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1036 NE 96 St (6)THIS CERTIFICATE MUST BE PRESENTED TO THE ELECTRIC COMPANY WHEN APPLYING FOR SERVICE. THIS CERTIFIES that the wiring and apparatus installed at by ( for Heating: Stove TOWN OF MIAMI SHORES Office of Electrical Inspector ■9 CERTIFICATE OF INSPECTION Address _r owner, and occupied as Other Apparatus / has been inspected and current is authorized to be turned on, until otherwise notified, for: Lights: Number of lamps Watts watts. Water Heater watts Power: Connected load H. P. volts phase cycle Electrical Inspector. No. STREET PART OF LOT LOT BLOCK SUBDIVISION BUILDING TO BE USED FOR !.! ROOF COST OF BtiII.»LNG ' 'ab r ,� FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION • BUILDING TO BE USED FOR ROOF COST OF BtiII.»LNG PERMIT FEE 9 f P` Frame. Tile Concrete. Stucco Residence, s /4 d BUILDING PERMIT Dated Owner of Buildings . Architect.... `. a ; Contractor or Builder i ., 19. . Miami Shores Village, Florida, PROPOSED LOCATION DESCRIPTION OF BUILDING A . H This permit is hereby issued to r ? ° �.. .� To f, : ° the building above described, as per application, ians Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or ulron any change in the plans and specifications authorized by the building inspector. OFFICE OF BUILDING INSPECTOR MIAMI SHORES VILLAGE N9 1 193.... 163 BUIL INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do th_e ' roposed constructiop in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in comp ' nce with all provistons of 'all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village li all rules and egulations or tI}e' building department of Miami Shores Village. ,_7 1 T (SEAL) ti APPLICATION Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other sturcture herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not OWNER ARCHITECT` LOT i NEW (� DITION REPAIRS r COST (excluding Archtitectt Building to be used for STATE OF FLORIDA) COUNTY OF DADE ) Chairman Member, Hem Secretary Building Inspector Permit No. k � Electrical Permit No, I hereby submit all the plans and BUXLDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA Issued to /// � / �� X 4r DATE / CONTRACTOR % ! � '4 BLK 4 SUBDIVISION A " STR ' Notary Public(Signed) My Commission expires Cubic Feet,%1 YnVf/ Cubic feet required in this Block / PLANNING BO UD j - / 1 2-7 ✓ ,",, , numbing PiJrmit No. Date l/ NUMBER OF STORIES ROOF fee, landscaping & garage )$ i L'� and no other uso. specifications for said building. Signed Before me, the undersigned authority, a notary public, d'esI authorized to administer oaths and take acknowledgment, persalklly appeared to me well known, and who, being by me first duly sworn, upon oat deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Road, Sworn and Subscribed before me, r) /y-r /a /i2 • • /. V * • • ' ' Ub ^ ��' PAID BY � �; ,.� „ ( � � (' YEAR a ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 © / c� y 1` //..::../r /r / 1941 0—ti / - .' l - / J 1 o/ Ad :.A° „',11.14.-6, t 1943 1944 (/ 6-52 °0 43 /- /6 1945 ,. , ; 1946 4 � f �I[r c o � g el 1947 1948 • ® /g' cy i 7l � � a ® / . � ` L © p i / — 9' Y? 02c570 a0 0 e r! f/ 1949 1950 �� � r p�0 ° < � . /. —1/ 3 • oo /r `-4 —il /x-i1 : ' /-//-.5o /5' 5 LocATloN 1036 T. 1]. 96t' tree V4Oj GARBAGE TAX RECORD 1036 N. E. 96th St. by year annual tax__ W. W. M,.