373 NE 92 St (5)Da te G.? 1 y f Job Address 3' 3 a Z 51"
Tax Folio 374 4 � 6 1 3 s 6 1"
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant //.',(4 Cr.>Z.r. 4/
Owner's Address 573 Je f 9.15r
Contracting Co. p h eo)IC /Co r i? Address 9 52S / g ),C ,14,4 ,Fitoso
Qualifiers 7 &if 4 5E - .. 1 0 el ,<-. SS# Phone 75' , 7—..1- 4/ 2
State #i L L o 14 3 O4 Municipal # Competency #a221 a «. Ins. Co. ex/ ,
Architect/Engineer Address
Bonding Company
:
Address
Mortgagor /)/„/J- Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFING AVING FENCE SIGN �`• �
WORK DESCRIPTION /Ce47( OP", f % A., ?i'/c o �-" .'a /Jt a y � / -7 • 27d 4 i�J k
(Go o,C 7I/re o d 6 H)
Square Ft. 9 -4"v
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating constru tion and zoning. Furthermore, I authorize the above -named co tractor to do the work stated.
d/O /f
No as to Owner and/or Cond t Date
My Commission Expire j:
�a► fi b® CATHERINE A. DUFFIN
er / 1 t (6COMMISSION • CC 42369$
EXPIRES FEB 23. 2001
AL • ^` ` BONDED THROUGH
OF *V ATLANTIC BONDWIG CO. P C.
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
o Pr i @en
FEES: PERMIT/ �� RADON
da President Date
C.C.F.
r
Plumbing
Master Permit #
Phone 137 - 376 .3
Estimated Cost (value) l S 3 G
111
a ature of Con ' actor or O
1I gab_ _
otary as to Contractor or Owner,: fi
My Commission Expires:
Engineering
- Builder
CC6736w
:13 23.200
3E011 MOUL H
;;ONDING CO.. INC.
/5/
Date
/ �i $
Date
NOTARY BOND 3o?
Electrical
TOTAL DU
00
Test Location
Uplift
Test (P
_
Pull
or F)
Test Location
26
Uplift
Test (P
11D
Pull
or F)
Test Location
51
52
Uplift
Test (P
Pull
or F)
1
2
27
3
28
53
-----
4
29
54
5
30
55
6
31
56
7
32
57
8
33
58
9
34
59
10
35
60
11
36
37
61
62
12
13
38
63
14
39
64
/ 15
40
65
16
41
66
17
42
67
18
43
68
19
44
69
20
45
70
21
46
71
22
47
72
""-----13
48
73
24
49
74
25
50
/�
75
,J
Owner's Name: CAKAZe " Permit #: 43 I I
Job Address 313 - 612 5T M. 1 2s.M t S RE-5 1 T1.
Roofing Contractor Ola.1.J 0 L) R— {Z)0 Z 1•..1 ll
Type of Tile: AIM S . 1 5 1 ' cD ILI-4 SST Date Installed. 7-28-q/5
Approximate Roof Height i2- feet Roof Pitch' 3 t I Z
Type of Access to Roof: Scaffolds )_ Ladder Other
Approximate Square Footage of Roof 5- O r a ft
Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100
Date Tested. 3 • 3 -q8
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
THIS REP
Du Quesne & Associates, Inc. UTR
Consulting Engineers Environmental • Civil • Structural
Testing Laboratory Building Inspection Services
ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
BMITT
e Du Quesne, P.E.
Engineer
P.E. 24513
u Quesne & Associates, Inc.
E.B. License #0005245
Lab Certification #94- 0318.01
SITE SPECIFIC INFORMATION
TEST RESULTS
P = PASS, F = FAIL
SKETCH OF ROOF IN BACK
THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE
REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS.
Please Note: This form is not valid unless
Company logo appears in
color (burgundy)
7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426
14534
KETCH OF ROOF
,.,.•yvrly . ?,
DATE
JOB
SHEET NO OF
CALCULATED BY
CHECKED BY DATE
SCALE
NOTES'
511.10:1_91402.E
JOB
SHEET NO
CALCULATED BY
CHECKED BY
SCALE
3
, OF
Al DATE
r♦
7_
DATE e l • 9
1 1 1
■■■■■■■■■■15 ■■O
■.,1■■■■■■■■. IBM
iIIii.uui.L 115
MILIANIEii1111112li:1i1 x,11..1■=
IM IIIIM �IIi•.!!!!�!SI / 1�i R =
1MWETZ J1r7NIrNI . ) lig=l1
ro0X40 elletillho=1115oillMaril9
MIIMEPL ow.
11=1111MMIEEMENIIII=111= "AEC
INIP===1121E=1//==tliiil
Mill
111111111MITITANCAIdartall111=
IOWA tropami
I VA _ 111111 M 111.1 1 111
NummumarAtl Et AllEighIllri 11114•11
� II I I Ii® I`
� I ,1111! X11111 111
I;M I`iEll rime; I
r
C
0
24
NOTES
r
Date
Square Ft.
A&
s4,44,06ge
** *
0
FEES: PERMIT 30.
