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BUILDING PERMIT
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 o1 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. Date... = - h' Owner's Name and Address .... R G I(o S f ... No 2 3 S " Stfeet..L� :. .. +.. 71 s r.. r. Registered Architect and /or Engineer ,.,. ..,...,.,,- - Name and address of licensed contractor .r Location and legal description of lot to be built on: PLAT f3o0K I O , pAGF 70 Lot ($ 1 i6 Block 2S Subdivision.. PLAT lit..r!If1pRF , SECTIo4 Street and Number where work is to be done ,.3 ee. _... Utz .... State work to be done and purpose of building (by floors) GL00KD F4po/j A PD'T/ON % „ a no DEG /Nei 4A.RA4( - - - La. - . E 04.9 OE . .• ¢...... and for no other purpose. New Building Remodeling V Addition ✓ Repairer No. of Stories.... To be constructed of Kind of foundation . Roof Covering /RAT vN e oo j ,L Estimated Total cost of improvements $ Q Amount of Permit S. (s - 00 Zone cubage required _Plan Cubage Distance to next ne.u 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 23$' N. E . Q/ S T tR . . 6E. T, M /A/yI S rilo RFS 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 5066, 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, wjk to be performed under this permit, as are licensed by Miami Shores Village. Remarks. -._ ( Signed )....... STATE OF FLORIDA, COUNTY OF DADE. ss Before me, th undersiigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared / \ 0/<, n , --- - to me well know, and who, being by me first duly sworn, upon oath deposes and says that he is the. 0 6 A ) /t) E' /e.__ of the above described construction, that he has carefully read t1eforegoing application, and that he did sign the came, and that all facts therein by him stated are j -)i true. Permit No. ._.____.t ''� Date � l Read, Swo to and Subscribed before ( Disapproved - - . Date. ------- �' - �' — - �1 —%/� (Signed) ( -- V _ l /� Notary Public, Sta Florida C Buil4g .. fiuil . Inspector My Commission• E *pires ' . • r I, gg93 bOPI ®ED g1-i:tU .. CFllEitil IidSURAKE UNDMitti -- P NNINC BOARD _.._ DATE Chairman � Member \ferrlbcr Member Member ...... _- --- ._. - - --_. --- ._....__ Member Council Approved Date Disapproved ...... ...... ............... Date NOTE: A c•h ge of $1.00 will be made for making corrections or changes to this application after approval has !leen 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 anti /or workmanship. N0. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building + . Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT Lot B1 r /' Work to be performed under this Permit —L4—f N° 7241 1 t • DATE_ 19 Contractor's • License No. Subdi- vision Value of _ Amount of Project $ It 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 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. s ti. Signed. ' In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wi all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritie of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. it CONTRACTOR OR BUILDER BY AUTHORITY AY It r �UILDING LECTRICAL 'LUMBING owner of 3uilding O'ontractor ar Builder Legal Description C Lot v \ Lt. �i • NTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5632 Work to be erformed under this Permit .0 1.-4417 Architect -1 4.4 / Bl. Subdi- vision DATE Contractor's License No. _y 194 /65-17 Address of r • Va oft w r , ° . Amt. of q/ ` Y ' (/ wilding 6 - / Project t. Per mit h .► 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 appli- cation 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 ass s the Fesponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . ing5"6 in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. -- ..,..• Signed: ' By INURE R In consideration of the issuance to me of this permit I agree to perform the work covera hereunder in compliance with all ordinances and regulations pert. • u • g thereto d i c conform y with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac' •p this e t of a respo ability for a ork done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building f► Architect Contractor' Cti or Builder Legal Lot Description #r ;,r.. 1 O ONTRACT OR,t� DER MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 5225 BY DATE 194! Contractor's License No / Work to be performed under this Permit - / � - ,r'�. . h Bl. Subdi- �r vision 1 ,,1. I Address of l Value I Amt. of N, 7 "" V Building "Y .4. . I `� } • Project )')/ CO i;„,,, I Permit ' 3 This permit is granted to the contractor or b der named above to construct the building o n to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinanc 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 ar • chang • . wi out authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as es t -sp. • .ibilitgNfor a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plank . . • • I . , - ti _ nts or specifications and that he as umes respon- sibility for work done by his agents, servants or employees. �� Signed: ��j —._. _ By 4 . • �... ; OR In consideration of the issuance to me of this permit I agree to perform the wor co ed h eunder in compliance with all ordinances and regula ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifi . tions submitted to the proper authorities of Miami Shores Vil ge. In accept}ng this permit assume }• sibility for all work done by either myself, my agent, servant or employee. 2/} r �l AUTHORITY BUILDING EL!CTRICAL PLUMBING Owner of F Building •: i Architect Contractor CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7662 Work to be performed under this Permit or Builder u-e- — Legal Lot Description Address of ( Value o Amt. of Iv Building /� Project r` :;' Permit . , This permit is granted to the contrac or or builder named above to construct the building or to install the equipment or device described in the appli- cation 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. . By i ` Bl. Signed. Subdi- vision In consideration the issuance to me of this permit I agree to perform the work covered hereunder in compliance with -ql& ordinances and 7eeulations pertaining thereto and strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shore illagc. In accepting this t I asst4e responsibility for all work done by either myself, my agent, servant or employee. BY INSPECTOR DATE/ /f Contractor's License No. AUTHORITY 194 BUCLDING ELECTRICAL PLUMBING w k Owner of Building .Architect ContractSr - -- -� or Builder ♦1. Legal Lot Description ivIIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 5225 Work to be prformed under this Permit �""� " '" x ' a * �` ..• ■>, +- f ' j • � ,/� F• -,i . gyp . k � • T h ♦'�.. t�t..1 l rr 4 L 4 �! j1 F i�+ j�4 f., jf• Address of .-. Building Bl. Subdi- vision Value Project Contractor's License No. Amt. of Permit 194_7 This permit is granted to the contractor or Wilder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinanells pertaining thereto and w th 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 a . chan d w out authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above a es esp si ' for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plan;; c4„e4 or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. . Signed. �' i� ,. . By ,�aNSP CTOR In consideration of the issuance to me of this permit I agree to perform the wor co red hereunder in compliance with all ordinances and regula ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autlivItks of MiantbSisre s age In accepting this permit I assume responsibility for all work done by eithermself, my agent, servant or employee. CONTRACTfjR OR,r» LDER BY AUTHORITY Remarks 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 regula- tions 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 Registered Architect and /or Engineer Name and address of licensed contractor M - ` ,` Location and legal description of lot to be built on: Lou__ / Subdivision /ILL Street and Number where work is to be done State work to be done and purpose of building (by floors) / �2 LL New Building___________ -___ Remodeling____________,__ Addition__ To be constructed of__ Kind of foundation Estimated Total cost of improvements $ Zone cubage required r " Distance to next nearest building Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. Chairman, Member Member Council Approved_ 1 MIAMI SHORES VILLAGE BUILDIMIG INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date - - -- Street 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 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. /. • Before me, the undersigned authwity, a notary pub9,duly authorized appeared _Amount of Permit $__ elan Cubage -- -- — – Size of Building Lot J � • r � ___ . ' 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, therein by him stated are trugi \ Permit No. _ Date Disapproved — _____—_______________ Date (Signed) --- ------------ -- --------- -- - --- _ Building Inspector Nota My Comri -PLANNING BOARD r4 �; .. . Member .G Date _and for no other purpose. Repairs No. of Stories___ /W_______ Roof Covering_ E (Signed) Member Member Disapproved to administer oaths and take r acknowledgments, personally to me well known, apd that he did sign the same, and that all facts Read, r10 and Subscribed before-rue. 4,•(/. r— Public, APnii'y utt, tiafty of Fjgh'tlri Zt ` t14'N�" on E:tpires Mti cemmjion expires Januery 1 1450 cricon a c'iyn ISl Y, DATE -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. INSPECTIONS " TE BY RE- INSPECT BY RE-INSPECT BY FOUNDATION 11 / //Ti 4L F $ H. W. HEATER CONN. BEAMS &LINTELS .. 77�� ii n oh �0, E 1,-.6 h, 7 � FRAMING .� lf7 $ FIXTURES . , $ $ INSPECTIONS F FINAL 104/417 BY RE- INSPECT BY TEMP. SERVICE �j DAT l E 7f�T , 7 CLEANUP P. ROUGHING V..3 9 +� PLUMBING & INSPECTIONS CONTRACTOR ,/�, c.ij /E /7• �.00PER ®o PHONE 7- ZC3�a PERMIT NO. 4 5 ) // DATE 7C//1//4) FEE $1I 4 ^ s NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE SEPTIC TANK &SE ,�^� p S:A a )Y Si .49 SEWER $ SOLAR HEATER r ? 0,/1:- 1 ) l /At $ GAS $ $ INSPECTIONS DATE BY REINSPECT BY RE- INSPECT BY ROUGHING ,�����" " ""��////// ' /fil iS GAS SEWER SEPTIC TANK �A EYe/S SOLAR HEATER FIXTURES CONTRACTOR Aki-zEe fheC `0� PHONE � 1417 FEE $4214 REPAIRS / PERMIT NO. 6 l DATE i 2��47 NEW BLDG. ALTERATION I ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE �j DAT l E 7f�T , 7 BO BO P. ROUGHING V..3 9 +� ,, Sea" 6 /1 /E H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL r ? 0,/1:- 1 ) l /At BUILDING INSPECTIONS ELECTRICAL PERMITS & INSPEC ��'�/ C APPROVAL TO POWER CO. FOR SERVICE DATE 7; BYEW OWNER'S NAME /� ,2es ,e4Wleeocr- aeTo�Y PRESENT ADDRESS 36 *Z.. 8� "S LICENSE NO. PHONE NO. 7.3 -3‘7 JO LOCH ON (ST. OR AVE.) , 2p lge 7/ f*.. LOT X BLOCK ,pa . SUBDIVISION .414,W 4 s ..�GT/ GENERAL CONTRACTOR / - 6a4sT.eac, ' • ADDRESS 7 e73�•rrsr,'i . PHONE NO. 7-./e- OS LICENSE NO. 451.3 �h / BUILDING PERMIT NO �/ D ATE 4,9/7 � `/ PERMIT FEE S 1V ..