= food ,( 1 1 I per; od e d dmount paid date paid receipt / / - , 2 -1' s / o C5s / 3 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -1698 Printed: 10 /4/2002 Applicant: KIMBERLY FERREIRAS Owner: FERREIRAS KIMBERLY JOB ADDRESS: 1036 NE 96 ST Contractor CRAWFORD DOOR CO INC Local Phone: 305 - 757 -4113 Parcel # 1132060143550 Permit Status: APPROVED Permit Expiration: 4/2/2003 Work: REPLACE GARAGE DOOR Building Permit Contractor's Address: 339 NE 69 ST Legal Description: 5 6 53 42 MIAMI SHORES SEC 3 PB 10 - 37 E1 OFT LOT 15 & LOTS 13 & 14 Fees: Description Amount FEE2002 -5573 Building Permit Application Fee $60.00 FEE2002 -5574 CCF $0.60 $60.60 Total Fees: Total Fees: $60.60 Total Receipts: $0.00 Construction Value: $795.00 Y PAY TO THE ORDER OF First Union National Bank • firstunlon.com Org. 003 R/T 067006432 dee c(.( CRAWFORD DOOR COMPANY, INC. PH 305 - 757 -4113 339 NE 69TH ST MIAMI, FL 33138 r 4 Ylr. Shy . es �C pu.n OPacto - c 000010188" x:06 70064 3 2 193811 1 DATE DOLLARS $ 63- 643/670 BRANCH 13093 Page 1 of 1 inspection m herefor in strict compliance with all tions that may have been submitted to if the plans are changed without ;ibility for a thorough knowledge of the : he assumes responsibility for work done pertaining thereto and in strict conformity ponisibility for all work done by either DOOR HEIGHT CONSISTS OF " 6' -6 2 SECTIONS 18' 2 SECTIONS 21 6' - 9" 1 SECTION 18" 3 SECTIONS 21" T 4 SECTIONS 21' - 7' -3' - - 7'-6' 5 SECTIONS 18' - 7 -9° 4 SECTIONS 18' 1 SECTION 21° 8' 3 SECTIONS 18 2 SECTIONS 21 8' -3" 2 SECTIONS 18" 3 SECTIONS 21' 8' -6" 1 SECTION 18" 4 SECTIONS 21' 8' -9" 5 SECTIONS 21" - 9' 6 SECTIONS 18" - 9' -3' 5 SECTIONS 18" 1 SECTION 21' 9' -6" 4 SECTIONS 18' 2 SECTIONS 21' 9' -9" 3 SECTIONS 18' 3 SECTIONS 21" 10' 2 SECTIONS 18 4 SECTIONS 21" 10' -3 1 SECTION 18' 5 SECTIONS 21' 10' -6' 6 SECTIONS 21" - 10' -9" 6 SECTIONS 18" 1 SECTION 21" 11' 5 SECTIONS 18' 2 SECTIONS 21' 11' -3" 4 SECTIONS 18" 3 SECTIONS 21" 11' - 6" 3 SECTIONS 18" 4 SECTIONS 21" 11' -9' 2 SECTIONS 18' 5 SECTIONS 21" 12' 1 SECTIONS 18" 6 SECTIONS 21" 12' -3" 7 SECTIONS 21" - 12'-6" 8 SECTIONS 18' 2 SECTIONS 21" 12' -9" 5 SECTIONS 18" 3 SECTIONS 21' 13' 4 SECTIONS 18 4 SECTIONS 21" 13' -3' 3 SECTIONS 18" 5 SECTIONS 21' 13' -6" 2 SECTIONS 18' 6 SECTIONS 21' 13' -9' 1 SECTION 18' 7 SECTIONS 21" 14' 8 SECTIONS 21" - 14' -3' 6 SECTIONS 18" 3 SECTIONS 21" 14' -6' 5 SECTIONS 18" 4 SECTIONS 21" 14' -9" 4 SECTIONS 18" 5 SECTIONS 21' 15' 3 SECTIONS 18" 6 SECTIONS 21' 15' -3" 2 SECTIONS 18" 7 SECTIONS 21" 15' -6' 1 SECTION 18" - 8 SECTIONS 21' 15'-9' 9 SECTIONS 21" - 16' 6 SECTIONS 18' 4 SECTIONS 21' OUTSIDE HANDLE .071" X 7 -1/2 GALV. STEEL ENO ROLLER HINGE w/ (6) 114 X 5/8" SMS — LOCK 2/ DOOR 3' X 1 -1/2' X 6 -1/2" X .1' STEEL WfTH (2) 114 X 3/4' SELF DRIWNC SCREWS .071" X 7-1/2" GALV. STEEL CENTER HINGE W/ (4) 114 X 1/2" SMS 7 X 7 GALV. AIRCRAFT TYPE CABLE & NICO —PRESS SLEEVE W/ MIN. 5 TO 1 SAFELY FACTOR OUTSIDE KEYED LOCK LOCK BAR LOCKING SHOWN SPRING LOADED SUDE BOLT LOCK (80TH SIDES) FASTENED W/ (4) 114 X 1/2" S.M.S. 5/8' MIN. LOCK ENGAGEMENT CONFORMS TO !� SFBC 3603.2 REGARDING GARAGE 000RS CENTER STILE LOCK BAR GUIDES INSTALLED ON END STILE .18T X .6W LOCK BAR ENGAGES IN TRACK ON EACH SIDE OF DOOR 8 INSIDE ELEVATION RAISED PANEL EMBOSSED DOOR GENERAL NOTES 1. THIS STRUCT ;RE IS DESIGNED AS PER THE SOUTH FLORIDA BUILDING COD: 1994 EDRION FOR DADE COUNTY. ALSO FOR WIND LOADS AS PER ASCE 7 -88 USING CORRESPONDING LOADS. 2. ANCHORS SHALL BE AS USTED. SPACED AS SHOWN ON DETAILS. ANCHOR EMBE::uENT TO BASE MATERIAL SHALL BE BEYOND WALL DRESSING OR iTUCCO. 3. ALL BOLTS. NUTS AND WASHERS SHALL BE ZINC PLATED CARBON STEEL 4. ANCHORING OR LOADING CONORIONS OTHER THAN THOSE SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL Engr. DR. HUMAYOUI{ JAR000 STRUCTURES'' FL& PE ! 16557 g oo co 0 4J S O 0 O DAB DOOR MODEL 824 MAX. SIZE 9' -4" WIDE X 16' -0" HIGH DESIGN PRESSURE RATING = + 50.0 PSF — 60.0 PSF . CODE AUG ' 2001. JUL 12,2 4 ii..:: O/- /6.03 [ oo N tO c13 0 1•) V j M J tL U = ? ~ z fn co 0 O Z � 0 _ J Q ® N = N c 0 . 