1119 NE 99 St (14)Test Location
Uplift Pull
t F
Por
Test Location
Uplift Pull
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
1
26
51
76
2
27
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
82
8
33
58
83
9
34
59
84
10
35
60
85
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
v
72
97
23
48
73
98
24
49
74
99
25
50
75
100
ALLIED BUILDING
INSPECTION SERVICES
Owner's Name:
Job Address:
Roofing Con
Type of Til
THIS REPORT SUB
SITE SPECIFIC INFORMATION
ALLIED BUILDING
INSPECTION SERVICES, INC.
INSPECTIONS • TESTING • ENGINEERING
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
Air r c2Q « ? #4
4C-4 rd eV e,
. -
Eave Height: / feet
Method of Attachment:
Approximate Square Footage: 2 D ft
Date Installed: / 2 _ 9
Date Tested: ( 2_. 7 ~_c- �`�'� -'
AI Brizuela, P.E.' Z
P.E. #33081
Allied Building Inspection Services, Inc.
Lab Certification 97- 1029.04
cDO
TEST RESULTS
P = PASS, F = FAIL
Permit #:
Product Control #:
Roof Pitch:
Field Inspector:
112
N9 1277
Required Testing Force: 35Ibs.
Testing Equipment: Normark 50 Serial # 364435L
13301 SW 124 STREET • MIAMI, FLORIDA 33186 • (305) 234 -7377 • FAX (305) 234 -7664
4
3 0
(7
2_ - 7
39 34_
31 32- 2-7 2,3
V
zi 2->
4 5-
` 21
I D 14-
/z
l
f
r6
/5
5'
34(
/((1`
/VOW 5Y 1' i (
C . T ?ice
PANEL VOLTAGE: 120/240 V. 2PH, 3W. PANEL: 'A' (NEW -LOAD CENTER STYLE)
M.C.B. : 200 A. M.C.B. BUS RATING: 225 A. AIC RATING: 14K
M.L.O. : N/A LOCATION: LIVING ROOM. MOUNTING: FLUSH MTD.
CKT
NO.
IDENTIFICATION
LOAD
CIRCUIT
BREAKER
LOAD
IDENTIFICATION
CKT
NO.
PHASE
(KVA)
TRIP
POLES
POLES
TRIP
(KVA)
PHASE
1
RANGE
A
4
50
2
3.0
A
EXISTING WAT. HTR.
2
3
3
B
4
2
40
3.0
B
4
5
EXISTING LTS. & RECEPTS.
A
.7
15
1
1
15
.7
A
EXISTING LTS. & RECEPTS.
6
7
EXISTING LTS. & RECEPTS.
B
.7
15
1
1
15
.7
B
EXISTING LTS. & RECEPTS.
8
9
LTS. KITCHEN
A
.6
15
1
1
15
.7
A
BATHROOM LTS. & RCPTS.
10
11
SMALL APPLIANCES CKT.
B
1.5
20
1 ,
1
20
1.5
B
SMALL APPLIANCES CKT.
12
13
EXISTING LTS. & RCPTS.
A
.7
15
1
1
15
.7
A
EXISTING LTS. & RCPTS.
14
15
EXISTING LTS. & RCPTS.
B
.7
15
1
1
15
.7
B
EXISTING. LTS Sc RCPTS.
16
17
REFRIG.
A
1.3
20
1
2
3.7
A
EXISTING A/C UNIT
18
19
DISHWASHER
B
1.5
20
1
50
3.7
B
3
,
21
DRYER
A
B
2.5
2.5
30 t ,,./ —
—
2
1
X
15
X
.7
A
B
'EXISTING LTS. & RCPTS.
SPACE
22
24
23
1
25
WASH. MACHINE
A
1.5
20
1
X
X
A
X
26
27
SPARE
8
20
1
X
X
8
X
28
29
A
20
1
X
X
A
X
30
31
B
20
1
X
X
B
X
32
33
A
20
1
X
X
A
X
34
35
B
20
1
X
X
B
X
36
38
40
42
TOTALS:
21.7
19.1
TOTAL KVA PHASE A: 20.8 TOTAL CONNECTED KVA: 40.8
TOTAL KVA PHASE B: 20.0 TOTAL DEMAND KVA: 25.6
TOTAL DEMAND AMPS: 106.7 AMPS
STRUCTURAL
�i � EC' RICAL
.c!,
1 PLUMBIIIG
r IECHAN[CAL
ROOFth G
WHAM SHORES MIME
BLDG. OFFICIAL
APPROVED
SUBJECT TO COMPLIANCE WITH LL FEDERAL, STATE AND COUNTY
RULES REGULATIONS.
