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59 NE 92 St (3)MIAMI SHORES VILLAGE \ t' 5\ BUILDING DEPARTMENT S 305- 795 -2204 Building Inspection Request Date ��'�•� Type Insp'n ! -C ncl ftC)I • l.J Permit No. 1 ��V� Lit.) 3 Name tC- \SI1 (')t— Address 5c1 IQE Companx: Y Phone # Inspection Date Approved Correction Re- Insp'n Fee m s Amci- f)eice s titAA-77 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / 2 ID Time Type Insp'n Permit No. Name Address S C I 71 i. E Company ' " Phone # 3 of - . For Inspector/ 2 1 e/ 43 Approved Correction Re- Insp'n Fee Date Time Type Ins Permit No. offifo Name Address Company Phone # For Inspector: Approve Correction Re -Insp' n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Name & Date MIAMI SHORES VILLA BUILDING DEPARTME 305- 795 -2204 Buuil.in Inspection Request Date J— V T d Ft not Pool . Permit No. 3P 1OS Name K 15O tL � j � Address 5G 1..\ ` d- 5 T - Compan _ ) P Ent€ rP. Phone # D-33— WOE 1 Inspection Date la Approved Correction ❑ Re -Insp n Fee ❑ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address City Tenant/Lessee Name Phone # Job Address (where the work is being done) S ct 1. City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address City State Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: Describe Work: ddition State Submittal Fee $ Permit Fee $ L b� CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ b g (Continued on opposite side) 1Vlid1111 31101 V Judge Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ❑ Alteration Electrical County Miami -Dade NO D Permit No. Master Permit No. J D 3 — L i L) Plumbing Mechanical Phone # Zip Phone # Zip Roofing Zip Square Footage Of Work: • P'' epair/R -.1. ce ❑ Demolition 111 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be. charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before the this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 ****** ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning D+ete Job Address Legal Description Owner/Lessee / Tenant �� � r � (6. S t LU (< Master Permit # --), Q ti6 Owners Address 5-9 ••—• • /, - • • Phone 305 7(Y - /115? : . • . . . . . • Contracting Co. 3 feu /j Tf't � f2, 2 , •• • • • • • ••• Address 1 • • (13 1 S W 9 01...41-k._ ♦ , Qualifier 4.1 SS# Phone , t (zS '00 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one) BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION //E POOL- 1S,4 Square Ft. 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). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work r ted. as to y Comm /)-Y1 FEES: PERMIT • ••• • • • • ••• •• •• • • • • •• •• • PERMIT'APPLICATA:N • •••••• • F MI . jIORES VILLAGE • Tax Folio /f •• ? ?06 -0/3 - ®��'fl ••• • • • • • • • • it�jy • • • J` • I�iStor De�igZtated: Yes No V 3-/7 ent �z}tF er and/ • Co' i • President Da e Agilq§:AA : , er , My Commission DD150048 Expires November 15, 2006 pd # 3 a RADON APPROVED: fi 3 W3/63 Zoning Buildin Mechanical Plumbing 0 Signa Notary as to Co My Commission 4 1 j 00r. 00 DES • t�) ,44,„,ege EXPIRES: Jun 3, 2004 1.800.5 NOTARY FL Notary Service & Bonding, Inc. or Owner- Builder BOND TOTAL DUE ~ T, Electrical �/ /() V7,6 /0 Date Date Structural Engin 6 '' ��b V l�.Q, Pd 3 2 3 Date 3/ /7/C Miami -Dade County Department of Planning, Development and Regulation Attention Building Official: Miami Shores Village Building Department BUILDING CRITIQUE SHEET • • • • • •. •..• • • ..• •. • • • • • • • ••• • • • • • • • .. • • • ••••••• •. • SWIMMING POOL 1:14 •LSD R,TIFICATION .• • • • •• ••. •• • • • • • • • • .• • • • • • ... •• 1 have read and understand the reverse side of this form • Job Name 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 03 °° 4 • I certify that I am the legal located the property 4 -c.e! `vLG —a3/.38 located at .5 In accordance with Section 33 -12(e) and i�rode Metropolitan Ded at County, I certify that I understand and agree that the swimming p ool to be construct address cannot be used or filled with water until 1a A SP separate R.iNGLOCI; SELF-CLOSING C OSING approved SAFETY BARRIER, INCLUDING GATE, (double gates must be constructed to the standard described in memorandum dated October 12, 1994 in order to meet this requirement), equipped with A SAFE on non- LOCK (no padlocks are permitted on pedestrian utilized the padlocks pool isrnot H and such pedestrian gate leaves of double gates) � barrier erected, inspected and approved. 1 further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool' r Legal Owner See reverse NOTE: IF AT THE TIME OF FINAL, THE ABOVE REQUIREMENT HAS NOT BEEN MET, THE OWNER WILL BE CITED WITH A ZONING VIOLATION r • • • • • O e o•• 0 0 • • • • • • • • • 0 • • • 0 0 e • ••e • • 0 • • • . • • • • • 0 0 0 0•• 0 0 ••• • • • • 0 0 000 Sec 33 -12 fences and safety barri,i% • fur • • s;• imroin.g � iu oe e ls. e. • • • • • e 0 (a) Required for final inspection of pool No final inspection and approval for a swimming pool shall be given by the Building and Zi rting unless there has been erected a safety barrier as hereinafter prosided. No pool shall befillg4 nit!! water 3Jrt2esV d final inspection has been made and approved. except for testing purposes Is may lf oje tb2 tl;c Building and Zorung Department. (b) Types permitted The safety bamer shall take the form of a screened -in patio. a wooden fence. a wire fence. a rock wall. a concrete block wall or other materials. so as to enable the owner to blend the same with the style of architecture planned or in existence on the property. (c) Height. The minimum height of the safety turner shall be not Tess than four feet (4' -0"). td) Location of Barrier. The safety barrier shall be erected either around the swimming pool or ;hr .