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440 NE 92 St (4)Appro ' - d Name &Date Name Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Typelnsp'n I Permit No. J y - 2- ri r) - j ( Company Phone # jj»� For Inspectors f orrection Re -Insp' Time V .4 J Miami Shores Village ('(1 10050 NE 2nd Avenue • Phone: 305-795-2204 c- Printed: 6/17/2002 0 Applicant: GLADSTONE PHILLIPS Owner: PHILLIPS GLADSTONE JOB ADDRESS: 440 NE 92 ST Contractor JOHN BUSTA Contractor's Address: 300 NE 91 ST Local Phone: 305 - 219 -9699 Parcel # 1132060140050 Fees: Description Amount FEE2002 -3379 Building Fee $195.00 ( 'o FEE2002 -3381 CCF $12.60 FEE2002 -3382 Buildier's Bond $300.00 O Total Fees: $507.60 9 f Permit Status: Approved Permit Expiration: 12/14/2002 Construction Value: $21,000.00 Work: RE ROOFING CLAY BARREL TILE 1 4. If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 pertainin ork covered hereby shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servant or empl Sign 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, s Signed. es. r� `- ��j� Building Permit Permit Number: BP2002 -1099 (Contractor or Builder) BY: Page 1 of 1 Total Fees: $507.60 Total Receipts: $0.00 (INSPECTOR) BY: Legal Description: MIAMI SHORES SEC 2 PB 10 -37 W 5 IN OF LOT 6 & ALL LOTS 7 & 8 BLK 49 LOT 0 L JOHN BUSTA ROOFING, INC. 1030 300 NE 91 STREET MIAMI SHORES, FL 33138 TO THE / C 0 PAY ORDER OF 00 C f?/ Lrimularic) 12411 Biscayne Boulevard NORTH MIAMI BRANCH 035 TOM ASSSOISAL &VW North Wand, FL 33181-2520 FOR / AVA 4F 11 L030» ':066009 L551: 35/04569006 DATE06-/9-0Z 63-915/660 BRANCH 035 DOLLARS a Security Soothes* S:r"" i SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 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. 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). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring um h (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be vi ed 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 option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may ca \e water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not ON oaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance'with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the in for 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. Owner's /Agent's Signature C: SOOCCSIE- ri<mp`LOCALS- I 1S:4.da ✓� /24 /e Date Contractor's Signature Florida Building Code Edition 2002 High Veloci Hurricane Zone Uniform Permit , plication Form. INSTRUCTION PAGE • COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH. THE REQUIRED DbCUMENTS AS NOTED BELOW: Roof System Low Slope Application Prescriptive BUR -RAS 150 A,B,C 1,2 , 3 ,4,5,6,7- 4,5,6,7 Concrete or Clay Tile A :. 1.2.3.4.5,6,7 Asphaltic Shingles Metal Roofs Wood Shingles and Shakes Other 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings Required Sections of the Permit A • • Iication Form A,B,C A,B,D A,B,D A,B,D As Applicable ATTACHMENTS REQUIRED: \ Attachments Required See List Below ,2,4,5,6,7 1,2,3,4,5,6,7 1,2,4,5,6,7 1,2,3,4,5,6,7 Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 L•S Other Com • onent Notice of Acce • tances Munici • al Permit A • • lication 6. Owners Notification for Rooffn • Considerations 7. An Required Roof Testing /Calculation Doc men ation :fin • Onl Florida Building Code Edition 2002 Hi. h Veloci Hurricane Zone Uniform Permit • ication Form. Section C Low Slo ed Roof S stem er Spacing for Ancho ent @ Lap, # Rows oc @Lap, Lap, erim Ply Sh Top Top Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA") System - nufacturer. NOA No.: Design Wind ations: Prna'cl : re, From the Specifi ) & No. of Ply(s): Fastener /Bonding Material: (s) & i' ui F.y( t Fastener/Bonding Material: ly Fastener / Bonding Material: d Thickn ner/Bonding e and Thickness: astener /Bonding Materia Max. Design Pr System: Deck: Type: Gauge/ Thickness: Slope: Anchor /Base Sheet & No. o (s): Anchor/Base Sheet Fasten • nding Material: Insulation Base Layer: Base Insulation Size a Base Insulation Fast Top Insulation Lay Top Insulation S Top Insulation Base Sheet Base She acing: teriat: Fast Attach Field: Perimeter. Comer. ' oc Number of Fa Board Field @ oc ows 'oc Rows @ • oc ners Per Insulation er 1 Base Sheet Corner Illustrate •. mponen Noted and Details a Applicable. Woodbloc ' g, Gutter, - . ge Termination, Stripping, Flashing, Contin us Cleat, Cant Strip, ' ase Flashing, Co ter- Flashing, Co f Etc. Indic e: Mean Roof Height, apet Height, Hei. t.of Base Flashing, Compo ent Material, M • erial LThickness, Fastener T , Fastener Spacing or Submit Manufacturers etails at Comply with RAS 111 and Chapter 1 Parapet I Heiaht I Mean nt:cf Height I Roof System Manufacturer: Notice of Acceptance Number: qq - Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: ° 4 6 P2: / P3: ° %. 