477 NE 92 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 - S Job Address N . I V 54 , Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant
Owner's Address
Contracting Co. 4,2 b f i' C A ct
Q ualifier P PAQ tk Afl 4v G \
ignature of owner and/or Condo President
162 4( A)�tCk
Notary as to 0
My Commi
Date
Address
Master Permit # 'WO 70
Phone
ss# Phone
s9f 4$ 7- 7
State # Municipal # A Competency # CC( ODD} ?!Z Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
�� MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION et— It 0 (r �. 4(�✓�l04AM c� ,�-"(
9® 0e - CP
Square Ft. Z U Estimated Cost (value) 24- `C D u i 6 0
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.
Signature of Contractor or Owner - builder Dat
Notary as to Con
My Commission
APPROVED:
Zoning
Mechanical Plumbing • Engineering
Building
Electrical
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of properly and street address: 4- � i° 2P " 31
\ (Aro s7-644s �1..01
2. Description of improvement: /(4 — 1 `'q s`') c.
3. Owner(s) name and address:
Interest in property:
e 44e‘►
9
a«
4 it. /d'tf 'kr.S r' 1
Name and address of fee simple titleholder:
4. Contractor's name and address: G v 4,( 6,4,e v'
A S S S k - , 7 - g Sf-1 *'t' rr
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: ) �
Amount of bond $ /_ 11.
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
id2,u4e‘ 4 44a/kei(L__
Signature 01 Owner nn
Print Owners Name \f A5 T�
Sworn to and subscribed before me this
Notary Public
Print Notary's Name
My Commission Expires:
ea
CARIDAD ROIZ
M + IRES: November
y�'ri rTL,or'I�T�'iL?: T
— i
iAiE Or FLORIDA, O)UidT( 0: DADE
C peRExv coin 050• Phis is o To F y od tho
o.igin 1: &d in Phis off
W YNCS
HARVE
ay
Prepared by: P (ILL 41/1,61
9 Stu, P8 SF .
Address: /4 /WI 01-
123.01.52 2/93
11)
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N
Appendix. "E"
• UNIFORM ROOFING PERMIT APPLICATION : PROCESS No.
NEANHEIGir BS. 0ti
Deck type T G 1 ' — — — 1
Undcriuymca 3c
RidgeNt C, )
F 1 2 16 1 (7 4S
astener type & span
DETAIL 3
(Pmarl: x a. ( Aerodynamic Multiplier):
(Pmaz2' x 2. (Aerodynamic Mnitipla):
(P 3: x X. (Aerodynamic Multiplier):
- SLOPED SYSTEM'
TILE CALCULATIONS
) - M;: = M 1: PCA:
) - M _ Mrs: PCA.
) - M.: _ PCA:
trr CAIN E.NTS REQUIRED
1) Fie 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) Mimiciral Permit Application
4) Other Component Approvals
Contractor's Name:
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
j
ROOF CATEGORY
❑ ail-On rile) lJ (Mortar-Set Tile) *
❑ (Low Slope Application) �
❑ (Asphalt/Fiberglass ogles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof ❑ Re roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (it) Sloped Roof Area (it 24 ° rota! (ft 2 * °' 9.9 Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7-88 table 1):
ROOF HEIGHT AND SYSTEM DETAILS (Draw details u needed)
1
v
Ft
Ft.
Deck type
Fasten
Field: Perimeter: Corner.
ATTACHMENT
DETAIL 1 & 2
*Includes Mortar and Adhesive Set Tile
SP 4CTNG
Job Address:
Page - 1
PROCESS No.
444 W. 72 Spa
ROOF PLAN
1 - 1 ."
1 1 ' , , -
1 ' : : ■
1 1
1----------------------- a - - - - --
t
METRO-DADE
Artesanos, Ltda.
Avenida 0 No. SA -22
El Salado, Colombia
PRODUCT CONTROL NOTICE OF ACCEPTANCE
The expense of such testing will be incurred by the Manufacturer.
