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130 NE 97 St (2)STATE OF FLORIDA, t COUNTY OF DADE. ss. Disapproved Date (Signed) 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 piles 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 per's Name and Address No. , Street istered Architect and /or Engineer ne and address of licensed contractor _ :ration and legal description of lot to be built on: t - - - -__ Block / /// Subdivision-- ,___ - -- ;, reet and Number where work is to be done tate work to be done and purpose of building (by floors ) _ New Building r __ Remodeling Addition E y- Repairs No. of Stdries To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ ___ /_C� ( s�J Zone cubage required _Plan Cubage . y 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 suck ublic 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) ________ 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 ar true. Permit No Read, Sworn to and Subscribed before me. Building Inspector O Chairman Member Member Council Approved. Date PLANNING BOARD DATE and for no other purpose. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for materials and /or workmanship. been obtained from inspection or faulty I, � , hereby apply for a certificate to re- occupy the single family residence known as : (address) 3 0 �� / S TMiami Shores, Florida. Legal Description: Lot: 8 & 9 L W5' Block 19 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 as to the condition of the dwelling or other structures on such property. Applicant Print Name Contact Name: Buyer Comments: APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY Inspected b y: FRANK LuBIEt1 /7 /4 , 92 - 2 PB & PG: 10 -70 Date 25 / - ed *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: / Telephone: 7 373 Seller Realtor PAGE 1 OF 2 Company Name / - 142,,9 "Z/*' Application Fee ($50) paid: Cash Check No. / 3 4 2 — £ 3 pproved ✓ Denied Date 08/23/00 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 SHORES VILLAGE, FLORIDA By: lt Date of Certification: AUGUST 23, 2000 PAGE 2 OF 2 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED 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 USED FOR 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 INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. kit LA ZL l r /U/LA--il APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, a o/' s e w: /ck Nr k-d k -7- ; , hereby apply for a certificate to re- occupy the single family residence known as : (address) 3 0 /0 9 , Miami Shores, Florida. Legal Description: Lot: S' Block 9 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 as to the condition of the dwelling or other structures on such property. Applicant Date _ y — OD Print Name e o r ./2_ e l C k * * * * * * * * * * * * * * * * * ** * ****** ** * ** * ** ******* ** * * * * * * * * * * * * * * * * * * * * * * * * * :: * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: Telephone: 7 S I -5 5'5' ? 1. 3 0/ Buyer Inspected by: F. LUB I EN Comments: Seller Realtor Company Name A- v I rJ a I 4 Application Fee (S50) paid: Cash Check No. PAGE ? OF 2 j - r lc key Cs- o,- y q / / 1. Approved X Denied Date 4/20/00 CERTlr ICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee 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 SHORES VILLAGE, FLORIDA By: THIS CER U ICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOT .F,T,Y TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CER11HCATE 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 INTERESIED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 Date of Certification: 4 /2 0 / 00 OWD NA�(E 7 f PRESENT ADDRESS L'!'si'ts . PHONE NO. JOB LOCATION (ST. OR AVE.) 130 . .:. 9 th Streot LOT 8 & ! ' 9 BLOCK 19 SUBDIVISION Hi. 3. asst. rim GENERAL CONTRACTOR Daniel 3. Crane ADDRESS 269 N. 2. 103rd ,Street PHONE NO. 78- Lt254 LICENSE NO. 33 8534 BUILDING PERMIT NO. 8534 �y ® DATE 1 / 2 3/49 PERMIT FEE 5 18.00 914 BUILDER'S BOND �j / Q NO. DATE x+1/23 49 EST. COST S 13, 300.00 ZONE R FQUIREMENTS 18,500 CU. FT. PLAN CUBE 191608 CU. FT. DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: '�� ! DATE 11/23/49 X NEW CONSTRUCTION TYPE Cal STORIES 1 I ROOF CONSTRUCTION I T1.1€ INTERIOR CONSTRUCTION Oak Flor€s - k° aater walls REPAIRS DESCR IPTION N TT aa�yy.�... a v RL - .n Ilr11 S - r. Por3h - Kit - 2 Bed t. - 1 Bat h ALTERATION DESCRIPTION I car attachod 3ar �e w/ ?dry u; shower ��._, .. I SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL APPROVED REJECTED CERTIFICATE OF OCCUPANCY NO. ISSUED BY �` •' REFERRED TO COUNCIL REMARKS TO BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE REASONS INSPECTIONS PHONE , HERMIT NO. 8 CJ RE- INSPECT BY RE- INSPECT BY FOUNDATION , D / ATE pia 11/ 23/4/ JDH JDH FEE TEMPORARY SERVICE $ H. W. HEATER CONN. BEAMS BEAMS & LINTELS 12/2/49 7DH RANGE CONN. S SEWER S MOTORS :-/9 FRAMING '- /6t9 OE S FIXTURES $ GAS S S .. INSPECTIONS DATE FINAL 2/1/50 JDH RE- INSPECT BY RE- INSPECT BY CLEAN -UP 12/7/49 JDH ROUGHING a 12/9/49 r.ONTRACTOR WOO 1 PHONE , HERMIT NO. 8 CJ DATE 1/`29/49 FEE $ 9. 