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ROOFINGNcw Building _...._ To be constructed of _ Estimated Total cost of MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING . PERMIT Application is hereby made for the approval of the detailed statement us ine plans and specifications herewith submitted for the build • inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shorts Village. Florida. and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and ill rules and regulations of the iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plate and specifications must bc kept at building during progress of the work. c_.TJC Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and lc al ds�criip ion of lot to be b ilt on: /� Lot f t9 i i Ji Block— 4 Subdivision/.,,. S...E Street and Number where work is to be done State work to be done and purpose of building (by floors) - Date T T. . No.Te r - - Str c T Cr - it uu1 `. 14690 1: i .777-777672 T Cr-> Zone cubage required plan Cubage Size of Building Lot Distance . to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference /1 . /©/ d ef4..1 .19.— and for no other purpose. Remodclin ... _.. Addition_.._._.._. No. of Stories . _ Kind of foundation oo f Covering improvements $ !'- �'' e Amount of Permit S to the building and its construction may be sent to.. .......... _ — - -- - --• ------ OM. -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act. being Section 5066. Compiled General Laws of Florida. Permanent Step llrn,ent,_ � MI anti has complied with the provisions thereof. and will requires 'lag compliance from all contractors or sub - coractors employed by - hini' `' in the work to bc performed under this permit; and will post or cause to be posted for inspection on the site of t e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such cube ae olp worlc�t I lyerforrned under this permit, as are licensed by Miami Shores Village. Res ks (Signed) STATE OF FLO1',IDA. COUNTY OF DADE. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- p eared ____ ........ to me well known, and who. being by me first duly sworn. upon oath deposes and says that he is the..._..._.. -. ... _Y _ .... _...._.. _ ._ _. of the above described construction, that he has carefully read the foregoing application, and - that he did sign the same, and that all facets therein by him shed are true.. r 1 Date / t3 7 Read. Sworn to and Subscribed before me. Permit No Disapproved (Signed) . Building Inspector . Chairman Member Member .. .. Member Council Approved _. .. _._. - -- --• Date Disapproved — ..Date NU T E: A charge of 51.00 will be made for making corrections or changes to this application after approval has hem obtained from the Pl..nnir... Itu..rd. A re••iii.prttiun fce of 51.00 will be charged when such re- inspection is made necessary by improper notice foe inspection or faulty matcrsais anu /or workmanship. te.— PLANNINC BOARD - -� Notary Public. State of Florida My Commission Expires DATE Member Member Date (J5) U Job Address ) 10 NVE I / Tax Folio // .1)0/ /"/ OQn )j Legal Description /00 Pi 3 ) 1 �Owner1/ Lessee / Tenant CAclY1Y1 - 'L Owner's Address I 1\1. � 9/ _S+Y e* Phone 15 Contracting Co. A.B. MARTIN ROOFING. INC. Address 3680 N.W. 135th Street Qualifier A.B. Martin SS4/ Phone 681 -2852 State # RC - 0021590 Municipal /P Competency # CC -7200 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one):(•BUI�LDING) ELECTRICAL PLUMBING CHANICAL FIN PAVIN FFENCE SIGN WO RK \lI)T � DESCRIPTION S— C0111'1( \1 \(1.1 C i It i' 1 J21 11 ll[� Square Ft. 