557 NE 92 St (10)Contractor's Name:
Paw AWaieK
123.01 -78 5/00
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar- Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
dRe-roofing ROOF TYPE
❑ New Roof ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft ® Sloped Roof Area (ft 211 GO Total (ft c:7 Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1):
Ft.
v
Ft.
A
V
Deck type:
Field:
12
AOOI SLOPE
ATTACHMENT
Fastener Type:
SPACING
Perimeter: Corner:
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Job Address: 55 r) 1 V✓ g a ti d
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
Page -1
TY
Gt`1SAD V 1? 6y 11�1V.l�?
YEIZ ❑ E3 (�
kIVRAI, 0 LIFGZ ❑
Anna a oul
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Ridge ion?
nderlayment:
Insulation:
12"
ROOF SLOPE
N1N
Fastener type & spacing:
Cap Sheet:
Roof Covering:
( A6 > -co h
Drip edge:
MEAN HEIGHT \ J
Deck type:
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
1 I b tap
®„- dct
M-i551oi fkroudirt /
-44/0
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Miami -Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
TILE CALCULATIONS
(Pmax1: 1-14. 1( a, (Aerodynamic Multiplier): I2 1 ) - M i r = M eb4 PCA: I3
(Pmax2: 961 5 � x X. (Aerodynamic Multiplier): 3 ) - M = M - 1t PCA: 13
(Pmax3: C 1 65 x X. (Aerodynamic Multiplier): 31 ) - M i L l7 M ig 1 PCA: 133
Podgy Foy
z4- Mcrfw-
Page -2
5104 APPENDIX "F"
APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner
with the required roofing permit, to provide the owner with this appendix and to explain to the owner the
content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) 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.
M 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part of the agreement between the owner and the contractor.
2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually
concealed prior to removing the existing roof system).
05 3. Common Roofs: Common roofs are those which have no visible delineation between
neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
06 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed 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 SFBC provides the
option of maintaining this appearance.
D5 _ 5 . Ponding Water: The current roof system and/or deck of the building may not drain well and
may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
% J 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded 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 Chapter 23 of the SFBC.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service Life of
the roof.
wner's/
Signature
is Signature
„2 1.101o2 414a,424fX
Date Contractor's
Signature
06/04/2881 14:38 5613385391
, ' MIAMI.pAn
NMIAMT -DADS COUNTY FLORIDA
METRO -DADE FLAMER BUILDING
sUiI IU`G CODE COMPLIANCE orrIc
METRO -DAQE FLAGLER RUILDINO
140 WEST PL.AGLER STRUT. SUITE 1603
PRODUCT CONTROL NOTICE OF A CCEPTANCE (303) 375.2901 FA (303) 2908
Monier Lifctile LLC I CONTRACTOR LICENSING SECTION
I
135 NW 20 St.
Boca Raton
MONIER LIFETILE BOCA PAGE 01/06
(305) 375 - 2327 FAX (303) 373 - 2558
FL 33431 CONTRAcrott ENFORCEMENT S CtION
(303) 373.2966 FAX (305) 375 -2902
Approval of rRODUCr CONTROL DIVISION
Your application for Product A
Pp (305) 375 -2902 FAX (305) 372 -6339
Mission Barrel High Profile Tile.
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 Mimi-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 resting.
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, if 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.:99- 1012.06 (Revises No.: 96- 0528.05)
Expires:12 /16/2002
Raul Rodriguez
Chief Product Control Division
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW CON1ti+IITTEE
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.
Approved:12 /30/1999
1 of6
ranctsco •utntann,
Director
Miami -Dade County
Building Code Compliance Mc.
Internut ettuil addrisa: pu+ anustere)buildinucodoonlina.eod1 E. Huatcpage: help : / /www- bulldlalteodeoelire.eoen
06/94/2001 14:38 5613385391
. BONIER LIFFTILE uc ACCEPTANCE No. :
- X
APPROVED : December 30, 1999
EXPIRES :December 16, 2002
Monier Lifetile
Mission Barrel Tile
Trim Pieces
i2Q Felt
Product
N45 Coated Base
Sheet
N AN E: ST N MRD CONDll lONS
1• SCOPE
This revises a roofing system using Monier Lifetile Mission Barrel Concrete Roof Tile, to
manufactured by Monier Lifetile LLC described in Section 2 of this Notice of Acceptance,
designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade
County. For the locations where the pressure requirements, as determined by SFBC
Chapter 23, do not exceed the design pressure values obtain by calculations in compliance
with RAS 127 using the values listed in section 4 herein. The attachment calculations shall
be done as a moment based system.
