1275 NE 93 St (9)Square Ft.
t' PERMIT A FOR MIAMI SHORES VILLAGE
Date 1 '2tt.vD! Job Address /2•75 /i/6. 93,12 Tax Folio
Legal Description
Owner/Lessee / Tenant
Owner's Address
Contracting Co.
Qualifier fgasyt
State #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING
WORK DESCRIPTION
Si
0 7:
art
Notary as to Owner and/oYlftaid• NiSly 5 ate
My Commission Expires:
FEES: PERMIT
/2-7$ ,v1 q d4'
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
C.C.F.
Historically Designated: Yes No
- Master Permit # S
Phone
Address 7DG / 5'w
SS# Z 7 - fV - 0217 Phone 30)`- 44 7 — .0D 3 0
Competency # Ins. Co.
Address
Address
Address
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
A P/ .1A4.(- 73.24 st 6a/t--
Estimated Cost (value)
6P 0/ io(s9
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS T •O 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 lades regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all w
construction and zoning. Furthermore, I authorize the above -named contractor to do the
rk will be done in compliance with all applicable laws regulating
•
•
ture
of owner an
or Condo President
oravus
•NOTAA
g
or
igna
v.4. OF
Date
stated. / I
IfA A&
tore of Contractor or 0 der 4 01
u Q Comission
yCo :, .��
g� Notary Service & Bonding fir
N! < !, t'` }. ; ,, • /r( /w/{lttuwe(ee, ( /-
Notary as to Contractor or', ,dR' t
My Conunission Expires: t
NOTARY
Electrical
BOND
TOTAL DUE
7qm
D/
Structural Engineer
Ty to
14e order o
PARADISE ENCOUNTERS OF BISCAYNE BAY 66~33.2/630
P.O. BOX 43 -2200 7 5D
MIAMI, • FLORIDA 332.43.2200 -- rn le ?D _/
L
.
1:06300002LI:20000 LL97
1197
FIRST UNION NATIONAL BANK
OF FLORIDA
/.
v
. ., M
�/o nrs 8 o.....d
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Contractor's Name: ylt,e(A■ 6-0-e/A
Job Address:
/1/g 93,0C
ROOF CATEGORY
2 Slope Application) ❑ (Nail -On Tile) TI
0 (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft') arj p Sloped Roof Area (ft X1200 Total (ft2) VLOO Master Permit No.
Exposure category (per ASCE 7 -88): C_ Building Classification category (per ASCE 7 -88 table 1): /
9
Ft.
A
Ft.
A
Deck type: /X7.66.,,,,,,t—
ATTACHMENT
Fastener Type: , 4 S L
SPACING
Field: /■1 Perimeter: �o Corner: C
ov/it
DETAIL 1 & 2
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
/1.
r
ROOF PLAN
123.01 -78 4/99
Page -1
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Ridge V 4 n7
Deck type:
MEAN HEIGHT /07?j
z Underlayment:
Llsula
12'
ROOF SLOP[
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
tlon:
30 -€6 d le,Lt
41/11
Fastener type & spacing:
MICEMIN
Cap Sheet: 7
Roof Covering:
Drip edge:
TILE CALCULATIONS
(Pmaxl: x X, (Aerodynamic Multiplier): 6997) - M SSA 7 PCA: (o /. g
(Pmox2: • cx X (Aerodynamic Multiplier): Al 9 ) - M = M r2 :� Z •� / PCA v 1•
S; J ‘i•
LL 9
(Pmax3: •�x ? (Aerodynamic Multiplier): 297 ) - M r3 :��'� PGA:
"c
9 � '
s "'
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Miami -Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
h) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
Page -2
J.
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.
W 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.)
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town -
0.,
houses, condominiums, et In buildings with common roofs, the roofing contractor and/or owner should notify the
occupacts of adjacent units of roofing work to be performed.
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 not be acceptable. The SFBC provides the option of maintaining this appearance.
34 3. 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.
.•
d/.
