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95 NE 95 St (7)CONTRACTOR Name �2 ���6 /� License No Ci / 9 rte / /De_ / e) t) Address 7 rAz---- / �J is nt; Cre$, 4/33,3 Telephone -7 4'0 Fax 7 4 v 8 �r"— Qualifier Name � „ ie./ 34 PROPERTY OWNER New Construction Name p�, r/1 ,, +� ( Enclosure Address V �� Q5 sic.- in lam" o horeS; R 331 Home Telephone 30 s - ' o Repair Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: Step 1. Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. 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. APPLICATION Folio Number I t 3 Q QC 013 ( 3 7 3 0 Description of Work ' ' £ L2/ / L Lot A3 cx,M Block > Subdivisioi \ . cX'. ` Pk 110 PB ) 0 Pail_ Zoning Linear Feet Current Use of Property gES )0E AJ--n ici'(s Square Feet ta Units Floors i Proposed Use of Property Value of Work '33SV Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 95 /LE 95 6/-, Address PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Telephon F Master Permit No. Subsidiary Permit No. q k) PERMIT APPLICATION Wank/ Jhores 33/3a Apt. City State Zip ENGINEER Name License No. Telephone Fax A,F Please read carefully. Page 2 1. DO NOT BEGIN ANY WORK WITHOUT HAVING the right to begin construction. HOURS OF CONSTR to 5:00 p.m. No inspections will be conducted on week 2. All construction of demolition areas MUST BE MAI 3. STREETS AND NEIGHBORING PROPERTIES SHA 4. SWALES MUST BE PROTECTED FROM BEING D required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a 7. DO NOT DISCHARGE WATER INTO THE RIGHT 8. EQUIPMENT AND MATERIALS SHALL BE STO 9. Department of Health and Rehabilitative Services (H Management (DERM) and/or Miami -Dade Water and Application is hereby made to obtain a permit t work will be performed to meet the standards o are required for ELECTRICAL, PLUMBIN ROOFING and SIGNS and there may be additi I, the OWNER of the property, have disclose months to the Building Official. Further, I am any other permit equals or exceeds fifty perce present federal flood criteria for finished floor under this and any other permit exceeds fifty conform to the current code requirements of th SEAL: TE OF FLORID: -, OUNTY OF MIAMI -DADE Signature of Owner (d. Roa n n i K Print Name Sworn to and subscribed before me this 17 day of Signature of No ou Type of Identification Produced: blic - State of Florida 4� Douglas W Romantic 9 * *My Commission CC7848 cm , Expires August 24, 2002 Personally known OR, Produced Identific.tion SEAL: PERMIT APPLICATION CEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant CTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. nds or holidays. AINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. L BE KEPT FREE FROM DIRT AND DEBRIS. MAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer separate permit. F WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. D at least 10 feet from the edge of pavement. S) approval is required for applications involving septic tanks. Department of Environmental Resources ewer Department (MDWASD) approval is required for applications involving sewers. do work and installation as indicated. I, the OWNER of the property, certify that all all laws regulating construction in this jurisdiction. I understand that separate permits POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, nal permits required from other governmental agencies. all information related to any work at the property performed in the prior twelve ully aware that if the cumulative cost of work to my home or business under this and t (50 %) of the fair market value of the structure, the entire structure must meet the elevation. I am also fully aware that if the total cost of work to my home or business ercent (50 %) of the replacement cost of the structure, then the entire structure must Building Code. WARNING TO OWNER: Your failure tc' record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spbnding 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 rnust 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 Florid Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to a subscribed before me this day of a .-- !ture of N • ry Public tate of orida Personally known / OR, Produced Identification Type of identification Produced: ELECTRICAL TYPE Minimum Fee QTY. 1 TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE 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. TYPE. Refrigeration, Tons QTY. A/C Central, Tons QTY. 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 TYPE A/C Condensate QTY. TYI'E Drains, Roof QTY. TYPE Miscellaneous Fixture Q'I'Y. 