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490 NE 96 St (2)BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2420 Work to be performed under this Permit Subdi- vision Value of Project DATE 194 Contractor's License No. 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 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• 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT N? 8564 ROOFING Architect Contractor or Builder Legal Lot II Bl. Description Owner of Building Address of Building ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Subdi- vision Sq. Ft Value of Project $ DATE 195 � Contractor's License No 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 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 • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 1 17 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder v MIAMI SHORES VILLAGE, FLORIDA 194L PERMIT N° 2420 D Contractor's 6 ense No Work o be performed under this Permit /P /. Legal Lot / Bl. Description Address of 9 < G Building ® / ' ' � // O 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 . - • ed . ••.ve . 'sum the esponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether sho j s t a • r d in /or in the statements or spec' : 'on nd that he assumes responsibility for work done by his agents, servants or employees / 7 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances an regula- tions 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 Sign DATE S ubd- vis ion Value of Project BY Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building. MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11712 n Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bl. Description Address of Building Subdi- vision Value of Project $ DATF. 195 Contractor's License No 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 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 • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 2293 DATE 194 Work to be performed under this Permit Subdi- vision Contractor's License No. Legal Lot Bl. Description Address of Building 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• 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 regula- tions 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 emplox Value of Project CONTRACTOR OR BUILDER BY Amt. of Permit BUILDING ELECTRICAL PLUMBING PERMIT N9 2555 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot BI. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project DATE j I 194_ Contractor's l i License No 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 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• -- 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 regula- tions 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 AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building II CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 12974 in Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No 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 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 BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Square Ft. Legal Description le, / Tenant _j Owner's Address 4 (101/ Contracting Co. Qualifier State # el7e- ODP6 Signature of owner and/o APPROVED: Zoning Mechanical FEES: PERMIT 72. 0 0 RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / Job Address 19 !" ‘ ✓ .c/' Tax Folio 96 sr�11/ 1 ; Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION '74 ®fie 1it''5444• xevz AasKe/er-gostes. ACOP Estimated Cost (value) 746 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 c. ' tor to do the work stated Building Date Notary as to Owner and/or Condo President My Commission Expires: OM** "OFFICIAL SEAL° `�. _ * : * 4 Sh Miller ;a€ My Commission Expires 11/2/97 og. Commission #CC 32787 ���.. of r. .,,. Historically Designated: Yes Master Permit # Y4 5. Phone Address !l / 1 Electrical /l - _ ®ice - 0 No ? - 7 ( Co). / /a ss# / - 4ejze-i91g Competency # Ins. Co. Address Address Address ar ignature of Contractor ,) 1 r- :�• er Notary as to Contractor or Owner- Builder My Commissiohg c�pires: °OFFICIAL SEAL° lb" r ° •('°' w Shannon Miller My Commission Expires 11/2/97 Commission #CC 32787^ C.C.F. J o 0 NOTARY TOTAL DUE 7 7 00 Date Date Plumbing Engineering . Job Address: gidl& #1 96 Sr. Contractor: APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II MORTAR OR ADHESIVE SET TILE SYSTEMS 1. General The information provided in this Section is required to confirm Product Control Approval of the proposed tile system assembly; confirm compliance with the wind load requirements of Chapter 23 of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. 2. Documentation 12a01-158 The following documents are required for submission with the Uniform Building Permit application: ► Two (2) copies of the proposed tile system assembly's and associated roofing component's Product Control Approval(s). ► One (1) copy of the tile system assembly and/or roofing component(s) manufacturer's published application instructions and literature. ► All documents attached herein, filled out and completed in full. 3. Project Information Check one of the following: 0/New Construction (� Re -Roof Nole: Mortar or adhesive set tile systems are not acceptable as recover applications. Mortar or Adhesive Set Tile Systems Page -1 Is the deck solid slJ at1&ed? (circle 'yes' or 'no') no Deck Type (check one of the following): ❑ Nominal 'A" Plywood (for re -roof only) ❑ yaininal ' /," Plywood E" Wood Plank / " ❑ Other (fill in) Roof Pitch (fill in): g ": 12" Circle 'ves' or 'no' for each of the following: Have you attached two copies of the tile system manufacturer's Product Control • • r for the proposed tile system? e° no Process No. • Note: Mortar or adhesive set tile systems shall not be installed at a pitch greater than 7'W' :12 ". Mortar or adhesive set tile applied at a pitch greater than 5 ":12" and less than or equal to 7 ":12" shall have the first three courses of tilt nailed with not less than one nail per tile. As an alternate, the first three courses of tile may be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than '/," which is mechanically attached to the sheathing with not less than one nail per 2 R'. Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and o ' erature no Is the proposed underlayment approved for use with this tile system assembly? no Job Address: 96 57. Project Information (continued): Tile: Tile Name: Manufacturer: Tile Material: ❑ Concrete oncrete ❑ Other: Mortar or Adhesive: yes no 4. The Tile System Assembly: Product Control Approval Number: ��, r2 91/,.12 ./¢ Contractor: If the proposcd undcrlaymcnt is self- adhered, have you complied with the venting requirements of Section 2913.3 (b), (c) and (d) of the South Florida Building Code? yes no Are all related accessories approved for use with this tile system assembly? Are the proposed edge metal attachment fasteners in compliance with the requirements of the South Florida Building Code (minimum 12 ga. annular ring shank, corrossion reisistant nails)? yes no The following information is required to confirm compliance with Subsections 3403.5(a) and (c) and Section 3404 of the South Florida Building Code. Check one of the following which apply to the proposed tile securement for use with the proposed tile system assembly: Mortar or Adhesive Set Tile Systems Page -2 __Azier/z ❑ Mortar: Manufacturer: Mixing Ratio: P Adhesive: Type: Y 1 44- A 6 ' Manufacturer: P 2Y4re--0 Tile Fasteners (for first three courses if roof pitch exceeds 5 ":12" and is Tess than or equal to 7 " :12 "): Check one of the following which apply to the proposed tile fasteners (for the first three courses) for use with the proposed tile system assembly: I Minimum 12 ga. galvanized roofing nail: Length: /¢` " Pr Type: ❑ N/A Note: All tiles shall be installed in compliance with the provisions set forth