6 Maximum Design Pressure From the NOA S • ecific S stem : Method of tile attachment: 0 , _ /2/49 Fire Barrier: Mean Roof Height: oof Covering: Roil Slope: : 12 Ridge Ventilation? Florida Building Code Edition 2002 Hi • h Veloci Hurricane Zone Uniform Permit • • lication Form. Section D Stee • SIo • ed Roof S stem Steep Sloped Roof System [Dec - ���• • lion Master Permit No. Contractor's Name Job Address ❑ Low Slope ❑ Asphaltic Shingles Florida Building Code Edition 2002 Hi . h Veloci Hurricane Zone Uniform Permit y . lication Form. Section A General Information • t, Process No. ROOF CATEGORY ❑ Mechanically Fattened Tile It Mortar / Adhesiv Til ❑ Metal Panel /Shingles (] Wood Shingled /Shakes_ ❑ Prescriptive BUR -RAS 150 ROOF TYPE 0 New Roof gp Re-Roofing 0 Recovering 0 Repair 0 Maintenance ROOF SYSTEM INFORI - Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) bo o Section B (Roof Plan Sketch Roof Plan: Illustrate all levels and sections, roof drains, u 1 scuppers and overflow drains. Include dimensions of sections a d levels, clea rly identify dimensions of elevated pressure zones and location of parapets. Section E Tile Calculations For Moment based tile systems, choose either Method 1 or 2. Compared the values for M with the values from M. If the M values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. - Method 1 "Moment Based Tile Calculations Per RAS 127" (p1 :4 , 263 =�.�� (P /O z 7l __�,,,) _ nI: 5,0,2 = lylrt NOA M (P /00.1 z 1l . .� _ !� �/6� - Mg: g © � Ir �- NOA M,. / —� ' I NOA M Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below-- NOA file 221 42.2 39.8 37.3 34.9 32.4 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F\ vith the values for F If the F' values are greater than or equal to the F values, kr each area of the roof, then the tile attachment method is acceptable. (PI (P2 (P3 xl: x X1: ' Florida Building Code Edition 2002 High Veloci Hurricane Zone Uniform Permit •..'cation Form. Method 3 "Uplift Based Tile Calculations x w: _ ) — W: x cos B.• — x w: _ � — w: x cos 0: = x de := ) —«•: s cos9. = Per RAS 127" NOA F° Fa: NOA F' Fri: NOA F' Descri All tion r?•s;gn Pressure Mean Roof Neh Roof Slope Aerodynamic Mul '.lien Restorin. Moment due to Gravi Attachment Resistance uired Moment Resistance Minimum Attachment Resistance uired U•lilt Resistance Tile Dimensions B Mr mi P F, w V- length w= width J ' calculations must be submitted to Job Si te Job Site NOA NOA NOA Cah:ulated NOA Calculated NOA NOA the Buiidinu Official at the time of Where to find RAS 127 Table 1 or by an engineering analysis prepared by PE based o 'LSC:+: 7 It a icatiun. Where to Obtain Information S mbol P1 or P2 or P3 06/10/2002 • 12:06 • `WADE MEDITERRANEAN ROOF TILE - 3057572728 NO.981 D002 MIAMI -DADE COUNTY FLORIDA METRO -DADE FLAGLER I:WILDING BUILDING CODE COMPLIANCE OFfCE METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI. FLORIDA- 33130.1563 (305) 37 5 -2901 FAX (305) 175-2908 CONTRACTOR LICENSING SECTION FL 33166 (305) 375 -2527 FAX (305) 37 5 -2558 • CONTRACTOR ENFORCEMENT SECTION Your.application for Product A (305) 3 75 -2966 FAX (305) 375.2908 Aliusa Baire(! Approval Of PRODUCT CONTROL DIUISl4N under Chapter 8 of the (30s) 37 5-2902 FAX (305) 3 72.6339 - Construction Code.of Miami-Dade C ounty governing the use of Alternate Materials and Types of and completely. described herein, has been recomrnended for acce t County Building Code Compliance.Office (BCCO) under the conditions p ance by the Miami -Dade This approval shall not be valid after the expiration date stated belov,IOns specified herein. product or material at -anytime from a jobsite or manufacturer's plant for J - ro material perform � BCCO reserves the right.,to secure this the use ro such product ma or material o immre in the approved m p r quaaty evoke, testing. If this product or teria! fails te the use o determined such that this product or material fat sn BCCO to coke thi s approval, modify, immediately. 8CC0 reserves the right to revoke thi' or suspend Code. �� !s to meet the requirements of the South Florida Building Y the manufacturer. The expense of such testing will be incurred by a facturer. Acceptance No.:99- 1102.05 (Revises No.: 98-0428.02) • Expires: [2 /16/2002 Approved: 12 /16 /I 999 Internet men address: postertasterebuildingtedeoaline .cotn ,PRODUCT CONTA L NOTICE OF Almar (USA), Inc. ACCEPTANCE 6645 NW 77 Ave. Miami Raul Rodriguez • THIS IS THE CpVERSHEET,.SEE ADDITIONAL PACES FOR Chief Product Control Division CONDITIONS R SPEC[I:I( BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has nd •Product Review Committee been reviewed b mmittee to be used in Dade Count the BCCO and approved by the Building Code Y. Florida under the conditions set forth above. 