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ROOFING/GUTTERSO -r PERMIT APPLICATION FOR MIAMI TORES VILLAGE Date I— a _y Job Address)( \ oo ‘'` - °`1 ST • Tax Folio V 11 - -3 90 la Legal Description LA- I,'34 W rz L14 12 +L04 14 Bloc) <T7 Historically Designated: Yes No Ph • a m! Shoes See. 1 Atrb PI? !D - '70 X \41 LL\ 11.1 . ` S rte/ Master Permit # Owner/Lessee / Ten Q `/ , (/ /\J l �'" , /� ��t J�`� ?S �� / 3 phone Owner's Address Contracting Co. . Qualifier SS# \ Phone ezgati - 583, Competency # 14 ► Ins. Co. Address State # GG� Architect/Engineer Bonding Company Mortgagor a 5 Z Municipal # N Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /ZZI -- � 2vn� $ njL f ,- .27 "4�dW` , . L T'm✓�.y� . ripe A P 7s, t i7vp Square Ft. 4 S ' ,r Estimated Cost (value) / S�� °a 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 one in compliance with all applicable law re • lating construction and zgning. Furthermore, I authorize the above -named contractor to do the, ated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: C {., : k ,. i::r'r.Ci+- NBl SEAL IT1 _..'..` SCCYT W DAVIS ut , 14,, - ; 1 9 . * COMMISSION NUMSEA • ••_T� '= CC255237 1 �C• 4 � <,� MY COMMISSION EXP. - 1_.. r " '-G <...,.,..:1.2;l it ?? 1997 7171 /ti Date Address Address Address FEES: PERMIT 6 O. O 0 RADON C.C.F. /• 0 O NOTARY ‘1":0 O 1'7 X7ss 19 \ \�'7 S. V.\ . Notary as to Contractor or Owner- Builder My Commission Expires: 'Builder Date Date ,7c) JOO• o O TOTAL DUE 3 G G- d d APPROVED: Zoning Buildingc 870 6 Electrical Mechanical Plumbing Engineering nu: rrtO(Invt. . ItitccfPcrmaglas ' Div. U.S. Intcc Inc. Post Officc Box 2845 1212 Brai Drivc Port Arthur, TX 77643 uutt.OINa cuIJE COMI•IIAN(:r. LFrnnt SUliii I QJ to : 1no OAOE FLAGlcn HIM DING • 140 WEST FLAotE►1 SII1EET • A(IAAtI Fl.011'Ot J3I3o.I503 L O DIIGI - CQLNT ROi. NOTICE_Q ACCEPTANCE (305) 376•2901 FAX (305) 376- ?000 11_ i 1101'OLILAN U/\1)(: COUIt11' 1101l10 A Mf l no DADi rLAGI. Ell mitt. t)tr.I(1 Your application for I'roduct Approval of Jnlcc fcrmaelas Built -Up Roof Systcros undcr Chapter 8 of the Metropolitan Dadc County Codc governing the use of Alternate Materials and types of Construction. and completely described in thc plans, specifications and calculations as submitted by Factory Mutual Research Corporation and Underwriters Laboratories has been recommended for acceptance by thc Building Codc Compliance Department to be used in Dadc County, Florida undcr the specific and standard conditions set forth hcrcin. The approval shall be valid Tor a period of three years. The Building Code Compliance Department reserves the right to secure a product or material at any time for a jobsitc or manufacturer plant for quality control testing. If product or material fail to perform in the approved manner, the Codc Compliance Department may revoke, modify or suspend the use of such product or material immediately. The Building Code Compliance Department reserves thc right to require tcsting of this product or material should any amcndments to the South Florida Building Codc be cnactcd 3fTecting this product or material. The expense of such testing will bc incurred by the Manufacturer. PRODUCT NO. : ACCEPTANCE NO.: 9.1- 0211.02 V Gil Diamond, P.E. • : r• n Product Control Division EXPIRES: f �' Supervisor - PLEASE NOTE- TItIS IS TI I E COVERSIIEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. twILJING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dadc County Rnil.tinl' Codc Compliance Dcpatttncnt and approved by the Building Code Committee to bc used is Dadc County, !I.-, id.) :,,,der the C (lItions set fu:.h nhovc. irs t AAPPROvED Charlc- I)an�;e:, P.E. D:lcctot 13t:ildinr (.o.1c 'omp ;tan, < .'.'� ; rr•• p „ Lt....:;...' (.( .uty Gcof Garabcdian Dircctor - Systcms Dcvclopmcnt Post Office Box 2845 — 1212 Brai Drivc Port Arthur TX 77643 800 624 -6832 i r .;13 rhos Matrix S13 Trowcl Grade 5 gallon ,Mineral Mastic 2575 Perma Poly 185 Pcrmavent Preflashed Lead Jack Quick Pitch Quick Pitch Standard, Adjustable, One Way MVcnt Tough Ply IV Typc 40 Smooth US! Glass US! Glass Tapercd Roof insulation USI Tapercd Insulation Board 5 or 55 gallons Roll weight: 105 lbs. Roll weight: 72 lbs. various " various Roil weight 46 lbs. v- v.lr i.,us various USIROC Roof Insulation 4' x 4', 4' x 8' PA 110 ,\ f) 312 AST 11) 4536- ASTM D 5147 ASTMD 1117 ASTM D 4897 Type II Proprietary ASTM D 4586 ASTM D 4586 PA 110 ASTM D2173 Type IV Roll weight: 67 lbs ASTM D 4601 PA 110 PA I;0 PA : :0 — � - /- ?S, / ;i1 1)1arrnnil, Product Control No.: 94-0211.0' bitumen flashing assembly used for ncw• and retrofit scupper instillation S13S modified asphalt adhesive for bonding cap and ply sliccts. SUS modified roof.ccrucnt for bond,nr; flashing materials. Granule surfaced SDS modified asphalt membrane, min 250 gram polycstcr reinforcement Spunbound nonwovcn polycstcr mat roofing felt Hcavy duty fiber glass base shcct impregnated and coated on both sides. Surfaccd on the bottom side with coar2c mineral granules embedded in hot asphaltic coating. Preflashed vent pipe waterproofing asscmbly. A pourable, polyurethane sealant for use in capping pitch pans. A two-component adhesive and sealant system for filling and capping pitch pans. Prefabricated stack cover for usc in soil pipe waterproofing. • Type IV asphalt impregnated glass felt fer usc in conventional and modificd bitumen built -up roofing. Type 11 asphalt impregnated and coated glass fiber base shcct for usc in conventional and modified bitumen built -up rooting. Fiberglass roof insulation. f Fiberglas., u.su:at:or. beard. Tarxrcd polyisocyanuratc insulation bo -rd. Basalt rock insulation. 