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301 NE 96 St (4)APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ur the plans and specifications herewith submitted for the build ins 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 of not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Mr. Jun an �..�� � t h No..3 � . � .... ........ Street_..N . E ... . Registered Architect and /or Engineer Name and address of licensed contractor Gambill Roofin, g„ gpaa,,,,_,,}, 3Q ,]�,�,_,b[�.,.,2�...Pl�..,.Mia Shor Location and legal description of lot to be built on: Lot Block Subdivision _........ .._..___....__ ......_....._._ Street and Number where work is to be done 301 N. E. 96th Street State work to be done and purpose of building (by floors)....._.- Rerao.ur.8.. ti&e•••er 'irtt-- •- Ieali-• e•e- re2ir. and ..xei.l.ac .:...... for no other purpose. Ncw Building Remodeling Addition Repairs ye .s No. of Stories :l To be constructed of Kind of foundation Roof Covering...Cem.ent.. l.e.._..__ Amount of Permit $..893....0.0 Zone cubage required Plan Cubage Distance .to next nearest building Size of Building Lot Miaxiunum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcon actors, on work to be peljar ed under this permit, as are licensed by Miami Shores Village. Remarks _.._.__ (Signed); Estimate Total cost of improvements $ 20, 00 STATE OF FLORIDA, 1 . COUNTY OF DADE. j ss. I3cfore me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated �� are // true.. Permit No.._...a. 1_.(..`1... f Date 1 / .2,! y Read, Sworn to and Subscribed before me. Disapproved Date (Signed) MIAMI SHORES VILLAGE Building Inspector Chairman \Icu,ber Member _....._.. Council Approved NOTE: A - charge of $1.00 will be made for the Planning Board. A re-inspection fce of $1.00 will be charged materials anti /or workmanship. BUILDING INSPECTION DEPARTMENT tttt. tit •t” r,,,»nvw,. Notary Public, State of Florida My Commission Expires _.... PLANNING BOARD DATE Member Member Member — . _•. Date Disapproved making corrections or changes to this application after approval has when such re inspection is made necessary by improper notice for to me well known, Date been obtained from inspection oe faulty /1 £2,, [ 3 5 ifs. MIAMI SHORES VILLAGE ` iyJ .fit • APPLICATION FOR BUILDING PERMIT 4. 6 / 2 Application is hereby made for the approval of the detailed statcu.enr or use plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mimi 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 iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Permit No.. BUILDING INSPECTION DEPARTMENT (Signed) and who, being by me first duly sworn, upon oath deposes and says that he of the above described construction, that he has carefully read the foregoing thcrcin by him stated are true.. / A-3 . 1 :..2_. Date ' '1 Disapproved C Date (Signed) Building Inspector January 25th 83 • J ... . . «. Owner's Name and Address ...M Mr s, Registered Architect and /or Engineer ..:., Name and address of licensed contractor .Cambil ,.gig, ep,,,_,. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 341 96..171 «.S..t.te.et State work to be done and purpose of building (by floors) Remove tile and repair leaks and replace new ....tila._ in. ...repaired_ :.._area— VII r e,a . �.4.3.i? ..N.......Y�....�xi�]. «.P� .....MiaA....St.QX.es and for no other purpose. Ncw Building Remodeling Addition Repairs Y.es.... No. of Stories O.ne.._ To be constructed of Kind of foundation Roof Covering Cement tile Estimate Total cost of improvements $ 4.95..00 Amount of Permit $....20..00. Zone cubage required .......... ...........Plan Cubage Distance .to next nearest building Size of Building Lot \faxiunun live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersifir.cd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of ■.sr.t.,r under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and t:.is complied vitas the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed sunder this permit; and will post or cause to be posted for inspection on the site of bj work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su ntractors, on work o be performed under this permit, as are licensed by Miami Shores Village. Remarks State No. RC0021339 ' -����✓4� STATE OF FLOf!DA, COUNTY OF DADE. ss. before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared is the. application, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE . Chairman Member .Member Member Member .. .. Member — .._..... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making correcti.,ns or changes to this application after approval has been obtained from the Pi.rrsir,;; Board. A re- inspection fee of 31.00 will be charged when such re- Inspection is made necessary by improper notice for inspectiom or faulty materials and /or workmanship. /i 3)0b /3 5c f O 7 s . / 47 MIAMI SHORES VILLAGE iy BUILDING INSPECTION DEPARTMENT /3 L V� APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statc,,,ent ut the plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. P f G /.S Date..._..._....._ ch 1st _..._._ _....... 