383 NE 97 St (10)Signature of owner and/ orondo President
otary as to Own
My ComnllSS
FEES: PERMIT 6Z/6 RADON
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date _A O t Mg Job Address j'3 V,E, T f " E 4 Tax Folio
Legal Description F , P Historically Designated: Yes No
1 aj
Owne /Lessee / Tenant Mra i v ! 1 (s4 Cp-e 'fir Master Permit # -5' ,_ '
3 � r
Owner's Address 3 3 I Y, C r 9 1 h ,� Phone (305) / ,5`7' J ^ 33 9
Contracting Co. Pc*L CA-1 KO) I f k R DC l h O� Address �j f 7 k • E, C1 �hj �
Qualifier Y (.),(AA \K 0.1/U C�.� e- K S ( Phones ), -, T i5 " -' 9
State # ?L. DO6bq Municipal # 06-3 L L92 Competency
c y # 38JO fns. Co. X il/l.C6 &t ty
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BULE DING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVING FENCE SIGN
WORK DESCRIPTION - laii, r o l c tci 6+1 r '- I tc+ `t" (I e ro U4 ck rt rep J0. C e vI h
rte. - erriAtkda.-F 10,4 ' whttc .4.11e by Mon 'ter % Lh - ,�,wi
Square Ft. .3 .3 00 co for ihro h . f 1 e Estimated Cost (value) ,�► 1`1 00
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 zoning. Furthermore, I authorize the above -named contractor to do the work stated.
vc s -4(-T4
Date
:
1.:
./.1118,
�t d/or Condo Presi
t
1O - g OFFICIAL NOTARY SEAL
.011MISSO4
CC797277
OF f`O. 14Y DEC 17
t
o
C.C.F.
Building - - / 6 ft -f Electrical
X OUAIP1
Si ture of Contractor or Owner - Builder
>� Date
Notary to Contr r or
Owner ice' Date
My Commission Expires:
FL 4 - 601 - 6c7,- 0/S o
P oL R. KA-WA =
NOTARY , BOND 3 0 d
TOTAL DUE ...� 3
Plumbing Structural Engineer
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
99R7•06649 1999 OCT 01 10:
STATE OF FLORIDA:
COUNTY OF DADE:
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 off Commencement.
1. Legal description of property and street address: S t Fr 1"\ c 3 3 - S j
2. Description of improvement: )ro
(7 4 . !
3. Owner(s) name and address: PP /0 3 1,/Q ti - 36'3 /V• % 7 S T -/ S e . s - P .
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: GL� ( G�1�J l e 0 2 4 /'• tL 99til
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
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:
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:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date o9 recording unless a
different date is specified)
Signature of Owner
Print Owners Name
,=pc_ U,,,oc, /60. -3o- 380 c.)
Sworn to and subscribed before me this / day of ll r , 19 c7
iolf GAL NOTARY S
0.' P O,, S MARGARITA ARYS
E ofR
+ aili,
"' • =u:
Notary Public A :
„N tAy coom.assioN .oz
Print Notary's Name
My Commission Exnires•
7
UF1-
// (,o 0/2 S7g
J r r'LORIDA, OF DACE
en:Einr ur: or-Pi 4f 4r�
�
r;o'
v✓ M11:SS ray �7 '. ^, ri r'rc C . .i
3y �et�;'�1�� si 'Y:: ;: irc 1 f ind
oUn4y f.'o;7r;
Prepared by: PL(Al c ' CO -Ctie
Address: e4 ALE q f h5
NL� } W\
/)res P_
12301 -52 2nr.
APPENDIX "F"
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F it is [he responsibility u. tic roofing contractor to provide cite o•. ccr with the
required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this
form. The provisions of Chapter 34 of the South Florida Buildin_, Codc (SFI3C) govern all the minimum
requirements and standards of the industry for roofing system installations. Additionally. the following items
should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the
adjacent box indicates that the item has been explained.
1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are For the purpose of
providing that the roofing system meets the wind resistance and water intrusion perforiiu ace standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues
such as color or architectural appearance. that are not part of a zoning code, should be addressed as pare of the
agreement between the owner and the contractor.
