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510 NE 95 St (4)CONTRACTOR Name 4- 1 4 V Q. R. 'K nn_ t !] hi 1 Ac. W License No. e m n Of t i �i h -1 J Address v p '314N NwilAi Mir Fl )))117('' Telephone/ (j�� �_1 4 Fax Q }� 3, 4 1 . 'f d l 3 o ki tv 2 t .J o o j l Qualifier YVIth ,, , PROPERTY OWNER Name via r IC A , 14 vw1bc� Name - mix fi Address 313 NQ ' l 5; u ' V \ Address 110 N a 4 f S-I p tti�I fvw r )--1 Home Telephone 7a�1 6 /,' b Business Telepltont 43 3 Z �� Alteration Interior Fax Demolish ARCHITECT Name via r IC A , 14 vw1bc� License No. Address 313 NQ ' l 5; u ' V \ Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. APPLICATION Folio Number Subdivision Current Use of Property Proposed Use of Property Tenant Information Complete the attached permitSppli :attbn.PhicMrfttst tetigictIty the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more let rtaprro co: sieg if your egplication. If roofing work will be done, a roofing application must be submit- ted along with this permit application.• • • . • • • • • • • • • • ••• •• Submit 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. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other �d Address • • • • • • • • • • • • • • • • • • • • • • • • • • •.• • • • • • • • • • • • • •••••.. .•.. • • •. • .. • . •.• • • .. • • • • •.. ••• • Lot Block PB G Apt. Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) Master Permit No. G 3 ' 3 `D s .Subsidiar Permit No. •. • •..• • • try Description of Work —.. w v • Zoning Linear Feet //�� Square Feet " I' irl) Units 1 Floors I Value of Work (1,10 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax State PERMIT APPLICATION Zip Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVE n YOURV AJJ13AIED PCRIOIIT ,RIliD PERRJT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited te: Mofiday through Friday front 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 KEPI' FREE FIN Mgt Atid B :: • • . 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPINT Cf: Vtur,CI'TS :4115 IQ4 NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. • . . ••• • • • • • • • • •• 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGL 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 X10 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 Dep irtment (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 Iregulating 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 i nfgrmation 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 %)i 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, P' 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. STATE OF FLO Signature of Owner 7m &,s t?ed ro5A5 Print Name Sworn to and subscribed before me this ti day of "1ND . ature o SEAL: Personally known A, COUNTY OF MIAMI -DADE COMMIS ION # DD 9055 EXPIRES: October 28, 2005 Bonded Thru Notary Public Underwriters Type of Identification Produced: - I 1 OR, Produced Identification / • .. .. • • • .. •• • • • • • • • • • • • • • • . • • • • • • • .. • • • • ... • • • • ... • • STATE OF FL S RIDA, COUNTY OF MIAMI -DADE SI4 LJW Signature\ 1 e . on tor / c Qualifier /y 11c� l ) d 1, tam Ut k eletz. SEAL: PERMIT APPLICATION Print Name Sworn to and subscribed before me this tiI day of Personally known OR, Produced Identification Type of Identification Produced: ELECTRICAL . Minimum Fee QTy. 'FITE Dryer . - • • • . . • QTY. . •Outlet, Appliance Q . L . . Service Repair QTY A/C Central 1 -3 Ton Heating Strips, each • . Fan• • • • • • • ••• • • • Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton - Pressure Vessel 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 Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYI'1: Refrigeration, Tons QTY. A/C Central, Tons Q'1 Y. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Gas - Appliance PLUMBING 'I'1'1'E A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture Q"fV. 'nil Soakage Pit Q'1 Y. 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 Heater 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 .. .• • • • •• •. • • • • .. • • • • • • • • • ... • • • • • • • . . . • • • .. . . . • •.. • INSTRUCTIONS: Please indicate tk8 tf pedf ''gtk'bdng performed and quantity(ies) in the space provided below. • • • • .•. • ••. • • • ... • • PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary REVIEWED AND PREPARED BY: PROOF OF OWNERSHIP • (Attach) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works BY DATE Structural Building Official • •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • •••• • ••••••• • ••• • • ( x .6. x/1000 (¢.005 /sq.ft.) (4.01 /sq.ft.) • • CHECKLIST •• ••• •• • • • •• • ••O CONaDO ASSOCIATION APPROVAL (Attach) HRS / DERM APPRbVa. : :: fir] ki)3R APPROVAL (Restaurants) (Septic / Sewer):.. •. • . . IMPACT FEE (New donstruction) OTHER (Specify & Attach) • • • .• PERMIT APPLICATION 0 CONTRACTOR REGISTRATION (On File) PERNIIT FEES TOT 6 0 ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305i 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2003 -308 Printed: 2/27/2003 Applicant: TOMAS PEDROSO Owner: PEDROSO TOMAS JOB ADDRESS: 510 NE 95 ST Contractor A -1 HERMI ROOFING CO. Contractor's Address: 8201 - N. W. 74 AVE. Local Phone: Parcel # 1132060140830 Fees: Description Amount FEE2003 -1178 Building Permit Application Fee $60.00 Total Fees: $60.00 APPROVED Permit Expiration: 8/24/2003 Construction Value: Work: NEW ROOF Permit Status: If there is no permit packane _accessiWe_on_the_.iob_site for insoe_c_tprsio verify, there will be no inspections. Re- inspection _ fee is $50.00, which must bi This Permit is granted to the contr ordinances pertaining thereto and wit and approved by the proper municipi authorization. A further condition up( ordinances and regulations • - aininl by his agents, servants o yew Signed: Signed: In consideration of the issuance to with the plans, drawings, statements myself, my agent, servants or emplo 9 SIV11OO 81.9C Legal Description: 6 53 42 MIAMI SHORES SEC 2 PB 10 -37 LOTS 10 & 11 BLK 55 LOT SIZE MM Q o $ v, 0L916911 -C9 ( q Building Permit H 'S'd) (it . $6,300.00 :121391 if M. 90:1 .11et 9E00.11 i Total Fees: $60.00 Total Receipts: $0.00 Page 1 of 1 I9 / b DAN Q 1471E£ epuo13 ' 1eOJ1S 418 'M'S b£g8 33W0 Li31S3Ha1S3M NNV8 3DNVNIJ IVNOI1VN931NI dCCE£ l3 'NOIS3M 31ST 311IHddVS SCL91. '03 `DNII00li 11Nt13H 111/ AO U3O1:10 3H1 01 AVd MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Ins,'s / ' / 21 Permit No. L J .3 ,`9/ Name Address . 