ROOFINGNo.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT
1 -5
Passed
21 -25
Passed
41-45
Passed
71 -75
91 -95
6 -10
Passed
26 -30
Passed
46 -54
76 -80
96 -100
11 -15
Passed
31 -35
Passed
55 -60
81 -85
101 -105
16 -20
Passed
36-40
Passed
65 -70
86 -90
106 -200
FLORIDA\
tulg Building Solutions For The Construction Industry
E i.neering &
o sulting, Inc.
P.O. Box 770694, Miami FL 33177
PROPERTY ADDRESS: 950 NE 95 ST.
OWNER: Dr. Boruchow.
CONTRACTOR: Obenour Roofing
ROOFING SQUARES: 41 sq
TILE TYPE: Monier.
CONTACT PERSON :: Yusi (305)205 - 0327
PERMIT No: 2002 - 1751
PCA No:
ROOF PITCH: 3/12
INSPECTION DATE; 12/13/02
TEST DATE: 01/20/03
JOB NUMBER;
Testing Equipment: Digital Chatillon DFIS 200
THIS ROOF HAS PASSED: }4 FAILET 1 THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY PA106.
Voice: (786) 486 -6468
CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE
TO COMPLY WITH METRO -DADE COUNTY PROTOCOL PA -106
3
6
TEST TABULATION
"ROOF SKETCH"
29
30
31 28
45 32 33
44 34 35
J 43 39 36
41 38
10 X42 40 37
9 12
11
13
27
26 25
24
23 22
18 21
14 16 19
15 17 20
Lab Report No. 03- 010052
Certificate No.02- 0501.06
Required Testing Force: 35 Ibs
Flatec @bellsouth.net Fax: 305- 408 -1367
•
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 NV NE. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date .' Job Address 1 N L -C ' l 4- Tax Folio 11 3 1 0 5 0 07 ddo 0 i 2 O
Legal Description Historically Designated: Yes No 'V
tJwyier /Lessee/Tenet jVI( � ' ✓ O�U. (,1 1n YV Master Permit # /3/ [ 7 1 ) - 7
Owner's Address 9 66 14 f' 6 4t Phone k A
Contracting Co. k C IN Address 9 �: D 1 NC 6 (LW gait 11- /ol
#
� 3
State # C l )0 (1
Signature of owner an r Condo President
APPROVED:
Zoning Building
Mechanical Plumbing
Municipal # Competency # 0/1M,0/ Ins. Co.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
Estimated Cost (value)
a.] 700 op
eh 1,A
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.
WORK DESCRIPTION: ■tI!tv) ( , nl ep Sf
OA& AL4{ Ceif al MIN. AZ) till' 41 46.4 etceTh 42)114,
Square Ft. . 3&
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.
ate Si " Date
'V/ '� p-
!! "
!1lf
Notary as to Owner an4 :Condo Preside�ittii 1). Kar Date
Notary as to Cont . for or Owner Builder
My Commission Expires.:: • :`: My Commission Expires '
i;o;v ;ni� # DD 014872 ...
- Expires April 2, 2005
Bonded Thrn
+ +;j,',;.``� ` Atl'u,tic Bonding Co., Inc.
FEES: PERMIT- \S \J 0 RADON C.C.F 1 1• ( V n
NOTARY BON E3 00
1
+' a 0 :1372
2, 2005
TOTAL DUE 4344 q,
Date
/(t 2 Electrical
Structural Engineer
THIS CHECK IS DELIVERED FOR PAYMENT ON
THE W ,
FOLLOWING ACCOUNTS
DATE
AMOUNT
TOTAL
LESS °(. DISCOUNT
LESS FREIGHT
LESS
TOTAL DEDUCTIONS
AMOUNT OF CHECK
Miami Shores Village
Contractor OBENOUR ROOFING
•D
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /15/2002
Applicant: IRWIN
Owner:
JOB ADDRESS: 950 NE
Local Phone: 305 - 757 - 2612
Parcel # 1132050070120
Permit Number: BP2002 -1751
95 ST
Building Permit
BORUCHON
Contractor's Address: 9301 NE 6 AVE SUITE A -101
Legal Description: 5 -6 53 42 .506 AC PL OF GOVT LOT 4 PB 5 -90 BEG 208.5FTE OF NW COR LOT
Fees:
FEE2002 -5758
FEE2002 -5759
FEE2002 -5760
Description
Building Fee
CCF
Buildier's Bond
Total Fees:
Amount
$322.50
$14.40
$300.00
$636.90
Total Fees: $636.90
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 4/13/2003 Construction Value$
Work: TEAR OFF TINCAP #30 MOP
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
d r t a i 1 s El m .,....,.,�....
