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340 NE 94 St (10)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 Registered Architect and /or l;;ngi er yea Name and address of licensed ,contractor Locatiqn and y legal desc i lion of lot to be buil on: (° � Block Street and Number where work is to be done State work to be done and purpose of building (by floors) ,la.?..5 0 Disapproved (Signed) /7 MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT. Leg.„ Subdivision Chas.. .SS •• }!1!'•lTS9 "••T•••• St! }SCSSL!}...... PLANNIN OARD DATE Chairman Member Member sass.. _..._...._._ ...._....._ Member ..sass No !4 ... Str 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 $ tg / 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 subcontraptor n •rk to be, performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) Notary Public, State of Florida 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 statedare true. "2-- 7 Permit No.._ r Date Read, Sworn to and Subscribed before me. My ► . mmission Expires 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 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. ti( &4017 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mnde 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 ViUage 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. ` � 0 Owner's Name and Address ._...... T No Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdiv Street and Number where work is to be done State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. J /i' —f2 - A-4,14 Read, Sworn to and Subscribed before me. and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind o foundation Roof Covering Estimated Total cost of improvements $ 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on t of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, yi to be perfo 'ed 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 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 rre. Permit No.__......q' .._ . ' Date Disapproved c ` � Da (Signed) 1 °1 Building Inspec 'r Notary Public, State of Florida My Commission Expires LANNINC 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. 0 - 1 0 m ad OWNER'S NAME J a o a fa JOB LOCATION (ST. OR AVE.) rte . �! c GENERAL CONTRACTOR S ...,osZtJ CocOS - T. Co . 1f? BUILDING PERMIT NO. G O ZONE 2 REPAIRS ALTERATION ADDITION REQUIREMENTS .742 0 ®v CU. FT. SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTFO TO VILLAGE COUNCIL DATE I 2 So Q.E. LOT 6Q C eto• du 1 4 gs IVo G.-7.1- Co Ty �.e. . CERTIFICATE OF OCCUPANCY NO. 1( z. ( ISSUED 1I - ce BY PRESENT ADDRESS 10 �� BLOCK ADDRESS PHONE NO. LICENSE NO. IN! S 7 0:C.7.. 1�a PERMIT FEE $ PLAN CUBE ..4•. CI CU. FT. DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C.• 04 . AI`A re. 1C..E C._ NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION DESCRIPTION dP DESCRIPTION Oak. .CL••r‘n O r e Aso. APPROVED REJECTED t REFERR E REFERRED TO COUNCI SUBDIVISION Gvl tra.qu:. .>I-aa >a �r s 4 : 0 .1 - s a REMARKS LICENSE NO. 'tomL . `)).1 3brSI NO. BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE BUILDER'S BOND EST. COST $ A■ eo O DATZ (. 0 INTERIOR CONSTRUCTION Leo 2.e(aven.. S X 4.7 9-4.-S . Cam,. - 1: a 1lydrr. • REASONS TO SAVItA... C's Del /O id PHONE NO. DATE `- 16 .-vV INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION 3 1.4 I$ ROOF SEWER 14-:'• 14-:'• ����.�9`� ?/u.-yy 4/9 lien K BEAMS & LINTELS 4 4 •• , ` d6 5 POOL SOLAR HEATER / FRAMING I $ AIR COND. 1 MOTORS FINAL $ CLEAN UP SEPTIC TANK IQ SLAB S SOLAR HEATER SLAB TEMPORARY SERVICE DATE BY RE- INSPECT I $ RE- INSPECT SEPTIC TANK Tat c,.-r_ c '91G TaSwl. �'7 3 1.4 I$ [o a — SEWER 14-:'• 14-:'• ����.�9`� ?/u.-yy 4/9 lien K '2 4 4 •• , ` d6 5 Y� Ezi SOLAR HEATER / $ I $ GAS 1 MOTORS I $ $ I SEPTIC TANK IQ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING PERMIT NO. DATE FEE TEMPORARY SERVICE L 4 Eecc , s2, tl J. 4. TUB & TOP OUT H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. SEWER $ MOTORS $ FIXTURES SEPTIC TANK $ S SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE L 4 Eecc , s2, tl J. 4. $ 6 -a/ -6O H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. $ MOTORS $ FIXTURES s $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY 'TEMP. SERVICE ` ROUGHING H. W. HEATER CONN RANGE CONN. s FIXTURES & FINAL 0 .3 t "; CONTRACTOR q �.g� N PERMIT NO. V't 1 DATE 6- 7-1_ NEW BLDG. '. 