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
97.3 NE v°viaG
1 Description /� �'l / kLn / Lessee / Tenant �W l
er's Address
Contracting Co.
Qualifie /0 'q��
State # 494454 Municipal #
Architect/Engineer
Company
Permit Type(circle one): BUILDING ELECTRICAL
WORK DESCRIPTION
37 AL 9r,v ids-Y --
SS4� - � - � Phone 7 S 7
�
Competency # A Ins .Co . u. S„�C �- CV; .,
r Address �
y Address
Mortgagor Address
1
6
Signature of owner and or Condo President
Date:
Address �� /%UJ .rtezte
PLUMBING MECHANICAL (ROOFING PAVING FENCE SIGN
Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all w• will
be done in compliance with all applicable laws regulating construction and zoning. r - ..re, I
aut•.r ` , t e-na contractor to do the work stated.
iv
Notary as to Owner and/or Condu resident : 71,c tiiv
My Commission Expires: cc.
ate:
J d t ge a
Notary as to Contractor or'Owner- Builder
My Commission Expires:
C'
RADON C.C.F. /.
NOTARY
Fire Other
Zoning Buildin Electrical
Mechanical Plumbing Engineering
Tax Folio /) t5/ k 4cb
Master Permit # 37q LO
Phone 7S(- 7So 3
i- it 1.Ga ham-`
ature of Contractor or Owner- Builder
1 -S.° TOTAL DUE kJ/.
mErno tIADE METfiOI'OLITAN DADE COUNTY, FLORIDA
MEMO-DADE FLAGLI =R BUILDING
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
BUILDING CODE COMPLIANCE DE "ARTMENT
SUITE 1603
METRO -DADE FLAOLER BUILDING
140 WEST FIAGLER. STREET
MIAMI, FLORIDA 33130 -1503
PRODUCT CONTROL NOTICE OF ACCEPTANCE FAX ( 30 5 30 ) 37 76.20 0 0
Your application for Product Approval of GAF Materials Corporation Modified Bitumen Roof System under
Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and types of
Construction, and completely described in the plans, specifications and calculations as submitted by Construction
Research Laboratory, Inc., Factory Mutual Research Corporation, South Florida Test Service, Underwriters
Laboratories, Inc. and Dynatech Engineering, Inc. has been recommended for acceptance by the Building Code
Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth
herein.
The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the
right to secure a product or material at any time for a jobsite or manufacturer plant for quality control testing. If
product or material fail to perform in the approved manner, the Code Compliance Department may revoke, modify
or suspend the use of such product or material immediately. The Building Code Compliance Department reserves
the right to require testing of this product or material should any amendments to the South Florida Building Code be
enacted affecting this product or material.
The expense of such testing will be incurred by the Manufacturer.
PRODUCT NO. :
ACCEPTANCE NO.: 95- 0330.06
EXPIRES: NOV 1 n 1997
aul Rodriguez
Product Control Division
Supervisor
- PLEASE NOTE -
THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS.
BUILDING CODE COMMITTEE
This application for Product Approval- has been reviewed by the Metropolitan Dade County Building Code
Compliance Department and approved by the Building Code Committee to be used in Dade Co � lorida under
the conditions set forth above.
APPROVED: MAY () 4 1995
• el J
arles Danger, P.E., Director
Building Code Compliance Department
Metropolitan Dade County
Applicant:
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
Category: Membrane Roofing System
Sub - Category: Built -up Roofing
T.yCpe: Modified Bitumen
Sub -Type: SBS, APP
SYSTEMS
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
System Description
Product Control No.: 95- 0330.06
Approval Date: MAY 0 4 1995
Expiration Date: NOV 1 0 1997
GAF Materials Corporation has been manufacturing commercial roofing products for more than 100
years.
GAF produces a wide range of roof products for built -up roofing systems. The modified bitumen
products include both APP and SBS products in smooth, granule and fire rated versions. In addition,
GAF offers two ply modified systems to meet the specification requirements for multilayer SBS
modified specifications.
GAF products are distributed through a wide network of roofing wholesale distributors throughout the
South Florida area.
GAF provides warranted systems over various insulated and non - insulated substrates, copies of which
can be obtained from GAF and can be found in the Ruberoid Modified Bitumen Application and
Specification manual published annually.
GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and
Underwriters Laboratories. GAF modified bitumen membranes have been tested in compliance with
ASTM D 5147 test requirements.
Insulation Types:
Fibrous glass
Perlite
Fiberboard
Polyisocyanurate
Expanded polystyrene (EPS)
Polyisocyanurate Composite Board
Maximum Design Pressures
Material Design Pressure
Wood -60 psf
Steel -75 psf
Concrete -248 psf
Lightweight Concrete -45 psf
Poured Gypsum -45 psf
Maximum Fire Classification
Material Classification
Wood Class A
Steel Class A
Concrete Class A
Lightweight Concrete Class A
Poured Gypsum Class A
3
Raul Rodriguez
Product Control No.: 95- 0330.06
Note: Fire classifications and maximum design pressures do not reference all assemblies over
deck types. Review system listings for design pressures and the Underwriters Laboratories
Roofing Materials Directory or other approved testing agency listing directory for Fire
Classifications.
