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600 NE 97 St (11)4 „ NOTICE OF COMMENCEMENT 'PERMIT NO. TAX FOLIO NO. //� 5 .Z a G • d /7 —/ d 8 STATE OF FLORIDA: COUNTY OF DADE: ., 1993 AUG 09 12: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: ! Cbb q 7 S7 • r yi m mi S#oit.e -s , `C.4 .. 33/3? 2. Description of improvement: ,cJCW Avvx- cvr7 3. Owner(s) name and address: G eag e tlt,e //e t ADO 1. l� 5% /1/ 0-1414 i Srsocas `cam . 3 3 /3Y Interest in property: . Name and address of fee simple titleholder: 4. Contractor's name and address: P c .r`r eoc- 's 35 A) h.) 7V 5 i : /I/ A • . 5. Surety:(Payment bond required by owner from contractor, if any) Nanie arid address: Amount of''bond $ I ^ 6. Lender's`name and address: . Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provide ection`.7;13.13(1)(a)7., Florida Statutes, I J. l 33 /c/7 • 9:.Ezplretipr% ate •of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a 1 different date Is specffied) • elf, _Owner designates the following persons) to receive a copy of the Lienor's Notice as provided in ij p= lorida Statiites:� 'Tint Owners' Name 6 eon4 e. / 61, .Sworn to and subscribed before me this it day of /ls 9 u. s r , 19 3 . Notary Public { II. Print Notary's blame • i idy.Commission Expires: My Commission Expires July 9, 1994 30NDED BY BROWN 8 BROWN, INv R ew4 -L 6 STATE 0= FLORIDA, CUU14T 0 DADE h 1 HEREBY CERIIPY Ca, this is a true copy Or�IP4I f;f,�Atf^ i co on ,A 0.19 witness my tinned and Official isai. dCounWC RUYIN,CLER�+ 'D.C. Prepared by. / R w,c Address: 3s f ,)A) 7`I S! (Phri � , FLrq • 3 , ' d t• �� PAN AMERICAN .:,wld.:crs�werwww -rwwn May 19, 1993 Booker & Company 2500 NW 74th Ave. Miami, FL 33122 To Whom It May Concern: This 1s to cerfity that TAMKO can provide the following materials to meet the following ASTM numbers; Tile Underlayment - ASTM: D -249; U.L. No. 30 Felt - ASTM D -226; and Nail Fast - D -2626, D -224. Cettitication can be provided on each order shipped to you if required. Notification of' certification requirement should be given when you place your orders. Since rgly, STATE OP ALABAMA COUNTY OP TUSCALOOSA Subscribed to and sworn before me, a Notary Public, office in Tuscaloosa, Alabama this My Commission Expires strict Sales Manager 6100 N.W. 74th Avenue • Miami, Florida 33166 Phone: (305) 597 - 9392.• Fax: (305) 597 -9484 We tap. the kialtici ROOFING SUPPLY, I nc. .•t. COD(,Afl , U.Lff II00 If 10•t1 .•w ,wDV f •u..u. • o w. I , vtca(DOt..f . 1.0.I at my . LAS ROOFING CORPORATION , May 28, 1993 Pan Aserican Roofing 6100 NW 74th Avenue Miami, FL 33166 Attnt Jose Porta RE: ASTM U30 Asphalt Felt. Dade County Dear Jose, This will serve ae certification that the above - referenced material produced by Atlas RoofingiCorporation meets the following Federal and A.S.T.M. Spegifications, *30 Asphalt Spec. Felt seats Federal Specification MN- R -595B, lype 15P, !Type A, and A.S.T.M. Specification o-2a6, Type 1I. The Atlas Specification *30 felt, rieferanced referenced above, meets Dade County Building goda.m weight requirement of 560 /roll, • Sincerely, Lindy Ray Market Manager Litchi./ COUNTY OF LAUDERDALE STATE OF MISSISSIPPI rn to and subsc before se t� ! L4. 199a. +i s the day of It A,. N ary Public My Commission expires: 3 I,hh I lei ROUTE 6. 80X776 • VALLEY ROAD • II I I MERIDIAN, MI$$iS81PPl 3 930740805 • (601) 483.7111 • .Metro Roof T i l e 305 558 2608 P:01 ~ 9145 GD:co iI ME DADS • METROPOLITAN DADE COUNTY, rLOIIIDA METRO.OADE rLA©LEti BUILDING , TO WIiO1Yi IT MAY cQNCEW • • BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO FLAOIER BUILDING 140 WEST PLN3LER STREET MIAMI, FLORIDA 331304663 (305) 378 -2901 FAX (305) 376 -2006 June 15, 1993 , ! Metro Roof Tile Corporation has filed with this orrice the additional and required acceptable test data to support the request for renewal and continued use of their Cement flat Roof Tile for a mortar - set system which will expire on November 19, 1993. The tile shall be installed on a solid nailable roof deck of 5/8" thick plywood for all new construction or to 1/2" plywood deck on re- roofing: The prepared deck shall consist of an underlayment (anchor sheet) conforming to No, 30 Type II (ASTM D -226) and tin capped 6" o•c. on all laps, 12" o.c. in the field and 4" on drip edgo over this, a hot - mopped 90 # ASTM 1)-249 granular surface sheet by Tannko, or equal applied. The tile shall be applied with a 2" head lap to the roof with Cite mortar consisting