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ROOFING
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Date i`F'Type Insp'n / , 4 ) ii6 Permit No. m , ° 765 Name M C ‘ ) C_ Address /0 k G\� s / Company �4Cc� Phone # g't " c P L 0/ For Inspector: Approved Correction Re- Insp'n Fee Time Name & Date 7 ( AX) /O //Q4 S 'J 'Type,Insp�n Permit No. Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request,, Date Time - / ;_,). Name 7' p 1 Address /0 V& /W-7/- ` ./ 9c( Company �)� (�/av t' — 21/0 ; 3eir '� 9 0 3 Name & Date For Inspector: Approved Correction Re- Insp'n Fee a M, %` 7�F 4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 i Date Job Addres 1 Z Legal Description Historically Designated: Yes to ��] No ' Owner /Lessee/Tenet Master Per r it # 131 :2,O) 6 5ik / J P , V,3 ♦) 2 Owner's Address fag e q s 5 Pho l 0 I Iti C( Co. J k" `) SV I f S, I 1\) Qualifier PC,W1..p Yl. • v v \ S o v State # (,C-101 0 't44 Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: I j T PCJC3F1WS, 1 P-)) - 6 c- _ ./Square Ft. Notary as to Owner and/or Condo President My Commission Expires Date Tax Folio 5 7 S c 1Z. 00_5c) Address \ �, j 2- `Fe ttl SS# ? Phone 21.0 Competency # Ins. Co. Estimated Cost (value) / ,2 1) L) 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. 0 d--ZiL �1 4sT /. Signature of owner and/or Condo President Date gnature of Contractor or n Builder Date in . " MARY ALICE BEHRENS f . as , MY COMMISSION # DD 186156 0507_ EXPIRES; February 20, 2007 Notary as to Con t lt i' 5•. ;. ewrnewiEtiiiIrdo y wubICUnaem-riters v Date My Commission T _--.7 ✓ FEES: PERMIT Z.r , RADON C.C.F C � NOTARY BOND APPROVED: TOTAL DUE ( ) 1 C2 0 Zoning Building ' Electrical Mechanical Plumbing Structural Engineer HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATIONFORROOFING 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. ft 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). i t/ 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. C 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may c use water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's/Agent's Signature C:% DOCL '31(.14m9 1%Teme3ECTIO\ IS71.4.4 CONSIDERATIONS Date ractor's Signature 4,11 Miami Shores Village Building Department / BUILDING C Permi ob Name IQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: 305) 756.8972 ti Master Permit No. Contractor's Name Job Address ❑ Low Slope ❑ Asphaltic Shingles Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A tGeneral Information dhesive Set Tile Prcess No. ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE e mo ❑ Wood Shing Kew Roof ❑ Re- Roofing ❑ Recovering ❑ Repair ROOF SYSTEM INFOR , Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 1 /00 e es_ ❑ Maintenance Section Roof Plan: Illustrate levels B Roof Plan d sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly_:: Identify dimensions of elevated pressure zones and location of parapets. • Roof System Manufacturer: At i ' t USA 'Z ' Notice of Acceptance Number: 00 - OS 22 • 0 7 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): Pmax1: 61.6 7 Pmax2: 2I , 2] Pmax3: 21.2. Maximum Design Pressure �o ' S (From the NOA Specific System): Roof Slope: 3 : 12 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Deck Type: ype Un Ridge Ventilation? 1V /A Mean Roof Height: Sloped System Description 5/8 derlayment: •./W-k-", 2_24 Insulation: Fire Barrier: Nia N/A Fastener Type & Spacing: Adhesive Type: ype Cap Sheet: oof Covering: Type & Size Drip ZYLXZYzE6 6 A) dge: z � A 10t /�iu M Required Moment Resistance* Mean Roof Height --). Roof Slope 4, 15' 20' 25' 30' 40' 2:12 30.7 33.4 35.7 37.7 40.7 3:12 28.7 31.3 33.4 35.2 38.1 4:12 26.6 28.9 30.9 32.6 35.2 5:12 24.5 26.7 28.5 30.0 32.5 6:12 22.5 24.5 26.2 27.6 29.8 7:12 20.8 22.6 24.1 • 25.4 27.5 Where to Obtain Information , Description • Symbol Where to find y Design Pressure 1, P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Job Site r: •- ,,_ Mean Roof Height N Roof Slope g Job Site Aerodynamic Multiplier x NOA Restoring Moment due to Gravity M NOA . Attachment Resistance M NOA Required Moment Resistance M, Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance verage i s "et . t F, W Calculated . N a A Tile Dimensions 1= length w= width NOA . All calculations must be submitted to the Building Official at the time of permit application. High Velocity Hurricane Zone Uniform Permit Application Form 1 J Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Per R Method 1 "Moment Based Tile CalculationAS 127" (P 4 x a, -294 = 3.44) - Mg: (• 3S = Mr1 (o . ) NOA M f 66 (P2: 0,0 • x X •274 = 27.$x) - Mg: = M 2b 2 NoA M (P3: r x X 72 74 - =27.56) - Mg: = Mr3 2 • 2.1 NOVA M1 Method 2 "Simplified Tile Calculation Per Table Below" // Required Moment of Resistance (M From Table Below 2 . . 