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1181 NE 92 St (8)MIA�v"r� / SHORES VILLAGE, FLA. 0 N. 5510 JOB � e C C ADDRESS // C INSPECTION r� TIME READY` — / // REMARKS is Cc; ,ti ,t' c j, c . ,„, / DATE INSPECTOR 1/ J . MIAMI SHORES VILLAGE, FLA. JOB - - -- ADDRESS Lr INSPECTION ', TIME READY REMARKS: tz PECTOR N9 5326 DATE it- M'4MI SHORES VILLAGE, FLA. INSPECTOR w., N9 5309 JOB °R ` _ -- ADDRESS 9 ' INSPECTION E 4 T TIME READY ' 0 ��' i REMARKS: DATE 11- AAMI SHORES VILLAGE, FLA. JOB ADDRESS TIME READY REMARKS: INSPECTOR INSPECTION =' ' - - { N9 5160 DATE `Pi f Miami Shores N° 4995 ADDRESS /1 Ca 3 N 1 INSPECTION — no TIME READY A `" REMARKS INSPECTOR DATE 9 ' z V- `.� MIAMI SHORES VILLAGE, . FLA. JOB i< a ti ADDRESS ) / B d - 9 2 SX INSPECTION Tie 3 E TIME READY — / / 7 ' , REMARKS: N9 5255 MIAI SHORES VILLAGE, FLA. JOB K n ADDRESS , E . 9 z...-2 INSPECTION "Tie ! b�- es - 7 - TIME READY INSPECTOR DATE N9 5252 REMARKS: ' 4MI SHORES VILLAGE, FLA. ' JOB k n ( L. N9 5111 ADDRESS "' ^)• a 5 2 INSPECTION - p ,a i) J TIME READY ► o - 17 -� REMARKS: INSPECTOR DATE /4)-14 - S2 llage of Miami Shores N° 4983 JOB k �oc ADDRESS 1 / r INSPECTION 1/ AI TIME READY Ar/ REMARKS 9 - 2J - INSPECTOR 2 -1 ,c,4 r 9 i DATE _ ? F" O Villag . o f Miami Shores N • 4845 JOB REMARKS ,� � 12 o ADDRESS 11 Za 3 N �_ • a z _ INSPECTION_i'_ j �°rp� -� TIME READY la INSPECTOR 9 - _ DATE p ill vV- age of Miami Shores JOB k C..1� ADDRESS 63 /1E7 ca Z 7 INSPECTION TIME READY REMARKS \L N? 4815 INSPECTOR DATE Y- /( — Village of Miami Shores N? 4777 JOB I/ a C C // ADDRESS // C9 1 ° 2 ( t INSPECTION — ,,4 �' c._ — TIME READY Im — 0/-76- '.?Z 11 REMARKS INSPECTOR DATE Owner of Building Architect Contractor or Builder_ Legal Description. Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ BUILDING ELECTRICAL ❑ PERMIT o PLUMBING ❑ N e 7961 ROOFING ❑ CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit e j � \ Subdi- vision DATE / /t7' Contractor's License No 7 -;-,?, _it Sq. Ft Value of Project $ Amt. of Permit $ BY AUTHORITY 195 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 thr 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 ►gents, servants or employees. , Signed: .. BrY INSPECTOR In cor,sideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thcreto 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. 17 BUILDING ELECTRICAL PLUMBING ROOFING �Y 3 Owner of P Building Architect Contractor or Builder 1,ega1 Lot Description )kddress of Building t� ' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any pans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked al: 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 pormit 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 6 C^ (., '' .. ' , e' _^l(INSPECTOR) BY In consideration of the issuance to me of this permit I agre t perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawin ;st or specifications submitted to the proper authorities of Miami Shores Village. Iri accepting this permit I assume responsibility for all work don - by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Date _I' PERMIT v? II B1 Work to be performed under this Permit 8112 Subdi- vision Sq. Ft. Value of Project Contractor's License No. y r A..