PRODUCT NO. :
ACCEPTANCE NO.: 95- 0317.11
EXPIRES:
APPROVED:
IYIAY 1 8 1998
MAY 1 8 1995
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) 375 -2901
FAX (305) 375 -2908
R''.1 Rodriguez;
oduct Control Division
Supervisor
1
PRODUCT CONTROL SECTION
(305) 375 -2902
FAX (305) 372 -6339
Your application for Product Approval of Artesanos. Ltda.. Mortar Set. Clay "2 Piece Handmade Tapered
Mission Barrel Tile" Roofing Tile under Chapter S 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 Testwell Craig Laboratories & Consultants, 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.
,o
- PLEASE NOTE -
THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS.
BUILDING CODE CO•1
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 County, Florida under the conditions
set forth above.
C harles anger, .E., Director
Building Code Compliance Department
Metropolitan Dade County
Applicant:
Artesanos, Ltda.
Avenida 0 No. 8A -22
El Salado, Colombia
Category: Prepared Roofing
Sub - Category: Tile
Type: Mortar Set
Sub -Tree: Clay
PRODUCT CONTROL NOTICE OF ACCEPT.A.NCE
ROOFING SYSTEM APPROVAL
Product Control No.: 95- 0317.11
Approval Date: MAY 1 8 1995
Expiration Date: MAY 1 8 1998
System Description
Artesanos, Ltda., located in El Salado. Colombia, is a manufacturer of clay roof tile for mortar set
applications. All clay roof tile is manufactured in plants located in Colombia from El Salado clays and is
distributed through Artezanos, Inc. in the South Florida jurisdiction. Artesanos. Ltda., produces one clay
tile profile for use in the South Florida jurisdiction which is a two -piece barrel tile (high profile). This
Product Control Approval relates to Artesanos' "2 Piece Handmade Tapered Mission Barrel Tile" tile
profile.
The profile has matching trim pieces used for rake hip, ridge hip, and valley terminations.
Artesanos" clay tile has been tested in compliance with the South Florida Building Code
requirements for clay, mortar set tile applications. The minimum roof slope for Artesanos mortar set clay
tiles shall be 2 ":12 ". See the "Profile Drawing" section in this Approval for the "2 Piece Handmade
Tapered Mission Barrel" profile drawing. The "2 Piece Tapered Mission Barrel" tile profile has been
tested for static uplift performance only, therefore, any consideration for installation shall be done as an
'Uplift Based System'. Data for attachment calculations is noted in Tables 1 and 2 of this Approval.
Artezanos, Inc. is an Approved local distributor of Artesanos, Ltda. clay tiles. NIanufacturer
Distributor Agreement is on file at the Metro -Dade Building Code Compliance Office.
Contact:
Daniel Arguelles
Artezanos, Inc.
9455 S.V. 78th Street
Miami, Florida 33176
(305) 595-4577
Product
2 Piece Handmade
Tapered Mission
Barrel Tile
Trim Pieces
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Dimensions
1 = 17"
w = 7"
%1" thick
I = varies
w = varies
varying thickness
Test
Specifications
ASTM C 1 167
ASTM C 1 167
Product Control No.: 95 -03 17.1 1
Product
Description
High profile, two- piece, barrel, clay
roof tile. For direct deck mortar set
applications.
Accessory trim, clay roof piece for use
at hips, rakes, ridges and valley
terminations.
2 --)fi-1-
j
Raul odriguez
Mineral Surface Cap
Sheet
Flashing Cement
Asphalt Primer
Roofing Nails
Tin Caps
TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS
Test Product
Product Dimensions Specifications Description Manufacturer
#30 Felt N/A ASTM D 226 Saturated organic felt generic
type 11 to be used as a nailed
anchor sheet.
#43 Coated Base N/A ASTM D 2626 Saturated and coated generic
Sheet organic base sheet for
single or double ply
underlayment.
N/A ASTM D 249 Mineral surfaced generic
asphalt roll roofing
for use as a top ply in
a double ply
underlayment system.
Mopping Asphalt N/A ASTM D 312 Asphalt for bonding a
type 111 or IV mineral surface cap to
a mech. attached base
sheet in a double ply
underlayment system.