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 AF be done authori Signa of owner and /or Condo President Date (7`V Notary as 10 Owner a PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3S a IDAVIT: I certify that all the foregoing information is accurate and that all work will i ce with all applicable laws regulating construction and zoning. Furthermore, I e -named contractor to do the work stated. My Commission Expire.: JUDYCATALF!NO NIY ARY HULK STA d Clr '°'..C'R�S* CCMM1SSION NO. CC7MW ** * * * MYCOMMI'SION r' APR. 71.1„7:S * PEES: PERMIT 'J -DD APPROVED: Zonin RADON C.C.P. 7/A00 "2 6 Master Permit # 3 /gt Estimated Cost(value) $ 3,IL]_.c, VLJ Signature of Contractor or Owner- Builder Date: - big irmk f � Notary as to My Commission NOTARY Mechanical Plumbing cP ! ,r , erf Uilde '•'T''C 5 OF I:PaiDA * * * * ** TOTAL DUE ' I 0?• Other Electrical Engineering_ • PERMIT NO STATE OF FLORIDA, COUNTY OF DAD. THE LINDE RSiGNED 1,E firps rp mat Chapter 713. Florida Siatuics. the foiluo-liing inforrna!,on 1. Lega ! desc. of p!operty and ElrGel address: — - • --- • - — 2. Description of impro4r :it: Re-roofing Flat WiJj e & Rutirricd /bog 3. Owner(s) name and address q11 & Rose LC/1 4 193 N4E- 91 . M.arri Flzirida 33338 - Interest in property. 10.) _ _ , • Name and address of fee simple Otleholoer. 4. contractor's name and address. S. Suretyrayrne't borid requited by oo.ner from cOntractor. Name and address. Amount of bond S 6. Lender's name and address 7. Persons within the Stale of Florida desvnated by Owner upon whom notes cr other doc.urrpnts my by Section 713.13(1)(a)7„ Florida Statutes. Name and address 8. In addition to himself, Oomer designates the tol per ic reeeve e copy ot the Llenor's No ce ; Section 713.13(1)(b), Florida Statutes. Name and address! •••••■■•■•■■•■•... &I:Mature tiOWner Notary Public Print Notary's Name My Cbmmission E NG INCE or COMMENCEMENT TAX I WO NO _ ----------- A- ----- r —1 A.B. MARTIN ROOFING, INC, _ 3680 N.W 135th Street, Opa Lockz Fl 33054 : . '• 7 I 9. Expiration date o s Notice 01 Commencement: (the expirat:on date is year 1ro71 the date of iem‘c;,rv <-- tlifferent da is specified) . JUIN CATALFINO dfARY-14,41.144-cm4;. COMMISSION NO. C.C1)s587 MY COMNIN,510"■! ExP ■••••■•■■ Print •wners Name Villtul Sworn to and subscribed before rie tn:s fth ddy of .31.111e 19 92 9329 19 be made 10 cgr aer:Al property., aid in , pro.•;.;ed /1 this Not;ce of Commencement 19) ig.F. 91 SrL Prepared ty Address 19.) NJ-. 4. w METPOPQL!Tar`,r DADS CrJ1..1ITY FLORIDA MCTRODADE Cheirma) ,•.s,„, • 4 ;er , 042.1- men if 0 1.4c,r,.•, Vrntbe,f A.1,1Id A tr , °Mei .i nos Gr arr/ln ,, •w,, Ai. 841, L (,Ln t A. Bursae Ted and s Oscar Brennen John Calp.m Eclurrdi Cara(, Jurye tI 1.1 Tornenre K C. ritvr, Def l er r .rnui4 r Galdrrv:R R,rhgrd .tf Norton aim(' Lehr' Jvh.q L4 'Wort.," Srnen Lrirq i■rsfpn Mother, Sr lames Pe.■,r Millrace Ran inn.:n,! V. At :.. ( :,tray( If!ee Kr }hrinl R „dt Kithant ao4,y* t.enlU11Cp! .. ft P,srJanl Stall 01,trlrs Doneer Sam:\ ut 1Rreb G,l Q ( 3 75 -2612 p,tOne@r Concrete Tile 1340 S. W. 34 Avenue Deerfield Beach, Fl. 33642. Your application for Product A under Sections 203 and Product Approval of e e ie . -,_; un dern Se governing the use of the South Florida B u � , Cove, l se of Alternate Materials and tl < ". ruction, and completely described in the Types of specifications and calculations as submitted by yans, control to be used in the Unincorporated been accepter! d a-, Prcc a :. . es has under the Specific Conditions setforthdonrpas of forth ndp; Standard Conditions on Page pages 2 -fib and ��� 3 ACCEPTANCE No: . .-.22= .1..14 , 2 (9J APPROVED EXPIRES IzsamEaLLQuzio 1 EPTANCE: This application for Product Approval has been accepted ty l':e Metropolitan Dade County Board of Rules and Appeals to be d.c in the Incorporated and Unincorporated areas of Dade Coilllty under the conditions set forth above, APPROVED: ..MArch 16, 199a Ma rch._Lj ` 19j - * * PLES L.QT • * -1- F. u1 :' &' MSTRO.OADE CENT FR ecARD OF RUGS AN0 ApPC SU Itt sss "h s!t ST1°iEFT MIAMI FIORIpA 33+28.I9' ■3051 37S YU, Charles Danger, p.E Deputy Secretary Metropolitan Dade County Board of Rules and Appeals Gil Diamon -, P. Product Control. Div.,isi.or: Supervisor 6. Marki_na : , V2ci. PTkNC_ L' No.: APPROVED ..A -. y .D a � 1t;i Z. 1 if. �_ • EXPIRES N TT 2. Tiles shall be applied to roofs having a pitch of 2 1/2" : 12" or greater over solid wood or other solid nailable decks with an underlayment of an anchor sheet as described in Paragraph 3403.4 0a; and a cap sheet of mineral surfaced roofing applied as set forth in Paragraph 3403.4 (h). 