� - L B UI ILDER'S BONG NO. V DATE 7/447 ZONE �� REQUIREM / D �O Cu. CU. FT. PLAN'CUBE /v �D/ • CU. FT. / EST. COST 5 ..ze,,OQ • F /�/ �j DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:. i� 7 /, i/ DATE �J f NEW CONSTRUCTION TYPE CAS STORIES / P ROOF CONSTRUCTION 4 6 f LLT l//d I TER, R CO� .STRU 10�v /�1 / i �s— N d b' ., ✓oit1.Y T DESCR IPTION n 77 ,./f�.1�� y 57 �/ REPAIRS 4Y ,4 '�.A •I / feplIV '`•' • / 7' 000 /if - ✓ {' s� —3 -f */NJgA4ctce DESCRIPTION ALTERATION /� / /��,,� ADDITION I V 44∎ • "Cflede, /lag 1 1 .eA¢E / 071 9Cf / ED SUBMITTED TO PLANNING BOARD APPROVED /A2 REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS /�A � C E RTI FI CAT E.,QF OCCUPANCY NO. % 3 ISSUED 01 ��)� BY j (iI ' • /�� /�/� /' /��%' T / ���/J y w' TO /�%G • y e.d c5 1, /x. ,esio/�/D /! BUILDING PERMIT AND I PFiCTION RECORD— MIAMI•SHORES VILLAGE ADDRESS -, ` ;.p■4^ LEGAL 15 ?: 16 *Ably 25 ; RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Greg 5h�.°oeYalo ton (o) 1 (/7 /2.00 � 3 y. ` ?-24- y? fa/7J " "' /ill ®® ` f '' '141 M ., „ /f - o '" #4..?/ /..)- 37- sue /7 .i / - ,V -5-46 / e / o � \ Uf i 1 / �y e ti� : `� i' . a� - `^ .�'' - ✓ ,/ -/"".1:' '.<j Q 0 10 sce ' lot PAW E 70 DA DE COwIvp • FL& LOT ! !,7 e6 RLOCiL 2S • of Atle: N DE 1 ; PLAT o 7 MIA4 1 SHoRES : szerloN No, I RE6oRDE'a IN PLAT So0)< 10 al• /61 ob' s' ADDJTIo// co N ZXIsTig4 j -Iou DDlttoll W /M'oW 2 3 W.F., 9151- ST. MM it S Ho Re S e0 '®e Mir r7E asta -' ee/ Fa a /,v . / : /� CCU Date Type Insp'n Permit No. Name Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE * BUILPNG DEPARTMENT(' 305- 795 -2204 Building Inspection Request ©9 - /3 Address -<J 6 6 3 ( So Company Phone # C 30 S 9 - 3 5 - vv Inspection Date _ l BUILDING PERMIT APPLICATION FBC 2001 Type of Work: QAddition ❑Alteration Describe Work: ', Submittal Fee $ Notary $ Scanning $ — Code Enforcement $ '^ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): ;, Building , Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) _ Phone # Owner's Address a ) 7 City 1 ` - State Zip - �t.:� �/ 2 / - 7 0 5? ) Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO /� Contractor's Company Nan 4 ! <' Phone # Contractor's Address Citv Qualifier C4 State State Certificate or Registration No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Radon $ a " " ' , New * * * * * * * * * * * ***, * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * ** * * * * * * * * * * * * *** Permit Fee $ CCF $ (Jr 60 CO /CC Training/Education Fee $ Technology Fee $ r -CV Structural Plan Review. $ Permit No. Master Permit No. Certificate of Competency No. Square Footage Of Work: ❑ Repair/Replace Zoning Bond ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding 82500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 11 I Y P all Owner or Age strument as ac SI by edged b - ore m . !Jai 11 / `ii or who has produced Signature The foregoing day o who is pers NOT Sign: Print: My Comm' * * * * * * * * * ** Chc 05/13/03 on Expires: * * * * * * * * * * * * ** APPLICATION APPROVED BY: to me entification and who did take an oath. ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature Contractor The foregoing instrument was acknowledged before me this Qf , 20 b who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: N ' 0, , My Commission Expires: ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OCT - 5 2004 Plans Examiner Engineer Zoning 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, Rex die M4Y1 '; 4" Noes hereby attest that the (property owner) attached survey, performed by 241111 es a1 d rc,f 7d➢ performed on date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me thi Affiant is personally known to me, produced as identification. 'Miami ShorQ Villag (name of surveyor's company) 2. is an accurate representation of the existing conditions and YP „ Mabel V: • N. Commission #DD' Expires: Jul 13, Bonded Thru Atlantic Bonding v 7. . 1984 007 ., Inc OWNER BUILDER DISCLOSURE STATEMENT I 0.476Am ohe 4t Q oat o being the legal property owner, for the property Located at: 3 Aie I/ sF S ye e� Was a By Produced t, Proof of ownership provided ( ) knowledged before m bi! Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT L�01 d 16- 8 , ' o k � r J e ,deo1 �lv� /* e S'hor'es Legally described as � / � Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the s d- o Y)0. State of Florida, F.S. 489.103(7),sgnd I have read and understand the following disclosure Statement, which entitles me td ,ork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. DISCLOSURE STATEMENT initial of reviewing clerk. Tlie foregoing instrument this day of who is personally •- • wn o me or who has • as identific ion and ho did take an oath.. N ary ��nvo Mab ]i V. , ._ : Commission #DD A 1984 Expires: Jul 13 007 °; o1;06.- BondedTltru Atlantic Bonding Co , Inc. 1 A AM, ec91 / 4 4.5" Old • - S - '. LCE-tr Z.— GI C. /1 7/ 0 N I j 'st tO ' k 6 h .., i A 2 9:11111111111111n1 / / / -I=W Af 6-T L________ :7.c_j:)dpp // /3 Mll ( SU:NM:MUM AhO 1 hr MMOI.M 11 II 11 SEAL M 111111111'. 1J1 $14%Vll MUM 1111 AMU M 0 N) o. 2"2 :r is. 4 o' / ed PG.4 Al c.e3s 00 0 r 0 T 4' Go /,e.E ce I -DT /../f; /2-5- 1° 1 1[111 :" 2d 440' ,c A/c. 0 " 03 22' r ofs Hynson, Mariana, and - o (i./.7s) This property described as: Lots 15 and 16, Block 25, AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70, of the Public Records of Dade County, Florida. 2/ A/ca A) / s sr, liMiummum A BOUNDARY sinivfiv I ItrirI, i efilly 11111 most. mpor• ItilIell 1111tois meets the mum), %%%%% 1,11Init al mandaull 01•11.011. 11) air 110■111 01 land Smgverots on rhaptet 61(117.6 Atlmiltilm alive Conk purwalti Section 472.017. Ila. Si IIIIFI Male asp 1111 efictuachmamt. oVfOlaps. rasernroM ppirsomg fm ihr PIA. Ilsail a% •1111W11 11/ 11. 311111if W1111 •/111 I. It 1111 A 0 - 0 \7 7,rei 77 •T"&"" . .•• S 00 0 FIELD DATE C:),S) 0 Zonn,g Approved wookb sc iu •3 '1 71°' 0 13 ) u 4.P.4 CA , / SZO ')( 4 x 4 '(R) %\ 1 0AI Ite -o 4- -0 4 -G- --0 F 5/4 Cyd ("Alo /0) • o od DRAWN 111' Te; PROPIS;Y Of: Maximiano Alexandre, 235 N.E. 91st Street, Miami Shores, . Florida 3313.8 LANNES AND GARCIA. INC. 1..0. II 21)98 stinvEvoits-IV AITERS-1,ANI) PLANNERS BEALE SMITH #5238 I Mire noldress: .159 Alm at Avenue. oral 1:n111c3, Hui .1.11.14 (.1115)111409119 195.11 52.1.1161, 1 141823 5'-O" MAX 2' -O" Owner's Side a 11 =11 • 2" X 4" Wood dad � " X6" or I" X8" Wood pickets ate WOOD FENCES 3I-0" 2915 Fences 2915.1 Wood fences, so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minimum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 fee' -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 fcot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisiogs of this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 feet -0 inches on centers for these heights. Wood Posts Concurred 4' -0" High or Less = 6' -0" O.C. 5' -0" High or Less = 5' -0" O.C. MIAMI SHORES VILLAGE FENCE WALL AND HEDGE REQUIREMENTS Maximum height of fences walls and hedges, in any required front yard, 3 -1/2 feet except on Biscayne Boulevard where fences and walls are 5 feet and hedges are 7 feet Maximum height of hedges in any required side yard rear yard is 7 feet and maximum height of fences or wall in any required side rear yard is 5 feet. FRONT YARD FENCES All walls or fences in any front yard shall be constructed either or ornamental masonry or of ornamental metal, but not including any wire fence . All front fences must be approved by Planning and Zoning Board prior to issuance of a permit. SIDE OR REAR YARD FENCES Walls or fences in any side or rear yard, shall be constructed of chain link, wood, ornamental iron or aluminum, precast concrete, concrete block stucco, orornamental masonry. The use of all other materials or attachments such as slats, fabric, reed screening, etc., is prohibited. Any fence, wall or hedge established adjacent to a rear plot line along an alley shall provide a clear space of at least forty (40) square feet in area long the alley line available for the placing of waste materials for removal. WOOD FENCE Permit application accompanied by two copies of survey and two copies of drawing indicating ways to install wooden fence. Location of fence should be highlighted on survey. Owner - builder permit may be issued. CHAIN LINK FENCE Permit application along with two copies of survey indicating location of fence. Owner - builder permit may be issued. MASONRY FENCE Permit application must be accompanied by two copies of drawings signed and sealed by a registered Engineer. ORNAMENTAL IRON Permit application must be accompanied by two sets of drawings depicting style of fence. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /7/2004 Applicant: MARIANNA & ALEXANDRE MAXIMIANO Owner: MAXIMIANO MARIANNA & ALEXANDRE JOB ADDRESS: 235 NE 91 ST Contractor Local Phone: Parcel # 1132060133440 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1302 Contractor's Address: Permit Status: APPROVED Permit Expiration: 3/29/2005 Construction Value: $300.00 Work: ADD A WOODEN FENCE Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 25 LOT SIZE Fees: Description Amount FEE2004 -9976 Building Fee $100.00 FEE2004 -9977 CCF $0.60 FEE2004 -9978 Notary Fee $5.00 FEE2004 -9979 Training and Education Fee $0.20 FEE2004 -9980 Technology Fee $2.50 FEE2004 -9981 Scanning Fee $6.00 Total Fees: $114.30 Total Fees: $114.30 Total Receipts: $0.00 6 5 4,3 OCT 0 7 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 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 Registered Architect and /or Engineer G t Name and address of licensed contractor _ _ ___ �___ >___� 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) (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT -c, Date _ - , 19 __ No Street____ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of_.._._' - __ __.' hind' of foundation __'__ Roof Cgvering p $' � � � $ - -- Estimated Total cost of improvements �°� Amount of Permit __ __________�. Zone cubage required flan 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 osub- 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 subcontractop oil work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) __4 '/ 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 stated are true. , Permit No.__ ° ( - Date ,________________ Read, Sworn to and Subscribed before me. • Disapproved _, Date Notary Public, State of Florida Building Inspector 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. -RLLEy Owner's Name and Address New Building Distance to next nearest building STATE OF FLORIDA, sa. COUNTY OF DADE. MIAMI SHORES VILLAGE BUILDIrrQ„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 regula- tions 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. d Registered Architect and /or Engineer Name and address of licensed contractor ,,, : i -9 1 � � � � Location and legal description of lot to be built on: Lot Block Subdivision lii Street and Number where work is to be done _,. °.;.Nk� State work to be one and pur�ose of bnildi (by floors) ./Y-1)291.4 Remodeling__— __________ Addition_ Disapproved — ___— ____— ______ Date (Signed) Size of Building Lot Date_— ________—_ To be constructed of_____— _________ Kind of foundation_ _ __ Rorf if` �, Estimated Total cost of improvements $ ---,4 ° —_Amount of Permit $ Zone cubage required____ _Plan Cubage Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires__________ __ _ 1 PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved— Date Disapproved —__ —_ _and for no other purpose. Repairs No. of Stories______________ 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 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 subc tractors, on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Sinned) _ C� - `> / � � Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. f Permit No Date _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. 