'I'YI'E Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump ; Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water 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 al 1 I I Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CI 'ECKLIST • OWNER - BUILDER FORM (Attach) ® FIRE DEPARTMENT APPROVAL (Commercial / multi- family) • CONCURRENCY (New Construction) LI 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 CI PROOF OF OWNERSHIP (Attach) HRS / DERM APPROVAL (Septic / Sewer) MPACT FEE (New Construction) THER SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (Specify & Attach) (sq.ft. = x/1000 x0.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION d • CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) CI CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ :ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL o (305) 795 -2207 FAX (305) 756 -8972 0 http:/ /www.miamishoresvillage.com Date Type Insp'n Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request d Time Permit No. 5 0 A Name (� Q,, vin 3 c For Inspector:(1 /b ;ZI3 Name & Date Approved Correction ❑ Re- Insp'n Fee ❑ PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: r 2 ,. .Description of improvement: Rfv 02R026499 2002 JAN 15 11:22 E UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with hapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal description of property and street address: C15 /(.E yS S7 � am/ &h v lc°S,/ 33/ 3g NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 3. Owner(s) name and address: . %6�'t/ I O U V A nil CIS / a 5 Ytt at • r. Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 6. Lender's name and address: ', Public r „ Print Notary's Name My Commission Expire Re- Font - F QoQft�C 1$3c.,. -7 N� /0 Lo JrF t 0,t c t 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ fJl 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 71 3.13(1)(a)7., Florida Statutes, Name and address: ( I =: �'; : .8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: alt .. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a d date Is specified) f 1 �ry Signature of Owner nn 1 / LX/K.1 ' GMt"cs11 K Print Owners Name Sworn to and subscribed before me this 11 day of Mimill dYes, - 4/ 3513 It 10 FLORMA, cOUNtY OF DADE of me /r r a! t�V EEr771 rs office 0 1 1 a true da gr,gM {fled P rs office on ( 1_ �1 4 A 0 20 _ n and an 0V/7-NESS my d Official Seal. ,, , n County Cords }k RVEY RUVIN, GLE 2,44... , .C. ILE IO I .1' aril ri,,S Prepared by: Address: 1 4 /11 UVl 4-I. 3313 Owner of Building t Akoe PAY ORDER OF V TO THE • DALEY ROOFING, INC. 78 N.E. 106TH STREET MIAMI SHORES, FL 33138 305-754-9892 Bankof America, FOR ACH Fla 063100277 4444- ocvtau.k r _ Address of 0 c Building DATE 000378 LH° 1:063000047i: 00 /59621,9503o ,,._r.:.E,,n,....c.Emeannana_c,matc=ror.a...11,mus.m-z0mmuto.r.r.Anstmumna-mazzaamoura...-..mezzr...--0, aasemamcansrxmo.a.-..c. .....•.... - .. ... .,- Architect .. N • -... '..)<=.) ) ' -' ' Contra • ) ) (7 - - or Builder ( ' ). p r , '.)-• ."-.... --,.. --- .,7,-1-1 \. 1 • s Legal H :) ) c7. c--- ctor i Description- D., -LI '-:-.). 1 1B1. 1 - 1 .. MIAMI SHORES VILLAGE, FLORIDA BUILDING El - 305-795-2204 ELECTRICAL CI PLUMBING ,0 PERMIT 50 496 Contractor's License No. ROOFING AS \ PERMIT CARD MUST BE AVAILABLE FOR ALL INSPECTIONS ) MECH 0 Work to be performed under this Permit N, ft 63-4/630 FL 1035 $ C h ° DOLLARS 8 Date i9P I 1 0. 1 9 /./k r / 3781 A 20 Lt Notary: 51_ o Q M PR in- 10 Bond: , o Radon: V 7 Amount of Project $ Permit: Ci 7 • 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 anv 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 be assumes respon- sibility for work done by his agents, s ry nts oreenciloies. e • • " - oigne9.• (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to' perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responsibility for all work done by either, myself, my agent, servant or employee. ;Coarra=or'7, '' 40040)(5 le I ' (T.--ArA Sic Az.,-cii=a:cr.1) D (.4..z..E-ACm. Ta) 1 ( . 1 FIzz Rca f ,.--:-.2 (fr Ficc---: Rcef..A..:-.-z (it Icmi () i E-:-. c (pc .=.2.-.7.- 7-3::: Ez as... ,- - , - - r - gcri (71-..-.A—S.:F. 7-33 I - 1 1 view of a Re=ver7 1.2 Renair Deck r'flu= istlo Fasten m dtdc 2aci Sct 772e ROOF =ET .-kAT) SY= D =LS (Drz ( R4 O DETAIL 1 & 2 Ai 77.1. (77-71.47;47 Sitee. 5? CTNr; Fled: 1") Pr.: rsc 10 P -Irs-tta_ job ROOF PLAN t : : PDF 041011„. „ ; '' : t ' 1 s i 1 . t t ' I t : 1 4f • , : : 1 t I ' 1 s , 1 . , 1 I -i f :, II I • r I , ' , a , t s , 1 — r I I 1 ; , 1 . . s 1 . 1 t i 1 4 : s ' 1 , : ' : • I I : 4 r t • r . 1; ; . . 1 t • : n , ' 1 r • --- • ' r • — --. — — I s 1 . 1 . , . .................................. I : 1 • . " - .. --------- 7 ----------------------- . . • —---------------------------- 11'1'1 :1'1111 "I "Ill Quilt") c)\vrl►•.