-mixes or a portion thereof on which the swimming pool is erected. In either event. it shall enclose the area entirely. prohibtung unrestrained adnunance to the cncioi o a ria Pours ioc;aici tai enclosed structures or on the roofs of buildings shall not require the Installation of bamers as required herein. (e) Gates. Gates shall be of the spring lock type. so that they shall automancally be in a closed and fastened position at all times. Gates shall also be equipped with a safe lock and shall be locked when the swimming pool is not in use. (f) Permits. Before any work is commenced permits shall be secured for all swimming pools and for the safety barriers. Plans shall contain all details necessary to show compliance with the terms and conditions of this chapter. No swimming pool permits shall be issued unless simultaneously therewith a permit is secured for the erection of the required safety barrier. provided however. that in lieu of the permit for a safety bamer. a written statement from the owner cenifying that he understands and agrees that the pool cannot be used or filled with water until a permit has been obtained for such barrier erected inspected and approved will be acceptable. This certification. however. will not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. If the premises are already enclosed as hereinbefore prodded. permit for the safety bamer shall not be required if. upon inspection of the premises. the existing barrier and gates are proven to be sausfactory. (g) Wooden fences In the wooden type fence. the boards. pickets. louvers. or other such members. shall be spaced constructed and erected so as to make the fence non -climbable and impenetrable. (h) Walls Walls. whether of the rock or block type. shall be so erected to make them noon - climbable (i) Wire fences. Wire fences shall be the two inch chain link or diamond weave non - climbable type. or of an approved equal. with top rail. thcv shall be of a heavy. galvanized matenal (J) Refusals of permit. 11 shall be within the discretion of the Director to refuse approval of a bamer w luch. in his opinion. does not furnish the safety requirements of ttus section_ i e . that is high enough and so constructed to keep the children of pre - school age from getting over or through it (k) Maintenance. It shall be the responsibility of the owner and/or occupant of the premises upon w hich the swemnung pool is hereafter erected to maintain and keep in proper and safe condition the safety bamer required and erected in accordance with this chapter. (Ord. No. 57 -19 } 5. (CC). 10- 22 -57; Ord. No. 64-53, } 1. 10 -23 4; Ord. No. 74 -33. $4 1.2, 5 -7 -74) Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/8/2003 Applicant: LANI Owner: KISILUK y JOB ADDRESS: 59 Contractor J P ENTERPRISES INC Local Phone: Parcel # 1132060130250 This Permit is granted to the contractor or builder named above to construct the t ordinances pertaining thereto and with the understanding that the work will be perfoi and approved by the proper municipal authorities. This Permit may be revoked at a authorization. A further condition upon which this permit is granted is the understan ordinances and regulations pertaining to the work covered hereby whether shown o, by his agents, servants or employees. Signed: Signed NE 92 In consideration of the issuance to me of this permit, I agree to perform the work c with the plans, drawings, statements or specifications submitted to the proper autho myself, my agent, servants or employes. Building Permit Permit Number: BP2003 -463 KISILUK LANI ST Contractor's Address: 11731 SW 97 AVE Page 1 of 2 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 17 & 18 BLK 2 LOT SIZE 100.000 Fees: Description Amount FEE2003 -1707 Plans Processing Fee (Other) $30.00 FEE2003 -2033 Building Fee $340.00 FEE2003 -2034 Radon $6.47 FEE2003 -2035 Notary Fee $5.00 FEE2003 -2037 Inpector State Educational Fund $3.24 FEE2003 -2038 Builder's Bond $300.00 FEE2003 -2039 CCF $14.40 Total Fees: $699.11 Total Receipts: $30.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. (INSPECTOR) (Contractor or I J.P. ENTERPRISES, INC PH 305 - 233 -8008 11731 SW 97TH AVE MIAMI, FL 33176 Pao to tip (0r ,rr of 1:06700643 21: 2000008 3 4 6 6 2 511' 254 L 2541 qh / / /'.3 6 ANCH 600 LL L C. ((( /// V BRANCH 13093 putt 1 , %f -J-1_,2- I (09 1 / c /'L '21 ) '1& LZ' <l ) � Haute Br WACHOVIA ACCH , 0670066432 or �� 7' ril�k =It on RESTRICTIVE COVENANTS PROTECTIVE POOL ENCLOSURE PREPARED BY: 01;i1 ththis � and Print Signs . and Print STATE OF)rtORIDA ): COUNTY OF DATE ): FILE No.387 03/13 '03 14 :48 ID :NIAf1I_SHORES_VILLAGE____ FAX :3057568972 PAGE 2/ 4 DECLARATION OF RESTRICTIVE COVENANT KNOW ALL MEN BY TEFSE PRESENTS: WITER.EAS, the undersigned 'ere. Ali/ twk is/are the fee rbaple owner (s) of the following described property situate and being in the Village Lot (s) i►' 8 Block of (Subdivision), A.1C.A. (address) < /7F 5�-- according to the plat thereof, u recorded in Plat Book Page of the Public Records of Dade County, Florida, and Whereas, the undersigned owner (s) (27 r&45 / /AC,/( desire to utilize salad Lot (s) as a single building site, and the undersigned owner (s) do (es) hereby declare and agree u follows: 1. That the property will not be used in violation of any ordinances of*. Village or Dade County now In effect or hereinafter enacted. 2. That the purpose of this coveaantis to induce the Village •o Issue a peroalt for apool where the required enetoeure is not on the subject property where the pool is looted. 3. That if any of our adjoining neighbors remove any portion of their fence or want, or if our /my prop' shall fall to meet code requirements for pool barters, we, u owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. 4. That, we, u owners, hold the Village harmless for any negligence or injury that results from not having the enclosure FURTHER, the nudersied dedare( &n s) that this covenant is intended and shall constitute a restrictive covenant concerning the use...enjoyment and title to the above property and stall constitutes a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by the 'Village , or its successors, In accordance :laid Village them in effect. WECEREOF, the nader=igned hasibave caused day of K)rl i1 -Mil_ X43. SWORN, AND SUBSCRIBED before me on this MY commission expires: Signature and Print 03 R229637 2003 APR 08 13:14 I EMMY CERTYBp that ea this des ° ono u ldentifiation an • he/she a�owieedge , that he/she executed the foregoing, f an voluntarily for purposes time Ga expressed. OTAR Angela M Becker 4 My Commission OD150048 Expires November 15, 2006 TATE OF FLORIDA, COUNTY C CFF DADE I HERESY CERTIFY that this isy of the c: rgsnai fled in th,s office on d. , A 20 vvI INESG my hand and Official Seal. HARV VIN 0 F ,I ot C,unana Coon . By 1 V D.C. hand (s) and seal .(s) to be i1 ! s F>�s0 -4.