1180 NE 97 St (10)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 //-
% Building Inspector
MIAMI SHORES VILLAGE
APPLICATION- FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work
Date , 19 ° ;`
BUILDING INSPECTION DEPARTMENT
Disapproved Date
( Signed)
Na.'
State work to be done and purpose of building (by floors )_
1
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering - ' /% n
M-9'
Estimated Total cost of improvements $_ r5
Amount of Permit $_ __sue_
Street
4/36 7y =;
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 h"n
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) _Lf l ��� 1___
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 r_ �� ! Date �2 �' Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
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 -i ispection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materia /and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
l /
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
i PERMIT IT? 13472
DATE 195
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
Contractor's
License No
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
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.
J une 29
Owner's Name and Address Frank Havelick — No 1180 street E0 97th t
Registered Architect and/or Engineer .
,
Name and address of licensed contractor 3benour Roofing Co, 7357 N
Location and legal descripl n of lot to be built on:
TBlock g Subdivision S..
Lot C
Street and Num er where work is to be done 1180 N E , 97th S t
Remove the existing roof and replace with
Stye o be dnne.and pm building (by floors)
10. ue1t, .1. lb. slate„ galv. flashing and white shingle tile.
and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories
To be constructed of Kind of foundation Roof Covering 28 sq s Q
,
Estimated Total cost of improvements 4300 00 12.50 Amount of Permit St.
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 ‘Vorkinen'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 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 puhhc notice
or notices as are required by the Act. The undersigned agrees to employ only such su tr ctors, on wo k to performed under this
pennit, as are licensed by Miami Shores Village.
Remarks. (Signed) -
(Signed)
Disapproved Date.
Building'1,Ispcctor
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fee of $1.00 will be charged
materials and/or workmanship.
PLAN INC BOARD
.DATE
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, thc -- .:. - adersigned authority, a notary "public, duly atithorid to zerninsiz a oaths anti iake asanuwit
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 Date Read, Sworn to and Subscribed before me.
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
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address // / " )9:7 Tax Folio
Legal Description
Lessee / Tenant �%i "� .e41�,,e.c--- Master Permit #
Owner's Address /4- /, ?� 97 / "W,S Phone 737- 1/02.9
/7.2.A• we Address,/ 3 64 //VV✓ b50;S
' 0 4W/- � 7Phone
Contracting
Qualifier
Signature o
Date:
Notar as
My Commiss
** *
APPROVED:
State ik:GfG'���c /Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVING PENCE SIGN
WORK DESCR I PT ION 0 /)
4
j
Square Pt. ®® Estimated Cost(value) /6/5
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 con on and zonin;/ Furthermore, I
authoriz =bove -named contractor to do the work stat
FEES: PERMIT
sident
resident
mido #CC327872
gnature of Con actor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * * * * * * * * *
**
RADON C.C.F. 4 1 NOTARY / TOTAL DUE
Fire
Other
Zoning Buildin Electrical
Mechanical Plumbing Engineering
. g
2. Description of improvement:
3. Owner (sd name and address:
Interest in property:
6. Lender's name and address:
Print Notary's Name
My Commission Expires:
STATE OF FLORJDA, COU!TY OF DADE
0 NE: aEDb CE, rr-ir Oho Phis is a 4ruo y of Ono
ord )nal Mod in Phis offico on L e _ day of
,Q. (0.19
C^1 V4 5 u ;y h: one; Ofifeal Sou".