1. Aesthetics- Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof -
U 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.
?...8. The owner may contact the Miami -Dade County Consumer Services Department for f
the above.
APPENDIX "F"
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build
up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets)
are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC.
/27. 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.
Owns /Agent's Signature
123.01-12 PAGE 2 7/99
/o-2.7-0/
Date
formation regarding
Contractor's Si
A tA °ADE
SRNS_
PRQDUCT com _OF C.:CEP . •1(71:
Santa Ft 'Tile Corpora in
10302 N.W. South Rir Drive, 416
Medley FL 33178
Vot.;1; :aix:ieatior, for Not ce of Ace:I.-lance ;'"OA)
Spanih "S" Clay Tile
uncitIr C:p:er 8 ,;1 Code of Miarni-Dad; (..ctinty goi :Tr711r!t:' :he use c;f.A.tierriate and lype
Cor.sti.,etion, and described herein. has been rec:Omer;-.1c,..? fr:;; Dy the N;;flarni-
Cwry B•a;•: Cce Compliance Office CBCC.:0) under tr;e :7pnditions
Th:s shad not he valid at.er tie expn date stated ' 01■,. BCCO r-;.:!: the rght to secure t: :
preduct or material frern a jobsit.e or rnanufac!urer's pion: ft: qualit? control te::.;ing if ftit.
p7oduc: or mattr,al fai!s to perform in the :....ppro•eed mahner, CC ;:nay revokt..., mo.try, r sjsptnci
t.:se of ucj pr:.::±:ct r naterial u 3CC O reserves to revoke applovai.
ttildin Code.
deterrnined by i3C.:;',11:: that :hir; prod x:: o: material :ails to met the regairen o the Sotith
e ;:\pens of Such :eStIng be ircArt-ed the manuCce.:;.:re.r.
AC:C. I: PTA NUE NO.: 2 21L-J,_11 . L1(1
EXPIRES: 9221112 tin6
APPROVED 0211112001
,c..::':00■1.trmplie.es%noca:e zzcepunt• ros - uale.cct
Internef mail add refs: pcsuroiWer-17.:buiJdorkgcadeon!;nt.c.o:!I
Nii-DADE Fi.C.)R17.)A
NIETk0. DACE FLAGLF, EU:
1 : 1 1:1!.0!Nr.; C.:013E CONIN..I.ANc-E ()Fi fr:Z;
ILAC.;..
AG LC". T.
\ orvr;-, 331-;5•;
:r I
!.•O•TRACTOR LICL1NINC SE17
(3051.37:-227 i oc!,
1..NP:.)r(CM:AtEvi ti Kr\
0,:31 F\
vikopi(-r w‘ist.).
, AY
R1
Chf Pr: dt.ct
TI-IS IS THE COVER.SI.IECT._SFJ: PAGII;:s FOR 5:PECIFIC ANT) ENERA
141.fr conE RFV_i_FW CO/VI
Ths . A;Troval haF,
t atid '; Review Corrini:ttcc to he
forth above.
beet ; f!vie:ved h' :the 13CC arid ap'' b, .she Eu.idin;
used
ir. C'ountv Flpricla uidr tht. sct
• 5Z
If; ;
t./
Fran. J. Qui:lir:y:1, 7Z A.
Dirs:c:or
%1!;:rni-Dncit;
3ui!dirg, r3.;du Com:"fiancc Orf;c.
ilr.111.:ipJge: http:IAt ww.buiwingcoaronlin,:.corn
SAN_T . kl;E. TILE rORPO,RA:TION
ACCEPTANCF :A0
ROOFING ASSEN'IRL1' APPROVAL
Rocrr:e.
