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478 NE 92 St (8)--' v tA71 - 0ADE 'PRODUCT CONTROL NOTICE OF ACCEPTANCE G. *Iy tcrials Corporation 1361 Alps Road Wayne N,1 07470 CONTRACTOR LICENSING SECTION (303) 37$•2327 FAX (303) 375.2$$ CONTRACTOR ENFORCEMENT SECTION (303) 375.2964 FAX (305) 375.2903 PRODUCT CONTROL DIVISION Your application for Product Approval of: ow) 375•:902 FAX (305) 372.6339 GAF Rubc'roi(/ Modified Bitumen Rouf S)sIems For 11 oud Deck. under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, il - it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building, Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:00- 0331.08 Expires:11 /06/2003 Raul Rodriguez Chief Product Control Division T111S IS THE COVERS[•ICET, SCE ADDITIONAL PACES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. A pproved :07/06 /2000 Internet mail address: postmaster ®bulld(ngcodeonline.com 'rancisco Quintana. R.A. Director I of 55 Miami -Dade County luilding Code Compliance Office MIAMI-D: \DE COUNTY FLORIDA METRO -D: \DE FLAGLER BUILDING Homepage: http : / /www.buildingcodeonline.com BUILDING CODE COMPLIANCE OFFICF. ' METRO -DADE FLAGLER BUILDING NO WEST FLAGLER STREET. SUITE (603 • MIAMI, FLORIDA 331301563 (305) 375.2901 FAX ( 375.2903 GAF 1ATERIALS CORPORATION Category: Sub- Catettorv: Deck Type: Maximum Design Pressure Fire Classification: Product GAF Asphalt Concrete Primer GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion GAF Premium Fibered Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement GAFGLAS #750 GAFGLAS W80 Ultimam`I Base Sheet GAFGLAS Ply 60 GAFGLAS Flex PlyTNl 6 3 sq. roll 75 Ib. roll 2 Sq. Roll 70 lbs. /roll 5 sq. roll 45 Ib. roll 5 sq. roll 45 Ib. roll ROOFING SYSTEtiI APPROVAL Rooting SOS /APP, Modified Bitumen Wood -75 psf See General Limitation 1'1 Test Dimensions Specification 5, 55 gallons 60 Ib. bags 1, 5 gallons ASTM D41 ASTM D 1863 5 gallons ASTM 1227 1, 5 gallons ASTM D 2824 ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D4601 ASTM D 2 178 ASTM D 2178 2 of 55 Fibered aluminum coating. Acceptance No: 00- 0331.03 Approval Date: .J tl lv 6. 2000 Expiration Date: November 06, 2003 TRADE NAMES OF PRODUCTS MANUFACTURED OR LAUELEI) BY APPLICANT: Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Refined asphalt blended with a mineral stabilizer and libers. Permits adhesion to wet and dry surfaces. • Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type VI asphalt impregnated glass felt with asphalt coating. Frank Zuloaga, RRC Rooting Product Control Examiner CA,F MATERIALS CORPORATION Acceptance Nu: 00 - 0 331. 0 1 Mcmb.ranc Type: Deck Type I: . Deck Description: System Type A(2): Base Sheet: Ply Sheet: Membrane: Surfacing: Maximum Desi2n Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: SI3S Wood, Nun - insulated New Construction or Reroof '9 / " or greater plywood or wood plank decks Base sheet mechanically fastened. All General and System Limitations shall apply. GAFGLAS® 4175, GAFGLAS X30 Ultima "' Base Sheet. GAFGLASfE PLY 41.1. GAFGLAS® PLY 6 ®. GAFGLAS FlexPly Base Sheet,GAFGLAS'D STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROID!s) 20 applied to the deck with approved annular ring shank nails and minimum I '1 tin caps at a fastener spacing of 9" o.e. at the lap, 12" o.c. in two rows staggered along the center line of the sheet in the field. (Optional) One, two, or three plies GAFGLAS PLY 4.D. G1 \FGLAS•!'s' PLY 6 Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 30 or Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladTM SBS in adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule. RUBEROID® Mop 170 FR,.RUBL•ROID® Mop Plus Granule. RUBEROID:t) 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladT ' SBS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lb./sq. and 300 lb./sq. respectively in a flood coat of approved asphalt at 60 lb. /sq.. 2. GAFGLAS Mineral Surfaced Cap Sheet • in an approved asphalt at an application rate of 25 lb. /sq. ± 15 %. -45 psf (See General Limitation ii7) Sec General Limitation >Y I. See General Limitation # I . 19 of 55 Fran Zulua,a, RRC Rooting Product Control Examiner G:\I m.. TCRI.. LS CORI'oR:\•fIO,N W000 DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4(3) Ilex I'ly"' and Ply (1 Mien used as a nteeh:ricall■ fastened base or anchor sheet. 2. '/. Type X gypsum .board is acceptable to be Installed directly over the wood deck. GENERAL LIMITATIONS: 54 of 55 . \,eepl: No: 00-03.3 1.ItS. Frank Zufoaga, RRC Routing Product Control Examiner • 1 Fire classification is not part of this acceptance, refer to a current Approved Routing Nlaterials Directory for lire ratings or this product. 2 Insulation may be applied in multiple layers. The first layer shall be attached in compliance ∎∎ itlr Product Control Approval guidelines. All other layers shall be adhered in a lull mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or tneclr :rnic:t11y attached using the fastening pattern of the top layer. 3 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4 An overlay and /or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.: or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A G" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application or either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of psi'. 5 Fastener spacing for insulation attachment is based on a INlininium Characteristic Force (F value of 275 Ibf. as tested in compliance with TAS 105. II' the fastener value, as field - tested. is beim\ 275 Ibf, insulation attachment shall not be acceptable. 6 Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within the specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize the withdrawal resistance value taken from Miami -Dade Protocol TAS 105 and calculations in compliance with Miami - Dade Rooting Application Standard RAS 117. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Miami -Dade Roofing Application Standard TAS 117. (When this limitation is specifically referral within this NOA, Ccncral Limitation #9 will not be applicable.) 8 All attachment and sizing of perimeter Hailers, metal profile, and /or flashing termination designs shall conform with Miami -Dade County Roofing Application Standard TAS III and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.c. lield,.perimeters, No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters. extended corners, and corners). i.. limitation is specifically referred within this NOA, General Linti •1Trat. ,. applicable.) • t: A \I.ATI:I.I:\Lti CORPORATION ;NOTICE OF ACCEPTANCE STANDARD CONDITIONS I Renewal of this Acceptance (approval) shall be considered after a renewal application has been Tiled and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. Any and all approved products shall be permanently labeled with the manufacturer's name, city state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the 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 one originally approved: c) It' the Acceptance holder has not complied with all the requirements of" this acceptance. including the correct installation of the product: d) The engineer who originally prepared, signed and sealed the required documentation initiall■ submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process: b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the \vords Mianti -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. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies. shall be provided to the user by the manufacturer or its distributors and shall be available for inspectiotr,at the job site at all times. The copies need not be resealed by the enu,incer. 3 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages I through 55. END OF TI-IIS ACCEPTANCE 55 ot•55 Frank Zuloaga, RRC Roofing Product Control Examiner 2000 ROOFING MATERIALS & SYSTEMS DIRECTORY ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU) — Continued Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocya- nurate, urethane, perlite /isocyanurate composite, perlite /urethane com- posite, phenolic, 1 -1/2 in. min. • Base Sheet (Optional): One or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" .(smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq. 9. Deck: C -15/32 • Incline: 1/2 ', Insulation (Optional): One or more layers perlite, glass.fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, phenolic, 1 -1/2 in. min. Base Sheet: One or more layers of Type G2 " GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened in place. • Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", hot mopped in place. Membrane: "Ruberoid Mop FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 10. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite; glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, phenolic, 1 -1/2 in. min. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped. or mechanically fastened in place. Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply, 4 ", or "GAFGLAS Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule)., Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 11. Deck: C -15/32 Incline: 1/2 Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place., Joints offset 6 in Base Sheet: One or more layers of Type G2 " GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened'in place. '• '• ' ~• Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). • Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. . • • 12. Deck: C -15/32 • Incline: 1/2 Insulation (Optional): , Isocyanurate, perlite or glass fiber, any thick- ness, hot mopped or mechanically fastened in place. Joints. offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened in place. Ply Sheet One or more layers of Type G1 " GAFGLAS Ply 4" or "Ply 6 ", hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 13. Deck NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board,• perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped in place. Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1 -1/2 gal/sq or GAF Weather Coat Emulsion at 3 gal /sq. 14. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board, perlite,• glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of. "GAFGLAS #75. Base Sheet:', hot mopped in place. Ply Sheet (Optional): One or more layers of "GAF GLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). . Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal/sq or GAF Fibered Aluminum Coating at 1 -1/2 gal/sq. 15. Deck: C -15/32 Incline: 1/2 LOOK FOR THE UL MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU) — Continued Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet. (Optional): One or more layers Type GI, hot mopped in place. Membrane: "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 16. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/isocyanurate composite or phenolic, offset 6 in. from joints. Base Sheet: One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically .fastened. • Ply Sheet (Optional): One or more layers of Type G -I, hot mopped in place. Membrane: , One layer of "Ruberoid Torch" or "Ruberoid. Mop" (smooth). Membrane: One layer of "Ruberoid Torch 170FR" or "Ruberoid Mop FR" (granule) 17. Deck: NC Incline: 1 Insulation • (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isoryanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type Gl, hot mopped in place. Membrane: One layer of "Ruberoid Mop FR ".or "Ruberoid Mop 170 FR" (granule). 18. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet (Optional): One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or rry elayers of Type G-1,, hot mopped in place. Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop" (smooth). : , Membrane: One layer of "Ruberoid Torch 170FR ", "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). '. 19. Deck: NC Incline: 1 /2 Insulation (Optional): One or more layers of perlite, glass fiber, isocyanurate,. urethane, perlite /iso'cyanurate composite or phenolic, any thickness. . Base Sheet: One or more plies G1 or G2, hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" . cold applied adhesive at 1 -1/2 gal /sq. Membrane: One layer of "Ruberoid Mop. FR" or "Ruberoid , Mop •170 FR" (granule), hot mopped or adhered with'Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal /sq. 20. Deck: C -15/32 . Incline: 1/4 Insulation: Polyisocyanurate, any thickness. Base Sheet: "GAFGLAS #75" (Type G2), mechanically attached. Membrane: One or more plies of "Rubberoid Torch (smooth). Membrane: "Ruberoid Torch 170FR" (granule). 21. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Polyisocyanurate, wood fiber, perlite, glass fiber any thickness, hot mopped or mechanically fastened. Base Sheet: One . or more plies of Type , G2 "GAFGLAS #75" or "Ruberoid 20 FR" base sheets,. hot mopped or mechanically fastened. Membrane: One or more plies of "Ruberoid 30 FR" hot mopped in place. 22. Deck: C -15/32 Incline: 1 Insulation (Optional): Polyisocyanurate, wood fiber, perlite, or glass fiber any thickness, hot mopped or mechanically fastened. Base Sheet: One or more plies of Type G2 "GAFGLAS #75" hot mopped or mechanically fastened. • Ply Sheet One or more plies of "Ruberoid 20" or "Ruberoid 20 FR ", hot mopped in place. ' • Membrane: . One or more plies of "Ruberoid 30 FR ", hot mopped in place. 23. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Fiber glass or perlite, mechanically fastened. Base Sheet: One or more layers Type G2, hot, mopped or mechanically fastened. Date 7 -17 -01 Legal Description .. • • • Owner/Le=e/Tenant Pedro Acosta Owner's Address 478 N.E. 92 Street Miami Shores Phone 758 -5600 Contracting Co. 'Quality Roofing Contractor, Inc. Q ue er Carlos Arocho State# RC0058627 Municipal# Architect/Engineer Address Bonding Company Address ,4 Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL R00 G PAVING FENCE SIGN WORK DESCRIPTTI,ON Tear off old roof to wood deck, tin • galvanized eave drip: and vallye metals where required ASTM felt, install Spoanish S Cl rla troot to tin cap base, mop o Tile 6sq. Flat EstimatedCost(v one layer of 901b. adhesive setting. Square Ft. 1 8 s q . Signature of owner and/pr PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 478 N. E. 92 Street Tax Folio � xpiretOlS E. • COMMISSION t COPS S68 • Date FEES: PERMIT s'od' RADON C.C.F. ( p - APPROVED: Building Mechanical Plumbing Historically Designated: Yes No Master Permit # 7 9. s3 -s `7/14,7., Address II -; -o6 -0fit -Vgo 13800 N.W. 1st Avenu SS# Phone 751-0382 Competency # 17889 Ins. Co. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDE 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 we will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICA PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS Al.NDAVIT:, I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulati construction and zoning. Furthermore, I authorize the above - named contractor to do the work stated. /- /f�,.t1 . tkqi10 Acaff74 President Date Signature of Contractor or Owner- Builder �y( Notary as to Co actor or My Commission Expires: f! D NOTARY .O BOND 3o 0 Electrical c ASTM felt, install 0,675.00 type III asphalt ile with polyfoam beroid bitumen. 7—ado( Date 04 MARYL ERNANDEZ = MY COMMISSION # CC 680474 r 'z EXPIRES: October 10, 2001 F; ` Bonded Thru Notary Public Underwrftera Structural Engineer Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 STATE OF FLORIDA COUNTY OF DADE. 1 SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer Name and address of licensed contractor G O 6 /,/fr (o / Location and leg 1 description of lot to be bui t on: �/� p 'J/� / Lots y and Block Subdivisions / . /2 pZ 1/ -SO lO /1 / Ot7 O e Street and Number where work is to be done 4 7 7 .. " �+ 7 �f State work to be done and purpose of building (by floors), state exter4orc olors (submit sample -30 „iL,/,,,,,,,,t---,72 and for no other purpose. New Building Remodeling Addition Repairs �/ No. of Stories • To be constructed ofj /� Kind of foundation Roof Covering Estimated Total cost of improvements S ) 6 w Amount of Permit $ #3i cf" 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 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 obligatons 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 agreks . •yionly h subcontra...rs, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 111VVV' �r Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared /3 38” 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 foregoi g applic•tion, and that he did sign the same. and that all facts therein by him stated are true, Permit No. b Date ( Read. Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andior workmanship Date Notary Public. State of Florida Application is hereby wade for the approval of the detailed statement or me 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 tire 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 prggress of the work. Owner's Name and Address APPLICATION FOR BUILDING PERMIT Disapproved ;�; _'� �'.. Date. (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Registered Architect and /or n neer Name and address of licensed N. contractor 1 7 T.... .......S c-c,-./. 9 j- Location and legal description of lot to be built on: Lot Block AA Subdivision q __ .._.._ Street and Number where work is to be done `I 71 �e .. �. 9.. r _ State work be one and purpose of bus ding (by fl . •rs) .-� _..t' �? j-- . p,,,, C'r - � = �r . = . '" - and for no other purpose. New Building Remodeling Addition Repairs D No. of Stories d _ To be constructed of Kind of foundation �, Roof vering r ss �� Estimated Total cost of improvements $ 7. ..�1. ® Amount of Permit $.../I�LLa 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 Honda Workmen's Compensation Act, being Section 5906. Compiled General Laws of Florida, Permanent Snp c lement, 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. ' Remarks (Signed) 41 STATE OF FLORIDA, 4 COUNTY OF DADE. ) ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Building Inspector ,19.2x' _ N0. 7.5' ...._... street 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 �d,5k f Date Z Read, Sworn to and Subscribed before me. Notary Public, State of Florida °60_ 1W& co, to me well known, My Commission Expires PLANNING BOARD DATE Chairman Member \1crr.ber 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 Plannirig Board. A re- rrr'pcction 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 0'675 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 - - -- March 19 9 19 71 Owner's Name and Address JlCI. HIGH L,78 Street N. E. 92 Street Registered Architect and /or Engineer STI.N T��EI:I'S ASSOCIATES 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 478 T. E. 92 Street Miami Shores Florida. State work to be done and purpose of building (by floors) I ^:'STl.F� NU =W ? TI() ROOF (S&L SFECS :LOT If�P r.TTPCI:De ) „._ ... _ _._._ _.._ _ _ . 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 $ 895 ° 00 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 -- George j L. IIirvey,_C/O J _LC0 IT?C0 _ 7i1 N '3". 51tStreet, I�iami Florida° The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ottployer of labor under the Florida Workmen's Compensation Act, being Section 8968, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ..ntractors 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 • ' the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor to be p-, under this permit, as are licensed by Miami Shores Village. Remarks_. ..... - ___ -- (signed) Jai LC0 9 INC. by 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 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.__. _. .... _ Dote Disapproved _._ _ ate (Signed) Building Inspector Chairman Member ---- ___---- _ - - -. Member Council Approved JJ LCO, l _TC 7L 1 F. 1a 5t S^J. RLET i iIAMI 9 FLORIDA to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires._ PLANN T 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. Distance to next nearest building 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, whethe herein s.ecified 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 Location and legal description of lot to be built on: Lot___ Block Subdivision 1 �" 7 Street and Number where work is to be done 7 4 State work to be done and purpose of building (by floors ) __ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of founda#on. Roof Covering /3 0 Estimated Total cost of improvements $ 7______________________Amount of Permit $ Zone cubage required_ __ —Plan Cubage 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 5986, 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] o work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 Y / 2 - Date Disapproved Dat ( Signed) �- Building Inspec 6f My Commission Expires Date____ ________ __ � 19 -7 c No. .0 __ d Street Read, Sworn to and Subscribed before me. Notary Public, State of Florida ANNING 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 notiee for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Address of Building , -7 f MIAMI SHORES VILLAGE, FLORIDA !y DATE 19 PERMIT Owner of Building • - - Architect Contractor or Builder � - t, ' Legal Lot Description Bl CONTRACTOR OR BUILDER N° 7922 r � r Work to be performed under this Permit Subdi- vision Value of 4 Project $ Contractor's t ,�— License No. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. / Signed. - 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 ao cepting this permit I assume responsibility for edl work done by either, myself, my agent, servant or employee. BY AUTHORITY Amount of t •. Permit $ AY3OT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 19__ PERMIT 6025 Contractor's ° 1 License No. Architect Contractor or Builder .t Legal Lot Description Bl Address of Building lr CONTRACTOR OR BUILDER Work to be performed under this Permit Subdi- vision Value of le;,,. 11 Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may Le revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all Lames 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 as ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY kat' L) S AB ROT 1* New Building ____ __ Remodeling Addition To be constructed of _ _ . _ . _ __. Kind of foundation Total cost of improvements $ _925.00 Zone cubage required____ Distance to next nearest building Maximum live load to be borne by each floor Disapproved ( Signed) Chairman Member MIAMI SHORES VILLAGE Date _ Building Inspector 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 stru. ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villag', F_iorrda, and all provisions of the Law of the State of Florida, 311 ordinances of Miami Shores Village -nd all rules and regulations of the Building Division of Miam Shores Village sh. 11 be co - .plied with whether h -r in specifies . not. A cop of apt rove d plans and specifications must be kept at budd.ng during progress of the work. Dat : -_ Jan, 7th, 1965 _ 19__ Owners Name and Address 1 F Strong _____ _ _____ __ ______ __ . No. 47� . Street ® __ F _ ° 92nd St. , Miami Registered Architect and /c_ Engineer.___. Shores, Fla. Name and address of licensed contractorLang Roofing &T ile Company, Inc., 4 30 N. W. 79th St., Location and legal description of lot to be built on: Lot Block ____ ________ ___ ____ __ _ Subdivision Street and Number where work is to be done 47 N. E. 92nd Sta Miami Shores Fla. State work to be done and purpose of building (by floors) ____ We are to install a white shingle tile roof, no work on gravel roof,( Tear off and re -roof. ( 20 sqs. ) and for no other purpose. Repa -roof No. of Stories _ Roof Coveringcement shingle tile Amount of Permit $ ___ 5.00 .Plan Cubage _Size of Building Lot______ Miami Fla. 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 o. the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ubcontracto•.., on work to be perform -d under this permit, as are licensed by Miami Shores Village. Remarks- - - - - - -- - - - -- - ( Signed) -- A. Martin, Vice President. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perso - 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, therein by him stated are true. l0? _ L.-- Permit No Date 1 _ __ ._ ___ .-._S$ __ . .__ _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires __ __ to me well known, and that all facts PLANNING BOARD __ DATE Member __ Member _ Member _.. Member Council Approved ._ - _ _ Date Disapproved - _ NOTE: A charge of $1.00 will be made for making corrections or changes to this application after appr ,1 has been 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 _ Date obtained from Owner: 1 . enin_ No. Size St le Pro . Const. Contractor: 11'4'' 3 241 JACK HIGH )78 E. E.. 92 Street Mani Shores, Florida. JALCO, INC. PATIO ROOF 23 :6" ALUMINUM B L`A A? .5 c//ED e ;PA L /0' -O" %,'-O" ,,gg/L 20' o" 22pp -!5' O" - /2' -4" 4C54 6C8.2 6rsc /2 /0W /5' 0' 3 C 6 7 6C0.2 8>'Ie /3 /0W75 /8'-O" 5C 6.7 709.8 Bi /3 /ONc2/ 2/' - O" 5 C 6.7 705.8 /00.1# /5 /0I2/ COLUMN 5C//EDUL E O -/0=0 2.5' 59. X y /e. 27 4 .standard /O=o "-/5-0 59.X5//6" 3" 4 " /5'-0 - - 26'6" 3.5" 59. X 9 46" 55" 4 " fa-Cr- 25=0` °.500 95 d " /50. FOOT /NO 5C//EDUte L 4PA 0' - /0' - O" /0-O" /5'-O /5'- 0" 20'- 0" 20'- 0" 25'-0" /2' -4" 9: "59. 4'-6'54. 3' -0'59. 5'6 " 5q. /5' 3-/0".59 4'-8 "59. 5' -4 "59. 6' -0 "e9. /8' -O' 4'-2 "50. 3=0" 6'-0 "59. 6'-6 "59. 2/' -O" 4'-6 "49 5'-4 "59 6'-4"59 7' -0 " 5 9 N m 0 O ro of : etruc/are mo bs ree•, /ond/a0 by 40/0 � deto //; o f bppo>/ts end. 20" Max. _screen opt/ono/ 1 1 j- - -- ��X - - -f 1,,7 4.40/z` a @ c t9P- t -_ ti 7/ -4' M ax. 51/ Co /limo-. BE,411,' /N5tRT 6063 - T6 m Vor/ee Beam /riser/ Sao. /0"c-c , L A N ELe VA T /ON 6 UTTiQ ,6 L-444 FAC /A ROOF PA,VL L 1 FOC /0 -- '8 5• M.S. eo f3e0 /n a 8 5•M. �. Q 24" C -c- Guf/er Beam NOTE.' Provide tai' //;/ o4' o of m . oi!`oi 42// exceed /wy /5= 0 ". Use ,# /o 514. 5. e eo. Beam. See Sec." D ETA /L / /75" .125" tyP-- //EADER BEAM (2- 0/0 eo/16 ea / Done/ 3- B "bo /t5 ea. co /umn' L - 2X Tao yoc /a O /5 /y 4 - # /O Beam may e /ooe - . 2 -0/0 bo/ 5 ea. beam eo beom i , 2x 2x *" 5tee/ Co/ 5 ECT /ON A-,4 5 /De view li L %g L " eke/ Ai 2 - 3 OR MORE COL 1.//11 N5 »',M� / - NOTE: / /n Dade Colin /y f // a// co /un/ne with -2500 ,00f C0nc. 2J .4// beoms o /u/nno sho // 6e ,4.5.T.M A -7 5tee/L. ' 8 5. 5. eo beam T. 8. 2 /0 bo ,Done bat /om. Conk L tk. .r� 8" 4" 5 /ob 6 x 6 - /O / mesh #5 Ce /2" cceo.u/oy Grade h'/n9e 'leader 2x2xA" 5tee/ Co li " thunderbo /t .Spa 24" c - c. /X2 Co o x: 7 : 0 1‘ o c o n C. 4 - i } q " anchor oo /t5 5"X8 "X 8 2- /0 60//5 eo bean? /veer/ ki' beam 2- "bate &EAM DETA /L5 a eke/ ,- CO/V/770 - see 5chedu /e 4i /5 / ?/v or P /y�i/ ip a ';?ems/ NeoA'J• /L I Ancyor� . /64 "Cant. 5/ab / 6x6 - o",( /O //o /neeh. ' 2- 5 .',.• 2-#5x // 4" 4 " drive no //5 ® /2 c -c See f /q.. 5chedu /e Facto {.a�r Lox/a 5 onchor @ 24" c -C »5x /B' dou/e/ 100 II ,4 /kroak o/ rrp�oy extend into fP9. /0 " /6" f / ,/ 05 ShOmn 2- a 5 coal" FOOT /NG DETA /L Co /limn -see 5chedu /e /m /NG D ETA /L5 � 6 #,o ea. beam Beom /neert 4e /On /4" .5.M.S. I� ;1� -rt /x2 @ /8" I I 302 or 2x2 1 Screen Co/. c 5 EC T /ON B -B D E5 /G N CR /TeR /A : This structure /5 des/ ned 4' tested in accordance e',th the Dade County Po /icy for Plan/ Produced Prefabricated Rigid ,4arn/ng5, canopies e' Canopy ehutter5, doted oct /0, /950. Design /Dad 3 p5f Test /odd 60 p5f _NOTE5: • J ExtruS /on5 and sheet not designated o /hero/ /5e 5ho // be o / /ay 5063 4' 3003' 114 respective /y. 2) 41/ 5 /ee/ 5601/ conform to A- 5.T.4. el- 7 3) .5creu/5 4' bo/te eho // be o / %oy 20 4 T4 or e o /n /ee5 5 /eet A// earecu e /ate eho // be f % /ed with # /O 5.415. 4) Concrete 541/ /io✓e fa - 2000 p5/ a/ 28 ddy 5. 5o/ a// have o rn /n/.nvm S h eori h 9 copoc/ty of 600 p.5f: o/ Th /s structure was des /9ned /n oCCOrdor7Ce . with the Sou /h / Bdi /ding Cade. ,9ev. Feb, 22, /965 ,Per. A,op h9, /954 "F R L 5 P,4 N " PAT/0 ROOF Y NU VUE /NDU5 rR /E5, /NC. /053 E 29T'' // /ALEA FLA. 5 TAN WECK5 4' 4550C. NG /NEER5 D /2/2/53 dob no. 300-6 �j 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._ STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved D (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer Name and address of licensed contractor.._ 1&- Location and legal description of lot to be built on: Lot " " /i /75 trce f' /Y, Block f Subdivision / / f Street and Number where work is to be done 7 6> / 1/.-- 1. t No Date / 6/6 2- A y A , 19 c // 0 Street.. Y l 5 c � State work to be done and pur os o, building (by floors) 40,c- T A 00/ 7/0 /t / and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering /3 t r' Estimated Total cost of improvements $ / 5 - Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) -e : <- � 'c 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. c �} Permit No 8` Y Date ,� "— l _ £f' Read, Sworn to and Subscribed before me. Notary Public, State of Florida v. 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Disapproved Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appproyal 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. ' 19 Owner's Name and Address .. No ... Street_ _ 9 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block � SSub 'vision .._ j Street and Number where work is to be done 4t iC__ ._ £Z e V - -. State work to be done and purpose of building (by fl op��) D Date /oQ 1 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of I ancftiq__ Roof Covering 4 Estimated Total cost of improvements $ Amount of Permit $ / Zone cubage required Plan Cubage Distance to next nearest building .._ Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building 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 ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco 1 ractors, on • k to . /performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to ' minister 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. k. Permit No � Date � � ' Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 ❑ PERMIT PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit Bl 2504 DATE Contractor's License No 195 Subdi- vision Value of Project $ Amount of Permit $ • This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings 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 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 MIMING T CTRICAL LUMBING OOFING wrier of iflding_ i chitect 'ntracto Builder :gal scriptic ldress ?ilding ° PERMIT N? 8483 11 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 refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, Owings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ie 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 nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations - taining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for .xork ne by his agents, servants or employees. ,e , y / Signed • ',..e" 4 ' e ' 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 rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE 195. Contractor's License No f' Work to be performed under this Permit BY AUTHORITY �. • > y am r f : , Lot Bl Subdi- vision ) f n Sq. Ft Amt. of Permit Value of Project $ t 1 , .� .. MIMING T CTRICAL LUMBING OOFING wrier of iflding_ i chitect 'ntracto Builder :gal scriptic ldress ?ilding ° PERMIT N? 8483 11 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 refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, Owings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ie 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 nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations - taining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for .xork ne by his agents, servants or employees. ,e , y / Signed • ',..e" 4 ' e ' 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 rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE 195. Contractor's License No f' Work to be performed under this Permit BY AUTHORITY 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. /J Date Owner's Name and Address.. U o No c r k v Street ___ __`Y., 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 U.. ?_..t .2 n State work to be done and purpose of building (by floors) —°" tfs. 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 $ — 2 C. Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 aro required by the Act. The undersigned agrees to employ only such subco ractors, on work t, be performed 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. Permit No Date___d v Read, Sworn to and Subscribed before me. Disapproved D Notary Public, State of Florida ( Signed) Qtr'_ _......_.. Building In ect� tor 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.