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ROOFING
Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795-2204 Printed: 3/29/2005 Applicant: Owner: JOB ADDRESS: 30 NE 93 Contractor MURPHY ROOFS Local Phone: (305) 892 -1700 Parcel # 1132060130200 Signed: (INSPECTOR) BuIding Permit Permit Number: BP2005 -357 ST Contractor's Address: 10903 N. E. 8 CT. Permit Status: APPROVED Permit Expiration: 9/11/2005 Construction Value: $3,200.00 Work: RE -ROOF FLAT GROUND BUILT UP Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 9 & W1/2 LOT 8 BLK 2 LOT SIZE Fees: Description Amount FEE2005 -3903 Building Fee $275.00 FEE2005 -3904 CCF $2.40 FEE2005 -3905 Notary Fee $5.00 FEE2005 -3906 Training and Education Fee $0.80 FEE2005 -3907 Technology Fee $5.50 FEE2005 -3908 Scanning Fee $15.00 FEE2005 -3909 Submittal Fee ($50.00) Total Fees: $253°70 Total f si, ,� , 70 Total Receipts: =_ i 000 �)_ �� t (_7 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Date Type Insp'n Permit No. Name Address Company Phone # Inspec Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu Inspection Request `�Lo f-< 1 3 3s MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 (14 ► ✓ Building Inspection Request �® Date 1) Type Insp'n *0_ Permit No. e� Name Address 30 U " C- Company 1 'a .�- 11 �� Phone# - �� c � d �� L i 9 7 Inspection Date prove Correction Re- Insp'n Fee gc p / 010 c0 (1 ' NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. ( 1 /TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Flprida Statutes, the following information is provided in this Notice of Commencement. 11111 11111 11111 10111 11111 11111 1111 f 11 ° a. FC I 3 a0 5R 0 2 7)96=3 OR Bk 23168 Po 0385 (1Po) RECORDED 03/15/2005 11253291 HARVEY RUVI N; CLER 4 OF COURT MIAMI -DADE COUI4TYY FLORIDA LAST PAGE 1. Legal description of property and street/address: - _ l,2_ 3 0 -- A 2. Description of i prove ent: ��`= - / a ?_3 L �✓ ' � / 1-- lr'I S ,,//// . d 11 n 3. Owner(s) name and a � �7' -i- 30 N 9 Interest In property: Name and address of fee simple titleholder: /t 0. / - 3. 6 t 5. Surety: (Payment bond required by owner from contractor; i�$Fiy�r rLo +�A, cC� ■ J v a �� 1, 11. v Cf - f ?7 /FY P17<il Mrs js i; Pr;1 y f ,;.y 0? P�7� on 4. Contractor's name and address: Name and address: Amount of bond $ 6. Lender's name and address: differe , d to is specified) Signature of Owner ,/ Print Owner's Name 7/4 /9=-5 • C '`(7 /' 9 '. iry h ;nr; -� J . Nic/:,! 5 V , '_ Sworn to and subscribed before me this day of r h : -,. r , 20 Notary Public p, ,. )4 Print Notary's Name E • /r N • 70e, 4, ; y My commission expires: otiiia 7 123.01 -52 PAGE 4 8102 G 7. Persons within the state of Florida designated by Owner upon wh provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a 1,..(4e2e,t,(/ Prepared by Address: t/� .,,4 . 674 v_;? �� �� Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 c" \`41") Buil n ing Inspection Request Date I Inspection Date Correction Re- Insp'n Fee (9../5----\1,v43(/ BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village , Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 3313:3 Tel: (305) 795.2204 Fax: (305) 756.8972 , Permit No. 1 � - Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical hoofing Owner's Name (Fee Simple Titleholder) Phone # Owier's Address Contractor's Company Name Contractor's Address City ' �,1 . Q � aliar S ibmittaI Fee S Notary S Scanning S l -. Code Enforcement S (Continued on opposite side) Job Address (where the work is beir Cite Miami Shores Villag Is Building Historically Designated /, t) ! • i `' State Terant/L.essec Name Architect/Engineer's Name (if applic S Value of Work For this Permit Type of Work: ['Addition ❑Alteration Describe Work: C Permit Fee S Zip LNew ************************* Training/Education Fee S Radon S Zoning Structural Plan Review. S Total Fee Now Due S CCF S _Zip Square Footr.ge Of Work: ❑ Repair/Replace, Technology Fee S Bond S ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection_ fee will be charged. Gam= (1% (1; - Signature // - �� >,✓_ 1. G 7 C �r ) �i <� Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument wi}s cknowledged before me this day of , 20 _, by , day of , 20 , by who is personally known to me or who has produced who is personally known t e or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: /7' My Commission Expires: t (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. * ** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 ontractor as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: *********** y ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Z V " - Plans Examiner Engineer Zoning Master Permit No. Contractor's Name Job Address Shingles ❑ New Roof Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) • ROOF TYPE Process No. ROOF CATEGORY ❑ Mechanically Fastened Tile 0 Mortar /Adhesive Set Tile ❑ Metal Panel /Shingles l• Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 n g ❑ Recovering ❑ Repair 0 Maintenance . ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) Section B (Roof Plan} Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zon es and location of parapets. • • ! J JJj __. _ -- EEE eEE - iEneiE 1. i 11 ,---- Nik. c a - _ i ► Florida Building Code Edition 2002 . High Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA°) System Manufacturer. q 4" F NOA No.: <-). 2 • 0 ,1 • Design Wind Pressures, From RAS 128 or Calculations: @@ Pmax1: ' Z'°- Pmax2: l}' r �Pmax3: d ) / Max. Design Pressure, From the Specific NOA System: Deck Type: 7 / ) ,( Gauge/Thickness: Slope: > B / Anchor/Base Sheet & No. of Ply(s): Anchor /Base Sheet Fastener /Bonding Material : Insulation Base Layer Base insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): 7 Base Sheet Fastener/Bonding Material:. Ply Sheet(s) .& No. of Ply(s): Ca s F 49 Ply Sheet Fastener /Bonding Materlai• _ - Top Ply: tin , . %K. 2 Top Piy Fastener/ Bonding Material: Surfacing: Fastener Spacing for An hor /Base Sheet Attachment Field: L I° oc © Lap, # Rowse to ° oc Perimeter. � ° oc © Lap, # Rows (di ° cc Corner y " oc @ Lap, # Rows @ Qc Number of [Fasteners Per Insulation Board OV Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Wood blocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. Parapet Height Mean Roof Height , — ce):71-s, c1 vz Cr. 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ATE C-;-,=a5n7;:z5 ,S73mn SI.]7..T5t0SiZ2E3 T17-!o; TT:".o S) ST.IA.:AWSN1 .0 2.1.15D.EROC,g `kW0:0 SE 3 FL2Lit-Wetimi - .a7R.U37..9.,011:1 S egi-;'d Ertrna ©L (ALAS O Fly .=`,1(,)„ (..Z.A.F0.1AS FI2A GAF W75 72%v:a Onse alf..aciltat5r4d2c th C'.:70 al a L 0.C. thy ar6 7,Z o.G. An ic 55 IC:rtN 17.ri, 5: f7.2non.! ES Cy' AEZLASO ny 43, CIA1CLAS 211 GS, 0 :'.5-01.1. nbcyn 32L3 S l 14 &neve, 7.gid 3' .1 12" n,e.. .11. 3 rev.2s. Ore row tup. y 52" c.c. in rK 0E19 La;; E70.32a70 22 C 1sa a) GA37.7/-42, vt717 OT3 (.17 ay Z5 Tir3 g•rn. e at -<" aa jE rsc, )" YT1L ca1 fl ) 331ZZLAS Y7 tqo Ehrztl or of ttii3S1 (OAFTVI7E) ..)1. fr 14 a-1,2] F.2" z‘.es a C un. C. sTz-.. is to 2° !ill. Th2 ectioy Tt5D S1 1ha :cat. Dosi!go ro-.:;c0:2Fa Aay i'r.r.e., an L:T.A (GAI:772E s?. in 9' i7r, •E2;•3 Da75z3 IPLT:35>T:T5 TCf 11ca C. ir,r1,7112c.'.:::;.2 .1AFril.,AS ScIn..c :. :i111Ts (CA V11) Pj.2 1,92 ef1.111y art ,r)c„ I1 Qi2 ficid d,...23j312;,°?(3')Dia .-15c4; C.77to fi",ttU s11iao f CAITJI'LAO H..Y iV. (;:). ijeTiv17-1,11.120E11.CY1/ TatO aa 1.1 2c sJ11aa ' i 3: •;".2; Fi';'..17 , " - ,7^, - 2, at fk8f.iql,,. (CialSTli) Gag Iy of aAFCIAs3.:3 1\,1;rv. Sue Cai S1aai ara En n.rnflt.i. c) ¶1 JE,V FD29 Lrr,"/ 701s Al. NC!., :2,32,13 7(:.:3 at L 2.S VAX1D nECX SYS JVb BANIt'xLTlloN:i: A slip git,ez is i-e.16a-c40 Wig'a Ply 4 ard Fin Ply wilan I:No.(1 a.; a mtchootitLally ai 2. Mini:T. u Ayrnm ZLLe.p.1 to ITC 111StaF;r4.2 (ii■:.:C1.; 1! (7,1;11N 1. Fn.: t;, s no1 pa.rE og th :ccptalwe, rorei n I far Circ prntIzz21. 2. `.'i75t:31:liCal saiLy tc• itie lavrts. I.Tr shall `bz. nitilchrA c[ C:=.1 A,Tr, f5aidc.4iiizs. All '. E+3.7et:i nel;v.ral fir a 1101:-noTqr nspht "%q1Z.'