ROOFINGMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui din. •.::_ .n R
Date -�-
Type Insp'n t')
Permit No.
Name . MN S
`( .
Address
Inspection Date
pprovef —�
Correction
Re- Insp'n Fee
4q5
\ Di ° q
Company Ivy
Phone # ' q( qQ
is
❑
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot �' r 1 9 Block rr
Street and Number where work is to be done
Estimated Total cost of improvements $
Zone cubage required
Distance .to next nearest building
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ur Inc 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 Divisinn of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept building during progress of the work.
Ow / '/
Owner's Name and Address .... � t
Registered Architect and /or Engineer ........ :..e C O f :1 `... ................. V,V••.,,.•..,,..,......
State work to be done and purposg of building (by floors)
A-11(1) 4.0) 'rc L or
Ncw Building Remodeling
To be constructed of Kind of foundation
Building Inspector
Chairman
\icrr4bcr
Member .. ,.. - ... - -. _.....
Council Approved
NOTE: A charge of $1.00 will be made for making corrections
the Pl.rnnir.g Huard.
A re- inspection fce of 31.00 will be charged
materials anu /or workmanship.
Subdivision r"/
/ 0 9 O tiv E �6S%
and for no other purpose.
Addition Repairs No. of Stories 2 9 242
"r14-1-
Amount of Permit $.
Plan Cubage
Size of Building Lot
— No. ........... Street__ _.._............._.
/ / - ';'°‘ 1� :: 3 ° : 7
R oof Covering
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.. frQ c O // t 2,r �� 5 1 e1444a re 3,.1. � / / '- . .... ...
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 ‘Vorkrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perrmrnent Sup clement,
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 to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks..._ (Signed)
Member
Member
Member
Date Disapproved
STATE OF FLORIDA, d. C o3 94e
COUNTY OF DADE. I ss ' LAG 000 1� I 1� 3 �� 3 7d
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowle'�gments, 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 state true.
Permit No.. -�! . .R Date 4) x -14 Read, Sworn to and Subscribed before me.
Disapproved . l ,� .. ?Date
(Signed)
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
or changes to this application nfter approval
2 7y YS
/ .5-‘14',.s71094041.
to me well known,
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 4 `a W Jab Address /a 70 /l/,E
Tax Folio
Legal Description Historically Designated: Yes No
/ Tenant /I/ C %i2e / 9 - ---( Ve Wa ( 'j/ Master Permit # L tb 7 3
Owner's Address /t97& /t/E 96 g dam'. -ett. Phone 3
Contracting Co. 06 f /4 97 Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
,4, -
WORK DESCRIPTION /� i -f �iLI�O� /�.SS %'`�C�h(/ f5 � P
Square Ft. S•
Estimated Cost (value) 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 : r, zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Sr a : ture o owner an or Condo i. Date
y -3o -q7
otary as to Owner an r Condo President Date
My Commission Expires:
F — /1(0- S"sa.s 3 .? 0
M 4 CNALEL 0. HA-x &t jl
Signature of Contractor r • er- Builder
I77 -(f 3 - -
T� r ;�F� 3 a 9 fi
tary as to i44actor of, Owner- uail� '' "" i " '
�% + . Date
v er . .., . t r,
My Commission Expires:, l. 4 . { n • a : ; •,4., r ".�* : f
•
Li-Jo •-Q 9'
Date
FEES: PERMIT 60 ' RADON C.C.F. • to NOTARY �• BOND
TOTAL DUE
APPROVED:
Zoning Building ~ I / /'3)! Electrical
Mechanical Plumbing Structural Engineer
110‘
Contractor's Name: /3 p V V. < R e O c a A/5 Job Address: / 0 ` ,1 fl ns 9 5.7
ROOF CATEGORY /(/_
❑ (Low Slope Application) ❑ (Nail -On Tile) Q'(Nlortar- Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof ❑ Re- roofing ❑ Recovering `F a pair ❑ Maintenance
Flat Roof Area (ft2) 0 Sloped Roof Area (ft f 6 Total (ft / C Master Permit No.
Exposure category (per ASCE 7 -88): 2 Building Classification category (per ASCE 7 -88 table 1 %:s ----
Ft.
A
v
Ft.
A
V
Deck type:
ATTACHMENT
Fastener Type: 1 f c At°S , l 'i...S IV A'.Z
SPACING
IN 0 1
Field: Iv Q Perimeter QC. Corner:
123.01-78 9/96
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
Page -1
r
ROOF PLAN
A ppenaix
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Ridge Ventilation?
■.4
Deck type:
MEAN HEIGHT ( S
yb w a PL
z Underlayment:
Insulation:
12"
ROOF SLOPE
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
A G am. 3 o
W
Fastener type & spacing:
Cap Sheet:
A Wk
Drip edge:
Mi4 s �C-S
C.OLOr `ON r
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
TILE CALCULATIONS
(Pmaxl: X a (Aerodynamic Multiplier): ) - Mg: — Mel:
PCA:
cpmax2: X X ( Aerodynamic Multiplier): ) - M = M PCA:
(Pmax3: x a (Aerodynamic Multiplier): ) - M = M PCA:
"f
Page -2