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ROOFPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 J l 1 /C> O Job Address /32 Av &9z �( Legal Description Historically Designated: Yes t7161091/ Master Permit # T Phone Owner/Lessee / Tenant /W/ ) C > 44 - SO .d RU C \/ & 9/ S - Owner's Address Contracting Co. t v h h \ t S � S j 0 /t T� Address t - O kA . S It X) S'j" ,L�r.1@� "1:1-43 � v Qualifier �c9 i 1 C ■ i∎ p' SS#/ Phone ! sL -(4 3 uH s sr State # S V Municipal # Competency #0 8 O D Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA \ ROOFIN � �'AVING FENCE SIGN WORK DESCRIPTION II- L Q C - k .9 j p <!■'v r -4f 4.A nWL) Squw re Ft. `4 5 a 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 .s,N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. - 4(gii are of own Ill n/or Condo President Date Nott uy as to My Commis FEES: PERMIT API'ROVED: Zoning Mechanical or COMMISSION N EXPIRES APR 04, 2001 AttA THROUGH .,.�r. I ?'f�f7 9 Date RADON C.C.F. 0 Building �l VrgloQ Tax Folio Address Address Address Estimated Cost (value) /4741 Signature of Contractor or er- Builder Date Notary as to C4 My Comrmssion NOTARY Electrical S o t J • ro CC633993 Date EXPIRES APR 04. 2001 O n.; tr, T. le BOND No TOTAL DUE Plumbing Structural Engineer • Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? Lion: MEAN HEIGHT Deck type: Underlayment: Insuh It 12" ROOF SLOPL D E T A I L 3 SLOPED SYSTEM DESCRIPTION ,Fastener type & spacing: Cap Sheet: Roof Covering: Drip edge: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pmaxl: X ?■, (Aerodynamic Multiplier): ) - M (Pmax2: X X (Aerodynamic Multiplier): ) - M (Pmax3: X X (Aerodynamic Multiplier): ) - M TILE CALCULATIONS = M = M = M PCA: PCA: PCA: Page -2 Cc ntractor's Name Zbb 1 f U Dv ROOF CATEGORY ® (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof e roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft') Slo ed Roof Area (ft Total (ft) 5.7) Exposure category (per ASCE 7 -88) Building Classification category (per ASCE 7 -88 tabl Ft. Ft. A ' 23.01 -78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. �.`o. C' 75 s Deck type: / ( � 1..,./100,-) f M ij TV ATTACHMENT S S / Fastener Type. A � p SPACING DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Field: /0 6C Perimeter r,' C. Corner:/ CC- Job Address: /57 r �/ Page -1 r r P• Master Permit No. OOF;SAN Contractor's Name cr.})b ):6 Q\ 1 AJ Job Address: /3 '7 ' V ROOF CATEGORY (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof e roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (R 5 0 S10 Roof Area (R Total (ft ( 5 Q Master P rmit No. Exposure category (per ASCE 7 -88) Building Classification category (per ASCE 7 -88 tabl Ft. Ft. 123.01 -78 &96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. CAp t 'ZS 6As Deck type: 0 ( ( 1'V O 0 4 f o ry ATTACHMENT Fastener Type: " ? Ay S / SPACING it 4 Field: /0 SC Perimeter‘ 0 C DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) ilii1 4 al Corner: oc. Page -1 APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 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 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. 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 34 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 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) i` f i 3. • Common Roofs: Common roofs are 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. 1 ( 41. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed front 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 SFBC provides the option of maintaining this appearance. . + N S. 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. G. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not over oaded 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 niay be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. 'Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assetnbly (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. `1'S. The owner may contact the Mianii -Dade County Consumer Services Department for further information regarding the above. / / 7/ u Owner's/Age " tgnaturc Date Contractor's Signature A APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 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 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. v� / 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 34 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 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�rdance with current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) � r� 3. • Common Roofs: Common roofs are 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. k . 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 underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 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. G. Overflow Scuppers (►►•all outlets): It is required that rainwater flow off so that the roof is not over oaded 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. 