1 \— , � 3 ��. ALrcercilt, 'a it o y /d' Doo6dfi Pflug arvm // BUILDING ELECTRICAL PLUMBING L.J Work to by performed under this Permit Q C Contractor J , or Builder — _ - Owner of / >' Building / eA1 PERMIT N? 5632 Architect MIAMI SHORES VILLAGE, FLORIDA Bl. Legal Lot Description Address of /0 - • ,' Value of �„: Amt. of is Building 4 C ,� Project �K✓'�Q 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 appli- cation 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 Pennit 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 as es th responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or .• .w' + in a statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. ,;�.�,,�, Signed- • ?. "/�k' + , t .1 B y IlI PECTOR In consideration of tb issuance to me of this permit I agree to perform the work covered hereunder in compliance witl ordinances an_d,rekulc�ti or�4 pertaining theret nd i tri t confo ity with the lans, drawings, statements or specifications submitted to the proper auth s of Miami SiI rrees'lnclagh; In acceeptng thi p s e resp sibility for work done by either myself, my agent, servant or employee. o +�_ r , ,mss - : T • - CONTRACTOR OR BUILDER \ _ � f � 1 BY Subdi- vision DATE Contractor's License No. " i. 194 /j77 AUTHORITY CONTRACTOR New Construction Name ) i9 , 4 , 4 (< /CO c P i iL/` License No. d 1 ? O 1 i 3 / n 6--- , ci t Telephone Q' [E. -L 3ypI45 Fax 3 L,c'�4 Qualifier Name 1r , OWNR a I c � f< New Construction Name Y Enclosure Address 3 5, if 1— C h& r .5 !' Home Telephone 7 s 9 .z,7_5 Business Telephone Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair t-/ Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 3 Le//-, / l Address Apt. City Folio Number /1-30 0 0 /371 V'-O Block Lot Subdivision PB PG Current Use of Property , Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. ar� (-2-0061 3 State Description of Work oec■ 7 1 r A Jrohy ro �^c h Linear Feet / 0 c9 PERMIT APPLICATION Zoning Square Feet Value of Work 0 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Units Floors Zip ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. R DA, COUNTY OF MIAMI -DADE STATE OF FL X A.2/ Signature of t er Riqy Print Name / S,w.,ortto and subscribed before me this / 5 day of , v � SEAL: Ydkos' E Signature of Notary Public - State of Florida o � 'a Y Pu� NINA M. MCLEOD MY COMMISSION It DD 012023 EXPIRES: April 4, 2005 FO 4 ' � F F��p Bonded Thru Budget Notary Services Personally known ' , ' oduced Identification Type of Identification Produced: PERMIT APPLICATION STA F FLORIDA, O UNTY OF MINI- Signature of Contractor / Qualifier _a_rr c'lG Prinf Name Sorn3 and subscribed before me this • Signature of Notary Public - State of Florida SEAL: Personally NINA M. MCLEOD MY COMMISSION # DD 012023 EXPIRES: April 4, 2005 Bonded Thru Budget Notary Services ,C2_ 0,01 T �t� /5 day of OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. 'TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton - Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8-15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. .1..1,E Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTR. A/C Central, Tons QTY. Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY . TYPE Drains, Roof QTY. 'TYPE Miscellaneous Fixture QTY. '1.x.1 Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official ..G2 2 -/ r-c3 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond C b Metropolitan Dade County (C.C.F.) $ ,h 0 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ OTHER (Specify & Attach) $ Z (sq.ft. = x/1000 x (t.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) TOTAL REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com • PAY TO TN ORDE cat K AK gip NATIONAL BANK 1550 NE Miami Gardens Dr., N. Miami Beach, FL 33179 BOBBY'S ROOFING y document. See bock _L__,t_•details.r1 PH. 954-433-0458 1931 N.W. 139TH ST. OPA LOCKA, FL 33054 FOR uscog.ciaolle 1:06700 2 751: /1, L 2 30806o a■Z DATE Is 6980 RS 63-127/670 01 4 d MY. me Wu.. II•Wom beck Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Rid e Ventilation MEAN HEIGHT ` �+ Deck type: d)1/413' woadfl z Underlayment: Insulation: 12" ROOF SLOP[ D E T A 1 L 3 SLOPED SYSTEM DESCRIPTION ASyr 30 Fastener type & spacing: Cap Sheet: 2 cp c 1 es` S7m 9 Roof Covering: MO Spy Drip edge: 3 X 3 . L ill ATTACHMENTS REQUIRED 1) Fire Directory Listing. Page 2) Miami -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 (Pmaxl: X X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax2: X a, (Aerodynamic Multiplier): ) - M = M PCA: (Pmax3: x a (Aerodynamic Multiplier): ) - M = M PCA: Page -2 Contractor's Name: 1 30P3); S Qv r )1/ ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE /' ❑ New Roof ❑ Re roofing ❑ Recovering LRepair ❑ Maintenance Flat Roof Area (ft ?) Sloped Roof Area (ft') / 0 O Total (ft 0 C.) Master Permit No. Exposure category (per ASCE 7 -88): C Building Classification category (per ASCE 7 -88 table F Ft. 123.01 -78 4199 Deck Fastener Type: Field: p e: Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) AT'ACHMENT DETAIL 1 & 2 PACING Perime r: Corner: Job Address: Page -1 235 hr9//i)t r r ROOF PLAN (Mortar- Adhesive Set Tile) As it pertains to this Appendix "F ", it is the responsibility of the rooting contractor to provide the owner with the required roofing permit, fo 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 all 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. C i___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 renailed 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) ti/J 3. • Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiutns, 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. • '"/) 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof deckin`; 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. el/ 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 n 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. may MI 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 walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. v.. APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior 'the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. S. The owner may contact the Miami -Dade County Consumer Services Department for further ormation regarding the above. 2 00 2, Owner' /Agent's Signature Date ? Contractor's Signature PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 23,5 .51 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 7F Ay yc' /eos Owner's Address 236 iV 9/ $T Contracting Co. - _ i .,/G ey77!4C4 /L Address 165 /NE /0 e-T. , 44q/ / Qualifier �,QNJEL �E e! c 0� SS# Phone , State # �L cf 0 7 7 / 37 Municipal # Competency # Ins. Co. U //t/T,g/✓/9 Architect/Engineer Address Bonding Company Address Mortgagor Address WORK DESCRIPTION igna f o and/or Condo President Notary as to Owner and/or Condo President Date My Commission FEES: PERMIT ( ` ( '7 RADON Master Permit # 9 9 7/ Phone 75? Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN / 1 E,& v ,q/77 rs• W :15/ i -()il N( S *7 /a , - Square Ft. 3700 Estimated Cost (value) $/ OS0 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. 4::P'••. ROSEMARIE P. LETHBRIDGE ISW MY COMMISSION # CC 662671 %` •P EXPIRES: August 1, 2001 Bonded fire Notary Publh: Underwriters Date Signa f Contractor or er- Builder Notary as to Contractor or Owner- Builder My Commission Expires,, I egei;;•, ROSEMARIE P. LETHBRIDGE MY COMMISSION # CC 662671 a •.�.:; EXPIRES: August 1, 2001 . •'4;q ;gs Bonded Thnr Notary Public Underwriters / C.C.F. i • NOTARY ^ © BOND 3 t (l Date APPROVED: TOTAL DUE � a r Q (� Zoning Building � / J / Electrical Mechanical Plumbing Structural Engineer NOTICE OF, COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 1- 7 4 /7/ 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: 235 N e 9/ ST. J 5 , P2-. 33/3 ?• 2. Description of improvement: rc'F� 3. Owner(s) name and address: �q � 0 t�O j1 235` NE 7/ . 7 : ,4/i�•� -t/ J//o S R 33/3.8 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: , / ... e..0 AV ,— 4 S i Tile . 657 NE /a T .it- 1 % #9•t -t/ / _� 3 3 / 3 9 :r3T r ` . ,. . ... 0 FLORIDA, COUNTY OF DAME 5. Surety:(Payment bond required b owner from contractor,d -any)' �` °� �;arr�v r ar;r f a a �;�,� � r C,�o cv �l`ce1 a !n Chia o.` on y e;Q r— N _ !a J 1 +:! I SCzt. 7 aft G c ! cre Comfy e0:;ra Name and address: Amount of bond $ 6. Lender's name and address: / • 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may b served as provided by Section 713.13(1)(a)7., Florida Statutes Name and address: /A TAX FOLIO NO. / - 3Z.?? 6— O /3-° 3c/cm 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: - /✓/4 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Own Print Owners Name G}a Sworn to and subscribed before me this 6 da of /. , 19 c2/ 7 i Notary Public` - Print Notary's Name ' O1/,Z' / 67, 7 My Commission Expires: 99R243335 1999 MAY 11 10 :43 ' '� • oi�a9lG�Itii �Lc Prepared by: 7? LE7 06E Address: 865/ NE /-9Ai / Fes_ 3 30.E 123.01 -52 1096 r dt4 E a� a 1 Appendix "E" . UNIFORM ROOFING PERMIT APPLICA4TION v ram Wort / Poorer type 4k spier / " felf4 -5N4/V/< /2', O. ei/6 " " o.c. OVc�. Cap Mew 1 9 / r /7 tt..r C... " D E T A J L 3 SLOPED SYSTEM DESCRIPTION 04Se ,w . ad, 3 " x 3 „ ATTACHMENTS REQUIRED 1) 1ue Directory Listing Pale 2) DadaCoonty Product Coma Notice of Aooepaaa -Cov 4bas 1) *lac 9ysnm Dera b) : Sped& System t oa c General Limitations 3) Momicipal Pemmit Application 4) Other Component APPS narsigallingra .�2 ' ,_l . .sU (,Piaa31. 3 z � c M�): • M s -? 1 �� M PcA: (As: salmons: ): :2L, • M {1• • �� PG►. 1 _ x ( M ): ). m 2 `. _ 54. Page -2 O CI Apr -30 -98 04:1OP Polyfoam Products Inc. 964 476 -1462 P.02 METRO �,// METROPOLITAN DADE COUNTY, FLORIDA C.• L' 3s /1/ 9/ S %, METRO•DADE FI.AGLER BUILDING /30TH i✓ PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring - Stuebner Road Spring, TX. 77383 BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 315 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372-6339 Your application for Product Approval of: Polyfoam Products "Polvnro A1I -160" Roof Tile Adhesive 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: The Center for Applied Engineering, inc. and Miles Laboratories Polymers Division 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 2.14 and the standard conditions on page 15. 