Product
Ruberoid® Torch
Smooth
Ruberoid® Torch
Plus (Granule)
Ruberoid® Torch
Granule
Ruberoid® Torch FR
Ruberoid® Mop
Plus (Granule)
Ruberoid® Mop
Granule
Ruberoid® Mop FR
Ruberoid® 20
Ruberoid® 30
Dimensions
1 sq. roll
87 lbs.
% sq. roll
93 lb. roll
1 sq. roll
102 Ib. roll
3/4 sq. roll
90 lbs.
1 sq. roll
102 lbs.
1 sq. roll
103 lbs.
1 sq. roll
105 lbs.
1.5 sq. roll
1 sq. roll
92 lbs.
Ruberoid® 30 FR 1 sq. roll
92 lbs.
Ruberoid® Mop 170 FR 1 sq. roll
103 lbs.
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Test
Specification
Product Control No.: 95- 0330.06
Product
Description
ASTM D 5147 Heavy duty, polyester reinforced,
asphalt modified bitumen membrane.
ASTM D 5147 Heavy duty, polyester reinforced,
asphalt modified bitumen membrane.
ASTM D 5147 Asphalt impregnated, coated felt,
surfaced with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
fire retardant polymer modified asphalt
surfaced with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non -woven polyester Mat coated with
fire - retardant, polymer modified asphalt
surfaced with mineral granules.
ASTM D 5147 SBS modified asphalt base sheet
reinforce with a glass fiber mat.
ASTM D 5147 Non woven fiberglass mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non woven fiberglass mat coated with
fire retardant, polymer modified asphalt
surfaced and surfaced with mineral
granules.
ASTM D 5147 Non -woven polyester mat coated with
fire retardant polymer modified asphalt
surfaced with mineral grj nu
4
Raul Rodriguez
Product
Dimensions
GAFGLAS® 3' x 36"
Stratavent® (Vent Ply) 69 lb. roll
for Nailable Decks.
GAFGLAS® 3' x 36"
Stratavent® (Vent Ply) 69 lb. roll
Perforated
GAFGLAS Ply 6®
GAFGLAS Ply 4
GAFGLAS #75® 3' x 108'
75 lb. roll
GAF Materials
Corporation Asphalt
Concrete Primer
GAF Materials
Corporation Fibered
Aluminum
GAF Materials
Corporation
WeatherCoat®
Emulsion
GAF Materials
Corporation Jetblak All
Weather Plastic Cement
3' x 180'
45 lb. roll
3' x 180'
40 lb. roll
GAFGLAS® 3' x 36'
Mineral Surfaced 76 lb. roll
Cap Sheet
5 gallons
1, 5 gallons
Test
Specification
ASTM D 4897
D 3672
5, 55 gallons ASTM D 41
5
Product Control No.: 95- 0330.06
Product
Description
Fiber glass base sheet impregnated and
coated on both sides with asphalt.
Surfaced on the bottom side with
mineral granules embedded in asphaltic
coating.
ASTM D 4897 Fiber glass base sheet impregnated and
D 3672 coated on both sides with asphalt.
Surfaced on the bottom side with
mineral granules embedded in asphaltic
coating.
ASTM D 2178 Type VI asphalt impregnated glass felt
with asphalt coating.
ASTM D 2178 Type IV asphalt impregnated glass felt
with asphalt coating.
ASTM D 4601 Asphalt impregnated and coated glass
mat base sheet.
ASTM D 3909 Asphalt coated, glass fiber mat cap sheet
surfaced with mineral granules.
Asphalt concrete primer used to
promote adhesion of asphalt in built -up
roofing.
1, 5 gallons ASTM D 2824 Fibered aluminum coating.
ASTM 1227 Surface coating for smooth surfaced
roofs.
ASTM D 3019 Refined asphalt blended with a mineral
ASTM D 3409 stabilizer and fibers. Permits adhesion
to wet and dry surfaces.
Raul Rodriguez
Membrane Type: SBS
Deck Type 1:
Deck Description:
System Type E:
All General and System Limitations apply.
Base Sheet:
Fastening:
Note:
Ply Sheet:
Membrane:
Surfacing:
Maximum Design
Pressure:
Maximum Fire
Classification:
Maximum Slope:
Specification No.:
Wood, Non - insulated
19 4 2 " or greater plywood or wood plank decks
Base sheet mechanically fastened.
Product Control No.: 95 - 0330.06
One ply of GAFGLAS® PIy 4, GAFGLAS® PIy 6 ®, GAFGLAS® #75 or
GAFGLAS® Stratavent® (Vent Ply) for Nailable Decks mechanically fastened as
described below:
Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps
9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c..
Ply 4 and Ply 6® applications require sheathing paper over the wood deck
before application of base sheet.
(Optional) One, two or three plies of GAFGLAS® Ply 4, GAFGLAS® Ply 6® or
a single ply of Ruberoid® 20 in type III or IV asphalt at an application rate of 25
lb. /sq. ± 15 %.
