780 NE 94 St (4)Date Job Address
Legal Descripti
Owner/Lessee / Tenant
Owner's Address
Contracting Co. Key p %Mg — Address
Qualifier ■/G-4 c y SS#
/3,2e 6 Ins. Co.
ated.
of
' ri
actor or Owner - : - - J —
ICOO - q -oft - D bZ)
—�9
s t o C ontra • •L • .� - - : ild _ Date
My Commission Ex �, ir es - OFFICIAL i� + A
GLADYS 1 VILLA R
NOTARY FUI3UC STATE Os FLOgIbA
CONIM 1 Cd7I4I03
If cqi ' -' ➢+t >1]<X
BOND ;00 r
G ®
TOTAL DUE 1 / 0 47
Plumbing Engineering
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. / / D £ /'7`/(O
STATE OF FLORIDA:
99R 104352 1999 MAR 01 09:35
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:
750 //e 9 SJ /22 SX..v-S
2. Description of improvement: /��IcOD� de moo 444 u5 e
3. Owner(s) name and address: EL Loa o 4 5 ri-o/V
7g 2 /fib q 5 > /2j ;0-7,1
Interest in property: ,�jNS' /� ��! Y)'t G� 4 / ge4
Name and address of fee simple titleholder:
4. Contractor's name and address: i tc go 6 c; 5
1 � �
tires de Gr 1',4- 33 i2�
5. Suretv:(Pavment bond required by owner from contractor, if af of OF ER r i F y �A, COUNT( o DADE
is u arye cot the
Name and address: o ( ,�
A D 19
Amount of bond $ W T E my 17n.:1 .nd O" Ic of Sec/.
6. Lender's name and address: ` HA NE ' S !I;V LERK cif Circuit and Count
Courts
By
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 following person(s) to r ceive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes. /L 4
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified) NON e-
Signature of Owner /
Print Owners Name �COD d c✓ / /v S fv ^J
Sworn to and subscribed before me this Zi ;day of i 6 , 19 29.
Notary Public
Print Notary's Name i---Ouv d
My Commission Expires:
EXP RES: May 20. ?POI
oak() i fir. h^tay F u0tH Un0eiWflcei
Address:
O.
Prepared by:
Gm
Ate 2,a/ GA d
123,01 -52 2/93
Contractor's Name: / y Of/ ' Gp _ Job Address:
❑ (Low Slope Application)
❑ (Asphalt/Fiberglass Shingles)
123.01-78 9/96
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
ROOF CATEGORY
❑ (Nail -On Tile)
❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof lJ Re roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft') Sloped Roof Area (ft') 6 CO Total (ft') 4/000 Master Permit No. i
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1):
"\-\ Ot3SQ..-
Ft.
Dec
type:
Ft.
A
1
ATTACHMENT
Fastener Type:
Field:
SPACING
Perimeter:
Corner:
ROOF HEIGHT AND SYSTEM DETAILS X �L- .
Y it = .23
(Draw details as needed)
Page -1
717/)97n Ye5
Lrr/J (Mortar- Adhesive Set Tile)
to k i7 = /76
to n, z3 = .2 u 3i-
GC1‘4. 14- • . EW5 by
ROOF PLAN J/
O
9
fkoo
.e.�a
Deck type:
Ridge Ventilation?
1 '.t. ; N a. - t r s v S
M EAN HEIGHT
Gnderlayment:
Insula
12"
ROOF SLOPL
D E T A I L 3
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
SLOPED SYSTEM DESCRIPTION
3 0 , 9 - 5FL
tion:
Fastener type & spacing:
Cap Sheet:
PVC' f ► ria e rS_ ( w -6fNe Ani i t-S
Roof Covering:
Page -2
�� r Pt
m�trZo
c c to r -k->✓ FG q 9) --00 23, o
Drip edge:
2/2_ x 2)/'2, 2!cCr-R t -wlv
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
TILE CALCULATIONS
r
(Pmaxl: x X (Aerodynamic Multiplier): 0rd ) - M ( d ' = Mrt: t l� ,Ut I � r 1 v h ' S ICU e 5CT
1.