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. ACCEPTANCE NO.: 98- 0303.02 Renews: 96- 0402.02 EXPIRES: 04/16/01 aul Rodriguez Product Control Supervisor '.PHIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR seeuFIC AND GENERA!, 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 uscd in Dade County, Florida under the conditions set forth above. APPROVED: 04/16/98 Internet mail address: postmaster @buildingcodeonllne.com .a Charles Danger, P.E. Director Building Code Compliance Dept. Miami -Dade County Homepage: http :uwww.bulldingcodeonllne.com Apr -30 -98 04:11P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303,02 TYPICAL PHYSICAL PROPERTIES Property kg Results Density ASTM D 1622 1.6 lbs. /ft.' Compressive ASTM D 1621 18 PSI Parallel to rise Strength 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM 0 2127 0.08 Lbs. /Ft Moisture Vapor ASTM E 96 3.1 Perm / Inch Transmission 954 476 -1462 P.07 Dimensional ASTM 17 2126 +0.07% Volume Change @ -40 F., 2 Stability weeks +6.0% Volume Change G 158°F., 100% Humidity, 2 weeks Closed Cell Content ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are suhject to normal manufacturing variation. Page 6 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner Apr -30 -98 04:11P Polyfoam Products Inc. 964 476 -1462 P.08 POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0393.02 SYSTEMS Deck Type: Wood, Non- insulated, New Construction /Rcroof Deck Description: 15 /32" or greater, plywood or wood plank. SYSTEM A: Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Underlayment; Shall comply with Miami -Dade Roofing Application Standard PA 120 Roofing Tile: Any roof tilt assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment 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 Roofing Application Standards PA 115 or PA 127. The adhesive attachment data is noted in the roof tile assembly NOA. Comments: 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval shall apply. Page 7 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner Table I: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Two -Piece Barrel #1 'S' Shaped #2 Double Roll #3 Flat #4 Apr -30 -98 04:13P Polyfoam Products Inc. COMPONENT APPLICATION 954 475 -1462 P.10 POLYFOAM PRODUCTS, INC. Product Control No.: 98 - 0303,02 1. Polypro® AH I60 tile adhesive shall only be applied over an undcrlayment installed in compliance with application instructions detailed in its NOA.. Underlayment may be any undcrlayments or underlayment systems listed Miami -Dade County Roofing Application Standard I'A 120. 2. Adhesive application shall be in accordance with the instructions provided herein. Tthe manufacturer may provide additional instructions subsequent to this approval date which may prevail. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. 3. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A) : 1.0 (R). The dispense timer shall be set to deliver 0.08 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved without revision of NOA. 4. Adhesive shall be dispensed in a 17 in' to 23 in' pad at time of application. The cured pad shall be approximately 5" x 12 ". Foam placement shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires a specific placement, as noted in Table 1, below 5. Adhere tile directly in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam has been dispensed. Page 9 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner Apr -30 -98 04:13P Polyfoam Products Inc. 954 475 -1462 P.11 'POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.08 SYSTEM LIMITATIONS 2. Polypro® AH160 adhesive shall be installed only by 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. 3. For adhesive set tilt applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance with Miami -Dade County Roofing Application Standard PA 106, shall be required not less than 72 hours after application to confirm tile adhesion. 4. Refer to application drawings published by the National Tile Manufacturers Association for penetrations and terminations, as well as the 'Placement Details' included with NOA. 5. Refer to tile Roof Tile Assembly Product Control NOA for system acceptance with this Component. 6. Refer to the Prepared Roof Tile Assembly for fire rating. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Polypro® A1-1160 shall be applied with Foampro RTF1000 dispensing equipment only. 9. Polyfoam Products Inc. shall supply Building Official with a list of 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. Page 10 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner Apr -30 -98 04:14P Polyfoam Products Inc. 954 475 -1462 POLYFOAM PRODUCTS, INC. M.II 1kr..a14 .1esI1* ...scab (whoa r.aalred Int ems) PLACEMENT DETAILS (CONTINUED) — Ywd.rl.7w.w1 1'age 12 of 15 Apply emcees .Mbv. 1. .aAlw. 1710 !2 square blokes r ..atad with 1ld 1Y.. !eve d...r• Fesd■ S..►d Placement Detail #2: 'S' Shaped Tile Profile Product Control No.: 9S- 0303.02 Or1p EM FrankLuloaga. RRC Roofing Product Control Examiner • • P. 13 TFiC1�Y1DE O/j: 235 /Y- 9/ 5 . er: e04/7-: PRODUCT CONTROL NOTICE OF ACCEPTANCE Metro Roof Tile, Inc. 11501 Northwest 117th Way Medley, FL 33178 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 98- 0423.10 Renews: 94- 1017.01 EXPIRES: 06/04/01 APPROVED: 06/04/98 1 Internet mail address: postmaster @buildingcodeonline.com METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 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 Your application for Product Approval of: Metro Roof Tile, Nail -On, Mortar Set, or Adhesive Set "Spanish S" 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. aul Rodri_ ez Product Control Supervisor THIS IS THE COVER.SHEET, 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. PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372 -6339 4J Charles Danger, P.E. Director Building Code Compliance Dept. Miami -Dade County Homepage:*http://www.buildIngcodeonline.com - METRO ROOF TILE INC. Spanish 'S' Concrete Roof Tile Trim Pieces Product Lenzingtex -ZB 140 Underlayment Rainproof II Ice and Water Shield Product TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Dimensions 1= 18" w =10'A" %2" thick I = varies w = varies varying thickness TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimensions 59" x 164' roll 22 Ibs/roll 30" x 75' roll 36" x 75' roll or 60" x 75' roll 36 "x75'roll Test Specifications PA 112 PA 112 Test Specifications PA 104 PA 104 PA 103 Page 2 of 12 High profile, interlocking, one - piece, 'S' shaped, concrete roof tile equipped with two nail holes. For nail -on, mortar or adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Product Description Single ply, nail -on underlayment. Single ply, nail -on underlayment with 2" self - adhering top edge. Self- adhering underlayment for use as a top ply in a two ply underlayment system with Approved #30 or #43 as the base layer. Product Control No.: 9 8-0423.10 Product Description Manufacturer Lenzing Performance, Inc. with current PCA Protect -O -Wrap, Inc. with current PCA W.R. Grace Co. with current PCA Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. Product Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "TileTiteTM ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar") Roof Tile Mortar ( "BONSAL® Roof Tile Mortar Mix ") Roof Tile Adhesive (Polypro® AH160) Dimensions vertical min. I" x 4" horizontal min. 1" x 4" for use with vertical battens or min. 1" x 2" for use alone min. 8d x 2%z" or min. 10d x 3" #8 x 2Y2" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread diameter N/A N/A N/A N/A Test Specifications Wood Preservers Salt pressure treated Institute LP - 2 or decay resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 123 PA 123 PA 123 PA 110 Page 3 of 12 Product Control No.: 98 0423.10 Product Description Corrosion resistant, screw or smooth shank nails. Corrosion resistant, coated, square drive, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Adhesive designed for use in roof tile applications. Manufacturer generic generic generic Bermuda Roof Company, Inc. with current PCA Quikrete Construction Products with current PCA W.R. Bonsai Co. with current PCA Polyfoam Products, Inc. with current PCA Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. Product Control No.: 98- 0423.10 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: Roofing Tile: Install underlayment system in compliance with Miami -Dade County Roofing Application Standard PA 120. (See System Limitation #5.) 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- 0423.10 SYSTEM LIMITATIONS 1. The standard minimum roof pitch for Metro Roof Tile's "Spanish S ", 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 "Spanish S" 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 1I 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 24.50 Adhesive Set 66.50 Tile Profile X (ft') Batten Application X (ft') Direct Deck Application Metro Roof Tile Spanish 'S' Tile 0.29 0.31 Table 2: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 3 " :12" 4 ":12" 5 ":12" 6 " :12" 7 ":12" or greater 1 nail 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 6.70 7.10 6.60 7.00 6.46 6.84 6.30 6.67 4.08 N/A Table 3: Attachment Resistance Expressed as a Moment - M, (ft 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 N/A N/A N/A 26.80 N/A N/A N/A N/A Direct Deck 6.20 8.40 28.70 31.80 21.20 25.30 26.90 34.90 METRO ROOF TILE INC. DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - Product Control No.: 98-0423.10 1 Data n o t e d m T 3 is f or ins a ion wi 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 S Page 10 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. 1 1 1/2' 3/4' PROFILE DRAWINGS - 3 -3/8' 10 -1/4' 5 7/8' METRO ROOF TILE CEMENT FLAT TILE Page 11 of 12 Product Control No.: 98 0423.10 3/4'J 2.5' t 13 -1/4' i ran Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. Product Control No.: 98- 0423.10 ' Metro Roof Tile, Inc. ACCEPTANCE NO 98- 0423.09 11501 N.W. 117 Way APPROVED : June 4. 1998 Medley, FL. 33178 EXPIRES : June 4 200 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 writt .n 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 12. END OF THIS ACCEPTANCE Page 12 of 12 u oaga, RRC Roofing Product Control Examiner • J 1 : • alb METRO-DADE Q 3 • CIS : � �3 5 /V 9/ 5� PRODUCT CONTROL NOTICE OF ACCEPTANCE • Acceptance No.: 97- 0804.21 Revises No.: 95- 1003.03 Expires: 11/04/00 Approved: 11/04/97 Internet mall address: poatmaster@bulldingcodeonllne .com METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130.1583 (305) 375-2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372-6339 O GAF Materials Corporation it. 1361 Road • Wayne, N1 07470 Your application for Product Approval of: CAF Conventional Built-Up Roof Systems for Wood Decks under Chapter 8 of the Metropolitan 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: Dynatech Engineering, Inc., Factory Mutual Research Corporation. and Underwriters Laboratories, 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 2-40 and the standard conditions on page 41. 