1 ALTERATION I ADDITION r .,Y N SPECIALS PERMITS � L� APPROVAL TO POWER CO. FOR SERVICE DATE BUILDI NG INSPECTIONS PLUMBING PERMITS & INSPECTIONS PERMIT NO. DATE ELECTRICAL PERMITS & INSPECTIONS PHONE 00 FEE $ LL REPAIRS FEE BY 4 . PHONE PLAZA 1 -5265 S pillage of Miami Shores Miami Shores, Florida 1. A/C & heating 20 Electric 3. Flooring 4. Glass & Glazing 5. Class Patio Doors 6. Intercom 7. Insulation 8, Kitchen Cabinets ? 9 . Paving ✓w,rf41 100Plastering 110Plumbing 12. Pcinting 130Roofer 14.Stone 'Work 150Septic Tanks 16.0rnamental Iron , 17 ©Tile 18.Terrazzo 19 Tub Enclosures 2D .Windows CONSTRUCTION, INC. GENERAL CONTRACTORS 1509 N. E. 130TH STREET - NORTH MIAMI, FLORIDA SUB =CONTRACTORS USED BY SHINN CONSIT ON DONN JOB F1a.Gas Equip of Miami L & M Elee Co. Inc. Rowell Southern 440' 1" 11 " Dade Glass & Mirror Associated Shower Door. Builders Specialty Prod. Universal Insulation Scheibling Bros0lnc Allied Paving r 7hi C . "� . _Harley Stewart Plasterer o ► b c 4 Gunn Plumbing Inc. George Netdert 084 -- " ` -° Brady Rfg0& Sheet Metal Jim Hamblen Gen.Masonry a4SraD tx,e Tri City Septic Metropolitan Septic Anvil Iron Works -- Matters Tile - Amer.Tile & Terr. Daryl Products Tucker Alum.Prod.Inc0 RE: James Donn Jr. residence 340 N.E. 914th St. Miami Shores, Florida l N E 3-2451 M U 8- 2804 N E 5 -6421 H 1 6-o868 F R 3 -557L. H 18 -1 511 P L 1 -3693 P L 4 -3977 P L 7 -4965 M TJ 1 =6846 F R 7-2741 W 17 -7098 O X 1-2678 T U 8-6553 W I 7®1)159 M u 5-1110 F R 97383 P L 9-9929 F R 9-3601 P L 4-2651 T U 5-1471 Street and Number where work is to be done 34/0 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 3/43 19 77 Owner's Name and Address nks., No. '7' 4/ 0 Street A/c , Registered Architect and /or Engineer '/ n I Name and address of licensed contractor E' Co,nI,ide aes _T /C� 1 7 " ? C/ // 5 't (3 3/17) Location and legal description of lot to be built on: Q Q /� Lot W al r" � 7 Block la Subdivision nl /.l / i ,_f ,vo // JJ06 /1 State work to be done and purpose of building (by floors), state exterior colors (submit samples) 'e' ,p,Q /�9'S 8/ "i"""teiA and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering sJ Estimated Total cost of improvements s i/DD' Amount of Permit $ 1 d Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to Remarks (Signed) Plan Cubage 7J7- -1 - i q Size of Building Lot_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 agree Jo employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construcction, 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. ___. Da /� 24: Read, Sworn to and Subscribed before me. Disapproved \ 4 ( / Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. STATE OF FLORIDA, 1 . COUNTY OF DADE. j ss• Disapproved (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ur 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 nll 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 bc kept at building during progress of the work. _ � Owner's Name and Address 1) 9 V e �{� �� s ... . _ _ No.3 . . .._..... S / e Registered Architect and /or Engineer Name and address of licensed contractor.N 1.-- S7 2. clCr ig.J ii . 97 5 L.tS OT Location and legal description of lot to bc built on: Lot Block Subdivision. Street and Number where work is to be done /Vs h-- _. ail .._. 1�Eg - — _ ._ _ ._...._ r ^a State work to be done and purpose of building (by floors)L6).15.c.P2 -.14:i o � ..5....!ti?: . .1)04 yeT .>9r..?.e .JL) Fart f os.te— rr'YiB h t/ (,v �� >l J3�Twn �R- S, 86.4v+o -dt_ sL :D ;kilo ss DK t Q t and for no other purpose. New Building Remodeling k To be constructed of Kind of foundation Estimated Total cost of improvements $....,., 6 O 6 pry Zone cubage required Distance .to next nearest building. Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to No R t" tv rl �. SLl34Cl . ' % Nl ° f1t ... ....fJ 3 3 17 F 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 Sn + leent, 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 muse 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 per rmed under this pcnnit, as are licensed by Miami Shores Village. M Remarks (Signed)J. 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. LY-5 ' 9 Date `f........._._ Read, Sworn to and Subscribed before me. Date. PLANNING BOARD Chair ;nan Member Member __....__....._..__. ...... Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning 1loard. A re inspection fee of 31.00 will be charged materials and /or workmanship. nr et.. Addition Repairs No. of Stories.. '... _ Q- 6. 5_ Roof Covering. 