' 2. Ren:tiling Wood D'ecf s: When replacing roofing, the existing wood roof deck may have to be renailed
in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed_prior to
removing the existing root system)
, 3. Common Roofs: Common root's are those which have no visible delineation between neighboring
units (i.e. townhouses, condominiums, etc.). In bui
:,digs with
to be performed. the rofing contractor and /or
owner should notify the occupants of adjacent uni ts
` 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking,' can be
`'iew_d from below. The owner may wish to maintain: the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking m. y not be acceptable. The SFBC provides the option of maintaining
this appearance.
D • 5. Ponding Water: The current roof system and /or deck of the building_ y not drain well 'and may
cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. f ondin_ may shorten the life
expectancy and performance of the new roofing system. Poadino conditions may not be evident until the original
roofing system is removed. Ponding conditions should be corrected.
f 6. Overflow Scuppers (~wall outlets): It 15 required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may blocl: this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance
wit . 1 Chapter 23 of the S F BC.
7 Vcntil:ttion: Most roof structures should have some ability to vent natural airflow. through the interior
of the structural assembly (the building itself). The existin!, amount of attic ventilation shall not be reduced. It
may be beneficial to consider additional venting .which can result in e the service life of the roof.
S. The owner may contact the Miami -Dade County Consumer Services Department for further
information regarding the above.
'ot\1
Ot:ncr's /Agent's Signature U :Itc
Contractor's Signature
ti ,.'r 177 Li AR 5)7. .,t)
Contractor's Name: ?O\ \0\..W a ,' bIK Job Address: 3 6 1) 3 , — 1 3
❑ (Low Slope Application)
❑ (Asphalt/FTherglass ogles) ❑ ( Metal RoofSMWood Shingles & Shakes) ❑ (Other)
)10 OF TYPE
❑ New Roof g Re roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft') Sloped Roof Area (ft') 2) boO Total (ft') 611) (3 Master Permit No.
Exposure category (per ASCE 748): Building Classification category (per ASCE 748 table 1):
Ft.
v
A
Deck type:
123.01.72 906
P\
Fastener Type:
Field: Perimeter.
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
ROOF CATEGORY
❑ (Nail-On The)
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
ATTACHMENT
$PAC1NG
Corner.
was
Page- 1
let (Mortar-Adhesive Set Tile)
ROOF PLAN
0
•
intrz±:
WAX tmtatr
(Pma:l:
(Pmar2:
(Pmas3:
DKr type:
z Umlertayosast
Fame ertype& t
Appendix "E" .
UNIFORM ROOFING PERMIT A PW'LICATIO N
PP oCESS No.
.a00►SLOPS
DE TA l L 3
SLOPED SYSTEM DESCRIMIE
Cep Saireft
TILE CALCULATIONS
X X (Aerodynamic Irlt�hiplisr) : ) • M M,
X (Aroaynam - ) • M M
X X (Aerodynamic !►lulupliu): ) • M
Page -2
al 1
4c�P' w IDI
ATTACHMENTS REQUIRED
1) Fue Directory Lasting Page
2,) Dade Coaaty Pr4dna Control
Notice ofA,nccp aaa -Coen Sheet
a) Specific Systrn Desaipdon
b) . Specific Systcm Limitation
c) General Limitations
d) Applicable Detail Drawings
3,, Municipal Pennit Application
4; Other Component Approvals
PC/.:
PC 1.:
PC L:
PRODUCT CO
Monier Lifetile LLC
I35 N.W. 20 St.
Boca Raton, FL 33431
TROL NOTICE OF ACCEPTANCE
Your application for Product Approval of:
Bermuda Flat Tile
under Chapter 8 of the Miami -Dade County Code governing the use of Alternate Materials and Types
of Construction, and completely described in the plans, specifications and calculations as submitted by:
Redland Technologies, The Center for Applied Engineering, Inc. and Professional Service
Industries, Inc..
has been recommended for acceptance by the Building Code Compliance Office to be used in Miami-
Dade County, Florida under the specific conditions set forth on pages 2 -8 and the standard conditions
on page 9.
