1245 NE 92 St (11)Date
Job Address 1 S 11E Cl°2 - Tax Folio I - 3 05 0 7 -
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Legal Description
(rfLessee / Tenant Aie b/AL ZA D/n
iee, Iv
Qualifier -N f &/ b¢n;77
State # C? ei,S 2 / ID Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Owner's Address
Contracting Co.
Historically Designated: Yes
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL OOFING PAVING FENCE SIGN
WORK DESCRIPTION R�?2 T� ,��/4p,X '` J Z-z/9- %J
Square Ft. Estimated Cost (value) ff
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
construct
Si
FEES: PERMIT RADON
I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ermore, I authorize the above -named contractor to do the work stated.
r i d/ Condo Pry D
`
or ono e i en a e
`► , pev k ,/ pv.A.
110
Nary as to Owner and/or Condo President Date
My Co , y ,Exta}6tiaao iBlZmu 2/5►to 2 .
1Commission # CC 910615
Expires March 28, 2004
*A .. Bonded Thru
''ama%' Atlantic Bonding Co., Inc.
APPROVED:
Zoning Building
Mechanical Plumbing
C.C.F.
SS# / Phone „16 7V 9(1'3.
«
Signature t Contracto r Owner- Builder
to o ran M�. 43 ", .. aBtAld
atxPEr,StIC SPATE OF FLO :kIDA
COMMISSION
O l0.3
MYCOM N EXP. MAR M
Not*
My Co
Master Permit #
NOTARY
Phone 36 Y- 753/ erg D
Address �O /167,
.
Electrical
BOND
Ins. Co.
No
TOTAL DUE
Date .
Structural Engineer
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required
roofing permit. to provide the owner with this appendix and to explain to the owner the content of this form. The provisions
of Chapter 34 of the South Florida Building Code (SFBC) govern all the minimum requirements and standards of the indus-
try 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.
V"" 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof-
ing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are
not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance,
that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor.
2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance
with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the
existing roof system.)
j
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town-
houses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the
occupat;ts of adjacent units of roofing work to be performed.
11A -4. Exposed ceilings: Exposed, open beam ceilings are 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 under-
side of the decking may of be accebta. e. the SFBC provides the option of maintaining this appearance.
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 roof-
ing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions
should be corrected.
4 Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build
up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets)
are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC.
bvtv
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structur-
al assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to
consider venting which can result in extending the service life for the roof.
8. The owner may contact the Miami -Dade County Consumer Services Department for further information regarding
'*he above.
/
Owner's/
12101 12 PACE2 7/99
APPENDIX "F"
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
is Signature
Iligloi
Date Contractor's Signature
Type Insp'n
Permit No.
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date O 19 ° °L Time
7 1 €4.4 - c1
�3P 2i 2 -l/6 "2
OO
f ays 3 Sf_
30S" P .P6A4""'
For Ins . ector:7 - Q /--,0 7 Name & D
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 9 i ' ® Time
Type Insp'n
Permit No.
Name
Address
Company
Phone #
?oa- //s J
OQ
/gys 4/€f3,s
32s 5- ye' - gl' 8e
For Inspector: 7-22 4 ,2 Name & Date
Approved ����❑
Correction PEr
Re- Insp'n Fee }-�
P
Ala
Date 2 al 02 Time e
Type Insp'n � j(�N�k.� /4%bI / l
n 200 2 - /(S7
Name 60
Address /2 9,s" /i&° 93
Permit No.
Company
Phone #
For Inspector: S 2iZ -Q2.) Name &
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
3or 26 F6
3ar Sat 7 .Z/3
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 ?? I 1-5 , 19 63
Owner's Name and Address PENINSULAR Q U A L I T Y HOMES No _3_0 I Street C O R A L WAY, MIAMI
Registered Architect and /or Engineer M.I-L.T_0-Bl.__HA.RRY
Name and address of licensed contractor G I F F E N I N DUST R I E S, I N C. P., Q. BOX 565 - , TAM I A M I TA. MIAMI
Location and legal description of lot to be built on: 33 1 4 FLA.
Lot 17 & 18 Block 2 ' 1' Subdivision BA Y L U R E
Street and Number where work is to be done 1 2 N. E, 92 N D —T. MIAMI SHORES., FLA.
State work to be done and purpose of building (by floors) __Ro.9_F-I_H_Si____. " SHE,N_IS_E.I." RES..
APPLY 30/90 & I" W. C. S, TILE, INSTALL GALV. FLASHING
and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories .__....... N E
To be constructed of Kind of foundation Roof Covering TI L E
Estimated Total cost of improvements $ 1 -QQ Amount of Permit $. - 8..00 4000__
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 G I F F E N I N D U S T R 1 E _ $_,,.....IKE..._--- P._Q_._BO_X 56- .... 33.I.4? _,_. F.L.Q..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcpntractors, on work to performed under this
permit, as are licensed by Miami Shores Village.
(Signed)
L. R ORTHRUP
STATE OF FLORIDA, I /
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
, and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
,therein by him stated are e. //
Permit No -7 Date / (— 7 - `73 Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed) -- l� -4 c- ■,..- . 'i
But . ing Insp t. My Commission Expires
Notary Public, State of Florida
ANNING 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.