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ROOFPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) J ///6 4/ 9c /J Job Address 5 Tax Folio Legal Description ��/ ��, Master Permit #��� e Owner / Tenant % �G�EG ;G Z (/E2 G — / / n .S / // lD ! I/. l -5/ phone 75-S Owner's Address ,� � //� / �j� � T Contracting Co. 6 7'C ENT Address 37 /V r C- � � J Qualifier 5 2 1 2 ; J O M , t / g/5a phone X 7 5 State# e Competency# Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION XE /e P /`��T — `� /� 3 �f�zwe Square Ft. Estimated Cost 1 /4:5 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. 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 dory work stated. Signature of Owner and /or Condo President Date: PERMIT FEE: APPROVED: 6 Zoning :.T/ De � /,� l Mechanical 1' a s C �A e _177.0W Fire Plumbing Signature of Contr r or Owner - Builder Date: ems' ✓ .�f N arylas to Owner and /or Condo President N ary s to Contractor or Owner - Builder M` Commission Expires: M Commission Expires: ` Other Electrical Engineering State of Florida County of Dade available) 3. Owner information: a. Name and. Address: S. Surety: a. Name and Address b. Amount of bond$ Notary Public OF FLORIDA SASE OF DADS at tnis is OV N y ceva1ri Oat on A O. NEREfi ' this l l tiled meat. I. °fNfI nand and Official wltNESS my ClefIf 6ircd PERMIT # Tax Folio No. I r 3 OS D THE UNDERSIGNED hereby gives notice that improvement 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. Description of property: (legal description of the property, and street address if b. Interest in property: 6. Lender: (name and address) y o� tno d NOTICE OF COMMENCEMENT '�2 y Lte 1A)7 3 It A j t -A,til / e y / 7 /C'N,&L 546 zli z 9 1R3 35to96 1991 OCT 08 11:50 2. General description of improvement: ( - /F G — 5 /CU, 2 ir a is II l /►� r . CJ s r c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) 4,7/.5L //0fj 5F/t/7 /47 37 4/ G ` eG S 0A A/K 7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes:(name and address) /)n 8. In addition to himself, Owner designates ) ' 1 of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) /1a, NC 9 ? 5 Signature of Owner ./7// .S //plc-5 33/3 Sworn to and subscribed before me this day of t-flo „ , 1991. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP. AUG.15,, )993 My Commission Expires: BOKOED THRU GENERAL. I NS. U . PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 1 Pio ( { � (`� t Z- sr Tax Folio �,� o,.� — 0 ° 2 © `I Z. Legal Description 14 L _6 Lo `3 ;�JC 3 Historically Designated: Yes No Own /Tenant t`A 1 C 7 V er Master Permit # Owner's Address 1 1 1 b 16- 2- Sr Phone --1S-18 65/5-3 Contracting 3:2 � 1 �o I r+ Address 8 b IJ C 1 2 1 S 7 Qualifier 6 U (L 1 S c i - Phone 'E c l 3 —yy b State # C_C.- C . 11 3 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA WORK DESCRIPTION 1 1 ■ ?i IcU. cp w s Square Ft. 2-C.3 Estimated Cost (value) - 1 CO 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- ed contractor to do the stated. Notary : s to O My Commission Expires: Notuy ?ono, CL123 of 7 90r t j My Comm. o;: ! May 4, 10 7 NO. CC2CC323 - of owner and/or Condo President ate PAVING FENCE SIGN k aocy- For ei rc .r s p po r) u8B (-3 Notary as to Contractor or Owner- Builder ' Date My Commission Expires: 0 0 FEES: PERMIT 6 . v 0 RADON C.C.F. . �� NOTARY c. TOTAL DUE Atiglig APPROVED: , Zonin g Buildin 4V/ "'° Electrical Mechanical Plumbing Engineering 1. General APPENDIX 'E' METRO -DADE PERMIT APPLICATION SECTION II BUILT -UP AND MODIFIED BITUMEN REPAIR APPLICATION The information provided in this Section is required to confirm compliance with the requirements for repair applications as set forth in Dade County Protocol PA 122; the wind load requirements as set forth in Chapter 23 of the South Florida Building Code; and, the requirements set forth in Section 3401.10 of the South Florida Building Code. Please review these documents prior to completion of this application. 