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 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. la! .,: f.: ;fir 1 • . ' aul Rodriguez 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 Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Florii under the conditions set forth above. Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Homepage: hltp : / /www.bulldingcodeonllne.com • Product GAF Asphalt Concrete Primer •I GAF Mineral Shield® Granules GAF WeatherCoate Emulsion (;AF Premium Fibered Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement RUBEROID® Modified Bitutnen Flashing Cement Jetblack Premium Flashing Cement GAFGLAS® #75 GAFGLAS ff80 Ultima Base Sheet GAFGLAS Ply 6® GAFGLAS Flex PIyTM 6 GAFGLAS Ply 4® • TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Dimensions Specification 5, 55 gallons 60 Ib. bags 5 gallons 1, 5 gallons 1, 5 gallons 5 gallons 5 gallons 3 sq. roll 75 Ib. roll 2 Sq. Roll 70 IbsJroll 5 sq. roll 45 Ib. roll S sq. roll 45 Ib. roll 5 sq. roll ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. ASTM D 1863 Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. ASTM • 1227 Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asphal oat'. ig.___ Page 4 of 41 Product Control No: 97 0804.21 Product Dcscrintion oo ng Product Contro 4 • Test Product Dimensions Specification GAFGLAS ®. • Mineral Surfaced Cap Sheet ; • GAFGLAS® STRATAVENT® Perforated GAFGLAS® Flashing various GAFGLAS® STRATAVENT Nailable RUBEROID Modified 3 sq. roll Base Sheet •. 67 lbs. GAFTEMP® Isotherm R Tapered GAFTEMP® various Isotherm R GAFTEMP Isotherm various RA Tapered GAFTEMP various Isotherm RA GAFTEMP Isotherm various RN . Tapered GAFTEMP various Isotherm RN GAFTEMP® various Composite 76 Ib. roll ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. 60 Ib. roll ' 69 Ib. roll various ASTM D 4897 D 3672 ASTM D 489 D 3672 Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. ' Asphalt coated glass fiber mat flashing sheet available on three sizes. Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Premium glass fiber reinforced SBS- ASTM D4601, Type 11, UL Type modified base sheet G2 BUR Product Control No: 97- 0804.21 Product Description PA 110 Polyisocyanurate foam insulation. PA 110 Tapered Polyisocyanurate foam insulation Polyisocyanurate foam insulation PA 110 PA 110 Tapered Polyisocyanurate foam insulation PA 110 Page 5 of 41 Polyisocyanurate foam insulation PA 110 Tapered Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlitc insul bt ''T • Roofing Product Control xan yj .. 1.1!' I ; 4i l,',': 1 .it,t 0 i it.,{ I. ,,1 7 Product 1. . 1 Dimensions RUBEROID® • • TORCH PLUS RUBEROID® TORCH FR i 1 ;s ►;: RUBEROID® 30 RUBEROID® 30 FR RUBEROID. • • !•f 1sq. roll •� ULTRACLAD® SBS • . • 101 lbs.'. Vent Stacks (metal and plastic) GAF Aluminum Emulsion • RUBEROID® • 109. Roll ULTRACLAD® SBS 1011 lbs. GAF Aluminum Roof 5 gallons Paint GAF Built -Up Roofing Asphalt bulk RUBEROID MOD 60 Ib. kegs Asphalt Product Control No: 97- 0804.21 Test Specification 'h sq. roll ASTM D5147 93 lbs. 34 sq. roll 90 lbs. 1 sq. roll 92 lbs. 1 sq. roll 92 lbs. 5 gallons ASTM D 5147 ASTM D 5147 I ASTM D 5147 ASTM D 5147 PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D 5147 ASTM D2824, Type 1 100 Ib. cartons, ASTM D312, Types 1,11,III and IV Page 8of41 Product Description Heavy duty, polyester reinforced, , asphalt modified bitumen membrane, granule surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. • Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules, Non woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with • Polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non - fibered. aluminum pigmented, asphalt roof coating lnterply mopping and surfacing asphalt SEBS modified asphalt Roofing Product Control Examiner Product Dekfast Lock Plate Dekfast Fasteners 1114 ; . ;... ;...I t .,r11..• • .. J ! c' ; Dekfast Fasteners #12 1, . I ISO 95+ Composite Asphalt Asphalt Primer EPS • • High Density Wood Fiberboard Pelite/Urethane ' Composite Perlite Insulatiop Polyethylene Red Rosin Roofing Nails • .' Test • Dimensions Specificdtion 3" x 3 1/4" • PA 114 various various various I• . • various 4 mil min. various Minimum 11 12 1 . t ;; Product Description Polypropylene locking plate. PA 114 Insulation fasteners for ..; concrete decks PA 114 Insulation fastener for steel and wood decks. PA 110 Polyisocyanurate / perlite ridged insulation ASTM D 312 Type 111 or IV Hot asphlat bitumin adhesive ASTM D 41 Asphalt Primer PA 110 Extruded polystyrene insulation PA 110 Wood fiber insulation board PA 110 . Perlite / urethane composite board insulation PA 110 Perlite insulation board Vapor barrier / Air barrier f'tosin paper for barrier layer on wood decks PA 114 Corrosion resistant annular ring shank nails Page 12 of 41 . Product Control No: 97 0804.21 Manufacturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Firestone (with current PCA) generic generic generic generic generic generic generic generic generic ga Roofing Product Control Examiner 0 • Product I,; Tin Caps MB aluminum roof coating Dens -Deck ''•'• ' ,,; ,.:. 1112 Roofgrip #I4 Roofgrip Gripdek Fastener Hexcel Fastener Hextra Standard Plastic Plate ISO 95+ E'NRG'Y -2 ISORoc Min. 32ga.x 4 1 " Olympic Standard 3" round Test Dimensions Specification various 3" round various various various PA 121 PA 110 '" Product Description Corrosion resistant circular discs. Aluminum roof coating Gypsum insulation board. PA 114 Insulation fastener for steel or wood decks PA 114 Insulation fastener steel, wood or concrete decks PA 114 Insulation fastener PA 114 Insulation fastener PA 114 Insulation fastener and metal or plastic plate PA 114 Polyolefin plastic plate PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam / tockwool composite insulation PA 114 3" round galvalume AZ55 steel plate Page 13 of 41 Product Control No: 97 0804.21 Manufacturer generic Grundy Industries (with current PCA) Georgia Pacific (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) Firestone (with current PCA) NRG Barriers, Inc. (with current PCA) NRG Barriers, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Roofing Product Control Examine Deck Type 1: Wood, Non - insulated New Construction or Reroof Deck Description: "1 " or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened. AU General and System Limitations shall apply. • • Base Sheet: • GAFGLAS® #75, GAFGLAS #80 Ultima Base Sheet, GAFGLAS® PLY 4 ®, 1• I ; . • GAFGLAS® PLY 6 ®, 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. Ply Sheet: Two or three plies of GAFGLAS® PLY 4 ®, GAFGLAS FlexPly 6 or GAFGLAS® PLY 6® ply sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 Ibsfsq.. Cap Sheet: , (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 Ibsisq.. Surfacing: (Required if no cap sheet is used) Install one of the following: I.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 Maximum Design Pressure: Maximum Fire Classification: gal./sq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. f 20 %; plus gravel or slag with an application rate of 400 lbs.sq. & 300 lbs. /sq., respectively. -45 psf. (See General Limitation #7) 'A'. See General Limitation #2. Maximum Slope: 6":12"; See General Limitation #3. Specification No.: N- B -3 -G, N- B -3 -C, N- B -3 -M, N- B-4 -G, N- 13-0 -G /P6, N- 13-4 -M, N- B- 4 -M/P6, N- B-4 -C, N- B- 4 -C/P6, N- B -5 -C, N- B- 5 -C/PC, N- B -5 -G, N- B- 5 -G /P6, N- B -5 -M, N- B- 5 -M/P6 Page 21 of 41 Product Control No: 97- 0804.21 Roofing Product Control Examiner 38 11 7 8 4 11 . ou w,r,w+ coOPw■ • 2' $Id. Lq 1 lass Shur rat. bs$u) NdAW.DuA SHA Mltr Papa lu mod) North, .South, and West Zones . Nailable decks up to 6 inches per fool slope, excepl for lightweight Insulating conncrete decks which are limited to a maximum slope of 1" per loot. Wood. plywood, slwdul wood fiber, acceptable precast mailable decks. poured gypsum. For Ughlwelghl Insulating concrete, see page 9. Malaitall Sheathing paper (1 ply, 11 required) Base Sheet GAFGLAS Ply (3 plies) GAF Materials ColporaUun Iluullug Asphalt Interplies Cap Sheet (I ply) Approximate Weight per Square GAIGLAS Pry a.. •1 11' ,.. ,,. i id! i . • ., ' • GAFGLAS® Specifications N- 6- 5 -M/P6 and N-B -5 -M !tooting — Asplall r std. Lip GAM AS Mlninal Salutd Cap Shad 220 -275 lbs. II Specifications • . General Design and Application Conslderalioiis detailed in Ilk Manual shall apply in addition to the following recommendations and specifications. Appllealion oI Rooting Membrane 1. Starting at the low point of the roof, lay one ply of Base Sheel, lapping each sheet 2 Indies at edges and not less than 6 Inches at end laps. Nail along lap of base ply at Intervals not to exceed 9 Indies and stagger-nail down center of sheet In two lows with nails spaced al 18 Inch Intervals Iii each low.' Use•las- lelhers with lnteural metal heads at least 1 Inch In illanicter or square that are recommended hy GAF Materials Coipoiallop or Ilse deck manulactuor. (See 'Special Instrucllons' below.) ' 2. Stalling al the low point of the roof, mop Mice , plies o1 GPFGI AS Ply shingle lashiun; lapping each sheet 2G '1. Inches over the precediny.slheet; solidly mop - -ping to the underlying base sheet 10 provid { e lour Plies over the entbe loot area. • Asphalt Requirements • i , it • 1 1 ' Inlertdy ntopphngs of Routing Asphalt must be applied n a' continuous film and shag moist ul nppwxhrhlroly 25 pounds per 100 square legit of inol area with r 3 Slope per loot ' • ' ' • - Asphalt Type ; ... Up1o3' - 'SteepASTM Type e111'''. ` '" ' •• ti 111-Sleep AS TM Type IV a tolerance not to exceed 20% plus or minus. The appropriate aspinil for file slopes involved must be used. On slopes tip to '1, inch per fool, Flat AS1M Typo II may be used 002p1 pl br Florida, Texas, New Mexico, Arizona, anti California. Surfacing Apply GAFGUIS Mineral Sur laced Cap Sheel in accordance with ll:e application Instructions on page 20, so that lire laps are ollsel from the laps of the ply streets. Special Instrucllons 1. See reconunendalion for use over gypsum decks on page 9. 2. Acceptable Base Sheets Include: STHIATAVE:NF• Nailable. LAIC! AS /75 Base Sheet. RUOER0ID Modified Base Sheet, GAFGI AS" PLY 6 - . Ply 4. 3. If GAFCI.AS PLY 4 or GAFGLAS PLY 6 is used as the base r. !in, , :trey wood or sir uclural wood fiber docks, a sheathing paper Is iequked. 4.Ove1 freshly poured gypsum and lightweight Insulating car,:) decks, SlfIATAVr.Nt (Vent Ply) for Nailable Decks is roquhed, sce (rage 9. 5. For applications over lightweighl insulaling concrete decks, see page 9. 6. fur "Nailing of Base Sheet," see page 19. 7. For roof slopes of 1 inch per tool or more, all piles musl be back- nailed 4 Inches In from the Icll edge. Son "Installation on Steep Roots," Page 10. UL Classification UL Class • Substrate A C A NC D C Slope • • 3' 3 '/:' UL Chart Key 1. Substrate C = Combustible and Noncombustible Combustible = Wood planks, boards, etc., plywood (min. "/.o Inch thickness), oriented strand board (min.', Inch thickness). NC = Noncombustible only Noncombustible = Shaul, pourer 01 p1 ecasl slr oche al cumaete, lighlwelght Insulating concrete, gypsum, slnlctural wood fiber, etc. 2. Slope Maximum slope allowed, in Inches per lout. Specllicallon N- D- 5 -M/P6 N- 13- 5-M/P6 N-0-5 -M Guarantees Available Liberty Guarantees . _.