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401 NE 95 StCorrection Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat- / U Time Type Insp'n Permit No. Nam Address 9 i _ C. Company Phone # For Inspector:2 l 6 ° - 3 ) 0 7(' ? ‘ 7 Date Time Type Insp' —w Permit No. Name — Address - Company - Phone # For Inspector: Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 01/\ fi ( i) Name & a ) o e>6)t MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu'lding Inspection Request Date Time Type Insp' Permit No. Name Address Company Phone # For Inspector ja ) D � e & Dat s Correction Re- Insp'n Fee ❑ Type Ins Permit No. Name Address low Company Phone # For Inspector: Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu']ding Inspection Request Date .6 0 Time Q{� / G ( STATE OF FLORIDA DEPARTMENT OF STATE Division of Archives, History and Records Management DS- HSP -3AAA Location: Miami Shores Sec. 2 53 subdivision name block no. County. Dade Owner of Site: Name: Address Cook, John A III 401 NE 95 St. Miami Shores,_FL Type of Ownership private - 848= = Recorder: Name & Title Rodriguez, Vivian F Stofik, Marty Address MSHPB Condition of Site: Integrity of Site: Check One Check One or More 11 Excellent 863= _ ❑(Altered 858= = El Good 863= = ❑ Unaltered 858= = l Fair 863 = = Original Site 858 = = ❑ Deteriorated 863 = = ❑ Restored( ) (Date: )( ) 858 = = ❑ Moved( ) (Date: )( ) 858 = = NR. Classification Category Building Threats to Site: None Check One or More ❑ Zoning ( )( ❑ Development El Deterioration( ❑ Borrowing ( )( Rev. 3 - 79 )( )878= = )( )878= = )( )878= = )( )878= = ❑ Other (See Remarks Below): Areas of Significance Architecture FLORIDA MASTER SITE FILE Site Inventory Form FDAHRM 878= = Site No. 830= = Survey Date 8506 Site Name Address of Site: 401 NF. 95 Street, Miami Shores, FL Instruction for locating on NE corner of NE 95th Street & NE 4th Avenue ❑ Transportation( ❑ Fill( )( ❑ Dredge( )( 13 Fr WV 14 lot no. 802 = = 1009 = = 820= = 905= = 813= = 868= = 808= = Recording Date 832= = Original Useprivate residence 838= = Present Useprivate residence 850= = Dates: Beginning +1939 844 = = CulturelPhase Ameri can 840 = = Period 20th Centilry 845 = = Significance: Structure is a Masonry Vernacular residence reflecting the -Art Deco influence on late 1930s residential architecture. Noteworthy features include applied Art Deco ornamentation and rounded mass details at intersecting corners. Structure is in scale and character with the surrounding neighborhood. 911 == 902 = = 818= = 916= = )( ) 878 = = )( ) 878 = = )( )878= = 910= = ARCHITECT Nolan, Edw. A. (Miami, FL) BUILDER Gray & Bembler (Miami, FL) STYLE AND /OR PERIOD Masonry Vernacular PLAN TYPE irregulaxlirregular EXTERIOR FABRIC(S) smooth stucco STRUCTURAL SYSTEM(S) concrete block PORCHES (none) FOUNDATION: concrete hlnrk ROOF TYPE: multiple him SECONDARY ROOF STRUCTURE(S): CHIMNEY LOCATION: C: ridge WINDOW TYPE: aluminum awning CHIMNEY: CBS ROOF SURFACING: flat tile ORNAMENT EXTERIOR: stucco NO. OF CHIMNEYS one NO. OF DORMERS (none) Map Reference (incl. scale & date) Miami Shores Village Plat 1980 Latitude and Longitude: Site Size (Approx. Acreage of Property): LT 1 LOCATION SKETCH OR MAP N 11 Contact Print NE 9 c S t$ {(.o t Ise ct 942 = = 942 = = 942 = = hip 942 = = 942 = = 942 = = 882 = = 882 = = 882 = = 952 = = NO. OF STORIES . two . 950 = = 954 = = W ei 1. /0 0 Township Range 53S • 42E UTM Coordinates: - zone -- Easrrig - �Torlfiinp . Photographic Records Numbers8 5N114MS02 /85N114MS03/85N114MS05 Section 6 872 = = 874 = = 964 = = 966 = = 854 = = 856 = = 809 = = 800 = = 833 = = 812= = 890 = = 860 = = SIAIE OF FLORIDA DEPARTMENT OF STATE Division of Archives, History and Records Management 011S•HSP•3E 9 -74 MSHPB USE ONLY CONTINUATION SHEET New windows 1956, 1968 Reroof 1962 Original owner: Harry Young (Nancy Baker) Site Nn. Site Name 401 NE 95 St. Miami Shores, FL Physical Description: Structure is a two -story masonry vernacular home with Art Deco influence, including rounded mass details at intersecting corners and applied Art Deco ornamentation. A low wall extends E from the S facade; gate posts have glass block ornamentation. Window massings add to Streamline effect. A sunken garden structured with oolitic limestone is located in the E yard. 7-7 i .)• e 1 •I I 6 . +ec . +L S2 •+J 11 t� Fr 0 4 7 ��. Q5 a y 0 a 11 .9 l.. / 72 15 G J J t p, eC e11mmm®mmd ®11mm11111 Elim a is cumin in e 7 9 .0 /, - 1h/ ° - -N3-w N W 5 /I! o, /5 mmig ©©o �mmmm�m /5 /e m11�, 111 ° N. W. 1 04 11114 9110 =011m11P pampa g , 0 ,6 SAP ijo 0 - wan. k RUM dIMIR ,/4111121111.. N. w P Lam cop w. 5 97' �anp © aa�� �1mm N.W. ©© HI ff - - 95-t- J , HOPI men rt 7v. • • omma ° vaooem ems mam o 10 a• [ 5. /yJ r 107'" 111111© P .o aoovaoap gWm - -FO J' -- 5 T . 5. 1111 1111 111 11 t-0 3 • IWO 5T 111 FINN Nuiths skin maw 4 9 9 "" �.T• ° 93 n0. 9e Z lmmmop s moo -1mo 9 s 5 T. 5 T. 5 T. 5. T. T . 