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325 NE 97 St (6)Owner's Name and Address. 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 conforrnity 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. Registered Architect and /or Engineer f , Name and address of licensed contractor 4/. L ., . + -- . r. ., _ -1 ,t 3 ! ' ..m'_ � Location and legal description of lot to be built on: Lot Block Subdivision : ''°'''''' Street and Number where work is to be done ?. ..:r Date ';y oh O..__._._ State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ -� Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be . e - ed unc}i this permit, as are licensed by Miami Shores Village. .v0' , � / / / / Remarks (Signed)____ ' °" " Street ,19.E 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 Date Read, Sworn to and Subscribed before me. Disapproved Date 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 $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address. _ anti Registered Architect and /or Engineer Name and address of licensed contractor e �4 1 Location and legal description of lot to be built on: Lot Block Subdivision MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT � . Date.. .! .. 19 o � �:�� street �' . . "g/. Zit. Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs.. No. of Stories l To be constructed of Kind of foundation Roof Covering 4- " ek, Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit 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 ins ction on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon actors, on work to be erformed unci4 this permit, as are licensed by Miami Shores Village. .00'"-' Remarks (Signed) /' = -"' t 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 ff regoing application, and goat he did sign the same, and that all facts therein by him stated e 7 Permit No Date `" ., " Read, Sworn to and Subscribed before me. Disapproved Date_ ,___._ i Notary Public, State of Florida ( Signed) '''.' � t` a ,.....-...=... -- 7e.--,2"---..,. Building Inspect My Commission Expires /LANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1 MIAMI SHORES VILLAGE, FLA. JOB ADDRESS i , INSPECTION , / / 2 - r 1.1 1 TIME READY ' /:71/ 1t,' REMARKS: 1 /i1 , .t 7 (// INSPECTOR t , - N° 6287 DATE 7.1 BUILDING ELECTRICAL PLUMBING :OOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5708 Owner of !building 'architect contractor )r Builder .egal Lot )escription Bl. ddress of luilding CONTRACTOR OR BUILDER DATE— 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of I' Amount of Project $ I Permi $ 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 (ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining 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 lone 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 ar. ordinances and regulations , ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 8 BUILDING ELECTRICAL PLUMBING ROOFING r_ ❑ PERMIT N° 5677 MIAMI SHORES VILLAGE. FLORIDA 4- tj e r 7/ ry� 6, Owner of Building Architect Contractor or Builder Legal Lot Description — %- I Bl Address of Building CONTRACTOR OR BUILDER Work to be performed under this Permit Subdi- vision Value of Project $ DATE_ Contractor's License No. I BY AUTHORITY 195.E —_ 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 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 a:sumes responsibility for work done by his agents, servants or employees. ' f 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 employee. • BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9458 Contractor's „ &, ROOFING Yi License No. Owner of � Building �_< 1 �° \A 't ' t Architect Contractor or Builder ; ' ` ' j ...:-4/cyCLL Legal Lat 11 Description 11 B1 Address of Building .d 1 Signed• CONTRACTOR or BUILDER Work to be performed under this Permit Subdi- vision Sq. Ft. Value of Project eiNS COR) BY Date 19.47 Amount of Permit $ J This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the pl or drawings or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants or employeep. In consideration of the issuance to me of this permit I agree t /perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, gtements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done b either, myself, my agent, servant or employee. • 1. BY AUTHORITY Application is hereby uinde 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 Miaml Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miaml Shores Village and all rules and regulations of the Building Division of Miami Shores Villa$c shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owners Name and Address / ' 0. / /e Iv ilv Registered Architect and /or Engineer Date (Signed) • �' Building Inspect MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date..._..._.�d _.___._ _ ...._ ,19 -. No 3 i . ? Street �' ' Z M �� l� • Name and address of licensed contractor CMM /NOP/ � OG..Lv cot, , ! &L . - .30 4,1, _ 71 7` /7't4,r( Location and legal descr'ption of lot to be built on: Lot rr - (---s7-2.