in the tile system assembly manufacturer's Product Control Approval and the minimum requirements set forth in Subsections 3403.5(c) and 3404.2 of the South Florida Building Code. Tile fasteners in the first three courses (if applicible) shall be of sufficient length to penetrate the sheathing a minimum of 1" or through the sheathing thickness a minimum of / ", whichever is Icss. Underlavment: Length: Process No. The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Job Address: sr/4 Contractor: Underlayment (continued): Check all of the following which apply to the proposed underlayment for use with the proposed tile system assembly: ASTM #30 asphalt saturated felt with: Manufacturer: ❑ ASTM #15 asphalt saturated felt with: Manufacturer: Mineral Surfaced Roll Roofing with: 0 19" overlap O 6" overlap 4" overlap Manufacturer: ❑ Other: Type: Manufacturer: Underlayment Fasteners (if applicable): O 19" overlap O 6" overlap O 4" overlap Check one of the following which apply to the proposed underlayment attachment: Minimum 12 ga. electro- galvanized roofing nail with minimum 32 ga. x 1'4," tin ca s :/ Length: Manufacturer: ❑ Other: Type: Length: Manufacturer: " O 19" overlap 0_,P-'overlap 5. Related Accessories: Er 4" overlap Mortar or Adhesive Set Tile Systems Page - 3 Spacing (per tile system assembly Product Control Approval): Field: e2- " o.c. Laps: " o.c. Edge Metal (refer to Section 3408.2 of the South Florida Building Code): Type: Dimensions: Gauge or Thickness: Finish: Note: All edge metal shall be nailed on the flange and nailed or clipped at the face in compliance with the provisions set forth in Dade County Protocol PA 111, marked Appendix 'U' in the South Florida Building Code. Adhesives (check one of the following): ❑ Cold Adhesive: ID Flashing Cement: Process No. dIA0-5 Type: Manufacturer: Type: Manufacturer: A‘rier Job Address:. Contractor: Adhesives (continued): Note: Application of adhesives shall be in compliance with the Roofing Component Product Control Approval and the minimum requirements set forth in Subsection 3403.5(e)(4)(cc) of the South Florida Building Code. Ventilation System (check one or more of the following): The following information is required to confirm compliance with Subsection 3401.4(e) of the South Florida Building Code. o Ridge: Type Size E (Soffit: Type ) S in' Note: If underlayment is comprised of a self - adhered membrane, both soffit and ridge ventilation systems are required, unless a base sheet is applied as an anchor sheet below the self - adhered underlayment. Note: The Tile System Assembly shall be installed in strict compliance with the application instructions enumerated in the Product Control Approval. A permit shall be issued for application of the specified Tile System Assembly only. Any change to the specified Tile System Assembly shall require submission of a revised SECTION II with a copy of SECTION I, noting the permit number issued. Mortar or Adhesive Set Tile Systems Page - 4 Additional Notes: Process No. Job Address: 1-1,00,A 57 Contractor: DETAIL #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 5 Process No. Deek:„, tri,„ I= Thickness- Roof Pitch Ridge Venting: ((foppScb1. Underlayment: /crier" Under layrnet)e5: Fastener: 3 12" FILL IN APPLICABLE ROOFING COMPONENTS WI !ICI I MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SIIOWN ON THIS PAGE. ( Whcre Roofing Component not uscd in Tile System Assembly, fill in with "N/A". ) Existing or Pro Soffit Venting: Head Lap Dimension: (minimum 2' unless othenctse verified in the tile system assembly Product Control App Mortar/Adhesive: 71~/411 Tile: Tile Fastener: Edge Metal orli,ujee I/ Fastener: ffiee/L+.3 `fr• Bird Stop: applicable ) Edge Metal or Gutter: • • • geMS' Job Address: le*d l J7 Contractor: BUILDING INFORMATION #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 6 Process No. Ri ge tght: Ea Height: Roo can Height feet 11 feet feet insert Building Ridge Height, Eave Height and Roof Mean Height. Also insert applicable information pertaining to the building below. ( See ASCE 7 -88 Fact Sheet Attached ) Exposurc Category: Classification Category: At Ilurricancc Occanlinc?: Y N Basic Wind Speed at Building Location. 110 mph Building Condition based on % of openings: (See Table 9 ofASCE 7-88) Ground Level Job Address: Contractor: Mortar or Adhesive Set Tile Systems Page - 7 Process No. 48 ' /./19 2 ;;-2/4.) efai A 714 All9e 3 /y ; 4 g . / W 7k,�ll A Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment. Also insert variable labeled "a" which represents perimeter and corner dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheet Attached ) BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Job Address: 10 !f/ 6// • Contractor: The undersigned certifies that the Mortar or Adhesive Set Tile System Assembly is in compliance with the plans, specifications, and details submitted by the architect. STATE OF FLORIDA - COUNTY OF DADE Before me this day personally appeare k who, being first duly sworn, deposes and says that all information submitted herein is true and correct. d worn to and subscribed Licensed Contr Sign j� e before me this /5th day of °OFFICIAL SEAL° Shannon Miller My Commission Expires Notary Public Slate of Florida r / Owner dio-efe Mortar or Adhesive Set Tile Systems Page - 8 Process No. , METRO-DADE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Metro Roof Tile, Inc. 11350 N.W. South River Drive Miami, FL 33178 Acceptance No.:94- 1222.14 ' Expires:06 /15/98 Approved: 06 /15/95 BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL SECTION (305) 375 -2902 FAX (305) 372 -6339 Your application for Product Approval of: Flat Cement Tile under Chapter 8 of the Metropolitan 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, TheCenter forApplied Engineering, Inc., and Testivell Craig Laboratories & Consultants, Inc. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product,or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the 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 he manufacturer. Raul Rodfiguez 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 Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Director Building Code Compliance Dept. Metropolitan Dade County Applicant: Metro Roof Tile, Inc. 200 Story Road Lake Wales, FL 33859 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: Prepared Roofing Sub - Category: Flat Tile Type: Nail - on/Mortar Set/Adhesive Set Sub -Type: Concrete System Description Metro Roof Tile, Inc., located in Medley, Florida, manufacturers clay roof tile for nail -on, mortar set or adhesive set applications. This Product Control Approval relates to Metro Roof Tile's "Concrete Flat" flat tile profile. Refer to appropriate Product Control Approvals for other tile profiles. The Metro Roof Tile "Concrete Flat" tile profile is available in a variety of colors and has matching trim pieces used for rake hip, ridge hip, and valley terminations. These accessories are manufactured for all profiles and form a part of this Product Control Approval. The Metro Roof Tile "Concrete Flat" roof tile has been tested in compliance with the South Florida Building Code requirements for concrete, nail -on, mortar set or adhesive set tile applications. See the "Profile Drawing" section in this Approval for the Metro Roof Tile "Concrete Flat" profile drawing. The Metro Roof Tile "Concrete Flat" profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based System'. Data for attachment calculations is noted in Tables 1 through 4 of this Approval. Contact: Fernando Arias Metro Roof Tile, Inc. 11501 Northwest 117th Way Miami, FL 33178 (305) 558 -6712 / v /A Raul Rodriguez Product Control No.: 94- 1222.14 Approval Date: JUN 1 5 1995 Expiration Date: JON 1 5 1998 Trim Pieces TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Produc( Dimensions Specifications Description Metro Roof Tile I = 16" PA 112 Flat, interlocking, high pressure Concrete Flat w = 10" extruded, concrete roof tile equipped 11/4" thick with two nail holes. For direct deck or battened nail -on , mortar or adhesive set applications. 