(Pmax2: _ 00 e g X X (Aerodynamiz Multiplier): �+ �� ) - M g : ‘) A = M 9 PCA: i7 ' 9
el 2
(
(
Pmax3: \QO X a, (Aerodynamic Multiplier): i ) - M = M PCA:
METRO -
Y • ,y
• ME:: • .iPOLITAN DADE COUNTY, FLORIDA,. 1
METRO -DADE FLAGLER BUILDING'
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901
FAX (305) 375 -2900
PRODUCT CONTROL NOTICE Or ACCEP"fA' i?
Metro Roof Tile, Inc. PRODUCT CONTROL DIVISION
11501 Northwest 1 17th Way (305) 375
FAX (305) 372 -6339
Medley, FL 33 178
Your applie tion for Product Approval of:
Metro Roof Tile, Nail -On, Mortar Set, or Adhesive Set "Conc; ct ' Iat" Roofing Tile
under Chapl .r 8 of the Miami -Dade County Codc governing the use Alternate Materials and Types
of Construction, and completely described in the plans, specification: :3d calculations as submitted by:
Rutland Technologies, The Center for Applied En ,-, Inc. and Testwcll Craig
Laboratori & Consultants, Inc.
has been recommended for acceptance by the Building Code Com;)!; c Office to be used in Dade
County, Florida under the specific conditions set forth on pages 2 : nd the standard conditions on
page 12.
This appro al shall not be valid after the expiration date stated be The Building Code Compliance
Office reserves the right to secure this product oi• material at any tit from a jobsite or manufacturer's
plant for qt ality control testing. If this product or material fails tc :'orm in the approved manner, the
Building Cede Compliance Office may revoke, modify, or suspeac :. use of such product or material
immediate y. The Building Codc Compliance Office reserves tli; :.1, "ht to revoke this approval, if it is
determines by the Building Code Compliance Office that , .his ;n , r:uct or material fails to meet the
requiremel is of the South Florida Building Codc.
The cxpen .e of such testing will be incurred by Ilse ntanufacl.ucr
ACCEP ".'ANCE NO.: 98- 0423.09 - Renews: 94- 1222.1
EXPIRES: 06//04/01 aul Rodrigl'tcz
Product Control Supervisor
r
TIIIS 1S "111E COVERSI1i 1 l', SEE ADDITIONAL PAGES t It SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE CONIMI•+•""I (:
This appl nation for Product Approval has beer reviewed by ti.: iami - Dade County Building Codc
Complian :c Office and approved by the Building Code Commit.•
under the conditions set forth above.
be used in Dade County, Florida
Charles Danger, P.L.
Director
Building Codc Compliance Dept.
APPRO•/ED: 06104/91{ 1 Miami-Dade County
'•nnnrn • / /•grww h"lldlnrcodoonlino.com
METRO ROUE TILE INC. :'.oduct Control No.: 98- 0423.09
Trim Pie. cs
Rainproof 11
Ice and Water
Shield
TR-ADE T AMES OF PRODUCTS MANUh.'.(.' U12ED OR
LABELED BY APPLICANT
Test Product
Product Di, tensions Specifications Description
Metro Roof Tile = 16" PA 112 Fla:, ; 'crlocking, high pressure
Concrete Flat `�"
10 ex:r,i I:4 concrete roof tile
1- thick cgi,i: r".d with two nail holes. For
di,c •..;eck or battened nail -on,
mc,:' i. or adhesive set applications.
1 varies
= varies
varying
thickness
.PA 112
Ao.. .ory trim, concrete roof
for use at hips, rakes, ridges
an.l .-.,11cy terminations.
.acturcd for each tile profile.
TRADE NAMES OF PRODUCTS MANUFAC" , RED OTHERS
Test i. roduct
Product Dimensions Specifications .r Manufacturer
Lenzingtcx -713 140 59" x 164' roll PA 104 Si „l,' - 2 :)1y, nail -on Lenzing
Underlaym:.mt 22 Ibs /roll uniic' ; ..ymcnt. Performance, Inc.
with current PCA
30” 75' roll
36" x 75' roll
or
60" x 75' roll
36" x 75' roll PA 103
P;\ 104 c ply, nail -on Protect -O -Wrap,
uich-:: ymcnt with Inc.
