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ROOFINGDate Legal Owner/L.essee / Tenant Owner's Address Contracting Co. WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9 ddress / 0 r 7 C i q 7 S , , Tax Folio // Ci / j - G 6' Cj e, ption Historically Designated: Yes No (S � � Master Permit # 9 -39 % � 7 T Phone ,S' Address tS-- State # Municipal # Competency # e' O' -i Ins. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL P BING MECHANICAL ROOFING P VING FE CE SIGN Pt AZ44,4114, At. Adi 111.. Square Ft. I GG © 6 C Estimated Cost (value) 44),0614 „2. -t a 6 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named co o the work stated. Signature of owner an . o Condo President Date av� APPROVED: 7ning Building Mechanical Plumbing s3 4 1t Pin / ,S S ?kJ_ Electrical r- Builder e3 D N otary as to Owner and/or Condo President Date N:tary as to Contractor or Owner-Builder Date My Commission Expires: 3- Z My Commission xpires: ”' ' " 2 g FEES: PERMIT 60 , OD RADON C.C.F. ,Z, () 0 NOTARY TOTAL DUE (, Z • o Engineering STATE OF FLORIDA, COUNTY OF DADE F, 323�I VI:I:VI not This is o Eru copy ho 0+13inal ¢ilod in oli!co on A 19 4 W ViNEf.S my h no' • ^cj Oc' . I Soal. r-' TA! 3 y P.C. ?.C. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 11 -2232- 028 -0930 STATE OF FLORIDA: COUNTY QF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, FloridStatutes, the following information is provided in this Notice of Commencement. NE 1. Legal description of property and street addres 97 Street, Miami Shoves, Florida : 2. Description of improvement: 3. Owner(s) name and address: Attorney Abbie R. Salt, 10 NE 97 Street, Miami Sho>ees, Fla. Interest in property: NA Name and address of fee simple titleholder: 4NA 4. Contractor's name and address: j Aunt Angie & Co. Inc., 11785 NW 17 Avenue, Miami, Fla. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ NA 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided t:,' Section 713.13(1)(a)7., Florida Statutes, Name and address: NA 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: 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) O xit-e- f� bh;P / ^ c $a Signature of Owner rint Owners Name Notary Public Print Notary's Name My Commission Expires: ✓ lr, •p � ."'sue/) • o¢ Sworn to and subscrib4d befiitesne.this day -of Reroof sloped portion of roof using Spanish S Tile -- 99; 96R 1.:8429 1996 APR 02 10:52 Q Prepared by: Address: 117 �' .r' '� l 7 3 3 ) (-7 123.01.52 2/93 Aiwa Tile Aifereaia del Turbio, S.A. Banuisiroeto, Venezuela PRODUCE NO. : ACCEPTANCE NO.: 94-0914.01. 197 EXPIRES: FEB ! 4 This application for Product Approval has Compliance Department and approved by the the conditions set forth above. APPROVED: 04-08 -1996 04 :19PM FEB 7?1 5 METOPOL?TAN DADE COUNTY, FIOHfRA METRO - DADE FLAatii atl1LDINCI I9 QDUCT CONTROL NQTLCE QFJ C T1 PTANCE • otitt.otmo CODECOMpLIAlitxOEPAm1IENT SUITE 1003 METPO DAne F1.AGLER Bt onle lap WEST R.AOl.BA MEET MIAMI, RONDA 33t 3o-1663 (305) 3154901 FAX (305) 375,29011 pl of A T� N"'• Ma r er Adh l Set C g aura S° Roof Your application fa Product Approval r , .� Witte tmdet Chapter S of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and cornptetely desailed is the plans, specifications and calf latioas as submitted by Rediard Technologies, The Center for Applied Engineering, hie, and Unwell Craig Laboratories & Consultants, (ere. has been reco,n ucnded for acceptance by the Building Code Compliance Department to be used in Dade Counyy, Florida under the specific and standard conditions set forth herein. The approval shalt be valid for a period of ttuoa years. The Building Code Compliance Department reserves he right to secure a product or material at any time for a jobsite or manufacturer plant tor quality control testing. If' product or material fail to perform in the approved manner, the Code Compliance Department may revoke, modify tx suspend the use of such product or material immediately_ The Building Code Compliance Department reserves the right to require testing of this product or material should any atneedmerntt' to the South Florida Building Code bt enacted affecting this product or material. The expense of such testing will be incurred by the Manufacturer. Raul Rodriguez Product Control Division Supervisor - PLEASE NOTE THIS IS THE COVERSHEEiT. SEE ADDITIONAL, PAGES FOR SPECIFIC AND GENERAL CONDITIONS. BUILDING CODE COMMITTEE been reviewed by the Metropolitan Dude County Building Code Building Cade Committee to be used in Dadc Chu r, Florida under tl.‘6.