Sull-Cateurv. 0732r H.oq; T;!e5
Materials
Clay Roof 7ifes
Deck:LI:1ff'
A opr(n•al 1..2901
Irrfl E):
by.p:i 21.101i
SCOPE
Tlics rent‘..•s c.,.)ofirg sys:eit: .sin Fe "Santire ":S"' clay roofing ttle crnuf by
Santa fc C roriiq describet in Sec:t,o: 2 of thi Notict. of.A.::eocance. designed to
corr,p!y :he F!orida Sui■don, Code 19941 Ec Lar C.,'otir,ty. For
locat;or,l, whare the. rie',!6.,n pressure requirements, as d.:wrInifled . bui ding
does r/c...c the dassn press.rre vzques ab:Lin b LaktilatIr n co;a21;ance wj:h RAS
lived in herein. Ti e atta;:hmen: f be cic.-Tz. as a mornen; based
PRO.I.)1, DESCRIPTION
If factu red by_
Test
Product
Arljt 5.11D,_:0-14.:_aponN
Dc_Le_ravi ttqn
Santaft - S' C.la, f = " !2
I ( ..)''i :■:cc e llu; cln% - ow - Cie
'/-," thick eai'.niucrf ■Not: (wt.- nail .iples For nail
rmr set a,n .3c1hcsi% e stt appri7.2t:ons
varies cla roof [Jtcce:; for use at
va-yu:s !firs', nkes, r ..,. ard va:Icy temitriat:o:i!,.
116,:kne,:;:: iVlatit.: fac't!frz rc, c.:1 t:!c. prr..3nIc.
2.1 CONIP(.)NENTS OR PRODUCTS MANL BY OTHERS
TOf
P ro uct Dimensions . Product
fiificaticns 16esszivion
Tile Scre'.vs: 4/:1 2- /"!" long
PA / 4 S
t1 Steel
0. i 30" shank dia Appent, \
0,178 flute dia.
3. LIMITATIONS
3. I
;.: F :re ciasilfic.atiou is .lot part of' ti acceptan.:c. :
acc.;:rdar,c.e wit'.1 RAS
lot mortar o: aohesive set :de .r.ppilcaticns, a stall: field L :est shall be pe;formed ir,
Ap:Ilicant shall retain the fc of a N,1Hi..rn4Dade County Cerrlfic.O Laborat to
perIc.: cuarte7ly test i7) ac..:.. .vith PA 1 l2, . 3 . 414 :da 4 . ii i .x,- .4 ,4,=-- S - rt. - tr:-. - r-s-eiti i l, m s :1 all K:
s:Comitted to the fiu;Iding Cook: C'omniiance
,,./.
/ ; ,
-----"
F.:(
.caga. RR
oQtn Predoct r :or.trc.): E.xamicer
: SANTAFI: TL cortroRATioN- ACCEPTANCE No. : 00-1212.06
5 30/90 hot rnoppto undria applications. ;i:Tizy perpe.ridicula: tc the roof'
vope units! stated otherv,i.d: the undt rnit:crial n:anuint
3.6 Tis ;.:‘cceptaLce is for wood dec.. applicational Menirrum dock requierr saI1 be in
co:I:p with applicatIc building code.
4. INSTALLATION
4.1 1 Santee . S and componentr sha'.1 he installed4in strict cornplancc kit}, Miami Dade
County Rocifirs Applicat:(4) Standard RAS 1181 RAS 119, anc1RAS !20
4.1 2 Data For Ala:;hment Calculation3
Tile
Profile
; Santatit
Table 2 Restoring Moments due to k:3ravity - M (ft-lbn '
.......____ ...._
I Tire 2":12' i 3 I
. ! 4 7 i2 I i I 6":12" I 7":12' or !
Profile . i
._...._1_........_ ,
..._. i greater
i I
; !
1 D :teFil I DirecTS Direct ! i'ist7.k.flb ! Dire:i Battens! Drect Ria:tens1 2..trect iiintent ; U) rev
; 5.5 , 5 S2 15. :: .4.7; i . ;1( 1 i 41 r 5 -1
. .........._,_ —____,...—_______.,..,„, 1 ... •
.......— .. . •• .
..........,_., -................