3. Tiles shall be set in a bed of Type M or S mortar as describer in Paragraph 2702.20 (b). 4. All other provisions of Sections 3404.2 shall be complied with where applicable. 5. The manufacturer shall retain the services of an independent testing laboratory to maintain quality control. Test shall be performed on a minimum of five (5) tiles every three (3) months, for strength according to Section 3404 south Florida BuildiAg t_cd< and for moisture absorption according to ASTM C - 4. 'Pest sai;ir; pie shall be selected by a laboratory according to ASTM D- 3665 -82. Results shall be sent to Dade County Product Control Section. ASE. reports shall bear a description of the tile by material and i.e. cement, grey.• All tiles, shall bear the imprint of the manufacturer's nave or logo to permit identification in the field. 7. This renewal and revision supersede Notice of Acceptance #88- 0622.1 R dated July 9, 1990 adding "Hacienda" and "ShakP 1/101 Diemona, rE. ---- Product Control Division Supervisor b 1 • This approves the Followi roof rile as meeting the r� requirements of Fioneer'S Portland tEr�er,L Florida Building Code; qLi ernents of Section 3404 of the c �eL t n a) "Barrel :CJR tar I CONQIT.CQN.; t c) "Pro -Ti16 Rustic Shake & Slate -2- ACCEPTANCE No.: APPROVED EXPIRES b) ..Spanish 5.. d) - Flat - Gil b a Grt , F. E, Product Control Divasion Supervisor .0 NQ2ICIL_IaLII=XL7A1Lar,1 e) -Hacienda" Hacienda UNivERSAI RAKE L:CEPTkV0:: ExPtRPS f) "Shake or Slate" kr4 y • • • r • • •), • • • • s ••••: . • ••• • , • 17-1/4' • Hacienda, Shake, Slate Trim d ----- __– Product Control D1vi Supervisor • LICENSED AND INSURED FAX : - 305485 -7748 " FAX TRANSMISSION COVER SHEET" DATE: T0: -vi 1 Cf X14 arres ATIN : Frank T t him AGE Ref • Lal€rre 190 N.E. 91 Street 3680 N.W. 135th ST. • OPA LOCKA, FL. 33054 836 681.2852 6/30/93 Number of pages 4 (Includi.rt cover sheet) FROM: P. 01 M�aAOe P10tr0 Roof Tile 1e 305 558 2608 P.01 METROPO_ITAN PADE COUNTY, t=LORIDA N -DAVE I:L/ OLt R BUILDING PJILDING CODE COMPLIANCE DEPARTMENT METRO -LADE FLAGLER suL 140 WEST FLAGLER STREET MfAMI, FLORIDA 33130.1863 (305) 375 -20o1 June 15, 1993 FAX (305) 3rs2sos TOW. OM TM &yc c RN Metre, Roof Tile Corporation has filed with this office the additional and required acceptable test data to support the request for renewal and continued use of their Cement that Roof Tile for a mortar -set system which will expire on November 19, 1993. The tile shall be installed on a solid nailable roof deck of 5 /8" thick plywood for all new construction or to 1/2" plywood deck on re- roofing. The prepared deck shall consist of an underlaymetat (anchor sheet) conforming to No. 30 Type 11 (ASTM D -226) and tin capped 6" o.c. on all laps, 12" 0.0, in the field and 4" on drip edge over this, a hot- mopped 90 # ASTM D -249 granular surface cap sheet by Tamko, or equal,is applied. The tile shall be applied with a 2" head lap to the roof with the mortar consisting of Rinker Roof Tile Cement mixed with sand conforming to ASTM C -144 for a 3:1 mix. The tiles shall be presoaked and set using approximately one full trowel; of mortar. Due to Hurricane Andrew, this office has been inundated with requests for both new products and renewals of those to expire which has caused a large back log in responding with an official Notice of Acceptance. In the interim period, please accept letter in allowing these products to be installed by a licensed roofin , contractor in accordance with the manufacturer's further specifications and Chapter 34 of the South Florida Building Code until an official Notice of Acceptance is issued. GD;co Diarrlond, P,B.. Product Control Division Supervisor ,PAGE 1 TO WHOM XT MAY CONCE NAIL -ON SYSTEM 04; MIN SLOPE MURT R -SET `Y TEM P.03 McTROPQLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANgg DEPARTMENT SUITE 1603 METRO-DADE FLAMER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 331301563 (346) 375-2904 FAX (305) 376.2968 June 15, 1993 Metro Roof Tile, Inc. has filed with this office the required and acceptable test data to support renewal and revision of their Spanish "S" concrete roof tile for both Nail -On and Mortar -Set systems which expired on September 11, 1992. The tile shall be installed on a solid nailable roof deck of 5/8" thick plywood for all new constniction or to 1/2" plywood deck on re- roofing. The nailable deck shall be covered with a minimum 43 # basesheet applied with 1" roofing nails thru tin cap twelve (12) inches o.c. along top and within 2" of edge and end lap. Head lap of base sheet shall be 3" to 6" and end laps shall be 6 ", all sealed with plastic cement. Eave drip shall be attached over 43 # basesheet with 1" roofing nails 4" o.c. and sealed over with membrane and asphalt plaster cement. Each field tile and rake tile providing a 3" head lap shall be attached to the prepared deck with two, 21 /2" long by 0.130" diameter annular ring shank (twenty rings per inch) corrosion resistant nails. A nominal 1/2" diameter weephole shall be incorporated at the bottom of each mortar closure below each cave course tile. This nail -on system may be installed up to 35 feet above grade. The prepared deck shall consist of an underlayment (anchor sheet) conforming to No. 30 Type II (ASTM 13 -226) and tin capped 6" o.c. on all laps, 12" o.c. in the field and 4" on drip edge over this, a hot- mopped 90 1# ASTM D -249 granular surface cap sheet by Tamko, or equal is applied. The tile shall be applied with a 2" head lap to the roof with mortar consisting of Rinker Roof Tile Cement rnixed with sand conforming to ASTM C -144 for a 3:1 nfix. The tiles shall be presoaked and set using approximately one full trowel of mortar. 1 • • • GD :co Metro Roof TI1• 305 558 2608 rely yours, 1 Diamond, P,E. oduct Control Division Supervisor P. 04 P. 03 Due to Hurricane Andrew, this office has been inundated with requests for both new products and renewals of those to expire which has caused a large back log in responding with an official Notice of Acceptance. in the interim period, please accept this letter in allowing these products to be installed by a licensed roofing contractor in accordance with the manufacturer's further specifications and Chapter 34 of the South Florida Building Code until an official Notice of Acceptance is issued. YIP Contractor A.B. Nhrtin Roofirg, Im. Master Permit No. Subsidiary Permit_ Number 34381 Job Address 190 N.E. 91 Street In order to expedite the reconstruction effort for the above mentioned project, I request authorization to act as a Special Inspector to perform [TRADE] inspections. I attest To the fact that I have been retained with the owner's consent. I understand that I will perform all required inspections except the final which will be performed by Building and Zoning staff. However in the case of roofing the Chief Inspector has authorized the Special Inspector to perform the final. I will follow the Building and Zoning inspection checklist and will maintain an accurate log of my inspections. Sincerely: Special Inspector Owners Signature Norman I. Weiner, P.E. Ta1arn Print Name METRO DADE COUNTY BUILDING AND ZONING DEPARTMENT APPLICATION FOR SPECIAL INSPECTOR Owners Name Chief Inspectors Approval Qualifications: (to be completed only if you have not pre - qualified.) PLEASE NOTE: THIS