18. 8 3 OO-ner's Name and Address ........Mr.... &....x:S..... J ungt L X ._ _ No. ... �Q . l ..._.._ . Street. b:._.9fith...S t r e e t Registered Architect and /or Engineer .,:,. .,.... :,11,17,,,.,.•: - ,11:11 Name and address of licensed contractor Gambill Lxation and legal description of lot to be built on: Lot Block Subdivision 301 N. E. 96th Street Street and Number where. work is to be done State work to be done and purpose of building (by floors) 8etno. u�... ti. 1. e.... in..• I,eal�-- a,rea.epa ir„_leak._and seal in a water tight manner. Replace new cement tile in repaired area. _..__ and for no other purpose. New Building Remodeling Addition Repairs" Yes No. of Stories 1 To be constructed of Kind of foundation Roof Covering Germen.t....t.i Estimated Total cost•of improvements $ 395. Amount of Permit S, 20.00 Zone cubage required Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. Disapproved Date (Signed) Building Inspector Cipair.nan \fcrr,bcr Member PLANNING BOARD DATE NOTE: A charge of $1.00 will be made for making corrections or changes to the 1' .inning l:u.lyd. A re•in.ipection fee of $1.00 will be charged when such re- inspection is made materials and /or workinanship. Notary Public, State of Florida My Commission Expires ......._..._ The un,lcrsigr,cd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement, and has complied sl ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in t!.. work to be performed under this permit; and will post or cause to be posted for inspe n on the site of the work such ublic notice or r...ccs as arc required by the Act. The undersigned agrees to employ only such subco ctors, on work to . perfo 1 . under this permit, as are licensed by Miami Shores Village. ea— ii Rem.uks RC 002 (Sig _ . C �`� -, . STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _.. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. Permit No.._... 41- T Date 9 / / Read, Sworn to and Subscribed before me. Member Member ....... - Member _.._..... Council Approved Date Disapproved Date this application nfter approval has been obtained from necessary by improper notice for inspection oe faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State o,f Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address . . iktirtLY-- Registered Architect and/or Engineer Name and address of licensed contractor C 1 C. IT Location and legal description of lot to be built on: 4'3 Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) F — 6 - 4:- - rrot\I Estimated Total cost of improvements $ Q"' 6/ .c C STATE OF FLORIDA, COUNTY OF DADE. ss. Chairman Member Member No.J(51. s1.57 -V. .. L /V / G— 19 y d Co and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering &Alf:. V rt Amount of Permit $. Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such suleontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks._ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. in7 ( 3 2. 7- Permit No Date e Sworn to and Subscribed before me. Disapproved / ?—*Y1 Date_ Notary Public, State of Florida (Signed) Building nspector My Commission Expires PLANNINC BOARD DATE Member Member Member Council Approved Date Disapproved Date be made for making corrections or changes to this application after approval has been obtained from NOTE: A charge of $1.00 will the Planning Board. A re-inspection fce of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 11 1 1 Legal Description ` -!J , OLJ i / T /C..J /6 - / V Lessee / Tenant 1) • (.l)��I�(p a/?1L Master Permit #3 Owner's Address Job Address RO ( NEE 3(9' S Tax Folio L - 32-CA - Di 3 — 58 �0 1 NE q(, ST Contracting Co. (7`( e Qualifier Jaffna .D �i �l (,4�- SS# x'+30(0 State # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOF PAVING FENCE SIGN Municipal # Notary as to Owner My Commission Expi ** * APPROVED: WORK DESCRIPTION L Q -41° 30 , Square Pt. tio 1 L 14,s Estimated Cost(value) F( 21 2. 66 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin.. F 1 thermore, I authorize the above -named contractor to do the work stated. * FEES: PERMIT '55 * Signature of owner and /or Condo President Date: 41 11101 0 AI ands • 3 i A Y PUBLIC STA COMMISSION NO. CC265121991 MY COMMISSION EXP. MAR. Le * * * * RADON C.C.F. Fire Zoning Building Mechanical Plumbing_ — Competency # 12 Phone Address Phone ?67 7R(c Ins.Co. (JcSEC a 171411 S of Contractor or Owner- Builder ate: • • V 'A' Ia$ cto E ; •` My (1 •:.: eA NCMARY PUBL COMMISSION NO. CC265 MY COMMISSION EXP. MAR. 12,1997 * * * * ** or Owner- Builder NOTARY TOTAL DUE I Other It Pt Electrical Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. ll - 32-08 " (/ 3 -5- U STATE OF FLORIDA: COUNTY OF DADE: Interest in,property: Signature of Owner Print Owners Name Notary Public THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 30 / N 90 ' 4 .4/ti- .ShaN1? 2. Description of improvement: 3. Owner(s) name and address: 4. Contractor's name and address: 6. Lender's name and address: My Commission Expires: F*: 1 7S//o (417/44.44,9 .1 ectic 3u / A)E 962. 