Category: Prepared Roofing
Sub Category: High Profile Tire
2. PRODUCT DESCRIPTION
bhuf4 aired b y Test Product
Ap_plicant PJmgnsione Snetiiicatio0s Description
I 18" ASTM C t I67 High profile, two - piece, extruded concrete roof
w Varies tile. For mortar set or adhesive set
Varying thickness applications.
I = varies
w - varies
varying thickness
ASTM C (167 Accessory trim, concrete roof pieces for use at
hips, rakes, ridges and valley terminations
Manufactured for each tile profile.
2.1 Components or products manufactured by others
Test Product
Dimsns lira Sper.11 cationl Description
MONIER LIFETILE BOCA PAGE 92/86
N/A ASTM D 226 Saturated organic Felt to
typo II be used as a nailed
anchor sheet.
N/A
ASTM D 2626 Saturated and coated
organic base sheet for
singlo or double ply
underlayment.
2
Manufacturer
generic
generic
Frank Zuloaga. RR.0
Rooting Product Control Examiner
N/04/2001 14:38 5613385391
Product
Mineral Surface
Cap Sheet
Rainproof 11
Ice and Water
Shield
Roof Tile
Adhesive
( "Polypro®
AH I64 ")
3. LIMITATIONS
30" x 75' roll
36" x 75' roll
or
60" x 75' roll
36" x 75' roll
Roof Tile Factory premixed
Adhesive canisters .
TileBond
MONIER LIFETILE BOCA PAGE 83/06
IFETILE
ACCEPTANCE No. L29- 102116
APPROVED : December 30, 1999
EXPIRES :December 16, 2002
STANDARD CONDITIONS
Tat
Diruensioos SuecIficationa
N/A ASTM D 249 Mineral surfaced asphalt
toll roofing for use as a
top ply in a double ply
underlayment system.
Product
4211Li L ion
PA 104 Single ply, rtail -on Protect -O -Wrap,
underlayment with 2" Inc.
self-adhering top edge, with current NOA
PA 103 Self- adhering
underlayment for use as
a top ply in a two ply
undcrlttymcnt system
with Approved *30 or
NN43 as the base layer .
ipo u facture r
generic
W.R. Grace Co.
with current NOA
N/A See PCA Two component Poly foam
polyurethane adhesive Products, Inc
designed for adhesive set
roof tile applications.
See PCA
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive Set tile applications, a static field uplift test shall be
performed in accordance with RAS 106.
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory
to perform quarterly test in accordance with PA 112, appendix 'A'. Such testi;ig
shall be submitted to the Building Code Compliance Office for review.
3.4 Minimum underlayments shall be in compliance with the applicable Roofint
Applications Standards listed section 4.1 herein.
3.5 30/90 hot mopped underlayatent applications may be installed perpendicular to
the roof slope unless stated otherwise by the raw ' ciurerr
published lieelatute. ~
3
Single component Flexible Products
polyurethane foam roof (with current
tile adhesive NOA)
one, RR
Reefing Product Control Examiner
Table 2: Restoring Moments
due to Gravity -
5":12"
M (ft-Ibf)
6 " :12"
T':12" or
greater
Tile
Profile
3 ":12"
4 ":12"
Monier Lifetlle
Mission Barret Tile
5.47
5.39
5.27
5.14
5.00
Table 3A: Attachment Resistance Expressed as a Moment - M,(ft -ibf)
for Mortar Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Monier Lllrtiie Mission Darrel Tile
Mortar Sat'
24.5
_ �
86/04/2081 14 :38 5613385391
•
YIE LIF2. riL L
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall
be in compliance with chapter 29 of the SFBC.
4. INSTALLATION
4.1 Monier Lifetile Mission Barrel Concrete Roof Tile and its components shall be
installed in strict compliance with Miami Dade County Roofing Application Standard
RAS 120.
4.2 Data For Attachment Calculations
Tile
Profile
Monier Lifetfle Mission Barrel Tile
MONIER LIFETILE BOCA PAGE 84/86
S DA
Table 1: Aerodynamic Multipliers - k ( )
Table 3: Attachment Resistance Expressed as a Moment - M, (ft -1bf)
for Single Patty Adhesive Se!stems
Tile Application
Tile
Profile
Monier Lifetile Mission Polyfoam PoIyProTM
Barrel Tile Flexible TiieBond
5 Pince 23 prams per pan and Z3 gr rns per cap of Poly ro'".
9 Place 11.8 grams per pan and 11.8 grams per cap oiTlreeond.
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo,
or following statement- "Miami -Oadc County Product Control Approved ".