5 /0 IE q5 , Company /9 / C- i2 m J Phone # A For Inspector: Name & Date rov �j / PP @� Correction ❑ Re- Insp'n Fee ❑ SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is • the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. v 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cau e water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. V 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. _7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's /Agent's Signature CMOCI'3IC -14me LOCALS- IxTerueSCCTIO\ IS1i.dac Florida Building Code Edition 2002 High Veloci Hurricane Zone Uniform Permit App►icauon Form. Section A. General Information Master Permit No. ) Process No. Contractor's Name N 14 Job Address -4/10 ❑ Low Slope ❑ Asphaltic Shingles SG ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Mortar /Adhesive Sot Tile ❑ Wood Shingles /Shakes. ❑ Prescriptive BUR -RAS 150 ) ROOF TYPE New Roof ❑ Re- Roofin Re-Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORIVATION - Low Slope Roof Area (SF) Steep Sloped Roof Area SF � ) Total (SF) q00 Section B ( Roof Plan Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers and overflow drains. Include dimensions of sections and lev identify eers, overflow _fy dimensions of elevated pressure zones and location of parapet. els, clearly • ;- Florida Building Code Edition 2002 Hi. h Veloci Hurricane Zone Uniform Permit Application Form. 4, Section C Low SIo Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") System Ma nufacturer. NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Prn,*"). Max. Design Pressure, From the Specific NOA System: Deck: Type: Gauge/Thickness: Slope: Anchor /Base Sheet & No. of Ply(s): Anchor /Base Sheet Fastener/Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener /Bonding Material: . 4 e ; iv or riy(1). PIy Sheet Fastener/Bonding Material: Top Ply: Top Ply Fastener / Bonding Material: Surfacing: ed Roof S stem Fastener Spacing for Anchor /Base Sheet Attachment Field: oc @ Lap, # Rows @ " oc "oc @ Lap, # Rows _@ "oc oc @ Lap, # Rows © " oc Number of Fasteners Per Insulation Board Field Perimeter: Corner. Perimeter Corner Illustrate Components Noted and Details asApplicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Cop, Etc. • Indicate: Mean Roof Height, Parapet • Height, Height.of Base Flashing, Component Material, Material, Thickness, Fastener Type, Fastener Spacing" or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. 7 FT� FT. • Parapet Height Mean Height 1 Roof Slope: 4 12 Florida Building Code Edition 2002 Hi.h Veloci Hurricane Zone Uniform Permit A.plication Form. Section D Stee Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations): P1: " P2: 11 %14 P3: (Y.L Maximum Design Pressure From the VOA S • ecific S stem : Method of tile attachment: Q 4111E. ' %n Stee • Slo • ed Roof S stem Descri • tion Deck Type: Ridge Ventilation? 44. Eirlintus W004 ype Underlayment: Insulation: Fire Barrier: Slo• ed Roof S NI�1 Fastener Type & Spacing: \Adhasi•JP ype Cap Sheet: Roof Covering: stem I PI° 6 � Type & Size Drip dge: j3xto 3 '` fool . I Florida Building Code Edition 2002 High Veloci Hurricane Zone Uniform Permit Application Form. �.. • Section E Tile Calculations For illoment based tile systems, choose either itiIethod 1 for M, with the values from M. If the M values values, for each area s f r the roof, then the tile attachment or 2. Compared the values are gent method than is equal to the l - Method 1 "Moment Based Tile meet method is acceptable. . • (p�e!f 6 ( P1 too, x X l l —) -1tiI Calculations ns Per RAS M1 (p a:- 1,C_Q x X � , t� —DIg: _la: NOA bI � - 1aii)— Mg: _ =11r tt� NOA M 118. Method 2 r3`Z' NOA Mt "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (NI,) From Table Below NOA M (P1: (P: (Pa * Must be used in conjunction with a list of moment based file Broward County Board of Rules and Appeals systems endorsed by the For Uplift based tile systems use Method 3. values for F,. If the F' values are greater than or 9 equal the the F, val alves a lues, }`e�•u Ft,7vl, each the area of the roof, then the tile attachment method is acceptable. x 1: Method 3 "Uplift Based Tile Calculations Per RAS x w• = -- _ x w :_ ) —W: x cos B.• = F- _�.. x cos B.• �' — NOA F' F,a. NOA F' Descri . lion Mean Roof Ha i -.. -- Roof Slope Aerodynamic Mul t ier Restorin Moment due to Gravi Attachment Resistance Re. uired &foment Resistance Minimum Attachment Resistance Re. uired U• lift Averaee Where to find 7 RAS 127 Table 1 or by an engineering analysis Pared by PE based on e Job Site _ -- - - - -- ._ _- . Resistance 1vOA Tile \Vei Tile Dimensions 1= length frU:\ All calculations must be submitted to the Buntline Official at the time of •crmit a.. licatiun. Where to Obtain Information S mbol n's sri Pressure P1 or P2 or P3 • '02/18/2003 11:38 MEDITERRANEAN ROOF TILE 4 19543844130 NO.988 9001 MIAMI-DADE. BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20 Street Boca Raton, FL 33431 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SURE 1603 MIAMI, FLORIDA 33130.1563 (305) 375 -2901 FAX (305) 375 -290S SCOPE: This NOA. is being issued under the. applicable rules and regulations governing the use of construction materials. - The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be -used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This.140A shall not be.valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform - the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product.or material .fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to complywith the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Atlantis Shake & Slate Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. • RENEWAL of this NOA shall be considered after a renewal application has bccn filed and there has no change in the applicable building code negativelyaffecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change.in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any - product, for sales, advertising or any other purposes shall automaticallyterminate this NOA. Failure to comply • with any section of this•NOA shall be cause for termination and removal of NOA. .ADVERTISEMENT: The NOA number preceded by the words•Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 1 of 6 02/113/2003 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Flat Profile Roofing Tiles Material: Concrete 1. SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements. as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the . values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Monier Lifetile Atlantis Shake and Slate Tile Trim Pieces Test A ce nev Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc_ The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. 11:38 MEDITERRANEAN ROOF TILE 4 19543844130 NO.988 (7002 1= 15" w= 10 1 %' thick I = varies W = vanes varying thickness 2.1 SUBMITTED EVIDENCE: 7161 -03 Appendix 111 94 -060A 94-084 25- 7094 -2 25- 7094 -8 25-7094 -5 PA 112 PA 112 Test Identifier Product Description Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips. rakes. ridges and valley terminations. Manufactbrcd for each tilt profile. Test Name/Renort Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing • • PA 102 (4" Elcadlap, Nails, Direct Deck, Ncw Construction) Static Uplift Testing PA 102 (4° I fcadlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, .Rccover/Reroot) . Date Dec. 1991 March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 2 of 6 02/18/2003 11:38 MEDITERRANEAN ROOF TILE + 19543844130 NO.988 P003 Test Ateacv The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied • Engineering, Inc. . Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering. Inc. Walker Engineering. Inc. . Walker Engineering, Inca Walker Engineering, Inc. Test Identifier 25- 7.183-6 25- 7183 -5 25- 72I4 -1 25- 7214 -5 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631-01 PO402 Project No. 307025 Test #MDC -77 224 -47099 520109 -1 520111-4 520191 -1 Calculations Calculations Calculations • Calculations Calculations Calculations Calculations Calculations Test Name/Report Static Uplift Testing PA 102 (2 Quik -Drive Screws. Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier Moment of Gravity 25 -7094 25 -7496 25.7584 25- 7804b -8 25 -7804-4 & 5 25- 7848 -6 -�. 23 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System Date Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 199.1 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 Sept. 1999 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 NOA No.: 02-1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 3 of 6 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Atlantis Shake & Slate Tile 8.5 1.25 • - 0.865 Table 3: Restoring Moments due to•Gravity 5 ":12" - M (ft-Ibf) 6 ":12" 7 ":12" or greater Tile Profile 3 ":12" 4 ":12" Monier Lifetile Atlantis Shake & Slate Tile Direct Deck Direct Deck Direct Deck Direct Deck DirectDeck 6.0 5.9 5.8 5.6 5.5 Table 2: Aerod r�namic Multipliers - J. (ft X (ft) Direct Deck Application _ Tile Profile Monier Lifetile Atlantis Shake & State Tile 0.24 02/18/2003 11:38 MEDITERRANEAN ROOF TILE 4 19543844130 NIJ.988 D004 IF 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Ccrtified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum undcrlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof scope unless stated otherwise by the undcrlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code, 3.7 May be installed on slopes 7:12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 4 of 6 Table 4: Attachment Resistance Expressed as a Moment • Mr (ft -Ibf) __._ for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Atlantis Shake & Slate Tile 2 -10d Ring Shank Nails 30.9 • 38.1 ' " . 17.2 1 -10d Smooth or Screw Shank Nail 7,3 9.8 • 4.9 2 Smooth or Screw Shank Nads 14.0 18.8 7.4 2 f/8 Stxew 51.7 51.7 24.4 1 -tOd Smooth or Screw Shank Nail (Field Cli 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nar ___C Eave Clip) 19.0 19.0 • 22.1 2 -10d Smooth or Screw Shank Nails Field Cii• 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (ave Clip 31.9 31.9 32.2 2 -10d Ring Shank Nails'J 50.3 65.5 J 48.3 1 Installation with a' 4' tile headlap and fastemers are located a min. of 2%a from head of tile. • Table 5: Attachment Resistance for Two Patty Expressed as a Moment Adhesive Set Systems Tile Application Mr (ft -114 _ Minimum Attachment Resistance - Tile Profile Monier Lifetile Atlantis Shake & Slate Tile Adhesive 31.3 2 See manufactures component approval for installation requirements. . 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product. Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance for Single Patti Expressed as a Moment Adhesive Set Systems Tile Application • Mf (ft -lbf) Minimum Attachment Resistance . • Tile Profile • Monier Lifetile Atlantis Shake & Slate Tile PolyPro T" 11 8.9 4 PolyPro "d 40.4 4 Large paddy placement of 45grams of PolyProTu. " . 5 Medium paddy placement of 24 grams of PolyPro Table 58: Attachment Resistance for Mortar or Adhesive Expressed as a Moment - M Set Systems Tile Tile Attachment - Profile Application Re Monier Lifetile Atlantis Shake & Slate Tile Mortar Set 39.0 , 02/10/2003 11:38 MEDITERRANEAN ROOF TILE 4 19543844130 • NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 5 of 6 NO.988 1005 02/18/2003 11:38 MEDITERRANEAN ROOF TILE 4 19543844130 NO.988 9006 S. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. imr to BUR= R PROFILE DRAWINGS • • -r MONIER LIFETILE ATLANTIS SHAKE & SLATE CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No. 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 • . Page 6 of 6 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zo e) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. ._ � ) � 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be re ailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). f 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 9 - 1 ) 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if • overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. i p 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's /Agent's Signature C:IDOCI ) I [- 14mpiLOCALS- PT.me.S[CTIOI IS:IA.. v /ti► /6Z Date Cont act•r's Si: ature 1 Master Permit No. Contractor's Name Job Address ,f 10 ❑ Low Slope ❑ Asphaltic Shingles Florida Building Code Edition 2002 High Veloci Hurricane Zone Uniform Permit Application Form. Section A General Information Process No. 14/ dVl . n17 6 ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes_ ❑ Prescriptive BUR -RAS 150 ROOF TYPE New Roof ❑ Re-Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORIV ATION Low Slope Roof Area (SF) Steep Sloped Roof Area SF — ( ) Total (SF) Rao 2C� Sketch Roof Plan: Illustrate Sect levels i B Roof Plan on ( roof scuppers and overflow drains. Include dimensions level overflow identify dimensions of elevated pressure zones and location of ara et clear) p p • Florida Building Code Edition 2002 Hi h Velocity Hurricane Zone Uniform Permit Application Form. Section C Low SIo• ed Roof S stem Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") System Manufacturer. • NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Prnax1: prn•ay2: Prnex?• _ -- Max. Design Pressure, From the Specific NOA System: Deck: Type: Gauge/Thickness: Slope: Anchor /Base Sheet & No. of PIy(s): Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of PIy(s): Base Sheet Fastener /Bonding Material: .:heC,(s) . iv: of P y(,). Ply Sheet Fastener/Bonding Material: Top Ply: Top Ply Fastener / Bonding Material: Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment Field: ' oc @ Lap, # Rows @ • oc Perimeter: ' oc @ Lap, # Rows @ ' oc Corner: " oc © Lap, # Rows © " oc Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and Details asApplicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Copes, Etc. • Indicate: Mean Roof Height, Parapet Height, Height.of Base Flashing, Component Material, MaterialL Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. A • AL FT'' FT. Parapet Heiaht Mean Flvd Height Florida Building Code Edition 2002 High Veloci Hurricane Zone Uniform Permit Application Form. Section E Tile Calculations For Moment based tile systems, choose either Method 1 or - `for M with the values from Nip If the Mr values are for each area of attachment the roof, then the le attach 2. Compared the h Mr rege m than is cre to the Mr method is acceptable. Method 1 "Moment Based Tile Calcu (P2:1.2_12 x7t. o ' er — !—'` j— IIg:-A T = M a , / SZ nsPerR 0 127» (P3: reo, _ zl 2___W — 'tj' —Mg:_ =1I, NOA Mr ] ? � =- —) —M g: -- _ =1I ►, 0___L___ NOA Mr I(� Method 2 NOA M —}- �P "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr * Must be used in conjunction with a list of moment based tile sy Broward County Board of Rules and Appeals*Must ,stems endorsed by the For Uplift based tile systems use Method 3. Compared values for Fr. If the F' values are greater than or equal to the Fr value val alues, i u s, kr , each the area of the roof, then the tile attachment method is acceptable. (Pt: (P2: (P3: xl: x1: Method 3 "Uplift Based Tile s W: _ ._) - x iv := ) —\V: w:_ ) —NV: Calculations Per RAS 127" = = F = F, Where to Obtain Information x cos 0.• x cos O.• x cos 0. NOA F' NOA F' NOA F' • •may= ,� ; y :�, Descri . tion S mbol n.s :tat Pressure PI or P2 or P3 Mean Roof Het t — `_ _r Roof Slope Restorin Aerodynamic M Moment due to G • .tier oment du Gravi Attachment Resistance Re. uired Moment Resistance Minimum Attachment Resistance ®1 Re. uired U. lift Resistanc A, Average Tile Weight Tile Dimensions I= t....... All calculations must be suhmhted to the Building Official at the time ut •c rmit a..licatiun. Where to find 7 RAS 127 Table I or by an engineering analysis Prepared by. PE base" on 5(.7 Job Site PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 5 70 4 t Date Legal Description /07 /l, an d I Lessee / Tenant )5,a,, e «J&;4 i► Owner's Address S .S cc, f f Trrr (ooerr C 3y Phone Vg,--..13' 7 2- Contracting Co. Qualifier SS# - - State # Municipal # Competency # Architect /Engineer 71emas 4 / t xt "/f Bonding Company Mortgagor Permit Type(circle one): BUILDING E TRICAL PLUJIBING MECHANICAL ROOFING PAVING PENCE SIGN / 7 L �i �ra r o Ord/ fr e ; At Y;, W.2 ** * APPROVED: * * * 7 5 7 Tax Folio 1/ 1,06 I D Address c . 574.y? a.9 v c (1 mob'-- ��7° ! f ig ,h Square Ft. / /.5O 7zo 7 C. ep, ; � ) Estimated Cost(value) Notary as to Owner and /or Condo President My Commission Expires: /.0 O o c hweet 7574c Pe Master Permit # Address Phone Ins.Co. Address 797f/Mw. 7t s rive Address 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 sta ed. Signature of owner and /or Condo President Signat e o Contractor or Owner- Builder Date: Date:674 tary as to Co y Commission E p • • • • O HIN£ CWINIQI d Gs'1 A : t9 �I No. CC197545 • ♦. +� -, � ** FEES: PERMIT RADON C.C.F. b 0, NOTARY a -4-4912 TOTAL DUE Fire Other Zoning Building Electrical Mechanical Plumbing Engineering Eels Amara* J! t FASc t • _ . 1 2Ab(e `.>_ 13b5_ N/6.:4 c e,s- 4LL ul f RAtc BM 2�K coLL:AQ #T't9; t0"cGt(.-:.s'1c5r lCo" 0 -.. �,.=,. "04.8 "cEU(.• �o(ST o,ci 4-o 1 tJaii. 5. THOMAS k �` �AXWg:L Date & ? Job Address 570 416 93 .9 Tax Folio Legal Description Owner / Lessee / Tenant Owner's Address APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE T/M Master Permit #.444 Phone 23 - c9S L Contracting Co. / (EZ-tritiC Address J/ 7 3 / ,[Jw )-2s7' Pw3RoR'E Qualifier PE•J ra <+ € 2.. SS# Phone /-"S" - 9 S" t / - Lf50 72 35 State I ! ' Al ov 3 ( D 2 / Municipal # 30?-9 77 )4-P Competency # C ci 2. Co Ins .Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION €l EGT?UC4 s L 1/ /a Ale Square Pt. Estimated Cost(value) . 5Y7 Q e.. 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. President Signature of Contractor or Owner- Builder Date: Not y as to Om er and /or Condo President Notar as to Contractor or Owner- Builder My ommission Expires: My Commission`Bxpires: ; eig INOCENCIO � i _. • % ; SE GONZALQ w r MY COMMISSION N ,k. ** * * * * * * * o Bonded Dm May 2A 2000 91S * * * * * ** • DmNolayp PEES: PERMIT 5 > /e0 RADON C.C.F. `a ' TOTAL DUE Fire Other Zoning Building Mechanical Plumbing_ Electrical= /v���L�`%� Engineering un -97 09 :29A A and P Air Conditioning 305- 556 -8186 P_01 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 6/ (6 5r Tax Folio Legal Description f �l Owner / Lessee / Tenant S ll y 0 a Master Permit Dwner's Address � Phone 756 "/ 5 � Contracting Co. iWI)Aim( Ll�E�(12l(° ( 112Ac,rovis r1. Address ((73I N, w, z2 cr. l'6wmoaorLE Qualifier 04.4"P Gowel- ( / Phone 7 5 7 - 4 ( 5 0 — 7 Z 3 E Qoo 3t z ,1 3A_ G ' L a X 9 59 2 State 0 Municipal 4� Z Y7? 3 C y Competency 46 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING PLUMBING MECHANICAL ROOFING PAVING PENCE SIG 'ORK DESCRIPTION Square Pt. Estimated Cost(value) 4ARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D 30 MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN rO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU IOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an in the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat ?emits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. )WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wil De done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above-named contractor to do the work stated. Signature of owner and /or Condo President )ate: iotary as to Owner and /or Condo President Oe oz c R L4i4lftY'JEAI PATRICIA GOMEZ NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC327101 Signatu Date: +ly Commission Expires: My Commission Expires: - Builder C bN N ' l= Notary �s v za.. .� .. -Builder * * * Cam * * * * * * * * * * * * ** ?EES: PERMIT / ` RADON C.C.F. NOTARY TOTAL DUE 1PPROVED: Fire Other Zoning Building Electrica ?...Y.,e �- Mechanical Plumbing Engineering /z ique � ( fa L)k3 down o r, rly ,�l� ' 1 ' Date/ 02, / 7.9 .l - ate /2 ' //' 9r Job Address Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 57 (22 "A E. 75-5 / Lessee / Tenant )A me_5 Z.-04/eV Owner's Address 5 ,/,[. 95T r' Contracting Co. Zey „,gE 21 ' fVG• - ...T,e.• Address %;gUt)/(/ 4 / / G Y`' Qualifier Jbh.t/ PA 99/4/5 SS# # Phone . / ..5” EC.-- c odo6. L5 GC t ovoa . State # Municipal # /3 7 133 Competency # Ins.Co. Architect /Engineer A41 Address Bonding Company ,/t,/,7 Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTIONA2e / s ue /1--e— 7-xt ,1 ■7 Square Ft./7(20 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 =•ove -named contractor to do the work state Signs Date: nd /or Condo President - to Owner Owner and /or - Gondm...Preidest__ „_ sion Expires: , 0 p;<r / -` Ur :f „L NOTARY SEAL 2 \T z• 0 SCOTT W DAVIS n i f � )} » COMMISSION NUMBER Q r r CCi55237 * F �� *AY COM tu5ION E XP. °F ...\...°....,-...-..q4 N• 23 1997 FEES: PERMIT 7 RADON C.C.F. otary as My Commis ** * APPROVED: * * Zoning Mechanical Fire Plumbing, Tax Folio Master Permit # .. 3 ' e ° 41-3 37ysoi3 -w Phone /067 s o z./ - // Estimated Cost(value) .S 8 '7 D ' gnature of Co ctor or Owner- Builder ate: —�- • Vag e':!6!► Other Engineering Owner- Builder Notary as to Contract My Commission Expi>as: � N Aft U AL NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. * * * * uriroto u� c. z s, 3 NOTARY TOTAL DUE 7 Building Electrica /4093 ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT I. I IlaJ U.. BIOET LIGHT OUTLETS CENTRAL HEATING I DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY _ A/C (CENTRAL) I DRINKING FOUNTAIN SERVICE SIZE IN AMPS, i 'r•, 1 .1_ 515 DUCT 1 :< FLOOR DRAIN SERVICE REPAIR/METE • CHANGE Z A REFRIGE"'.TION GREASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS • LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS • CLOTHES WAGER !CTDRS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP NAT 'HATER BOILERS SINK, POT /3 CAP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS CDMrERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN �oDCAr.P. A`/ /1./e371./ DISCHARGE WELL d ill.'' /.{,0. a�,'r l/ /di&i.t, DOMESTIC WELL AREA DRAIN (... /es 3 ROOF INLET � SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 741. D..71 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BE OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Po /e- d 0 3."° erw • • e-y s r • Lo c A r, t'?Z. N SP1/; c ArioA/ Rm. A)7 / /00 &(10 R 7 Be_ hAde A z te- Z, Coun MAR, astas PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 07- -27 - Job Address -5 %6 it44r4 c.4Ljr /■S 1rF.F7 Folio Legal Description Historically Designated: Yes q X56 No x Owner/Les e / Tenant �.4M F h Z o. ' >' Master Permit # ,✓ /i4 Owner's Address .-370 4Jo ersi /1 ..o4)/ _JI/eR4., _ ,C. Phone 7 93 510 91/ Contracting Co. . s c. m. FC.cl Tie/0,... V/0.4 l : n o., ......Address /p 9D Z 4,w e 5r 9 -11 4 / ,,47 - ', A /Am,, Qmlifier /I Cli Gl-,-/n t_5 SS# .' 71 3GLS. 7,59, J to 4 S State # . DD D!J 6 2..5 Municipal # 6 2,2. 9 / 9 -'5 Competency # b1). OQX)lOLf Ins. Co. o -J c E Architect/Engineer .✓,A Address Bonding Company A//,� Address Mortgagor / / /i9 Address Permit Type (circle one): BUILDIN EL ECTRICA L LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION MD YA/ of Ra4)6 -6 0/ APO J .r �•� 1�r.�c�N G � 7 Square Ft. Estimated Cost (value) r / z C) . t O 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 , •rk stated. Notary as to er : d/or Condo President My Commission Expires: ornc'p NOTARY SEA ♦PRY Po ANGEL M BECKER .,!! (� como s S ON NUMBER N • " C G78 6 697 4AY copiM ssl0 E7fPIRE O f �O NOV. 15,2002 FEES: PERMIT I O ' RADON C.C.F. ' fl APPROVED: Zoning Building Electrical 2 7, 200/ • t . ' as to C • - i actor or Owner - Builder Date y ommission Exp Rihii M Farquhar *01* My Commission CC908801 %>„„r Expires March 27, 2004 NOTARY 5,0 0 BOND TOTAL DUET 6 "4echanical Plumbing Engineering F BA TH TUB 1 SOAKAGE FfT Cit.i C... CtiTI -E73 (switch & light) BIDET CATCH BASIN FT??ULES DISHWASHER .. ' F r DiUNK FOiJNT'.AI'M DISCHARGE WELL ._,...- AREA DRAW. . -., RECEPTACLES II SERVICE SIZE•AhiPS FLOOR DRAIN ROOF INLET SERV. REP / ETER CHG. GREASE TRAP SOLAR WATER HEATER .�- _ __ SERVICE TEMP � INTERCEPTOR FIRE STANDPI' E FIRE RANGE TOP - -- _ .i LAVATORY • LAWN SPRK..SYS. .- - OVEN 1 LAUNDRY TRAY Y - PO(L PIPWG -. ��_ — `_�� • WATER HEATER lif C.I. ^' HES WASHER RANGE MOTORS 0 - I HP SHOWER (STEP. 5h (C:iS) MOTORS 1 - 3 HP SINS POT/3 COM? GAS PIPING G MOTORS 3 - 5 HP SINK RESILIENT . - MOTORS 5 - S HP SINK SLOP .• MC)';JRS 8 - 10 HP ' MO'T'ORS IR -23 HP TEM.WATER `LOS. MEC -iAN!CP.L 1 MDT0e,S 23 -100 HP URINAL CI -WIRAL FIEATWG Iv :0TOIIS OVER 100 HP 1 WATER C1.0SE.T iNOIRECT WASTES A/C (WIN'DOW) A/C WINDOW WATER SUPPLY TO: - A/C (CENTRA ; - : i1R CONDITIONERS 1 DUC!'.WOIF.K STRIP HEATER A/C Ui!1T kEPRIGERAIV.1:14 GENER. TRANSFCRM. FIRE SPRINKLER PROCESS/PRESS PIPE SPECIAL PURPOSE TIE. TER -NEW 1!NL3ETTG'ROUND 'T:`.N ri. OUTLETS-COMMERCIAL HEA ;•ER- REPL.. LAWN SPR.•:V_LL AB+OV . GPC JN - LANK SIGN TUBES SIGN TRANSFORM. PRESSURE VESSEL `" SWIM. POOL I WATER SERVICE STEAM BOILERS SIGN -TIME CLOCK ' ��- SEWER CONNECT. r HOT WATER 30IL RS MECHAN. VENr;I.A. • APPLIANCE OUTLETS ANTENNA 1 UTILITY - SEWER UT :LITY -W ATE ie TRANSPORT. A=i;;E.MB. TELEVISION I RELAY ELEV ATORJESC: ALATO ALARMS DRAINFIELD FIRE SPRINKLER SYS. TELEPHONE OUTi.ETS CODLING TOWERS T,EMOL /T "G>.4) /- e, e@di I 1 PUMMP!.',IBANDON SEPTIC TANK (AN APPLICATION FJR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED. 'THE_ti - OWNER'S NOTARIZED SI p:1 T IRE NE M NOT BE PRESET ON SUBSEQUENT APPLICATION :1 PLUABING. ITYA i ADDENDUM TO BUILDING PERMIT APPLICATION f NIT FEE PLUMBING ITEM UNIT FEE i!it 4 ELECTRICAL UNIT FEZ MIAMI SHORES VILLAGE, FLA. JOB 5 6T ADDRESS 1 - L � - S.4 INSPECTION E - 1 TIME READY A I - -2q-S7 REMARKS N9 6803 1 - 2 '! INSPECTOR DATE YLKMVl11 AYYLIC:A JERKY FUR MIAMI SHORES-VILLAGE D a t e 2 - ? - 00 Job Address 510 ,.)F q S — S T Tax Folio I ( 1206 014- ORR O Legal Description t D ..'1 i R L_ Historically Designated: Yes No Owner/Lessee / Tenant Jim L. ay) - y Owner's Address 57 0 / E. ! 3 S / WORK DESCRIPTION FEES: PERMIT/ ,'Dr's RADON LOW VOLTAGE SECURITY SYSTEM onr ?f` -e, L- DZ -v Notary as to r and/or Condo President Date My Commission Expires: r O OTA S ALBA GAONA V PUBLIC STATE OF FLORIDA COMMISSION NO. CC858343 MY COMMISSION EXP. IM Y 26 APPROVED: Zoning Mechanical Plumbing Master Permit # Phone L Contracting Co. ADT SECURITY SERVICES INC.. Address 10%2 S Pf1WFRT TNF Rn PEERFIELD BCH Qualifier - TON .y C1 nl SS# S 0 - 26 - 873 44 ph 624 - 7770 x 5254 State # E'i 0 (:)e, O "1 1 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor - Address Permit Type (circle one): BUILDING r PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) 1 - �O 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. (Y Signature of Contractor or Owner -B Ider Notary as to Contractor or Owner- Builder My Commission Expires: .1 IC. O n • ' ' EAL ALBA GAONA NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC858343 MY COMMISSION EXP. Y 26 Building Electrical Date Date C.C.F. / 4 0 NOTARY BOND TOTAL DUE Engineering vil SHORES VILLAGE, FLA. JOB ADDRESS _XII) INSPECTION TIME READY REMARKS. ' N9 6763 INSPECTOR DATE MIAMI SHORES VILLAGE, FLORIDA„ BUILDING DATE 194 License No. ELECTRICAL � ` 1 PERMIT N? 4897 Contractor's -A PLUMBING e perfo med under Owner of Building Work CONTRACTOR OR BUILDER Bl. this Permit Architect ar y4 v � . :.• �' / or Builder Legal Lot Description s .. Address of l Value of Amt. of.2 Building Project Permit ' This permit is granted to the co actor or builder named above to construct the building or to install the equipment or device escribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are ch nged without au iorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes ie res • bility or Ai' orough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or draw 'r dons and that he assumes respon- sibility for work done by his agents, servants or employees. , ;, $,, 7- Signed- By ` • INSPE OR In consideration of the issuance to me of this permit I agree to perform the work covered h •under in compliance with all ordinances nd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Subdi- vision BY • 1 AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building Lot 0 MIAMI SHORES VILLAGE. 0 PERMIT N? 6129 Owner of Building l ` 31 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in Eompliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Pe it may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition pon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or ones and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statemits or specificatipns and that he assumes sponsibility for work done by his agents, servants or employees. d .r s Signed. 7 i , . , t_--� INSPECTOR d� In consideration of the issuance to me of this permit I agree to perform the work covered here der in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or ,employee. CONTRACTOR OR BUILDER BY Value of Project $ FLORIDA DATE Contractor's License No. r.O {. Work to be performed under this Permit Subdi- vision Amount of Permit $ AUTHORITY 7 1952_ 6 BUILDING ELECTRICAL PLUMBING Owner gf �, _ Building � G � �v f�') v - � ---��/ Architect Contractor ra4.frA.Z4e..../ o Builder Legal Lot Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perfo the work covered hereunder in compliance with.all ordis anegp 1ati ores. pertaining thereto and in strict conformity with the plans, drawings, statem nts /or specifications submitted to the proper authorities of Miami Sh esWillage: In ac •pting this pe I : ssume responsibi 'ty for all work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7555 Work to be performed under this Permit Bl. Subdi- vision Value of Project DAT retractor's License No BY Amt. of Permit By AUTHORITY 194_ NO. Motors STREET Generators Stoves Water Heaters LOT BL'K Other Apparatus SUBDIVISION Permit Fee tl Co , � - r 1/ SS 1+1 Z. 4 (- 4-g;* fit, ,' , .....' Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building C Co ctor or Electrician 71iami Shores F L O S ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , s 19 NUMBER OF LO CATI 0 N ■9 218 DESCRIPTION OF WORK This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with he plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time non the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by iiiiepartment. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with application and the plans and specifications thereof heretofore by me submitted, and in com liance with all provisions of all Electrical Laws of the of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all ru `s and regulations of the Electrical Department of Miami es Village. Dated "'' 61- : . . 14- 11 :; - . - - i i ": - 7 , , , _ , s , . . . . . (Seal) Permit No 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 work. Owner's Name and Address W' C. i €1. . ./(/74, 9 T Registered Architect and /or Engineer Employing Electrician's Name.. .. - 41. �} . 6 .�� Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 8 S. No 5TT Street. / Block Subdivision 5 (Signed) (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. T Before me, the undersigned authority, a notary public, duly authorized appeared Date No t$ Street. irk / c$ Street.✓.Y...A 1 S T ectrical Inspector. 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 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. r Electrician. to administer oaths and take acknowledgments, personally 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. My Commission Expires 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER f/ ���� / TOTAL LIST G UST 2 -- g CHECK ENT. SW. DIST. CAO. SERVICE TEMP. SERVICE PERM. / Y t ��GA a/ p4 e O �v'� 4 r MOTORS 04 HP 4 ( C I MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK i Permit No 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 work. Owner's Name and Address W' C. i €1. . ./(/74, 9 T Registered Architect and /or Engineer Employing Electrician's Name.. .. - 41. �} . 6 .�� Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 8 S. No 5TT Street. / Block Subdivision 5 (Signed) (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. T Before me, the undersigned authority, a notary public, duly authorized appeared Date No t$ Street. irk / c$ Street.✓.Y...A 1 S T ectrical Inspector. 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 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. r Electrician. to administer oaths and take acknowledgments, personally 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. My Commission Expires 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. CEILING BRACKETS RECEPTACLES SWITCHES STOVER WATER SIGNS OTHER APPARATUS /ii OUTLETS MAIN `& / J HEATERS FLOORS FIXTURES ONLY NUMBER OF TOTAL SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS OUTLETS MAIN SUBS BRANCHES BASEMENT - FIRST SECOND THIRD FOURTH LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER / 24 1 / BLOCK NUMBER SUBDIVISION kin' AA I '3I.' Qr I v4-4 A / STREET AND NUMBER 510 `�I" EA `� TI"1• 5TP A SIDF S P OWNER • " � `' , �-" �+ I ' � J.L__ OCCUPANT C 1 12— OCCUPIED As R c \ e 9L� BUILDING—NEW OR OLD (UNDERLINE WHICH) grate H. P. OF EACH MOTOR VOLTS TOTAL AMPS KIND OF INSTALLATION OPEN OR CONCEALED NNININININNEMPOMovAlieautraipsamaW METALLIC TUBING REMARKS RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN 'HUGH WIRING IAL No \sCTED ARY DAYS. � U ED DATF rE '. 9 193 ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. SPACE BELOW FOR INSPECTOR'S USE ONLY R EMARKS APPLICATION SPECIFICATIONS WORK— ADDITIONAL, NEW. ALTERATION OR REPAIR INSPECTION WANTED ADDRESS 7.A1 , INSPECTED %: NO PHASF FEE REMITTED INSPECTOR BUILDING ELECTRICAL PLUMBING 1 Owner of Building Architect t PERMIT 1 c ec Contractor a a n /t or Builder Legal Lot Description J f' Address of �"'" y, Value of Building -✓ j ' ' "� / �`"° Project This permit is granted to the co actor of builder named above to construct the building or to install the equipment or device iescribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assume respon ibility '.r orough knowledge of the ordinances and reguljions pertaining to the work covered hereby whether shown on the plans or drawl s or in state n . o' specifications and that he assumes respon- sibility for work ddne by his agents, servants or employees. Signed. f t By SPE ' 0 ✓ In consideration of the issuance to me of this permit I agree to perform the work covered h -under in compliance with all ordinances ; rid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mia Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. t - j _ - AUTHORITY CONTRACTOR OR BUILDER MIAMI MIAMI SHORES VILLAGE, FLORIDA 11, N° 4897 . Contractor's License No. Work' be performed under this Permit 60. Subdi- vision BY DATE Arrit o coo Permit NO. STREET PAI T"O>f tt " - - ,r LOT Generators BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee / Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee / / ; .ECTRICAL PERMIT . —This Permit must be on display on the premises during the construction. Owner of Building `�— Contractor or Electrician aiami cShores9' llage F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., ! 19 LOCATION DESCRIPTION OF WORK NUMBER OF 218 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by his Department. , Electrical Inspector. pecto . In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the Ig, of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Village. gated - 1 1, ! i r , ,/, /'� `~ 19 . / . ,+.....- (Seal) Permit Amount of Permit $ MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Application is hereby ma6e 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 work j Owner's Name and Address ___._,_ � _ Registered Architect and /or Engineer Employing Electrician's Name ��✓ F _��� xs ° No Street___AL! Location and Legal Description Street and Number where work is to be performed —No -Street_ A ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition..____ Service Overhead Size Feeders__________ Conduit — Main Sw.______ Amps. Underground Type of Installation— Conduit Tubing I/_ B.X.L Metal Moulding Electrical Inspector. 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. y � , (Signed) My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed) Repairs Main Fuses________ - _________Amps. oaths Date a Notary Public. State of Florida No. of Stories Master Electrican. STATE OF FLORIDA,; COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is tbe_ _____�__ of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. and take acknowledgments, personally 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.LA MPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 �� A /f ` CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LI ST CHECK Permit Amount of Permit $ MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Application is hereby ma6e 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 work j Owner's Name and Address ___._,_ � _ Registered Architect and /or Engineer Employing Electrician's Name ��✓ F _��� xs ° No Street___AL! Location and Legal Description Street and Number where work is to be performed —No -Street_ A ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition..____ Service Overhead Size Feeders__________ Conduit — Main Sw.______ Amps. Underground Type of Installation— Conduit Tubing I/_ B.X.L Metal Moulding Electrical Inspector. 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. y � , (Signed) My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed) Repairs Main Fuses________ - _________Amps. oaths Date a Notary Public. State of Florida No. of Stories Master Electrican. STATE OF FLORIDA,; COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is tbe_ _____�__ of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. and take acknowledgments, personally 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 No ovce Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ( Date 6 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 work. Owner's Name and Address 41 i f� ... F� No 3 /® Registered Architect and /or Employing Electrician's Name 4 .4 Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) • New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, 1 COUNTY OF DADE. as. Engineer L" No 6 Block Subdivision Street.... " . Service Overhead .Main Sw Amps Main Fuses Amps Underground Site Feeders Conduit .:. Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) W Street /ht Street -. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws or 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. "Mister E ectrscian. 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. My Commission Expires 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 REPRICE OUTLET IRON OUTLET RANGE OUTLET RANOL CONN. WATER HEATER W. HEAT. CONN. ACE H TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. y p MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / _ CHECK _.. (/ , Permit No ovce Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ( Date 6 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 work. Owner's Name and Address 41 i f� ... F� No 3 /® Registered Architect and /or Employing Electrician's Name 4 .4 Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) • New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, 1 COUNTY OF DADE. as. Engineer L" No 6 Block Subdivision Street.... " . Service Overhead .Main Sw Amps Main Fuses Amps Underground Site Feeders Conduit .:. Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) W Street /ht Street -. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws or 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. "Mister E ectrscian. 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE f BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date Type Insp'n No. El .2003 - 103 v 3 /0 Name '[W� . Address 5 `v 1 L ^ q c 5 T )� 1, - Company (P fC.)Ql 1 �° ^ Phone # � 0 1 20 For Inspector: f\ (X *. Approved Correction Re- Insp'n Fee Time la, 2 S \ Del MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request `—' C� Dat; 0 Tim << Type Insp'n L . o Permit No. — L ZO 0 3 - / Q3 Name p CP _ZA.A—.."—G-- cn. r C 1r C-7 CT Company •VIIL-e j ell For Inspector: 6 /12 /03 6 & Date Phone # 3 05 -_, 5 1. 6 — Co2 •i D (-5, Approved Correction Re- Insp'n Fee gioK _�. /i�7'' P/44,---$ / 5 POr / vOT 6 .off 1 -jzm�1 r Date Job Address Legal Description (wner /Lessee/Tenet Owner's Address 51(9 /V� 95 :-4J Permit Type (circle one): WORK DESCRIPTION: Square Ft. • ••• PERMIT APPLICATION : FOR • MIA> 'I! MORES VILLAGE • • • • • • 10050 N.E. 2nd Avenue • Miami Shores, FlQrida : Pkiohe: 305 -995 -2204 • Fax: 305- 756 -8972 6 ' CJ`? s/ Tax�Folio. • ,P/- , fie (.2,?();7c ) 7 (2 6 `n Notary as to Owner and/or Condo President My Commission Expires BUILDING 6 ' ELECTRICA ce6/ cob ( at . • 'J .7r4to /90.1 Si +f owner and/or Condo President Date SS# • Estimated Cost (value) Date Notary as to My Commissi • •• • • •• • . • • • •• • • • •• • • • Rfsj oricall� De,igt Ye iated:• •' c • •• XX Master Permit # / ?/ c900.3 • • • • • • • • • Contracting Co. k0/ .e/ � • • • • Address • / • ` � ) J, oL 6T Qualifier � - 5 9/— 3 f Phone State # 67011 /10 5 Municipal #30-- /6 MY- Competency # ,Q DOH 241TIns. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO RIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. PLUMBING MECHANICAL ROOFING 6 00 rC O 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 ANY 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 all disciplines. OWNERS 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 Contractor or Owner er Date • oft DENISE SANTIAGO MY COMMISSION 11 DD 054996 EXPIRES: December 30, 2005 Bonded Thni Notary Public Underwriters FEES: PERMIT j ' `m® RADON C.C. APPROVED: TOTAL D Zoning Building Electri Mechanical Plumbing Structural Engineer NOTARY 9 No v _Je9// . Date BOND TE.M ATH RIB UNIT FEE _. ITEM SWITCH CURETS • • • • • .•• .*,,C; •. • UNIT • . FEE : " • ITEM • YACE HEATERS UNIT FEE IOET LIGHT OUTLETS ... : • : : :4. : CliTRAL HEATING ISHWASIER RECEPTACLES , • ' : : • • L + � ••• *Ric (W 1 NO ) IS?OSAL SERVICE TEMPORARY A/C (CENTRAL) SINKING FOUNTAIN SERVICE SIZE IN AMPS HA NL 1 DUCT WORK !OCR DRAIN _ SERVICE REPAIR/ATER CHANGE REFRIGERATION REASE TRAP APPLIANCE CURETS ' PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATCRY OVEN ' ABOVE GROUND TANKS AUNORY TRAY WATER HEATER U.F. PRESSLRE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION INK, RESIOENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS EWORARY WATER CLOSET MOTORS OVER 10- 25 FP ' FIRE SPRINKLER SYSTEMS COOLING TOWERS R I NAL MOTORS OVER 25-100 FP ATER CLOSET MOTORS OVER 100 FP VIOLATION ,DIRECT WASTES A/C WINDOW REINS?ECTION ATER SLPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL • OUTLETS COWERCIAL MATER SERVICE SIGN TLBES EWER CONNECTIONS SIGN TRANSFORMERS iILITY -SEWER SIGN TIME CLOCK 'ILITY -WATER FIXTLRES :PT IC TANK ANTENNA :LAY TELEVISION OUTLETS � ZAINFIELO, 4' TILE/RES. VIOLATION IF & ABANDON SEPTIC TANK REINSPECTION )AKAGE PIT CU. FT. ,TCH BASIN SCNARGE WELL 'hESTIC WELL EA CRAIN :OF INLET :LAR WATER HEATER RE STANDPIPE . CL PIPING NN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING AN APPLICATION FOR BUILDING PERMIT MUST ACCOKEptlIc4 LDDd4D�4'M. IF A RASTER PERMIT HAS B. O3TAINED, THE OWNER'S NOTARIZED SIGNATURE :11 N:lT >1RISIFN7; ON SUBSEQUENT APPLICATIONS.) • • • • • ••• • • • • PLUMBING ELECTRICAL .• • •• • .• • : .. • •• • • • • MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2003 -103 Printed: 4/21 /2003 Applicant: TOMAS PEDROSO Owner: PEDROSO TOMAS JOB ADDRESS: 510 NE 95 ST Contractor WEST KENDALL ELECTRIC Local Phone: 305 - 596 -6240 Parcel # 1132060140830 Electrical Permit Contractor's Address: 9305 SW 94 ST Legal Description: 6 53 42 MIAMI SHORES SEC 2 PB 10 -37 LOTS 10 & 11 BLK 55 LOT SIZE P -OU;k(t "8 0 , 8o ° Total Fees: $O®4 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/15/2003 Construction Value: Work: REMOVE OLD WIRING CORD INSTALL NEW WIRING IN GUEST HOUSE LIGHTS SWITCHES OUTLETS G E L INTERNATIONAL LC 27 NE 9th STREET MIAMI, FL 33132 305 - 374-1431 PAY TO ORDER OF Y . ( •Y vt ? ` AV -6 FOR (ylgczh2Ka (Adrohel' II'00 L663" _ :0670L3564u: WACHOVIA BANK, N.A. CORAL GABLES, FL 33134 63- 1356/4096 670 64-05 -63 1663 Page 1 of 1 $ Ov DOLLARS w pection erefor in strict compliance with all s that may have been submitted to e plans are changed without ty for a thorough knowledge of the assumes responsibility for work done wining thereto and in strict conformity 'Ability for all work done by either