660 NE 93 St (7)• •••
•
PERMIT APPLICATION
•• OR:MttcMI SingtES VILLAGE
• •
Date 12/23/2002 Job Address 660 N. E' 93 Street • Tax Folio
• ••• •
Legal Description • iisioriglly DPSignatod: ; Y es
•
••• ••• •
Master Permit #
owner/Lessee/Town Jose H. Bailez
O h Add . 660 N.E. 93 Street
Contracting Co. Quality Roofing Contractor, Inc.
Qualifier Carlos Arocho
State # RC0058627 Municipal #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Tear off old roof to wood deck, tin cap 30Ib. ASTM felt, install galvanized eave drip
valley metalsm mop on with hot asphalt one layer of 90Ib. ASTM felt, install tiles colorthru with polyfoa.
Square Ft 23sq.
WARNING TO OWNER: YOU MUST RECORD A NOTICE 01? COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all Work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constriction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
4 �
A
'41, 1` - O 0 • .. • •: :,.i•) a,
T_ Set
Notary as to . er and/or
My Commission Expiry
RAG
Rf
D
Presi
ORADON
t
4 /CE-
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical
Date
•
vAy • MARYLOU HERNANDEZ
_.; ' :1,1 MY COMMISSION # DD 060579
EXPIRES: October 10, 2005
Bonded Thru Notary Publc Underwriters
tu
• '(305) 757 -4337
• • • d t :13805 N.W. 1st Ave.
SS# 265 -21 -4362
(N OTARY
competency # 000017889 Ins. Co.
No
Phone (305) 751 -0382
Estimated Cost (value)
$10 000.00 t CaLOrL
1662002, /2-.1V-elk
Signature of Con
1 '.. V I '
Notary as to Con for or
- Builder Date
My Commission Expires: '' !ey ., M YLOU HERNANDEZ
� MY COMMISSION # DD 060579
l
•Vi= 4 EXPIRES: October 10, 2005
' ';;c'•• Bonded Thru Notary Public Underwriters
Date
1
BOND C
TOTAL DUE
.e i Z -- jectrical
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1/17/2003
<-1
PAY
TO THE
ORDER OF
•
Parcel # 1132060141520
Permit Status:
QUALITY ROOFING CONTRACTOR, INC.
13800N.W. 1ST AVENUE 6_0,9 95-/-D382-
MIAMI, FL 33168 -4849
BankofAmerica
hSH R/T 063100277
Approved Permit Expiration: 7/16/2003
i l��
/ /.Z.' N, G 10 STS
FOR ° f2€ r!atQO IJ _ 3
Building Permit
Permit Number: BP2003 -78
rr Applicant: JOSE BAILEZ
Owner: BAILEZ JOSE
o JOB ADDRESS: 660 NE 93 ST
t
N Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE
Local Phone: 305 - 751 - 0382
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 12 & ALL OF LOT 13 BLK 63 LOT
Fees: Description Amount
FEE2003 -329 Building Fee $172.50
FEE2003 -330 CCF $6.00
FEE2003 -331 Buildier's Bond $300.00
Total Fees: $478.50
Total Fees: $478.50
Total Receipts: $0.00
Construction Value: $10,000.00
Work: TEAR OFF OLD ROOF TO WOOD DECK TIN CAP 30LB ASTM INSTALL GALVANIZED EAVE DRIP VALLEY METAL MOP ON WITH HOT
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
°• °° ° °"" — °° - ffl S c c u r i 1 r n h a n r r d d o c u m e n t . S e e back J o r d e t a i l s . [] _ - n=rmaramon
18132
DATE
2 -3-02
v0 L8 L32" .I:0 6 30000 4 71: 00/5953002 4 611'
-- _:amaur,.s"..man _ _ .ate .nona,l.can rr_caao =,,, ,.z � — ,, ,, r,na ,- r,n,•,. , -
63 -4/630 FL
1348
Page 1 of 1
ition herefor in strict compliance with all
ations that may have been submitted to
x if the plans are changed without
, nsibility for a thorough knowledge of the
at he assumes responsibility for work done
s pertaining thereto and in strict conformity
:sponisibility for all work done by either
NOTICE OF COMM8NCEMINT
• A RECORDED COPY MUST 81 POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO, TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF OADE: 035; 0 4 - 3 0 2 2003 JAN 21 11:45
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 deeaription of property and street address: 660 N.E. 93 Street