4
ACCEPTANCE No. :I
APPROVED : December30, 1 999
EXPIRES : December 16, 2082
X (ft')
Direct Deck Application
0.31
Minimum Attachment
Resistance
133_(_Concrete tilJ�
84 (Concrete they'
Frank Zuloaga, RRC
Roofmg Product Control Examiner
86/94/ 14:39 5613385391
�E FE TTLE
ACCEPTANCE No.: 99- I012.011
APPROVED : December 30, 1999
EXPIRES :December 16, 2002
NO AND
6. BUILDING PERMIT REQUIREMENT'S
6-I Application for building permit shall be accompenicd by copies of the following:
6.L1 This Notice of Acceptance.
6.12 Arty other documents required by the Building Official or the South Florida
Building Code (SFBC) in order to properly evaluate the installation of this system.
PROFILE DRAWINGS
14.<
r
MONIER LIFETILE BOCA PAGE 85/86
5
MONIER LIFETILE MISSION BARREL CONCRETE ROOF TILE
Frank Zuluaga, RRC
Rooting Product Control Examiner
, J
B6/84/2881 14:38 5613385391
A
MONIER LIFETII E AOCA PAGE 86/86
ACCEPTANCE No.: 99- 1012,06
APPROVED : December 30, 1999
EXPIRES :December 16, 2002
F ACCE
COND ITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been
filed and the original submitted documents, including test - supporting data, engineering documents,
are no older than eight (8) years.
2. 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 Approval ". 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 afFeciing 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. if the Acceptance holder has riot complied with all the requirements of this acceptance,
including the correct installation of the product.
d, The engineer who originall prepared, signed and sealed the required documentation initially
submitted, is no longer practicing the engineering profession.
4. Any revision or change in the materials, usc, 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 words Miami -Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. ff any portion of the
Notice of Acceptance is displayed, then it shalt 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
inspection at the job site at all time. The engineer need not reseal the copies.
3. Failure to comply with any section of this Acceptance shall be cause for termination and removal
of Acceptance.
9. This Notice of Acceptance consists of pages l through 5 and this last page 6-
END OF THIS ACCEPTAN
6
Zuloaga, RRC
Rooting Product Control Examiner
02R072950 2002 FEB 06 10:51
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. Le al description of property and street address: 5 W 1 1 6 1)n St, (vii l.LYVlf Sh ot
3
N4. Contractors name and address: Pou....( kt4 1&J4 le K 9 IV& C1a Pt d 3�-
• • e `;'3
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
2. Description of improvement: C` e -roof
3. Owner(s) name and address: Dom.► S y dh 55 r i it C D is s�-- IGt {1•t j b `, e J
R- S313
Interest in property: O (AJ n. el—
Name and address of fee simple titleholder:
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different data is specified)
Signature ner
Print Owners Name
Sworn to and subscribed before me this O day of
Notary Publi
Print Notary's Name
My Commission Expires:
Yv ..i %.v1VLIvltveLtIVILIV I
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
s
+
Address: t 5 /JV ( UIN d s± TAR Y ` stY P G 6 W NDA W CCOOP `M Sh o r ca S 3313 ,3,
COMMISSICN NUMBER
Q DD073205
per MY COMMISSION EXPIRES
OF AP NOV 19 2005
STATE OF FLORIDA, COUF4TY OF DAD of
o HERESY CERTIFY that this t9 a true py he
original flied rrn i t'eo an
1j ) , AOao
WITNESS my hand and Official Seal.
HARVEY RUVI - Circuit and County Courts
_— = D.C.
•
Prepared by: PCB -l' 11 (AA ek
123.0t -52 2193
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE.
Condensate Drain
QTY.
TYPE
Generator
QTY.
TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLU1\IBING
TYPE
A/C Condensate
I
TYPE
Drains, Roof
QTV
Tvpi:
Miscellaneous Fixture
QTY
TYPE
Soakage Pit.
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 2
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other constriction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1"` Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE In
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choo g a Contractor.
TAT E'O'LORIDA, COUNTY OF MIAMI -DADE
¢rat a %f Owner
,! AS Y
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Horida
SEAL:
Personally know
=.0P {tV Pi / � OFRCIAL W NDA W CO O SEAL
PER
* w COMMISSION NUMBER
7l
00073205
F
MY COMMISSION EXPIRES
(11� AliA(rMf4YMfltifratuo
Type of Identification Produced:
STp OF , COUNTY I I -DADE
Si , e of C ntrac r / Qualifier
Print Name / "r
Sworn to and subscribed before me this � day of
O?/
ignature of Notary Public - S
,a
his M
SEAL* *MY Expires August 1, 2003
PERMIT APPLICATION
Personally known OR, Produced Identification
Type of Identification Produced:
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
PROPERTY OWNER
Name ISv & yap
Address 3 A) E 5 .- 31
Adt /A/Ai '/UifPS / re..