This approval shall not be valid after the expiration date stated below. The Building Code Compliance
Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's
plant for quality control testing. If this product or material fails to perform in the approved manner, the
Building Code Compliance Office may revoke, modify, or suspend the use of such product or material
immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is
determined by the Building Code Compliance Office that this product or material fails to meet the
requirements of the South Florida Building Code.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 97- 1124.13 Revises No.: 96- 0528.06
EXPIRES: 06/25/01
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901
FAX (305) 375 -2908
PRODJGT CONTROL DIVISION
(305) 375 - 2902
FAX (305) 372 -6339
aul Rodri: cz
Product Control Supervisor
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Miami Dade County Building Code
Compliance Office and approved by the Building Code Committee to be used in Miami -Da ounty,
Florida under the conditions set forth above.
a411-Y
Charles Danger, P.E.
Director
Building Code Compliance Dept.
APPROVED: 06/25/98 1 Miami Dade County
•MONIER LIFETILE LLC Product Control No.: 97- 1124.13
Bermuda Flat Tile
Trim Pieces
Product
Rainproof I1
Ice and Water
Shield
Product
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Dimensions
1= 15"
w = 10 3 /8"
I' /." thick
1= varies
w = varies
varying
thickness
TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS
Test
Dimensions Specifications
30" x 75' roll PA 104
36" x 75' roll
or
60" x 75' roll
36" x 75' roll PA 103
Wood Battens Vertical Wood Preservers
Min. 1 "x 4" Institute LP — 2
Horizonte
Min. 1 "x 4" for use
with vertical battens
or
Min. 1 "x 2" for use
alone
Tile Nails
Min. 8d x 2 '/2" or
min. 10dx 3"
Test
Specifications
PA 112
PA 112
PA 114 Appendix E Corrosion resistan
screw or smooth
shank nails
Page 2 of 9
Product
D¢sccytion
Flat, interlocking, extruded
concrete roof tile equipped with
two nails holes. For mortar set or
adhesive set applications.
Accessory trim, concrete roof
pieces for use at hips, rakes, ridges
and valley terminations.
Manufactured for each tile profile.
Product
Description Manufacturer
Single ply, nail -on Protect -O -Wrap,
underlayment with Inc.
2" self - adhering top (with current NOA) .
edge.
Self- adhering W.R. Grace Co.
underlayment (with current NOA)
Salt pressure generic
treated or decay
resistant lumber
vattens
generic
MONIER LIFET13.E LLC Product Control No.: 97- 1124.13
Product
Tile Screws
Roof Tile Mortar
( "TileTiteTM ")
Roof Tile Mortar
( "Quikrete® Roof
Tile Mortar
#1140 ")
Roof Tile Mortar
( "BONSAL®
Roof Tile Mortar
Mix")
Roof Tile
Adhesive
( "Polypro®
AH 160 ")
Hurricane Clip &
Fasteners
Dimensions
#8x 2 VA" long
0.335" head dia.
0.131" shank dia.
0.175" screw thread
dia.
N/A
N/A
N/A
N/A
Clips
Min. 'A" width
Min. 0.060" thick
Clip Fasteners
Min. 8d x 1 '''A"
Test
Specifications
PA 114 Appendix E
PA 123
PA 123
PA 123
See PCA
PA 114 Appendix E Corrosion resistant
clips with corrosion
resistant nails.
Page 3 of 9
Product
Description
Corrosion resistant,
coated, square
drive, galvanized,
coarse thread wood
screws
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Two component
polyurethane
adhesive designed
for adhesive set
roof tile
applications.
Manufacturer
generic
Bermuda Roof
Company, Inc. with
current PCA
Qui krete
Construction
Products with
Current PCA
W. R. Bonsal Co.
with current PCA
Polyfoam Products,
Inc
PCA 1194- 0401.01
Generic
MONIER LIFETILE LLC
Test Agency
The Center for Applied
Engineering, Inc.
The Center for Applied
Enigneering, Inc.
Redland Technologies
Test Identifier
94 -084
94 -060A
P0631 -01
Professional Service 224 -47099
Industries, Inc.
EVIDENCE SUBMITTED
Page 4 of 9
Product Control No.: 97- 1124.13
Test N2 Ine/Report
Static UpIiR Testing
PA 101
(Mortar Set)
Static Uplift Testing
PA 101
(Adhesive Set)
Wind Tunnel Testing
PA 108
(Mortar Set)
Physical Properties
PA 112
Date
May 1994
March, 1994
July 1994
Sept, 1994
i
MONIER LIFETILE LLC Product Control No.: 97- 1124.13
SYSTEMS
Deck Type: Wood, Non - insulated
Deck Description: New construction t or greater plywood or wood plank.