�. mss; 11 Permit $ 4 fr' BY"' AUTHORITY 19 i • ID a w l D - 71 - )- - 01C ) APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, r ar , hereby apply for a certificate to re- occupy the single - family residence known as 1 / W/ SEE 51- C-r , Miami Shores, Florida. a/kla Lot 9r2-,-Block / , Plat y LA), r 2r Pf t 4- - ,s a single- family residence. hereby certify that l 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, Florida, 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. Application Received: Application Fee ($50) Paid: Inspection Made: Inspection: PassedN(4on Failed ( ) because: Page 1 of 2 (L Applicant Print Name: ge=y9ru For purposes of conducting the inspection required by Section 902 of the Miami Shores Lard Development and Zoning Cade, please contact the (following person(s): Name: 14 (-4 L 7-1 7 Relationship: Dlf -A Phone No.: '7 8 Address: ? - 7i i/r By Check No. By MPF.- 11 -1ti`. • 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 that such property may be re- occupied by the above applicant for single - family residential purposes. MIAMI SHORES VILLAGE, FLORIDA B Date: of Certification: g� / 9/ THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DE t ERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT 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 DETERMINE THE CONDITION THEREOF. Page 2 of 2 TOTR& P.03 CERTIFICATE OF RE- OCCUPANCY On behalf of Mami Shores Village, Florida, the undersigned certifies that the property describ in the above application has bey 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. MIAMI SHORES VILLAGE, FLORIDA B ri, ,LtlYV Date of Certification: 6 / 14 / 99 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE 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 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 L ITERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE2OF2 1, o i'ze(47 to re- occupy the single family residence known as : (address) Legal Description: Lot: 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. Applicant / "Z" ` Date PP � � ./ `� /( 4QC Tom'/ Print Name APPLICATION FOR CERTIFICATE OF RE , Miami Shores, Florida. Block PB & PG: , hereby apply for a certificate ***** *********** ******* ************ ******* ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: Telephone: 2f G 1 22 ( Buyer Seller Realtor V Company Name Application Fee (S50) paid: Cash Check No. SS 73 Inspected by: F F. LUB I EN Approved X Denied Date6 /14/ 99 Comments: PAGE 1 OF 2 1Lli oirsC C ,.,. �� .tiro - ^r-�...up • ? ;4 , , C �FZT FLIKLe§ frig . ft( )� PR DU i • • •My)NIaP1i � I :$6,3 O CT CONTROL NOTXCE OF ACCEPTANCE .: , ..;303: 3fi•-zvof:,Ax � � 3 r>ov Monier- Lifetlie LLC CONTRACTOR LICENStt4G StCTtON 135 NW 20 St. (3os) 3 FAX (3033 3 -1551 Boca Raton FL 33431 CON TRACTOR £: 01teki S ECTION (+30ii) ° 37',: y66.FAQ( Op) 37S - Mi PRODLCT COATAOt DIVISION (301) 37 ..2403 VAX ;305) ) 7 2. . 