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1050 NE 96 StTest Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 /i*i =7 26 , 9�a 51 52 C—.� 76 77 2 27 —� 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 61 85 86 11 36 12 37 62 R7 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 67 91 92 17 42 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 72 96 97 22 47 23 48 73 74 98 99 24 49 25 50 ----- 75 100 r ' kY? l. St b.6 - Permit #: ( 5o i1J 1 KA1>A# -4 l St a05 , C (. LS a. c 1 ®QF, '1>P•.0 1s4 \ S t — FDA -t '7E! Approximate Roof Height Type of Access to Roof: Scaffolds ✓ Ladder Approximate Square Footage of Roof: 31 ft' Required Testin F rce: S Ibs, Testing Equipment: Chatillion 100 Date Tested: � � 1 Owner's Name: Job Address Roofing Contractor: Type of Tile: U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT SUB ITTED BY: Civil Engineer? 9//9j Lab Certification # 98- 0608.04 State of FL Certificate Authorization # 4100 SITE SPECIFIC INFORMATION TEST RESULTS P = PASS, F = FAIL Project Date Installed 82341 Roof Pitch 4 ` (Z Other N9 001125 KETCH OF ROOF Jog )t'5 N& 4 . G1 5 SHEET NO CONTRACTOR CHECKED BY SCALE oF NMI ,,1 Eri .111 VA MERAW61511L FAMPIWAWAIIIMP iA/ Egsvmsz �11�N AWMFAIIIIN EMU smut U..... LORIPILr1 E INAMLIPM ■IMM rI somprai LIP ` I VAIIINTECT FslrIIIRl■ ti i r sc_4, „ NP I al NOTES' Notary as to • er and/o My Commission Expires: FEES: PERMIT RADON y� -`2/19./ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 1050 N.E . 9 6 Street Tax Folio � j- j2 © t -0/4 5 5 2 0 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Florence Sarkisian Master Permit # 4'4 g 97 Owner's Address 1050 N.E. 96 Street Miami Shores Phone 751 -3539 Con gCoQuality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue Qualifier Carlos Arocho SS# Phone 751-0382 • State # RC 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Address Address Architect/Enigineer Bonding Company Mortgagor • Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTLONTear off old roof to wood deck, tin cap 301b. ASTM felt, install qal' eave drip and valley metals where required mop mop on with type III asphalt one layer 901b. ASTM felt, install 5 S�1 TerrtaolO�olorthru tile with polyfoam adhesive setting. Square Ft. 3 7 s q . Estimated Cost (value) $ / / 3n �� O 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 contractor to do the work stated. X ZD c /Signature of owner and/or Copdo President Date Signature of Contractor or Owner -: uilder II r C • • • • u� iden / Date } : 'Ym' •., A LIB 6' I MARYLOU HERNANDEZ MY COMMISSION # CC 680474 EXPIRES: October 10, 2001 Bonded Thru Notary Public Underwriters APPROVED: Zoning Building Mechanical Plumbing a - s - Aft , i C.C.F. i to Con Notary as t r or My Commission Expires: NOTARY BOND Electrical TOTAL DUE =s aD� Date ,a — .s / RYLOU HERNANDEZ MY COMMISSION # CC 680474 EXPIRES: October 10, 2001 Bonded fire Notary Public Underwriters Structural Engineer NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: e 1R096477 2001 MAR 01 09 :59 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 1 0 5 0 N . E. 96 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to a new Tile roof . 3. Owner(s) name and address: Florence Sarkisian Interest in property: Owner Name and address of fee simple titleholder: N/A Amount of bond $ 0 0 6. Lender's name and address: 1050 N.E. 96 Street Miami Shores, Florida 33138 4. Contractor's name and address: Qua lity Roofing Contractor, Inc. 5. Surety:(Payment bond required by owner from contractor, if any T t W FI_G° ID .., COUNTY OF !•l.pF HE�CNYCEIZ''Fr .y • ' �h� Name and address: N/A n■.in, Old in ,/ .< olio ii5T nt N/A 13800 N.W. 1st Avenue Miami, Florida 33168 Jl. ■E my hand anc �tnc .,, :.