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278 NE 97 St (4)Miami Shores Village 10050 NE 2nd Avenue Printed: 5/10/2005 Contractor Local Phone: Parcel # 1132060133990 Signed: (INSPECTOR) Building Permit Phone: 305 - 795 -2204 Permit Number: BP2005 -436 Applicant: ARTLES MICHELLE FITTS Owner: MILLER GREGORY & KELLY JOB ADDRESS: 278 NE 97 ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 OF LOT 4 BLK 30 LOT SIZE Fees: Description Amount FEE2005 -4406 Structural Fee $50.00 FEE2005 -5801 Building Fee $225.00 FEE2005 -5802 CCF $0.60 FEE2005 -5803 Notary Fee $5.00 FEE2005 -5804 Training and Education Fee $0.20 FEE2005 -5805 Scanning Fee $15.00 FEE2005 -5806 Submittal Fee ($100.00) FEE2005 -5807 Technology Fee $5.63 Total Fees: $201.43 Total Fees: $201.43 Total Receipts: $0.00 e e Permit Status: APPROVED Permit Expiration: 9/21/2005 Construction Value: $500.00 Work: FRENCH DOORS AND SHUTTERS 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. by CJ 5" 3. Job Name BUILDING CRITIQUE SHEET 4101 • • MIA MI•I'aADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Traco Windows & Doors 71 Progress Avenue Cranberry Township, PA 16066 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 SCOPI This NOA is 'being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and acceptee by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed 'by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the A13J (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the acxpted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "Dural 3" Outswing Aluminum Patio Door (L.M.I.) APPROVAL DOCUMENT: Drawing No. 04- 113 -OO1A, dated 1/21/04, titled "Series " Doral 3" Outswing Alumimmm Patio Door -L.M.I.", sheets 1 through 6 of 6, prepared by Traco Windows & Doors Inc., signed and sealed by Frank L.Bennardo, P.E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami - Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change m the applicable code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site _at.t erequest of the Building Official. This NOA consists of this page 1 and ev'dyitc . E - as well as approval document mentioned above. The submitted documentation wa revr wed b 7teo erman, P.E. c NOA No 04- 0122.17 Expiration Date: April 22, 2009 Approval Date: April 22, 2004 Page 1 • LUSTER OF (3) ANCHORS (REF ANCHOR NOTES. SHEET 3). AS SHOWN, EXCEPT FOR /12 SCREW OR 3116" TAPCON INTO WOOD OR WOOL) BUCK WHERE (4) ANCHORS ARE RECTO., 3' MIN. SPACING BETWEEN CLUSTER ANCHORS (TYP. TOP & BOTTOM) 11 PICAL ANCHOR u i., :r s iE j 0 SIDEUTE PANEL WIDTH (36" MAX) LEAF PANEL WIDTH (36" MAX) LARGE MISSILE IMPACT RESISTANT OUTSWING DOOR WITH SIDELITES • I CLUSTER OF (5) ANCHORS (REF ANCHOR NOTES, SHEET 3), 3' MIN. SPACING BETWEEN CLUSTER ANCHORS (TYP. TOP & BOTTOM) I OVERALL FRAME WIDTII (144" MAX) LEAF PANEL WIDTH (36" MAX) tallr 6 EXTERIOR ELEVATION: SNAP - MULLION SIDELITES SIDEUTE PANEL WIDTH (36" MAX) 0 12" MAX TYP 6" MAX TYP a x w m 5 GENERAL NOTES: 1. THE SWING DOOR SYSTEM DESCRIBED HEREIN HAS BEEN DESIGNED AND TESTED IN COMPLIANCE WITH THE FLORIDA BUILDING CODE 2001 (HIGH VELOCITY IIURRICANE ZONE) AND MIAMI -DADE COUNTY PROTOCOLS TAS 201, 202 & 203. 2. A 33.1/3% INCREASE IN ALLOWABLE STRESS 11AS BEEN USED IN TIIE DESIGN OF THI5 DOOR SYSTEM. 3. POSITIVE AND NEGATIVE DESIGN PRESSURES CALCULATED FOR USE WITH THIS DOOR SYSTEM SHALL BE DETERMINED BY OTHERS ON A JOB- SPECIFIC BASIS IN ACCORDANCE WITH THE GOVERNING CODE. 4. THE DOOR SYSTEM DETAILED HEREIN HAS BEEN TESTED PER MIAMI -DADE COUNTY PROTOCOLS TAS -201, TAS -202, & TAS -203 AS REFERENCED IN TEST REPORT 10021-1007-03 BY HURRICANE TEST LABORATORY (HTL). 5. THE DOOR SYSTEM DETAILED HEREIN IS GENERIC AND DOES NOT PROVIDE INFORMATION FOR A SPECIFIC SITE. FOR SITE CONDITIONS DIFFERENT FROM THE CONDITIONS DETAILED HEREIN, A LICENSED ENGINEER OR REGISTERED ARCHITECT SHALL APPLY FOR ONE -TIME APPROVAL AND PREPARE SITE SPECIFIC DOCUMENTS FOR USE IN CONJUNCTION WITH THIS DOCUMENT. 6. PERMIT HOLDEK SHALL VERIFY THE ADEQUACY OF THE EXISTING STRUCTURE TO WITHSTAND SUFERIY-.POSFD LOADS. WOOD BUCKS (NOT BY TRACO) SHALL BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE EXISTING STRUCTURE. 7. DOORS PANELS GLAZEO WITH 7/16" LAMINATED GLASS ARE LARGE MISSILE IMPACT APPROVED. NO PROTECTION REQUIRED FOR ALL INSTALLATIONS. 8. ALL STEEL IN CONTACT WITH ALUMINUM SHALL BE PAINTED OR PLATED. III 0.0, n"' N. 1 9` 111 _i' i Y , I L) iL U AS SHOWN, OR OXX, XXO, OXO, XO, OX, or XX CONFIG USE TYP. JAMB FASTENING CONFIGURATION FOR ALL CASES, AS SIIOWN (N.T.S.) DESIGN PRESSURES: +S5 PSF / -60 PSF mato] -- 611EE I CF vra 4 { § l um ^ ' W O E w 2 `I a E Y �n 1 0r 31. c . oso In ced 0 b 6 SIDELITE PANEL — 2" (36" • WIDTH MAX) 24" MAX TYP / I ' 0 i CLUSTER OF (5) ANCHORS (REF ANCHOR NOTES. SHEET 3), 3' MIN. SPACING BETWEEN CLUSTER ANCHORS (TYP. TOP 8 BOTTOM) SIDELITE PANEL WIDTH (36" MAX) r \ v X LARGE MISSILE IMPACT RESISTANT OUTSWING DOOR WI.TH SIDELITES FRAME WIDTH - TESTED SIZE ..148" i MINN C Rl EXTERIOR ELEVATION: TUBE - MULLION SIDELITES v AS SHOWN, OR OXX, XXO, OXO, X0, OX, XX, 0, or X CONFIG USE TYP. JAMB FASTENING CONFIGURATION FOR ALL CASES, AS SHOWN (N.T.S.) 6" MINX TYP 7, DESIGN PRESSURES: +90 PSF / -90 PSF 7/16' LAMINATED CLASS: 3/16" I1S A 0.090" SOLUTIA SAFLEX PVB R 3/16" HS )_.. ATV ,ES'V BEDDING COUPOUND � r GLAZING DETAIL (LEAF OR SIDELITE) FULL SCALE s W EXISTING STRUCTURE (OPTIONAL IX OR 2X WOOD BUCK NOT SHOWN) PERIM. SEAL Df OTHERS GLAIING — IZ CC 0 0 W . W SEE AIA:IIOR NOTES FOR ANCHOR TTFES 8410 EMBEDMENT. SEE ELEVATION TOR LOCATIONS & SPACING. L) 1 -o CO SECTION OF RESIDENTIAL DOOR HALF SCALE • SEE ANCHOR NOTES FOR ANCHOR TYPES AND EIABEOuEN+I. SEE ELEVATION FOR LOCATIONS do SPACING. 1 /4 SHIM MAX. BY WSTALLER ALL SCREW HEADS TO BE SEALED BY INSTALLER TVP. AT HEAD AND SILL. NO SILL RISER REOD WHEN SNAP MULLION IS USED. TIM APPLIED SEAL (2 • EXTERIOR USHBOLT ACTNATION IEVEIT ON INSIDE TOP ANO BOTTOM AT ACTIVE • PANEL ASTRAGAL DETAIL HALF SCALE NOTE; EXTERIOR AND INTERIOR FINISHES, BREAK METALS AND FLASHING BY OTHERS. FRAME WIDTH MASONRY OPENING 1/4' MAX. SHIM BY IIISIALLLR All SCREW HEADS TO BE SEALED BY INSTALLER TYP. AT JAMB. ANCHOR NOTES: 1. ANCHORS SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS. 2. ANCHOR EMBEDMENT SHALL BE INTO BASE MATERIAL, EXCLUDING STUCCO OR OTHER WALL FINISH. 3. BASE MATERIAL SHALL BE WOOD (G.0.55 OR GREATER SPECIFIC GRAVITY), GROUT - FILLED BLOCK (MIN 2000 pal COMPRESSIVE STRENGTH FOR GROUT), OR CONCRETE 3000 EXIS71HC ( 4. SEE EXTERIOR ELEVATIONS FOR ANCHOR LOCATIONS AND SPACING. V STRUCTURE 5. ENSURE MINIMUM OF 2.I/2° EDGE DISTANCE FOR ALL ANCHORS INTO GROUT - FILLED BLOCK OR CONCRETE AND MINIMUM OF 1 -1 /T EDGE DISTANCE FOR ALL WOOD ANCHORS. 6. ANCHOR OPTION FOR INSTALLATION ARE AS FOLLOWS: t w r D BUCK) ELCO) WITH 1.1/2° MINIMUM EMBEDMENT. 3/16° OR I /4° TAPCONS (ITW OR ELCO) WITH 1.1/4• MINIMUM EMBEDMENT TO CONC OR GROUT•FILLBD BLOCK, • \ \ PERIMETER SEAL TIP. BY OTHERS �—Ij4 ••} JAMB DETAIL HALF SCALE SEE /of.; :r..P NOTES FOR ANCHOR 1\PES AND EIABED'JEI.T. SEE ELEVATION FOR ICCAI.)I.S & SPACING. EXISTING STRUCTURE III IOPTOONAI. x ow ax D_ P Si N r r WOOD BUCK NOT n O ���777 SHOWN) I 111 : A ,. 11 ? • '" O 4 49 W oW � X -- V1 11 l) 0 1 L I ml d : ;I: O V 04 .4E ) I d p._ If8ll ti : M ► 1 • MA t tBEl4' SulEET: 3 OF E TIS TRIO STRUCTURE (OPTIONAL IX OR 7X W000 • BUCK HQ! SHOWN) 4 , ERILIEIER SEAL or OTIERS) K 0 W 0 0 SEE A11CIb:R IIDTES rod —� ANC NOR TIP'LS AND EIdBEOuENI. SEE rLEVAPON FOR LOCATIONS & SPACING. SECTION OF SIDELITE HALF SCALE — 0 0 0 l w to 1.1 SEE ANCHOR NOTES N om— : ANCHOP. TYPES NOTE; ANO ELIBEDuEIN. EXTERIOR AND INTERIOR . FINISHES. SCE ELEVATION FOR BREAK METALS AND FLASHING LOCATIONS & SPACING. BY 01HERS. ALL SCREW HEADS TO BE SEALED BY INSTALLER 1YP. Al HLAD AND SILL. Q 1/4' SHIM MAX. BY INSTALLER �— E XISTING S TR UC TURE EXISTING STRUCTURE (OPTIONAL 15 OR 2* W000 BUCK NOT SHOWN) f KS %21/2' P11 SUS SEE ELEV. FOR LOCATION EXTERIOR • ,i. WIDTH EXTERIOR FRAME WIDTH SEALF SC CTION OF SNAP - MULLION SIDELITE 5 a H ALE ALL SCREW HEADS TO BE SEALED BY INSTALLER TYP. AT JAMB. APPLY STRUCTURAL SILICONE 10 BOTH LEGS PRIOR 10 SNAPPING MULLION PARTS TOGETHER. MASONRY OPENING 1/4' SHIM MAX BY INSTALLER PERIMETER SEAL - ' BY OTIIERS FRAME WIDTH AU. SCREW HEADS TO BE SEALED BY INSTALLER TYP. AT JAMB. 2" MASONRY OPENING E) . SECTION OF TUBE- MULLION SIDELITE HALF SCALE PERIMETER SEAL —/ BY OTHERS FRAIAE WIDTH E%ISTIl ICI STRUCTURE IOPNMNAL 1% OR ]% W000 BUCK HOT SHOWN( C( EMBED 1 a SEE AN Es NOIr.S T OR ANCHOR TYr AHO ELIDEOLIENT, SEE ELEVATION rox tOCATIONS & SPACING. • 4 �— EXISTING STRUCTURE (OPTIONAL IX OR 25 j w000 Built NOT i SHOWN) EMBED I 1/4" SHIM MAX BY INSTALLER a � SEE ANCHOR NOTES FOR ANCHOR TYPES ENBE0IENT. V SEE LLEVAT104 FOR LOCATIONS & SPACING. aN 4W 3a H or, M t a): En �n W Pl rsc.