One ply of Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule or Ruberoid®
Mop FR in type III or IV asphalt at an application rate of 25 lb. /sq. ± 15 %.
(Optional) Install one of the following:
1. GAFGLAS® Mineral Surface Cap Sheet in type III or IV asphalt at an
application rate of 25 lb. /sq. f 15 %.
-60 psf.
Class 'A'; see General Limitation #2.
3:12; see General Limitation #3.
N- 1 -1 -MG, N -1 -1 -MGFR, N -1 -1 -MGFR, N -1 -2- 20/30, N- 1- 2- 20/30FR,
N- 1 -1 -MGP
41
Raul Rodriguez
Product Control No.: 95- 0330.06
Wood Deck
System Limitations: 1. A red rosin sheet shall be installed on all wood plank decks to eliminate
asphalt seepage and bonding of base sheet to wood plank deck. A red rosin
sheet may also be installed on plywood decks as an option. A red rosin sheet
is required on all applications where Ply 4® or Ply 6® is used as an anchor
sheet.
2. Pre - assembled 'Cap Nail' shall not be used for base sheet attachment.
3. Fasten anchor sheet 9" at the lap and 18" in two staggered rows centered on
the sheet. Approved to -45 psf.
4. See PA 117 for extrapolation of data for higher design pressures.
42
Raul Rodriguez
OBE- 'OUR ROOFING, SHEET
0325 PAR( DRIVE, SUITE P
MIAMI 8NORE3, FLORIDA 01801
Job Address: 373 i E 12 Y tt Contractor Process No.
APPENDIX 'E'
METRO -DADE UNIFORM BUILDING PERMIT
SECTION II
BUILT -UP APPLICATIONS AND
MODIFIED BITUMEN SYSTEMS
GENERAL:
Type of Roof System Assembly to be Applied: / (Fl)
Manufacturer of Roof System Assembly: F
Product Control Approval Number: : L. " o
System Number from Product Control Approval: t
(Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System
Guide Specification. )
123.01 -186 9/94
( Note: If a minimum roof system is to be applied, describe all
components within the system and list the manufacturer of
each component. DO NOT complete this section if system is
Product Control Approved. )
Base Sheet:
Fasteners:
Ply Sheet(s):
Cap Sheet:
Asphalt:
( Note: No insulation system is acceptable under the minimum
roof category. )
Complete the following for all Roof System Assemblies:
Built -Up Applications and Modified Bitumen Systems
Page -1
OBENOUR ROOFING, SHEET METAL & SUPPLY eO.
9325 PARK DRIVE, SUITE F
MIAMI SHORES, FLORIDA 33138
Job Addressip >JA 7Y / Contractor Process No.
( Check *one of the following )
Recover Re - roof: / New Construction
If a recover, is the existing Roof System Assembly i ,/ A-
to be used as a bonding substrate ?: N
If YES, has an ASTM E907 test been carried out
to confirm adhesion of the existing membrane to A//4.
the substrate ?: Y N
(If 'yes', attach ASTM E907 test report. )
Proposed Fastener: 1
(Attach withdrawal resistance test report. )
Has the deck been examined for moisture ?: Y ft"
N
(Provide data confirming compliance with
Section 3401.9(c) . )
THE SYSTEM:
All Roof System Assemblies in the Product Approval have a variety of options. Briefly
describe the Roofing Components to be used in the Roof System Assembly and attach a copy of
the manufacturer's published specification:
Deck:
(Briefly describe )
Insulation:
( Type, size and method of attachment,
if applicable )
Base Sheet or Ply:
( Type and method of attachment )
A/4-
GAf 6t /1S , ,5 L % /NGP /fie GQ
/2- 1 0 , 6 -- 4 o.. I y t/
Ply Sheet(s): // /4'
( Type and method of attachment )
Built -Up Applications and Modified Bitumen Systems
Page -2
()DEMUR ROOFING, SHEET METAL & SUPPLY CO.
0325 PAM OLIVE, SUITE F
_ MIAMI SHORES, FLORIDA ms13I
Job Address: ?� ,)& 9z �f Contractor Process No.
Top Ply:
( Type and method of attachment )
Surfacing:
(Type, if applicable )
Flashing Materials:
( Type and method of attachment )
& -E ?deyo /d am
&Wed' k,/ re
/t
Built-Up Applications and Modified Bitumen Systems
Page -3
OBENOUR ROOFING, SHEET ' & SUPPLY CO.
9325 PARK DRIVE, SUITE F
Job Address: c i0RES FLORIDA 3� }saws No.
T
inches
T
inches
T
inches
FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE
UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND
INSULATION LAYER(S). (Where Roofing Component not used in
Roof System Assembly, fill in with "N /A ".)
Surfacing: 9iL4
( briefly describe,
("applicable)
Top Ply: Z✓6t° / a' ,t
Bonding Material: 4 , 5,4
Ply Sheet(s): J�
Bonding Material: /0
Fastener: l f, / g S�C�s(�/�`
! bare rhea ec 011 afhedl l
Base Sheet: , 6G 141-7r
Primer.
