1104 NE 98 St (9)Date 2/17/93 Job Address 1104 NE 98 STREE Tax Folio 11 3205 018 0360 f
Legal Description LOT -1-9., BLOCK 180, SUB DIVISION: MIAMI SHORES SEC. 8 /
Owner / Lessee / Tenant John RILEY Master Permit #.53164
Owner's Address
Contracting Co. EARL W. JOHNSTON ROOFING, INC.
Qualifier EARL W. JOHNSTON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
1104 NE 98 STREET - MIAMI SHORES, FL. 33138 Phone(305)759 - 0920
State # Municipal # Competency # 86- 4483 -R- XIns.Co.
Architect /Engineer N/A Address
Bonding Company N/A Address
Mortgagor N/A Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION MODIFIED FLAT & MISC. MANSARD REPAIR ON TILE .
Square Ft. Estimated Cost(value) 3984.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be do tW� in compliance with all applicable laws regulating construction and zoning. Furthermore, I
autho,+b'ize the above -named contractor to do the work stated.
ss# Phone (305)989 - 7794
ignature of owner and /or ondo President Signature
Date: ff Date:
C04611
Notary as to
r and /or Condo President
Aires ARY PUBLIC STATE OF FtAR1M
MY COMMISSION EXP. APR.29,19911
BODED THRU GENERAL 115. MLA
** * * * * * * * *.
My Commission
FEES: PERMIT RADON C.C.F.
APPROVED:
Fire
Address 5840 DEWEY STREET Holly "d 33023
.gay
y . Contractor or Owner - Builder
iP r
me WPr'AIP"
Notary as to C! tractor or Owner- Builder
My Commission E1'l9FdRg STATE OF FLORIDA
NY COMMISSION EXP SEPT.14.1993 p#
BONDED TMRU GENERAL INS. UND. ,
* * * * _ _ -- ----.- * _ _.1*
NOTARY TOTAL DUE? 46
Other
Zoning Building: Zj 7 J Electrical
Mechanical Plumbing Engineering
• • 1
IN BROWARD
(305) 989 - 7794
CC86- 4483 -R -X
NAME L.t t4.- = HOME PHONE . 7 - a ZU DATE 1 ' Zo -9S
ADDRESS 110'-L A./L. 91e - r 2 h r S1Aoit.41 BUS. PHONE
JOB DESCRIPTION 0 Ao•C. Qe r Ic,ct_ F6k
,
JOB ADDRESS
TERMS
CONST PERMIT
WE ARE PLEASED TO SUBMIT THE FOLLOWING PROPOSAL AND CONTRACT p c
,L o /ef'
I .95 0
ti
(- PREPARATION 4 MODIFIED FLAT ROOF L 3 236
p c Remove existing � roof to a clean workable surface and cispose of all install 7S gel SE Lb. felt as per code.
debris. (Er Install . 7 'S f4 4 modified with hot asphalt
Pr damaged lumber (SEE LUMBER COST). /JD *Li f A Ppc,c4•• L �1 ++
�3-instali vents or lead sleeves flashing around vent stacks. ® In l W stal f '� In. eave drip metal.
�' Install flashing, type: 2.-t, .A fn G ( .
I$ Install valley metal in all valleys, type : 2 C.. c Fic 1 J
O Install Insulation, type: size:
❑ Exposed $ Not exposed
pat Type of roof to be removed, pitched: v A
/
fiat "T" f'' r; size: — 7 f7 ' S
/ TILE SO's
'
❑ Install 30 fel per code.
D Install j / In. save drip metal
D Install 90 Lb. slate,.wi asphalt
O Install / the in a bed of mortar.
GR • � L SO's
O Fixture, Ridge: Rake:
/ SHINGLE SO's
D Install 30 Lb. shdet as per code.
D InstallG`� / In. save drip metal
O Install / fiberglass fungus resistant shingles.
Repairs
Other
Guar
We a
y p co.-) s - � a (L4 . [� a�G N c C 1p Dt:.
LOT BLOCK SUB.DIVISION
Kf�GvS : 'EA Cf.. � A ��?4- 7
- �z n4g 51) aij
t. /t. s, <7' fy
kia4n: t a -
The above price is to be paid according to the terms of the above contract.
1 -,
EARL W. JOHNSTON ROOFING, INC.
5840 DEWEY STREET
HOLLYWOOD, FLORIDA 33023
k � Q004 1-- (4,4 -A Ls c y
size: /- / A
❑ Decking, type
O Rafters, type
O Fascia, type
O Other
SPECIFICATIONS
LUMBER COST
4
'7"• /4 s >4 t o 0
lCiu �'w1 Acc
7 .s S r /d .
SO LI*
FIBER FLAT ROOF
OUTSIDE BROWARD
1- 800 - 940 -LEAK
RC- 0053066
RI White granual surface
System has a /O
O Other
year manufacturers warranty.
I Lb. felt as per code.