1`1111,1 NOM RO�m�d ;.. mpaom 91111 di 94T"' 000ao�v000 z a 111 pomsoeimmmm:: .N T r•f J 5 T. 0 0 uc� A 2 . � r r. I MP Mame , 1 � 9 4 4 N• E ® ®0 1= S MUM ° S N.t 5 N • N E { o 4 ,, 1. - 1, I J 7 J r .5 4 fi �i 107 ". 11 10W 1 0 9 0 ' p. ... Jl "y d e X410/ 1a 1W11111 l o I mum mm�a�m 1� IOW pi Iammmla :L 0 S MINN Al IN mesame i m Edon: n: woo omamomm� Z t/ !J MVO ® ®m a® ®II 5 n1 . E 5`..L 5 T. 5 r. �O5 4 jI011 1111 2. E. IN .E tJ. E 51 111P1,111111 p®ooao � awed ma ul emop al ma 1mmmop 11 a1mmlNmm r •E 18111 �alommm g N . E i� •e ` .)`I I I, ST / I muto 1oomom2. OHM o111ma / IV. N4. E N.J di / mm Imo „pa m / mu 1111-11 N . J I/, 4 .YSi m J �qe 7.e" tin 9 aga lem ate. 0 4 tos 1111 i 1MImm OW .amt _no._ 111111 J 11111 1 O 111)11O1i 1/14/111 10 • ,. PR 111 la Il r1111 1 MEW 9 a ,.. 9� 110'11111 11 9 6 10/11 !MEE 9 5 •" 9 4 99 • "• 5 T. ° 93 .5 b t AIM 11/0 9 2 9 • ,. 11 °010911111 11 1101111k D 8 10 y ., e1• 11€ 111//111 4 2m1110111 111111 ;111. 411 1601114; V mew 111111111111111 111111111111 5 T. 5- T, 5 T. loaminuf 1/1tr4 111 S T. 11111941914 4 5 " 110'41111i 5 T. maim uppin TRACT- A ' ST Ralf Of LIAM SC/1001 I CHURCH 741 1 anamout 1111 '110r ispe , e s t: * 1 41 1 t4;:**11,4%.* 4 < NE emu Ann 41111M111 NE Amin masa; gum munium RAMO NMI 1111 NM 10111 NIP ow mom 31111 i1111 mil Mr NV • MIAMI SHORES ELEMENTARY SCROOL LOCATION 401 Y. 24. e ET GARBAGE TAX RECORD PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID C RECEIPT • NUMBER \ _ _ . 0 1940 k O . O `a fJz9 3 ZS'6 " \ ....Z 4/ -'ff( % `'.... S b .2 •s /....- j / � .. r ". ` -' /�� '-. \ 1941 1942 /i ii ,; j ,0.- . - , `' /- , --,,/ *n i � ' - te, �{/ ✓� : / r ��) 1943 1944 / 2 - 16 --- ® l • /0. i / - y a va ,24 iii 2f I4 -4,A . ,- �Q ve '' - 3 �s 7 7C. kid,/ s �s3 i T n ic�ii l M 1 i j 1r 1 1945 t , . of 1946 is " /'3`Y "7', 1947 /6,s--60 ` (C - 4 : / ,.-- /0377 4 p q 1948 l-27 O a_ /2 - aJ- Y 11 if ,l 1949 (( le /11 43- 3/ 57) / 5:44 AS', o o -4-if-7 �b,_ '' _ /Z. / - 777 - /0 ) 1950 la '7 ; a 6 ..?-.2 9- Sa /To 5 . LOCATION 401 Y. 24. e ET GARBAGE TAX RECORD MEC 401 N. E. 95th St. ..by John A. Cook ual. tax //IC/ W/4 year eriod used a amount .: d date . - d recei •t 5t/ /_, —crJ /4r7 • -1 — aea='IFICIATIO:"3 for the erection and completion of a two story C:B.S. residenoe in alemi Shores Village for Nancy ': raker Young. Ge , ,E} AL CONDITIONS: These eeneral conditions wanly to both General and Sub — Contractors, and must be observed and complied. with in submitting bids end executing this work. In tekiny bids on the work herein contemplated, and in the ac:ompanying plans, the General Contractor reserves the ri eht to reject any and all bids ei thout r;oepen8ation. In sli operntione operation coneect ~d with the work herein speci: icd, all local and County laws -!rid ordie noes controliin : the action of those engaged upon the work or affectine the meteriel eupulied thereto must be strictly observed and complied with, ech contr'ctor rust furnish all lebor anci meteri' 1 neceee -ry for the erection end. completion of the "work included in his trade according to the plan end specifications, notwithstandin.e some minor items necessarily therein involved are not particularly mentioned. Owner shall locate four corners of lot. General Contractor shall be responsible for grades and building lines. Entire yard shall- have adequate fill end ell shall be spot planted with grass. (Lot 75 143' E Y "A'J.ti.'i'T V Awn 11ADI'at : `3turps, root e and ell slant l r_o h with he buil di n,H lines must be com;lletely removed. 1 xeay.. to for o mown below retie 'lee. 411 excavations to be d :€o a beryun, titer pack the notions of t.rciic• 'f••. h - g � � id. "en concrete -- ork ':eloi grede lime 11 s aea me ter a'fid r ,roved .refill eith clean errth, - Rac'-ed t:mpe esdrid. e l: `ITOTD: x ootinea for wall, nitre steps, etc. shell be of concrete urges in proportion of 1 pert ce ent, 2- parts r1 an send end tivr erte broken cock. Footin ,e shell be confined to size and shape by wooden forms, wh J. ch ellen. not be removed until concr t! has thorou hly set. loot ines shell be reinforced with steel as shown on drawings. Concrete leelts, lintels, and columns ns sho'gn on nl.ens shell be of concrete mixed 1 art eee 'nt, 2 parts send, and :Pour parts rock. Belt shall be re— inforced -with 4 5/8" steel rods. Joist anchors nnnci el ete bolts shall be imbedded in belts as shown. Concrete porches, sle.be end driveway shell be of 1 -2 -4 mix, sizes and reinforcing as shown. All concrete mixed shall conform to new Miami Shores Village Building Code. Tf RHA4Z0 1. Install complete Terrazzo floors (light gray cement) •throu shout 911 rooms, hall and closets on first floor ';vith 4" coved base, Fireplace b : rth to be terrazzo. First riser on stairs to second floor to be terrazzo. Floors to be spaced in 18" squares with brass strips. Colors end borders to be selected. ay Owner. ANT :L: Contractor shall rake rlloeence of 1:,4..O0 for