'T.L.ii- Amount of Permit S. 3 4 plan Cubage Size of Building Lot Notary Public, State of Florida My Commission Expires DATE Member Member ......._ Member Date Disapproved or changes to this application after approval to me well known, Date has been obtained frets when such re- inspection is made necessary by improper notice for inspection or faulty Permit No I V Z cs 1' Owner's Name and Address \/ N4.> Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 work. Registered Architect and /or Engineer �`� - Employing Electrician's Name /1'' c...)e No ! Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No - State work to be performed and purpose of building (By Floors) ,/1.74 New Building Remodeling Addition Repairs No. of Stories Se Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and accspts 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 subcontractors 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. My Commission Expires ----"---' • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) �' ° ' .. 'Electrical Inspector. (Signed). No ` '51 T4 �` Street ' � Date. Street /—* 7 • Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. II es. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re-inspection fee of =1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. �' ? SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS RE/RIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP H EATER G!lGrP G O ej - TOTAL CONTR. LIST /�— .5 AL AL / / / / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. L � DI.t* A1 MOTORS 0.1 HP MOTORS 1•13 HP NEON TRANS. RAOIO TOTAL CONTR. �.4 0 v e--'e, ___± CHECK Fri CC- c; C L1 Permit No I V Z cs 1' Owner's Name and Address \/ N4.> Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 work. Registered Architect and /or Engineer �`� - Employing Electrician's Name /1'' c...)e No ! Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No - State work to be performed and purpose of building (By Floors) ,/1.74 New Building Remodeling Addition Repairs No. of Stories Se Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and accspts 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 subcontractors 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. My Commission Expires ----"---' • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) �' ° ' .. 'Electrical Inspector. (Signed). No ` '51 T4 �` Street ' � Date. Street /—* 7 • Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. II es. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re-inspection fee of =1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. �' ? • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 11-111 Job Address 3 NI • 1 -141 Si- Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant \1A ' Lk-) A t,,... G Owner's Address 1 Phone 3 d S- 7 S � 71 / 7 B -LUG , / Contracting Co. ---t - s11.t.4__-___M_ITA -Li—A-T, Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address WORK DESCRIPTION Si dt.t Master Permit # 4 /0 D/ Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 5 LL..* r ce2:u••rt ' Pa c. r f Square Ft. Estimated Cost (valu�O • i WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date No . s to Contract My Commission Expires: My =mission Expi FEES: PERMIT RADON C.C.F. NOTARY BOND or or Owner- Builder ate ? 934'31/7C o APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer d ��,,...r,.� + .................::...:.. . • y...3}<T.£ }T <}�,w...aawa.<a.:a:.. +•a ..v.... .., aT •vX�c✓:c�*fa+aoaocw.ta. rat<: isxi6: is ::ux <wwa..+4wtt•aa,�ax +oo:63 a. .�...T; }TT :.*r<T. <.;.ca.'�!uS)aT<de. «:33T \. }?w;�• • iiSR.aaau<ats+c�ii6:a:•i ateWA�GeL04 OWWIDR(tL44t . .. - •v�t'n•'• - 6 0. SHV +VAT?if<YGC<titiGlt ((x VAG O'L(q'GGSktXUkteSr Qi 40KK.Xl'3Q�LOtttt' 0.40.4X.tit • • � 9i&:Sd'3£ »xo-y. .... .., -- }Sa.....aaa..aaaa.>• Introduction The charts included with this cover page help calculate the design wind loads as determined using the American Society of Civil Engineers Code ASCE7 -88 for use with garage doors. The charts are divided between single car garage doors (up to 9'W x 8'H) and double car garage doors (up to 16'2 "W x 8'H). Instructions 1. Determine the garage door size as a single car door (up to 9'W x 8'H) or double car door (up to 16'2 "W x 8'H). 2. Measure the "Mean Roof Height" of the building. The mean roof ht height is measured as the average height h ei the , of th roof, not the peak of the e roof . The eave height may be used for a roof slope of less than 10 °. 3. With the door size and mean roof n height known, the appropriate g a ro ri PP P calculation chart can be used. 4. Determine the "Minimum Building Dimension ". For example, a building (or house) with a 80' x 30' floor plan, has a minimum building dimension of 30'. 