1 of 6 4 ranClsc0 Quintana, R.A. Director Mia ri -Dade County Building Code Compliance Offici Homeoaee: hetn:lfv.erw. i i: 06/10/2002 i30 Felt 12:06 , 1. licant Barrel Tile Trim Pieces 043 Coated Base Sheet MEDITERRANEAN ROOF TILE - 4 3057572728 ALMAR (USA), INC. N® . CE OF ACC PTANCE: STANDARD ONDITIONS SCOPE This revises a roofing system using Almar `Barrel' Clay Roof Tile, as manufactured - (USA), Inc. described in Section 2 of this Notice of Acceptance, A h the South Florida Building Code, 1994 Edition for Miami Dade_County. to comoly with where the pressure requirements, as determined b SFBC Cha ter 23 do n or the locations design pressure values obtain by calculations in compliance with RAS 1'22 us nt exceva the . listed in section 4 'herein. The attach as a g. yals system. ment calculations shall, be done momeenn t baseed d Category: Prepared Roofing Sub Category: High Prof le Tile 2. PRODUCT DESCRIPTION aina_ by A Teat Dim ons S eeiftcations I—.l8y w -8'/2" /s" thick nominal 1= varies w = varies varying thickness PA 112 2 . 1 Componentsor p „manufactured by others Product Dim N/A N/A Test Product S ecifications Description ASTM D 226 Saturated organic felt to hype II be used as a nailed anchor sheet. ASTM D 2626 Saturated and coated organic base sheet for single or double ply underlayment. - ACCEPTANCE No.: 99`02 05 APPROVED :Decexuber 16, X999 EXPIRES :Decenttber 16, 2002 Product escri lion PA 112 High profile, two-piece, clay roof tile. For mortar set or adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Magufacturer generic generic NO.981 1003 06/10/2002 :711C 12:06 MEDITERRANEAN ROOF TILE -* 3057572728 ALMAR (USA), INC. Product Mineral Surface Cap Sheet Rainproof 11 Ice and Water Shield Roof Tile Mortar ( "TileTitelM ") Quickcrete Roof Tile Mortar Roof Tile Adhesive ( "Polypro® AH 160 ") Tile -Bond . APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPT NCE: STANDA t CONDITIONS Test �aeci l'�c _ imeasions 30" x 75' roll 36" x 75' roll or - 60" x 75' roll 36" x 75' roll N/A N/A N/A N/A Factory premixed canisters PA 123 Prepared mortar mix designed for mortar set roof tile applications. PA 123 Prepared mortar mix designed for mortar set roof tileapplicatioris. See PCA Two component polyurethane adhesive designed for adhesive set roof tile applications. See PCA Single component • polyurethane foam roof tile adhesive NO.981 ACCEPTANCE No.: 990 .05 Product Descri lion ASTM D 249 Mineral 3Cr Ced asphalt roll roofing for use as a top ply in a double ply underlayment system. PA 104 Single ply, nail -on underlayment with 2" self - adhering top edge. PA 103 Self - adhering underlayment for use as a top ply in a two ply underlayment system with Approved #30 or 1143 as the base layer. Ranu fa cr generic Protect -0 _Wrap, Inc. with current NOA W.R. Grace Co. with current NOA Bermuda Roof Company, Inc. (with current NOA) Quick ete Mortar (with current NOA) Polyfoam Products, Inc. (with current NOA) Flexible Products (with current NOA) 0004 • 06/10/2002 12:06, • • Table 3: - -�" • Attachment Resistance Expressed as a Moment - M, (ft_lbt) for Single Patty Adhesive Set Systems Ira • MEDITERRANEAN ROOF TILE 4 3057572728 ALMAR (USA), INC. :Decetmber 16, 1999 NOT CE OF ACCEP'[•ANC '�eembec 16, 2002 STANDARD CONDITIONS 3. LIMITATIONS 3 • I Fire classigeatIOn is not 3.2 For mortar a static of this acceptance. at ic field performed in accordance with RAS 106. rtar or adhesive set tile applications uplift test shall be '•' Applicant shall retain the services of a ;Miami -.Dade to perform quarterly test in accord PA 112, County, Certified Laboratory shall be submitted to the Building Code Compliance Once for review. '' Minimum' underlayments shall be in tom lianc pp °A g Suctitesrin Applications Standards listed section 4.1 herein. a with the applicable Roofing 3 • 5 30/90 hot mop ped uaderlayment applications may roof slope unless stated otherwise by the underla men s e p rpendicular to published literature. Y material manufacturers 3.6 This acceptance for wood deck applications. be in compliance�with chapter 29 of the SF C. Minimum deck requirements shall 4. INSTALLATION BC. 4 .1 Alrnar `Barrel' Clay Roof Tile and its components shall be i compliance with Miarni Dade County Roofing Application in strict 4 . 2 Data For Artaclunent Calculations g PPltcarion Standard RAS 120. • aa,RR - Roofing Product Control Exam iner.; NO.981 ACCEPTANCE No. : 99 -- 41 02 0 3 APPROVED EXPIRES D005 ALMAR (USA), INC. ACCEPTANCE No.: 9 .102.Q " APPROVED :December 16, 1999 EXPIRES : December 16, 2002 MON Table 3A: Attachment Resistance Expressed Tile as for Mortar Set Systems a Momen M, � R.Ibt). Profile Tile Application Mortar Set' 0 ANDA t D CON .:Barret Tile Attachment Resistan 3 " Bermuda Roof•TileTite mortar. 4 Quickcrete Roof Tile.Monar ti 1140. 