51 Name and address of fee simple titleholder: LOIUi r rn✓d I tte.41.D,w 4A9 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of rec date is specified) Sworn to and subscribed before me this day of ji /}- ;, l.� . -i�►�, 1 ' ► FF � ., TRY RY SEAL Print Notary's Name S ARY • BL N QT , • 4 f • . ► �,, y,.,: • '' COMMISSION EXP. MAR. 12,1997 948025455 1994 JAN 18 13:02 4/4-414- Sir rav4-D4 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: C 1 #10,clt- /_ 4 i/. 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 1. • • ae • g ynles% a r - ' f ) Prepared '�SAn A - < ddre 10 ,.. t0.vtiS h o rcS . C/ 12ao1 -52 2/93 PAGIs l METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPAnTMENT SUITE 1003 ME1 NCI -DADE FLAGLEn BUILDING 140 WEST PLAGLEF1 SIFiF.ET MIAMI, PLORIDA 331304663 (303) 3762901 FAX (305) 376 -2908 June 15, 1993 Revised Septentbe 28, 1993 1 ilf11041 IT t Y CONCERN Metro Roof Tile, Inc. hay filed with this office the required and acceptable lest data to support renewal and revision of their Spanish "S" concrete roof t11e for both Nail - Orr and Mortar -Set .systems. The tile shall be installed on a solid nailable roof deck of 5/8" Thick plywood fcrr 011 tteiv construction or to 1/2" plywood deck on re- roofing. The nailable deck shall be covered with a tninirnunt 43 it basesheet applied with 1" roofing nail.' there tin cap twelve (12) inches o.c. along top and within 2" of edge and end lap. Head lap of base sheet shall be 3 "to 6" and end laps shall be 6", all sealed with plastic cement. Lave ,stall be attached over 43 ii baseslleet with 1" roofing ncnls 4" o.c. and sealed over with membrane and asphalt plaster cement, !Etch field tile and rake tile providing a 2 1/2" head lap shall be attached to the prepared deck with two, 2 1/2" long by 0,130" diameter annular ring shank (twenty rings per inch) corrosion resistant nails. A nominal 1/2" diameter we ephole shall be incorporated at the bottom o /'each mortar closure below each cave course tile. This nail -on system may be installed up to 35 feet above grade. Me prepared deck shall consist of an underlayment (anchor sheet) cot forming to No. 39 7)/pe 11 (AS ?YMT D - 226) and tin capped 6" o.c cm all laps, 12" o.c. in the field and 4" nn drip edge aver this, a hot - mopped 9011 AS7M 1J - 249 granular sun face cop sheet by 7 amko, or equal is appllecl. The the shall be applied with a 2" head lap to the roof with mortar consisting of Rinker Roof 'file Cement mixed with sand co, f rnting to ASTM C -144 for a 3:1 mix. The tiler shall be wet and set using approximately one All trowel of mortar. Metro Roof Tile, Inc. June 15, 1993 Revised September 28, 1993 • 1a.r0 K■or I I i Due to llzu•riccute Andrew, this office has been inundated with requests for both new products and renewals of those to expire whlclz has caused a large back log in responding with an official Notice of Acceptance. In the. interim period, please acce4t this letter in allowing these products to be installed by cr licensed roofing contractor in accordance with the manufacturer's urer's f rther specifications and Chapter 34 of the South Florida Building Code until an official Notice of Acceptance is issued. C/D: co C::1 ay1llpra l dots 4melro l P,IGE2 JKJ..J rJ wJV L V V V . • V r Sincerel4 izirs, Gil Diamond, P. E. Product Control Division Supervisor �• ,`. ," .Roof. "Ti 1e ME T)1O DADS P.03 1 410 M ETRO.DADE CEN tin BUIaUIt1 9 Em11�10 3 , ; ` 11 m M.w t�el M1AMI, FLUt1IUA 5912819f4 Metro Roof !rile, Inc. 11350 N.Ni South River Drive Medley FL. 33170 ':. :..,. Your application licati.on for Product Approval of i C01119. it Typ_e_a_EVV_ -�.@. . under: Sec:tl.ons 203 and 204 of the South Florida Building Code govern the use of Alternate Materials and 'Types of Construction, and compl ?t described in the plans, specifications and calculations as submitted with :j:O4fulsal .?11La_ III tia_A IALi,.Guii-l.1_cLie.01-13,531,sa...Ln_by Ju lo_it.. iiucll: .10.9_4,_k_LG.i aalsitsi 1.G . has been accepted by Product Control. t•.. used in the Unincorporated areas of Dade County under the Specific Conditions set forth on payee 2 -2a and the Standard Conditions can Pa.., ACCEPTANCE No.: i u amotto, P.E. Product Control. $UP9x:vlsvi APPROVED -�'— Metropolitan Dade County EXPIRES _keplalaikatl_ill_1212._ Building & Zoning DepaEL U—' EkauFsC.W . 5. Im t nNnt, RAWLISMiREtILIA MEL -GEI • CUMITIOR APPROVED: __Sgalm 305 558 2608 1.UBII This application for Product Approval has been. ccepte b � in !•: Metropolitan Dade County Board of Rules pP Incorporated and Unincorporated area of Dade County under the conditions set forth above. minas M. aCk, P.B. Deputy secretary Metropolitan Dade County doa►d of Rules end Appeals � '�����w...�+i.�: � . . � i � M i 1Y.....� ACC/AIWA $ . i w 1414.4„, µ AMOVID 1 . Sa, 4.. 