•- „_- ...__.. 20 yr. Wes! Zone only, Wuud Uocks. 20 yr. Llghtwelght Insulating Concrete. (See page 9.) 12, 10, 5 yr. �:za».,..�:1..�..l:e.•. av:.:i�:w'. 3. rrM. i4el11: ar► LId 41464.ial.9ta3..4uiraa1i444:ws.kdww r » .c.•w•u.,,.w WIRING MRSilRIAtS (.TEVT) SYSTEMS (TGFU) — Conlinued •I /•Isu Special"'wilh "Pulyuanr 25r or "Polyfoam :1 applications "Gacofiex U11- 7050 ", applied at 1 :wee applications, applied 1 gal/sq/application . -65" Series (various colors) applied 1 gal /sq (12 Incline: 1/2 •lylso Special" with "Polyfoam 251" or "Polyfoam •• applications "Gacoflex 1111 7050', applied at 1 it applications, app'i..rl 1.1/4 gal /sq/application • \•60" Series (various rrlurs), applied 1 gal /sq (15 Incllre: 2 !so Special" with "I'ulyloam 251" or "Polyfoam 40", applied at 1 gal /sq (10 dry mils). •0U0 ", applied at 1 gal /sq (10 thy roils). Incline: 1 •r "Polyfoam 303", any thickness. •..Shield 7007", 40 dry roils. Incline: 2.1/2 any thickness. 6211", 1 -1 /2 gal /sq (14 dry mils). 6200" series (various colors), 1-1/2 gal /sq (14 • R1306 (N) ' NJ 07470 •ID l4odified Base Sheet' may be utilized as an its in any of the Irl!uwiny Classifications. : board or 1/4 in. thick (min) Georgia - Pacific id may he used in any existing noncombustible :.is is done, the resulting roofing system is rsli (15/32 in. min) roof decks. lire joints in ,:neat board are offset 6 in. with the joints in the the roof system, it must be placed belu:v the .TENS WITH HOT ROOFING ASPIIALT • base sheet ("GAFGLAS 1115 Base Sheet") is a • asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or A, B or C roof system:. indicated below. covered with a Type G2 asphalt glass opal base (Vent - Ply) perforate' or "GAFGLAS Slrat.rvent . Perforated to be r• 1 and imitable to be side down. glass prat base sheet ( "GAI GI AS 1175 Base Sheet" . I'ly) fur naitable deLLS ") may be substituted for et (" GAFGLAS Ply 4" or "GAFGLAS Ply 6 ") as the •ng systems. y be solid mopped, spot mopped or mechanically 11 insulations may be hot mopped or mechanically mid" may be used for flashing in any of the Class :, this includes "GAFTLMP PERMALIIEd''" or any .elation. :table alternates for gravel in any of the Class A, ing units are considered suitable to be included ass A. 0 or C systems listed over C -15/32 or NC. oleo any of the following Class A, B or C systems • rating. Time use of 1/2 in. min gypsum board is •sulaliun over C -15/32 decks. 'Aim; board between min 3/4 in. perlite board (perlite /rosin paper /polystyrene /perlite) is a notate board in the following Class A, B or C AF1U•1P Tapered Isotherm RA" and "GAF1EMP -Al for any isocyanurate insulation In any of the 'lass A, B and C. with organic and glass felts or modified bitumen Class A Incline: 3 One or mote layers perlite, wood fiber, glass pane, perlite /isocyanurate composite, perlite/ -- Tim( 6" C•• She Or LOOK FOR MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) 135 ROOFING SYSTEMS (TG }U)•— Cor►linued urethane composite, Wood fiber /isocyanurate romposile, any thickness. Ply Sheet: Three or more layers Type G1 "GAI'GLAS Ply 4" or "GAFGLAS Ply 6 ", hot propped. - " '• Surfacing: Giavel: ' ' • ' •• • 2. Deck: C -15/32 incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, pdrlite /isocyanurate composite,. perlite/ urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type 61 "GAFGLAS I'ly 4" or "GAFGLAS Ply 6 ". Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheer. 3. Deck: NC Incline: 2 . Insulation (Optional): One or more. layers pertile, wood fiber, glass fiber, isocyanurate, urethane, perlile /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more layers Type G1 "GAFGLAS I'ly 4" or "GAFGLAS Ply 6 ". Cap Sheel: One layer Type G3 "GAFGLAS Mineral Surfaced :Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in. max,. hot. mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphall glass fiber mat system. D Fc7C•15J72 , ,ndIne: 1 1 ; Slip Sheet (Optional): fled rosin paper, nailed 10 deck.' Base Sheet: One layer 'Of Type 62' "GAF 1175 Base Sheet." (may be nailed). Ply Sheet: One or more layers of Type GI "GAFGI AS I'ly 4" or GAFGLAS Ply ,, ,. ••1 I. nc ne: Base Sheet: One layer of Type G2 "GAFGLAS 1175 Base Sheet". Ply Sheet: One or mote layers of Type G1 "GAFGLAS Ply 4" or GAFfjLAS Ply 1 ". Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". 7. Deck: C -15/32 Incline: 2 Insulation: One or more layers perlite, glass fiber, isocyanurate, methane, perlite / isocyanurate composite, perlite /urethane composite, phenolic, 1.0 in. min (offset from plywood joints 6 in.). • Base Sheet: One or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch PIus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Pins" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. 8. Deck: C - 15/32 Incline: 2 Insulation (Optional): One or more layers perlite, whorl fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate conrposile, peilite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet: Two or mote layers of Type G2 or G3. Ply Street (Optional): One or more layers of Type G1. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class it • 1, Deck: C -15/32 Incline: 3.1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlile/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. (l y Sheet: Two or more layers of Type 61 "GAFGLAS Ply 4" or "GAFGLAS Ply Cap Sheet: Type G3 "GAFGLAS Mineral Surfaced Cap Street ", hot mopped. 2. Deck: C -15/32 Incline: 3 - 1/2 Insulation (Optional): One or more layers perlite, woad fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlile/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet: two or more layers of Type GI, G2 or Gi. Membrane: Ohre or more layers of "Rubeiold Inch" (smooth or granule), "Ruberoid Torch Plus" (granule), " Ruberoid Mop" (smooth or granule) or "Ruberoid Mop PIus" (granule). ' Cap Sheet: "GAFGLAS Mineral Sulfated Cap Sheet ", hot mopped. Class C I. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ LG ENGINEERING SERVICES, INC. Consulting Engineers North Office: 7370 N.W. 36th Street Suite 374 Miami, Florida 33166 Tel: (305) 994 -8128 South Office: 13380 S.W. 131 Street Suite 120 Miami, Florida 33186 Fax: (305) 994 -8135 A.R.I. Roofing Contractors, Inc. 8651 Northeast 10 Court Miami, Florida 33138 Project: Dear Sirs; TILE UPLIFT_TEST Yokose Residence 235 Northeast 91 Street Miami Shores, Florida Information provided by client: Permit Number: 44718 Date Completion: June 7, 1999 Roofing Contractor: A.R.I. Roofing Contractors, Inc. LG Engineering Services, Inc. Project Number: LG99 - 0785 (Testing Laboratory Certificate # 95- 0607.05) C•I•V•I•L E•N•G•I•N•E•E•R June 22, 1999 In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 20 feet above ground surface. The type of tile used for this project was reported to be Concrete "S" Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. Based on our test results, we conclude that the installation of the • roof tile at the above .. referenced project meets the test requirement outlined in the above mentioned protocol: Attached please find a copy of our test report for your review. LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. ohamaSYSonny Sarleh., P.E. Project Manager TILE UPLWEUTEST Yokose Residence 235 Northeast 91 Street Miami Shores, Florida Test Number Test Load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Report of TILE UPLIFT TEST for Yokose Residence 235 Northeast 91 Street Miami Shores, Florida Project Number: LG99 -0785 :::::. : LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG99 -0785, Page 1 Test Number Test Load (lbf) Test Status 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ... .... g ng Services, Inc. - Tile Uplift Test Result -- Project Number.. • LG99 -0785, Page 2 Test Number Test Load (lbf) Test Status 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG99 -0785, Page 3 North - e= Co 44.Y.,11 s 16` Approximate Test Location LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG99 -0785, Page 4 MIAMI SHORES VILLAGE, FLA. ]V ¶ 6 JOB ADDRE INSPECTION - TIME READY N 7- A ' 7� REMARKS- INSPECTOR DATE MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILOINO PERMIT Application is hereby made for the approval of the detailed statement of the plans nod specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building rdinance 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 prggress of the work. I - Owner's Name and Address �% k C w- t — » o 2 -' r street_1 -e ._ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: State work to be done and purpose of building (by floors) peared Disapproved Dat Buil 'ng Inspector (Signed) Lot Block Subdivision Street and Number where work is to be done �5� N c _.1.� -• __ e AP e 0. o), !I q 3, . /110 and for no other purpose. New Building Remodeling Addition Repairs No. of toriea To be constructed of Kind of foundation . IReaf Covering /7 � G Estimated Total cost of improvements $ 7.-Fte ' ° ` Amount of Permit a. Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereb y submit the plan andrecifications for said building. All notices with referenc hbuij,ding and its construction may be sent to A "��m T p � 00 t ' Co-. -- - -- The undersigned undersigned applicant for this building pennit does hereby certify that he urde :stands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Com General Laws of Florida, Permanent Sup �Iement, and has complied with the provisions thereof, and will require similar compliance rom al 'tractors or sub - contractors employe by him in the work to be performed under this permit; and will post or cause to be poste for inspec iota on the si th work such ublic notice or notices as arc required by the Act. The undersigned agrees to employ only suds ubcao o an or performer ounder this pennit, as are licensed by Miami Shores Village. Remarks..._ (Signed) 3 ft/ 0 . t . 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- to me well knower, 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 :ze did sign the same, and that all facts therein by him stated are true. Permit No. ._ 2 e r-/- No._ I / Date.. <.) Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member 11crriber Member Member ...... — _... - - - _ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making co ections or changed to this app;iratian rafter aprroval has horn obtained from the Planning Board. A re impec•tion fee of $1.00 will be charged when such re- inspection is made rtase':.ory bpi :proper notice for inspttinrt cc faulty materials and /or workmanship. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. �/ Date..._ .. ,19.. —_ Owner s Name and Address R { o k 0 S .» No 23 'r' ..... StreetA 4 91 sr Registered Architect and /or Engineer ,.. . ..,..,.1,..see1 ^.sees•,- ,,sas,s_" Name and address of licensed contractor .Rs. Location and legal description of lot to be built on: Lot �� Block � Subdivision / ` p Street and Number where work is to be done 3 !Y 1.