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ROOFING PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 100 N.E. 2nd Avenue • Shores, Florida 33138 • 305- 795 -2204 Date 1 l�1 1 1� 1 1 I s s h Job Addres Tax Folio Legal Description Historically Designated: Yes No ssee/Tenet B r cke e Pavid soh Master Permit # 3P c X/c4 Owner's Address 1 1 I" t E, 91 h Phone S , 1 7 3 Contracting Co. Q w C I e K R0o A s Address 14s5 1 vEo g a v` d Qualifier ?cuut w a `e i< SS# Phone 36 5 5 ( d j Q/ State # Municipal # Competency # 1.E5 s o. Le & d -er IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING g ` f ,o roc j rcP 1& e �) h a, n -e vo o nl per^ WORK DESCRIPTION: ett r D T ��) S"l'i h I tr. ro Ai (cad-) s 9' I co to r+hro tc � ti'I- a( ( 411e sihe S cul/te co /or (eroaUi Square Ft. 1 '0 0 0 Estimated Cost (value) ...P1) 0D O 0 °67 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 ANY 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 all disciplines. OWNERS 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. as to 0 My Commissi APPROVED: Zoning Mechanical G ' r l UZ / / Li RtitA C KWi ld sq. Jrn/ off Signature of owner and/or Condo President ate Signa re of Contractor or 0 A er ; �' •er Date vStand✓o Con. b 'VrCSi I ent �fl pireSe„.n AtIGELA M t?. :.. . coal -ozoI: •', I c , c ::.C706C,97 li •. ,- O q* r:. .:o.:..,.1::. ' :;1 Y..7.4 OF f\ iY...' i' FEES: PERMIT -_ 00, RADON C.C.F ) o a 1 EiA as to C,r tractor Owner : uilder My Commission. Expires NOTARY —C © a BOND 3 b (0 -, TOTAL DUE Ri Is. q d Building Electrical Plumbing Structural Engineer A Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 8/22/2002 Applicant: CATHERINE Owner: IMB`JRG A t JOB ADDRESS: 495 NE 91 Contractor KAWALEK PAUL Local Phone: 305 - 218 -3552 Parcel # 1132060140150 Fees: FEE2002 -4683 FEE2002 -4684 FEE2002 -4685 Description Building Fee CCF Buildier's Bond Total Fees: Amount $300.00 $10.20 $300.00 $610.20 Total Fees: $610.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: Work: TEAR OFF EXISTING TILE ROOF: REPLACE W/ H A NEW MONIER ATLANTIS 9 " COLOR THRU ALL TILES THE SAME COLOR (VERONA If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. PAUL R. KAWALEK ROOFING & PAINTING 485 N.E. 92ND STREET PH. 305- 754 -0191 MIAMI SHORES, FL 33138 -2566 Date n Pay to the order of (\A IA r $'o red V \ 11 e 5 ; )11 Cke le,C) BankofAmeric rk ACH R/T 063106277 For t45{ ,Ei 1:063 L00 2??': 00366060 L9 L4 28 29 Building Permit Permit Number: BP2002 -1471 Legal Description: 6 53 41 MIAMI SHORES SEC 2 PB 10 -37 LOTS 23 & 24 2/17/2003 Construction Value: $16,800.00 Dollars Page 1 of 1 ST HdtBttRu17:7 Contractor's Address: 485 NE 92 ST 2829 63- 27/631 FL 810 $ Mr BY: BY: BLK 49 LOT SIZE II the equipment or device described in the application herefor in strict compliance with all :e with any plans, drawings, statements or specifications that may have been submitted to is not done in compliance with such ordinances or if the plans are changed without . actor or builder named above assumes the responsibility for a thorough knowledge of the vings or in the statements or specifications and that he assumes responsibility for work done in compliance with all ordinances and regulations pertaining thereto and in strict conformity gyres Village. In accepting this permit I assume responisibility for all work done by either - rauilLE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 3 ERMIT NO. STATE OF FLORIDA: '. OUNTY OF DADE: 0 05'"4252 2002 AIIG 22 10:01 i HE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance wi h 7-hapter 713. Florida Statutes, the following information is provided in this Notice of Comm ncement. t 615114E,•/S4 M Legal description of property and street address: 313 '. Description of improvement: I. Owner(s) name and address: - iterest in property: wt\-er lame and address of fee simple titleholder: TAX FOLIO NO. . Contractor's name and address: 4 n dip res L �1 Iv E . Surety :(Payment bond required by owner from contracto -. lame and address: STATE .mount of bond $ . Lender's name and address: . Persons within the State of Florida designated by Owne; upon y Section 71 3.13(1)(a)7„ Florida Statutes, ame and address: Mary Pu nt Notay : ame Commission Expires: ;nature of owner int Owners Name Nom to and subscribed before me this ) c RIDA, COUNTY OF DA ERTIFY th this is a flu Af1►'L:i l Seal. c 4 31. n:ices or other documents may be served as provided In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in ection 713 .13(1)(b). Florida Statutes. ame and address: Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a ferent da e is sp,ecited) P gY Pt OFFICIAL 6O? NGELA M BL:.. COMM:S91ON CC7e6697 00,:AZ :F'0H "x"!Sf Prepared by: Pa Address: tkl IL<arualel s .E d 12301.52 290 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit m. Section , Information) Master Permit rod Contractoes Name 4,Gt- vale Job Address q95 WE 5+ ROOF :GC 0 Low Slope ❑ Mechanically lnec Tile )rtar /Adhesive.�SetTile CI Asphaltic ❑ Metal Panel/Shingles El Wood Shingles/Shakes Shingles C Prescriptive BUR-RAS ROOF TYPE ❑ New Roof Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 0 H 00 0 O Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zonF�and location of parapets. -; J_ - - 1_ _ 1 _ i-- 1J E l F- d _ - ' L. _l__ I - ! 17 i' 1 I i 1 77. i r T 1 L �_ 1 1 '•. i I I i� L1� ' �. ; 1 ii i 1 t"7 11 i ITTi I iii , 1 t " T l =!. �.!_1..1J -; � _ ' _ J_ -_ _ 1 _ --- 1J�_ i=1 - 1 1 l i ,_, : — i.-1 J �_l T it;; r-,-1 j ,-, = _ � � -- - I TITS 1 - -Li l �� 1 ) mil_ _ _�� ---I i_i rim -1 _ L�_ . _ ✓_ __ �_ . � I 1! f 'i 17E1 t- L 1 1 1 I _ i �_l I -r . t t ! 1 1 _ i ! 11 - } 1 _ I I t T i+ i 1 i i I 1 T T _� ; i I -- iTi , i 1 1 1 1 1 1-; 1-1 '_� 1 _1 �._ �. -1-, ._ I , • r _ 1 - r I I I I I ;� - 177 - T1 7 I I i 1 I I 1 1 1 I i r`I iTi - 1 - 1 i (� ii j - - i T1TT "i `1 ^ TT • i f j_` i 1 "'�i" T I T 1; - i;'� `i 1 1 1 1 1 1 _._ 1 _:_L.l_,I fTi"; T I. 11'; ; TT 11 ; 1t 4 I I L I 1 1 r1 - I 11.�_I i_ii -TT1'T _x_1_1_ 1 r i r 1 11' i l� i - f�-1�� I li I I I I i i ` i _' ' -- ' I�T 1 1 1 ( 1, 1 1.1- 1 , [4141 f , I iT *Tim 1 ! t L IL _ E L - - I .L LL ra - - 1 . 171 - 1" - 11 - 1 - 17 - 11 17 ti I I li ; ?7 1 1 1 1 i 1 i i i i i ! 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Section , Information) Master Permit rod Contractoes Name 4,Gt- vale Job Address q95 WE 5+ ROOF :GC 0 Low Slope ❑ Mechanically lnec Tile )rtar /Adhesive.�SetTile CI Asphaltic ❑ Metal Panel/Shingles El Wood Shingles/Shakes Shingles C Prescriptive BUR-RAS ROOF TYPE ❑ New Roof Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 0 H 00 0 O Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zonF�and location of parapets. Minimum Design Wind Pressures, If Ap licable (From RAS 127 or Calculations): P1: 1-1(91 l P2: 6 P3: 16 Maximum Design Pressure From the NpA S . ecific S stem : , q J ;1; Where to Obtain Information Description Symbol Where to find Design Pressure P I or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope g Job Site Aerodynamic Multiplier X NOA Restoring Moment due to Gravity M NOA Attachment Resistance Mr NOA Required Moment Resistance M. Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance F, Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width NOA All calculations must be submitted to the Building Official at the time of permit application. M Required Moment Resistance* Mean Roof Height - Roof Slope I 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 84.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24A 25.9 27.1 28.2 30.0 • 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the valves for M the valves from Mr. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. nt Base - Mg: - Mg: `.pi Mg: Calcul Mrl ti' Per RAS 127" NOA Mr IAMB �• NOA M! M . i. NOA Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mf *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F. If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P zl: = z w:= ) -W: cos 0: = F,1: (P zl = z w:= ) -W: z cos 9: = F (P3 : z I: = z w: _ ) - W: z cos 0: = F NOA F' NOA F' NOA F' SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. B , D 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) 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 arc not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. B ) 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 16 (I-Iigh Velocity I-Iurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). It 3. Common Roofs: Common roofs arc those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, 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 arc where the underside of the roof decking 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 Florida Building Code provides the option of maintaining this.appearance. 