0L, . . iYplRA8 I .. , mop ancgMW A . p algIg cUN 1. This approves a Portland cement type 8 tile. Z. Installation shall be in accordance with Section 3403 of the $otltt Florida Building Code, this Product Approval Notice or the manufacturer's recommendations, whichever is most 'restrictive. Metro Roof Tile • 3. Cuality Ca l • The manufacturer shall retain the services of an independent testing laboratory to maintain quality control. Test shall be performed on a minimum of five (5) ties each ninety (90) days t(4 strength according to Section 3403 of the South Florida Building Code and for moisture absorption according . to ASTX C - Teat samples shall be selected by a laboratory according to ASTK D- 3665 -82. Results shall be sent to Dade County Product Control Section every ninety (90) days. Test reports shall bear a description of the tile by material and color, i.e. cement, grey-, 4. BAs All tiles, both foreign and domestic, shall bear the imprint ".t;'.: Tile to permit identification in the field. . 5. Applications for roofing permit shall be accompanied by OM duplicate copier of the followings a) Notice of Acceptance 089- 0814.6 b) Manufacturer's specifications and stIndaxd data�lr c) Shop drawings, approved the project architect or engineer giv1ri.1 a plan of the proposed installation, with any specis€. dec.0 i12. as may, bw i uguired for the proposed installation. Roof ti l.es and accaaaories shall conform to the following drawiine SBo page 2s 305 558 2608 P.04 :J / /I. G D Milo • , P. i. Product Control Supervisor Metropolitan Dade County -2- Building 6 Stoning Dopaxtaint • _MetzslADDI mile, Inc. (a,Zir ►t . T Metro Roof Tile Limicl QF ACCEPTANCE & sEBr. IC_ioill]i Ns 305 558 2608 P.05 "ACCEPTANCE No. t U9.-O814 . G __ c' APPROVED t Sept. 11, 1I.4 EXPIRES t Flept. 11., 11 4 .. HIF RlDc3M : AND cAEILE. TILL F441 ANC) RIt 3E TILE 7. This renewal supersedes Product Approval 186- 0630.2 dated Septa » 8, 1986. ii. +a • 1, c�'c�'t,•, • l it Diamond, P.E. Product Control Supervisor Metropolitan Dade County -2a- Building & Zoning Department • M Roof T , ttnt t t UtUI,I I AN IUADE COUNTY, F LORIDA METRO. 305 558 2608 NOT CLQF _ ACCEPTANCE t STANDARD CONDITIONS, P.06 01'4 M ETRO - DADS CEN1 E:F: BUILDING 1► ZONING DEPA1ttMEN: 9UITC 1010 111 NW let BfRB0.1 MIAMI, FLOn1DA 33128•i9id (305) 375-2612 1. Extension of Acceptance may be considered after a n application has been filed and the supporting data, test repel.: no older than ten (10) years, have been re-- evaluated. All reports of re testing shall bear the seal, signature ;�• date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, use, or manufacture the product or process shall automatically be cause f: termination, unless prior approval is granted for revisions . change, Any unsatisfactory performance of this product or process oi: change in Code proviiiions shall be grounds for ro'‘evaluation, . . 4. This acceptance shall not be Used as an endorsentent of * e i product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words' Dad. County, Florida, and followed by the expiration•date may b; displayed in advertising literature. '. If any portion'of Notice of Acceptance is displayed, then. it shall be done in i�• entirety • G. Product approval drawings, her requited for peimi applications, shall be provided to the applicant by t! • manufacturer or his distributors, unless otherwise noted in °' Notice of Acceptance. The prints need not be re- sealed by engineer. ..1. Failure to comply with Standard Conditions shall be false termination of Approval. • • il ' I s ?'�' li. 'i. l `� ?:.,;'S'u }1 �. T i ii... s i • Gil Diamond; Product Control Supervisor Metropolitan Dade County Building &. Zoning Department • METRO ROOF; - TILE 11350 N:t•J; , SOUTH RIVER DRIVE... MEDLEY., FLORIDA 33178 t • • 01404 • COMPLETE INSTALLATION INSTRUCTIO N:'F. N IS . >'- .:ty• '';,� ;�•+•rr.�:.;j,uJ;1,�;,�.' ' Of2SPA .:. , Y `•,r.S` ..r•h.; i�,'ry 0�'. i }.•.:. ' • I. CHECK ROOF PROPERLY, THE FIRST RUN CAN O RHANG BETWEEN . 3/4 AND 2 INCHES OVER THE EDGE : OTHEE 'H0RIZONTAL ' L 1 NE S • SHO BE MARKED ;.; ;': . ULD RKED 'AT 16 :0': ±'XNCMES� �h'. ;; a ' ' �) THE TILE ; • �.;, ..� :.!.., zL HAS TO BE WE T: - PRIO R- v 04 TAL LATIUN . USING ' A HOSE IS PREHAPS �;;THE�'�E3ES'T LJ 4 1� '' � > TO `I D0 `I T THE , IDEAL TIME TO , (ET THE TZ LE44 . Vj HOUR PRIOR TO A. ' .. ` :i, ;•s. „ "" '' ",:'� .' ... -. • : ' :1 •. iii � ?' :,� ,. ; - • TH ' .' ' , i ` : `• !c : r„'., %:v�..ltZ i ks�� � 4::4 �; ; I ; + i , , E ,MORTAR: HAS ` 1'0,•`E3E; "FRES .i t l '� , . WTTFIY �1�.•�. • S O � A � EZ: E3E »�, USE:D:,.• N '.1 HOUR AFTE R: ,1)4 - , A.Tr lON�6;OF.''3 . 1 ' SAND '.:To,. CEMENT , '.''F,YPE `h {CEJI . 7 h i : '� E~ ' 1 0 R AR :I$ ; AP • PLIED - . UNDERNE'srATWeTH�;�,FL.A�' * PORY'10 , O F THE �. "S ' TIL E A FULL •TROWEL: t` , , #: io,.,�W�Li,;�B !�S�JF�; C� ' JUt3 . . Z T WILL - TAl« BETWEEN' R rANa' b �S o. ' TF•IE� � "T �` 1� MORTAR AS • zLE :z5 BEINQ,PLACEO'', b sC } SQUEEZE A LOT ' 0F ORTAR' OuY r `p'. ,. ,, s.,, »��1P01�,T �T TNIg , MORTAR IS I ?RE ,;.;AGAINST <s7Hi,~ll•SIDE THE . •TILE • .'•, i'. •= ; '; •�� •4.ih'!c�•`Jl,L.��.ct r i '�a• . I . , • , ' �Ci 1 H� ' , ;t 4 L''t�. 't'1.'tt1'.yri!7,: >. 1�.R ?.,•r TILE . SHOULD N0T . a ,BE WALKED °�'O,a A . �, I. HAS � F2�:; Ti. • BEEN SET IN' PLACED F? '0: '�ir� L�E"151'5 ba Y5' AFTER' , ITS INITIAL PLACEMENT' -;'; �,' . t ,,. ,.