- 9 Block Z- Subdivision i C Street and Number where work is to be done _ 3 a'� NE ! JT' _..._.._ _ _ '� 01--- State work to be done and purpose of building (by floors) RE -i� GG. WE ST 5 WE CL1 i1 V,-L gOGF cm- Y — 3 0 /-V 3, vi - g 4 ... WAVE L and for no other purpose. New Building Remodeling Addition Repairs ✓ No. of Stories 1 To be constructed of Kind of foundation Roof Covering......... Estimated Total cost of improvements $ (! G " GI' Amount of Permit $........._....jo lo 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 subcontractors, on work to be performed un&er this pennit, as are licensed by Miami Shores Village. n �� Remarks (Signed ) ...... K[. 111 1, ? 1111111,...11. ,. 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 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..__ i q C ' Date 7' Disapproved . t....,......).4 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, LANNING BOARD DATE Chairman Member Ucrnber Member Member .. ... __...._..__._...._....._ Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmm the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Legal Lot Description Owner of Building Architect Contractor or Builder Bl. Address of Value of I' Amount of Building Project $ 1 Permit $ This permit is granted to the contractor or herefor in strict compliance with all ordinances drawings, statements or specifications that may time if the work is not done in compliance with granted is the understanding that the contractor pertaining to the work covered hereby whether done by his agents, servants or employees. MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195 s ' PERMIT N? 7284 Contractor's License No. CONTRACTOR OR BUILDER builder named above to construct the building or to install the equipment or device described in the application pertaining thereto and with the understanding that the work will be performed in compliance with any plans have been submitted to and approved by the proper municipal authorities. This Permit may De revoked at any such ordinances or if the plans are changed without authorizaticn. A further condition upon which this permit is or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work cover pertaining thereto and in strict conformity with the plans, drawings, statements or specificatio cepting this permit I assume responsibility for all work done by either, myself, my agent Work to be performed under this Permit Subdi- vision BY hereunder in compliance with all ordinances and regulations bmitted to the proper authorities of Miami Shores Village. In ac- t or%employee. AUTHORIT Y 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. O ner's Name and Address._ Registered Architect and /or Engineer. Name and address of licensed contractor. 4 fry? /'rl cF1/_Z- lr�.� Ji c Location and legal description of lot to be built on: Lot__ Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Zone cubage required Distance to next nearest building__ Maximum live load to be borne by each floor Remarks Permit No Disapproved (Signed) Channan Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT D, ,'fkno 7 5 -r66 F Date fl ' 19..(= No • 0) _.... Street - - -- PE ..... ©1- -- w 71.S , tjij n i 17 fw TaE POff r oA, pivL and for no other purpose. New Building _- Remodeling Addition Repairs F/ No. of Stories 1 To be constructed of Kind of fou , dilation___. Roof Covering.. feEQ._ /h� Tl `, ,_ 7 Estimated Total cost of improvements $ /, 1 • c® Amount of Permit $ -7 . Giri ________ .__ __ -- - .Plan Cubage__ _. Size of Building Lot I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to--- — The undersigned applicant for this building permit dot 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 subcontrac orr, on w cr , be per ¢_ u permit, as are licensed by Miami Shores Village. c - - (Signed ) 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. Date_._ 0 � ' ' P.. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspectoiy( My Commission Expires_ PNNING BOARD__ ._ . DATE Member . Member Member _ ____ __ _ . Member Council Approved _Date Disapproved __ ... Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the apptbval 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 Shares 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 i?j (2P. PA; /� , , � S N 6 Registered Architect and/or Engineer Name and address of licensed ;t,t .i.,actor rl I _fS Location and legal description of lot to be built on: �/ Q /� / 3 6 ) Lot / 5 ei' / k/ /lock Li 2 subdivision /� 7// ✓ g) , / //' " r 7 4 .1 /j Street and Number where work is to be done 3x35 NE: % ' ! �� . /'l 4 f � /1Q 6 , F7 . -3,-3 g State work to be New Building To be constructed of �ZD ' Kind of foundation Roof Covering Estimated lbtal cost of improvements S � 6 6 0 0 Amount of Permit S (5 l ) Zone cubage required Distance to next nearest building Size of Building Lot Maximum live lotto 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 sub - contractors