1200 NE 97 St (2)4
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
DateP -4y-71 Job Address /al 00 4, E 77 S/4` Tax Folio f/1- 4 06,2 e
Legal Description 0-0 7 2- 0 4 z
Owner / Lessee / Tenant 4 i k/5
Owner's Address /;? 00 AI /r /
5 7> Phone
Contracting Co. ��/, /' /2 / /Oc /M Address ,/�,M/r Dj' /v/n
Qualifier (5- /° 65.1 1/1 Phone 7)
State f n; j(4 Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
) WORK DESCRIPTION itM C��T% v'6o �, 'F 5/ ' � / 3 7/ 9- , f
Cam /Fib T //5 ( 71 e/ eh
Square Ft. S ;®`
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_j..ws regulating construction and zoning. Furthermore, I
authorize the above,... ., :r,7� : r :_ (*v. "t6416 he work stated.
Signature of owner
Date:
MS9b:30 'ON NOW 0A100
min•
0
144
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7
ndo
• tary as to r er and /or '
My Commission Expires: -
SAVDRA D OBENOUR
NO That g,BUC SVATE O C26527 2ID*
� COFfi SSION NO. C 6512,1997
FEES: PERMIT �f/' M' COMM ONPXP. C.C.P.
b
** * *
APPROVED:
Fire
* *
Zoning Building
Mechanical
OciG 4 4i of S HE
ja
Estimated Cost(value)
Master Permit # 5 4 `'
gn ature of Co or Owner - Builder
ate: 41
to Contractor or Owner - Builder
u A� SP '
2
SANDRA O OOENOURR
NC ARY PUELIC STATE OF FLO:IIDAI
*
COWIMISSIO4 NO. CCZ52 **
MV COMMISSION EXP. .12,19"
NOTARY TOTAL DUE 1 141
Other
Electrical
Notary as
My Commis
2./M”
Plumbing Engineering
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. / 1 3.405 009 O(D 2
STATE OF FLORIDA:
COUNTY OF DADE:
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: /ZOO N E 9 7 °' 5t' /)'1 /Q.mi 4horc& , P/ .
2. Description of improvement:
Lvi4C?w pi r oo t .
3. Owner(s) name and address: . t'yl fi�i JLc1�,
f NE g7 aM -
Interest in property: fka•XI X
Name and address of fee simple titleholder:
4. Contractor's name and address:
Pam i6111oO , r:
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: (96-E.4C.rlDf't2
b6S Pak ..fit
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencemen : (the expiration, :date i. 1 year from,the date of recording unless a
different date is p ified)
Signature of Owner
y
Print Owners Name
ri
Sworn to and subscribed before me this 26 of
cbtx-
,19 93.
or . n ..
a Address: /37o N /8 d
Notary Public �� �J �t'. M lam i cSha r c , F/
Print Notary's Name 3.3/3A
My Commission Expires:
93R640254 1993 DEC 29 13:27
Prepared by: SA /V4
123.01 -52 2/93
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1603
METRO -DACE FLAGLER BUILDING
Ca'? 7 MI 1 WEST ER STREET
l.MIAMI, FLORIDA RIDA 33130.1583
(305) 375.2901
FAX (306) 3764906
July 27, 1993
TO WHOM IT MAY CONCERN
Coma Cast Corp. has filed with this office a request to renew their Notice of Acceptance
#89- 0526.8 for their Flat Shingle Cement.Roof Tile as a mortar -set system and which expired on
July 10, 1992.
Recent and acceptable test reports have been evaluated approving thecontinued use of
this tile, as a mortar -set system.
The tile shall be installed on a minimum 2 1/2 ":12 sloped solid nailable deck of 5/8" thick
plywood for all new construction or to 1/2" plywood deck on re- roofing.
The nailable deck shall be covered with a 30 type II (ASTM D -226) anchor sheet and tip'
capped 6" o.c. on laps, 12" o.c. in the field and 4" on the drip strip.
Over this, a hot- mopped 90 type II (ASTM D -249) roll roofing cap sheet using hot steep
. asphalt type IV conforming to ASTM D- 312 -89, shall be applied.
. The tiles maintaining a 2 1/2 head lap shall be applied to the prepared deck with a type M
mortar consisting of one 781b. of Lonestar Roof Tile Cement mixed with 2.25 to 3 parts ASTM
C 144 sand by volume, approximately 14 shovels.
Due to Hurricane Andrew, this office has been inundated with requests for both new
products and renewals of those to expire which has caused a large back log in responding with an
official Notice of Acceptance.
In the interim period, please accept this letter in allowing this products to be installed by a
licensed roofing contractor in accordance with the manufacturer's further specifications and
Chapter 34 of the South Florida Building Code, until an official Notice of Acceptance is issued.
GD:co
ere}y you s
GiCDiamond, P.E.
Product Control Division
Supervisor
4.
}:■' TFOI'OLITAN DADE COUNTY, FLORIDA
• ME1 frO DADE
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
-3-
44 9 rfr
IA O
ME MO-DADE CENTER
BUILDING & ZONING DEPARTMENT
METRO -DADE CENTER
111 N.W. FIRST STREET
SUITE 1010
MIAMI, FLORIDA 33128 -1974
(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 hear the seal, signature and
date of an engineer registered in the State of Florida.