eeentel. DTtIVee!IAY: Install concrete curbs from garage to alley and fill drive with 6 " crushed rock — cover with. clay — roll ebile wet and thin cover with coat of white pea rock. MASO RY: Exterior wells and founeation galls indicated on the drawings as of masonry shell be of concrete blocks of reproved m.anufecture, well cured. Cement brick may be used only where neceeeery to bri:og eork to exact size and measurements. Blocks and brick shall be ieid in zrorter composed of 1 I» 0NPY * 0' T' D part hydrated lime or approved waterpr °ofin, 9 parts cement, end 18 parts clean sharp sand. 8x12 vents shall be placed not more than 10' C.C. and in to 'srations th ^t will eliminate dead air pockets in corners. All vents shall be screened on the inside with 18 mesh bronze screen cloth nailed directly to blocks. Provide access doors in foundation as Ohowi. Fireplace shell be constructed of concrete blocks and brick, and lined pith first quality .'ire- brick. Throv.t ehall be lined with fire -brick up to the flue. Wrought iron pipe vent of ample size to be installed by Plumber, CAR1'rdTRY AND IZILL'OAK: All framing lumber and sheathin,, not otherwise spec ied shall b e of 'i2 long leaf yellow pine. elates for floor and ceilin,- joists shall be of sizes shown on drawings and shall be level, straight snd true on All lines. Plates at top shall be securely bolted to concrete. Joists shell be doubled for he sders and trimmers and under partition with , which they are parallel. Joists shall be made level, straight and true on all lines. Joists spanning over 9 shall be cross - bridged with 1"x3" cross- bridgin; double nailed. Rafters and second floor joists shall be anchored to concrete belt at 48" C.C. with approved anchors embedded in belt. 'Window bucks shall be of cypress and shall be made level plumb and straight to receive frames. Furring strips shall be of 1x2 cypress, 16" C.C. well nailed to blocks Pith case hardened nails Forms for foundation, sills, lintels and beams shall be provided by the carpenter and shall be properly braced to receive concrete. Interior trim, base, cabinets, door jambs, etc. shall be of 1. quality megnolis er poplar. Interior doors shall be molded one panel, stock design Marsala" design in sizes as shown. l'binet doors shall be of 7/8" "1ywood, hunt; on loose - pin butts. Exterior doors shall be 14" thick, design as shown. Provide 1 1/8" . thick screen doors of stock design for all exterior doors. PLASTER AND :TUC SO ARK: All interior „alts send oeilin„s shall be lathed with Rooklath, except 2nd floor ceili•re which shall be Celbtex lath, secusty nailed at each bearing. All to be plastered three coats, :nixed and applied according to manufacturer's speoifi ^ations. Texture of finish coat to be as selected by Owner. All exterior masonry walls to receive two coy is stucco, minimum in thickness, mixed one part Domestic Portland cement, two parts cl' an send, °-ith adeuate "Crystex" or equal inter,';al waterproofing added. ROth : 'Entire roof :he'll be covered alth :'irr t : u .lity cement tile of approv- ed manufacture (ba rel type), well cured, over three -ply coNeoeition roofing as :collows: 1 layer 15 lb felt, tin- capr.ed, 1 lryer 30 lb felt, spot - mopped, 1 1-'yer 90 lb slate, spot- mopped. All valleys, fleshings, saddles, drips, etc. shall be of 16 oz. copper. Tile to be cement (unpainted) same to be painted by painter. EL7]CT ICAL .QRK: All electric wiriu;; ehell be done in accordance with the rules of the National Boer( of Fire Underwriters and with all existing laws and Ordinances of the Oity of Mimi Shores Village. Connect to public, supply at n arest available point. Wire for all outlets as shown on draw nes or as specified. Ceiling outlets shall be placed in center of rooms unlese other Prise specified. Switches shell be placed at hei ht of 48" from floor and. shall be of lever type, alth ivory bakelite plates. All receptacles shall be duplex, ivory prates, Push button shall be placed at front door to operate chime to be loented. Panel box shall be included in house, meter to be s:^renged for by Owner. Electric fixtures to be selected by Owner and installed by electrical contractor. Contractor to make Allow- ance of 448.00. -2- TILE , 'ORK: Bathroom floors shell be of first quality mett- glazed tile over 4" concrete base. Bathrooms shell have tile wainscote 50" high, rising to height of 72" over tub, with contrasting base. Tile sink, drain and splash. Line fire -place box as shown of first quality tile. '.Vindow stools to be 6 "x6" oatmeal bull- nosed. Colors of all tile to be as selected by Owner. Mein screened porch and front end rear entrence porches and steps to be of first quality golden ; snow hex quarry tile. Base of screened porch and front entrence porch rnd front entrence riser to be of decorative tile, HARD'`ARE: Finish hardwere to be ns selected by O'rner end shall be installed by carpenter contractor. Allweence