employed by him in the work to be performed under this permit and will post or cause to be poster for inspection on the sae 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 � ---- ( 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 ell facts therein by him stated are true. Permit Nor 1P " / / i0 Disapproved (Signed) Building Inspector • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT pu •ose of building (by fl I. state terjpr colors submit samples) r Date t Additio Plan Cubage Read, Sworn to and Subscribed before ma PLANNING BOARD DATE Notary Public, State of Florida 3O •c 0 er purpose. My Commission Expires Chairman Member Member Member Member Member Council Approved Hate Disapproved Date NOTE: A charge of 525.00 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 S25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or uorkman.hip. State work to be done and purpose of building (by floors) Date Building Inspector 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 � - - « ° , 19 Owner's Name and Address . ✓i 1 ?, 4 ' '7.,' ' " '��,j ‘' No Street Registered Architect and /or Engineer Name and address of licensed contractor !' Location and legal description of lot to be built on: ,, Lot � -- %� %,�.;_.(� - Block-- _- .,�..L� Subdivision , ' ,, o -n Street and Number where work is to be done -. ' / ' :11 / Date — / ., Read, Sworn to and Subscribed before me. Notary Public, State of Florida and for no other purpose. New Building Remodeling Addition o Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such 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) 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 Permit No Disapproved ( Signed) - -. My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member .- . Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. gi lt A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ;• LICENSED AND INSURED 1) Repair leak on east side front porch. 2) Repair leak on west side front porch. 3) Repair leak around chimney . 4) Repair leak in fla. room at east wall. 5) Repair leak at north end of garage. 6) Repair leak west side of garage. 7) Repair leak on east wall garage. tRMARflN 3680 N.W. 135th Street • Opa Locka, Florida • 33054 836 -2851 681 -2852 Date 1 Job Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ' ` f � ' � � d., Tax Folio Legal Description Owner/Lessee / Tenant \ al; 'f � \ f Owner's Address _ _� 5 N. Lqr C o n t r a c t i n g Co. g .Q 1 s r ll (fl ■'', r N Quithfier s c �\ State # e_�a±LQ.1`3g2) Municipal # Architect/Engineer Bonding Company Mortgagor /� Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ( ROOFIN WORK DESCRIPTION rs 1c Square Ft. ; 9 �� } „- `CCU- \ Notary as to 0 e and/or Co o President MyCommission Expires: OFFICIAL NOTARY SEAL JUDY CATAL INO NO ARY PUB L 'C STAY,: 07 71.O7. IDA COMMISSION NO. CC54692=I MY MR�SS :oN EXP. APR. 22 ,2000 FEES: PERMIT RADON Historically Designated: Yes No SS# ±� o (\ V:\0(\,. APPROVED: Zoning Building Mechanical Plumbing 0 /91 Phone 4 138 - D)9' , . / Address :__LQ n \.4 Phone Master Permit # Competency # ert.;( Co. Address Address Address e rn-e 0- t T .r / t#- o GVAtat-. Estimated Cost (value) _ �1� _ �• r, 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. at all the foregoing information is accurate and that all work will be done in compliance with all applicable g. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner- Builder (I"ti Date Notary as to Contactor or Owner My Commission Expires: OFFICIAL NOTARY S F L JUDY CATALFIh ? NOTARY PIJ3LTC. S1 AT£ F.r,ORIDA COMMISSION NO. CC; ^3524 (..^.,'. EXP. APR. 22,2090 Electrical C.C.F. Y L NOTARY TOTAL DUE PAVING FENCE SIGN (.4:l. Date Date Engineering SKETCH OF ROOF JOB 75 K1 C O 517 U.' OF Z SHEET NO CALCULATED BY CHECKED BY DATE SCALE DATE 01 0 NOTES' Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 � a 26 � 9c'EL 51 Assr.` — 2 3 28 53 1--- 4 29 54 ...- -• 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 . 35 60 11 V 36 61 12 'FA. g L'JE.P 37 62 13 38 63 14 39 64 15 40 65 16 41 17 42 _66 18 43 _5 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 50 75 7 Du Quesne & Associates, Inc. UTR Consulting Engineers Environmental • Civil • Structural Testing Laboratory Buildin Inspection Servic ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION Owner's Name: t TRV 5'F Permit #: 4 5 ` 41 s Job Address 3 2 5 14 9 1 7 t-kD c"S , FL Roofing Contractor Q 01641 •=Y god cr ( PA Type of Tile: 617/4014 t4 'S 1— EbAii .t 46T fro 2? ' ! � to Irstalled 4 s 3 Approximate Roof Height: f eet Roof Pit 2. Type of Access to Scaffolds )_ Ladder Other Approximate Square Footage of Roof (9OO ft z Required Testing Forc 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested 5 • . A0 orge Du Quesne, P.E. vil Engineer #24513 Du Quesne & Associa : Inc. E.B. License #0005245 Lab Certification #94-0318.01 TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 KETCH OF ROOF • JOB SHEET NO OF CALCULATED BY CHECKED BY DATE SCALE DATE NOTES