443 NE 95 St'/Date I - a a -is Job Address V 4 Li 3 E Q.5 Siro e f Tax Folio
Legal -. ; .fi V Historically Designated: Yes No
Own .• - / Tenant M i 0. vin i °> h o re ,G B (4-1`a f C u ran Master Permit # 41 2 -351
Owner's Address k37O ear o...-vck Conc_c> rs _ Phone •/
Contractin Co (7 Co Address E/9 /or h /1/ /-/l, F6 33/39
Qualifier % ,OLZ . LOP/ hl £dJ S S - 3 a7 -hone 5 58 3/
1Vlunicipal # I — S T ' Competency # 960 Ins. Co. ! () / CO.
State #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one). BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTI .Q /.t di-- / CO �G
Square Ft. G i l d X 7
WARNING TO OWNER: YOU MUST ` RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify twat 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
PERMIT APPLICATION FOR MIAM7ORES VILLAGE
�9f - Q //a/v) of owner and/or Condo Pre dent Date
,Notary as to Owner . o • t o Pj - sident Date
C hQ�S iS0, 5 339 WIRES
f' .i� -�.f•: Milian/ 29.2000
-
- 0.
' ,8t 1 BON'DEDTHRU TROY FAN INSURAN me. •
FEES: PERMIT ; '° f/ F ADON
APPROVED:
Zoning Building
Mechanical
C.C.F.
Estimated Cost (value) . J 00
Signature of Contractor or Owner - Builder
ate,(4
Notary as Contractor or Owner - Builder
My Commission Expires:
NOTARY BOND
Electrical
A2/ 92
Date
// a'0:79.6'
ate
TOTAL DUE
.q9
Plumbing Engineering
INSTALLER
MODEL
RETAIL
MODEL
DESCRIPTION"
93
83 '_
24 GA. STEEL SKIN; 18 GA. STEEL END STILES
94
84A
24 GA. STEEL SKIN: 18 GA. PAINT(E in N 1
DOOR
HEIGHT
"L"
BRACKET PLACEMENTS
1011111m1031
X4
6 -6
70
10 35
60
7' -0"
76"
�� 10' 38"
66"
' �
� _� •
MIE# 111111•11Kili '
8 -0
88
3 -1 2 10 34 58
c ..
� ♦
r �
•
♦ r
�� I
I '
' �
� _� •
tI r
r
1r(
: III �
� 11111 1
11111 II I
I. IIIE
4_1111111E11111111111
FA,
1 1 1
111 l
liI 1 I
II 1
MODELS 83, 84A, 93, 94
END STILES ATTACHED TO DOOR SKIN WITH PATENTED
TOG -L -IOC SYSTEM (TOP, BOTTOM, & CENTER)
ONE INTERMEDIATE STILE BETWEEN EACH EMBOSS
ATTACHED WITH TOG -L -LOC (TOP & BOTTOM)
AND URETHANE ADHESIVE (ALONG CENTER)
0
r cn
t o
n o
= U
1 A
o L
7
0
A
NOTE 1;
DOORS 6'6" HIGH CONSIST OF (4) SECTIONS; (2) OF 21" & (2) OF 18 ".
DOORS 7'0' HIGH CONSIST OF 4 SECTIONS; 4 OF 21".
DOORS 7'6" HIGH CONSIST OF 5 SECTIONS; 5 OF 18 ".
DOORS 8'0" HIGH CONSIST OF 5 SECTIONS; 2 OF 21" & (3) OF 18
NOTE 2; SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED
BY A REGISTERED PROFESSIONAL ENGINEER FOR WIND LOADS
SHOWN ON THIS DRAWING.
x
cc
0
0
0
0
0
w
x
C,
z
z
a
0
"X4"
LOCATION OF OPTIONAL VENTS
AMAXIMUM VENT OPENING: 60 IN'
MAX. DOOR WIDTH - 9' 0"
INSIDF Fl FVATION
•
"X3"
"X
13 GA. GALV. STEEL FLAG BRACKET.
EACH FASTENED TO WOOD JAMB WITH
(3) 5/16 "x1 -5/8" WOOD LAG SCREW..