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. `1' The owner may contact the Miami -Dade County Consumer Services Department for further information regarding the above. Date 7 /o0 Contractor's Signature Aly is . hercby made for the approval of the detailed statement 01 tne plans and specifications herewith submitted for the build. ,ing or other stiveture herein described. This application is made in compliance and conformity with the Building Oldinance of Miami Shores Village,' Florida. and all provisions of die Laws of the State of Florida, all ordinances of Miami Shores Village and all roles and regulations of the i3uildirg Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of Approved plans and spcciiications roust be itept at building during progress of the work. Owner's Name and Address STATE OF I'LOF,IDA, COUNTY OF DADE,. ss * peared • MiAM SHDE V 'a L.. LASE U;LD:NC INSPE.:CTiON DE:=ARTMENT APPLICATION ELTh-R PERMP: Mrs. H. Backus Building Inspector Dsto. Auk 30 -. No ..... Strect...4g-s4,p. Registered Architect and /or Engincer .... ..... , 1401 NW 20 St. Miati 33142 W.R. obbins & Son Roofing Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision 37- 4)4E . -&t Peet Street and Number where work is to be done 1 State wo rk to be clone and purpose of building (by noc,r;) Tear off exiAt,i-.0.9-K.Clas-J11]faY.-14M-14 ..... nailed, one layer of' 90# slate with hot asphalt. Lay new Imported Clay Tile 10 SeimAr.es New Building Remodeling Addition Repairs No. of Stories _ i To be constructed of i: Roof Coverng ind of foundation 6 0,4•1, $ AA.60 ! H : Estimated Total cost of improvements 6 Amount of Peit S... rm Zone cubage required _Plan Cubage — Distance to next nearest building Size of Building Lot -.. .......... - ...... •.... •.., ....... ......•-••... and for no other purpose. • Maximum live load to be by each floor 1 herehy submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. TL e undersigned applicant (or this building, permit does hereby Certify (hat he understands and accepts his obligation% as an employer labur under the Florida Workmen s Compensation Act, 1)eing Scon F.A)G6, Compileci General Laws of Florida, Permanent Sopplement, anti has compl,cci \sok the provisions thereof, and will ''ecluirc Lomplianec from all contractors or subcontractors employed by hin) n t h e w o i k to be performed under this permit; and will post or cause to be posted for inspection on thc site of the work such public notice or notices as are required by the Act. The undersigned agrees' to emoy only such subcontractors, • d' work to be performed under this ;scrinit . as are licensed by Miami Shores Village.. Remarks (Signed) . I3efore me, thc undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- My Commission Expires, 10 1•■•••■ to me well le..nown, mid who, being by me first duly sworn, upon oath deposes and says that he is the. of tlx above described construction, that he has carefully read the foregoing application, and that he did sign the srune, and that all facts therein by iurn stated are true, Permit No .................... - Date 7 .3/8 :Read, Swo to and Subscribed before me: Disapproved Date Notary Public, State of Florid (Signed) ....■■•■■•••• wo.o• 00••••■••■• PLANNING BOAP,D DATE Chairman Nictal,er :N.:ember - Council Approved Date asapproved Date NOTE; A charge of $1.00 will be made for tnakir.g cvi changes to this application after approval has been obtained irons tile A /42-Inspection fee of S1,00 will 'bo charged when such . in:pection ie. - .7.ade necessary by improper notice for insprvtion oc faulty materials anti/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ DATE /-/ of PERMIT ❑. Architect Contractor r ,, or Builder , d _,: 4 .t . t ' . T ;= ° , ✓ ' t~ r .$ 1 j Legal Lot Description II BI CONTRACTOR OR BUILDER N9 7738 Work to be performed under this Perini Contractor's License No. e 4 . • / ; Subdi- vision Bddrens of e . ,� Value of .. .- r Amount of g f f , - e,,'- ,. n Project $ /_ � Permit $ ` ,e) 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 d . f.� � � f re_, w � ,: i : t , . . , r : - - , " ' " I N S P E C T O R 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 conform with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as :epting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. I B . .4C t . BY AUTHORITY ABBOT 4 r@ s- ' v2c Thv 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 he kept at building during progress of the work. Owner's Name and Address Howard Backus r ee Registered Architect and /or Engineer Miami Shores, Fla. Name and address of licensed contractor Lang Roofing_ & Tile Co., Inc., 573 N. W. 71st St., Miami - Fla. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 137 N • E. State work to be done and purpose of building (by floors) 3 sqs° tear off existing Cuban tile, two- story. Disapproved _. .. Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date No 137 92nd St., Miami Shores, Fla, July 18th, 1966 19 St t N. E. 92nd St., replace 30 # felt, 90# slate and new Cuban tile, and for no other purpose. New Building Remodeling Addition Repairs____ No. of Stories ... .2 ..._.. To be constructed of Kind of foundation. Roof Covering Cuban tile Estimated Total cost of improvements $ 375 ° 00 Amount of Permit $ 5,00 Zone cubage required plan Cubage Distance to next nearest building ._Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the 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 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 subcontractor1 on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Building Inspector My Commission Expires Jrph A. Martin, President. 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 7 7 __ -_ Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLANNING BOARD_______. _ ____ __ . DATE Chairman __ __ __ Member Member _ Member Member __ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by impro;.:•i r ,u c for inspection or faulty rraterials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. 6 D ate.. ._. .. G,1....� ..Z Owner's Name and Address . ......... . ._ ... _. No.. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be ilt on: Lot Block Subdivision �...._ x Street and Number where work is to be done ,� t .. �. .._... r_ L 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 0*". Estimated Total cost of improvements $ ` Amount of Permit S. Zone cubage required -Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.......... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc 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. a Remarks ( Signed) — w --. �. ---- -_ --• -- STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved /�/� D ( Signed) 6%; G: `. ete tiding Inspector Street /_S1�/ r .. 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. 7 Permit No.__. "l L - .7' Date..__ � — f � .. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Mcrnber 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 nfter approval has hecn obtained from the Planning Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspevtinn or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR 1= UILDING PERMIT Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o. other stru ture he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V-ltag F onda, and all previsions of the Laws of the State of Florida, all ord nances of Miami Shores Village and c11 rules and regulations of the Building Division of Miain Shores Village sh 11 be con plied with whether her in specified cr not. A cop of approv d plans and specifications must be kept at bu,ldmng during progress of the work. Owner s Name and Address __ - (36,-.. e Registered Architect and or Engineer Name and address of licensed contractor New Building _ To be constructed of Estimated Total cost of Zone cubage required Distance to next nearest building_ __ _ Per it No. _ Disapp-o• ed ( Signed) Chairman Member _ Member . _ Co :i1 Approved o improvements $ Building Inspector MIAMI SHORES 'k/ ILLAGE Remodeling _ Kind of foundation Date_ e2_ — // o a �/ j 3 6--e_0 Location -nd legal description of t to be built on • / 1. Lot__ Block Subdivision Street and Number where work is to be done /c' 7 ,fr 4f • State work to be done and purpose of building (by floors) Additn - Maximum live load to be 1, me by each floor __. _ _ _ _ _ Repairs _Amo , ' t o Permit $ Plan Cubage _ _Size of Building Lot_ . . 19 -5 No. /3 7 Street__ AA E 9,7_ • Roof Covering I hereby submit all the plans u,d specifications for said inuilding. 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 h 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 Supple rent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed bs him in the work to be perform, d u der 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 agree. to o,. ploy only such subcontractors, on work 'o be pe formed under th s permit, are licensed by Miai. SLu e Village. Remarks__ _... (Sign Date. 1 J_ Read, Sworn to and Subscnbed before me. Date Notary Public, St. to of Florida My Commiss'on Expires PLANNING BOARD DATE Member _ Member _ M ber Da e D sappnoved and fo i,o o Stories er purpose. STATE OF I LORIDA, COUNTY OF DADE ss. Before me, he undersigned authority, a notary publ.. , duly uthorized to administer oaths and take acknowledgments, personally ap- peared _ __ to me well known, and who, being by m fist duly swo•i upon oath d.poses and says that he is the of he above described const,u tion thac se has carefully read the oregoing o , cation, and that he did sign the same. and that all facts therein b• , him stated are true Date NOTE. A charge of $1 00 will be made for making corrections or changes to this appl cation after appr. val has been obtained from the Planning Board A rte -it _pee' 1 fec of $1 00 will be charged when such re- inspection is made necessary by improper not■ce for inspection or faulty materials and /or workmanship.