SYSTEM D: Mortar or Adhesive Sct Application
Slope Range: 2 ":12" to 7 ":12"
Note: System D is only acceptable in this slope range.
Underlayment: Install underlayment system in compliance with Miami -Dade County
Application Standard PA 120. (See System Limitation #4.)
Roofing Tile: Install tile in compliance with Miami -Dade County Application Standard PA
120. (See "Data for Attachment Calculations" included in this Approval.)
Comments: I. For re -roof applications, 15 /32" plywood is an acceptable substrate.
Page 5 of 9
Frank 7iitnaoa A R (`
MONIER LIFETIME LLC Product Control Na.: 97- 1124.13
SYSTEM LIMITATIONS
1. The standard minimum roof pitch for the Monier Lifetile LLC's Bermuda Flat Tile high profile tile
shall comply with Dade County Application Standards PA 120.
2. System installation shall be in compliance with the system specifications outlined in this Product
Control Approval. The method of attachment utilized shall provide sufficient attachment resistance
expressed as a moment to meet or exceed the required moment of resistance determined in
compliance with Dade County Protocol PA 115 or PA 127. The tile profile listed herein has been
tested for both wind characteristics and static uplift performance , therefore, attachment calculations
for installation in compliance with PA. 115 or PA 127 shall be done as an 'Moment Based System'
3. For mortar or adheslve set tile applications, a field static uplift test by a Dade County accredited
testing agency, in compliance with Dade County Protocol PA 106, shall be performed.
4. For the applications, 30/90 hot mopped underlayment applications may be installed perpendicular
to the roof pitch unless stated otherwise by the underlayment material manufacturer's published
literature.
5. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for
identification in the field.
6. Applications for roofing permits shall include a completed Section 11 of the Uniform Building
Permit, a copy of manufacturer's current specifications and details, a copy of this Product Control
Approval and a copy of the Product Control Approval of any Roofing Component used in the
proposed tile application. Reference shall be made to appropriate data for the required fire rating.
7. The applicant shall retain the services of a Dade County certified testing laboratory to maintain
quality control in compliance with the South Florida Building Code and related protocols.
8. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South
Florida Building Code.
9. Fire classification is not part of this acceptance.
Page 6 of 9
Frank Zuloaaa. RRC
NIONIER LIF)ETLILE LLC Product Control No.: 97 -1 124.13
DATA FOR ATTACHMENT
CALCULATIONS
Table 1: Aerodynamic Multipliers - X (ft') `
from PA 108 Testing
Tile X (n') X (ft')
Profile Batten Application Direct Deck Application
Bermuda Flat Tile _ N/A 0.24
Tile
Profile
Monier
Lifetile LLC
Bermuda
Flat Tile
Table 2: Restoring Moments due to Gravity - M. (ft -lbf)
from PA 101 Testing
3 ":12" or 4 ":12" 5 ":12" 6
less
5.20 5.12 5.01 4.89
Adhesive Set
Table 4: Attachment Resistance Expressed as a Moment - M, (ft-Ibf)
__ from PA 101 Testing
Tile Tile Attachment
Profile Application Resistance
Monier Lifetile LLC Bermuda Mortar Set 39.00
Flat Tile
Page 7 of 9
Frank Zuloaea. RRC
118.90
T ":12" or
greater
N/A
MONIER LIFETELE LLC
1 .. J
1_
PROFILE DRAWING
Product Control No.: 97- 1124.13
BERMUDA FLAT TILE
Page 8 of 9
16"
Frank Zuloaga, RRC
- IONIER LIFETJLE LLC Product Control No.: 97-1124.13
Mauler Lifetile LLC ACCEPTANCE NO.: 974124.13
135 N.W. 20th St. APPROVED
Boca Raton, FL. 33431 : June 25, 1998
EXPIRES : June 25, 2001
NOTICE OF ACCEPTANCE STANDARD CO IONS
1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been
filed and the original submitted documentation, including test supporting data, engineering
documents, are no older than eight (8) years.