Home Telephone C � 25 '' g5/
Busness Telephone
i
Fax
CONTRACTOR
New Construction
Name p r , ' K„ ,( va i
^ q ` 3 i nk t �
Enclosure
License Nos 2
Soo'-
D J
Alteration Exterior
Address
1 -115 N5 ga-m d-
Repair
Telephone -10Sf76�"om, Fax
Alteration Interior
Qualifier Name p,
I e 4e
TYPE OF MANAGEMENT (✓ )
New Construction
DATE
Enclosure
Alteration Exterior
Electrical
Repair
Alteration Interior
Demolish
Plumbing
Relocation of Structure
Shell Only
Foundation Only
Public Works
Add'1 Attachment
Other
Add'l Detachment
`�JjDt-
Other
SECTION
BY
DATE
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
`�JjDt-
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$
$3C
I n, o
$ ( sq.ft. = x/1000
x ¢.60)
(¢.005 / sq.ft.)
(¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
0 BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $s b
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Step 1.
Job Address:
Folio Number
Lot Block
Subdivision PB
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
v
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Address
Name
License No.
Telepho
Fax
Master Permit No.
PERMIT APPLICATION
Subsidiary Permit No. 5 p- o • 5 5
INSTRUCTIONS - The following steps must be taken to obtain a permit from the lliami Shores Village:
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please,
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
ssn N c) &'' M, \ores l e-3313Z
Address Apt. City State � Zip
� 0 Description of Work T I �° `�-o I t l - R rwtt hs *il q
MONIff � t &t� � /�N
ioh Cdh `� C1ree � co l of +hro o1/4,1 PG Zonin 11 1 Ge e eEithe VArt
Square Feet q 2 n f IQO
Floors
Units
V e of Work 1 t' , S O 0 Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev
ENGINEER
Address
Name
License No.
Telephone
Fax
48,35s <<129{'J
Bonding Company
Mortgagor
Square Ft.
FEES: PERMIT O , ea
APPROVED:
Zonin
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
-7 ° _ 2 r Pe 622 // 5 6 / //,0'
Date � 7'' � �ob Address Tax Folio
Legal Description (�C ��// / 9‘;:/ 52 /�/ q fc07/
c
Owner Lessee / Tenant 4 I ( (e. tr i Master Permit # 2 LL
Owner's Address -J 7 , S Phone
Contracting C a, " // 0 j /` --�ddress
Qualifier ��C) / SS# - - . __ Phone
State # Municipal # Competency 4 V 4 ns .Co
Architect /Engineer _ Address
Address
`�
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFI PAVI
WORK DESCRIPTION , Z -Ar� .! � �'/ 2 Gi //
Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE -OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFI - iiiii MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is
be done in compliance with all applicable laws regulating construc
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* *
RADON C.C.F. NOTARY .C:O 1 0 TOTAL DUE .9.7 r-
`
Fire
Buildin
Mechanical Plumbing
Signature o
Date:7 /07
Commission Ex�
�TO rake an oath, or
p _DID NOT take an oatli.
Address
FENCE SIGN
i d
It ype or stamp name of Notary Public
. . illy known DOR Produced I.D.
I
tar as to Contractor or `owner- iiif
* * * * * * **
rr Other
' 1I1qq Electrical
Engineering
Date
Type Insp'n
Permit No.
Name
Address .6
Company BLS Phone # Bw l • 75-5
For Inspector: 0 /Nan►e &
I �
Approved 4
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
. BUILDING DEPARTMENT
305- 795 -2204
.Building Inspection Request
Time
r , a00 a , 3
p
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
1
P�S5Et7
26
27
d
5
52
76
77
2
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
82
8
33
58
_
R3
84
9
34
59
10
35
60
85
11
36
61
86
12
37
62
R7
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
- {7g ry7PP
48
73
98
24
49
74
99
25
50
75
100
Owner's Name: D •
Job Address �? F-4 S.
Roofing Contractor:
yPe o 3Pc�e � 1
T f Tile: .��,,��
Approximate Roof Height
Type of Access to Roof Scaffolds
Approximate Square Footage of Roof: 2-10D
Required Testing F rce: 35 lbs.
Date Tested: 4 V 10 2
THIS RE'ORT S • BMITTED B
Civil Engineer:
//
Lab Certification # 98- 0608.04
State of FL Certificate Authorization # 4100
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
SITE SPECIFIC INFORMATION
S�"rP Permit #. $1 355
12 ST I NA I A. S4oR& t
IS- kG Q V 1- Gi
- Date Installed '4 (4 I ° Z
Roof Pitch 3 • 12 .
