450 NE 94 St (10)CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single- family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
By:
Date of Certification: 5/12/00
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
PAGE 2 OF 2
I
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
P A — ria-et4 4 , hereby apply for a certificate
to re- occupy the single family residence known as : (address)
Legal Description:
Lot: Block
I hereby certify that I understand that the zoning of the property is for single - family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
Contact Name:
Buyer
Comments:
Applicant
Print Name Pk-r
Q- tL-�'� , 7
*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Inspected by: F • LUB I EN
, Miami Shores, Florida.
PB & PG:
Date .CNe2
.C-7 4 S Telephone: 7 S j ~ 8 - 7Z
7
Realtor Company Name
Application Fee ($50) paid: Cash
Approved
X Denied
Date 5/12/00
PAGE 1 OF 2
c N sc� , 41 L � -7 /3 6aSi 7sbz -So
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein.
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the
State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shorei Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
<ark (41)
,�//
19
` 6 Street �
Registered Architect and /or Engineer `,� OK
and address of licensed contractor C) �f v
Location and leA/
gal descri tion of lot to be built on: ���
Lot 3 I G Block S/ Subdivision .V Q & A // Az em /y NQ7®
Street and Number where work is to be done 45 6 CT / A yJ e �i/s
State work to be done and purpose of building by floors), state exterior colors (submit samples) f iWi ` E tefl ce
and for no other purpose.
New Building Remodeling
Addition
Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements s VC/ Amount of Permit S 3 J' S
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
Remarks (Signed)
Permit No. g Date (t2(, / r Read, Sworn to and Subscribed before me.
Disapproved U Da .
4R' Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida \1'orkmen'i-
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has co ,.lied 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 rmit: 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 . ploy nI such sub ntractors. on work to be performed
under this permit. as are licensed by Miami Shores Village.
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known.
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing app cation, and that he did sign the same. and that all facts therein by him stated are true.
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and'or workmanship.
Disapproved
(Signed)
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby nude for the approval of the detailed statc,.,ent ur one plans and specifications herewith submitted for the build
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and
regulations of the iiuilcling 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 pragreu of the work.
Ov.-ner's Name and Address ....... ....R9birX.t...Stilba.. II. ...... _ _ No.J Q .....o. Street,... N •F • 94th St.
Registered Architect and /or Engineer .,,,. .,. ..... ......................... „,.,.
Name and address of licensed contactor QwmAria131lder.. _.. ....
Location and leg 1 d s cription of lot to be built on: �
Lot f /' Block .J....� Subdivision..... .7..... 5... , �'� ..4i. ! ....` 4L. /1 7 ' J j
Street and Number where work is to be done 450 TL.1.,_.. __.5.txggx. __ __,_
State work to be done and purpose of building (by floors) Q t.clgor Patio
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of cnncr.e.e Kind of foundation ioof Covering
Estimate Total cost of improvements $ � 50.0. Amount of Permit &. t
Zone cubage required .......... Plan Cubage
Distance .to next nearest building. Size of Building Lot 2S..x.115
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.. 4. 5.0. ..N..E....94th.St.7ree.t
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of Libor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Sup pleurent,
and has complied s‘itlr 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 i ection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only soh sube r traottors, on woriyko be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared J. Robtt StAs 11
and who, being by me first duly sworn, upon oath deposes and says that he is the. Otan.er /Builder
of the above described construction, that he has careful) read the foregoing application, and that he did sign th same, and that all facts
therein by him stated are treeue. It)/ re� Read, S to and
Permit No..__15: J Date...:l..._.._._ � bscri • ;/: f me.
ate
Date... October 19 84
_....._.__.... 19..
_...
PLANNING BOARD DATE
Florid
My Commission Expires
Member
Member
Member
• f i +.
to me well known,
Chairman
Nfernbcr
Member _....._..
Council Approved Date Disapproved Date
NOTE: A charge of 31.00 will be made for making corrections or changes to this application after approval has been obtained from
the I'Lrnnir.g 11o.trd.
A rc inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLA. N9 7512
JOB
ADDRESS
INSPECTION /'
TIME READY
REMARKS:
INSPECTOR DATE
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
N9 6626
Work to be perfo
Owner of r'"
Building
Bl
DATE ° 19
Contractors - e
License No.
I-1W Permit
Subdi-
vision
Address of t Value of er:� I! Amount of c7--',P.°` Building '' t . Project $ ` ¢ H Permit $ s,
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 applica-
tion 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.
• 1,
f
Signed. r •` . E . .� S r -.. 'i. .,03 - INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliolrce 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 ell work done by either, myself, my agent, servant or employee.
7 e -,,,,) ) I
CONTRACTOR OR4)4ILDlik BY AUTHORITY AB SOT
OWNER'S NAM?