* g pk41P1iLT1 '._pE1F SHEET: 4 c- 6 • .1 LEAF TOP BOTTOM CORNER GLAZING INSERT CORNER SWINE FRAME TOP AND BOTTOM CORNER 0008 FRAME TOP CORNER SEALANTS: ACL TRAM! AND LEAF CORNERS, INSTALLATION SCREWS AT SILL AND JAMBS AND BOTTOM GLAZING BEAD SHALL BE SEALED WITH SCHEE MOREHEAD 5504 SEALANT. HINGES 4 ONC ALUM. BUTT HINGES WITH .312 DIA X 2.1/2' ALUM PIN, BRASS SPACER AND NYLON CAPS AT 3 I/2' FROM TOP & BOTTOM AND AT MIDSPAN LOCKS: - STANDARD STEEL THROW BOLT LOCK, KEY OPERATED ON EXTERIOR AND THUMB TURN ON INTERIOR 39 l/Y FROM BOTTOM AT ACTIVE LEAF LOCK STILE CONVENTIONAL LOCKSEF WITH LEVER TYPE OPERATOR HANDLE AT ACTIVE LEAF LOCK STILE NEAR NIDSPAN STANDARD FLUSH BOLTS, MANUALLY OPERATED AT TOP AND BOTTOM OF EACH ACTIVE AND INACTIVE LEAF , •Aa•� , sr - SIDEUTE FRAME TOP ANO BOTTOM CORNER . AT MULLION GLAZING INSERT FASTENER SPACING MATERIAL LIST ITEM NU PAR1 111109ER OUANTITI DESCRIPTION MATERIAL LIANF. /SUPPLIER /REMARKS 1 050 -338 1 /0009 2 /SIDELNE ATRIUAI FRAME NERD ATRIUM FRAME HEAD OR SILL 6053 -T6 TIFTON OR EOUN. 2 050 -389 2/ LEAF DOOR LEAF 10P k BOTTOM RAIL 6063 -T5 ALU1AAX OR EDUN. • 3 050 -002 1/ 510E1 SNAP CANTREVER 6063 -15 - 4 050 - 763 4/ CLASS LITE GLAZING SUB FRAME 6063 -16 TIFTON OR EOUN. 5 050 -130 1 0 DOOR TIIREASIIOLD • 6063 -15 ALUMAX OR EO1R7. 6 050 -292 2/ DOOR 1/ SIDELITE ATRIUM FRAME JAMB 6063 - 15 TIFTON OR (OWL. 7 051 -394 2/ LEAF RESIDENTIAL 0008 PANEL VERTICAL STILE 6063 -15 TIFTON OR EON. 8 050 -455 1/ LEAF GAP CLOSURE 6063 -15 TIFTON OR MN. 9 - - - - - 1 . 10 4 AS REOD. 2' X 4 1U8E MULLION 6063 -15 TRECO OR EDW. 11 050 - 124 AS REDO. 1 1 1/4 X 1 /8" ANGLE ALUMINUA - 12 050 -764 AS 9(00. GLAZING BEAD 6063 -T6 TIF1014 OR Mk/. 13 012 -00 -401 45 REOD. 110 X 1/2' FLAT HEAD SCREW - - 14 A5 8E00. - I/8' SHIM PLASTIC - 15 - 8/ FRAME 110 X 1' 0008 FRAME ASSEMBLY SCREW - 1- 16 007 -14 -0396 AS RE0D. DOOR HANDLE - UARBOLLO 17 - 4/ LEAF I/2' SELF LOCK NUT STEEL - 18 - 2/ LLAF 1/2' ROD (2 X PANELS) STEEL - 19 - 4/ LEAF 1/2 FLAT WASHER . STEEL - • 20 - 4/ LEAF 112' REGULAR HUT - - 21 051 - 181 3/ LEAF HINGES - - 22 007 -10 -951 2/ LEAF STANDARD FLUSH BOLL - - i 23 - 4 18 4 1/2' SUS - - 24 20 - 4184 AS RECD. BULB vIIM VIIIYL - 25 - 4! LEAF BLOCK ROD GUIDE - - i 26 050 -10 -765 1 SILL RISER ALULIINI• SILL RISER 27 - 1/ LEAF 1 X .050 ALUM BAR (BETWEEN VERTICALS) ALUMINU4 - • 28 04 -10 -014 AS RE L1 FIN SEAL WEATHER STRIPPING - - 1.750 -- 0530 �-- 1 1.107 GLAZING SUBFRAME 0.062 TYP 3.950 THRESHOLD 1.250 4.000 1 H -1006 TUBE MULUON 1.7;,3 —1 0.078— 4.000 DOOR STILE r -0.093 0.078 0.753 0.078 4. 000 ---- -- 0.500 - ATRIUM FRAME HEAD /SILL 1 0'078 } 0.500 1.500 4.000 L _ I•--- 3 500 DOOR FRAME JAMB -- I 1.057 {— n :1-75 I 0.091] SILL RISER 5.030 I 1 0.050 11-1- 0.500 0.750; 05 5 GLAZING BEAD 3.500 0.652 t--- 1— 0 0.795 0.705 GAP CLOSURE 0.500 T DOOR STOP c 1- . := 1 1. 6 7 2 5 .3 0 I iI 0.070 - 0.078 t, - ll J DOOR TOP/ BOTTOM RAIL • Q j DAM` 5HEET 6 C (o so APB 0e61 § JpOsL1 ''N** \'°;\ 7 • • MIAMFDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (N Hurst Awning Co., Inc. 6865 NW 36" Avenue Miami, FL 33147 SCOPE: This NOA is being issued unocr the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to -° used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. / D ESCRIPTION: 0.050" Aluminum Storm Panels Shutter r! APPROVAL DOCUMENT:. Drawing No. 02 -373, titled " 0.050" Aluminum Storm Panel ", sheets 1 through 5 of 5, prepared by Knezevich & Associates, Inc., signed and sealed by V.J. Knezevich, P.E., dated July 19, 2002, last revision #1 dated August 26, 2002, bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami - Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small MissiD 1.niprnet LABELING: Each panel shall bear a permanent label with the manufacturer's name or logo, city, slate and the following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion dale NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 02- 0624.05 and, consists of t The submitted documentation was reviewed by Helrny 0) Alt IvU tARUl- IDADDE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 11410 %VEEST FLAGLER STREET, SUITE t603 MIAMI, FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375 -2908 praval document mentioned above. NOA No 02- 0731.15 Expiration Date: 08/19/2007 Approval Date: 09/26/2002 Page 1 0 0'1 0 w a Et el 0 0 0 0' c c N i ro 0 '0 0 0 0 0 0 0 0 0 0 0 rb ®79 .375" R p4 1 , 2.000" (R 7f /(17 IF.74 1.625•• 12.500" COVERAGE 15.315" STORY.Q, PANEL SCALE : 3" = 1' - 0" .315" R 060" 90" TYP. 120" DECORATIVE C -TR CK SCALE : HALF SIZE GENERAL NOTES: 1 1.500" 1 2.000"1 C / SLIDE TRACK PRODUCT MARKING LOCATION .440" 0 I .BB' (ZAMAC 3 ALLOY) WING NUT " o C79" 0 0 ea SCALE : HALF SIZE SCALE : HALF SIZE 1. THESE APPROVAL DOCUMENTS REPRESENT A SHUTTER SYSTEM ANALYZED WITH THE PROVISION SET FOR THE ISSUANCE OF A NOTICE OF ACCEPTANCE (NOA) BY MIAMI -DADE COUNTY PRODUCT CONTROL DIVISION FOR THE HIGH VELOCITY HURRICANE ZONE (HVHZ) OF THE FLORIDA BUILDING CODE. 2. A 33% INCREASE IN ALLOWABLE STRESS HAS NOT BEEN USED IN THE DESIGN OF THIS PRODUCT. 3. DETERMINE THE POS!T'VE APSD NEGATIVE DESIGN LOADS TO USE WHEN REFERENCING THESE DOCUMENTS IN ACCORrIANCE WITH THE GOVERNING COOE AND GOVERNING WIND VELOCITY. ' 4. THESE. APPROVAL DOCUMENTS ARE GENERIC AND DO NOT INCLUDE INFORMATION FOR SITE - SPECIFIC APPLICATION OF THIS SHUTTER SYSTEM. 5. THESE APPROVAL DOCUMENTS COMPLY WITH CHAPTER 61G1S -23 OF THE FLORIDA ADMINISTRATIVE CODE. 6. THESE APPROVAL DOCUMENTS. ARE SUITABLE TO BE APPLIED BY THE CONTRACTOR PROVIDED THE CONTRACTOR DOES NOT DEVIATE FROM THE CONDITIONS DETAILED HEREIN AND THE CONTRACTOR VERIFIES THAT THE EXISTING STRUCTURE DOES NOT DEVIATE IN EITHER FORM OR MATERIAL FROM THE STRUCTURAL SUBSTRATES DETAILED HEREIN. 7. ANY MODIFICATIONS OR ADDITIONS TO THESE APPROVAL DOCUMENTS WILL VOID THE APPROVAL DOCUMENTS. 10 2" x 2" SCALE : 8. WHEN THE SITE CONDITIONS DEVIATE FROM THESE APPROVAL DOCUMENTS. THE BUILDING OFFICIAL MAY ELECT ONE OF THE FOLLOWING OPTIONS: A) REQUIRE THAT SITE SPECIFIC DOCUMENTS BE PREPARED. SIGNED, DATED AND SEALED BY A LICENSED ENGINEER OR REGISTERED ARCHITECT. WHICH DETAIL AND JUSTIFY THE DEVIATION. SAID DOCUMENTS SHALL BE SUBMITTED TO THE PRODUCT ENGINEER FOR REVIEW AS A CONDITION TO THE BUILDING OFFICIAL GRANTING HIS /HER APPROVAL. B) REQUIRE THAT A ONE -TIME SITE SPECIFIC APPROVAL BE APPLIED FOR AND1 /4" MAX• SECURED FROM THE MIAMI -DADE COUNTY PRODUCT CONTROL DIVISION WHEN THE SITE CONDITION DEVIATIONS OCCUR WITHIN THE HIGH VELOCITY HURRICANE ZONE AREAS ONLY OPTION "B" SHALL BE ACCEPTED BY THE BUILDING OFFICIAL. 9. PRODUCT MARKINGS SHALL BE WITHIN 12" OF ONE END OF THE PANEL WITH A MIN OF ONE MARKING PER PANEL AND SHALL BE LABELED AS FOLLOWS: HURST AWNING CO., INC. MIAMI FLORIDA MIAMI -DADE COUNTY PRODUCT CONTROL APPROVED 10. STORM PANELS SHALL BE 5052 -H32 WITH THE FOLLOWING BARE METAL THICKNESS AND MECHANICAL PROPERTIES: NOMINAL 0.050" (0.0405" MIN BARE METAL THICKNESS). WITH A MIN. Fy= 29.2 KSI 11. ALL BOLTS AND WASHERS SHALL BE GALVANIZED OR STAINLESS STEEL WITH A MINIMUM TENSILE STRENGTH OF 60 K.S.L. . U.O.N. 12. ALL EXTRUSIONS SHALL BE 6063 -T6 ALUMINUM ALLOY, U.O.N 13. TOP 8 BOTTOM DETAILS SHOWN MAY BE INTERCHANGED AS FIELD CONDITIONS DICTATE. PANELS MAY BE MOUNTED HORIZONTALLY WHERE APPLICABLE. EXCEPT FOR "h" AND "U" HEADER MOUNTING CONDITIONS. 