5 7 m c 0 ' U h 4, 0 D 0 c W z 3 8 0 co 0 a 0. 0 0 0 0 v 0 0 n 0 u drawing no. 0 1 -09 (sheet 1 of 3) •; + SOUTHERN PINE 0.55 S.G. • 1.9" X 2.19" X 3.3 X .102" STEEL TRACK BRACKETS SEE SHEET 3 FOR SPACING OPTIONAL STOP MOULDING BY DOOR INSTALLER #14 X 5/8 SMS 6 PER HINGE STEEL TRACK BRACKET FASTENED TO WOOD JAMB WITH ONE 5/16" X 1 -5/8" LAG SCREW 2 -1/8" X .078" GALV. STEEL TRACK FASTENED TO TRACK PLATES W/ 1/4-20 X 5/8" TRUSS HD. LOTTED M.S. & LOCK NUT 7/16" PUSHNUT INSTALLED ON ROLLER SHAFT 1/2" X 1 -3/4" X .059 FORMED SiLLL GLUED TO PANEL AND SECURED TO END STILE WITH 3/16" POP RIVETS 0 12" O.C. 1 -7/8° X 2 -5/8" X .045" STE::L - CENTER STILE. CLUED AND RIVETED TO PANEL W/ (4) 3/16 RIVETS _ #14 X 5/8" S.M.S. 4/ HINGE 7-1/2 X .050 GALV. STEEL _ CENTER HINGE SECTION B —B INTERIOR SIDE /1. 7-1/2' X .071"__ END ROLLER HINGE 3 -3/4" MIN. EDGE DIST. • ' ( H1 1/4" s n e n o - �. tom. FLAPS BENT OVER PANEL 1/2" PUNCHED HOLES 0 4" 0.C. 3/4" X 2 X 2 -1/2" X 18 GA. STEEL (0.049" _ ENO STILE, CONNECT TO PANELS WITH FLAPS AND 3/16° ALUM RIVETS SEE DETAIL ABOVE 5/16" HILTI SLEEVE ANCHORS OR EQUAL 1 -1/2" MIN. EMBED INTO MASONRY 1 PER BRACKET 1/4-20 SS BOLT & NUT 1.82" DIA. X .50" ROLLERS W/ .44 DIA. X 4-1/4" STEM Engr. Ofl. 4UMAYQUN FAROOQ STRUC71.1g S FLA. PC 1 16557 JUL 1 2 2001 24 GA. STEEL PANEL 3/16 ALUM RIVETS END STILE Ari ) [D AS COPPL'iiilG l'ili4 THE Fn117^ CDDF C'. ; __ AUG .2001 r: t.ccirT:.l;: ;;c.0!- os16.o3 z 0 z W o� <i 2 0 O a: O- a.) U "r •- Z M o or O << O a i :3 ffi 1 ZU) • O O W c 0 n 01 N +O 0 r cn 0 0 0 co O M 4 1 M Q J u_ Z ►_—v) o� w tO to rn o 3 O Q z 0 u76 U ¢ N ¢ cn 0 = c c 0 0 N 1J 0 0 0 ,c 1 0 0 0 v drawing no. 01 -09 (sheet 2 of 3 ) HEIGHT E • SECTION HEIGHTS I BRACKET PLACEMENTS 1ST 2ND 3R014TH15T14I 81 82 1 83 84 85 86 87 88 6' -0' 18" 18' 18'118 1N /A 1" t 1 -3/4' 1 23" ' . 34' 45' 56" 67" 6' -6' 21' 18" 18" I21" IN /A 1" 11-3/4'1 23" 34' 45" 56 67" — 7' 0" 7-6' 21 18" 21" 21'21' N/A 1" 11 -3/4 - 23' 34' 45" 56" 67' 78 -1/4 18" 18'118' 18" 1" 11 -3/4'1 23" 34' 45' 56" 67 78-1/4" 78-1/4" 8' -0" 21" 18' 18'118121" 1' 11 -3/4" 23' 34" 45" 56' 67' SLEEVE ANCHOR SPACING ANCHOR! STRUCTURE EMBED I SPACING B LOCK 1 -1/4' 11' 5/16" I CONC. 1 -1/4" 11" BLOCK 1 -1/4 ", 14' 3/8" CONC. 1 -1/4 17 • cc a co 0 N -tt 0 e ao 0 ,� —, w 2" ,-POP RNETS .089" GALV. STEEL ADJUSTABLE SUDE FASTENED TO BRACKET W 5/16 -18 X 3// HEX HEAD M. SCREWS do NtlTS SECTION A —A HORIZONTAL REINFORCEMENT 1/2" X 1 -3/4' X .059' FORMED STEEL GUJED TO PANEL AND FASTENED TO VERTICAL STILES WRH (2) 3/16' POP RIVETS 2 -7/8' X 5-1/2' X 3' X .1' GALV. STEEL TOP ROLLER BRACKET (DOUBLE) FASTENED W/ (6) j 14 X 5/8' S.M.S. HORIZONTAL REINFORCEMENT 1/2' X 1 -3/4" X .059' FORMED STEEL GUJED TO PANEL AND FASTENED TO VERTICAL STILES WITH (2) 3/16' POP RIVETS 5/16' MEETING RIB /16' DIA X 3 -3/4" ROLLER SHAFT RY 'APACHF PRODUCTS CQ' EPS— EXPANDED POLYSTYRENE DENSITY . 1.07 PCF N.O.A. 1 98- 0904.04 OR 1S0-25 POLY — ISOCYANURATE DENSITY . 2.0 PCF H.O.A. >9 98- 0904.03 14 GA. GALV. STEEL ROLLER HINGES FASTENED w/ (4) 14 X 5/8' SMS 12 GA. GALV. S I t.L BOTTOM BRACKET FASTENED W/ (4) /14 X 5/8' SMS MIN. .024' ROLL FORMED STEEL PANEL DRAWING OUALTY G-40 MIN. YIELD STRENGTH - 39 KSI WITH PRIMER AND BAKED —ON POLYSTER PAINTED TOP COAT APPUED TO 80TH SIDES OF STEEL BOTTOM SEAL .058 ALUM PLATE WITH 1/8" X 1' S.M.S. O 48' 0.C. AND RUBBER WEATHERSTRIPPING 5/16 x 1 -5/8' LAC SCREWS INTO W000 OR 5/16' SLEEVE ANCHORS WMTH 1-1/4" EMBED INTO MASONRY 3 PER BRACKET 2 -1/2' x 4 -1/4 X .1 SIttL PLATES WELDED TO 1 -1/2' X 1 -1/2' X .089' ANGLE FASTENED TO TRACK WITH (4) 1/4 -20 SS. BOLT & NUTS /- 2 0 41 z z a 0 S 0 W 0 0 0 m i TRACK CONFIGURATION CAST ALUM. CABLE DRUM HORIZ. TRACK LENGTH OPENING HEIGHT