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BUILDING PERMITMIAMI SHORES VILLAGE 4 4.4t BUILDING INSPECTION DEPARTMENT BUILDING INSPECTION DEPARTMENT PLICATION FOR BUILDING PERMIT Application is hereby maa e 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. 1 Date , , , 19 No Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. ss. Registered Architect and /or Name and address of licensed contractor___ __________________ Location and legal description of lot to be built on: Subdivision Lot -_ -_–_ Block ---_-----_ - ___ -- Street and Number where work is to be done State work to be done and purpose of building (by floors) // and for no other laurpose. New Building Remodeling Addition Rephirs No. of Stories 1 To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements I p $ , "*4 O — Amount of Permit $ t Distance to next nearest building �_Plan Cubage x r c am_ _ _ �__ /r Zone _ b required ._ 4 �" Size of Building Lot 1 r___ 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 dr 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) 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. 9 /1 1 Disapproved __ Date Notary Public, State of Florida ( Signed) d yam. Building Inspector My Commission Expires , Street 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. f•A A (1; t:e HDDRES5'.?,5 :.:. ;•,. ;J_3t St. LEGALLOt rU- �'1,1311(.:�5, ;i 5 RECORD GARBAGE TAX C u. ?.�7CC• !' AID BY , ^�U YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER J. t s,ar �o) /95 /a. o a /J-.7- /a. 6 ..- .moo -so /..) 33 e l e /9r-;Q '21. r' .6 if .ti, 1 d r 1 . ( - 3 / ® ? -J'/ /6 f1 If • INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION 1 DATE ROOF TEMPORARY SERVICE SEPTIC TANK BEAMS & LINTELS 1 TUB & TOP OUT POOL SEWER FRAMING AIR COND. fe tar. SOLAR HEATER J�• FINAL I I SCpiie i4L LL 9105. CLEAN UP SEPTIC TANK 1 SLAB $ S I SLAB SPECIALS PERMITS PERMIT NO. I DATE RE- INSPECT FEE TEMPORARY SERVICE BY 1 DATE $ TEMPORARY SERVICE SEPTIC TANK ROUGHING 1 TUB & TOP OUT $ SEWER RANGE CONN. $ $ fe tar. SOLAR HEATER J�• D.40>E' I I SCpiie i4L LL 9105. GAS SEPTIC TANK 1 $ S I FIXTURES & FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGH ING DATE FEE TEMPORARY SERVICE ROUGHING $ TUB & TOP OUT $ RANGE CONN. SEWER MOTORS RANGE CONN. $ FIXTURES SEPTIC TANK $ S SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR dens, , le'* Fie -r/' , PHONE PERMIT NO. / 4e. e,-, 1 DATE ia' 7 FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS RANGE CONN. $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECTI BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS .1e. Rams• PLUMBING PERMITS & INSPECTIONS $ CONTRACTOR ' eg." i►t . C(L $ 'N' 1 G PERMIT NO. 44 1 DATE 7* Co/ NEW BLDG. 1 ALTERATION 1 ADDITION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ Z — REPAIRS BY OWNER•S NAME M/ EL L. CG,gex. PRESENT ADDRESS 4 ZBS At. E. 9/ S T. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 2a N.&". �j / ST. LOT 2 4 21 BLOCK zS SUBDIVISION A ,Al.,,,, J Es Sec aa/ GENERAL CONTRACTOR �RJ 4.- C . ktga..12...1 S 0 �/ (� ADDRESS s 4 £. ..E c,. 2. Pr. PHONE NO, LICENSE NO. O42 o g' BUILDING PERMIT NO. 73�� DATE /� /� G� PERMIT FEE $ /6 BUILDER'S BOND NO. DATE HDO/ TI.OA ZONE REQUIREMENTS CU. FT. p PLAN CU'BE lc' CU. FT. ea_ �. EST. COST s 33 co I DRAW NGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: L. -'. (. , �+ .-.. £ L CL DATE / I - /L- 4.7 NEW CONSTRUCTION TYPE C.13 5 STORIES one 1 ROOF CONSTRUCTION f, 1d INTERIOR CONSTRUCTION I 2 CA (2.. C MA. 4- ` C Avv/ TI a REPAIRS DESCRIPTION // ConcL v -A (' 4...,- 6 1 4 PoJ 1 b /e� c4.)04.14 d.K CeA / /rs ALTERATION r/ DESCRIPTION r ra. r/e ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SURMITTFO TO VILLAGF COUNCIL REMARKS CERTIFICATF OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE BUILDING MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date I t t ed. I9 67 PLUMBING ❑ PERMIT N? 9386 Contractor's ROOFING ❑ License No. d,1 7 El Owner of Building Architect Contractor or Builder Legal Description Address of Building ❑ Work to be performed under this Permit 1 /1 A,4t11., L C it,c t�:. Lox I � Bl. ?.S -7 Irr 1. 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 anv 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 i 'a° ""(INSPECTOR) BY In c msideration of the issuance to me of this permit I agree o perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, Statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don6 by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY Subdi- Al ( vision Y t - — _ Sq. Ft. Value of 1 �,,� c�. Amount of /6,- �. ,t Project $ 1 1I Permit $ C:____ QWNER'S NAME HAZARD, J. A. JOB LOCATION (ST. OR AVE.) 285 N. E. 91st Street Dean R. Claussen r Lilt _.C''NG PERMIT NO GENERAL CONTRACTOR 8435 ZONE P EQUI REMENTS 20,000 DATE 11/1/49 CU. FT. LOT 20 & 21 ADDRESS 4 N. W. 95th Street PLAN CUBE PRESENT ADDRESS 25 BLOCK PERMIT FEE $ 17. 24,586 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JDH TYPE STORIES ROOF CONSTRUCTION X NEW CONSTRUCTION REPAIRS ALTERATION ADDITION SUBMITTED TO PLANNING BOARD RE:- SUBMITTED TO PLANNING BOARD 5 IBV''TED TO VILLAGE COUNCIL CBS CERTIFICATE OF OCCUPANCY NO. 841 1 2 car attached garage APPROVED REJECTED ISSUED 2 /4/50 DESCR IPTION DESCRIPTION REFERRED TO COUNCIL LICENSE NO. • Miami Shores CU. FT. PHONE NO. 78- 1144 NO. 8 5 1 DATE Iran$• EST. COST $ SUBDIVISION BUILDER'S BOND INTERIOR CONSTRUCTION Tile ak Floors - Plaster Walls Liv Rm - Din Rm - Kit - Glazed Porch - 3 Bed Rms - 2 Baths REMARKS tl .yam BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE REASONS PHONE NO. LICENSE NO. 34 13,000.00 DATE 11 / 1 /49 BY E TO J•c�• Hazard, 285 1173 91st St. INSPECTIONS DATE PERMIT NO. 8458 1 DATE 11/4/49 RE- INSPECT BY RE- INSPECT BY FOUNDATION 11/.1/49 � JDH TEMPORARY SERVICE 11/4/49 $ 1.00 $ BEAMS & LINTELS 15/I�.'9 ;PH $ SEWER $ FRAMING r� 1 1 2/13/49 YY JI)JA V S $ GAS S $ �1 ': $ S INSPECTIONS FINAL 1L� ~ 0 Jd/ +1 BY RE- INSPECT BY ROUGHING ''CLEAN -UP �H JD ROUGHING GAS CONTRACTOR Freelan Jones PHONE PERMIT NO. 8458 1 DATE 11/4/49 FEE $ 1 3. 