11SIROC Taper Roof insulation 11SIso i'crlitc Cornpo.itc Roof Insulation USlso Roof Insulation USlso Taper Roof Insulation Ultra Basc Ultra Cap Ultra Cap Premier 730 Ultra Ply VI Usikant -FR 4' x 4' 4 S x 4 ' 4•x S• 4' x 4' Roll weight: 67 lbs. ASTM D 4601 Type I I Roll weight: 72 lbs. ASTM D 3909 1021b. ASTMS 147 Roll weight 46 lbs. 1'A 110 PA 1 10 •1'A 110... PA 110 Tapercd polyisocyanuratc foam insulation ASTM D 2178 Type VI Proprictary (iii Jli::rnnnt!, i Product Control N,).: 94 Tapercd basalt rock insulatio PoIyssocyarturatc fnamipirlitc c r insulation board. Polyisocyanuratc foam ut :ulattun. Type 11 asphalt imprcgnatcd and coatcd glass fiber base sheet for use in conventional and modified bitumcn built -up roofing. Asphalt impregnated and coated felt surfaced with mineral granules used,as the top ply in conventional built -up roof mem branes. Granule surfaced_S8S modified asphalt membrane with additional fire resistant additives, fiberglass rcinforccmcnt. Type VI asphalt impregnated glass felt for use in conventional and modified bitumcn built -up roofing. Cant strip made from basaltic rock_ Product Trade Narnes of Products 1i'lanuf:tctured by Others Product Control No '».it 2 11.11: Manufactur Dimensions Test Specifications Product Description r�tillox P various PA 110 — Polyisocyanuratc foam and Apache Products Co. compositc insulation. Pyrox various PA 110 Polyisocyanuratc foam Apachc Products Co. insulation. White Line various PA 110 Polyisocyanuratc foam and Apachc Products Co. composite insulation. ACFoam-11 various PA 110 Polyisocyanurate foam Atlas Energy Proc_cs insulation. ACFcam 1 various PA 110 Polyisocyanuiatc foam insulation. ACFoam -1I Composite various PA 110 Compositc insulation board., Anchorbond Fastcncr PA 114 Insulation fastcning Construction Fast^crs assembly. DckFast Fastener PA 114 Insulation fastening asscmbly. Gripdck Fastener PA 114 Insulation fastening asscmbly. Ilcxccl Fastener P:. 1:4 In_ulation f s rr.ing :s..cnrblr. Iicxtra Fastener PA 114 Insulation fastening asremFly_ i:oofrrip Fastener PA 114 Insulation fastening Atlas Roofing Products Atlas Roofing Products Construction Fastccrs ITW Buildcx ITW Buildcx IT'.V Buildcx !TW Buildcx !'A 114 Insulation fastcnurl; 11rc Rawlplug system. Company. Inc. i;.� • ! Spikr i ., .;Cnrr I'A 114 Insulation f. stcnnr!; 1 he ICawlplur; assembly. Company. lilt:. Rawlitc Fastener PA 114 Insulation fastening The Rawlplug system. Company. Inc. Tru -Fast Fastener PA 114 Insulation fastening Tru -Fast assembly. Fiberglas PA 1 10 Fiber glass roof insulation. gcncric High Dcnsity Wood various PA 110 Wood fiberboard generic Fibcrboard insulation. Mopping Asphalt ASTM D 312 Bitumen adhesive. gcncric Types III and IV Nails PA 114 Min. # 12 corrosion gcncric resistant annular ring shank nails, FF- N -105-13 Type 2. Pcrlite PA 110 Perlitc insulation board. gcncric Primer ASTM D 41 Asphalt primcr. gcncric Red Rosin Paper Underlaymcnt_ gcncric Roof Cement ASTM D 4586 General purpose cement. gcncric Type I and 11 Tin Caps min. 32 ga. x 1 5 /8" - 2 - Corrosion resistant circular gcncric discs. t; ; !t : 1'roduit Control No.: 94-0211.02 Test Agency Factory Mutual Research Corporation J.1.0P3A7.AM Wind Uplift Classification Test Identifier Test Reports 1.(. 2WOA LAM — J.I. ° 0R9A6.AM FMRC 1993 Wind UpIiR and Firc Classification Current Insulation Fastcning Rcquiremcnts FMRC Approval Guidc 1993 Underwriters Laboratories Firc Classification — sec current directory Wind Uplift and Fire Classification Product Control No.: 94-0211.02 Test 1■13mc/Rcpoi Datc 09/09/92 01/02/90 01/01/94 01/11/94 12/13/93 librou :. ;i:1sS • I'crlitc l'olyisocyanuratc Composite Board Wood fiber Maximum Ilesivi Pressure Material J2 si n Pies r Wood -75 psf Steel -75 psf Concrete -67 psf Lightweight Concrete -45 psf Poured Gypsum Concrete -45 psf Cementitious Wood Fiber -45 psf Maximum Fire Classification M aterial Classification Wood Class 'A' Steel Class 'A' Concrete Class 'A' Lightweight Concrete Class 'A' Cementitious Wood Fiber Class 'A' Poured Gypsum Concrete Class 'A' ,0 Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system Iistings for design pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. Gil {)iarto id I' t: (. /(/, Product Control No.. 94 -021 1.02 Deck Type l: Wood, Non - insulated I)ccl; Description: / • or greater plywood or wood plank decks :\ (I): Base sheet mechanically fastened ,111 (,cncr:rl :rnd System Limitations apply. Insulation: None Base Sheet: Ply Sheet: Cap Sheet: Surfacing: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: Bondable Base, Flex Base 30iF1ex Base 60, Combination