.11 rf ;hr. fl.VT ran. Enid a aT 7n- 4 !l-}s ?sq., nR5ug tiro fa3qcr;i!og pv.Ateni of the . .:op 3. An EAt-ixard ptint;! r;i7'43 ztcceptahle • attlieht;Imit. Liivc sr:lull Le 4°x 4° etlirLintiVID. 4 A 011 an ek 3 . :ccovers) 1,tafiv-ci uion vaziol is n.!. cr all ftpplic:r0.1.3: ! iktfi.4K16:0125 )1S4.1 SgT;rA'A By rp if o reco \- b1 i;st..K! `1:‘ Applicd LTV- wP.11 ;approved !." 12" tlia.n;tter c .1 or 14 -mns lhvfx s. uric. a°, 5i:Tzlilp mid clo co nvia 3 oF Ltvli:s .95 aectpi A 6" every 17.° r; Co allow cro:is !).)Evaq. Applicatic ' inininuam ia of 12 lbs./A:i. f:N SEitIct. arnol,:116.41,;y:-.4cD.un iiT 1st [31,• cY - AS pAli,. 5, ' 1pacial3 !I iie@ftchry.-cint tin a 1;`llaractiliri,i.:.ic 75 7,211. tU13 7:Cs! )C3k S>..7111T.I3Trdi TAN 275 'Gr. i t 7 4c nct,:cratl:7,. • :1:11s;:.!E:zr fc7;77:t.;Ii;1.32iT.-.LA 2Uilt:II,D.tn1 of l'..nclic.rik.,130 51 013 a rasi ac vz0.1.:o ii Cil.rjUit • g.11:e Stniz.iD11:int Eie:3;LZR; Cai thuil Kquiged, Isv !Ite simci..-3, Rr.;zfr.fcl IT a . ,;, 7 !4riciii ATcP,iiqz,;ct, 3red Roof Calskili.oti .nt! Said nevi:;;;;4 ays rt ks?,Lisc t;i127;ri from ,Apfliraci-or; StatiCni c:2"...cu.:i coi ;;f4111.ZolAip 117. 7. rule colvtfuy with t1iv. s. I'nsterrx I i-to co n hothi arAtI bLIcC F.:!C Wilia tar;c:Nnr, St.iar/v.sti RAS 11'17. C ( Jai.s1 Eina!GtalEon n;A:zFella wEl!oho 19 SRC. nriakr.lhic.) €1. AI.I3 nti uc4 prcra Atk It, ..zu;:j ‘7,7iT;t :ao ;ZAS 1 t!;1!)°).1.cabft.: w;n0 f.":',Vir;t2111,g1:2,T,L,71td :JP Nither i!or i-niyor:f..: !at if), 31011 •:t r;r:assult crIntors NOA, AE If:izcsd .Tinvo o,im l!ty acstirmi-,c anti!: a r corti. with Cic Ccncla and f's11;;;:: e...”1!-/2 of the oia AtIr.17: H;tr;vii,vot'rvle. ND curcng Approv,1 Ti rpp i c 0,3 ' A • • ;;:2 Ve: Yr2f,Fr67 1:.3 .■ 2. ■no: t3 .3elEigri.d if no cv o tr,EA InfiLAR 1. 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Fz..!!7"i2; £:"...S1,7t.0 a cc 3iw Pio I1WQ CY more layer T--c GI "IG.4FCLA5 1174 (," GAI;CLA$ ry G", m3p Su flaci.5oc: Crrwol, 2 Ucmtl.: C-1/32 !nulIn2i:m CO'gr'. CA2 a? nICK: !...tyQ?9 r,la55 att-2r. 34 onttr.N, pf,ilciioncycsaavV4 cr.:rh3 :12 tve.q.zi r/io:_ynrIta?‘ale to771pc.TAto, ;21 Lryt. If Sr,:,n 7F 0.7 mum loyo?s T1 Cl "CAFGLAS Flo 4 or C.AFCLAS riv C3 9 StQL, Q-2 7?;yc. TT2 C3 "r,....PG1,,AS Suifoze<1 Cap Decl,t; NC 1,-Airie: Trtrx.18i:srt On..1 i-9(rso - 7k]og iszrynnur:;U. w.22lim10 pr'i4Q1loatylatirt.',0 C fl<jQ 1.7.o4.51o/ coznptil/.2. pl%rctir tft Tonga or 1a:4.c- 1'3 l GAFGLAS itr 4" oz (LAS fly 6. Cc's) Si?.2ci; ar2 P0 F C3 "GLAS 4i Stirf,rcrl Clp 4. De-cit; Fn:lirtc.-: i2 CP:2 E-vo Llycer, "Isf.1-1 LI", 0 Li. rT13 L's• fiy U11 CE C2 A 110 s f,•b2r rii32 r - 7 (?z . - 1 .-1; C.••43 i :316p Si. `. Marl NT:;-;, 81% to dutN. '41:2 c-r of i:iF,-.NG1 "CA.rAILS (f4. Pt7 So ers r .n.' 'oy0rs, of . 1" .; ;F: Cl 'CAFt;LAS Ply 4" or 1 cL-L,L) t Trt),?. C-3 * '4e'CLAS ori Stirfo<1:d Cop ortz.: NC Ir_clirvr.. 3 'o 01.1' t,:)T3 of 1% po Ci713 Siu Cl TorQ y0rs of G1 "CAFCLAS Ply 4 or (11AXLAS 6°. C 2 i,^ycn C-3 - r:krCi_AG Minorn1 Surf Cop ' C-15/32 l''2I213i1¢- 2 r layers :S F :;;QI'Li1(.47:Ri 13 ra!Ta ':cf-fr2a Trorrt • 1 32 E, C- c7 1E11;2 A 't"-:o C1. Ca Ttn. (ziTlItth c? Mil?" "12I 1ftZ-1 13 b3 4:7c:7..1121\ • VJ: Cop 5 : 1 5 (.1 F-22 0.7;,7:332 !^„,•-y(?.3 Cl• • 23X0 1. C St1 P. at: LS= 21 a fln.f El'%3firiG "CA. Cc:A It. CAFCLAS Ltylare tlC33 13 Kloach: C 3.si IC C:12 ef frc-.22, otgya.,-,,ArzEu, 7..;" 3 "2 Lif'29:"16ne ecliftply,`EQ wo • ;.‘ Ply SheeI: 'Wu or moiv 1. 9 7yr:a Cl .1,4 '. 2.- L:•-■ • "GArCL,A5 Fla 6" C32 Yievq: 1" p G3 "C/kfaki C 15/3:: Putro212-"hori (OpN•os, Cr.c 3? f '1,11q 010 e T'le0; Two or rrtor: In%:‘1 o ".)r C (2 Oftt Cd" MOM . ":14:17:d "Ilubzrkyi.1 T35 p,e.sflu'x) or "l7 1' us," 'Cop ql-...:2Qt • S,-;,,1 ct azlh: C r.:■/ 32 ciETs C 5 4 0 ,7-21 nat) ! 7,1 1,71;• f 21 Ifts+arturaie, ufethar, t. cad f.:0.--:7:15.:zcrr.tr,--.Q tind3.11P;f1 Ply 5'4'0; 1113 tar ir,Dgc; 9/ k ▪ 1 ATCLAS Fiv Elty/Eccii,3; 11.3q1/c-t--0 Eri,oci-tco" 7_%3 COAL TAR i2LT 'l Ile? 1Ct4G (C1:•: A 0004: G•13/32 Ilasulaton cr Lr2th.17t0. • crtrnFoske. Cr ▪ c.,;] "C. 5". ho2 ti7s-ppz,i r:ori!, Grav,11. 