►IS No FPICA HON I-nll ItOnl.Irl Col I' l)kit,\ 11OWi \� II Prtiulnt lu II11•. , \111r.ndl.t "I II i; the tr.sllunsibility of the worm, cnnitat.10, In pluv'dc Iltr: uwncr wuln 111c c.111111 01 10010% 1:0011, Ip 100vttIr IIIC IlwIICI with dins 3111tuulix ,Intl lo ctpinu' 10 IIIC Owl1Cf IIIC 1 roll ill 1il IIII 1 1t.11 111 I I1C 1uuY11101n ul Cltniticr )•I of IIIC smith I:Ioti IIIiItlln ( :uJr. (''il•t (:) g uvrin the nlnunlun, Ic.1 tool sl.unlards of the indnslty for roofing syslcnn inttallnl'uns AtIdiliunnlly, tine following items shook! Lc ndiiCSSCII ns pile, of the agteenient bCItvcco the uwnCt and the coon MAW 1 he osvnrt's 111111111 111 Iltc ntllarcnl Lux i dint the nein has been explained. , \Ctlhrtit t \Yin %tilt :utshi11: • 1I'C tvulknunnshi provisions of Chapter )•1 Inc rut the purpose of Inlivill log don Ihlr. inning; systrltl IIICI'ts Ilse wind ICSISIAIKc nod tvnlcl nsltusiuu (II:I fin ItuI%11L1 v111111111Idt. r \rtlhclit :s (nppial mice) moils Inc inn a Cunsillctaliun (CtpCC) In tvulknlnnshill plivlsions Artlltclie Riot.% such ns s.ul,o tit ntclu(ct Iw.II appcar.ntc., Ills( amt nil part of a rurli cuI1: shun,il be nil111esseIl ns poll ul the ng,CCUtcnl 11c1Vrcen Iht uwnCI and IIIC Cunlrnclut. 7. Ile 1Yontl 1)echs: When Ieplacing roofing, Ills existing sums,, roof deck nlny have lo he it in ut.s.nldnnci wilb (hr. omen! provision., of Chapter '19 ofliic ;l Ile (1I'c lout sks'k is usually i siot nat d psnil to rrntovinh the cxislinr roof system) V1 -■-■ . _ 11 CI in Ilunis: Continuo tools tic Ilsosc which hnvc uu visible dclurenuun bclwtcu si i nn'I% (i C. Insvnhuusr.s, cuudnnniniunls, c(t.) In buildings with COnnnin Inu(s Ott ((wrong t nil, nr.Iol uIdlul °wile., sh notify the uccupnnls of ndjaeen( units of fooling wutk Io he pct folioed 4 I:I pucJ ccilln 1 - I (,s: I :xpuscJ, open limn ccilln�s m e whc'c the 11'1(1011k ql the (uu( decking .nn be •t,ewcd hunt below. The OtvIICI nosy wish l0 maintain the nicllilccluinl appear mice. !licitlotc (outing t nil pcnr.l,aliunS of the undcrsiiIc of the dt:cking may nil be acceptable llic SI:1)C ps0vidcs the option of ,11 ;111111111111,8 this 1(IpCalallCC S. 1'nnllirtu 1Yalr.I : Ike r :Intent foul' syslcut nn.l /or deck of the budding cony nun Jinni writ Anil icy cnnsc wale' to pond (nt.cunsulntc) in luw•Iying nicas of Ilse foul. f cnn Inc nu indicntinn °( sit 11t.lsu.d 11i,11 cs% and may Icrluifr. Idle Icvit:sv of pfofessi0nnl SII uclssu a1 unginccs. funding only shun ten Iltc lilt: expct.larsey and (id ruiluancc of the nCty roiling s I'untling conditions may Ili)! tic vidcnl 1111(11 Il1r, uliginnl 100111lg Syslcm is removed. I'ootli conditions Should be cottec(cd. b. Ovcl flow Scupjscts (svnll models): II is required Thal rainwnIci flow off so dint Ilic tool i 1101 trvrllu;ulcd fI°lu n buihd no of tiller. I'crimcicrlcd1c mills Of nlhct tiul cxlr.otirnis fluty blut.k this sliscb.rgt: if lives How Scupprts (wall oollels) me Ind ptuvidcd. 11 unny In: nrccss;sty (o • sulnll uvcillnw st uppsa s ill act tildunce will' ('holden 7.1 of the SI'IIC. Ycnlihnllun: hlusl loaf sitoclures should Wye sonic nLili(y 10 veto nn(ss s( airflow Ihruugh Ilse inlet nil of the slruclurnl nssenbly (I building itself). The existing Ronson! of nllic vcntilnliun slush not be reduced. 11 luny be beneficial to consider nddilionnl vesting which can result in extending the service Itfe of the tool. OIv11c►' .s(Agestra tilgitaitire Iplaint ',Hid Al'1'1• :111)1 :< "F" &obi ( r r Citor ` IICIt,I'j .) 1 11111111•,' . `07/25/00 13:16 FAX 3056337640 G&S BLDG SUPPLY MIAMI-0ADE BUILDING CODE COMPLIANCE OFFICE • METRO -DADE FL.AGLER BUILDING i-0 WEST FLAGLER STREET.: UtTE 1603 MIAMI. FLORIDA 33130-1563 (305) 375 -3901 FAN (305) 375.2905 1 CONTRACTOR LICENSING SECTION (305) 375 -2527 FA ti (305) 375.255E 1 • CONTRACTOR ENFORCEMIENT SECTION (305) 375-2966 FAN (305) 375-2905 PRODUCT CONTROL DIVISION Your application forlProduct Approval of: i (305) 375.2902 FAX (305) 372 -6335 Modified Bitumen Roof Systems Over Wood becks under Chapter 8 of the Code of Miami -Dade County governing t} .e use of Alternate Materials and Types Construction, and completely described herein, has been recomna :nded for acceptance by the Miami-Dad County Building Code Compliance Office (BCCO) under the cd tditions specified herein. This approval shall not be valid after the expiration date stated be ow. BCCO reserves the right to secure t product or material at anytime from a jobsite or manufacturer's pi int for quality control testini. If this product or material fails to perform in the approved mann4, BCCO may revoke, modify, or suspen: the use of such product or material immediately. BCCO reserve the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the ti,.quirements of the South Florida Buildir. Code. PRODUCT CONTROL NOTICE OF ACCEPTAN1 CE C S Roofing Products Company, Inc. 5525 MacArthur Blvd., Suite #900 Irving TX 75015 The expense of such testing will be incurred by the manufacturer Acceptance No. -99- 1213.01 Expires:06 /19/2003 Raul Rodriguez I Chief Product Control Divis: THIS IS THE COVERSHEET, SEE