✓ Ladder Other
ft
P . E .
Testing Equipment: Chatillion 100
TEST RESULTS
P = PASS, F = FAIL
IN ACCORDANCE WITH THE CRITERIA %OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROJgTEST.
4.(1S(mz
Project
2232
•
$KETCH OF ROOF
JOB 5 5 - 1 ►' L Imo. c i,' - Sr:, k/1 E46 -t I C(-10-12e5
2 OF Z
ke 11 Ai g &i --) G,
SHEET NO
CONTRACTOR
CHECKED BY DATE
SCALE
1
NOTES.
BUILDING INSPECTION DEPARTMENT X I( /
APPLICATION FOR BUILDING PERMIT /3 G Si
Application is hereby erode for the approval of the detailed state,,u•nt ur 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 the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iuilding 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.
e2 ® ,19
Owner's Name and Address ... �? � 1�!...�� .1! ° _. No. �� Street /P/ ?...e 5-7
Oa. It 10•RM»RVwe•v•
V
Registered Architect and /or Engineer
New Building ✓ / Remodeling
)( 0( /' /i6 >L
MIAMI SHORES VILLAGE m s
Building Inspector
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 ��5 ? .�. :1._. �!
State work to be done and purpose of building (by floors)
Addition Repairi
To be constructed of Kind of foundation Roof Covering
Estimate Total cost of improvements $
•� Amount of Permit 5�...d�/� e
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, Permxnrnt 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 (Sign
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-
Chairman
Mcrr,bcr
Member .. .. _..... _..._._ .... .......
Council Approved Date
NOTE;: A charge of $1.00 will he made for making corrections
the PIannir,;; Board.
A re inspection fee of $1.00 will be charged
materials anti /or workmanship.
,
geared
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
Disapproved
or changes to this application after approval
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.._._ f -.. Date
Disapproved
(Signed)
Read, Sworn to and Subscribed before me.
and for no other purpose.
No. of Stori s
to me well known,
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspevtinn or faulty
KETCH OF ROOF
JOB 5 51 k i , � - c , - . ' T , t'c/t , r4 9..t I S a P1
SHEET NO �, t !�,� OF Z
CONTRACTOR 9/161(: F a0 CI O Gl
CHECKED BY DATE . A
SCALE 0 i 75.
lc
NOTES:
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
1
'Q1�S
26
}�i��J
51
455
76
2
t
27
11
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
82
8
33
58
83
9
34
59
, I
84
10
35
60
85
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
175, .E-Q
48
73
98
24
49
74
99
25
50
75
100
SITE SPECIFIC INFORMATION
Owner's Name: D • S OTO Permit # 2 °p�- 3SS
Job Address 5 ►-1► s- 12 ET 1 NA 1 06.4.A 1 5Ek�P t il
Roofing Contractor 43 &w a l,t- rQ v. D C N 6
Type of Tile 5 gr 1 1 Fe - F pt ' Date Installed 9 (4 (0 2
Approximate Roof Height:4feet
Type of Access to Roof Scaffolds `/---- Ladder Other
Approximate Square Footage of Roof: 21 ft
Required Testing F rce: 35 lbs. Testing Equipment: Chatillion 100
Date Tested: 4 1 I o 2
IN ACCORDANCE WITH THE CRITERIAOF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROJiTEST.
THIS RE'ORT 5J BMITTED B
// 'r
/` P.E. r'7 /50
Civil Engineer:
Lab Certification # 98- 0608.04
State of FL Certificate Authorization # 4100
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
TEST RESULTS
P = PASS, F = FAIL
4'1Slmz
Roof Pitch 3
Project
N® 2232
Date
Type Insp'n
Permit No.
Name
Address .6
Company
Phone #
MIAMI SHORES VILLAGE
•BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
For Inspector: Name &
Approved
Correction
Re- Insp'n Fee
Time
B
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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.
3 squares ,
Dace..._......__. �..._.... 19-2.5
Owner's Name and Address Mr. Thomas ._. No.. eet...11 l!s.92nd St.
Registered Architect and /or Engineer , . .
. ,, . _sass.
ails.. . sass ...,..,....K. .}. .
Name and address of licensed contactor..LaXg...EQQ.fing. s....`' . , ... Q . 4...s Inc . a.... 573 1 3,■:1 + 71st Street
Location and legal description of lot to be built on: Miami, Fla. 33150
Lot Block Subdivision
Street and Number where work is to be done 55_7 N.E. 92nd Street
1 —story gyring.,_ ti cap 1- 30. # felt
State work to be done and purpose of building (by floors).R.4'.IS°QQ.f
to.._. sheerthi -ng,... snap... 1-.. 901b ......s1ate.,.._aVex...w1th.. .sayer of barrel tile.
and for no other purpose.