2 Any and all approved products shall be permanently labeled with the manufacturer's name, city,
state, and the following statement: "Miami -Dade County Product Control Approved ", or as
specifically stated in the specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered if:
a) There has been a change in the South Florida Building Code affecting the evaluation of this
product and the product is not in compliance with the code changes;
b) The product is no longer the same product (identical) as the one originally approved;
c) If the Acceptance holder has not complied with all the requirements of this acceptance,
including the correct installation of the product;
d) The engineer who originally prepared, signed and sealed the required documentation initially
submitted, is no longer practicing the engineering profession.
4 Any revision or change in the materials, use, and/or manufacture of the product or process shall
automatically be cause for termination of this Acceptance, unless prior written approval has been
requested (through the filing of a revision application with appropriate fee) and granted by this
office.
5 Any of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this product or process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any
other purposes.
6 The Notice of Acceptance 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
Notice of Acceptance is displayed, then it shall be done in its entirety.
7 A copy of this Acceptance as well as approved drawings and other documents, where it applies,
shall be provided to the user by the manufacturer or its distributors and shall be available for
inspection at the job site at all times. The copies need not be resealed by the engineer.
8 Failure to comply with any section of this Acceptance shall be cause for termination and removal
of Acceptance.
9 This Acceptance contains pages 1 through 9.
END OF THIS ACCEPTANCE
Page 9 of 9
Frank Zuloaga, RRC
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
rky .Yv.
26
4
51
1.5
2
27
p
52
3
28
53
4
29
54
5
30
55
6
31
56
7
32
57
8
33
P
Pc
17
58
59
60
9
34
10
35
11
36
61
12
37
62
13
38
63
14
39
64
15
40
65
16
41
66
17
42
67
18
43
68
19
44
69
20
45
70
21
46
71
22
47
72
23
48
73
24
49
74
25
50
75
Du Quesne & Associates, Inc.
Consulting Engineers
Testing Laboratory
Quesne, P.E.
ineer
.E. 513
u Quesne & Associa -s, Inc.
E.B. License #0005245
Lab Certification #94- 0318.01
SITE SPECIFIC INFORMATION
TEST RESULTS
P = PASS, F = FAIL
SKETCH OF ROOF IN BACK
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
UTR 16405
Environmental • Civil • Structural
Building Inspection Services
Permit #. 4e
Owner's Name:
Job Address: 3 83 ME 91 e rr . i A u t 5 bt-t-vz.4-T 1 -F I.
Roofing Contra . FA- v L K u)-tCk -- k � -
Type of Tiler ( 1 ` % [ Date Installed 12 ' ( l'eµp L &r D
Approximate Roof Height: "2-14 Roof Pitch' _3 y2_11 2 -
feet
Type of Access to Roof: Scaffolds X Ladder Other
Approximate Square Footage of Roof "DO 0 ft 2
Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100
Date Tested I 2-' 6 4 1 4 1
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 (burgl:.idy)
7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426
KETCH OF ROOF
DATE
JOB
SHEET NO. OF
CALCULATED BY
CHECKED BY DATE
SCALE
NOTES'
f
1
SKETCH OF ROOF
JOB
3 5 3 r4 E en 5 r, tom, • S i4Q42.3
SHEET NO 7OF
CALCULATED BY DATE
CHECKED BY DATE
SCALE
17
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NOTES
491
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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 . p. .....par. we.. ..Q,„ No 383 street....-N. E . 97th St.
Registered Architect and /or Engineer , ....
Name and address of licensed contractor 0I.1afi ',Ayr R o 4 f j n,g. Cop 7357 N Uf :ti i s �, i C t.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 383 11.:... E. 9 3 t.. .._ .._.... _
State work to be done and purpose of building (by floors) Remove the existing t i l e roof and replace
with .- .1 30_.. 113., felt, 1 -90 lb„ slate galv.. flashing white shingle tile.
and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories
To be constructed of Kind of foundation Roof Covering 3 ....5.(� S ........._..�
Estimated Total cost of improvements $ 5434 , 00 Amount of Permit $.._.. Q
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 theFlorida 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 emp yed by him
in the work to be performed under this permit; and will post or cause to be posted for inspect on the site of the work su' ublic notice
or notices as arc required by the Act. The undersigned agrees to employ only suc sut rs, on yco to . :: fy• e• under this
permit, as are licensed by Miami Shores Village.
Remarks (Sigrr ) 4 %
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 :he same, and that all facts
therein by him stated are true.