2. Deaottption of improvement: Reroof to a New TIe Roof.
3.Owner(s) name and address: Jose H. Bailez
Interest In property: Owner
Nate and address of fee simple titleholder: N/A
4. Contractor's name and address: Quality Roofing Contractor, Inc.
13800 NW 1 st Ave, Miami ,Florida 33168
5. Sutsty :(Payment bond required by owner from contractor, If any)
Name and address: N/A
Amount of bond $ on
5 Lender's name and address: N/A
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served es provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: N/A
S. to addition to hknu f, Owner designates the following person(e) to receive a copy of the Usnor's Nods u provided in
Section 713.13(1)(b), Florida Statutes.
Name and address: N/A
9. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a
&Went Is specified)
4
Miami Shores, Florida 33138
660 N.E. 93 Street Miami Shores, Florida 33138
Print Owner's Name T S' / / oRA,‹/o RA /
Sworn to and subscribed before me thiso2day ofD iW,
Notary Public
Print Notary'. Name
4
:, •_ , MY COMMISSION # DD 060579
EXPIRES: October 10, 2005
trinh. Bonded 'Rau Notary Public Underwdlere
STATE OF FLORIDA, COUNTY OF DADE
1 HEREBY CERTIFY that this is a tau co y day o7
originall d in this office on
, A D 20
a,ITNE� a nd and Official Seat.
I I. V UVIN, CLERK. of it and County Courts
D.C.
Prepared by Carlos Arocho
Quality Roofing Contractor, Inc.
Address: 13A00 NW 1st AVPnIIA
Miami ,Florida 33168
1
Owner's Notification for Roofing Permits issued under the Florida Building Code
ANAMJ -DADS COUNTY BUILDINO DEPARTMENT ELECTRONJC APPLJCATJON
1
Section 1524 - High Velocity Hurricane Zones Required Owners Notification for Roofing
Considerations
1524.1 As it pertains to this section, l it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of
Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the
industry for roofing system installations. Additionally, the following items should be addressed as part of the
agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the
item has been explained.
elk
esthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
j.Jarr are for the purpose of providing that the roofing system meets the wind resistance and water
intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to
workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a
zoc\ting Cade, shoutid be addressed es pact of the agceemestit betaleesti the dustier acxi the cas\tcactoc.
. Renalling Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renailed ' n accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the
Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
. Common Roofs: Common roofs are those which have no visible delineation between
eighb• ing units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contrac or and /or owner should notify the occupants of adjacent units of roofing work to be performed.
. Exposed Cetititings: Exposed, opesti beam cetititiNs are'. here the ustidecstide of the roof decktirtig
an be 44iewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code
provides the option of maintaining this appearance.
5. Ponding Water: The current roof system and /or deck of the building may not drain well and
ay c use water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
us\tkt,the octigticlati coofticva system tis removed. Pocxitis g crsdtttms shoukt be cascaded.
. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
erloa ed from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall) outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with the Florida Building Code, Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
terio of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. tit may be be to crmstidec addtittioaat ve whkoh sari cesutit tic\ extecxitistig the seNioe title of
the roof.
s1Age
Date Contractor's Signature
http: / /www.co.miami dade.fl.us/ bldg / roofing_permiting /owner_notification.html 9/26/2002
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
Master Permit No.
Contractor's Name:
❑ Low Slope
❑ Asphaltic Shingles
❑ Prescriptive BUR -RAS 150
Job Address:
!Quality Roofing Contractor, Inc. 660 N.E. 93 Street
Low slope roof area (ft. n/a
Section A (General Information)
Process No.
Roof Category
111 Mechanically Fastened Tile
❑ Metal Panel /Shingles
❑ Other:
❑ New Roof 1 d Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance
Roof Type
Are there Gas Vent Stacks located on the roof? ❑ Yes d No If yes, what type? ❑ Natural ❑ LPGX
Roof System Information
Steep Sloped area (ft. 23sq.
Section B (Roof Plan)
Page 2
1
Mortar /Adhesive Set Tile
❑ Wood Shingles /Shakes
Total (ft. 23sq.
Page 1 of 1
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions
of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.