0 A NEW BLDG. X I ALTERATION ADDITION REPAIRS J SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. S SEPTIC TANK $ RANGE CONN. S SEWER S MOTORS $ SOLAR HEATER S FIXTURES $ GAS S S .. INSPECTIONS DATE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 12/7/49 JDH ROUGHING a 12/9/49 GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK 12/7/49 MOH SOLAR HEATER FIXTURES & FINAL 2/1 /50 FIXTURES 2/1/50 JDH PERMIT NO. 86 DATE 1219/49 FEE $ 10. 75 NEW BLDG. X I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS S FIXTURES S .. INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING a 12/9/49 as H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 2/1 /50 JLbI BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR H & H it ctrie Co. PHONE APPROVAL TO POWER CO. FOR SERVICE DATE 2/2/50 BY c(N% ( • ■.- Intl • r • • I r Issued_: Is aiami =Chorenillage N? 91 � F L O A ID A Amount_ ' B UILDERS BOND r ` No. Houses KNOW ALL MEN BY THESE PRESENTS, that I, Address in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or - rC buildings at the following addresses: do hereby deposit with Miami Shores Village, Florida, the sum of , and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearai a and repairs out of the aforesaid— , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then O. said shall be returned to me. (Seal) INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared and repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. WHEN CLEARED AND REPAIRED BY THE VILLAGE Amount of Bond $ Village Building Inspector, Miami Shores Village .v: 'i) Cost of clearing and repairs done by Village . $ Balance due Builder $ WITNESS MY HAND and Seal at Miami Shores Village, Florida, this day of t n r s rr !t +t +! +tt0"� +4 +iclY�lt /!ems �1 +ep.c�l� � 1! + r +1 lttO�ll n !t rt r .....Iir•.'�...•• irk°'• i�r•.. c°"..••�iii°•'•iri�•'•ii°�'lir• .:.'ir•'•ir. : j �`.'• rr . :rt'•.?.=�i`•`` • �i�°.°.•' e>•` •°.+°•'•irr•''ir`•°.?°.'ir�D.:�. cr• . i:• ��r `•°ii°•'•ir`.°•'•ii•'•it••.... Cancelled 19 By 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 Name and address of licensed contractor 9A FE UEb VILLAGE BUILDING ENS ECTEOH DEPARTMENT APPLICATION FO ZUIL, l MG PERMIT Registered Architect and /or Engineer I / „, Date , 19 " No._ ji_ Street__.„..,_ Location and legal description of lot to be built on: Lot Block Subdivision J Street and Number where work is to be done__ ? / 4 ° State work to be done and u ose of building (by floors) �^ P rP g ( Y ) `7' ' 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 $_ 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 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), STATE OF FLORIDA, COUNTY OF DADE. ss' % �^ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledg , 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 K _ Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires Notary Public, State of Florida 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 materials and /or workmanship. 4• Legal ** * Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / 3 6 /`r f 1 Tax Polio // 3 O4 g 9 L G r' 7/ /4e :S= Sep' /Aici Owner / Lessee / Tenant Master Permit # da Owner's Address 6 3 6 AT 1 4'74 $1-- Phone Contracting Co. feid /5 C! ft y 4 11Z AtVe" 141.Hrrt.r7.-4. 114 Address 4-es re,) Qualifier -.J�l v1 444 t SS # # Phone Q i5 State # Municipal # Competency # I</AM'I Zf7 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION & 4� j�, STc A C Square Ft. Estimated Cost(value) &� 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. Sign Dat e d /or Condo President ignat Date: 14 HACK or , 77 r , ary a - to • o 1+1i•?°?.� =' My Coil ssion Expires: $ANFORD HACK MY COMMISSION N CC 233389 EXPIRES: October31 1996 riettPubtic Underwriters rAi 41 f otary as io Contr My Comm '.son Expi raotor or er- Builder * * * * * * ** FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other Zoning Buildin: Electrical Mechanical Plumbing Engineering METRO.PADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Clopay Corporation 312 Walnut St. Cincinnati, OH 45202 Your application for Product Approval of: Model 78, 83, 84A, 91, 93 and 94 - Garage Doors under Chapter 8 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: applicant. For listing see section 6 of this Notice of Acceptance. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Department may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Department reserves the right to require retesting of this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. The expense of such testing will be incurred by the manufacturer. Acceptance No.:94- 0614.03 (supersedes No.: 94- 0420.02) Expires:07 /25/97 ,•roduct Control Division Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 07/25/94 -1- METROPOLITAN DADE COUNTY. FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 il Dian o n. P.E. Director Building Code Compliance Dept. Metropolitan Dade County v 'Clopa3 Corporation ACCEPTANCE No.: 94- 0614.03 APPROVED : JUL 2 5 1994 EXPIRES : - 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1 Description: This approves overhead doors 9' -0 wide x 8' -0 thru 6' -6" high with 24 gauge steel skin, coated with G -60 galvanizing, baked on primer and baked on polyester top coat. The door shall be constructed and reinforced as detailed in the approved drawing #101182. Use: 3. • Installation: Model Type 78 Flush Panels 91 Smooth Texture 93 or 83 Wood Grain Texture Steel 94 or 84A Wood Grain Texture & Painted Style This door is approved for a maximum design pressure of +46psf and -48psf and its use is restricted to this pressure. The door passed the impact and cyclic test, therefore it does not require protection devices. The door shall meet the burglary security requirements of Section 3603.2 (c) 2 (aa) of the South Florida Building Code. The door operating mechanism (not included in this approval) shall be certified by Underwriter Laboratories or other recognized agency. The door shall be installed as shown on drawing 4101182 or other methods approved by the professional of record for the structure. Wood in contact with concrete or cement shall be treated with an approved preservative as set forth in paragraph 2913.2(a)1 or shall be a durable specie as defined in subparagraph 2913.2 (a) 6 (aa) of the South Florida Building Code. Installation of 2" x 6" wood jam requires a' /," x 3'/," tapcon at 12" o/c for a 9' -0 wide door with a minimum embedment of 1 into the concrete or reinforced block. Gil Diamond, P.E. Supervisor Product Control Division Clopav Corporation APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 4. Conditions of Use: Application for building permit shall be accompanied by duplicate prints of the approved drawings bearing the approval stamp, Notice of Acceptance number and date by the Dade Product Control Section along with computations prepared by a qualified Florida registered engineer or architect verifying the adequacy of the installation of the door at each site. The shop drawings shall bear the signature of the architect or engineer of record with the following statement: "The supporting structure has been designed for the forces shown on the approved manufacturer's drawings." The adequacy of the overhead door to resist the horizontal load from the door shall be verified. 5. Identification: All approved products shall be permanently labeled with the manufacturer's name, city, state and the following statement: "Dade County Product Control Approved." 6. Evidence Submitted: Test Report Heti 94 -47 Heti 94 -04 Calculations A. Farooq Corp. Date 04/15/94 03/02/94 Date 05/05/94 Drawing Number Clopay B.P. Co. #101182(1&2) - 2 Drawing Reference #101182 #101182 Signature A. Farooq, P.E. Last Revision 05/94 ACCEPTANCE No.: 94 0614.03 Signature A. Farooq, P.E. Test Signature A. Viquar, P.E. A. Viquar, P.E. : 'JUI 2 5 1994 'JUL-2 5 1997 it Diamond, P.E. Superviso Product Control Division METrdO -DADE NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Extension of Acceptance may be considered after a new application has been filed and the supporting data, test report 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 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 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 it shall be done in its entirety. 6. A copy of this approval as well as approved drawings and other documents, where it applies, shall be provided to the applicant by the manufacturer or his distributors and shall be available for inspection at the job site at all time. The prints need not be re- sealed by the engineer. 7. Failure to comply with Standard Conditions shall be cause for termination of Approval. Revised 9 - 20 - 93 3 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375 -2908 it Diamond, P.E. Supervisor Product Control Division NES6 PLANS ARE APPROVED FOR ISSUANCE OF A BUILD`.NG' PERMIT ® WITH NO VARIAiIO .S 0 WITH VAR ANJCE(S) L'STED IN "REMARKS" 3O OTHER DEVLATIO ; 7 .0dl T =� W .4 S HU''.DIMG Ai•D ZONING RDINANCES Wii L B: SP: -'i: iC "LLY LISTED BELOW. ALL OTHER APP' I "'t "' E �i �.; E ,i:D ; Y'i:; +1' LC,'NS MUST BE COMPLIED ITH BY ALL FIRE PUBLIC WO:z ,33 i; PO' I ( IS'1LUI0dQ UhtE_;;O PLAN . .i C & Z_ MI -AGE COU PRELIMINARY: REHARKS: ,'an tune Date APPROVAL FINAL, MIMANCE WITH THE SOUTH FL O' ,DA BJr_DING CODE AS ADCnTE' Olt i`KAM6 SHORES VILLAGE IS KQU;;tLD. THE A"CFHITECT, 3L;_iE;t SUO C'OOnACTORS ARE Cri' ;c' " ,Ti T K: ::CWLE ^E atv� GiEGu �uONS WHETHER OR NOT SPECIFICALLY INDICATED HERE N. 