2. Documentation The following documents are required for submission with the Uniform Building Permit application: ► Two copies of the proposed 'Repair System' and associated roofing Component Approval(s). ► One copy of the 'Repair System' and /or the roofing component(s) manufacturer's published application instructions and literature. ► One copy of all test data necessary to comply with the provisions set forth in Dade County Protocols PA 111, PA 117 and PA 122. ■ All documents attached herein, filled out and completed in full. 3. Project Information Check one of the following: Temporary Repair with a life cycle expectancy of less than six (6) months. ❑ Remedial Roof Repair with a life cycle expectancy greater than six (6) months but not more than five (5) years. ❑ Recover Roof Repair with a life cycle expectancy greater than five (5) years. 12301 -165 9/94 ❑ Recover Roof Repair which includes coatings; resaturants; or, liquid applied systems with a manufacturer's published life cycle expectancy greater than five (5) years. Note: Recover Roof Repair Systems require Metro -Dade Product Control Approval as a Roof System Assembly. If a recover application, does the existing roof system assembly comply with the requirements set forth in Section 3401.10 of the South Florida Building Code? ❑ yes ❑ no ❑ N/A Note: Recover or Remedial Roof Repair Systems may be applied over existing bituminous roof membranes providing the existing structural deck, insulation assembly and roof membrane are in compliance with the provisions of the South Florida Building Code and the Roof Repair System is applied in accordance with the application instructions set forth in the Product Control Approval for that system. (See Dade County Protocol PA 122.) Check 'yes' or 'no' for each of the following: Have you attached two copies of the Roof Repair Product/Component Approvals for the proposed repair system? ❑ yes ❑ no Have you attached a copy of the Roof Repair Product and/or Component(s) manufacturer's published application instructions and other literature? ❑ yes ❑ no Are all related accessories approved for use with this Roof Repair System? 4. Existing Conditions ❑ yes ❑ no The following information is required to confirm compliance with Section 3401.10 of the South Florida Building Code. Deck Type (check appropriate deck type and fill in blanks where applicable): Repair Application: Built -Up and Modified Bitumen Page -2 Wood plank, 8 " thick ❑ Concrete, po ed ❑ Concrete, plank ❑ Cementitious wood fiber ❑ Steel, 18 -22 ga. ❑ Steel, other than 18 -22 ga., ga. Existing Insulation (check 'yes' or 'no' and fill in blanks where applicable): ❑ yes :[no Insulation Type(s): Thickness: Base Layer: Top Layer Insulation Attachment: ❑ Hot Asphalt Applied ❑ Mechanically Attached ❑ Base Layer - Mechanically Attached; Top Layer - Hot Asphalt Applied ❑ Other (specify): Existing Membrane (check appropriate membrane type): ❑ BUR with Gravel Surfacing ❑ Smooth Surfaced BUR Modified Bitumen Has the existing roof membrane been tested for uplift resistance? ❑ yes no Note: Refer to Dade County Protocol PA 122 and Section 3401.10 of the South Florida Building Code for uplift resistance requirements of an existing Roof System Assembly. Repair Application: Built -Up and Modified Bitumen Page - 3 Repair Area Percentage (fill in percentage of total roof area to be repaired): S Notes: 1) If repairs exceed 25% of the total roof arca, refer to Subsection 3401.10(a)(6) of the South Florida Building Code. Roofing Component Repair: Check those roofing components to which repairs or upgrades are contemplated. ❑ Perimeter metal ❑ Roof penetrations Rooftop unit supports ❑ Roof coating for fire rating Notes: 1) Please refer to Dade County Protocol PA 111. 5. Materials: 2) If repairs to any roofing component exceed 15% of the total, refer to Subsection 3401.10(a)(1) of the South Florida Building Code. Complete the following list of products to be used as repair materials. Include the Metro -Dade Product Control Approval Number for each product. Product: PCA #: Product: PCA #: Product: PCA #: Product: PCA #: Product: PCA #: Product: PCA #: How will the existing surface be prepared prior to application of repair materials? Repair Application: Built -Up and Modified Bitumen Page - 4 Are any flashing details to be reflashed as part of the repair? ❑ yes Xno Note: If flashing details are to be reflashed as part of the repair, complete the appropriate perimeter details, attached. Describe application procedure of repair materials. (A copy of the manufacturer's application specifications may be attached.): Repair Application: Built -Up and Modified Bitumen Page - 5 Coping Cap Gage: Fastener Spacing: _ o.c. Clip Type: Clip Gage: Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Parapet Walls. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. PERIMETER DETAIL #I: Parapet Wall Detail Pe Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Areas to be Flashed. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Repair Application: Built -Up and Modified Bitumen Page - 6 Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gravel Stop or Drip Edge. Insert leaders indicating Roofing Components namcs, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. Gravel Stop/Drip Edge Gage: Fastener Spacing: Clip Type: Clip Gage: 1� Y Deck Type: PERIMETER DETAIL #2: Flashing Detail PERIMETER DETAIL #3: Gravel Stop or Drip Edge Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gutters. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. Gutter Type: Gutter Gage: Fastener Spacing: Deck Type: Repair Application: Built -Up and Modified Bitumen Page - 7 Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may exisit. Insert leaders indicating Roofing Component names, dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment. PERIMETER DETAIL #4: Gutter Detail PERIMETER DETAIL #5: 'Other' Detail Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may exisit. Insert leaders indicating Roofing Component names, dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment. Repair Application: Built -Up and Modified Bitumen Page - 8 PERIMETER DETAIL #6: 'Other' Detail Insert Building and Parapet Heights. (If no Parapet exists, insert W'.4") Also insert applicable information pertaining to the building below. (See ASCE 7 -88 Fact Sheer Attached ) Exposure Category: Classification Category: At Hurricane Oceanline ?: Y N Basic Wind Speed at Building Location: 110 mph Building Condition based on % of Openings: GROUND LEVEL feet _beet BUILDING INFORMATION #1 Repair Application: Built -Up and Modified Bitumen Page - 9 Sketch Roof Plan indicating all dimensions, any slopes, roof drains, crickets, or roof top equipment. Also insert variable labeled "a" which indicates perimeter and corner dimensions per Chapter 23 of the South Florida Building Code. ( See ASCE 7 -88 Fact Sheet Attached ) 5 BUILDING INFORMATION #2: Roof Plan Showing Arca(s) of Repair Repair Application: Built Up and Modified Bitumen Page - 10 -- FOR PLAN EXAMINER USE ONLY -- Do all Roof Repair Components have Metro -Dade Product Control Approved? \>❑ yes ❑ no ❑ N/A If no, note any deficiencies: 2. Is the Roof Repair System Product Control Approved? ❑ yes ❑ no ❑ N/A If no, note any deficiencies: 3. Insert the Design Pressure Requirements per Chapter 23 of the South Florida Building Code for the Roof System Assembly. Field Area: psf Perimeter Areas: psf Corner Areas: psf Note any limitations: Rcpair Application: Built Up and Modified Bitumen Page - 11 4. Have you reviewed the design details? ❑ yes ❑ no Notes pertaining to details: 5. Have you reviewed the field test data? ❑ yes ❑ no Notes pertaining to field test data: 6. Additional Notes: dated Plan Examiner Repair Application: Built Up and Modified Bitumen Page - 12 Signature MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 757' 7-r r i 4 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement us we plans and specifications herewith submitted foe -tire build inc or other structure herein described. This application is made in compliance and conformity with the Building rdinance' of Miami Shores Village, Florida. amid 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 berein specified or scot, A Dopy of approved plans and specifications must be kept at building during prpgres of the work. Date.__.. Aug. 10 Owner's Name and Address ...�'1 ,.. �....a� _.. __ . ...� ... ........ _ ._..M No 1116 IVE_2 St Registered Architect and /or Engineer ••air• ^ •VT ••w,.•t„,wnnw.•••MM.. tr,•ttt Name and address of licensed contractor........ tl? R•9Ofinf4 s.a.- IY1Ca••• • 301 NW 71 St., F11am1, Flt,._ 33150 Location and legal description of lot to be built on: Lot Street and Number where work is to be done. Block V Subdivisl 1116 NE .9_2 Si. 1/ 7 State work to be done and purpose of building (by floors)... Re,_xp9f f ®f� — and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories ....1 _______ To be constructed of land of foundation Roof Covering . del (btu;1. +_ ct Estimated Total cost of improvements $ 3,118.00 Amount of Permit $ 20.00 . _ Zone cubage required .Plan Cubage Distance .to next nearest building. _.... 