� �'T Sr State work to be done and purpose of building (by floors) i <: c_•tti, ccv Pe. - 11z S�s " r �! I�f-r �5 x� v ' - , = 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 $ Z 0 ° 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 2,3t At Qti 7 . , MM I SH.P.RES 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 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 th .site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, o, Avor 'to be performed under this pennit, as are licensed by Miami Shores Village. Remarks ( Signed )....1G �. 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 - /Q...... k O s E and who, being by me first duly sworn, upon oath deposes and says that he is the...Q.W.AfE.1Q 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.__ _ .. f Date j lt-�' ` �' \ Re KosE Date.. ( 4) Building Inspecto MANNING BOARD —. �.T 7 My 2&t NE .- __1l.. r S7. Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida Commission Expires.... Norattx ..tua.tc_sxau..nr_mrtnio MY C,OMMISSIGN EXPIRES NOVEM3ER 19, 190 DATE BONDED THRU MAYNARD BONDING AGM V Chairinan Member \lcrnber 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 Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials and/or workmanship. ti 11-; a mt. CAr 1 L.Q, '3e.4.7vt ecn C Ie t. Lv,a6 4 _ � N:E /s; S%kC THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING P7:9,;.. (� TH NO VARI'.NCF ❑ WITH VARIANCE(S) LISTED IN "RI ,; NO OTHER DE;'IAT!O•'S FROM T 'E ;,,�' S' "T.F• BUILDING 1'i "D ZO'• ORDINANCES WILL BE PF.: IITTr`) U'It E SPE IFMAL.Y LISTED DEl ALL OT MUST BE COIr1PL' ,;ER APP Intl! SI T,TE AND :1;011.:1; LOS C. V'9TH BY ALL PARTIES. I FI ^,E it C'10 i Pu lk... -GL i� . Ft:CS • P0 LICE DEP'. , i .1 . BUILDING 01,;7.2 G. PLAN; :I: G & ZJ .; t TILTTAGE CO PRELLM NARY: E.MARKS: APPROVAL INAL: r' MTF' T: E ��;I {,'i -; . .•1 3..1• D! :u "Lli�i�GE I , •_ ".ii t 1 .. _ , , I Sile CONTRACT! t S °E _ Y :1 . • ULATIONS WHET: :ER OR NOT � p 1 Permit No....--. Date Disapproved _...__ Date.. - — (Signed ) MBAMB SHORES VBIL0_ OE 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 iuilding 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. RA. Da • U ......._.._._ _._..._.__w , 19. �' Owners Name and Address .... R.... K 0 .5 e.....__...... ._. No.. 3.1....__. Street.l�,.c..... .! s r.s r: Registered Architect and /or Engineer ,,:,......,<,••.,,.. .., „. ..:.. Name and address of licensed contractor _..._ Location and legal description of lot to be built on: PLAT t300k 00 r Pf)�vf 70 Lot 1 S I 1 Block 2 S Subdivision.. PST P„ d.1 Ali L lib 4fs, S ECTI 04 NO. / Street and Number where work is to be done .1.3 _.. . e •.._ .1...S.T..... ST. ........ State work to be done and purpose of building (by floors )...__ rt4l? . 0!Y.P.._Fh.P.oR A PD /LION &IP,... _R e h?P ?EL "lei CARh qt and for no other purpose. \cw Building Remodeling t/ Addition Repairs No. of Stories. ./ _ To be constructed of Kind of foundation Roof Covering.. BU/.h:. "T/A/ 6 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 . 2 3 ,r N.' 9/ sr s .. tR .. G. E . 7 , Al 14 MI ,S ,40 g FS 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 Sup c lement, 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, gp wpjk to be performed under this pennit, as are licensed by Miami Shores Village. R emarks ............. ..._..............._.._.__._.__ ( Signed )...._... _ STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersi ned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared A • to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. U Lt✓ E-' 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. Read, Swo to and Subscribed before Erse. D �'�� - Notary Public, StaFlorida Building Inspector My Commission• •Expires ' t/ ..; ,... :.._,:.::. i7, 15;7 1 Dkli4YK1�ERSr' _” l3GIlDEC TNl;i1 GEf �uJtl IiySUitAN U� PLANNING BOARD _.._......DATE Chairman Mcmbcr Mfcrr,ber Mcmbcr 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 heen obtained from the Planning Board. A re inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. 6 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. Owner's Name and Address BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date `z ,1P No Street H(` B SI Registered Architect and /or Engineer Name and address of licensed contractor elf I V _IC(°✓ , ' 9C( ��' s�a'K �� �i a . Location and legal description of lot to be built on: Lot___ _ Block Subdivision Street and Number where work is to be done 'i g State work to be done and purpose of building (by floors) C � 00 F 1- As ,, rtin. _ .- , z .i.---16 r � _ . g,- C 4,1:,. 1 � - d41',j-1Z- o ` f . 1 (/k)" t ' l A `�t 1` r - CI 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 $ f46 _ _ e Amount of Permit $ _ ____Plan Cubage Distance to next nearest building —Size of Building Lot Zone cubage required_ Maximum live load to be borne by each floor 1 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 5968, 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 (Signed) - s2 __ - permit, as are licensed by Miami Shores Village. Remarks_ 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 stated are true. Permit No S Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Building I Jfector Chairman Member Member PLANNING BOARD DATE Notary Public, State of Florida 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 $1.00 will be charged when such re- inspection is made necessary by improper 1 )rice for inspection or faulty materials and /or workmanship. Owner s Name and Address _!%_ Per it No. _ _ _ Disapp o ed - (Signed) C. MIAMI SHORES VILLAGE /( ate Date. 2- - ' j Build; .g Inspec or BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o. other stet ture he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V•liag -. F orida, and all previsions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and -11 rules and regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A :op of approv d plans and specifications must be kept at budding during progress of the work. Registered Archit,cc and or Engineer _ Name and address of licensed contractor _ 0 RA L 60 e_ Location -nd legal description of t to be built on: Lot__ ._ _ .___- _ __ _ __ Block __ . _ _ __ - _ Subdivision_ Street and Number where work is to be done_ Z_3 6.. / f a State work - c be done and purpose of building (by floors) _ _ _ _ C E 9 32 - O i l _ - X - _ _ G 1.O S 6 r,,. E .e -c O o f - 4__ G4,9416'TS. W mcfa (f- rUT iN_ c aal,I 7 - - - O C ( , ) , , S _ — _- k "T Gt -I c:1J /8.12 t✓ and for no other purpose. New Building _ _ ___ .. Remodeling >c ___ _ . _ Additi . Repairs___ ._ - _ _ __ . No. of Stories __ To be constructed of _ - Kind of foundation _ _ Roo :: Covering - - -- -- -- - -- - - - Estimated Total cost of improvements $ _ O f2 _ _Amo . - r Permit $ Zone cubage required_ _ _ __ _ _ _ _ _Plan Cubage . _ __ _ _ Distance to next nearest building_ __ . _ __ _Size of Building Lot___ Maximum live load to be . me by each floor I here :y submit all the plans .d ^ o:: sa'd iilding. All notices with re'erence to the building and its construction may be sent to _ ______ _ __ _ _ _ The undersigned ^.pp.:cant for this building permit does hereby certify that h- understands and accepts his obligations as an employer of labor under the Fl rids Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supple.nent, and has complied with the t - •v'sions thereof, and will require similar compliance from all contractors or sub - contractors mploycd b him m the work to b.; rform d u der this _ Permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as ere required by the Act. The undersigned agree. to ploy only such subcontractos, on work 'o be pe formed under th's permit, are licensed by Miai. S:: e Village. ` 4 Remarks -- - (Signs 3�" _ y�G' -- ✓�� STATE LORIDA, COUNTY OF DADS f ss Before me, he undersigned authority a notary pubh. , duly uthorized to administer oath^ and take acknowledgments, per .o sally ap- peared . _ __ to me well known, and who, being by m • fi,st duly swot upon oath deposes and says that he is the _ of he above described const u tion that. to has carefully read the ongoing - cat,on, and that he did sign the same and that all facts therein b him 5' ated are true. C - My Date_ rce, N0.23 J Read, Sworn to and Subscribed before me. Notary Public, € to of Florida Commiss'on Expires _ _ _ /7 , Street__W O 9/ ±_e PLANNIN DATE Chairman - - Member Member _ _ _ Member Member - - - M ber Co, _* Al Approved Da.e D sapp oved _ _ Date NOTE. A charge of $1 00 will be made for making corrections or changes to this appl cation after appr. val has been obtained from the Planning Board A r - -i. _pe, fec of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Aelm-C.) L/C if acycwee C Las C7 ( 161 7 0-1614 N C g 0 L., e ;I rcke pf co A6ti e C-L iC7 # g e ‘0 Ocl rsi e2C jel"PfCt ni-ee)t/C C 0 &c--7-- KepLvce OvccetlaidD C 46roc7 - F - )04LLs- (5/.e CPak Y'et aitit No. 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, at,c1 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 work. OWiler Name and Address k" (2! Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date .7 Street Registend Architect and/or Engineer ..... . Employing Plumber's Name /ILL. • : - . L.Zzz (t: No._ 7/Y' st,(4 fr Location and Legal Description Block Subdivision Street and Number where work is tO be performed—No • &net Stoic work to be performed and purpose of building (By Floors). New Building Remodeling_ Repairs No. of Stories. Size Septic Tank_ Type of Tank Feet of Drain Tile_ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Capacity Gals. • (Signed)_ Plumbing Inspector. 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 sub-contractors, on w. k to be perfo..• under this permit as are licensed by Miami Shores Village. Mas Plumber. STATE OF FLORIDA, 813. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or workmanship. . . BATH CLC)31240 TUBS SH " Ine LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH sham FLOOR DRAIN DRINKING FOUNT'N5 ; ' ( r , TOTAL. FIXTURES CGNTR. Ltoy CNIECC.: --- [..„ ------- / i r................-.. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE FIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIPC0 Pool. comitk. LIST CHECK Y'et aitit No. 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, at,c1 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 work. OWiler Name and Address k" (2! Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date .7 Street Registend Architect and/or Engineer ..... . Employing Plumber's Name /ILL. • : - . L.Zzz (t: No._ 7/Y' st,(4 fr Location and Legal Description Block Subdivision Street and Number where work is tO be performed—No • &net Stoic work to be performed and purpose of building (By Floors). New Building Remodeling_ Repairs No. of Stories. Size Septic Tank_ Type of Tank Feet of Drain Tile_ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Capacity Gals. • (Signed)_ Plumbing Inspector. 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 sub-contractors, on w. k to be perfo..