* t� C Danger. P,E.. Director Building Code Compliance Department Metropolitan Dade County P. 01 MAR - 10 llnul IJ v1 1p Musa T Product Control No.: Altus Tile Z Z " Alfareria del Turbio, S.A. Approval Date: $ai'(pllsimeto,Venezuela f EB 1 4 g97 Expiration Date: tenon: • . �i System DeS Alfareria del hrbio, S.A. (Ahura), located in Barquisimeto, Venezuela, ma.nufecturers clay roof tile for nail mortar set or adhesive set applications. All tile is manufactured from natural Venezuelan Clays. This Product an 19 i 2 1 2 D vat reiat "►•.. *° "A ldssa S" t ilt profile- Refer to plate& t nntr•I A The " Altusa S" tile profile is available in a variety o natural clay colors and matching d for au pieces used for rake hip, ridge hip, and valley terminate profiles and form a part of this Product Control Approval. Optional tubber or clay eave closures are also available. Altura roof tiles have been tesred in compliance with the South Florida Building Code for requirements for clay, nail -an, mortar set or adhesive set tile D p i g � on �tlits approval fo the the "Altura S' nail-on tiles shall be r Ste "Altura S" profile drawing. The "Altura T. profile consideration for installation shaltbe d 0� as a 'Moment Based static uplift performance, therefore, a�ons noted in Tables 1 through 4 of this Approval. System'. Data for attachment Almar (USA), Inc.. located in M► iami, Florida, is the sole approved importer under contract for selling and distributing Altusa products in the South Florida jurisdiction. Contact; Carlos J. rev - Ronde' General Manager Altura Tile, Almar (USA). inc. 6645 Northwest 77th Avenue Miami, FL 33 166 (305) 471 -58SO . • L• $ - • ►' 04-08 -1996 04:19PM UllaU PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOF[NC SYSTEM APPROvAL Prepared Roofing Tile Nail- on/Mortar Set/Adhesive Set P. 02 Test Product s^:y rc one- piece, ASTM C 1161 High profits, interlocking. T itusa'S' Clay Roof I = l 's shaped, clay roof cite equipped with Tile W=10" two nail holes and a single ro1L For �, � thick two deck nail - on applications only - AST ¢ clay roof pieces for I °varies M C I 1 7 Accessory trim, Y P Trim Faeces use at hips, rakes, ridges and valley w =vanes terminations. Manutact+red for each varying thickness Lice profile. 04-08 -1996 04:20PM TRADt? NAMES OF PRODUCTS MANUFACTURED OR LABELED By APPLICANT • Raul Rodriguez w A a P. 03 'tEL�305 378 (1951) MAR, =l6' 45 t ?Hl�l 15:32 BRAND KENDALL LOAM #30 Felt #43 Coated Base Sheet Mopping Asphalt Flashing Cement 04 -08- 1996 04:20PM AC IIRED 4T1 TRS TIDE NAMES OF PRODUCTS N[�p' Product ELCUARILUI Saturated organic felt to be used as a nailed anchor sheet. WA NIA Zettzingtex -ZB 140 59" x 164' roll U nderlaymern, 22Ibs/roll Rainproof lI 30" x 75' roll 36° x 75' roll or 60 w x75'roll Ice and Water Shield 36" x 75' roll WA Test speetlhatiorta ASTM 0226 type U ASTM D 2626 Mineral Suiface Cap N/A ' ASTM D 249 Sheet PA 10 PA 104 PA 103 ASTM D 312 ripe Ill ori 3 Product Control No.: ,..2tidt4,L1.0. Saturated and coated organic base sheet fbr single or double ply underlayincttt• Mtral'Stlffaced asphalt roll roofing for use as atop ply in a double ply underinyment system. Single ply, hail -alt underltymtnt. Single ply, non Protect -O -Wrap. Inc. underlayment with 2" PCA #94 0r114 self - adhering top edge. Self - adhering W.R. Gras Co_ un iayment for use PCA #92- 1116.01 as a top ply in a two ply underlarneru system with approved #30 or 04 5 as the base layer. Asphalt for bonding a generic mineral surface cep to a mech. attached base sheet in a double ply underlaytrent system. ASTM D 4586 Cut back, asphalt based, asbestos fret, fiber reinforced. trowel grade cement for repair and flashing opplicatinns, Maggialtarot generic generic generic Leming 4 Performance irtc. PCA #94- 0527.05 generic i • V P.04 AJAR. 46' 95(THt:l 15:32 BRADCO KENDALL EIS Asphalt Primer Roofing Nails Tin Caps Wood Battens Tile Nails Tile Screw Roof Tile Monar ('Tt]eTite " ") Roof Tile Adhesive (•Polyprogf! A H 160 ") 04-1 -1996 04: 21 PM Dimmskias NIA min. 12 ga. with 're head min. 32 ga. ruin. 1 o_d. max. 2" o.d. veal Mill. I" x4" ar min I" x 4 fo use with vertical battens or min. 1 "x 2" for use alone min_ 8dx2% "or min. l lhi x 3" min, #8 x 2Vr or min.d10x2" N/A NIA Test slitamti2na ASTM 1)41 PA 14 Appendix E PA 114 Appendix E Wood Prasetvers Salt pressure treated Institute LP - 2 or decay rosistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 123 TEL:305 378 6956 - Product Contto/ Nu_ `L4 - 41 4 41 Product nualatiaa Cut back" asphalt based coating usod to facilitate bonding of dissimilar materials. Atuuitar ring shank, hot dipped, electro or mechanically gaty. roofing r1ails for use . • in under1aystent attachment. Corrosion resistant circular disc for use in uadnrlayment enactment Corrosion resistant, screw. smooth or annuLsr ring shank nails. Corrosion resistant. coated, coarse thread wood screws. Prepared mortar mix designed for mortar set roof tile applications. See PCA Two component polyurethane adhesive designed for adhesive set roof the applications. tAlgidgig generic generic generic generic generic generic Bermuda Roof Company, Inc, PCA 04- 061491 Polyfoam Products. inc. PCA #94.0401.41 P. OS w P. 05 04-08- 1996 04 :22PM Agenex Redland Technologies Redfsrtd Technologies The Center for Applied Engineering, Inc, The Centex for Applied Engineering, Inc. The Center for Applied Engineering. ttic. Redland Technologies Redland Technologies Red land Technologies Redtand Technologies The Center tor Applied Engineering, Ina Testw•eti Craig Laboratories & Consultants. Inc. InWat i1iier 7161-03 Appendix Il1 7 161.03 Appendix 111 25- 7200 -1 94-04 94.013 7161.03 Appendix 11 Letter Dated Aug. 1, 1994 P0647 -01 PO402 Project No. 307025 Test 1<MDC•78 Lab 44AAP 2 Tech: A. Portttlo TP. T REPORTS T.e ieme/Report Static UpIiJt Testing PA 102 Static Uplift Testing