•a . ill `,VEY RIIVIN Circwt Lind Cotnty coin s By, �1� D.C. 7. Persons within the State of Florida designated by Owner upon whom notices or other by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A cuments may be served as provided 8. In addition to- him 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: N/A 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) Signature of Owner Print Owner's Name /O re" ce �a r � � S Sworn to and subscribed before me this 5 day of , 206 / Notary Public Print Notary's Name My Commission Expires --� -Zo j 3-✓ MARYLO�` RNANDEZ • ' d CG b8U4 /4 EXPIRES: October 10, 2001 Prepared by Carlos Arocho Quality Roofing Contracto Address: 3800 N. W. 1st Ave. Miami, Florida 33168 Contractor's Namea,t a 1 , Ro ni Job Address: l O O {1 u., L 1 ( ST rC e f ❑ (Low Slope Application) ROOF CATEGORY ❑ (Nail -On Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof R e- r oofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft') Sloped Roof Area (ft') 390057 Total (ft') 3' .S 5 , Master Permit No. Exposure category (per ASCE 7 -88): C- Building Classification category (per ASCE 7 -88 table 1): ,L Ft. A Y Ft. A V Deck •e: Field: Fastener Type T ACHMENT SP I NC Perimeter: Corner: 123.01.78 aNc DETAIL 1 & 2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Page-I (Mona - Adhesive Set Tile ROOF PLAN Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? Deck type: z Underlayment: WOOS 1€( Insulation: • 301 MEAN HEIGHT 139 12" ROOI SLOP! D E T A I L 3 SLOPED SYSTEM DESCRIPTION STAA Fastener type & spacing: Cap Sheet: Roof Covering: Drip edge: /2"D. . F'eJd //e) c . et./ . C.V : M-J hr's • - i? , erq /4T cork 66/hi ATTACHMENTS REQUIRED I) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation . c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals Page -2 (Pmaxl: (Pmax2: )D3 n (Pmax3: X03,9 x X (Aerodyn Multiplier): 20.9 - X X (Aerodynamic Multiplier): 30. ) X X (Aerodynamic Multiplier): 30.0) TILE CALCULATIONS M 5. ° I O 'M 1 : /540') PCA: (o 1.10 M Q = M 2(0 7 PCA: ( LW M 5'.10 = M PCA: 6 I -`Z) Act I�1� - fLl2"'L APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS - As it pertains to this Appendix "F ", it is the responsibility of the roolin` contractor to provide the owner \'.•ith the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the ntinint.:in requirements and standards of the industry for roofing system installations. Additionally, the following items shoiId be addressed as part of the agreement between the owner and the contractor. The owner's initial in'the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The ■orkmanship provisions of Chapter 3; are for the purpose o f providing that the roofing system meets the wind resistance and wa • water intrusion perf�onttance star,da -d;. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renai'.ed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) 7yf 3. Common Roofs: Common roofs are those which have no visible delineation between ncighbori:ttl units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor end /or owner should notify the occupants of adjacent units of roofing work to be performed. -{".CJ 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking, can be viewed front below. The owner may wish to maintain the architectural appearance, therefore, roofing n :iil penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. lD S. Ponding Water: The current roof system and /or deck of We building, � may not drain well erd may cause water to pond (accumulate) in low -lying 'areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. fi G. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is no overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. r. 7. Ventilation: Most roof structures should have some ability to vent natural airfloy thro.i2h rite i:,terio- of the structural assembly (the building itself). The existing, amount of attic ventilation shall no: be reduced. I: may be beneficial to consider additional venting which can %suit in extending_ the service life of the rot. S. The owner may contact the Miami-Dade County Consumer Services Department fog. furore.. information regarding the above. v 'emu, Owner's /Agent's Signature .2_ 3 =' or o j ��C2 riL�i D;itc Contr;ictor's Sign ;iturc " FEB 21 '01 14:12 FR BRADCO . • MIANIIOA PRODUCT CQ 1TRQL NOTfCE OF ,AC Santa Fe Tile Corporation 10302 M.W. South River Drive, Bay #16 Mcdley .FL 33178 Your application for Notice of Acceptance (NOA) cf: Spanish "S" Clay Tile under Chapter 8 of the Code of Miami -Dade County governin Construction, and completely described herein, has been recd County Building Code Compliance Office (BCCO) under the APPROVED' OVOl/2fQ 1 11 s 0 e5 0 001toc2000Reenfpgp tnoci a weeponee cow page doe Internet mail address: postmasterebulldingeocleanline ,eom H FEB 13 '01 17145 305 597 9484 TO 3059533333 P.01/05 i MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO - DADE FLAG!.CR BUILDING 140 WEST rLAGLER STREET, SUITE 1603 MIAMI, ?LORI nn 33130-1363 (30S) 375 -2001 FAX (305) 375.2406 CONTRACTOR LICI:1v91NC SECTION (303) 375-2527 VAX 1305)375-2330 CONTRACTOR E.FOKCENIk 1 nlVISIO ' (303) 375 -2066 PAX 001) 375 - 2906 rKoutJcr CONTuot. ulvlsio" (309) 375 -2902 FAX (305)372-6;30 the use of Alternate Materials and Types of ended for acceptance by the Miami -Dade nditions specified herein. This NOA shall not be valid after the expiration date stated b ow. BCCO reserves the right to secure this product or material at any time from a jobsite or rnanufactu is 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 eet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the rrtanufactu ACCEPTANCE NO.: 00 1212.06 EXPIRES: 02 /A1Ip06 /z- Raul Rodriguez Chief Product Control Division TAT I.S IS THE COVERSHFEj SEE ADDIJJ )NAL PA(E„S FOR SPECIFIC AND GENERAL e MplT1ONS BUILDING CODE & PRODUCT REVIEW COMNITTE1 This application for Product Approval has been reviewed b+ 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. Quintann, R.A. Director M iami -Dade County _ building Code Compliancc Office ittepAgo: http:h ..'w.uuIldingcodeoolinc.tom 3058880050 PAGE.01 FEB 21 '01 14:13 FR BRADCO VLi SV/ LVVi J V .... ROOFING ASSEMBLY APPROVAL Roofing Sub Cateforv: 07320 Roofing Tiles Materjtt1 Deck Tyne: 1. SCOPE This renews a roofing system using Santa Fe "Santafe Santafe Tile Corporation described in Section 2 of this comply with the South Florida Building Code, 1994 E locations where the design pressure requirements, as d does not exceed the design pressure values obtain by c using the values listed in herein. The attachment calcu system. 2. PRODUCT DESCRIPTION Manufactured by Test iii 1icantj Dimensions ,Iecifications Santafe 'S' Clay I = 18" Roof Tile w m 113" %a" thick SANTAFE TILE CORPORATION Clay Roof Tiles Wood Trim Pieces I = varies PA 112 A w .varies hi varying thickness 2.1 COMPONENTS OR PRODUCTS MANUFAC Test Product Dimceuiio_no Snceifientions Tile Screws t16 K 2 - 4" long PA 114 0.130" shank dia. Appendix E 0.178 flute dia. 3. LIMITATIONS 3.1 3.2 FEB 13 '01 17;45 Fire classification is not port of this aeceptanc For mortar or adhesive set tile applications, a accordance with RAS 106. 3.3 Applicant shall retain the services of a Mia perform quarterly test in accordance with PA submitted to the Building Code Compliance 0 325 597 9494 TO 3059533333 1 ACCEPTANCE No. 00 - 1212_._ 6 Approval Date: Fjuary 1 2001 Expiration Date. Fcbruttry 1, 2006 S" clay rooting tile, manufactured by otice of Acceptance, designed to Lion for Miami -Dade County. For ermined by applicable building code, Icuietions in compliance with RAS 127 ions shall be done as a moment based Product oscrirtion PA 112 0 e piece high profile clay roof tile e• ipped with two nail holes. For nail -on, m I rtar set and adhesive set applications. cessory trim, clay roof pieces for use at s. rakes, ridges and valley terminations. nufactured for each tile profile. URED BY OTHERS Product Pescrintien tainless Steel ManufeettliLpr generic atic field uplift test shall be performed in i-Dadc County Certified Laboratory to I 12 a ,.I 1 ' hail he I 4Z 4 1 000 -memOv --- RAC Roofing Product Control Examiner 3058880050 PAGE. 02 SAN'z'AE TON 3.5 30/90 hot mopped underlaytnent applications slope unless stated otherwise by the under! literature. 3.6 Thin acceptance is for wood deck applicati compliance with applicable building code. INSTA,LLATION 4.1.1 Santafe 'S' and its components shall be installe County Roofing Application Standard RAS l 1 4.1,2 Data For Attachment Calculations ACCEPTANCE No.:Q0- 1212. w ay be installed perpendicular to the roof yrncnt material manufacturers published Minimum deck requirements shall be in in strict compliance with Miami Dade , RAS 119, and RAS 120, I Table 1: Aerodynamic Mutti?.lyers- X ft' Tile Profile :1, (ft) Batten A. • tic tion . (ft Direct Deck 0,297 4 Santafe 's' 0.27e Table 2: Restorin• Moments due t Gravity - M jft-Ibf) J Tile Profile 2 ":12" 3 ":12" 4 ":1:2" 5 ":12" 3 " :12" 7 ":12" or i greater Battens Direct Deck Battens Direct Deck Battens Direct Deck 8 ens I Direct Deck Battens Direct Deck Battens 0(rect Deck Santafe '5' 3.93 5.90 5.85 5,82 5,73 5.69 .56 5.53 5.32 5.29 5.03 NIA Table 3: Attachment Resistance Express d as a Moment- Mf (ft•1bl) For Nall -On Sys'- Tile Profile Tile Application Two Nails One Screw 29.18' i wo Screws 38.28' One Screw w/ Cli 57.31 Two Screws w/ Clip 57.60 , 61.77 Santafe S Direct Deck 21.8 Battens l it t. A. .roved screws as noted 'Product manufactured • o thers' I Table 4: Attachment Resistance Expres •, d as a Moment - M1 (ft -Ibf) for Mortar or Adhesive t S stems Tile Profile Tile A' • lication Attachment Resistance Santafe 'S Mortar Set 23.6 Adhesive Set !_ 61 FEB 21 '01 14!1.3 FR DRADCO 4 FEB 13 '01 17 :46 305 597 9484 TO 3059533333 3 .03/05 rank Zuloaga, RRC Roofing Product Control Examiner 305868005E PAGE .03 FEB 21 '01 14:13 FR BRADCO 305 597 ;484 TO 3059533333 F.04/05 ., ACCEPTANCE No.: 00- p112 SANTAFE TILE CORPORATION 5. LABELING 5 t All tiles shall bear the imprint or identifiable mhrking of the manufacturer's name or logo, or following statement: "Miami-Dade County p oduet Control Approved ". 6. BUU D NG PERMIT REQUIREMENTS 6.1 Application for building permit shall be accomanied by copies of the following: 6.1.1 This Notice of Acceptance. FEB 13 '01 17:46 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation oithis system, PROFILE DRAWINIC SANTAFE "SANTAFE S" CLAYIROOF TILE 4 Trenk Zuloagu. RAC Roofing PrOduCt Control Examiner 3038880050 PAGE. 04 SANTAFE RILE QORPQR TION NOTICE OF ACCEITANCE STAND*? CONDITIONS h Renewal of this Acceptance (approval) shall be considered aft original submitted doccmerttation, including it supporting da eight (5) years. 2 Any and all approved products shall be permanently labeled wi the following statement "Miami -Dade County Product Control specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a chaange in the South Florida Building C and the product is not in compliance with the code change b) The product is no longer the same product (identical) as c) If the Acceptance holder has not complied with all the req correct installation of the product; d) The engineer who originally prepared, signed and sealed submitted, is no longer practicing the engineering profess! 4 Any revision or change in the materials, use, and/or manufactu automatically be cause for termination of this Acceptance, wiles (through the filing of a revision application with appropriate fee 5 Any of the following shall also be grounds for removal of this A ptance: a) Unsatisfactory performance of this product or proces b) Misuse of this Aoeeptancc as an endorsement of any pr purposes. FEB 13 '01 1 ? :46 5 9 This Acceptance contains pages 1 through 5 END OF THIS ACCEPTAI ACCEPTANCE No.: 00- 1212.06 renewal application has been filed and the engineering documents. are no older than the manufacturers name. city. state. and pproved ", or as specifically stated in the affecting the evaluation of this product one originally approved; rements of this acceptance, including the required docunmentauon initially of the product or process shall prior written approval has beep requested and granted by this office. et, for sales, advertising or any other 6 The Notice of Acceptance number preceded by the words Miami ride County, Florida, and followed by the expiration date may be displayed in advertising Literature. If any of the Notice of Acceptance is displayed, then it shall be done in its entirety. 44i 7 A copy of this Acceptance as well as approved drawings and oth documents, where it applies, shall be provided to the user by the manufacturer or its distributors ands 11 be available for inspection at the job site at al: times. The copies need not be resealed by the engineer 8 Failure to comply with any section of this Acceptance shall be case for termination and removal of Acceptance, rank Zuloaga, RAC ofing Product Control Examiner 3058880059 PAUE.05 *-K TOTAL PA3E.05 *x: (Signed) Disapproved ........_.._. . �` }.....ew ...,. Da e MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or me plans and specifications herewith submitted for the build • ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, w hher herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date... .. ...___ / ._r_..._. ..._.... ,19.1 1 Owner's Name and Address ... %.. .Street._ .� W Registered Architect and /or Engineer . .,, .. .....,,••,,,�K.f ............. . -• :. Name and address of licensed contractor .. i.jil `� "� l - '.....!•.! /4?Sj .• Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State •ork T be done a d purpose gf building (by fl rs) _. f O. ._ and for no other purpose. New Building Remodeling Addition Repairs V No. of Stories To be constructed of Kind of fouundabi Roof Covering Estimate Total cost of improvements $..1 Z .. .Amount of Permit $..Ot..O . b Zone cubage required Plan Cubage Distance • to next nearest building.. . Size of Building Lot Maximum live load to be borne by each floor ........ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup clement, and has complied ssith the rovisions 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 arc 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. ,,aa� Remarks (Signed). ...,��%�� trCL. STATE OF FLORIDA, 1 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.._.._._. . �l .._Ca . Qate 7 ' a..I.. .........._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member Member Member Member Member —.. Council Approved _ Da te 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 Plannir..t Board. A re inspection fee of $1.00 will be charged when such re- inspection ix made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR E3UILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Registered Architect and /or Engineer Name and address of licensed contractor. . L.' f r /1!._' ,L.L Location and legal description of lot to be built on: Lot Block Subdivision _ Street and Number where work is to be done.... / P..v2 Stete„dvork to be done an purpAde gf building (by floors , , E, ___ No..., e.:Iv!L!`'S .... .................... ....- ,. sass. " ...II � �'`- 07 and for no other purpose. New Building Remodeling Addition Repairs. ._.. No. of Stories. To be constructed of Kind of found tion Roof vering Estimated Total cost of improvements $./t' ( A,rnount 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 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work o be performed under this permit, as are licensed by Miami Shores Village. " Remarks (Signed) _ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _.. 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._ l/ 3 ,2J - ' G Read, Sworn to and Subscribed before me. ___ � � Date Disapproved Date (Signed) ._f._a' :.. • 7 3 2 < < t LS �� 1 Notary Public, State of Florida Buildin 'Inspector ' My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member sass.. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of Sl.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 ......... ga7'...H.a..i1? tZ No 1050 Street N.E. 96th Street Registered Architect and /or Engineer Name and address of licensed contractor 1 7eathBX'proofirlg. a ....I sa - __2 _ 5 - ;r ° fA 6th Streets, _. Miami Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1050 N„E 96th Street State work to be done and purpose of building (by floors) Apply Insul — Mastic white roof coating to flat and for no other purpose. New Building .. Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 396 Amount of Permit $ 1n00 Zone cubage required Plan Cubage Distance to next nearest building . of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Su1plement, 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 sub tractor on work tft - performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Date December 20 ,N 57 R'th L. Scott Secretary 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 Cn 5"L Date I "g. Z 3 " ` Read, Sworn to and Subscribed before me. Disapproved D • to (Signed) - ... Building I pector Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner's Name and Addres State work to lie done a pu STATE OF FLORIDA, COUNTY OF DADE. j ss OAMI S ES VILLAGE Registered Architect and /or Engineer ... Name and address of licensed contrtctor..'!yj n.. Location and legal description of lot to be built on: f buildin Disapproved _ Date.._. (Signed) � Building Inspector NOTE: A charge of $1.00 will be made for the Planning Board. A re in >pcction fee of $1.00 will be charged materials and /or workmanship. BUILDING INSPECTION DEPARTMENT. APPLICATION FOR E3UILDING 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, wheth herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Lot Block Subdivision Street and Number where work is to be done Chairman Member Member ...... _..._._..._._.-_.._-.---•- Council Approved Date and for no oth purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $...o �.s•.4•� 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 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 ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such su• •ntractors, on work to be perfo under this permit, as are licensed by Miami Shores Village. Remarks (Signed). PL •. NINC BOARD DATE 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.. Date '( s .. _ Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires 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 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer 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 I O )1_11 Disapproved Date (Signed) Date / 2- , 19 No Street 7 c-? New Building Remodeling Addition Repairs No. of St tries To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ P 6=0 a � Amount of Permit $ State work to be done and purpose of building (by floors) and for no other purpose. Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from al contractors ,•r su •-contractors employed b jhim in the work to be performed under this permit; and will post or cause to be posted fo i ection on e si o th work such pu -ic -otice or notices as are required by the Act. The undersigned agrees to employ only such s ntractors, perf rued r n,`r this permit, as are licensed by Miami Shores Village. Remarks (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 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� true. /� p Permit No 1! I!__ Date C Q 'I Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE 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 Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty mate als and /or workmanship. APPLICATION FOR BUILDING PERMIT . Application is hereby usade for the approval of the detailed statement or toe plans and specifications herewith submitted for the build in or ether structure herein described. This application Is made in compliance and conformity with the Building Ordinance of htiarni 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 iuilding 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. Mrs. Sarkisian Name and address of licensed contractor MIAMI SHORES VILLAGE Registered Architect and /or Engineer ,,,, Location and legal description of lot to be built on: os `, Lot ......A�.�.. Block 4 Subdivision /V -S 9 - .11. .._ / 4' 35 .moo 7 Street and Number where work is to be done _ 1050 N E. 96th Street — State work to be done and purpose of building (by floors) Re-Roof. Tear off existing tile roof. Tin cap 1 -30# felt. Mop 1 -90# slate Install white, flat, cement tile. a _ 36 Squares New Building Remodeling Addition Repairs Re -Roof No. of Stories 1 To be constructed of Kind of foundation Roof Covering Tile Estimated Total cost of improvements $ $ 8640.00 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.. Biscayne Roofing Co.,, 51.B.0..._B., 1.1....Ave.. Hialeah, ....El- 3.3.013. 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 St ,p dement, ss and has complied nth the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe by him in the work to be performed under this permit; and will post or cause to be poste r inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only su . ntractors, on work to be psrformed under this permit, as are licensed by Miami Shores Village. Remuks... (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared James T. Laing to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the Roofing Contractor of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, sad that all facts therein by him stated are true Permit No Disapproved (Signed) Chairman y .. . 6)° 1 Date... . Building Inspector Member Member Council Approved BUILDING INSPECTION DEPARTMENT Date..._-.._... —._... Feb. 25 ,19.. 86 No. . .10 50 ..__. Street N. E. 9 6 St . Biscayne Roofing Co. 5180 E. 11 Ave. Hialeah, Fl. Read Swo me. Notary Public, St e of 'Florida r y My Commission Expires. T�qg� 1 ?UBLI STATE OF „�OglnA_ dkl�( GO�g�SS1JN EXP1RCS JUNE F2A_ PLANNING BOARD DATE 1ON PW_ U -`GE Ee v , J, pin Member Member Member . — and for no other purpose. • Dote 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 Pl,innir,:z Board. A re ,mpection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspes'tiem or faulty materials anu /or workmanship.