N/A ASTM D 4586 Cut back, asphalt generic
based, asbestos free,
fiber reinforced,
trowel grade cement
for repair and flashing
applications.
N/A ASTM D 41 Cut back, asphalt
based coating used to
facilitate bonding of
dissimilar materials.
min. 12 ga. with
I head
min. 32 ga.
min. I / o.d.
max. 2" o.d.
PA 114
Appendix E
PA 114
Appendix E
3
Raul odriguez
Product Control No.: 95-0317.11
Annular ring shank,
hot dipped, electro or
mechanically galv.
roofing nails for use
in underlayment
attachment.
Corrosion resistant
circular disc for use in
underlayment
attachment
generic
generic
generic
generic
Prod ucI
Roof Tile Mortar
( "Ti leTiteTM ")
Valley Flashing
Drip Edge
Dimensions
N/A
min. 26 ga.
min. 16" width
min. 26 ga.
min. 2" face flange
min. 2" deck flange
Test
Specifications
PA 123
ASTM A 525
PA 111
4
a . ' Rodriguez
Product Control No.: 95-0317.11
Product
Description
Prepared mortar mix
designed for mortar
set roof tile
applications.
Galvanized steel
valley flashing
Galvanized steel drip
edge
Manufacturer
Bermuda Roof
Company, Inc.
PCA #94- 0614.01
generic
generic
Test Agency
Testwell Craig Laboratories
& Consultants, Inc.
Testwell Craig Laboratories
& Consultants, Inc.
TEST REPORTS
Product Control No.: 95- 0317.11
Test Identifier Test Namc /Report Date
Lab #: ABM-4 Static Uplift Testing Jan. 1995
PA 101
(Mortar Set)
Lab #: ABM -1 Physical Properties Nov. 1994
ASTM C 1 167
5
724
Raul odriguez
Deck Type: Wood, Non - insulated
Deck Description: New construction 19 /,," or greater plywood or wood plank.
SYSTEM D: Mortar Set Application
Slope Range: 2 ":12" to 7 ":12"
Note: System D is only acceptable in this slope range.
Underlayment: Install choice of Approved underlayment system, noted on Page 1 of Dade
County Protocol PA 120, in compliance with Section 3.02 of PA 120. See
System Limitation #6.
Roofing Tile:
SYSTEMS
Product Control No.: 95- 0317.11
Install tile in compliance with PA 120 using one of the Approved mortars
noted in this Approval. Mortar shall be applied in compliance with the mortar
manufacturer's Roofing Component Product Control Approval. The mortar
attachment shall provide sufficient attachment resistance expressed as a
moment to meet or exceed the required moment of resistance determined in
compliance with PA 115 or PA 127. The mortar attachment data is noted in
Table 2, attached.
Comments: 1. For re -roof applications, t5 / „” plywood is an acceptable substrate.
2. For mortar set applications, the first three courses of tile shall be nailed with
not less than one nail per tile. As an alternate, the first three courses of tile
shall be applied in mortar over a single layer of minimum 12 ga. wire mesh
with square openings of not less than 3 / which is mechanically attached to the
deck with not less than one roofing nail every 1 ft'. For roof pitches from
6 ":12" to 7 ":12 ", every third tile of every fifth course, beginning at the eighth
course, shall be nailed with not less than one nail per tile.
6
Raul RS6driguez
SYSTEM LIMITATIONS
Product Control No.: 95- 0317.11
1. The standard minimum roof pitch for Artesanos, Ltda. clay, mortar set tile applications is 2" rise in
12" run (2 ":12 "). The maximum roof pitch for mortar or adhesive set tile applications is 7" rise in
12" run (7":12").
2. The Artesanos, Ltda. "2 Piece Handmade Tapered Mission Barrel Tile" tile profile has not been
tested for nail -on applications, therefore, System A (Counter -Batten Application), System B
(Direct Deck Nail On) and System C (Horizontal Batten Application) do not form part of this
Approval.
