245 NE 96 St (2)Application is hereby made for the approval of the detailed statement in toe plans and specifications herewith submitted for the build
inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shoes Village, I I ri(l. and all provisions of the Laws c f the State of Florida, all ordinances of Miami Shores Village and *11 rules and
r.•gu`ations of thcr6iilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plats and specifi vAps must be kept at building during prpgreu of the work.
I4 2,. -eizr Date..._...__. ?.r 1 _ c�_.__..
'i cf® ✓2� -c -- -c/ 1� 6 �' �.T 2c
Ow•ncr's Name and Address .... ..... .!... .... Ll �. �e- .. .. .. t� ._ No� Street_ _. ��1.` f ��
�r,i1.LE F l..- 31 ' 3 3 p / c.
Registered Architect and /or Engineer
�t,t. VI, •••t,t•t tlt StVAf•••tt. ttl QYbtt.
None and address of licensed contractor .- A tt A. CO — � i � 'v i'``
Location and legal description of lot to be built on:
Lot / 7 Block 94I0 S bdivision ��rr C
Street and Number where work is to be done 2 eF .N' 6 - •<.•� �? l T
—
State work to be done and purpose of b ilding (by floors) _...__..._ _
C t?...ETI,a..ry1..4‘ 6_.._.r�r. __..__........ for no other purpose.
New Bui!ding r.---- Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation
geared
Disapproved
(Signed)
MIAMI SHORES VILLAGE g..a /al
BUILDING INSPECTION DEPARTMENT 77/,1}
APPLICATION FOR BUILDING PERMIT
Building Inspector
to
Ate A-4/ 2E Se e ow "'A 2
Rtf Covering
Estimate Total cost of improvements $ Amount of Permit S. t
Zone cubage required Plan Cubage
Distance .to next nearest building Size of Building Lot
Maairnurn 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 C ral Laws of Florida, Permanent Sop dement,
and has complied ssith the provisions thereof, and will require similar compliance trot tractors or sub - contractors employe by him
in the work to be performed under this permit; and will post or cause to be posted •r insp• lion on the sit • of t work s h public notice
or notices as are required by the Act. The undersigned agrees to employ only su subco • actors, on t• be Pe armed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks..._ (Sig
STATE OF FLOI;IDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly autho ed to administer oaths and take acknowledgments, personally ap-
_ _......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 . .
._ .l.��
Permit No. 1jdate `)% Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commiuion Expires
/3/ �G
PLANNING BOARD DATE
Chairman Member
Mfcrr,ber 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 nfter approval has hecn obtained (man
the I'Luining l:u.rrd.
A rc•rn'pection Ice of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspertion or faulty
materials and /or workmanship.
4N/t BUILDING PERMIT NO. 2500 -0652 JOB ADDRESS 245 NE 96 ST
LOCAL Air Conditioning, Inc. -
Ike
iirA dillr STATEMENT OF COMPLIANCE:
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,thickness:and'�.
R value as set forth below.
MASONRY WALL INSULATION:
MANUFACTURER SUNCOAST INSULATION
TYPE SUNGUARD II
THICKNESS 0.75"
DENSITY SPRAY -ON
R VALUE 3
# BAGS /100SF 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 /100SF 86 SQ FT
OTHER INSULATION:
,R4-11aBATTS
R -19 BATTS
COMPANY NAME LOCAL AIR CONDITIONING INC
DATE
LIC.CONTRACTOR CC 13176 RA 0038584
BUILDING CONTRACTOR
CERTIFIED ON
BUILDING DEPARTMENT ON
COMPANY NAME
STUD WALL INSULATION:
ICENSED CONTRACTOR SIGNATURE
295 West 27 St., Hialeah, FL 33010 - (305) 821 -4320 - 33