OBENOUR ROOFING SHEET METAL
& SUPPLY CO.
9301 N.E. 6TH AVE., STE. A -101 305 - 757 -2612
MIAMI SHORES, FL 33138
PAY
TO THE
ORDER OF
DATE 101 I 7 /0 2--
7 E-c2 y1A , 0 elk = P IS ) 025. '/C
/ / , :
0 EAGLE NATIONAL BA
Aventura Branch
2999 NE 191st Street
Aventura, Florida 33180
n °0 2 LS L ?n° 1 :0660063491:11 °3 L6136 L ?0u°
21517
63- 634/660
Page 1 of 1
24
ation herefor in strict compliance with all
cations that may have been submitted to
or if the plans are changed without
msibility for a thorough knowledge of the
iat he assumes responsibility for work done
is pertaining thereto and in strict conformity
osponisibility for all work done by either
SECTION 1524
•HI•GH 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
exalained.
1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
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.
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
u s (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
ovv - stJould 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
from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetfations of the underside of the decking may not be acceptable. The Florida Building Code provides the
o•�•n '.f maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and may
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
ectancy and performance of the new roofing system. Ponding conditions may not be evident until the
roofing system is removed. Ponding conditions should be corrected.
2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zories) of the Florida
g
Code. (The roof deck is usually concealed prior to removing the existing roof system).
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
verloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
ov: co. scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
a o1.4 n; - vith the Florida Building Code, Plumbing.
Ventilation: Most roof structures should have some ability to vent natural airflow through the
in io 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.
I_/7 l aZ
Owner's/ gent's Signature Date
CA D OCC 3 I C•1 1%T4mOSECT10S 13:43.44
ractor's Signature
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Master Permit Number:
Contractor's Name:
Job Address:
ROOF CATEGORY
0 Low Slope El Mechanically Fastened Tile Er Mortar /Adhesive Set Tile
EJ Asphalt Shingle Metal Panel /Shingles El Wood Shingles /Shakes
0 Prescriptive BUR -RAS 150
New Roof
Low Slope Roof Area (S /F) Steep Slope Roof Area (S /F)
4 3 en 5
ROOF SYSTEM INFORMATION
Sketch Roof Plan: Illustra e all levels and sections, roof drains, scuppers, overflow scuppers, and
overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated
pressure zones and location of parapets.
SECTION A (General Information)
450 NE 45 ,k)z.gth
Oheaux
ROOF TYPE
Re- Roofing L Recovering El Repair ID Maintenance
ROOF SYSTEM INFORMATION
s
Process Number:
Total (S /F)
436 5'
•
2
Revised as of March, 2002 f: \buil \$adm \evie \01 -02\ counter\ forms \Roofing_Appendix.xls \SECTION A & B
3
Roof System Manufacturer: M 9-,& t t-12.-
Notice of Acceptance Number: 9 a - 1 E 2- . 0
7
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: 5.q L P2: 0. t7 P3: 1't, 11
Maximum Design Pressure
(From the NOA Specific System): 40 • LI
Method of tile attachment: 7011 a' 414
1 (' o
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Roof Slope:
3 : 12
Ridge Ventilation?
_Or
Section D (Steep Sloped Roof System)
Steep Sloped Roof System Description
Deck Type:
g o od - 1 Nk..
ype Underlayment:
nsulation.
Fire Barrier:
Mean Roof Height: 2 .
4-5TM
� 1 0 4-
astener Type & Spacing:
dhesive Type:
ype Cap Sheet.
'`Lt " gtit,L)411A4 -1(" 4- i 9 r � 7
'' S 22tr.J 5 12 04
- 1\( E 1 4
oof Covering:
A-5-1 ' 1 -4 5
, of
Type & Size Drip
Edge:
it 2 c1Q. Gr14.4,
2
5wllc'
Colon ?1(P.tol t
Where to Obtain Information
DESCRIPTION )
SYMBOL
WHERE TO FIND
Design Pressure
P1, P2 or P3
RAS 127 Table 1•or by an engineering analysis prepared by PE based on ASCE 7
Mean Roof Height
H
Job Site
Roof Slope
0
Job Site
Aerodynamic Multiplier
X
NOA
Restoring Moment due to Gravity
Mg
NOA
Attachment Resistance
Mf
NOA
Required Moment Resistance
Mr
Calculated T
Minimum Attachment Resistance
F'
NOA
Required Uplift Resistance
Fr
Calculated
Average Tile Weight
W
NOA
Tile Dimensions
1 = length
w = width
NOA
All calculations must be submitted to the Building Official at the time of permit application.