(ifappllc
Bonding Material:
(if bare sheet bonded)
Fastener:
(iJ'top insulation layer
mech. attached)
Top Insulation Layer:
(if applicable )
Bonding Material:
(if top insulation
layer bonded)
N�
' )/A —
Fastener:
(if insulation
mech. attached)
Insulation:
Bonding Material:
( ("insulation bonded)
Vapor Retarder.
("applicable)
DECK:
Type: wo v
Gage or Thickness:
Density, if concrete deck.
Built -Up Applications and Modified Bitumen Systems
Page -4
O801OUR POOFRO, SRS I AL A SUPPLY CO.
9325 PAM DRIVE, SUITE F
i �i
MIAMI SHORES, FLORIDA 3
Job Address: �j3 ,�/� 9 t ro ess No.
PERIMETER DETAIL #1: Parapet Wall Detail
Coping Cap
Gage: Sketch Roofing Components which make up Roof
Fastener System Assembly at Perimeter Parapet Walls.
Spacing: _ o.c. Insert leaders indicating Roofing Component names,
Clip Type: dimensions, thicknesses, etc.
Clip Gage: Include fastener type and spacing used for wood-
blocking attachment
Deck Type:
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Areas to be Flashed.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
PERIMETER DETAIL #2: Flashing Detail
Built -Up Applications and Modified Bitumen Systems
Page -5
Job Address:373 de- ?Sr
,OBENOUR ROOFING, SHEET METAL — A SUPPLY CO:
9325 PARK DRIVE, SUITE F
ContNI SHORES, FLORII4I}6490111
PERIMETER DETAIL #3: Gravel Stop or Drip Edge
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gravel
Stop or Drip Edge.
Insert leaders indicating Roofing Components names,
dimensions, thicknesses, etc
Include fastener type and spacing used for wood -
blocking attachment.
Gravel Sto
Gage: ,
Fastener
Spacing: I o.c.
Clip Type:
Clip Gage:
Deck Type: WO & c
ff\f
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gutters.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Gutter Type:
Gutter Gage:
Fastener
Spacing:
Deck Type:
PERIMETER DETAIL #4: Gutter Detail
Built -Up Applications and Modified Bitumen Systems
Page -6
Ob NOUti rtUVi Ili -
9925 PARK DRIVE, Sulk. i
N (UAW SHORE S FLT ORMA 99198
Job Address: Contractor Process No.
r73- ?)- e S i
PERIMETER DETAIL #5: 'Other' Detail
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may eicisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may exisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
Or-
PERIMETER DETAIL #6: 'Other' Detail
Built -Up Applications and Modified Bitumen Systems
Page -7
ri
OUR ROOFING, SHEET METAL & SUPPLY CO,
1l 9325 PARK DRIVE, SUITE F
Job Address: M IAMIC §kO tO FLORIDA 33138 Process No.
Insert Building and Parapet Heights.
(If no Parapet exists, insert "N /A ")
Also insert applicable information pertaining
to the building below.
(See ASCE 7 -88 Fact Sheet Attached)
Exposure Category: (
Classification Category: 1
At Hurricane Oceanline ?: _ Y �N
Basic Wind Speed at
Building Location: 110 mph
Building Condition based on
% of Openings:
GROUND LEVEL
feet
/ feet
BUILDING INFORMATION #1
Built -Up Applications and Modified Bitumen Systems
Page -8
OBENOUR ROOFING, SHEET METAL & SUPPLY GO.
9325 PARK DRIVE, SUITE F
Job Addresses ),)E, x!2- Contractor ��l SHORES, FLORIDA 5515®
Sketch Roof Plan indicating all dimensions, any slopes,
roof drains, crickets, or roof top equipment. Also insert
variable labeled "a" which indicates perimeter and corner
dimensions per Chapter 23 of the South Florida Building
Cods.
(See ASCE 7 -88 Fact Sheet Attached)
BUILDING INFORMA
?Cris In)
ION #2: Roof Plan with Perimeter and Oo
Built -Up Applications and Modified Bitumen Systems
Page -9
27
Process No.
er Dimensions
Job Address:
OBENOUR ROuruvu, . _.
8325 PARK DRIVE, SUITE F
MIAMI SHORES. FLORIDA 33138
Contractor Process No.
Roof System Assembly Product Control Approved: Y N
If NO, note any deficiencies:
Reviewed Details ?:
-- FOR PLAN EXAMINER USE ONLY --
Design Pressure Requirements:
Field: psf
Perimeter Areas: psf
Corner Areas: psf
Note any limitations:
Notes:
Built -Up Applications and Modified Bitumen Systems
Page -10
Y N
• Ubci iuuh HOOtiNG, SHEET ME1 AL
8325 PARK DRIVE, SUITE r
Job Address: Wi 2 t f pcptio FLORIDA 3313 11 . ocess No.