2" : • • adhcring top with current PCA
cc' r
Page 2 of 12
:,
u :' laymcnt for
U`. a top ply in a
tvc, y
'. . ayment
with
nj`, )vcd /130 or
the base
1 :i
W.R. Grace Co.
with current PCA
r: 1 Zuloaga, RRC
(;" nrhrtnr`f ranfral I?+caminer
MI:TRQ ROOF TILE INC. • oduct Control No.: 98- 0=123.09
Product
Roofing Nail!.
Wood Ballet!.;
"f N a i ls
Tile Screw!
Roof Tile i:tortar
(' TileTitc ")
Roof Tile iniorta
( "Quikrctc" 0 Root
Tile Morta - ")
Roof Tile 'vlortar
( "BONSA' .® Roof
Tile Iviortrr Mix ")
• Test
Dimensions Specifications
min. 12 ga. with PA 114
3 /8" head Appendix E
vertical
min. 1" x 4"
horizontal
min. 1" x 4" for use
with vertical
battens or
min. 1" x 2" for use
alone
mw. $d x 2'/2" or
min. 10(1 x 3"
1/8 x 21/2" long
0.335" head dia.
0.131" shank Ilia.
0.175" screw thread
diameter
N/A
/A
N/A
Wood Preservers
Institute LP - 2
PA. 114
Appendix E
'PA 114
Appendix E
1'A 123
PA 123
PA 123
Page 3 of 12
!duct
llc. r-ntption
1116 shank,
hot di; ;.:d, elcctro
cr nlcc l !nically
, •. Ping nails
for 11';''
,l!lt:! neat
I1ttaC!'.: • at.
;.111 ;sure treated
or c{c _ resistant
!Loch, tlticns
Cor: )n resistant,
sct ev. r smooth
shell ails.
Carr on resistant,
coati c•., square
dri\ i . •oarse thread
��r v crews
Pi,:,, t d mortar
in1 signed for
nl:+r n set roof tile
ape .ttlOnS.
P :nc i : . ed mortar
,. "signal for
set roof tile
an•:: ations.
P rc • .cd mortar
rl ..signed for
ill > r set roof tile
i c: nk Zuloaga, RRC
Manufacturer
generic
generic
generic
generic
Bermuda Roof
Company, Inc.
with current PCA
Quikrcte
Construction
Products
with current PCA
W.R. Bonsai Co.
with current PCA
� •�. nrr', ,,, � /`nr,Irrd r V!1'11 irl'r
•METRO ROOF TILE INC. l' Control No.: 98-0423.09
i'cst
Product 1)imensions Specifications
Roof Tile Adhesive N/A PA 110 Ac111. designed Polyloam Pr3ducts,
(Polypro® Al 1 60) or : roof tile Inc.
ns. with current PCA
Hurricane Clip & Clips PA 114 Corr resistant
Fasteners min. 1/2" width Appendix E broi aluminum,
min. 0.060" thick stair.ley,s steel,
galv;w1:,ed steel or
Clip Fasteners la ttachment
min. 8d x I V," clip.: Lor
n.cntal tile
atta.:H:tent. Clips
are ailed with
co r! - 11 resistant
roo ri! nails
ible with the
eli;1
Page 4 of 12
Mann fact urer
generic
nk Zuloaga, RRC
r).-;-,rfotpt rnntre■I ry;■rniner
• .METRO ROOF TILE INC.
Test Acetic)
Redland Technologies
Rcdland Technologies
The Cc :ter for Applied
(Engineering, Inc.
The Celter for Applied
Engine. :ring, Inc.
Redlai: J Technologies
Redlai.d Technologies
Redla,.c1 'Technologies
IZcdla.ul Technologies
The ( enter for Applied
1 ngirecring, Inc.
