri licatic is made in compliance and con 0'111 ty w the Building Ordinance of Mia ii Shores Village, or da, and all pro isions of the Laws c f the State of 1. krid. all o d nances uf Mi in Shores Village and all rules and regu a ion. of the Building Div i of •ram Sho. illage F 1 ,e o ipl.ed with, whether herein specified or not. A copy of approved titans and specificati .nr must be key at bueding durin progress of tl.e wcrk. ewner Name and Address__ _ _RaymondMentaen No . 145 11._.Estreet. 91 at. Fltgistered Architect and/or Engineer._ Dan Crane Name nd address of licemed contractor, Lang Roofing and Tile Co N... W. 79th St. Location and legal description of lot to be built on: ,ot (Signed) MIAMI SHORES VILLAGE Date -- 10/15/53 Block Subdivision Notary Public State of Florida Building Inspector My Com:nission Expires PLANNING BOARD _DATE Chair' nun Member NIember _ Member Member Member Council Approved _Date Disapproved __ , 19 31 eai and Number where work is to be done_ ____145__ State work to be done and purpose of building (by floors) and for no other purpose. Nev Building. _X Remodeling_ Addition__ ___ ___ ..... _ _ Repairs. . . _ No. of Stories To be constructed of _ Kind of foundation ..... . Roof Cov ling_ Tile - Estimated ". - ,tal cost of improvements $.. 815 .00 Amount of Permit $._ 5.00 Zane ^ubage required_ __. __Plan Cubage Distance to next nearest building_ __ Size of Building Lot Maximum live load to be borne by each floor hereby submit all the plans and specirications for said building. All notices with reference to the building and its construction may be :21it to The unde signed appli ant for th's budding permit does hereby certify Cat he understands and accepts his ..bligations as an employer of 1 nor under he Florida Workmen's Compensation Act being S. -tion 5966 Col p led Gen al Laws of Florida P r anen S.ippk »ent, and .1 s compl ed w:th he prov'aons thereof, and will require smiilar comp lance from all contractors or sub-contractors cmplo .ed by him in tly.3 wo k to be p ri med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public not' e or ntices as are requir d by the Act. The u. d. r ign .d agrees to employ only such abcontr ctors, on work to be perform d der this pariMt as are licensed by M am. Shores ‘il': ge. Lang Roofing and Tile Co Remarks._ ___ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. 13efore me, the undersigned authority, a notary public, duly authorized to adm:nister oaths .-nd take acknowledgments, personally op- pcare to me well known, and vv:io, being by me first d ly cworn, upon oath depores and says that he is the of th abov de .c ibed , istruction t. . h has careially read the foregoing application, and that he did sign the same, and that all facts therein by hirn stated are tr le. Pcrmit No ..... /__,-.) _" _ .■,/ Date.. ___k ...... --- ........ - -- Read, Sworn to and Subscribed before me. Disapproved Date_ Date NO1' . A charge of $1.00 will be made for making corrections o- changes to this application Iftcr approval 11 is been obtained from the Plai ng Board rt mcpection fee of $1.00 will be charged when such re-inspection is n e necessary by improper notice for inspel.t or fa Ity n]a iii;s 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 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 Villap 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. Ra Owner's Name and Address y Metzen Registered Architect and/or Engineer . Rg Name and address of licensed contractor Obenour oofin Co. 7357 N. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 145 N. E. 91st St, R State work to be done and purpose of building (by floors) emove the tile roofing and replace with 1,-30 lb. felt, 1-90 lb. slate, galv. flashing and while shIngIe STATE OF FLORIDA, COUNTY OF DADE. ss. Date 7C-7.- Disapproved Date , (Signed) Inspector PLAN INC BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved October 25 74 No145 street E 91st St. • W. Miami, Ct. X Roof Covering 6.00 Repairs No. of Stories 30 sqs. New Building Remodeling Addition To be constructed of Kind of foundation 00 Estimated Total cost of improvements $ 4160 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 1.tbur 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 bc 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 pcnnit, as are licensed by Miami Shores Village. - ' Remarks ( Signed - Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires and for no other purpose. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - - 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.. / to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re-impection fee of $1.00 will be charged when such re-inspection is made n..7.cessary by improper notice for inspection or faulty materials and/or workmanship. has been obtained from 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 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....... F! 7 State work to be done and purpose of b ilding (by floors) Permit No Disapproved ( Signed) Building Inspector / My Commission Expires Date e Date ' , 19 No. 6 Ao...if Street J B L Registered Architect and /or Engineer Name and address of licensed contractor 4 z 0 l Location and legal description of lot to be built on: l ts/ 6-0 ti-' Lot Block Subdivision Street and Number where work is to be done 8 fi I g (z_,,,,,,, New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind f foundation Roof Covering 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 pennit 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 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. Remarks ___ (Signed) - n Date rt 7 -" Read, Sworn to and Subscribed before me. Notary Public, State of Florida and for no other purpose. STATE OF FLORIDA, COUNTY OF DADE. J 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. 4 - 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 Owner of Building `_ r MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 15313 [1:j Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bi. Description Address of Building I ;. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE 195 Contractor's License No r Amt. of 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: 1 BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the wok 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. BY AUTHORITY