ADDITIONAL PAC.' r-S FOR SPECIFIC AND GENERAL 1 CONDITIONS BUILDING CODE Sc PRODUCT REVIEW COMMITTEE I This application for P roduct Approval has been reviewed by the R iCCO and approved by the . Building Co and Product Review Committee to be used in Dade County, Plot :da under the conditions setjfort above. r ,I I O I i .' Approved: 05/05/2000 1 of27 MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLIf.R BUILDING lj 001 I; rancisco . Quintana, R.A. Director Miami -Dade Co.tniy Building Code Compliance ( 07/25/00 13:18 FAX 3058337840 GS Roofing Products Co., Inc. d /b /a CertainTeed Applicant: CS Roofing Products Company, Inc. 5525 MacArthur BI d. Suite 900 Irving, TX 75038 Cateporv: Roofing Sub - Category: I Modified, APP /SBS Maximum Material Wood Maximum Fire Classification Sce General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR )LABELED BY APPLICANT: Product 1 All Weather/Empire Base Sheer II I Flex- l- GlasTM Base' Sheet F1ex- l- GlasTM FR Base Sheer Flintglas® Ply Sheet Type IV or VI Flintlastic STA Flintlastic GTA, GTA-FR or Flintlastic Diamond GTA Flintlastic GTS Flintlastic GMS /GMS Premium ROOFING SYSTEM APPRC: VAL Design Pressures Design Pressure -45.0 psf Dimensions 36" x 72'; Roll weight. 86 lbs. (2 squares) 36" x 108'; Roll weight: 90 lbs. (3 squares) 39 3 4" x 50'; Roll weight: 90 lbs. (1.5 squares) 36" x 180'; Roll weight 40/55 lbs. (5 squares) 39 3 4" x 33'; Roll weight; 90 lbs. ,(I square) 39 3 x 33' 3 "; Roll weight: 105 lbs. (1 square) 39'/ x 24'9 "; Roll weight: 92 lbs. ('h square) 39 1 /," x 34' 2 "; Roll weight: 100/105 lbs. (1 square) C &S BLDG SUPPLI taj 00: Test Product Specification Description ASTM D 2626 As halt coated, organic base sheet. UL Type 15 UL Type G2 ASTM D 4601, type II UL Type G2 ASTM D 4601, type II ASTM D 2178 Type lV or VI UL Type GI ASTM 5147 ASTM D 5147 ASTM D 5147 ASTM D 5147 2 Product Control No: 99 -I 213.01 iI Product Control No.: 99- 1213.01 Approval Date: Mav 05 2000 • Expiration Date: June 19 2003 I Mc ified Bitumen, coated fiberglass base shec .. Mo 'died Bitumen, coated fiberglass base shec :. Fib - glass, asphalt impregnated ply sheet. Stn xh surfaced APP Modified Bitumen men branc with non -woven polyesterimat rcin orcement for torch application. Graf ule surfaced, APP Modified Bitu nen men brane with non -woven polyestermat reinl 3rcernent for toch application. ' - Gra ule surfaced. SBS Modified Bituy en men branc with non -woven potycstcrrat rein p 3rccment for torch application. Grar ule surfaced SBS Modified Bitunrn men brave with non -woven polyester'mat reink )rcement for mop application. "� 1 .07;25/00 13:16 FAX 1056337640 G&S BLDG SUPPL] GS Roofing Products Co:, Inc. d/b /a CertainTced EVIDENCE SUBMITTED: Test Agency /Identifier Name Applied Research ! Physical Properties Laboratories Factory Mutual Research f ' ut.tut y tatttuat t%taltu%as Corporation Underwriters Laboratories, Inc. United States Testing Company, Inc. United States Testing Company Current Insulation (FMRC 4470) Fire Classification Compliance ASTM D5147 ASTM D 5147 Rcp,j rt 280!3 FMRC 994 RI16,56 97451 '-4 97- 45; -2R Product Control No: 99- 1213.01 Date 06/02/87 ; 01/01/95 , 07/13/87 06/03/88 . 12/02/87! 6 Frank Zuloi• RRC Product Control Examiner 11004 25 .0 11 13:16 F. 30563.3Ts4tt :< 5Li :. SIFFL'i GS Rooting Products Co., Inc. d/b /a CcrcainTeed APPROVED SYSTEMS: Membrane Tvpe: APP NtODIFICD Deck Type 11: Wood, insulated, New Consruction Deck Description: All General and System, Limitations apply. Insulation Faste Base Layer Tvp one or more layers of any of the following Approved Type.(s): HyTherm Minimum: 1.3" x 3' x 4' Approved Typc(s): ACFoacn -I1 Minimum: 1'/_" x 4' x 4' Approved Type(s): Apache Pyrox Minimum: 1.3" x 4' x 4' Fastening: i '3 : " or grer,ter p!r'good or wood plank N/ A N/A N/A Approved Typc(s): E'irRG'Y -!, E'NRG'Y -2, PS1-25 Minimum: 1!!" x 3' x 4' NIA Approved Typc(s): UltraGard Gold Minimum: 1'/," x 4' x 4' NIA Approved Type(s): Fiberglas N'1inimum: f5 116" X 4' x 4' N/A Approved Type(s): Periite Minimum:' /," x 3' x N/A .Approved Type(s): High Density Wood Fiberboard Minimum: ' " x 4' x 4' N/A Approved Type(s): Dens -Deck Minimum: '/" x 4' x 4` N/A tier Fastening e Detail No. (sec RAS 117) insulations tinder those listed : ; Top Layer: NIA N/A N/A N/A N/A N/A N/A N/A N,•'A insulation Fastener Fastening Optional Too Layer Tvpe Detail No. (sec RAS 117) one or more layers of any of the following insulations Approved Type(s): Sec Approved Insulations listed for Base Layer, ab ,ve. Minimum: see Base Layer N/A N/A lore: All insulation shrill be adhered to the anchor sheet in full mapp EVT range and at a :rate o1 -40 lbs. Please refer to Miami -Dade Col RAS 117 for insulation attachment. insulations listed as b: -i.e laver or :t second layer of approved top layer insulation