UAM / � - i caff cad Co■1n q Co -Jrfa
Dy
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:
94R024935 1994 JAN 18 11=13
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 d cription of property and street address: 7/P40 /v f7 �T' �� Jc
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
Signature of Owner
Print Owners Name /V-/// 8/ea
Sworn to and subscribed before me this /7? day of
t�. 44 % , •OFFICIAL SEAL'
s Shanno 1 Mar Public ; '
My COMMON
. 11 1
� O �, 97 5Z
Name and address of fee simple titleholder:
4. Contra
7) 's name and address: C�� J��i / !`/ /W.02 � �f/ //�/
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiratio da4
n of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
�
Prepared by � ' ���ZO'e-
123.01 -52 2193
- -• rRUM:KUN1CH rHX
GD:co
C]7•
CT
•
I
.31�Jb,S.iyy'f4
TO W$OM IT MAY CO C
HUU 10, 13i 1 • .3dHM H.02
METROPOLITAN DADE COUNTY, FLORIDA
METRO•DADE FLAGLER BUILDING
BUILDING CODA COMPLIANCE DEPARTMENT
METRO•OADE FLAGLER BUILDING
140 WEST FLAOLER STREET
MIAMI, FLORIDA �33130-1553 �
FAX (306) 375.290a
February 22, 1993
Revised August 06, 1993
MFM Building Products, Corp. has filed with this office an application and substantial test
data to support tho use of their Wind and Water seal as an alternate to an anchor sheet as defined
in Scotian 3403.4 of the South Florida Building Code (S.F.B.C.).
• The product consists of fiberglass a 301b.Gcoaan'de rolls. adhesive
having a total thickness of 45 mil. and weighing p er square in 36
This membrane is self adhesive and may be used for nail on roof covering systems such as
but not limited to composition & metal shingles and nail on clay or cement roof tiles for slopes as
low as2:12.
Due to an avalanche of requests for new approvals brought about by hurricane Andrew,
the issuance of Notice of Acceptance are being delayed.
In the interim period, please accept this letter in allowing this products to be used under a
temporary approval until final approval is granted.
Sincere your
Gil Diamond, P
Product Control 'vision
Supervisor
t-Nu' I. UU 1 LL111VU f I�UULiI. I J I U
METROPOLITAN DADE COUNTY, FLORIDA
METRO'DADE
Our New Location isa
Metro Dade Building
140 W. Flagler St.
Miami, F1. 33130
P;1 (N
7
„ -7j'
1> 6 a'ac>
JUJ�IJJJJ 1 -t
n�n
TO WHOM IT raY DECEBII
Art
METRO -DADE CENTER
OFFICE OF THE COUNTY MANAGER
BUILDING CODE COMPLIANCEiOE 101E 0
111 N.W. 1st STREET
MIAMI, FLORIDA 33128 -1974
(305) 375.2981
(305) 375 -2901
February 22, 1993
MFM Building Products, Corp. has filed with this office an
application for the use of their Wind and water Seal as an anchor
sheet in conformance with Section 3403.4 (b) of the South Florida
Building Code (S.F.B.C.). This underlayment shall be fastened to
wood or other nailable decks in conformance with Section 3403 of
the S.F.B.C.
The product consists of fiberglass acrylic core coated with
a modified asphalt adhesive having a total thickness of 45 miles
and weighing 30 lbs. per square 'i.n 36" wide rolls.
Due to an avalanche of requests for new approvals brought
about by Hurricane Andrew, the issuance of Notice of Acceptance
are being delayed.
In the interim period, please accept this letter in allowing
this product to be used as an underlayment under shingles, clay,
concrete, or other nail applied tiles.
Sincerely yours,
_ il Diamond, P.S.
Product Control Supervisor
rru •nUlvilH rHd
MFM Building Products Corp. • P.O. Box 356 • Coshocton, Ohio 43812 • Telephone 614- 622-2645
MEMO
To: Authorized South Florida Wind & Water SealTM Distributors
From: Stove Foster, Marketing Director
Date: 8/9/93
QADF COUNTY APPROVAL
Attached you will find a copy of the latest Dade County Approval for
Wind & Water Seal. This letter of temporary approval from Gil Diamond
permits the installation of Wind & Water Seal without nailing. The
approval is subject to all other Dade County regulations.
IU.
HUb 10, H.01
product information
Post•It'y brand fax transmittal memo 7671
I of pages ► •
To
From
•
Dept.