TRACK CONFIGURATION
2" GALV. STEEL TRACK,
TRACK THICKNESS: .060"
HORIZONTAL TRACK SUPPORT BY
DOOR INSTALLER (TO SUIT)
TYP. 2 -1/2 "x12 GA. GALV. STEEL TRACK BRACKET.
SEE END HINGE
DETAIL
SEE INTERMED. HINGE
DETAIL
TWO POINT LOCKING
INTO TRACK PER
SFBC 3603.2
5/8" MIN. ENGAGEMENT
(OPPOSITE SIDES
OF DOOR)
(SEE LOCK OPTIONS)
c
- ALL DOOR MODELS ARE RAISED PANEL EMBOSS
2x6 WOOD JAMB
SUDE BOLT
LOCK ENGAGES
INTO VERTICAL
TRACK. ONE
LOCK ON
EACH SIOE
OF DOOR.
INSIDE SLIDE BOLT
LOCK OPTION
12 GA. GALV. STEEL TRACK
BRACKET FASTENED TO WOOD
JAMB WITH ONE 5/16 "x1 -5/8"
WOOD LAG SCREW PER BRACKET.
2" GALV. STEEL TRACK
FASTENED TO TRACK BRACKETS.
EACH BRACKET ATTACHED WITH ONE
1/4 - x5/8" BOLT & NUT QB
TWO 1/4' RIVETS.
JAMB CONFIGURATION
PRFPARATION OF JAMBS BY OTHFRS
END STILES ATTACHED TO DOOR SKIN WITH PATENTED
TOG- L- LOC SYSTEM (TOP. SOTTO /I, & CENTER)
ONE INTERMEDIATE STILE BETWEEN EACH EMBOSS
ATTACHED WITH TOG -L -LOC (TOP & BOTTOM)
J NO URETHANE ADHESIVE (ALONG CENTER)
) NSIDE
Fl FVATION
2" STEEL ROLLER..
IN TER.
rTLE
OUTE1DE
HANDLE
A
OLITI Ej1F.JffYFD I OCK
°C'< BAR LOCKING
STOP MOULDING BY DOOR
INSTALLER (TO SUIT
20 GA. MIN. GALV. STEEL END STILE
20 GA. GALV. STEEL INTER. STILE
END
STILE
LOCK
BAR
GUIDE
LOCK BAR
ENGAGES IN
TRACK ON
EACH SIDE
OF DOOR.
INTER. STILE
OUTSIDE
KEYED
HANDLE
L 18 GA. GALV. STEEL INTER. HINGE
FASTENED TO CENTER STILE W/(4)
EACH /14x5/8" SHEET METAL SCREWS.
7/16' PL'ST-.NUT INSTALLED ON ROLLER
SHAFT FO+1 UNRESTRICTED DOOR OPERATION.
14 GA. GALV STEEL END HINGE
FASTENED TC END STILES W /(4) EACH
#14x5/8" SI:EET METAL SCREWS & (4)
1/4 "x3/4" SEL' TAPPING SCREWS.
SNAP LATCH ENGAGES
ONTO VERTICAL TRACK.
ONE SNAP LATCH ON
EACH SIDE OF DOOR
4o.
END
STILE
INSIDE HANDLE
OUTSIDE KEYED LOCK
SNAP LATCH LOCK OPTION
TWO POINT LOCKING
INTO TRACK PER
SFBC 3603.2
5/8" MIN. ENGAGEMENT
(OPPOSITE SIDES
OF DOOR)
(SEE LOCK OPTIONS)
14 GA. FND HINGF
= Clopay
Building Products
Company
24 GA. MIN. G -60 GALV. STEEL
(MIN. YIELD STRENGTH: 28 KSI,
DRAWING QUALITY) WITH PRIMER AND
BAKED -ON POLYESIEN PAINTED TOP COAT
APPUED TO BOTH SIDES OF STEEL
(4) (14x5/8" SHEET METAL SCREWS
(4) 1/4 "x3/4" SELF TAPPING SCREWS
THE 2x6 VERTICAL WOOD JAMBS ARE TO BE GRADE 2
OR BETTER YELLOW PINE. NO LOAD IS TRANSFERRED
TO THE HORIZONTAL (TOP) JAMB. ALL JAMB FASTENERS
MAY BE (BUT NOT REQUIRED) COUNTERSUNK TO PROVIDE
A FLUSH MOUNTING SURFACE.
