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1195 NE 98 St (10)OWNERS AFFIDAVIT: I cert constructio and Notary My Co FEES: PERMIT. APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date c- 30 - gJob Address / /%,Lr A1 9 S (55 Tax Folio Legal Description ' rically Designated: Yes No Owner/Lessee / Tenant f r ✓ �l Q"( , L - Master Permit # `7` J ^ 7'� Owner's Address 11 9s /fig C S, r 5 u !- 3 / 3 q Phone L 5e _ WO 1 ..;,51 6 Contracting Co. — VC Go 0 s t R -1-1 0 U Address (3 1 5 -T - )c d 2 A- eT 306 vi . A,'4 Qualifier Z 20c121 c---E) E' Z 1 fi4/ BROWN 0 ' compassu N NUMBER IA Q CC666107 y e a,,, . OP AUG. MY COMMISSION EXP RES OFO BOO I^T is e ��. .. :sr/ of • an d/. 'Condo • 4 to fy RADON Building f Phone S0 5- 8 ql -q1 cpcS'✓ State # CC C 020 2 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one BUILDING EC RICAL PLUMBING MECHANIC ROOF PAVING FENCE SIGN WORK DESCRIPTION 7 ,7, cie U f 0 r ra t ia.4. 14 Square Ft. Estimated Cost (value) 9 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. the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating autho • ='the above -nam- contractor to d• , e work stated. v, 1 , .�� /_ /f /1 — ! 1 Id �. r or Owner -Buil. �.!�.•.. �' DEBORAH J ANNE ROSSITER �' • • MY COMMISSION Y CC 58 1, .a WIRES: December 10 p ; t .V Bonded Thre NoUry PubNC Underwittre Si Notary as to Con My Commission NOTARY Electrical BOND TOTAL DUE Date Plumbing Structural Engineer PLEASE PRINT '7 O DATE: 'er / TIME: / NAME OF PERSON REQUESTING FILE: , ( l a PHONE #: YOUR ADDRESS: " 5'5 /i 9 g ADDRESS OF FILE REQUESTED: 1) 7 447 INFORMATION REQUESTED: I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 State # ture PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date424— 7 Job Address / / /gg /[ 94,743 TaxFolio/ H52- -da`"-0 /De Le Description t% /QP. ,. �a. r 'A► I H istorica l ly Designated: Yes No Owner/Lessee / Tenant ° / / &/t/Q4JL 4 '1 L Owners Address 7 /795 t 9gf2 f ' i ' j Q Contracting Co. ii, L, ELuifiens (hasznoelv a Qualifier AgOL o , • EQL(// -= Phone 568 — 3/44.— Ins. Co. 19 0 /VS; &Or Municipal # o — 0 '/ 3 Competency # ?et3 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) /4-6 • WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re r : construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. owner and/or o President OFFICIAL NOTARY SEAL MARCIA HILMS NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC339927 MY COMMISSION EXP. JAN. 20,1998 FEES: PERMIT RADON Date 99Aa54 I/ 1 973/?7 ate 7 (1/11-ea) Notary as td Owner and/or Condo President My Commission Expires: C.C.F. Master Permit # 41017 Phon /J isi - (vS ( & Address air d s 71fe f b4 3313? NOTARY Sign: ture of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder My Commission Expires: • 41/ 078/97 Date OFFICIAL NOTARY SEAL MARCIA HILMS NOTARY PUBLIC STATE OF FLORID COMMISSION NO. CC339927 MY COMMISSION EXP. JAN. 20,1998 BOND TOTAL DUE APPROVED: ��j G Zoning Building �' G I i Electrical Mechanical Plumbing Engineering METRO -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Clopay Corporation 312 Walnut St. Cincinnati, OH 45202 Your application for Product Approval of: 24 ga. Galvanized Steel Sectional Garage Door 9' wide under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: applicant. For listing see section 7 of this Notice of Acceptance. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:95- 0821.02 (Revises No.: 95- 0317.01) Raul Roder Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE Expires:07 /25/97 This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 11 /02/95 -1- METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL SECTION (305) 375 -2902 FAX (305) 372 -6339 Director Building Code Compliance Dept. Metropolitan Dade County RAM SKIN END STILE CENTER STILE END HINGE CENTER HINGE HORIZONTAL REINFORCEMENT SHAPE FREQUENCY 1 2G. 24G. 18G 200 14G 14G 200 U 1 /Section Clop Cor ACCEPTANCE No.: 95 0821.02 APPROVED : NOV 0 2 1995 EXPIRES JUL 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1.0 DESCRIPTION: 2.0 USE: This approves sectional door 9' -0" wide x 6' -6" through 8' -0" high made out of steel, lock forming quality (ASTM A527), a yield strength of 30,000 psi, a galvanized coating of G60 (ASTM A525) and finished with baked on polyester enamel. The door shall be constructed and reinforced as detailed in the approved drawing #101182 pages 1 & 2. This approval includes 4 models which are the same door with the following difference: Characteristic Flush Panel Smooth Texture Wood Grain Texture Wood Grain Texture & Painted Model 78 91 93 or 83 94 or 84 This Door is approved for a maximum design pressure of +46psf & -48 psf and its use is restricted to this pressure. The door passed the impact and cyclic test, therefore it does not require hurricane protection devices. The door shall meet the burglary security requirement of section 3603.2(c)2(aa) of the South Florida Building Code. The door operating mechanism (not included in this approval) shall be certified by Underwriters Laboratories or other recognized agency. Candido Font, PE Plans Examiner Product Control Division away Corporation ACCEPTANCE No.: 95- 0821.02 APPROVED NOV 0 2 1995 EXPIRES JUL 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 3.0 INSTALLATION: The door shall be installed as shown on drawing #101182 pages 1 & 2. Wood in contact with concrete or cement shall be treated with an approved preservative as set forth in paragraph 2913.2(a)1 or shall be of a durable species as defined in subparagraph 2913.2(a)6(aa) of the South Florida Building Code. Installation of 2" x 6" wood jamb requires a 1/4" tapcon and 1".0 x 1/16" thick washer @ 12" o/c with a minimum embedment of 1 -1/2 into 3000 psi (minimum) concrete or into 2000 psi grout filled concrete block. Installation of track requires a 5/16 x 1 1/2 lag screw per bracket (5 brackets minimum) with a minimum embedment of 1 3/8 into PT Wood Jamb. 4.0 CONDITIONS OF USE: Application for Building Permit shall be accompanied by duplicate prints of the approved drawing's #101182 pages 1 & 2 bearing the approval stamp, Notice of Acceptance Number and date by the Dade County Product Control Section along with computations prepared by a qualified Florida Professional Engineer or Architect verifying the adequacy of the door at each site. The shopdrawing shall bear the signature of the architect or engineer with the following statement "The supporting structure has been designed for the forces on the approved manufacturer's drawing." Application for Building Permit for replacement doors shall be accompanied by duplicate prints of the approved drawing #101182 pages 1 & 2 bearing the approval stamp, Notice of Acceptance Number and date by the Dade County Product Control Section. Also the building official must be satisfied that the proposed installation meets the use of Section 2 above. 5.0 LIMITATIONS: This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested (according to ASTM E -8) by a Dade County approved laboratory selected and paid -2a- Candido Font, PE Plans Examiner Product Control Division ' Clopav Corporation ACCEPTANCE No.: 95- 0821.02 by the manufacturer. Every 3 months, four times a year, the manufacturer shall mail to this office: a copy of the test reports with confirmation that the specimens were selected from coils at the manufacturer's production facilities and a notarized statement from the manufacturer that only coils with a yield strength of 30,000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance. 6.0 IDENTIFICATION: All approved products shall be permanently labeled with the manufacturer's name, city, state and the following statement: "Dade County Product Control Approved ". 