Phan
4.:
Fax*
Fax#
• 't
MAY 20 '93 08:51AM LIFETILE FLORIDA
h�ETROPQLITAN DADE COON i Y PL CRIDA
•
• METROOADE
0:airrnon
Bertram 5. lt.:nh.,,.
H.O La.., her
II:aihr t
&.•,a,./ ver
J,u,ret A .,ay
Ce ■.r4r Brr.l4
74,4.., 31 a :h.
renrl• .i Bost.
r)y:.rr airawnan
/...n rnll,,n,
EJaa: Can+rt
1 ^r74' tit la Tcsrrlrlu
Ang.:4 G.,4u on
Rs:rar4 Af. II„ rton
Daniel L lb*S
Jana Lthanntorll
Sie1'en L.y.+f
Jdteph ,ilwklac , Sr.
lamer Pier
Milian: IR,It
Armando At Rel.
Thomas Unrrbark
.irpr.J Hronr,tl
R.. ,It Mifflin's
Bnunr Conu.unnr
1..114 Piye,yrn.,l
Lifetile Corporation
P.O. Box 632
Lake Wales, F1. 33859-0.
.
,,'Your. application for Product Approval of s
S.1_a�.�._Y1 ,, And ::::::::::::::: 1� 211 for.l�ld.' 1 -p ..S Sections 203 andSouth Florida B uilding S Code undar governing the usate Materials and TYpes of Construction, an described in the plans specifications aons aE submits d by rpfrl
i lQna_x1ch..ens.tr .-. AInrat.Qry in+ - '.-
3.. 1.9.91.-5.W.,<.cLa .a. ti.Q,n!~esl..by M4,C.k.._MA,SbA.L.A a
meted 1,?-10-14
has been accepted by Product Control under thfa
Specific Conditions Rat forth on pages 2-•2d and the Standard
Conditions on Page 3
ACCEPTANCE No.
APPROVED
EXPIRES
APPROVEb' � ` bt,
;•
. 0 3x05 ? 375 -2612
p.Rop.Q.CT .CLETROL NOT !CZ_ _ ACCEPTANCE
it Diamond, P.E.
- . April 13,1913 Product. Control Division
131 1995 Supervisor
*PLEIAS NOTF•■
THIS . IS. TfiE . C. OVERSEE. EL__.SEE.ADDIT.IONAIi..PAGC.S FOA_..SPEC.z C
1LD. -GE r, ONDI' us
SQA.RR..OF .B ULES,.A.NIl._A22EXL�13Q C .E..DF ACCEpTAXCL.
This application for Product Approval has been accepted by the
Metropolitan bade County Board of Rules and Appeals to be usirci
in the Incorporated and Unincorporated areas of Dade County
under the conditions set forth above.
3C.7`;.'. 7
riAr
—1—
• • ✓ ✓v • _ . •. , / b l I IT V
P.1
rfro
deh mid
METRO•DADE CENTER
aOARO OF RULES AAiO APPALS
SWE %O
tit ;:.w. tai STREET
JAIAt,!), FLORaCA 31126.1974
POE) 375.2441
•
r
Charles Danger,
Secretary
Metropolitan Dade County
Board of Rules and Appeals
tjuut
•
MAY 20 '93 09:00A' LIFETILE FLORIDA F.2
Lifet+le prp�u /jpn .ACCEPTANCE No.: 97-1739 '91
•
e G. „U-)
•
APPROVED
• EXPIRES
uallCE. F.C r : S UC I Z1 C_CONLI11016
r.pri? 1 �� ►99?
•
9p�31j -.'y�
1, This approves Lifetile concrete roofing tiles types ro1orJ 2 �1a,Ek
Fiat aad__£spana - S Style for nail on systems on roof having 3
slope of 4" : 12" or greater up to a height of 75 feet for
Colonial Slate and to a height of 35 feet above grace for Espana
S- Style.
2. The tiles shall be manufactured of one part Portland cement to
three parts sand with no more than 12% water added. Colbr glaze
consisting of oxides and cement shall be applied to the.tia.e
surface and sealed prior to placement in controlled curing
chambers.