❑ Install
D Install ply of Lb. Fiberglass felts.
D Install ' In. eave drip metal.
m p
❑ Paint surface with aluminum
❑ Install / Lb. felt as per code.
❑ Install �1 plys of Lb. felt
with hot asp
O Install A In. gravel stop metal.
O Flood entire surface with • * ,. • phalt and in bed gravel.
Wt / /� Color 0 Install
Manufacturer W r yr. cap sheet in hot asphalt
L� )( PO4-4' °A-) rss /a -.4
Lr,y1 i s 0 Ae 55
L(J..
a.c 4. 4
8 4 , aJ
?-� t
anteed months for labor and materiel only.
/e Ada ,a J �
ee to perform and complet - th wo k 'n a workmanlike
ann
I ,56.4L 5+ /f
)2 t 0. 1 /
for the.su 99t ($
") DOL LARS
DOLLARS
UNS IGNED CONTRACT
ADDITIONAL TERMS AND CONDITIONS PRICE IS SUBJECT
TO CHANGE
AFTER 15 DAYS
- 1. No carp work, woodwork, or painting, whatever is included In this contract unless mentioned in specifications.
2. EARL W. JOHNSION ROQF.ING, -INC. canles full Insurance as required by Florida law, but shat not be held responsble for damages either before commencement of or during
v
Permit No. L.MXO NOTICE OF COMMENCEMENT
Tax Folio No. 11 3205 018
0360
State of Florida
County of DADE
The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
Legal description of property (include Street Address, if available)
1104 NORTH EAST 98 STREET - MIAMI SHORES, FLORIDA
LOT , BLOCK 180, MIAMI SHORES SEC. 8
General description of Improvements RE M O D I F I E D FLAT
Owner John RILEY
/Address 1104 NORTH EAST 98 STREET - MIAMI,SHORES,
Owner's Interest in site of the Improvement
Fee Simple Title holder (if other than owner)
Name
Address
EARL W. JOHNSTON ROOFING,
Contractor
Address 5840 DEWEY STREET - HOLLYWOOD, FLORIDA 33023
Surety N/A
Address Amount of bond $
Any person making a loan for the construction of the improvements:
Name N/A
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes.
Name N/A
Arlrirer;e
In addition to himself, owner designates
Of
to receive a copy of the Llenor's Notice as provided In Section 713.13(1)(b), Florida Statutes.
Expiration date of Notice of Commencement (the expiration date I 1 year from the date of recording unless a different date is
specified).
THIS SPACE FOR RECORDER'S USE ONLY
PREPARED BY:
MARY HOUSER
EARL W. JOHNSTON ROOFING, INC.
5840 DEWEY STREET
HOLLYWOOD, FLORIDA 33023
STATE OF FLORIDA, COUNTY Or DADE ti
e�gvpy of 1M
I HEREBY CERr,rr f`•a+ ihis is a fry
o i,f: flei n 1 :44 o ti:e en
J � Nn
,AO i9
W TNE! U my l� h t f+ ,•,.Jr;f fci Seal.
HAnV RUVI C1.'_R � 1�c n ty Court/
}
INC.
FLORIDA 33138
Si nature Owner
S .Sce , •
Printed Signature of Owner
orn to and subscribed before me th s V day of
SEMINOLE FORM 408
FS 713.13
ary. public
- LAIR l:. !' JOHJ/STbA/
h19MY 11it 1`fIt!
c004issIOm Ex?.
Printed eE
My Commission expire D TOiU T +ra. tit +U,
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 iuilding 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 budding during progress of the work.
30 squares
Owner's Name and Address Mrs • John M. Riley
Registered Architect and /or Engineer..... C,:,
Name and address of licensed contractor bang Roofing &Tile Co,, Inc * 573 N, W, '7J,gt�1' .ausa
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 110/ N.E. 98th Street —
State work to be done and purpose of building (by floors) Complete RJR: Tear off existing__;oof.ng,._ tin...s
1 - 30# felt to sheathing, mop 1 -901b. slate with hot, asphalt,. shingle tile.
Gravel: mop 2 - 15# felts with hot asphalt and cover with a le.y.er.._QL.,p.sit...galielfeklno other purpose.
New Building Remodeling Addition Repairs.J No. of Stories 3. _
To be constructed of Kind of foundation Roof Covering Shingle Tile & Gravel
Estimated Total cost of improvements $ 4,.3 Amount of Permit $.12.5Q....
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
Disapproved a'< te_.
(Signed)
Building Inspector
Notary Public, State of Florida
My Commission Expires
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection • e site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such su • • . acto ., o• work to be performed under this
pennit, as are licensed by Miami Shores Village. .� . �„
Remarks (Signed) ' l '. cs_ _
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.
r r
Permit No.._. /f 2 �! � Z Date - Read, Sworn to and Subscribed before me.
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 heen 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, f L, Ne 843
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS:
INSPECTOR
W DATE