New Building Remodeling Addition Repairs. . ROOF No. of Stories 1 _
To be constructed of Kind of foundation Roof Covering.Ba re.1... tile..._..
Estimated Total cost of improvements $ 795.00 Amount of Permit 5..
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the - Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, PennAnrnt Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - actors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspecti on the of th work such ulrlic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcon. ,o. ork to performe und# this
pennit, as are licensed by Miami Shores Village.
Remarks. (Signe
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 Date Read, Sworn to and Subscribed before me.
Disapproved -- ..__ Date. ._........w
(Signed) '
Building Inspector
to me well known,
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member sass.. — _...._...._._.-._ -- -._._......_ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Os t1und
Date July 2:, ,19 59
Owner's Name and Address._.. A. W. Thomas No Street
Registered Architect and /or Engineer
Name and address of licensed contractor Sheet Metal Spec. Coo 573 N. w. 71st St.' NI ami 50
Location and legal description of lot to be built on: bile.
Lot__ 5., 16 & 17 Block 57 Subdivision Iii am1 Shores, Section #2
Street and Number where work is to be done 557 .._.. E. 92n .__ %'e _t
State work to be done and purpose of building (by floors)
Roofing addition to residence
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories One
To be constructed of CBS Kind of foundation Roof Covering Cuban Tile
t
Estimated Total cost of improvements $ 275. 00 Amount of Permit $ .;6. 00
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot 300 Sq. ft.
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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) SHEET METAL SPECIALTY COTIPANY
STATE OF FLORIDA,
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No. Date ` — Read, Sworn to and Subscribed before me.
Disapproved D
( Signed) 11
Building Ins
Notary Public, State of Florida
My Commission Expires
LANNING BOARD DATE
Chainnan 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING ❑
ELECTRICAL ❑ PERMIT N9 PLUMBING ❑ Iv . 8 9 6 2
HOOFING L1
Owner of
Kuilding
Architect
; ontractor
?r Builder
ega1
)escription
Address of
3uilding
Lot
❑ Work to be performed under this Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
;erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
•ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
'ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
lone by his agents, servants or employees.
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
BI.
Subdi-
vision
8g. Ft
Value of
Project $
DATE 195
Contractor's ,
License No
Amt. of
Permit $
BY AUTHORITY
17
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n ✓)C ,
ap oa• 3
Permit No.
Name
Address
Company
Phone #
For Inspei o) Name & 1
Approved �/ / �2�
Correction ❑
Re- Insp'n Fee ❑
4661 S.W. 71st Avenue
Miami, Florida 33155
Ms. Ann Browning
Coldwell Banker
11645 Biscayne Blvd.
Suite 103
North Miami, Fl. 33181
Dear Ann ;
Effective today,John and I are withdrawing our counter offer of
$160,000.00 for the property at 557 N.E. 92 Street so that we
may accept the sellers offer of $165,000.00 and proceed with the
deal. If you have any questions,please feel free to contact one
of us .
Thank you for your assistance ,
Jenni f Crouch
Kenney
1 /‘r■ 4
John Kenney Co., Inc.
MANUFACTURERS REPRESENTATIVES
January 13,1992
(305) 665 -9211
(305) 665 -9277
FAX 665 -4822
4661 S.W. 71st Avenue
Miami, Florida 33155
Ms. Ann Browning
Coldwell Banker
11645 Biscayne Blvd.
Suite 103
North Miami, Fl. 33181
Dear Ann ;
er Crouch
MANUFACTURERS REPRESENTATIVES
John Kenney Co., Inc.
John and I would like to extend our offer on the property at 557
N.E. 92 Street for an additional Five [5] days . This would
make the offer effective until midnight January 20,1992. The
offer is for the amount of $165,000.00 .
;;7 1'r'
en k .f y ,
January 15,1992
(305) 665 -9211
(305) 665 -9277
FAX 665 -4822
�11E5� Jc $ E PN M • f- Pl t' R le.�
e1 ,__6%SL v . n "E' 7'i /'/ C4 7 (5 4-) , eJ"4 -c , S e J ; /{1 i (Phone ("Seller"),
and JOHN j i jFY VD ITT NNTFL'R _CROUCH - 1
( "Buyer').
of
hereby agree that the Seller shall sell and Buyer shall buy the lolb�
wi (Phone 1
terms and conditions, which INCLUDE the Stndards for Real Estate Transa tro s printed Properly") on personal reverse oralinersdralt any Ride a "Pro
ncl Addenda o this Instrument.