installed as the !Ina; m insulation panels may be used as a top layer placed with the potyisocy Anchor Sheet: One ply of GS G•.as Base, GS Flex.! Glas Base, F mechanically attached as detailed below, Product Contra! Na: 99- 1212.01 System Type A: Anchor sheet mechanically fastened; all lavers c insulation adhered approv asphalt. Fasteners Per Board N/A N'A N/A N/A N; A NIA NIA Fasteners Per Board h' /A N/A rigs of approved hot asphalt within the me Rooting Application Standard y shall be used only as base layers dth :mhranc substrate. Composite nuratc side facing down. ex -1 Etas FR Base or GS Poly SMS as Anchor sheet shall be lapped 4" and fastened wilt approved rooftnq nails and tit. cps o,c. in the lap and two rows staggered Fastener Density N/A N/A N/A NIA A NIA N/A N/A N/A N/A Fastener Density 4 . r — 2$,.(10 1:3:1[3 FAX 3:)5 BL1 SI:Ft'LX CS Roofing Products Co, Inc. dibfa Certain Teed Ply Sheet: Membrane: Surfacing: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: (Optional) One ply of products listed under 'Arc. Plintglas Ply She (Type IV) or Fiintglas Prerr.i sheet in a full mopping of approved asphalt appl 20-40 lbs./sq. Flintlastic STA, Flintlastic Diamond CIA, Flint base or ply sheet. (Optional) Install one of :he foilo•-■:ing: 1. 400 Ibisq. gravel or 300 lblsq. slag in a it .d coat of approved mopping asphalt r.:t application rate of 60 Ibisq.. Karnak 97, APOC 212 Fibrattd Aluminum, 't4en7y 520 Aluminum or C.7:rundy AL -.1B at an application rate of V: galiso.. -45 psf, See General Limitation g9 See Generai Limitation g I Sec General Limitation lc: Sheet' above, or one or more of irr, Ply Sheet (Type VI) adhered :o Cast cj within the EVT range and a: a GTA o GTA-FR torch acthered Product Control :So: 99 Ply heet (Optional): Y One or more plies of Type G1. G2, "Pies- I -Glas S�� case" or 'Flintlastic FR Base ". fully adhered with hot roofing asphalt. `• - Membrane: "Flintlastic FR Cap ", fully adhered with hot roofing asphalt. 23. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Glass fiber or perlite, hot mopped or mechanically fastened. any thickness. Base Sheet io O "Rex-I-Glas" or adhered with Henry Co. more of No. 200 or Gro Industries "No. 902" 902" FR 1-1 /2 gat/sq. Ply Sheet (Optional): One or more layers of 61, G2, "Flex- I- Glas ", "Flex -I -etas FR Base" or "Poly SMS Base Sheet", mechanically attached or adhered with Henry Co. "No. 200" or Geo Industries "No. 902 ", at 1-1/2 gal /sq or adhered with hot asphalt. Membrane: "Flintlastic FR Cap" or "Flintlastic FR /PG ", adhered with Henry Co. "No. 200" or Geo Industries "No. 902 ", at 1 -1/2 gat /sq or hot mopped. 24. Deck: NC Incline: 1/2 . Insulation (Optional): Polyisocyanurate, glass fiber or perlite, hot ` mopped or mechanically fastened, any thickness. Base Sheet: One or more layers of "Flex- I -Glas" or "Poly SMS Base Sheet", "Flex- I -Glas FR Base" or Type 62, mechanically fastened or adhered with Henry Co. "No. 200" or Geo Industries "No. 902 ", at 1 -1/2 gal /sq. Membrane: "Flintlastic FR Cap" or "Flintlastic FR /PG ". adhered with Henry Co. "No. 200" or Geo Industries "No. 902 ", at 1 -1/2 gal /sq. 25. Deck: NC Incline: 1/2 Insulation (Optional): Glass fiber, pertite or potyisocyanurate, hot moped or mechanically fastened, any thickness. Base Sheet: One or more layers of "Flex- I -Glas" or Type G2, hot mopped or mechanically fastened. Ply Sheet Optional): One or more layers of G1, G2, "Flex- I- Glas ", "Flex- I -Glas FR Base" or "Poly SMS Base Sheet ", mechanically attached or hot mopped. Membrane: "GTA Black Diamond ", "GTA White Diamond ", heat fused. I Surfacing: Henry Co. Henry 520 Aluminum ", at 1 -1/2 s i 26. Deck: NC g al / q Incline:l I Insulation (Optional): Any thickness, one or more layers UL Classified I perlite, wood fiber, glass fiber, polyisocyanurate, polyisocyanurate/ composite, EPS /wood fiber, EPS /perlite, EPS /composite or Partek Insulation Inc. "PAROC" roof insulation, Base Sheet One or more layers Type 61 or G2. Membrane: One or more layers "Flintlastic GTA" or " -STA" (modified ,„ bitumen), heat fused. i Surfacing: Fields Corp. "F530 Heat Shield Aluminum Coating" or "F630 Heat Shield Fibered Aluminum Coating ", 1 -1/2 gal /sq. • 2 Deleted i 28. Deck: C -15/32 Incline: 1/2 . Insulation (Optional): Glass fiber or perlite, hot mopped or mechanically I fastened, any thickness. ( . -:' Base Sheet: One or more layers GS Roofing Products "Flex- i -glas" or .-;AF - "Flintlastic FR Base ", fully adhered or spot mopped with "MBA Gold '5Z Adhesive" at 1 -1/2 gal /sq or mechanically fastened. -.