8 1 . 0 5. 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 a 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. ri 1-) uN 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 the Florida Building Code, Plumbing. 10 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of 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. Owner's /Agent's Signature Date Contractor's Signature PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description Historically Designated: Yes No Owner/Lessee / Tenant L ' O `ll �• XWI$141-CD11 - Master Permit # Da a FEES: PERMIT Job Address I9 NE. I Tax Folio Owner's Address 415 11/4)t 1 tc Stoll Phone 4 I Address C a-V:S144. t-i) Q �-%- -�. ... Phone 151A1 l State # Municipal # Competency # - Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING {� WORK DESCRIP'T'ION littk .--. Ufik Square Ft. Estimated Cost (value) Contracting Co. (C,k1 Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: ELECTRICAL PLUMBING MEC 7 AL ROOFING PAVING FENCE SIGN 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 . • that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -name •ntractor to • e w •rk stated. 4 .. A J IL / ft k Signature of Contractor •r Owner- Buildel RADON C.C.F. t ,1 NOTARY APPROVED: *4- Zoning Buildin _a * Notary as to Contractor or Owner -Bu der My Commission Expires: Electrical , PU, OFFICIAL NOTARY SEAL O �� . % BARBARA ANN FUGAZZI * *} COMMISSION NUMBER I 'I' • ' • Q CC360191 �'' "" @ , MY COMMISSION EXP. Or F4 O MAR. 29 1998 TOTAL DUE Date Date S Mechanical Plumbing Engineering Disapproved (Signed) MIAMI SHORES VILLAGE Building Inspector Chairman M1crr,bcr Member .. .. __....__....._..._. — ...._ Council Approved Date BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby usndc for the approval of the detailed statement in we 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..._...._... __.. M a rch 2 3 _....__..._.... , l s. 81 Owner's Name and Address Lou Accornero ar _ — No.. tl • Street_.N_. E . 91 St. Registered Architect and /or Engineer `amt and address of licensed contractor Biscay Roofing Co. 5180 E . l l th Ave. Hialeah, Fl. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 95 N.E. 91 s t Street State work to be done and purpose of building (by floors) Repair two (2) leaks in 2 -story tilt roof. Re -roof .18 sq. of flat gravel deck in rear over back door. 1 -story Remove old gutter in rear & install new. 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 true.. Permit No. ._.... 1p .T.�1 Date 3 ' a V' C 1 Read, S Date. (Signed).__ My PLANNING BOARD DATE I hereby submit all the plans and specifications for said building. All notices with reference to the to and Sub}pri b me. 33013 and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories 1 & 2 To be constructed of Kind of foundation Roof Covering rZ'.1.l... &.... Gx'a.Y_i?l. Estimate Total cost of improvements $ 1385.00 Amount of Permit S. 20,00 Zone cubage required Plan Cubage Distance .to next nearest building. Size of Building Lot Maximum live load to be borne by each floor building and its construction may be sent to Biscayne Roofing CQ e 5180 E. 11 Ave, Hialeah, Fla. 33013 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, anti has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 s tractors, on work to be •; fogned under this pcnnit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. Bcfore me, the undersigned authority, a notary public, duly,authorized to administer oaths and take acknowledgments, personally ap- peared tlA'!Nl£° T L4-1A, to me well known, C.trY. 7)t < ■ and that he did sign the same, and that all facts Notary Pub)5 , State of Florida Nolen, Ga ;►;,. S c. ^cr °a of large Commiuion Bonded By American Erre 5 Casualty Company Mcmbcr 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 fmrn the 1'Lrnni l:u.tr 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. Date , 19 Owner's Name and Address._ 0 W Br ady N 9801 N .W. Street 7th Ave. 