1= varies w = varies varying thickness PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. 3 Raul Rodriguez Product Control No.: 94- 1222.14 Product #30 Felt #43 Coated Base Sheet Mineral Surface Cap Sheet Lenzingtex -ZB 140 Underlayment Rainproof II Ice and Water Shield Mopping Asphalt Flashing Cement TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimensions N/A N/A N/A 59" x 164' roll 22 Ibs /roll 30" x 75' roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll N/A N/A Test Specifications ASTM D 226 type II ASTM D 2626 ASTM D 249 PA 104 PA 104 PA 103 ASTM D 312 type III or IV ASTM D 4586 4 Raul Rodriguez Product Control No.: 94- 1222,14 Product Description Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply underlayment. Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. Single ply, nail -on underlayment. Single ply, nail -on underlayment with 2" self - adhering top edge. Sel f- adhering underlayment for use as a top ply in a two ply underlayment system with approved #30 or #43 as the base layer. Asphalt for bonding a mineral surface cap to a mech. attached base sheet in a double ply underlayment system. Cut back, asphalt based, asbestos free, fiber reinforced, trowel grade cement for repair and flashing applications. Manufacturer generic generic generic Lenzing Performance, Inc. with current PCA Protect -O -Wrap, Inc. with current PCA W.R. Grace Co. with current PCA generic generic Product Asphalt Primer Roofing Nails Tin Caps Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "TileTiteTM ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar #1140") Dimensions N/A min. 12 ga. with '/ head min. 32 ga. min. I' /," o.d. max. 2" o.d. vertical Wood Preservers min. 1" x 4" Institute LP - 2 horizontal min. 1" x 4" for use with vertical battens or min. 1" x 2" for use alone min. 8d x 2/2" or min. I0d x 3" #8 x 2'/," long 0.335" head dia. 0.131" shank dia. 0.175" screw thread diameter N/A N/A Test Specifications ASTM D 41 PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E PA 123 5 Raul Rodriguez Product Control No.: 94- 1222.14 Product Description Manufacturer Cut back, asphalt generic based coating used to facilitate bonding of dissimilar materials. Annular ring shank, hot dipped, electro or mechanically gals. roofing nails for use in underlayment attachment. Corrosion resistant circular disc for use in underlayment attachment Salt pressure treated or decay resistant lumber battens Corrosion resistant, screw or smooth shank nails. Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. generic generic generic generic generic Bermuda Roof Company, Inc. with current PCA PA 123 Prepared mortar niix Quikrete Constructio designed for mortar Products set roof tile with current PCA applications. Product Roof Tile Mortar ( "BONSAL® Roof Tile Mortar Mix ") Roof Tile Adhesive (Polypro® AH I60) Valley Flashing Drip Edge Dimensions N/A N/A Hurricane Clip & Clips Fasteners min. %" width min. 0.060" thick Clip Fasteners min. 8d x I %" min. 26 ga. min. 16" width min. 26 ga. min. 2" face flange min. 2" deck flange Test Specifications PA 123 PA 110 PA 114 Appendix E ASTM A 525 PA 111 Raul Rodriguez Product Description Prepared mortar mix designed for mortar set roof tile applications. Adhesive designed for use in roof tile applications. Corrosion resistant bronze, aluminum, stainless steel, galvanized steel or plastic attachment clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with the clip. Galvanized steel valley flashing 6 /411/Z Product Control No.: 94- 1222.14 Galvanized steel drip edge Manufacturer W.R. Bonsai Co. with current PCA Polyfoam Products, Inc. with current PCA generic generic generic Test Agency Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Testwell Craig Laboratories & Consultants, Inc. TEST REPORTS Test Identifier 7161 -03 Appendix 111 7161 -03 Appendix III 94 -084 94 -060A 7161 -03 Appendix 11 Report Dated Aug. 1, 1994 P063 I -0 I PO402 Project No. 307025 Test #MDC -77 Lab #: EA -22 Tech: G. Suarez 7 Raul Rodriguez Test Name /Report Static Uplift Testing PA 102 Static Uplift Testing PA IO2(A) Static Uplift Testing PA 101 (Mortar Set) Product Control No.: 94- 1222.14 Static Uplift Testing PA 101 (Adhesive Set) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of smooth vs. screw shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Date Dec. 1991 Dec. 1991 May 1994 March, 1 1994 Dec. 1991, Aug. 1994 July I994 Sept. 1993 Oct. 1994 July 1994 Deck Type: Wood, Non - insulated Deck Description: New Construction 19 /, 2 " or greater plywood or wood plank. SYSTEM A: Counter - Batten Application Slope Range: SYSTEMS Product Control No.: 94 1222,14 2 ":12" to 7 ":12" Note: Counter - Battens, as noted below, are required for slope range 2 ":12" to less than 4 ":12" and are optional for slopes of 4 ":12" to 7 " :12 ". For slopes exceeding 7 ":12 ", refer to System C. Underlayment: install underlayment system in compliance with Dade County Application Standard PA 118. Vertical Battens: Install vertical battens in compliance with Dade County Application Standard PA 118 Horizontal Battens: Install horizontal battens in compliance with Dade County Application Standard PA 118. Rooting Tile: Install tile in compliance with Dade County Application Standard PA 118. (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For re -roof applications, ' /,," plywood is an acceptable substrate. 8 Raul Rodriguez Deck Type: Wood, Non - insulated Deck Description: New construction 19 ' 32 " or greater plywood or wood plank. SYSTEM B: Direct Deck Application Slope Range: 4 ":12" to 7 ":12" Note: System B is only acceptable in this slope range. For slopes Tess than 4 ":12 ", refer to System A. For slopes in excess of 7 ":12 ", refer to System C. Underlayment: SYSTEMS (CONTINUED) Product Control No.: 94 - 1222.14 Install underlayment system in compliance with Dade County Application Standard PA 118. Roofing Tile: Install tile in compliance with Dade County Application Standard PA 118. (See "Data for Attachment Calculations" included in this Approval.) Cotnments: 1. For re -roof applications, 15 / 3 ," plywood is an acceptable substrate. 9 Raul Rodriguez Deck Type: Deck Description: SYSTEM C: Slope Range: Underlayment: Horizontal Battens: Roofing Tile: Comments: SYSTEMS (CONTINUED) Wood, Non - insulated New construction 19 / 32 " or greater plywood or wood plank. Horizontal Batten Application Product Control No.: 94 1222.14 4 ":12" or greater Note: Horizontal battens, as noted below, are required for slopes in excess of 7 ":12" and are optional for slopes of 4 ":12" to 7 ":12 ". For slopes Tess than 4 ":12 ", refer to System A. Install underlayment system in compliance with Dade County Application Standard PA 119. Install horizontal battens in compliance with Dade County Application Standard PA 119. Install tile in compliance with Dade County Application Standard PA 119. (See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, ' plywood is an acceptable substrate. Raul Rodriguez SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: New construction 1 9 / 72 " or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Product Control No.: 94 1222.14 Slope Range: 2":12" to 7 ":12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Underlayment: Roofing Tile: Comments: Install underlayment system in compliance with Dade County Application Standard PA 120. (See System Limitation #5.) Install tile in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, ' /, plywood is an acceptable substrate. 1 1 Raul Rodriguez SYSTEM LIMITATIONS Product Control No.: 94- 1222.14 1. The standard minimum roof pitch for Metro Roof Tile's "Concrete Flat" flat profile tile shall comply with Dade County Application Standards PA 118, PA 119 or PA 120, depending on the method of installation. 2. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. 3. 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 Metro Roof Tile "Concrete Flat" tile profile 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 a 'Moment Based System' 4. For mortar or adhesive 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. 5. For mortar set tile 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. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of Metro Roof Tile'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. 8. 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. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix 'A'. 9. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. Raul Rodriguez Table 3: Attachment Resistance Expressed as a Moment - M (It -Ib1) for Nail -On Systems Tile Profile Tile Application Approved Nails Approved Screws Approved Field Clip With: Approved Eave Clip With: 1 nail 2 nails 1 screw 2 screws 1 nail 2 nails 1 nail 2 nails Metro Roof Tile Concrete Flat Battens 4.9U 7.40 5.40 9.10 24.20 34.00 22.10 32.2U Direct Deck 9.00 10.80 25.30 41.30 24.30 35.50 19.00 31.90 Table 2: Restoring Montehts due to Gravity - M (It -Ibf) Tile Profile 3 ":12" or less 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Battens Direct Deck Battens Direct Deck Battens Direct Ueck flattens Direct Deck Battens Direct Deck Metro Roof The Concrete Flat 8.53 6.97 6.43 6.86 6.29 6.71 8.14 8.54 5.97 N/A Table 4: Attachment Resistance Expressed as a Moment - M, (1t -Ibf) for Mortar and Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Metro Roof Tile Concrete Flat Mortar Set 39.00 Adhesive Set 118.9U Table 1: Aerodynamic Multipliers - X (1l') Tile Profile 11 (11') Batten Application A (1t') Direct Deck Application Metro Roof Tile Concrete Flat 0.2.7 0.29 DATA FORATtACIIMEN 1' CALCULATIONS Product Control No.: 94 - 1222.14 13 Ilnul Rodriguez PROFILE DRAWINGS METRO ROOF TILE CEMENT FLAT TILE Raul Rodriguez Product Control No.: 94- 1222.14 METRO DADE NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Extensions of Acceptance may be considered after a new application has been filed and the supporting data, test reports no older than ten (10) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words 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. 6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval. This approval supersedes all previous approvals. 15 METROPOLITAN DADE COUNTY, FLORIDA MEMO-DADE FLAGLEfi BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 MET -BADE FLAOLER BUILDING 140 WEST FLAOLER STREET MIAMI, FLORIDA 33130-1503 (305) 375 -2901 FAX (305) 376 -2900 Raul Rodriguez Product Control Supervisor n METF10.0AOE Poly foant, Products, Inc. 2400 Spring - Stuebner Road Spring, Texas 77383 BRADCO T$NA' 114 HOME METROPTAN DADE COUNTY, FLORIDA 'METRO-DADE FLAGLER BUILDING - BUILDING CODE COMPLIANCE DEPARTMENT SUITE 100.1 r 44 0' N-" METRO-DADE PLAGLER BUILDING ZIE chiral t <o WEST FLAGLER STREET - -- — . • • — � MAMI; YCORI A' 130.1663 01: tlr: 6y -L L 3 P 1 Phf__ icf H&fy .vond, fie ..�.` stureal Your application for Product Approval of Polyfosm Products "Potyp_n jAktud "Ramat Tile Adhesive under Chapter 8 of the Metropolitan 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 The Center for Applied Engineering, Inc. and Mlles Laboratories Polymers Division has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth herein. The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the right to secure a product or material at any time for a Jobsite or manufacturer plant for quality control testing. if product or material foil to perform In the approved manner, the Code Compliance Department may revoke, modify or suspend the use of such product or material immediately. The Building Code Compliance Department reserves the right to require testing of this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. The expense attach testing will be incurred by the Manufacturer. PRODUCT NO. : ACCEPTANCeNO.: 95. 0314.10 EXPIRES: APR 2 7 1998 Ro dri gu roduct•Control Division Supervisor . - PLEASE NOTE - TNIS IS'TUC COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. • • BUILDING CODE COMMITTEE • This application for Product Approval has been reviewed by thin M ". . i` Dada farit *Building Code Compliance Department and approved by the Building Code Committee tii •'e used in Dade County, Florida under the conditions set forth above. APPROVED: AM 2 7 1995 A ' , ' .5., ' irector Building Code Compliance Department Metropolitan Dade County APPlis as Polyfoam Products, Inc. 2400 Spring - Stuebner Road Spring, Texas 77383 -1132 Category; Roofing Component Sub- Cntepory; Fastening/Adhesive Type: Roof Tile Adhesive Sub -Type; Two Component Polyurethane PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING COMPONENT APPROVAL System Description Product Control No.: 95 4314.10 Approval Date: AMU 7 1995 Expiratidn Date: APR 2_1 1998 Polyfoam Products, Inc., produces two- component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polypro® AH160 is specially designed for application of concrete and clay roof tile over a variety of roof deck substrates and underlayment materials. Polypro® adhesive is applied with proprietary Foampro® RTF1000 dispensing equipment. Approval of this product is specific to the two contponcnt mix and Foampro® RTF1000 dispensing equipment. Alternative methods of dispensing will require a revision to this approval. Polypro® adhesive shall be applied only by 'Qualified Applicators', licensed by Polyfoam Products, Inc. Certificates and identification cards are issued to applicators upon successful completion of a application training program. Approval of this adhesive system 13 contingent upon apptisation by a 'Qualified Applicator. Contact: Pat Murray P.O. Box 1132 Spring, Texas 77383-1132 (713)350 -8888 Fax: (713)288 -6450 1 Raul odriguez TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED B Y APPLICANT Test Product fL9�Sl D1I=sio.=.T S WE mit= Description Polypro® AH 160 N/A PA 101 Two component polyurethane Foampro® RTF1000 N/A See Detail Attached Dispensing Equipment 2 Raul i:odritzuez Product Control No.: 9S -0314j 1 . • - - 4 r : . ti A. BAD CO TENA• Si HOME Product Underlayment RoofTile Test Criteria PA 120 • Product Control No.: 95- 011A.1 3 ul Rodriguez TRADV NAMES OF PRODUCTS MANUFACTURED BY OTHERS Product Description • • All Dade County Component Approved products as detailed in Dade County Application Standard PA 120 PA 101 All Approved roof tile systems having tested in compliance with Dade County Protocol PA 101, as detailed in the systems section of this Component Approval Manufacturer All D ;de County Approved Products All Dade County Approved Products P 1 TEST REPORTS itst Agene, �est�cntifier Test-Nilme/Reui rt DAN Center for Applied #94 - 060 Metro Dade Protocol 04/08/94 Engineering PA 101 �_ - -. Miles Laboratories' ' • NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Property Teit Results Density ASTM D 1622 1.6 ibs.1R. Compressive ASTM D 1621 18 PSI Parallel to rise Strength 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft' Moisture Vapor ASTM E 96 3.1 Perm / Inch Transmission Dimensional Stability Closed Cell Content TYPICAL PHYSICAL PROPERTIES ASTM D 2126 ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. 4 Product Control No.: 95 -0314 10_ +0.07% Volume Change © -40° F., 2 weeks +6.0% Volume Change @15M., 100% Humidity, 2 weeks G'T r R ' I Rodriguez Product Control No.: 95 -D.1j4 10 . SYSTEMS Deck Type: Wood, NIn- insulated, New ConstructioNRertof (CD Deck Description: New construction 1 '7 3 ," or greater plywood or wood plank. Re -roof ' / or greater plywood SYSTEM A: • Adhesive Set Application 2 ":12" to 7 ":12" Slope Range: Undcrlayment: Roofing Tile: Install choice of Approved underlayment system, noted on Page 1 of Dade County Protocol PA 120, in compliance with Section 3.02 of PA 120. Install Approved tile system in compliance with PA 120. Adhesive shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Roofing Component Product Control Approval. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 1 15 or PA 127. The adhesive attachment data is noted in the tile Roof System Assembly Product Control Approval. Comments: 1. For re -roof applications, minimum " /„" plywood Is an acceptable substrate. 2. All 'System limitations' noted in the tile Roof System Assembly Product Control Approval shall apply. 5 Ra Rodriguez 0 . a 4 :_i .j A. or �9RADCO TaNA• S NOME 6 P 1 Product Control No.: 95.0314.! 0 S YSTEMS (CONTINUED) Deck Type: Concrete, New Construction/Reroof Deck Description: New construction SYSTEM B: Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Underlayment / Install Approved underlayment system of one of the following: Waterproofing: Underlayment System #I (30/90 Hot Mop) noted on Page l of Dade County Protocol PA 120, installed in compliance with Section 3.02(A) of PA 120 Any Approved urethane or asphalt based concrete waterproofing component installed in compliance with the waterproofing component manufacturer's Roofing Component Product Control Approval. Strips of reinforcing fabric shall be installed at all concrete deck joints. n Roofing Tile: install Approved tile system in compliance with PA 120. Adhesive shall be "' applied in compliance with the Component Application section and the corresponding Placement Details of this Roofing Component Product Control Approval. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the regUlred moment of resistance determined in compliance with PA 115 or PA 127. The adhesive attachment data is noted in the tile Roof System Assembly Product Control Approval. . Comments: 1. For re -roof applications, minimum "I plywood is an acceptable substrate. 2. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval or waterproofing component Roofing Component Product Control Approval shall apply, as applicable. COMPONENT APPLICATION 1. Polypro® AH 160 tile adhesive shall only be applied over an underiayment installed in compliance with application ins ructions detailed in its Component Approval.. Underiayment shall be any underlayriients or underlayment systems listed as Approved in Dade County Protocoi PA 120. 7 . 2.. qrrlj s, kation shall be in accordance with the instructions provided in this Component •ApprovaVeie manufac turer. may provide additional instructions subsequent to this approval date which,•shall prevail. Installation must be by a Factory Trained 'Qualified Applicator' approved and • licensed by Polyfoam Producs, Inc. • • 3. ' Calibration of the Foampro® dispensing equipment Is required before application of any adhesive. " The mix ratio between the "A" component and the B component shall be maintained between 1.0- 1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.08 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved without revision of this Component Approval. 4. Adhesive shall be dispensed in a 17 1n2 to 23 in pad attii time accordance with the a cured pad shall al b appr 5" x 12 ". Foam placement shall be i provided in this Component Approval. Each generic tile profile requires a specific placement, as noted in Table 1, below. A tile manufacturer may test a the system in compliance with PA 101 and add an additional detail without incurring an additional revision cost. 5. Adhere tile directly in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam has been dispensed. 6. Adhesive shall be placed to create contact with minimum 2 tiles, as outlined in the 'Placement Detail' for each tile profile. Table 1: Adhesive Placement For Each Generic Tile Profile Two -Piece Barrel 'S' Shaped Double Roll Large Flat Small Flat Tile Profile 7 Product Control No.:95-03 I d.1Q_ Placement Detail #1 #2 #3 #4 #5 0 SYSTEM LIMITATiONS 1. Tile must be applied within Ito 1 minutes of the application of Polypro®AH 160 adhesive. Polypro® AH 160 adhesive shall be installed oniy by 'Qualified Applicators'. approved and licensed by Polyfoam Products, Inc. 3. - For adhesive set We applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be required not less than 72 hours after application to confirm tile adhesion. The results of this testing shall be reported to the Building Official and the installer stating that the application has 'passed or failed PA 106 testing. If the application fails PA 106 testing, the report shall state which portion of the test was failed; Category 1 (examination for loose tile) or Category 2 (uplift testing dale). Subsequent to testing, the installer may repair not more than 5% of field area tiles and 10% of perimeter area (Le. ridge/rake) tile with approved tile adhesive. The installer shall place an identifiable marking on each repaired tile for future reference. Any PA 106 retest shall not include any marked tile. 4. Refer to application drawings published by the National Tile Manufacturers Association for penetrations and terminations, as well as the 'Placement Details' included with this Component Approval. 5. Refer to tile Roof System Assembly Product Control Approval for system Approvals with this Component. l ► 6. Refer to the Prepared Roof System Assembly for fire rating. l I 7, Polypro® AH 160 shall not be exposed permanently to sunlight. 8. Polypro® AH 1 60 shall be applied with Foampro RTF 1000 dispensing equipment only. 9. Any atnendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. Product Control No.: 95- 0314.10 P 44 e-% MOAtAA YEO FOR CONtR 111C WCIMmt PLACEMENT DETAILS Product Control No.: 95 -0114. IL • COYER //ETA. UYE MP zrrt a 1t env* eloeure c,tionel P SIA BOAA0 p81nt•up torte, Placement Detail #I: Two -Piece Barrel Profile 9 7ZI", Raul 'odriguez 2' *107' FOaa Pod When apptiod 1X4 ON LOGE %- MA4 M!T PA/4 MERE (1MU4 AC01110.v4 NAUNC IS RUPAR[O IT coot) 2• 11 10 Toe= ?ad when applied NA1l cowl ME OWN RC0u1RCO) FASCIA 801.140 Ra WINVIAL f1NQF[ti.T 2 "K 30' Town Pnd when applied (trau . PR.FABRICAhE0 GlOn7 E HALLO flR000tt KAM ROOF COT OR AP POKD AOHC5J' PLACEMENT DETAILS (CONTINUED) Product Control Ne.: 95 -0314J 0 yPHOLE Placement Detail in: 'S' Shaped Tile Profile 10 Raul ] 6driguez HAIL HC AE rIACUC" PV►s11C ROCF CD1EHT IS R C A00111CHAL MAD Ccet) 5ARCL 80 AQUA SPAItISH 'L' CU ?s) Stevn 'Mnt CORROSION PCSSI NT NA.S i oeiAnt or POOIT -UP rt u� i► tcO T tA01t1AR TO SUMIACt PLACEME T DETAILS (CoNT►Nur ) 3- x 1•- roam Pad Wen applied T WA THROUGH ?L S11C ROOF COMO OXEN AOOt110MA p1MUNO rC * tanatc Placement Detail #3: Double Roll Profile 11 Rsut. odriguez Product Control No.: 95-0114.1n PLACEMENT DETAILS (CONTINUED) OAROC SOAR0 'oWTEq_ur MORTAR 5C0 rtxTuRts CAMCN LAY nL ON . SAW -CUT HALF 11t.E Placement Detail #4: Large Flat Profile 12 Raul odriguez Product Control No.: 95- 031 z• x W foam Pad am applied NOtt FOP' CONTACT IS MAOC Mt14 3 TILLS. I. 