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 umlrr applicant fur this'hu;lding permit does hereby certify that he understands and accepts his obligation% as an employer of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Shp clement, and bars complied situ the ,1provision thereof, and will require similar compliance from all contractors or sub - contractors employed by him in tLc work to be performed under this permit; and will post or cause to be posted for inspection an the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Rem,uks..._ (Signed) STATE OF FLOT,IDA, COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has caret fly read the foregoing application, and that he did sign the same, and that all facts therein by him sate are true. .� Permit No _2 Date I / + Read, Sworn to and Subscribed before tie. Disapproved ..� Date.._...._._ _.._....._...... (Signed) Building Inspector Notary Public, State of Florida My Commission Expires PLANNING BOARD — .DATE Cimair ;ran .................. _.. ..... ___ ...... _ ..... _..._..•....._ Member ....... _ .......... ......_...____._—.._._.... .._,...___. ..... _.._._...._..._ Me mber _... __ 1►fembcr ..._._...._ ._...._..__.. .. ._ . _ _.... Member Member ...._ , ___ __ _._ Council Approved _ Disapproved ......_......_.__._ Date NOTE: A ch.rrge of *1.00 will be made for making corrections or changes to this application after approval has hero obtained from the PL,nnir.g ltu.vd. A r.••m.pectiun fee of $!.00 will be charged when such re- Mspeetion is toads necessary by Improper notice for inspection or faulty material, and /or workmanship. MIIAM9 SAID ► -`ES VILLAGE BUILDING INSPECTION DEPARTMENT A FLUCATI®N 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 May ... 19 th 3 ' & k e Name acid Address.....:.M7c'..,,:_ tpa�::: 1 4,,: ;;,,;;,,,,,,,,; „:::.:_= No,..1,1:,) 6 s.: 8E4 __ 92nd ,..... Registered Architect and /or Engineer Name and address of licensed contractor Lang RfE. & Tile Co. Inc. 573 NW 71st St. Miami 33150 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1 116 N. E. 92nd St. State work to be done and purpose of building (by floors) Tear off existing roof, .. rellae_ e_bad lumber, _tin._.eap..i__- 30 .._fe over complete area, tile' section, mop 1 -90 # over 300 felt & cover with a layer of white cement shi4g1e tile. Gravel roof will - be 4 -ply and for no other purpose�pnj - ] - tup New Building Remodeling Addition Repairs Re -roof No. of Stories..,, To be constructed of Kind of foundation Roof Covering Cement tile &5ravel Estimated Total cost of improvements $2500.00 ,mount of Permit $:. 9...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 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, 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 inspe tion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco actors, on to be performed under this permit, as are licensed by Miami Shores Village. / r. G Remarks.__ _ S ' ( Si Signed g ) - - . STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally 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._14 a ` 1_Q_ Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of 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 PLUMBING ROOFING Owner of MIAMI SHORES VILLAGE, FLORIDA ❑ DATE /`, - f, r ! 19 o PERMIT N9 6573 Contractor's License No. Building _ Architect Contractor or Builder Legal Lot Description II B1 CONTRA CTQR•QR BUIktER Work to be performed under this Permit \ :. BY Subdi- vision Address of . ----� Value of II Amount of Building i f ' t.- i i t, Project $ - ( . • 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this oennit I assume respoz'ibility for ell work done by either, myself, my agent, servant or employee. i r AUTHORITY AOBOT ` 4* BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address._..._._..s___ Registered Architect and /or Engineer MIAMI SHORES VILLAGE Date No 1116 Name and address of licensed contractor IDEAL ROOFING & SHEET PETAL WORKS, INC. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1116 NE 92nd St • State work to be done and purpose of building (by floors) Rf'zl l.4e : R.00f on neLi ai..dition . 