Perimeter Width (a'): Corner Size (a' x a'):
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http: / /www.co.miami- dade.fl.us/ bldg /roofing permiting /permit_app_section_a.HTML 1/13/2003
Roof System Manufacturer: Santa Fe Tile Corporation
Notice of Acceptance Number: 00-1212.06
Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations):
P 1: -47.6 P 2: -100.6 P 3: -100.6
Maximum Design Wind Pressures, (From the PCA Specific system): _6
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
Roof Slope: ! 2 1/2 ;" /12"
Roof Mean Height: f 13
Ridge Ventilation: [ n/a
Method of Tile Attachment:_
Adhesive, Large Paddy Polyfoam Polypro
Altemate Tile Attachment Method:, n/a
Clip Spacing for Metal Roof Panels
Field: n/a Perimeters: , n/a
Perimeter Width: ( n/a
Section D (Steep Sloped Roof System)
Comers: n/a
Sloped System Description
Deck Type: 1" X 6" T &
4 �� Roof Covering_
r �'CY "' 'Santa Fe Terracotta Tile
Roof Covering Attachment Method:
Page 4
Alternate Deck Type:
n/a
Underlayment type:
301b. ASTM
Insulation /Fire Barrier Board:
n/a
Optional Nailable Substrate:
n/a
Fasteners:
1 1/4" R/S Nails
Cap Sheet Type /Adhesive Type:
STM felt
Drip Edge Size & Gauge: 3" face 26 ga. L—
Drip Edge Material Type: Galvinized Metal 11
Drip Edge Fastener Type:
1 11 /4 "R/S Nails
Hook Strip /Cleat ga. or weight: N/A i,
Page 1 of 1
http: / /www.co.miami- dade.fl.us /bldg /roofing_permiting/section d_3.html 12/5/2002
Mean Roof Height
in Feet
15'
20'
25'
30'
40 '
Roof Slope
1
1
1
1
1
2:12
34.4
36.5
38.2
39.7
42.2
3:12
32.2
34.4
36.0
37.4
39.8
4:12
30.4
32.2
33.8
35.1
37.3
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
Page 1 of 1
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
For Moment based tile systems, chose either Method 1 or 2. Compare the values
for Mr with the values from Mf. If the Mf values are greater than or equal to the
Mr values, for each aea of the roof, then the tile attachment method is
acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
P1: -47.6 xA 0.297 - Mg: 5.90
P 2: x A 0 - Mg: 5.90
P 3: -100.6 x A .0297 - Mg: 5.90
Section E (Tile Calculations)
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resistance (Mr) From the Table Below:
Mr Required Moment Resistance*
*This Table must be used in conjunction with a list of moment based tile
systems endorsed by the Broward county Board of Rules and Appeals.
Page 5
= Mr1: 8.24 NOA Mf: 61.9
= Mrl: 23.98 NOA Mf: 61.9
= Mr1: 23.98 NOA Mf: 61.9
http: / /www.co.miami- dade.fl.us/ bldg /roofing permiting /section_e_3.htm
NOA Mf:
1/13/2003
FEB 21 '01 14:12 FR BRADCO
MIAMIOA
Sint; Fe Ttic Corporation
10302 N.W. South River Drive, Bay #16
Medley ,FL 33178
E SF
Your application for Notice of Acceptance (NOA) of
Spanish "S" Clay Tile
under Chapter 8 of the Code of Miami -Dade County governin
Construction, and completely described herein, has been recd
County Building Code Compliance Office (BCCO) under the
This NOA shall not be valid after the expiration date stated b
'product or material at any time from a jobsite or manufactur'
product or material fails to perform in the approved manner,
WC of such product or material immediately. 8CCO rese
determined by BCCO that this product or material fails to
Building Code.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 00.1211.06
EXPIRES: 03 /Q 1 x1006
305 597 9484 TO 3059533333 P.01/05
1
Raul Rodriguez
Chicf Product Control Division
THIS IS THE COVERSHEZT, SEE AODIT19NAL PAT FOR SPECIFIC AND GENF,RA
CON»1TtONS
VIIILDINC CODE PRODUCT BE Irv/ COMMITTE
This application for Product Approval hos been reviewed the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -D de County, Florida under tha conditions set
forth above.