Gli1ALD J. GREEN
NEW CONSTRUCTION
PRESENT ADDRESS
435 N. E. 95th. St.
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
450 N. I;. 94th. St.
LOT
2 of 4 all of
BLOCK
51
SUBDIVISION
aami. SnorEi Sect i
on 2
LICENSE NO.
iS012
BOND
DATE 7 -1 2._
GENERAL CONTRACTOR
GERALD J. GREEN
ADDITION & • ;rir
ADDRESS
435 N. E. 95th. St.
PHONE NO.
BUILDING PERMIT NO. 6626
DATE
�7 r
I -12 -67
PERMIT FEE $ 88.00
BUILDER'S
NO. '.637
ZONE R 17. REQUIREMENTS l 7. Kn(l
CU. FT.
T.V. = 38 166.
PLAN CUBE ,/ .�.�.� r +( CU. FT.
EST. COSTS 28.000.
p
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
✓ ✓ ✓
DATL
-1,2-
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
NEW CONSTRUCTION
TYPE
CBS
STORIES
Tgo
ROOF CONSTRUCTION
k ile & built -up
INTERIOR CONSTRUCTION
6 bedroom - 4 bath residence
REPAIRS
DESCRIPTION
Carpet over plywood. floors - plastered w R, eel). , „d b s
DESCRIPTION
ALTERATION
ADDITION & • ;rir
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
` c�
CERTIFICATE OF OCCUPANCY NO. i L' I ISSUED 1).7„(x,\ d�
I BY LQ ZE;,
I TO Cli o >> „
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
✓ ✓ ✓
DATL
-1,2-
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
ROUGHING
SPECIAL PERMITS
ROOF 6 ' _}
POOL
- .
DATE
BEAMS & LINTELS
TEMPORARY SERVICE 12,(I ii,
SEPTIC TANK s..,.
TTRAMING
/
J!p /
AIR COND.
Inc.
'.771
FINAL
stt
SEWER
CLEAN UP
SLAB
MOTORS
$
SOLAR HEATER
$
SLAB
FIXTURES & FINAL
SOLAR HEATER
$
SPECIALS PERMITS
PERMIT NO.
BY
DATE
FEE
RE - INSPECT
TEMPORARY SERVICE
ROUGHING
SPECIAL PERMITS
PERMIT NO.
ROUGHING
DATE
$
TEMPORARY SERVICE 12,(I ii,
SEPTIC TANK s..,.
G e /d
/
J!p /
7S�„/�
Inc.
'.771
S t 2.4-cc
stt
SEWER
$
MOTORS
$
SOLAR HEATER
$
FIXTURES
FIXTURES & FINAL
SOLAR HEATER
$
GAS
e
FIXTURES
$
GAS
e
INSPECTIONS
I DATE
BY
RE - INSPECT
BY
RE - INSPECT
BY
ROUGHING
SPECIAL PERMITS
PERMIT NO.
ROUGHING
DATE
FEE
TEMPORARY SERVICE 12,(I ii,
TUB & TOP OUT
H. W. HEATER CONN
h'+1- -'✓� -64
�1
$ o�
H. W. HEATER CONN.
SEWER
RANGE CONN.
$
MOTORS
SEPTIC TANK
$
FIXTURES
FIXTURES & FINAL
SOLAR HEATER
$
e
FIXTURES
GAS
CONTRACTOR R.e. T )C+..CI✓1.. .,
DATE
PHONE
PERMIT NO. (� 6 I 1 DATE i i -
- '4 - �c ,�
g t
FEE $ T b I . / +.
L'
NEW BLDG. y / I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
ROUGHING
DATE
FEE
TEMPORARY SERVICE 12,(I ii,
66 6 -
H. W. HEATER CONN
h'+1- -'✓� -64
�1
$ o�
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
FIXTURES & FINAL
$
e
INSPECTIONS
DATE
BY
RE - INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
N
BUILDING INSPECTIONS F(DO {r -v" ' C`
CONTRACTOR /42 l.I �+rn /Si F/ C. � PHONE
DATE 7- 2 Z 4 . , cr FEE $
1 ALTERATION I ADDITION
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
REPAIRS
BY
-7
MIAMI SHORES VILLAGE, FLA.
N? 7405
JOB '
y
ADDRESS
INSPECTION
TIME READY
9
REMARKS :
INSPECTOR DATE
JOB
MIAMI SHORES VILLAGE, FLA. N9 7632
ADDRESS 0 _
INSPECTION
TIME READY , - .
r _
l
REMARKS: - -4
- �. 1
MIAMI SHORES VILLAGE, FLA.
ADDRESS j l
R �
INSPECTION'+.