Zesty. ell Craig
Laboratories &
Consultants, Inc.
EVIDENCE SUBMITTED
Test Identifier
7161 -03
Appendix 111
7161 -03
Appendix 111
94 -084
94 -060A
7161 -03
Appc idix 11
Repo! t Dated
Aug. 1, 1994
P0(31 -01
P')402
Project yo. 307024
Test /N./MC-73
lab t1:LA - 22
Tech: G. Suarez
Page 5 of 12
I • oduct Control No.: 98- 0123.09
'I'cst Nn -1 .'Report
Date
Static 1. :, Testing Dec. 1991
Static 1.:, ..:t Testing Dec. 1991
t(A)
Static „ 1 1 Testing Nlay 199f,
• 01
Static :1 Testing March, 1904
".'.01
Windoww, " i nncl "Testing Dec. 1991
108
-On)
Wind .
iel Testing
. 108
-On)
• \Vinci :.nc1 Testing
-108
( ar Set)
Aug. 1994
July 1994
1 Resistance Sept. 1903
smooth vs.
lank nails
Wir.:. iven Rain Oct. 1904
. '. 100
Ph> Properties Sept. 1994
112
Zuloaga, RRC
►��n,ti r -„t rxnr -'incr
METRO RO )F TILE INC.
SYSTEM 1):
Deck Type:
Dccic Dcscriiition:
Slope Runge:
RoofingTi!�:
Co
SYSTEMS
(CONTINUED)
Mortar or Adhesive Set Application
Wood, Non - insulated
4—If DO Ne ruction 19 /32" or greater pl)"voocl
2 ":12" to 7 ":12"
Note: System D is only acceptable in thi
of 7 ":12 ", refer to System C.
Underlayn :nt: ,t fl�. Install underlaymcnt system in compliance •
Application Standard PA 120. (See System
Install tile in compliance with Miami -1 ):
Standard PA 120. •(Sce "Data for Attachur
Approval.)
1. For re -roof applications, 15/32" ply woo ..
page 8 of 12
'r. Control No.: 98- 0423.09
•'. ;ood plank.
)c range. For slopes in excess
Miami -Dade County Roofing
itation 115.)
County Roofing Application
Calculations" included in this
n acceptable substrate.
Zuloaga, RRC
METRO ROOF TILE INC.
SYS'I'IM LIMITATIONS
1 The stan .lard minimum roof pitch for Metro Roof Tile's "Concri
comply with Miarni -Dade County Roofing Application Standard.
the metl od of installation.
2. For nail on applications, fasteners for mechanical attachment of
larger than that of the preformed holes in the tile.
3. System nstallation shall be in compliance with the system sped: -
Control Approval. The method of attachment utilized shah pros'.
cxpress'-d as a moment to meet or exceed the required moment o:
compliance with Miami -Dade County Protocol PA 115 or :'A I;'".
Flat" til profile has been tested for both wind characterist :cs am:
therefore, attachment calculations for installation in compliance •'
clone as a 'Moment Based System'.
7. Applications for. roofing; permits shall include a contpletc.1 Sec'
Perini., a copy of Metro Roof Tile's current specification ; and
Contrr I Approval and a copy of the Product Control App oval
the pp .posed tile application. Reference shall be made to app
rating.
Page 9 of 12
duct Control No.: 98- 0423.09
at ", flat profile tilt shall
1 18 or PA 120, depending on
shall have a head diameter
:ons outlined in this Product
:auflicicnt attachment resistance
..istancc determined in .
:'hc Metro Roof Tile "Concrete
.tic uplift performance,
PA 115 or PA 127 shall be
4. For mortar or adltesive set tile applications, a field static upli(; by a Miami - Dade County
accrcdi:ed testing agency, in compliance with Miami Dade Cone . ''rotocol PA 106, shall be
performed.
5. For mr.rtar set tile applications, 30/90 hot plopped under ayme :: oplications may be installed
perpen licular to the roof pitch unless stated otherwise by he u!. 'ayment material manufacturer's
published literature.