PLUS 12' •— SECTIONS ARE NUMBERED STARTING AT THE BOTTOM FOR DOORS MORE THAN 8 FT. HIGH. USE ADORIONAL TOP BRACKETS AT 10" 0.C. 14 Gk GALV. STEEL TRACK 2' X 3 -1/2" X 12 GA. TRACK BRACKETS 2 -3/16' HIGH CONNECTED TO TRACK WITH ONE 1/4' BOLTS & NUTS. 1 -1/2" STEEL STRUCTURE BY OTHERS MUST SUPPORT THE LOADS IMPOSED BY DOOR SYSTEM WOOD FRAME BUILDING STUD WALLS OR DOOR OPENING SHALL BE FRAMED SCUD BY NOT LESS THAN (3) 2X6 PRESSURE TREATED GRADE 2 OR BETTER WOOD STUDS. STUD WALLS TO BE CONT. FROM FOOTING TO TIE BEAM. WQ9D BUCK CONNECTION TO MASONRY TRACK SHALT_ BE SECURED WITH TRACK BRACKETS TO PRESSURE TREATED 2X6 WOOD JAMBS WHICH SHALL BE ANCHORED TO GROUTED REINFORCED MASONRY BLOCK WALL OR CONC. COLUMN W/ 1/4' TAPCONS WITH 1 -3/4' EMBED AND A SPACING OF 10' 0.C. OR 3/8' DUB HILTI S,.EEVE ANCHORS, 1 -3/4' MIN. EMBED AND A SPACING OF 12" 0.C. THE BLOCK WALL CELLS SHALL BE GROUT FILLED AND REINFORCED WITH FOUR d 5 BARS EXTENDING INTO FOOTING AND INTO TIE BEAMS. ALL BARS SHALL BE CONTINUOUS FROM TL" BEAMS TO FOOTING. PREPARATION OF JAMBS RY OTHERS HORIZ. TRACK SUPPORT AS RE00. EY DOOR INSTALLER 1/4 0 HEX HEAD M.S. & LOCK NUT MIN. EDGE 12 0.C. . DISTANCE 3 _3/47-7 TYPII4L 1 -1/4' X 2 -1/2' X 14 GA CONT. STEEL ANGLE 102' GA GALV. STEEL FLAT BRACKET ± 3' LONG O t12" 0.C. CONNECTED TO CONT. ANGLE W/ (3) SPOT WELDS AT EACH SIDE ALTERNATE TRACK INSTALLATION Engr. OR. HUMAYOUN FAROOQ. STRUCTURES FLA. PE t 16557 14 GA. GALV. STEEL TRACK FASTENED TO TRACK PLATES W/ (2) 1/4- 20X5 /8" TRUSS HO. SLOTTED M.S. & LOCK NUT 1,!':"AVED AS COI.1PINIi:G Mill 111E SPGPI ROf,'.D.1 BUIIDIUG CODE _ -AUG 2 QUL -- 1 -1/2" ..�•.... {.J Ct1 W{ LIIICE AccrrTAnct so.ol — OSLt. J3 z Z O • � P4 Ei O a ce O 1n f W ao 01 10 0 N 40 N ' 0 N 0 0 t In 7 ra 4 U1 °D O N d ' W w W N 49 1 Z It') 5 v c N 0 0. 0 d 0 0 ,c 0 0 0 V 0 m 0 0 0 L drowing no. 01 -09 (sheet 3 of 3 )4 MIAM I- PRODUCT CONTROL NOTICE OF ACCEPTANCE DAB Door Company, Inc. 12195 NW 98 Avenue Hialeah Gardens ,FL 33018 The expense of such testing will be incurred by the manufacturer. APPROVED: 08/09/2001 \\ 1045000I \pc2000 \ \cemplaces\nodce accepunce cover page.doc Internet mail address: postmaster @buildingcodconlinc.com MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLF12 BUILDING 140 WEST FLAGLI R STREET. SUITr•. 1603 MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CON'FRAC OR LICENSING SE:CrION (305) 375 -2527 FAX (305) 375 -2558 CON'I'RACI'OR I•:NFORCI;\1ENT DIVISION (305) 375 -2966 FAX (305) 375 -2908 rIto!)uCr CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of: Sectional Residential Garage Door under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. ACCEPTANCE NO.: 01- 0516.03 EXPIRES: 08/09/2006 Raul Rodriguez Chief Product Control Division THIS IS TIIE COVERSIIEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. Francisco J. Quintana, R.A. Director Miami -Dade County Building; Code Compliance Office Homcpagc: http : / /www.buildingcodconlinc.com DAB Door Company, Inc. ACCEPTANCE NO: 01- 0516.03 APPROVED: AUG 0 9 2001 EXPIRES: AUG 0 9 2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This approves a Sectional Steel Door as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County (SFBCC) for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Dab Sectional Door and its components shall be constructed in strict compliance with the following documents: Drawing No. 01 -09, titled "Sectional Residential Garage Door" prepared by Al- Farooq Corporation, dated 02/01/01 with no revisions, Sheet 1 to 3 of 3. It bears the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by Miami -Dade Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 Units with dimensions equal to or smaller than those shown on the approved drawings shall qualify under this approval. 