PA 102(A) Static Uplift Testing PA 102 (She!k -Uric a Screws. Battens) . Static UpUiR Testing PA 101 (Mortar Set) Static Uplift Testing April 1994 PA 101 (Adhesive Set) Wind Tunnel Testing PA 103 (N01 -On) Wind Tunnel Testing PA 108 (Nail -Oo) Wind Tunnel Testing PA 108 (Mortar Sc,) Withdrawal Resistance Testing of screw vs. atr.::.th shams nails Wind Driven Rain PA 100 Physical Propertikt ASTM C 1167 6 AIA Product Control No. 944914.01 [late Dec. 1991 Dec. 1991 Feb. 1995 May 1994 Dec. 1991 Aug. 1994 Aug. 1994 Sept. 1993 Oct. 1994 Oct. 1994 4 P. 06 Deck Type: Deck Description: SYSTEM A: Slope Range; Ufderlaymeat Vertical Battens. Horizontal Battens_ Rtioling Tile: Comments: 04 08- 1996 04:22PM SYSTEMS TEL:305 378 6956 Product Co1117o f No.: "L, Wood, Non-insulated New Construction "7 or greater plywood or wood plank Counter- Hatton Application 2 ° : "to7 1 %12° !Vote: Counter -Bates, as noted below, 2" :12" to less than 4' ". and are optional p s s 2" to -7 :1Z . Forslopea exceeding 7" :12 ", refer to for of � ": to C. • .install choice of apprpyed underla County Protocol PA 118, in compl iance with system, ji 3.02 on Page 1 2 of Dade Section 3.42 pf P,� 1188 . install vertical battens of press �sttne tr minimum dimensions of nom 1'' x e 2" V dewy �i�nt /umber having continuous bed of flashing cement 1 thi and secured ens gr e1 1 r `" sCtina o c. into the sheathing wirh raved, nor eate than 24" battens shalt be corrosion resistant fasteners. Vertical 118.) Toned over the rap chord of the roof trusses. (See PA Install horizontal batters of pressure 1" x�tfio or decay resistant lumber having minimum dimensions of aotn over vertical battens m $ rrzantal battens shall be installed secured th spacing to provide a Lilo overlap not less than ,1 and rough time Yew batten and sheathing With approved, corrosion resistant fasteners. (See PA 11 &) Install rite in compliance with PA 1I8 using a��tFient for battens 11 ne of the approved methods of a t a fi bat n applications noted in Table 3. ached. The method of a moment to meet s exceed all the suft<cienr attachment resistart� expressed as compliance with PA 115 or PA 12 ained moment of resistance determined in 1. For re applications, !'/3," plywood is an acceptable substrate. 2. Clips are required on all cave tile. ,7 P.08 Deck Type: Deck Description: SYSTEM B: Slope Range; tinder-layman; • Roofing The: Comments: 04-08- 1996 04:23PM SYSTEMS (C0NIm'UED) Wood, Non - insulated New construction t '4 : " or greater plywood or wood plank. Direct Deck Application 8 , 1 I Raul Rodriguez Product Control No - O.4 4 4"!12" to 7n:12" Note: System I3 is only acceptable in this slope range. For slopes less than 4 " :12 ", refer to System A. For slopes in excess of 7 ":12 ", refer to System C. - Install choice of approved uiider1 lyrnent system, noted on Page I or 2 of Dade County Protocol PA 118, in compliance with Section 3.02 of PA 118. Install tile in compliance with PA 118 using one of the approved methods of attachment for direct deck applications noted in Table 3, attached. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. 1. For re -roof applications, ' plywood is an acceptable substrate. 2. Clips are required on all eave tile. P. 08 a Deck Type: Deck Description: SYSTEM C: Scope Range: Uoderlayment: Rorizootal Battens: Roofing Tile: Comments: 04-08- 1996 04 :24PM HLOWILLI SYSTEMS (Cor4nNuED) Wood, Non - Insulated New construction '4 or greater plywood or wood plan&. Horizontal Batten Application 17 ...I o ..a.;..,. 'f1 L:305 378 6956 P. 10 Product Control No.: 94-09 f 4":12" or greater Nate: Horizontal battens, as noted below, are required for slopes In excess of 7 ":12" and are optional for slopes of 4 ":12" to 7•':12 ". For slopes less than 4":1:2 ", refer to Systern A. install choice of approved uader[ayotent system, noted on Page 1 or 2 of Dade County protocol PA 119, in compliance with Section 3.02 of PA 119. Install horizontal battens of pressure treated or decay resistant lumber having rninimuro dimensions of nominal 1" x 2" x 4 field long allowing for a minimum • ire gap between each 4 foot length. Horizontal batte is shall be installed over the undorlayment system spaced to provide a tile overlap not less than 3" and secured through the sheathing not grew than 24" o.c. with approved, corrosion resistant fasteners, (See PA 119.) Install tile in compliance with PA 119 using one of the approved methods of attachment for batten spplieatiens noted in Table 3, attached. The method of attachment utilized shell provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. I . For re -roof applications, si plywood is an acceptable substrate. 2. Clips are required for all eava tile, - ... zi/ { P.09 . a Deck Type. Deck Description: SYSTEM D; Slope Rs age: Underlay Roofing Tile: Comments: 04 1996 04 :24PM SYSTEMS (CONTINUED) • Wend, Non - insulated New construction L'1 " or greater plywood or wood plank. Mortar or Adhesive Set Application 2";12" to 7 ":12" Note: System D is only acceptable in this slope sapgf- 10 Rout Rodriguez Product Control No,: 44-09 4.f1 Install choice of approved underlayment system, noted on Page 1 of Dade County Protocol PA 120, in compliance with Section 3.02 of PA 120. See - System Limitation #7: - • ' ' Install tile in compliance with PA 120 using one of the approved mortars 4t adhesives noted in this approval. Mortar or adhesive shall be applied in compliance with this mortar or adhesive manufacturer's Roofing Component Product Control Approval- The mortar or adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. The mortar and adhesive attachment data is noted in Table 4, attached. 