00 NEW BLDG. X I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 11/4/49 $ 1.00 $ SEPTIC TANK S $ SEWER $ $ SOLAR HEATER S $ GAS S $ �1 ': $ S INSPECTIONS DATE B RE- INSPECT BY RE- INSPECT BY ROUGHING 11/4/49 �H JD ROUGHING GAS JDH .. F. H. W. HEATER CONN_ SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER. FIXTURES & FINAL FIXTURES 2/1./50 you JDH CONTRACTOR Jena in s Electric Go. PHONE FEE$ 16.35 PERMIT NO. 8612 DATE 12/12/49 NEW BLDG. Z 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 8459 11/4/49 $ 1.00 H. W. HEATER CONN. S RANGE CONN. $ I OTO R S S FIXTURES S �1 ': $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE •` w <� _ + ROUGHING 12/13/49 JDH .. F. H. W. HEATER CONN_ RANGE CONN. FIXTURES & FINAL 2/1; 1./.1 :7) BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 2/14/50 BY JD3 N° 841 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , ; .� Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks • This Certificate of Occupancy is issued to the above named for building at above named location only upon the "press provision that the applicant will abide by and comply with all conditions of Orckinancfs Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building OrdYnan � of Miami Shores Village pertaining to the erection, construction, alteration or remodeling � buildings or structures. BUILDING DIVISION 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 oz 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 her 'n specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date � � - -- Owner's Name and Address.-` - _ \,... . - -_ -= , : - -_ - -- No. t- &$treet__ R \ Registered Architect and /or Engineer. -_ ` .. •.�.� _._@ ° S_ Name and address of licensed contractor_ .. _ C4 • IA 0 Location and legal description of lot to be built on: Lot_ ..-Z t' \ Block Th.- _. ___ _ Subdivision 11_i..-- &.►__. _ -I - Street and Number where work is to be done State work to be done and purpose of building (by floors)._ and for no other purpose. New Building __ ✓ Remodeling Addition Repairs No. of Stories 1 To be constructed of CA Kind of foundation.. $ f Covering__ - _ Estimated Total cost of improvements $ 3 Q a". Amount of Permit $ l':- d am 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 u m t all the plans and s. - ifications foi said building. All notices with reference to the building and its construction may be sent to_- _�V > ��✓ STATE OF FLORIDA, COUNTY OF DADE. ss. The undersigned applicant for this building permit doe hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 5968, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice fi t, or notices as are required by the Act. The undersigned agrees to employ only such sub .ntractors, on rk to be performed under this permit, as are licensed by Miami Shores Village. N v N --- � � Remarks -- -- -- - - - -- ------------- - - - - -- --- - - -- --- (Si d) _ a ��) � ),, Before me, undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peased 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. 3� Permit No Date__ -. /1— - " Disapproved Date Signed) (,�� 4 - - ' ' _�1. Chairman _ Member :Member _ Council Approved uilding Inspect T� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT NING BOARD__ _ NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. _Date Member Member Member . _. Disapproved Notary Public, State of Florida My Commission Expires__ DATE to me well known, Read, Sworn to and Subscribed before me. Date 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 FINAL KITCHEN CABINETS 1 ///)(144' Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP -19657 Permit Number: BP2005 -291 Inspection Date: 06/12/2006 Inspector: Grande, Claudio Owner: DOMLESKY, ROBERT Job Address: 285 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: ASCUNCE ELECTRICAL CONSTRUCTION INC Building Deaartment Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number Parcel Number 1132060133460 Lot: Phone: 305/756 -2892 Friday, June 9, 2006 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/17/2005 Applicant: JANINE DOMLESKY Owner: DOMLESKY JANINE JOB ADDRESS: 285 NE 91 ST Contractor Local Phone: Parcel # 1132060133460 Fees: Description Amount FEE2005 -3476 Building Fee $225.00 FEE2005 -3477 CCF $1.80 FEE2005 -3478 Notary Fee $5.00 FEE2005 -3479 Training and Education Fee $0.60 FEE2005 -3480 Technology Fee $5.63 FEE2005 -3481 Scanning Fee $15.00 FEE2005 -3482 Submittal Fee ($50.00) Total Fees: $203.03 Total Fees: $203.03 Total Receipts: $0.00 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 20 & 21 BLK 25 LOT SIZE Permit Status: APPROVED Permit Expiration: 8/29/2005 Construction Value: $2,750.00 Work: REMODEL KITCHEN Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -291 Contractor's Address: Page 1 of 1 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: BUILDING LIDING PERMIT APPLICATION F B(1 2001 Permit Type (circle): Owner's Name (Fee Simple Tit ► co er) ext TTe§ i e .l ___ Phone 77g IP-7S' ()«,►ci /Witless g S _&) __ gL t AsAt ('ile Miami Slate F L_ '1enanl /I,essee Nan►e ftp_t_ Phone # .lot► Address (where the work is being done) 25 S C:. City Miami Shores Village County Miami-Dade Is Building Historically Designated YES Contractor's Company Name _ 5E S CAACdsc Phone # Contractor's Address r'il Slate Zip Onafiliet `;fate Certificate or Registration No. Certificate of Competency No. Architect /Engineer's Name (if applicable) O Phone 11 • h Value of Work For this Permit. 7 1 vpe of Work: ❑Addition [1/�Alteration ❑New ❑ Repair /Replace I)eseribeWork: KL- -i-Chev\ . rvC11 el — 1leus c 6 S, Si o . L Submittal Fee S Notary Q S"" 'Training /Education Fee $ r tc Scanning S 1 C Radon $ ('ode Enforcement $ 'I ol:rl Fee Now Due $ t Continued on opposite side) * * * * * * * * * * * * * * * * * * * *** * * ** Fees * * * * * ** ** * ** * ** * * * * * * * * * ** * **>* Permit Fee $ Q .5 CCF $ CO /CC tt N Jl1 V.L %/ 1J ♦ l.1l %A, t± Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plun>timg Mechanical Rooting Zoning Structural Plan Review. $ (it Sr 61 Permit No. G ► ✓-�� ®5 I aster Permit No. Zip 33I3g Technology Fee $ zip 331 Square Footage Of Work: x.55, 2S Bond $ 7 ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicabl Mortgage Lender's,Ad City Tlf Application is Hereby male to obtain a permit to do the work and installations as indicated. I certify that no wort: or installation has commenced prior to the issuance of a permit and that all work will be performed to iueet 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 clone in compliance with all applicable laws regulating construction and zoning. "WARNING '1'O OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOIIIt PAYING TWICE FOR IMPROVEMENTS '1'0 YOIJIt PROPERTY. IF YOU INTEND '1'O 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 $2500, 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 properly is subject to attachment. Also, a cerh /ted copy of the recorded notice of commencement must be posted nI the jib 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. Signaler ---. O 'rarer or Agent The foregoing instrument was acknowledged before me this aL day of 7 / 4 M L20 OS , by j who is personally known ton rem has produced /r (il NOTARY P Print: __ —_ My Commission Expires: * * * * * ** * *> tip * * *** * ** * * * * * * * * * * ** * * * * * * * * * ** *************** * * * * * *** ** ** ** *4 ** * * * **4** ** ** APPLICATION APPROVED BY: Cho 05/13/03 State State A 0 Signature Zip /OA d who did tal e an oath. ,RY.?