MIAMI SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY
OF OR RESULTS FROM THESE PLANS. BY
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOP
& SBY
MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER
CONTRACTORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILDING
REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
v
Permit No.... 6G 4 1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
3 - 2 1 45
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida,
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 work. pp -
Owner's Name and Address C (� / �Q `y b EL C,S IV / r No........ ..1...(..9 Street � `� �q
Registered Architect and /or Engineer N 0 A ! & Employing Electrician's Name 0 W 1 1 e No
Location and Legal Description Lot t.Vr Block 1 7
Street and Number where work is to be performed —No 1 1 y,
State work to be performed and purpose of building (By Floors).3. t FA-n14 I vzq .. �41 hew I 1 1h & &XTvYLe
New Building Remodeling Addition / Repairs No. of Stories i
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. I "
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground --
Type of Installation Conduit Tubing B.X.L .Metal Moulding
U& /1 RA 13�
,ors :.. = _
Electr inspector.
(Signed)
(Signed) ...
1
Date
Street /U G ' r e
N /
Subdivision # A S
�f sue.......
Street_... c_ . 9.5/
I 6 7 6
'7
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 subcontractors 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 scab contractors on work be pee under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
Mseter .
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
0
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REIRIO.
OUTLET
IRON
O UTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
v
Permit No.... 6G 4 1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
3 - 2 1 45
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida,
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 work. pp -
Owner's Name and Address C (� / �Q `y b EL C,S IV / r No........ ..1...(..9 Street � `� �q
Registered Architect and /or Engineer N 0 A ! & Employing Electrician's Name 0 W 1 1 e No
Location and Legal Description Lot t.Vr Block 1 7
Street and Number where work is to be performed —No 1 1 y,
State work to be performed and purpose of building (By Floors).3. t FA-n14 I vzq .. �41 hew I 1 1h & &XTvYLe
New Building Remodeling Addition / Repairs No. of Stories i
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. I "
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground --
Type of Installation Conduit Tubing B.X.L .Metal Moulding
U& /1 RA 13�
,ors :.. = _
Electr inspector.
(Signed)
(Signed) ...
1
Date
Street /U G ' r e
N /
Subdivision # A S
�f sue.......
Street_... c_ . 9.5/
I 6 7 6
'7
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 subcontractors 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 scab contractors on work be pee under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
Mseter .
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Ovvner of
Building Z
Lot
CONTRACTOR 0
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5772
Architect
A4 4,e0.4 ape-
Work to be performed under this Permit �/ V+►iiir
Contractor
or Builder
Legal
Description
Address of
Building
This permit is _
cation herefor in strict nom_
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may he 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 abov es the r onsibility for a thorough kno, r of the ordinances and
regulations pertaining to the work covered hereby -whether shown on the plan avers o '� ii a e is or specification t11• : ssumes respon-
sibility for work done by his agents, servants or employees.
Signed:
INSP
Subdi-
vision
Value of II Amt. of�
Project Permit
contractor or builder named above to construct the building or to install the equipment or device described in the appli-
oe with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
In consideration of the issuance to me of this permit I agree to
pertaining =reto and in strict conformity with the plans, drawing
In accep+ng _ 's permit I t ,onsibility for a work done
vet
TOR
erforrn the work covered he unde
DATE
! 7
Contractor's t
License No.
compliance wit ordinancenreagg a
the proper aut s of Mi i S &d4
yee.
AUTHORITY
•
. ........... •
Inspection Date: 11/09/2006
Inspector: Grande, Claudio
Owner: ACKLEY, SUSAN
Job Address: 1119 99 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: DALEY ROOFING INC
Building Department Comments
Wednesday, November 8, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Nov 1 3 2006
CL
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Roof - Repair
Phone Number (305)759 -2425
Parcel Number 1132050180050
Lot:
Phone: (305)754 -9892
Page 1 of 2
1
Passed
/
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
. ........... •
Inspection Date: 11/09/2006
Inspector: Grande, Claudio
Owner: ACKLEY, SUSAN
Job Address: 1119 99 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: DALEY ROOFING INC
Building Department Comments
Wednesday, November 8, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Nov 1 3 2006
CL
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Roof - Repair
Phone Number (305)759 -2425
Parcel Number 1132050180050
Lot:
Phone: (305)754 -9892
Page 1 of 2
Permit No
Amount
S 2 )
Service Overhead Size Feeders
Underground
MIAMI SHORES VILLAGE :-'7
ELECTRICA6INSIPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Enginee V ............
Employing Electrician's Name .. 1 t! No .a .44. - 7Stteet —
___
Location and Legal Description Lot Block •. a_._ t Su on-
Street and Number where work is to be performed --No ,I...
State work to be performed and purpose of building (By Floors)
New Building Y._� Remodeling Addition Repairs
Type of Installation — Conduit Tubing ..._ B.X.L Metal Moulding —
of Permit $_ ..IIr""'r`
My Commission Expires
Conduit.__.........._. Main Sw...._____......._. Amps Main Fuses....
(Signed)
Notary Public. State of Florida
Date .., . /.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. .
.1014,gt... I
"- e
Owner's Name and Address ._ .._ :_ No...l� -.._ ._..._.... Sire
No. of Stories
.........Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent. Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed .by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as ase
required by the Act. The under signed agrees to employ only such sub - contractors, on ^o to be performs under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
ss
COUNTY OF DADE..
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pe naliy
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 sin the sartte, and that all facts
therein by him stated are true.
NOTE: A re inspection fee of $1,00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER-
HEATER
W. NEAT.
Ca
SPACE
HEATER
STRIP
HEATER
IOTA '
Sri
C LUT R
/
. 1
/
•
.
l 1 D
/
�
! ArI L
...CO
I
CHECK
*�ti/
�yi
!{1r a.S
E
ENT.
SW.
GIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
4
'
MOTORS
0.1 HP
MOTORS
I -'J HP
NEON
TRANS.
RArlIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Amount
S 2 )
Service Overhead Size Feeders
Underground
MIAMI SHORES VILLAGE :-'7
ELECTRICA6INSIPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or Enginee V ............
Employing Electrician's Name .. 1 t! No .a .44. - 7Stteet —
___
Location and Legal Description Lot Block •. a_._ t Su on-
Street and Number where work is to be performed --No ,I...
State work to be performed and purpose of building (By Floors)
New Building Y._� Remodeling Addition Repairs
Type of Installation — Conduit Tubing ..._ B.X.L Metal Moulding —
of Permit $_ ..IIr""'r`
My Commission Expires
Conduit.__.........._. Main Sw...._____......._. Amps Main Fuses....
(Signed)
Notary Public. State of Florida
Date .., . /.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. .
.1014,gt... I
"- e
Owner's Name and Address ._ .._ :_ No...l� -.._ ._..._.... Sire
No. of Stories
.........Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent. Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed .by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as ase
required by the Act. The under signed agrees to employ only such sub - contractors, on ^o to be performs under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
ss
COUNTY OF DADE..
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pe naliy
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 sin the sartte, and that all facts
therein by him stated are true.
NOTE: A re inspection fee of $1,00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
(4
1'
4
4 ? 1
•
Permit Number: RF -8 -06 -2182
Invoice Number: RF -8 -06 -25981
Applicant: SUSAN ACKLEY
Company Name:
Owner Address:
1119 NE 99 ST
MIAMI SHORES, FL 33138-
Job Address:
1119 99 Street NE
Miami Shores Village, FL
Date
Friday, September 29, 2006
09/29/2006 Check
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Payment Type Check Number
6466
Amount
$106.30
Change
$0.00
Total Payment: $106.30
Page 1 of 1
Issue Date: Not Issued
Owner's Name: SUSAN ACKLEY
Permit Type: Roof
Work Classification: Roof - Repair
Job Address: 1119 99 Street NE
Miami Shores Village, FL
Contractor(s)
DALEY ROOFING INC
Phone
(305)754 -9892
Primary Contractor
Yes
Comments:
REPAIR 2 LEAKS APRX 20 TILES
Additional Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 01/01/2999
Type of Work: Repairs Additional Info:
Classification: Residential
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Building Department File Copy
Applicant Signature
Permit Status: APPROVED
Permit Number: RF - - - 2182
Phone: (305)759 -2425
Parcel #: 1132050180050
Block: Lot:
Section: PB:
Total Square Feet: 25
Total Valuation: $ 1,000.00
Re • uired Ins • ections
Roof in Progress
Final Roof
Fees Due Amount
CCF $0.60
Education Surcharge $0.20
Permit Fee - Repairs $100.00
Scanning Fee $3.00
Technology Fee $2.50
Total: $106.30
Invoice Number
R F - 8 - 06 - 25981
Total:
SEP28P41
Amt Due
$106.30
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.