2x6 WOOD JAMB CAN BE ANCHORED TO GROUT REINFORCED
BLOCK WALL OR CONCRETE COLUMN. BLOCK CELLS SHALL
BE FILLED WITH CONCRETE AND REINFORCED WITH CONTINUOUS
#5 BAR EXTENDING INTO THE FOOTING AND INTO TIE BEAMS.
ANCHORS CAN BE 1/4 "x1 -3/4" EMBED TAPCON CONCRETE
ANCHORS STARTING AT NO MORE THAN 8" FROM BOTTOM
AND 16" O.C., DE WITH 3/8 "x4 (1 -3/4" EMBED)
RAWL LOK /BOLT ANCHOR STARTING AT NO MORE THAN 8"
FROM BOTTOM AND 24" O.C.
DESIGN ENGINEER:
MARK W. WESTERFIELD
FLORIDA REGISTRATION No. 48495
MECHANICAL ENGINEERING
CLOPAY BUILDING PRODUCTS COMPANY
312 WALNUT STREET
SUITE 1600
CINCINNATI, OHIO 45202
(513) 381 - 4800
YR
1 71 7 -8 -97 t ADDED MAXIMUM - VENT OPENING
—{- — 1— 2" THICK
18 GA. INTERMEDIATE HINGF
ifLD PLOT 1 -42
an
11/18/96
w11w
• MWW
omm m
SHIP LAP JOINTS.
1110001.00.
SFCTION A -A
12 GA. GALV. STEEL TOP
ROLLER BRACKET. EACH
BRACKET ATTACHED W /(4)
/14x5/8' SHEET METAL
SCREWS.
14 GA. GALV. STEEL
END HINGE. EACH
FASTENED TO END
STILES W /(4) #14x5/8"
SHEET METAL SCREWS
& (4) 1/4" SELF
TAP PINC SCREWS.
2-1/4 GA. GALV. STEEL
U -BAR. TWO U -BARS PER
SECTION. EXCEPT 3RD SECTION
WHICH HAS ONE U -BAR.
U -BARS MADE FROM 80 KSI
SlEtL. EACH U -BAR ATTACHED
W /(2) 1/4 "x3/4" SELF
TAPPING SCREW PER STILE.
13 GA. GALV. STEEL BOTTOM
BRACKET. ATTACHED W /(2)
#14x5/8" SHEET METAL SCREWS.
ALUMINUM EXTRUSION
& VINYL WEATHERSTRIP.
DESIGN LOADS: +42.0 PSF & —48.0 PSF.
TEST LOADS: +63.0 PSF & —72.0 PSF.
APPROVED AS COMPLYING WITH THE
SOUTH FLORIDA BUILDING CODE
DAT ■ U ..%Ja1Z . Cf i
PRODUCT CONTROL DIVISION
BUILDING CODE COMPLI ANCE OFFICE
ACCEPTANCE NO 91 01 22.0Z
axmrwrm.
X TD DOOR MODELS:
83, 84A, 93, 94
MMMG MAID.
101702 -24
9'0"V x 8'01H
METRO -D
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
PRODUCT CONTROL NOTICE OF ACCEPTANCE MIAMI, FLOR 33130 -1563
(305) 375 -2901
FAX (305) 375 -2908
Clopay Corporation
312 Walnut St., Suite 1600
Cincinnati OH 45202
Your application for Product Approval of:
24 GA. Sectional 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, along with Clopay Building Products Co. drawing # 101702 -24, last revision on
07/08/97, signed and sealed by M.W. Westerfield P.E. (For complete 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.:97- 0122.02 (Revises No.: 95- 0821.02)
Expires:08 /21/00
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for ?roduct 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.