�,,.�` • • j' ,„ ::,�•.:a. ;,..,y,, . 1 . :r.� =14.. t �t• 'ty t•: *,'t:'ij d) AFTER 5 DAYS THE ROOF . CAN ;,B �•r CLEANE D ' AND CHECKED FOR LOOSE . TILES THAT WERE "NOT°i:XNSTALL.ED,;:PR0PERLY. IF ANY ARE TO BE FOUND ,.., AN C EMENTIGLUE; ; SUCH AS RT 600 CAN BE APPLIED . ;TO ;FI 'THEtr.Loo$E" TILES . 2 , E»S'ARE E7EING ' ,. .`, }' ,�; #i " . � c.;,' THE TZL ��Y::;;': MANUf" ACTUREphi N� D DE C.0 N TH ' . THE ADDRESS •OFT ' �• Lc�'rN� > � THE MANUI y ` w �•� t• •8.� (y�� I. 11350 ,,"; ' - MEDLEY; * , , . s i `3 • , i� � d: qiNti 305 558 2608, P.07 •• • RUBEROID® Specifications N- 1 -1 -MG, and N -1 -1 -MSC 4' Min. Side Lap 2' MIn. Side lap 9 GAFGLAS 175 1992 Base sheet RUBEROID MOP :• Mln. Mailable Deck Veep GAF UM Tips in or IV Substrate —'h inch minimum plywood, gypsum, structural wood fiber, lightweight insulating concrete. See "Lightweight Insulating Concrete Decks," page 9. Slope —Up to 1 inch per foot for lightweight insulating concrete; up to 3 inches per foot for other decks. Materials Approximate Weight Per Square GAF Steep Roofing Asphalt ASTM D -312 Type III or IV GAFGLAS #75 Base Sheet GAF RUBEROID MOP (Smooth or Granule Surfaced) Surfacing (Required for N -1 -1 -MSC) 25 lbs. 25 lbs. 90-105 lbs. Total 140 -155 lbs. Specification N -1 -1 -MSC N- 1 -1 -MG Guarantees Available RUBEROID Liberty 12, 10 12, 10 RUBEROID 12,10 12,10 OAF OILIO.0010 IIUMAIALIS eoaraNIAnor General Recommendations presented on pages 17 -22 shall apply in addition to the following application recommendations. Application Recommendations 1. Lay one ply of GAFGLAS® #75 Base Sheet (or in the case of a fresh lightweight insulating concrete or gypsum deck where GAFGLAS STRATAVENT® (Vent Ply) for Nailable Decks is required), with a minimum 2 inch side lap and not less than 6 inch end laps. Nail along side lap of the base ply at intervals not to exceed 9 inches and stagger -nail down the center of sheet in two rows with nails spaced at 18 inch intervals in each row. 2. Starting at the low point of the roof, fully embed one ply of RUBEROID MOP (Smooth or Gravel) in a nominal 25 pounds per 100 square feet (plus or minus 20 %) continuous coat of GAF Steep Roofing Asphalt ASTM D -312 Type III or IV. The RUBEROID membrane must be positioned to provide 4 inch side laps and 6 /inch end laps. 3. For specification N -1 -1 -MSC, a coating is required. Apply GAF WEATHER COAT® Emulsion at a rate of 2 -3 gallons per 100 square feet or GAF Fibered Aluminum Roof Coating at a rate of V/2-2 gallons per 100 square feet. Apply this coating between 1 and 4 weeks after installing the RUBEROID membrane. The protective coating must be maintained during the life of the roof. Reapplication of surfacing sbould,pe employed as part of a periodic main- tenance program. The frequency may vary depending on climatic conditions. The RUBEROID MB Membrane Mop Applied surface must be clean. dry. and free of all loose dust and dirt at the time of coating, Note: Over structural wood fiber decks, 400 pounds of gravel or 300 pounds of slag per 100 square feet installed in a 60 pound per square (plus or minus 20 %) flood coat of GAF Roofing Asphalt is required. RUBEROID UL Classifications UL Class Surfacing Substrate Slope Specification A K97 C None C ' /2' N -1 -1 -MSC NC ' /z" N- 1 -1 -MG For more extensive UL classifications, see page 6. UL Chart Key 1. Surfacing K97 = Karnak #97 Fibrated Aluminum Asphalt Roof Coating 2. Substrate C = Combustible and Noncombustible Combustible = Wood planks, boards, etc., plywood (min. 15 /22 inch thickness), oriented strand board (min. /2 inch thickness). NC = Noncombustible only Noncombustible = Steel, poured or precast structural concrete, lightweight insulating concrete, gypsum, structural wood fiberboard, etc. 3. Slope Maximum slope allowed, in inches per foot. 49 09 -19 - 91 09:01 AM FROM GAF TPA SALES 1 r M T A DADE COUNTY, FLORIDA r., mETHHO: G. A. Y. Corporation 1361 A1Pe Road • Mayne, 07470. application for Product Approval of Your ng under Sections 203 and 204 of the South Florida Building Code governing the Material Types of ions and Construction, and completely _ - • •. calculations as submitted by -+ 11 IJU 7 by Vin+n Tout. P•E• has bee accepted by Product Control to b: + used in the Unincorporated areas of Dade County under the Specific Conditions set forth on pages 2 -2 d and the Standard Conditions on Page : ACCEPTANCE No. 91 0215.4 T 70� _1 APPROVED = EXPIRES * • APPROVED= Tune 10, 1 9 "R ub ro; d MB" Bindle _P1 V ruc METRO•DADE CENTER •OARO OF RULES AND APPSAI.S C00E IINpOACEMEN? SUITS 1010 111 N.W. 1st STREET MIAMI, FLORIDA 01121.1W8 (305) 375 -2612 it Diamond, P•E r roduct Control Division Supervisor CEPTANCE the This application for Product Approval has and accepte by uthe in the Metropolitan Dade County Board of Rules Incorporated and Unincorporated area of Dade Count under the ' condit ions . set forth above • Char es Danger, ' .E. Deputy Secretary Metropolitan Dade County Board of Rules and App • 09=19 - 9 . 1 09:01 AM FROM GAF TPA SALES `� F Corporation P03 ACCEPTANCE No's APPROVED s Jung 10. 