3. System installation shall be in compliance with the system specifications outlined in this Product
Control Approval. Mortar set tile shall be attached using an Approved mortar noted in this
Approval, the data of which is noted in Table 2 of this Approval. The method of attachment utilized
shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required
moment of resistance determined in compliance with Dade County Protocol PA 115 or PA 127.
4. For mortar set applications, the first three courses of tile shall be nailed with not less than one nail
per tile. As an alternate, the first three courses of tile shall be applied in mortar over a single layer
of minimum 12 ga. wire mesh with square openings of not less than ' / which is mechanically
attached to the deck with not Tess than one roofing nail every 1 ft'. For roof pitches from 6 ":12" to
7 ":12 ", every third tile of every fifth course, beginning at the eighth course, shall be nailed with not
less than one nail per tile.
5. For mortar set tile applications, a field static uplift test by a Dade County accredited testing
agency, in compliance with Dade County Protocol PA 106, shall be required not Tess than 30 days
after application to confirm tile adhesion. The results of this testing shall be reported to the
Building Official and the installer stating that the application has passed or failed PA 106 testing. I f
the application fails PA 106 testing, the report shall state which portion of the test was failed;
Category 1 (examination for loose tile) or Category 2 (uplift testing of tile). Subsequent to testing,
the installer may repair not more than 5% of field area tiles and 10% of perimeter area (i.e.
ridge /rake) tile with Approved tile adhesive. The installer shall place an identifiable marking on
each repaired tile for future reference. Any PA 106 re -test shall not include any marked tile.
6. For mortar set tile applications, 30/90 hot mopped underlayment applications may be installed
perpendicular to the roof pitch prior to June 1, 1995 unless stated otherwise by the material
manufacturer. Thereafter, 30/90 underlayment systems shall be installed parallel to the roof pitch in
compliance with Appendix 'A' of Dade County Protocol PA 120.
7. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for
identification in the field.
8. The Artesanos, Ltda. "2 Piece Handmade Tapered Mission Barrel Tile" tile profile has been tested
for static uplift performance only, therefore, attachment calculations for installation in compliance
with Dade County Protocol PA 115 or PA 127 shall be done as an 'Uplift Based System'
7
Raul Rodriguez
Product Control No.: 95- 0317.11
SYSTEM LIMITATIONS
(CONTINUED)
9. Applications for roofing permits shall include a completed Section 11 of the Uniform Building
Permit, a copy of Artesanos' current specifications and details, a copy of this Product Control
Approval and a copy of the Product Control Approval of any Roofing Component used in the
proposed tile application. Reference shall be made to appropriate data for the required fire rating.
10. The applicant shall retain the services of a Dade County certified testing laboratory to maintain
quality control in compliance with the South Florida Building Code and related protocols.
11. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South
Florida Building Bode.
8
Raul ffodriguez
Table 2: Minimum Characteristic Resistance Load - F' (Ibf)
from PA 101 Testing
Tile
Profile
Tile
Application
Attachment
Resistance
2 Piece Handmade Tapered
Mission Barrel Tile
Mortar Set
78.90
Table 1: Average Weight (W) and Dimensions (I x w)
from PA 102 Testing
Tile Profile
Weight -W (Ibf)
Length - I (feet)
Width -w (feet)
2 Piece Handmade
Tapered Mission
Barrel Tile
4.90
1.42
0.58
DATA FOR ATTACHMENT
CALCULATIONS
9
Raul driguez
Product Control No.: 95-0317.11
(7
PROFILE DRAWINGS
Product Control No.: 95-0317,11
18"
7"
The Tiles Shall be Identified by This Stamp
ARTEZANO'S WORLD CLASS
ARTEZANO'S INC.
(305) 595-9352
Made in El Salado, Colombia.
ARTESANOS, LTDA. "2 PIECE HANn:NIADE TAPERED MISSION BARREL Tii.M :"
•
• ME�DADE METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
1 Extensions of Acceptance may be considered after a new application has been filed and the supporting
data, test reports no older than ten (10) years, have been re- evaluated.
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1603
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 33130 -1563
(305) 375-2901
FAX (305) 375-2908
All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of
Florida.