APPROVEDe OV01/2n01
W o 4500 o 11 pc 20 00 1 twnphml4iOttcs snows. saw i1tadoC
Internet mull address: postmaster ®bulidlnteodeonllne.eom
FEB 13 '01 17145
•
r
MIAMI -DADE COUNTY. FLORIDA
METRO- DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
ML►TRO -DADC FLAGLCR BUILDING
140 WeST FLAGLCR STRL'tT, sVITE 1603
MIAMI. ?LORI t)A 37130 -156)
(305) 375.2001 FAX 0S) 373.1001
CONTRACTOR L1CI:NSINC SECI1ON
(305) 375.3517 l'AX (305)17S-2S56
CONTRACTOR E fOuCEnt r utvl3ION
(30S)373.3966 PAX t)Of) 375.190$
I'1twuuc r C0.'t1'aOt, uivislos
(303) 375 - 2902 FAX (30i) 3734339
the use of Alternate Materials and Types of
ended for acceptance by the Miami -Dade
nditlons specified herein.
ow. BCCO reserves the right to secure this
is plant for quality control testing. If this
CC() may revoke, modify, or suspend the
s the right to revoke this approval, if it is
f eet the requirements of the South Florida
7
Francisco 1. Quintann, R.A.
Director
M innti -Dado County
Building Code Compliance Office
menAgo: http : /•■•■•■.vwldingeodsonlineeom
3258880050 PAGE.01
b-.• to rr. g- '\.j .�.�✓
e : =y7 4..UU. ate•...
SANTAFE TILE CORPORATION
ROOFING ASSEMBLY APPROVAL
Cntccory: Roofing
Sub- Catep'orv: 07320 Roofing Tiles
Materiels
Deck TYPO;
1. SCOPE
This renews a roofing system using Santa Fe "San;afe
Santafe Tile Corporation described in Section 2 of this
comply with the South ?lorlda Building Code, 1994 E
locations where the design pressure requirements, as d
does not exceed the design pressure values obtain by c
using the values listed in herein. The attachment calcu
system.
2. PRODUCT DESCRIPTION
Manufactured by
j
Santaff 'S' Clay
Roof Tile
Trirn Pieces
Product
Tile Screws
•
3. LIMITATIONS
3.1
3._'
FE9 l3 '01 l'7; 45
Clay Roof Tires
Wood
Test
Dimensions s Snecifications
1= 18"
w a 11.5"
Vg" thick
1= varies
w varies
varying
thickness
PA 112 0
c
rn
2.1 COMPONENTS OR PRODUCTS MANUFAC
Test
PimotlliIottj Snocificntinng
W x 2 -K" long PA 114
0.130" shank dia. Appendix E
0.178 flute dia.
Fire classification is not port of this acceptant
For mortar or adhesive set the applications, a
accordance with RAS 106.
3.3 Applicant shall retain the services of a Mia
perform quarterly tort in accordance with PA
submitted to the Building Code Compliance 0
ACCEPTANCE No.: 00- 1212.06,
Approval Date: F et'ruary t, 2001
Expiration Date: F'cbrun
S" clay roofing tile, manufactured by
otice of Acceptance. designed to
tion for Miami •Dade County. For
termined by applicable building code.
leulations in compliance with RAS 127
dons shall be done as a moment based
Product
poscrintlon
e piece high profile clay roof the
ipped with two trail holes. For nail -on,
mar set and adhesive set applications.
PA 112 Acessory trim, clay roof pieces for use at
hi} s. rakes. ridges and valley terminations.
M for each tilt profile,
URED BY OTHERS
Product
pcacrintion
tainless Steel
Mnnufneturer
generio
alit field uplift test shalt be performed in
i-Dadc County Certified Laborotory to
_ haI b e
tag:. RRC
Roofing Product Control Examiner
3058880858
PAGE. 02
Tile
Profile
2":12"
3 "12"
4 " :12"
One Screw
5 ":12"
6 " :12"
Direct
Deck
7 " :12"
greater
Battens
or
Direct
Deck
Battens
Direct
Deck
- Battens
Direct
Dock
Wins
Direct
Deck
13
ttena
Direct
beck
Batt.na
Santafe'S
3.93
5.90
S.85
5.82
5,73
5.69
.56
5.53
5.32
5.29
5.03
N/A j
For Nall - On Syst
Tile Profile
Ilia
Application
Two Nails
1 1
One Screw
wo Screws
One Screw
w/ Clip
Two Screws
w/ Clip
Santafe S
Direct Deck
21.8
29,18'
38.28'
57.31
57,60 I
61.77
Battens
'1
1, Approval screws as noted
'Product manufactured by,othcrs' .