Mean Roof Height -±
Roof Slope Ijr
15'
20'
25'
30'
40'
2:12
30.7
33.4
35.7
37.7
40.7
3 :12
28.7
31.3
33.4
35.2
38.1
4:12
26.6
28.9
30.9
32.6
35.2
5:12
24.5
26.7
28.5
30.0
32.5
6:12
22.5
24.5
26.2
27.6
29.8
7:12
20.8
22.6
24.1
25.4
27.5
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section E (Tile Calculations)
For Moment based tile systems, choose wither Method 1 or 2. Compare the values for Mf, with the values
from Mf. If the Mt values are greater thatn or equal to the Mr values, for each area of roof, then the tile
attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
( P1: Lill X X , ) equals i l. q y ) minu M 6. equals Mr1 S. 9 L NOA Mf 14 p • c,
( P2: 1 0'0. `( X X . y y- equals . 7 5 ( 7 ) minus Mg: G . c. equals Mr1 ( ef. 1 7 NOA Mf 4 -(0 .
( P3: 1 0 1 {. Q X X , 1, equals 1-7 ) minus Mg: 6. o equals Mr1 (of , f NOA Mf 4(0 7
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resisitance (Mr) From below:
(P1: X I: equals X w equals
(P2: X 1: equals X w: equals
(P3: X 1: equals X w: equals
Revised as of March, 2002
Mr Required Moment Resistence*
* Must be used in conjunction with a list of moments based tile system endorsed by the Broward County Board of
Rules and Appeals.
For Uplift based tile system use Method 3. Compared the values for F' with the values for Fr. If the F' value are
greater that or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
)
minus W:
minus W:
minus W:
X Cos 0:
X cos 0:
X cos 0:
NOA Mt
equals Fn:
equals Fr1:
equals Fr1:
NOA F'
NOA F'
NOA F'
f: \buil \$adm \evie \01 -02\ counter\ forms \Roofing_Appendix.xls \SECTION E
a •
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
'STATE OF FLORIDA:
COUNTY OF DADE:
- THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street . address:
u
2. Description of improvement:
3. Owner(s) name and address: y e• 7' LLthaGO
4 160 NF 4 t6 . MioAtit mac), fit -
Interest in property:. O(.61\12A
Name and address of fee simple titleholder:
4. Contractor's name and address:
6. Lender's name and address: N
Notary Public o
Print Notary's Name
My Commission Expires
h iv306 , Y019t otieb-h-
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
N
la
11
Iv' gtib N
02R629635 20102 OCT 10 11=19
Suet), • f;- in ( fl(liA'M,r_ 44. , t/-
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to- himself, Owner designates the foliov person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b),.Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differ:.t date is cified)
Signa e of Owner
Print Owner's Name
Sworn to and subscribed before me this day of , 20 t?, .
4 5A - NNCY4- 1 , t
4 \ s' P 0 1 an
1%P/ a . :Commission # DD 014872
Expires April 2 2005
1
: Bonded T rn
, ° , i �i " ' AtlanUe Bonding Co., Ine,
Prepared by c 'e,
Addres 54 / 2 i 4"
9t€19 FG 3Aoz/
STATE OF FLORIDA, COUNTY OF DADE
1 HEREBY CERTIFY that this is a tr��y Y
original filed i !hi hi office on _.\.Q day or
, AD 200x'
WITNESS my hand and Official Seal.
HARVEY UVIN, CLERK, of �ircuit County Courts
6y ��J'
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.
Owner's Name and Address....
Registered Architect and /or Engineer P Z49. .... . I /?,Q/e
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision A e r r' f
Street arid Number where work is to be done
State work to be done and purpose of building (by floors) ,eet r G t Tom' 2 ✓9C�
'/
New Building r Remodeling. Addition // Repairs No. ofT .
Stories
To be constructed of t Kind of foundation E P�e 2 .e. E. 4 Ski= mot Roof Covering 17 Z
Amount of Permit $ O
Estimated Total cost of improvements $
Zone cubage required Plan Cubage..T: -1C c-)6.2 I 711 —
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 J D era 3 ' ,_ TI? 0-7 4& v A_1L? R 94.S _
The undersigned applicant for this building permit does hereby certify that he underst
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled
and has complied with the provisions thereof, and will require similar compliance from
in the work to be performed under this permit; and will post or cause to be posted for i
or notices as are required by the Act. The undersigned agrees to employ only such su
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
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 ar true.