5319 Your application for Product Approval of: .4 tlantis Shake and Slate Flat Profile Tile ::rider Chapter 8 of the Code of Miami -Dade County governing, the use of Alternate Matcltals and :'ypcs Cons;ntction, and completely described herein, has been recommended for accept3n:c by the LM:arn; County Building Code Compliance Office BBCCO) under tr.e conditions specified tcrcic. his approval shall not be valid after the expiration date stated below RCCO re serves the right to sec,re ;h ,)rod,rct or material at anytime from a;obsite or manufacture s plant for pua!ity contra! testing f 'h.s product or material fails to perform in the appro manner, BCCO may :c':o ; :e, mod ;fl, or sus;kr.kt the '_5c of such product or material immediately. BCCO re :ierves the right to revoke this approvai, i::• .s rlr.ed BCCO that this prodict or material fails to meet d7e recuirernents of the South F :or;Ca Code The :-.xpcilse of sue', testing will be incurred by the manufacturer. A c c e p t a n c e \ o.: 99- 1012.07 .;Reviles No.: 98- 0601.01) E.xpires:12 /16/ �,,r,rKI cd MIAMI CONDITIONS fir :ILD1,tic CODE SC PRODI :C.7 REVI V: Raul R xdr ez • Chief f rod;ct Control THIS IS THE COVERSHCET, SEE ADDITIOti.AI. P.kGF.S FOR SPECIFIC ADD CENEIL \i. :anci :.co 1. ltd ^7 DIreCtor Court, 3..i1%'ing Code Connpi.. nc,- Oft ;cc ln•ero•I m� l •,Jrt] po,!•o6.trr4yb .lA.n[e, denn.Ine cool Me = • N ' .. . ' ulld :n•1c oQe• n , l :n• cod, APPROVED :Decal - EXPIRES :Decstmb.r 1 • • • NY TICE OP ACCEPTANCE: S TANDARD CO Drr>�Ci1�[�: • • 1. SCOPE This revises a roofing system using Monier L.ifetile Shake & Slap Coocrett Tile, as manufactured Monier Lifetile LLC: described in Section 2 di No(ge b '• Acceptance, designed to comply with the South Florida Building Code, ° 1994;Ejition fo Miauni -Dade County. For the locations where the pressure requirements, as determined b'y SFBC Chapter 23, do not exceed the design pressure values obtain by calculations cm compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category : Prepared Roofing Sub Category Flat Profile Tile 2. PRODUCT DESCRIPTION Hanufgcured by Test A11�1iSnn DImenifonq Snecincntiollg Monier Lifetilc Atlantis Shake and Slate Tile Trim Pieces Ratnprocf 11 lce and Water Shield I � 15" w - 10 3 /8" "'' thick :- varies \v ° varies varying thickness Dimensconl 30" x 75' colt 36" x 7i' reit cr 60" x 7 5' roll 36" x 7 5' roll PA 112 Flat, interlocking, high pressure extruded concrete shake and slate root equipped with t.vo nail holes. For di tee deck, rnortsr or adhesive set appli cations . Accessory trim, concrete rcof pieces For , tiff at hips, rakes, ridges aid vt;ley terminations Manufactur,d for eac;i tale pro' �; e. PAt '.2 Components or products manufactured by others Test Peel fitio ns PA 104 2 ACCEP?ANC* Product Dsmcription Single ply, nail -on undetlaymertt with 2" self - adhering top edge. Product Deserlp_tioit Yalufaiturcr Protect -O -Weep. Inc. (with current NOA) PA 103 Seta ! W.R. GI%ea Ca. Franc[ Ze RAC Roofing Product Control Examiner • • • • • • • • , • • : • - A CCEPTANCE Na A.PPROVED EXPIRE,g 'D tcetaber 30, C N� 1�>E O AC '9'ecftriber ;j• �2 CEP'cAxc ST D RD • y 7- : •yam• : • • • • 1 1 • • Wood Battens 7,;e Fails Ti:e Scre..., r p Roof Tile Mortar \;data( .ti!.) 72r P c •" .e Lto -a,; Rccf fz Adhesive " ?clyprcljZ A*:-;! 60 ") D'as VeRicut( Mtn. 1''x 4" Plc ritora nl Min. 1 "\ 4" for use ith vertical battens Of Mir. I - x 2" for use atone Min. 10dx 1" d3x 2 % Tong 3 335' Fead d:a. 1131" shank dia. 7 5" screw thread dia. Test Snecl Wood Preservers ln3tttute L P - 2 PA :14 Appendix E PA I .4 Aa pecir PA '23 Product Descn� COrrOSOh resistant screw cr Srr:OOth sha:tk nails Corros.on reiktant. coated, square drive 83 :varsized, Coarse thread wood screws Prepared rno;-%r mix deigned for r^nra- set toot Frank Zulaasa, RRC Roofin; Product Cor,t:o, I:xar.,;r,cr Prep.:,ed - ;ortar.n:s: tile C esi3r , ed •`or ra=rer Set 'COI ::IC sppl,ca:ion; • a'r • • Sat pressure treated • ,, seneric • or decay res;stan.: lumber battens • . generic gcreric liermuds Roof. Co:npar y, foe cv 1'CA v 1 wp c3mpCne•: polyurethane rc adhesive designed `c.r taCheiive SC: roof t;'e applications • • • • • _ •.