• Table 3: Attachment Resistance Expressed: as a Moment- Mt (ft
I I
L _ For Nail System
1 Tile Profile 1 Tile
i
. Two N i or?: Screw : Ti S..:rms i One Screw ! - fv,.■.; Scr::.k
. I
i Application
Szintott. S Direct DecY,
I eattens
L •
' :1Eprcivrd szTeves as nc.td tr.araliniurt:) bv bets'
Table 4 Attachment Resistance Expressed as a Moment - M (ft.lbf)
for Mortar or Adhesive Set 'sterris
Tile
_ •
Table 1: Aeronic )• e!LLILT14) . ,
....
X ;•ft
Batten ,11.2p122:1 ion _ Direct Deck
i
• --.L
■••■■■•■■
3
C. 274
1 w/ oi •
2 " 28 57.,,i
Tile
Profile Application
ISartate 1 Mortar Set
_ Alhesive Set
0.297
Attachment
Resistance
23.e
6 9
; 51.77
Triink Zuioaga. FiRC
Roofing Product C.nuol Exanun:::.
sANTAFT. TEE CORPORATIQN
PTA N N o. :
5.
5 Afl tilt:s: shall bear trie imprin! ot identifiable nlrarkInF, Inanulaz.turcr's name
or following statement "Miami-Dade County P!'or.iLc t Control Appr7.1■..csd''.
6. BI.:ILDING PERMIT REQUIREMENTS 6.1 application for builJing permit sha'..1 be accaarucd *cy copies ,cf the foi:ovvirw.
1 T1Ls Notice of.Acccpta.ic...c.
.2 Any other do.urm.:rits required by the Bt:ildlne Official or aprlicabie L1Li Code ir.
crcier to prope7ly evaluate the installation of, this sstem..
PROFILE DP.AWING
SANTAFE "S.-kriTAFE S" CLAY .C.)()F TILE
,••<.\
...,"
...•
... ,..-er
,..-.•
/ -'-'
...-.
• - ,-„:"?..",, , r:>••
4
'
Frani. Zuloaga. RR
Proiiuv, Control Ea:r..iner
•
St TILE CfyRR.PORATIO'
9 This Acceptance contains pages 1 through 5
5
it
NOTICE OF ACCEPTANCE STA i'D.uiR.D CONDITIONS
•
Renewal off his Acceptance (appro e!) shalt be .o :ciderod afte}!a renewal application has o <xn ffed arid Eire
original submitted doctjm•antzttan, including test svpper•.ing da a, en i teem; documents. are no older than
eight (813 ears.
'1
2 Any and a I approved ptociucts shs'•. be permanently labeled wi the manila :turer's name, city, state, and
the fcl •owing statement. "Miami -D3ue Counta Ptcrduct Control: Approved ", or as Specifically stated to the
specific conditions of this Acceptance
3 Renewals o.f Acceptance will not be considered i; a,
a) There has been a change in the South Fonda Building Ccte affecting the esaluation of ihi: product
and the produces lot ir. compliance wi :h the code char geit;
b) The product is no. longer the sari:: product (.der.ttcal) as tic one originally approved:
c) lithe Acceptance 'eider has not complied trth all the r rernenis of this acceptance, i. :eluding the
correct installationlof the product;
d) The engineer who originally prepared, signed and sealed op. required documentation ir.itidlly
submitted, is no !anger practicing the engineering professic .