3.2 This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E- 8 by a Dade County Approved Laboratory selected and paid by the manufacturer. Every 3 months, 4 times a year the manufacturer shall mail to this office a copy of the Test Reports with confirmation that the specimens were selected from coils at the manufacturer's production facilities. And a notarized statement from the manufacturer that only coils with yield strength of 39,000 I'Sl or more shall be used to make door panels for Dadc County under this Notice of Acccptancc. 4. INSTALLATION 4.1 The Sectional Door and its components shall be constructed in strict compliance with the approved drawings. 4.2 The installation of this door does not require a Hurricane Protection System 5. LABELING 5.1 Each door shall bear a permanent label with the manufacturer's name or logo, city, state and the following statement: "Miami-Dade County Product Control Approved 6. BUILDING PERMIT 6.1 Building Permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acccptancc, including two copies of the approved drawings as identified in section 2. 6.1.2 Any other document required by the 1uilding Official or the SFI3C in order to properly evaluate the installation of this system. Candid() Font, Pk, Sr. Product Control Nxaniiner Product Control I)1% kion DAB Door Company, Inc. ACCEPTANCE NO.: 01-0516.03 APPROVED: AUG 0 9 2001 EXPIRES: AUG 0 9 2006 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the originr submitted documentation, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, statc, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals if Acceptance will not be considered in a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the produc is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longe practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any ()idle following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided t' the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Noticc of Acceptance consists of pages I, 2 and this last page 3. Candido Font, PE, Sr. Product Control Examiner Product Control Division END OF' THIS ACCEPTANCE -3- SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works / U 6---Z Buildin fficial Build Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) U IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ ��1 $ 6 ( sq.ft. = x/1000 x ¢.60) $ (¢_005 / sq.ft.) $ (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) U CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ 07,, l7 ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL ° (305) 795 -2207 ° FAX (305) 756 -8972 ° http : / /www.miamishoresvillage.com EL TYPE: Minimum Fee QTY. TYPE Dryer QTY. QTY. "I'1'PI? Outlet, Appliance QTY. TYPE Service Repair Q•I' A/C Central 1 -3 Ton Vent Hood, Cost Fan A/C Wall/Win. Tons Dryer Vents, Number of Outlet, Wall Paint Booth Service, Temporary Ventilation, Cost A/C Central 4 -7 Ton Air Handler, Tons Ductwork, Cost of Fire Pump Piping, Flammable Liquid Outlet, Switch Periodic Inspections Signs Barbecue Fire Sprinkler System A/C Central 8-15 Ton Process/Pressure Piping Fixture - Fluorescent Pump and Abandon Oven Bath Fan - Vented, # Fireplaces, Number of Space Heater (kw) Pressure Vessel A/C Central 16-20 Ton Gas - Appliance Fixture Light Pump, Domestic Parking Lot Lights Supply, AC Well Spas/Hot Tubs Cap - Sewer A/C Central 20+ Ton Gas - Natural Flood Lights Pump, Fire Stand Plugmold/Strip Temporary Toilet Subfeeds, No. of Amps Catch Basin A/C Window Gas - Propane FPL - Load Central Pump, Re- circulate Posts Temporary Water Closet Swim Pool, Commercial Clothes Washer Air Conditioners Gas Piping Garbage Disposal