of ` 125.O0 for butte, locks, cabinet herd' ;rare, eerage dour, etc. end n11 other finish herdeare. PAINTING: All materiel shell be fully dried before the application of paint. All interior doors, cabinets and woodwork shall be given one coat primer, one coat flat, one coat enamel undercoat and one coat interior gloss enamel, 411 to be puttied after priminee and well sanded after both prime and second coat. All interior walls and ceilings except bath and kitchen to receive two coats casein paint. Kitchen and baths to receive three coats oil paint. Metal sash to receive two coats of paint, All exterior woodwork to receive three co--te, All exterior stucco to receive two coats. Painter to paint entire roof two poets of approved paint. Colors of all paint to be as selected by Owner. OAK FLOORING: Oak floors as shoe on plans shell be of select grade white quartered oak, 13/10" thick, securely neiled. 3nme to be machine sanded, filled with "3ilex" filler -end riven two coasts first ,uality floor varnish or white shellac as directed by Owner and then waxed and polished. STEEL SASH: Steel sash as shown on pipns ehe11 be "Hop2" or equal quality, with steel frame bronze screen for each opening, 3eeh shell be set in ap- proved caulking compound, and shell be caulked after stuccoing is completed. All to be glazed - ith double strength '3 window glass, embedded in putty. Locks and operators shall be bronze finish and. shall be installed and ad- justed by this contractor. Supply for all sash, store shutters made of tempered pressed -wood, tap sash for and supply bat - winged brass bolts. PLUMBING: Contractor shall do ell 'ork in accordance with the rules and ordinances of the City of Miami Shores Village. Fixtures and outlets shall be where shown on the dra.wins or as specified. Pipin ; e;, placing, installing and connecting all fixtures shell be done complete, reedy for use. Pipe tubs, lavatories, sinks end showers for both hot end cold water. All con - ce led water -pipes to be copper. Provide and connect to 500 gallon septic tank with 150 ft drain field. Fixtures shell be "standard" end "Cese" as follows: Bath #1 Color 1805 - 24x20 Case `Jineton lavatory leith legs & bars, combina- tion sup ly & waste fittin; ;s, 3/8 C.e). nnele supplies with stops & lw C.P. 17 ;rP uf;,e P trap. F2005 -A one piece closet with 0.P.#125 sea pearl seat complete. 5' P2215 -17 Recess Tub 873 C.P.B. & 5 fixtures with 8274 head. B438 C.P. easte. 33293 - 5' Rod. Bath #2 Color 5' P2215-1? Recess tub 87313 & 5 fixtures with 8274 hagd. 8.438 0 :f;: Taste, B293 5' Rod. ;#805_?4x20 lavatory same as Beth F2005 -A closet seme es Bath #1. Garage F2045- 'Mite compact with 0 214 P.C. seat. 1 18x24 white sink with back and hot end cols? water. 2 part 8helvan laundry tray complete. KITCHEN SINK 32 P7037 clored , iA X3906 -5 C.P. Faucet, 28989 C'P strainers, C.P. continuous waste. 14 C.P. 17 gaur,e 1? trap. SOLAR EPeeTER: "Beutel" or equal two 410 heaters end 100 gallon tank. 4 : • for C . ' 0 . .16 ad • * • ' ' • " '- 1 aic JC T7.3e, that Li Oa: 1' • • 7 • 11.4 5., -a. • C.) 0. "2 • t. a) • Li 1.,t12 • - 3; *-. • . : 111,0,0 Val,::„,00 CZ „ ..1 ;. ,)::1; (2( . b 01'0 CA::: : • — ..c o ic. e • all _ . 4. . „1„ ri :I.' 0 • ,_. 4 , 5•• ‘,/ 1:5 • - c e) OWNER STATE OF FLORIDA) COUNTY OF DADE ) 1 My Commission expires Cubic Feet Chairman Permit No. l Electrical , Permit No. BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA APPLICATION DATE Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not. ARCHITECT CONTRACTOR LOT BLK. SUBDIVISION a STREET #y('/ NEW 'ADDITION REPAIRS NUMBER OF STORIES ROOF TOTAL COST (4i Building to be used for and no other use. I hereby submit all the plans and specifications for said building. Signed Before me, the undersigned authority, a notary public, duly authorized to administer,Qaths a d take acknowledgment, personally appeared , , �. % / to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, Notary Public (Signed) Cubic Feet required in this Block .! PL.aNNING BOARD M ember 1 -`-7 0 44_ , c / ,7-, rr , r f 1 . f / Member � :a "' /2 S ccretary Building Inspector ` 437 t er Issued to '' .: Date r Plumbing Permit No. // • Painting. Plastering Lathing Electrical Mason & Concrete Plumbing Roofing Glazing Tile Miscellaneous LIST OF SU13- CO3TRk'TOR.S 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 regula- tions 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. j e* o te F Date Owner's Name and Address_ __V = _=i,_ No. —_— Street —__ Registered Architect and /or Engineer_ —__ Name and address of licensed contractor ` ` 4, -, ' .. ' Location and legal description of lot to be built on: s Lot.,., -_ • Block__ – sb __ Subdivision — _ _ __ .f___ _____,.___I –__ Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling_ Addition_ To be constructed of__ 64 Kind of foundation .