- Pty Sheet (Optional): One or more layers Types 61, G2, GS Roofing I Products "Flex- i- glas ", "Flintlastic FR Base" or "GS Polybase ", adhered with "MBA Gold Adhesive ". Membrane: GS Roofing Products "Flintlastic FR Cap ", adhered with "MBA Gold Adhesive" at 1 -1 2 gal /sq or hot mopped. T - Insulation (Optional): Isocyanurate, 2 in. min, glass fiber 1 in. R Sheet Two or more layers Type G2 "Glasbase ", first layer mechanically ened. mbta C -15/32 Incline: 1/2 Cation (Optional): Isocyanurate, 2 in. min, glass fiber 1 in. min. rtt Treatment- Two in. wide aluminum foil tape adhered to the •; .d joints. Sheet One or more layers Type G2 "Glasbase ", mechanically ned- rane: One layer "GTA /FR ", torch applied. NC` Incline: 1 -1/2 on (Optional): Polyisocyanurate, glass fiber, wood fiber, perlite, nically fastened or hot mopped in place. eet: One or more layers Type G2 base sheet, mechanically or hot mopped in pla (Optional): One or more layers Type 61, mechanically fastened opped in place. e: One layer "GTA /FR ", torch applied. 02 • Incline: 1/2 (Optional): Glass fiber or perlite, hot mopped or mechanically city thickness. One or more layers GS Roofing Products "Flex- i -glas" or Air LOOK FOR MARK 0 • • Ply Sheet (Optional): One or more layers Type 61, G2. gat ... Products "Flex- i- glas ", "Flintlastic FR Base" or GS Polybase GS adhere with ' ;MBA Gold Adhesive'. Membrane: GS Roofing Products "Flintlastic FR Cap ", adhered with "M3,1 Gold Adhesive" at 1-1/2 gat/sq or hot mopped. 33. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Glass fiber, perlite 3/4 in„ thick min, mechanically fastened. Base Sheet One or more plies Type G2, hot mopped or mechanically fastened, Ply Sheet: One or more plies Type GI, hot mopped. Membrane: "Modified Premium Cap Sheet 960 ", hot mopped. 34. Deck: NC Incline: 1/2 Insulation (Optional): Glass fiber, perlite, isocyanurate, mechanically fastened, Ply Sheet (Optional): One or more plies Type 61, hot mopped or mechanically fastened. Base Sheet: One or more plies Type G2, hot mopped or mechanically fastened. Membrane: "Modified Premium Cap Sheet 960 ", hot mopped. 35. Deck: NC Incline: 1/2 Insulation: Glass fiber, wood fiber, pertite or polyisocyanurate, any thickness. Base /Ply Sheet: One or more layers of Type G1 or G2, mechanically fastened or hot mopped in place. Membrane: "Flintlastic STA ", "Flintlastic STA Plus ", "GTA ", "GTA Black Diamond" or "GTA White Diamond ", heat fused. Surfacing options: A. Tropical Asphalt "120 AF ", applied at 1 -1/2 gal /sq. 8. Karnak Corp. "No. 97 AF ", applied at 1 -1/2 gal /sq. C. Henry Company "No. 520 ", applied at 1 -1/2 gal /sq. D. Grundy Industries "A(MB AF", applied at 1 -1/2 gal /sq. E. Monsey's "Premium Long Life Aluminum ", applied at 1 -1/2 gal /sq. F. Monsey's "Fibered Asphalt Emulsion ", applied at 3 gal /sq. G. Henry Company "No. 107 Emulsion ", applied at 3 gal /sq. 36. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Glass fiber or perlite, hot mopped or mechanically fastened. Base Sheet: One or more layers of Type G5 Roofing Products "Flex- i -glas" or " Flintlastic FR Base ", adhered with MBA Gold Adhesive" at 1 -1/2 gal /sq. Ply Sheet (Optional): One or more layers of G1, G2, GS Roofing Products "Flex- i- glas ", "Flintlastic FR Base" or "65 Polybase ", adhered with "MBA Gold Adhesive" at 1 -1/2 gal /sq. Membrane: G5 Roofing Products "Flintlastic FR Cap ", adhered with "MBA Gold Adhesive" at 1 -1/2 gal /sq or hot mopped. Class B - Fully Adhered Deck: NC Incline: 1 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the following: UttraGard Premier, polyisocyanurate, perlite, glass fiber or wood fiber insulation, Base Sheet: One layer Type G2 "Glasbase" base sheet. Membrane: One layer "Flintlastic STA" (modified bitumen), heat fused. Surfacing: Karnak "No. 97 Fibrated Aluminum ", at 1 -1/2 gal /sq. Deck: C -15/32 Incline: 1/4 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One or more layers UL Classified perlite or glass fiber. Base Sheet One layer Type G2 "Glasbase" base sheet. Membrane: One layer "Flintlastic GTA, GTS" (modified bitumen), heat fused or "Flintlastic GMS ", hot mopped. Surfacing: APOC "No. 212 Fibrated Aluminum ", at 1 -1/2 gal /sq. Deck: C -15/32 Incline: 1/4 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination the following: Ultragard Premier, polyisocyanurate, perlite, glass fiber or wood fiber insulation. Base Sheet Two layers Type G2 "Glasbase" base sheet. Membrane: One layer "Flintlastic STA" (modified bitumen), heat fused. Surfacing: Karnak Chemical "No. 97 Fibrated Aluminum', at 1 -1/2 gal /sq. 4. Deck: NC Incline: 2 Insulation: Glass fiber, perlite, wood fiber, 2 -1/2 in. max, mechanically fastened or adhered with hot roofing asphalt. Base Sheet Type G2, mechanically fastened or adhered with hot roofing asphalt Membrane: 'GMS ", "GMS Premium', adhered with hot roofing asphalt. N PRODUCT . CS Roofing Products Co., Inc. d /b /a CertainTeed Product Control No: 99 - 1213.01 I II Wood Deck System Limitations: 1. Application shall be perpendicular to the slope on slopes of 1:12. All si e Zaps shall be nailed 6" o.c.. All applications with a : slope in excess of 1:12 shall be applied parallel with 'he slope (strapped) with end laps! backnailed 6" o.c. Yosumitc0 Mineral Surfaced Cap Sheet, #30 bast sheet shall be used or ly with Sheet. 3 All Weather/Empire Base Sheet may be used with all top ply membrane 4 A slip sheet is required with Ply 4 and Ply 6 when used as a mechanical) • fastened base or anchor sheet. I GENERAL LIMITATIONS: 1 Fire classification is not part of this acceptance, refer to a current A ratings of this product. 2 Insulation may be installed in multiple layers. The first layer shall be Approval guidelines.. All other layers shall be adhered in a full moppi EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached us 3 All standard panel sizes are acceptable for mechanical attachment. shall be 4' x 4` maximum. 4 An overlay and/or 'recovery board insulation panel is required on all a when the base sheet is fully mopped. IF no recovery board is used mopping with approved asphalt, 12" diameter circles, 24" ac.; or stri each sidelap and one down the center of the sheet allowing a Conlin scrips is not acceptable. A 6" break shall be placed every 12' in each application of either system shall be at a minimum rate of 12 Ibsisq limited to a maximum design pressure of-45 psf. 5 Fastener spacing for insulation attachment is based on a Minimum Ch tested in compliance with Testing Application Standard TAS 105. Ifth 275 Ibr insulation attachment shall not bc acceptable. 6 Fastener spacing for mechanical attachment of anchor/base sheet or me fastener resistance value in conjunction with the maximum design valu the fastener resistance be less than that required,•as determined by the B? prepared signed and.scafed by a Florida Registered Engineer or Arch4 spacing shall utilize the withdrawal resistance value taken from Miami - Standards TAS 105 and calculations in compliance with Miami -Dade R 7 Perimeter and corner areas shall comply with the enhanced uplift compliance with Chapter 23 of the South Florida Build: 0 erod Fas insulation and base sheet as calculated in compliance with Miami -Da RAS 117. (When this limitation is specifically referred within this applicable.) 1 8 All attachment and'sizing of perimeter nailers, metal profile, and/or flag'. with Miami -Dade County Roofing Application Standard RAS 1 1 1 and t)' of the South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to perimeters, and corners). Neither rational analysis. nor extrapolation sha enhanced pressure zones (i.e. perimeters, extended comers and corners)1 referred within this NOA, General Limitation an will not be applicaji 26 pp oved Roofing Materials Directo�y for fire al ached in compliance with Product Control nk of approved asphalt applied with the inl! the fastening pattern of the top lyer W en applied in approved asphalt, pane! size 1 14 lications over closed cell foam insulations t to base sheet shall bc applied using spot F mopped!8" ribbons in three ros, one at tl ws area of ventilation. Encircling of the • ibbon to allow cross ventilation. Asphalt Note: Spot attached systems shall bc Asir cteristic Farce (F') value of 275 Ibf., as fastener value. as field- tested, are below brave attachment is based on a r I inimum listed within a specific system. Shou:d ilding Official, a revised fastenerspacing, t may be submitted. Said revised fastener I lade County Testing Application,' ofing Application Standard RAs11 17. tees or these areas, I ener densities shall be increased 'ulaa:d in for both Standard ' 1 nut be le County Roofing Application IOA, General Limitation #9 w ing termination designs shall cot4orm e wind load requirements of Cha ter 23 11 roof pressure zones (i.e. field. 1 be permitted for enhanced faste at (When this limitation is specifically ile.) II � I Yosemite Mineral Surfacie Cap I I I II 07 .• 25 •' i3il 13 :31 FAX ..O563:37:34o (:;:5 BLC:•r: SUPPED CS Roofing Products.Co., Inc. dib!a CcrtainTced GS Roofing Products Co.. Inc. dlbia CertAinTeed P.O. Bex 560 Valle~. 19481 NOTICE OF ACCEPTANCE STANDARD C )ND1TlQ. S Rene••'a' of this Acceptance (approval) shall ire considered after a rent_ val application, has been treed and u;c original submitted documentation, including test sup:or.ing data. engi: eering documents, are no older titan eiczhc (3) years. Any and all approved products shall be permanently labeled with the n i,ufaccureds name, city, state, and ±: following statement: "Miami-Dade County Product Control Approved , or as scedifically stated in Specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: �. Code affec ing the evaluation of There has been a change in the South Florida Buildin the product is not in compliance with thc code changes: The product.is no longer the same product (identical) as the one o If the Acceptance holder has not complied with all :he requiremen correct installation or thc product; The engineer who originally prepared, signed and sealed the requt is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, andior manufacture of the product or process shall automat:_all.' be cause for termination of this Acceptance, unless prior :written appros 1t has been requested (through the fling of a revision application with appropriate fee) and granted by thi. office. 