• under this permit as are licensed by Miami Shores Village. Mas Plumber. STATE OF FLORIDA, 813. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No ` J/ � Date '. / 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 compliant:. 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 work. ^ 0 Owner's Name and Address Registered Architect and /or En ineer _ OG2,4�✓ev/d Employing Electrician's Nam- Zre Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 7 .. Street !v State work to be performed and purpose of building (By Floors).... 6.4 7 , >/eS New Building Remodeling X Addition Repairs No. of Stories Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground P P Type if Installation— Conduit ....Tubing Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his bligations 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 subcontractors 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 sub - contractors, on work to be perfo d under this permit, as afe licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILL , i3E ELECTRICAL INSPECTION DEPARTMENT .B.X.L No (Signed). (Signed) z /4/ Metal Moulding. Street Street Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, a,.d he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re• inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET' IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. Hr4T. CONN. SPACE HE. :.. ER STRIP HEATED TOTAL CONTR LIST CHECK ENT. SW. DIST. CAB. SERVICE TC. "P. SERVICE PERM. Nicreo }'.; 0.! HP .`.. 3TORS 1.8 HP NEON TRANC. RADIO TOTAL CON'. R. LIST CHECK Permit No ` J/ � Date '. / 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 compliant:. 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 work. ^ 0 Owner's Name and Address Registered Architect and /or En ineer _ OG2,4�✓ev/d Employing Electrician's Nam- Zre Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 7 .. Street !v State work to be performed and purpose of building (By Floors).... 6.4 7 , >/eS New Building Remodeling X Addition Repairs No. of Stories Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground P P Type if Installation— Conduit ....Tubing Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his bligations 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 subcontractors 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 sub - contractors, on work to be perfo d under this permit, as afe licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILL , i3E ELECTRICAL INSPECTION DEPARTMENT .B.X.L No (Signed). (Signed) z /4/ Metal Moulding. Street Street Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, a,.d he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re• inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner's Name and Address State work to be done and purpose of building (by floors)_.. E , J9fJ' , ( j- Disapproved ,_� Date (Signed) Buil. mg Inspect Council Approved 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. Date Registered Architect and /or En ineer._._._ ._ Name and address of licensed contractor /1I / ( 0_ RQ_0 F a 3\/Q Location and legal description of lot to be built on: Lot Block Sub Street and Number where work is to be done a2-3 Date ( New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ .Z__.7 ,sue 7-A An/4 and for no other purpose. Repairs No. of Stories r NING BOARD DATE 6 No Street Roof Coverin g �<L � 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, 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) 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 stated are true. Permit No v Date . Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Chairman Member Member Member Member Member 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. 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_. i 'a..• � a__. �: �w_ �� � No ..j . -3 4 ' treet -__ / New Building Remodeling To be constructed of Estimated Total cost of improvements Location and legal description of lot to be built on: Lot Block Subdivision = _ ?f Registered Architect and /or 9Erngineer Name and address of licensed contractor Street and Number where work is to be done. Permit No Disapproved (Signed) ..i ) State work to b done and purpose of building (by floors) and for no other purpose. Addition Repairs ! No. of Stories Kind of foundation Roof Covering _ A Cr7 Amount of Permit $. Date.. "; 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 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 subcontracto s, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) __ z 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 thee application, and that he did sign the same, and that all facts therein by him stated are true. Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Buildin: nspector My Commission Expires PLANNING BOARD DATE Chairnan Member Member Member Member ...__... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections of 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. # 1, c'`; MI4\41 SHORES VILLAGE, FLA. JOB J-7 z - ADDRESS INSPECTION J TIME READY REMARKS: • N? 5821 INSPECTOR DATE 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. Date ildeI 'oh 10 19 57 Owner's Name and Address.- No Re BUNS No 235 Street___E..__.E.....91at.. treet Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT I� b RiOFINS4 & sun MgTAL Street and Number where work is to be done 236 1]- .._.3.__9Jliet._Street State work to be done and purpose of building (by floors) P_-.repai .e lilmat..poreh and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 150, " Amount of Permit $ l 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 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. s Permit No Date ___ Read, Sworn to and Subscribed before me. Disapproved (. J (Signed) 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- •ntractors 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 .f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ntrat ors, ory w•' to be perfor ed under this permit, as are licensed by Miami Shores Village. 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 4 Building In Chairman Member Member ....... Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. PLANNING BOARD DATE Notary Public, State of Florida to me well known, My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Owner's Name and Address._.,��_ 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. Registered Architect and /or ngineer o Name and address of licensed contractor. 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) /1 Date No .c. : _ Street and for no other purpose. New Building Remodeling Addition Repairs �/ No. of Stories To be constructed of Kind of foundation_ Roof Covering s J 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, 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. - c Remarks (Signed) . , ��, '. ; ' . � � , - 6 � � , & � 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 stated are true. / Permit No �_` , Date � '� L_�_ -.- Read, Sworn to and Subscribed before me. Disapproved / ' f ' Date Notary Public, State of Florida (Signed) __. Building Inspector! My Commission Expires ANNING BOARD DATE Chairman i / 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 HOOFING Architect Contractor or Builder 1.egal Description Address of Auilding 13 I CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ❑ DATE ' 195 PERMIT N° 6 912 Contractor's License No. Owner of Building Lot Bl. Work to be performed under this Permit Subdi- vision Value of 11 Amount of Project $ II 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 zerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ?ertaining 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 lone by his agents, servants or employees. Signed. 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 ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• :epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 a,:_ BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE c _. 19 I PERMIT ❑ Work to be performed under this Permit_ ______ Owner of Building ` - Architect Contractor or Builder Legal Lot Description II Bl CONTRACTOR OR BUILDER N9 7455 Contractor's k License No. Subdi- vision Address of . Value of : ' I I Amount of / Building Project $ �t { II Permit $ t ", 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 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. 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 sI!OT 1E11* BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building 0 PERMIT N9 317 fl MIAMI SHORES VILLAGE, FLORIDA ❑ Work to be performed under this Permit B1 DATE 19 Contractor's • License No. Subdi- vision Value of II Amount of Project $ I I 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 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 inunicipal 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. Signed. 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 ac- cepting this permit I assupi responsibility y for. all work done by either, myself, my agent, servant or employee. t . • r :' • CONTRACTOR OR BUILD? BY AUTHORITY ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING ❑ MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 5201 Owner of Building Architect Contractor or Builder Legal Lot Description I 1 Bl Address of - •, r Building DATF — Contractor's License No. Work to be performed under this Permit 195 Subdi- vision Value of Amount of Project $ 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 thoro'tsgh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifidat and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 8 IOW OHIO egp. PRESIDENT Phono: (305) 635 -7551 - la _— 00MMonoaC o CM I u34P0a0 0 G3©CMc240a0 3340 N.W. 54th Street, Miami, Florida 33142 Owner's Name and Address A f .Fdp \ Q ea S e Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot /54 /' Block Street and Number where work is to be done STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed) CI ' spec 'n Council Approved 1 ss. 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. Building Inspector Subdivision. -gee/ / A3S' N• E. 9 State work to be done and purpose of building (by floors), state exterior colors (submit samples) ,140 , 'LAc° i l _ c. A� a< V/A V Remarks (Signed) -041. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation Roof Covering /aSU - Estimated Total cost of improvements S °° �. Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building S' -" 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 cp/ e — 33 v ,v. f ° S7/ .S' ni7A f�i � /5N 4 s lo- 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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. Date Read. Sworn to and Subscribed before me. Date PLANNING BOARD DATE Chairman Member Member Member Member Member Notary Public, State of Florida (z ,,1 yOlirPSQ_ • Date / " / /x/ 10(4 g c 7 19 ge No. A3 S Street iI /- E. C Ccixe . 1? 7 7 ,; 5 53 PI - /1 /J ,f9Se Li eC O and for no other purpose. to me well known, My Commission Expires Date Disapproved Date NOTE: A charge of $25.00 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.