`' Ginty H fl onel l ssion #DD323870 •. Ezpiies:: - May 26, 20 9 OF F1•P �,{ I Li U6 l on i o �c )II'eS: ********************************** * * * * * * * * * * * * * * * * * * * * * * ** * * ** * ** ip T Contractor The foregoing instrument was acknowledged before me this lay of , 20 _, by who is personally known to me or who has produced _ _ as identification and who did Take an oath. NOTARY PUBLIC: **************** * * * * * * * * * * * * * * * * * * * *4 * * * * ++44 ** * * * *.1. - 8 Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 /A Owner's Name and Address .7 67 ,4 No. 6 r /0 street f(2. Registered Architect and/or Engineer.. Name and address of licensed contractor VI / 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 4, (7- and for no other purpose. New Building / Remodeling Addition 4 - 1 '-'.. Repairs No. of Stories t ; To be constructed of_.24 . , . Kind of foundation j-, ,, ' Roof Covering < , 2 Estimated Total cost of improvements $ < 2 Amount of Permit $ 2 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 doc 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. 4 Remarks_ ... ( Signed 00 ?6,y STATE OF FLORIDA, COUNTY OF DADE. ". 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 9,iff Date__ .7..2 --- .4: — t 7 Read, Sworn to and Subscribed before me. Disapproved ..._ . _ . Date__ ( Signed) ____ZCI. .,.../..-64 Building I ctor 401. My Commission Expires._ ) Notary Public, State of Florida 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 51.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of CC mencement. 1. Legal description of property and street address: s- 2. Des r' tion of i rovement: ,a` t. t 3.'Owner(s) name and address: Interest in property: No Name and address of fee simple titleholder: 4. Contractor's name and address; /17 W 5. Surety:(Payment bond required by owner from con Name and address: / Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by 0 by Section 713.13(1)(a)7., Florida Statutes, Name and address: 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: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 yeq..r l different date is specified) 4� S nature 01 Owner Print Owners Name /1 R 1 � 4-ti L� A Sworn to and subscribed befOre — _ ' th6s � Notary Public Print Notary's Name My Commission Expires: NOTICE OF COMMENCEMENT N ct4 3/S 94-R255510 1994 MAY 25 13:17 D '�� c —ci jV, 3_6 el- OM Itik e v 1. .)6 I l Qs+ --4 - Ft' it 4-37 /✓ Gr 9//s-/_ STATE OF FLORIDA, COUNTY OF DADS kiErtE67 CERTIFY f a this is a fruo copy of Pho o iaina i1.J.in fa .s o • 1:4 an a S day o.1 W MESS nd d of Icioi So_I. whom notices •r other documents may be s rved as provided trrthe date of recording unless a y r. i C C is Q iCtP.L� iA S's AL D M 1i.L1 ON NO C }tP red by: c �L,1�4 t a , 19 9' MMI Sio;3 :r i . ,'�'{ <. 14,1 9 3 Address: 9 t }YC.d / dT Gf 4 dl d j 123.01 -52 2/93 MET RO -OADE Applicant Pioneer Concrete Tile 1340 SW 34 Avenue Deerfield Beach, Fl 33442 Category: Sub - Category: . Tvpe: Sub -Type Pioneer Concrete Tile is a domestic manufacturer of extruded concrete roof tile with manufacturing plants stretching from theWest Coast to the Southeast. Products are fabricated from Portland Cement; placticizer, iron and chrome oxides, and blended aggregates. Tiles are available in two profiles, and seven varietys for nail -on systems including 'Hacienda', 'Rustic Shake', 'Spanish S', 'Shake', 'Slate', Regal and '9" Flat. Tiles are also available in three varietys for mortar -set application. All profiles are available in a variety of colors, out of which are shown in sales brochures. Pioneer tile is fabricated with a wide ridged and grooved sidelap providing a water channel at veritical joints. The ridged sidelaps provide a self aligning function, creating a uniformity in appearance. Matching trim pieces are manufactured for all profiles and form a part of -all Product Control Approvals. Pioneer markets a full tile system including all accessories required to construct a tile system. Pioneer Concrete Tile produces concrete tile for both nail -on and mortar -set applications. The minimum roof slope for all Pioneer Roof Tile slope is 2" : 12 ". Pioneer Concrete roof tiles have been tested in compliance with all South Florida Building Code requirements for nail -on concrete tile applications. THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT CONTROL APPROVA #90- 0711.02R, #90- 0711.01, #90- 0711.03, #92- 1114.01, #94- 0106.11 Product Control Notice of Acceptance Roofing System Approval Prepared Roofing Tile Nail - on/Mortar -Set Concrete Contact: Dave Snyder, Gary Reed 1340 SW 34 Avenue Deerfield Beach, Fl 33442 (800) 624-4152 System Description 000002 METROPOLITAN DADE COUNTY. FLORIDA _ METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 Product Control No: 4- 3 9 4 Approval Date: Expiration Date: mAR 1 4 19 g ' Gil Diamond, P.E. l(7 Date _ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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-- -___ 1Ovemhes 11 ,19.ZQ Owner's Name and Addressn tat___Danie1__L.e.__C1ar$ _ No._285 Street 91 • Registered Architect and /or Engineer Name and address of licensed contractor__Airk.0__Air__ CQfldit.i.OY1ing__ -C.O • QQ __KA___ • 4th - _ Jt.e M1aari, 21A• Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 285_.x,_ - State work to be done and purpose of building (by floors )___InBt.a l__G.___E.e____0-Ondl._ -..0 it _liQd, #Z19kB __ and WE960 . -a? r_-- handler, _ _Ai.r___ handler ___.in__zarag,e- _clOS _et., aOnd. - - -. unit___ near .__kitzhens__mindous___next Jd�__ as;3 s__uall. __ 1) 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 $_15500.00 Amount of Permit $ • 00 Zone cubage required plan Cubage__ Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor__ .. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors 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 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 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 0� ' C...7 Date_ Disapproved (Signed) (Signed) to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector / My Commission Expires PL z► ' ING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss• Disapproved ti Date__. (Signed) Building In4pector 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. f' Date // Owner's Name and Address A ' h ' f , 1 ' N No Street Registered Architect and /or Engineer � 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 G. G..- �: - �, ' a. State work to be done and purpose of building (by floors) '- 't 42 - _ � � . � - --� -- -- -J � ---- CZ and for no other purpose. =r Addition Repairs No. of Stories ,19'% New Building Remodeling To be constructed of Kind of foundation Roof Covering � � Estimated Total cost of improvements $ l Amount of Permit $ '7 Zone cubage required -Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to -_ The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) ( 't t2 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 4 i Date 1 ' ' L� Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan 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. k METRG^DADE Pioneer Concrete Tile 1340 SW 34th Avenue Deerfield Beach, FL 33442 ACCEPTANCE No: 94- 0309.04 EXPIRES: MnQ 1 4 19197 APPROVED: PRODUCT CONTROL NOTICE OF ACCEPTANCE Your application for Product Approval of Pioneer Concrete under Chapter 8 of 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 Construction Research Laboratory, Inc. and Professional Service Industries, Inc., has'been recommended for acceptance by th Building Code Compliance Office to be used in Dade County, Florida under the Specific Conditions set forth in pages 2 et seq. and in the Standard Conditions detailed on page 3. The Approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to require retesting of this system within the fast two years of the approval should any amen dnjei is to the S •uth Florida Building code be enacted affecting this component or roof system. 1 4 1994 - * *PLEASE NOTE ** THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. • This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. - THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT CONTROL APPROVAL 90- 0711.02R, #9.0- 0711.01, #90- 0711.03 & 92- 1114.01, #94- 0106.11 - 000(m1 METROPOLITAN DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 it Diamond, P:E. Product Control Division Supervisor Charles Danger Building Code Compliance Department Metropolitan Dade County NAIL-ON - Hacienda Shake Slate Rustic Shake Spanish "S" Regal 9" Flat Material Material Wood, Nail -on System Trade Names Maximum Design Velocity Pressure Design Velocity Pressure Wood, Non - insulated psf (See Comments and Limitations) Maximum Fire Classification Classification Class A MORTAR -SET 2 Peice Barrel Spanish 'S' 9" Flat 00.0003 Product Control No.: 94- 0309.04 il- Diamond, P.E. Shake or Slate Hacienda Rustic Shakes Spanish "S" 1 Trade Names of Products Manufactured or Labeled by Applicant Product Dimensions 17W x 13" 17'/. "x13" 17 -1/2" x 13" 17 -1/2" x 13" Test Specifications PA 112 Product Control No Product Description Interlocking, high pressure, flat, extruded concrete tile with a wide ridged and grooved sidelap; has two cast -in nail holes. PA 112 Interlocking, double roll, high pressure extruded concrete tile with two cast -in nail holes; has a wide ridged and grooved side lap. PA 112 Interlocking, flat with scored surface, high pressure extruded concrete tile with a wide ridged and gooved sidelap; has two cast -in nail holes. PA 112 Interlocking, Mission S- shaped, high pressure extruded concrete tile with a wide ridged and gooved sidelap; has two cast -in nail holes. Product - Dimensions Test Specifications #30 Felt ASTM D 226, type II #43 Base Sheet ASTM D 2626 Mineral Surface Cap ASTM D 249 Sheet Asphalt Primer Mopping Asphalt _ Valley Flashing Drip Edge Wood Battens _ RooSng Nails Flashing Cement Trade Names of Products Manufactured by Others Min. 26 ga, x 16" ASTM A 525 Min. 26 ga., 2" x ASTM A 525 Min. 1" x 2" for horizontal, 1" x 4" for vertical Kin. 12 ga. x 1" ASTM D 41 ASTM D 312, type III or type Iv LP -2 ASTM A 641 Product - Description Product Control No :. Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single ply underlayment. Mineral surfaced asphalt roll roofing. Cut back, asphalt based coating used to facilitate adhesion of dissimilar materials. Asphalt for bonding the mineral surface cap sheet to the base sheet. ASTM D 4586 Cut back, asphalt based, fiber - reinforced trowel grade cement for flashing and repair applications. Galvanized steel valley flashing. Pressure treated wood battens. Corrosion resis nails. • . ..000 - - Gil Diamond, Galvanized steel drip edge. roofing Manufacturer generic generic generic generic generic generic generic generic generic generic - .' Tin Caps Tile Nails Hurricane Clip PA 114 Galvanized , bronze, aluminum, plastic, or stainless steel attachment clip for high windareas. Hurricane Clip Fasteners Tile Adhesive Min. 32 ga. X. - . Corrosion resistant circular generic • ' 1 -5/8 " - - discs. - - Min. 11 ga. ASTMA641 8x 2" PA114 ASTM D 3498 Structural bonding . Ohio Sealants,.Inc. adhesive for roof tile. -0:0 0 0 6 ' Corrosion resistant nails. generic Nail heads shall exceed the size of nail holes in tile. Compatible fastener for generic . clip generic Construction Research 45750 Wind Driven Rain Laboratory, Inc. Infiltration Resistance Test Agency Test Identifier Professional Service x395 -00074 Material Properties Test - 10/16/91 Industries, Inc. (Water Absorption and Breaking Strength) P5749 Wind Driven Rain 02/25/93 Infiltration Resistance 5613 Wind Driven Rain 04/01/93 Infiltration Resistance 45613 Uplift Approvals; Static 04/02/93 Pressure Structural Uplift Resistance • Test Reports . 000007 Test Name/Report Gil Diamond, P Product Control No.: Date 02/26/93 U:1/ 1Z/ b4 Ub:l4 C��Ub j1 213Ub 03 -15 -1994 09:20(4x1 Systems Deck Type 1: Wood, non - insulated Deck Description: New construction, 19132" or greater plywood or wood plank Slope Range: 2 ":12' to <4 ":1Z" System A. • anchor sheet. Head laps shall be minimum 2 ", Underlayment: Any approved No. 30 or No. 43 organic side laps shall be minimum 6 ". 