5 Any of the following shall also be grounds for removal of this Acceptat a) Unsatisfactory performance of this product or process; product, ft: • sales; advertising or any other b) Misuse of this .Acceptance as an endorsement of any pr purposes. • 6 The Notice of Acceptance number preceded by the words 1 fame D r o ,o f the Not of n r and d by the is expiration date may be displayed in advertising literature. displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other doct rents, where it applies, shall be the manufacturer or its distributors and shall be .vailable for inspection at the job site provided to the user by ,Weer at all times. The copies need not be resealed by the cni z 8 Failure to comply with any section of this Acceptance shall be cause fo' termination and removal of Acceptance. 9 This Acceptance contains pages i through 37 END OF THIS ACCEPTANCE• a) b) c) d) Product Control No: 99- ACCEPTANCE NO: 99-121 A PPROVED: Nix/ Oi_ EXPIRES: Junc 1° =i1 the this product a..:1 iginalty approved; s of this acceptance. including the cd documentation initially submitted, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE n ( Date G Job Address 9(3/. � � Tax Folio Legal Description y �Historically Designated: Yes No / Owner/Lessee / Tenant �C' /111/0 J Master Permit # cad' Owner's Address L 9 c7s -- m //cw 05/5g Phone CC) S ) 75 (c' /c Contracting Co. Address Qualifier ---- State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL Mechanical (JIn F ra //T Itetrf &44)/ Square Ft. Estimated Cost (valu Signature of owner and/or Condo President Date /� , 7 VING FENCE SIGN WORK DESCRIPTION Q'7 t n /O 9 / /�(/� . �[�it 7 le fc) 2r o 7 WARNING TO OWNS r, : 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 ork stated. Notary as to Owner and/or Condo President Date Notary as to Co tr ctor or Own e ,$Wider My Commission Expires: My Commissi C 6e or ci 3-0 FEES: PERMIT 5 = ' RADON C.C.F. 4 NOTARY .� BOND APPROVED: TOTAL DUE J 6 4:72 IV O F FA OFFICIAL NOTARY SEAL S MARGARITA MONTIEL MY Ps IOa E - ad DEC. 17,2002 Date Zoning Building Q / f X /yam Electrical 1 alf�`�c7 Plumbing Structural Engineer BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA ❑ DATE o PERMIT N9 7772 0 Work to be performed under this Permit CONTRACTOR OR BUILDER Contractor's License No. y 19 Legal Lot Description II BI vision Address of •� ` w' Value of a I Amount of Building i' - r Project $ 1 Permit $ 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. Signed �;� ` , e ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder ir3 "compliance with ae 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT PERMIT 'N? 13107 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot I n MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit BL Subdi- vision Value of Project $ DATE .x Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR Olt BUILDER. BY AUTHORITY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 4/18 , 19 52 Owner's Name and Address_111..___2,___Craig No. 9500 Street_ n_ 1st AV_O.a Name and address of licensed contractor__$.___S..___&arner_,_ 9200 i1W _`lnd Avg ; .Miami Location and legal description of lot to be built on: Lot Block Subdivision y� Street and Number where work is to be done____ 1QQ �i'a.�� gZi , . �f iOr 9k' �____________ State work to be done and purpose of building (by floors )___RQOi — — — — — — — — and for no other purpose. New Building a. Remodeling Addition Repairs No. of Stories____1____ ____ __________ To be constructed of Kind of foundation Roof Covering_ __ 1. Estimated Total cost of improvements $ 980e Amount of Permit $ 5•00 Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to-- -G,iffen - - -Ind tr- i- es-,---S nc.--- Pa- 4- ..Hax--- 6.3 ,31 CQral__ able- s,-- - -F'la._ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 'undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) __ R. K. Thompson, STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by.him stated are true. Permit No Disapproved ( Signed) Date ilding Inspector q J Chairman a Member Member Council Approved Date Date PLANNING BOARD DATE Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member 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 - pection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materi• and /or workmanship. "•ac ��. &. Treas. to me well known,