225 NE 96 St (5)5 BUILDING PERMIT . ND . 2500 -0624
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LOCAL Air Conditioning, Inc.
STATEMENT OF COMPLIANCE:
441.0
We the undersigned hereby certify that the thermal insulation has been installed
in the referenced building in compliance with South Florida Building Code, Chap-
ter 52, and the approved plans and specifications and in accordance with good
construction practice. The insulation furnished is of the type,thidkness , i
R value as set forth below.
MASONRY WALL INSULATION:
MANUFACTURER SUNCOAST INSULATION
TYPE 8UNGUARD II
THICKNESS 0.75"
DENSITY SPRAY -ON
R VALUE 3
1/ BAGS /1O0SF N/A
CEILING -ROOF INSULATION:
MANUFACTURER OWENS- CORNING FIBERGLASS
TYPE THERMACUBE PLUS
THICKNESS 8 3/4"
DENSITY .407 per sq ft
R VALUE R19
# BAGS /1O0SF 86 SQ Fr
OTHER INSULATION:
1R
R -19 BATTS
COMPANY NAME LOCAL. AIR CONDITIONING INC /
/
DATE ,r /
LIC.CONTRACTOR CC 13176 RA 0038584 /tic 4 �'c
ICENSED CONTRACTOR SIGNATURE
BUILDING CONTRACTOR
CERTIFIED ON
BUILDING DEPARTMENT ON
COMPANY NAME
JOB ADDRESS 225 NE 96 ST
STUD WALL INSULATION:
295 West 27 St., Hialeah, FL 33010 - (305) 821 -4320 - 33
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Application is hereby made for the approval of the detailed statement us we plans and specifications herewith submitted for the build
ing or other Kltvcture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores ViliagtIC 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 i 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.
Owners Name and Address / CH6f1 C � f / C
Registered Architect and /or Engineer
Name and address of licensed contrpctor
Location and legal description of lot to be built on:
Lot /i Block 3..00 Subdivision..m ft
.. ........ ..
Street and Number where work is to be done. 44 t :._._
State work to be done and purpose of building
:j t . 4 CF:)
C 0 r' a T i✓ ...
New Building Remodeling
To be constructed of Kind of
Estimated Total cost of improvements S 6 O
Zone cubage required
Distance .to next nearest building
Disapproved
(Signed) R1
MIAMI SHORES VILLAGE fir o li- c7
BUILDING INSPECTION DEPARTMENT - � /I..�61, 14Z
APPLICATION FOR BUILDING PERMIT
Date
Building Inspector
_. No. . Street_ .
eEi.a{CE -' ( {, 7=�
(by floors)
PLANNING BOARD DATE
Chairman
Member
Member _.._.._......_..._.,...._
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the l'I.rnnir.g Board.
A rr•m.pection fce of 51.00 will be charged
materials and /or workmanship.
tits. n,••tttt tnner.rwt•ev,t neon
and for no other purpose.
Addition Repairs* No. of Stories _
foundation RoofCCovering _
Amount of Permit $... tie .I•
plan Cubage
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 unriersigr.cd applic :,nt for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen Compensation Act, being Section 5966, Compiled C a L s of Florida, Penninent Supplement,
and has complied ssith the provisions thereof, and will require similar compliance from contra rs or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted 1 tnspection the site of ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only suc subcontr,ctoor on wor o Pe • ed under this
pcnnit, as are licensed by Miami Shores Village. ,..-€
Remarks (Signed
Notary Public, State of Florida
My Commiuion Expires _
STATE OF FLORIDA, 1
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 know,
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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 woe, and that all facts
therein by him stated are true.. 1/11.1.1.7._ true..
Permit No.._ lY `+ ?;!_ Date ........... Read, Sworn to and Subscribed before me.
Member
Member ......._......._..........._
Member ...._
Disapproved Date
or changes to this application after approval has hero obtained from
when such re- inspection is made necessary by Improper notice for inspection or faulty