FEB 21 '01 14:13 FR BRAD'CO
SANTAY TILE CORPO
3.5 30/90 hot mopped vnderlayraent applicauons
slope unless stated otherwise by the undcrl
literature.
3.6 This acceptance is for wood deck a pplication.
compliance with applicable building code.
4. aiSTALLATION
4.1.1 Santafe and its components shall be instailec m strict compliance with Miami Dade
County Roofing Application Standard RAS 11 , RAS 119, and RAS 120.
4.1.2 Data For Attachment Calculations
Santafe 'S'
r
1 .
wEB 13 '01 17:46
Tile
Profile
Table 1: Aerodynamic Multi
(ft )
Batten Applic
0.27a
ments due t
305 597 5484 TO 3059533333 F.03/05
3
ACCEPTANCE No. 00 1212.06
11
ay be installed perpendicular to the roof
ymen: material manufacturers published
Minimum deck requirements shall be in
Iyers— X ft
1
tion
Gravity - M (ft -lb
'for Mortar or Adhesive Sot Systems
X (ft)
Direct Deck
0,297
Table 3: Attachment Resistance Expressed as a Moment Mf (ft•Ibf)
Adhesive Set
Tile
Application
Mortar Set
Table 4: Attachment Resistance Expres d as a Moment - M, (ft -Ibf)
Attachment
Resistance
23.6
61.9
/�I
rank Zulosga, RRC
P,00 ing Product Control Examiner
3058586050 PAGE.03
SANTAFE TILE CORPORATION, ! ACCEPTANCE No.: 00- 1712.Q6
5. LABELING
5.1 All tilts shall bear the imprint or identifiable rt irking of the manufacturer's name or logo,
or following statement: "Miami-Dade County Pioduct Control Approved ",
6. BUI LDLNG PERMIT REQUIREMENTS
6.1 Application for building permit shall be accomi4inicd by copies of the following:
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or applicable Building Code in
order to properly evaluate the installation o this system,
PROFILE DRAWINNC
SANTAIri "SANTAFE S'' CLAYROOF TILE
FEB 13 '01 17:46
4
F rank Zuloagn, RAC
Roofing Product Control Examiner
3058880050
PAGE . t:4
A ry iA,rFE T LUOPP0RAU0N
FEB 13 '01 17:46
AN t ST ND
1 Rene of this Acceptance (approval) shall be considered Me
original submitted tiocurr,entation. Including test supporting d.
tight (Y) years.
2 Any and all approved products shall bc permanently labeled wi
the following statemeac ' Miami -Dade County Product Contra
specific conditions of this Acceptance.
3 Renewals of Acceptance will not bc considered if:
a) There has been a change In the South Florida Building Co4c affecting the evaluation of this product
and the product is not in tompllance with the code changes/
b) The product is no longer the sarnc product (identical) as one originally approved;
c) if the Acceptance holder has not complied with all thc req rcmonts of this acceptance, including toe
correct installation of thc product;
d) The engineer who originally prepared, signed and scaled lh required documentation initially
submitted, is no Longer practicing the engineering profess!
4 Any revision or change in the materials, use, and/or mane aciu
automatically be cause for termination of this Acceptance, units
(through the filing of a revision application with appropriate fcc
3 Any of the following shall also be grounds for rt:noval of This At�epu ncc:
a) Unsatisfactory performance of this product or process, i
b) Misuse of this Accept.and as an endorsement of ary pr
purposes.
9 This Acceptance contains pages I through 5
•
END OF THIS ACCEPTA,ICE
5
1 ACCEPTANCE No.: 00 1212.06
a renewal application has been filed and the
engineering documents, arc no older than
6 The Notice of Acceptance number preceded by the words Miami udc County, Florida, . and followed by the
expiration date may be displayed in advertising literature. If any ' of the Notice of Acceptance is
displayed, then it shall be done In ils entirety.
7 A copy of this Acceptance as woll as approved drawings end oth documents. ■Yhcrc it applies, shall bc
provided to the user by the manufacturer or its distributor; and c 11 bc available for inspection at thc job
site at al; times, The copies need not bc resealed by she engineer
8 Failure to comply with any section of this Acceptance shaJI bc case for termination and removal of
Acceptance.