�. - - -- K ir 4 - � + _ _ Roof Estimated Total cost of improvements $_________ 4.21 'J Q._ Amount of Permit $ Zone cubage required— _Plan Cubage Distance to next nearest building___________ —_—__— _______________Size of Building Lot Maximum live load to be borne by each floor_ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to Jbe,,pgrformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) •.,.,_ ,. 4Q . _ ' y . = f *'X STATE OF FLORIDA, 1 COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 and Subscribed before me. Disapproved _________________ Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Notary Public, State of Florida Building Inspector My Commission Expires_ —__�_— PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved— _____— ____________— __ —_ -- Date Disapproved (over) and for no other purpose. !°_F'_ ' ' - Repairs No. of Stories to me well known, .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. LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17:. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having .a regularly established and licensed place of business in the Village. JOB: AD: BUILDING ELECTRICAL PLUMBING • • • • • WORK • DONE BY s The following is ready for Inspection: Inspector's Report: - • ▪ REQUESTED • WILL BE READY THIS CERTIFIES THAT the wiring and apparatus installed at by Address for IMP MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION owner, and occupied as PERMIT No. has been inspected and current is authorized to be turned on, until otherwise notified, for : Size of Service ' Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. .1". 0 a / i? - hLcic Perit Ao. ia.te Fixtures —On ;? 7- - 11::ater - tiotors Miscol. 'ow Const. - 7,37 - drs , . insp. Foundation Beams & Lin Final Final Cleal n-Up. . . • • ; :f d Alteration - Repairs . - R - e=insp Plumbing Insp. Data By "Re-Ins. By Rc-Ins? .. By Roughing Fixtures So Soptio Tank Sciar .HeatE;r _ ._______ _____ _ Eletri cal Insp. ' Dat 1 T Ra-Insp. By Re-InsT). 61: Fixtures - 0T5 -, ../-/74 -27 - 7 /;/ - • crc,--f .0c441 buocavlsio 0 Adr. o r s ame / • 1 dress Agr'.........e...../ // Genera ontractor 1. No. . __ A Zone R q . Cu. ./--- t----/.—c Ci...lb . C oft t- Plat Restriction Chkd. To Planning Board a d , — /1- 3 9 Approved j-ect 1 7:* . - Re-je:at ed Re-Submitted to P. Ed. Approved Plan & Spec: Checked By To Council Bldg. Perml.- Typo New Gans •-• New: ate - 77- Approved Rejected - t/ Cos ,e k. - eZations - R °pairs 0 111111. 1 Plumbing P ermi t .N o*. - Date , r Fee /61 r i.) Address or Phone Phone SeptTan • . 7 -. • • 1 " • Sewer' 11 • •-. • • - • . ' • • •• > ' Al torati-on' 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. Owner's Name and Address. -...L. Registered Architect and /or Engineer Name and address of licensed contractor i<- e-,17- ee Location and legal description of lot to be b ill on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors) Permit No Disapproved (Signed) Date -, spector MIAMI SHORES VILLAGE r t Date (c? — •� No /0/ Street_1yi Subdivision / /OD (-Li ' e� and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 6 "1-e- °4 - 040 To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $.._ Kee) ' ®° Amount of Permit $ o�•> Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live Load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the 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. 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. Read, Sworn to and Subscribed before me. ate Notary Public, State of Florida My Commission Expires /PLANNING �/ 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. No. STREET PART OF LOT LOT BLOCK SUBDIVISION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Fran) Tile Concrete, Stucco Residence, Apts. tores, Hotel („) 1 BUILDING PERMIT Owner of Building Architect . r : =. y � . 41. Contractor or Builder Dated /A PROPOSED LOCATION ,19 MIAMI SHORES VILLAGE i , ' OFFICE OF BUILDING INSPECTOR Miami Shores Village, Flo ida, --' i { d M f , 19 'DESCRIPTION OF BUILDING e N9 460 ' ' +lµ {, ° .,. -.. t - ; - 4 .. - ,t This permit is issued to � P� 1 . 4 :.. i t. t To e the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and gulations of the building department of Miami Shores Village. This permit may be revoked at am? time upon the violation of any provisions of said s, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building departm,ttt of • ii Shores Ville. (SEAL) NO. DEPTH I STREET PART OF �OT . imal 2 LOT BUILDING TO BE USED FOR BLOCK 7' • 00 ,1 ./fir SUBDIVISION .0 - z > . 1 / : / ,Y /� "t Ji Residence pts., Stores, Hotel , t a' 7 ,.