5. Measure the distance from the corner of the buildin g to the nearest d e ge of the door opening. The nearer the door opening to a corner, the r th higher the negative h n design wind d o in 1 ad. The g g g h corner wind zone of a building is defined as 10% of the minimum building dimension o r 40% of the mean height, � e can roof he' g 1 9 whichever is smaller, but not less than 3 feet or 4% of the minimum building ng dimension. 6. The wind load can now be determined. For example a single car garage door is to be installed in a house with a mean roof height of 15' or less and a 80' x 30' floor plan. The door opening is located 2' from a corner. The design wind loads are (using the charts): +39.9 PSF and -43.5 PSF. Fill -In the Following Information Below (Type Only): 2/Zy 6c),71:41-2 Homeowner: Street Address: 3 '10 N E City: H / ' State: Zip: 3 3 / 3 Si Model No.: I / 3 O O ASCE7 -88 CALCULATION METHOD • FOR GARAGE DOOR DESIGN LOADS r F s Approval No.: 97-0/ Z411-0 Z FOR CLOPAY GARAGE DOORS ONLY AUG 2 3 1999 THESE MEASUREMENTS FOR USE ONLY WITH CLOPAY BRAND GARAGE DOOR PRODUCTS Evaluation criteria: ASCE7 -88 Calculations and Measurements Maximum dwelling Mean Roof Height: 15' MRH Maximum garage door width: Sin • le car doors u • to 9'0" wide x 8'0" hi • h 3.5 1.5 t. 3.5 0.5 Measurement " in Feet Minimum Building Dimension 30 30 35 40 2.0 40 50 MEASUREMENT 'r DISTANCE FROM CORNER OF BUILDING TO EDGE OF OPENING Measurement Measurement " B " " in Fee. in Feet Distance From End Comer of Building Zone to Edge of Openin • Dimension 1 . . 5 • ,n n 3.0 ......... .:.:::::::.................:::. 2.5 3.0 i`s >'� > {�v > >��` <'':' >> ��� �«::: ...:....:::::..:.:::::: 1.0 2.0 3.0 1.0 MEASUREMENT END ZONE DIMENSION 4.0 & Over • •• } \v: L�L}ii } } } } } }i':{•h`i:i?�C:Sii •• x }:,. . v? v.: vx•.,•. xv .:xvn::v:vv:.v.:v.:::v:.:::::: ,• 3.0 4.0 1.0 39.9 1.5 5.0 2.5 3.5 5.0 MEASI REMENT 'D' AA oula OF OPENING IN END ZONE 4.0 4.0 4.0 0.0 5.0 >: MEAN ROOF HEIGHT ' f . DOOR OPENING CAN BE IN EITHER LOCATION. MEASUREMENT 'A' MINIMUM BUILDING DIMENSION Measurement "D" in Fee Amount of Opening in End Zone 1.5 0.5 AOMMAAnWimmAMEN 2.0 2.5 1.5 Resultant Resultant Minimum Minimum Positive Negative Design Design Load Load in PSF) (in PS Xo \ 39.9 39.9 39.9 ...:::•::.44=x':::: 39.9 -44.0 39.9 -43.1 - VUNgEN 'WORE >': 39.9 ~,:,,n:::,:..:,,.:•: - 44.4 39.9 -42.6 39.9 -45.7 39.9 -44.0 - 43.1 -44.8 39.9 4.5 5.0 0.5 39.9 -43.1 ....... ............................... ... :. ..:v- •:.v::::::: w::.w:::::::.:vv. v:::•:.::}}:•}: c:•}: • }:• }: ?• }:. }:;;nr.•} }i ? } }i:• } }} }iii .::.,;:• ?.. } }Ti; , }}: }i:oi }i: } }} i :; ::: { ? :n %c ?i. }•:::::::.:.. }:•: {f ?in . These calculations are based on American Society of Civil Engineers Code ASCE 7-88 for Components and Cladding (Exposure C), 110 MPH basic wind speed, Hurricane Oceanline Importance Factor of 1.05. The calculations shown here do not apply to open or partially enclosed structures. Calculations are based on an average door size of 8Wx6H. This calculation does not address the the supporting structure. An approximate 8% reduction in design loads is allowed if roof slope is 10 degrees or less. (Type All Numbers) 3 O Measurement "A ": Measurement "B ": 2 ' Measurement "C ": 3 U Measurement "D ": Positive Design Load: 31 Negative Design Load: - `r 3 . These calculations are intended to cover the requirements of Section 4.0 (Conditions of Use) in the Metro-Dade Notice of Acceptance. -44.8 -45.3 -43.5 PECHART.XLS PERMIT APPLICATIO / FOR MIAMI SHORES VILLAGE Date /0 Z / Job Address 3 &) 4J C 9 5` S 1 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant - 27 re_k-/ (2) i % //i r &x 5 Master Permit # Owners Addres 3 szcp N e -S% Phone (3O) 7S J - 7 7 7 7 Contractin Co. 2eS7 - C e D 0 2 Address gS /Ut c) 3 4972, 3 0 °> ss# -/ - Phone (30 5 z 9 Z 7 State # M u n i c i p a l # Competency # 9685 0O? ' ns. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /6 t? Q Qualifier JO r° R j>2 O S 77 Square Ft. Estimated Cost (value) 0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co tion : g. Furthermore, I authorize the above -named contractor to do the w, rk stated. Signatur wner and/or Condo President Yenny Agullera * *My Commission CC864528 V F *pees A.gust 19, 2003 Notary as to Owner and/or Condo Prest t' My Commission Expires: APPROVED: Zoning Mechanical Building /L - L 1 — Date FEES: PERMIT RADON C.C.F. Signatur • .KINRlto19f��l�vner- Builder *; *My Commission CC864528 Sao/ Expires August 19, 2003 Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY BOND Electrical Plumbing Structural Engineer TOTAL DUE Date Off/ —/99 ��e METRO-Q4DE PRODUCT CONTROL NOTICE OF ACCEPTANCE Clopay Corporation 312 Walnut St., Suite 1600 Cincinnati OH 45202 Acceptance No.:97- 0124.02 (Revises No.: 95- 0316.11) Expires:08 /21/00 Approved: 08 /21/97 Internet mail address: postmaster@buildingcodeonline.com 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. METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Product Approval of: 2" EPS 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 # 101703, last revision on 07/08/95', 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. Raul RodYiguez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL �s anger, Director Building Code Compliance Dept. Metropolitan Dade County Homepage: http : / /www.buildingcodeonline.com Track Skin End Stile Center Stile End Hinge Center Hinge Horizontal Reinforcement Shape Frequency 16 GA Double 27 GA 18 GA N/A 14 GA 18 GA 3" x 20 GA. U 2 /Section Clopay Corporation ACCEPTANCE NO: 97- 0124.02 1.0 DESCRIPTION: 2.0 USE: APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS : AUG 21 1997 • AUG 2 1 2000 This approves sectional door 9' -0" wide x 8' -0" through 6' -6" high made out of steel, drawing quality Grade 26,000 PSI (ASTM A528) galvanized coating of 060 (ASTM A525) finished with baked on polyester coat. The door shall be constructed and reinforced as detailed in the approved drawing #101703 This door is approved for a maximum design pressure of +48PSF and —60PSF 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, Sr. Product Control Examiner Product Control Division Clopav Corporation ACCEPTANCE NO: 97- 0124.02 3.0 INSTALLATION: 4.0 CONDITIONS OF USE: APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS -2a- a1G 2 1 1997 : AU6 2 1 2000 The door shall be installed as shown on Drawing #101703. 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 required a'' /4" x 3 ' /4 " ITW tapcon and 1"0 x 1/16" thick washer @ 8" from bottom & 16" o/c with a minimum embedment of 13/4" 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 & 24" o/c with a minimum embedment of 1 'A" into 2000 PSI (minimum) concrete or grout filled concrete block. Installation of track requires a 5/16" x 1' /" wood lag screw at each track and flag bracket as shown on Drawing #101703 with a minimum embedment of 1- 1/16" into 0.55 SG Southern Yellow Pine PT 2" x 6" wood jambs. Application for Building permit shall be accompanied by duplicate prints of the approved Drawing g101703 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 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 g101703 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. Candido Font, PE, Sr. Product Control Examiner Product Control Division Clopay Corporation ACCEPTANCE NO: 97- 0124.02 5.0 LIMITATIONS: 6.0 IDENTIFICATION: 7.0 EVIDENCE SUBMITTED: APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS Test Report Test Date Signature CTL #986B ASTM E -8 12/16/96 R. Patel, PE ATL #1112.02 -96 PA 201, 202 & 203 11/14/96 W. Mehner, PE Calculation Date Mark Westerfield 01/10/97 Drawing Number Clopay B.P. Co. 101703 -2b- Signature M. W. Westerfield, PE Last Revision Signature 07/08/97 : AUG 2 1 1997 4116 2 1 2000 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 26,000 PSI or more shall be used to make door panels for Dade County under this Notice of Acceptance. All approved products shall be permanently labeled with the manufacturer's name, city, state and the following statement: "Dade County Product Control Approved ". M. W. Westerfield, PE andido Font, PE, Sr. Product Control Examiner Product Control Division Clopay Corporation ACCEPTANCE NO : 97- 0124.02 : AUG 21 1997' MI6 2 1 2000 APPROVED EXPIRES NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state and the following statement: "Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer, who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering 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 Acceptance 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 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 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 and 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- INSTALLER MODEL RETAIL MODEL DESCRIPTION 4200 2200 24 GA. EXTERIOR SKIN; TRADRIONAL RAISED PANEL 4300 HDG, 2300 27 GA. EXTERIOR SKIN; ELEGANT RAISED 3 ANEL 4400 2400 24 GA. EXTERIOR SKIN; ELEGANT RAISE) 'ANEL 4401 2201. 