7.0 EVIDENCE SUBMITTED: NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS Test Reports Date HETI 94-47 4/15/94 Drawing Ref. 101182 pages 1 & 2 Calculations Date • Signature Al Farooq Corp. 5/5/94 A. Farooq, P.E. Drawing Number Last Revision Clopay B.P.Co. 101182 9/95 -2b- APPROVED EXPIRES Signature A. Vigar, P.E. : Nov 0 9 1995 JUL 2 5 1997 Signature H.W. Westerfield Candido Font, PE Plans Examiner Product Control Division ,Clopav Corporation ACCEPTANCE NO.: 95- 0821.02 APPROVED NOV 0 7 1995 EXPIRES JUL 2 5 19 9 7 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (S) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted , is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Acceptance contains pages I, 2, 2(a) through 2(b) and this last page 3. Items 10. 11 & 12 listed below only apply to glazed products 10. Unless specifically indicated in the Acceptance (approval), this unit is approved as a single unit installation. For multiple installation of this unit, a separate Acceptance for mullions is required from the Product Control Section. 11. The spacing of fasteners at window sills shall be as tested. The spacing of fasteners in all other parts of the frame, shall be as tested, but in no case shall exceed 24" on center. The first fastener shall be located at a maximum of 6" from each corner and mullion or stile. Fastener shall fully penetrate the buck, which shall be the same size as the one tested with the unit. No wood or plastic shields or pins shall be used for anchoring. See section four (4) of this approval for sizes of fasteners used in testing. 12. Hardware for all windows and doors shall conform to Security and Forced Entry Pre t;ejr Chapter 36 of the South Florida Building Code. Candido Font, P.E. Plans Examiner Product Control Division END OF THIS ACCEPTANCE -3- 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 iPecifications herewith submitted for the build • ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarni 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. December 13 s . 1 . 978 Owner's Name and Address.... Da Gxra N N.0,..,.98 Street Registered Architect and /or Engineer.. , - -, .. Name and address of licensed contactor Qrkin_._ tei!minating.... Li._....Z.g6Q... ..W.... . 7... .V..A lu4 .._._ -.._.. Location and legal description of lot to be built on Lot Block Subdivision ....._�.._.. Street and Number where work is to be done State work to be done and purpose of budding (by floors) Vikane 18 -27j. kits 31,000 cu.ft. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Disapproved (Signed) Building Inspector �dd Zone cubage required Remarks Chairman Member Member ..... • Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Date Date Nylon Tent Fumigation Amount of Permit S.. -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 labur 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 pennit, as are licensed by Miami Shores Village. v , STATE OF FLORIDA, COU OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE 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 state N d are true. Permit No.._ l . N Date....l 11 6 7( " Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspevtion at faulty LOCATION OF STRUCTURE..° 0[ NEA &S NAM AND ADDRESS:: . . EXTEl +!'I37,ATD G COI PANY, TNC 0 1960 p'Cd 27 Avenue a Matti F7.. 337.25 FUITIGA IOIS T ' i z OF FUI IGATIOrT PERIOD (A: PNchI ;ATE) 1-1.12LDER 1N CHARGE._ NAVE : Y KING TELEPHONE s DAY 633-.3421 NIGHT: 4 TYI'�.OF STRUCTURE. NUTTER OF CUBIC FE '(ApROYJIn:tTE) .d`ty r .rii NAI4E AND IPPROMATE Q?CTA1 7.1 T1 OF 7.1,k7GiC ; SULFURXL FLUORIDE DATE AND APPROXItiATE T 01 RIMEASE C'i" Ft IGANT • ��_ 624.6865' TENT • 18.24 .. Hours T ;d" 1.0 FT UNDER 10 FT # ::..� NEAREST STRUC ± JRE 10 O i'::IGATICN. X OR SPECIAL FI IGn.TION • vERitalp.L.T ALL TIt•.'.ES IN STRICT ADHERENCE TO .THE i':li"IIGi .TES REGISTERED IAREL `fit) sFLA. STATE BOARD C.F HEALTH REGULATIONS. :;HAP'. 1701 -2 FAC, CC: County.33ealth Dept Fire Dept • . Sheriff;s Office..