7 NOA M CO(�, *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 1 (P x l: = x w: _ ) - W: x cos B: = F NOA F (P : x 1: = x w: = ) - W: x cos O :• = F NOA F' (P : x 1: = x w: = ) - W: x cos 0: = F NOA F MIA M W BUILDING CODE CO PRODUCT CONTROL Div OTICE OF ACCEIP (NOA) Almar (USA), Inc. , 6801 NW 77 Avenue Miami, FL 33166 l d 19lZ* °■ MIAMI -DADE COUNTY, FLORIDA METRO -DADS PLAGLI3R Buu.D1NG CE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 ON MIAMI, FLORIDA 33130 -1563 (303) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the :..placable rules and regulations governing the use of construction materials. The documentation submitted has . en reviewed by Miami -Dade County Product Control Division and accepted by - = oard of Rules and • . • :is (BORA) to be used in Miami Dade County and other areas where allowed by the Authority -1: • _ unsdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance; if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Altusa "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and folloed the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7, The submitted documentation was reviewed by Frank Zuloaga, RI .0 NOA No.: 02 1115.03 Expiration Date: 12/16/07 Approval Date: 12 /12/02 Page lof7 1 4 1 d9E :11 ZO '91 .. • I U! ROOPIN ' SEMBLY APPR Cate b- Category: Material: 1. • 2. PRODUCT DESCRIPTION Mnuf1 stand by ; Test Applicant Dimensions Altusa One Piece 'S' L =18 ''A" W =10.5" Trim Pieces Clip Clip Roofing Roofing Tiles Clay SCOPE This renews roofing system using Altusa One Almar (USA), Inc.. and described in Section 2 of t the pressure requirements, as determined by applic pressure values obtained by calculations in compl section 4 herein! The attachment calculations shall '✓:" thick tiomina 3.25" 2.1 SUBMITTED EVIDENCE: Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing PRI Asphalt Technology, Inc. Redland Technologies VAL 112 TAS112 Length: varies 'r, Width: varies varying thickness L =6" PA114 D. 0,125" L &h = 2" PA 114 W y2„ 0.05" thick Test Identifier 94 -083 94 -084 25- 7200.1 Project No. 307025 Test #MDC -78 MTS 520649 CLF- 003 -02 =01 7161 -03; Appendix III ece S' Clay Roof Tiles, as manufactured by is Notice of Acceptance. For locations where ble Building Code does not exceed the design ance with RAS 127 using the values listed in e done as a moment based system. Product Description High profile clay roof tile. For direct deck or batten nail -on, mortar sot or adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Tile clip L Shaped tile clip Test Name/Report Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 102 (Quick -Drive Screws, Battens) Wind Driven Rain PA 100 PA 102(A) PA 102 PA 102 Date April 1994 May 1994 Feb. 1995 Oct. 1994 May 2000 October 2001 Dec. 1991 NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 2 of 7 1 d 1911'ON WV9E :ll 1001 '91'38a :Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Wolght -W (Ibl) Length -I (ft) Width -w (ft) One Piece 'S' Tile 6.9 1.52 0.875 Test Aeyncv Redland Technologies' • Redland Technologies . Redland Technologies i Redland Technologies Wal Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. E d 1921' °N Test Identifier 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 PO402 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Tort Name/Renort Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25 -7804-4 & 5 25- 7848 -6 ihdl Doc. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 March 1995 February 1996 April 1996 December 1996 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum dock requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7;12 and greater. 4. INSTALLATION 4.1 Almar 'Altusa One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 42 Data For Attachment Calculations NOA No.: 02- 1115.03 Explradon Date: 12 /16/07 Approval Date: 12 /12/02 Page 3 of 7 109E:11 1001 '91'300 Table 4:. AttacJyM11ent Resistance Expressed as a Moment • M (ft-!bf) ` for Nall -On Sxstema Tile Profile Fastonor Typo Direct Deck (Min 15132" plywood) Direct Deck (Min. 19/32" plywood) . Battens One Piece 'S' Tile 2.10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nall 5.1 8.8 2.8 2 -10d Smooth or Screw Shank Nails 8.9 9.2 7.3 1 .#8 Screw 28.7 28,7 N/A 2 .#8 Screws 58.2 58,2 ; 26.8 1- 10d'Smooth or Screw Shenk Nail (Field Clip) 23,1 23.1 19.0 1 -10d Smooth or Screw Shantz Nail (Eave Clip) 29,3 29.3 24.0 2.10d Smooth or Screw Shank Nails (Field Clip) 27.8 27.6 ' 38.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 1 Screw with Altuse Clip (See c Ip details) One Plece "S" Tile ' 1 Screw with clip (at the head of tile) 187.1 187.1 ■ N/A One Piece "S" Tile' 1 Screw with clip (at the water course of tile) 35.2 36.2 N/A 1. BMW must be installed in the Inside nail hole located nearest to the hump of the tile. Table 5: Attachment Resistance Expressed as a Moment M, (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance One Piece '9' Tile Adhesive 29.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company Polyfoam Product, lno. TlleBond Average weight per patty 10.7 grams. Average weight per patty 8 grams. Table • Restorin Moments due to Gravity - Mc( (ft -Ibf -*•■■-.01 Tile Profile _ "; or 4 ": 12" 5": 12" 6": 12" 7 ": 12" or greater One Piece '5' Tile Battens( 1 , Dirac Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 4.47 5.36 4.40 627 4.31 5.18 4.20 ' 5.03 4.08 4.89 Table 2: Aerodynamic Multipliers - X, (ft') Tile Profile A ye) Bitten Application - ? (ft') roct Deck App! atlon One Piece 'S' Tile 0.253 0.274 t d 19lZ' °■ • NOA No.: 02- 1115.03 Expiration Date; 12 /16/07 Approval Date: 12/12/02 Page 4 of 7 WV9E :11 ZOOZ '91'380 Table 5A: Attachment Resist Expressed as a Moment - Mf (ft -Ibf) for Single Patty Adhe a Set Systems Tile Profile Tile Application Minimum Attachment ests CO \ Ono Pleoe'S' Tile olyfoem PolyPrb *M 60,5 Polyfoam PolyProw . 7 4 Large paddy placement of 63grams of m 5 Medium paddy placement of 24grame of PolyProN. Table 58: Attachment.Reslstance Expressed as a Moment - Mt(ft -Ibf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance One Piece 'S' Tile Mortar Set' 24.50 5. LABELING All tilos shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 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 applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWINGS ONE PIECE `S' CLAY ROOF TILE NOA No.: 02- 1115.03 Expiration Date: 12 /16/01 Approval Date: 12 /12/02 Page 5 of 7 5 d t9 °N ;, 1 INVLC:11 aooz '91'0e0 9 d 19ZZ'oN CLIP DETAILS CLIP WITH ONE (1) SCREW ATTACHED TO DECK "SPANISH 0" TILE EY ALTUSA 1 ' ) 2.112" OVERLAP (COVERS PIN HOLE) CLIP PLACIMINT DITAIL SCREW IN THE INSIDE HOLE NEAREST TO THE HUMP OF THE TILE CLIP ECK NOA No.; 02- 1115.03 Expiration Date: 12 /16/07 Approval Date: 12/12/02 Page 6 of 7 WVL£ :ll ZOOZ '9l'a00 SCREW (MOLDS CLIP ONTO DECIQ L d 19Zd' °N - SPANISH s TILE ev ALTUSA (TYP,) CLIP DETAILS (CON'T) CLIP PLACEMlNT DETAL 2 112" OVERLAP (COWES PIN HOLS) END OF THIS ACCEPTANCE SCREW IN THE INSIDE NAIL N0LE NEAREST TO THE HUMP OF THE TILE • 3.00' DECK 111x" 1314' 3l4' GALVANIZED METAL CLIP DECK 2 12' SCREW NOA No.: 02- 1115.03 Expiration Date: 12 /16/07 Approval Date: 12/12/02 Page 7 of 7 wVL£:ll 1001 '91'3M 1. Mlb"fsle: . e. Clay tiles Shall be Altusa S' as manutacured by JIrefls Del Turblo S.A. (ALTUSA) !after (USA). Inc. 181/2" long by 10 1/2" wide nominally. 11. Under eave shall be (specify one) 1. Clay eeve dasure L, Rubber save closure a. Mortar tilling With weep hole 4, Metal closure c. Asphalt plastic cement: Heavy body composed of asphalt and of tt Minerals, can- forming to ASTM 02822 and Federal 8pcc. BBC type 1. 1. Cement Mortar 1. Cements L Blended Cement, - conforming to ASTM C•91 type M b. Portland Cement-conforming to AWTM C -150 type • Masonry Cement-conforming to ASTM C -91 type M L. Band- conforming to ASTM C -144 uniformly graded, clean and free from organic materials. 3. Mixes- conform(ng to ASTM C -270 type M (select one) 1, Cement 2.07 + — E -1 -A L Combination of cement 2.07 E -1 -C 4. Mortar flow 110 + — 596 conforming to ASTM C -230 Flow Table. 2. Decking: • Solid decking shall be of proper thickness (1/2" minimum plywood sheathing) to be structurally adequate and properly fastened to support the anticipated loads. Decking material end Installation of It shall comply with all local Building Code Requirements. 3. Uederleyment: Never Install underlayment on wet, frozen or Icy surfaces. Sweep roof surface broom clean. Cover 811 sloped roofs under-011e with the best quality asphalt Impregnated roofing felt weighing not Ieeq than 43* per square lesL aridly Dnind Uelulsytnal: Consult Local Building Codes for Compllacce Nsfl-0a Isstell,tions: A. Minimum 4/12 and greater, Lay one layer of dry 906 base sheet with a sealed minimum 4" headlap and 6" side lap and nominal 3" tile headlap. All tile nail penetrations to be sealed with plastic cement. Merbt -Da Iasts11111eaa: 8. Pitches 2 1/2/12 and greater (refer to building codes for minimum). Lay one layer of 30* fell, secure In place with tin tags as code requires. Lay with minimum 2" headiap. Apply 90* mineralfsurfaced roofing felt to be solidly mopped to the 30* fen with hot asphalt. Lay with minimum 2" headlap and 6" side lap. Back naU 90* felt with cap or tin tags 12" o. C. 4. Fuming SyMiiae; Nall-On Installations A All nails should be large headed nails, 8 penny, corrosion resistant, long enough to penetrate through the sheathing by 3/4 ". Copper, stainless steel a hot dipped galvanized nails ars to be considered to extend the Ills of the roof. All nails penetrating through the watertight seal should be waterproofed with mastic sealant conmtying to ASTM 0. 2822.75, type IL Nall length may vary, depending on the thlcknese of plywood and exposed ceiling eiWaUona where nail exposure Is unwanted. 8. For steep not applications above 7/12, additional fasteners may be required, L e, Ills tie systems, nail-locks. wind -locks per manufacturers sped lcaOone] (consult local building codes), . 01 'd 9L99'oN • • . NAIL UNIVERSAL TILE NAIL UNIVERSAL TILE OOve TAIL LOCKS ALTUSA 6' FIELD TILE GABLE TO OABLE SECTION IDtr NIP 51 TILE MORTAR TILE FELT NIP AND RIDGE SECTION MORTAR NAIL VN,VERGAL TILE NAIL ALTUSA S' FOR 1:12 SLOPE AND HIGHER Wdll ll 1001 'Ol'gnd WOOD NAIL TILE D'I SYSTEM FELT TILE REGLET FLASHING MOgTAFI ' FLASHING AT WALL NAIL HOLE ea ._. HIP AND RIDGE TILE NAILER TILE mr NAIL HOLE ens GABLE-RAKE FELT FLASHING AT WALL TECHNICAL DATA MUDINAIL METAL CHANNEL FLASHING Weight per Tile (Nominal) ....t Pieces per Square (Nominal) Overall Size (Nominal) ...... Exposed Size Max. (Nominal) Tile Thickness (Nominal) 7 lbs. 97/100 18 1/2 x 10 1/2 I5 1/2 x 16 1/2 112 " Firing Temperature 2000 ° F Breaking Strength Avg. 1,000 Water Absorption Avg. 5.2% Freezing Test No tile cracking after 50 cycles Fleshings.. A. valleys (select one) 1. Install roll valley minimum 18" width with 6" lap pints. Nail to secure in place as code requires. Z. Install preformed open valley minimum 16" width with minimum 21/2" high center and minimum 1" metal edge retume. lap points minlmum 6 ". Secure in place as code requires. 1. Dormers, side, ddmneys and other vertical wall surface fleshings shin extend upward at least 6" and be completely counter-flashed. Flashing shall extend under the the a minimum o15" with a 1" turn up at edge. C. Where sloped roof surface meets the face of vertical wall surfaces at dormers, chimneys and other walla, the flashing shall extend up the facing wall a minimum o14" and extend downward over the top of the tile a minimum of 5 ". The vertical wall surface shall be completely counter flashed. 0. Eave drip metal shall be nailed or stapled along and directly on top of sheeting, fastened 6" o. c. and 1/2" In from top flange. Lap all pints a minimum of 3 ". 5 A ;11:3;!s3 3! Tile; A. For mortar on application, mark horizontal guidelines at 16 1/2 ", which will provide a 2" nominal headlap. 5. For nail -on application. mark horizontal guidelines at 167 which will provide a nominal 2 1/2" headlap. C. Mark all vertical guidelines at 9 ". D. Set first course at 161 /2" from the cave. ThIs will provide a 2" overhang at the cave. E At the eave line, clay, mortar, rubber or metal bird stop shall be used to boost the Rrst row of tile. Note: In high wind and hurricane areas, additional fasteners may be required at the eave course. Consult local Building Codes for requirements. F. For mortar -on settings, each tile shall be set over a full trowel of mortar placed directly under the projection of the left flat side of the tile. Press Ule down firmly to allow wet mortar to fill "Dove Tail Locks" for proper bond. 1, For pitches 4/12 and above, nail eave course with one nall In addition to mortar. Apply plastic cement to seal all nail penetrations. 2, For pitches 8/12 up to and including 7/12, nail every third tile in every fifth course in addition to mortar. Apply plastic cement to seal all nall penetrations. 3. For pitches above 7/12, nail every tile in addition to mortar. t For nall -on Installations, Install the with nails of sufficient length to penetrate the deck by 3/4 ". For pitches above 6/12, all tiles shall be attached with a minimum of two nails. Seal all nail penetrations with plastic cement H. At 55' above grade or greater, all the must be attached with a minimum of two..nalis In both a nail -on or mortar set Installation. 1, Fasten and cement all gable rakes et the horizontal guidelines. J. Where the overlaps flashing, the must be secured with approved file adhesive or cemented in place. K. like must cut smooth and straight to maintain the proper width In the open valley. Width In the open valleys may vary according to local conditions. It Is rocommended that the minimum widen of exposed metal be 4 ", L Where field tile meets the hip naders, the should be cut along the hip boards. The pint between the cut the and the hip nailer shall be sealed neatly with plastic cement. M. All hip and ridge tiles shall beset In a bed of mortar and fastened with a 21 /2" nalL It Is then recommended that the mortar be pointed to a clean surface. CHECK WITH LOCWdZZ Z 41100 ' 0 Z 50 Years WARRANTY ate, 0411/00/11110/ 111111 ' 11 '111 1111111 1 1' !∎ �, . , ls . ...... 11 11 ........•........S...........4 —_ -Log. ; // 111 1•,� 4... ..... 4111. IP i 410 4P 401. 41101. 110 r 0 4 U0 • ■ 1 41IP 1 1• #r 411. I.r 1 4P 1011 1 IP 400 • ■ 1 4P 400 1 + • ♦ in 10411P 00. 411r • ■ / r 1 ♦ • ■ .10■ •I 1•,IOW 1♦ 1 • ♦ 4111, IY 161 , 1 • r 1 1 ♦ r ■ • 41 1 40 41111P • • • 1 r► ♦41P (OP. • 411P 4111. • 41111 1 • i 1 1 4P 4011 1 41110 ♦ r rd i � 1 The Manufacturer warrants the performance of each individual "S" ELEGANT and ALTUSA MISSION, Clay Roofing Tiles to remain of a quality that obtain the Stoneware classification; due to conditions of manufacturing of our clay roofing tiles. Altusa does not warrant accessory materials or installation labor provided by others. Altusa 'arrants unto the registered holder of this certificate that each Altusa's tile properly installed at the designed address will for a period of 50 years from the date of installation remain incombustible, won't be damaged by vermin, or allow; passage of water due to decortiposition or decay, the tile will not change color from the one it had at time of delivery, Altusa will provide, within ninety (90) days from the date of our investigation, at no cost to the Registered holder, replacement for any tile which exhibits these specific defects. This warranty does not coven 1) Damage to the tale caused by installation not according to the printed recommendations issued by the company; 2) Surface cracking or chipping; 3) Defects or failure of other materials used as components of the roof or structure; 4) Damage to the tile caused by roof traffic or foreign objects falling, on the roof; 5) Hurricanes, t ornadoes or other Acts of God. The foregoing is the entire expressed warranty of Altusa, and is independent of any other warranty made by any other person. Altusa, shall in no event be liable under any circumstances for incidental or consequential damages, or for any damages to any structure its contents, or its occupants. Some states do not allow the exclusion or limitation of incidental or consequentioal damages, NO the above limitation may not be applicable in those states. Claims finder this warranty will be henoted only when the following conditions are met. 1) The holder of thin certificate is the original legal owner of the property shown herein (if on final owner is a developer, this warranty can be passed up to the fast registered buyer of the structure), or the legal owner of record of the property shown herein at the time of installation of Altusa tiles, to•an existing structure; and 2) the registration certificate shown hereifi has been properly executed and forwarded to Altusa within ninety (90) days of installation or original ownership, and 3) the registered owner notifies Altusa promptly after the facts on which the claim is based become known and 4) Altusa has had an opportunity to investigate and approve the claim before any repairs are made. For further information, concerning Manufacturer: ALTUSA Alfareria del 'Rubio, S.A. Carrera 1— Zona Industrial N' 2 Barquisimeto — Venezuela Name of 'filing Contractor Installation your warranty, contact: 1 INTERCLAY CORD ORATION 6646 N.W. 77TH AVE. MIAMI. FL 33186 (305) 471 -5830 FAX (305) 471 -6833 Date of Tile Comment: 401.. 4P 4MW 1 I e ♦40► 1 • 1 • ■ 4P 400 • • ♦ r 1 ♦ 411► e• 4P 400 1 . 1 1 1 •I 1 1 ISO • 1 11 11 111111 11/111111111111111111111111 £l d . 1 1111111111111111111111 WdtiZ Z1�1001 'OZ'gnd 04/21/03 MON 11:54 FAX 954 578 1042 ot M I DADS Atz Eg 7 ACCEPTANCE NO.: 01 0521.02 POLYFOAM PRODUCTS, INC. PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc_ 2400 Spring- Stucbncr Road Spring ,TX 77383 -1132 The expense of such testing will be incurred by the manufacturer. MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 10 WEST FLAGLER STREET. SUITE 160) MIAMI, FLORIDA 33130 -156) (305) 375 - 2901 FAX (305) 375 -290s c:oNrit..CEok LICENSING SI•:c ZION (305) 375 -2527 FAX (3 )75 - 355g CONTRACTOR r:NFORCEMIENr DIVISION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT' CONTROL DIVISION ()05) 375 -2902 FAX (305) )72 -6))9 Your application for Notice of Acceptance (NOA) of: Two Component Polyurcthene Foam Adhesive 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 NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time 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 by BCCO that this product or material fails. to meet the requirements of the South Florida Building Code. EXPIRES: 05/10/2006 • Raul Rodriguez Chief Product Control Division TI-IIS IS THE COVERSHEET, SI,E 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 puilding Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. AP1'ROVED: 06/14/2001 Francisco .1. Quintana. R.A. Director Miami -Dade County Building Code Compliance Office I1s04500011pc20001 Vemplateslnodec accept nee cover pagadoc Internet mail address: pos tmastcr®buildingcodconline.com Flomensinc: hitn- / /www h,�il.lin.re n.lnn..l: ^^ ^ . ^• LEJVVL Of/21%03 MON 11:54 FAX 954 578 1042 I L POLYFOAM PRODUCTS. INC. Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ROOFING ASSEMBLY APPROVAL Catceory: Roofing Approval Date: .tune 14, 2001 Sub- CatcgorY: RooFTilc Adhesive Expiration Date: May 10, 2006 Materials: Polyurethane 1 SCOPE This approves Polypro® AH160 as manufactured by Polyfuam Products, Inc. as. • described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low; and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Polypro® AI-1160 N/A PA 101 Two component polyurethane f oampro® RTf 1000 N/A Dispensing Equipment ProPack® 30 & 100 N/A Dispensing Equipment ( 2.1 Components or products manufactured by others: Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list uplift resistance values with the use of Polypro All F60 roof tile adhesive. 2.2 Typical Physical Properties: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 Results 1.6 IbsJR' .I8 PSIParallel to risc 12 PSI:Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs. i't 3.1 Perin / Inch +0.07% Volume Change a -40 F.. 2 weeks +6.0% Volume Chan e (cd Humidity, 2 weeks Frank Zuloaga, RRC Product Control Examiner igjuVJ 04121/03 MON 11:55 FAX 954 578 1042 POLYFOAM PRODUCTS,INC. • Polyfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and arc subject to normal manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® A1-1160 shall solely be used :with flat, low & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Rooting Application Standard RAS 120. . 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AFI160 roof tile adhesive with their tile assemblies shall test in accordance with l A 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tilt adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. - w 2 4. INSTALLATION 4.1 Polypro® AHI60 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 4.2 Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® A1 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Rooting Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AI-1160 shall be applied with Foampro RTFI000 or ProPack ®30 & 100 dispensing equipment only. 4.7 Polypro® A1.1160 shall not be exposed, permanently to sunli 3 Frank Zuloaga, RRC Product Control Examiner tgj u u 4 Table l: Adhesive Placement For Each Generic Tile Profile TileProfile • Placement Detail Single Paddy Weight : Min. (grains) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles. 111 35 N/A High Profile (2 Piece Barrel) 4 1 17 /side on cap :Ind 34 /pan N/A , Flat, Low, High Profiles X12 • 24 N/A Flat, Low, High Profiles #3 8 04/21`03 MON 11:55 FAX 954 578 1042 POLYFOAM YKUUUCn ,1Nt:. Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 • 4.8 Tiles must be adhered in freshly applied Eidhesive. Tile must be set within 2 to 3 minutes after Polypro® AH 160 has been:dispensed. 4.9 Polypro® AI -1160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement notcd herein. 5. LABELING All Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. : Frank Zuloaga, RRC Product Control Examiner 04/21/•03 MON 11:55 FAX 954 578 1042 POLYFOAM PRODUCTS,INC. Polvfoam Products, Inc. Ire name only; Keep IdMabe approL 1 h. up hem weephalu Era cane only K..p "(hake IpproL 4Ia. op tram weephales ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 5 ACCEPTANCE No.: 01 -052 1.02 1) Placa enough adhotive to achieve 17 to 23 Opuonel Ufa la titan Inches la town "11t1 the pin pie heap pitch appNudonl ha Vitali du tlIa. 71 Tam coven opolda dawn. Pea Pollak' IR la` To 1 la. From Wilda edge of cove Ink •Undertaymont 1: Rena • 1 0 0 • d Ow save • s ouse cover UIe. Mtn In second =Me al pan Bal. Enron tan and al pan tnd caw aka ire Bah al OH Eiv• clam )nvxur skaenl Weaphole Fads Bo Ned Through plupc ctdam Optimal Polak* Homer an lonpltudho • edge al Igo Frank Zuloagn, RRC Product Control Examincr Sheathing 04/21/03 MON 11:56 FAX 954 578 1042 POLYFOAM PRODUCTS,INC. .Polyfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY 6 ACCEPTANCE No. ; 01- 0521.02 Nall through plastic cement Undetbymenl Eve Course Paddy (Beneath The) Fascia Wetphde Eave closure Drip edge Frank Zuloaga, RRC Product Control Examincr witty/ 04,421/03 MON 11:56 FAX 954 578 1042 Po lyfoam Products, Inc. POLYFOAM PRODUCTS, 1NC . ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Single paddy on top al Single paddy undor the rave course 2 in. X7 n. medium size paddy ears Nada course only ' Nall through plastic cement Nail through plastic cement Underlayment Single paddy on under- laymen( Single paddy on top of Ille Faye Course ngle paddy on lop of the Eve Course 7 ACCEPTANCE No. : 01-0521,02 Single paddy between the Eve Closure 2 In. i 7 Iri. medium Jilt paddy eava course only Fascia Prank Zuloaga, RItC Product Control Examiner lei knot Single paddy under tlle Single paddy between 2In. r 7in. med etre paddy cave course only Fs Weepho Ease clout Drip edge 04/21/03 MON 11:56 FAX 954 578 1042 POLYFOAM PRODUCTS, INC. 16 01 1'olyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 Renewal of this Acccptancc (approval) shall be considered after a renewal application has been filed and thc original submitted documents, including test- supporting data, engineering documents, are no older than eight (K) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami - Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the sane 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. 4. Any revision or change in the materials, use, and/or manufacture of the. product or process shall automatically be causc .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 bc 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 Ivliani -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, %vhcrc 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 thc copies. 8. Failure to comply with any section of this Acccptancc shall bc causc for termination and removal of Acceptance. 9. This Notice of Acccptancc consists of pages 1 through 8. END Of TIIIS ACCEPTANCE fr:u�k 7_uloaga, RItC Product Control Examiner Miami Shores Village 10050 NE 2nd Avenue Parcel # 1132050120050 Signed (INSPECTOR) Signed: Building Permit Phone: 305 - 795 -2204 Permit Number: BP2003 -705 Printed: 5/6/2003 Page 1 of 1 Applicant: AMPARITA CABRERA Owner: CABRERA AMPARITA JOB ADDRESS: 1042 NE 95 ST Contractor J & W BUILDERS Contractor's Address: 605 TURTLE RUN Local Phone: 954 - 992 - 8951 Legal Description: KIRBYS ADD TO MIAMI SHORES PB 41-44 LOT 5 LOT SIZE 81.160 X Fees: Description Amount FEE2003 -2623 Building Permit Application Fee $60.00 Total Fees: $60.00 Permit Status: Approved Permit Expiration: 10/29/2003 Construction Value: $1,600.00 Work: NEW ROOFING IN ADDITION Total Fees: $60.00 Total Receipts: $0.00 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. 11"'M �. .. r 'a� • .:u -;f •ai . i. ii,:•.i i. �i�.'•a '%Liii) UL t.. (Contractor or Builder) BY: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date) J 2 �_ /_�� Time Type Insp'n Permit No. Name Address Compan � Phone # 3 � • b- b6^' 6 1 / I �] Q � For Inspector: / 2 1 2 -71 0, e & Date I X. 0 o MIAMI SHORES VILLAGE A BUILDING DEPARTMENT \ 305- 795 -2204 \.)\ Building Inspection Request Date io/ 7 Time Type Insp'n BUG 1 Permit No. P AA03 _ 70-6 Name e hApro L u Z nl ` �D Address Company Phone # For Inspector: /0 — Correction Re- Insp'n Fee t 3 6( '7O 17 Name & D MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / i � / % ' Time � / Type Insp' n _ • .,/? � ! Permit No. Name C4-iJ''ts / ?._ Approved Correction Re- Insp'n Fee t,3 o - /0 Address O f' a . Company E �), 9/J ( Phone# � d `I � U � � ), �� 1 For Inspectpr✓ -2 / ?- 7/ ILme & Date " M SHORES VILLAGE `B J1LDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I zI X a Typetrr sp' n t t IA Cis' 1243°F Permit No. 1 ") e 63 " 705- Name l i.Z- Z �- Address /D • A/C- 95 s 7 • Company (L) /SW' /cte.„( o Phone# 305 2 -6 6' ���' 7y Inspection Date Z ) 03 Approved Correction Re- Insp'n Fee ieR BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Permit Type (circle): Building Electrical Plumbing Mechanical Roofing 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 43 0 3_ 316 Master Permit No. Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: DAddition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: r (.t SS $ri lOiY1 i * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** County Escrow Fee $ Permit Fee $ Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due (Continued on opposite a 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 me 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. *********** s*+ i******************** s* * *s * *s * ****** * * * * * *s *s *s *s *s * *, ******* s* ** * *s * * * *s *s *s * ** * * *s *s **** * * ** APPLICATION APPROVED BY: chc7/7 /03 AUG - 1 2003 Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 4 , 19 Owner's Name and Address thr s • .1J . Ya rb rough No, 104 ` Street ___1C 95 St _.