Pump, Replace - Pool Range/Range Top Urinal Swim Pool, Residential Dental Chair Chiller Grease Trap Generators, etc. Pump, Sprinkler Receptacles Utility - Sewer Switchboards Discharge Well Clear Violations Ice Maker Heat Recovery Pump, Sump Refrigerator, Comm. (p/PH) Utility - Water Temp Serv., Construction Dishwasher Compactor Indirect Wastes Low -volt, Burglar Relay Repair Refrigerator, Domestic Vacuum Pump Temp for Test - 30 days Disposal Deep Freezer Interceptor Low -volt, Fire Roof Inlet Renew - Temp Service Water Closet Domestic Well Demolition Laundry Tray Low -volt, Intercom/releph. Septic Connection Repair Circuits Water Heater Drainfield, 4" Tile/Res. Dishwasher Lavatory Low -volt, Television Septic Tank Service, Number of Amps Water Heater New Drains, Area MECHANICAL TYPE QTY. TYPP, Minimum Fee Condensate Drain QTY. TYPE Generator QTY. •IYPI: Refrigeration, Tons Q• IY. A/C Central, Tons Cooling Tower 1•TY. Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. 'TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'TYPE Soakage Pit 1•TY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Shower Water Re -pipe Water Service Drains, Floor Minimum Fee Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 C. PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village •ll o , " onstruction Lien Law and Choosing a Contractor. ature of Owner Print Name rn to and subscribed before me thi ' State of PIaftRifklNE KELLE ;t Notary Public - State of Florida . • = *Commission E>gxes Apr 16, 200 4., Commission a& DD 109725 Bonded By National Notary Assn. STA Si S SEAL: 0 gnature of No RID ac Personally known tf OR, Produced Identification Y OF MIAMI -DADE STATE OF FL Type of Identification Produced: SEAL: Signature of C.0 ctor / Qualifier eitdlb 1tL- PERMIT APPLICATION OUNTY OF MIAMI -DADE Print Name Sworn t and subscribed bef.re me this 30 day of W ed '. Signature of No Si lt ' JOHNSON dy :rJ ., MY COMMISSION # CC 9 03127 °to f`o�c EXPIRES: Jan 18, 2004 1 lea. Notary ServiCe 8 eons n8 Co. Personally known OR, Produced Identification Type of Identification oduced: CONTRACTOR Name G vj F b co. / At , C C S C . C , License No. jO 4ayr06y 9 9BS00/Os . ) Address .r 9 NE 6,9 sr ' 1 "A 001 Ft 23/3? Telephone 7.f7_ 9//3 Fax 7f7 _ y/l Qualifier Name 6 L ER PROPERTY OWNER Name �,,�Q A L F cap A Name K-1'' ' ` H A L i lA6 PAW. Enclosure d Address 1 0 ►( Q 0 „i+, S 1 \ \n nr\ is l vvrQ LL l' r i Address I 1 I Home Telephone 2 c ) 751 — 1 q •J Telephone Business Telephon ✓ Fax ENGINEER Name �,,�Q A L F cap License No. Enclosure Address t Q e.-- s77 M4) /I t o ,3 3/ kJ Telephone Alteration Interior ✓ Fax Relocation of Structure TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior ✓ Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be Step 1. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: S O?)(. Q I • 9 V' +h . \ l Gk 4 (5\ VU Q S 1 1 , 3I J Address Apt. City State Zip Folio Number eG Lot o¢ /3 ,y 13 Block R1 Subdivision Se4 4- 3 PB PG Zonin Current Use of Property ioENC Square Feet -56 0 Units Floors Proposed Use of Property Value of Work 7 9.r, Bldg Value Tenant Information !•7/1 PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone F Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. PERMIT CHANGE Chg. Contractor Renewal Revision Extension Supplement Reinspection (✓) aken to obtain a permit from the Miami Shores Village: Description of Work 1 8'X 7 PERMIT APPLICATION Master Permit No. Subsidiary Permit No. (flea Ci�ae dcxz_ Linear Feet Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Application is hereby umndc 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 Name and address of licensed contractor Location and legal description of lot to be built on: Lot block • ��bdivision / / Street and Number where work is to be done lf .... ._ . State work to be done and purpose b 'Iding /.,, Boors Disapproved .... (Signed) Date Cipainnan • Nferr,ber Member .. _....._......