4 Any revision or cta.nge in the materials, use, ar.d'or inanufactu4 of the product or process s:,ai1
automauci!1y be cause for termination of the Acceptance, t:nles; pner'Armen approval has been requested
through the filing of s revision application with appropnate fee; and granted this office
S
Any of the toolicAircg shell also be graunds for removal of this Acceptance:
a) Lx :actory pe•rforrlance.. of this product or process; lt
b■ Misuse. of this Acceptance as an endorsement of any pro.. uct, fcr sales. adverti ::ng or any ohrr
purpose;. t;
5 he N : e cf Acceptance number preceded by the words M ;am Dad- County. Fior•.da. and ll
• to ow:d by tae
eNpir3ii3n date may be displayed in advertising literature. Jr ar.• pert:on of in: Notts cf Acceptance is
displayed. then it shall be done ir.:ts entirety. i j
A copy o.` this Acceptar.:c as well as approved drawings and othi'�r documents. where it appii:s, shztll
provided to the user by the manufacturer nr its distributors and sIialt be 3vailel,lc for in5p:XUCn at the job
site at ail times. The copies need not be resealed by the engrncxd
,i
8
Failure to comply with any section of this Acceptance s:t3:l be ;apse for ter and rcrtavai of
Acccp:an.:e.
END OF THIS ACCEPTA`CE
ti
ACCEPTANCE No.: 00. 1 212.06
- ' .„- r _•V ---- - -,
l
•
;Frank Z11o:.1;r:, RRC.
';Roofing Product Control Examiner
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 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.
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.)
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
occupants of adjacent units of roofing work to be performed.
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 not be acceptable. 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.
6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build
up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets)
are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC.
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
the above.
Owner's/Agent's Signature
12701 -12 PAGE 2 7/99
Miami -Dade County Consumer Services Department for further information regarding
Date
Contractor's Signature
MIAMI SHORES VILLAGE
B 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..._Dec� 12..a974.........--...-- . -__ 19.._._
Owner's Name and Address John Ma — N0. 1275 . NE S 93 St. Miami Shores
Registered Architect grid /or E ngint=er , I Cats .t,••t-1f- •1111w••R•-•• H,n[
Name and address of licensed contactor John Mayo Contractors P.O.Box 911, Biscayne Annex 33152
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1275 NE 93 St. Miami Shores _ _
Remove flat tile roofing tin cap 1 base sheet
State work to be done and purpose of bu lding (by floors...__ — ....-- .••- ...•....- ......_- _.._ - _..-
Mop 1 -15 asbestos , 1 -90 and instal brown the
(re- roofing) _ . and for no other purpose.
-•- --• - -. � P
New Building Remodeling Addition Repairs No. of Stories .2
To be constructed of Kind of foundation Roof Covering 38 sq.
Estimated Total cost of improvements $ 21000.00 Amount of Permit $ 9
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 John Mayo Contractors P.O.Box 911, Biscayne Annex 33152
The undersigned applicant for this building permit does hereby certify that he undcrsta 1 and ace his igations . s .gy�p et Moyer
of labor under the Florida Workmen Compensation Act, being Section 5966, Compiled •en ral La of lo•'•a, Penn. r• , J,i )Ieinent,
and has complied with the provisions thereof, and will require similar compliance from < 1 •. tract• s or .0 • tract• : thlo . /by him
in the work to be performed under this permit; and will post or cause to be posted for ' sp lion blic notice
or notices as arc required by the Act. The undersigned agrees to employ only such su • • • acto to fo under this
permit, as are licensed by Miami Shores ! Village.
(
Remarks -• -- • - --
( Signed)
1
1
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
1
STATE OF FLORIDA,
COUNTY OF DADE. ss•
1
Disapproved . .. Date.._...(
(Signed)
Chairman
Member
Member .. - •
Member
Member
Member
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 s d a true.
Permit No._ Date
I (Z -( Z ... Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector J My Commission Expires
PLAN % G BOARD DATE
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.
MIAMI SHORES VILLAGE. FLORIDA
BUILDING
ELECTRICAL ❑ DATF % 1 195
❑ PERMIT N? 2970 Contractor's
License No.
ROOFING
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Bl
Subdi-
vision
Value of Amount of
Project $ P ++ Permit $
This permit is granted to the contractor or builder named above to construc 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.
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 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.
CONTRACTOR OR BUILDER BY AUTHORITY u
Application is hereby made for the approval of the detailed statement or isle plans and specifications herewith submitted for the build •
in 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
MIAMI SHORES VILLAGE
EIUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
John
Registered Architect and /or Engineer
Mayo Construction Industries, Inc. 2140 NW 18 Ave.