1 : 7 0VOSNArION NI CC:) 5:3:rot Thr“.T. or I' CI "C.;?..A% Fly 6". • tiy incistric '30 NG .M12.171'1.-%'1.-"Y: , ffeza-:\C f i len,lloCan tOpitional): Co:2 0.7 rilm 1 rat7-24. • U1,1:0. 7i ; •,'' • tkli■tar-C Ply f.o+.1 '11,rc i1oz7 cs,'• "CAPCLAS 191 5". C 3 = -•-- - Art:, I A. r3oa 142-Cm. 4. Elc,-.1= '',.:11.71.c: 2 110p 12:;s 1 ce 47.312, C-2 G12) ' • • 771, 1 7 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern 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. 6 -'1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) 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 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 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 own 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 underside of the decking may not be acceptable. The Florida Building Code provides the onion of maintaining this appearance. ti 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 roofing system. Ponding conditions may not be evident until the mal roofing system is removed. Ponding conditions should be corrected. SECTION 1524 HIGH VELOCITY HURRICANE ZONES 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 the Florida Building Code, Plumbing. 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. , ,Z/v - //4 6 -- 7°A ie. f Owner's/Agent's Signature E c i 4 rG II. Do � •/ t c- v- %7 0 _9"//e CADOCU m M— Ikmp\LOCALS- Wremp\S@CTIOV I521.doe 0 Date Contractor's Signature FIEF .`i1%,11=L3 17 I Page 2 SEAL: AcZ Print Name S orn to and subscribed before me Personally known OR, Produced Identification Type of Identification Produced: • 1. DC NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not ,fin: the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:C0 a.m. to 5:C0 p.m. No inspections wil: be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED D IN A CLEAN, NEAT AND SANITARY CONDIT DN free from con stucticn debris. 3. STREETS AND NEIGK3CR LNG PROPERTIES SHALL BE KE?T FREE FROM DIRT AND DEBRIS. 4. WALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRJCT ::ON SITES. Other constriction may have a mile: which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (, -IRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers ease a wr y. App:ication is hereby made to obtain a permit to do work and installation as indicated. u, the OWNER of the Jrcperty, certify that al work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I uadersta:ad that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, ;FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information relz.ted to any wor :c at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet th_C present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire strsct conform to the current code requirements of the Building Code. WA) N` ITNG TO OWNER; Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consu :t with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N. J. 1st Street, 1" Flaor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT' THE .7O3 S777-3 i- accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE a 9bdo Signature of Owner tlac day of I O V , f.),) h iN Signature (ff Notary Putiltc, State of Oe Fltr it%Uf. . � a ' 3 1 } n C MR " --ma _ tii. t l 1. ; STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor; Qualifier Print Name Sworn to and subscribed before me this SEAL: PER1VLT Ai PPL:cA :CN .„ ;r ature 9 Pub Personally known OR, Produced Identification 4 Type of Identification Produced: CONTRACTOR Name /i e , r �1���� S `. " . , � q Name — r�,�i ! r��'1A e00 F91) 6 / c T ` c _ I Pb License No. /Y ,,, Z i L Q Home Telephone Address , AZ /0 6, 34-- -b /V1 i / S here 5, 4(33/3K Telephone29S '� f b x3 9 Fa t 7s� At Qualifier Name Fax PROPERTY OWNER Name /i e , r �1���� S `. " . , � Address - lE C i 3 Home Telephone 3 . -7cti , �p. 8 C Business Telephone Repair Fax Alteration Interior TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair e... Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step I. 8"2, ).D) INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 30 9,3 Address Apt. BI OC» °®r3.O01®O ei Vol Bloc Subdivision PBX PO (J Current Use of Property > ¶ /new - 17 Proposed Use of Property Ile I 0.a in T7 Tenant Information id) (i Folio Number Lot PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. )'le; 3A aces City State 33131 Zip Description of Work e rg /Z. 61..) 1 ,61 FU.4 400 Zoning Linear Feet Square Feet ? -5 ., Units Floors ,/ Value of Work (h to Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ±k - illininnum Fee QTY. TVT'E Dryer QTY. ■ TYPE Outlet, Appliance ,. QTY. TYP QT Service Repair A/C Central -3 'Ton Cooling Tower IFan Heating Strips, each Vent H I il Coe p o Outlet, Wall Service, Temporary A/C Central 4-7 'Ton Paint Booth Ventilation, Cost Fire Pump Outlet, Switch Signs A/C Central 0-P1S Tan Sprinkler Repair Mature o "Fluorescent Oven Bath 74an-Vent'ztl, t# Space He Eter (kw) A/C Central a6-2 Ton Sprinkler System 1Fiuture Light Perking Lot Lights Spas/Hot 'III:bs A/C Centre, 20+ Tan Supply, AC Well I Flood Lights Plugrnoid/Strip Subfeeds, No. of ALT, 75 A/C Window Temporary Toilet LJ FPL - Load Central Posts Swim ','"ooT., Comp Air Conditioners Temporary Water Cnazt Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Uriral Generators, etc. Receptacles Pump, Sprinkler Switc±boards CLear Viclatio.r.s Discharge Well Heat Recovery Ice Maker Refrigerator, Comm. (/Z) Pump, Sump Relay Re 'air amp Serv., 'Construction C=pr.ctor Dishwasher Low-volt, Z11E-slain- Indirect Wastes Refrigerator, Domestic Disposal Temp for 'Test - 30 days Deep 'Freezer Low-volt, Fire Renew o Temp Service Domestic Well Demolition Laundry Tray Low-volt., 'Intercom/aleph. Septic Connection Repair Circuits Water h Ileater Dishwasher Low-volt, 'Television Service, Number of Amps Water Ildeater New A, $ E _ QTY Condensate Drain QTY. ' r , T7 - 7 T 1 , TYPE QTY. TYPE Q Generator Refrigeration, Tons 111111 Minimum Fee A/C Central, Tans Cooling Tower Ilan Tub Heating Strips, each Vent H I il Coe p o A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections I Barbecue Sprinkler Repair Fire Sprinkler System Process/Pressure ' ping i Bath 74an-Vent'ztl, t# Pump and Abandon Fireplaces, Number of Sprinkler System Pressure Vessel I TL N , • .' _ , ■ , S. E A/C Condensate ' T """ QTY • ' ---- TYPE Drains, Roof T- .- QTY. ' TYPE Miscellaneous Fixture QTY. TYP, SoaLage Pit Q. Y. Ilan Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater aaE2a Filter i eplace Pool Piping Sprinkler Repair Cap o Filature Fountain Pump and Abandon Sprinkler System Cap o Water Gas - Appliance Pump, Domestic Supply, AC Well I Cap - Sewer Gas o Natural Pump, Fire Stand Temporary Toilet LJ Catch I asin Gas - Propane Pump, Re-circulate Temporary Water Cnazt Clothes Washer Gas Mping Pump, Replace - Pool Uriral Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Relay Re 'air Utility - Water Vacuum Pi m c Dishwasher Indirect Wastes Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water h Ileater Drainald, 4" Tile/Res. Lavatory Septic Tank Water Ildeater New Drains, Area Meter Set (Gas) Sewer Connection Water Re- l i k e Drains, FOOT Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Weil, Supply .t,m ,,,00t 1L v9Ik oht#soitlillMKMUNINMILMPIUNMMMMII 111111111111111MMINE~ : Page 3 PER= APPL:CKITCN NSTRUCT:ONS: ?lease indicate the type of work being performed and quantity(ies) in the space 7 370V:IeC. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (sq.ft. = x/1000 x0.60) (¢.005 / sq.ft.) (0.01 / sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ,\I'I'I "I• " I11. t)111111: I O 1 \'I11•.ILS PIO I'I1;1c.., l COP, 1'( )01.11 1 (: (..)III 1!)1•.!l,\ I I01!