�- '. FRONT DEPTH I HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE + I�� / \� / s Frame Tile Concrete, Stucco /� "t Ji Residence pts., Stores, Hotel , t / +' '. il / ' �. >._. , BUILDING PERMIT Owner of Buinn Architect Contractor or Builder R OPOSED Miami Shores Village, Florida, LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR o This permit is issued to r ..4~ t {- r 7 ipe .4 - L4 7 ' 0 ✓L the building above described, as p applicatiin Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any tim -ti ion the violation of any provisions of said w s, ordinances or rules and regulations, or upon any change in the plans and specifications unauthgr d 1,5i the building inspector. iii To ,19 N° 438 .. ✓ _o1/tLDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated . ' , 19` 3 ' 6 - 0 2 45 6.64. O V 1/ 9 (SEAL) Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING ZI ELECTRICAL ❑ PERMIT o PLUMBING ❑ N e 8069 ROOFING ❑ ❑ Work to be performed under this Permit__ t Bl. Subdi- vision DATE 11 1 a Sq. Ft Value of Project $ t " Contractor's License No Amt. of Permit $ BY AUTHORITY 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done 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 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 fot all work done by either, myself, my agent, servant or employee. 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. t J� Date Owner's Name and Address. Registered Architect and /or ngineer Name and address of licensed contractor ° / V ' Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done f / i .. i _.._ State�ork to be done and purpose of building (by floors) ?4_i e re y � and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Estimated Total cost of improvements $ g QCs C.G Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the 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. Remarks (Signed).. A f 24 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 44 Z 1 Date /` — a- — S Read, Sworn to and Subscribed before me. Disapproved (Signed) - Building I Chairman . Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT PLANNING BOARD DATE - 91 Streeter � , 9 J - ' Roof Covering Amount of Permit $ to me well known, Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date 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 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. Owner's Name and Address.... e - PLANNING BOARD Date <' r i� 19 No Street DATE Registered Architect and /or Engineer Name and address of licensed contractor � � ��� � ,' 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 done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ �_1 . o '' Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the 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. � r Remarks (Signed) 7 / STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No < y Y Date % — ° Read, Sworn to and Subscribed before me. Disapproved -___ Date__ (Signed) d % ,7 Building Inspeor Notary Public, State of Florida My Commission Expires 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. 9� - * It - r' s P ke'° BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor %� y or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9385 Work to be perform u nder this Permit -7 / Subdi- vision onstruct the building or to ith the understanding that t nd approved by t proper e plans are cha without granted is the understanding that the contractor or builder named ab6ve assumes th esponsibility pertaining to the work covered hereby whether shown on the plans or drawings or n the stately done by his agents, servants or employees. /'' fined .,r. This permit is granted to the contractor or b er named above herefor in strict compliance with all ordinances pe • : fining thereto and drawings, statements or specifications that may have been submitted to time if the work is not done in compliance with such ordinances or if CONTRACTOR OR BUILDER t INSPE OR BY DAT Contractor's License No. equipment or device de cribed in th •plication will be performed in compliance with any plans, 1 authorities. This Permit may be revoked at any nation. A further condition upon which this permit is a thorough knowledge of the ordinances and regulations or specifications a he assumes responsibility for work In consideration of the issuance to me of this permit I a ee to perm the work covered hereunder in compliance with all ord• • • and re :' "• ns pertaining thereto and in strict conformity with the plans, drawin ents or specifications submitted to the proper authorities of iami Shores V age. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.--- ... -.- 4./ ;UILDING LECTRICAL 'LUMBING GOOFING 1 Berner of wilding '.rchitect Jontractor ?r Builder .egal )escription Address of 3uilding MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 4427 .�i Lot CONTRACTOR OR BUILDER f 4f; Bl / Work to be performed under this Permit This permit is granted to the contractor or builder named above to construc 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, lrawings, 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 responsibility for work done by his agents, servants or employees. i' / Signed. f _� t �, gy e 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY Value of Project $ t- ' DATF / — > 195 6- Contractor's License No. /3 5 ? Subdi- vision Amount of Permit $ AUTHORITY 8. ;UILDING .LECTRICAL ❑ 'LUMBING ❑ GOOFING ❑ ❑ ?wner of wilding MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 4309 `.rchitect ontractor gr Builder .egal Lot Description Bl address of ; uilding Work to be performed under this Permit DATE ' - 195 Contractor's License No. 