Permit No.._.... r.. Z Date
Disapproved .. Da te.._......____ ..__._
(Signed)
Notary Public, State of Florida
Building Inspecto My Commission Expires
Chairman
Member
Member
Date..._. December. 1 .__..
Read, Sworn to and Subscribed before me.
PJ ANNING BOARD DATE
Member
Member
Member
to me well known,
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 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
0
Architect
Contractor
or Builder
Legal
Description
Address of
Building
l't ,
Lot
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 5219
Owner of
Building
I I Bl. 2
Work to be performed under this Permi
Subdi-
vision
Value of /1 no
Project $
r
DATE .3 - 2
Contractor's �� S
License No.
R.
Amount of
Permit $
195 7
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 klgwledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or sde'cifioati s and' that he assumes responsibility for work
done by his agents, servants or employees.
Signed (A—)
IN PECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered reunder 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 respopsibifitik for al1 done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
/val- •
MIMI SHORES VILLAGE, FLA.
ADDRESS
INSPECTION
4C
TIME READY
4
N? 5844
:77
REMARKS:
INSPECTOR DATE
' MIANIt SHORES VILLAGE, FLA.
JOB 4 y ,,, 11 /
ADDRESS E � � � � �
INSPECTION 1 / 'd>
1
TIME READY 14=1
REMARKS:
N? 5836
INSPECTOR DATE
Owner's Name and Address.... ��
Street and Number where work is to be done
MIAMI SHORES VILLAGE
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.
BUILDING INSPECTION DEPARTMENT
Registered Architect and /or E ineer._._.. __., f '' ; f.e
Name and address of licensed contractor
Location and legal description of lot to bee built on:
Lot2 2 4. 2'4•• Z > Block 4'
Subdivision
Date
t" �f_� No
Notary Public, State of Florida
Read, Swom to and Subscribed before me.
, 19_..i..
Street
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 $__../il `'= 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 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 subco actors, on work to rformed under this
permit, as are licensed by Miami Shores Village. .�
Remarks (Signed) y _L _
.
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
Disapproved - Date._
(Signed)
Building Inspector 7 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 FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed state:men( or ore 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
Disapproved
(Signed) ..
Registered Architect and /or Engineer
efrtvan. NIL ASS'.y _ 20 a. al�v
99, I c kn 4 ./01 3-i e 4
Block Subdivision .
t
Street and Number where work is to be done ./
Name and address of licensed contractor
Location and legal description of lot to be built o
Lot
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
-5 No. Y 3 —. Street —_T s._
State work to be done and purpose of buildin g (by floors)
peared
and for no other purpose.
New Building Remodeling Addition Repairs /"" No. of Stories
To be constructed of Kind 9f foundation Roof Covering
Estimate Total cost of improvements $ ... ,>"'.)4 Amount of Permit $.
Zone cubage required . ........... _.._...plan Cubage
Distance .to next nearest building Size of Building Lot
\faxunum 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 \Vorkmen'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 hint
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 noticcs as are required by the Act. The undersigned agrees to employ only such subcontra ors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks... _ —. . _ (Signed) /P _�✓.� i /��<��" . i
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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.._. . 2L(' Date // ._._ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building nspector My Commiuion Expires _...._ _...._... ...._...■■■■.._.
PLANNING BOARD DATE
Chairman Member —
Mfcrnber Member —
Member ...._ _
to me well known,
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 Plannir.g hoard.
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 anti/or workmanship.
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
Location and legal description of lot to be built on: �// (� /�/ 7 � 9
Lots`` �4/� jr� Block 17402 Subdivision v„ /7 f/� M4 // ✓r7 Q
Street and Number where work is to be done �/
State work to be done and purpose o buildin (by floors), state exterior colors (submit samples) '� 1 •3fi
U 6°4 Ozei
New Building Remodeling Addition Repairs *Se No. of r'es
To be constructed of Kind of foundation � Roof Covering_ 6 tso 57 /77.
Amount of Permit 8 (0 F a
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
Estimated Total cost of improvements S 1A k
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
19•• -
No 1
� treet 7 72
and for no other purpose.
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 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._ 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 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.
t /j / Read. Sworn to and Subscribed before me.
Permit No. b2 7f✓3
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved 1 ate 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.
Date
Notary Public, State of Florida