12" grid. 6" o_c at the laps. ows Fes' Nails and tin caps, two (2) r surfaced rolled roofing applied in hot asphalt or cold process eurn eat Membrane: Seed e ?vlodcl Tile Specifications). Head laps shall be minimum 2', side laps shall be n (See minimum 6 ". Vertical battens shall be installed on roof slopes of 2 ":12" to <4 ":12 ". Vertical Battens: e treated. Battens shall be set in a max.1/8" thick continuous Min. 1 " x 4 " prey bed of compatible Bashing cement and secured through through the sheathing into the top cord of the truss with approved fasteners. - Horizontal battens shall be installed on roof slopes 2 ":12" tb <4 ":12 ". HorizontalBattens: of Horizontal battens shall be installed over the vertical battens. Battens shall be spaced to head lap, unless an approved headlap configuration which has allow for a 3" minimum P r x 2" or 1" x 4". resistant been tested for water infiltration is used. Batten size sh lumber and shall be all installed x n All battens shall be pressure treated or decay resistant wrist compliance with the manufacturer's application instructions and the Metro -Dade Model Nail -on Tile specification hap be installed in compliance with the Metro Dade County Model c Roofing Tile: The rile system cation (Appendix 'X of the South Florida Building Code), utilizing the components on Tito listed in set forth in f�iis Product Control Approval. componenu listed in the Products Listings' t with the application met3nods Applications, as detailed in the test reports, are consisten stated in the execution section of said model specification- Maximum To be completed by May 30.1994. Refer to Limitation No. 6. Aerodynamic Ove tuning Moment: substrate. Comments: plywood re -roof applications. 15!32" ply is an acceptable =G00008. - 305 SY5 2908 Product Control No P. 02 Deck Type 1: Deck Description: Slope Range: • _ System B. Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overtuning Moment: Comments: - Wood, non - insulated New construction, 19/32" or greater plywood or wood plank. 2 ":12" to <4 ":12" Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6 "o.c. at laps. Any self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical battens shall be installed on roof slopes of 2 ":12" to <4 ":12 ". Min. 1" x 4" pressure treated lumber. Battens shall be set in a max. 1/8" thick continuous bed of compatible flashing cement and secured through the sheathing into the top cord of the truss with approved fasteners. Horizontal battens shall be installed on roof slopes of 2 ":12" to <4 ":12 ". Horizontal battens shall be installed over the vertical battens. Battens shall be spaced to allow for a 3" minimum head lap, unless an approved headlap configuration which has been tested for water infiltration is used. Batten size shall be nominal 2" x 2" or 1" x 4 ". All battens shall be pressure treated or decay resistant lumber and shall be installed in strict compliance with the manufacturer's application instructions and the Metro -Dade Model Nail -on Tile specification. The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate: 000009 _ • Gil Diamond, P. Deck Type 1A: Deck Description: Slope_Range: - System A_ Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overtuning Moment: Comments: Deck Description: Slope Range: - System B. Underlayment: - Fastening: Membrane: Deck Type 1A: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overtuning Moment: Comrnents: Wood, non - insulated • New construction, 19/32" or greater plywood or wood plank. 4 ":12" to 7 ":12 ". Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6". Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head laps shall be minimum 2 ",side laps shall be minimum 6 ". Vertical battens are optional for roof slopes of 4 ":12" to 7 ":12" Horizontal battens are optional for roof slopes of 4 ":12" to 7 ":12" The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'X of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. - Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6. For re -roof applications, 15132" plywood is an acceptable substrate. Wood, non - insulated New construction, 19/32" or greater plywood or wood plank 4 ":12" to 7 ":12" Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6 "o.c. at laps. Any self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical battens are optional for roof slopes of 4 ":12" to 7 ":12" - Horizontal batiens are optional for roof slopes of 4 ":12" to 7 " :12" The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'W of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Control • _ Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in theexecution section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6. - For re -roof applications, 15 /32 "_pl }wood is an acceptable substrate. ,c•o 0 Deck - Type 1B: Deck Description: Slope Range: System A Underlayment: Fastening: Membrane: Vertical Battens: • Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overtuning Moment: Comments: - Wood, nun - insulated New construction, 19/32" or gieater plywood or wood - >7 ":12" Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Vertical battens are optional for roof slopes >7 ":12 ". Horizontal battens shall be installed on roof slopes >7 ":12 ". Horizontal battens shall be minimum 1" x 2" treated lumber shall be installed directly to the deck in a maximum 1 /8" thick bed of flashing cement and secured through the sheathing into the top truss cord with approved fasteners at a maximum rate of 24" o.c.. Spacing shall be in compliance with the Metro -Dade County Model Nail -on Tile Specifications and the manufacturer's recommendations. The Metro-Dade Specification shall take precedence. The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Control Approval_ Applications, as detailed in the test reports, are consistent with the application n,cdnods stated in the execution section of said model spccificztion. To be completed by May 30, 1994. Refer to Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate: 0000 _.D eck Type 1B: . Deck Description: Slope Range: _ _ System B. Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: 1vl.tXitnum Wood,. non - insulated s7 ":12" New construction, 19(32" or greater plywood or wood plank. Any approved No. 30 or No. 43 organic anchor sheet. Had laps shall be minimum 2", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12 grid, 6 "o.c. at laps. Arty self- adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical battens are optional for roof slopes >7 ":12 ". Horizontal batters shall be installed on roof slopes >7 ":12 ". Horizontal battens shall be minimum 1' x 2" treated lumber shall be installed directly to the deck in a maximum 1/3" thick bed of flashing cement and secured through the sheathing into the top truss cord with approved fasteners at a maximum rate of 24" o.c.. Spacing shall be in compliance with the Metro -Dade County Model Nail -on Tile Specifications and the manufacturer's recommendations. The Metro -Dade Specification shall take precedence. The tile system shall be installed in compliance with the Meuo Dade County Model Nail -on Tile Specification (Appendix 'NV of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6. Aerodynamic Overturning Moment: Comments: For re -roof applications, 15/32" plywood is an acceptable substrate. C0_0012 . - Gil Diamond, P. Deck Type 2: Wood, non insulated, mortar set Deck Description: New construction, 19/32" or greater plywood plank Slope Range: 2 ":12 to 7 ": 12 System A. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ",side laps shall be minimum 6" Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. . Membrane: Any approved mineral surfaced rolled roofing appliied in hot ashpalt or cold process cement (see Model Tile Specifications): Head lap shall be minimum 2" and side lap shall be minimum 6 ". Vertical Battens: None Horizontal Battens: None Mortar /Adhesive Approved mortar shall be used. All tile shall be set in a mortar patty as set forth in the Model Mortar -Set Tile Specifications. Mortar shall be Type "M" mixed in ratio set forth in the 'Products by Others'. Any adhesive application shall be applied as set forth in the adhesive Product Control Approval. All tile and accessories shall be installed in compliance with /system #3 of the Dade County Model Tile Specification. Roofing Tile: Maximum Design Velocity Pressure: Comments: Install one of the following profiles: Concrete Barrel, Spanish "S ", or 9" Flat Concrete. The tile system shall be installed in compliance with the Metro Dade County Model Mortar /Adhesive -set Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated iu the execution section of said model specification. See Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate. On slopes 5 ":12" to 6 ":12 ", the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses shall be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail per every 2 ft For pitches from 6 ":12 to 7 ":12, every third tile of every fifth course, beginning with the eight course, shall be nailed. On slopes>7 ":12" all provisions of 'System 1' of the Dade County Model Horizontal Batten Nail -on Tile Specifications shall apply. 000013 Product Control No.: 94- 0309.04 Gil Di. ' ond, P.E. . . Velocity Pressure: Comments: Product Control No.: 94- 0309.04 Deck Type 2: _ Wood, non insulated, mortar set Deck Description: New construction, 19/32" or greater plywood plank Slope Range: 2 ":12 to.7 ": 12 System B. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2" side laps shall be minimum 6 ". Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Membrane: Any mineral surfaced, self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical Battens: None Horizontal Battens: None Mortar /Adhesive Approved mortar shall be used. All tile shall be set in a mortar patty as set forth in the Model Mortar -Set Tile Specifications. Mortar shall be Type "M" mixed in ratio set forth in the 'Products by Others'. Any adhesive application shall be applied as set forth in the adhesive Product Control Approval. All tile and accessories shall be installed in compliance with /system 4'3 of the Dade County Model Tile Specification. Roofing Tile: Install one of the following profiles: Concrete Barrel, Spanish "S ", or 9" Flat Concrete. The tile system shall be installed in compliance with the Metro Dade County Model Mortar /Adhesive -set Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. Maximum Design See Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate. On slopes 5 ":12" to 6 ":12 ", the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses shall be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail per every 2 ft For pitches from 6 ":12 to 7 ":12, every third tile of every fifth course, beginning with the eight course, shall be nailed. On slopes>7 ":12" all provisions of 'System 1' of the Dade County Model Horizontal Batten Nail -on Tile Specifications shall apply. Limitations: 1. This roof system assembly may be applied to roof slopes of 2 ":12" and greater. 2. Vertical and horizontal battens shall be used on all tile applications on slopes of 2 ":12" to 4 ":12 ". 3. Horizontal battens shall be used on all tile applications on slopes of ?7 ":12 ". 4. Nails for attachment of tile shall have heads larger than the pre - formed nail holes in the tile. 5. All nails shall be corrosion resistant. Exposed nails shall be hot dipped galvanized, stainless steel, or copper only. 6. Allowable height above ground shall not exceed a maximum height of 45' for non -coastal, 30' in Coastal Area 1 and 2, and only by job approval from the Chief Product Control Compliance Officer in Coastal Area 3. 7. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 8. All tiles shall bear the imprint of the manufacturer's name or logo, as noted attached, to permit identification in the field. 9. The manufacturer shall retain the services of an independent testing laboratory to maintain quality control. Testing shall be performed on a minimum of five (5) tiles every three (3) months, for strength according to Section 3404 of the South Florida Building Code, and for moisture absorption according to PA 112. Test samples shall be selected by a laboratory according to ASTM D 3665. Results shall be forwarded to Dade County Product Control Section. Test reports shall bear a description of the tile by material and color, i.e. cement, grey. 10. All domestic distributors of foreign manufactured tile shall have a completed distribution agreement filed with the Metro Dade County Office of Code Compliance confirming the distributor's agreement to adhere to the conditions of this report. 