__, IJli am i Registered Architect and /or Engineer Name and address of licensed contractor Giffen___ Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done 1042__N__1 F'• .____95___St.._M-T amj-__Sho State work to be done and purpose of building (by floors)_ Ao.of- .Repair New Building To be constructed of Remodeling Addition Repairs X No. of Stories Kind of foundation Roof Covering Tile Estimated Total cost of improvements $ 118_._Q0 Amount of Permit $__ __1._QO Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor Permit No Disapproved (Signed) _ Date Building Inspector and for no other purpose. _Plan Cubage _Size of Building Lot 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 Giffen hoof ngCQ_._ _,i?,_! _ ��Qx ____7.21�_ar_a1 _Gab1_es, - -- -Flamm 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 ,.r sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecti o , i e site of the rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr ,ast6 s owoikc to b performed und•''this permit, as are licensed by Miami Shores Village. Remarks___________ (Signed) ■ S Dymond 'resident Shore e Fla. 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 _____ S . C_ R a nOn_d,_P.r esident 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 tip foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Read, Sworn to and Subscribed before me. 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date / - J 19 / Owner's Name and Address A f t, f No Street Registered Architect and /or Engineer Name and address of licensed contractor 1 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Tom ___ "____ State work to be done and purpose of building (by floors) /z" f1%f) G h c` t �1_�..� 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 $ °' ' Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the w' such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractor on wo erfor de 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, g 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 -------- _______ __r_____ Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires Notary Public, State of Florida 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. MIAMI SH RCS 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. /2 f -� _ _ I9 Owncr's Name and Address J J • P ' i No. / Street s 9 5 Registered Architect and /or Engineer Name and address of licensed contractor._C pD 1 ° - ____ -o 1 - - - _.- Th- ___.____ S 5 / (/O/, 7 Location and legal description of lot to be built on: Lot Block // � S / ubdivision Street and Number where work is to be done /0 Z 4L'L= State work to be done and purpose of building (by floors)_._-et° late ‘ sly 4-4 °`' /d. ' — / -3° 41 g -f, 6( New Building Remodeling Addition To be constructed of Kind of foundation I hereb submit all the p be sent to r �M 2 Disapproved (Signed) Lf Z- a LQ" , - 3 er 1 ° - ve specifications for said building. All notices with reference to the building and (1,,61C 3 55'5 ,'• 7e( 7 33 < 5 and for no other purpose. Repairs No. of Stories Roof Covering A o� � �b Estimated Total cost of improvements $ 1 y 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 its construction may The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for i ection the of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such-s co trac s on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed).' • - - -- - -- STATE OF FLORIDA, l COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. r� Permit No 4_ Z ri Date__/`'"/. _ 7/ Read, Sworn to and Subscribed before me. Notary Public, State of Florida uilding 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 n• ia..oec•tion fee of $1.00 will be charged when such re inspection is mado necessary by improper notice for inspection or faulty materials anu /or workmanship. KIND OF INSURANCE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY BODILY INJURY PROPERTY DAMAGE WORKMEN'S COMPENSATION Eff Exp. Provided by Workmen's Compensation Law —State of NIL COMPREHENSIVE GENERAL LIABILITY GLA 11108 Eff. 12/14/71 Exp. 7/1/72 $ 100, , 000 Each person $ 300, , 000 Each occurrence $ 300, , 000 Aggregate $ 50, , 000 Each occurrence $ 50, , 000 Aggregate MANUFACTURERS' AND CONTRACTORS' LIABILITY Eff. Exp. $ , 000 Each person $ , 000 Each occurrence $ , 000 Each occurrence $ , 000 Aggregate OWNERS', LANDLORDS' AND TENANTS' LIABILITY Eff. Exp. $ , 000 Each person $ .000 Each occurrence $ , 000 Each occurrence $ . 000 Aggregate CONTRACTUAL LIABILITY Eff. Exp. $ , 000 Each person $ , 000 Each occurrence $ , 000 Each occurrence 5 , 000 Aggregate AUTOMOBILE LIABILITY ❑ Owned Automobiles ❑ Hired Automobiles ❑ Non -Owned Automobiles Eff. Exp. $ , 000 Each person $ 000 Each accident $ , 000 Each accident COMPREHENSIVE AUTO- MOBILE LIABILITY GLA 11108 Eff. 12/14/71 Exp. 7/1/72 $ 100, , 000 Each person $ 300, , 000 Each occurrence $ 50, , 000 Each occurrence OTHER: Eff. Exp. ,This is to Certify, that policies in the name of NAMED INSURED and ADDRESS are in force at the date hereof, as follows: CERTIFICATE ISSUED TO: P NAME and ADDRESS Palmer Roofing Co,, Inc, et al 3555 N.W. 74th Street Miami, Florida 33147 L CERTIFICATE OF INSURANCE J In the event of any material change in, or cancellation of, said policies, the undersigned company will endeavor to give written notice to the party to whom this certificate is issued, but failure to give such notice shall impose no obligation nor liability upon the company. Dated: December 14, 1971 Nameof Cotton States Mutual Insurance Compan Company: AUTHORIZED REPRESENTATIVE Risk Management, Inc, P.O. Box 20654 Orlando, Florida 32814 GU 6115 (Ed. 2 THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE AFFORDED BY ANY POLICY DESCRIBED HEREIN. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building • MIAMI SHORES VILLAGE, FLORIDA El DATE / , -' i --195 ❑ PERMIT N? 13895 Contractor's ❑ License No LIf Work to be performed under this Permit T i Architect Contractor or Builder ,.,A. . b,.. Legal Lot II 81. Description Address of f / r Value of 1 Amt. of Building b I 1 ', / 21 (1 Project $ y 1 c> Permit $ , This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application • 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 dra ngs or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. , M v ; r o - I ./ .1.. .a INSPECTOR In consideration of the issuance to me of this permit I agree to Perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Subdi- vision BY AUTHOR= PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date (.- )„ -1 1) Job Address tJ. E 95 S�re f Tax Folio`/ JZQ� /a. aGVd s Legal Description:4S Owner / Lessee / Tenant LIVIVi0, H;lit,ida ¥Q e1 X14. E ��(.�Y�.� Owner's Address 1 r)L I? , C, � f;1 Contracting Co. �tkA . t' f � �d�C ( %71t. k_nc, Address Qualifier 00k(')i)S . N - e- J\t' State# Q OD.c g (PJ 7 Competency# Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION'] eo Square Ft. 2 3 szi . Estimated Cost '( ?)I ; (o t - x9 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 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 t above -named contractor to do the work stated. lgnature of Owne Date: 6 19-y / /LL l /./.-12i—' Notary a to Owner and /or i �''ggz t ` TARP PU LI G. , ' OM 10. * D THRU N 1993. My Commission ExpirT C . � OMMISSION EX 1 wni � ' B OI*E Fi * * PERMIT FEE: APPROVED: Zoning SS# / Phone (BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN OTT O i Cf r54 'A i 3 f) ) 1 ' F � s�?�'�' . r)-i fm7 () f ti f pv-e:r l : . c-1-r�_1 f ` � L �' and /or Condo President Building Mechanical Plumbing Address Address Address Master Permit # Phone qq 5T. Ins. Co. Gt)(C_ Signature of Contr -ctor or Owner- Builder Date: 6- /'7-/ LIB Notary as t.YContractor or Owner -Bui per My Commission Expires: * * * NOT WY PUBEICypTATS OF I.OR114. MY 1 1 0f+ yp PIR :OL"i. 16: 1997$ � i r c° 7 p � ND6RW RIT6R9■ Other c1F RY /� Electrical Engineering ti 4 . TAT:: OF FLORIDA C7iJi1TY OF DADE I P;E ^EQY CERTIFY that this is a ue qpy tr of thus ori!•inDI filed in his office On t d of , A.D. 19 7 tJfi Na my and and Official Seal. Clarlr Ci uitt Court DY (C4.i,( tL lotary P blic ,DC. ax `Folio No. // 3a-03 /,2 DSO I& c {ed.h • ; 11 _ NOTICE OF COMMENCE ENT Q(.2c,A i- gc..0 P-:0 c n�-r . f c -, br.. s �v. 9 ' �t te , Fick. 33(s° 9 1R2 155 19 1991 JUN 25 11:49 THE UNDERSIGNED hereby gives notice that improvement 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. 'State of Florida :aunty of Dade 1. Description of property: (legal description of the property, and street address if available) ' ' i 1 1 .• 2. General description of improvement: Tn - i A T, Or' 17 rnr�T 3. Owner information: a. Name and. Address:1...:,',(1ryN t�!r.�C(C.t Four, 5 -r-3rgo b. Interest in property: c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) a IG ):7%-/ Oty) fi r n ( -fr,r nfre - , IC /'7/- c l A . w . 9 ci <T, /,.tm ; C / /SO 5. Surety: a. Name and Address b. Amount of bond: 6. Lender: (name and address) 7. Persons with 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) 9. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) 1 .;worn to and subscribed before me this ), r1 /i7 .(4 i -ua r A ) ' JIJ (/�l/ E / 3 �-� ignature of Owner 19 day of ),0,14 , 1991. My Co mrn i s i o n E x I� ' u nt tr_ STATE OF FLORIDA. MY COMMISSION EXPIRES: OCT. rb. 19613+ RONr1RD TNRU NOTARY PUBLIC alIYERWRI MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi g Inspection Request Date Type Insp'n Permit No. Name Address /0 0 A % Company r - Phone # ( gz1t) A6 /4' if Inspection Date /// J Correction Re- Insp'n Fee 33 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 91 I (0 _ Time Type Insp'n 1 1e. i M1 Proc re ss Permit No. 6 t 9 3 ° T ICS. Name UO2\QVQ. Address tO4 NF 34 Company Phone # For Inspector: i3P 91 9.. Name & Date Approved Correction Re- Insp'n Fee ❑ 33 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. Pry tC,SS se`s 3 10S. Lc, Name bb Lc, Address n4,1 E . cis 54-- Compan Phone # For Inspector: ep ® Name & Date Approved Correction Re-Insp'n Fee ❑ BUILDING DEPARTM 305- 795 -2204 Building Inspection Request Date 6 ! 7 "©3 Time Type Insp' n -76)44-/L �j ( d- e),44-/ �jtu/ iQ� Permit No. r ao 3 ?es-- Name C Address / 2 4/E 93-s / Company dt_ VV () I 1 de Phone # 7810 (O - For Inspector: 6-).0-03 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request ; 0 1 Date 4-79-63 Time 1 / Date Type Insp'n �. C� c (d 1. , q 4 °7� 999 Permit No. 9" , O®3 - 7 Name Crla6' ra. Address �,t* 41 93 5 Company pl t/1J lebo.kr Phone # 7 g b L1 Oo o f For Inspector: 6_,),.0.,03 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Date SW 3 Time Type Insp'n Permit No. s ,9663 - 7 ©s Name CA.,h ` ra_.. Address /ova / V c Company eWY-OL) /C- 46/I!/ 7.! Jim Phone # g6 J 7 9 / ®/S For Inspector:3 /y-®3 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reg Date . Time Type Insp'n Permit No. :2d0 3 - 7D6 Name r h v p Address / Q ¥ a A/C. 1 Company �(��l��C Phone # s 3 7 7 - 7a/s' For Inspector:5_/ f _®3 Name & Date Approved Correction Re- Insp'n Fee 0