1991 EX8IRE9 _ roves smooth surfaced and granule surfaced, torch applied 1,00. This approves APP and mop-applied SBS "Ruberoid MB" single ply roofing _ membranes which are polymer modified and meynb�r�sed in new woven polyester mat. Ruberoid m� of existing roofs. All roofs shall roofing as well as re roofing have adequate, slope and interior drains where required to prevent mire ponding. For fire -rated roofs = andashall` bashall e$ restricted by latest UL Building Systems Ca is a b UL- 790 /A$TM E -108 fire tublish ®dixe omoaendatios►s maximum slop •also comply with GAF s D 1.01 Ruberoid membranes have passed the following. tests: 1) UIs. 790 /ASTM E -108 Fire Tests Class A 8`, i C (see UL cards) 2) Accelera d weathering 3000 hours No deterioration 3) Tensile Strength /Elongation AsTM V-az2 Before Weathering *Machine DiraCtion 243 lb /a" • 601 Cross Direction 161 lb /2" - 61.6 After Weathering Machine DireCtiOf Cross Direction • 270 lb/2" 7611 175 lb /2" - 72% 1 '. asnond, P.S. roduct Control Division Supervisor 09-19 - 91 09:01 AM FROM GAF TPA SALES . 4 ' 5) Water Vapor Transmission ASTM E- Ruberoid ME - Torch applied 0.21 Mop Applied 0.1329 Heat aging ATM D -573, 2000 hts. 70 C. Tensile Strength /Elongati Before Aging Aster Aging 6) Wind Uplift Test ASTM E - 330 7) FaCtOry Mutual wind uplift d tests tor metal and plywod ecks 8) Factory Mutual Hail Damage Test 9) Dimensional Stability ASTM D -1204 Before weathering Machine Direction Cross DirectiOn Before Weathering Machine Direction Cross Direction • _2a• ACCEPTANCE No.: - -- •- T 1 n 1991 APPROVED EXPIRES Machine Direction Cross Direction Machine Direction Cross Direction 0.75 gms /hr /m g /ht /8q. m Q /hr /sq. m 80 lbs /in, 35% 55 lb$ /ins 35% 99 lbs /in, 24% 55 lbs /in, 23% passes x•60 and X-90 Passes 0.4% 0.4% 0.3% 0.38 PO4 ,4 /.� - Gil Diamon., P.E. Product Control Division Supervisor 09 -1911 09:01 Alt FRODI GAF TPA SALES ... • w : - ACCEPTANCE No.: , 91.0211.4 R APPROVED .: Jape 10 . = March 11. 1994 .2.00' maraal.a.laaradlaalians 2.01' Q pera t of All installations must comply with the recommendations oar the manufacturer as described in their published and referenced teat reports. 2.02 •�• This installation is approved without any height restriction for non - coastal buildings. The concrete deck is primed with asphalt primer applied at a rate of 1 to 2 gallons per square. APP membranes are than directly torch applied to primed deck. I case rimemembranes eck with hot mopped sheet is solidly pp ed to primed l2ed e ,r•, Bide and 6" end laps. SBS membrane is then mop -app the rate of 25 lbs. per square to the base sheet with 4° side and 6" end laps. For coastal areas, the height restriction shall "be 60 feet for Class 1, 550 feet for Class 2 and 350 feet for Claps buildings. . EXPIRES TIcE og satCIFIc coNbITIQN& F05 .2.03 Aver Metal DBati a) The heights shall be limited by types of constructior as defined in the South Florida, Building Code. b) fiabiagtaggOA.MMmbraai This installation is limited to 550 feet above grade for s permissiblefor �Class e Class and 3coastalcbuildings. not permissible 1 D ° am^n -, P.E. oduct Control Division Supervisor 09. 09:01,AM FROM GAF TPA SALES G ). F•. nrati — Q .a Approved insulation boards are 7to s t e deck at the rate of one fasts per with 812 steel screws and .020" thick 3/ diameter coined hexagonal galvanized steel washers. Gafglas stratavent perforated b an e sh is la dio e insulation with 2" aide and at the rate of guberoid membrane is then hot mopped at the rate of 25 lba. membrane is then hot -mopped per square with 4" side and 6' end laps• 12P q+ah lip This installation is limited to 165 feet above grade for non- coaatal, 60 feet for Class 3 coastal and not permissible for Class 2 and Class buildings. Factory Mutual approved insulations boards app roved fastened to metal deck ta with fastener per 2 sq• ft. fasteners at the x Gafglas 75,base sheet with 2" side and 6 " end l hot mopped to insulation. Ruberoid membrane w iteet , side end 6" end laps is torch 2.04 The anchor sheet is fastened to the with he /2 g annular ring -shank steel roofing 3/8" in diameter. Nails must protrude 3/16" ptin. from . the underside of the deck and beB spaced 9 s t forth in Table . 34 -0 of the South Florida The nails shall be applied through tin -caps as required by Section 3403.4 (c) of the South Florida Building Cods 0) ACCEPTANCE No APPROVED EXPIRES P06 215.4 R — Aftmw 991 — . 41. 1994— 1,/ .A i Diamond, P.B. Product Control Division Supervisor • • -.' 09 - 19 - 91 09:01 AM FROM TPA SALES • • P07 ACCEPTANCE No.l 91- 021s.4. APPROVED EXPIRES = -h•'_ xnsulation, base sheet and Rub b n.8 shall then be installed as described in installation is limited to coastal and Class 1 limited by type of construction as defined in the South Florida Building Code • 2.05 For fire rated roofs, the•Ruberoid membra sh b surfaced with 400 lbs. square o gravel coat of hot roofing asphalt or coated with Karnak No. 97 tibrated aluminum asphalt roof coating dort Grundy e Industries 20F emulsion coating pp specified in B.L. fire tests. This ap to both 'moot and gravel surfaced APP and SBS 2.06 For non -fire rated roofs, smooth h'surfaceddRuberoidm or membranes may be coated applied at a rate of 1 to 1 1 Weather -Coat emulsiznsquare. rocoa� =argiulepaurfaced membrane 1/2 gallons per need not be coated. 