Approved: 08/21/97 -1-
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
PRODUCT CONTROL DIVISION
(305) 375 -2902
FAX (305) 372 -6339
Raul Rodriguez
Product Control Supervisor
(.s • anger,
Director
Building Code Compliance Dept.
Metropolitan Dade County
Track
Skin
End Stile
Center
Stile
End
Hinge
Center
Hinge
Horizontal Reinforcement
Shape
Frequency
16 GA
24 GA
20 GA
20 GA
14 GA
18 GA
2'/" x 20 GA U
1/3` Section
2 /Other Section
:lo
av Corporation
ACCEPTANCE NO: 97- 0122.02
APPROVED : AUG 2 1 1997
EXPIRES : AN 2 1 2000
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1.0 DESCRIPTION:
This approves sectional door 9" wide x 8' -0" through 6' -6 "" high made out of steel, drawing quality
Grade 28,000 KSI (ASTM A525), galvanized coating of G60 (ASTM A525) and finished with baked
on polyester coating. The door shall be constructed and reinforced as detailed in the approved drawing
#101702 -24
2.0 USE:
This door is approved for a maximum design pressure of +42PSF and —48PSF 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.
ido Font, PE, Sr. Product Control Examiner
Product Control Division
Clopav Corporation ACCEPTANCE NO: 97- 0122.02
APPROVED : 1 1997
EXPIRES : MB 2 1 2000
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
3.0 INSTALLATION:
The door shall be installed as shown on Drawing 4 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' /4" x 3 ITW tapcon and 1" 0 x 1/16" thick washer @
8" from bottom 84 16" o/c with a minimum embedment of 11/4" into 2000 PSI (minimum) concrete or
grout filled concrete block. Or 3/8" x 4" Rawl Lok/bolt and 1" 0 x 1/16" thick washer @ 8" from
bottom and 24" a/c with a minimum embedment of 11/2" into 2000 PSI (minimum) concrete or grout
filled concrete block. Installation of track requires a 5/16" x 11/2"wood lag screw at each track and flag
bracket @ as shown on Drawing #101702 -24 with a minimum embedment of 1 -1/16" into 0.55 SG
Southern Yellow Pine PT 2" x 6" wood jamb.
4.0 CONDITIONS OF USE:
Application for Building permit shall be accompanied by duplicate prints of the approved Drawing
#101702 -24 bearing the approval stamp, Notice of Acceptance number 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 shop drawing shall bear the
signature of the Architect or Engineer with the following statement: The supporting structure has been
designed for the forces shown on the approved manufacturer's drawing ". Application for building
permit for replacement doors shall be accompanied by duplicate prints of the approved Drawing
#101702 -24 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
meet the use of Section 2 above.
-2a-
andido Font, PE, Sr. Product Control Examiner
Product Control Division
Clopay Corporation ACCEPTANCE NO: 97- 0122.02
APPROVED : MSG 2 1 1997
EXPIRES : AUG 2 1 2000
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
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 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 28,000 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 Report Test Date Signature
CTL #986 B ASTM E -8 12/16/96 R. Patel, PE
ATE #111201 -S6 PA 201, 202 & 203 11/13/97 W. Mehner, PE
Calculations
Mark W. Westerfield
Date
01/10/97
Drawing Number
Clopay B.P., Co. 101702 -24
- 2b-
Signature
M. W. Westerfield, PE
Last Revision
07/08/97
Signature
M.W. Westerfield, PE
an ido Font, PE, Sr. Product Control Examiner
Product Control Division
:looav Corporation
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.
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 :ode changes;
b) The product is no longer thee 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 professions.
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 Ac:eptance as an endorsement of any product, for sales, advertising or any other purpose.
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 engineer
need not reseal the copies.
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, 2, 2(a) through 2 (b) and this last page 3.