14. AT LEAST ONE WARNING NOTE PER OPENING SHALL BE PLACED IN A CONSPICUOUS LOCATION ON ANY OF THE COMPONENTS OF THE STORM PANELS SYSTEM ADVISING THE HOME OWNER OR TENANT THAT THE STORM PANELS WILL NOT OFFER HURRICANE PROTECTION UNLESS ALL REINFORCING BOLTS AND /OR STRAPS ARE PROPERLY INSTALLED WHEN REQUIRED. WARNING LABEL SHALL BE FASTENED WITH PERMANENT ADHESIVE OR MECHANICALLY. PRODUCT MARKING LOCATION 1 2.000" 6.250•• COVERAGE ONE HALF PANEL PER OPENING MAY BE USED AS REQUIRED TO COVER OPENING. STORM PANEL SCALE : 3" = 1' -0" z ,1 1 TOP MOUNT W J N,._ ot-< 4 Wz uW0 0 N W ZW 4z < CC X OJ J QLLQ w 3 JJx 0 gmy W a 500" WIDTH UNLIMITED IPERP. TO PANEL SPANI TYP SECTIONS P 1 BOTTOM MOUNT . - TYPICAL VERTICAL MOUNT W/ STRAP ELEVATION N.T.S. TRAP MOUNT 0 m ,Cm WALL / DIRECT MOUNT ALUM. ANGLE CLOSURE PIECE QS 1"x2"a.125•" MIN. TO 2 "tt5 " .125 " MAX. 2.250 062• .062' 2.063" "h" HEADER "U" HEADE STUD ANGLE SCALE 3" = 1' -0" SCALE : 3" = 1' -0" SCALE : 3" = 1' -0" 1/4 -20 STUD .190" .625• f a 3/4•• LONG 12.5" O.C. STRAP ON BACK F PANEL DETAIL 1 .06T /'1/4 -20 STUD / tt 3/4" LONG ' o .OS" (d 12.5" O.C. 4125" .750" I YYP. x 0.05" TUBE 0 0 STUDDED STRAP (SLIDER) HALF SIZE SCALE : HALF SIZE TOP MOUNT -\ PLACE PANELS i O 1/4" MAX 1 EXISTING CONCRETE. HOLLOW BLOCK OR W000 FRAMING ITYP.)_ J 1/2 MIN OVER LAP 1 -1/2" TYPICAL CLOSURE DETAILS SCALE: 1 -1/2" = 1' -0" 2 250", j.062" .062" WIDTH UNLIMITED r rI .62S'; _7: ea 062' 375 " 12.063"1 -1375" (PERP. TO PANEL SPAN) TYP. SECTIONS - ALUM. ANGLE CLOSURE PIECE 1" It 2" tt .062" 2" x 5" .125"--\ PLAN W O DETAIL 1 BOTTOM MOUNT ` _ TYPICAL VERTICAL MOUNT W/0 STRAP ELEVATION N.T.S. FOR 1" It 2" tt .062 ". 140 P.S.F. MAX.. USE 1/4 "W FASTENER 12" O.C. FOR 2" tt 5" x .125 ". 56 P.S.F. MAX., USE 1/4"0 FASTENER (ul 10" 0.C. BUILD -OUT MOUNT MIN. FOR 1" a 2" tt .125". 140 P.S.F. MAX., USE 1/4"0 FASTENER (nl 12" 0.C. FOR 2" tt 5" tt .125•", 56 P.S.F. MAX., USE 1/4" FASTENER ® 10" 0.C. (PLAN VIEW) 1/4 -20 MACHINE SCREW p12.5.. 0.C. - (STUD DIRECTION ft . 12S TYP. MAY BE REVERSED) fI 1 STRAP ON INTERIOR SIDE & FASTEN THRU WITH WASHERED WINGNUTS (e7 •12 -1/2" O.C. - J4 ,0.090" (TYP.) STRAP (SUPPORT AT PANEL MID -SPAN) 1 S "F" TRACK SCALE : HALF SIZE SCALE : 3" = 1' -0" 'r ANGLE 1/4 " -20 SIDEWALK 1 4 BOLT FOR SLIDE TRACK SCALE : HALF SIZE DETAIL 1 SCALE : 3" = 1' -0" PRODUCT ' "I WISE c Icoarf 'Ong [fDc dlagC e Amplaoee No 0 iE ipintioo Dae: SCALE : 3" = 1' -0•' .376" 0- 3/32" REF. BEIM 1 1.000 "I 452" v+ m B Miami Dad Division c a ee a 1, 0 M 4 c ® . (00®1c or 1 ` VAN (aoro 07/99/8008, rocalo Aa «oleo 1 lkOr awe Or 1 ( AV v tx GrowMg no 2-373 shreeP 9 o 5 j VJ. Ma.2 E':FLO rlarna cCCOD ear _ 2002 E r N 0 0 O N to CO 0 O EXISTING CONCRETE. HOLLOW BLOCK OR W000 FRAMING ISEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) GLASS OR DOOR SEE TABLE 2 FOR MIN SEPARATION FROM GLASS SEE TABLE 2 FOR MIN. SEPARATION FROM GLASS 08/26 /02 16:25 W t7 0 w l7 0 W W 0 W EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING ISEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) N 0 GLASS 0 DOOR EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) 0 PENETRATION OR EMBED. ,p 5 /8" ITYP.I 7 ---C2 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING 1/2" PENETRATION OR EMBED. MAX. 1 0 1O G fi r- 1/4" MAX. XW 4 J E 4 J1- Z x Q ce O. E J E O U w O I a - v VI VI W Z W 4 I^ FASTENER (a 12 -1/2" 0.C. MAX. BUT DO NOT EXCEED ANCHOR SCHED. (PG. 41 SPACING USE REMOVABLE ANCHORS W/ WAFERHEAO (3 /4"(0) OR TRUSS HEAD LOCATE FASTENER IN NARP0W PORTION OF KC Y HOLE SLOT.C1 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING WALL MOUNT SECTION SCALE 3" = 1' -0" "h" HEADER C2 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING 1/2" O 0O x A E J 1/4" MAX. 0.625• - - 2 "x2" STUD ANGLE C1 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING PENETRATION OR EMBED. WALL MOUNT SECTION SCALE 3" = 1' -0" 2" x 2" Cl CONT. L/4 -20 x 3/4" MACHINE SCREW VJ 1IUIV Yt REFERENCE ANCHOR SCHEDULE FOR MAX SPACING cr 0 EXISTING CONCRETE. HOLLOW BLOCK OR W00 FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) GLASS OR DOOR SEE TABLE 2 FOR MIN. SEPARATION FROM GLASS 4" MAX. C5 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX SPACING EXISTING CONCRETE. HOLLOW BLOCK OR W000 FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STR(IrTIIIZF) 1/4" MAX. z 0 4 Q W m W E Z IW i i i # 5/8" MAX /4" MAX s 'r7 1 PENETRATION OR EMBED. CEILING /FLOOR MOUNT SECTION SCALE : 3" = T -0" THREE - 1 /4 "mx 3" WOOD LAG SCREW @ 24" 0.C. MAX. W/ #14 TEK SCREW BETWEEN JOISTS 5 -1/2" x 3/16" 6063 -T6 ALUMINUM PLATE fl o P14x1" TEK SCREWS BETWEEN TRUSSES 2" x 2 "O CONT. SEE TABLE 2 FOR MIN. SEPARATION FROM GLAS C5 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) w m 0 W GLASS OR DOOR . SEE TABLE 2 FOR MIN. SEPARA TION FROM GLASS 1/4" MAX. EXISTING CONCRETE. HOLLOW BLOCK OR W000 FRAMING (SEE ANCHOR SCHEDUI F RASFC1 nN TYPE OF STRUCTURE) • FROM GLASS -EXISTING W000 JOIST 1/4" )MAX. X I+! to PENETRATION OR EMBED. I O CEILING /FLOOR MOUNT SECTION SCALE . 3" = 1' -0" ITYP.) 1/2" P14 TEK SCREW OR 1/4 -20 MACHINE SCREW & NUT e(1 12" 0.C. TYP. TOP & BOT. 0.625' PENETRATION OR EMBED. SEE TABLE 2 FOR MIN. SEPARATION f W to 0 1- 0 Q J 4 PENETRATION Z I Q W O. X0 CC W O I I- u an N w Z W Q 1./1a OR EMBED. r-5/8 MAX. C1 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING f5 /8" MAX. H OLLOW BLOCK OR W000 FRAMING (SEE ANCHOR SCHEDULE BIASED ON TYPE OF STRUCTURE) C1 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE F0t4 MAX. SPACING 0 SHORT LEG MAY BE REVERSED TOWARDS THE OPENING 1/4" MAX. O x E J STUD ANGLE WITH 1/4 -20 x 3/4" MACHINE SCREW C4 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING O WALL BUILD -OUT MOUNT SECTION SCALE : 3" = 1' -0" 1/4 -20 x 3/4" MACHINE SCREW EXISTING CONCRETE, HOLLOW BLOCK OR W000 FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) F WALL MOUNT SILL SCALE : 3" = 1' -0" 1/4" MAX. PRODUCT REVISED as complying with the Florida Balding Code Acceptance No 0 Z -0 Eipiration Date By Miarn1 Da ct aatrul Ditisicn STORM PANEL SPAN SCHEDULE FOR DETAIL( DESIGN L MAX LOAD (PSF) (FT -IN) 60.0 7 - 6 75.0 6 -0 MINIMUM STORM PANEL SEPARATION FROM GLASS SCHEDULE STORM PANEL SPAN SCHEDULE DESIGN / NEGATIVE LOAD W (PSF) I FOR ALL MOUNTING CONDITIONS EXCEPT F -TRACK SEE DETAIL LOAD(W) (PSF) L MAX. (FT -IN) (INCHES) 30.0 10 - 6 WITHOUT STRAP 35.0 10 - 6 35.0 41.6 10 - 1 2 -3/4 45.0 9 - 10 8- 6 50.0 9 - 4 2 55.0 8 - 11 3 60.0 8 - 6 3 62.0 8 - 5 2 65.0 8 - 2 1 -1/2 70.0 7 - 11 3 72.0 7 - 9 10 - 1 75.0 7 -8 3- 80.0 7 -5 7- 0 90.0 7 -0 1 -3/4 1nn.n 6 _ 3 2 -1/4 110.0 5 - 8 2 -1/4 120.0 5 - 3 3 -3/4 130.0 4 - 10 60.0 140.0 4 - 6 2 -3/4 150.0 4 - 7- 0 160.0 3 - 11 1 -3/4 170.0 3 - 8 2 -1/2 180.0 3 - 6 2 - 1/2 190.0 3 - 3 2 200.0 3 - 1 MINIMUM STORM PANEL SEPARATION FROM GLASS SCHEDULE DESIGN ACTUAL SHUTTER MINIMUM SEPARATION FOR INSTALLATIONS 30' OR LESS ABOVE GRADE MINIMUM SEPARATION FOR INSTALLATIONS GREATER THAN 30' ABOVE GRADE LOAD(W) (PSF) SPAN (FT - IN) (INCHES) (INCHES) WITH STRAP WITHOUT STRAP WITH STRAP WITHOUT STRAP 35.0 7- 0 2 2 -3/4 1 -1/2 1 -1/2 8- 6 2 -1/4 3 2 2 10 - 6 3 3 -3/4 3 3 40.0 7- 0 2 2 -3/4 1 -1/2 1 -1/2 8- 6 2 -1/4 3 2 2 10 - 1 3 3 -3/4 3- 3 50.0 7- 0 2 2 -3/4 1 -3/4 1 -3/4 8- 6 2 -1/4 3 2 -1/4 2 -1/4 9- 4 2 -3/4 3 -3/4 2 -3/4 2-3/1. 60.0 6- 0 2 2 -3/4 1 -1/2 1 -1/2 7- 0 2 -1/2 2 -3/4 1 -3/4 1 -3/4 8- 6 2 -1/2 3 2 - 1/2 2 - 1/2 70.0 6 0 2 2 - 3/4 1 -1/2 1 -1/2 7- 0 2 2 -3/4 1 -7/8 1 -7/8 7- 11 2 -3/8 3 -3/4 2 -3/8 2 -3/8 I F- < ® -11.w C9 MAX. STORM PANEL SPAN SCHEDULE FOR F -TRACK SILL W/ ANY HEADER DESIGN LOAD W (PSF) L MAX. (FT -IN) 70.0 7 -11 80.0 7 -5 90.0 7 - 0 0 0 cNa 0 u a Q P4 0 0 a c c a - EXIS I INU LurvLNc I c. HOLLOW BLOCK OR W000 FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) w 0 0 w SEE TABLE 2 FOR MIN. SEPARATION FROM GLASS EXISTING CONCRETE. HOLLOW BLOCK OR W000 FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) W 0 0 W 1/4 -20 HEX HEAD BOLT PENETRATION OR EMBED. (TYP. 08/26/02 16:30 W 0 EXISTING CONCRETE. HOLLOW BLOCK OR W000 FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) SEE TABLE 2 FOR MIN. SEPARATION FROM GLASS WALL MOUNT F -TRACK SECTION SCALE 3 "= 1'- 0" 5/8" MAX. C2 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING . 1/2 E J /4 -20 HEX HEAD NUT (SPACER) C1 CONNECTION TYPE REFERENCE ANCHOR SCHEDULE FOR MAX. SPACING / j WAFER HEAD BOLT ASSEMBLY 'SCALE 3•' = 1/4 -20 NUT IS NOT NECESSARY W NOT USED AS INSIDE MOUNT W -J - O f 0 0 10i m 4, 4, S /8" MAX. / 2' m w J Q 1-- w Z 4 W a. --A of Fu � w w 4 N to C3 CONNECTION TYPE REFERENCE ANCHOR S CHE U E FOR MAX. 1/4" MAX. J 4 Z as a an I 0 X J Q D N )_ 0 w W j N u TO LOCK STRAP IN PLACE USE A 1/4 -20 THUMB SCREW OR TRUSS HEAD BOLT 847 TAP DRILL W/ 1/4 -20 NC THREAD T A 8 L E 2 07 TAP DRILL W/ 1/4 -20 NC THREAD TO LOCK STRAP IN PLACE USE A 1/4 -20 THUMB SCREW OR A TRUSS HEAD BOLT D 0 z z 1/4 -20 MACHINE SCREW STUD @ 12 -1/2" O.C. FINAL LOCATION OF STUD (TYP.) 3/4" STRAP ASSEMBLY (SILL ONLY SIDEWALK BOLT ASSEMBLY FOR 0-SIMILAR (NO STRAP) NTS NOTES: 1 . ENTER TABLE 1 WITH NEGATIVE DESIGN LOAD TO DETERMINE MAX. PANEL SPAN. POSITIVE LOADS LESS THAN OR EQUAL TO THE NEGATIVE LOAD ARE ACCEPTABLE. 2. ENTER TABLE 2 WITH POSITIVE DESIGN LOAD TO DETERMINE MIN. SEPARATION FROM GLASS. 3. FOR DESIGN LOADS BETWEEN TABULATED VALUES. USE NEXT HIGHER LOAD OR LINEAR INTERPOLATION MAY BE USED TO DETERMINE ALLOWABLE,SPANS. 1/4 -20 HEX HEAD NUT ISPACER) TYP. TABLE 4 PUNCH 1/2" tt 1" HOLES IN ADJACENT PANELS TO RECEIVE THIS BOLT W/ PM NUT. PLACE PANEL OVER EACH ADJACENT PANEL AND FASTEN WINGNUTS FROM THE INSIDE TYP. PM NUT (TYP.) 1 -1/2" NOTCH (TYP. BOTH SIDES) A B L E 1 FLOOR OR WALL MOUNTED. 2" x 2" x 1/8" CONT. STUDDED ANGLE Q OR WALL MO NTED SLIDE C -TRACK r 6 OR ISEE DETAILS B, C. D. E. OR G FOR BOTTOM MOUNTING CONDITIONS) DETAIL J NOTE: THIS DETAIL DEPICTS THE CONNECTION OF THE LAST PANEL FOR AN OPENING WITH PANELS INSTALLED FROM INSIDE. ISOMETRIC VIEW)USE OF DETAIL SHALL BE IN CONJUCTION WITH AN "h HEADER OR "U "HEADER TOP MOUNT. O OPTIONAL INTERIOR FASTENING DETAIL (ISOMETRIC VIEW) N.T.S. 1 -1/2" 0 (state As Ka1co reignInI VM z 4 u 0 4 x u_ N w (a►• 07/19/20021 1 AV IKE Ara wing no 02 -373 5" LONG HANDLE RIVETED TO PANEL 3" TYP. 1/4 -20 x 1" STAINLESS STEEL SIDEWALK BOLT (TYP.) NUT WASHER ON OUTSIDE FACE (TYP) PRODUCT REVISED as complying with the Florida Balding Code Acceptance No OL- ►_ • / Expiration Date liy Mlaa.IDa Coeft I Division ro sheet 3 of 5 04: 30: 2Bpm ANCHOR SCHEDULE FASTENER MAXIMUM SPAC2PIG (INCHES) REQUIRED FOR VARIOUS DESIGN LOADS AND SPANS Li is '138X3 ANCHOR WE limo titl1T11P11S11lllalnl. 1/4 - 0 live TAPCON W/ 1-1/4" MIN. EMBEDMENT ( .:M. 2.10:0 P.S.L CONCRETE) LOAD 1w) P S F h1A3i (SEEP 6107E 1) 35.3 MIN. 2' EDGE *1ST : CE MIN. 3' EDGE DIST .iaCE SPANS UP TO 5 -0•' (SEE NOTE 1) I SPANS UP TO 8' -e" (SEE NOTE 1) SPANS UP TO 10' -6" (SEE NOTE 1) SPANS UP TO 5• -0" (SEE NOTE 1) SPANS UP TO 8 -a (SEE NOTE 1) d SPANS UP TO 10 -6" (SEE NOTE 1) CONNECTION + C1 16 (SEE C2 16 TYPE NOTE 3) C3 C1. C5 15 CONNECTION C1 16 (SEE NOTE C2iC3 TYPE 3) C &105 16 8 CONNECTION C1 16 (SEE C2 (COTE C3 TYPE 3 C4 CS CONNECTION (SEE C1 C2 MOTE C3 TYPE 3) C4 C5 CONNECTION C1 (SEE NOTE C2IC3 TYPE 3) C4 CS CONNECTION C1 (SEE C2 NOTE C3 TYPE 33 C4 CS u CS a 0 U 16 16 9 16 6.25 16 16 7 16 16 16 16 16 16 10 16 96 10 x 16 1 16 16 0 4 7 16 16 16 16 11 114 5 14 7 It 91 6.25 12 3 ', 11 5 12 9 5 4 4 16 16 16 16 13 16 5 16 16 8 13 6 92 13 625 6 2.2 16 16 0 6 IS 16 16 16 0 i 1 1 3 4 9 �. 16 7 16 16 16 16 10 9 12 3 8 12 6 10 3 5 10 5 12.0 10 3 5 10 5 10 3 5 10 5 122 0 9 16 5 9 4 9 16 5 9 t 90 16 5 9 4 11 3 6 11 5 10 3 5 10 5 10 3 5 10 5 z _f. • 35.3 16 16 16 16 16 16 13 16 16 12 16 0 16 16 10 16 16 16 16 16 16 13 16 16 14 16 9 16 16 11 35.3 * (( micomp- 1/4 "0 ELCO MALE/ FEMALE - PAN2L21A1E" W/ 1 - 33/4 Mt?. EMBEOP?E .T 6 1/4 - 20 MACHINE SCREW W1709 NUT 1:=1. 2.21 : U 4 7.2 16 16 16 16 16 16 7 16 16 9 16 5 15 16 7 16 16 16 16 16 16 7 16 16 10 16 5 16 16 0 62.2 16 12 16 16 12 16 & 11 16 7 13 4 7 13 6 16 12 16 16 14 16 5 11 16 8 14 4 7 93 6.25 72 0 16 9 16 16 10 13 4 7 13 6 13 4 7 13 6 16 9 13 16 12 14 4 7 14 7 14 4 7 13 6.25 177 0 I 1 7 1 4 474 1 3 1 L^ i3 En 4 LJ 1 3 6 16 4 1 9 14 1 14 4 7 13 625 :4 4 7 13 425 /�1 (j(1 ° �_j�11� 35.3 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.12.5 12.5 0 12.5 12.5 12 5 12.5 10 2.5 7 12.5 10 12.5 6.25 12.5 12.5 12.5 0 6 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.5 12.5 11 12.5 12.5 12.5 12.5 12.5 12.5 12 12.5 12.5 0 12.5 12.5 12.5 47.2 12.5 12.5 9 I /4"o POWERS CALIt -1N W/ 7 /0" EMBEDMENT 8 1/4 -20 STAINLESS STEEL MACHINE SCREW (4 i. 1.096 P.S.L CO :CRETE) 62.2 18.5 12.5 18.5 9 12.5 5 92.5 12.5 5 12.5 t 3 12.5 4 12.5 12.5 12.5 12.5 12.5 12.5 7 12.5 12.5 9 12.5 5 10 12.5 7 72.0 11 12.5 12.5 8 12.5 4 8 12.5 4 12.5 4 8 12.5 4 12.5 12.5 12.512.5 12.512.5 5 10 12.5 7 12.5 5 10 12.S 7 12 2.0 C 9 12.5 5 12.5 L 8 12.5 C 12.5 C 8 12.5 4 12.5 6 11 12.5 8 12.5 5 10 12.5 7. 12.5 5 10 12.5 7 35.3 16 16 16 12 16 16 7 y 13 5 13 13 6 16 16 16 16 15 : 16 8 16 16 9 l0 5 14 14 7 p 1 16 0 1/4 "0 POWERS 47 2 14 16 16 9 12 6 12 12 5 1 9 p 3 9 9 4 16 16 16 16 11 ' 13 4 13 13 6.2S 11 3 10 11 5 a AMAC NAIL - IN W/ 1 - 1 /0" MIN. EMBEDMENT (t tP7. 3.000 PSI CONCRETE) 62 2 72.0 s 7 5 15 13 4 15 13 8 7 .i 9 6.2S 7 3 j 7 i 6.25 4 t 9 7 7 C ; 7 3 7 3 1 7 , 6 4 6 I. 7 7 7 3 3 3 16 15 9 8 16 16 6 15 15 ra S 9 8 10 7 8 4 8 3 A 7 4 4 10 8 8 5 8 /j 4 8 4 6 8 f 4 8 4 j 12 2.0 4 8 4 8 4 ■ 35.3 16 16 16 16 16 11 16 16 9 j 16 7 16 16 7 16 16 16 16 16 16 12 16 16 11.16 8 16 16 9 3/0 - 0 POWERS 472 62.2 16 10 16 16 16 16 12416 9 = 13 6.25 4 16 9 16 13 ° 14 " 11 4 13 3 6 14 11 5 4 16 16 16 16 16 11 16 16 15',16 11 115 7 4 16 10 16 15 fl16 6 3 5 15 16 7 TAPPER bJ/ 1 -1/4 MN. EMBEDMENT OWN. 21.009 6.4.0. CONCRE1E) 3 6.25 12 5 72.0 8 16 16 8 11 3 6 11 4 1 11 3 6 11 4 16 9 16 16 10 ' 13 3 7 13 5 13 3 6.25 12 5 17 2 3 6.25 12 4 w 11 3 6 11 C 11 3 6 11 4 13 3 7 13 5 13 3 6.25 12 5 13 3 6.25 12 5 ° Ct "1! -'°" � 1 /4'O TRU -FA5T TAP GRIP CF w/ 2 -1/4 MIN. EMBEDMENT (MIN. 3.000 P.S.I. CONCRETE) 35.3 16 16 16 16 16 11 16 16 10 1 16 7 16 16 8 16 16 16 16 16 16 12 16 16 11 16 8 16 16 9 /7 2 16 16 16 13 16 6 16 16 7 15 t 11. 15 6 16 16 16 16 1 L 16 7 16 16 8 ` 16 5 14 16 6 62 2 11 16 16 10 ' 14 4 10 14 5 12 3 6 11 4 16 11 16 16 10 15 4 10 15 6 12 3 6 12 5 72 0 16 8 16 16 8 12 3 6 12 5 12 3 6 11 4 16 8 16 16 9 13 3 6 13 5 12 3 6 12 12 2 0 12 3 6 12 5 12 3 6 11 t 12 3 6 11 4 13 3 7 13 5 12 3 6 12 5 12 3 6 12 ANCHOR SCHEDULE FASTENER 0. AXIMUM SPACING (INCHES) REQUli1E0 FOR VARIOUS DESIGN LOADS AND SPANS Li is '138X3 ANCHOR TWE LOAD (WI P.S F MAX. (SEE NOTE 9D ° MIN. 3/4' EDGE DISTANCE i SPANS UP TO 5• -0.. (SEE N OTE 1D tl SPANS UP TO 8. -6" i (SEE NOTE 1) SPANS UP TO 10• -6" (SEE NOTE 1D CONNECTION I i C1 (SEE C2 NOTE C3 TYPE 3 Cr. CS d, CONNECTION " C9 (SEE C2 NOTE C3 TYPE 3 C4 C5 CONNECTION C9 SEE C2 NOTE C3 TYPE 3 C4 CS ®®®6R1 jjp 35.31 16 16 96 16 16 16 96 16 16 91 16 16 16 16 9 timem1 f 111w, 1/4"0 WOOD LAG W/ 1 -3/4 MIN. THREAD PENETRATION SHEAR PARALLEL OR PERPENDICULAR TO W000 GRAIN 47.2 16 16 16 16 14 16 13 16 16 8 16 10 16 16 615 62.2 16 16 16 16 11 16 9 16 16 6.25 16 7 13 16 5 72 0 16 16 16 16 9 16 7 13 16 S 16 7 13 16 5 922 0 16 7 14 16 5 16 7 13 16 5 16 7 13 16 5 * swoOmocram. 35.3 j 16 96 16 16 1616 16 16 16 14 16 16 16 16 11 * rm.. 114 - 0 26(0 MALE/ FEMALE "PANELMATE 1p// A I0 1 MN. / PENETRATION b 1/4-20 nACtimak SLwt W - WITH NUT 4 7.2 16 16 16 16 16 16 13 116 16 90 16 10 16 16 0 62.2 16 26 16 16 13 16 9 16 96 0 16 7 13 16 615 7 2.0 1 16 26 16 1 6 11 F' 16 7 93 96 6.75 16 7 13 16 6.2S 122.0 16 7 14 16 7 7 13 16 6.25 16 13 16 6.25 1 / 4 - Q TRU -FAST TAP GRIP CF w / 2 -1/4" MIN. 35.3 12.5 17.5 12.S 12.5 12.5;12.5 6 12.5 12.5 8 12.5 12.5 12.5 6.25 47 2 12.5 12.5 12.512.5 1012.5 4 17.5 12.5 6 11 10 11 5 62.2 42.5 8 12.5 12.5 7' 10 3 7 10 4 8 4 8 3 P ' 72.0 12.5 9 6 j, 12.5 *2.5 5 9 6.25 1. T 8 4 8 4 3 8 3- 8 3 8 4 4 8 8 -Im1 PENETRATION 122 0 g c 0 0 ro ad 0 N ca T7 pa < a CP 8 0 O 0 0 a w1 csa 0 ig I 0 61 m .E c e fV 0 0 8 0 0 i 0"" !Of LJ z aN W 'r 1 - 6U V t° < Ldp 1/1.5 Ca g � 6.D� 'Mtn 9 ? 13 irtaiFE •• VJ. KN • LEll FL Manse .. • . 