ONDATIONS
the manufacturer's name. city. state. and
pproved', or as specifically stated in the
of the product or process shall
prior written approval has bete requested
and granted by this oilicc.
ct. for salts, advertising or any other
rankzuloege, ARC
offing Product Conuol Examiner
3 051882058 PAGE . 0r
*4* TOTAL PAu= . 05 ;:::
(Qillag�'e � Miami Shores
JOB
N ? 4635
ADDRESS
TIME READY iw • ,,?/ (° /i
INSPECTION
REMARKS
• INSPECTOR DATE
- MIAMI SHORES VILLAGE, FLA.
JOB Al-ki
N9 5356
ADDRESS C60 AL
INSPECTION
TIME READY 3- r&
REMARKS: .(9 o \
MIAMI SHORES VILLAGE, FLA.
2
JOB ,4. - : —.
ADDRESS 6 6 o ;
INSPECTION C 2- c C -
TIME READY /1 7
REMARKS: R A
INSPECTOR
N9 5152
DATE 1/ — 7 -5-
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS��'-
INSPECTION ��??��'�%'
TIME READY Q
REMARKS:
t.
N9 5166
INSPECTOR % i DATE /2
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS
P -
•
N9 5482
INSPECTOR DATE ,�
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 tine 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/0 Engineer
Name and address of licensed contractor..
STATE OF FLORIDA, 1 .
COUNTY OF DADE. j ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Location and legal description of lot to be built on:
Lot Block / Subdivision
Street and Number where work is to be done 66 6
State work to be done and purpose of building (by floors)..
Remodeling
New Bui!ding
To be constructed of Kind _gf foundation Roo ..
Covering
Total cost of improvements $ 2- 0 0 Amount of Permit &I:
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 Libor under the Florida %Vorktnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Per itnent Supplement,
anti 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 s ntractors, on fork to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)..
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.. C
Permit No..__... LLI- Date ‘a. If Read, Sworn to and Subscribed before me.
Date
1
Building Inspector
PLANNING BOARD DATE
Chairman Member
Member Member
Member .. .. _....._......_..._._ ...._ Member
Council Approved Date Disapproved
Disapproved
(Signed)
NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has
the Planning Board.
A rc•in.peution fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for
materials anti /or workmanship.
DateY... ,e12.
_.._.. ..._ _. No.re.f...YLStreet_.Z3
x ....1 ?_..C�� ( 4
33t 6S'
and for no other purpose.
Addition Repairs:
No. of Stories
Notary Public, State of Florida
My Commission Expires
to me well known,
Date
been obtained from
inspection a faulty
Estimated Total cost of improvements $ 495. 00
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal of the detailed statement 01 tne plans and specifications herewith submitted for the build •
in 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.
D g.
Owner's Name and Address ...Mr.s......Bail.e.z, Street—N...E...aard
Registered Architect and/or Engineer .• •
Name and address of licensed contractor Gant:Lial . c.W
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done .Q 93.rd treet
State work to be done and purpose of building (by floors) l.KS t.i.l.e__rgtof...Q.Ye.X..ff
AtincicAts And seal around plumbing_ stacks and repair flashing where necessary.
and for no other purpose.
Ncw Building Remodeling Addition Repairs* Ye 5 No. of Stories 1
To be constructed of Kind of foundation Roof Covering
Date
Amount of Permit S. 20,00
Zone cubage required _Plan Cubage
Distance .to next nearest building. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
eneral Laws of Florida, Permanent Stii»lement,
contractors or sub-contractors ernployed by him
ection on the site of the work such ublic notice
ntra o s, on wor o be rfo under this
of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled
and has complied s with the provisions thereof, and will require similar compliance from
in the work to bc performed under this permit; and will post or cause to be pOsted for i
or notices as are required by the Act. The undersigned agrees to employ only such su
pennit, as are licensed by Miami Shores Village.
Remarks (Signe
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 mc first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated , ar i l true.
Permit No. g./ I Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspcctor My Commission Expires
PLANNING BOARD DATE
Chainnan Member
Nierriber 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
A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by Improper notice for inspection ot faulty
materials and/or workmanship.