INFORMATION HAS BEEN OMITTED BECAUSE THE SPECIAL INSPECTOR PRE - OUALIFIED ON APRIL 7, 1993. INSPECTION LOG DATE INSPECTED WORK DESCRIPTION SPECIAL INSPECTORS' SIGNATURE APPROVED REJECTED 7/14/93 Tin Cap 7/16/93 Mb) In Press 8/28/93 Tile In acgaas / -- 5- 3/7_3 Final /2& Contractor A.B. Nhrtin Roofirg, Im. Master Permit No. Subsidiary Permit_ Number 34381 Job Address 190 N.E. 91 Street In order to expedite the reconstruction effort for the above mentioned project, I request authorization to act as a Special Inspector to perform [TRADE] inspections. I attest To the fact that I have been retained with the owner's consent. I understand that I will perform all required inspections except the final which will be performed by Building and Zoning staff. However in the case of roofing the Chief Inspector has authorized the Special Inspector to perform the final. I will follow the Building and Zoning inspection checklist and will maintain an accurate log of my inspections. Sincerely: Special Inspector Owners Signature Norman I. Weiner, P.E. Ta1arn Print Name METRO DADE COUNTY BUILDING AND ZONING DEPARTMENT APPLICATION FOR SPECIAL INSPECTOR Owners Name Chief Inspectors Approval Qualifications: (to be completed only if you have not pre - qualified.) PLEASE NOTE: THIS INFORMATION HAS BEEN OMITTED BECAUSE THE SPECIAL INSPECTOR PRE - OUALIFIED ON APRIL 7, 1993. • .1111te • IL1 NF*I■1 NORMAN I. WEINER, P.E. 1807 GALLEON STREET N.BAY VILLAGE, FL. 33141 Tel: (305) 868-6226 Euildinz; Official V=J:: OutlJinj '‘!r 7' of Pij".M7:..1 T'i • . ;Dormis T nf :7Toj, by I7'iT1...1(c)(1) ":'401.1((_)( oi foi eepp7c.Aial w."th 30tions of Cod 3.0C Sou. n Floiid Corl H by tL. Df upull JF • r • ft.: .! Cut; T - flJr - th:.:Ir informtion 'co .....entLct * n -r. a .11•1 • ROI 6 1111111■ 1 NORMAN I. WEINER, P.E. 1807 GALLEON STREET N.BAY VILLAGE, FL. 33141 Tel: (305) 868-6226 Offi.13.1 7 NE Miami advl2ed that on Fl j_tly 1 6, 11= th LT of th,. coof in., of th7.. . invo,;sol. J 1Ds/ Scut Cods 340..1( - )( Ths inz-pz.ction made was visual and no int:uiYs tstc: Ji'j ? rslsw:.nt s thz. CuilJi; Cod:, C1?03 ditioiJ ths 1Y;1 to 1==, South Florld:_ i_iu las7).ad by thz Dadc: Count aft; to thc. dat of Lh obsoyvation )n do Ths it ms/ oplion that c:onstyuct;:d in comrlIc.ns c odu nd 1 th 1 th(. Alto • ilv MI1.111 NORMAN I. WEINER, P.E. 1807 GALLEON STREET N.BAY VILLAGE, FL. 33141 Tel: (305) 868-6226 uust L. 199S P.'lildino Official iit: Shorac Villa Build nd Lonin, Dept, 100r.0 NE 2nd Av1 Mim. ::hores, Florida C The Le:lanna R•sidence 190 NF 91st c.traet Mimi. Shores, Florid::: Permit Plaasa be advisad that on Caturday, 19? at the request of A .0 .Martin noorin.j, Tn:. th (.:;ontractor of the . :'oof veferanc:cd in th abovz. bui1din parmit, I mada a "Tila In piocresc," inspection of tha propsed roofino of tha subjact nroject as required lo; South FloriJa Code Section 240 ) and ?,40 .1( c )(2) . The inspection made was visual and tactila only no int7usive tests wore performd OY amples Critaria for approval was compliance with the raavant sections of the South Flo; id Duildino Coda [1968 edition], the 171 to the 198 South Florida Euildin Code the f issued by the Dade Coul,t eca'rd of fluli and App:,:als aftsr hurricanz Andrei. hu LL e date of the inspection, Cased upon my observations on the dat.: tha insi7ection, it is my opinicn tat the subject was constructed compliance wii7h ti a'oova ode nd I thec3fore recomand Matz you; daartment accept said roofin aE approvad_ If fulther information is rquird, fy7:::: to , :ontact m, caraly Norman IA,incr NORMAN I. WEINER, P.E. 1807 GALLEON STREET N.BAY VILLAGE, FL. 33141 Tel: (305) 868-6226 01, 1 99''. ` Official 7ui1d1n and 7 1007,0 NE 2nd ,A.v.r.;nu: : T. Llann: 190 NE 91st noiE,L;, 7rift ?10C1 advic:d U1:..t on n_ . . - 1 - ;flust of ..D.M;Irtin inc. • act: or th.:. voof T1: T:! E. "Fi • thc x ioofing of th i. cub,;(.:t by ::,outh 9u=n_ 2 and 11 ,01.1( , ..:.)