16643 / i 1 jilt 11 11 O " li 111111 13001111111 2002 08/26/02 16: 30 SEE PAGE 5 FOR COMPLETE ANCHOR NOTES. PRODUCT REVISED as complyliy with the Florida Di;aIdlal Code Acceptance No o t - 0131. Eapintka Date 09 1 q 1,o07 By Miami Dad Division uct Cuatrul so (a•►m 07/19/20021 locale AC NOTCO daaign by VIN (drawn by ` AV mh(mthmd 6 ` V0 drswamp no 02 -373 sheet 4 of 5 ANCHOR SCHEDULE FASTENER MAXIMUM SPAaNG (INCHES) REQUIRED FOR VARIOUS DESIGN LOADS AND SPANS Li (WI F, r .CF( ®(i( TYPE LOAD MIN. 2° EDGE DISTANCE MIN. 3® EDGE ISTANCE j SPANS UP TO P.S.F. i 5'_p.. P.S.F. (SEE NOTE 9) ', SPANS uP TO I SPANS UP TO ®. - ®.. 10 ._ 6 .. I NOTE 1) (SEE NOTE 1) SPANS UP TO 5 . -0 .. (SEE NOTE 1) SPANS UP TO 8' -8.. (SEE NOTE 1) SPANS UP TO 10. -6.. (SEE NOTE 1) (SEE NOTE 1I ( Cl CONNECTION SEE C2 NOTE C3 TYPE 3) C4 CS,C1 CONNECTION TYPE CONNECTION ISEE NOTE 3) (SEE NOTE C21C3 C4 C2 C3 TYPE 31) C4 C5 CONNECTION C1 (SEE C2 TYPE NOTE 3 C3 Cl CS CONNECTiON TYPE INOTE 0 C1 C2 C3 C4 C5 CONNECTION TYPE (SEE 1107E 3) C1 C2C3 C4 1 1 C5 MOL.lL ® CONOC'-cETE BLOCK i INIIIIIIMI111wun ktimm 35.3 1 16 16 16 16 e 10 4 10 10 5 8 3 8 8 4 :16 16 16 i6 10 12 5 92 92 6 3 9 4 7.2 8 8 3 6.2 5 6 .25 3 15 10 15 15 7 9 3 9 9 4 6.25 3 w/ 1- /4- TAPCON kl/ 9 -9/4" Pi1NIMUM EMBEDMENT �� 6 5 6., 4. 5 r 3 % �' 7 , 1 �� rh° ® %1 / 5 , 5 ° 5 , 3 5 3 ®1 , iM���I�i�I/JI ��� ���� M©irL/ EI ��/ 3 I 5 3 ��. [( 1 / TAP ON w/ 1 -1/4" MIN. °EO EHT 35.3 I 16 16 16 16 12 13 6.2S 13 13 7 11 L. 5 16 16 1b 16 15 16 7 16 16 8 14 5 14 14 47 2 i 16 12 16 16 9 10 3 10 10 5 8 : r 4 � 4 16 15 16 11 j 12 4 12 12 10 3 9 0 5 62 2 13 6 13 13 7 7 ' 5 7 4 6.5 ©6.25 3 6 PS ( % 6.2S' 3 6.2S 3 6.25 3 16 14 7 6 16 8 7 9 3 6.25 9© 8 4 4 8 4 8 V 4 8 i 4 p i 4 CO CO I CO 1 J J CI CO 1 CO 4 4 1 72.0 i 11 C 11 11 6 5 94 14 122.0625' 3 6.25 3 6.25r/� 3 6.25 3 6.25V4 3 6.25 3 811/,{ I. 8 4 �/ 8 I /�I 4 8 4 4 SA[ „. ... ,. , 35.3 16 16 16 16 11 15 7 15 15 6.25: 13 5 13 13 5 16 16 16 16 13 16 7 16 16 7 13 5 13 13 6.25 47.2 16 14 16 16 8 11 l 11 11 l 9 3 8 9 4 16 14 16 16 9 12 4 12 12 5 10 3 9 10 4 1 /4"o ELCO MALE/ FEMALE 'PANELMATE" W/ 1 -9/4 MIN. EMBEDMENT A SCRREW Ew WITH NuT MACHINE 62 2 15 7 1 5 15 6 .2S 8 7 0 X 6.25 4 8 7 3 3 7 7 7 f 4 4 7 3 7 3 16 7 13 5 16 13 16 13 7 9 6.25 7 Y. • 6.25 4 9 7 4 3 7 7% 7 l 7 3 3 72 0 13 5 13 13 5 122 0 7 / 4 7 3 7 f /A 4 7 3 7 ,/) 4 7 3 8/ 4 8 3 7 j/ 4 7 3 7 , 4 7 3 * 11 //".11 . 35.3 12.5 12.5 12.5 12.5 9 12.5 6.25 12.5 12.5 5 11 4. 11 11 4 12.5 12.5 12.5 12.5 12.5112.5 7 12.5 12.5 8 12.5 5 12.5 12.5 7 4 7.2 12.5 17.5 11 12 6 4 / 12.5 12.5 11 3 12.5 12.5 11 6.25 7 5 4 ' 10 . 7 6.2S 6.25 3 , ` / 10 5 3 3 10 7 6.25 6.25 4 3 f / ; 8 6.25 6.25A 6.25 / f 7 3 3 3 8 3 6.25 6.25 6.2S'/ 12.5 12.5 12.5 7 12.5 5 8 / 12.5 12.5 12.5 4 12.5 12.5 12.5 8 11 12.5 8 9 7 8 4 3 12.5 6.25 4 12.5 9 8 6.25 4 4 10 3 e/ 8 9 10 4 8 4 8 5 4 4 1/4 "A POWERS CALK -IN !�/ 7/8" EMBEDMENT i & 1/4 -20 STAINLESS STEEL MACHINE SCREW % 62.2 72 0 122 0 6.25 4 8 /// 4 8 4 8 V� 4 8 4 C 1 /4 "o TRU -FAST TAP GRIP CF W/ 1 -t /4" MIN. EMBEDMENT 35.3 16 16 16 16 9 5 11 11, 5 9 3 9 9 4 '16 tb 16 16 10 11 5 11 11 5 9 3 9 9 4 47.2 14 11 9 5 9 L 3 , 14 11 9 3 14 11 9 5 7 r, 5 3 % 8 4 8 6.i5 5 4. 3 / 6.25 5 5 5/ / O' // r 3 5 5 5 / t4 9 11 4. 9 3 5 14 11 9 3 14 11 9 5 7 8 S 6./° 25 3 8 8 4 6 2s= 6.2S 3 62 . 2 4 6.25 3 J F O�, it 5 5 5 1 • W, 1 72.0 gm. r ', 5 5 5 ,/ 122.0 V / 5 5 35.3 16 16 16 16 16 16 11 16 16 9 16 7 16 16 7 16 16 16 16 16 16 12 16 16 11 i6 8 16 16 `"`- ���� J - 1,1__ 6 7.2 16 16 16 16 12 16 625 16 16 7 14 4 13 14 5 16 16 16 16 15 16 7 16 16 8 5 15 16 3 /8 "st POWERS TAPPER 62.2 16 10 16 16 9 13 4 9 13 5 11 3 6 11 4 16 11 16 16 11 15 4 10 15 6.2' 13 3 6.75 12 W/ 1 -1/4" MIN. EMBEDMENT 72 0 16 8 16 16 8 11 - 3 625 11 4 11 3 6 11 4 16 9 16 16 10 13 3 7 13 5 i3 3 6.75 12 122.0 12 3 6.25 12 4 11 3 6 11 4 11 3 6 11 4 13 3 7 13 5 13 3 6.25 12 5 13 3 6.2S 12 N ^ 35.3 4 7 2 16 13 16 9 16 13 16 13 9 6 25 10 1 T 6 10 7 10 7 5 3 8 6 25 3 8 8 4 6.25 3 16 16 15 10 16 15 16 15 a 11 11 8 8 5 3 11 8 11 8 6.25 4 9 3 9 9 II +( % 5 U ) 7 5 / 6.25 7 t /4 °® POWERS aAMAC NAIL -IN W/ 1 - e " 1-1/8" MIN. EMBEDMENT 68.2 10 4 10 10 5 5 a S 3 5 / 4 11 5 11 11 6 6 25 / 4 6.25 3 72.0 8 3 8 8 4 f / ' : 5 � s NA r V, 5 4 , / I 5� 5 /% f r, 4� 9 3 9 3 9 5 5 5 3 5 / /. P 3 5 3 3 S 5 I V � /r. 5 5 122 0 5 % 1 A 5 4 / ` �� 5 el 3 0 e 0 0 a 0 a 0 0 08/26/02 16:30 ANC: FOR NOTES: 1. SPANS ANO LO .I S SHOWN HERE ARE FOR DETERMINING ANCHOR SPACINC ONLY. ALLOWABLE STORM PANEL SPANS FOR SPECIFIC LOADS MUST ESE LIMITE 40 THOSE SHOWN IN TABLE 1. 2. ENTER ANCHOR SCHEDULE BASED ON THE EXISTING STRUCTURE MATERIAL. ANCHOR TYPE AND EDGE DISTANCE. SELECT DESIGN LOAD GREATER THAN OR EQUAL TO NEGATIVE DESIGN LOAD ON STORM PANEL ANO SELECT SPAN GREATER THAN OR EQUAL TO STORM PANEL SPAN. 3. EXISTING STRUCTURE MAY BE CONCRETE HOLLOW BLOCK OR WOOD FRAMING. REFERENCE ANCHOR SCHEDULE FOR PROPER ANCHOR TYPE BASED ON TYPE OF EXISTING STRUCTURE AND APPROPRIATE CONNECTION TYPE. SEE MOUNTONG SECTION DETAILS FOR IDENTIFICATION OF CONNECTION T YPE. 4. ANCHORS SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURERS RECOMMENDATIONS. 9. /. 5. MINIMUM EMBEDMENT AND EDGE DISTANCE EXCLUDES WALL FINISH OR STUCCO. 6 WHERE FIELD VERIFY EXISTING FASTENERS ARE INTO WOOD FRAMING CONDITIONS VARY. ADEOUATE W000 FRAMING MEMBERS. NOT PLYWOOD. FASTENING TO PLYWOOD IS ACCEPTABLE ONLY FOR SIOE CLOSURE PIECES. 7. WHERE LAG SCREWS FASTEN TO NARROW FACE OF STUD FRAMING FASTENER SHALL BE LOCATED IN CENTER OF NOMINAL 2" 11 4" (MIN.) WOOD STUD. 3/4" EDGE DISTANCE 15 ACCEPTABLE FOR WOOD FRAMING. WOOD STUD SHALL BE "SOUTHERN PINE" G =0.55 OR GREATER DENSITY. LAG SCREWS SHALL HAVE PHILLIPS PAN HEAD OR HEX HEAD. 8 MArHINF SrRFWG SHALL WAVE A M!N! 1"u.1 nc 1 /2•• ENGAGEMENT nc TunE TO EMBEDDED CALK -IN AND MAY HAVE EITHER A PAN HEAD. TRUSS HEAD. OR WAFER HEAD (SIDEWALK BOLT), FOR DIRECT MOUNT USE ONLY SIDEWALK BOLTS OR TRUSS HEAD BOLTS. LOCATE FASTENER IN NARROW PORTION OF KEYHOLE SLOT. DESIGNATES ANCHOR CONDITIONS WHICH ARE NOT ACCEPTABLE USES. 10. *DESIGNATES ANCHORS WHICH ARE REMOVABLE BY REMOVING MACHINE SCREW NUT OR WASHERED WINGNUT. REMOVABLE ANCHORS ARE REQUIRED FOR DIRECT MOUNT @ 6 -1 /4" OR 12 -1/2" O.t. MAX. SPACING ONLY. SPACINGS SHALL NOT EXCEED VALUE SPECIFIED IN ANCHOR SCHEDULE. PRODUCT REVISED es eosp)yiat with the Balding Cods Acceptance No 0 L. - 013/ . 0_ Expiration Date O a 'I - - 7 Miami tt Control Division 2 I Z,7 tea • � tit <° a t VI as 6 • a a0 Y$ P i m Z $ J >Cy - 1 Zw -z E a Q Cio OtF O ( des' 07/19/20021 (scale AS NOTt0 1d••Iq„ by 1 l vsx 1 vn 7y ♦ f dr• v (°n•ca•4 e a I '14041 dr•rlA o•. 02 -373 (sneers of 5 08/26/2002 04: 31: 01pm BUILDING PERMIT APPLICATION FDC 2001 .11 0)1.1U1 G S I' ttiag.- Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 . a, Permit Type (circle): ' Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder (.- E� ;`fi l L Phone # ' t , ,� ` 1 (Owners Address — i ' � ' j ) ) Cite ii(, �z r ;� State 1 j_. 'I errant /Lessee Name Phone # Job Address (where the work is being done) 9,t.:17� •• h Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO S Value of Work For this Permit I ypc of Work: Describe work: Submittal Fee S nom , ()Cr Permit Fee S Rotarl c /'3 -- Training /Education Fee S •;canning S C otie 1 n►nrcentent S r riai�n; ►.r' Otlri!)F. , 3►(' �.� }•�' r i � c, d Radon S Zoning Stnuctural Plan Review. S �� i I CSC; cc= Permit No. Master Permit No. Zip 6 <.`►" ,talc Certificate or Registration No. Certificate of Competency No : * * * * * ** *** * * * * ************* F * * * * * * * * * ** * **** * * * ** * **** ** ** Zip Contractor's Company Name / �{� ✓t � ‘T - Phone # Contractor's Address ('itI State Zip Qualifier Architect /Engineer's Name (if applicable)1•101' t ,- t, ( 2Li r rero Phone # .:°3 (15 _ ? (- tits 5 / th " 5 if) ti YJ(dc lefoterC1 2.2c 50t; Square Footage Of Work: Addition ❑Alteration ❑New . ❑ Repair /Replace El Demolition CCF S technology Fee S Bond S CO /CC Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job sire for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be Approved and a reinspeclion fee will be charged. S ignature ,/ 7 t Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this IS . The foregoing instrument was acknowledged before me this (fl v' , day of , 20 _, by who is persona cowl to me or who ha roduc<bd who is personally known to me or who has produced Sign: Print: day of ringn 20 , by PUBL: NOTAR Cho 05 /13/03 My Commission Expires: * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: As identification and who did take an oath as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: nriii33:!!0?! 