`; A s a u ii iiii In Ow. A \11n:11111 i "1 " II I, the ii:spnnsibildy of air. roofing contl:ti It u In p ruvulr the uwncr tvil!1 I!It Itr tl I1)0I10C Ilc111111 Ip iirtivldc Ilic ii viici wild Illit 11111ci111i/ ;Ind lu ;tll!nln 111 Ills owner Illt t unit ill 111 Iles lin I In: piuviSlt)us of Chaplet ) of III. S1.11;1. I laud!, I:ni :i,ull; ::tic (SI(IL) I;ovrlu the minimum rciluutniciilS and slantl.uds of Ilic endow for , ot•Inig ty'It' l t s'.Illutnnis. r1JJiliunnlly Ills Iullutvnll., stuns should lit 1111Jrcslet1 fit !Intl of the ngrtcnlcnl bcltvCtu Ihr uwnci and tic Ctsnlinc;ul lilt utvnt 1's unpin! III 111c nilj.icinl Lux iiidic:llcs Ilinl Ills Neils Inns bCcll CaIllnincil J - (/ r I Actrlinlit s \Yiii hnt:uiship: •fhc wulkninnShip puuvisiuns of CIra )•I ore fur Iht: !impost: ul pi tivIIIIIII: Ilrnl tin. 1Ii11Ii11 sys11 :111 IIIU:IS Ilic tviiitl ICSiSlmitc end svnIci hill !!slut) liclhiiiiiniltl: slnntlnrlls Al silo Inc ('ii'''' lot t) ituu.■ MC n a CO1%61tl.11ion Ittlitct In wurknouiSliip Inuvlsi f\r111iciic .sst•t', snt.lt n•. cult)! iii is:- InIcLlnr.11 alirt:M. 111:11 me nil !earl of :i sumo!: ttlth.. filet)!!( lit: nihh(S•C1I its p nl Ilic nl:it:enlcnl hittvttll the ()wild fuss! flit CWillntlui e ' I. Ilcnnllinl; \Yonll I)ccl.s: When icpladmg touring. Iht: cxisliog tvautl roof dick may have .0 tic et iinllttl in nunldnntr tvitt' Ilic C pruviSlnn' of Cli.lptcr 19 ofllit SI IIC (1111.: tool del k Is usunily t llutrnlrrl pipit In urlunving 11n: EAISIiisI: roof syslt gel._ l. 1 utitCommon llin Rush: Coon tools nit Ihosc which hnvc no visible dcluu•nlion Lr.lsvt:cn . I'I•ighliot'ng (mitt (i c townhouses. condominiums. tic.) In buildings svilll common roofs. the touring run ntt nit null /w ownrl should notify Ilic so t ullnn(s of adjacent mills nl roofing svulk Iu hr lrrrfunuttil � t I t 1 nlsetl icilln t t s : Enpustd. Iltc nnd , Olrcn (cant Ccilings IIIC svhcsc clsillc t Ihc. ma neckin can tic iltsvcd fluor below. the Ownct nosy' wish to rnninlaiu Ilic niCtsitcetulnl nppcatn:ttc. Its ucfolc, 'twin% marl pcmrllatIunS of the tnhlctsnit of the deahi may not Le nccepl:rllr. ;Ilic ;I provides 11ic option of nuunlnhting tliit appc.trancc r S. I Walt!. • flit cuocnl tnul Syttcin nn.I /0t deck of the builliing nut sllnin vir.11 nail may tnusc w.11ci to punt! (ittunnslnic) in lose lying niCas of the lout. I'nntliug ens tic nn inllitnlinn of slrutlin.11 dishes% .uul may Icrinirr. list Icvir.w of n plofcssioonl slsurlunal col :rote! I'nnrl■tl; may ►hrnito Ilse lilt capet.Lsncy and lid fin isane of tht new tooling SySltm I'ondini: condllinns may n Ile r.vitlr.nl mild the nlil;iunl ruuflnl; systt•nn is tcrnovcd Pundit% conditions should be cniltcicil 6. Ovet Ilusv S. silipci 9 (mill (H 11 is required Ilml r.linsvnIci Ilow hlf •n dint Ilic roof i) not uvrrloatIctl float n build tin of svnlci. I'ctinicicticdgc wills or uthtn soul t :xlcnsiuns n blunt this dtuh.uhc iI ovcillow st :opprls (wall i ntc nil piuvitletl. II piny be nrrt :ssasy Its insinll ovrtllow st oppt•rs in urt:usllwict: svilll ( :hnplci 1I of the 51 1 1..v. \rcl;Iilation: Most roof Slruchires should isi vt sonic nbilily to veil nnlulnl air :lose dlt'usogh Om into iol of tilt windmill ns :cmhly (Ihc building itself). 1 be cxisling moonlit of attic vcittilnliun yhnll not lit aedutcd. 11 l be hcncficinl to consider nddilioonl vultiug which can tenon in cxlcndinl; list: scrsri.ee life of Ilic soul. Osvnl :►'s /A l :ell's Sit :ualol r. SIl :nulurc ',111.1 A1'1'1.1 %II)1X "I:" // -2•0 - 2 — C l)nlc (; ii lur °s 511 :nnlur c Look fora blue background on the front of this check, and the itnage5afeCR logo on back. If not present; do not can, n u1 ACH R/f 063100277 Bank of America 892 FOR e.Ptii DATE /(9--/7`l''? / 11'0037 2611' 1:0630000471: 001596 2 L950311' 3726 63 -4/630 Ft 1035 ! $ (p'S -lo DOLLARS — 8 ... DALEY ROOFING, INC. 78 N.E. 106TH STREET MIAMI SHORES, FL 33138 305 -754 OR THE i J I f !A B p A /14A Cl��.�14.1/1 // ORDER OF v "�"—�`� ti d- 0 C New Roof n Re.--roo ? *r..: dud Yfor-r iad Sc: iue • • • • • • • • • u �jf u . • • • • • • • • • ••• • • • • ••• ~ • • •• •o • • • • o _ _o • • • • • 0 ( r.tc • • • • • • • • _ : Jtcry- -_c 7.7e. ) sr . • • • • • • • • ••• •.• • • • ••• e tSe i • • • • _ • • •• • • • • - • • • • PI y - �1�-.. (ln�.� vLCL � l : om (f ) Tc ci Ei. 7 (In , J - c- :r — ,... � ��� f (� 73t..:. - ROOF .GE72 DEL-0-15 (Dr d I 1 - I i 1 1 1 I I; I I ', { 1 { 1 I 1 " I 1 I II { I t , ; I , I , { { t I I I , i { I • • { { ' \ • ' l ' ' Z / ' { I I 1 o L \ ! 