6 All tiles shall bear the imprint or identifiable marking of 'he nr:. u. icturcr's name or logo for
identi1'cation in the field. .
11 of the Uniform Building
a copy of this Product
iy Roofing Component used in
.te data for the required lire
8. The applicant shall retain the services of a Miami -Dade County tided testing laboratory to
maintain quality control in compliance with the South Florida ' u';ding Code and related protocols.
Samp es taken shall be in compliance with Miami-Dade ':ount !':otocol PA 112, Appendix 'A'.
1 Zuloaga, RRC
Tile
Profile
3 ":12"
4 ":12"
5 ":12"
2 nails
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct E
Deck
Metro Roof
Tile Concrck
Flat
6.53
6.97
6.43
6.86
6.29
6.71
Tment - Mr (ft -Ibf)
,pproved
Meld Clip
With:
Approved
Eave Clip
With:
, ail
2 nails
1 nail
2 nails
20
34.80
22.10
32.20
30
35.50
19.00
31.90
METRO 1200F TILE INC. I,luct Control No.: 98- 0423.09
Tile
Profile
Metro Roof Tile Concrete Flat
Tile
Profile
Metro Roof
Tile Concrctc
Flat
Table 2: Restoring Moments due to Gravitf,
Table 3: Attachment Resistance Expressed as a
for Nail -On Systems
Tile
Application
Battens
Direct Deck
Tile
Profile
Metro Ror,f"t'ilc Concrctc Flat
DATA FOR /LTTAC1IMF'
CALCULATIONS
Table 1: Aerodynamic Multipliers - 2.
Approved
Nails
nail
4.90
9.80
x (ft') I A, (ft')
Batten Application � Direct Deck Application
0.2.7 0.29
2 nails
7.40
18.80
Approved F
Screws
1
screw
5.40
25.30
Tile
Application
Mortar Set
Adhesive Set
1'af;c 10 of 12
2
screws
9.10
41.30
(ft-lbf)
12"
Direct
Deck
6.54
7 ":12" or
greater
Batten Direct
s Deck
5.97
N/A
I Data noted in Table 3 is for installation with a 3" tile headla
2 Approved screws are as noted in the 'Trade Names of Pry .:cts Manufactured By Others'
and 'Profit Drawings' sections of this Approval. Clips on e; the are not required for this
attachment configuration unless the Required Moment of stance exceeds the values
noted above.
Table 4: Attachment Resistance Expressed as a '.iment— M, (ft -Ibf)
for Mortar or Adhesive Set Syst
Fra 'uloaga, RRC
Attachment
Resistance
118.90
�.-..I rvn.l.■nnr.
METRO ROOF TILE INC.
4 "
10"
PROFILE DRAWINGS
16"
16'
Page 11 of 12
:''ocluct Control No.: 98-0423.09
METRO ROOETILE CENIENT FLAT !LE
(. 6
Zuloaga, RRC
fr Pr'rviltrt Cnntrnl rxnrniner
METRO ROOF TILE INC.
Metro Roof file, Inc.
11501 N.W. 117 Way
Malley, FL. 33178
NOTICE OF ACCEPTANCE STANDARD C'. .)ITIONS
Renewal of this Acceptance (approval) shall be considcrcd after a .
filed and the original submitted documentation, including test supp
doct Iner,ts, arc no older than eight (8) years.
2 Any and all approved products shall be permanently labeled with
state, and the following statement: "Miami -Dade County Product
specifically stated in the specific conditions of this Acccptancc.
3 Rcnewa`s of Acccptancc will not be considered if:
a) Thee has been a change in the South Florida Building Code ..
product and the product is not in compliance with the code el:
b) Tit product is no longer the same product (identical) as thc
c) If the Acccptancc holder has not complied with all the rcquir
including the correct installation of the product;
d) The engineer who originally prepared, signed and scaled the
submitted, is no longer practicing the engineering profession.
4 Any revision or change in the materials, use, and /or manufacture
autJma.ically be cause for termination of this Acccptancc, unless,
regtlested (through the filing of a revision application with appro;
office.