(7!,. mach: was v:Isual and c intrW2.1VC3 A . foY y sz:ctions of th,a 3cut' Cock: [1900 c:dition], 'L 1991 to th.: 1003 Sou'n Flocia. Cullejn; Cod and ✓ vjLoTi isoud by th Do.dc:. County r2o of rulc'..3 and: aftac dal_z: of th.L. cabscl on tH; 5. it is ffly oion that th voc,fin;_.; was constiuct:::d in .:‘ c and 1 thz_ifor_ rocom.nc.nd °aid Infolfflation (;ontaet BUILDING ELECTRICAL PLUMBING ROOFING ❑ MIAMI SHORES VILLAGE, FLORIDA P r L / DATE P y " if 19 ❑ PERMIT N9 5581 Owner o Building Contractors ! 1:2t691 License No. ❑ Work to be performed under this Permit Architect Contractor or Build Legal Lot G �-✓ Description CONTRACTOR OR BUILDER Bl Signed. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s tied to the , cepting this permit I assume responsibility for all work done by either, myself, my agent, se or employee. Subdi- vision Address of 1 Value of / e ... 04 4 Amount of 6: gir Building . �j - • Project $ +r �• � I Permit $ This permit is granted to the contractor or builder named above to construct the building or t'o install the equipment or device described in the applica- tion 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 respon- sibility for work done by his agents, servants or employees. INSPECTOR e- with all o atird regulations orities of Miami Shores Village. In ac. BY ,AUTHORITY ABBOT 41€18W WILDING litliECTRICAL LING ROOFING Owner of Building Architect Contractor or Builder Legal 0 Work to be pad° Lot Description It Address of Building I4t 7nt, liA This permit is granted to the contractor or herefor in strict compliance with ill ordinances Wain drawings, statements or specificati s that may hove b time if the work is not done in co pliana with such granted is the understanding that the contractor or Ibu done by his agents, servants covered or employees. In In consideration of the isegance to pertaining thereto and in ellict corfotnuey In accepting this permit I assume responsib CONTRACTOR OR BUILDER under thin P llf: t ed above to Her the building or to in stal the thereto a#1 tith fire enderstending that the work w be utsmitted to and . approved by the proper municipal authorities. 'IIe s or $ the pitin an without authorization. A finer ed above amt .responsibility for a thorough knowwad or dr s ear a statements or specifications anted ubdi vision Value of Project By Contractor's License d._..._ Amt. ci Permit scri in the application ay be revobed as on which this peasit f co and onsibility pllance with Ott or anew and to the proper authorities of Miami Sbo or e mployee. 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 Ars. Sumner Goodfellow Chairman Member Member Date PLANNING BOARD DATE Date Au uAt. , 19 64 No 190 Street Read, Sworn to and Subscribed before me. Notary Public, State of Florida NE 91st St. Registered Architect and /or Engineer Name and address of licensed contractor Ideal hoofing & Shoot &ete], 1 ' orks, Inc, 261 NE 73rd St., 1'.4iemi 1'18. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1211 - -1 E - -- 91St- -.S.t. State work to be done and purpose of building (by floors) Residence — reroofing of Florida Room CBS wood dock 22 squares and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 195.00 Amount of Permit $ 5.00 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors - Toyed 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 t s tic - n otice or notices as are required by the Act. The undersigned agrees to employ only su • .co . s, on wor under permit, as are licensed by Miami Shores Village. Remarks (Signed) - 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. Permit No._ Date g — 7 —� _ �/ Disapproved (Signed) Building Inspector My Commission Expires 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. a '•♦ ti •1 P oor , . 1 • <, t. fI• •. 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