_..._., ...._ Council Approved Date NOTE: A charge of $1.00 will be made for the YLinnir.g Board. A re inspection fee of $1.00 will be charged materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 71_ N...te Date... No. s. °: )P treet e PLANNING BOARD DATE Notary Public, State of Florida and for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Styles To be constructed of Kind of punch o Roof ry verin g. . f-W> Estimate Total cost of improvements $.• °� Amount of Permit S.. Zone cubage required plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all 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 w ith 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 perf,, ed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) Building Inspector My Commission Expires .. 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 _•. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.. 3. .(1 Date / 2 Read, Sworn to and Subscribed before me. Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained fmm when such re-inspection is made necessary by Improper notice for inspection or faulty I, APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY to re- occupy the single family residence known as : (address) Legal Description: Lot: Applicant Jl� Block , Miami Shores, Florida. hereby apply for a certificate PB & PG: I hereby certify that I understand that the zoning of the property is for single -family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re= Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single -family purposes and that such Certificate does not constitute any representation, warranty or certification to the condition of the dwelling or other structures on such property. Date Print Name ''1-% C--. "b v ** * * * * * * * * * * * * * * * * * * * ** * * * * *a * *,ti ** ss:, s****** * * * * * *s * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: \ '._.; Contact Name: Buyer Seller Application Fee (SS0) paid: Cash Check No. / Inspected by: Comments: Q— Telephone: ?o S 5 — l> U 0 Realtor Company Name PAGE I OF 2 30 )8- q D Approved )( Denied - d Date / Z CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. MIAMI •RES FLORIDA By: PAGE 2 OF 2 Date of Certification: 5 ?VI! Q _ THIS CER i tt. iC ATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMMED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTENDED TO BE USEDFOR A ONE- FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH • CONDITION, AND INI'EERES'itll PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREM [SES IN ORDER TO DE thRMLNE THE CONDITION, • THEREOF. Miami Shores Village 10050 NE. end Avenue Phone: 795 -2204 Printed: 6/10/2003 Applicant: KIMBERLY Owner: FERREIRAS JOB ADDRESS: 1036 NE 96 Parcel # 1132060143550 Building Permit Permit Number: BP2003 -938 FERREIRAS KIMBERLY ST Contractor CHUNILAL RAMKISSOON Contractor's Address: 8510 N. W. 3 LANE #604 Local Phone: Fees: Description Amount FEE2003 -3503 Building Fee $451.00 FEE2003 -3504 CCF $18.00 FEE2003 -3505 Builders Bond $300.00 FEE2003 -3506 Inpector State Educational Fund $2.77 FEE2003 -3507 Radon $5.54 Total Fees: $777.31 Permit Status: APPROVED Permit Expiration: 12/7/2003 Construction Value: Work: SWIMING POOL SPA AND PATIO $30,000.00 Page 1 of 1 Legal Description: 5 6 53 42 MIAMI SHORES SEC 3 PB 10 -37 E1OFT LOT 15 & LOTS 13 & 14 Total Fees: $777.31 Total Receipts: $0.00 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: _ 4 1093 AWARD WINNING POOLS, INC. 12973 SW 112TH ST. #320 MIAMI, FL 33186 DATE 4 ORDER OF TO THE PAY () i ' Sh d V ( , (l ,i- e OBankUnited /vie 9 -°° 3- /°/ St.. 9403 - 175 - 16800 NW 67th Ave. Miami, Flon a 339,15 11 1- 877 -779 -2265 www. uexpress.com 7h 04 /03 `/ S FOR CO�CSe (JIT4 o 3 - 3 111 00 /09311° II 26 ?0905941: 04 29006 3,6011' $ f O i . 