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ROOFType Insp'n Address 3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date 25 25 Time Permit No. 1' J 1503 Name NA ICj .C. C clqSq Compan 1 L i r 6 (0001109 Phone # 30J 3 - (04s Z I For Inspector: 6w 312. Name & Date Approved Correction Re- Insp'n Fee 0 BUILDING PERMIT A PL CATION FBC 2001 Tenant/Lessee Name City Qualifier Describe Work: Per o m it Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) 4 ( !' 0 Phone # Owner's Address • — �� , City t • Job Address (where the work is being done) City Miami Shores Village County MiaDade _ Is Building Historically Designated `DES NO Contractor's Company Nance. 'AO 0 4 fP r' C Phone # -r "'i } Contractor's Address 1Sa (*CA $ Value of Work For this Permi . 111i Shores Village J ''' ' D� we FL Zip C C C. c. 4 S Architect/Engineer's Name (if applicable) Architect/Engineer's Address City N.- Number t fireays~ Stories Families Be Type of Work: ]Add-on Alteration Permit Pee Tech $ Vi ces* _ Bond $ Struct. $ pets* u Master Pit No. Pone # 10050 mi Shores, T Par Phone # County Escrow Fee $ Education/Training Fee $ I • Code Enforcement $ Minus Plans Check Fee $ Total Fee Now Due $ r (Continued on oplesite side) Sca l Q1119Q3 0845 W ' ;` X5.5,,,6(} Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (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 permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR 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 T() 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 law 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 the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence f such posted notice, the inspection will not bee approved and a reinspection fee will be charged. 171/ Signature Ct4 (! X, Signature APPLICATION APPROVED BY: chc7/7 /03 /,- NOTARY PUB Owner or Agent VL C ontractor The foregoin ' trument was acknowledged efore me this ��y The fore oing instrument was acknow day of 7(1 by U /I ��I fV OLA/ gad me 's day o 200 2, by (►y��.f� Q .? who is me or who has produced who is persona y known to me or who has produced As identificafion and who did take an oath. as identification and who did take an oath. NOT Sign: a / ze �J Sign: Print: g-0� My 4`..Y. jP ai a �drigucz Print: y Commission Expires: : . Commission #DD230653 My Commission Expires ?°` / Expires November 15, 2008 * * * * * * * * * * * * * * * * * * * * * * ** * ** ph E *,�irvie iVIA, *00 * ************************ * * * * * *. * * * * * * * * * * * * * * ** * ** * * * ** t Atlantic Etreillfifitakcof Competency Holder) State Certificate or Registration No. Certificate of Competency No. •*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** * * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** _ Z 2 -- 6 Plans Examiner Engineer Zoning 1 High Velocity Hurricane Zone Uniform Roofing Permit Application MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Master Permit No. Contractor's Name: ❑ Low Slope • Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 Low slope roof area (ft. Section A (General Information) Process No. Roof Category E Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Other: Job Address: I GZS /UE /s Are there Gas Vent Stacks located on the roof? ❑ Yes ❑ No Roof System Information Steep Sloped area (ft. Section B (Roof Plan Page 2 Roof Type ❑ New Roof ❑ Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ❑ Mortar /Adhesive Set Tile ❑ Wood Shingles/Shakes If yes, what type? ❑ Natural ❑ LPGX Total (ft. Page 1 of 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (a'): Corner Size (a' x a'): Rep <Y. s u 46, 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 /C Block Street and Number where work is to be done 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. h� Date_ L ' C-5A ! " 119 4S I �✓' No. //��'' 19 [ V Street /V �9 t &s DOA-f fj are (Yawl �S 7s . /QE t.s'a si. Subdivision S ,Intp // , 3a,a l /,e 7 ' As' NE. State work to be done and purpose of building (by floors), state exterior colors (submit samples) te 4 ,c,Qu4re 0 and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of / Kind of of foundation Roof Covering Estimated Total cost of improvements S T,Y006 Amount of Permit $ t/ ©' B<' Zone cubage required 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 mplied 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 is •ermit: and will • • t o 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 agre s to :mploy only suc contractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. }SS. Plan Cubage g.?/K'6 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. V66 f7 Date /d/i / L P Read. Sworn to and Subscribed before me. Disapproved Date (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 525.00 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder 0 Work to be performed under this Permit ICS 7 S 7 Q "/C Dir• fE. toe e le y PO 4 ir Foot' Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE 14 .. Y PERMIT N9 6146 Contractor's License No. 1' 2S N C ' 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 appllcalion 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 beitri submitted to and approved by the proper municipal authorities. This Permit may be vgked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorisation. A itnrkher condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge o ordinances acid regulations pertaining to the work covered hereby whether shown on the plan_ or drawings or in _. .L tat __ ._ or specification :d that done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed: to d 43 0 ^t Subdi- vision Value of Amount ti Project $. �� Permit $ BY ate 7 1# In consideration of the issuance to me of this permit I agree to perform the work covered h ri der in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications subm' ed to the proper authorities of Miami Shores Village. In Qa cepting this permit I assume responsibility for all work done by either, *self, my agent, servant or eyee. AUTHORITY 8�r ,t)i; lS. MIAMI SHORES VILLAGE, FLA. N9 6710 JOB K sTo•v E De v� Lv �c,�S ADDRESS N- 9 s x 5-/- INSPECTION 7 ' TIME READY - /04 4- S 7 REMARKS. INSPECTOR DATE LOA'S MIAMI' S HORES VILLAGE, FLA. N9 6748 JOB G S 70 E ADDRESS < <<- 5 9 INSPECTION T ,' 0 J 7 TIME READY pi''/ /0-0 a REMARKS INSPECTOR DATE �_i MIAMI SHORES VILLAGE, FLA. N9 6749 JOB S 7 � ADDRESS "^ ' Cr4-� ' _ al /0, INSPECTION t rJ TIME READY rvL - / o , ( 0 - c REMARKS. INSPECTOR ( ) DATE 1 ° ' (d Street and Number where work is to be done Permit No Disapproved (Signed) D Building Ins ctor 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. Date October 7th ,19 57 Owner's Name and Address._. Keystone Developers No Street Registered Architect and /or Engineer Name and address of licensed contractor Lang Roofing & Tile Co., Inc.,_ Location and legal description of lot to be built on: Lot Block Subdivision 25 N. ' . 99th St., Miami Shores, Fla. State work to be done and purpose of building (by floors) and for no other purpose. New Building X Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering_S.hingJ. ie_. pointed Estimated Total cost of improvements $ 775.00 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 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 erformed under this permit, as are licensed by Miami Shores Village. LANG ROOFING & T I COMPANY, p I NC • Remarks (Signed) CAS 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 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. to me well known, ` f •( (.‘ Date f 0 — �� Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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.