91M 7;c7 My Commission Expires: �!mfid�; r }r1 �{is, *d[ * kiq * t ********* .**** ie* i:*** ie*** 9ek* * * * ** * * * **ie * * *ic * * * * * * * * * * * *9: *********************************************************************************************************** >Ale 5froi/ Plans Examiner Engineer Zoning By ^'I Produced �p ��`-L lerS Owner Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT '/�0) )0( being the legal property owner, for the property , Located at: 1 ' ,OF 9 7 ,S f A iaci,t /ore FL 3 3 )3 1 Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure Statement, which entitles me td 3krork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) 25 of reviewing clerk. Ttie foregoing instrument Was acknowledged before me this 25 day of MCI rj ; 20 C who is personally known to me or who has as identification who did take an oath. MINIM • 9030w i ;'es: ".9'. " 3,200') q 6Aoy ,� s Bonded Thru M1" ' . rot : AtlanticBondingCn.,t- Parr& No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, 72.32EI 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 wet oa.rner's Name and Addre VA3. _, No _al _UG Street_ 91 . Registered Architect and/a E Employhig Number's No - Location and Legal Description Lot. Street and Number where - werk is be performed—No Stnto work to be perforrneE end purpose of building (:: y Egon )___` _ 016 New _ Remodeling__ Addition.. :Repain. COWIN. LIST Comm. L.I ET emsea CLOSITS Amount of Permit $ BATH TUBE SNOWIER/1 Size Septic Tar& Feet of Drain Tile Nature of Water Supply: City—Wel MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT • LAVA. TORIES PLICATION FOR PLUMBING PERMIT Date.. 52 I 1 •INK* SLCP SINKS SEPTIC TANK SEWER CONN. DRAIN SOAKAGE GREASE FIELD PIT TRAP SOLAR ICATIM tbo DEEP WELL LAUNDRY TUDS Block URINALS CATCH SAWN SPRKLR. SW I M • 0 SysTam Poos. No. of Stories Subdivision__ Street C O JUCL. FLOOR DRAIN DRINK I NG FOUNT NS ■••■■■••• TOTAL FIXTURES Type of Tank----- Dist. Feet of Tank or Drain Field from Size of Soakage Pit. ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understand; and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5' ; ;, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thezeof, 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' far 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village, STATE OF FLORIDA. COUNTY OF DADE. Before me, the undersigned authority, a notary public, dnly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath depose. and says that be :Ls the of the above described construction, that be lies carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tme. My Commission Expires Notary Public, State of Florida NOTE: A re he of $1.00 will be made whoa soda robtspeothet inede.neoetsery by improper nodes for inspection, at faulty materials and/or workmanship. - CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS (,-,..- -, ', .(.; ,› A, , .t/ , TOTAL FIXTURES COT. LIST il CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEA.TER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No.1 Location and Legal Description Street and Number where work is to be performed—No-____ State work to be performed and purpose of building (By Floors)__. New Building Remodeling Addition_ &I= Septic Tank__ Feet of Drain Tile. Nat of Water Supply: City—Well. Amount of Permit $____ MIAMI SHORES VILlAGE PLUMBING INSPECTION DEPARTMEI.*: APPLICATION FOR PLUMBING " Type of Tank (Signed)_ P")% ///,?,/ Date_ 4. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address No._ , a F Street . Registered Architect and/or ...... _ Employing Plumber's Name -S -SicZz...a. No./ ..1 Street__ Block______ Subdivision street Repairs No. of Stories. Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit umbing Inspector. Tho 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 , A the work such public notice or notices as are reread by the Act. The undersigned agrees to employ only such sub-contractors, on 7rk to be performed under this pe mit, as are !lammed by Mang Shores Village. (Signed)._ - if 1 r Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No.___7 9 r--6 .6 Application is hereby made for the approval of the detailed statement of the plans and specifications here v th submitted for the building 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 work. Owner's Name and Address- __Z -._ Registered Architect and /or Engineer _ Employing Plumber's Name - -• 4"" ' 0R -�, T °• -- d_ _J� street t .... __.. Location and Legal Description Lot Block Subdivision - - - -. _ - _---- - -_ --- _ - -- Street and Number where work is to be performed —No 9- 7 Street State work to be performed and purpose of building (By Floors) - -.__ -- - - - - -_ -_ New Building._- — - - _ Remodeling__ _- _ - - - - -- - -- - -- Addition Repairs.- No. of Stories. _ ........ • --... - - -. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date. No. 7_.._9,y,r Street _ 7z_ 31 :_. Size Septic Tank__- _ - -___ — Type of Tank__ Feet of Drain ......... __________Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._________ ..... __________ ...... ________Size of Soakage Pit _az_t pA __ -- ST ATE l4 tAc.7_ti p /d2x M FItly r4 - -- 13- .1 4 ( its Amount of Permit $—__ -3 _ - -- (si 1 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts ' Is 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 com- plied 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o work to be performed under this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I 2 ( Signed )-- - = - Capacity Gals. My Commission Expires Notary Public, State of Florida M aster Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRINKING DRAIN FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL t - Gl TR COrr. LIST ` CHECK Permit No.___7 9 r--6 .6 Application is hereby made for the approval of the detailed statement of the plans and specifications here v th submitted for the building 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 work. Owner's Name and Address- __Z -._ Registered Architect and /or Engineer _ Employing Plumber's Name - -• 4"" ' 0R -�, T °• -- d_ _J� street t .... __.. Location and Legal Description Lot Block Subdivision - - - -. _ - _---- - -_ --- _ - -- Street and Number where work is to be performed —No 9- 7 Street State work to be performed and purpose of building (By Floors) - -.__ -- - - - - -_ -_ New Building._- — - - _ Remodeling__ _- _ - - - - -- - -- - -- Addition Repairs.- No. of Stories. _ ........ • --... - - -. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date. No. 7_.._9,y,r Street _ 7z_ 31 :_. Size Septic Tank__- _ - -___ — Type of Tank__ Feet of Drain ......... __________Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._________ ..... __________ ...... ________Size of Soakage Pit _az_t pA __ -- ST ATE l4 tAc.7_ti p /d2x M FItly r4 - -- 13- .1 4 ( its Amount of Permit $—__ -3 _ - -- (si 1 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts ' Is 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 com- plied 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o work to be performed under this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I 2 ( Signed )-- - = - Capacity Gals. My Commission Expires Notary Public, State of Florida M aster Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. c e vl 1, ikl PO ° ITS OF FOR Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/18/2002 r Applicant: ' Owner: JOB AD ' RESS: 268 NE 102 Contractor THE NEW MIAMI SHORES PLUMBING Local Phone: 305 - 751 -2446 Parcel # 1132060134720 Permit Status: Approved Work: New water service UMBING INC BLUE MIAMI SHORES P THEN ACCOUNT 00 .W. 144TH ST. (i1,,r� MIAMI. FL 3316 Plumbing Permit Permit Number: PL2002 -181 ST