24 5 213.4' ICE F ACC PTANC 5. LABELING shall bear the All tiles the imprint or identifiable marking of them , following statement: Miami -Dade County Product Control A coved» 6. r s name or logo, BUILDING PERMIT RE PProv RE QUIREMENTS 6.1 Application for building 6 This Notice din prmit shall be accompanied by My other doe Building Acceptance. Y copies of the followi ' Buildin documents required by the g Code (SF13C) in order to properly 6 Official or* ttte• P perly evaluate the installation �� Florida tiers system. PROFILE DRAWINGS BARREL CLAY ROOD; TILE S Frank Zuloaga, RRC ' Roofing Product Control Examiner 06/10/2002 12:06 , MEDITERRANEAN ROOF TILE i 3057572728 ALMAR (OSA), INC. APPROVED EXPIRES NO.981 :; ^L e:k7iky ACCEPTANCE No, ; 99_0?Ls" :December 16, 1999 :Decembe 16, 2002 OT CE OF ACCEPTANCE: S ANDARD C I NDITI ON • Renewal of this Acce ptance (approval) (pproval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering are no older than eight (8) years: g mg documents, 4. Any revision or change in the materials, use, and/or manufacture of the product or automatically be cause for termination of this Acceptance, unless prior written a requested (through the filing of process shall office. a revision application with appropriate has been fee) and ;ranted by this 5. Any of i f the following shall also be a U the follow grounds for removal of this Acceptance: ry performance of this product or process. b. Misuse of this Acceptance as an endorsement of an ' other purposes. P Y product, for sales, advertising or any 6. Notice otice of Acee T e No b ptance number preceded by the words Miami•Dade County, Florida, and Notice b t ex a /stun date may be displayed in advertising literature. If any portion of the displayed, , then it shall be done in its entirety. 7. A COPY of this Acceptance as well as approved provided drawings other documents, where it applies, . p vided to the user b y the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. . Failure to comply with any section of this Acceptance shall be cause for tminatio of Acceptance, er n and �moval : 9. This Notice of Acceptance consists of pages 1 through 5 and this la s .._ .. tinge 6. P007 2. Any and all approved products shall be state, and -the fo(1ot65ng statement: Permanently labeled with the manufacturer's name, city, state, and- stated ld t in s "Miami -Dade County Product. Control A specific conditions of this Acceptance, p proval °, or as :- 3 . Renewals of Acceptance will not be considered if a. There has been a change in the g South Florida Building Code affecting the evaluation of this Product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the C. If the Acceptance holder has not complied with all the requirements app . ac including the correct installation of the product. 9 en of this acceptance, d. The engineer who originally submitted, is no longer practicing the engineering sealed fession. the required doeurarentatiori .initially CONTRACTOR //��,�,,,,, Name Ol , N R6S79 ,&22 7 % -r/vc , License No. �%C /1 �,c _. Osp - 0 Address ■ 30o LE9 //i ....5,E' °!' /1"4/4'/. ? 1 3- / P$ Telephone9 9 Fax 99 Fax-x� ,% §7' � 7ti Qualifier Name — aw eoww. f � / 4 PROPERTY OWNER Name �� , 7 / �� // ,/�r �Mf /Ge S t - '/4e C IV PraZhe Address �j 4 ' W � ` i ti J 7 s 5 Home Telephone 6.103--.7s- 7 99a/ C� Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Allteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Step 1. PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 6P cW. 1091 INSTRUCTIONS - The following steps must he 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 submit- ted 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: 4 AtE 92 Ufa) • . 7 474(fr s 7 AZ • 33/38 Address Apt. City State Zip e s r iption of Work RE - elA V AA L /4 Folio Number Lot Block Subdivision PB PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 1, Current Use of Property Proposed Use of Property Tenant Information ARCHITECT Name Nt License No. Address Telephone Fax PG Zoni Linear Feet quare Feet . Units Floors alue of Work 5 gi,f30O Bldg Value Tax Assessed/Appraised Value PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Flood Zone Base Floor Elev. ENGINEER Name �/4 License No. / s I Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTy. TYPi Dryer Q . i . V . . i ypE Outlet, Appliance (..ri Y. Tvpi.: Service Repair cm.. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch - Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent - Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE,_ Minimum Fee QTY. .T}.PI,. Condensate Drain QTY TyPi. Generator QTY. T\ Refrigeration, Tons Q ' l1 . A/C Central, Tons QTy. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY TYPF Drains, Roof QTy. TY11: Miscellaneous Fixture QTY. ' FI . Pi , : Soakage Pit QTy. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Test Date Project Contractor ROOF REPORTERS, INC. Ploj d4th 4€ Roos eoodulealf TAS 106 -95 Roof Tile Uplift Test Report Permit # BP .2002 - 1 900 Roof Pitch 3 : 12 Tile Installation Date October 20 , 2002 Attachment Method Poly Foam Tile Type Altusa Clay TEST SUMMARY TEST RESULTS: PASSED See Attached Sketch For Further Details (561) 434 -7555 October 25, 2002 440 NE 92 Street, Miami Shores, Fl. Busta Roofing. Al Maccagli, RRC #116 Dade County Certified Testing Agency # 99- 0615.04 3281 Lake Worth Road ❑ Suite E ❑ Lake Worth ❑ Florida 33461 Roof Consulting & Testing ❑ Visual Surveys & Evaluations ❑ Roof Design All testing is in strict accordance with The 2001 Florida Building Code, High Velocity Hurricane Zone Testing Application Standard (TAS) 106 Each Test location was pulled using a Chatillon Force Gauge to a minimum of 35 lbs.. Roof Area Total # of Tests # of Tests Passed % Passed Field & Ridge 25 10 100 % Corner 10 10 100 % Perimeter 10 10 ----- 1 0 `x, 96 P1 1' 'a 4 1 - r HO gE 9 �T Report of Calibration Synergy Labs, Inc 9831 E Evergreen St. Miami, FL 33157 888.3462430 UNIT UNDER TEST: Mfr S /N: Cust S /N: PROCEDURE NAME: CALIBRATED BY: P.O. NUMBER: SUBMITTED BY: CHATILLON DFIS100 DIGITAL FORCE GAUGE B39539 B39539 SYN141 Juan Balceiro VERBAL ROOF REPORTERS CERTIFICATE NUMBER: 39382:1040053637 PERFORMED ON: NEXT CAL DUE:: TEMPERATURE: HUMIDITY: 16Dec2002 16Mar2003 71.0 °F + / -1 DEG 40 % +/- 5% Synergy Lab, Inc certifies that the above listed instrument meets or exceeds all specifications as stated in the referenced procedure at the points tested (unless otherwise noted). It has been calibrated using measurement standards traceable to the National Institute of Standards and Technology (NISI), or to NIST accepted intrinsic standards of measurement, or derived by the ratio type of self-calibration techniques.This calibration complies with ISO Guide 17025 and ANSIMCSL 2540 -1 -1994. Calibration procedures used provide measurement uncertainty ratios of less than or equal to 4:1 of the specification of the unit under test, with a coverage factor of !"2 at a confidence level of 95 %, unless otherwise noted This report may not he reproduced, er cept in full, unless permission for the publication of an approved abstract is obtained in writing from Synergy Labs, Inc. REMARKS: This unit was found to be in tolerance at the time of calibration. No adjustments were necessary. [Standards Used 1 Trace No Description 999471 999002 Signed: PRINTED ON: 16 Dec 2002 TROEMNER 9080 WEIGHT AMETEK WG -23 WEIGHT SET Signed: CAL DATE CAL DUE DATE 23 Apr 2002 6 Jun 2001 23 Apr 2003 6 Jun 2003 REPORT OF CALIBRATION for SERIAL NUMBER: B39539 Synergy Labs assigned ASSET NUMBER: 39382 Page -. of Arta PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 - 15 -1 Job Address V/) fi /,' Tax Folio /•. -' . o Legal Description : /, / />' `'f Historically Designated: Yes j er /Lessee / Tenants pie- A oS dt /vh e -mom Owner's Address V 4 /C) 4`/ /.� ? Phone 7,$ -P 7r 6 Contracting C7 e s °° Qualifier � state, ao 3 65 g //' Municipal # 7/ «5' Competency # Address Address Master Permit # ss # Address //6 No Phone ,s , .3C' 5vJ Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ' OOFING PAVING FENCE SIGN WORK DESCRIP'T'ION Square Ft. /G 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 above -named contractor to do the work stated. 7 7//e )& ture of owner and/or Condo President Date � T ✓CilLge L.t;iiilil / y �l.�, % i 7 l C / s Notary as to Owner and/or Cond Press • ent My Commission Expires: FEES: PERMIT b RADON Date , PP0,9 OFFICIAL NOTARY SEAL O 7 .. /i BARBARA ANN FUGAZZI 2 �w�; * COMMISSION NUMBER Sc >t ;r` 4c CC360191 7 1`" �) klY COMMISSION EXP. F OR FA MAR. 29 1998 Estimated Cost (value) �7J''" C.C.F. / NOTARY r ature of Contractor or Owner- Builder oefor.orawner-Buildet 1.9Z1.0t'30 D i � I% n t93®67fN NOISSIrnl00 4c f - 41 \'' 1311NO 1 YL ONVS � - 2 1VJS Aat110N 'WIOId 4O B 'd Ali' APPROVED: Zoning Building Mechanical Plumbing Engineering Electrical Date Date ®0 //,, • / *5 TOTAL DUE W MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or inc 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 I`tiami 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... J�tt?uar.. 12 .._.___._ _... 19.. 84 Owner's Name and Address T.M• HENDERSON — No 440 -NE Set! 2nd Street Registered Architect and /or Engineer Name and address of licensed contractor ANDREWS ROOFING & IMP CO 4300 E 11th Avenue, Hialeah, Fl ..t.. ... •, ,,tf.TTttft•.•t.T.,.t. CT/ .11S Location and legal description of lot to be built on: Lot Block Subdivision _.._._ -- ._. Street and Number where work is to be done 440 NE 92nd Street_ Miami Shores, FL State work to be done and purpose of building (by floqrs) Repair (1) leak in 2 — stor y cuban tile roof )jepaar C1) leak. in 1— story clay tile roof. . and for no other purpose. New Building Remodeling Addition Repairs X< No. of Stories 1 a 2 story To be constructed of Kind of foundation Roof Covering Cuban C clay tile Estimated Total cost of improvements $ 325 Amount of Permit $. 