SHUTTERSMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date I 10.016t1
Type lnsp'n Shale{
Permit No. 1 61 2 p0U3
Name UNE\
Address Lv C L 1 q `
Company er c5U 1 I C rS
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
(3. 74)4z.
s s
MIAMI 4 SHOgES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n �� I o I (5}loJ IQ(
Permit No. 1f aQ33"' r O'
Name
Address 1 U t
Company RULY P1 ICY 1
Phone #
Inspection Date ) )f?._-1
Approved
Correction ❑
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B ilding Inspection Request
Date 12
Type Insp'n t )h0i le (S •
Permit No. SP b3' (qO
Name b W v' L
Address \c lOq 4
Company 7 u 16/ 7
Phone #
Inspection Date 4 I frJ L /
IS
Approved
Correction
Re- Insp'n Fee
tivd4g pAA")2
ot. 41( cp".A.I.vy_3
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1 S 7
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder) 4640 67,0g7 l_.- Phone # 3 �5 ( �jZr4
( kg ?
Owner's Address cc
City
Tenant/Lessee Name
• ''
Job Address (where the work is being done) N:.
City Miami Shores Village
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's
City
Qualifier
Describe Work:
dress
State
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical Plumbing Mechanical Roofing
County Miami -Dad Zip
$ Value of Work For this Permit
Type of Work: Addition
State
10,E
['New
Zip
Architect/Engineer's Name (if applicable) / 0 5 7 �>`,.ily—y0 Phone # 5 9/5 Z` / t0 5
Square Footage Of Work:
❑ Repair/Replace
❑Alteration 747
i
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 5' . CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ ' Radon $ Zoning
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Structural Plan Review. $
Vaka casYN
Permit No. 2 b(-.
Master Permit No. 2.00 2
Zip
Phone #
hone # 66 0922
Bond $
CO /CC
❑ Demolition
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Mune (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate pennit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and MR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien lmv brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at t job site
for the first inspection which occurs seven (7) days after the building permit is issued. In th absence .f such po d tice, the
inspection will not be approved and a reinspection fee will be charged.
My Commission Expires:
APPLICATION APPROVED BY:
Chc12/15/03
(Certificate of Competency Holder)
Signature Signatur
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrtunent was acknowledge ' before me this
day of , 20 _, by , day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Conunission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
State Certificate or Registration No. Certificate of Competency No.
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
!AA 2 1 20411 Plans Examiner
Engineer
Zoning
M I AMI•DADE
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
Hurst Awning Co., Inc.
6865 NW 36' Avenue
Miami, FL 33147
ScorE:
MIAMI -DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
1401 WEST FLACLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901 FAX (305) 375 -2908
This NOA is being issued under thc applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or thc AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposcs. If this product or material fails to perform in
the accepted manner, the manufacturer will incur thc expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves thc right
to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: 0.050" Aluminum Storm Panels Shutter
APPROVAL DOCUMENT:. Drawing No. 02 -373, titled " 0.050" Aluminum Storm Panel ", sheets 1 through 5
of 5, prepared by Knezevich & Associates, Inc., signed and sealed by V.J. Knezevich, P.E., dated July 19, 2002,
last revision // I dated August 26, 2002, bearing the Miami -Dade County Product Control Revision stamp with the
Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division.
MISSILE IMPACT RATING: Large and Small Missilc'Impact
LABELING: Each panel shall bear a permanent label with the manufacturer's name or logo, city, state and the
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County. Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
he done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to thc user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
A 1 02- 0624.05 and, consists of this page 1 as well as approval documcnt mentioned above.
entation was reviewed by Helmy A. Makar,
NOA No 02- 0731.15
Expiration Date: 08/19/2007
Approval Date: 09/26/2002
Page I