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, 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 s .PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date � �- 641 Job Address/ 401 N. E. 95 St. Tax Folio /11-3206-014-0600 ,Miami Shores Sec 2 PB 10 -37 Legal Description t/ Lot 13 F W1/2 Lot 14 Blk 53 Historically Designated: Yes No o Size 75.000 X 143 or 12461 -1077 0385 1 Owner/WW//M0 Owner/WW,M0 Miami Shores Baptist Church Master Permit # / Owner's Address 370 Grand Concourse, Miami L shores, Fl _ Phone 7S8 -O SS99 /� Contracting Co. , - e�/V/j ®S t v!�Ct /G / Y Co, Address Alf /1ST /` / ae. `1f ��47 3 /, i' Qualifier AeoL O E,de 2L1 ,c SS# - - ? Phone 53e-3,44p_. l/ State # Municipal # 2O -© *V a 3 Competency # 963 Ins. Co. / ,/S CCW/441- Cad Architect/Engineer ® Address —® Bonding Company — Address Mortgagor ® 0 v Address — 6 Permit Type (circle one): -HAG ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION a ,e_ 126z-eLie, Square Ft. 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 tleet 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 Preside %)7a/ Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT RADON APPROVED: Zoning Building Mechanical //o/q7 e V, 2/ Date OFFICIAL NOTARY SEAL MARCIA HILMS NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC339927 MY COMMISSION EXP. JAN. 20,1998 C.C.F. — 909. Signature of Contractor or Owner - Builder avue) �/ZrwJ Notary as o Contractor or Owner - Builder My Commission Expires: NOTARY Electrical OFFICIAL NOTARY SEAL MARCIA HILMS NOTARY PUBLIC STATE OF FLORID COMMISSION NO. CC339927 MY COMMISSION EXP. JAN. 20,1998 BOND TOTAL DUE ate Plumbing Engineering METRO -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Clopay Corporation 312 Walnut St. Cincinnati, Your application for Product Approval of: 24 ga. Galvanized Steel Sectional Garage Door 9' wide under Chapter 8 of the Metropolitan 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: applicant. For listing see section 7 of this Notice of Acceptance. 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 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the 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.:95- 0821.02 (Revises No.: 95- 0317.01) Expires:07 /25/97 OH 45202 Approved: 11 /02/95 -1- METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL SECTION (305) 375 -2902 FAX (305) 372 -6339 Raul Rod 'guez 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 Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. s anger, Director Building Code Compliance Dept. Metropolitan Dade County • . Clopav Corporation • P P ACCEPTANCE No.: 95-0821.02 1.0 DESCRIPTION: 2.0 USE: APPROVED 2 1995 EXPIRES : JUL 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS This approves sectional door 9' -0" wide x 6' -6" through 8' -0" high made out of steel, lock forming quality (ASTM A527), a yield strength of 30,000 psi, a galvanized coating of G60 (ASTM A525) and finished with baked on polyester enamel. The door shall be constructed and reinforced as detailed in the approved drawing #101182 pages 1 & 2. This approval includes 4 models which are the same door with the following difference: Characteristic Flush Panel Smooth Texture Wood Grain Texture Wood Grain Texture & Painted Model 78 91 93 or 83 94 or 84 This Door is approved for a maximum design pressure of +46psf & -48 psf and its use is restricted to this pressure. The door passed the impact and cyclic test, therefore it does not require hurricane protection devices. The door shall meet the burglary security requirement of section 3603.2(c)2(aa) of the South Florida Building Code. The door operating mechanism (not included in this approval) shall be certified by Underwriters Laboratories or other recognized agency. Candido Font, PE Plans Examiner Product Control Division RAM SKIN END STILE CENTER STILE E ND HINGE CENTER HINGE HORIZONTAL REINFORCEMENT SHAPE FREQUENCY 1 24G. 18G 20G 1 4G 14G 20G U 1 /Section • . Clopav Corporation • P P ACCEPTANCE No.: 95-0821.02 1.0 DESCRIPTION: 2.0 USE: APPROVED 2 1995 EXPIRES : JUL 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS This approves sectional door 9' -0" wide x 6' -6" through 8' -0" high made out of steel, lock forming quality (ASTM A527), a yield strength of 30,000 psi, a galvanized coating of G60 (ASTM A525) and finished with baked on polyester enamel. The door shall be constructed and reinforced as detailed in the approved drawing #101182 pages 1 & 2. This approval includes 4 models which are the same door with the following difference: Characteristic Flush Panel Smooth Texture