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ROOFING3731 SW. 47th Avenue, Suite #401, Davie, Florida 33314 Ph: (954) 584 -4475 Fax: (954) 584 -3887 W • i ' «• - n • - . • o.., x. . 1 , NG • SOl • ASB Client: Arguelles & Arguelles 9455 S. W. 78th Street Miami, Florida 33173 Att. Mr. Daniel Arguelles Test Procedure TOS • • ASP CERTIFICATE OF TEST AND ANALYSIS Date: 5/4/99 Lab #: ABM -86 Tech. R. Binns Project: 1298 N.E. 95th Street Miami Shores, Florida Permit #: 44008 Tile /Manufacturer: Artezanos, Barrel Test Required: South Florida Building Code Protocol PA 106 -95 Project Description Approximately 41 squares of roof tile had beemn installed on the pitched roof areas of the above listed structure. Tile Description The tiles were a mortar set, hand -made, clay, barrel, roof tile manufactured by Artezanos Ltd., product control approval # 98- 0408.02. The roof was first examined for loose tile by hand lifting one hundred forty one (141) field tiles and one hundred thirty one (131) corner and perimeter tiles. Forty eight (48) single tiles, were randomly selected and tested. Twenty eight (28) tests were conducted in the field area, ten (10) in the perimeter area, and ten (10) in the corner areas. The single tiles were subjected to a concentrated uplift force measured with a manually operated, Chatillon mechanical dial push /pull gauge, series DPPH. The gauge was connected to a steel "L" shaped angle that was inserted under the nose of the tile and gradually pulled upward until reaching the required test pressure of 35 lbs. +/- 5 lbs. As the load was applied, observations for failure of the component and the attachment, if any, were recorded. Tests were performed in respective order as illustrated on the attached sketch. ..ALL STATE ENGINEERING & TESTING CONSULTANTS, INC. Client: Arguelles & Arguelles Project: 1298 N.E. 95th Street Miami Shores, Florida Permit #: 44008 Completion Date: > 30 days as per client Required Testing Force: 35.0 ± 5 lbf. Date: 5/4/99 Tech. R. Binns Lab #: ABM -86 Comments: The above listed test meets the South Florida Building Code, Protocol PA 106 -95 static uplift test criteria. The Protocol PA 106 -95 test reported in report No. ABM -86 has been performed in full accordance to the requirements of Dade County, with no deviations. Rahimuddin Rahimi, P.E. Reg. State of Florida # 51484 Field Field Field Perimeter Corner 1. pass 19. pass 1. pass 1. pass 2. pass 20. pass 2. pass 2. pass 3. pass 21. pass 3. pass 3. pass 4. pass 22. pass 4. pass 4. pass 5. pass 22. pass 5. pass 5. pass 6. pass 23. pass 6. pass 6. pass 7. pass 24. pass 7. pass 7. pass 8. pass 25. pass 8. pass 8. pass 9. pass 26. pass 9. pass 9. pass 10. pass 27. pass 10. pass 10. pass 11. pass 28. pass 12. pass 13. pass 14. pass 15. pass 16. pass 17. pass 18. pass ..ALL STATE ENGINEERING & TESTING CONSULTANTS, INC. Client: Arguelles & Arguelles Project: 1298 N.E. 95th Street Miami Shores, Florida Permit #: 44008 Completion Date: > 30 days as per client Required Testing Force: 35.0 ± 5 lbf. Date: 5/4/99 Tech. R. Binns Lab #: ABM -86 Comments: The above listed test meets the South Florida Building Code, Protocol PA 106 -95 static uplift test criteria. The Protocol PA 106 -95 test reported in report No. ABM -86 has been performed in full accordance to the requirements of Dade County, with no deviations. Rahimuddin Rahimi, P.E. Reg. State of Florida # 51484 , 'ALL STATE ENGINEERING & TESTING CONSULTANTS, INC. Client: Arguelles & Arguelles Date: 5/4/99 Project: 1298 N.E. 95th Street Miami Shores, Florida Permit #: 44008 Tech. R. Binns Lab #: ABM -86 " PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 12 Job Address 1 L T6 15' 5 ' Tax Folio Legal Description Historically Designated: Yes No t i CO? Owner/Lessee / Tenant 2 e ley P 4n �12't !14 44 7h ✓ I Owner's Address 23S j i iP - Phone Master Permit # Contracting Co. A'0. ((11 AvLk I ' Alt (UL 1(L Address 94-C S Sic.), 181-A Qualifier Ag., u. l/t,. t (L') ss# - Phone 51s - 4 f '�- State # Municipal # Competency # Inc. 7/ — 6 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 30 ('O las , c A A9')' 074 Jl2 C A- 0- 0\29 - nai, 0 Safi c - 2j camm C66 r` -1-14-2v 51 ' 544 v Square Ft. l) Estimated Cost (value) X5 60 eup, a WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 7Y'V 6) owner and/or O R'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws gul= g construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signpre • SC ndo President Date / • f // o tary as to Own' : • • ( • • • • 'resi • ent Date My Commission Exp es: OFG� TA , NOTARY PUBLICSI'ATE OF FLOC COMMISSION ION NO. CC714103 MY COMMISSION FXP. MAR.1 FEES: PERMIT / / RADON Signature ontractor or wner- Builder ctor ary as to ontr My Commission xpires: NOTARY SEAL GLADYS J VILLAR NCIFARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 !Y COMMISSION EXP. MAR. 1 i z -3 i.98 "bate NO-)61C 7 tl /— - ate C.C.F. /6 NOTARY S- TOTAL DUE Z i 3 360 0300 APPROVED: Zoning Buildin Electrical Mechanical Plumbing Engineering NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: , OUNTY OF DADE: 99x00 1343 1999 JAN 04 14:52 1'HE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with :Maple(' 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal description of properly and street address: I Z9'43 k-u- ?. Description of improvement: 3. Owner(s) name and address: L- L-5 -- f \10fi.'f fi„ f , nterest in property: OW �Lfl Vame and address of tee simple titleholder: 4. Contractor's name and address: �v� -1 ny(.e vtas 7 ¢� f )t✓ . • ?& �� ,- 414 it , r Lrtt td 5. Surery:(Payment bond required by owner from contractor, if any) Vame and address: 4mount of bond $ 3. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided )y Section 713.13(1)(a)7., Fiorida Statutes. Vame and address: 3. 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. Vame and address: rJ J b> 3. Expiration date of this Notice oi_Commenceme (the xoiration date -is_1 year from the date of recording unless a jifferent date is pecifiedy Signature of Oweer Print Owners Name Sworn to and subscr Votary Public in. Notary's Name vfy Commission expires: LE E' A/DR%7f U!° ,j/3i—.21— 97 —5 4 / Pre p ared by: � ► 4 � aa.vz-L�-. J d before me this 9Y day of / 19 Y p . w _ J GLADYS J V1LLAR / NOTARY PUBUC STATEOF>mR1DA Crn Amisstnnt NO. CC:714103 STATE OF FLORIDA, COUNTY OF DADE i HERE + V CERTIFY That this Is a tqu9fcopy of fho origin !!Mod in fhts office on MY COMM SSION EXP. MAR 1,2002 • A 0 i9 Ol%Iclal Seal. of c . d Coun fy Courts O.C. Address: 1 44 - S S ./1//. fLA f d4A I / / -r� � t' 1> Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Aft .61/_L C�\ � 11 6 10 Job Address: / 2 9 S M€ a 9 S ' .S t ROOF CATEGORY �,� ❑ (Low Slope Application) ❑ (Nail -On Tile) LI (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof E J Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft 32360 Total (ft 38 O 0 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. Ft. V A Deck type: ATTACHMENT Fastener Type: Field: SPACING Perimeter: Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) r r r r r ROOF PLAN i 9 L 1 d° J� /` —A-6 —Y 123.01 -78 9/96 Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT Deck type: Underlayment: Insulation: 12" ROOF SLOPE D ET A I L 3 SLOPED SYSTEM DESCRIPTION A V Fastener type & spacing: Cap Sheet: Roof - overing: s Drip edge: s 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 (Pmaxl: x X (Aerodynamic Multiplier): X a, (Aerodynamic Multiplier): A TILE CALCULATIONS ) -- (Pmax2: X a, (Aerodynamic Multiplier): ) - = M PCA: (Pmax3: M = M PCA: = M PCA: Page -2 AO' ' inmaimmosiono I IMMETtl 111111111111111111111 • w • ...• , z ,..-----\ ..-. 2 0 .. ...,. i • , ".......____„... - .. , . ... : ..i.. . ' ../ AO' ' inmaimmosiono I IMMETtl 111111111111111111111 • w mErRoD 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 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305) 375 -2901 Artesanos, Ltda. FAX (305) 375 - 2908 Avenia 0 No. 8A - PRODUCT CONTROL DIVISION El Salado, Colombia (305) 375 -2902 FAX (305) 372 -6339 Your application for Product Approval of: Artesanos, Ltda., Mortar Set, Clay "2 Piece Handmade Tapered Mission Barred Tile" 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: 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 -9 and the standard conditions on page 10. 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. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 98- 0408.02 Renews: 95- 0317.11 EXPIRES: 05/14/01 Internet mall address: postmaster @buildingcodeonline.com aul Rodri:uez 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. APPROVED: 05/14/98 1 Miami -Dade County Homepage: http : / /www.buildingcodeonline.com ARTESANOS, LTDA. Product Control No.: 98- 0402.02 Applicant: , Artezanos, Ltda. Product Control No.: 98 0408.02. Avenia 0 No. 8A -22 Approval Date: May 14, 1998 El Salado, Colombia Expiration Date: May 14, 2001 Category: Prepared Roofing Sub - Category: Tile Type: Mortar Set/Uplift based Sub -Type: Clay PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Page 2 of 10 Fran Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Product 2 Piecce Handmade Tapered Mission Barrel Tile Trim Pieces Dimensions 1 =17" w = 7" %" thick 1= varies w = varies varying thickness Test Product Specifications Description ASTM C 1167 High profile, two piece, barrel, clay roof tile. For direct deck mortar set applications. ASTM C 1167 Page 3 of 10 Product Control No.: 98- 0402.02 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Frank Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. Product Control No.: 98- 0402.02 Product Roof Tile Mortar ( "TileTiteTM ") TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimensions N/A Test Specifications PA 123 Page 4 of 10 Product Description Prepared mortar mix designed for mortar set roof tile applications. Manufacturer Bermuda Roof Company, Inc. with current PCA ran Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. Product Control No.: 98- 0402.02 Test Aeencv Testwell Craig Laboratories & Consultants, Inc. Testwell Craig Laboratories & Consultants, Inc. EVIDENCE SUBMITTED Test Identifier Lab #ABM -4 Lab #ABM -1 Page 5 of 10 Test Name/Report Date Static Uplift Testing January 1995 PA 101 (Mortar Set) Physical Properties ASTM C 1167 November 1994 ran uloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. Deck Type: Deck Description: SYSTEM D: Slope Range: Underlayment: Roofing Tile: Comments: SYSTEMS Page 6 of 10 Product Control No.: 98- 0402.02 Wood, Non - insulated New Construction 19/32 " or greater plywood or wood plank. Mortar Set Application 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. Install choice of Approved underlayment system, noted on Page 1 of Miami - Dade County Protocol PA 120, In compliance with Secton 3.02 of PA 120. See System Limitation #6. Install tile in compliance with PA 120 using one of the Approved mortars noted in this Approval. Mortar shall be applied in compliance with the mortar manufacturer's Roofing Component Product Control Approval. The mortar attachment shall provided sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. The mortar attachment data is noted in Table 2, attached. 1. For re -roof applications, 15 /32" plywood is an acceptable substrate 2. For mortar set applications, the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses of tile shall be applied in mortar over a single layer of minimum 12 ga. Wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail every 1 ft . For roof pitches from 6 ":12" to 7 ":12 ", every third tile of every fifth course, beginning at the eighth course, shall be nailed with not less than one nail per tile.. Frank Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. Product Control No.: 98- 0402.02 SYSTEM' LIMITATIONS 1. The standard minimum roof pitch for Artesanos, Ltda. "2 Piece Handmade Tappered Mission Barrel Tile" shall comply with Dade County Application Standards 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 to meet or exceed the required resistance determined in compliance with Dade County Protocol PA 115 or PA 127. Artesanos, Ltda. "2 Piece Handmade Tappered Mission Barrel Tile" profile has been tested for static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as a Uplift Based System'. 4. For mortar /adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. 5. For 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 II of the Uniform Building Permit, a copy of Monier Lifetile'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 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 Dade County Protocol PA 112, Appendix 'A'. Page 7 of 10 Frank Zuloaga, RRC Roofing Product Control Examiner Table 2: Minimum Characteristic Resistnce Load — F' (Ibf) From PA 101 testing TileProfile Tile Profile Tile Application Attachment Resistance 2 Piece Handmade Tapered Mission Barrel Tile Mortar Set 1.42 78.90 Table 1: Average Weight (W) and Demensions (I x w ) From PA 101 Testing TileProfile Weight -W (Ibf) Length-1 (ft) Width -w (ft) 2 Piece Handmade Tapered Mission Barrel Tile 4.90 1.42 0.58 ARTESANOS, LTDA. DATA FOR ATTACHMENT CALCULATIONS Product Control No.: 98- 0402.02 Page 8 of 10 Frank Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. PROFILE DRAWINGS ARTESANOS, LTDA. " 2 PIECE HANDMADE TAPERED MISSION BARREL TILE 3° L The Tiles Shall be Identified by This Stamp ARTEZANO'S WORLD CLASS ARTEZANO'S INC. (305) 595-9352 Made in El Salado, Colombia. Page 9 of 10 18" Product Control No.: 98- 0402.02 7 " Fran Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. Artesanos, Ltda. Avenia 0 No. 8A -22 El Salado, Colombia END OF THIS APPROVAL Page 10 of 10 Product Control No.: 98- 0402.02 ACCEPTANCE NO.: 98- 0408.02 APPROVED : May 14, 1998 EXPIRES : May 14, 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: "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 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 10 this last page. Frank Zuloaga, RRC Roofing Product Control Examiner APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ur me plans and specifications herewith submitted for the build • ing or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and nII 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 plats and specifications must be kept at building during progress of the work. r . Date..._..._ .._.__...__.. ,19.x/._ Owner's Name and Address G�iLI -o /� .... ...... ._ No........... ..... Street._.. Registered Architect and /or lyngincer........ l� ?...- ... sr,,• •,,... , ^,„„„. w-„ Name and address of licensed contractor . ... . / ._.•44' -6- _ Location and legal description of lot to be built on: Lot / 4- - Block ri Subdivision.. /,'Z *r: ...�sP� � ..��!�SC�.tti:�.. X.- — Ste N ' 4s �- 4° os?mf Street an d Number where work is t o be done /a _.. ... _.. .. ._.._ . .... _.._ . -� y ... State work to be done and purpose of building (by floors). - a04- .. and for no other purpose. Addition Repairs No. of Stories / _ • To constructed of o f foundation Roof vering Estimated Total cost of improvements $ • ...I Amount of Permit L. .1Ib New Building �emodcling ' G : i t Ki nd o Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot f` .�. 2P >r liaximum 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 dots 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 .eith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) "4... 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 ar e. Permit No. Date (Oh ........_._._ Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector v ate Chainnan Member Member .. ... Council Approved Date NOTE: A charge of $1.00 will be made for the P1. nnir.g Board. A re- inspection fee of SI.00 will be charged materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PLANNING BOARD DATE to me well known, Notary Public, State of Florida My Commission Expires _..._......_ . — _ Member Member Member ...._ _.._..... Disapproved Date making corrections or changes to this application after approval has hero obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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 . anus ry L 1 , 19 Owner's Name and Address. __ Mr.. _. H..__B.._ _A tkIRa_4n _________.___ __. No 1298._. ___ street__ NE 95th Street RegiRered Architect and /or E n g i n e e r Name and address of licensed contractor_._Nys.tr8 .L�.9�5�___�_Q7'�? __. 230 5 -- -17th Avenue Miami, F la . Location and legal description of lot to be built on: Lot__ Block Street and Number where work is to be done State work to be done and purpose of building (by floc _Remov_e___axi_s_ting .00ver_ing. _ .. T_er_r_a__- _0_Qt ti .Le__._ L� _ New Building Remodeling To be constructed of Kind of foundation__ Estimated Total cost of improvements $___&Q0..0_Q Zone cubage required Distance to next nearest building__ Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. ss. peared Disapproved D (Signed) Building Inspe or MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subdivision L2.98 NE___95 th.__Street floor __Reronfing.__par_t of_ roof deck. a_pp 1, .y. 3Q# 2 e).t, 90# s la to and new and for no other purpose. Addition Repairs / �' No. of Stories / Roof Covering./CIA ° Amount of Permit $_6_._00 plan Cubage_ Size of Building Lot I hereby submit all the plans and specifications fot said building. All notices with reference to the building and its construction may be sent to___._ Nye trand. L L.Qyd Corp_ -230 SW .17th- Avenue - Miami, Fla . The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suclYsebcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 / 1cs" (-4- .._ Date ___I ` (Y-7. . ___ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires__ P ' ANNING BOARD__ __ . DATE Chat'nnan - . Member Member Member Member _ Member . _._.... Council Approved . _Date Disapproved 643 -5200 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. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. APPLICATION FOR BUILDING PERMIT Owner's Name and Address 7h ® r / 2 To n/ Permit No. Disapproved (Signed) Z16,5 New Building Remodeling MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Remarks (Signe Date J Date PLANNING BOARD No Date Registered Architect and/or Engineer 3 /6, L / c '/v, / °Y / 2 ✓ ? a� r ; Name and address of licensed contractor � 6.6 � .� 0 0 / � / 3 ; do/v Location and legal description of lot to be built on: Lot Block J Subdivision Street and Number where work is to be done /12' 37e u State work to be done and purpose of building (by floors), state exterior colors (submit samples) j7/ �c /� � f r and for no / other purpose. Addition Repairs `' No. of Stories To be constructed of Kind of foundation Roof Covering / /?J L Estimated Total cost of improvements S ,,„S' � Amount of Permit S !a Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to .C.JI'J 'f)l / S - or/ivy / 971✓ / 29.S' 7 , "erg; P.479, 3,7/4 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Read, Sworn to and Subscribed before me. S - < 19? Street / e: 7/ E Notary Public, State of Florida Building Inspector My Commission Expires DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.