'THE NCAO of ONC TILE I. 11C UNOERLOC% SLOE Of A SECOND TILE s. TN[ uxorRS1O( Of T E TLC MHO Sr NAIL TMAOU04 PLASTIC Roof CD itNT VANC 4 A00FflONAL $A*11 COO 3 UIRCO Permit No � r____ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address A T g L. k Registered Architect and /or Engineer Employing Plumber's Namen /4-194 /3 °' " Legal Description Lot Block Location and Street and Number where work is to be performed —No mount of Permit $ 1 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No °k Street 96 4 4 g ° W__ Street Street_ Subdivision (Signed) �`� = ' t My Commission Expires Notary Public, State of Florida State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs__ 1r No. of Stories Size Septic Tank_____ Type of Tank Capacity Gals Feet of Drain Tile Ac Vature of Water Supply: City —Well Size of Soakage Pit st. Feet of Tank or Drain Field from Well Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL - CONTR. LIST . CHECK Permit No � r____ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address A T g L. k Registered Architect and /or Engineer Employing Plumber's Namen /4-194 /3 °' " Legal Description Lot Block Location and Street and Number where work is to be performed —No mount of Permit $ 1 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No °k Street 96 4 4 g ° W__ Street Street_ Subdivision (Signed) �`� = ' t My Commission Expires Notary Public, State of Florida State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs__ 1r No. of Stories Size Septic Tank_____ Type of Tank Capacity Gals Feet of Drain Tile Ac Vature of Water Supply: City —Well Size of Soakage Pit st. Feet of Tank or Drain Field from Well Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. JOB: BUILDING PLUMBING • Inspector's Report: AD: 4ird ELECTRICAL •• • WORK • • • DONE BY: '� ✓� • . . : REQUESTED . P-qcf : • The following is ready for Inspection: • • ▪ . e • • OviA • WILL BE READY Permit No. ___j Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �/ Owner's Name and Address L� r v No / P Street ___1 _/�' Registered Architect and /or Engineer Employing Plumber's Name _ _ 2 1 No._ ma ! ‘,.r• Street__ P7-4;" Location and Legal Descriptio of Block Subdivision Street and Number where work is to be performed —No. t — // I ? ® Street R State work to be performed and purpose of building (By Floors) ' (v J 1 h4 • New Building Remodeling __ Addition____ Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well STATE OF FLORIDA; 1 COUNTY OF DADE. Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfomred under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ ( Signed) ( Signed) Date Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS . LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS ifee �/ � //SA ' TOTAL FIXTURES CONTR. LIST r 666 p ! CHECK C'' ® , V' _ ° Ci °�"' ,� f e ery - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No. ___j Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �/ Owner's Name and Address L� r v No / P Street ___1 _/�' Registered Architect and /or Engineer Employing Plumber's Name _ _ 2 1 No._ ma ! ‘,.r• Street__ P7-4;" Location and Legal Descriptio of Block Subdivision Street and Number where work is to be performed —No. t — // I ? ® Street R State work to be performed and purpose of building (By Floors) ' (v J 1 h4 • New Building Remodeling __ Addition____ Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well STATE OF FLORIDA; 1 COUNTY OF DADE. Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfomred under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ ( Signed) ( Signed) Date Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. •• 1 . Permit No..___ c. 9 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othl l structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miaini 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address..' (l� ` �� "" ¢� No.- Registered Architect and /or En ''-er Employing Plumber's Nam Location and Legal Description Lot.___ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors):__ New Building Remodeling Addition Repairs No. of Stories Nature of Water Supply: City —Well. Amount of P My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 0. ANo Block (Si C Date 1- - -sZ Str eet._._ f ' Street - - - -�' Subdivision Street Size Septic Tank Type of Tank___ Capacity Gals.. Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit ( Signed)... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o work to be per fo med under this permit, as arc licensed by Miami Shores Village. 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 fac therein by him stated are true. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBE; URINALS CATCH FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTUREI Comm LIST -- SEPTIC TANK SEWER CONN. DRAIN FIELD S AKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL _ CONTR. LIST CHECK Permit No..___ c. 9 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othl l structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miaini 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address..' (l� ` �� "" ¢� No.- Registered Architect and /or En ''-er Employing Plumber's Nam Location and Legal Description Lot.___ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors):__ New Building Remodeling Addition Repairs No. of Stories Nature of Water Supply: City —Well. Amount of P My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 0. ANo Block (Si C Date 1- - -sZ Str eet._._ f ' Street - - - -�' Subdivision Street Size Septic Tank Type of Tank___ Capacity Gals.. Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit ( Signed)... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o work to be per fo med under this permit, as arc licensed by Miami Shores Village. 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 fac therein by him stated are true. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. Penni, No. Z)i' pII,.•t is hereby made for the approval of the detailed statement of the plans and specifications herewith sub' r,• .1 for the building or other Rructure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.: ! Shores Village, Florida, dad all pros isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic • of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at �urildurg during progress of work. ')wner's Narne and Address- .--- ...- -• -__ -• .cgist:red Architect and /or Engineer :mploytng Plumber's Nam1 lii/}!�f.S.. . Location and Legal Description Lot_ Street and Number where work is to be performed — No. State work to be performed and purpose of building (By Floors) New Building ........---- ...- . ............... .. Remodeling__— -- -..•_ -_ Addition..._ Repairs ...... N. of Stones CONTR. LI T CHECK CoMTn LIST CHECK CLOSETS SEPTIC TANK BATH Tues SEWER CONN. 6HOWER• DRAIN FIELD LAVA• TORIES SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date... _ .. /- -- ELL/e_. ... —. No. -- -- 4 Street_ E % 5 / � _.. .J"' e tA.'� R� ®.. -- ._ �..� -5.,..:...,.- 1�4te ®t �v .. \ �.`�C" SINKS GREASE TRAP SLOP SINKS SOLAR NEATER Block �Subdivision ` 4 —C /1)-- Street _..... !!.._- - .... 0 4% /1:- LAUNDR Tuss Dam. WELL URINALS SPRKLR. SysTeM CATCH BASIN SW IM'O P001. FLOOR DRAIN DRINKING FOUNT•N0 Size Septic Tank_ -..— ........ of Tank —_. Capacity , ,ale r-- Feet of Drain Tile __ _ - - -._ Dist. Feet of Tank or Drain Field from Well ...-- •--- ••--- ..._.._. . Nature of Water Supply: City — Well.._ -- ------------ •-- - - - -•• - Size of Soakage Pit Amount of Permit $ ( i STATE OF FLORIDA, I as. COUNTY OF DADE. My Commission Expires (Signed )- = Notary Public, State of Floaidn Tor,.L FIAT, RES Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n;lloyer of tahi uni?Ir the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Cupi lemrnt, and lids • o . hed with the provisions thereof, and will require similar compliance from all contractors or sub - contractors t,ployed 1 y him in ' •: • , rk v b- performed under this permit; and will post or cause to be posted' for inspection on the site of the wor, sue, pnhl: notice T. no iccr /s n: requ.■red by the Act. The undersigned agrees to employ only such aub-contractors, work to :: r. + • ed 1 ....a this ,,',rl IR, ar . Licensed by Miami Shores Village. Mast n Plumber Before me, the undersigned authority, a notary public, duly authorized to admire ster oaths and take acknowledgments, per:or.d; ; , ppearta 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 be has carefully read the foregoing application, and that he did sign the same, and t,rat all acts therein by his, stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspoodois k satoolo•neossaary by improper notice for imply—eon, to t®utt) materials and /or workmanship. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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 work. Owner's Name and Address ` ,'_� . .