• • • • Eroduct Roof Tile Adhesive TifeBond 4 Hurricane Clip & Fasteners LIMITATIONS APPROVED 1999. EXPIRES :D$cc 16 2002 . : •• NOTICE OF ACCEPTANCE: STANDARD CONS: • Dimensions Factory premixed canisters CI.pi Min. 'A" width Min_ 0.050" thick Clip Fasteners Mr..8cx1V.' I Lrfetlie Anarbs Shake & State Ti Test Specification See PCA PA ; [4 Appendix E 4 Produei Dcscrl,njioR Single component polyurethane to ant roof tile adhesive Corrosion resisract clips with Corrosion resistnn: nails. Table 1: Aerodynamic M ultipllers - h (ft Tile ) (}t3) Profile t D'...,., . + • •' F t.'dbtt > , ° (with c'arrcnt NOA) libation 3 l =:c classification is not part of this acceptance. For rrortar er adhesive set tile applications, a static field :Hill test performed. in accordance with RAS 106. Applicant shall rr!a :n the services of a Miami -pads C ounty Ce :tired Lai prat ; . to perform quarterly test ir, accordance w:t't PA 112, appendic • A' Such rettini srdli be subrr.;tted to the Building Code Compliance OFnce for ;E v:ew \tin :mum ur,derlayrr.ents shall be in corr.p:':ar.ce w:th the applicnble R 4 .ppticar.or,; Standar tilted section a.1 hee.in. 10 /9i: or moppei inderlayrr.ent app :icat:ons may be pe7penc :�,.!a; ite roc slope unless str.ed ort - a.'isc 5y t ^ unc.. rr.ater..al 71151 shat 1'7,.. acceptance Is for cOd deck 3pp1 :03 :,.,,'4. \�, �,, ^e '^ ,:ompl;,..ice cnaptc7 ?9 of :_nc SF 9C. :nSta 1cd Grp slope 7 1; and Er :%ltr.r win s- 1'.S1 AL[,A - 110N Mo:i e: i ;etpie A :lam :s Shake & Slate to ' a:.� is r;:� Cerc-e Roof Tile car ;;,• c- si l:1 De l(Si11 :2I in str.ct comrl'.ance with Miami `', .... 70(;:•^.:, Appii,etion Standard RAS 113. RAS :19, and RAS 120 Data or Attachment Ca':cuiations '•a, RR Roofing Product Coatr.i E-<a,m ncr •. • • • • • • • • • NOTICE OF ACC NCE: ACC APPROVED EXPIRE$ . •• . . • • STANDARD _ _fable 2: Restoring Moments due to Grav}ty The 1 3 ":12" l 4 ":12" S":12" _ _ Profile I 1Z I • • • • • Monier lrtetile At!anti9 T Oire� t Gae' I Oire t Deck Direct Deck ` . Oir — ' — " • Shake 8 Slate Tile -_ — —5.0 5 9 ect Deck 5.8 g g Tile Profile !Monier ifet ;le Atlantis Shake & Slate , ie Table 3 Attachment Resistance Expressed as for Nail -On Systems Fastener Type y " - ' Direct Deck (min 15/32" plywood) L 2-104 RinsiSnenk Neils 30 ■ 11 0d 73 Shank Nail 2 10d Smootr Cr Screw 7 la C Shank Nails _ 1x8 Screw - 30 8 2 108 Suety 5. 7 1-10d Smooth or Scrc,v 24.3 Shank Nail (Field Clip} 1 1 Od SmoOtt1 Or Screw 19.0 Shark Nail (Eave Clip) 2 -'0C Smooth or Screw .`_Shank Nails (Feld Clip) 2 -10C Smoot) or S crew 1 Snan•t Na,Is (Save C 1 2 10:1 Rirg Shari'.( Nails' . 