Reviewed Field Test Data ?:
Notes:
Additional Notes:
Built -Up Applications and Modified Bitumen Systems
Page -11
Y N
Plan Examiner
Contractor's Name: 0 ()COoUX ,t0ort NG Job Address:
A
V
Deck type:
Ft.
Ft.
•Includes Mortar and Adhesive Set Tile
Supplement No. 3
5103 APPENDIX E
1/;
ATTACHMENT
Fastener Type:
SPACING
Field: Perimeter: Corner:
DETAIL 1 & 2
SOUTH FLORIDA BUILDING CODE (REVISED 19941
5101 -7
14
313 'Kt ix sr
UE. of RE
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail -On Tile) ;1(Mortar-Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof I Re roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft
Sloped Roof Area (ft 4 6 '" Total 01 3 S ° Master P rm�t,NO;
Exposure category (per ASCE 7 -88): L Building Classification category (p er ASCE 7 -88 table I):
ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed)
/ _
R rj
ROOF PLAN
1
lion?
MFANKEIGlif
Supplement No. 3
Deck type:
Underlay= Jt:l t:1 4f
Insulation:1
.t.
ROOF SLOPE
DETAIL 3
(Pmax1:1 F x X (Aerodynamic Multiplier): . 3 I ) -
(Pmax2: x A. (Aerodynamic Multiplier): • ) -
(p X X (Aerodynamic Multiplier): • 1 ) -
SLOPED SYSTEM DESCRIPTION
Fastener type
SOUTH FLORIDA BUILDING CODE (REVISED 19941
Lew, t x40,1 G T O.(• I al/I,',�
.21605 / " G
Cap Sheet: fait Z 2
Rooff Coveriag:1 ,/ % ` 1 /�� 5 1 ` v44t- Ab s f#t 4
Dnppedge: I Z6 IQ. RW
spacing:
1
TILE CALCULATIONS
M 6. = M PCA: 611- f
0Si . 2 `11 PCA: 66
M C = M 14 PCA: HP/
5101 -8
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
.G. didel
c
METRO-OADE
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Altusa Tile, Almar (USA), Inc.
6645 Northwest 77th Avenue
rMiami, FL 33166
Your application for Product Approval of:
Altusa Tile Nail - On, Mortar Set or Adhesive Set One Piece "S" Tile Roofing Tile
under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of
Construction, and completely described in the plans, specifications and calculations as submitted by:
Redland Technologies, The Center for Applied Engineering, Inc.
has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County,
Florida under the specific conditions set forth on pages 2 -16 and the standard conditions on page 17.
This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office
reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality
control testing. If this product or material fails to perform in the approved manner, the Building Code
Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The
Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building
Code Compliance Office that this product or material fails to meet the requirements of the S th Florida Building
Code.
The expense of sucti.testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 96- 1030.03 Renews 94- 0914.0
APPROVED:02 /13/97
EXPIRES: 02/13/00
1
METROPOLITAN DADE COUNTY, FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
SUITE 1603
METRO DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 33130 -1563
(305) 37 5 -2901
FAX (305} 375 -2908
INTERNET: mdcc01@shadow.net
PRODUCT CONTROL SECTION
(305) 375 -2902
FAX (305) 372 -6339
Raul Rodriguez
Product Control Division
Supervisor
THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Metropolitan Dade County B ' ding Code
Compliance Office and approved by the Building Code Committee to be use de County, F under the
conditions set forth above.
Charles Danger, P.E.
Director
Building Code Compliance Dept.
Metropolitan Dade County
Legal Description
/
Owner's Address
Lessee
otary as to Owner and/
My Commission Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/
Job Address 3733 Tax Folio /1' 5,XX� - (I 3- (. (t()
Tenant o a.%t it ,S /'W-V /L bell
373 JUG 9).
Signature of owner and Condo President
Date:
OFFICIAL No AI:W
�I2 SANDRA D OrJ NGU? I�
V'e's+ietii
CQMMI HI0N NO.
4{YCOMMIESION EXP. MAR. 1:s'AS:
** * * * * * * * *
FEES: PERMIT -6 ‘ (.6 RADON C.C.F.
APPROVED: Fire
Master Permit
Phone
Contracting Co. I919 V O PLtYP)y3 Address 2357 AAL) /Y142u.
Qualifier OVI 2) v bic SS# Phone 757 2 & /
State #g))091 Municipal #C 436C0. Competency # Ins.Co. ?te cid
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFING AVING FENCE SIGN
WORK DESCRIPTION/fliI / C OJ(i r 644 l 2 / -4 /a y
� L / i / P ( . ; 2 4 1 4LJkJP 1 M 4r =''Lu
Square Ft. ;200 s?) Estimated Cost(value) 0. 00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S 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 abt a ii med contractor to do the work stated
nature of Contractor or Owner- Builder
Date:
I /0 .1 .,., .i,:,:: ,
Notary as to ContraGto ,•--ar'( $uL .
My Commission Expires: cat-, _. .
:;':c :1:. S fr7i\LT .
* * * * * * * **
NOTARY TOTAL DUES 5 l
Other
Zoning Buildin_' fril3 Electrical
Mechanical Plumbing_ Engineering
IT it
al .