20.00 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.. J.... RQbert_.Andrews.... o.. Andrews. .. RQO ±ang & Imp Co The undersigned applicant for this building perinit does hereby certify that he understands and accepts his obligations as an employer of fiber under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup clement, and has complied %%ith 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 ins ection on the site of the wo k such public notice or notices as are required by the Act. The undersigned agrees to employ only suc \subs o'tracto to be -• rformed under this permit, as are licensed by Miami Shores Village. Remarks _ - - -.__ (Signed) , ' ' r, ,x , .. , _ STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to a. minister 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 ar true. Permit No..__!u Date 111 � Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector PLANNING BOARD DATE Chairman Member Member . -- Member Member My Commission Expires _ to me well known, 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 frrnn the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspectirm oe faulty materials anti /or workmanship. Application is hereby wade for the appro val 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 o,f 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. 4 - squares .._._._.. Owner's Name and Address Mr. T. M. Henderso _ No L�,O ....... Strcet_N.E. 92nd St. Registered Architect and /or Engineer Name and address of licensed contractor Lang R.g. & Tile Co., Inc. 573 71st, „Mia., Fla. 33150 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 440 N.E. 92nd Street State work to be done and purpose of building (by floors) Partial r /r: Tear off 8xlst]II rOOf1T, tin Ca2 1 -30# felt to sheathing, mop 1 -901b. slate, cover with a layer of Palm Beach Clay Barrel tile. and for no other purpose. New Building Remodeling Addition Repairs REROOF No. of Stories 1 _ To be constructed of Kind of foundation Roof CoveringPAlm Beach Clay Tile Estimated Total cost of improvements $ 995 00 Amount of Permit 5 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 Sup e leent, and has complied with the provisions thereof, and will require similar compliance from all contractors or su'- contractors employe m by him in the work to be performed under this permit; and will post or cause to be posted for inspection on t rte of the work such public notice or notices as are required by the Act. The undersigned agrees to employ on such subcon ctors •n wo.. to be perfo ed under this pennit, as are licensed by Miami Shores Village. � �� Remarks (Signe STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 G Read, Sworn to and Subscribed before me. Disapproved Date.._., MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Notary Public, State of Florida to me well known, A ' (Signed) Building Inspector � My Commission Expires PLANNING BOARD DATE Chairman Member Jlcmber 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. 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__ Mr o & Ml�°�a No._440 Street T A. E. 92nd Stn_, Registered Architect and /or Engineer Miami Shores Name and address of licensed contractor LanJ'__ROOfing & Ti Company, Inc_o__ N_W 71st_.Sta,_Miami .Flee Location and legal description of lot to be built on: Lot__ Block Subdivision Street and Number where work is to be done 440 N. E. 92nd St, � s Miami Shores, Fla 4 State work to be done and purpose of building (by floors )_ __ re — roofin two sections of roof, replacing 30# felt 90# slate and Palm Beach Clair Tile Zone cubage required_ Distance to next nearest building Maximum live load to be borne by each floor Remarks ar true. a Permit No u_ _ 3 Date �,,p� Disapproved (Signed) .... Chairman Member Member __ Council Approved Date Building Inspecto. Date August 25th, 1966 ,19 approximately 8 sqs, total,) and for no other purpose. New i:•uilding Remodeling Addition Repairs Re No. of Stories one story where work is to be To be constructed of Kind of foundation Roof Cove tile Estimated Total cost of improvements $ X G 00 Amount of Permit $ 500 m Flan Cubage _Size of Building Lot II 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 o. the site of the work such .ublic notice licensed b by Shores Village. p bcontractors •n work to be performe• under this 7 � n or notices as are required b the Act. The undersigned agrees to employ only such permit, as are cense by Miami ores i age. (Signed)_ ph A. Martin, President, STATE OF FLORIDA, ` COUNTY OF DADE. s • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- pearei - - - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 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 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires NING BOARD DATE Member Member Member Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ - �- DATE G. '` 19 PLUMBING ❑ PERMIT N9 7893 ROOFING ❑ 0 Owner of Building j t -c .4 Architect Contractor >1 o r Builder t - °"` Legal Lot Description CONTRACTOR OR BUILDER Work to be performed under this Permit 1 1 lr III BY Subdi- vision Contractor's , • License No. 2 ) . , e ez • • , „ C:4 Address of ` ( ) / Value of •' y � '" I I Amount of Building if A Project $ II Permit $ This permit is granted to the contractor or builder named above to con truct 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. r / Signed i.