Items 10, 11 & 12 listed below only apply to glazed products
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
ACCEPTANCE NO : 97- 0122.02
APPROVED : ? 1 1997
EXPIRES : RUG 2 1 2000
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 windowsills shall be as indicated in Section 4 of this Notice of Acceptance. The spacing of
fasteners in all other parts of the frame shall be as indicated in Section 4 of this Notice of Acceptance, 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.
12. Hardware for all windows anc doors shall conform to Security and Forced Entry Prevention, Chapter 36 of the South
Florida Building Code.
Candido Font, PE, Sr. Product Control Examiner
Product Control Division
END OF THIS ACCEPTANCE
-3-
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work. (�
Date..._... _ .1 .__... _ ,19
Owner's Name and Address ;,,e'., tt.'!_..a :z.s . ; - .. : am , :_ii.�t: 3: L. >.. a' . Ne „ . 4 ii,3 .._ . Street--: ` ' . Cy,
Registered Architect and /or Engineer
Name and address of licensed centrilctor , Q0--."1--..,s2 �sd — .. .. -? » 0 ... 5 .5. . a� -,:i..
Location on and legal description of '<A to be built on:
Lot. ...kg r ` 1 - ti Block Subdivision / "2-- _. ......_..._.,,.,--
Street and Number where work is to be done a�� .L,� ,.�._ =. -� �. 4
State work to be done and purpose of building (by floors ?'e' O at a ( k. Iv C U;
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Chairman
Member
Member...... _ _.__._..._.__ ...._.._...
PLAN 1 G BOARD DATE
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 $ d ® e> Amount of Permit S.. 7 ' d `)
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 t o .
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 arc 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)
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. c�
Permit No. ._•1 ' ? S� Date ? 3 Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed) �..�.
B uilding inspector J . Commission Expires
Notary Public, State of Florida
Member
Member
Member
to me well known,
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 fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby unnde 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 :ill 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 . ` to :....... , .eta . .-. _. No...c/.443 ._ . Street. i
Registered Architect and /or Engineer :. : :..• ..,.,.•..,,,. ,, ',,:: ^ ..., •, *,�_- •.....
Name and address of licensed contactor.. 1 . ... . ^. .E�fJ/ 6 <,
Location and legal description of lot to be built on:
Lot . Block Subdivision
Street and Number where wad: is to be done 110.. .../C44._e- -- -•— --
,� R
State work to be done and purpose of building (by floors).... X' `�C'� 2C C.rd 1!4'—
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of piandation,. , Covering
Estimated Total cost of improvements $.. rk ,mount 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.
Remarks (Signed)
Date ..._
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, said that all facts
therein by him stated are tn.e.
Permit No. -_.. 1717c► Date /--- ` Read, Sworn to and Subscribed before me.
Disapproved .. Date .._.._ +_..
�� ,/ , Notary Public, State of Florida
(Signed) 4, ...._.. �_ :,:t'.. :'= -..,.r
Building Inspector ' My Commission Expires
/ ,
PL*NNING BOARD DATE
Chairman Member
Member Member
Member ... -- - _..._._,....._....._ Member
Council Approved Date Disapproved Date
NOTE: A charge of 11.00 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanslip.
'
L.
,
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
111111111111111111111111111111111111111111111
c:FN 2006R0430079
OR 81: 24449 Ps 1867► (1Pg)
RECORDED 04/21/2006 11:04:10
HARVEY RUVIN► CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
1. Legal description of property and street /address: 1 u 3 13C G S #-4 5 t, 111■ I S' tz S
F-C 3'3138
2. Description of improvement: TrCI JL Qct h F,I S
3. Owner(s) name and address: ( 114-W t ` , It b fY7 f f 3 T G t4 LA 121
4 N 3 i t Gj S '1-4A ' C, fT +p vvi r S(I o X31 3 ?1
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: 1,f1 6e -icy S E it 6C
I S t L4 M-k t r l t ic vvi t FL 311 6
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the sta':e of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Czntinn 71'3 1'3(111h1 Flnririn Ctati itcc