11. Pioneer Concrete Tile shall be installed in strict compliance with the application instructions noted herein as well as the manufacturer's and Metro Dade County specifications and application instructions. The Metro Dade County Model Tile Specification shall take precedence. 12. The use of all pre-formed and specialty tile tested is required as it forms an intricate part of these Product • Control Approval tests. 13. Applications for roofing permits must be accompanied by Section II of the Uniform Building Permit, clearly indicating the extent of the-work to be performed, along with current manufacturer's specifications and details. In . addition, a copy of this approval shall be attached to the permit application. Reference shall be made to all appropriate data for the required fire rating. - - 000015 . Approved: Expires: 14. The following documents were submitted with the application: J Product literature on the following profiles: Hacienda Rustic Shake Spanish 'S' Shake Slate 9" Flat 2 Peice Barrel Spanish Product profile drawings Application Instructions il Diamond P.E. Metropolitan Dade County Office of Code Compliance . r- 1. Extension of Acceptance may be considered after a new application has been filed and the supporting data, ' test reports no older than ten (10) years, have been re -evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically • be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising puiposes. 5. The Notice of Acceptance number preceded by the words 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. 6. Product approval drawings, where required for.permit applications, shall be provided to the applicant by the manufacturer or his distributors; unless otherwise noted in the Notice of Acceptance. The prints need -not be re- sealed by an engineer. - 7. An annual certificate confirming listing with Factory Mutual Research and Undenvriters Laboratories or • such other listing agency approved by the Office of Code Compliance shall be submitted on or around the first of April annually. 3. Failure to comply with Standard Conditions shall be cause for termination of Approval. NOTICE OF ACCEPTANCE: STANDARD CONDITIONS • METRO -DADE ELAGLER BUILDING . BUILDING CODE COMPLIANCE DEPARTMENT .SUITE 1603 - METRO -OAOE FLAGLER BUILDING - 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 _ FAX (305) 375 -2908 Diamond, P.E. , roduct Control Division Supervisor - - GO0017 - - E.LD TILES Hacienda _ TRIM TILES Hacienda UNIVERSAL RAKE GOCOi8 Shake or Slate Hacienda, Shake, Slate Trim HIP & RIDGE 3 - 1/4 ". _ .SPANISH "S" GOG019 4 Technical Data 5 HEAD OF TILE 2 -1/2" • 5 " echnica Data SPANISH "$" CUs . 000020 000021 - Da a . - - - BARREL -- 1/2" TYP , 0 ,r- 0 V3 it ri 4 . 95" 0 f { 75' 9S'-- Technica =l Data Rustic Shake and Slate - . -. 0 - - . 1 :3-75' Rake Trim • Rustic Shake and Slate Tile Technica Data 1 4-3.5' ;-4 1 1 APR 14 '94 16:00 ATLAS MERIDIAN 1-601-483-7344 P.1 TLAS ROOFING CORPORATION April 14, 1994 Attn: B.J. RE: ASTM 90#, Slate Underlayment 61 Lineral Surface Dade &. J. . : County Approved 'This -will serve as certification tat. the above-referenced • -.material (specifically labeled as above) produced •by Atlas Roofing Corporation meets the following A.S.T.M. ' .,,JSpecificaticns: ASTM 90# Slate Underlayment . .ad' 90# Mineral Surface --meets -ASTM Specification D2491 Type II The Atlas Specification #90' Slate Underlayment, referenced :above, meets Dade County Building Code's weight requirements. --OrklY-ASTM 90# -Mineral Surf ce and -ASTU-S1 ate --Underlayment marked and stamped A meet Dade County . Sincerely,' Lindy. RaY Market Manager . 4,114.bd COUNTY OF LAUDERDALE STATE _OFAISSISSIPPI -- :'Sworn-tcand subscribed .before Me 1993 • Notary -Public this the 14 day. of April \ iilui ltoOFING MANUFACTURING, INC. Fed Spec3.ficaLiori - 1llilt - 595B, 'ijjpe 30 P.O. IJOX• 4013 5 3050 WARRIOR ROAD:. '['USCXLOOSA, ALABAMA 35404 -0185 205/553-1 • TAX: 205/553-1755 ' Warrior Roofing ' s 430 asphalt szitu aged organic felt is lik"tnufactured {;o ' inee L ' or' exceed the loilowi.ug :. . • • • TS'1M - D226, Type :L:1: • - cumonly called Na . 30 Asphalt Felt ' • U.: L.. Specification - U. L:' t t:. BSA •for Type .30 Asphalt • Saturated Organic felt • Dimensions aricl: s pecifications o 1 `]o. 30 Aspl,a].t.VelL are: • Width of Roll: 3G" 4, ;'1 Net Mass of Saturated felt:: ,.251b/100 'it. Area: 216'• square feel: • riot Muse • u.0 Saturant: 15.0 lb /100 fL•. '112e •Weight: oC the asphalt saturant shall not L. less than ]..5 tines the weight of the moisture free. Celt; and the 8aLura'Lion efficiency shall not: be less than '70% for '1ype : 30 aspa'ait. Satul:atecl felt. • The rolls are wraplec.1 securely and the manufact:urers' Ilan , brand nei and specification mulcings are evident on the iabe :1. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT NQ ROBING . ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building LC .4; � Lot CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit • BI 9489 Date Contractor's License No. /`- Subdi- vision Sq. Ft. Value of , , I I 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 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) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, 9ey agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA 0 ❑ DATE f t 195_1- 0 PERMIT N? 6382 Contractor s License No. 0 '0 CONTRACTOR OR BUILDER Work to be performed under this Permit B1 Subdi- vision Value of 11 Amount of Project $ 1! Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. o Signed. a 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 thin permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Mr. J. A. Base* 245 M• E. 91st Street Mimi, Florida Dear Mr. Hazards JLianli cJ boresiillage F L O R ID A Marsh 2 7, 1 95 0 In aooc dance with your request of this date. we offer the following information re arding your residence at the above address. Building Permit issued 11/1,/49 Certificate of 0aoupancy issued 2/14/50 Percent complete January 1, 1950 - 821 .estimated cast oi' conetruotiaoa - 43,000.00 Cubical Content - 24,586 cu. rt. We trust this is the infurxaati. si you desire. Yours very truly. JD4/h j John D. l aneo1l Building .ind Zoning Director COPY ' f . • Mr. Freelan Jones 7th Avenue Plumbing 9536 N. W. 7th Avenue Miami. iloridn ddlianli cShores d illage F L O R I D A November 13, 1949 BY: JD:i/hj John D. iiansell Building and Zoning Director Dear ;'4r. Jones* We are herewith returning your check in the amount of $8.75, which was payment