-Tiles,shall applied over solid wood sheathing prepared and'
Dr p edge ,eh31.1 be nailed or stapled directly on top' of
'sheathing, 6" o.c. and 1/2" in from top flange. The entire
,length of top edge of eve drip will be sealed with mastic or
plastic roof cement.
b Eava treatment shall .be metal eave closure sandwiched betwear,
drip edge and underlayment with a layer of plastic roof cement
between each layer, fasten a maximum 12' o.'_. and 1/2 from
inside edge.
ca A 36 wide strip of underlayment, (sweat sheet) shall be
applied down the center of the valley and eecured a maximum
24" o.c. along the edge of the sheet.
d) valley metal shall be a minimum 26 gage, C -90 corrosion
resistant metal with a minimum 16" width. Shall be nailed
within'1" of the metal edge a maximum 6" o.c. Tht entire
edgy; of.the metal flange shall be sealed, covering all nail
penetrations with ivastic or plastic roof cement..
AK .0
Cil Diamond, P.E. I
Product Control Division
Supervisor
e) Starting at the nave edge, one course of underi yment shall
be applied horizontally along roof line with the end joints
lapped a minimum of 6 ". End laps shall be sealed with a
mastic or plaAtic cement. Underlaymcnt shall be tin -- tagged
and secured with nails, staples or cnp nails approximately
12" o.c. along the top edge of sheet.
f) The entire length of cop edge of .underlayr rat shall be sealeo,
.covering 411 On-tags or cap nails with plastic cement. Eacn
succeeding cauts4 Shall be applied in the same manner al_cwiz,;
b minimu r 2 headlap and insure a weave pattern at all
allays Nip ,,and ridges shall be overlapped a minimum 6"..
1 •
he!lirsz'Fcourue'of tile shall be installed starting at lower
lefthand:corner. All tiles shall overhang the drip edge a
minimum 1! 2". All tiles shall be fastened with a minimum two
ten penny corrosion resistant minimum hot dipped gr�lvar.izec
nails, with a minimum 2" headlap all on tile.
h) Rake tile shall be fastened with a minimum two 16 penny
corrosion tesistahc minimum hot dipped galvanized nail.
i) All hip, ridgy and rake tiles will be pointed up with one bed
of colored mortar.
,MAY 26 '93 69 :52AM LIFETILE FLORIDA
Life •,lle Cor ;orhilor'Z
NOTICE OF ACCEPV.NCEL.... P.E.C1FIC CO.tiGXTIQtdS
P.3
, ACCE, TAi10E No.: - .,? - ? 3 n . ; +.91
APPROVED , j r c 1 12, 1,92 -
EXPIRES t _14 1:1. 155
/1" /42
Gil Diamond, P.C.,
Product Controol. Division
Supervisor
. MAY 20 '93 08:52AM LIFETILE FLORIDA
r. r
4.
Li fetile Sp�s � -4 --
EXPIRES
IiQT�.C r.J rC.CF,P.TAV _5PEC..IflC CONDITIONS
rr - • , „...
•
'1
• '.
%. •%
dt.f:EH3AL RAKE T.►c
'
APPROVED
tVV/'
ACCEPTANCE No.: , 52-12_10.4, r 9 1
r
� - ' w LItt11LL
•
/ • r . .J ,r
£faACA,(/ A fl.E
ya
y, %� • 7 � +1
Gil Diamond,
Product Contr;t Division
Supervisor
4
•
MAY 20 .'93 09 :02AM LIFETILE FLORIDA
F G ") MM
•
a _.. ACCEPTANCE Ni,
_ACCE.PTANC ; SPF;C.Z FJC .0 01T:ONS
. 1,
a
V01I1CP:AL T114M TALC
-2c-
gspana 9-Style
Ai4 owl
/
APPROVED
EXPIRES
• P.5
it Diamond, P.
Product Control Divisi
Supervisor
P '9 AM
5.
Tn� el lati
Installation shall be in .;_cc.rdance with this report, a
Mechanically Fastened Tile Specification developed by the National
Tile Roofing Manufacturers.A5sociation, Inc. and Chapter 34 of the
South Florida Building Code, whichever is more stringent.
6 • Qgali y_CdptdrD1
The manufacturer shall retain the services of an independent
testing laboratory to maintain quality control. Testing , ahall be
P g , g . ^ . .34G3 .;S outh Florida u .drays for
ersormed on a minimum�of five (5 )tiles each nines
Iran th „accordi`n I t „iSectio.. ing . Code,< and
K b o 3 , A, mp es s hat
ir; ,' biatuxe, �absa�rp .on:;ar -��.
4!aelect by a,lahoratory according to ^ ASTM -D 6 i5 -82. Results
.shdll ' be "Sent to the Dade County 'Product Control Section every
three months. Teat reports shall bear a description of the tile
by material and color, i.e. cement, grey. . •
7. Merkingt
All. tiles Shall bear the imprint of the manufacturers name or
logo and country of origin for foreign tile to permit
identification' in the field.
CQ 1TIQ11S
-2d-
M ) KUUt I ILCa
ACCEPTANCE i4o.:' ._a2 -1?30. a i 5l j
APPROVED : Apr i _13 l 9 g 2
EXPIRES
Lirci i&.L
P . E, t• ” ""
A ,� t 4 g�_
Gil Diamond,
Product Control Division
Supervisor
•
• "' 20 '93 09: 6"�flhlj LIFETILe FLORIDA
METRO'POLIT'AN DADE COUNTY. FLORIDA
METRODADH
CbaiANa11
!J1•r+1.ud S. 11X1/ .. 1 11/••
1744-CGo11 u/nu
l f.rJ. 1-1■11:1
.1 r.�111c.•r.
Jd1ur. i rlu.
C. aerhu
71.1.,%M
Yid (mJi.
1..i:11 C'.11/r.•
J1••rr.J. 1.4 r■17:4•11r.
H CarR..n D.'i A r
•1ru. G. lditio'J
,r?1.1;■.11 !I• hu
D.unrl Lr.u,
J.wn 1.111J.Jnnn
,414..4 1.11•11•
J1.,eph Al•' ii.•1. $r
J.1uu•1 Poll et'
It':F...nl R:fc
.1•1
b.,.,µ4' Z•!1.•rh..
4ilr, Hi•icblu,l
8..ord Cunlpll.
J..11n P:,•• 11,
2 LU) UA a'_;)
11VV 1 •■V.
P.7
eriP
17'4
METRO•DADE CENTER
80AAD OF RULES AraD APPEALS
SUITE 1010
111 ' .w. tai STFEET
',4110111 FLOP IDA 33125.1;74
I510 ;4 .liri 24;
NDT1C.E. OF. ACCEPTh E.:._._STiDM•RO. CONDITIA1
(305) 375 -2612
1. Extension of Acceptance may be considered after a new
application has been filed and the supporting data,
test reports no older than ten (10) years, have been
re- evaluated.
All reports of re- testing shall bear the seal,
signature and date of an engineer registered in the
State of Florida.
2. Any revision or change in the motorisin use, or
manufacture of the product or process shall'
automatically be cause for termination, unless prior
approval is granted for revisions or changt.
3. Any unsatisfactory performance of this product or
process or a change in Code provisions shall be
grounds for
re-evaluation.
4. This acceptance shall not be used as an endorsement of
any product for sales or advertising purposes.
5. The Notice of Acceptance number preceded by the words
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 is shall be done in its entirety.
6. Product approval drawings, where required for permit
applications, shall be provided to the applicant by
the manufacturer or his distributors; unless otherwise
noted in the Notice of Acceptance. The prints nerd
not be re- sealed by an engineer.
Failure to comply with Standard Conditions shall be
cause -for termination of Approval.
......
1 Diamond,
roouct Control Division
Supervisor