1. DESCRIPTION:
(a) Legal description of Real Properly located in DADE County, Florida
MIAMI SHORES SEC 2 PB 10 -37 LOTS „ 16 & 17, BLK 57
(b) Street address, city, zip, of the Property Is: 557 N. E. 92nd Street, Miami Shores, FL. 33138
(c) Personalty:
IL PURCHASE PRICE
PAYMENT:
(0) Deposil(s) to be held in escrow by
Ib) Additional escrow deposit within
(c) Subject to AND assumption of mortgage in good standing In favor of
(Buyer)
CONTRACT FOR SALE AND PURCHASE
T
i 00
,CCX.c
COLDWELL BANKER TRUST ACCOUNT in the a • ”, $ 1,000.00
110 days alter Effective Dale in the amount of $ - OO
/mood
having an approximate present principal b
Id) Purchase money mortgage and note bearing annual Interest al % (see Addendum) in amount of 1
(e) Other:
(1) Balance to close (U.S. cash, LOCALLY DRAWN certified or cashier's check), subject to adjustments and proration �� $ 9Q13 -00
III. TIME FOR ACCEPTANCE; EFFECTIVE DATE; FACSIMILE: If this oiler is not executed by and delivered to all parties OR FA RtEXECUTION communicated In w
between the parties on or before January 15, 1992 the deposit(s) will, al Buyer's option, be returned to Buyer and This oiler withdrawn. A facsimile copy of this
Contract for Sale and Purchase ("Contract") and any signatures hereon shall be considered for all purposes as originals. The date. of Contract ("Effective Dale ") will be the date when
the last one of the Buyer and Seller has signed This oiler.
IV. FINANCING:
(a) If the purchase price or any earl of it is to be financed by a third -party loan, this Conlrac i conditioned on the Buyer obtaining a written commitment for (C ECK (1)
or (2) or (31): (1) ® a fixed, (2) [] an adjustable or (3) ❑ a fixed or adjustable rale loan within
term of 30-. days alter Effective D at an initial interest rate not to exceed 96
_,
years and for the principal amount of $ 90% of f le
piirrhas® o �? �i a within days after Effective Date and use reasonable
diligence to obtain the loan commitment and, thereafter, to meet the terms and conditions of the comm and close the loan. Buyer shall pay all loan expenses. 11 Buyer
fails to obtain the commitment or tails to waive Buyer's rights under this subparagraph within the Time for obtaining the commitment or alter diligent effort fails to moot the
terms and conditions of the commitment, then either party thereallet by prompt written notice to the other may cancel the Contract and Buyer shall be refunded the deposil(s).
(b) The existing mortgage described In Paragraph II(c) above has (CHECK (I) or (2)): (1) ❑ a variable interest rate or (2) ❑ a fixed interest rale of % per annum.
Al time of title transfer some lined interest rates are subject to increase. If increased, the rate shall not exceed % per annum. Seller shall, within _
Effective Dale, furnish statements from all mortgagees staling day alloy
'fl principal balances, melted of payment, interest rale and status of mortgages. If Buyer has agreed to assume a
mortgage which requires approval of Buyer by the mortgagee for assumption, then Buyer shall promptly obtain all required applications and will diligently complete and return
them to the mortgagee. Any mortgagee charge(s) not to exceed $ shall be paid by (if not filled in, equally divided). II Buyer is not
accepted by mortgagee or the requirements for assumption are not in accordance with the terms of this Contract or mortgagee makes a charge in excess of the staled amount,
Seller or Buyer may rescind this Contract by prompt written notice to the other party unless either elects to pay the increase In interest rate or excess mortgagee charges.
V. TITLE EVIDENCE: Al least 30 days before closing dale., Seller shall, at Seller's expense, deliver to I3uyer or B
(CIIECK ( or (2)1: (1)A3 abstract of Iille or 2 IuY uyer's attorney, in accordance with Standard A,
( ► ❑ title insumrce commihnont and, alter closing, owner's policy of Wle insurance.
VI. CLOSING DATE: This transaction shall be closed and the deed and other closing papers hers delivered or/
or
March abefore
I
March 15, 1972 unless extended by other provisions of Contract.