30d f'lt, '3 15# felts and gravel. Street ,Tyne 22 _.,19 65 NE 92nd St. and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering Wood deck , built-up Estimated Total cost of improvements $ 0265.0u Amount of Permit p • 00 roof Zone cubage required i ; _ Distance to next nearest building Size of Building Lot 61 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 Si and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo 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 or notices as are required by the Act. The undersigned agrees to employ only such s ... • actors, on work to be permit, as are licensed by Miami Shores Village. Remarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated ii_ _ are true. f Permit No .(�__ ___1__- Date —1. 'da' S Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building Inspector y Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ._ __.- Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ DATE 1 ss1L PLUMBING ❑ PERMIT N? 8805 Contractors , License No ■- ROOFING ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA Bl. Subdi- vision sq. Ft Value of Project $ 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. i ` Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and re ations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores 1 e. In accepting this permit I assume responsibility for all work done by either, myyelf, my agent, servant or employee. r . / .0•-• qw CONTRACTOR OR BtW DER Amt. of r. Permit $ c ; BY AUTHORITY .. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address ....... Registered Architect and /or Engineer Name and address of licensed contractor .//). r Location and legal description of lot to be built on: Lot Block /� Subdivision // Street and Number where work is to be done ii10_CO av c State work to be done and purpose of building (by floors ) 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 $ Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building ___ Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the rovisions 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 inspectio on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcootra, o t on work to be performed under this permit, as are licensed by Miami Shores Village. // /j /�� c Remarks ( Signed) l 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 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 t Date � Read, Sworn to and Subscribed before me. Disapproved Date � Notary Public, State of Florida ( Signed) Building Inspector g p � M Commission Expires Chairman Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date £ No Street 19 to me well known, INNING BOARD DATE 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. ilia* of Miami Shores JOB g/Z ADDRESS / 'f.). P6 r INSPECTION ` �� s ° 5/ C//' - TIME READY /P REMARKS N° 4109 INSPECTOR DATE 'V "‘ -4Z BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 3449 ❑ Work to be performed under this Permit - � Legal Lot Description Address of Building it CONTRACTOR OR BUILDER Bl. Signed. DATE - 195_s_ Contractor's License No. Subdi- vision Value of 1 Amount of Project $ �I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 re onsibility 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 tatements or specifications and that he assumes responsibility for work done by his agents, servants or employees. \ \ \ \ \\ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner's Name and Address Alvin Kroll Registered Architect and /or Engineer Name and address of licensed contractor 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 No. 4,550 March 29, 1956 Acme Roofing Co., 311.04 M. Miami Ave., Miami, Fla. ,19 Street Adams Ave., Miami (Beach Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1116 N. E. 92nd Street State work to be done and purpose of building (by floors) Apply_ Tile_ .an& Built. --Up Roofing and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 575. Amount of Permit $ 5. 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 cinder 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. AGT�rjRO�FING Remarks (Signed) 6� . ��� %�" d� STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No -- ' i Q Date " ` --' Read, Sworn to and Subscribed before me. Disapproved Date___. �/ Notary Public, State of Florida (Signed)' Buildinp,l!nspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.