1. For re -roof applications, 6 ' /„" plywood is an A6.ceptable substrate. 2.. For mortar set applications, the first three courses of tile shall be nailed with not less than pee nail per tile, As an alternate. the first three courses of tile shalt be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings anal less than '4° which is mechanically attached to the deck with not Less. than one roofing .nail every 1. fr For roof pitches from 6":12" to 7 ":12 1 , every third tile of every fifth course, beginning at the eighth course, shall be nailed with not less than one nail per tile. P. 10 6 1 MAR. -16' 95 (TE 1 15:36 BRADCO KENDALL TEL: 305 378 6956 Y. 11 ' Pmduct Control No.: _.1' 1-0914 9 1 1 Z SYSTEM LIMITATIONS • i 4 y 1. The standard Inittimunr roof pitch for "Altusa S ". nail! -ors, mortar or adhesive it tile applications is 2" rise in 12" run (2 ":12 "). The maximum roof pitch for mortar or adhesive set the applications'' i A T' rise in 12" run (7 ":12"). 2. All unit -on tile applications baying a toot if less than 4 "•12" shall be installed over both vertical 44 and horizontal battens ("Counter- Battens "), as +toted in System A. All nail -on tile applications . having a roof pitch iit excess of 7 ":12" shall be installed over horizontal battens as noted in System C. i i 3. For nail -on applications, brass or stainless steal screws for mechanical attachment of tiles shall have a haul diameter law/ than that of the preformed hot, in the.rile... - 4. System installation shall be hi compliance with the system specifications outlined In this Product Control Approval Nall -on the shall be attached using one of the methods of attachment noted in Table 3 of this Approval. Mortar or adhesive set tile shall be smelted using an approved mortar or adhesive noted in this Approval, the data of which is noted in Tabus 4 of this Approval. method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance d.euxmined in compliance with Dade County Protocol PA 115 or PA 127. 5. For nail -on tits applications. en cave clip Is required on all eave rile. For mortar set applications. the first three courses of rile shall be nailed with not less than one nail per tile. As an ahemate, the first three courts of:He shalt be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than )4^ which is mechanically attached to the deck with not less ) i than one roofing nail every 1 fe. For roof pitches from 6" :1?" to '1":12", every third the of every fifth course, beginning at the eighth course, shalt be nailed with not less than one nail per tile. 6. For me; : or adhesive get tine applications, a field static uplift test by a Dade County accredited x testing agency, in compliance with Dade County protocol PA 106, shall be required not less than 30 days spear application to confirm tile adhesion. The results of this testing shatl be repotted to the 1 i Buildings Official and the installer stating that the application has passed or failed PA 106 testing. if the application fails PA '106 testing, the report shall tie which portion of the test was failed; Category 1(examination for loose rile) or Caresory 2 (uplift testing exile). Subsequent to testing. the installer may repair not more than 5% of field area tiles and 10% of perimeter arra (i.e. ridge/rake) tile with approved tale adhesive. The installer shall place an identifiable marking an each repaired tile for figure reference. Any PA 106 retest shall not include any marked tile. 7. For mortar or adhesive set tile applications. 30/90 hot mopped underlaynient applications may be installed perpendicular to the roof pitch prior to June t, 1995 unless stated otherwise by the material manufacturer. Thereafter, 30/90 uaderlaymnent systems shall be installed parallel to the roof pitch in compliance with Appendix 'A' of Dade County Protocol PA 120. 04 - 1996 04 :25PM P. 11 5 • 04-08 -1996 04 :2?PM - . _ _ -.... 51'f DL L 15 BR ApCO p LTA S�xst� ' t�lt*tJ>i:0) manufacturer's name or logo for Imprint or identifiable mfg of o ill bear the insp d t i c uplift Alt tiles a field. ode County identification in th v far both wind characteristics with $" rile profile t CR Osts far installation i compliance eat' The Attusa "Altura , calcutat' ent Based Sy wilding 9. nce therefore, attachment as a Ritiam u pee PA 1 15 ac 1?A l27 shalt - Section 1t of C Protocol its shall include a completed a copy Of this Prod in the Component used fang P s peci£icati , details. aofins required fire rating. 