3/ 63- 9059/2670 42 DOLLARS B ...� 305- 795 -2204 Building Inspection Request Datef I ��' Time Type Insp'n no 1 F c i/ Permit No. '3g (D- Name ► CJ `IC5 Address (O3 NIL q Company Phone # 1 For Inspector: 1 I 1 I Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT c, a`,v • Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT \ 305-795-2204 Building Inspection Request Datel \ 1 -4- Time r inal 7V Permit No. 3 4 F - E) yi‘.0 Nr Ci Address u3c NE 7( t- i 'Company p5. - Phone # -1 / / - --:---, For Inspector:I III - - :-Name & Date , / i Approved ---. :17: Li, 1 , 6 1 Correction o ,. e... ii - ..• t Re-Insp'n Fee 0 , i ., .'4 1 .4 t t 1 1 'T•'i ,,, •• 1 .2 ..,-- • t- -i 4 a r.kTro-r-r. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Tit 1 Owner's Address l(� City i t tir() -C Tenant/Lessee Name Building i e o der) j< W R. Cf'P t S Phone # os- 15 /17 State T Zip 3 U Job Address (where the work is being done) 103 (t, A) -a 7G 5•T(Pf 7 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name C LA -L (I? t ri) ICI SSG Phone # Contractor's Address City i _ State Zip Qualifier C V l U l\-A L A" g_t Nl k/ S.S (/U/ � � Architect/Engineer's Name (if applicable) P 1 14 c( (tz fil ! ' CS Phone # ' ` ' COI Architect/Engineer's Address `l G j ( U Ji'■) City lrn I rgY) 1 State "F $ Value of Work For this Permit ./tJ Number of: Bays Stories Families Type of Work: ['Addition ZEKilteration Describe Work: ' Z Its ro I I Miami Shores Village Building Department Master Permit No. 2t 3-- 13 Electrical Plumbing Mechanical Roofing ❑New Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit No. Bedrooms Baths ❑ Repair/Replace ❑ Demolition County Escrow Fee $ Permit Fee $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) VW,ki Zip 330 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 X71 ° Notary $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _ , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY. chc7r7 /03 **** Signature Contractor The foregoing instrument was acknowledged before me this day of - ,20_,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Type Insp'n Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date - " r Time Permit No. P-PQ00A-IS;D- (`- Name 'mot R J Company !!= Phone # $4 (" {� / 7 S 6 • f7 '1 For Inspectorf() / S =+� Name & Approved // Re -Insp' n Fee 41e v4 Yvt , to . MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request L Date Time Ffne e) Type Isisp'n Permit PermitNo. !' ?-) aco3' Name , Address \ ONO C VO S Company Phone # For Inspector: a I' 11 8 Name & Date Approved Correction Re-Insp'n Fee A4/551Arr post x/E_ 4 Yt. 1 4 , £20"'1 4- 3 4 - So ot .!• . . • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 1 Date 1 1 Time Type Insp' n t cal . C R nCe) . Permit No. Z P c J - . rnYX Address \c(0 E Name Company Phone # For Inspector: Approved Correction Re- Insp'n Fee 3F' 11 8 Name & Date /Lli5S1'rc 2 �osz )0E- � YID w G�ot MIAMI SHORES V BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 3 Type I Permit No. 1? p P-003 .93g Name ,P1r �' �1 1r Address / 0 3 6 NS y6. �✓ Company CL► 011 10 1 f` .T l 14 5c' /1 Phone # ) \ ' eb ,°yp,e4 For Inspector: 7_ fj 3 Name & Date Approved Correction Re- Insp'n Fee ❑ Time MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. _ _._ _ i _4eL_Ar1 Name j \h-Q 1 )Ltl.D Address4(l j�'� ��� Compan .( 0 c i t Phone # J S �j For Inspector/ I / )� Name : ate PP A roved 11 1' I Correction Re- Insp'n Fee