of Rinker Roof Tile Cement mixed with sand conforming to ASTM C -144 for a 3 :1 mix, The tiles shall be presoaked and set using approximately one fill trowel; of mortar, Due to Ilurricano Andrew, this office has been inundated with requests for both new ! products and renewals of those to expire which has caused a large back log in responding with an official Notice of Acceptance. In the interior period, please accept letter in allowing those products to be installed by a licensed roofing contractor in accordance with the manufacturer's further specifications and Chaplet 34 of the South Florida Building Code until an official Notice of Acceptance is issued, I)iattiond, .I3„ Product Control Division Supervisor • I I Date S /3 "3 Job Address G oe Tax Folio // 3? 0 6 - /7- /t, sfe O y Legal Description1d /D / Lessee / Tenant 1 `, Owner's Address COO Ne i`7 s'7 Contracting Co. /A a /�oF APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Qualifier /o i / 4 age K• SS# Phone ?3S - f7 State 1►Cc� =0 J -! Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Auni - 3 0jI1 7 ' CO" oa-s P/� ��4C - / y .� e.P, %yew d'l rod .-$oe: t whi-/ 7 Got Square Ft. �'BC2 Estimated Cost(value 3Co�•oo r _ ,�' gnatu : o owner -�d or Condo Presi Bate: p f o 7 � i : ' t f a /4 Z Notary s to -Owner and /or Condo President My "•Cariinission Expires: NO 71Y P;i3LIC, Stata of Florda a -t Large • My Commission Erpires July 9, 1994 '301�!OED E3Y•6ROWN A BROWN, INS ** * * . * • ' * • ' * * Zoning Building Address 3.7s"r /vs✓ 7 `f 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 contrac or to do the work stated. * * * Fire of Signature Date: Master Permit A 7 7f7 Phone /9AZ-1/4- Contractor or Owner- Builder 16 ; u Notary as to Coif _ My Commission,Ex FEES: PERMIT RADON C.C.F. PEek NOTARY Mechanical Plumbing Si. ,PEGGY CRAIG • . MY COMMISSION 1 CC 288529 i ` Y EXPIRES :,Ma .17,1997 ' ! Tbru•Notary Ric tArdmwrttera w M _ * TOTAL DUE ,l ' .U, v3 / 7 Other r 1 Electrical Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address CO O O /\/ G 5 7 5A Legal Description q '' / of) Owner / Lessee / Tenant Mr, P li e / f - Q ✓' Owner's Address £ 0 0 it / 7 7 51: Phone Contracting Co. ))d11 L Address c;. / 7 0 O/ . h0 44 ,6/Lx, Qualifier � J V:c\a S L MUAC SS# Phone 6 el--2- eLD 7 State # Municipal # Competency # 370 Y Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN I �P1 S v`, WORK DESCRIPTION 4+ deo 0 Fict loo- o I Square Ft. 300 Estimated Cost(value)_ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. nature of owner and /or Condo President ate: / .4!'„ Notary as to /. -l er and /ors ondo President My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP JIJNE 13,199S ** * BONDED iHRU GEN R ^' tiNn. * FEES: PERMIT RADON APPROVED: Tax Folio /7 /icy( f Master Permit 31/7W 7ng jAvq O a Owner- Builder Notary as o Contracto r or Owner- Builder My Commission Expires. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP JUNE 1,3,1995 BONDED THRU GENFRai TP0 * * * * * * * * ** C.C.F. t `, NOTARY TOTAL DUE 1' Fire Zoning Buildi Mechanical Plumbing Engineering Other Electrical 1 • 11111111 lii it i �■ MN ■ ■ ■ ■ M. ■ ! I I i �! ! i VA 1 1 ► i ! E11111■Ii/■ - TG CN 1. . • I • E 23: . . _, -- r . • METRO OUT .N DADECOUNTY, FLORIDA METRO.OADE G. A. F. Corporation 1361 Alps Road Wayne, N.J. 07470. ACCEPTANCE No.: 91- 0215.4 Rs APPROVED EXPIRES March 11, 1994 APPROVED: June 10, 1991 PRODUCT CONTROL NOTICE OF ACCEPTANCE -1- METRO•DADE CENTER BOARD OF RULES AND APPEALS CODE ENFORCEMENT SUITE 1010 111 N.W. 1st STREET MIAMI, FLORIDA 33128-1974 (305) 375 -2612 Your application for Product Approval of "Ruberoid MB" Single Ply Roofing Membranes under Sections 203 and 204 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by Underwriters Laboratories, Factory Mutual Research, Construction Research Laboratory Test #4818, South Florida Test Service Report GAF -53 -X -915 dated 3 -8 -91 and calculations dated 11 -16 -87 by Vipin Tolat, P.E. has been accepted by Product Control to be used in the Unincorporated areas of Dade County under the Specific Conditions set forth on pages.2 -2d and the Standard Conditions on Page 3 it Diamond, P.E. June 10, 1991 roduct Control Division Supervisor * *PLEASE NOTE ** THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BOARD OF RULES AND APPEALS NOTICE OF ACCEPTANCE This application for Product Approval has been accepted by the Metropolitan Dade County Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas of Dade County under the conditions set forth above. Charles Olinger, Deputy Secretary Metropolitan Dade County Board of Rules and Appeals , G. A. F. Corporation ACCEPTANCE No.: 91- 0215.4 R APPROVED NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1.00 This approves smooth surfaced and granule surfaced, torch applied APP and mop applied SBS "Ruberoid MB" single ply roofing membranes which are polymer modified and reinforced with non- woven polyester mat. Ruberoid membranes may be used in new roofing as well as re- roofing of existing roofs. All roofs shall have adequate slope and interior drains where required to prevent ponding. For fire -rated roofs, roof slopes shall comply with latest UL Building Systems Cards and shall be as restricted by UL- 790 /ASTM E -108 fire tests. Minimum and maximum slopes shall also comply with GAF's published recommendations. 1.01 Ruberoid membranes have passed the following tests: 1) UL- 790 /ASTM E -108 Fire Tests Class A, B, & C (see UL cards) 2) Accelerated weathering 3000 hours ASTM G-T26 No deterioration 3) Tensile Strength /Elongation Before Weathering Machine Direction Cross Direction After Weathering Machine Direction Cross Direction -2- June 10, 1991 EXPIRES March 11, 1994 ASTM D -412 '243 lb /2" - 60% 161 lb /2" - 61% 270 lb /2" - 78% 175 lb /2" - 72% iamond, P.E. roduct Control Division Supervisor • P. G. 1 Cu•rporation ACCEPTANCE No.: APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 4) Water Vapor Transmission ASTM E -96 Ruberoid MB - Torch applied Mop Applied 5) Heat aging AgTM D -573, 2000 hrs. @ 70 C Tensile Strength /Elongation Before Aging Machine Direction Cross Direction After Aging Machine Direction Cross Direction 6) Wind Uplift Test ASTM E -330 7) Factory Mutual wind uplift tests for metal and plywood decks 8) Factory Mutual Hail Damage Test 9) Dimensional Stability ASTM D -1204 Before Weathering Before Weathering Machine Direction Cross Direction 91- 0215.4 R June 10, 1991 March 11, 1994 0.215 g /hr /sq. m 0.1329 g /hr /sq m 80 lbs /in, 35% 55 lbs /in, 35% 99 lbs /in, 24% 55 lbs /in, 23% Passes I -60 and I -90 Passes Machine Direction 0.4% Cross Direction 0.4% 0.75 gms /hr /m 0. 0.3% Gil Diamond, P.E. Product Control Division Supervisor G. A. T.. Corporation ACCEPTANCE No.: 91- 0215.4 R 2.00 Method of Installation: 2.01 General: APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS June 10, 1991 March 11, 1994 All installations must comply with the recommendations of the manufacturer as described in their published literature and referenced test reports. 2.02 Over Structural Concrete Decks: -�. This installation is approved without any height restriction for non - coastal buildings. The concrete deck • is primed with asphalt primer applied at a rate of 1 to 2 gallons per square. APP membranes are than directly torch applied to primed deck. In case of SBS membranes, Gafglas base sheet is solidly hot mopped to primed deck with 2" side and 6" end laps. SBS membrane is then mop - applied at the rate of 25 lbs. per square to the base sheet with 4" side and 6" end laps. For coastal areas, the height restriction shall be 60 feet for Class 1, 550 feet for Class 2 and 350 feet for Class 3 buildings. 2.03 Over Metal Decks: a) The heights shall be limited by types of construction as defined in the South Florida, Building Code. b) SBS Hot - Mopped Membranes: This installation is limited to 550 feet above grade for non - coastal, 60 feet for Class 1 coastal and not permissible for Class 2 and 3 coastal buildings. G 1 Diamrnd, P.E. roduct Control Division Supervisor S. A. F. . Corporation ACCEPTANCE No.: APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS Approved insulation boards are fastened to the metal deck at the rate of one fastener per 1.78 sq. ft. with #12 steel screws and .020" thick - 3/4" diameter coined hexagonal galvanized steel washers. Gafglas stratavent perforated base sheet is. laid over insulation with 2" side and 6" end laps. Ruberoid membrane is then hot mopped at the rate of Ruberoid membrane is then hot - mopped at the rate of 25 lbs. per square with 4" side and 6" end laps. c) APP Torch Applied Membranes: 91- 0215.4 R June 10, 1991 March 11, 1994 This installation is limited to 165 feet above grade for non - coastal, 60 feet for Class 1 coastal and not permissible for Class 2 and Class 3 coastal buildings. Factory Mutual approved insulations boards are fastened to metal deck with Factory Mutual approved fasteners at the rate of one fastener per 2 sq. ft. Gafglas 75 base sheet with 2" side and 6" end laps is hot mopped to insulation. Ruberoid membrane with 3" side and 6" end laps is torch applied to base sheet. 