Name and address of licensed contractor
Location/ / legal description of lot to be bui],t on:
Lot Block Subdivisiot . .� l�4411
Street and Number where work is to be done 1.2_7..5 i _Street
State work to be done and purpose of building (by floors)
New Building Rentodc ing Addition
To be constructed of Kind of foundation . Roof Covering
Estimated Total cost of improvements $ 200.00 Amount of Permit S. an O o
Zone cubage required Plan Cubage
Size of Building Lot
Distance .to next nearest building
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with
be sent to..
The undersigned applicant for this building permit does hereby certify that he
of labor under the Florida Workmen's Compensation Act, being Section 5966, Co
and has complied with the rovisions thereof, and will require similar compliant
in the work to be performed under this permit; and will post or cause to be post
or notices as arc required by the Act. The undersigned agrees to employ only suc
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. s
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared John A. Mayo
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
Permit No. c? Date
Disapproved c �.... ' Date.
(Signed)
Building Inspector
A. Mayo
..........
'- 1.i0 -1 #
Date...�..._....1�.�1...._� ._.__._..._._ , 198 9_
No.- 12 7 5 —. Street N E . 9 3 _. S t.
Roof Repairs
and for no other purpose.
Read, S
Repairs g No. of Stories
reference to
Notary Public,
My Commission Expires
the
to and 9sc' beforg me.
Flori
f10TARY PUBLIC
...mX.LRnHI;St0.0
building and its construction may
Presidenf
oblir ions as an employer
Ida inanent Supplement,
tors employed by him
work such public notice
performed under this
STATE OF FLORIDA
ryo 1.11' 1?, t'IOt1
BONDED ,
to me well known,
PLANNING BOARD DATE
Citair:nan Member —
Mcrr.ber Member
Nfember Member ...._ —
Council Approved 1 Date Disapproved Date
NOTE: A charge of Sl.00 will be made for making corrections or changes to this application after approval has been obtained from
the 1'lannir.g llo.trd.
A re•in.pection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -220
Building Inspection Request
Date 7- . -02, Time
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For Inspector: '/ " 9 2 ' N
Correction
Re-Insp'n Fee
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
1
p �sSl�.b
26
pf�fjEp
51
FA45eP
76
2
27
l
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
82
8
33
58
83
9
34
59
84
10
35
60
85
11
36
61
86
12
37
62
R7
13
38
63
88
14
39
64
.v
�_,
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
70
95
21
71
96
22
47
72
97
23
48
73
q8
24
49
74
99
25
50
75
100
THIS REPORT SUBMI
Civil Engineer:
Lab Certification # 98- 0608.04
D BY:
State of FL Certificate Authorization # 4100
1 1 11 U.S. SOUTH
Engineering & Testing Lab., Inc.
g g g
6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
SITE SPECIFIC INFORMATION
Owner's Name:
LA t I Permit #. 5o Z 5
Job Address 1 1 S t`,I , 6 i - 5 5T Mt-' t-f t>e. i n,
Roofing Contractor: j d-A " S
Type of Tile: . 1: 2 / 11 / 4- e..)- i'. 5 IA- ( — Fp A °di. S E, T Date Installed 415-1°2-
Approximate Roof Height: 2 ' 4 feet Roof Pitch 3 t Z
Type of Access to Roof "Scaffolds '✓ Ladder Other
Approximate Square Footage of Roof: 9 00 ft'
Required Testing rce: 5 lbs. Testing Equipment: Chatillion 100
4
Date Tested: � 0 2 -
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
P.E.
/911'
TEST RESULTS
P = PASS, F = FAIL
Project
N9 2221
MEIMONSMINIIrlar ea
■■/I■ \SIIII' j ■11I■
r /IM■NIer iifilliii■111■ 111111 ,
INEEIATW
i■r..11M■■0111111E■R
PIVAINEMI 110/31
NOTES.