TIME READY I. d ^1 )
JOB
REMARKS :
�
N? 7872
INSPECTOR • DATE
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami SI ores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
(� (� Date _U Y
CJ
Owner's Name and Address E R A L D J. 1 ' t Li No
Registered Architect and/or Engineer C) H N 2C - z- re-
Name and address of licensed contractor Q L J • 2 E, E `U C' ! i E • 7 9 cJ T
Location and legal description of lot to be built on:
Lot Luc I ALL LOT lock
Street and Number where work is to be done___ Z ' _ , G' 4 fl ' ' T 0
State work to be done and purpose of building (by floors) _ _____________
1 N E 1- L ---- - - - -- 1 P.E. O c c
_ and for no other purpose.
New Building �� Remodeling Addition Repairs No. of Stories -
To be constructed of C_ 55 Kind of foundation - C PC Roof Covering - i 11.t• 13 01 k.• t
Estimated Total cost of improvements $ - ?_ i 0 0 0 Amount of Permit $
Zone cubage required — __________Plan Cubage 34 Of (
Distance to next nearest building / 0
Maximum live load to be borne by each floor__
I hereby submit all the plans fnd s ecifications for said building. All notices with reference to the building and its construction may
be sent to el f g L 0 '.../ . e E re m 4'3 5 N1:-- ci c 1 rF c T M. J •
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 co tractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted fo nspe ion on the site of the w' .uch public notice
or notices as are required by the Act. The undersigned agrees to employ only such bcontractors, on work to b • pe ormed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
- - - - - -- to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No i/>_ Date Read, om to an • ubscribed before fe.
Disapproved Date.. �_ _ .....r. e 7 �- � .
`� Notary Public, State of Florida
(Signed)
Building Inspect i
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Subdivision______M_I_ i 1 c J Ho g c . 'L
Size of Building Lot
My Commission Expires
1
7
19 6
Street N RC M.<3
0 '
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
C—. •
(
` TOP d
761,
f
L)
ig
00 °-
11
U
■
c .,
CERIF ICATE OF RE-OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has bee inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single - family residential purposes.
MIAL SHORES VILLAGE, FLORIDA
B
PAGE2OF2
Date of Certification:
THIS CER'11F ICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY •
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
U eu-aiULAJ
I, (je D r 5 e G kict .L L --Po ! ce, 2 , hereby apply for a certificate
to re- occupy the single family residence known as : (address)
/1610 N E 9 y ,�7i e e , Miami Shores, Florida.
Legal Description:
Lot: 54 t&, 6 , 4 y Block 51 PB & PG: /
I hereby certify that I understand that the zoning of the property is for single- family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re- Occupancy that may be issued by Mlami Shores Village, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
Applicant
Print Name e rree / (c
* * * * * * * * * * * * * * * * * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * *__:* *„
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
ES 7 — 0 /4 2-44 z
Contact Name:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
Buyer Seller Realtor !/ . Company Name_29iVICALR.PY '
Application Fee (S50) paid: Cash
Inspected b
Comments:
Date /0'/5'0/
Approved
Check G V
PAGL 1 OF
6
I l
Telephone: 75 S 5 7 d 3 0/
Denied Date (o/l7
40
, PERMIT APPLICATION FOR MIAMI SHORES VILLAG* C Q V D �
-10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 30$ -756,2 2 0 2003
D j7O 1V • S Tax Foli I t 3 aU U r yu j
Legal Description t^i,x.A.ce..
Owner�'Lessee/Tenet a 47 k n 6 lCt (A o c: i s `
Owner's Address y Sv Ai l f {n
Contracting C ��
Qualifier 5 /O, AJ5
State #6 CXi,C/ Municipal #
WORK DESCRIPTION:
Square Ft. 66
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires
Date
NW Dodo
• • My Compulsion coma
N Expires M.y 00,9007
Plumbing
Historically Designated: Yes No X-
1517200 S 1 3 '- ?
SS#
Master Permit #
Address &j /vc4 93
Phone,,/
Competency # Ins. C o.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
U:—' rt....of...A.5X_
Estimated Cost (value) / /g it
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.
Date Signature of Contracto
otary as to Contractor,ofQ±wlier Bui
y Commission Expitf My CC''
C.C.F L • 7? l) NOTARY
Phone 3 OS ` 7 1 7 33
FEES: PERMIT GO • CD RADON
APPROVED: �?
Zoning Building % AUG 2 0 2003 Electrical
Mechanical
r Owner Buili�r�_
Structural Engineer
BOND
TOTAL DUE I • ' O
- 1c1 - RD \ � . Ck. 5
Date
Date
Florida Building Code Garage Door Windload Design Pressures
The positive and negative design windloads for the garage door opening(s), listed below
are derived from the Florida Building Code (American Society of Civil Engineers, ASCE
7 -98), Section 1626 for Components and Cladding ( Exposure C ), 140 MPH wind
velocity for Broward County, or 146 MPH wind velocity for Miami -Dade County.
Address: Moore, John
450 NE 94 St..
Miami Shores, Fl 33138 Miami -Dade
Garage Door Opening Size(s): 8' -0 "x 7' -0" (2 Doors Requested)
Clopav Model No.: 84A or HDG
Mean Roof Height: Less than 15'
Measured Minimum Building Dimension: 22' -0"
Measurement of Nearest Garage Door Opening to Building Corner: 1' -6"
Positive Design Load: 41.3 psf
Negative Design Load: 46.1 psf
Clopay Model: 84A
Clopay Model: HDG
Gary Pfuehler, P. E.
5665 Green Oak Ct.
Fairfield, Ohio 45014
Florida P. E. License # 49850 ph: 513- 858 -1490
Approval No: 01- 0326.01
Approval No: 01- 0427.01
The design Loads shown above are based upon the measurements listed above for
enclosed buildings and require that the garage doors installed meet section 1626 of the
2001 Florida Building Code for wind -borne debris in the High Velocity Hurricane Zones.
The related calculations do not address the jambs or supporting structural adequacy. The
Building Official is the final determiner of the suitability of the garage door connections
for the particular building or home at the designated location.
August 14, 2003
�°-• -
BUILDING CODE:COMPLIANCE. OFFICE (BCCO)
PRODUCT CONTROL DIVISION
OT10E OF ACCEPTANCE (NOA)
C Building Products Co.
8f5 Duke Blvd.
- Mason, 011 45040
ECOPE: This NOA is being issc.cd under the applicable rues and regultnions governing, the use
nientation submitted has Peen :reviewed by Miami-Dade County PTorlluct Contol tivsicn
R and Appeals (BORA') IISCC1 Mialni T.126.2 ar areas
A II.T
NOA shall Lot t.t:'It; the ::rvoirr.rticnt :late stztecl be:ow. -, ; - he t\iami-D& lo
*;q1 Dale Count)) ad/or tl 2 (ir [Fleas othe than Mimi :Dade C.outity) reserve the
YTT.•;:ri:31 v:sted for (reality ass..rrance punDosos. If this brodurt or iztcia1 fails o perform :n
:;...._rithacturet will incur the r;:p.,r of such testing a.rid the A.1-1:1 ma) i: l'evrilze, modify.
iui CT rriDterial within 30R,-\ 1 the ri 10 Tf2tV'.Ele ihs P.72(2■.:p2,3T1C(2,
County Product Crntr& this product or rriatzrizi fails to met . the :c_cruireme!Its
0t 1
, qEST FLGL ST14,EET., i6PY
MIAMI, FLORIDA 33130-1563
(3J5)375-201 H i'ZX (303; 375-2(21;`,',
t:...nstuctior,
2Eccep by the
7
o hav:r this prft;vir..t
re tic.ccpred rorn!"3er., 1 '!Jr
suspehri the use of
dE:Etynlined
f the zpplicab7:t Dall(21.r112
pr is Lippiel heirir.. and 'hos Iteon df..siEncE o c:ompl;' Ta";'o. it)!
orida Building Code.
DESCRIPTION: Sectional Garage Door 9'- 0" Wide.
APPROVAL DOCUMENT: :Drawing No. 10170:3. titled "1-IDC/IIDG1 GC68. -1300/01. 43 0/67/1IDGI., 4400/01, 11
MODELS", dated 11/19/96 with last revision on April 2003, sheets . 1 of 1. prepared hv Clopay Building Products, signed ane
, ,ealed by M.W. Westerfield. PE.. bearing the Miami-Dade County Product Control Renewal stamp with the Notice of
Acceptaaiee ri date by the Miami County Product Control Division.
missoz.oitAtt,f1A11 NG: Large and Small Missile Impact
LABECINCtsrtaeliAiiiiiiiiiill bear a permanent label with the manufacturer's name or logo, city, state and following statement:
"MianightdiCtrimtyPrOduct Contrpl Approved". unless otherwise noted herein.
RENEWAL of this NOA shall be considered afier a renewal application has been filed and there has been no change in - the
applicable building code negatively affecting 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. andior manufacture of the pi duct or process. Misuse of this NOA as an endorsement of any product, for sales, advertising
m any other purposes shall auarrnatically terminate this NOA. failure to comply with any section of this NOA shall be cause
or termination and removal of NOA.
LIMITATION: This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this
Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E-8 by a
Dade County approved laboratory selected and paid by the manufacturer. Every 3 months, four times a year, the manufacturer
shall mail to this office: a copy of the tested reports with confirmation that the specimen were selected from coils at the
manufacturer productior facilities. And a notarized statement from the manufacturer that only coils with yield strength of
28000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration
date may be displayed in adverr 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 joh site at the request of the Building Official.
This NOA renews NOA # 01-0427.01 consists of this page 1 as well as the approval document mentioned above.
The submitted documentation was reviewed by Candi F. Font PL.
„ MDA No 03.-0430.04
tO, August 21.2008
June'5, 2003
P.m( 1
! OPA.Y 'MOD LS 4 4301, 4310, 4400, 4401, HDG, HDGL
CLOPAY MO :S 'OO H401 H300, H301, H310 (UP TO 12'0" HIGH)bs
HOLMES M .S s Q OQDR SKIN
,ATTAINED W(T#l'-PJLTttnE3 VI9BLE FROM OUTSIDE)
(2) 'INTERMEDIATE REINFORCEMENT PLATES PER
SE. ATtAC $D: -WITH TOG- L -LOC SYSTEM -
_,(1413 A, 14 OUTSIDE)
T
I
1 0
• '
I 0
N
i It
1
I 0 • =•
L7 2
D tV
z x
(
o , o:
z
.
a w~
OIL
✓
cr
x
0
0
0
•
2
_ ' X6 '
0
z
6
.
o
•
8` -fit 21" HIGH
13 GA. GALV. STEEL FLAG BRACKET.
EACH FASTENED TO WOOD JAMB WITH
(3) 5/ 16 "x -5/8" WOOD LAG SCREW..
TRACK CONFIGURATION
2" GALV. STEEL TRACK,
TRACK THICKNESS: .060"
TWO POINT LOCKING
INTO TRACK PER
SFBC 3603.2
5/8' MIN. ENGAGEMENT
(OPPOSITE SIDES -
OF DOOR)
(SEE LOCK OPTIONS)
END
STILE
O
1 1
/ t
HORIZONTAL TRACK SUPPORT_ BY
DOOR INSTALLER (TO ' SUIT)
BRACKET P EMENTS 111.11121111111
r�,p m� 102 ®AI� f pm��� 1 ,.�,����1 . � yt �m�r• yi,,e�� —_
Iriali �1llk. .AW 7. S.6r�1 EllECa_�4Gi ®11111111
ECtler..4fifklEftM WO WINK WEI =MB
iI~ L ilLigir MIA E-'. - `
• M[ rr.:; aTi ` ?• + i..:t1
).: =oar: , 1 F_,.,' .�
tCScys_. '..:fit'✓ ' `�� - IiL•I.163Y.1's,
DOOR
HEIGHT
0
REINFORCEMENT PLATES J
ATTACHED TO DOOR SKIM
WITH PATENTED TOG -L -LOC '
(NOT VISIBLE FROM OUTSIDE)
(2) INTERMEDIATE REINFORCEMENT PLATES
PER SECTION. ATTACHED W/ TOG -L -LOO
SYSTEM (NOT VI5IBL€ :FROM OUTSIDE) �
- -� A
MAX. DOOR WIDTH = 9' -0"
N IDE' ELEVATION
s ••
'OPENING: 60 IN'
i4
`EE END ti1N
DETAIL
KF ^,1R H!NrL -
DEAL
O
F'i.
2x6 WOOD JAMB
TWO POINT LEI i:llr, '
INTO TRACK PER
S713C 3603.2.
578" MIN. ENCAC[I1_','
( ,t)PPOSITE SIDE:
C' DOOR)
(`EE LOCK CPfTiC!JS) •
' JAMB ^Ot1FIGURATION
P- RFPARATI0N OF JAMBS ICY
1
BRACKET FASTENED TO WOOD GA. GALV. STEEL TRACK ":/
JAMB WITH ONE 5/16"x1 5/8"
WOOD LAG SCREW PER BRACKET. J
2' GALV. STEEL TRACK
FASTENED TO TRACK BRACKETS.
EACH BRACKET ATTACHED _. WITH ONE
1/4'4/8 BOLT & NUT Q
TWO 1/4" RIVETS.
i
L.
OUTSIDE -
itEIED
PFNDLE
IKEYE02LQCK e E
INC - OCKI ✓ OF 19C10R.
4 1;01 MG-- STR{1fr 1 Et MENTS SHALL " .BE. DLSIGNED
$I O AL ENGINEER FOR WIND CCADS
SNAP LATCH ENGAGES ✓
ONTO VERTICAL TRACK.
ONE SNAP LATCH ON
EACH SIDE OF DOOR.
INSIDE HANDLE '
OUTSIDE KEYED LOCK
SNAP LATCH LOCK OPTION ,
END
STILE
LOCK
BAR
GUIDE
STF L ROLLER.
27 GA. MIN. EXTERIOR STEEL SKIN
(MIN. DREWING QUALITY) YI WITH G-40 MIN. GALV!, LIS
BAKED -ON POLYESTER PAINTED TOP
COAT APPLIED TO BOTH SIDES
OF STEEL SKIN.
STOP MOULDING BY DOOR
INSTALLER (TO SUIT)
18 GA. GALV. STEEL END STILE
(END STILES HELD BY HINGE SCREWS)
18 GA. MIN. GALV. STEEL CENTER HINGE
FASTENED TO INSIDE SKIN W /(4)
EACH 14x5/8" SHEET METAL SC REWS
14 GA. GALV. STEEL END HINGE -
FASTENED TO END STILES W /(4) EACH
#14x5 /8"_SHEET METAL SCREWS AND
(4) 1/4'•5/8" SELF TAPPING SCREWS
DESIGN ENGINEER:
-W. - WES
,A RECtST.R TERFiELD TI0N No 48495
- ) '_�': ENGINEERING
END
STILE
TCNGJE "'.0 GROOVE JO:'rc
uciS'
SILICONE FILLED CHANNEL SEPARATES /
FRONT AND BACK SKIN OF DOOR
1.95" THIC"C, 10 DENSITY
EXPANDED POLYSTYRENE
FOAM INSULATION LAMINATED
(SUPPLIED BY FACLON MANUFACURING)
TO BOTH EXTEROIR AND INTERIOR SKINS.
14 GA. END HINGE ✓
OPAY BUILDING PRODUCTS COMP
585 DUKE BLVD.
'MASON. 01-I 45040
/513) 770 -4800
1 CAI If. _ T E EN^
HINGi-- EACH FASTENED TO
.ND STILES W /(4) ! 14x5/ E -
SHEET METAL SCREWS ANO
; '-) 1/4 " -3/4" SELF" .
,, lP!N:; SCREWS
13 GA. GALV. STEEL BOTTOM BRACKET.
ATTACHED WITH (2) #14x5 /8' SHEET METAL SCREWS.
L ALUMINUM EXTRUSION •
& VINYL WEATHERSTRIP
(4) #14x5/8" SHEET METAL SCREWS
Rv 1 rar
1 .7-5-97
2 ' 4/2001
40050 MAXIMUM - vim OPENING
KT) MU]ES 14000.3 ! ,C OI ETC IIOOELS 22110. 7.221,
2700. 2Y.A. +200-, G-40 MN. WAS G-0C
X WOOS; 00.[70 MIM 240''1; 27 CA or: t7t{
12 GA. GALV. STEEL TOP
ROLLER BRACKET. EACH
BRACKET ATTACHED W /(4)
14x5/8" SHEET METAL
SCREWS. .-
SECTC°: A-4 '
3' +.LL x 20 Gt,. GALV.
STEEL U -PAR. TWO PER
DOOR SECTION. ATTACHED
WITH (6) 1/4 "x3/4" SELF
TAPPING SCREWS PER U -EAR, -
(2) ON EACH END & (2)
AT CENTER HINGE LOCATION.
27 GA. INTERIOR STEEL SKIN (DRAWING CUA ITT) -
WITH G -40 MIN. GALV., BAKED -ON PRIMER AND
BAKED - -ON POLYESTER FAINTED TOP COAT
APPLIED TO BOTH SIDES OF STEEL SKIN.
(4) 1/4 "x3/4" SELF TAPPING SCREWS -/
JCMATTEM
15 _GA, INTERMEDIATE HINGE
- 14 GA INTER. iavGL -.
USED ON 24 GA EXTERIOR
SKIN DOOR MODELS
THE 2x6 VERTICAL WOOD JAMBS ARE TO BE GRADE 2
OR BETTER YELLOW PINE. NO LOAD IS TRANSFERRED
70 THE HORIZONTAL (TOP) JAMB. ALL JAMB FASTENERS
MAY BE (BUT NOT REOUIRED) COUNTERSUNK TO PROVIDE
A FLUSH MOUNTING SURFACE.
2x6 WOOD JAMB CAN BE ANCHORED •TO GROUT REINFORCED
BLOCK WALL OR CONCRETE COLUMN. BLOCK CELLS SHALL
BE FILLED 'WITH' CONCRETE NV =REItJF WITH CONTINUOUS
DIG 1NT0_ 1NE O'tHG ZI TIE 6EAM5
ANCH ORS CAN. BE'' 1 /4'�1*s3/ FO x: 3 ' .' ON INT 4°" CRETE
ANCH ORS STARTI AT • :. ; £ BOTTOM
AND 16 0.C. , - -
RAWL LOKM01.i - ' k b4AN b
FROM BOTT 0440
RETAIL -
MODEL
DESCRlKION-
=4500 31300
'
-HDG, .66
27_ GA.
MIN. EXTERIOR SKIN; SHORT. RAISED PANEL
4400; H400
'
N/A -
24 GA.
MIN: EXTERIOR'SKON; SHORT AAISED PANEL
4401. H401
-
N/A
24 GA.
IAN. . EXTERIOR ' SKIN; FLUSH PANEL
4301, H301
-
68
27 GA.
MtN:'EXTERIOR SKIN;'FLUSH,PANEL
4310, H310
-
HDGL, 67 -
27 GA.
MIN. EXTERIOR SKIN; WIDE RAISED PANEL
! OPA.Y 'MOD LS 4 4301, 4310, 4400, 4401, HDG, HDGL
CLOPAY MO :S 'OO H401 H300, H301, H310 (UP TO 12'0" HIGH)bs
HOLMES M .S s Q OQDR SKIN
,ATTAINED W(T#l'-PJLTttnE3 VI9BLE FROM OUTSIDE)
(2) 'INTERMEDIATE REINFORCEMENT PLATES PER
SE. ATtAC $D: -WITH TOG- L -LOC SYSTEM -
_,(1413 A, 14 OUTSIDE)
T
I
1 0
• '
I 0
N
i It
1
I 0 • =•
L7 2
D tV
z x
(
o , o:
z
.
a w~
OIL
✓
cr
x
0
0
0
•
2
_ ' X6 '
0
z
6
.
o
•
8` -fit 21" HIGH
13 GA. GALV. STEEL FLAG BRACKET.
EACH FASTENED TO WOOD JAMB WITH
(3) 5/ 16 "x -5/8" WOOD LAG SCREW..
TRACK CONFIGURATION
2" GALV. STEEL TRACK,
TRACK THICKNESS: .060"
TWO POINT LOCKING
INTO TRACK PER
SFBC 3603.2
5/8' MIN. ENGAGEMENT
(OPPOSITE SIDES -
OF DOOR)
(SEE LOCK OPTIONS)
END
STILE
O
1 1
/ t
HORIZONTAL TRACK SUPPORT_ BY
DOOR INSTALLER (TO ' SUIT)
BRACKET P EMENTS 111.11121111111
r�,p m� 102 ®AI� f pm��� 1 ,.�,����1 . � yt �m�r• yi,,e�� —_
Iriali �1llk. .AW 7. S.6r�1 EllECa_�4Gi ®11111111
ECtler..4fifklEftM WO WINK WEI =MB
iI~ L ilLigir MIA E-'. - `
• M[ rr.:; aTi ` ?• + i..:t1
).: =oar: , 1 F_,.,' .�
tCScys_. '..:fit'✓ ' `�� - IiL•I.163Y.1's,
DOOR
HEIGHT
0
REINFORCEMENT PLATES J
ATTACHED TO DOOR SKIM
WITH PATENTED TOG -L -LOC '
(NOT VISIBLE FROM OUTSIDE)
(2) INTERMEDIATE REINFORCEMENT PLATES
PER SECTION. ATTACHED W/ TOG -L -LOO
SYSTEM (NOT VI5IBL€ :FROM OUTSIDE) �
- -� A
MAX. DOOR WIDTH = 9' -0"
N IDE' ELEVATION
s ••
'OPENING: 60 IN'
i4
`EE END ti1N
DETAIL
KF ^,1R H!NrL -
DEAL
O
F'i.
2x6 WOOD JAMB
TWO POINT LEI i:llr, '
INTO TRACK PER
S713C 3603.2.
578" MIN. ENCAC[I1_','
( ,t)PPOSITE SIDE:
C' DOOR)
(`EE LOCK CPfTiC!JS) •
' JAMB ^Ot1FIGURATION
P- RFPARATI0N OF JAMBS ICY
1
BRACKET FASTENED TO WOOD GA. GALV. STEEL TRACK ":/
JAMB WITH ONE 5/16"x1 5/8"
WOOD LAG SCREW PER BRACKET. J
2' GALV. STEEL TRACK
FASTENED TO TRACK BRACKETS.
EACH BRACKET ATTACHED _. WITH ONE
1/4'4/8 BOLT & NUT Q
TWO 1/4" RIVETS.
i
L.
OUTSIDE -
itEIED
PFNDLE
IKEYE02LQCK e E
INC - OCKI ✓ OF 19C10R.
4 1;01 MG-- STR{1fr 1 Et MENTS SHALL " .BE. DLSIGNED
$I O AL ENGINEER FOR WIND CCADS
SNAP LATCH ENGAGES ✓
ONTO VERTICAL TRACK.
ONE SNAP LATCH ON
EACH SIDE OF DOOR.
INSIDE HANDLE '
OUTSIDE KEYED LOCK
SNAP LATCH LOCK OPTION ,
END
STILE
LOCK
BAR
GUIDE
STF L ROLLER.
27 GA. MIN. EXTERIOR STEEL SKIN
(MIN. DREWING QUALITY) YI WITH G-40 MIN. GALV!, LIS
BAKED -ON POLYESTER PAINTED TOP
COAT APPLIED TO BOTH SIDES
OF STEEL SKIN.
STOP MOULDING BY DOOR
INSTALLER (TO SUIT)
18 GA. GALV. STEEL END STILE
(END STILES HELD BY HINGE SCREWS)
18 GA. MIN. GALV. STEEL CENTER HINGE
FASTENED TO INSIDE SKIN W /(4)
EACH 14x5/8" SHEET METAL SC REWS
14 GA. GALV. STEEL END HINGE -
FASTENED TO END STILES W /(4) EACH
#14x5 /8"_SHEET METAL SCREWS AND
(4) 1/4'•5/8" SELF TAPPING SCREWS
DESIGN ENGINEER:
-W. - WES
,A RECtST.R TERFiELD TI0N No 48495
- ) '_�': ENGINEERING
END
STILE
TCNGJE "'.0 GROOVE JO:'rc
uciS'
SILICONE FILLED CHANNEL SEPARATES /
FRONT AND BACK SKIN OF DOOR
1.95" THIC"C, 10 DENSITY
EXPANDED POLYSTYRENE
FOAM INSULATION LAMINATED
(SUPPLIED BY FACLON MANUFACURING)
TO BOTH EXTEROIR AND INTERIOR SKINS.
14 GA. END HINGE ✓
OPAY BUILDING PRODUCTS COMP
585 DUKE BLVD.
'MASON. 01-I 45040
/513) 770 -4800
1 CAI If. _ T E EN^
HINGi-- EACH FASTENED TO
.ND STILES W /(4) ! 14x5/ E -
SHEET METAL SCREWS ANO
; '-) 1/4 " -3/4" SELF" .
,, lP!N:; SCREWS
13 GA. GALV. STEEL BOTTOM BRACKET.
ATTACHED WITH (2) #14x5 /8' SHEET METAL SCREWS.
L ALUMINUM EXTRUSION •
& VINYL WEATHERSTRIP
(4) #14x5/8" SHEET METAL SCREWS
Rv 1 rar
1 .7-5-97
2 ' 4/2001
40050 MAXIMUM - vim OPENING
KT) MU]ES 14000.3 ! ,C OI ETC IIOOELS 22110. 7.221,
2700. 2Y.A. +200-, G-40 MN. WAS G-0C
X WOOS; 00.[70 MIM 240''1; 27 CA or: t7t{
12 GA. GALV. STEEL TOP
ROLLER BRACKET. EACH
BRACKET ATTACHED W /(4)
14x5/8" SHEET METAL
SCREWS. .-
SECTC°: A-4 '
3' +.LL x 20 Gt,. GALV.
STEEL U -PAR. TWO PER
DOOR SECTION. ATTACHED
WITH (6) 1/4 "x3/4" SELF
TAPPING SCREWS PER U -EAR, -
(2) ON EACH END & (2)
AT CENTER HINGE LOCATION.
27 GA. INTERIOR STEEL SKIN (DRAWING CUA ITT) -
WITH G -40 MIN. GALV., BAKED -ON PRIMER AND
BAKED - -ON POLYESTER FAINTED TOP COAT
APPLIED TO BOTH SIDES OF STEEL SKIN.
(4) 1/4 "x3/4" SELF TAPPING SCREWS -/
JCMATTEM
15 _GA, INTERMEDIATE HINGE
- 14 GA INTER. iavGL -.
USED ON 24 GA EXTERIOR
SKIN DOOR MODELS
THE 2x6 VERTICAL WOOD JAMBS ARE TO BE GRADE 2
OR BETTER YELLOW PINE. NO LOAD IS TRANSFERRED
70 THE HORIZONTAL (TOP) JAMB. ALL JAMB FASTENERS
MAY BE (BUT NOT REOUIRED) COUNTERSUNK TO PROVIDE
A FLUSH MOUNTING SURFACE.
2x6 WOOD JAMB CAN BE ANCHORED •TO GROUT REINFORCED
BLOCK WALL OR CONCRETE COLUMN. BLOCK CELLS SHALL
BE FILLED 'WITH' CONCRETE NV =REItJF WITH CONTINUOUS
DIG 1NT0_ 1NE O'tHG ZI TIE 6EAM5
ANCH ORS CAN. BE'' 1 /4'�1*s3/ FO x: 3 ' .' ON INT 4°" CRETE
ANCH ORS STARTI AT • :. ; £ BOTTOM
AND 16 0.C. , - -
RAWL LOKM01.i - ' k b4AN b
FROM BOTT 0440
Company
Phone #
For Inspector: 1113 Name & Date
Date 1 0 31 Time
Type Insp'n
Permit No. S P X.43 -1 c3i ICS ,
Name
Address 4 SW a q 4
Approved
Correction
Re- Insp'n Fee
MIAMI SNORES VILLAGE
BUILDING DEPARTMENT Ak‘;��!
305- 795 -2204
Building Inspection Request
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date //, Time
‘. • .
Type Insp'n i
\ P` —
Permit No. :1,0'4
Name g
Address
J. .
Company
Phone #
For Inspector:
Name & Date
Approved
Correction
Re-Insp'n Fee