Base. 180 P or Ultra Basc applied to the deck with approved annular ring shank nails and rninirnuni 1 'I," tin caps at a fastener spacing of 9" o.c. at the lap, 1 2"o.c. in two rows staggered along the center Tine of the of the sheet in the field. Two, or three plies of Tough Ply IV or Ultra Ply VI ply sheet adhered in a full mopping of approved asphalt at an application rate of 25 IbsJsq. = 15 %. (Optional) One ply of Ultra Cap, or Ultra Cap Pcrmicr 730 adhered in a full mopping of approved asphalt at an application rate of 25 IbsJsq. ± 15 %. (Required if no cap sheet is used) Install one of the following: 1. Kariak 97 at 1_5 galfsq_ 2. Flood coat of hot asphalt with an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 IbsJsq. & 300 IbsJsq., respectively. Note: Consult current UL Directory regarding fire ratings of coatings. -60 psf. 'A'. Sec General Limitation # 2. 3 ":12 "; Sec General Limitation u 3. (ail niarnond. I'1llduCt Comm! Nn : 94 -0211.0' G- B4UP -N, G-B5UP-N, G- B4TP -N, G- BSTP -N, M -134 UP -N, M- BSUP -N, M- R4TP -N, M-B5TP-N, ECG- B4UP -N, ECG - BSUP -N, ECG- B4TP -N, ECG-B5TP-N, ERA- B4UP -N, ERA - BSUP -N, ERA- B4TP -N, ERA - BSTP -N, E- B4UP -N, E- BSUP -N, E- B4TP -N, E- BSTP -N, ALN- B4UP -N, ALN - BSUP -N, ALN- B4TP -N, ALN - BSTP -N, 730- B4UP -N, 730- B5UP -N, 730- B4TP -N, 730- 3fTP -N, 730-4 F13-N, 170- B4UP -N, 1 70-BSUP-N, I70- B4TP -N, G4 - rr4UP - G' -Th U'' -r1 "4 -34' P -N, G4- BSTP -N, CF4.5 -3r B' BP To-N, BF4.5- B5TI' -N, 170FR- B4UP -N, I70FR- B5UP -N, 17UFR- B4T1-N, I'01 - R B57 P-.4. t`;(211cE nL, J(t_"4- :•c. }1 1. Extensions of Acccptancc may be considered afler a nc%v a pplication has bccn filed and the supporting data, test reports no older than ten (10) years. have bccn rc- e valualed. All reports of r c- testing shall bear the seal, signature and dart of an cnginccr registered in the State of Florida. 2. Any revision or change in thc materials, use, or manufacture of the product or proccss shall automatically be cause for termination. unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this produa or process or a change in Code provisions shall be grounds for rc- evaluation. 4. This acceptance shall not be used as an endorsement of any product for salts or advertising purposcs. 5. The Notice of Acceptance numbcr preceded by the words Dade County, Florida, and followed by the expiration date may be displaged in advertising literature. If any portion of thc Notice of Acccptancc is displayed, then it shall be done in its cntircty. 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- scaled by an engineer. 7. Failurc to comply .vith the Standard Conditions shall be cause for termination of the Approval. it Diamond, P. Product Control Division Supervisor (:rnrr::l Limitations: Gil Diamond. P.L. • Product Control No : 4.).1-011 1.0 :1 11 asphalt shill comply with AST.'t t) 312 requirements. All propoNed asphalt producers must be approved by t)tc applicant. • Firc• ratings arc deterrnincd by a combination of slope. deck type and assembly. Rcfcr to current Undcnvritcrs Roofing Materials Directory or other fire testing * data listed in the testing file. Firc ratings shalt bc in compliance with Sections 3401.5 and 3401.6 of the South Florida Building Codc. 3. Maximum slope rangc shall vary for each system; consult IntecfPermaglas Roofing Systems specifications for compliance with design criteria for each project. 4. An overlay /recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter. circles, 24" o.c.; or strip moppcd 8" ribbons in thrcc rows, one at each sidelap and one down the center of the sheet allowing a continuous arca of ventilation. Encircling of the strips is not acceptable. A 6" break shall bc placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall beat a minimum rate of 12 lbsisq_ 5. Any amendments to time provisions shall be in compliancc with Sections 203 and 204 of the South Florida Building Code. 6. All work shall be performed by a Contractor licensed to do roofing work in Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer. 7. In re- roofing applications, moisture content in an existing built -up roof must be in compliancc with Section 3401.9(c) of the South Florida Building Codc. 8. Prior to application, all existing roof surfaces used as a bonding substrate shall be tested for uplift resistance in compliancc with Protocol PA 124 to the calculated Design Pressure of the roof deck. 9. If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approvcd adhesives may bc used. 10. Perimeter and corner areas shall have an increase in fastener density for both insulation and bast shcct in compliancc with PA 117 of the South Florida Building Cr dc. I I. A;1 p..ri.nctcr and nailer mc:al p-o/ tic de;ipn shall .c'n'orm w;th Dade County Protocol PA 1 1 1 of the South Florida Budding Coot. 12. Flashings shall 5c in- tilled according to the manufacturcrs standard details, and may be applied in cold at hcsivc, hot a- It o 'ma r c an approve( orch MA rr1IAI S (FEvT1 i (T( (j - nnl�rlu /! .r.� ....... rl...... . r 1.r . I, .1 t... 1,. ... ,C0•41 •1.. toil.• .n.. /.n. nil....... rr..