2401 24 GA. EXTERIOR SKIN; FLUSH PANEL 4301 2301 27 GA. EXTERIOR SKIN; FLUSH PANEL 4310 N/A 25 CA. EXTERIOR SKIN; RAISED WIDE FANEL DOOR HEIGHT "L" 8:.. P .0 2 at. bEILIMI� [M�Q� ®F_4! [am IFEEfidllf3/4111kli TAIIIWAIIIIM WI B.1411 8 ' -' QW ®filILEM ISZA MODELS 2200, 2201. 2300. 2301. 2400. 2401. 4200. 4300. 4301, 4310 4400. 4401. HDG L" REINFORCEMENT PLATES ATTACHED TO DOOR SKIN WITH PATENTED TOG -L -LOC SYSTEM (NOT VISIBLE FROM OUTSIDE) (2) INTERMEDIATE REINFORCEMENT PLATES PER SECTION ATTACHED WITH TOG -L -LOC SYSTEM (NOT VISIBLE FROM OUTSIDE) - A MAX. DOOR WIDTH •• 9' 0" INSIDE ELEVATION LOCATION OF OPTIONAL VENTS N4' OPlb..) /a0.ttta GO C1,1%.1 • 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. 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" TWO POINT LOCKING INTO TRACK PER SFBC 3603.2. 5/8' MIN. ENGAGEMENT O DOOR) SIDES (SEE LOCK OPTIONS) HORIZONTAL TRACK SUPPORT BY DOOR INSTALLER (TO SUR) TYP. 2-1/7 x12 GA. GALV. STEEL TRACK BRACKET. b � z w 0 0 fA 0 O 0 0 REINFORCEMENT PLATES ATTACHED TO DOOR SKIN WITH PATENTED TOC -L -LOC (NOT VISIBLE FROM OUTSIDE) (2) INTERMEDIATE REINFORCEMENT PLATES PER SECTION. ATTACHED W/ TO• ;- I. -LOC SYSTEM (NOT VISIBLE FROM OU'SICE) PREPARATION OF JAMBS BY OTHERS 111 di Id 111 01 II} I LOCATION OF OPTIONAL VENTS END STILE SUDE BOLT LOCK ENGAGES INTO VERTICAL TRACK. ONE LOCK ON EACH SIDE OF DOOR. INSIDE SUDE BOLT LOCK OPTION 12 GA. GALV. STEEL TRACK BRACKET FASTENED TO WOOD JAMB WITH ONE 5/16'x1 -5/8" W000 LAG SCREW PER BRACKET. 2' GALV. STEEL TRACK - FASTENED TO TRACK BRACKETS. EACH BRACKET ATTACHED WITH ONE 1/4" x5/8' BOLT & NUT QE TWO 1/4" RIVETS. MAX. DOOR WIDTH - 9' -0" INSIDE ELEVATION JAMB CONFIGURATION • A OUTSIDE HANDLE SEE DD IIRIGE DETAIL ' SEE INTEF. H HGE DETML TWO PDIN' LOCKING INTO TRACK PER SFBC 3603.2. 5/8' IiIN. ENGAGEMENT OPPOSITE SIDES F DOOR) (SEE LOCI: OPTIONS) OUTSIDE KEYECJ. KIS LOCK BAR LOCI(§ END STILE B LOCK BAR GUIDE OUTSIDE J KEYED HANDLE LOCK BAR ENGAGES IN TRACK ON EACH SIDE OF DOOR. THE 2x6 VERTICAL WOOD JAMBS ARE TO BE GILDE 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. STOP MOULDING BY DOOR INSTALLER (TO SUIT) 18 GA. GALV. STEEL END STILE. (END STILES HELD BY HINGE SCI EWS) 18 GA. MIN. GALV STEEL CENTER HINGE FASTENED TO I'lSDE SKIN W /(4 EACH 14x5/8" ` METAL CREWS 14 GA. GALV. STEEL END HIN• ;E FASTENED TO ENO STILES W /;4) EACH #14x5/8" SHEET METAL SCREWS AND (4) 1/4' x5/8" SELF TAPPING SI:REWS. SNAP LATCH ENGAGES ONTO VERTICAL TRACK. ONE SNAP LATCH ON 7 EACH SIDE OF DOOR. 27 GA. MIN. EXTERIOR STEEL SKIN (MIN.' YIELD STRENGTH: 26 KSI, DRAWING QUAUTY) WITH G -60 GALV., BAKED -ON POLYESTER PAINTED TOP COAT APPLIED TO 80TH SIDES OF STEEL SKIN. 0 END STILE INSIDE HANDLE OUTSIDE KEYED LOCK SNAP LATCH LOCK OPTION 14 GA. END HINGE 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' 0.C.. 128 WITH 3/8"x4' (1 -3/4 EMBED) RAWL LOK /BOLT ANCHOR STARTING AT 140 MORE THAN 8 FROM BOTTOM AND 24 0.C. DESIGN ENGINEER: MARK W. WESTERFIELD FLORIDA REGISTRATION No. 48495 MECHANICAL ENGINEERING IMP Clopay Building Products Company TONGUE AND GROOVE JOINTS. (4) #14x5/8 SHEET METAL SCREWS (4) 1/4'x3/4" SELF TAPPING SCREWS - _ 2" THICK r 1.95" THICK, 1# DENSITY EXPANDED POLYSTYRENE FOAM INSULATION LAMINATED (SUPPUED BY FACLON MANUFACURINC) TO BOTH EXTEROIR AND INTERIOR SKINS. SIUCONE FILLED CHANNEL SEPARATES FRONT AND BACK SKIN OF DOOR 14 GA. GALV. STEEL END HINGE. EACH FASTENED TO ENO STILES W /(4) #14x5/8" SHEET METAL SCREWS AND (4) 1/4"x3/4" SELF TAPPING SCREWS 13 GA. GALV. STEEL BOTTOM BRACKET. ATTACHED WITH (2) #14x5/8 SHEET METAL SCREWS. ALUMINUM EXTRUSION & VINYL WEATHERSTRIP. i7 Yt 18 GA. INTERMEDIATE HINGE • - 14 GA. INTER. HINGES USED ON 24 GA. EXTERIOR SKIN 000R MODELS CLOPAY BUILDING PRODUCTS COMPANY 312 WALNUT STREET SUITE 1600 CINCINNATI, 01410 45202 (513) 381 - 4800 12 GA. GALV. STEEL TOP ROLLER BRACKET. EACH BRACKET ATTACHED W /(4) 14x5/8 SHEET METAL SCREWS. SECTION A -A 3' TAU. x 20 GA. GALV. STEEL U -BAR. TWO PER DOOR SECTION. ATTACHED WITH (6) 1/4'x3/4" SELF TAPPING SCREWS PER U -BAR, (2) ON EACH END & (2) AT CENTER HINGE LOCATION. 27 GA. INTERIOR STEEL SKIN (DRAWING QUAUTY) WITH G -60 GALV., BAKED -ON PRIMER AND A BAKED -ON POLYESTER PAINTED TOP COAT APPUED TO BOTH SIDES OF STEEL SKIN. DESIGN LOADS: +48.0 PSF & —60.0 PSF. TEST LL,ADS: +72.0 PSF & -90.0 PSF. coax' PLOT 1-42 ▪ 11 19/96 _ ▪ •,, *r MWW ORa® •r. APPROVED AS COMPLYING WITH THE SO FLORIDA BUILDING CODE DAT • �•• 19 Qr BY " UC ∎ DIVISION BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO Gi' 6I Z L1 . 