• A Rcr. •VT �Iz NOTICE OF 'COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 1/ - 3).46- 0/3 -02,.5' STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: /9 4 ' 2 73/) 7 C - 121=64% a ( 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 03iR2 7`9633 2003 APR Oa 13 :14 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: j J� 8. In addition to himself, Owners 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 •: t' is specified) Signature of Owner Print Owner's Name / p• i'.c.✓ n / s / 11 J b #, 0'4162 Address: // 73/ ) on Ate--6--- Notary Pu• ■.I` /- AA i ■__:.. if-GL6v`x.C,Z / Print No . ry's Name i A ! 1 1 , . ,. . . . .- - �S - 3 -VO 0 d' My commission expires: • My Commission DD150046 123.01 -52 PAGE 4 8/02 Prepare • Expires November 15, 2006 Sworn to and su scribed before me this i d , 20 at CTATE OF FLORIDA, COUNTY OF DADE hand an ,AD20 on, &gat Seal. tf f• I iitand C t I HERE$Y CERTIFY that MIS 15 a original t 15 o hce on V.'ITNESS m HAR Gy opy of the d . Courto b.C. Ala • • BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ MECH ❑ g A ,0‘ (.1,„( Owner of Building Architect Contractor or Builder Legal Description Address of Building For • Pay to the Order of Lot PETER & LANI KISILUK 8 -18 -94 59 N. E. 92nd Street Miami Shores, Fl 33138 SUET RUST S.nTrust Bank Miami Miami, FL (305 591-6000 MIAMI SHORES VILLAGE, FLORIDA 305 - 795 -2204 Date lc) PERMIT N?. 50 4 2 4 PERMIT CARD MUST BE AVAILABLE FOR ALL INSPECTIONS') Work to be performed under this Permit I i{- I I I I Bl. , :066000604 1 :0 36000 L 25892 Contractor's License No. 1� O(0'O/ :- o Subdonrv'� Th, �l i ti ') Sq. Ft.: Value of Project $ • CONTRACTOR or BUILDER L BY AUTHORITY Date f z /141/bf 1449 63- 60/660 1 $ 65.. 6 ( i«7...„..■ — Dollars NP su J Permit: CCF: • i -) Notary: Bond: Radon: Amount of Permit: This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with am plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoker 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 thi permit is granted is the understanding that the contractor or build ,)tamed above assumes the responsibility for a thorough knowledge of the ordinances ani' 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 pr- employees r -, —" t Signed • (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation, pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit i assume responsibility for all work done by either, myself, my agent, servant or employee. r i✓'. • . • • • • • PRODUCT CONTROL NOTICE OF. Q-,EP' .41`fLE All American Supply Company 9820 S.W. 120 Street - Miami' Your application for Product Approval of: Series 2130 Outswinging Raised Wood Panel Door 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, 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 -0 05.02 Expires:07 /01/2002 Approved:07 /01/1999 J6 5, 9 gvd 3c' FL 33476 • Internet mail address: postmaster ©buildingcodeonline.com • • •• • • • •• •• • • • •.• • • • • • •.• • • • • • IV IV OF •• • • • • • • • • CONTRACTOR ENFORCJMENT SECTION •• • • • • • ••• •• (305) 375.2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES 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. rancisco Quintana, R.A. Director 1 of 11 Miami -Dade County Building Code Compliance Or •• •• • y1IAMI -DADE COUNTY. FLORIDA . MMTRO -D.ADE FLAGLER BUILDING • -. BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING . - ' ST FLAGLER STREET. SUITE 1603 • • • • MIA`II. FLORIDA 33130-1563 •.• •:1305) 375-2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION • • •• ••• •. (305) 375-2527 FAX (305) 375 -2558 Raul Rodriguez Chief Product Control Division Homepage: http : / /www.buildingcodeonline.cum All American Supply Company • • ••. • • • ••• •• •• • • • •• •• • : ' : : ACCE'PTAVCE No. ' 99- 0505.02 • • • • • . • . • • . • ....... .... JUL 0 1 1g99 - 2of11- APPROVED • . • • •• • • • • • .• • :EXP'IRES: • • • • ••• ••• ••• • • NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS • •• ••• •• • JUL 0 1 2002 •• • • • 1. SCOPE 1 1.1 This approves a Series 2130 Outswinging•Raised 1 Nooel Pat Door, as described in 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 Rating values indicated in this approval. 1.2 Model Designation Series 2130 Outswinging Raised Panel Wood Door 1.3 Overall Size: 75" wide by 97 high by 4 9 /16" deep 1.4 Configuration: XX 1.5 No. & Size of Panels: The active and inactive panels measure 36" wide by 96" high by 1 thick. 2. MATERIAL CHARACTERISTICS 2.1 Frame & Sash Material: Wood 2.2 Glazing: None 2.3 Door Leaf Construction: 2.3.1 As manufactured by Rouge Valley Sash & Door Co., Simpson Timber Co. 2.3.2 Face sheets: N/A 2.3.3 Core Design: Door infill consists of 3/4" thick raised panels.(Minimum Six Panel Design) 2.3.4 Construction: Stile and Rail wood construction. Stiles: 4 '/--" face x 1 1/4" thick; Intermediate stile: 4 '/" face x 1 1/4" thick; Top rails: 4 '/" face x 1 1/4" thick. Bottom rails: 9 1 / face x 1 3 /4" thick. Intermediate rails: 4 %" face x 1 1/4" thick or 7 '/-" face x 1 1/4" thick. Stiles and Rails are of glued block and face veneer wood or solid (Douglas Fir) wood construction. Corner construction: butted and the ends of all intermediate frame members are coped to tightly fit the intersecting framing, and attached: 2.3.4.1 At 4 1/2" rails to stiles: with minimum two 5/8" diam. x 4'/ long wood dowels. 2 3 /4 penetration into the rail. 2.3.4.2 At 7 '/" and 9 1 /8" rails to stile: with minimum three 5/8" diam. x 4 ' / long ‘vood dowels. 2 3 /4" penetration into the rail. 2.3.4.3 Door leaf may be substituted with an approved equal, holding a current Miami -Dade County Product Control Notice of Acceptance. 2.3.5 Astragal: J -R #300 Laminated (Tee) astragal with sleeves. Consists of a 1 1/4" x 1 '/" clear grade Douglas Fir moulding kerfed 1/8" x 5/16" for weatherstrip, attached to a 2 ' /-" x 1" 9 -ply AB marine grade plywood with a 3/8" diam. schedule 40 steel pipe sleeves 8 1/4" long, bored to clear the flush bolt, at each end of the astragal, installed with glue, � -P Manuel/Perez, P.E., Product Cd trol Examiner Li Produc Li ntrol Division r All American Supply Company • .. •. • • • • • • •. • • • • • .• • • •. .• . • CEPXANCE No. • • • • • • . • • ..•. APPROVED . . . •. • •• • • •. . . • • • : • EXPIRES: • • • • . • ••• ••• ••• .•. • • • • • • NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 99- 0505.02 JUL 0 1 1999 JUL 0 1 2002 •. • • • • • • . • • • .. • .• • • 7/16" x 2" staples at 15" o.c. and•16 1 42: P.1;'WS(4 tt.each side ofpifie sleeve). Sealed to the inactive leaf at the inboard•ani outboard ;ac+e.• AH astragal attachment fasteners are covered with wood putty. 2.3.6 Reinforcements: N /A. 2.3.7 Glazing moldings and stops: N/A 2.3.8 Finish: Unfinished wood. To be sealed and finished at time of installation. 2.4 Frame Construction: 2.4.1 Type: The frame jambs and head are of 4 9 / 1 6" or 5 '' /." wide by 1 '/." thick rabbeted (White Pine or better) fingerjoint wood sections, kerfed (1/8" x 3/8 ") for weatherstrip. 2.4.2 Material: Wood (White Pine or better) 2.4.3 Construction: Butted corner construction. The head /jamb corners are of butted corner construction and attached with three 2" long x 3/4" wide gun- driven staples at each corner. The jambs and threshold ends are coped to fit at the corners and also attached with two 2" long x 3/4" wide gun- driven staples at each corner. 2.4.4 Reinforcements: 2.4.4.1 Head Plate: Consists of a 3/8" thick x 5 '/." wide, 3 -ply BC grade plywood plate attached to the head with glue and 3/4" staples at 1 ' /." from edge with remainder at 8'/�" o.c. and to the jamb with three 3 /4" staples per jamb. 2.4.5 Threshold: J -R #100 Wood and Aluminum "Moderate Climate" 5'/," wide x 1 high threshold. Consisting of a 1 ' /." x 3" Douglas Fir wood portion attached to a 2 'W' wide x 1/4" high aluminum saddle threshold extending the whole width of the door. This threshold is attached to the floor slab as specified in Section 4.1.3 below. 2.4.6 Finish: Unfinished wood. To be sealed and finished at time of installation. 2.5 Weatherstrips: Otv. One Description 2.5.1 A single strip of vinyl wrapped foam compression weather seal. J- shaped Q -Lon QDS -650 2.5.2 One "SiliconSeal" door gasket Pemko #S88 compression bulb. 1/2" wide x 1/4" thick, nominal 20 durometer, self- adhesive. 2.5.3 One A vinyl wrapped foam compression self - adhesive pile dust pad. 1" wide x 2" high x 3/16" thick 2.5.4 One Pemko model #345 AV Set Aluminum and vinyl rain -drip sweep, attached with #6 x 5/8" RHSMS at 6" o.c. of 11- Location Frame head, jambs, astragal and threshold. Top outside edge of each door and outside vertical edge of active door. Lower end of jambs and astragal. adjacent to each door corner. Door bottom rail. To be installed aftir door is sealed and finished. C6/21-te-OlA Manuel P ez, P.E., Product Co Product rol Division xaminer All American Supply Company Four (2 per leaf) . .. ':' �CCEPTAArE No.: 99- 0505.02 • • • • • • • • • • • • ••• • • • • • "'. PPIZOVED" JUL 0 1 1999 JUL 0 1 2002 .: ••• .EXPIRES.'. .: . • • • • • • • • • • • • • • • • • • • • • • NOTICE OF ACCEPTA 'Cr' 'SP ErIFICrOVDITIONS •• • • • •• of 11- ••• •• 2.6 Hardware: • Description • ' l .oe:; wor. 2.6.1 Four 4" x 4" x .085" thick plated • Top Fringe: 6 ) /4" from top of (2 w /safety stud or non - removable Bottom hinge: 84" from top of doors. per pin mortise hinges. (At each Active and Inactive leaf.) leaf) Hager model 1843 or Penrod #MH40AUAC attached with four #9 x 3/4" FHWS to the door and three #9 x 3/4" and one x 2'/" FHWS to the frame. 2.6.2 4" x 4" x .085" thick plated steel regular mortise hinges. Hager model 1841 or Penrod 4MH40AUWS attached with four 49 x 3/4" FHWS to the door and three #9 x 3/4" and one #9 x 2 '/" FHWS to the frame. 2.6.3 One Passage lock or key lock ■/spring latch. Schlage Lock Co. Model #F l0N or Kwikset Lock Co. Model #200E 2.6.4 One Single cylinder /thumbturn deadbolt lock Schlage Lock Co. Model #B 160N or Kwikset Lock Co. Model #660 2.6.5 Two Single surface /thumbturn deadbolt lock Schlage Lock Co. Model #13180N or Kwikset Lock Co. Model # 666 2.6.6 Two Concealed 12" extension flush bolts 1 /2" diam. x 1 '/" long steel with a 3/4" throw, attached to the actuating hardware by a 0.207" diam. rod threaded at both ends and passing through the pipe sleeve. Operating hardware is recessed with a flip -type actuator and attached with four #8 x 1" FHWS. Quality Mfg. #1358 2.6.7 Two Modified M.A.G. Lock Reinforcer (20 -PB) 0.029" thick brass. 1 2nd hinge: 31 1/4" from top of doors. 3rd hinge: 58 7 /8 - from top of doors. (At each Active and Inactive leaf.) Active leaf - at 36" from bottom of door. Active leaf - at 6" above passa�gc lock. Active door leaf : one at 2'/4" from top of door and one at 2 1/2" from bottom of door. Inactive leaf : (astragal) one at top of door and one at bottom of door. Active door leaf: one at each top and bottom surface deadbolt. 4 Manuel J�erez, P.E., Product ContrZSt'Examincr Product bontrol Division All American Supply Company • • . •• •• • • • • • • • -,5 of 11- ... • • • ... M • E`1P ALICE No.: 99- 0505.02 • . . • • • .." • " "" APPROVED JUL 0 1 1999 • • • ' ... '.EXVIRE� • JUL 0 1 2002 ...... .•• ... • .•• NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS .. • • • .. ... 00 . 2.6.8 One Strike 0.050" thick brass • • • • • • Inaetive door leaf - lit passage lock 2.6.9 One Strike 0.077" thick brass.. • • • • • •.Fr in e header - (above inactive door) at upper concealed flush bolt. 2.6.10 Two Strike assembly 0.062" thick brass surface Frame header: one at singlc- strike with a concealed 0.120" thick surface deadbolt. plated steel reinforcement plate. Inactive door leaf: one at single - cylinder deadbolt. Hardware may be substituted with an approved equal, holding a current Miami -Dade County Product Control Notice of Acceptance. There are no strikes at the bottoms of doors. The locks engage holes drilled into the aluminum threshold and the floor. Each leaf is fastened to the hinge jamb using 4 butt hinges. Tested lock grade: Schlage locks are Grade [I and Kwikset locks are Grade III. 2.7 Sealant: The frame intersections, ends of the threshold and all weatherstrip intersections must be caulked with Polyseamseal or DAP adhesive sealant during assembly. 3. LIMITATIONS 3.1 This approval applies to pair of doors and single door unit, with all components described in the active leaf of this approval, applications only, as shown in Section 7. 3.2 Units with dimensions equal to or smaller than those shown in Section 7 shall qualify under this approval. 3.3 Installation is limited by the Design Pressure Rating shown in Section 7 of this approval. 4. INSTALLATION 4.1 Screws and Method of Attachment 4.1.1 Head: #10 x 2 `/" CP FHWS, one at 6" from each corner and max. 20" o.c. #10 x 2'/" CP FHWS, 2 thru lock strike plate. (active leaf) #8 x 2" CP FHWS, 2 thru exterior bolt strike plate. (inactive leaf) 4.1.2 Jambs: 410 x 2' /2" CP FHWS, one at 6" from each corner and max. 24" o.c. #9 x 2 '/" CP FHWS, one through each hinge. 4.1.3 Sill: 4.1.3.1 Attach wood portion to floor with: #10 x 2 '/" CP FHWS, one at centerline, one at 12" to each side of centerline and the rest at max. 10" o.c. 4.1.3.2 Attach aluminum portion to floor with: #10 x 1" CP FHWS, one at 2" from each corner and max. 10" o.c., and 410 x 2 '/" CP PI-MS, one at 4 '/" from each sfle of centerline. ,u.[.4,e_ --- /mil Manuel erez, P.E., Product Cont 1 Examiner Product rol Division All American Supply Company • ••• • • • • • ••• • • • ; • ,‘ f gt4'tA;410E No. : • • • • • • • • • .. • • • • • ••• APPROVED • • .. .• • .. . • •• • • • • EA�[R • • • • • • • • • ••• ••• ••• ••• • ••• NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS •• • • • •• ••• •• 4.2 Limit shim space to a maximum of'/ ". • • • • ••••••. • • 4.3 Attachments of sub -bucks shall be designedb ' thei i chile :t Sr•Eagineer of Records and must be in compliance with the South Florida Building Code. 4.4 For retrofit installations where the existing buck is less than the required 2" nominal; use concrete anchors instead of the fasteners above, the same amount and diameter and an appropriate length to go through the buck and penetrate at least 1 1/4" into the masonry structure. 4.5 The installation of this product will require a hurricane protection system. 5. LABELING 5.1 Each door system shall bear a permanent label with the manufacturer's name or logo, city. state and following statement: "Miami -Dade County Product Control Approved ". It shall be located in a visible place inside the frame jamb. 5.2 The door slab itself shall also bear a permanent label, at the door inside edge, issued by FBv1A with the manufacturer's name or logo, city and state. 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. - bof11- Manuel Product 4 99- 0505.02 JUL 0 1 1999 JUL 0 1 2002 erez, P.E., Product Contr ntrol Division 'aminer All American Supply Company 7. TYPICAL ELEVATION: Max door leaf height 96" Dcsign Pressure Rating (Positive) Design Pressure Rating (Negative) •• • • • • • • • • �f t`ikP;T1r C E No.: 99- 0505.02 • • • • • ••• • • • • • • • ' PeROV 5 • • JUL 0 1 1999 • • • • • • • EKI:I�u •• • JUL 0 1 2002 • • • • • • • • • • • • • NOTICE OF' ACCEPtWCE: ••WCCIFIC C6•NDITIONS •• • • • •• ••• •• • • • • • • • •• • • • • • ••• •• Max width of each door leaf 36" -,7 of 1 1- st 75' +48.3 PSF -63.4 PSF Manuel : erez ' .E., Product Corytrdxaminer Product ontrol Division All American Supply Company ;•••• •;• I A�( Efl 'CE No. . 99-0505.02 • • • ••• • • • • • • • • • • • • • ••• • PP‘RO ''I'b Models Included: 0 EL= 2060 QuadnIla 4060 • •- • NOTICE OF ACCEPYANt : •• SP • etIFI C u 2010 Grandee 4115 2130 Colonial VI 3110 •• ••• •!EXI ;IRE•S• • •••- • 2011 - ofll - • •• •• - •• • • • • • ••• •- n � l nn ar 1 n FIE 1 Colonial VIII 3010 Manuel Product 4 • • r1rr J :11 2009 1 Madrid 4112 JUL 0 1 1999 JUL 0 1 2002 rez P.E., Product Cont • :xaminer of Division All American Supply Company NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS Florira.fime 4101 Tender 4104 Aztec 4103 Brisante 4108 Mariner 4109 1 V1 • • ... • • • ... . . .. . . . .. .. • • • • ; ACeE'PTAVCE No.: 99- 0505.02 • • ••••••• •••• APPROVED JUL 0 1 1999 • • • •• • •• •• • • • . • •• • • • • .EXPIRED• • . • • ••• ••• ••• ••• • ••• •• • • • •• ••• •• • •• • • • ••••••• • • • • • • • • • r»i Florintine 4401 Tangier 4404 Aztec 4404 Brrttania 4404 Mariner 4404 Florentine 4209 Tangier 4209 Aztec 4209 Brittania 4209 Mariner 4209 - 9of11- 1 Division JUL 0 1 2002 Manuel Pe ez, P.E., Product Contrs aminer Product C All American Supply Companv iviodeis included: NOTICE OF ACCEPTANCE: • • • • • ••• • • • • •• • • • •• •• • • : NCCE'PTAYCE No. 99- 0505.02 • ••• APPROVED • • JUL 0 1 1999 • • • JUL 0 1 2002 • • E�Cpii2i•: •• • • ••• • • • •• • ••• SPECIFIC CONDITIONS •... • •. ••• •• • • •• • • • .•••••. 6' -8" ONLY - 10of11- • • Chateau 4180 Colonially 3044 Manuel P rez, P.E., Product Controj.l iminer Product • rol Division All American Supply Company • • •• • • • ••• •• • • • • • • • •• • • • • • • • • • • • • • • •• • • • • • •. • • • • • • • • ••• • • • • ••• ACCEPTANCE No.: 99- 0505.02 • • • • • • •• • . . .. ncr : JUL 0 1 1999 • •• • aPP • • • • •• • ••• ••• ••• ••• • • ••• JUL 0 1 2002 •• • • • • • • •• •• • • • • • • • • • NOTICE OF ACCEPTANCE: STAiSO 1 D CONDITIONS •• • • • • • ••• •• 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. ?. 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 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. If 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 initially submitted, is no longer practicing the engineering profession. 1. 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 words Miami -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 inspection at the job site at all time. The engineer need not reseal the copies 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 11. END OF THIS ACCEPTANCE - 1-1 of 11 - EXPIRES Manuel erez, P.E., Product Contro,L E aminer Product Ctrol Division Page 4 OFFICE USE ONLY It( KLIST ❑ 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) -PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY r M DATE zl l 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 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer Qnr. 'TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of 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 QTY. Minimum Fee TYPE QTY. Condensate Drain TYPE Generator QTY. TYPE QTY. Refrigeration, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE 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 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: 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 construction 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, P' 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 Choosing a Contractor. STATE OF Signature of Owner 4c J ,s C w k ✓\ Print Name orn to and subscribed before me this 1 T * day of SEAL: IDA, COUNTY OF MIAMI -DADE ta • Elori .:.oi • L Ap ( 2. M BEG. T s'1 . „''S?ON NUTAL): �. C :786697 �ct [44,10 -d ,_PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification �— Personally known OR, Produced Identification Type of Identification Produced: '1% / Identification Produced: PROPERTY OWNER Name � / le / 1 t ,s 1 I-I .l 4 Address Home Telephone 3G5 75- J- // S -? Business Telephone 3c.. 6 - e>3 Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other une INS.TRUGTIONS - The following stepspiust be 'taken to obtain a permit from the Miami Shores Village: Step I. 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. A PPLICATION (� \Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Address Apt. Folio Number Description of Work 6Acr rco e / ,Jurr Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 3C-C1; ae Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax O b/' // PERMIT APPLICATION Master Permit No. Subsidiary Permit No. /1 ) City Sp a,� ft- State Zip ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/11/2003 Applicant: LANI Owner: KISILUK `JOB ADDRESS: 59 Contractor TECH TRAYE SERVICE Local Phone: 954 - 522 -3357 Parcel # 1132060130250 NE 92 Permit Status: APPROVED Permit Expiration: 8/10/2003 Work: FPL UNDERGROUNDING 200 AMP SERVICE Electrical Permit Permit Number: EL2003 -38 KISILUK LANI ST Contractor's Address: 1536 NW 5 AVE Construction Value: $750.00 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 17 & 18 BLK 2 LOT SIZE 100.000 X6 0, g 0 Total Fees: $040- Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed?" Signed: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. PECTOR) BY: (Contractor or Builder) BY: Rrr [0 021203 1514 I iCU 1 _0(1801 CH RGE $360,60 -, • • • • • • • • • • •• • • . .. in •• • • ••• •••• •••• cf) d • 5 2. 3° f 3 C\ f NI1 O • • •• 0 • • 00 0 0 0 0 0 O 0 0 000000 • • • • • • • •• •• • • •••• • • 0••• 0 • 0 0 0 0 0 0 0 00.000 0 00 000000 0 0 0 • 00 0 00 0 0 O 0 0 0 0••• • • •••• • • • • • ••• • 0 • • • . • • O 0 k J Q) c� CF: fr) , L 6 , Wl 1 » � . . •. #,.s • • • • •••• • • • • • • •••• • • • • • • • ;1 •• • J • • •• • • • ••• • • • • • • • •• C •• •• • • .••• c / 1 • • (7) s y 1 • • • b 0 ` 140,4A ') 0.0000 0 0 O 0 0 0 • 0 00 • 00 • 0 0 0 000.00 00 0 000000 • 0 • • •• • • ••• • • • o • ••. • • • •••• • • •• • • • • • • • • • to • O o Ei- ° 1 , O 000 0 0 L_- • 0 0 e • • • 00 • • • •• •• ra d CQ.1\ITR Vink 4, S'L.-... L.... t 'ii.\.me...... Name - Nam c' �1 1 (\Z License No. 4 EC. 13 oo \'). '?) (,., Address _ - i. S.- C- Address 1 S 3 L ,u‘-,-.) " A'r• — 4- \ ►-.w., e_r -- ��Q �- ti Telephone _ �� _ 335 Fax ci Sal - 46'3. -� `l 1 ) Qualifier Name PROPERTY OWNER New Construction Nam c' �1 1 (\Z ■ `►�'t t Address _ - i. S.- C- \ Home Telephone - J os w c Sq ^ \ s s - Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Step 1. Step 2. Subdivision PB PG Zoning Current Use of Property Squa - eet Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••••••• .••• Master Permit No. •; • Subsid wyPerPnitIo. •. • • • •.•• INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be s.Hoed b}t thepropeity owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your rrothg Ai( will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • • • • •• • • • • • ••• •• 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 ob Address: SR, Address Apt. City State Zip Folio Number 1 41escription of Work , ' ?. t-.` \ N`c) Lot Block �"� �1 avu alue of Work Tax Assessed/Appraised Value Flood Zone Base Floor Elev. / y J PERMIT APPLICATION -r,61 Linear Feet Units Floors Bldg Value ENGINEER Name License No. Address Telephone Fax • • • Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT I;AV,INV 1 ECEIVECi YOUR VALtATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CO'NSTR'UCTION ate limited to: 'Ididnday 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 PROPERTIEMAL'INIE ART FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEIWIti DAAFGMB'Z E4IUIPMElti't 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 construction 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 Choosing a Contractor. STA r • FLO , COUNTY OF MIAMI -DADE gnature of Owner Print Name Sworn and subscribed before me this Signature of N W LBER Stye gazau SEAL: C efetr IV;4 ;L.,g /21 • • 9 day of 7r13 NOTARY PUBLIC, STATE OF FLORIDA MY COMMISSION EXPIRES JULY 21, 2006 COMMISSION NO. DO 135766 Personally known 4.." OR, Produced Identification "9-e6 00P3 • • • • • • • • • • • ••• • • • • • • • • • • • ••. • • • • ••• • Type of Identification Produced: • • • • • PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contactor / Oualifier \ -\ r.J SLQ ^ \c�. Print Name 1 Sworn to and subscribed before me this 7 day of letl, , Signature of Notary Public SEAL: • State of F1ori i WILBERT° VELA OUE , If° TARY PUBLIC, STATE OF EFLORIDa eV COMMISSION EXPIRES JULY 21, 2006 COMMISSION NO. DD 135966 Personally known ice, OR, Produced Identification Type of Identification Produced: 9 — c) 3 ELECTRICAL TYPE Minimum Fee QTY TYPE Dryer QTY • • T`'I''; • .Outlet, ppliance • 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 ()Ty. TYPE Refrigeration, Tons QT1'. 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 PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTV'. TYPE 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 3 • • • • • • • • ••• • • • • • • • • • • • • ••••••• •••• • • • ••• • • ••• PERMIT APPLICATION •• • INSTRUCTIONS: Please indicate the type of work be.ifig perfornnd and W. ity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY ❑ 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 Notary ••• • •• •• • • • •• • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • •• • • • • ••• • • • ••• • CHECKLIST • • • • • • • ❑ PROOF CF OWNEIMIIP (Attach) •• ••• •• • • • •• H /Re6�; /, D�}2I PPrR L • •. tl • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (sq.ft. = x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 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 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. 