10. A, Approval a l a tor o py Of 'Ws tt al Approv ciawe data fay the Permit; a of ' a opY l � Made to maintain • d s copy tie Product to a AP1n0vat an Reference shall labpratory The aed the t shall retait County certified wiled protocols- rot i of a trade Building Cade qua �plontro shall apiia the the Sou► d 204 of the South �'� coons 203 an he control in camel in with tS to these provisions sail be 4 lZ Any c,endmc r► Florida Building Co P. Table 2: Restoring Moments due to Gravity - M, (MIA • • . - • • - • from PA 102 Testing • • • Tile Profits 3 "_12" or less 4 ":12" d" :112" 6 ":12" f 7":12" or greater Battens Direct Deck Battens Direct Deck Battens . 1 Direct Deck Battens Direct Deck Battens Direct Deck Musa 'S Tile 4.47 6.36 4.40 617 • 4.31 6.16 ' 420 5.03 4.08 N/A Tole Profile Musa '8 Tile 04-08 -1996 04:29PM Table 3: Attachment Resistance Depressed as a Moment - M (ft - lbf) from PA 102 and PA 102(A) Testing TILE APPLICATION Battens Direct Deck DATA FOR ATTACHMENT CALCULATIONS APPROVED NAILS 1 nail N/A 820 2 nails N/A 8.40 APPROVED SCREWS 1 screw 12 screws WA 28.70 26.80' 31 '8t? Screws for tie installation over battens shall be #8 x 2W tong, Corrosion resistant. Quik -Drive screws installed in two mariuiee1ured holes looted 1'/," and 1'I from the heed of the tiler Raul Radrizuez Product Control No.: 94.4914.191 APPROVED FIELD CLIP WITH: 1 nail N/A 21.20 2 nails NJA APPROVED EAVES CLIP WITH: 1 nail 2 nails NIA N/A 28.80 34,90 P. 13 r dt Table 4: Attachment Resistance Expressed as a Moment - M, (ft-ibf) from PA 101 Testing Tile Tile Profile Tile. Application Attachment Resistance A1tt.'sa 'S' Tile Mortar Set 24.50 Adhesive Set 66.50 Tole Profile Musa '8 Tile 04-08 -1996 04:29PM Table 3: Attachment Resistance Depressed as a Moment - M (ft - lbf) from PA 102 and PA 102(A) Testing TILE APPLICATION Battens Direct Deck DATA FOR ATTACHMENT CALCULATIONS APPROVED NAILS 1 nail N/A 820 2 nails N/A 8.40 APPROVED SCREWS 1 screw 12 screws WA 28.70 26.80' 31 '8t? Screws for tie installation over battens shall be #8 x 2W tong, Corrosion resistant. Quik -Drive screws installed in two mariuiee1ured holes looted 1'/," and 1'I from the heed of the tiler Raul Radrizuez Product Control No.: 94.4914.191 APPROVED FIELD CLIP WITH: 1 nail N/A 21.20 2 nails NJA APPROVED EAVES CLIP WITH: 1 nail 2 nails NIA N/A 28.80 34,90 P. 13 r dt Tablet Aerodynamic Multiplier - k) from PAIN Testing Tile k (ft') (ft •■■■ Profile Batten Application Direct Deck Application Altusa '8' Tile — 029 0.31 • Tole Profile Musa '8 Tile 04-08 -1996 04:29PM Table 3: Attachment Resistance Depressed as a Moment - M (ft - lbf) from PA 102 and PA 102(A) Testing TILE APPLICATION Battens Direct Deck DATA FOR ATTACHMENT CALCULATIONS APPROVED NAILS 1 nail N/A 820 2 nails N/A 8.40 APPROVED SCREWS 1 screw 12 screws WA 28.70 26.80' 31 '8t? Screws for tie installation over battens shall be #8 x 2W tong, Corrosion resistant. Quik -Drive screws installed in two mariuiee1ured holes looted 1'/," and 1'I from the heed of the tiler Raul Radrizuez Product Control No.: 94.4914.191 APPROVED FIELD CLIP WITH: 1 nail N/A 21.20 2 nails NJA APPROVED EAVES CLIP WITH: 1 nail 2 nails NIA N/A 28.80 34,90 P. 13 r dt MAR. -15' 95 (THU1 15:38 BRADCO KENDALL METROPOLITAN WADE COUNTY. FLORIDA M�RavAae M 'VRQ.DADE FLAG - R 13UULD1NG hUn.utue CODE CbMPLUANCE, UFPM TD In SUITE 03 MEMO-DADE « STFF�LLET4 STREE MW�U. FWRIlln 31004503 37S294 FAX (3051 315-290 04-08- 1996 04 :30PM I • This approval supersedes all previous Approvals, Last A Number 944106.18 TEL:305 378 6956 P. 15 !. Extensions of Acceptance may b e codsidered after a new application bas been filed and the supporting re- e�t0lttated. data, test reports no older than ten (10) years, have been d. in she State of All re:. •:z of te•teslios shall bear the seal, signature and date of an eta Floe r shall automatically in the materials, use, or ulhdUt of the product or p 2. Any revision or change approval is ranted far revisions or change. be cause loi termination, unless prior apt S revisions shall be grounds 3. Any unsatisfactory perforrttanee of this product or process ors change in Code p for re- evaluation. 4_ This acceptance shall not be used as ad endotseelent any product for sates or advertising ptstposts. words Dada County. Florida, and followed by t he s The Notice of Acceptance advertising t eraouo. if any potion of the Notice of Aceeplan expiration date may be displayed displayed, then it shell be done in its entirety. provided to the applicant by 6. Product approval drawings, where required for permit applications. shall be p the mast ttfacrurer or his distributors unless otherwise noted m the Notice of Acceptance, The gilds =eel not be re- sealed by an engineer. . royal. 7. Fai:ure•aw comply with the Standard Condition shall be cause for ter,nination of the App v j..., , d ••41.4 4 (1, 1 Raul Rodriguez Product Control Division Supervisor P. 14 . ?BAR. -16' 95(TEM 15 04-08 -1996 04:31PM A i,Tt ISA Clay foot T41413 " DOVE TAIL. LACKS PROFILE DRAWING ALTIISx'S' TILE 18" Product Control No.: Q4- 04L.Q,L P. 15 Job Address: I 0 '?ll - Sr APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II MORTAR OR ADHESIVE SET TILE SYSTEMS 1. General Contractor: The information provided in this Section is required to confirm Product Control Approval of the proposed tile system assembly; confirm compliance with the wind load requirements of Chapter 23 of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. 