Permit No 33 b Date. '; �� Read, Sworn to and Subscribed before me.
Disapproved , Dat
(Signed)
Building Inspe �r
MIAMI SHORES VILLAGE
Date ,41( if .19 ..�..�
,e7to f✓
6 ✓U4 ° — 6 / 1-4e
9501V. q 5,
__z c
No._ _ Street /N 9s" .5.Y
? .67' ",v
T. J.
s and accepts his obligations a
neral Laws of Florida, Perin
contractors or sub- contracto
spection on the site of he
on work
Notary Public, State of Florida
and for no other purpose.
an employer
Supplement,
ployed by him
ch pine notice
r this
to me well known,
My Commission Expires
NNING BOARD DATE
Chairnan 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
.5g 1(1 P. 4_ ,b( es , S-A., "ka
t.
Y-
- r4 C b _ - Z LA c"" Z = 17.0
State work to be done and purpose of building (by floors)
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 e kept at building during progress of the work.
Date 1 -3 0
Owner's Name and Addre ®.. No.. st " ®
Registered Architect and /or Engineer �� jj`�
Name and address of licensed contractor.. - -d.�
Location and legal description of lot to be built on:
Lot Block ,rye
Street and Number where work is to be done
Subdivision
19 �
SP/&n jEr oofc.r13 CA
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 $ /.. - - Amount of Permit $ � e
7
Zone cubage required .Plan Cubage
Distance to next nearest building. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Su element,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contr tors 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 th ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on ork to per & ormed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed).
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
Disapproved
(Signed)
ss.
Chairman
Member
Member
Council Approved Date
PLANNING BOARD DATE
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.
Jor
Permit No ?' 21. — ate - Y Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Buildin_, nspector 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
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
has been obtained from
for inspection or faulty
JILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 6170
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Bl
Address of r. r
Building
CONTRACTOR OR BUIL1ER
Work to be performed under this Permit
•
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No.
r
195 -
Amount 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'
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
krchitect
, ontractor
Dr Builder
Legal Lot
)escription
kddress of
wilding
MIAMI SHORES VILLAGE. FLORIDA
0
p PERMIT 11T° 3805
Work to be performed under this Permit
Bl.
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
Aerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining 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
one by his agents, servants or employees.
Signed.
Subdi-
vision
Value of
Project $
BY
DAT1 195_ --1-
Contractor's
License No.
Amount of
Permit $
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
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY e
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby uinde for the approyal of the detailed statement in me 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 iluil. ling Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer .,:,, .<.•••.,.•,,,,
Tomco Roofing PJC Inc. - 14011 N.W. 20 Ave.
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
State work to be done and purpose__ f_b 11.1:Lpor
1 layer 15# felt, nd l e eta
Building Inspector
January 7 86
Date..._..._.. .�_...�.�_......_w.._.__.. - .... ,19.._._
Dr. Boruchow N _ Str N. E . 95 St.
Cirair:nan
MIcrr,ber
Member .. ..
Council Approved
Subdivision..) ., / J _.t.OL. 7 04 7
950 N.E. 95 St.
Replace entire roof with 1 layer 43# felt,
---..
ingle tile residential. 45....sglzames,......._
New Building Remodeling X
To be constructed of Kind of foundation
Estimated Total cost of improvements $ 12,000 . 00
Zone cubage required
Distance .to next ne.uest building
_.- _..._ and for no other purpose.
Addition Repairs No. of Stories 2
Tile
Amount of Permit 3. 5 x.00
Plan Cubage
Size of Building Lot
Roof Covering
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.. .Tomco_ - Roofing ... ?LTC ... Ix1. C. - 14011....N.WA.... 2SJ.... Ave..
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 comphecd 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 subcontr pctors, on work to be performed 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 J.P. Craig
__.....to me well known,
and who. being by me first duly sworn, upon oath deposes and says that he is the. ROO ing Contractor
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 tru .
Permit No ,.,.... Date
Disapproved
(Signed)
Date
Read, Sworn to and Subbed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
NOTE: A charge of $1.00 will be made for making corrections or changes to this application nfter approval
the 1'I,innir.. Hoard.
A re- inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
_ ROTARY PUBLIC STATE OF FLOEMMA
- � MY COMMISSION — EXP. JULY 8,1989
BONDED THRU GENERAL INS. UUD.
Member
Member
Member
Date Disapproved Date
has been obtained fmtn
for inspection or faulty
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date / Time
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For InspectoP 2 / 6 ( b k Named to
Approved � fl/4
Correction ❑
Re- Insp'n Fee ❑