___ __ - No Street__ L ' Registered Architect and /or Engineer Employing Plumber's Name Street and Number where work is to be performed —No Location and Legal Description Lot_ _Block__ State work to be performed and purpose of building (By Floors) New Building____ —__— - Remodeling Addition Amount of Permit r No J L I Repairs No. of Stories Size Septic Tank_ Type of Tank . Capacity Gals.__________ Feet of Drain Tile_______— _____________—_ —__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soak (Signed) - -- - -- Date_ My Commission Expires Notary Public. State of Florida 1 I t !( Street ` `-- - - .-- -- Subdivisiop-- -s-- =- = –= �%:– – Street v � Plumbing Inspector _(Sighed) /ft -- r/ 0 h The undersigned applicant for this building permit does hereby certify that e understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com 'l General Laws of Florida Permanent Supplement, and has corn- plied with the provisions thereof, and will require similar compliance fr ' 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Wafter Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared --- -_ - - -- __ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TOSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST I CHECK - - r SEPTIC TANK SEWER CONN. DRAIN / IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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 work. Owner's Name and Address ` ,'_� . .___ __ - No Street__ L ' Registered Architect and /or Engineer Employing Plumber's Name Street and Number where work is to be performed —No Location and Legal Description Lot_ _Block__ State work to be performed and purpose of building (By Floors) New Building____ —__— - Remodeling Addition Amount of Permit r No J L I Repairs No. of Stories Size Septic Tank_ Type of Tank . Capacity Gals.__________ Feet of Drain Tile_______— _____________—_ —__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soak (Signed) - -- - -- Date_ My Commission Expires Notary Public. State of Florida 1 I t !( Street ` `-- - - .-- -- Subdivisiop-- -s-- =- = –= �%:– – Street v � Plumbing Inspector _(Sighed) /ft -- r/ 0 h The undersigned applicant for this building permit does hereby certify that e understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com 'l General Laws of Florida Permanent Supplement, and has corn- plied with the provisions thereof, and will require similar compliance fr ' 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Wafter Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared --- -_ - - -- __ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.._L Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Size Septic Tank-_ - Amount of Permit $ t' /' ss. My Commission Expires performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized No Registered Architect and /or Ej-_J �Rr to to Plumbers Name P Y 8 '� = / >- -• - - No - — �`" Street 1'�./ .� / l Em ' Location and Legal Description Lot �____.� _ — __W�___ _ _ �! V ' ° Subdivisio Street and Number where work is to be performed —No. � � ' 9 - _- __ -- -� Street 67 State work to be performed and purpose of building (By Floors) New Building_______ —______ _ __ Remodeling____________ Addition Repairs No. of Stories___________.. Feet of Drain Tile_____— ______._____ —_ _ _ Dist. Feet of Tank or Drain Field from Well__ Type of Tank . ___Capacity Gals.___--_- _.___._ Nature o f Water Supply: City—Well /.Size of Soakage Pit._ _ (Signed) - - 0 - 1,1' Street__ - : c. Plumbing Inspector. permit does hereby certify that he understands and accepts his obligations as an employer of labor The undersigned applicant for this building under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are !. n f (Signed) _��� � f Master Plumber. to administer oaths and take acknowledgments, Notary Public. State of Florida 5 ?r personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST e...' CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.._L Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Size Septic Tank-_ - Amount of Permit $ t' /' ss. My Commission Expires performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized No Registered Architect and /or Ej-_J �Rr to to Plumbers Name P Y 8 '� = / >- -• - - No - — �`" Street 1'�./ .� / l Em ' Location and Legal Description Lot �____.� _ — __W�___ _ _ �! V ' ° Subdivisio Street and Number where work is to be performed —No. � � ' 9 - _- __ -- -� Street 67 State work to be performed and purpose of building (By Floors) New Building_______ —______ _ __ Remodeling____________ Addition Repairs No. of Stories___________.. Feet of Drain Tile_____— ______._____ —_ _ _ Dist. Feet of Tank or Drain Field from Well__ Type of Tank . ___Capacity Gals.___--_- _.___._ Nature o f Water Supply: City—Well /.Size of Soakage Pit._ _ (Signed) - - 0 - 1,1' Street__ - : c. Plumbing Inspector. permit does hereby certify that he understands and accepts his obligations as an employer of labor The undersigned applicant for this building under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are !. n f (Signed) _��� � f Master Plumber. to administer oaths and take acknowledgments, Notary Public. State of Florida 5 ?r personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Amount of Permit g4 IAM9 SHORES VELLA PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PER IT Size Septic Tank_ Type of Tenli___ Feet of Drain Tile — __Dist Feet of Tank or Drain Field front Wall _ Nature of Water Supply: City—Well. Size of Soakage Pit 2-18-85 STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acnowledgnients, Morton Goldman to me well known, said who, being by me first duly morn, upon oath deposes and says that he th Ma of'the above described construction, that he has carefully read the foregoing applies that be did therein by him stated are true. 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 st building during progress of work. Mr. T. Fitzpatrick 490 N.E 96 Street Owner's Name and Address No. No Street._ Registered Architect and/or Engineer 1 /E z10:hi; Pluiler. .A & agns . R„ 1401 NW__ ...... e treet 2 0 Street , miami 331 42 111.11 •VIMIVOCM.M1900 and i.egal in &,_ --1--- cg Eitarh * 5--3 Subdivigion 2 GA Street and Number wheat, work is to be performed—Nok9n _PIE ciF StraRt., _pi arni f hoStikeet Fivars) _Install domestic solar water heating system State work to be performed and purpose of building (By New Building._ Remodeling Addition Repairs No. of Stories ..... .. . . (si ...... Plumbing Inspec tor. 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 liaq com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor b. 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 err required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber: personally appeared Nolan) PublicAza • COMMiSsion Ettpires ep. NOTE: A minspection fee of $1.00 win be made wheat amok ne.hispeodos le ensde by improper notice for hopection, or faulty materials and/ar woekmanship. CLOSETS BATH TU BS ....,. . """ WIL ' Ili LAVA• TORIES 1394 SLOP fDINK® LAUNDRY 'rues URINALS CATCH e IN FLOOR DRAIN DRI NK I NG FOUNT NS TOTAL PIXITURIS CONTR. LIST —••• -... ...r............, , CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT BREAGC TRAP GOLAN HEATER DEEP WELL sea aut. SYSTEM ewill4 • 6 POOL CONT. LIST CHECK Permit No Amount of Permit g4 IAM9 SHORES VELLA PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PER IT Size Septic Tank_ Type of Tenli___ Feet of Drain Tile — __Dist Feet of Tank or Drain Field front Wall _ Nature of Water Supply: City—Well. Size of Soakage Pit 2-18-85 STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acnowledgnients, Morton Goldman to me well known, said who, being by me first duly morn, upon oath deposes and says that he th Ma of'the above described construction, that he has carefully read the foregoing applies that be did therein by him stated are true. 