VII. RESTRICTIONS; EASEMENTS; LIMITATIONS: Buyer shall lake title suhjeil to: zoning, restrictions, prohibitions and other requirements imposed by governmental authority; restrictions
and matters appearing on the plat or otherwise common to the subdivision; public utility easements of record (easements are to be located contiguous to Real Property lines and
not more Than 10 feet in width as to the rear or Iron) lines and PI2 feet in width as to the side lines, unless otherwise stated herein); taxes for year of closing and subsequent
years; assumed mortgages and purchase money mortgages, it any; other: None that would affect marketability
Dale
that there exists al closing no violation of the foregoing and none of them prevents use of Real Properly for Single Family
VIII. OCCUPANCY: Seller warrants That (here are no parties in occupancy Properly . tented or occupied beyond closing, the tact a nd t par t e(s provided ,
s
p uparcy other than Seller, but, it Pro eel is intended to be erms
thereof shall be slated herein and the lenanl(s) or occupants disclosed pursuant to Standard F. Seller agrees to deliver occupancy of Properly at time of closing unless otherwise
slated herein. If occupancy is to be delivered before closing, Buyer assumes all risk of loss to Properly from dale of occupancy, shall be responsible and liable for maintenance from
that dale, and shall be deemed to have accepted Properly in its existing condition as of lime of taking occupancy unless otherwise slated herein or in a separate writing.
IX. TYPEWRITTEN OR HANDWRITTEN PROVISIONS: Typewritten or handwritten provisions shall control all printed provisions of Contract in conflict with them.
X. RIDERS: (CHECK it any of the following Riders are applicable and are attached to This Contract):
(a) ❑ COASTAL CONSTRUCTION CONTROL LINE RIDER (c) ❑ FOREIGN INVESTMENT IN REAL PROPERTY TAX ACT IIIDER
(b) ❑ CONDOMINIUM RIDER (d) ❑ INSULATION RIDEU
XI. ASSIGNABILITY: (CHECK (1) or (2)1: Buyer (1) ❑ may assign or (2) fl may not assign this Contract.
XII. SPECIAL CLAUSES: (CHECK (1) or (2)): Addendum (1) ❑ Is attached or (2) ❑ there Is no Addendum.
XIII, TIME 1S OF THE ESSENCE OF THIS CONTRACT. BUYS INI LS
XIV. DISCLOSURES: Buyer ® acknowledges or ❑ does not acknowledge receipt of the agency /radon / compensation and estimated closing costs dbebsurea
THIS IS INTENDED TO BE A LEGALLY BINDING CONTRACT. ' C
'ir'lliZ lliLt? SEEM llit'AWICE - DEAN ATTORNEY PRIOR TO SIGNING.
THIS FORM HAS BEEN APPROVED BY TI IE FLORIDA ASSOCIATION OF REALTORS AND THE FLORIDA BAR.
Approval does not constitute an goinion that any o/ the terms and conditions in this Contract should be acceipted by the parties in a partiarbr transaction. Teens
and conditions should be negotiated based upon the respective interests, objectives and bargaining positions of all Interested persons.
COPYRIGHT 1991 BY THE FLORIDA BAR AND THE FLORIDA A.SSn eTr x OF IEALTORS —
///07 _
Date
(Seiler)
- ,
D. s Social Security or Tax f D s
w4 $
In) ❑ FHA /VA RIDER
(r) ❑ OTHER.
(Buyer) (Seller)
Social Security or Tax I.D. Social Security or Tax I D #
Deposit under Paragraph 11(a) received; IF OTHER THAN CASH, THEN SUBJECT TO CLEARANCE (Escrow Agent)
8RO ER'S FEE: (CHECK AND COMPLETE THE ONE APPLICABLE) By
F A LISTING AGREEMENT IS CURRENTLY IN EFFECT;
OR d el err - agrees to pay the Broker named below, including cooperating sub - agents named, according to lho terms of an existing, separate listing agreement:
❑ IF NO LISTING AGREEMENT IS CURRENTLY IN EFFECT:
Seer agrees to pay 1Fe broker named re ,, at Limo of closing, from the disbursements of the proceeds of the sale, compensation in the amount of (COMPLETE ONLY ONE)
% of gross purchase price or $ for Broker's services in elfeeling the sale by finding the Buyer ready, willing and able to purchase rsuant to the Contract. If Buyer tails to perform and deposit(s) is retained, 50% thereof, but not exceeding the Broker's lee above provided, shall be paid Broker as lull consideration for
services, including costs expended by Broker, and the balance shall be paid to Seller. II the transaction shall not close becar'sa of refusal or failure of Seller to perform, Seller shall
pay the lull tee to Broker on demand. In any iitication arising out of the Contract concerning the Broker's lee, the prevailing party shall recover reasonable attorney's lees and costs.
(firm name of listing Broker) (firm name of selling Broker) (Seller)
By: B
(authorized signatory) (authorized signatory) (Seller)
FAR /BAR 002A -90a Rev. 1/91 RIDERS CAN BE OBTAINED FROM THE FLORIDA ASSOCIATION OF REALTORS OR THE FLORIDA BAR.
Date