2.04 Over Wood Decks: The anchor sheet is fastened to the deck with 12 gage, annular ring -shank steel roofing nails with heads at least 3/8" in diameter. Nails must protrude 3/16" min. from the underside of the deck and be spaced as set forth in Table 34 - of the South Florida Building Code. The nails shall be applied through tin -caps as required by Section 3403.4 (c) of the South Florida Building Code. it Diamond, P.E. Product Control Division Supervisor S., F. Corporation ACCEPTANCE No.: 91- 0215.4 R APPROVED EXPIRES NOTICE OF ACCEPTANCE; SPECIFIC CONDITIONS June 10, 1991 March 11, 1994 Insulation, base sheet and Ruberoid membranes shall then be installed as described in Section 2.03. This installation is limited to 60 feet above grade for non - coastal and Class 1 coastal buildings and further limited by type of construction as defined in the South Florida Building Code 2.05 For fire rated roofs, the Ruberoid membranes shall be surfaced with 400 lbs. square of gravel embedded in flood coat of hot roofing asphalt or coated with Karnak No. 97 fibrated aluminum asphalt roof coating or Grundy Industries 20F emulsion coating applied at a rate specified in U.L. fire tests. This applies to both smooth and gravel surfaced APP and SBS membranes. 2.06 For non -fire rated roofs, smooth surfaced Ruberoid membranes may be coated with GAF's fibered aluminum or Weather -Coat emulsion roof coating applied at a rate of 1 to 1 1/2 gallons per square. Granule surfaced membrane need not be coated. 3.00 Work shall be performed only by a licensed roofing contractor, acceptable to G.A.F. 4.00 Ruberoid membranes can also be used on existing built -up roofs, provided all loose gravel is removed and all blistered, deteriorated areas are repaired using this membrane and then the entire roof covered with this membrane as described above. The use of this membrane over other roofs shall be subject to approval by the Product Control Section and in accordance with Section 3401.9 South Florida Building Code. 5.00 Applictions for roofing permit must be accompanied by two duplicate sets of shop drawing, approved by the architect or project engineer, along with the manufacturer's specifications and standard details. This requirement is waived for re- roofing up to 5,000 sq. ft. and single family residentials jobs up to 5,000 sq. ft. in area. 6.00 This revision supersedes Notice of Acceptance #91- 0215.4 dated March 11, 1991. Gil Diamond, P.E. Product Control Division Supervisor. METROPOLITAN DADE COUNTY, FLORIDA METRODADE NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 2. Any revision or change in the product or process termination, unless prior change. 3. Any unsatisfactory performance of this product change in Code provisions shall be grounds for re- evaluation. M ETRO -DADE CENTER BUILDING & ZONING DEPARTMENT SUITE 1010 111 N.W. 1s1 STREET MIAMI. FLORIDA 331211.1974 (305) 375 -2612 1. Extension 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. the materials, use, or manufacture of shall automatically be cause for approval is granted for revisions or or process or a 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 County, Florida, and followed by the displayed in advertising literature. Notice of Acceptance is displayed, then 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. words Dade by .the expiration date may be If any portion of the it shall be done in its 7. Failure to comply with Standard Conditions shall be cause for termination of Approval. Gil Diamond, Product Control Supervisor Metropolitan Dade County Building & Zoning Department 71,1,A � �� � 7PA MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address 4 ` Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Street and Number where work is to be done Block / 0 0 Disapproved \, - \('\ ( / Date (Signed) APPLICATION FOR BUILDING PERMIT MCS4L CNC1' Co- 1;,c Date No. 6 0® 4510 tit_ t .' 4 /E Q i) U (\ 1 Subdivision 'J���'"`� 1 i 372 / /I f" r boo vE Q7 S • State work to be done and purpose of building (by floo state exterior colors (submit samples) .7 and for no other purpose. New Building Remodeling Addition Repairs / ' No. of Stories C To be constructed of Kind of foundation g Roof Covering F/41 ri LE+ ( �" C� Estimated Total cost of improvements $ l Amount of Permit S '2 5 CV--e9 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to under this permit. as are licensed by Miami Shores Village. Remarks (Signed) 0 r �� •� G'GG / 4 v a-9/ Notary Public, State of Florida t� 198-7 Street ik/ Q t ` ? sT. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: 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 toipioy , .uch subcontractors, on work to be performed STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing a plication, and that he did sign the same, and that all facts therein by him stated are true. I Permit No. CZ 7/ 2 d Date f�b Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved late Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MOA I SHORES VILLAGE BUILDING INSPECTION DEPARTMENT AFFLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. if' G e Date_ c , 19 -- Own-si s Name and Address . f 1 / , 4 � _ _ _ f ' , ` 1 J T G l No.. C .__ ___ Street_ /!/ ',.. )53 4 - Regiaered Architect and/ or Engineer._. _ . F Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot__ ' )a Block fmo _ - ubdivision_ `'�: kca•1 Street and Number where work is to be done .OD _ - State work to be done and purpose of building , floors)__ P ' A 3 ,. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories...._ To be constructed of___C. __,. Kind of foundation___. Cn 612 -C Roof Covering_ if iW ' ?..4L6 �� Estimated Total cost of improvements $___ , L-�_� a___ Amount of Permit $ Ii �` Zone cubage required plan Cubage____ _. 's 3 ? • �r7 • Distance to next nearest building___.__.. _ Size of Building Lot Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to___._ The undersigned applicant for this building permit dot. hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public .tic• or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o. :r to .: .erf ed un. permit, as are licensed by Miami Shores Village. Remarks_- ______• . - - -- -- -.___ . _ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the_ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ........ _ ?`C ..- Date_-_ (— .. Read, Sworn to and Subscribed before me. Chai'nnan _ Member Member Council Approved Disapproved Date (Signed) __. Building Inspector NING BOARD_ to me well known, Notary Public, State of Florida My Commission Expires_ DATE Member Member Member _ _Date Disapproved .__..._ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ss. Cirair:nan Member Member.. .. _ .....__....._..._. ...._....... Council Approved Date MIAMI SHORES VILLAGE 1:5;rn..3 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby erode for the approval of the detailed statement or me plans and specifications herewith submitted for the build • ine 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 progreu of the work. /•� Owners Name and Address ,. 4 - - ( :�€>'/ se'keic 4 /., / ri../ Registered Architect and /or ng i f J Name and address of licensed contractor( ..,..! ,o.. • .., ��'� Location d 1c al description of lot to be built pp: Lot Location Mock X% Street and Number where work is to be done State w•or to be done and purpose of building (by floors)..f. Date z-1 Date Subdivision Date.. /!:`� , / _. No...b.d2 .._ . Str e L . - /i 1 (7' !' % / it % /y6 ' .: _._� L and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of fo dat•o RoCovering Estimated Total cost of improvements $ tP✓ °---. Zone cubage required Amount of Permit $.. .Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, anti has complied s.ith 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 suclysubcontractors,,pq.wolyk to' b4 performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) e c ////61 STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority. a notary public, duly authorizcd to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sta d are true. Read, Sworn to and Subscribed before me. Permit No. Disapproved - Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE ,19:1 ,Z7 l to me well known, Member Member Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has Bern obtained from the Plan nir.g Board. A re fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor. or Builder MIAMI SHORES VILLAGE. FLORIDA DATE = +` 195_ PERMIT N9 _ 4923 Contracto s i . . License No. L Work to be performed under this Permit Owner of ; Building Legal Lot Description Address of Building BI. Subdi- vision Value of -, Project $ ,* Signed. BY INSPECTOR Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY s