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179 NE 94 St (3)�JL i i-- 4 .0 3 THU , 6 :35 BROWARD ROOFING D I ST O P . P { 2amms . CDfie .t. T il e Notion. Hacienda ACCEPTANCE N •A . p�® 911.2 R APPROVED o e,_14.4 .9.2; EXPIRES o _QU ZS. 199; l 6. The approved tile shall conform to the following drawings Shake or Slate 7. The manufacturer shall retain the service* of as independent testing laboratory to maintain quality control. Test in accordance with section 3404 of the South Florida Building Code shall be performed on a minimum of five (S) tiles selected by tH '., laboratory using AIM D-3665-82-es the standard selection method The test reports shall bear a description of the tile and shall r6F •rre•. ♦i. Notice re . Acceptance Y +.+w/wr The qw' * 1 1 ie fersaa.a he i- otice of i1WIWe�L 6 ♦ life Oat shell be n�i4M � •w.taf 0e J•r• e+..4 •560.11 L •sw` b4 bb. 114.4.44wario 104ww4urs1 This; revision. in nrnvide for a Vp head lam an a nail-on system e.mibrr ®•Jew Msbl•s we pss•orumias■ 4100- 075400 1sb®d S.C, 5.004 %Li i • aeon., P.E. Product Control Supervisor Metropolitan Dade County Building i Boning Department Pormit Toff Folio: . State of Florida County of DADE_ The undersigned hereby gives notice that improvements will be made to certain real property, end in accordance with section 713.13 of the Florida Statutes, the following information j5 provided irk th s N TIQ OFCQMMENCEMENT. legal description of propert y (incl..de Street Address, if evei able) 1 \— ,. ( c General description of improvements k " Owner Address Addr ess Contractor Address Surety Address Owner's interest in site of the improvement Fee Simple Title holder (if at tan owner) Name U 1OT C F COP ME CEME JT 931R7 1993 JUL 15 12:04 Amount of bond 6 Any person making a loan for the construction of the improvements: Name Address Person within the State of Florida designated,:' owner upon whom notices or other documents may be eerved as provided by Section 713.13(1)0)7. Florida /. t . totes Nemo Address In addition to himself, owner designates Of to receive a copy of the lienor's Notice as provided in Section 71 3.1 3(1 fib), Florida Statutes. Expiration date of Notice of Commencement (the ettpirat »/ date is 1 year fr the date of recording unless e different date is specified). THIS SPACE FOR RECORDER'S USE ONLY 7 /%-epoit/ 9 (LL 7c_ 5 ,,. Forthl A5-270 Novi a/fit : t )/ /U/ =1 /Sionotu rr f fan©r; k Printed Signaturo o9 Owwnor Sworn to end subscribed before mo this of Jl at Prime Notary S gnature � l / y Commission 01424(35, „ " ` G• . 9 ' day qtr V • ° iv+CToiOPO1 OMAN DADS COUNTY, FLORIDA D 4 • Gcanat®r/CdSo 'ifooting 'Products 143t , West &7e? Strue,t t4minytono , Ca o' woo , o Your applicstOn.•foF Product App[sa,v,a1 of FtodifJusL n!sm!y_jsata1 wt4th uhuer Sections 203 and 204 of the b61► Florida Uuildlny "Coda Uuvue:l►1ny thw• .uaau of Alternate . Materials and Types of ConatructiOn, and cull 1utuly• duacribed in the' plans, apudtticwtiona• and ca1culatiunn em nubmittud' by CWILLOW.L.LQA—LglilAZgi 4 J.Q'L.r 11-(17.1 —U . T `�'�� "'� 07 _. 11 4 •rw e I ref �,Ordtory ! Avvilb .aajt r . • b �szrat ;y L u u J I..11).-'L-.....� , S,_..3>. UXI A1111114-L11114-N 7 17 - 1'1 1121. ham IJiaue► occeptud by Product/ Control to be! wl0aU An the Unlncorporatad acufou u& Dado County under thu.SpocJ,tic Conuitiono sut:.lorth on pagan ddaa and the Standard Conditions on Pas 3 A . 4CCgrigICE 14000 PROV •P • This ®pp ic4tlan for Product 1, Metropolitan Dade County A1ua L d Incorp!ratnd and Dnincorporotu cond1;16bs out forth a P y • 9 t • APPROVED; "a r,r i co 1• P M5)375.2612 9 D pTANce, ♦� p� . p Q. IIyII • MOOING a AMINO 01I►AR1 /N♦ O UIIL 1010 011 NW Ito el1MI V f IbSMI0 tb0.110A 3J1 ?$ 1V14 ISO VI tow 1 of r ` it rod • V IA Fl METfO.DADE CENTER � . P amon o i is e Product Control Supervloot Metropolitan Dade County.' , Building b Zoning Ddpartmgn 0 , a cti.rtUIIA Gr4_,F,Ofd SPECTFjiC juasztaa S• 1 S _NQT 3! a AC PTA_IpC£ D I I ,o ,,vd1 . has been occ &pted yby ;hek 1 , 1. u t twigs and Appeals to be toed in the. I a a e, of Dade County under thou ;,! l o n , 0n / 1 'I 77 575man 14D Deputy Secretary ; o iutropolitan dada County :,cp D rd of Hales and Appeal4 I ' 1 4 I� V .4. f • 0 q ao o2�o • o d CCgTAidC1 No • U �' � $ p o bzsybObbd p r Q • Woa dihall. k1 4j puiprmu only fop 0 licenaud roof inq contrficto/' accsOltud. b the a►anu8ectuEu '• P b q Thldy gyptud►► shall not. ba uoea,d on ;dot E ub ject u4 tie t raMc' othu ° than ruy►alsmct &us m®bns.dn®►ncdr purpomea o ' , •ro bo ppplbcai64ona for soe¢1nb bJeafit shall be accoanpanl @o4 ine CMe tl upllcitu printa off• thu aootinv plan, along .wltI conutructlon alut , bin, appro'& U by thin archltmdct ,J project 0 . • 'dynginuur ands thw manu6a66dsb&'o apeciticatldana and current NL 14piny carcdn• I , 500 • 7hlo produdit sndast fotil 'M- evmiueltld for structural acluquaday when • o wlthln the coa,dto b conut. ruction sonde, In accordance °with chapter 23 5 ib-auctlon 230.2 (b) of thu No►ath t'lor404 6 Uu`lO,4(►w coclu • o • . 9 • Mao • rtnd wal superaodwo n !4'adt►O 6 Apesovol" 10740060J dete Ducwaibyr It a 491170 I} �d Diamond, P.l; o • � Pa•oduct Control �e'r'iuor 1 Imtropolltan Dade County beal0lny 6 gohlny Dupartmunt. 1 0 SI , 4 0 .00 d d e 6/apap.2.7 ° h 0; i ACCZP AN E No 0 0 4 4 ° ° p' 1 gi This approved a a rooting modified • �'D t a men y mwmbrane ( �. l flwtfle:.tic Cl'tS➢ sda grade., ° q °te ► lneg�d d e 1 o►t up to lA® loet'ebovd drtl0¢l� t m ra The braterle! hn ®' 1 th'. �'Ol lOw,�ny r11nY6�)CtaDPitatie®0 ! ' A.' Tensile Strength ,,nd olon9Rtio 0 �lfid 4 206 a Helene • " l Stability) Q 21 1 0 Il®A ®C �. Ca Fire CleseBflcetl ®no wV�, a o t� Y: �p I , 1 ' 11Qt�i ® gla ss A 1 1 ho- 5,n,10 Classes'A. and 0 )1 °1 1 ,I . po • ' Water Vapor Transmission I '4;0 # Uplift 8i;:9sa . 3099 purihr o�e Thls ° 0, 6 • replecb ®off �� eonoLrucLlen and feP be bully edh er b J ronuo, berth In adhered by. hot of the to uth P1 X11 installations aim it eo rag old ®lIl round ulkl i n hsut sheet e® A►, �, �,rLda Bulk ling heet Laboratory Flee' to a F�f►¢�ovud undu le Cod ° ° The beta s shell bo attached e '1 Underwriters underla /e6 � a � 9 J 9 �arlilnq e �p fee The undurle ymunt and AnoulatInn and flry'Clausiflcati. Ymunt shell be xttachod to moist the torces spe In Chapter 23 of the Sbuth'Plorido Ifu1bdlnq Code. Approv p S . Insulation may be used in conjunct ion c lth, this membrane. • �� . 8 �' � I, I 4 t • ' ` E-3016 —.. /40/4 Loi diamond, N Prcodutgt Corfa of S upervisor .. mutzopolltatfrOade County au 1 o A ny 6 Zonings Dupartmen t ° 1009 KdQ8 • 0 p Psi a 7 d 0: °4 ar oa 0 64 * l� &I 0 C6 CO o° ao , da g....................... �, , ," < ... o . a . <i o ..... . 0 16 cow., N7oru • I I, A C G ®� ''1 fL,7 cy m��� � 1p /lc FLINTL TIC M IFIEc(yt�ii1TUMt N ROOD.' t Y TEM dV / y�) �....I.r. i II i ce , SPEC, NO, GTS•2.2 SI4I:C. (i0. GMS 1-2 I " SPGC; (1:6 MS0 ®•g For uw Aver nolloDlo ducks' ' 0, For U1,0 uvut 1,01).A,111, UI ,ro:ko Fur use ovur nallobit' 00040 o'l o•i• — d co o huhrizialr Mcm4ran111 Ono ply 01 QI,ASOA:C boot' 10001 3 one 04 el FI.INTLAal IC QTS magaivd 0lIw,men roll 10e1019, Summary of Mralsrlo18: Pet 100 Square Fowl • darz GLA4,;13ASt f1,1se Shuel (1 PIy):. as Oil. 9LINILA$rlC QTS roll fooling 11 ply)• • ( ?]IpB AoolodIrnoce Toll PInlaud WOlghl 140 114• wllnewl;lOgllgnel3drloelnp a 1 • moo . Mior, Slope by 19 ®" In 1a° ®inchno DWI i0p NAilinO U.L. Cads A. Conlagl Gp for gelid, Ana `w . lam roqulrumenle, G CII9IDIe rot OS Fllnuabuc Tbvart0 Yvdr b Vslwe floof Mem9rene WerrAnly. 'ione4 j, end g INSULATION OD RE•R00FING SPECia I• • 1 The roof system Natured above may bb itiiwlloo o combined with the appiicabla specification iddonewlll SPEC SMS•9 SPEC iMC•3 SPEC aMw•a 31uu1 dock with Comely (aacM w1iE Woo4 Ouch vullh InsulaII n Insdlallon o Insulation oes4•1006•7 ;I w G•r•:.S ar11r:4 r1 • 4 .1•141171 d P b Ll r,, • e PRClr bPet eP,••• 4 U❑ 1,. • u 1A9A. Slop° op L I 16 G90 Nd111ny ht ar 0,61 CIa.1 A Co,, idm roqulrurnl,n,d, (sllgiblo 101 G `i • , Value F6oI Muu1J1 &onyo t eno n .•1ts00S 11(r . Membrunu, Ono ply of (L ll ■ • ,11; , „ v meal And ono PIyo 1LINYLA,i• 1 . 1iIwmvn r61f. reelln�. summary 1 1 r.l •IU11 IIJ, Per 1G0 S1101•rd r•• 1, Abyrldll Prlmoi 1 1 • • • q Ibl). 1 III A4p11o11 ., .) 1.1,,. 10 IOCulvO ()J:U 1. . • • 13 I 0161 GLASOASk bolo : 1 nd, ,1 0• /) • 2i IDi• gypu ul n.nn • ti101,phl • g0 IDi. h ,lNT6h11TIC e M I011 10,4 (1 APpro °II'nahl 1, 11 I u10.) Ivdlynl 149 lei• t�llhadl orin„11�1 rina aDOVO n.. Ur 3o6110fl, 1 1 > 6,,.3111 Ynd 43 'u Year NI t iQNS ADDENDUM , ,1a1, J SubilfAt08 or Imistin9 ,dv110 ��iow9 .J oMr•IC i SPCC #RMW Io,.II,.„ over fle•IO011n9 pear n41140le ')l I r b i l,•. i ' I r � � � • • 111 • . 1 • I po.11e0,( e(68 w�`•�h1{�;Y {Of ('Ii! 'R 4110),ru! 4h MombrDnq: • • , '. One ply 01 OLALOAdk 0430 Shuol end ono ply of FLINTLASTIG WAS moolpue bll0men roll Milne, .Summary of Millorlelai ;. Per 100 Square F GLASUASC OL):o Shool (1 ply) , 20 104, Typo III Asphalt So110 Mopping • 8i Ipl• F6INTLAS(IG OMy 1911 109IInp (1 DIY) 29014 A ppronlmolo rolel FinI`hod WOIphI 150 De. wllh016l oplionral Outfacing • 1 • • O0 -01 1 110 ° • 00 ..000.00, Moo• up la b In 1 2 Ito Inclinue aDav, 1" See Nplling Ruqulramanl, Secllpn,'" U.L. CIA:6 A. 61111101 GS let dotaile ppd gyp tom requlremohla EIl jioIO for GS FIInlleolIe Twolvo You hall Value Boos Mumotane %warronly gonHS I And a dl •1 111 1. 1 , Y •,, •• I GO.R�.•o.Jr r ; .II P membranes when ACC N I gi ►Mo•roo(In9 AMI wish • abdlllon�l IneulallOn • r♦ 1 .. •,,.,.•s.IworT.,,pp`r dl.,lr�l 0 O 1• 11 :METROPOLITAN DADE COUNTY, FLORIDA MSTROOADE r Bertram t liftrshow 9n&wLhalnwsan MG Lasseter Members Ronald Ago Jame Arias George Berlin Manna At Moot Loverrnot A. Sartori lad Bridle OStet, Brennan John CaprNst lfdlrondo Clyne e Jorge dt h Ibrrttast R. Carron Dreher Arnold Goldman Richard M. Mo.miu Daniel Lents John lJndsrrom Sawn Gown Joseph Moldier, Sr. James F'bwrr Widen Riley Armando M. Rio Thom Nrtrbeck AVreel Kitbag Rut* Williams Boons Consultant John Pltroritw Cta.1er Danger Sonny tiNrrreb ai Diamond -93 TFHU' 6133 HROWARD RLCIFING DIST. F.. APPROVEDB Atre ?et e Tie ACCEPTANCE Nooa APPROVED 0 EXPIRES 0 1 METRO -DADE CENTEF BOARD OF RULES AND AFL SUITE 10' 119 N.W, 11t STREE MIAMI, FLORIDA 33128.197 (303) 376.298 (303) 373- PRODUCT CONTRO ,,,N0T r OF ACCEPTANCA Pioneer Concrete Tile 1340 S. W. 34 Avenue Deerfield Beach, Flo 33442. Your application for Product Approval of "Hacienda° and under Sections 203 and 204 of the South Florida Building Cn governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by PonstrUcti% as a by Product Control to be used in the Unincorporated Dade County under the Specific Conditions set forth on page 2 -2a and the Standard Conditions on Page 3 Dec . 14. 1992 7 Dec. 14. 1992 ®ct„_1Sa g99 THIS IB ThE CQVERSHEAT _SEE ADD/TIONAI. PAGES FOR sper'raytg . GENERAL CONDITIONS amon • , • Product Control Divi Supervisor ;off r ', This application for Product Approval has been accepted by t Metropolitan Dade County-Board of Rules and Appeals to be us in the Incorporated and Unincorporated areas of Dade County under the conditions set forth above. C ar es 'ang -' , P.E. Secretary Metropolitan Dade Count3 °a° Board of Rules and Appee . L -- s'— J 3 T C-0 Li METROPOLITAN DADE COUNTY,, FLORDA' ; '..;�:; ME1'AOOADE Chatrrami Bertron► 3. lif►rshauw flee- Chairrawn 11.(1 Laerrirr, Ronald riper Janos Arias forge Berlin Thomas M. Black Laurence A. Bumf' N•►l Addis Oster Bnrn►uin Jain Calpbi J rlr h► Rorrirnf II. Carlton Drekrr Arirdd Goldman Rirlut el M. llonera Daniel Lruir Jahn tindurom Bryan (,rnir Juseyrh ilkk aer .4r du,nra Amer l 7Nla►n Riley Armando 14. RIw Thrnauia Unrrhnrk A(fvtl Yli•ishrral Ructv Willirun, Doan/ (; on. edtu,Jt Jilin Pisrurbu 0 . 0 0 D s ZU BROWAf 2 : 1 ) ROOF II Nt D t ST o P ®4 , i A 1 Extension of Acceptance may application has been filed teat reports no older than re- evaluated. AU reports a re- testing shall be the seal, signature and'date of an engineer registered in the State of Florida. Any revision or change in the materials, arse, or, manufacture of the product or process shall automatically be cause for termination unless prior approval is granted for revisions or change. Any unsatisfactory performance of this product or process or a change in Code provisione shall be grounds for re- evaluation This acceptance shall not be used as an endorsement of any product for sales or advertising purposes 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° Product approval drawings, required for permit provided t applications, shall be pro by the manufacturer or his distributors; unless otherwise noted in the Notice of Acceptance. The prints need not.be re- sealed by an engineer. Failure to comply with Standard Conditions shall be cause for termination of Approval. METRO -DADE CENTER BOARD OF RULSS AND APPEALS SUITE 1010 111 NW 111 STREET MIAMI, FLORIDA 9=120.11174 (305) 070-201 (305) 375Q26i2 be considered after a new and the supporting data, ten (10) years, have been 1 Diamond, roduct Control Division Supervisor � P►nar Caner�tA ?i1 povEcE OF M CEPTANCsa SPECIFIC CONDITION. 1. This approves "Hacienda" and "Shake /Slate" concrete roof toile accessories for mortar -set and direct nail -on application. When applied in accordance with Section 3404 of the South Florida Building Code there shall be no height limitation. The nail -on i system shall be limited to installations of 100 feet above existing grade. 2. The mortar - set application of this the shall be subjected to the limitations set forth in Section 3404 of the Code. Head -lap shall be 2 inches. 3. Nail0on application shall be limited to 4" a 12' plywood deck for new construction and 1/2" plywood construction. The underlayment shall be nom n41 surface roll roofing felt, commonly called 9040 minimum 2" head-lap and be fastened with two (2) resistant nails of sufficient length to penetrate of 3/4" or through the thickness of the deck. 4. Xnstallation of underlayment, ride and rake tile, flashing, valley! and the requirement for the use of plastic roof cement shall be in accordance with the referenced test documents. These documents contain the manufacturer's recommendations and shall be on the installation site for the use of the building inspector. Installation of the nail -on system shall be in accordance with the manufacturer's recommendations, this Notice of Acceptance or the South Florida Building Code, whichever is most restrictive. 5. Applications for roofing permits shall be accompanied by two copies of this Notice of Acceptance and the referenced manufacturt recommendations. ■ • • ACCEPTANCE No . a a 3 Q- 711 e APPROVED a te. (EXPIRES a Oct. 15. 1993 • over 5/6° solid deck on existing 740 mineral Tile shall have fi 10d corrosive the deck a minim' i Gi Diaion• P.B. Product Control Supervisor Metropolitan Dade County Building & Zoning Department PERMIT A Date 1 T - 1 3 Job Address Legal Description Owner / Lessee / Owner's Address Contracting Co. Qualifier �tJ AVA State # Architect /Engines APPROVED: My Comm i i o i L E r i r ** * * SC Tenant •k 7 179 i f Ackv -oLCQ Y PLIICATION IF��ER MIIAMII SIHIO ES VIELILAGE • 17- T 4 /363 0'] N.2.s P3 Dondod *_• Troy F* 1- Insuranctlrse, Zoning Bui 1din t c+S�- Tax Folio J `" / IYt�c vt� ��� v�-S� S ec .. 1 Master Permit 9E •i 757- 7o' / Address C 5° � 'I SS# 7-2-\ �� - 7 )v 1 P1104 7 7 CC' CO 5247 Municipal IL Competency 4� ns.Co. vN-ed" Choler Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE n SIGN c// WORK DESCRIPTION c ��, , zr '(`C-rvv� �l�o(�� � �s.\ — 4 0-r- 3 �'1 «� `��' �'lo M s� c V �'cC� t nn Li t g ees_ (0«s` Na„L 30 7 s f e Square Ft. D�j *. Estimated Cost(val.e 17� C o c 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 :N 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 tached 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. FFIDAVIT: 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 zoningurthermore, I authorize t above -named cont actor to do the work stated. 1411 1110 Fr° Lb Am Signature of owner and/or C/ndo President Signa: /W- of Contrac o r or Owner -Buz •er Date: i Dat -. I, diq E. , ,To 1 4 ,c Adit : �, Ir Notar as to Owner and/or Condo President otary as to Cont-gactor _or- Owner - Builder My Commission tY dT tY * 1Y SY 12 fY * * FEES: PERMIT 9' e RADON C.C.F. ‘, NOTARY TOTAL DUE Fire Other Phone Electrical Mechanical Plumbing Engineering BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 3711 Owner of Building t Architect 7,ontractor Dr Builder Legal Lot )escription 11 Bl Address of wilding DATE 195 Contractor's - License No. Work to be performed under this Permit Subdi- vision Value of Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construe 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, Irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 'me 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 /ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ?ertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. Signed. BY 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 .ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or' employee. CONTRACTOR OR BUILDER BY AUTHORITY New Building Remodeling To be constructed of Kind of foundation F'l Registered Architect and /or Engineer , Name and address of licensed contractor t. Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done / 7 Estimated Total cost of improvements $ L-- IAMI SHORES V LLI GE Subdivision BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUIL IN0 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 , 19 Owner's Name and Addre , ` ^ No. 1 9 Street.. State work to be done and purpose of building (by floors) and for no other purpose. Addition Repairs No. of Stories ..+p.� d Roof Covering. _.r6 r..4�t� �- 4 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 'fie of the such public notice or notices as are required by the Act. The undersigned agrees to employ only such,atibcontractors, on le to e pe o r ed un r this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, • , v��' "' COUNTY OF OF DADE. Ss. Before me, the undersigned authority, a notary public, duly authorized t• dminister 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 foregoi application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 7 // Date Read, Sworn to and Subscribed before me. Disapproved -1 Date i (Signed) Building Inspector 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. .e of Miami Shores N° 4300 r) � 4 0 00 0 O. X50 )N 0 )Y DATE �� �< �< AMII SHoRCSVILLAGE 0 BUILDING INSPECTION DEPARTMENT A F F L O t.TO N F RE UOLDD ONC PL R 04 0 Application is hereby made for the approyal 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. Owner's Name and Address Mrs. Lino LaFata ________ N 179 Street N. E. 94th Registered Architect and /or Engineer._.. Name and address of licensed contractor Lang Roofing__ &_Tile Co.o., _ Inca 573 NW net __ Sti _ , Miami 33150 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 179 N. E. 94th Street State work to be done and purpose of building (by floors)__ Remove eUieting cement tile roof tin cap 1-30#____ felt to sheathing boards, mop 1=90# slate with hot asphalt and cover with a layer of white cement barrel tile. Install 26 gauge galv flashing and for no other purpose. New Building Remodeling _____.- ._ -. Addition Repairs Re —roof No. of S tories 1 To be constructed of Kind of foundation Roof Covering t the Estimated Total cost of improvements $ 2695000 Amount of Permit $ Xi .0.100 7000 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 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, Pennanent Sup dement, 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 sbcontractors, on wok to performed under this permit, as are licensed by Miami Shores Village. 2 s s �� ? Ctez � ��ti Remarks -- - - -- -- -- - - -q n - -- (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 413 3 Disapproved (Signed) Chairman Member Member . . Council Approved Date. __F.lci- 7/ . Read, Sworn to and Subscribed before me. D ilding Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD __ . DATE Member Member Member Date Disapproved Date August 24th Is '71 Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspt .ion or faulty materials and /or workmanship.