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. Date S.e 1963 ,19 Owner's Name and Address.. Mrs.._ Thelma La DA No 130 S N. E • 97 Registered Architect and /or Engineer Name and address of licensed contractor TRULX.__NOLEN_,... INC. - 600 N.W. 7 Avenue, Miami, Fla. Location and legal description of lot to be built on: Lot Block Subdivision 130 N. E, 97 Street, Miami Shores, Fla. Street and Number where work is to be done State work to be done and purpose of building (b'y floors) Drywoo.dt.erwjt .. fumigation - Vikane___ gas___-__ Approxa_.. 20 __hours___exp_osure__._period. Nylon tent. and for no other purpose. New Building Remodelin.GAT'Qddition Repairs No. of Stories To be constructed of Kind of foundation CRS Roof Covering sloped barrel Estimated Total cost of improvements $ 225.00 Amount of Permit $ tile Zone cubage required _Plan Cubage 23 000 Distance to next nearest building 25._ _Ft 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 . v ork such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subco t _rs, on work t. : _- rfor• un.. -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 are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires Notary Public, State of Florida 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. C •1 •V .1 .1 E•N•G•I•N•E•E•R Jaca Brothers Roofing Inc 7061 Southwest 47 Street Miami, Florida Project: Dear Sirs; LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 Tel: (305) 649 -6454 Fax: (305) 541 -3298 TILE UPLIFT TEST Residential Home 130 Northeast 97 Street Miami Shores , Florida Information provided by client: Permit Number: BP- 2002 -833 Date Completion: July 1, 2002 Roofing Contractor: Jaca Brothers Roofing, Inc. LG Engineering Services, Inc. Project Number: LG02 -1221 (Testing Laboratory Certificate #00- 0224.07) July 24, 2002 In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to be Santa Fe Clay "S" Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. Based on our test results, we conclude that the installation ofthe roof tile at the above referenced project meets the test requirement outlined in the above mentioned protocol. Attached please find a copy of our test report for your review. LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. ohamad Sonny Salley, P.E. Project Manager TILE UPLIFT' TEST Residential Home 130 Northeast 97 Street Miami Shores , Florida Test Number Test Load (lbt) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 1 1 1 1 1 1 Report of TILE UPLIFT TEST for Residential Home 130 Northeast 97 Street Miami Shores , Florida Project Number: LG02 -1221 LG Engineering Services, Inc. — Tile Uplift Test Result -- Project Number: LG02 -1221, Page 1 Test Number Test Load (Ibi) Test Status 23 35 Pass 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 1 1 1 1 1 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG02 -1221, Page 2 ;UILDING LECTRICAL 'LUMBING irchiteet_ ontractor it Builder PERMIT N? 8534 Work to be performed under this Permit )weer of tuilding MIAMI SHORES VILLAGE, FLORIDt4 DATE Subdi- vision , Value of Project Contractor's License No. Jegal Lot Bl. Jescription iddress of luilding 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 appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Awls, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility for work done by his agents, servants or employees. Amt. of Permit 194 Signed: By INSPECTOR In co of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations iertaining threto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting t his permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect Contractor or Builder Legal Lot Description Work to be performed under this Permit B1." N° 5838 Subdi- vision Address of Value of li Amount of Building Project $ iI 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY DATE 19 Contractor's License No. ABBOT 11.1E9' N? 82g CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Owner, Agent or Tenant of Building Lot Block— Subdivision Street Address Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION of ct ._ ;tor ier -. x tion Lot Bl. Subdi- vision s of Value of Project $ 11 Amt. of Permit $ BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contra or Buil Legal Descri Addres Buildin CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 13957 DATE Work to be performed under this Permit 195 Contractor's License No 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 D PEGTO& - 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY rt f a ore. � ®5 � PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER A. A. Nelson 1950 {12.00 12 -31 -50 0.1.00 1 -31 -50 14782 o ! ! X95 / `' i 3 !- s !'d ,� ;,✓ -si �� o G //�_ p ADDRESS 130 N. • . 97th St. LEGALLOt 8 J45 *9 131k. 19,L ; ;'1RECORD GARBAGE TAX MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Approved Correction Re- Insp'n Fee Time Address Company Phone # For Inspector: 1 7--14