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 st building during progress of work. Mr. T. Fitzpatrick 490 N.E 96 Street Owner's Name and Address No. No Street._ Registered Architect and/or Engineer 1 /E z10:hi; Pluiler. .A & agns . R„ 1401 NW__ ...... e treet 2 0 Street , miami 331 42 111.11 •VIMIVOCM.M1900 and i.egal in &,_ --1--- cg Eitarh * 5--3 Subdivigion 2 GA Street and Number wheat, work is to be performed—Nok9n _PIE ciF StraRt., _pi arni f hoStikeet Fivars) _Install domestic solar water heating system State work to be performed and purpose of building (By New Building._ Remodeling Addition Repairs No. of Stories ..... .. . . (si ...... Plumbing Inspec tor. 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 liaq com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor b. 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 err required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber: personally appeared Nolan) PublicAza • COMMiSsion Ettpires ep. NOTE: A minspection fee of $1.00 win be made wheat amok ne.hispeodos le ensde by improper notice for hopection, or faulty materials and/ar woekmanship. W. R. ROBBINS & SON ROOFING & SOLAR HEATING CO. 1401 NW 20th STREET MIAMI, FLORIDA 33142 PHONE (305)'325.- 0_$,iQ, ti & aw t�+ F as PATR //K r 6Itp 6 k15 giffivz s'roR y FL.,- r r /LE W. R. ROBBINS & SON ROOFING & SOLAR HEATING CO., 1401 NW 20th STREET MIAMI, FLORIDA 33142 PHONE (305) 325 QUA Matir 0 OPE F,f« PATRIvK OP Ad. 9z S7 m /ftm i 51tpg r" 1 S%URY F',T 8v 14r" VP G //A ✓�"c L_ L 7 f ®/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Da • .. Vii yr Job Address 4q0 N E 9 sT. Tax Folio �( Legal Description Historically Designated: Yes No y Master Permit # 9579/0 Owner's Address 0 NJ 6 . (5(.0 ' G y Phone 3 0 S 8 9 Si_ 6 4 Italic/ 409r /4/ Address n,Q 0 c- /11 s r Qualifier r /t/ .144,5 SS# Phbfs) 9 L/ / 2 State # rpC 0 1 ?l (3/ Municipal # Owner/Lessee / Tenant Contracting Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL e0OFING PAVING FENCE SIGN WORK DESCRIPTION 41/ .� ' ` �./! . _ � .. 667 wof4 A /77?or..‘9, S /At- Co - 41' Estimated Cost (value) / 3 j O 7 Square Ft. 2 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 perfonned 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 wi be done in com . liance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work s • 1 11111 Signa a o' and/or Condo President (13th pia Notary as to Owner and/or Condo President My Commission Expires: FEES: APPROVED: ' ng IRo l3E R 1 Bo u R NE ay p OFFICIAL NOTARY SEAL O A P eG ARTHUR H STONEtAKE JR I COMMISSION NUMBER 0 MY • y f ION EXPIRES R.21,2005 RADON Competency # Date iklb( Date Address Address Address Ins. Co. Signs ontract 1∎A _I__ a O Q r s to Contr or ner - B uilder g. COMMISSION NUMBER 7 , w O MY COMMISSION DD004689 EXPIRES C.C.F. • NOTARY r7 Electrical eiee uilder ate — ?JL/b I Date BOND TOTAL DUE Structural Engineer e: ‘C Permit No.._ _ 'T7•d MIAMI SHORES VILLAGE • PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__` e 5 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. s Owner's Name and Address _� No Registered Architect and /or Engi elr —; ------------------- q �, Employing Plumber's Name _ _ C✓'`z ti c _ ,!' GF! f _. � w — 1 4 4 " e_-- � `" '�— Street_a • °��` ^t" .{E 'j � 1.. _ (`' Location and Legal Description Lot__ —� r �_ —___ -- ____ ,_ _ (`''$! ° Subdivision___ �y Street and Number where work is to be performed —No 1 F ' - t , 0_ _ Street_____ _Cz AL:.'_______ State work to be performed and purpose of building (By Floors) New Building____— _— Remodeling____ Addition Repairs Size Septic Tank____ Type of Tank Dist. Feet of Tank or Drain Field from Well Nature ' Water Sup : City Well . Size of Soakage -- 1r S / p e s l ; 'X Gf T. ETC 4�5� 1 _ > - / *, t t � : , /Irf / %t: .'r c ..� _— '4 ^ J y ! 4...4-- Amount of Permit $ __e2_0 (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Feet of Drain Tile._ My Commission Expires •"'A Capacity Gals 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 be 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 Street-- -'A ' C ` • - -� No. of Stories Plumbing Inspector. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty - materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. WELL, SYSTEM SWIM'G POOL CONTR. LIST VL/ � " j� CHECK e: ‘C Permit No.._ _ 'T7•d MIAMI SHORES VILLAGE • PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__` e 5 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. s Owner's Name and Address _� No Registered Architect and /or Engi elr —; ------------------- q �, Employing Plumber's Name _ _ C✓'`z ti c _ ,!' GF! f _. � w — 1 4 4 " e_-- � `" '�— Street_a • °��` ^t" .{E 'j � 1.. _ (`' Location and Legal Description Lot__ —� r �_ —___ -- ____ ,_ _ (`''$! ° Subdivision___ �y Street and Number where work is to be performed —No 1 F ' - t , 0_ _ Street_____ _Cz AL:.'_______ State work to be performed and purpose of building (By Floors) New Building____— _— Remodeling____ Addition Repairs Size Septic Tank____ Type of Tank Dist. Feet of Tank or Drain Field from Well Nature ' Water Sup : City Well . Size of Soakage -- 1r S / p e s l ; 'X Gf T. ETC 4�5� 1 _ > - / *, t t � : , /Irf / %t: .'r c ..� _— '4 ^ J y ! 4...4-- Amount of Permit $ __e2_0 (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Feet of Drain Tile._ My Commission Expires •"'A Capacity Gals 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 be 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 Street-- -'A ' C ` • - -� No. of Stories Plumbing Inspector. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty - materials and /or workmanship. JOB: BUILDING Inspector's Report: acs The following is ready for Inspection: • • • , AD: ELECTRICAL • i �; PLUMBING WORK � ��, � PLUMBING y DONE BY: ,, ��� --� • • ▪ : REQUESTED • • • • - 1 X IC r/ 4 iii t Y � : WILL BE READY JOB: BUILDING ELECTRICAL PLUMBING F.-(AA Inspector's Report : _Z._ � 0 9�y • • • • • • • • • • • • • • 9 , i The following is ready for Inspection: : WILL BE READY • MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Permit No — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Mr_ e_ HOrnat_e d No. __ Street _9$ Registered Architect and /or Engineer Employing Plumber's Name Street 2.7 h __A Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 490 __N A___E.. _ Street____ 9.64,.h State work to be performed and purpose of building (By Floors) New Building{ Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile_________ 1_75 PLUMBING INSPECTION DEPARTMENT No. - 705 N + - -•- Type of Tank __ p_o_ure d _c_oncrefis Capacity Gals. 9-04 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit $_ Z.„an The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly s s. My Commission Expires - (Signed) Plumbing Inspector. reify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 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. Notary Public. State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIsr CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK • MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Permit No — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Mr_ e_ HOrnat_e d No. __ Street _9$ Registered Architect and /or Engineer Employing Plumber's Name Street 2.7 h __A Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 490 __N A___E.. _ Street____ 9.64,.h State work to be performed and purpose of building (By Floors) New Building{ Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile_________ 1_75 PLUMBING INSPECTION DEPARTMENT No. - 705 N + - -•- Type of Tank __ p_o_ure d _c_oncrefis Capacity Gals. 9-04 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit $_ Z.„an The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly s s. My Commission Expires - (Signed) Plumbing Inspector. reify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 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. Notary Public. State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.