53 3 35 5 ti : it "'I'. ` �''° lea ;'a; d'•�'a..' ^ - - GCS,'!, D. -� „• a Moment - Direct Deck Battens (min. 19/32" plywood) 38.1 9.8 18.8 30 8 51 7 24 3 19.0 3'9 ubaga, RAC Roofing Product Corm ot E. miner r :DeZv 16, 2002 N • • • . ; W • • •. . • • • • ••• 35 5 nor DirYCtDC-t;C 5 5 '7 2 49 7 18.2 24.4 24.4 22 34 3 Table 4: Attachme,rtt Resistance Expressed as a Moment S (1 t -Ibt) _ for Two Patty Adhesive Set_�+stemg ( T'I'= Profile Tile Application Minimum Attachment Resistanco _ _ ' Mc Hier Li'e>.le Acar,:i9 Shake S Slate Tde �+c,bes m ve 3. T _._ 2 See manufactures sorr'por`ent approval for n$tatIatfon requireent_i 3 Flez;ote ProriLcrs Company 'r'teeono Average weight par patty ' 3 9 gra�z ` Potyfe rn Prc&ct Inc. Average *err oer patty S grarna. r •• aIQNIER LIFETILE LLc ° y w APPROVED «: 7: :Deccuibe 30 EXPIR.6i Ueecre • . :�� bee 1�p�� • NOTICE OF ACCEPTANrE: STANDA�t pjj , 5': • ••• Table 4A: Attachment Resistance Expressed as a Mo • for Sin le Pa Adhesive Set Systems • Tile Profile Tile Application LABELING A:; tries shall bear the imprint or identifiable marking or the cr following sratement: "Miami -Dade County Product Condo 6. nt ;ILDING PERMIT REQUCREMTENTS 6.1 Apptica:ion for ' wi lding permit shy:! ':,e acc cr-pan ;ed by 6.1.1 This Notice of Acceptance 6 . 1 . 2 Arty ) h r docurr.ents to luir-'d 3 , _;;if ;r.3 Coc;. (SFPC) :o, orde to rro,',c:,v cvaivate r e 5 PQIyProTM PoiyProTM ACCBPTACCE • • • t:- • • • nimuM Attachment Resistance M MOnier Lifetile Atlant,s SRake�. Sate Td� 4 La a add tacement of 45 grams pf PolrPro^'. S Medium Daddy ofaCement of 24 rams of Pot Pro Table 4B: Attachment Resistance Expressed as a Moment ; ; .lbl7 for Mortar or Adhesive Set Systems Ti le i J Tile Attachment Profile Application F ealstancn - 4.7 - 1 - c hie. Leetlle Atlantis Slate -74 —� r Mcae Seta _ �! —3-5.-0_ rranufactun!-'s name o: logy Approved" eopie..3 of le �oi.o�inS Frank 2vteaga RRC Roofing Product Con ro: Examiner : T he S .•c F.cr rasiewussA, imuktu nA.wi AIWA r APPROVED 6: :Di EXPIRES :Decewlier IC VW 1 10TICE OF ACCEPTA10E: 5TANDRD I■ dory:n*111.05: . . . . .. • • . • • -,_ '•. -‘. •< CVERIRY .4.040 PROFILE DRAW/NGS `,- • •• 00. , o Nta‘R ITrII. ATLAsITIS SHAKE & S.rc CONCRKTE Roo= TiLE 1:13" F rwk Zukeza, RC Roving Product Cor.trol Exotniricr 6 :6 • • • :0 Renevi►al or this Acceptant (approv *I) shall be'eor%sidered aftcr,a rent sl �spr hcac brrt • Sled arid the originsl'subMitted'decument , including test-supporting diti, enguxeiit}'g j are no older than eight (3) years. • „, ' • ;`• •• 2. Any and all approved products shall be permanently labeled with the manufacturees'Itatiae: city, State, and the fallowing statement_ "Miami -Dade County Product Control Approval'. or ai specifically stated :n the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if. a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b the product is no longer the same product (identical; as thc one original y approved c. If the Acceptance holder has not complied with till the requirements o! tat :s acccptanc,f.. :neluding the correct installation of the product. c The engineer who originally prepared, signed and seated the requ dccur,entat:on subrnittec.. is no longer practicing the engineering profession 4 Any revision or change in ute .r.atertals, use, and/or man...faceire of the product Of preccss shat' ataorlattca :ly causr for termination of this .Acceptance, ualcs5 pr :or wr,nen :Pprova: his been requested (trsough thc riling of a recision application with appropriate !Cc) ar: granted by PIS off ce \ .). cf the r 0 " owin3 shall also be 3rout'ds for remova.: of :his Acceptance. a. ..nssi,sin. -Tory ;,erforrnance of +is p or procett9 h, \ 0C t` i Acceptance ai an endorirm of any D: :duct 'or sale: 3 ver: :s.r.: 0: ;,r - Ot1 ::r r•!rp.,Srs e No:. :d n cumber ;; arc tCi r ti,, •` °tr :a: ;,rt �4Ste Tay r. \ -c ^r • \; t '3r CC i � S r t <l .. 