for Permit #8514, issued for plumbing work to be done at 285 N. I. 91st Street for J. r:. Hazard, as Perrd t #8458 wee issued on November 4, 1949, covering this work. Yours very truly, .;: AMI . °xii)R.:' VILL &.UE CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and property may be re- occupied by the above applicant for single - family residential purposes such LAME SHORES VILLAGE, FLORIDA By. r Date of Certification: PAGE 2 OF 2 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIME SHORES VILLAGE AND HAS BEEN DETERMIiNED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPIMENr CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMLNE THE CONDITION, THEREOF. I, to re- occupy the single family residence known as : (address) ;8674 9 / Legal Description: Comments: Lot: BIock PB & PG: Applicant Inspected by, APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY +- , Miami Shores, Florida. I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single-family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Print Name � * * * * * * * * * * * * * * * * * * * * ** *** 17«* * # * * * * * * * * * * * * ** * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Mlarni Shores Land Development and Zoning Code, please contact: Contact Name: fG/,(rF ci)Aow,47-4/ Telephone: 35 76719 7 Buyer Seller Realtor ✓Company Name /gyp AO SGHA g . /NC. Application Fee (550) paid: Cash Check No. Approved l/ Denied PAGE I OF 2 , hereby apply for a certificate Date /9/ Date CER I Ir ICATE OF RE-OCCUPANCY On behalf of ''Miami Shores Village, Florida, the undersigied certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single- family residential purposes. PAGE 2 OF 2 MIAMI SHORES VILLAGE, FLORIDA By. Date of Certification: THIS CER 1"li -ICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES Vn.LAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH O•E- FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERES 1 ED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMENE THE CONDITION, THEREOF. I, APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY to re- occupy the single family residence known as : (address) ,?8s" 4c 9/ . Legal Description: Lot: Block PB & PG: Applicant Print Name Inspected by, Comments: T• ,- I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re-Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. , Miami Shores, Florida. hereby apply for a certificate Date ‘--Z9-- * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * * ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: il/,rf ca0f 4, 1 ,7V / Telephone: 35 7 7 9 Buyer Application Fee ($50) paid: Cash Seller Realtor ✓Company Namef,(p SGNA gEfi2 / NC. Check No. Approved l/ Denied Date Z r 1 � PAGE I OF 2 •r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r 28 E N .E. 115•f. sik,re TaxFolio Job Address Date Legal Description Owner/Lessee / Tenant [l b rey ,Q ke r Owner's Address 2.8 S 1\1. • E. 91 57'. /0/ NtG Phone .( 30s 7 S$ -- 61 6 Z. Contracting Co / = • . C. 6 / j P7S 0 C . Address 179 o D N.1.4.), 17 hV. A-114444,4 rr 1330 ;G Qualifier S Q-M e Architect/Engineer Bonding Company Mortgagor of owner an Notary as to Owner and/or tondo President My Commission Expires: ` ��,��,PY Vp np ICIAL SEAL" Carmen V. Abreu F My Commiss on #CC � 508009 l FEES: PERMIT '1'b 1 RADO • APPROVED: Zoning Building Mechanical C.C.F. P ie Historically Designated: Yes Master Permit # 1 �l ss# (30s, Z9 -11(06 State # G4 C -00117 2. Municipal # Competency # Ins. Co. g • P. R o d r / vie eZ Arc, 1 - A d d r e s s 717 S S .ltd, 8 S 7 F • J S S 4 4 / 21 � - I t - 1 � e , • � /, Ft • 3 3 1 V Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN f WORK DESCRIPTION /� e p /a» c 1 /7" e )4) s; G) 4. £41 . Gel 4.4 S 7Le e..l aZ • s e e/ fa»' ler e ci 9 p7'ph Square FL Estimated Cost (value) t t E7:Zei ? p e er WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Contractor or Owner - Builder My Commission Expires: //, / .. 'OFFICIAL SEAL' Carmen V. Abreu IIIIII t. ; ' My Commission Expires 11/5/99 OF F Commission #CC 508009 iiiii too Electrical Plumbing Engineering • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE . Date S / /17 Job Address 2 $S NC q St Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant dt, ke f Master Permit # Owner's Address 215 we g t ST. Phone Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft Estimated Cost (value) 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. Signature of owner and/or Condo President Date Signature of Contractor or Owner - Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: FEES: PERMIT RADON C.C.F. NOTARY BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering Sl�ru )7`M "111/4 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 98R035028 1998 JAN 26 09:26 PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 . Legal description of property and street address: F l a ' Fe) I o : I I — 3 Z O c -- b 1,3 - 34-‘0 2 g5 . q t / M.it h.,4,t S k a tre,s 1 71-.. 2. Description of improvement: b� yu, /� ' O F W p . el-L1tit Cite e e �1K w eeon t e. L t v t IA S fiZw. , s l. tie ;nb tkt • 3. Owner(s) name and address: A u f3 fZ C Y BA 28 g . ttSt 1 Mla,nt Shres 1 F L• Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: C Gt, y e f cL n d F. A I f O r< S o t 74 o in N. (.cJ • 1 `7 AA, • 1 NI v ix w t FL x 3 3 0 'c, 5. Surety:(Payment bond required by owner from contractor, if any) . o [�l:tlg A TE OF FLORIDA, COUNTY OF pADE \ R, " -qv CERTIFY ttit7' this is a Into eo etel ;Z1 Name and address: • WF f `` n � ®ma c.. o .i,:.... R i,a oi,:. ',Mr.' nn r� Y O 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: z44.( 8. In addition to himself, Owner designates the following persons) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. r Name and address: 1 V Signature 01 Owner Print Owners Name / /A :4 Sworn to and subscribed before me this cX2 day of ,InfAl M6_ Notary Public Print Notary's Name �Q ban n1/1 ' )rl(X 7J2,1 My Commission Expires: ,3JcCI Cl l W YN =` nv h d .nd Orfclal Sool. A otlr ..I!1■Al CI CR1, oCircuit andCountyCoc >- 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) • I P� Y P e,/ CFFIC:.`.I. NC7i ;: i c ; j 2 > h' ; .� � 1 CAF:' °.R : .Pt P7 rt,:C.� __: M ' r.� . g.- F COrAPr11SSIt mu ..,__.. /Y, � 4-. t l •ti '1,- C 4+ .3 iJ l7 9 ) .. ' /•^Cc; CEO' • �� O F:1.° ° we - e rep a red ! by: by:'' c 69 moo`' Address: /er7 " /a / , .23C1-52 :93 r f GC r,a' t r 4 l .s °D r ' ,, 7 i 1 r—