5 An',' of the following shall also be grounds for removal of this /'•.
a)' Jnsatisfirctory performance of this product or process;
b) "vlisusc of this Acccptancc as an endorsement of any prod
otl er purposes.
6 Th': Netice of Acceptance number preceded by the words Miani
followed by the expiration date may be displayed in advertising
Ne`ice of Acceptance is displayed, then it shall be done in its en;•
7 A _lopy of this Acccptancc as well as approved drawings and otl'..
shall b,: provided to the user by the manufacturer or its distribute
inspection at the job site at all times. The copies need not be res..
8 l , ilure to comply with any section of this Acceptance shall be c:
of Acccptancc.
9 Tltis /`.cceptancc contains pages 1 through 1
EM) OF '1'I LIS ACCEP"1'ANC' .
Page 12 of 12
ACC ' FANCE NO: 98- 0423.09
API' t: VLI) : June 4, 1998
EXP ':S : June 4, 2001
: ; duct Control No.: 98- 0423.09
!:. wag application has been
ling data, engineering
nanufacturcr's name, city,
.'Itrol Approved ", or as
:sting the evaluation of this
_'cs;
originally approved;
i.nts of this acceptance,
.tired documentation initially
:ae product or process shall
:ar written approval has been
.tc fee) and granted by this
tancc:
for sales, advertising or any
do County, Florida, and
"ature. if any portion of the
.tocuments, where it applies,
:old shall be available for
d by the engineer.
for termination and removal
Ira, .. "!uloaga, RRC
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the
State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
Location nd legal description' of lot to be built .
Lot 04 Block
Street and Number where work is to be done
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Subdivision
State work to be done and pu ose of building (by floors). state e rior colors (submit samples(
1 4( Aftea4-00
New Building Remodeling Addition Repairs
aJ3/ V
„Aire‘ /It /d_51) J
and for no other purpose.
No. ofStori es
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S 7 y� c Amount of Permit S P
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
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 kVorkmen'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)
STATE OF FLORIDA
COUNTY OF DADE.
}SS.
7 70
Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared
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.
Date r
Read. Sworn to and Subscribed before me.
to me well known.
Permit No.
Disapproved
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
Date
Notary Public. State of Florida
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 conmhance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws ef the State of Flerida. 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 ot approved
plans and specifications must be kept at building during proves of the work.
Date- --------- ----------
3
Owner's Name and Address 1.A- ) 6 ' ) \ )- .. '-') ° .2--- No Street.
Registered Architect and/or Engineer
Name and address of Hvonsed contractor es.44) . 6 : 1 4.0 . -- - (`-&-tit-e----- 7 /
Location and legal description of lot to be bulk on:
____—_...:-....../__..... Block._
Street and Number where work is to be done. D F )
State work to be done and purpose,of bandit: (by floors)___.—
New Build1ng_____ .
To be constructed of
Estimated 1'381 cost of
Remodeling — Addition Repairs - No. of Stories
Kind of,foundation. Roof Covering
‘,
improvements $ tree Amount 0 Permit $ - /
19
and for no other purpose.
Zone cubage ............ — ....... ......... ____Plan Cubage--- -
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
......... • ...........
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 Worionen's Compensation Act, being Section 5966, Compiled General Laws of Florida, PerManent Supplement.
end has complied with the proviijons thereof, and will require similar comnliance from all contractors or sub-contractors employed by iron
In th work to b prforned under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or hotikes 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)...
STATE OF FLORIDA, •
COUNTY OF DADE. I Is•
Before me, the undersigned authority. a Wary Publics duly authorized to administer oaths and take acknowledgments, personally pp-
to me well known,
and who, being by me first dilly sworn, upon oath depo'es and says that he is the
of the ahoy described LonstrucUon, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therem by him stated are true.
Permit Date J Read, Sworn to and Subscribed before me.
Disapproved
(signed)
InspectOr
Chairman
Member
.... .. .1-.
Council Approved
• •
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-hisPection fee of $1.00 will be charged
mat and/or workmanship.
Notary Public, State of Florida
My Com:nission Expires
PLANNING BOARD _ DATE
Member
Member :
Member
Date Disapproved
Date
making corrections or plunges to this application after approval has been obtained from
when such re-inspection is mode necessary by improper notice for inspection or faulty
MIAMI SHORES VILLAGE
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.
BUILDING INSPECTION DEPARTMENT
Owner's Name and Address ...............
Registered Architect and /or Engineer
Name and address of licensed contracto _ _ __ __ . _
Location and legal description of lot to be built on:
Lot Biock Subdivision
Street and Number where work is to be done ,/..g_0
ne and purpose of building (by floors)
No. 7p C" Street
Date rr�� 81 19. ��
.- . - _• - Ff/5
and for no otherr purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering. __..
a D„
Estimated Total cost of improvements $._ / / r Amount of Permit $
Zone cubage required plan Cubage
Distance to next nearest building . Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit 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 rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed cinder 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)
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 ca � � .3 Date ( Z `�' Read, Sworn to and Subscribed before me.
Disapproved ,Q Date
(Signed) 1 A-ft L
Building Inspe 'r
.PLANNING BOARD DATE
Chairman Member
Member Member
Member ....._. Member
Council Approved Date Disapproved Date
making corrections or changes to this application after approval has been obtained from
NOTE: A charge of $1.00 will be
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.
made for
e
to me well known,
Notary Public, State of Florida
My Commission Expires
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot II BI.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N° 15889
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE 195__
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.
BY AUTHORITY
Contracting Co. 60
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date itAli Job Address 7/0 Q /j 'J/ elt t Tax Folio
Legal Description
Owner / Lessee / Tenant /I-"9 } '5 7
Owner's Address Ire ✓(/,' 9 ( - �T
Qualifier /� dP��j SS #
Phone 4r 7 Pc O —
Notary as to Contractor or er- Builder
My Commission Expires:
NOY R� PUBLIC STATE OF FLORIDA
MY COMMISSION EXP SEPT.20,1994
* MVO THRU*GENERAL *INS. UNF. * * **
Master Permit # ,3 YO
Phone
Signatwr, of Contractor or Owner. Builder
Date: Z 1
NOTARY
APPROVED: Fire
Zoning Buildin
Mechanical Plumbing Engineering_
TOTAL DUE 14
Other
Electrical
Test Location
Uplift Pull
Test (P or F1
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
1
/-A5,$
PA
26
P4 SS
51
76
2
27
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
FA i L-
32
57
82
8
PASS
33
58
83
9
34
59
84
10
35
60
85
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
56
71
96
22
47
72
97
23
48
73
98
24
49
74
99
25
W
50
75
,
100
ALLIER B ILDING
INSPECTIO SERVICES
THIS REPOR
Al Bri . - a, P.E.
. #33081
Allied Building Inspection Services, Inc.
Lab Certification 97- 1029.04
ALLIED BUILDING
INSPECTION SERVICES, INC.
INSPECTIONS • TESTING ® ENGINEERING
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
Owner's Name: s /)3727A/
Job Address: -/ 9
Roofing Contractor: X/5 /2C. ��A(
Type of Tile: /Xl, /ZQ /
Eave Height: /6 feet
Method of Attachment: FL1,4/14 .�°
Approximate Square Footage: + 1
Required Testing Force: 35Ibs.
Date Installed: 3 "" 2-4 1
SITE SPECIFIC INFORMATION
Permit #:
442J5
N9 0436
TEST RESULTS
P = PASS, F = FAIL
Se/C/ r f •
305) 2_E)6 98
Product Control: //, ( �� U'`04,—.3 09'
L
Roof Pitch: 3 �-,
Field Inspector: 1. 1 A LPa
Testing Equipment: Normark 50 Serial # 3644351
Date Tested: 3 ' / .. 7
13301 SW 124 STREET 0 MIAMI, FLORIDA 33186 0 (305) 234 -7377 ® FAX (305) 234 -7664
,z f'/
7 A/ q'Sr
A l A A4 l S Hoke* rs
T. t At-PH 3 - -99