Any revision or change in the materials, use, or manufacture of the product or process shall automatically
be cause for termination, unless prior approval is granted for revisions or change.
3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds
for re- evaluation.
4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes.
5. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is
displayed, then it shall be done in its entirety.
6. Product approval drawings, where required for permit applications, shall be provided to the applicant by
the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need
not be re- sealed by an engineer.
7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval.
This Approval supersedes all previous Approvals.
Rau fi Rodriguez
Product Control Division
Supervisor
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 �,%. -Z1l . 9,...
Owner's Name and Address... ..... e.. C7 � No ' 7 7 Streei ' 9
Registered Architect and /or Engineer ,z
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot__ _/ Z. /Block \9 e
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Subdivision
and for no other purpose.
New Building Remodeling g Addition Repairs No. of Stories
To be constructed of Kind of foundation._ j ,. Roof Covering do
�c =f3
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 err, if that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Sect 66, 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 subcona ors, on work to be performed under his
permit, as are licensed by Miami Shores Village. y ��
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.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission 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 teas 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.
--.7 e,R. C-
P A U L A. G R U P P A R C H I T E C T - A N D A S S O C I A T E S
1 4 0 0 N. E . 1 2 5 t h S T R E E T - N O R T H M I A M I , F L O R I D A - 8 4- 6 4 5 9
June 19,16
Miami Shores Building Dept.
Miami Shores, Florida
Dear Sir;
In reference to changes of proposed addition to the
residence of Mr. Hand at 477 N.E.92nd Street, after invest-
igation. of same, we find that substitution of 4" I. D. pipe
columns for concrete cols now existing would be permissible
as per sketch.
•
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._
Registered Architect and /or Engineer....._ ..
Name and address of licensed contractor She et
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
State work to be done and purpose of building (by
Ra ning .ci.d-diti.e-n... f�U.
Disapproved s j Date
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Goor g_e Hnnc;
Date
No 477
August 7
Notary Public, State of Florida
,19 56
Street 7.E. 92nd Street
LID S.p.aai.a.1 t.y C ampa_ny.,. 5713
Subdivision
477 � 1T v 22.0 92Xld_- .I.tr'.a .t
floors)
and for no other purpose.
New Building Remodeling Addition X Repairs No. of Stories
To be constructed of C e B. F. Kind of foundation Roof Covering Roe bo rr e 1 t l e
Estimated Total cost of improvements $ 214 e 00 Amount of Permit $ 5, 00
Zone cubage required Plan Cubage
Distance to next nearest building. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the 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 (Signed)
SHEET TE T.[ L SPECIALTY CCT'.�PAINY
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No `� T/ S Date Lf / Read, Sworn to and Subscribed before me.
Building Inspector' My Commission 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 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
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑ DATE. 195
❑ PERMIT N° 4148. Contractor's
License No. --
0
❑ Work to be performed under this Permit
B1
Subdi-
vision
Value of
Project $ z
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 covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY ems..
t
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.... r q , -'4 I. , 19 �..
Owner's Name and Address.. a
/
Registered Architect and /or Engineer
Name and address of licensed contractor,
Location and legal description of lot to be built on:
Lot Block
L @.f
Subdivision
Street and Number where work is to be done ...:.- .G... - " c d '. - 1
State work to be done and purpose of building (by floors)
Disapproved ...
(Signed) _ -.
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved
_' G s
—
No./ r . . _, .�. •
, Street r `+
� y ,
/e/'v % ; and for no other purpose.
Addition Repairs d No. of Stories......
New Building Remodeling
To be constructed of Kind of foundation 1 Roof Covering
Estimated Total cost of improvements $ 7,/ r '' a ' Amount of Permit $ -... r.1
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 aU 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 5968, 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. C
.`' '� • � t -
Remarks (Signed) ` � ''` t � ' - • rAs "'
STATE OF FLORIDA, I
COUNTY OF DADE. J •
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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 dill sign the same, and that all facts
therein by him stated are true.
Permit No.__.�.td.. Date..�i. ' �6 0 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
uilding Inspec 'r My Commission Expires
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re- inspection fee of 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
has been obtained from