•1 • ..Q tY \t••rn toil forts. .... nole .••••■ I •• m n . .o. u n.•.1•• or w.h n n .h.• -R CSPE ivOP PIO or PVC •ne...hrane tunable for ame at inn for the ong.nal insulation /membrane n 01 membrane. and surfacing of membrane shall 'red for m embrane /insulatron .00long system 1-- Mech•n.caey F••ten.d Incline: 5e• nor. wroth i .• mn thick perl.t• or wood fiber, :. EPOM, NBP P18 or PVC membrane suitable for me as that for the original insulation/membrane of membrane and surfacing of membrane shall Id !or mem brane/insulation roofing system. =C INC. CORVALLIS R6529 (N) applied with the granules • 1. down as an alter- ',v t 2B-. -Combination Base'', -Ultra Base lnsul- '. the following Class A.13 or C systems. Type - Ultra Ply yr in these peciliad in the YDe G / ermaplas base sheets s systems. 1 *110 following Tr. oofing asphalt in Class A insulated or uninsulat- n : coated glass fiber mat and surfaced with grave la rs • bono �{'{�[. nt .-M yen in the /allowing Class A. c or 1 the insulated systems described below. Where V. ,te may be utilized as an ahemate in the same product listed below... err' and "USIROC Caf • i •c Fated ins given � insulation paid HOT ROOF7NG ASPHALT ring Terrna Poly Ply Sheet" may utilize any von i socyanurate/perflte, hot mopped or mo. Inclines 2 ..'able Base-Type 28 -, - Combination 8a,. Type •5 Smooth-.- mechanically secured. - - Ultra Ph vr, 'Tough Ply IV• or - Super iheer - , hot 'mopped. Incline: 3 Penne/urethane composite glass fiber or y secured or hot mopped. dabs. Base Type 28-, - Combination Base-, I YDe 45 Smooth-. mechanically secured, sheets - 'Wire Ply vr, - Tough Ply 1V incline: 3 - smite/urethane composite, glass fiber or secured or hot mopped. sheets - "Uhra Ply VI ", 'Tough Ply IV' or - .acv - - Ultra Ph N - . 'Tough Ply Iv- rte /urethane composite.' glass fiber a • _red or hot mopped. - Bondable ease Type 28 - . - Combo rod+ "or • - Type 45 Smooth -, mechani• wu - :"Ultr. Ply V1 : Ply IV or OOUCT " .. _ �.i•tj C.. i� - h lam. Incline 3 • •. - • -le Base Type 287; - Combination Base; pro 45 Smooth -, 'mechanically secured•.r ROOF COVERING MAIERIAIS (TENT) ROOFING SYSTEMS (TGFU)— Conl'inucd e ' Sint•[n•• I I..,.. line G3 P..manla• 1111.0 Cho She., •m t 11.Kk: C I . /3) mnnrrd 1 n,w•1.o.. IOnt•o..•lR Graz tinier fatal! I"ef'^e: 1 urethane. lobe. or ue.hle awe InKtnets. out.Qnar Ironed 0.nls,p N sac relh 0 .l of mo • p1 Sew SI...at: type G2 P I l aoi. 010 1y ,. 28 . C Imo1 - Combination Ulna, Base e•maplaa Case sisal - " Oowdatn4 Base rrw 10 -, "C-Combination cite'. I nsw.Oas.". ..Type •0 Smooth" or 'Tyne •5 Smooth mecnan.cau 1001 altachoft w h01 mapped. Uh y Hcured. Ph" hot f ed n Type G1 Perm.plaa on sneers - "(Ilia Ply VI - Tough Ply IV or "Super Surfacing: 1 layer Type G3 P..maglas - Ultra Cao Sheet - . hot mopped. Owls: C.15/32 Insulation IOotion.i Glass /ibex 1 Inca:•. 3 perms• J :.n aced urethane, partite /urethane composite glass libel or ma., optional taped joints. mecharrc Pay Sheen: • or more layers i sheets - ' sheered Apt mopped. - Super Ply_ hot mopped. Yee. G 7 Parmaplas ply sheets - - Wire ply VT, - Tough Ply IV or Surfacing: Gravel or slip, B. Deck: NC Insulation Glass Fiber I Inclinr 2 lation IOotio Insu a. 3 in, ma., se tionl t aced urethane. ,'8c10 pertite/welhane composite, glass fiber or 1 1 aped join.', rne C. 0a Sh secured w hot mopped. Su 1.ci me layer Type G3 Pennagles - Ulna Ca p Sheet - , hot mopped. 9. Deck: NC lnwlation (Ofstiorsalk Glass f � faced Incline 1/2 In .3 in. ma., urethane. Certire/wethane composite, glass lib.. or ply a. .tin 2 e more taped joints• mechanical* secured a hot m h opped. Super Ply hot mopped s TYe G 1 remain.' ply shoats - - Ultra Pty VI"r, - rouge Ply P/ or hot mopped. layer Type l.Z °p attain, Parmplas - Type 40 Smooth or Type 45 Smooth 10. Deck: C.15/32 . Insulation (Option.* Mass fifer farad Incline 2 I wink 3 in max. optional taped mechanically , secured or hat composite. plan fiber w Base Sleet Type G2 re vmegles base street - - fnadBand Ncw a hat 2 lpop.d. s Type 40 Smooth a -Type Base Type m th 8 meMSntu lion cu pot attached or IIY secured. --Su the 1 1 - . Apt I or Type G1 Permeglas ply sheets - "Uhl Ply Vf . - Tough Ply IV' or Ply 1 layer Type 63 Permaglas "Mrs Cap Sheet; hot mopped. 11. Deck: C-15/32 _ Penne in. max. optional aced waNane. psecured or M opped ite. glass liter or toped Ph Shame 4 or more layers Type 61 Pe.ma mechanically y s 1 ant nipped - Super Ply ; hot mopped p ply sheets - 1/ftrs Ply VT . 'Tough Pry IV' or 12. Deck C- Type g ag - Ultra Cap show hot molip�d bisu6iiprt (Option.* Glass Mar faced Urethane. per6aN 1/2 penile 3 in malt, optional taped joints. rneedlanieally secured .d or ha �•. glass fiber or 8.p Shove Type G2 Pemuplp base sheet - - Bondable Bap T • 1JMa Base '18,. Typo 40 Smooth- oe 2B ; - cam , I s B spot attached or honnoppad - Ypa 45 Smooth; mechanically secured. • Ply h ot snooped. Type G/ Peimaplas ply sheets - Ultra Ply VT; - Tough Ply M or - Super Surfacing 1 Oyer Type p • 13. Omit C-15/32 �rrtlaplaa "Ultra Cap Sheri A� mopped. 1.00. taped Op nts. mechanically secured or hot mopp plan riper or partite. 