2. Documentation The following documents are required for submission with the Uniform Building Permit application: ► Two (2) copies of the proposed tile system assembly's and associated roofing component's Product Control Approval(s). ► One (1) copy of the tile system assembly and/or roofing component(s) manufacturer's published application instructions and literature. ► All documents attached herein, filled out and completed in full. 3. Project Information Check one of the following: ❑ Construction Re -Roof Note: Mortar or adhesive set tile systems are not acceptable as recover applications. Mortar or Adhesive Set Tile Systems Page - 1 Is the deck solid Roof Pitch (fill in): no Deck Type (check one of the following: &wcess No. ed? (circle 'yes' or 'no') no ❑ Nominal ''A " Plywood (for re -rof only) ❑ Nominal '1„" Plywood ❑ Wood Plank ❑ Other (fill in) „ 1 • 3' ":12" Note: Mortar or adhesive set tile systems' shall not be installed at a pitch greater than 71/2":12". Mortar or adhesive set tile applied at a pitch greater than 5 ":12" and less than or equal to 7 ":12" shall have the first three courses of tilt nailed with not less than one nail per tile. As an alternate, the first three courses of tile may be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3 / 8 " which is mechanically attached to the sheathing with not less than one nail per 2 ft Circle 'yes' or 'no' for each of the following: Have you attached two copies of the tile system manufacturer's Product Contrcl val for the proposed tile system? no Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and otlre literature no Is the proposed underlayment approved for use with this tile system assembly Job Address: / 0 — 7) Project Information (continued): If the proposcd underlayment is self - adhered, have you complied with the venting requirements of Section 2913.3 (b), (c) and (d) of the South Florida Building Code? yes no assembly? Are the proposed edge metal attachment fasteners in corpliance with the requirements of the South Florida Building Code (minimum 12 ga. annular r'` nk, corrossion reisistant nails)? no no 4. The Tile System Assembly: The following information is required to confirm compliance with Subsections 3403.5(a) and (c) and Section 3404 of the South Florida Building Code. Tile: Tile Name: Manufacturer: Tile Mate Clay Concrete ❑ Other: Product Control Approval Number: • Mortar or Adhesive: Contractor: Are all related accessories appro d for use with this tile system Tile Fasteners (for first three courses if roof Ditch exceeds 5 ":12" Check one of the following which apply to the proposcd tile securement for use with the proposed tile system assembly: Mortar or Adhesive Set Tile Systems Page - 2 A ❑ Mortar: Manufacturer: Mixing Ratio: ❑ Adhesive: Type: Manufacturer: and is less than or equal to 7 ":12 "): Check one of the following which apply to the proposed tile fasteners (for the first three courses) for use with the proposed tile system assembly: ❑ Minimum 12 ga. galvanized roofing nail: ❑ Other: Type: Length: Note: All shall be installed in compliance with the provisions set forth in the tile system assembly manufacturer's Product Control Approval and the minimum requirements set forth in Subsections 3403.5(c) and 3404.2 of the South Florida Building Code. Tile fasteners in the first three courses (if appliciblc) shall be of sufficient length to penetrate the sheathing a minimum of 1" or through the sheathing thickness a minimum of /,a ", whichever is css. ndcrlaymcnt: Length: Process No. " 11 The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Job Address: fl 0 T / Underlayment (continuedl: Check all of the following which apply to the proposed underlayment for use with t • oposed qIe system assembly: ASTM #30 asphalt saturated felt with: Manufacturer: ❑ ASTM #15 asphalt saturat with: 0 19" overlap O 6" overlap O 4% overlap Manufacturer: ❑ Mineral Surfaced Roll Roofing with: Manufacturer: ❑ Other: Type: Manufacturer: Underlayment Fasteners (if applicablel: ❑ Qther: Type: Length: Manufacturer: O 19" overlap O 6" lap overlap Contractor: Check one of the following which apply to the proposed underlayment attachment: ❑ Minimum 12 ga. electro- galvanized roofing nail with minimum 32 ga. x 1'4" tin cap: Length: Manufacturer: • Mortar or Adhesive Set Tile Systems Page -3 , ...=. vs....___, Spacing p tile system assembly Product Control Approvall: Field: Laps: / "o.c. O 19" overlap O 6" rap 5. Related Accessories: " overlap Edge Metal (refer to Section 3408.2 of the South Florida Building Code): Type: Dimensions: Gauge or Thickness: Finish: �' Note: All edge metal shall be nailed on the flange and nailed or clipped at the, face in compliance with the provisions sct forth in Dade County Protocol PA 111, marked Appendix 'U' in the South Florida Building Code. Adhesives (check one of the following): ❑ Cold Adhesive: ❑ Flashing Cement: Process No. Type: Manufacturer: Type: Manufacturer: e Job Address: f O ''?"1 5 Contractor: Adhesives (continued): Note: Application of adhesives shall be in compliance with the Roofing Component Product Control Approval and the minimum requirements set forth in Subsection 3403.5(e)(4)(cc) of the South Florida Building Code. Ventilation System (check one or more of the following): The following information is required to confirm compliance with Subsection 3401.4(e) of the South Florida Building Code. ❑ Ridge: Type Size Soffit: Type 5- 6-- .1e.