6 Z 9'0 "W K 8'0"H °® 2200/01, 2400/01, HDG, 4200, 4300/014310 44001 B ruvrt raa 101703 PROPERTY OWNER Name Address 111 4.- Nk &s , 4- t Home Telephone 7 b L_ 106-61( 7 7 Business Telephone l botte 0 r, S I .....0 11 Fax 1,6S- ,- ir(p- -Q17 -3 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'l Detachment Other INSTRUCT ONS - The following steps must be taken to obtain a permit from the MiamilShores Village: Step 1. Step 2. libmit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. 3 `-E ft.,1Y Address Apt. City Folio Number / / 5e n co ' 1) /3 / (0 O Descripti of Work f` Lot 4 Block (I Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. bf ' aor),D ► c 53 State E -TIL PERMIT APPLICATION 33i3s- Zip V114)%11 -; Pu2c 14 Zoning Linear Feet Square Feet Units Floors Value of Work Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name I I Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Signature of Ow er c o r otary Pu ` R� '.,: _ — OFFICIAL NOTARY SEAL , 1Pn PUB e, ANGELA M BECKER 0 l 0 COMMISSION NUMBER 1 01,, Q CC786697 � , RAY COMMISSION EXPIRES 9rF OF FLO NOV. 15,2002 ST /\ Print Name S - om to nd subscribed before m gnature SEAL: A, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced ldentificationa' Personally known OR, Produced Identification Type of Identification Produced: _ L/ ' ‘001,3 5C )71`7pc of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water ! ! eater New MECHANlICAL . TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons • Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING Tl'1'E A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTl'. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas'- Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water ! ! eater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION D • TE Zonin : �� Ilr © M ■ ' Electrical Mechanical Plumbing Fire Public Works Structural Building Official ...t WA7e' 1 fit 111144.141W41 - l fr Page 4 OFFICE USE ONLY LI OWNER - BUILDER FORM (Attach) LI FIRE DEPARTMENT APPROVAL (Commercial / multi- family) CONCURRENCY (New Construction) CI OTHER (Specify & Attach) LI PROOF OF OWNERSHIP (Attach) HRS / DERM APPROVAL' (Septic / Sewer) IJ IMPACT FEE (New Construction) LI OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village $ Bond $ Metropolitan Dade County (C.C.F.) $ ( 6 Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ Code Enforcement Fine Zoning Review $ REVIEWED AND PREPARED BY: (sq.ft. = x/I000 x ¢.60) (¢.01 /sq.ft.) PEkMIT*APPLICATION LI CONDO ASSOCIATION APPROVAL (Attach) G BPR APPROVAL (Restaurants) LI CONTRACTOR REGISTRATION (On File) TOTAL $ 6 DATE: CONDITION1OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com P - p "ai yi T i .•:F .as °iic:Yidl`3rA.L% sti&�L+.�4 .ti .. a � _ 4&t W �`_.0•r ' _.._ .,.• > h±;12f�t.•v„ f� i� 3 9Sk .�i [- < tS;JU'.,tY'R`ar r t `'t i Y rr Fr a � . r�� ti di i � - 1 �t ZS �<� �- �7� e r ii. STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, attached survey, performed by 'Miami Sjorp Vi��ccc�.e performed on r L V is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) SWORN TO AND SUBSCRIBED before me this day of Affiant is personally known to me, produced as identification. AFFIDAVIT does hereby attest that the (property owner) C ( i b 644 Lk%j D gy 2 V ell O Q 4`'r ZN (name of surveyor's company) Witness(sign and print) Notary The Sunshine State UCENSE FIBER P600- 936-59 -1 WILLIAM R PERRY Ill 340 NE 94 ST MIAMI SHORES, FL 33138-0000 BIRTH DATE SEX HOT. REST. ENDORSE. 06 -19459 M 8-00 A ISSUED EXPIRES DUPLICATE 06-08-08 06 -1944 00-0040 WE DRIVER ttaaoeoao2ls Operation of a motor vehicle constitutes consent to any sobriety test required by law. 4': ?1 "-" ' 1? ��_ ..{ • - f . • • . 1 Permit No. Disaroved ;::; ... .... Builds Registered Architect and /or Engineer MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Apps• •ation i hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or oth r stra4ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores \'il age, F orida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations,of tl}t 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 � Date. .._ ... ..._.........;.__..._.... ,19.7 Owners Name and Address /I/ CS ` .avv/v •12_ ._. No. 3 . ...._... Street_.t 99 -rs /7iq -eLd ,...1) 7C'W4it, A • • Name and address of licensed contractor j°11^/ 4 k/t 6 --c'•'' A1C - 28/'74 /P• u/ 77 47 ' 4 ' /71'4"41 /Z-A Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 3 % 2 /V F y sit State work to be done and purpose of building (by floors) Re • era co and for no other purpose. New Building Remodeling ►' Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Coverin as Estimated Total cost of improvements $ �� 0 Amount o f Perm 1 Zone cubage required .Plan Cubage Distance to neat nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans ands ecifications for said building. All notices with reference to the building and its construction may be sent to `JObt, ,v The under: igncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer • of 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 pe formed under this permit, as are licensed by Miami Shores Village. < J � 41C-1<' { fo Q,wyQ j G� Remarks ( Signed ) ...._........ rt 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 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 e true. ead, Sworn to and Subscribed before me. Date Date.. Notary Public, State of Florida spector / My Com fission Expires to me well known, PLA INC BOARD DATE Chairman .1 Member Member f .........__ Member Member t \ Member r._._._._. Council Approved i Date Disapproved Date NOTE: A charge of $100 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 4.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /car workinanship. 3 1 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 ' ! /6 Name and address of licensed contractor Bbilding Inspector k MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Owner's Name and Address 07. s {{ I Registered Architect and /or Engineer. Aa t 4 e Location and legal description of lot to be built on: Lot :We1_oT:: t_7.,EJ Block Subdivision t;!/1.S.t Street and Number where work is to be done._G , ...... .. State work to be done and purpose of building (by floors) - S_ _p_, l J i y 114/1 and for no other purpose. New Building v Remodeling. Addition To be constructed of...__. __ ,._S Kind of foundation r Estimated Total cost of improvements $ ' 0 ®t) fl =. Zone cubage required_.._ ° " ` Distance to next nearest building Maximum live load to be borne by each floor Remarks (Signed) Date _.__% No 0 Street__ -- ..lCl_.`: • ° Repairs No. of Storjes 11, f Covering - I i 1 , Amount of Permit $.. ..x Oz, plan Cubage_°f_- t 1' _6 Size of Building Lot ./. •" " - ,19 �� I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building perrnit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent 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 subcontra °it , on wor to be—,berformed u der this permit, as are licensed by Miami Shores Village. // =- � ' 43 ., �r;- u r •.� e� t 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 Disapproved - _ , . Da (Signed) ._. Read, Sworn to and Subscribed before me. 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. y �� 1 t 01 I I 7 ,A , x e Trf- -6 - -r x 2 c 2 34 1/4 /7 p5_6 ) t 1 I I - ,-)c 5-6 or, ) 25-1 •6' r X L 5 -1( 7 - 1 7'g/0V )(10( 9,5,37 / / `,20 72 ;2- /2 7' 323 ,f� 47 1 3 ‘57 7 751 7 ) //5,g) (0-6= / 66 1)1 4 I ZEA 0-0-0 c 0-0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 ( Building Inspection Request Date Tnsp'n F Kx.11 torckapfro Permit No. P -t Name I PE-fr Address ? j ' e lD NE. E. ( 4A Company Plnoll 0 Phone # Inspection Date Approved qj 610(4 0/6 Correction ❑ Re- Insp'n Fee ❑ Date Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re Address3 —1 0 Company Phone # Inspection Date Approved Correction Re -Insp' n Fee 17/ 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date2F7 L° 9 Time Type Insp'n �� f Permit No. �I— 2 Name C- Address 7 ® )-'0- 9g 5' Company V Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date " 1-4-19-6W*76/43 -2l'Dz Time Type Insp'n Permit Y 0 � Z - Name ���/� /'� Address — l -1 �i- ?g ■-5 I Company 4-1,014.-0)) Phone # 3 L 5 27/3 For Inspector: -a ,2-0X Name Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / t 7 ti Time t �\ ,_,, ` 1, Type Insp'n /►. c OV a �= `1 Permit No_a Name Address Company ( e� Phone (2 S 27 ll -(- For Inspector: /4///1 6 o k /Name & Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Da ? / / 3j k �-- Time Type Insp'n .. —FA *0 Permit No. Name Address Compa Phone # For Inspector3/ /,3 /Dp) 9 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date V Time Type Insp'n X Permit No. P2 y�J Name 77/ #.4v5 Company `i' t� / For Inspector: Name & D_ie_ Approved Correction ' '(-- )A 2 2 1 ` . Re- Insp'n Fee ❑ Address