3.00 Work shall be performed only by a licensed roofing contractor, acceptable to G.A.F. 4.00 Ruberoid membranes can'also be used on existing i p roofs, provided all loose gravel is removed and al n deteriorated areas are repaired using thisdmeembrane aabovend entire roof covered with this memo an e sat t0 use of this membrane ct Control shall in i accordance with approval by the prods Section 3401.9 South Florida.BUilding Code. 5.00 Applictions for roofing permit must be accompanied by two' duplicate sets of shop drawing, approved by the architect or project engineer, along with the manufacturer's specifications and standard details. This requirement is waived for inc up to 5,000 sq. ft. and single family z 5,000 sq, ft. in area. .® 6.00 This revision supersedes Notice of Acceptance #91 0215. dated *itch 11. .1991. Gil D 8mond, P.N. Product Control Diviaion .Supervisor 09 -15 09:01 # . FROM GAF -TPA SALES METROPOLITAN DADE COUNTY, FLORIDA • 4 • /", 1. .Extension of Acceptance may be considere after = pQnne application has been filed and the supporting no older than ten (10) years, have been re- eyaluated. All reports of re testing shall bear the seal, signature and date of an engineer registered in the State of Florida. of 2. Any revision or change in the materials, use, or m nu e fof the. product or process shall automatically termination, unless prior approval is granted for revisions or change . 3. Any unsatisfactory performance of this product or process or 4 change in Code provisions shall be grounds for re• evaluation. 4. • This acceptance shall not be used � an endorseMent of any product for.ealea or advertising purposes. The Notice of Acceptance number preceded ,ira the words Dade ion date may the be County, Florida, and followed by the exp onion of displayed in advertising s isplay d then it s p he done in its Notice. of Acceptance entirety. where required fax permit 6, arpduct ons, s drawings, be i prov qu ided provided the applicant by manufacturer or his distributors; unless need sot be re -sea d in tae Notice of Acceptance. The prints engineer. 7. Failure to comply with Standard Conditions shall be.eauae for . ,trrsninatioa of Approval. • P08 • • • M E1'Ro.OADE CENTER • Naomi imam oe r o 111 N.W. le STREET emu, RO A 3212S4P (305) 375 -2612. Gil Diamond, Product Control Supervisor metropolitan Z Department Building Zoning MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the 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 the work. " Owner's Name and Address Registered Architect and/or Engineer /Name and address of licensed contractor STATE OF FLORIDA COUNTY OF DADE. /G1 } SS. Disapproved c � Date " /"/i/EJa . Date / /Z /"/ I9 E . 0 /`.. / / No.. °/ Street /115i 9' Location and legal description of lot to be built on: /�/� S Lot /34 Block / 1 3 Subdivision g / / �/ ► r P it _,� O/� / AI' J? eet and Number where work is to be done 3 0 / /v A . 9b 5'7 work to be done and purpose of building (by floors). state exterior colors (submit samples) iI D" - /P eri #1/e7 Afl ©cf /4.4 New Building Remodeling Addition Repairs ✓ No. of Stories and for no other purpose. 7b be constructed of Kind of foundation Roof Covering t 4Cimated Total cost of improvements S 7040 ` O d � Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or subcontractors 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 subcontractors, on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) ." Before 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 fore doing ap lication. and that he did sign the same. and that all facts therein by him stated are true. io Permit No. 3 0 p ` Date / " f Read. Sworn to and Subscribed before me. Notary Public. State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building * .:, �.. Architect Contractor or Builder r Legal Lot I II -B1. Description Address of l f , Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 15319 ® Work to be performed under this Permit Subdi- vision This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: 3, .;K,. ' .. „a,: a.