1 1 \ I 1 1 I 1 • / 1 1 { 1 1 , ' 1 I 1 1 1 , I I 1 1 , , i 1 { 1 I , I , t , I. I , t 1 I ' { { ! { t ' { i I , , { ' 1 { I , 1i�dr 'KL - :I:1 1 t i 1 , 1 . 1 i1 { � {;,i{ , I r { l { I I I 1 ' t i 1 t : 1 t I { ' { { , ' { i Ir , 1 I 1 1 I'; ' I', 1 1 1; 1 ,1 11 1 I i { { 1 { { ' 1 ' / 1 1 ' d 1 r C I ` , ' J� 1 1 r 1 { 1 { { 'Yin ' ` I J 1 r Fasf�:I� . f �+�.° 1. r � I t 1 1 1 1 u I 1 r I{ I , 1 { 1 1 1 ` ' ' Q I I , • { I f I { ` { I , I , t t , I , 1 1 ! , I I 1 I _ — — _ 1 • 1 1 ROOF PLAINT MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Data / °2 /Lf G/ Type Insp'n Permit No. - 03 Name C m is = Address (60 ' Company ?CC C C Phone # For Inspector: Approved Correction ❑ Re-Insp'n Fee ❑ Time T Name & Date J ERMIT APPLICATION FOR MIAMI SI-i[ Date 2/1/94 Job Address 9() CF_ 93 Stmt 6 I ignat .re. of. Date: ) tied APPROVED: 0 2- . /_ weer and /or Condo President Votary as a 7Owner and /cT carucia,., :Fr'esr :client My Commission Expires: Zoning RES VILLAGE ' Tax Folio ? ? 11 )veal. )escription Ovrer / Lessee / Tenant Kalvis Cona Master Permit # Owaneu ° s Address 30 N.E. 93 Street Phone TA-4280 Contracting Co. A.B. Martin Roofing, Ire. Address 3680 N.W. 1 '15 Stmt Qualifier A.B. martin ss# 265 - 46 - 8581 Phone 835 -2851 State PROCC21590 Municipal # Competency # CG 7200 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Repair leak in dinnirg roam area. � Q • Square at. 0,25 Estimated Cost(value) 565.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T3 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 NOT/CI OF COMMEXCEMENT). 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 MECFANICAL WORK. OWNE.T 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. Signature of Contractor or Owner- Wuilder Date: 241% Notary as to Contract.' or Owper- Builder My Commission Expires -U. ' ** FEES: PERMIT &9 • RADON C.C.F. • 510 NOT Y TOTAL DUE ',r �%'�I 1?ire uildin � ® �'; ,v ! V Electrical ilechanicel Plumbing Engineering_ Other a _ _ .ROOIFING,-11 4j r g- r r rr i v CC 3 ` l 3S 37 39 39 43 41 r9 Type of roof I I I I „�— 1 - J ' I_ ' I I C I I I _ j 1 i I I j I I ° ' _ I t I !, dA I I 1 i I i i i ■ r 1 _ — _— - -- - -- — — -- I A' r____.___ f g �! ` V \t C.. , ` L I p I �-! — — - - - - f I 1 I I I ! I I _ I I I � I , 1 I , — ice i I 1 i ( - - . I 1 -� 1 I ► 1 i — Access 1 1 1 1 Mira erne � MK .. � ( o ( S I I Address �I ,_ .' PitcTi Phone ' _- ` 91116V151 Appr. ximate age I _ Salesman ••her I 4 I Type of building I a _ _ .ROOIFING,-11 4j r g- r r rr i v CC 3 ` l 3S 37 39 39 43 41 r9 Type of roof Date ' / Job Address Legal Description Owner's Address Contracting Co. C 4 v/ 5 L /�J�✓ Address_3 /L/ / q 3} ,) :? '- Qualifier( Y/ 5,.i hct/6 SSit ?i 7 - 2e> -X?a,A, Phone 744. ? CT d,"2 State # Municipal # Competency #/' Ins.Co. Architect /Engineer Address Bondir Company Address Mortgagor Address ** / Lessee / Tenant /4>)r)$ C5 4 ecff 1 lei �t PERMIT APPLICATION FOR MIAMI SHO LSO Permit Type(circle one): BU LDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FE CE SIGN WORK DESCRIPTION : . 1 T / v) / 2/ .7 ) , / ' � -) 1 ' ) "I L.4 Square Ft. Estimated Cost(value) 'O°' d WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE 'O DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be ;performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all wort will be done in compliance with all applicable laws regulating con truction and zoning. Furthermore, I authorize the above -named contractor to do the work state Asp/ Signature o ontracto:- or -Builder Date: L e 4Y - Signature of owner; and /or Condo President Date: Notary as V <-1:J?,f L!. Fiv to Owner and /or Condo President FEES: ?ERMIT 0‘0 RADON C.C.F. APPROVED: Fire Zoning Buildin Mechanical Plumbing * * * U / C/ U Tax Folio Notary as to My Commission ES VILLAGE Master Permit # 3 Phone €scc7v w ocwv ~, NOTARY 1 e TOTAL DUE Other Electrical Engineerin& BUILDING ELECTRICAL P 11 PLUMBING ROOFING Owner ot Building Architect Contractor or 'r Leg•iiti Dc:t;:th:Dt:on Adcire=:s of Building C2N OR BUILI:EL MIAMI SHORES VILLAGE, FLORIDA MIFF N° 8261 B:. 'Arcric to be perform2d under this Permit • • Su'od.i- " ir0m rf DATE 195 Contractor`E., License No, Amt. of Perm This p.:t.r lit is granted to th c... cunt:: or builder named rho-, to construct t ie buildin7 or to install the equipment or device described in the aTTli:ation herefor in ..o; Ipli,mee with a.I ordinances Pertaining therLtr and with the uncle zsta-iding that the work will be performed in compliance with a y st.at!:le,.t,. r speciFication, hut :ay have been submitud to and approved by the proper municipal authorities. isis Permit may be revoked rt any time if the \\ Iii.lI t (1, in compli,mc with such ordinr.nceE or if the plans are ch:c ged without authorization. A further condition upon which this permit is granted the ii iii caiiding that t ir rpm rz Cr builder named above asumes the responsibility for a thorough knowledge of tire olci'mances and re pert.linuu_! o t ii v.- -k covered hereby ■.vI.Lther shown. on :lie mars or dray ings or in the ,;:atemer.t; or spc:cifications and thrt he a•'..11:rles respcnsili'litv 'ur work dour by hi. Or Cii 01C Ei7ned: BY INSPECTOR in c,,r, of the is te TUe of this permit: I agree to perform the ‘,ork covered hereunder in compliance with all ordinances and rcv,u'atioms pertaining th'r.,!.: ■ and in strict conformit!' with tie plans, drawings, statements or spe . ..:ifirations submitted to the proper a. 'ities of Miami Shorc. \ r 1:1CC. In iceuptint th :-wit I a,sume re.pnn 1 for all work dons: by either, myself, my zgent, servant or employee. BY AUTHORITY • Owner's Name and Address MIAMI SHORES VILLAGE Disapproved l D (Signed) :`n1 ✓/ f// Building Inspector LIILDING INSPECTION DEPARTMENT peared APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed stata,ucnt or Inc plans and specifications herewith submitted for the built, 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 abe work. Dat ®..._..._MAY 24, .___..o_......_. 1) 11..88 MR. VALLANCFy No.. ... Sure 1 Registered Architect and /or Engineer „•••,n•,,,,•, ,•e e,..e= ,e,,, Name and address of licensed contractor C.,.... .....S. HEEPAR. V.... RI.. Q. E. I. 10.,..I.1La..._4.1...11...1 /....2.0.T IL. S.T _....M.IAMI., . L Location and legal description of lot to be built on: 1 1 / / % 1 i• ) 1 ./..t Q /l ,�J.� %' ..1. J (J/=r I Lot I31ock Subdivision t _...ms Street and Number where work is to be done 30_ N. E. 9 3iN 3 T j E E T — . _�, * State work to be done and purpose of building (by floors)....._ _ _.__ ..._...__.... R.F.RQ.O.F 1.1.._ SQS__.G.F 2.747 tL I'L 1' and for no other purpose. New Building Remodeling Addition Repalrti No. of Stories 1 To be constructed of Kind of foundation Roof Covering F L AT GRAVEL Estimate Total cost of improvements $ 2, 1 Q 0 . 0 0 Amount of Permit $. ,7. a P' e' er 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.. C. F. SHFPPARV ROOFING, INC. 41 N.OI, 20TH STREET MIAMI,. FL 33127 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, anti has complied Ns ith the provisions thereof, and will require similar compliance from all contractors or sub- ecntractors 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 subcontractors, on work to be performed under 2,:als permit, as are licensed by Miami Shores Village. Remarks (Signed) /rL /J 5 STATE OF FLORIDA, COUNTY OF DADE. 33 ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persermily ep• to me well kriocv-.ra, 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 fiats therein by him stated are true. f No.._ . _.. . r -` Permit � 'Date r Read, Sworn to and Subscribed before, rite. Notary Public, State of Florida My Commission Expires . > _ ._......_ ..� LANNINC BOAR °ra ..DATE Chairman Member Member Member Member.. .. Member ...._ .................r __.._....._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this app ection after approval has been obtained Irma tb. PI.annir.t lio.rrd. A re.in Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection fault materials and /or workmanship.