3 in. meat pp. Base Sheet Type G2 Pensegies base sheet - - Bondable Base Type 28- - Combination Base "Ultra 8as.-, lnsuI8ase Typo 40 Smooth or - Type 45 Smooth-• mechanically secured• spar anached or hot mopped. Ply - Super . hot mope layers Type G1 Pemuplas ply sheets -okra ply vr. - rough Ph IV" or 14. Su . i /3Iay,r Type G3 Pemtspys UlIr. Cap Sheet how mopped. T1 Saw Sheet: 9. G3 P Indinw 1 Pfy Sheet One or 8. er eglas "Uhl Cap Sheet` nailed. 3 two Type G1 - Perms Glad- Surfacing: Type 6 15. Deck: C-15/32 erinaplat - Ultra Cap Sheet Inwlatio.c Glass fiber lathed uretfta Incline: 1/2 16 ; nee perii/a/urethane composite glass fiber or penile, 11/ n min. optional taped joints. mechanically secured or hot mopped. le secured. SOW Type Permag as base S heet B - Type 45 S ondable Base Type 28 -.' -Comb. . "Uhra 8 7 rtraA.gase. T 40 attached or hot Smooth nlsehanieaL Ply Sheets 2 w more layers T •• - Super Ply hot mopped. G 1 Poinsettias ply sheets - - Ultra Ply VI - Tough Ph IV or Surfacing; 1 layer Type G3 Penneglas - Uhra Cap Sheet ", hot mopped. , Insulation 16. Deck: NC any thickness polyi $ocyanurete glass a Own following or combination of the following, Pfy 511..c One or ass fib' pe,ite or wood fiber, more plies of 'Penn. Poly Pty Sheet apunbo,.d polyester lei imbedded in coneentionel roofing asphalt. •. Surfr'ir . C•arel or crushed stone 0 Ib./> o. slag •. 3C 3 C. s/s in 1 Jt roof n. asehah , nor sat. lei. re .r 1 '.. = ..ck. C- 5/'2 sP ?ly S.n..� Cole ..r Mora It. a O! T Inclinte 1/2 - . D nrn T r .y �:' .lilt `ef "nbond polyester LA imbedded in ly net Son oe . •spAah - 5 rfscirsp; Gravel or Citrate' cone applied et 500 Inn/ e . • M applied in e flood coot. LOOK :TOR: MARK ON PRODUCT 299 (ail Diano P E. _ 1 20 Product Control No.: 94 applied modified bitumen membrane. Specific details, approved by the manufacturer, shall bc submitted with the Section 11 Permit Application. 13. Intcc/Pcrntaglas materials shall bc stored on end and on a clean, flat and dry surface. I4. Consult current Underwriters Laboratories 'Directory for the required coating for each roofing assembly. The assembly shall bc installed in strict compliance with Chapter 3401.5 and 3401.6 of the South Florida Building Codc for maximum fire classification. — I5. Asphalt moppings shall be with asphalt approved by the applicant and shall be approved in compliance with equiviscious temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate a CUT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 16. Insulation may be installed in multiple layers. First layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall bc adhered in a full mopping of approved asphalt at an application rate of 2S1bs/sq. t 15% or mechanically attached simultaneously with the top layer. 17. Pre - assembled cap nails may only be used for termination of fully bonded surfaces such as mechanical termination at wood blocking, head and side laps, and base flashing terminations. Gip nails shall not be used for the mechanical attachment of a base sheeL 18. The submission of system specifications and details shall accompany the Section II Building Permit Application. This information is available in thc publications listed in the "System Description" on page 2 of thc Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 19. All insulation standard panel sizes are acceptable for mechanical attachment. When applied in hot asphalt panel, size shall be 4' x 4' maximum. 20. A plastic locking stress plate shall bc used in all two layer foam, fiberglass or rockwool applications where both layers arc mechanically attached with a single attachment assembly. 21 All tingle layers of fiberglass insulation shall bc mechancially attached with a iocki.rg pla:c ssrttbly. Job Address: GENERAL: • moo. �lhlZ ?� S ■ 100 '"' g9 Contractor Process No. APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II BUILT -UP APPLICATIONS AND MODIFIED BITUMEN SYSTEMS Type of Roof System Assembly to be Applied: Manufacturer of Roof System Assembly: 1tyTr� Product Control Approval Number: q`1 • 0 . \\ o System Number from Product Control Approval: \ (") ( Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturers System Guide Specification. ) zan, + ee s6s4 ( Note: If a minimum rooPsystem is to be applied, describe all components within the system and list the manufacturer of each component. DO NOT complete this section if system is Product Control Approved.) 'r Base Sheet: Fasteners: Ply Sheet(s): Cap Sheet: Asphalt: ( Note: No insulation system is acceptable under the minimum roof category. ) Complete The following for all Roof System Assemblies: Built -Up Applications and Modified Bitumen Systems Page -1 Job Address THE_SYSTT:N1 • ( Check ore of the folkIA.:ng Recover Re•rottl. Insulation (Type size and method of attachment, if app,':cable Base Sheet or Ply ( T)pe and method of onachrnent Ply Sheet(s) • typP anti rne. /)../ al/a/ . i - v.. w onstrimon If a recover, is the ex.;'.ituig RourSysi.ent Asser.inly to be used as a bonding sul, 1\1( If YES, has an AS1N1 Et907 toil c L to confirm adhesion of existing the substrate?. (if es', attach AS7?.1 ,E,S27 tes: Proposed Fastener (Attach 4?thdra)-3 reststi :et: • i . Has the deck been exam;ritt',I (Provide da:o ccnf.rmirtg Sect:on 3401 9, ) Pt(,cess No If Up Appiiutioni afifi Medifitkd Eitothen S Pagc-2 I)eck \ (Briejlt descrt5e ) r • t. All Roof S: A.s.ernblit-..) in the ; a \...D ot eptions descnbe the Rooting Componerts z e us t.2 011 e d 3:t3: copy of the manufacturer's pushed specificn ( -" 0.1t ra c70 ) . Top Piy, S.:rfacing is!;!rIg • ' n (I • '7, 1 e A A 77 • ' 1 ".; 01' ••., nicvmtri Sins Pagt-• Job Address. ts 4Jr ill_ IN IJL Alt,t t' ST1 ENstsi. A 110:4 LAYE.R..,S! sT-Iua Asseribk, rid •-•( - 47`."