Wood Grain Texture Wood Grain Texture & Painted Model 78 91 93 or 83 94 or 84 This Door is approved for a maximum design pressure of +46psf & -48 psf and its use is restricted to this pressure. The door passed the impact and cyclic test, therefore it does not require hurricane protection devices. The door shall meet the burglary security requirement of section 3603.2(c)2(aa) of the South Florida Building Code. The door operating mechanism (not included in this approval) shall be certified by Underwriters Laboratories or other recognized agency. Candido Font, PE Plans Examiner Product Control Division . Clopav Corporation ACCEPTANCE No.: 9J- 0821.02 3.0 INSTALLATION: 4.0 CONDITIONS OF USE: APPROVED : NOV 0 7 1995 EXPIRES : JUL 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS The door shall be installed as shown on drawing #101182 pages 1 & 2. Wood in contact with concrete or cement shall be treated with an approved preservative as set forth in paragraph 2913.2(a)1 or shall be of a durable species as defined in subparagraph 2913.2(a)6(aa) of the South Florida Building Code. Installation of 2" x 6" wood jamb requires a 1/4" tapcon and 1".0 x 1/16" thick washer @ 12" o/c with a minimum embedment of 1 -1/2 into 3000 psi (minimum) concrete or into 2000 psi grout filled concrete block. Installation of track requires a 5/16 x 1 1/2 lag screw per bracket (5 brackets minimum) with a minimum embedment of 1 3/8 into PT Wood Jamb. Application for Building Permit shall be accompanied by duplicate prints of the approved drawing's #101182 pages 1 & 2 bearing the approval stamp, Notice of Acceptance Number and date by the Dade County Product Control Section along with computations prepared by a qualified Florida Professional Engineer or Architect verifying the adequacy of the door at each site. The shopdrawing shall bear the signature of the architect or engineer with the following statement "The supporting structure has been designed for the forces on the approved manufacturer's drawing." Application for Building Permit for replacement doors shall be accompanied by duplicate prints of the approved drawing #101182 pages 1 & 2 bearing the approval stamp, Notice of Acceptance Number and date by the Dade County Product Control Section. Also the building official must be satisfied that the proposed installation meets the use of Section 2 above. 5.0 LIMITATIONS: This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested (according to ASTM E -8) by a Dade County approved laboratory selected and paid -2a- Candido Font, PE Plans Examiner Product Control Division Clopay Corporation by the manufacturer. Every 3 months, four times a year, the manufacturer shall mail to this office: a copy of the test reports with confirmation that the specimens were selected from coils at the manufacturer's production facilities and a notarized statement from the manufacturer that only coils with a yield strength of 30,000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance. 6.0 IDENTIFICATION: All approved products shall be permanently labeled with the manufacturer's name, city, state and the following statement: "Dade County Product Control Approved ". 7.0 EVIDENCE SUBMITTED: Test Reports HETI 94 -47 Calculations Date Al Farooq Corp. 5/5/94 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS Date 4/15/94 Drawing Number Clopay B.P.Co. 101182 Signature A., Farooq, P.E. Last Revision 9/95 - 2b- ACCEPTANCE No.: 95- 0821.02 APPROVED : NOV 0 9 1995 EXPIRES Drawing Ref. Signature 101182 pages 1 & 2 A. Vigar, P.E. JUL 2 5 1997 Signature H.W. Westerfield Candido Font, PE Plans Examiner Product Control Division • Clooay Corporation ACCEPTANCE NO.: 95- 0821.02 APPROVED NOV 0 7 1995 EXPIRES ' JUL 2 5 1997 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 (3) 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 I, 2, 2(a) through 2(b) and this last page 3. Items 10. 11 & 12 listed below only apply to glazed products 10. Unless specifically indicated in the Acceptance (approval), this unit is approved as a single unit installation. For multiple installation of this unit, a separate Acceptance for mullions is required from the Product Control Section. 11 The spacing of fasteners at window sills shall be as tested. The spacing of fasteners in all other parts of the frame, shall be as tested, but in no case shall exceed 24" on center. The first fastener shall be located at a maximum of 6" from each corner and mullion or stile. Fastener shall fully penetrate the buck, which shall be the same size as the one tested with the unit. No wood or plastic shields or pins shall be used for anchoring. See section four (4) of this approval for sizes of fasteners used in testing. 12. Hardware for all windows and doors shall conform to Security and Forced Entry Pre ,Chapter 36 of the South Florida Building Code. Candido Font, P.E. Plans Examiner Product Control Division END OF THIS ACCEPTANCE -3-