- -- ? '_ -}} • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a1Y ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities off Miami Shores Village. In ac- cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. AUTHORITY 4111107 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE ELECTRICAL PLUMBING ❑ f PERMIT N9 6354 Contractor's License No. ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Y *' Lot Bl Work to be performed under this Permit 19 Subdi- vision i t ; y t ' i Value of - <--- ,....• Amount of Y u i Project $ " ll 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 pertainf g thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may,Iave 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 contractoyer 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 �' ' - 4 -) ._ k _ Q INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBO 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 strw_ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villag; Florida, and all provisions of the Law- of the State of Florda, all ordinances of Miami Shores Village ^nd all rules and regulations of the Building Division of Miam Shores Village sh,.11 be co.iplied with whether herein specifie% not. A copy of aptiroved plans and specifications must be kept at building during progress of the work. Owner's Name and Address .___r_rG Lot Block Subdivision Street and Number where work is to be done ® Do 20 p Meoo State work to be done and purpose of building (by floors) 20=0 tnO g2013. _120a*I< C' 7 1 1 New Building Disapproved _. Date (Signed) ➢� n0 -L) -ooIi1 Registered Architect and /or Engineer Name and address of licensed contractor I1Q5 Location and legal description of lot to be built on: i` Date_ . _ ___ No- 0 Notary Public, State of Florida Building Inspector v My Commission Expires PLANNING BOARD _ .. ___ DATE Chairman - Member -- Member Member ___ _. _.. . Member Member Council Approved - Tr C is_ �b 195 Street_o__B � 0 -- -- -- ---- - -- oR 2 £3{'as- 7K;0 OC.00 A ,y y QYL) m bi ?o1 c J c32cn Qij ED, Db3'O Il0 7 no and for no other purpose. Remodeling Addition Repairs 2S No. of Stories To be constructed of Kind of foundation Roof Covering ' 1O Estimated Total cost of improvements $ 1:65..00 Amount of Permit $____S 0© 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 b All notices with reference to the building and its construction may be sent to OH N C. AEI Uft I F �d��� l4 T Tit c he undersigned applicant for this building permit does hereby certify that he un p istands 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 o the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subFontra9tors, on o be erformed under this permit, as are licensed by Miami Shores Village. Remarks__- (Signed). STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _ __ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ``— f $ , Permit No Co_ _ J?_ Date ter d" 9'_. ___ Read, Sworn to and Subscribed before me. 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. 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. STATE OF FLORIDA, COUNTY OF DADE. Chairman Member Member Council Approved SS. Building Inspector NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date ,19 Owner's Name and Address ....... ............. ..._n._._Gc._.��t Registered Architect and /or Engineer Name and address of licensed contractor No... 8v O C„ alTIRRJF 1109T700 e/ 2117 09, A Location and legal description of lot to be built on: 0 Lot Block Subdivision..._._ Street and Number where work is to be done ia.._Ea... so___. Mai ___S s :Q State work to be done and purpose of building (by floors).._ G': -n 20 g. ...(3i= ''.as(D o `,' OPIA" O 01:1 ti. i.( a.nn ' old noto7 ?. Mop X,k v au £' °° and for no other purpose. New Building Remodeling Addition Repairs 5Z No. of Stories 7, To be constructed of Kind of foundation Roof Covering 7 `°.': C: ... d.�.•O Estimated Total cost of improvements $. ` 630_3 clo _Amount of Permit $5.0.0 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 f r 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 sibcontr permit, as are licensed by Miami Shores Village. ttors, on work to be performed under this Remarks (Signed-- ��s_ i? a s 6 ( L L - - Z ' E 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 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member Date Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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._ t- Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) .. _ - _ _• �, '71 - 1. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 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 pennit 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 bco actors, gn work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed _ . ' 1 /fe 1 1 ( - 4 i -4" -e STATE OF FLORIDA, COUNTY OF DADE. j Ss. Before me, the undersigned authority, a notary public, duly authorized to administer 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 2 Permit No L 17 S Date F Read, Sworn to and Subscribed before me. Disapproved Date (Signed) : -A-CC Building Inspe MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT .ter n Chainnan Member I'1 Date , 19 oaths and take acknowledgments, personally ap- to me well known, Notary Public, State of Florida My Commission Expires LANNING BOARD DATE 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA D ❑ PERMIT N° 6775 Work to be performed under this Permit Bl Subdi- vision Value of Project DATE_ Contractor's License No. 11 Amount of $ II 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY; INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 195 BUILDING MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N? 9207 Contractor s License No. ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect contractor Dr Builder i .egal Description Address of luilding Lot CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ BY AUTHORITY Amt. 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, lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any lime 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ,ertaining 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 lone by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations 3 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. State work to be done and purpose of building (by floors) Remove tile Apply Bond-t ite Apply liarml MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN' 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 oher structure hercil described This .trplicatico is made in compliance and con-ormdy with the Building Ordinance of Miarii Shores Village, Florida, and all provisions of the Laws tf the State: of klurid.:. all o d'nances of Mi in Shores Village and all rules and regulations of the Building Div'n of .7\ &am. Shop illage sh ' !)e complied with, whether herein specified or not. A copy of approved plans and specifications must be keist at building durin progress of the work. DmeMarch 14 , 19 Owner's Name and AddressYlr • Hank Hendersoh N N.E. street 92nd St. Registered Architect and/or Engineer . Name ond address of licensed contractor Cald..._.1E'rocs_o Roofing CQ.:_ Inc_._ 7216 li • E • LI imul. _Q mart Location and legal description of lot to be built on: Lot. 7-8 Miami Shores Section # 2 Subdivision Block. 49 Street and Number where work is to be done. 440 N.E. 92nd St. 1-30 lb. felt. 1-90 lb. slate and for no other purpose. New Building Remodeling._ Addition......._ .... ..... __ . Repairs. . X . . No. of Stories To be constructed of ___ _ _ Kind of foundation ........ _ .._ ..... . Roof Cowtring Estimated " dal cost of improvements $ 395.00 Amount of Permit $. Zone mbage required ... _Plan Cubage Distance to next nearest building__ ... Size of Building Lot Maximum live load to be borne by each floor _ ..... ..... .... . .. . ................................................... ........... hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.___.Cold_ Process. Roof_ing_...Co..__.Inc... .7216. N.E. Miami Court The unde signed appli. ant for ths building permit does hereby certify ihat he understands and accepts his obligations as an employer of 1: bor under he Florida Workmen's Compensation Act, being Scct 5966, Co iled Gen. -al Laws of Florida, P. , r,,.anen. Supple nent and h s compLed with the prov';ions thereof, and will require similar cols - ance from a contractors or sub-contractors employed by him in the wo k to be p rf - med under ths permit and post or cause to se posted for ins. ectis on the sit of the work such public nob e or ..otiees as are requir d by the Act. The u..dt r•iglicd agrees to employ such subc to be perforni d .,!der this permit as are licensed by M arm Shores N. illage. Remarks_ __. 111 • ./.; STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally p peared _ to me well known, and who, being by me first doly sworn, upon oath deposes and says that he is the ot th abov deLibed istruction t, t b. has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr.le. s Permit No._ ..... _ . Date__ Read, Sworn to and Subscribed before me. Disapproved Date \ s. (Signed) Building4nspector Notary Public State of Florida My Com:nission Expires. 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 his bee n obtained from the Planring Board. A re-inspection fee of $1.00 will be charged when such re-inspection is mz. le necessary by improper notice for inspe• von or he ity materials and/or workmanship.