- s " , • : )4 • ) - "N/A" 1 ; P(..,•si C. N . i MAXI: Cq OF DECK AND 4;4'1 4OL usci 'Iv . 44• Cj:).A■CaN ) f t !--to—d.ng MOrnal. • " 4 Built. Up Apphc:iiiuns and :srlod Ircj Stttms Pagc—i Procs I -.4 - 1 .•■••••• — 7f• . Ls (fr i 1 • ■ • 2 _1 r • .1 - i i1o. k3::St s. " • • '• • , V • • • 41 1 ....Vie - o 044 • ILO plo J 11 !f el • 1;, LIJ der _ - P• / op: _ Th •MCIZ•d et; k - L! '‘fi Job Address: Contractor PERIMETER DETAIL #1: Parapet Wall Detail Coping Cap Gage: Fastener Spacing: _ o.c. Clip Type: Clip Gage: / 7 Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeta Parapet Walls. Inset leaders indicating Rooting Component name:. d®etaiao. thicknesses. etc Inetuds fawner type and spacing used for wood- blocking aoad met. Deck type: t \Qo 0 7 Sketch Roofing Components which make up Roof System Assembly at Perimeter Areas to be Flashed insert leaders indicating Roofing Component names. dimensions. thicknesses. etc. include fastener type and spacing used for wood - blocking attachment ,-11 _ �L 1-1 PERIMETER DETAIL. #2: Flashing Detail Built -Up Applications and Modified Bitumen Systems Page -5 Process No. ° Job Address: Contractor PERIMETER DETAIL #3: Gravel Stop or Drip Edge Process No. Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gravel Stop or Drip Edge_ Insert leadas indicating Roofing Corttponans names, dimensions. thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Gravel Stop/Drip Edge Gage: _Il Fastener Spacing: o.c. Clip Type: Clip Gage: W Desk Type: f\f\f Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Guners. Insert leaders indicating Roofing Component names, dimensions. thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Guner Type: j Guner Gage: Fastener Spacing: Deck Type: PERIMETER DETAIL #4: Gutter Detail Built -Up Applications and Modified Bitumen Systems Page -6 Job Address Contractor Process No PLR11.11.: !TR r&fl CLP,...!rr b S kctch P. ovfun C .a-apr•rtchla which c up R ovf Syntrn Ant t csht? Pa:meta Cond.:Kr which may egss.: Lracrt !c44L-ms mai) g ontIng C ornpvnau nonlm dimensions, thscxes3es. etc Include fastener rvpc i 51- acing d blocking a ttaa lur ent. a. kczh Pcs.nfing c Les. P.c.. Sysicr-, Asurr...s.y I 1.ny Pry c. 1:_nLtt • , c vs t In.stri !cadets tr‘1. v.hgR:...-111,& -c- 'tar ens irLJ fISIC pe arl birg Bolt-Lip App:c3t.:11-.% ar,d fi,tth-t,rn S):szerni Pagr,- c , " ! J z." • V. ) - • q t : ' r Pi KLi ,_ ".Ptr Job Address: Contractor Process No. Insert Building and Parapet Heights. (If no Parapet cant tnsen "N/A") Also insat applicable information pertaining to the building below. ( See ASCE7.88 Fact Sheet Ault ) Exposure Category: t Y �N Classification Category. At Hurricane Oceanline ?: Basic Wind Speed at Building Location: 110 rn h Building Condition based on 1 % of Operungs: GROUND LEVEL feet a_ feet BUILDING INFORMATION #1 Built -Up Applications and Modified Bitumen Systems Page -8 Job Address: Contractor Process No. Sketch Roof Plan indtcaIing all dimensions, any slopes. roof drains, crickets. or roof lop equipment Also insert variable labeled "a' which indicates perimeter and comer dimensions per Chapter 23 of the Sou Code (See ASCE 7.88 Fact Shut Artocher J BUILDING INFORMATION 112: Roof Plan with Perimeter and Corner Dimensions Built -11p Applications anil Modified Bitumen Systems "Job Address: Contractor Process No. — FOR PLAN EXAMINER USE ONLY — Roof System Assembly Product Control Approved: If NO, note any deficiencies: Design Pressure Requirements: Field: psf Perimeter Areas: psf Corner Areas: psf Note any limitations: Reviewed Details ?: Y N Notes: Built -Up Applications and Modified Bitumen Systems Page -10 Y N Job Address: Contractor Process No. Reviewed Field Test Data ?: y N Notes: Additional Notes: Built -Up Applications and Modified Bitumen Systems Page -11 Plan Examrner PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (P A / I Job Address Tax Folio Legal Description Owner's Address State # Owner/Lessee / Tenant Z,A)/ )/M r').S Master Permit # �r p /00 , , g, 995`r Phone / �g J �7 / Contracting Co. 6` lilt- Co w t lei!e- CO' Address .0 Al e, 3 ? Gr" FTLI 33 33 y ss# (i:klim Y,a 3 "„.1 °7 Competency # YS BSO X0.1'/ Ins. Co. G • A./ 1 • Qualifier EdwAR.a V /'7oo ey Permit Type (circle one): WORK DESCRIPTION ‘1' Ati341- I eFt. SO Municipal # 30 3 N Vin Architect/Engineer Bonding Company Mortgagor BUILDING ELECTRICAL PLUMBING MECHANICAL RO C ING PAVING FENCE SI (' ( ,r L .3)(/ do5 u m 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. FEES: PERMIT 7� RADON APPROVED: Zoning Mechanical certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable d zoning. Furthermore, I authorize the above -named contractor to do the work stated. 