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87 NE 93 St (9)Date Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request AA_ j jC For Inspector: r 1 / / Y/o 13 Name & Date Approved Correction Re- Insp'n Fee Time X,1_1:4 .F.51/47) 3834 MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date G_ Type Insp'n t 1 I d 2 a 0 F Permit No. 4- Name Address e/ Company U M iZcd Phone # Inspection Date `'1 Approved Correction Re- Insp'n Fee Dleux„ Eee rP PIa. axe, i poi `' 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 Qk66 &D 26 6 t- D 51 F.A. S9& 76 2 27 52 77 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 .--rte 82 8 33 58 83 9 34 59 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 48 73 98 24 49 74 99 25 .,.. 5 . __-- 75 100 SITE SPECIFIC INFORMATION Owner's Name. V - co t Permit # .er 2voz ` (.4 Job Address g 7 tad a "� c9 T , 1\ I AM S tl o f S , mil• Roofing Contractor: Qu I Y 1 �o _�� Type of Tile: 6 � 1 �-D1 H `.5 f i �� Date Installed: I "tia ? Approximate Roof Height: 11 - feet Roof Pitch: 3 Type of Access to Roof: Scaffolds l/ Ladder Other Approximate Square Footage of Roof 3 a of ft Required Testing Force: 35 lbs. Testing Equipment Chatillion100 Date Tested t ® 2 - IN ACCORDANCE WITH THE QUALITY CON .i RJI_ TE T. THIS RE:' Civil Engineer: Lab Certification # 98- 0608.04 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 COMPILANCE (PROTOCOL PA 106 ED BY: State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. N. 4035 TEST RESULTS P = PASS, F = FAIL RIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT P.E. j. ek-tc 55" t1 9 (3(o2. KETCH OF ROOF JOB e l t, Es 13 e7. - s P -® S„'Ft, ZOF SHEET NO CONTRACTOR G v" U t'T y gb bV I t9 G . CHECKED BY t DATE SCALE 1 A si imentammEsigmanam ormaramomiri r i0 MIN . ✓Lt■% ■/l ■r mm ► janntff■II\MM CD W■L4■■■EE1 lii111111/11111E ■r'7 /7 ■rn1 MMEM LIMMIIVAIMMILWASIMMINIM iii/a■i■ "ll WA7 -- if NOTES. Date Legal Description Owner/Lessee / Tenant Owner's Address Contracting Co. WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address (� 7 9 5 5 Tax Folio Historically Designated: Yes No tic — ogs w47 Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Notary as to Owner and/or Condo President Date My Commission Expires: TXrCt( u? 51 (K (Cc- 061 f fErC Square Ft. Es:inated Cost (value) a WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S • IB A T: ertify that all the foregoing information is ac:urate and ' • b11 w. i 1 be done in compliance with all applicable laws regula ens otio . d zoning. Furthermore, I authorize the above -named c• tracIor • .. the work stated. 1 6 _ Signature of owner and/or Condo President Building Date Address Master Permit # Phone Signature of ontractor or Owner= Not My c giuSA*5154L NOTARY SEAL SANDRA M MONTIEL x COMMISSION NUMBER � CC401261 Q. MY COMMISSION .EXP. OF FV AUG. 17,1998 FEES: PERMIT 30 . RADON C.C.F. _ NOTARY S • TOTAL DUE j-S • APPROVED: Zoning Mechanical Plumbing Engineering Electrical 75 S I W- 314 -Y46 uilder Date Date Date 2 0 ?0 Legal Description / : 3 4a 0 3 "64 3:'',/d, S CC. ,/ h dt / Lessee / Tenant V TV, 0 O 1 J I A7._ Master Permit # ° ` 21 9 Owner's Address t/ ilk ?- Phone 37 `Contracting Co. V\JJki (L 6V (L0E Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Signature o APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address .(:6 Ill c '5""T z WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify t -t all the foregoing information is accurate and that all work will be done in co�:•liance ith al; • �; le laws regulating construction and zoning. Furthermore, I do the wora stated. authorize t 1 ' "red co - 111,1!olmw =Fir co si Tax Folio /I /3 0 Estimated Cost(value) ID I 5K7) .f Signature of Contractor or Owner- Builder Date: J2 7 6 L Date: w iv/ '/t No to °wner and/ cifo r.fililifitartfOTIPPLoRIDA Notary as to Contractor or Owner- Builder My Commission Expires: t ite : ?rd J XPIRES APRIL 16, 199 My Commission Expires: RONDO 1 (STEMBLER -ADAMS & SWEET ** * * * * * * * * * * * * * * * ** FEES: PERMIT 3' RADON C.C.F. NOTARY • 06 TOTAL DUE 1 O b Fire Other Zoning Building A q*), t/ Electrical Mechanical Plumbing Engineering Per 489.103(7) F.S.S. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows yogi, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. I t may not be built for s a l e or lease. If you sell or lease more than one building you have built yourself within one (1) year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have license required by state law and by county or municipal licensing ordinances. 1(ilL7 Z Date Owner's signature Village Use Only Owner's name(print) Permit No. DISCLOSURE STATEMENT 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 o: 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 he work. 26 squares Date...— ..8.eptemb.er....218t19.2.8. Owner's Name and Address Kr.. & ..... Registered Architect and/or Engineer itt ... . & Tile Co., Inc. 573 N.W. 71st Miami, Fla. 33150 Name and address ot licensed contrActorLanZ R°°fin8 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done..82..NaB.....93r.d. ...atreet — State work to be done and purpose of building (by floors)Rariocte. main ..house map Tear off .exiating marine down to sheathing, tin cap 1-30# felt to sheathing, mop 1-901b with hot asphalt and install standard white cement shingle tile. and for no other purpose. New Building Remodeling Addition Repairs...Part. -Rer0/4f. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 4,860.00 Amount of Permit & 12 Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, an d will require similar compliance from all contractors or sub-contractors employed by hins in the work to be performed under this permit; and will post or cause to be posted for inspection on the f the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subco actors, o to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks.. (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared 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 sta ed e t5ue. Permit No . Date )7i/k) Read, Sworn to and Subscribed before me. Disapproved Date.. (Signed) 1 \ Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT to me well known, Notary Public, State of Florida 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 31.00 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 stat3ment 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 -- - _Hay 3 Owner's Name and Address. -... __. .Edward .H.. - Te rry - .• -- No. -- 87 -- -- - ._ .. Street N, E. 9 i 3 ' St. Registered Architect and /or Engineer. _ _ __ Name and address of licensed contractor. Peele Roofin_g Co Inc, _ 1885 - _ W 21 Street, Miami 33142 Location and legal description of lot to be built on: Lo. . __._ Block Subdivision -- Street and Number where work is to be done 87 N. _! u'. 93 Street State work to be done and purpose of building (by floors)__ Take. _off prE.s.ent roof_..over tin>:o -ear garage. Apply one #3Q felt,_one #90 slate. Tile with white cement tile. 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 $ 1450.00 Amount of Permit $ Zone cubage required Plan Cubage_ Distance to next nearest building Size of Building Lot.. Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its constru In may P Roofing Inc. l88 N W. 21 Street, Miami Fla. be sent to � 85 N. f . 33 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 hip, 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 work to be performe under this permit, as are licensed by Miami Shores Village. Remarks -_..- . _ .. _ (Signed). I a' — %i., _ -- FC 7 " p STATE OF FLORIDA, COUNTY OF DADE. ss Chairman - -- -- _ -- Member Member - Council Approved MIAMI SH ®FES VILLAGE BUILDING INS 'ECTION DEPARTMENT APPLICATION FluR BUILDING PERMIT Date Disapproved (Signed) u_ ding Inspec INNING BOARD Member Member Member DATE 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 oregoing application, and that he did sign the same, and that all facts therein by him sta ed are true. Permit No _C _ .. Date_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections o:.. changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper not :ce for inspection or faulty materials and /or workmanship.