Tax Folio No.
NOTICE ,OF COMMENCEMENT
93R20Cg62 1 1993 APR 21 14:10
e of Florida
Ay of Dade
improvement will be made ttheerfolloweng
UNDERSIGNED hereby gives notice thaterr^713, Florida Statutes, ierty, and in accordanc�histNotCcepof Commencement.
�rmation is provided in
tion of the property, and street address if
tion of property: (legal description �� e)./el-
avail ip c 9 S�
� � 3 `�, t
available
General description of improvement:
• l�
Owner information: 14414- PG �
a. Name and. Address: 1"I//^^ ��`"'��
v
e
b. Interest in property:
c. Name and address of fee simple titleholder(if other than owner):
A
Lary Public
(name and address)
Contractor:
Surety:
a. Name and Address
b. Amount of bond$ I
Lender: (name and address) whom notices or
nated by. Owner upon notices
provided by Section 713.13t1)(a)7•'
other with m tse may served as
State
se a canes i g
other documents maY C)W�
Statutes:(name and address �`^" , y
Owner designates��`��1
In addition to himself, Lienor's Notice as provided in Section 713.13(1)
to receive a copy of the
Florida Statutes. year from
of notice of commencement (the expiration date is 1 Y
Expiration date o .c f d)
the date of recording unless a different date sp /
/.1
Signature of
ern = and subscribed before me this
STATES OF FLOMDA, COMM OF DAD
051LUM17 eCO r2V Co' S Pti. °a eo Oruo V Otis
orCjihe-:'io! % Ohio cf co o, d C
my hand un J OQ &poi go .g.
p�
Iii, Ll RN, cOc,rCNi
coal/Coe7 09
D.Q.
caner
r(
day of
My Commission Expir
r ' C A-bhc o to A. -'(e) , y Woo
k
pa 3 '�...v
MAR 5 L
C p'HE12INE D a FLORIDA
N� CO1N SM,4 130 :2b5251
� N OY .FES.thi997.
F( 33o).-)
MIAMI SHORES VILLAGE, FLA.
JOB 114,
ADDRESS
INSPECTION 1
TIME READY
REMARKS.
INSPECTOR
N9 6347
DATE
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address Dr. Charles A. Schwarz No 373 street N.E. 92nd St.
Registered Architect and /or Engineer
Name and address of licensed contractor Sheet Metal Spec. Co., 57 3 r. W. 71st St., Mien i
Location and legal description of lot to be built on:
Lot 22 Block 47 Subdivision ._MUM/ ___ Shore_s &act.i_on._.1
Street and Number where work is to be done 37 R. 92nd__Stre_et
State work to be done and purpose of building (by floors) Roofing bedroom and bath additions
to above residence
and for no other purpose.
New Building Remodeling Addition X. Repairs No. of Stories
To be constructed of C.B.S. Kind of foundation Roof Covering tile & built up
Estimated Total cost of improvements $ 304 • 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, Pennanent 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) SHEET METAL SPECIALTY CO.
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 Date
Disapproved f Date
( Signed) -_ _'= . _' ... /
Building In ector �> My Commission Expires
Date July 12, , 19 57
7 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 improper notice for inspection or faulty
materials and /or workmanship.
Owner's Name and Address.
Registered Architect and /or Engineer
Name and address of licensed contractor --
Location and legal description of lot to be built on:
STATE OF FLORIDA,
COUNTY OF DADE. J ss
Chairman
Member
Member
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date/
, 19..x..`._
• y r <
f / No._. - ? Street (/ 5
i Block Subdivision.- .- /. /._`....
Street and Number where work is to be done 3.'
State work to be done and purpose of building (by floors)
//
F
and for no other purpose.
New Building Remodeling Addition. Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering. -. -, 4 • ''
Estimated Total cost of improvements $ -... /. Amount of Permit $
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 are 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.
Remarks (Signe4�? ./1 . _ ' ` )
G .
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 ' D2te � c < �) � Read, Sworn to and Subscribed before me.
Disapproved - ,/,'. bate � Q_.
t ,
' ` / � " Notary Public, State of Florida
(Signed) - - - �
Building Inspector /� My Commission Expires
C �� �✓ ;
//
® '
to me well known,
PLANNING BOARD DATE
i
Member
Member
Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
roofer Pi R:ofin
r,hitcct and /or Engineer g Inc.
Name and address of licensed contractor Pier Ro• ing, Inc.
Street and Number where work is to be done
Building Inspector
C- 024404
261 -96 -7280
// 3,
■BAMI SHORES VILLAGE •
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERM:T
Rein.uks — _. —._- fined.) 1 .r,�r'
Application is hereby made for the approval of the detailed statement ur rile plans and specifications herewith submitted for the build •
pile 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 mules and
regulations of the Building Division of Miami Shores Village shall be complied-with, whether- rein speed or, not. A copy of approved
plans and specifications must be kept at building during progress the work. j
Date...r..._M .. t a_
Owner's Name and Address ... Mr. Charles Schwarz 373 N.E. 9oStreet. Street
2721 S.W..C� 6_,9-'Court Miami, 'FL 3
Location and legal description of lot to be built on:
Lot Block Subdivision _.._...__— .__ _....._.
373 N.E. 92 Street Miami Florida _
State work to be done and purpose of building (by floors) Re k going — back with flat white
.._.._...._......_.._. —
tile and built up asbestos. 45 1/2 squares.
and for no other purpose.
Ncw Building Remodeling Addition Repairs reroo N L'ldt to lle
To be constructed of ....... .......... ....... Kind of foundation Roof CoveringB .ui. lt....up...asbe.stos.
Estimate Total cost of improvements S.8 400 Amount of Permit $.
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.. Pierce Roofing Inc. 2721 S.W. 69 Court Miami, Florida 33155
The mulcricncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
anu has complied ssith the provisions thereof, and will require similar compliance from all contractor or sub - contractors em loyed y 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 •r s f ubii notice
or notices as arc required by the Act. The undersigned agrees to employ only ckuch' subco c.
ntractors, on , rk to per • ", under this
permit, as are licensed by Miami Shores Village.
CC:
STATE OF FLOP,IDA,
COUNTY OF DADE. SS '
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peased Donald D. Greenleaf
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the. Supervisor
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, s.nd that all facts
therein by him state ar trrue. �(yya
Permit No.._ a.......L.�` , E,. Date .......5 (a. . Rea worn to and ubscribed before j z
Disapproved ... .. l Date � Z i i.,'li.L �4P 1.
4�' 1 - ...
Notary Public, Sta'cl,��l��� .5tet:p of P!r c.c l._. ;::.
(Signed) �,. o ; it;s:rew� Z:C� i1"' .r 4 f, j £::.:
My Commission Expires.... ,. m••+ h.t•- *;,rz•,rr}-t'»- ta:: -{�t;
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 fmin
the I'Lrnnir.z Board.
A rc•ni.ipet Lion fee of 51.00 will be cho:ged when such re- inspection is mado necessary by improve notice for inspection or faulty
materials anu /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING 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 herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Va11ag -, F orida, and all previsions of the Laws of the State of Florida, all ordnances of Miami Shores Village and all rules and
regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A cope of approv d
plans and specifications must be kept at building during progress of the work.
Date_ _ _ _ _ ____ _ _ _ _ , 19 _
Carl Conrtriacti 5 ~ � , r! a ' 0 54th � � -
Owner s Name and Address ___ _ _ _ No. 5 __ __ _ Street__
Registered Architect and /or E n g i n e e r- - - - - - - - - -
Name and address of licensed contractor _ __. 23.racly 30.0f n _ FI:ee l'1Qfi•a 2Q55 Pl o Tin 7Rrd St. _
Location ^nd legal description of lot to be built on:
Lot__ __ _ _ _ Block S u b d i v i s i o n __
Street and Number where work is to be done_ ___ 7173.P. 1, 0 92nd Street
State work to be done and purpose of building (by floors).__ Roof_ _Add_o__
and for no other purpose.
New Building _ ___ ___ _ _ Remodeling _ __ . ___._ Addition_ Repairs No. of Stories __.. ._ .. .__
To be constructed of _ Kind of foundation _ _ ____ Roof Covering 4 °PlY htz�_l ¢ t'n
Estimated Total cost of improvements $ 3 _ ____ ___ _____ _ _ Amount of Permit $__ °
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 em.loyed by him
in the work to be performed u 'der this permit; and will post or cause to be posted fir inspectio .n the site of the work suc public notice
or notices as are required by the Act. The undersigned agrees to employ only suc ubcon .ct..s, o.''work to be p o ;(ed under this
permit, as are licensed by Miai. 1 Shoes Village.
Remarks_ _. -- -- — - - (Sign
STATE OF FLORIDA,
COUNTY OF DADE. ss •
Before me, the undersigned authority, a notary public, duly authorized to
peared —
and who, being by me fist 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. ___
Disapproved _
( Signed)
Chairman _ -
Member
Member
Council Approved .
7O -
_ Date_. _
Date .
PLANNING BOARD
Da.e
Member _
Member _-
Member
Disapproved ___
__ DATE
_6 I Read, Sworn to and Subscribed before me.
�` Notary Public, State of Florida
�
. --
r
Building Inspector ( My Commission Expires
l (0
administer oaths and take acknowledgments, personally ap-
to me well known,
_ _ 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- in_pect'o i 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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
❑
0
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description II Bi
N9 7023
❑ Work to be performed under this Permit__
DATE ; i 19
Contractor's
License No.
Subdi-
vision
Address of - Value of ,,-,{ Amount of
Building Project $ 1 i Permit $ �.
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: `' : i it INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan 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 ao
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY ABBOT *era.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building -
Architect
Contractor
or Builder -
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 5760
or
1 B1
Work to be performed under this Permi
Value of
Project $
195-'L—
DATE
Contractor's
License No. l .
Subdi- r'
vision
I
i
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is 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 coveret 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
6 v;