1 " -- 6 - ,vner's Name and Address ! r l W Registered Architect and/or Engineer / ) 4--- and address of licensed contractor f; / /L "E, Location and legal description of lot to be built on:' Q /� Lot 17 4-IX Block Subdivision f -' J &-v 1 rl MD , --- - Street and Number where work is to be done 59 4 / , c - 9a n (L' • Z7 ez./ fate work to be done and purpose of building (by floors), state exterior colors (submit samples) and for no other purpose. New Building Remodeling STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed) } SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT To be constructed of Kind of foundation Roof Covering VC Total cost of improvements S Amount of Permit $ _sac o 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 subcontractors 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) Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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. Date ! 1 II V 7S' Read. Sworn to and Subscribed before me. Addition Repairs 19 Date G �� 12/4 No 5 *WE ((! Street /I 3.2P /3 .".45 No. of Stories Notary Public. State of Florida to me well known. 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 and/or workmanship. Easement Req'd. Yes 0 No 0 Survey /Stokes Req'd. Yes ❑ No 0 Tree Work Req'd. Yes 0 No 0 Permission Req'd. Yes 0 No 0 i P City County Rd. County Air State Rd. FAA FDC RR Xing Dr. Dist. Transm. Request Tel. Co. Set Poles Yes❑ No❑ Tel. Attachment Per Request Tel. Co. Transfer YesO NoD Request CATV Transfer YesD No0 =OLE LINE FEET .OLE LINE FT. ON TRANSM. POLES BURIED SUBMARINE OTHER INDICATE NORTH 600V 600V KV 15KV 15KV 15KV TRENCH FT. DUCT BANK FT. lap Posting Read. Yes ❑ Non Posted by 52' KV KV KV NEUTRAL CABLE FEET [ode. $' Engineer D RAWN BY Rural Location Sec. Scale: RWO /S10 /TWO No. 4S1 E.t' /S e ei wall FLORIDA POWER & LIGHT COMPANY Sg Z 57, CHECKED BY St Lt. Map No. TWP. ER No. Date -7 A' Dwg. No. S, R. Pri. Map No. LOC'N COQE THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT VARIANCE(S) LISTED IN "REMARKS" MIAMI SHORES BUILDING AND ZONING UNLESS SPECIFICALLY LISTED BELOW. AND COUNTY LAWS MUST BE COMPLIED Autho•i'el Sigrnture Dete • WITH NO VARIANCES • WITH NO OTHER DEVIATIONS FROM THE ORDINANCES WILL BE PERMITTED, ALL OTHER APPLICABLE STATE WITH BY ALL PARTIES. FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR gI PLANNING & ZONING GO VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED, TIE ARCHITECT, BUILDER & SUB COURACTORS /' "c r ' =: -Fr 1•• ' !' OW!.Fr'QE OF AI I. BUILD- ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. 0 : FDC City OLE LINE FT. ON RANSM. POLES BURIED 600V County Rd. RR Xing KV 15KV • ,cer, 04/ ,•=w/L 91-4 ec 0/4/ 46. County Air 15KV Dr. Dist. OLE LINE FEET TRENCH FT. DUCT BANK FT. SUBMARINE OTHER 600V ap Posting Req'd. Yes 0 No0 Posted by 1 SKV Easement Req'cl. Yes 0 No 0 Survey/Stokes Req Yes 0 No0 Tree Work Recd. Yes 0 P4o0 Permission Req Yes 0 No0 State Rd. Transit,. Request Tel. Co. Set Poles Yes0 No0 Tel. Attachment Per Request TeL Co. Transfer Yes0 No0 equest CATV Transfer - YesO No0 KV KV KV FAA NEUTRAL CABLE FEET / • 0..........______5 / , .5 Rb e • _ Ao -,,,, 7: & - - -- 0■.eizz //vro 4-4./.17 W44.4_ . iJ ii ii..L_ ,Es.92.5 Engineer /•((> E:r /sr/ A/4 W4L4 DRAWN BY CHECKED BY INDICATE NORTH FLORIDA POWER & LIGHT COMPANY Z 9 2 S Date — 7/z,Vgg Dwg. No. Rural Location Sec. TWP. S, R E. Scale: 1St. Lt. Map No. IPri. Mv No. RWO/S10/TWO No. ER No. _J-OVN COQE STATE OF FLORIDA COUNTY OF DADE. } ss. MIAMI SHORES VILLAGE - rr -yS'OC 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 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 C /� Registered Architect and/or Engineer t'° W S "' ) C J� Name and address of licensed contractor p (Jf C� ✓ {" - � � t O Location and legal description of lot to be built on: // / 3 A25", Lot / Block v� Subdivision ` k Street and Number where work is to be done ✓ I £ 9, ." State work to be done and purpose of building (by floors), state exterior colors (submit samples) New Building Remodelin Addition Repairs No of Stories To be constructed of — 1 6 44. Kind of foundation r k" 1 "`` \ Roo C vering � Estimated Total cost of improvements S # � 0• ' Amount of Permit S T1 I Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot V.aximum 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: •rt =rill ost or cause to be posted for inspection under this permit, as are licensed by Miami Shores Village. on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to em.. .• lv such su. . • work to be performed owl pi it Remarks (Signed) Date 19 t .I No 5 ! Street and for no other purpose . s. u io 424 of Florida My Commission Expires Sept. 9, 1994 r �p� nard BQn d� ng Agency Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowled n i s . pterhruso y dal1 appea 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 foregoin application, and that he did sign the same. and that all facts therein by him stated are true. G l � Permit No. —i1/0 9 ` T Date r "/ )' ) / I Read, Sworn to and Subscribed before me. Disapproved c h, } J Date Fv Y 1 / (t / Notary Public. State of Florida (Signed) � Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $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 and/or workmanship. 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 tilt 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 MARY COOPER= 59 N.E. 92 ST. MIAMI SHORES.FLORIDA. No Street Registered Architect and or Engineer SECURITY WINDOWS. 5100 N.W. 72 AVE. MIAMI, FLORIDA 33166 Name and address of licensed contractor SFYMOTIR CO'T7- IF.T,F. Location and legal description of lot to be built or.: [[��' Lot / 7 v Block Subdivision � 0� 1 w I/ jp, D 6 / 3 t� B Street and Number where work is to be done 3 9 7) State work to be done and purpose of building (by floors), state exterior colors (submit samples) REPLACING 1 WOOD DOOR WITH 1 ALUM DOOR IN EXISTING OPENING. NO STRUCTURAL CHANGES.. and for no other purpose. New Building Remodeling MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Addition Date JULY 7th., 1988 Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S Amount of Permits '01 (721 oc J� 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 . • .ga }Workmen's Compensation Act. being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with th . .- s t ereof. and w require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this per • w' pot or . .. .e posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned a• e. to • ov only s tea• •. actors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public- duly authorized to administer oaths ake acknow dgments. personally appeared Y1oy & CDrltct.0 and who. being by me first duly sworn. upon oath deposes and says that he is the CL►./& 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 hire stated are true. F O IN l / Date //Q / Ile Read, Swor and Subscribed before me. Permit No. Disapproved 1Signedl Building Inspector Date My Commission Expires )votary Public, State of Florida NOTARY PUBLIC STA�E OF FLORIDA MY COMMISSION EXP JULY 25,1991 BONDED THRU GENERAL 1N3. ueu. to me well known. PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will he made for malting corrections or changes to this application after approval has been obtained from the Planning Board MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ut we plans and specifications herewith submitted for the build inc 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 Villa 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. n / Date _ __ ._ —_ 1,9..s_ Owner's Name and Address r. C be r L 1 ,- r t' � 9c.. No ! �K Street _. J J r Registered Architect and /or Engineer ,., ,,.• - •,,• r. ••,,.,,,.,- -.., Name and address of licensed contractor 0 " eS.71tl? ` ..— Location and legal description of lot to be built on: Lot 1 "7 >� Block Subdivistop. ....... Alt....-.. • Street and Number where work is to be done 5 q State work to be done and purpose of building (by floors) 9 -z X1..1. % -;i J i - . Z' 7 _.._. 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 $ J� " t Amount of Permit S,. f :U"Q_ Zone cgbage required , .Plan Cuhage 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 nn.lr rsicocd applicant for this building permit does hereby certify'ghat he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has crnn;dicd ssith 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 permit, as are licensed by Ntiami Shores Village. Remarks — -- (Signed) "v A.ZCe '/ STATE OF FLORIDA, �_— COUNTY QF 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 fc•egoing application, and that he did sign the same, rind that all facts therein by him stated are true. (� Ti Permit No a f S 1 Date 1 `l - 0 Read, Sworn to and Subscribed before me. Disapproved (� #..,jate Notary Public, State of Florida (Signed)�� Building Inspector My Commission Expires PLANNING BOARD DATE Chairman ,. Member Member Member Member . . Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this Application after approval has hecn obtained fmtn the PLumiih;; Board. A rc -,no;w tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials aeu /or workmanship. ":0 Zone cubage required ` �/ Distance to next nearest building Maximum live load to be borne by each floor MIAMI SHARES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date_ MO). , 19S 1' No.1 del k5 rYA itreet A Lfi Architect and/or �fi I Registered N j l c itect ah or z- ► - s r y _ Name and address of licensed contractor -.//L- .�2 !v ' - 1 1__L -. r!" Location and legal description of lot to be built on: Lot /7 4 _ _ 4 Block____ Subdivision Street and Number where work is to be done C v l ' I7 State work to be done and purpose of building (by floors ) __ Owner's Name and Address_- -.!1! 4 c ��d'?d and for no other purpose'. New Building Remodeling Addition Repairs No. of Stories 1 To be constructed of_ Kind of foundation rl T ),^ " /kn Roof CoYering____1 1 1 Estimated Total cost of improvements $ 3-- Amount of Permit $ __ _Plan Cubage __Size of Building Lot Notary Public, State of Florida I hereby submit all the plans an s ecifications for said building. All with reference to the building d it construction may be sent to V? = - Ci 1 t "e�/J rs f� 2 1 +� 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 ( S i g n e d ) � 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member - Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval 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 INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Applicat onJis hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other cture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami ShoreNTillay , Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatio the luilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans ands ecif ations must be kept at building during progress of the work. Owner's Naive d Address istered Archit \ e t and /or Engineer Nam and aI drfss of licensed contractor Date � __., 19- ' `� / 42..„0,6,1 t t � No /1 1,1e1/ WStreet �� Cllr' i1 . t Locatio i and legal description of lot to be built on: Lot i Block Subdivision .. eta and Mr \ r where work is to be done , State work to be d ne and purpose of building (by floors )__ Disapproved Date ( Signed) Building Inspector MIAMI SHORES VILLAGE vA/ M Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. � �l I �� r and for no other purpose. New Building Remodeling 1.� Addition Repairs No. of Stories To be constructed of C ®'' Kind of foundation �..T) wi. C_ Roof Covering Estimated Total cost of improvements $ ` or t o ...-----_ 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 buildi .14o "� *4 ! c ; 1, , t cL i i / ( i A "'. / be sent to _ __ r. _ g. All notices with reference to the bui and its construction may 44 PLANNING BOARD DATE 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wok to be performed upder this permit, as are licensed by Miami Shores Village. e Remarks (Signed) A AT C�� ✓I ��v� i �.t 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 Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot n PERMIT N? 11529 El n Work to be performed under this Permit /1424,1/ .4-er MIAMI SHORES VILLAGE, FLORIDA Subdi- vision BY Value of Project $ e ..t*� (N DATF f., Contractor's License No 1951.— r Amt. of Permit $ y e This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. .. 7 AO Signed ,,r BY fi T �- r ,. ,,�► 4 In consideration of the issuance to me of this permit I agree to perform thgr rk covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or /' ecifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, my , my agent, servant or employee. fiAlWAL 94 y i±� . ,� -r • apt,? CONTRACTOR�R BUILDER * ' AUTHORITY