- 's M BY " t 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. CONTRACTOR OR BUILDER BY Value of Project $ DATE Contractor's License No Amt. of Permit fwo $ �. .... AUTHORITY BUILDI N INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det..iled statemen of the plans and specificaions herewith submitted for the build- ing or o h :ructure her 1 described This rulicatic is made in compliance and cow° m ty w.th the Building Ordinance of Mia Shores Villave, or da, and all pro isions of the Laws cf the State of krid. all o d nances if Mi m Shores Village and all rules and regu a ion. of the Building Div.. 1 of .iam Sho illage '1 ,e -o. iphed with, whether herein specified or not. A copy ot approved plans and specificati n must be kei •, at building durin progress of tl.e wcrk. Date 1042/53 , 19 Owner' Name and Address .. H._ L._ Boring No.. 3 96 St. Street_ NE Registered Architect and/or Engineer Name nd address of licen•,ed contractor Lang Rooring__and Tile Co, 430 LW. 79th St. Location and legal description of lot to be built on: Lot Block._ Subdivision Street and Number where work is to be done 301 BE 96th _St_._, State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition X. Repairs. - . No. of Stories. To be constructed of. ___ _ _ Kind of foundation Roof Coy ring Up Estimated r: -,tal cost of improvements $__ 195.00 Amount oF Permit $ • 00 Zone -ubage required_ __. __Plan Cubage_. Distance to next nearest building__ - _ _Size of Building Lot Maximum live load to be borne by each floor _ . _____ ___ hereby submit all the plans and specitications for said building. All notices with reference to the building and its construction may be sent to The unde signed appli ant for th's buqding permit does hereby certify at he understands and accepts his ..bligations as an employer of 1 hor under he Florida Workmen's Compensation Act being S. -tion 5966 Col p led Gen al Laws of Florida P r anen. Sipple nent, and h s compl ed w:th he prov• :ions thereof, and will require sTnilar Comp lance from all contractors or sub-contractors emplo .ed by him in the wo k to be p rt med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :If public noti• e or •otices as are requir d by the Act. The u. d. r ign..d agrees to employ only such abcontr• ctors, on work .to...be perform d . der this permit as are licensed by M am, Shores \ ge. Lang Roofing and Tile Go Remarks__ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm_nister oaths .nd take acknowledgments, personally ffp- peared and who, being by me first d. ly sworn, upon oath deposes and says that he is the of th abov de ,(.. ibed • istruction t, . h has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Permit No, i - •-- Date__ __ / ° '''' ! 9° -''' _ _ ..... . •____ Read, Sworn to and Subscribed before me. Disapproved I Date._ ( Signed) -A,..\____'e... f‘..._ Notary Public State of Florida Building nspector My Com:nission Expires. MIAMI SHORES VILLAGE to me well known, PLANNING BOARD _DATE Chairman Member Member Member Member Member Council Approved .Date Disapproved Date TE: A charge of $1.00 will be made for making corrections or changes to this application ffter approval h is been obtained from thejtisnr ng Board A re-inspection fee of $1.00 will be charged when such re-inspection is mv.ie necessary by improper notice for inspett or fa. Ity iaterials and/or workmanship. TILDING - ECTRICAL -UMBING ?OFING EJ -ner of ilding chitect ntractor Builder gal scription 'dress of ilding Lot MIAMI SHORES VILLAGE. FLORIDA DATF ' . 195 PERMIT N? 8497 CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit Subdi- vision Contractor's SQ. Ft Value of Project $ ( � y.�.... License No Z Amt. 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 efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that-may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any e 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 nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining 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 ,e 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 taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 42017 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations•of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date ��� ✓���� Owner's Name and Address A! , 9ole 41 Fr No Registered Architect and /or Engineer Name and address of licensed contractor /l 9 0, Location and legal description of lot to be built on: p Lot Block Subdivision ti./ /2E4' ®p I!, F. NS/ , Street and Number where work is to be done State work to be done and purpose of building (by floors) ___Je— New Building Rernodeling. Addition To be constructed of Kind of foundation Roof Covering v Estimated Total cost of improvements $ ,hrct ® Amount of Permit $ ` Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building perrnit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec n on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr� to ; ,on work to be performed under this permit, as are licensed by Miami Shores Village. y -_ Remarks (Signed) Permit No Date Disapproved Date (Signed) Chairman Member Member Council Approved Building Inspector NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. 0 / IP QlWf — Date Disapproved //P PLANNING BOARD DATE Read, Sworn to and Subscribed before me. making corrections or changes to this application after approval when such re- inspection is made necessary by improper notice , Street • 96 • E� "r a) ( . and for no other purpose. Repairs No. of Stories.._.! STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well 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. Notary Public, State of Florida My Commission Expires Member Member Member Date has been obtained from for inspection or faulty