2. Any revision or change in the materials, use, or manufacture of
the product or process shall automatically be cause for
termination, unless prior approval is granted for revisions or
change.
3• Any unsatisfactory performance of this product or process or a
change in Code provisions shall be grou.nds for
re evaluation.
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.
6. Product approval drawings, where required for permit
applications, shall he provided to the applicant by the
manufacturer or his distributors; unless otherwise noted in the
Notice of Acceptance. The prints need not be re sealed by an
engineer.
Gil. Diamond, P.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
Minimum sidAlap a 1 1/4"
5. All tile shal_l,,be identified by the name or logo of the
manufacturer permanently marked on each tile.
6. n la l i tyCo ro 1
- 2n-
C4,ma_CAst_ Comp ration ACCEPTANCE No:: _ 8g_- 0526.8 '
APPROVED : July 10,. •1989 *
EXPIRES
•.4b•
'ter
2. The tile shall be installed over solid wood sheathing or+',;o
nailable decks with and underlayment consisting of an anchor sheet`.
and a cap sheet of mineral surfaced roofing as described'4ii:-;;tthe '
South Florida Building Code, paragraphs 3402.2 (b) and 3402.:s'(h) ji :o;; .'
3. Roof tiles shall be set in a bed of type M or. S •mort'j set .
forth in paragraph 2702.10 (b) and the mortar shall be sandwiched:
between all laps, at all butts and along the sides of the:tile
Additional means needed for securing the tiles on slopes of
5" : 12" or greater, shall be in conformance with Sub- section:
3403.3.
4. The tiles shall be manufactured to the following specificaticsn
a) Overall maximum dimensions 16-1/8" x 10 1/R 0 �:
Minimum thickness 3/8"
Minimum headlap s 2"
b) The eave ends of the roof tilc shall be cemented and . pz'o,vided
with weep holes for adequate drainage. '•
7 This renewal supersedes Notice of Acceptance No. 86 - 0130.1 da
Fe'"ruary 10, 19.86.
The manufacturer shall retain the services of an independent
testing laboratory to maintain quality control. Test 'shaWbe,,`
performed on a minimum of five (5) tiles periodical) urin
production for domestic, local manufacturer for strength accordin
to Section 3403. South Florida Building Code and for'' mostu
ir
absorption according to ASTM C -4. Test samples shall be selectedb i '
Results shall be. serif � too
a laboratory according to ASTM D- 3665 -82. it ,
� ; :;
Dale County Product Control Section every 90 days. 41 '
Gil Diamond, P.E.
Product
• Control Superyisor ••
Metropolitan Dade County , '�'
Building & Zoning Department
1. This approves the Coma Cast flat shingle cement tile, (whole and half starter, whole and half finisher, ir
tile, etc.). idg
ridg
%
V • .
AN V
-2-
ACCEPTANCE No.: _ 89_QS26 S
APPROVED c
EXPIRES
Q 1 /b"
4
C Qb :S �Sc.TI ON
G 1 Diamond,
P oduct Control Supervisor
Metropolitan Dade County
Building & Zoning Department
• riJrULI I AIN uADE COUNTY, FLORIDA
• . ....ash., • •
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• MEIRO-DADE
•
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.-:•..;Coma Cast Corporation
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-A . .4383 S.M. 70.Court
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...... tuni, Fla. .33155 •
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:...r.;. 1. . .
...';::. : *applicatio for Product Approval of
: ;4!•.;.• under Sections 203 . and 204 of the South,Plorida BuildiirigigOde.klgiitiiinin
the Use .ef Alternate MaterIals and.. Types:1'0f Cons tructiaiigiihiftY . wt Pr
.:•:,..
'
• f;;;';',- completely described • in the plans, specifications and
stibMitted by . .. 4eliti;;...;-.
•:...:
A.:.,••• areas of Dade County ••under the .Specific Conditions set::::for,ttejonlpag:„..e„..s:..:,,
:* • 2 and the Standard Conditions on Page 3
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'10
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ACCEPTANCE No.: jO
t 1I
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i .. ,;•: ;';it ". !:"• • • 1 4P- ' 3?.1 4: ::i ."
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,0 : 1111 1ilq. 1 1 .: „ . : i l.1•4 7 1'
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APPROVED : amo
'1 ".' 71 111 -
,.,
EXPIRES : _alLia_19.4_12,22.__
**Eulass_lion **
Metropolitan Dade_COuntyV.::
Building & Zoning Departmeri
roduct Conrio3i7;Up.,:eti;:O ' if r
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',: This application for Product Approval has been accepted • brit
. „ .
1. Metropolitan Dade County . Board of Rules and Appeals to . 11eluaed .
. . Incorporated and Unincorporated areas of Dade Count .undev!ithif
• ..-
• conditions set forth above.
I . . •
. , . APPROVED : •
. • .. .
Z.tax_1 Alifh '
..
-1-
omas M. B . ac
Deputy Secretaryleii14
Metropolitan Dade'COuntxr
Board of Rulessina......40eals*
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• • 3