Contractor's Address: 900 NW 144 ST Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 r -Q_AA;A* V OA cc - 5 6° Total Fees: -$9t98 Total Receipts: $0.00 Permit Expiration: 1/13/2003 Construction Value: $900.00 f or DATE COLONIAL BANK (] M,WI \)\ N. 4 I t. ea ngCalll 1-00 -897 -935 �i �1� _ " W \e I � ` ' .1% 00 L 5 L B O ; B0 278630 29 °e f . I1 n0 L497 u 1 „uncractor or Builder) u- - r 1497 _DOLLA Page 1 of 1 63-1 5116 70 s. Re- inspection BLK 35 LOT 'pplication herefor in strict compliance with all )ecifications that may have been submitted to 0 ices or if the plans are changed without ? esponsibility for a thorough knowledge of the 14 that he assumes responsibility for work done • • • • • ms pertaining thereto and in strict conformity •esponisibility for all work done by either BY: Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that a work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate perm' are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWA ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twel months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this a any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or busir under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure F. conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice fu. improvements to your property. If you are spending more than $2,500 or intend. to obtain financing, you may wish to consult xith your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recordedl at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY 9F AMI -DADE OVA dAAILL ignature of Owner CAAe Print Name S Signature ' •ry Pub tat: ,� . B�,.G. \ O • tii OF ai Personally known OR, Prod ed I ntification Type of Identification Produced: SEAL: PERMIT APPLICATION SEAL: ":"61 O a�b Personally known " OR, Produced Identification Type of Identification Produced: CONTRACTOR ` Name 4},- ,� ,�-` \ , C ' 1g Address q4 Name A r �t pnn 1 V 1 re P' J I ` c it Business Telephone c { _ Q y j ` ► ' 3 g - 0 ---7 1 License No. i � 1 /'\ 1 (lam va: J q Repair C / . ( ✓ V l u eef Address qa: 0V an? I -F1, 3 11ag Alteration Interior Telephon / ✓ K( 13L/ jj„Fax —111 Da Qualifier Name L 7 f f s A4 ,1101 h''!() Relocation of Structure PROPERTY OWNER ` Name 4},- ,� ,�-` \ , C ' 1g Address q4 iVE - treeef m earn (Shores f Home Telephone Q _ J „ � Business Telephone c { _ Q y j ` ► ' 3 g - 0 ---7 1 va• c_-ell 3Q. -753 - 3 9(03 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. :RMIT TYPE (✓ ) +ilding ectrical Mechanical Plumbing LPGX Roofing Fek tce OtL er m NE 97 Address 'olio Number Block tbdivision PB ,, �;� PG urrent Use of Property �J( //TILL! oposed Use of Property rant Information Apt. Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. Th/d/n/cShires PERMIT APPLICATION City State � (���, / Zip Description of Work f9� av `-'r de v/' Zoning Linear Feet Square Feet Units Floors Value of Work 90)- Bldg Value ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Cooling Tower Fan Heating Strips, each Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8-15 Ton Piping, Flammable Liquid Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of Spas/Hot Tubs _ Pressure Vessel A/C Central 20+ Ton ° Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of _Amps Water Heater New 1VIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE QTY. Generator TYPE Refrigeration, Tons QTY. A/C Central, Tons Bath Tub Cooling Tower Drinking Fountain Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Cap - Fixture Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Supply, AC Well _ Pressure Vessel Cap - Sewer PLUMBING TYPE A/C Condensate QTY. 'TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Water Service Drains, Floor Minimum Fee Shower Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical i Plumbing 11 ` Q Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST LI OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ C b $ ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF' APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com if t J J : :..- ' 4a or c c Lot B .. Bl, S Subdi- BUILDING ELECTRICAL PLUMBING ROOFING Owner c Building Architec Contract or Build Legal Descrip Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 12563 DATE_ Work to be performed under this Permit 195 Contractor's License No. 1 • 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 dra 'ngs 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. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATF 195 PERMIT 11 T° 612 Contractor's License No. ❑ Work to be performed under this Permit_ Architect Contractor or Builder Legal Lot Description Address of Building Bl. Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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 cr 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 prcper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employge. CONTRACTOR OR BUILDER BY AUTHORITY B� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a Permit No.._1../ " ° Date J :.44L- _t'.= _13 ` ` .1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. V J � i 7-- /� Owner's Name and Address ___- ------- •------- -.____ No.__ l _�_ _ Street____!-`_ // Registered Architect and /or Engineer__ __—____—.r___ Employing Plumber's Name__ _ ' p yang �� �__���'�, -�' ,, k_. _. No._�_.�� ®- -• - -/ .^.(41/ Street__ - $ 1.--- Location and Legal Description Lot_____ _________.__________________, Block_ q Subdivision----- ___ - -_ ________� Street and Number where work is to be performed —No 1 7 D P .Z / � `L Street_ ,fi / 1 _ 7 7' a �= 7--- State work to be performed and purpose of building (By Floors)___ ___ _______ New Building______ _ ___ Remodeling_______ ______ Addition._.______ Repairs No. of Stories. Size Sepic Tank_ _ -- Feet of Drain Tile.____ Naturo of Water Supply: City —Well. Amount of Permit $ Type of Tank -Dist. Feet of Tank or Drain Field from Well -- _-------- _ -_ - -_ —_ -- Size of Soakage Pit ( Signed) _ Capacity Gals Plumbing Inspector. 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 cmn- plied 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on vrork to be perfo a under this permit, as are licensed by Miami Shores Village. ( Signed) _ My Commission Expires Notary Public, State of Florida - Master Plumber:" STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well ?mown, and who, being by me first duly sworn, upon oath deposes and says that 1.e 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. NOT • A re-inspection fee of 01.00 will be made when such re- inspection is made•ne essary by improper notice for inspection, or faulty mat&i and/or workmanship. CLOSETS BATH TUBS W SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY Tuos URINALS CATCH BAIIIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST ----- CHECK // - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a Permit No.._1../ " ° Date J :.44L- _t'.= _13 ` ` .1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. V J � i 7-- /� Owner's Name and Address ___- ------- •------- -.____ No.__ l _�_ _ Street____!-`_ // Registered Architect and /or Engineer__ __—____—.r___ Employing Plumber's Name__ _ ' p yang �� �__���'�, -�' ,, k_. _. No._�_.�� ®- -• - -/ .^.(41/ Street__ - $ 1.--- Location and Legal Description Lot_____ _________.__________________, Block_ q Subdivision----- ___ - -_ ________� Street and Number where work is to be performed —No 1 7 D P .Z / � `L Street_ ,fi / 1 _ 7 7' a �= 7--- State work to be performed and purpose of building (By Floors)___ ___ _______ New Building______ _ ___ Remodeling_______ ______ Addition._.______ Repairs No. of Stories. Size Sepic Tank_ _ -- Feet of Drain Tile.____ Naturo of Water Supply: City —Well. Amount of Permit $ Type of Tank -Dist. Feet of Tank or Drain Field from Well -- _-------- _ -_ - -_ —_ -- Size of Soakage Pit ( Signed) _ Capacity Gals Plumbing Inspector. 