— Note: If underlayment is comprised of a self - adhered membrane, both soffit and ridge ventilation systems are required, unless a base sheet is 'applied as an anchor sheet below the self - adhered underlayment: Note: The Tile System Assembly shall be installed in strict compliance with the application instructions enumerated in the Product Control Approval. A permit shall be issued for application of the specified Tile System Assembly only. Any change to the specified Tile System Assembly shall require submission of a revised SECTION II with a copy of SECTION I, noting the permit number issued. • Mortar or Adhesive Set Tile Systems Page -4 Additional Notes: Process No. • Inh Address Job Address: Ridge Venting: ( 4/applicable ) Thithwas: Underlayment: 'S Underlayment Fastener: / . Contractor: 12" DETAIL ti I Job Site Identification: 0 ( enea*sva Tile Fastener: /P r ocess No. Roof Pitch • : FILL IN APPLICABLE ROOFING COMPONENTS'WHICI1 MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN ON THIS PAGE. (Where RooSing Componcnt not used in Tile System Assembly, fill in with "N/A". ) Head Lap Dimension: .,;•" Minimum 2' unless otherwise 4 In the tile system auemblyProduct C 4p- Mortar/Adhesive: Tile: ) Edge Metal or Gutter Fastener: Bird Stop: araPPitebliic _120, Edge Metal or Gutter. Q-t Existing or Proposcd Soffit Venting: g_ 0--(6 0t-:r vx_ & Job Address: n --77 5 g1 • BUILDING INFORMATION #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 6 Process No. Ridge Height: P feet © s Eave Height: Roof Mean Height feet , t Insert Building Ridge Height, Lave Height and Roof Mean Height. Also insert applicable information pertaining to the building below. ( See ASCE 7 -88 Fact Sheet Attached? Exposure Category: Classification Category:. J- At Hurricane Occanline ?: Y Basic Wind Speed at Building Location: 110 mat) Building Condition based on % of openings: 1, (See Table 9 ofASCE 7 -88) Ground Level Job Address: Contractor: 0 Sketch Roof Plan. indicating all dimensions, slopes and any roof top equipment. Also insert variable labeled "a" which represents perimetJ and comcr dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7.88 Fact Sheet Attached ) BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Mortar or Adhesive Set Tilc Systems Page - 7 Job Address: The undersigncd certifies that the Mortar or Adhesive Set Tile System Assembly is in compliance with the plans, specifications, and details submitted by the architect. STATE OF FLORIDA - COUNTY OF DADE Before me this day personally appeared CF1 LV uN It/Ws who, being first duly sworn, deposes and says that all information submitted herein is true and correct. Sworn to and subscribed before xott ismYrmiiv mfAii. r l 19 J . f c okr No Fr. klyn 4. ak. ;. ^. '-',7.:` 1c' Notary tt;.ac, S:aiz of'rioyi: 5< My commission expires: i' O' :r t nJi o. ;.P' 6 < Co y i r C( < y p Of P O My ('nmr:.i«in1 Shn:rc'C 075 1/99 'i :: 1- 810-3- NOTARY - 11a. ] oary•:.cvix & Bami ng Cc.< • 1»)»»»»)» »MWANN i; lAN1VoY3? WA) }�C Notary Public State of Florida Contractor: Mortar or Adhesive Set Tile Systems Page - 8 Process No. • • • Owner's Name and Address ..:::. .:::: Registered Architect and /or Engineer Name and address of licensed contractor.. Location and legal description of lot to be built on: Remarks MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statc„wnt ur 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 thc Laws of thc 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 s led or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date..— ..._...__...L_ - .... ,19.._._ State work to be done and purpose of building (by floors)... (Signed) / ._ No....__, »:........_.. Street_.... .. _ » ` ,,,. t.......,,f„, t, a t,, : t, . Lot Block � Subdivision Street and Number where work is to be don/ 4 ..r.. ___...L �.. ... . and for no other purpose. New Bui!ding Remodeling Addition Repairs .I < No. of Stories To be constructed of Kind of foundation Roof Covering / !' 1 ( �( hC 0 Estimate Total cost of improvements $ d 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 permit does hereby certify that he understands and accepts his obligations as an employer of lab 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 hint in the work to be performed under this permit; and will post or cruse 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,aubcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. STATE OF FLORIDA, i COUNTY OF DADE. ss' Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared » - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. p a Permit No.._.._._.t .. � `� ,Date....... D:..2/ 1 ..._._._ Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) r .....�... Building Inspector My Commiuion Expires PLANNING BOARD DATE Citair:nan 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 fuser the 1'I.rnnir,g Board. A re•itt.pet•tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials anti /or workmanship. Application is hereby mode for the approval of the detailed statement us toe 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 ,, ,t,... 11 t ..,,, „t.,,,, 111 ,,,, Name and address of licensed contractor. d 7,11.41 m t .4t ai La) r` P co . ./lt C L/ /�/f1 / t F/, . (fly Location and legal description of lot to be built on: Lot Block tt Subdivision Street and Number where work is to be done .. .... � l 2..: S. .._..._ . __...._ . n L /' _ _ State work to be done and purpose of building (by floors) EP e ' 1 ,, e S / q ) e 7 __( /�J-Al- ��) D¢1. /S .4s . ._ Ck A 11 e 1. Cf./. .. t4:.b e.. J.._. EP e a 3 d 9-18 /--- i to Cc_ -,„ e-s'F SAS = ... ` 7 i 7 e .... and for no other D fix• New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation oof � Coveringgk p 6 / - p e S`!•_'/ 7 0 Estimated Total cost of improvements $•.• S. Amount of Permit .�. .lG 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. u --m i . / e I- 9 (.2 j c CA..l... e, �J� I N ) .s f. F�. , City ... .. a3.. 7 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sum )lenient, )Ieunt, 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 su. .ntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ii #-ems Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT �,/ I' .L /� .� ....... 1.� �. f ew e / i e y... N .. Street.l!' 6 o z ?.. .. /9 g C� Remuks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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.._.L11 Date ‘ ) 1 - Read, Sworn to and Subscribed before me. ate. Bui ding Inspector PLANNING BOARD Notary Public, State of Florida My Commission Expires _ ..DATE to me well known. Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the 1'LrnniN;; Board. A re -in.p ction fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. Owner's Name and Address 3 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done 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 of approved plans and specifications must be kept at building during progress of the work. a i State work to be done and purpose of building (by / floors) and for no other purpose. New Building Remodeling Addition b'''' Repairs No. of Stories To be constructed of Kind of fo�fidation Roof Covering Estimated Total cost of improvements $. -- , :_,9A if ; d �� 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 be sent to ` - - STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved ./ Date `- (Signed) / Building Inspector Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Date A - - , 19 No Street 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 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. c Permit No ? 7 Date ,i "? 2 E� ' s1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Expires ANNING BOARD DATE reference to the building and its construction may (Signed) to me well known, Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL DATE Z. - 2. t,� 195 PLUMBING ❑ PEM ''f IT No g i* 7 g Contractors 2 ; ,� License No ROOFING in ❑ Work to be performed under this Permit Owner of Building "` 1 ( Architect Contractor or Builder Legal Description. Lot Address of Building / Bt. Subdi- vision CONTRACTOR OR BUILDdCtV BY 8q• Ft Value of Project $ l p4 f 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 . 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 is - this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinan and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stateewents or specifications and that he assumes respo .'.ility for work done by his agents, servants or employees. Signed: INSPEtTOR \. . 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,,,isither, myself, my agent, servant of employee. ee /; Amt. of Permit $ AUTHORITY Date "' Job Address I �� /lam C.._ 9//- Tax Folio /1 I I �3 ®6)0 Legal Description 1-0 a° e • _ �/ l �C � - - Owner / Lessee / Tenant Owner's Address Contracting Qualifier State # d I d? ) Municipal # /°/ Architect /Engineer Bonding Company Mortgagor Permit Type(circle one WORK DESCRIPTION yLL Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFID IT: I .ertify that all the foregoing information is accurate and that all work will be done i. c Alien. with all applicable laws regulating construction and zoning. Furthermore, I authorize 0 e ab•..r -named contractor to-do the work stated. Signa o. Date: FEES: PERMIT 30, 0® APPROVED: /,/ 1L ? L PERMIT APPLICATION FOR MUNICIPALITIES OF DA E COUNTY (OWNER TO RETAIN COPY) I l• r bbl V) nna 1 Master Permit # 362 5370z/W. P hone /,39 " 4L %t RIC/ --Address ,6 A (y) 3 %Zo-c : BUILDING ELECTRICAL PLUMBING MECHANICAL RADON President SS4 Notary as to Owner -- end /or Condo President My Commission Expires: OF FT_ORID N04C.Z` G�. .. C.. 1_92. 1111 GJ.'l l.......� „�... ,.. +JtI.WHli e�.v1��� . .i ** * * - - Phone 1 f Competency # Ins . Co . Address Address Address ROOFING) PAVING PENCE SIGN 4--tfr ‘01b Laat b_p Ag( Estimated Cost(value4 c7j )( * * C.C.F. / Signature , dflContra��or or Date: Notary as to Contra to>' pr My Commission E es: (�/ NOTARY PUDLIC, STATF. OF FLORIDA. ti Y COali.ii. S;ON OL I. N. 1992. BONUEU 'I lI U NUT AIiY YU ULI I'. UNULf2WI1IrEli3. er-•Builder g r -But der * * * NOTARY TOTAL DUE 3/5 Fire Other Zoning Building / 14 / Electrical Mechanical Plumbing, Engineering