9.a b r 7 . _ is e rery A\ .. ,; :t 1 �.. ° �' ^.0 a w' at 3'c,p•ov'.1 37+.1 Ut■et :n L ..,e: by :be n ar,ofa•... :rer or i'3 C•s:. C'utori a"._ S711. 7'1 t' p^Ct.O.'t 3: •hc ;G s'... :Ime. ' enareer net .; ^3t reset, .he copes g `1tit+re •C ^.(:'J w':tl l ly secttc'1 Cf tries shall be Cat■id f■: :Z' �'. .: cr: 3 :• 7. : J OF Accepts - cc S VJ::Ce J:' , z' pta'<? .onsfsts of pages '. thtou3* 7 and this last page 3. END OF THIS ACCEP1AN Frank Zutaags, RAC Roortn-Product Control Examine , et, ••"17 7/74/ iLA - —c Village of Miami Shores N9 4833 JOB ADDRESS 4 10 • C. [Ti e_ TIME READY 11 0 - . INSPECTION „ REMARKS I I if `(?, ,51 e- tr, el (7 • ??. 3 INSPECTOR CY ce) DATE i ' OWNER'S 4AME - .' / °` fi " Alv .. ..�rci11, Inc. • •P'RESb!FTADDRESS i._ - 1r ,_- , _,,,,� .'- :.ia`.,�s �.ve. f�T� LICENSL,CI.O. -- 1212 ac, PHO NO I.0p Yam 6/ ( n �_ �� ;��,>., JOB LOCATION (ST. OR AVE.) 1I 1f4 i:. L. 92nd :;t. LOT 22 BLOCK 2 SUBDIVIylO N 'Jay Lurb GENERAL CONTRACTOR Alvin B. I{roll _ ADDRESS 4550 Adams Ave. MB ( PHONE NO. LICENSE NO. 1212 BUILDING PERMIT NO. 41 - 7 ` 5 • DATE 8 / /. PERMIT FEE $ 25 BUILDER'S BOND NO. ��1 a- DATE 8/14/56 ZONE P EQUIREMENTS Nom FT. 21396 PLAN CUBE 21396 CU. FT. EST. COST $ ` / 0U0.00 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: C. K. Markel DATE G/14/5 NEW CONSTRUCTION TYPE C STORIES ROOF CONSTRUCTION 1 -Tile INTERIOR CONSTRUCTION 313R -2 "Bath REPAIRS DESCRIPTION Terrazzo Finish Floors Sand Float Finish Plas ter, ood Base ALTERATION DESCRIPTION CL Shoe Tile Sills ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED T¢,PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 4 1'2 •3•'/S p e r . ISSUED gkj BY 104+ii id 12 ®4. C //` - TO BUILDING PE RMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION C7 / 14.00 / ."' t - '* - a� /o"' 47 J (.i 6..,c?S le 471 BEAMS & LINTELS "7 - .t,t. _? -'$ - S2 ..1 $ I. ci 1 SEWER FRAMING 12- -SL a Hbvt `'13.5 7 $ GAS FIXTURES $ u . $ FINAL 2- 27 . 1 J713 BY RE- INSPECT BY CLEAN -UP ,ZQ -Jr' ts.�Pt Q �• 46 4v - 4 3 7- /2 -3--R. CONTRACTOR „ - .,.., ..:1 4f3, PHONE PERMIT NO. -. ';' DATE _ . �� . FEE $ 1 . r. T; NEW BLDG. X I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE $ SEPTIC TANK : %. < -. .. . e $ I. ci 1 SEWER $ SOLAR HEATER MOTORS $ GAS FIXTURES $ $ . $ INSPECTIONS DATE BY S` RE- INSPECT BY RE- INSPECT BY ROUGHING / . O ,ZQ -Jr' ts.�Pt Q �• 46 4v - 4 3 7- /2 -3--R. GAS ROUGHING It-3 b7.- . e({-:K -335 SEWER i 1 t 1 .4.7 4A t `..:' : J SEPTIC TANK f 1 -I- .l ) 41',-r> 2-Z7-7 W. SOLAR HEATER FIXTURES �j /` ./q-17 FIXTURES & FINAL !3_ C 9Z WM "a 47 IS CONTRACTOR sa r ‘ _G_" PHONE PERMIT NO. 1 ; a DATE /;' •+=� • •!' .-• FEES .e NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ . $ INSPECT IONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP.' SEFIV ICE ROUGHING It-3 b7.- . e({-:K -335 H. W. HEATER CONN, -57 uJ/Gf RANGE CONN. 2-Z7-7 W. FIXTURES & FINAL 2- t 7 '47 WM "a 47 IS • • t t' J 1. PLUMBING PERMITS & INSPECTIONS ELECTRICAL. PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE /77. w'F D Z- 2 --r7 BUILDING INSPECTIONS z -2 7 -r BY