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 cmn- plied 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on vrork to be perfo a under this permit, as are licensed by Miami Shores Village. ( Signed) _ My Commission Expires Notary Public, State of Florida - Master Plumber:" STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well ?mown, and who, being by me first duly sworn, upon oath deposes and says that 1.e 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. NOT • A re-inspection fee of 01.00 will be made when such re- inspection is made•ne essary by improper notice for inspection, or faulty mat&i and/or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith simitted f r the building 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 arith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Nana and Address.__r ' _ Registered Architect and /or Engine r -_ —__—_—_--___ Employing Plumber's Name i ,� �_ No. Location and Legal Description Lot_____— _____________—____ _ Street and Number where work is to be performed —No State work to be performe8 and purpose of building (By Floors ) New Building Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Subdivision Addition__ _____.___________._._ Repairs No. of Stories Size Septic Tank_ -___ ��- ---- - - - -- -----Type of Tank__— P d Feet of Drain Tile.___ __s_1 _- a._' -_ ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. -_ - -_ _-...... - ..... -- ____— ..... _______ - --- Size of Soakage Pit (Signed)- 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 corn - plied 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ No. Street Street Date Street__ Capacity Gals e I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared 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. My Commission Empires Notary Public, State of Florida Plumbing Inspector. Master Plumber. NOE: A re- inspection fee of $1.00 will be made when such re- inspectionCis made necessary by improper notice for inspection, or faulty material ,and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIIN'G POOL I - -_- CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith simitted f r the building 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 arith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Nana and Address.__r ' _ Registered Architect and /or Engine r -_ —__—_—_--___ Employing Plumber's Name i ,� �_ No. Location and Legal Description Lot_____— _____________—____ _ Street and Number where work is to be performed —No State work to be performe8 and purpose of building (By Floors ) New Building Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Subdivision Addition__ _____.___________._._ Repairs No. of Stories Size Septic Tank_ -___ ��- ---- - - - -- -----Type of Tank__— P d Feet of Drain Tile.___ __s_1 _- a._' -_ ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. -_ - -_ _-...... - ..... -- ____— ..... _______ - --- Size of Soakage Pit (Signed)- 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 corn - plied 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ No. Street Street Date Street__ Capacity Gals e I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared 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. My Commission Empires Notary Public, State of Florida Plumbing Inspector. Master Plumber. NOE: A re- inspection fee of $1.00 will be made when such re- inspectionCis made necessary by improper notice for inspection, or faulty material ,and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect >7 Contractor or Builder t i . -0 - . .? _ ' 1 - ''r'L. ( Legal Lot v,. Bl. Subdi- Description vision ff Address of . i; '' . - Value of Aunt. of °:, ( el «. Building -- <.i ill' - r., . f ;.... Project Pern�i /'� This permit is granted to th contractor or buil named above to construct the building or to install the equipment or device described in the ply cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance w 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: 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 h the pla. drawings, statements or specifications submitted to the proper thereto and in strict confumiiiy w.t == er authorities of Miami Shores Village. p P In accepting this permit I assume responsibility for all work done by either myself my ageQt, servant or employee. CONTRACTOR OR BUILDERR LA.,) MIAMI SHORES VILLAGE, FLORIDA DATE 7 2- 194 PERMIT N:' 4187 Work to be performed under this Permit BY • • Contractor's License No. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 612 Work to be performed under this Permit-- Bl. Value of Project $ DATF 195 Contractor's License No. Subdi- vision Amount 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 assume s 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. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employge. F CONTRACTOR OR BUILDER BY AUTHORITY 6 >f t or ar ; ♦ ��' ,1 .. ion Lot BL Subdi- vision of .� - � 1 Value of Project $ Amt. of Permit $ f is BUILDING ELECTRICAL PLUMBING ROOFING Owner c Building Architec 2ontrac or Build Legal Descript Address Buildin MIAMI SHORES VILLAGE, FLORIDA ri PERMIT IT? 12563 CONTRACTOR OR BUILDER DATE Work to be performed under this Permit INSPECTOR BY AUTHORITY 5 195 Contractor's License No t 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 dra gs or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. BY .r 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / I - Date 6 !_7L7 5 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 oc Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at b- .rilding during progress of work. Owner's Name and Address '® 1 nQ -- ._ _ No. 2_7 0 _.. IL! i1 * - Street. 9T - ' '`r ,, Registered Architect and /or Engineer__________________-__________ - - - - - - Employingri4$il3`s Name_.. _HFL '.a_ _i__Z" 1 -.1.123. _. P. 1X1 C No._ 2. _ aL lo _ st � � 1 C , Lcication and Legal Description Lot_______________ _ Block Subdivision ----•___ -- Street and Number where work is to be performed -No 278 F . _9_7 th Street_ State work to be performed and purpose of building (By Floors)_._-.___` ', _6 'PR . I'1).2 ••Pc 1 3 ©O . —app 72oz0 i1 2 O New Building_________ .......... - - - -_ -- Remodeling_- ...... ________ _ Addition- _- __ --__ Repairs No. of Stories Size Septic Tank ----------- -- -------------- --- - - - --- -Type of Tank___ -- Capacity Gals Feet of Drain Tile--.___ _______--Dist. Feet of Tank or Drain Field from Well Natur© of Water Supply: City-Well — ._____________.____ ____ Size of Soakage Pit. Amount of Permit $_ —.. STATE OF FLORIDA, COUNTY OF DADE. j ( Signed ) _ Plumbing Inspector. 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 coin- plied 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS S LAVA- TORIES S INKS SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Cowra. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW 11.4•G POOL C6AtTR. LIST ` -- CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / I - Date 6 !_7L7 5 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division oc Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at b- .rilding during progress of work. Owner's Name and Address '® 1 nQ -- ._ _ No. 2_7 0 _.. IL! i1 * - Street. 9T - ' '`r ,, Registered Architect and /or Engineer__________________-__________ - - - - - - Employingri4$il3`s Name_.. _HFL '.a_ _i__Z" 1 -.1.123. _. P. 1X1 C No._ 2. _ aL lo _ st � � 1 C , Lcication and Legal Description Lot_______________ _ Block Subdivision ----•___ -- Street and Number where work is to be performed -No 278 F . _9_7 th Street_ State work to be performed and purpose of building (By Floors)_._-.___` ', _6 'PR . I'1).2 ••Pc 1 3 ©O . —app 72oz0 i1 2 O New Building_________ .......... - - - -_ -- Remodeling_- ...... ________ _ Addition- _- __ --__ Repairs No. of Stories Size Septic Tank ----------- -- -------------- --- - - - --- -Type of Tank___ -- Capacity Gals Feet of Drain Tile--.___ _______--Dist. Feet of Tank or Drain Field from Well Natur© of Water Supply: City-Well — ._____________.____ ____ Size of Soakage Pit. Amount of Permit $_ —.. STATE OF FLORIDA, COUNTY OF DADE. j ( Signed ) _ Plumbing Inspector. 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 coin- plied 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship.