1066 NE 94 St (12)Owner's Name and Address
Registered Architect and /or Engineer
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 haild-
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.
7
Date 7/ ®41 ,19
No /12_4 6 Street
0
Name and address of licensed contractor C^ - Ni P� --► °
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done /6 6 eo 6 /• 9 if °
State work to be done and purpose of building (by floors)
If A
and for no other purpose.
New Building Remodeling Addition. X_ Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering____= --1.7.?___ � 4 '
c :, , c .,
Estimated Total cost of improvements $ , Cr`v- -'` - Amount of Permit $ c.> ` - -
_Plan Cubage__ ._
Size of Building Lot
Zone cubage required
Distance to next nearest building
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, Pennanent 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 jry ork to be performed under this
permit, 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
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._ E' z ' p � �
Q Date___ Read, Sworn to and Subscribed before me.
Disapprove 4�
(Signed)
Chairman
Member
Member _
Date
Building Insp
LANNING BOARD__ ..... . DATE
Notary Public, State of Florida
My Commission Expires
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 SHORES VILLAGE
1 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.. ...d 2"8.7:
Owner's Name and Address ......... S! s' rer ..» No./.966'
o. 96 ..._.. Street: .
Registered Architect and /or Engineer •. . 0/ frf
Name and address of licensed contactor
ea. (1f C �.e _ �,� � '� ¢' .
Location and legal description of lot to be built on:
Lot Black Subdivision _
Street and Number where work is to be done " IV ,E 9 I 'r , f --�• - -
Sta ork to done -
and rpose o buildinn flocs )...( l ` � ,, .2 u ! . K m
and for no other purpose.
New Building Remodeling Repair
���� s
To be constructed of i!?i ,11? Kind
Estimated Total cost of improvements $ c2.0174' pip Amount of Permit S,
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 a and $ ecifications for said building. All notices wit _ r ferene to the Min and its construction may
be sent to.... ( < 1 grr' cf /iC 7? afo ��` /O � r.e; ' , q�
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al 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 arc required by the Act. The undersigned agrees to employ only such su tractors, on w k to be . ?nder this
pennit, as are licensed by Miami Shores Village.
Remarks..._ (Signed)
Addition
No. of Stories
foundation Cn.. ?`c.. Roof Covering
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 stated are true.
Permit No.._..__ Date Read, Sworn to end Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
to me well known,
PLANNING BOARD _..__..- ..DATE
Chairinan Member
Member Member
Member . ... Memb :r
Council Approved Date Disapproved .
NOTE: A charge of $1.00 will be mace for niakin3 e:Iirrec: ions or changes to this application after approval has heen obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re- inspection hi rnac"e necessary by improper notice for inspertiim or faulty
materials and /or work nanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plan ,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.
Owner's Name and Address .''.a) Sxvder
Date , 19
No1066 R. F. sgeeth Street
Registered Architect and /or Engineer
Name and address of licensed contractor...D.rat r 7,II9.f3.t1
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 10,S5 N. V-Ith
State work to be done and purpose of building (by floors) .3.00finz : heat :eta].
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering B,.tup ac i <et.
Estimated Total cost of improvements $...201:400 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 perrnit 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 Suppleme t,
and has complied with the provisions thereof, and will require similar compliance from all contractors o sub - contractors employed b i r
in the work to be performed under this permit; and will post or cause to be posted for '.spection on th site of e yvork such public o• ce
or notices as are required by the Act. The undersigned agrees to employ only such .0 :contracto! , on work performed . r this
permit, as are licensed by Miami Shores Village.
Remarks (Signe
STATE OF FLORIDA, f
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackno edgments, 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. 2
Permit No
Disapproved
Date
Date
(Signed) -- -- 2-2%. - Building Inspector
Inspector
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of 51.00 will be charged
materials and /or workmanship.
Chairman
Member
Member
Council Approved Date
Read, Sworn to and Subscribed before me.
PLAN BOARD DATE
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved .... ..... Date
making corrections 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
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applicat on is hereby made for the approval of the deta k d statement of the plans and specifications herewith submitted for the build-
ing o other stru ture he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores V lic g - F onda, and all previsions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and Al rules and
regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her :n specified er not. A op of approv d
plans and specifications must Ix kept at building during progress of the work.
Date_ `i(=VW!. S 1944
Owners Name and Address __ M d' kith, WA14_L , A SwZ/®6 - No. 1_1:14 Street__ N s 941 `{
Registered Architx; and or Engineer _ WA, Sm_y ee 44,.c Iles *. g All. Rd CS atoll 11► Im
Name and address of licensed contractor _ ___ _
Location • nd legal description of t to be built on &® T ¢ p6P41.N 4L®T M •
_ Block __ _ _ -- Subdivision_ .'t ��f3 y s- ® /11) p m AI_ - _ --
Street and Number where work is to be done_ Qsr) qi - N E __ 44 tt*S*
State work •'-; be done and purpose of building (by floors) ____Rec f act,. _ - -& )_10 0 Ayq _ Pate _
-- - - -
- -- --
and for no other purpose.
New Building _ __ ___ Remodeling `)C ___ _ _ Additi _ Repairs _ _ - _ _ _ No of Stories
To be constructed of Fi'4Wa. Kind of foundation 2VPeJ . 'LW* En. o feel, Roo Covering T1 itI •
Estimated Total cost of improvements $ __ _Arno . Permit $
Zone cubage r e q u i r e d- - - - - - - - - - - - - - - - - - - -- plan Cubage _ __ _ _
Distance to next nearest building_ __ . _ __ _ _ _Size of Building Lot_ _ .
Maximum live load to be me by each floor __.
I here:,y submit all the plans - .d ° eec;fications o sa'd gilding. All notices with reverence to the building and its con•tr ction may
be sent to _ _ _ __ _
The undersigned -pp. :cant for this buildin-F permit does hereby certify that h = •nderstands •,d acczpts his obligations as an employer
of labor under the Fl rida Workmen's Compensation Act, being Section ,966, Con Cen<rr.l Laws of Flo. -ic.a, Permanen': Sapp: • nent,
and has complied with the a' v'sions thereof, and will require similar compliance from all contractors or sub - contractors p;o' .d him
in the work to b.: , • r d u der this :ermit; and will post or cause to be po Led for inspection on the site of the work such pubic no :, e
or notices as ore required by the Act. The undersigned a ree, to - ploy only such subcontracto_s, on work o be pe formed under th s
permit, • .. are licensed by Miai. S; . e Village.
Remarks__ _. .
STATE ; LORIDA, p
COUNTY OF DADE j SS.
( Sign„ Zattet.
Before me, he undersigned authority a notary pubk. ; duly uthorized to administer oath and take acknowledgments, per..) ially ap-
peared ._ _
_ __ to me well known,
and who, being by m fist duly swo•• upon oath d'poses and says that he is the
of he above described coast u tion tha; ie has carefully read the or going cat.on, -
therein b him ated are tyue }
Per it No. _ C Date_ U
Disapp o ed Dat
Signed)
Build; ,g Insp
Read, Sworn to and'S.ibscnbed before me.
P ANNING BOARD _ DATE
Notary Public to of Florida
My Commiss on Expires _
Chairman _ u Member _
Member _ _ _ Member
Member _ _ _ - M ber
Co .il Approved _ _ _ Da e D sapp oved Date
NOTE. A charge of $1 00 will be made for making corrections or changes to this appl cation after appr. val has been obtained from
the Planning Board
A r -i. _pe_ • 1 fec of $1 00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
AP PLICATION 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
Shsres 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
STATE OF FLORIDA,
COUNTY OF DA!DE.
ss.
P Snyder
Registered Architect and /or Engineer
Name and address of licensed contractor nrady__R opfi,ng 8c :%mot i-:etal ®295,5 N. 4- r. 73rd St.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 3.066 9 St
State work to be done and purpose of building (by floors) Roof Add&tion: 30 - — Tile
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering..-3O- 90— T': -rU.E
Estimated Total cost of improvements $225 - ..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 construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an et Toyer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L s of Florida, Permanent Sup went,
and has complied with the provisions thereof, and will require similar compliance from all contracto s or sub - contractors employ y him
in the work to be performed under this permit; and will post or cause to be posted for in ectio on the s - of the work such t ,l c notice
or notices as are required by the Act. The undersigned agrees to employ only such su.r•ntract r4, n . k to be perfo ed .finder 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 cknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No _ Date (C Read, Sworn to and Subscribed before me.
Disapproved n Date^
Date , 19
No 1066 • ' Strea St.
to me well known,
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 been obtained from
the Planning BoarG.
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.
Application. is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other stricture 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. , 19
Owner's Name and Address .....I ?.hl Snyder N 1006 = 'I.L•Street 94th St.
Registered Architect and /or Engineer _ ...
Name and address of licensed contractor.__.3rady_..Ro. frog...&__ sheet.. k >ut31_ -. 29 ,55 .
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be der-: and purpose of building (by floors)_.e.OQf__Aldditlon: BuLltup & Graire1
and for no other purpose.
X
New Building Remodeling Addition Repairs No. of Stories
To be constructed of.. Kind of foundation Roof Covering built 1.p
Estimated Total cost of improvements $ 80.00 Amount of Permit $_.__ .00
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building 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 up dement,
and has complied with the provisions thereof, and will require similar compliance from all contras ors or sub - contractors em o..ed by him
in the work to be performed. under this permit; and will post or cause to be posted for inspectio the ite of the work sue ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such su ntract' on`work to be pert r ct under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the. .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No. ii',. J ' j Date v Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Buildhig,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- inspecticn fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
l000
oLith St .
TT . 73' SHA
to me well known,
c N
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal of the detailed statement an Inc 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.
Owner's Name and Address ......MR . ff.....A.B ... _ No. .1-0.6.6 .
Registered Architect and /or Engineer
Name and address of licensed contractor ....
C.....fn...
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1066 N . E . 94 S $ . Q e
State work to be done and purpose of building (by floors> R2-A4A. f,V.: Remo., 41.80 626. with white
beat cement ti and 20.04 6q6. 5 p.ey eat gtt.avet
_.._. and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof
� ± � Covering. ..
Estimates Total cost of improvements S 1 3 r 8 9 5• 0 0 Amount of Permit $$..��0.�..lJ.f!'
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 C.E.SHEPPARV R OOFING: 41 N.W. 20 St., Miami 33127
The unli 'r, icncd 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 59G6, Compiled General Laws of Florida, Pertn.tnent SuplIilement,
an has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hjm
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 subcoo tsaejors, on work to be performed under
permit, as are licensed by Miami Shores Village.
Remarks (Signe
pealed
Disapproved
(Signed)
Building Inspector
Chairman
\fcu,bcr ...
Member
Council Approved Date
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
A pn.L.e 2, 18 .. 81
19...,1,..1,.1111,
Street._li...F._.._9. _.S.4e
2.0... 1 2 7
4/2/81
STATE OF FLORIDA,
COUNTY OF DADE. SS.
Before me, the unders fined authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
C ano.e E. Sh.eppand
-9- to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the. ..eoJ4.nar^..a t .... na.a. 4.i.n . y .... 1 .
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, anal that all facts
therein by him stated are true.
Permit No Date 1451/4
y Public, State of Florida
M Commission Ea sees Notary Public, State of FIetiea f.I r ,p• r r�
Y 1 ._ 1 . 1 ..... 1 ;....,.... _.. .
My Commission Expires flans 2, ayG
Bonded By American Fire & Cccualty Ccmy.ny
Member
Member
Member _.._. ,.
Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained (mm
the I'Luuiir Board.
A re- In'hection 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.
Date i 6 .S' c- i / I f`
Vik704
Owner / Lessee / Tenant 9 tt y7 dCc 6 61.1 S t n Master Permit ,7 A/ 7/
Owner's Address /0‘C /\/C 9e/ S Phone
/ l j
Contracting Co. � � ovF /n ' Address t "L ` ' J-)
Legal Description
Signatu
Date:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
owner and /or Condo President
Notary as to Owner and /or Condo President
My Commission Expires:
P
Qualifier (//�� ,^ !/f���
F s/ SS0 - Phone 7 S7 - // 4/ V
State # CC( 6)/21- V Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION oD Aee0.7T 3ov p7
gJ /(/ JO Cc& v
Square Ft . 3 0d
.3 O � Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. 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 con uction and zoning. Furthermore, I
authorize .> a above- napmed contractor to do the work stated.
Mechanical Plumbing
Sig
Da
My Co Fission Expires:
or or Owner- Builder
Tax Folio!! i'5 /az £ Jg '
FEES: PERMIT® #P RADON C.C.F. / NOTARY TOTAL DUE✓ /
ctor or Owner- Builder
Fire Other
Zoning Electrical
Engineering
My Commission Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 8— 2 7. 8 Job Address 1 066 N. E. 94 Street Tax Folio
Legal Description Historically Designated: Yes
n �
ssee / Tenant o ►� / - l o r C t S' Master Permit #
Owner'sAddress 1066 N.E. 94 Street Miami Shores ho e
Contracting Co. Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue
Qualifier Carlos Arocho SS# Phone 751 - 0382
State # RC 0 0 5 8 6 2 7 Municipal # Competency # 178 R 9 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Will tear off first floor roof to wood clerk, tin rap 3n1h ARTM_
felt as per code, install eave and valley galvanized metals where required,
mop on with type III asphalt one layer of 901h_ ASTM felt and install Flat
White Metro Colorthru Tile with adhesive setting. Flat roof to put Flintlas
Square Ft. 35 sq. Tile 21 s q . Flat 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 LMPROVEMENTS 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 the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to 0 % er and/or Cnnan P
.0114.9. - MARYLOU HERNANDEZ
;,,_ MY COMMISSION # CC 680474
EXPIRES: October 10, 2001
Bonded Pali Notary Public Underwriters
FEES: PERMIT 1 g RADON C.C.F.
APPROVED:
Zoning
Mechanical Plumbing
9Mefr
Signature of Contractor or Owner- Builder
Notary as to Contra or Owner- Builder
My Commission Expires:
NOTARY
Electrical
17,000.00
No
.35" ;>
Date
Date
„OR' iris;, MARYLOU HERNANDEZ
�• MY COMMISSION # CC 680474
EXPIRES: October 10,
Bonded Thai Notary Public Underwritsrs
BOND
TOTAL DUE
Engineering
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF 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: 1066 N . E . 94 Street
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
2. Description of improvement: Reroof first floor tile and flat roof .
ner(s) name and address:
Interest in property: Owner
Name and address of fee simple titleholder: N/A
4. Contractor's name a9d address: Quality Roofing Contractor, Inc.
13800 N.W. 1st Avenue Miami, Florida 33168
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: N/A
Amount of bond $ 0 0
6. Lender's name and address: N/A
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: N /A
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address: N /A
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signature of Owner pp
Print Owners Name l.0' , n O. Ro r ‘ s
Sworn to and subscribed before me this 2S day of
Notary Public
Print Notary's Name
My Commission Expires:
Miami Shores, Florida 33138
c o 1:1, - 3
1 �6 6 AI E 9 Y S4-0z4-4- . S / L(
, 1998 .
HERN
N N CC 680474
EXPIRES: October 10, 2001
.n Thn/ Nntery Public Underwriters
STATE OF FLORIDA, C;OtJ fl ' 07 CAD
No2E9v1 F��Y o'
Ortr9' in7s is a O v oc�p') of ;,.o
a
c g
Cr3;ncIN01 irs o` oa `
w eir fG L1� 00.. _ _�
EV';zES mg P nd
tsk:i ,
988447765 1998 SEP 10 09 :21
Prepared by: Carlos Arocho
Quality Roofing Contractor, In
Address: 13800 N. W. 1 Avenue
Miami, Florida 33168
123.01.52 7/98
Tile
Profile
Tile
Application
Attachment
Resistance
Metro Roof Tile Concrete Flat
Mortar Set
39.00
Adhesive Set
118.90
Tile
Profile
X (ft')
Batten Application
X (ft')
Direct Deck Application
Metro Roof Tile Concrete Flat
0.27
0.29
Table 2: Restoring Moments due to Gravity - M (ft -Ibf)
Tile
Profile
3 ":12"
4 ":12"
5 ":12"
6 ":12"
7 ":12" or
greater
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Metro Roof
Tile Concrete
Flat
6.53
6.97
6.43
6.86
6.29
6.71
6.14
6.54
5.97
N/A
Table 3: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf)
for Nail -On Systems
Tile
Profile
Tile
Application
Approved
Nails
Approved
Screws
Approved
Field Clip
With:
Approved
Eave Clip
With:
1 nail
2 nails
1
screw
2
screws
1 nail
2 nails
1 nail
2 nails
Metro Roof
Tile Concrete
Flat
Battens
4.90
7.40
5.40
9.10
24.20
34.80
22.10
32.20
Direct Deck
9.80
18.80
25.30
41.30
24.30
35.50
19.00
31.90
METRO ROOF TILE INC.
DATA FOR ATTACHMENT
CALCULATIONS
Table 1: Aerodynamic Multipliers - X ( ft'
Product Control No.: 98- 0423,09
l Data noted in Table 3 is for instal at on with a 3" tile headlap.
2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others'
and 'Profile Drawings' sections of this Approval. Clips on eave the are not required for this
attachment configuration unless the Required Moment of Resistance exceeds the values
noted above.
Table 4: Attachment Resistance Expressed as a Moment — M, (ft -Ibf)
for Mortar or Adhesive Set Systems
Page 10 of 12
Frank Zuloaga, RRC
Roofing Product Control Examiner
METRO ROOF TILE INC. Product Control No.: 98- 0423.09
SYSTEM LIMITATIONS
The standard minimum roof pitch for Metro Roof Tile's "Concrete Flat ", flat profile tile shall
comply with Miami -Dade County Roofing Application Standards PA 118 or PA 120, depending on
the method of installation.
2. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter
larger than that of the preformed holes in the tile.
3. System installation shall be in compliance with the system specifications outlined in this Product
Control Approval. The method of attachment utilized shall provide sufficient attachment resistance
expressed as a moment to meet or exceed the required moment of resistance determined in
compliance with Miami -Dade County Protocol PA 115 or PA 127. The Metro Roof Tile "Concrete
Flat" tile profile has been tested for both wind characteristics and static uplift performance,
therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be
done as a 'Moment Based System'.
4. For mortar or adhesive set tile applications, a field static uplift test by a Miami -Dade County
accredited testing agency, in compliance with Miami Dade County Protocol PA 106, shall be
performed.
5. For mortar set tile applications, 30/90 hot mopped underlayment applications may be installed
perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's
published literature.
6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for
identification in the field.
7. Applications for roofing permits shall include a completed Section 11 of the Uniform Building
Permit, a copy of Metro Roof Tile's current specifications and details, a copy of this Product
Control Approval and a copy of the Product Control Approval of any Roofing Component used in
the proposed tile application. Reference shall be made to appropriate data for the required fire
rating.
8. The applicant shall retain the services of a Miami -Dade County certified testing laboratory to
maintain quality control in compliance with the South Florida Building Code and related protocols.
Samples taken shall be in compliance with Miami -Dade County Protocol PA 112, Appendix 'A'.
Page 9 of 12
Frank Zuloaga, RRC
Roofing Product Control Examiner
METRO ROOF TILE INC. Product Control No.: 98- 9423.09
Undcrlayment:
Roofing Tile:
SYSTEMS
(CONTINUED)
SYSTEM D: Mortar or Adhesive Set Application
Deck Type: Wood, Non - insulated
Deck Description: New construction 19/32" or greater plywood or wood plank.
Slope Range: 2 ":12" to 7 ":12"
Note: System D is only acceptable in this slope range. For slopes in excess
of 7 ":12 ", refer to System C.
Install underlayment system in compliance with Miami -Dade County Roofing
Application Standard PA 120. (See System Limitation #5.)
Install tile in compliance with Miami -Dade County Roofing Application
Standard PA 120. (See Data for Attachment Calculations" included in this
Approval.)
Comments: 1. For re -roof applications, 15 /32" plywood is an acceptable substrate.
Page 8 of 12
Frank Zuloaga, RRC
Roofing Product Control Examiner
METRO ROOF TILE INC.
Test Agency
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
Testwell Craig
Laboratories &
Consultants, Inc.
EVIDENCE SUBMITTED
Test Identifier
7161 -03
Appendix 111
7161 -03
Appendix III
94 -084
94 -060A
7161 -03
Appendix II
Report Dated
Aug. 1, 1994
P0631-01
PO402
Project No. 307024
Test #MDC -73
Lab #:EA -22
Tech: G. Suarez
Page 5 of 12
Test Name/Report
Static Uplift Testing
PA 102
Static Uplift Testing
PA 102(A)
Static Uplift Testing
PA 101
Static Uplift Testing
PA 101
Window Tunnel Testing
PA 108
(Nail -On)
Wind Tunnel Testing
PA -108
(Nail -On)
Wind Tunnel Testing
PA-108
(Mortar Set)
Withdrawal Resistance
Testing of smooth vs.
screw shank nails
Product Control No.: 98- 0423.09
Date
Dec. 1991
Dec. 1991
May 1994
March, 1994
Dec. 1991
Aug. 1994
July 1994
Sept. 1993
Wind Driven Rain Oct. 1994
PA 100
Physical Properties Sept. 1994
PA 112
ran Zuloaga, RRC
Roofing Product Control Examiner
METRO ROOF TILE INC. Product Control No.: 98- 0423.09
Test Product
Product Dimensions Specifications Description
Hurricane Clip & Clips PA 114 Corrosion resistant
Fasteners min. 'A" width Appendix E bronze, aluminum,
min. 0.060" thick stainless steel,
galvanized steel or
Clip Fasteners plastic attachment
min. 8d x 1''A" clips for
supplemental tile
attachment. Clips
are installed with
corrosion resistant
roofing nails
compatible with the
clip.
Page 4 of 12
Manufacturer
Roof Tile Adhesive N/A PA 110 Adhesive designed Polyfoam Products,
(Polypro® AH160) for use in roof tile Inc.
applications. with current PCA
generic
Frank Zuloaga, RRC
Roofing Product Control Examiner
METRO ROOF TILE INC. Product Control No.: 98- 0423.09
Product
Roofing Nails
Wood Battens
Tile Nails
Tile Screws
Roof Tile Mortar
( "Ti leTiteTM ")
Roof Tile Mortar
( "Quikrete® Roof
Tile Mortar ")
Roof Tile Mortar
• ( "BONSAL® Roof
Tile Mortar Mix ")
Test
Dimensions Specifications
min. 12 ga. with PA 114
3 /8" head Appendix E
vertical
min. l" x 4"
horizontal
min. I" x 4" for use
with vertical
battens or
min. 1" x 2" for use
alone
min. 8d x 2'/2" or
min. 1Od x 3"
#8 x 2'/2" long
0.335" head dia.
0.131" shank dia.
0.175" screw thread
diameter
N/A
N/A
N/A
Wood Preservers Salt pressure treated
Institute LP - 2 or decay resistant
lumber battens
PA 114
Appendix E
PA 114
Appendix E
PA 123
PA 123
PA 123
Page 3 of 12
Product
Description
Annular ring shank,
hot dipped, electro
or mechanically
galv. roofing nails
for use in
underlayment
attachment.
Corrosion resistant,
screw or smooth
shank nails.
Corrosion resistant,
coated, square
drive, coarse thread
wood screws
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Manufacturer
generic
generic
generic
generic
Bermuda Roof
Company, Inc.
with current PCA
Quikrete
Construction
Products
with current PCA
W.R. Bonsai Co.
with current PCA
Frank Zuloaga, RRC
Roofing Product Control Examiner
METRO ROOF TILE INC. Product Control No.: 98- 0423.09
Product
Metro Roof Tile
Concrete Flat
Trim Pieces
Product
Lenzingtex -ZB 140 59" x 164' roll
Underlayment 22Ibs /roll
Rainproof II
Ice and Water
Shield
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Test
Dimensions Specifications
I =16" PA112
w= 10"
1 -V4" thick
I = varies
w = varies
varying
thickness
30" x 75' roll
36" x 75' roll
or
60" x 75' roll
36" x 75' roll
TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS
Dimensions
PA 112
Test
Specifications
PA 104
PA 104
PA 103
Page 2 of 12
Product
Description
Flat, interlocking, high pressure
extruded concrete roof tile
equipped with two nail holes. For
direct deck or battened nail -on,
mortar or adhesive set applications.
Accessory trim, concrete roof
pieces for use at hips, rakes, ridges
and valley terminations.
Manufactured for each tile profile.
Product
Description
Single ply, nail -on
underlayment.
Single ply, nail -on
underlayment with
2" self - adhering top
edge.
Self- adhering
underlayment for
use as a top ply in a
two ply
underlayment
system with
Approved #30 or
#43 as the base
layer.
Manufacturer
Lenzing
Performance, Inc.
with current PCA
Protect -O -Wrap,
Inc.
with current PCA
W.R. Grace Co.
with current PCA
ran Zuloaga, RRC
Roofing Product Control Examiner
METRO-CADE
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Metro Roof Tile, Inc.
1 1501 Northwest 117th Way
Medley, FL 33178
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 98- 0423.09 Renews: 94- 1222.14
EXPIRES: 06/04/01
APPROVED: 06/04/98 1
Internet mail address: postmaster@buildingcodeonline.com
kit)
)
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901
FAX (305) 375 -2908
PRODUCT CONTROL DIVISION
(305) 375 -2902
FAX (305) 372 -6339
Your application for Product Approval of:
Metro Roof Tile, Nail -On, Mortar Set, or Adhesive Set "Concrete Flat" Roofing Tile
under Chapter 8 of the Miami -Dade County Code governing the use of Alternate Materials and Types
of Construction, and completely described in the plans, specifications and calculations as submitted by:
Redland Technologies, The Center for Applied Engineering, Inc. and Testwell Craig
Laboratories & Consultants, Inc.
has been recommended for acceptance by the Building Code Compliance Office to be used in Dade
County, Florida under the specific conditions set forth on pages 2 -11 and the standard conditions on
page 12.
This approval shall not be valid after the expiration date stated below. The Building Code Compliance
Office 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, the
Building Code Compliance Office may revoke, modify, or suspend the use of such product or material
immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is
determined by the Building Code Compliance Office that this product or material fails to meet the
requirements of the South Florida Building Code.
aul Rodrig iez
Product Control Supervisor
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Miami -Dade County Building Code
Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida
under the conditions set forth above.
Charles Danger, P.E.
Director
Building Code Compliance Dept.
Miami -Dade County
Homepage: http:/ /www.bulldingcodeonline.com
Ridge Ventilation?
01 Yl
MEAN HEIGHT 2°
Deck type:
IA:OCc`- I
Insulation:
3D)b, AST fak
12"
&OOP SLOPL
D E T A I L 3
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
. PROCESS No.
SLOPED SYSTEM DESCRIPTION
Fastener type & apadng:
Cap Sheets
Roo
5
go /b. /SAM
f C overing:
�1�1 Cv/c(
A..... Drip edge:
Page -2
/0? ke /d `l° "d.e
"D.( • CG'f/tni c / y /Ni: rr�c tzAS
ra. H1J7/ fi
r� rtzp
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
(Pmax1:12 3 x X (Aerodynamic Multiplier):20 !Pi
(Pmax2:1D3 X'2 (Aerodynamic Multiplier130.o 0
(Pmax3: 0b e l x a (Aerodynz o Multiplier):30 ton
TILE CALCULATIONS
m (� 1 = M Ng) PCA:
) - M = M PCA:
) - M to q) = M 0 PCA:
1
119
IIStCj0
Contractor's Name: Qtirz I.4 '2.00t-:n c . c ,! Job Address:
(Low Slope Application)
❑ (Asphalt/Fiberglass Shingles)
Flat Roof Area (ft 22. S% . Sloped Roof Area (ft , ; . Total (ft 59 S9 , Master Permit No.
Exposure category (per ASCE 7 -88): L Building Classification category (per ASCE 7 -88 table 1): Z
Ft.
Ft.
123.01.78 9/96
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
2 (
❑ New Roof Re-roofing ❑ Recovering ❑ Repair ❑ Maintenance
ROOF HEIGHT AND SYSTEM DETAILS I
(Draw details as needed) t / a je.lu -c
bF' Nl�'odir ;p
q-- 51‘-‘41 ROOF PLAN
_ L
Deck type: L ood- 1 K b
•
ATTACHMENT
it
Fastener Type: ) 94 f ; ShCA"L nct. is
SPACING
h �I
Field: l2 D.C. Perimeter: - 1 0 • C • Corner:
DETAIL 1 & 2
ROOF CATEGORY
❑ (Nail -On Tile) u (Mortars dhesive Se i e
❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
7
Page -1
r
r
r
r
r
r
METRO ROOF TILE INC. Product Control No.: 98- 0423.09
2'
PROFILE DRAWINGS
16'
16'
10'
METRO ROOF TILE CEMENT FLAT TILE
Page 11 of 12
Frank Zuloaga, RRC
Roofing Product Control Examiner
METRO ROOF TILE INC. Product Control No.: 98- 0423.09
Metro Roof Tile, Inc. ACCEPTANCE NO: 98- 0423.09
11501 N.W. 117 Way APPROVED : June 4, 1998
Medley, FL. 33178 EXPIRES : June 4, 2001
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been
filed and the original submitted documentation, including test supporting data, engineering
documents, are no older than eight (8) years.
2 Any and all approved products shall be permanently labeled with the manufacturer's name, city,
state, and the following statement: "Miami -Dade County Product Control Approved ", 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.
4 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 times. The copies need not be resealed by the engineer.
8 Failure to comply with any section of this Acceptance shall be cause for termination and removal
of Acceptance.
9 This Acceptance contains pages 1 through 14.
END OF THIS ACCEPTANCE
Page 12 of 12
Frank Zuloaga, RRC
Roofing Product Control Examiner
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
II
26
27
• 1�. 5
51
52
l'A■
IJ
2
3
28
53
4
29
54
5
30
55
6
31
56
7
32
57
8
33
58
9
34
59
10
35
60
11
36
61
12
37
62
13
38
63
14
39
64
15
40
65
16
41
66
17
42
67
18
43
C
68
19
44
69
20
45
46
• . j i'ev
70
71
21
22
47
72
23
48
73
24
49
74
25
50
75
Job Address:
Du Quesne & Associates, Inc.
Consulting Engineers
Testing Laboratory
THIS : '•R UBMIT�EB�BY:
ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
ge Du Quesne,
I Engineer
P. #24513
Du Quesne & Associates, Inc.
E.B. License #0005245
Lab Certification #94-0318.01
SITE SPECIFIC INFORMATION
UTR
TEST RESULTS
P = PASS, F = FAIL
Environmental • Civil • Structural
Building Inspection Services
Owner's Name: C t4 Permit #: �� `'C:%
l 9 t a r o I - 1 s c i 4 6, c .A4-0 .t , 4(.
Roofing Contractor: Q 0.ML ■ T .� 'ooh I w.l ( , r
Type of Tile: r ∎,AT - 'OA ..a t `'` - Date Installed: 0.1i4Otig
Approximate Roof Height: 2 feet Roof Pitch: 3 1 4.- • IZ
Type of Access to Roof: Scaffolds k— Ladder Other
Approximate Square Footage of Roof 3 00 o f
Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100
Date Tested CZ •2( Q8
SKETCH OF ROOF IN BACK 17 4-
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE
REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS.
Please Note: This form is not valid unless
Company logo appears in
color (burgundy)
7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426
5KETCH OF ROOF
JOB •
. •
SHEET NO OF
CALCULATED BY DATE
CHECKED BY DATE
SCALE
•
NOTES.
SKETCH OF ROOF 34f
JOB %OG -t - 9 4 err., Q.:7 j F
SHEET NO. 1.OF Z
CALCULATED BY DATE ! 2.- IA .qv
CHECKED BY
SCALE
`-
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NOTES:
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
° PERM N9 5269
m
❑ Work to be performed under this Permit_
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
B1
DATE 19
Contractor's
License No.
Subdi-
vision
Address of Value of I Amount of
Building 1 t Project $ I 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 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 respon-
sibility for work done by his agents, servants or employees.
Signed. 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 ao•
ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY At eOT
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ❑ PERMIT N 8115
ROOFING p
0 Work to be performed under this Permit
Owner of
Building .. �, . , S '
Architect
Contractor
or Builder
f
Legal Lot
Description 11 B1
Address of i
Building ! _3 t , f` 4
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 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 whet r 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 , employ s. t e
k,
/ `r
Signe - 1 �• ) °� . ' -'" ./(INSPECTOR) BY
In consideration of the issuance to me of this permit I agre9/ o 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 dot/ by either, mxself, my agent, servant or employee.
CONTRACTOR or BUILDER
BY
Date ' 2
Contractor's el
License No. r7( rb • t'+
Subdi-
vision
Sq. Ft.
Value of w" ` Amount of
Project $'� II Permit $
AUTHORITY
19
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Work to be performed under this Permit_
B1
N° 7208
DATE
Contractors
License No.
19'"
ti
r
Subdi-
vision
Value of _. I; Amount of
1 ( Project $ w. 11 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 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 respon-
sibility for work done by his agents, servants or employees.
Signed. C ; ' ,y t .- INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compli ce with all ordinances aed regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac
cepting this permit I assume responsibility for mll work done by either, myself, my agent, servant or employee.
BY AUTHORITY 418OT
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
Date - 4 19
ELECTRICAL ❑
PLUMBING ❑ PERMIT N° 10231 Contractor's cr
ROOFING El License No.
Owner of
Building
❑ Work to be performed under this Permit
Architect
Contractor
or Builder o «: . �� •
Legal Lot
Description 11 BI
Address of
Building' i' I. f J ( f..
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 an%
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 awings or in the statements or specifications and that he assumes respon
sibility for work done by his agents, servants o.;, employee":
Signed r " lINSPECTOR) BY
CONTRACTOR or BUILDER
$ 1...
`'' - « 1 - '
I
/Z.Er 4 7 O ' , 1
Subdi-
vision
Sq Ft
Value of
Project $
O
Amount of
11 Permit $ —
j ..
In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawin , tatements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work do y either, myself, m
t,�}rvant or employee.
n/'
BY AUTHORITY