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 1495 N • E. 91st St. State work to be done and purpose of building (by floors) 30 — 90 - Tile New Building X Remodeling Addition Repairs To be constructed of Kind of foundation Estimated Total cost of improvements $--120Q..0Q Amount of Permit $..7,.Q0 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 ,f Florida, Permanent Sup plee s' and has complied with the provisions thereof, and will require similar compliance from all contractors �, sub - contractors employe d m by h in the work to be performed under this permit; and will post or cause to be posted for in ction on to of - work such public no or notices as are required by the Act. The undersigned agrees to employ only such s . contractors, .�w,'rk . . ' performed un . : pennit, as are licensed by Miami Shores Village. Remarks (Signed) i - STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowl 'dgments, 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, therein by him stated are true Permit No Disapproved (Signed) 5 Date "2-4" Building Building 1.' ector Chairman Member Member Council Approved Brady Roofing Tiles Mfg. Co. 2955 N. W. 73rd St. to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE and for no other purpose. No. of Stories Roof Covering Tile and that all facts Member Member Member 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. Owner's Name and Address Lou Accornero Permit No.._... '2^.... - AT (a. I. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statc,,,c•nr ur me 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. .. No... '95. ._ ». Street_! .E._91 St. Registered Architect and /or Engineer „!,. et.TITSI Name and address of licensed contactor Biscayne Roofing Co. 5180E . 11 Ave. Hialeah, Fl. 33II . Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 49 N.E. 91st Street Remove existing State work to be done and purpose of building (by floors) Re-Roof. . the roof. ... » _...._.._.. »_._._ Tin cap 1 -30# felt. Hot mop 1-50 slate. Install white, flat cement tile. (No work on deck in rear) 42 Squares and for no other purpose. Ncw Building Remodeling Addition Repairs X No. of Stories 1 & 2 _ To be constructed of Kind of foundation Roof Covering Cement Tile Estimated Total cost of improvements $ 10000.00 00 0 . 00 Amount of Permit S. 29.,. 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.. Biscayne Roofing Co. 5180 E. 11 Ave. Hialeah, Fl. 3301.3... 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 ssith 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 arc required by the Act. The undersigned agrees to employ only such , gtbcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed).7.'1r. »_..r 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 Jain.e.s.- .T......Laing to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ..... R.Q.Q.f in ..C.ontrac.tar of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts thcrcin by him stated are true.. Date 4-$ " T ( Read,,r�wo�y3t to a�rt Su before me. " Disapproved 1� fiL��tG„r ` h j Date .._...._..._ Notary Pu rc, State of Florida (Signed) �\ ». ( M Public State of Cla. iia at Large Building Inspector My Commission Expires �^ non PLANNING BOARD DATE Al Con m;ssturt F:::�t':t rr '•- $onded BY Amoic5n Fire E. Casualty Comp nr Ciiainr n Member \fcrnber 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 I'Lutnir.g Board. A re 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. BUILDING ❑ ELECTRICAL El DATE -W 195 PLUMBING ❑ PERMIT N? 9559 Contractor's , License No t ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 7 MIAMI SHORES VILLAGE. FLORIDA ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. 9 Subdi- vision Sq. Ft Value of Project $ ,i ` .ti : , BY Amt. of Permit $ AUTHORITY 7 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 1 Signed -ti . '•. r s? i . = , 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 accepting this permit I assume responsibility for all work done by either, myself, my agent/servant or employee.