1 OWNE • AFFIDAVI laws r- sating cons - I I II I�I. Signature oil er and/or Condo Preside t P ate .I, No ary as to Owner : i�mn��Tn �►i+,tf*1nT ,r s !,�j , . 7,744 r y My Commission Exp I ° EXPIRES: November 3, 2001 ni eo TM Nervy Public Underwrttere A Sy Building Address Address Address Estimated Cost (value) My commission Expires: C.C.F. ' ° NOTARY Historically Designated: Yes No Signo re of Contract A '* r a 0.• n� ' ;•' My Commission �it4�0561 198 q 5011 r 1 - � - = Commis e 3a Contractor or Owner - Builder 71; Electrical coo " Date Date BOND j TOTAL DUE 40 60 Plumbing ' Engineering .Home Office` 211. N.E. 32nd Court Ft. ltderdale, FL 33384 e Hereby submit specifications and estimates for: p /ee Downspout ✓fr p o of the undersigned. LD' . ENc�oo 6v ( i INSTALLER COMPLETED PD SB We hereby propose to furnish labor and materials — complete in accordance with the above specifications, for the sum of: Authorized N 6 ' &. 7" Seamless Aluminum Gutters CC # 84 -3663 MMX Two year guarantee on Labor, Twenty years on Material. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from the above specification involving extra costs, will be executed only upon en order , and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyo our control. This • • • - ubj= t to acceptance within days and is void thereafter at the o tin f — ature Broward: (954) 563 -2207 Dade: (305) 654-1140 Palm Bch.: (561) 241 -6737 Fax: (954) 563 -9940 17 ova ) with payment to be as follows: ACCEPTANCE OF PROPOSAL The above' prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ACCE �D: Date 1f Signature Signature .. ; r.,. c ,, , , .� PROPOSAL ,�,, �� tisk, � : „ � ;4 ;.,, i f,' 7.�8 .s'.'i y PO L SUBMITTED TO: 1 313 PHONE: (,J ; 5' a t e DATE: 97 NAME: JOB NAME: A t _ �1 L / i / I /DNS STREET: STREET: lOO 9? S j -, CITY: CITY: ii A • STATE: • S`.0/se. S STATE: •:‘ •a �G1/ .Home Office` 211. N.E. 32nd Court Ft. ltderdale, FL 33384 e Hereby submit specifications and estimates for: p /ee Downspout ✓fr p o of the undersigned. LD' . ENc�oo 6v ( i INSTALLER COMPLETED PD SB We hereby propose to furnish labor and materials — complete in accordance with the above specifications, for the sum of: Authorized N 6 ' &. 7" Seamless Aluminum Gutters CC # 84 -3663 MMX Two year guarantee on Labor, Twenty years on Material. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from the above specification involving extra costs, will be executed only upon en order , and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyo our control. This • • • - ubj= t to acceptance within days and is void thereafter at the o tin f — ature Broward: (954) 563 -2207 Dade: (305) 654-1140 Palm Bch.: (561) 241 -6737 Fax: (954) 563 -9940 17 ova ) with payment to be as follows: ACCEPTANCE OF PROPOSAL The above' prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ACCE �D: Date 1f Signature Signature MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date id ` - . 19 Y7 J� 17. 9 -1( �— Owner's Name and Address �/ e �' �� N� No. /0 0 ' Street / `s Registered Architect and /or Engineer /�' Name and address of licensed contractor //.%7,1"0" � Al/42-4 C l� 58 -2,5-`7 .2 y( �f'� -ccXN- 6 /u!> ,,, 33 os( Location and legal description of lot to be built on: ,q Lot /.3 f W� /Ot ' Block / 7 Subdivision , (� c% / ,4 M // J o z U I // J rD O Street and Number where work is to be done /6"r ti.- 99 fA s)r-e et State work to be done and purpose of building (by f loors), state exterior colors (submit samples) E'rUU e X!.. /�/�,� f- gor.S e 7 L.e poioFizwo4 evi % /I /1/a i £ T'/ t0 72Z e, �OV n�_c 9/5.L %17 6 and for no other purpose. New Building Remodeling Addition ( Repairs J No. of Stories D / N er \ To be constructed of Kind of foundation Roof Covering vv�fl'�/� 7' " Estimated Total cost of improvements S 3) C T' S° Amount of Permit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or 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 mploy only such subcontractors, o work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Date Read. Sworn to and Subscribed before me. STATE OF FLORIDA COUNTY OF DADE. ss. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction. that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. 47 7 7 Date Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Notary Public. State of Florida K4 t am (6 STATE OF FLORIDA, COUNTY OF DADE. ss Permit No Disapproved (Signed) Chairman Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. May 16 6 1 E D. Jones (Stoky) Date..__ 1T09 N.E. 89t Owner's Name and Address No Street Registered Architect and /or Engineer Name and address of licensed contractor The Cornell Co. 4100 N. W. 28th St. Miami, Fla. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 100 N • E. 99th St. State w -k to be done and purpose of building (by floors) ItifJ T c c al—_. and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering White shingle tile Estimated Total cost of improvements $ 125.00 Amount of Permit $ 5,00 Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance fain all contractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or cause to be poste r inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only su J ubcontractors, on worly to be per rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed (uilding nspector Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him s e. _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Mar. 10.1 1958 , 19 Owner's Name and Address .1...C.Stoky No...100.1143. Street 99 .Street Registered Architect and/or Engineer Name and address of licensed contractor.....0001RO_Of...111.0*. of kiwi 4119 Pence...de. Leon, Coral Gables Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 100 RILE*. 99 Street State work to be done and purpose of building (by floors) Clean and coat roof residential and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 235..0O Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)Cocamitaor_ STATE OF FLORIDA, COUNTY OF DADE. Ss ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 7 Permit No Date -- Read, Sworn to and Subscribed before me. (C Disapproved Dat (Signed) b-Af Building Ins ctor My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ • • ❑ Owner of Building PERMIT N? 6860 Work to be performed under this Permit Subdi- vision Value of Project $ DATE -. r 195 Contractor's - 3 -, License No. Amount of Permit $ / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the Statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. BY .' Signed. 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 submittedtto 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 ormployee. BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING 6 1 y . Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot .� MIAMI SHORES VILLAGE. FLORIDA a O 0 CONTRACTOR OR BUILDER PERMIT N° 6598 fr f� Work to be performed under this Permit ° B1 Subdi- vision Value of Project $ INSPECTOR DATE 195 ' Contractors License No. Amount of Permit $ a (.7 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements f"specifications and that he assumes responsibility for work done by his agents, servants or employees. _ / ? fir' 1' Signed. , / ' :',// ' n• . i BY: ti 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 responsibilily for all work done by either, myself, my agent, servant or employee. • / BY AUTHORITY 6 .r,, Owner's Name and Address._E • D• peared MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. ss. Date January 10, . 19 58 Jones, Contractor(Stockey 1109 Street N. E. 89th St., Registered Architect and /or Engineer Name and address of licensed contractor LANG ROOFING & TILE COMPANY INC .,430 N. W. 79th St., Miami Fla. Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done 100 N. E. 99th St., Miami Shores, Fla. State work to be done and purpose, of building (by floors) and for no other purpose. New Building Remodeling. Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering __._. A-R1y.. 'a Ve1 Estimated Total cost of improvements $ 85 Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 cinder 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 su •h su $pQ��rr�ra£to gyp, w,p �k to erformed under this permit, as are licensed by Miami Shores Village. LANG OO I 1 1V(i & � 1 : 0 . , Q . , Remarks ( Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has Been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA 0 DATR / y r 195 PERMIT N9 2959 Contractor s License No. ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Bl 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 appllcation 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. Signed. Subdi- vision Value of Project $ Amount of Permit $ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY e ■ Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision / ®--a E . 9 Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories /J To be constructed of Kind of foundation r Roof Covering ® -9 0 Z - { Estimated Total cost of improvements Zone cubage required Distance to next nearest building MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT TN . G� Date Amount of Permit $ Plan Cubage Size of Building Lot „— 1— -5 No._2,9®/ Street`s o 2 Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup )l 9ent, and has complied with the provisions thereof, and will require similar compliance from all contractors"or sub - contractors employed .. m hini in the work to be performed under this permit; and will post or cause to be posted for in .ection n he site of the work such pub . c notice or notices as are required by the Act. The undersigned agrees to employ only such s b••ntracto o w.rkPto be performed 'der this . permit, as are licensed by Miami Shores Village. 7 Remarks ( Signed _. STATE OF FLORIDA, COUNTY OF DADE. j SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. . Permit No ,S1 Date 1/ a - '� Disapproved ( Signed) Read, Sworn to and Subscribed before me. P ate ��'- Notary Public, State of Florida B lding Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessar by improper notice for inspection or fa materials and /or workmanship. i;4 , 19 797'c1