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165 NE 98 St (3)BUILDING 0 MIAMI SHORES VILLAGE, FLORIDA PLUMBING ELECTRICAL 0 PERMIT ROOFING Owner of Building — Architect Contractor filme or Builder tovi/a. Legal Lot 13 iF X �-1 i / Description _J Bl. A of // �/1e feRe- f K Bu !vJ This permit is granted to the contractor or builder named above to constr tion herefor in strict compliance with all ordinances pertaining thereto and with plans, drawings, statements or specifications that may have been submitted to and at any time if the work is not done in compliance with such ordinances or if the permit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on tht plans or sibility for work done by his agents, servants or employes„ N Work to be performed under this Permit Date A br Contractor's License No. Jao /J 3f0 j Vr7I'4 Subdi- 7)/ Lege/ vision d0 S . Ft. f 1 G Value of , ��Q II Amount of ,e7"; Project $ Permit $ / V uct the building or to install the equipment or device desc a i t applica- the understanding that the work will be performed in compliance with any approved by the proper municipal authorities. This Permit may be revoked plans are changed without authorization. A further condition upon which this assumes the responsibility for a thorough knowledge of the ordinances and drawings or in the statements or specifications and that he assumes respon- Signed• (INSPECTOR) BY 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 thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. g t • •s permit Is assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or LDER BY AUTHORITY A i ` eie yr t Vl y `. _ ,•■•■,.. 4. 11WW.•'-"•••••.--••■ yik ,, - .� M'�'1+�! . � o d PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 165 N. E. 98 Street Tax Folio Legal Description Historically Designated: Yes Date 3 -3 -98 �Owne - Lessee / Tenant DOna r k — D P f c. c C 1 .1A. r) e_ Owner's Address ‘,10S 98 ,S c e-' ; rwt < eg nc, . Phone 95 y - 9S'/ J ContractingCo.Quality Roofing Contractor, INc. Address 13800 N.W. 1 Avenue Qualifier Carlos Arocho 751-0382 State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, tin cap 301b. ASTM felt as per building code, install valleys and eave drip metals where required, mop on with type III asphalt one layer of 901b. ASTM felt and install Spansh S Clay Tile installed with adhesive setting. Flat roof to install Flintlastic FR. Square Ft Tile 2 0 s q. Flat 6 s q. Estimated Cost (value) $ 8,055.00 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 done in compliance with all applicable laws rulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 04/4' Z/ d or ondo President Date S ignature of owner an kr 6 /1,9,v Notary as to CtTwner and/or Condo Presi My Commission Expires: FEES: PERMIT 0 RADON 1 0:: " MARYLOU HERNANDEZ ,.� MY COMMISSION # CC 680474 "'' EXPIRES: October 10, 2001 W. N p Bonded ThN Notary Public Underwriters APPROVED: Zoning Building Mechanical Plumbing 3-/(0 Date C.C.F. / C e '— 3 4/17 Signature of Contractor or Owner- Builder Date as to Contr a Li t Notary or or Owner - Builder Date My Commission Expires: Master Permit # Electrical , : V. MARYLOU HERNANDEZ MY COMMISSION # CC :N474 as EXPIRES: October 10, °• Bonded Tin No i Notary Public .I'148r1Tf: ^Ib No BOND - 0 � r Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: (3.)Owner(s) name and address: Interest in property: Owner Name and address of fee simple titleholder: N/A 6. Lender's name and address: N/A 4 ignature co Owner Notary Public Print Notary's Name My Commission Ex // 165 N.E. 98 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to a new Tile and Flat roof. rioncd i- DQ rc, k-k I(0S °I? SF / -ef {- t`t�„�� tSl•���s 4. Contractors name and address: Quality Roofing Contractor, Inc. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 0 0 13800 N.W. 1 Avenue Miami, Florida 33168 7. Persons 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 and address: N/A 8: In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a ditferentdate is specified) Print Owners Name >0 n(AL L R C- C( v,�� Sworn to and subscribed before me this a day of Ma ?..4 , 19 �= EXPIRES: October io 680474 , ,W""` Bwnku In 1O y�1, r nrNOtBry Plihflr 98R 156 193 1998 APR 07 09:09 3313F Prepared byCarlos Arocho Quality Roofing Contractor, ) Address:1 3 8 0 0 N.W. 1 Avenue Miami, Florida 33168 123.01.52 2/93 >r/aTF. or Cou r D',T_ Contractor's Name: C?llat��, -� ?GO �1 owfcccc4-O( Job Address: )10.5" (c iv t F. 9 S f C e" ROOF CATEGORY (Low Slope Application) ❑ (Nail -On Tile) (Mortar .(dhesive Set Tile ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) �� ROOF TYPE ❑ New Roof L�J Re roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft lv _ Sloped Roof Area (ft ,2 0 c9 , Total (ft .S?, Master Permit No. Exposure category (per AS E 7 -88): _ C Building Classification category (per ASCE 7 -88 table 1): ,7' 9 ROOF HEIGHT AND SYSTEM DETAILS L- (Draw details as needed) 1- '. ! r 9 Ft. Ft. A V a r Deck type: WOOk 4,9 ATTACHMENT Fastener Type: 1 ro j r skArik na: Is SPACING Field: ) 2 ' 1 0 .c d Perimeter: % .0 . Corner:1 ' DETAIL 1 & 2 dcr '' 0 I I r r r ROOF PLAN I I 5 T 123.01.78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 • Ridge Ventilation? Deck type: MEAN HEIGHT /a z Underlayment: Insulation: 12" ROOF SLOPE D E T A I L 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION • PROCESS No. SLOPED SYSTEM DESCRIPTION 3016. A-sfi& 10119 Fastener type & spacing: 5 //p.c- /4 Cap Sheet: Roof C overing: Page -2 Drip edge: /kS (i 7 6 k fc 026 54. ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pinax1: 92.3 x X, (Aerodynam Multiplier):;1 . I ) - (Pmax2:1 / X 21, (Aerodynam Multiplier): 3o )5) (Pmax3:I03.0 X a (Aerodynamic Multiplier):3a• ) TILE CALCULATIONS M S = M r1 : )M.D(e PCA: (i(e JC M = M .?) 0 PCA: 10'6 5 - 0 M S3S = M D PCA: (9 1P- 5 ° td/ti METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO DADE FLAGLER BUILDING 140 WEST FLAGLER STREET PRODUCT CONTROL NOTICE OF ACCEPTANCE MIAN11, FLORIDA 33130-1563 (305) 375-2901 .thus:t Fite, Aimar (USA), Inc. FAX (305) 375-2908 INTERNET: mdcc010shadow.net 66 Northwest 77th Avenue FL 33166 PRODUCT CONTROL SECTION (305) 375•2902 )u application for Produc: Approval of: 1-',A X (305) 372-6353 r /rust: TiI Ail- On, Alortar Sc; or Adhesive Set One Piece Royfing The under Chapter 3 of the Metropolitan Dade County Code t4oYerning the use or Alternate Materials anti Thpes Construction, and completely described in Me pi.ms, ..ipeeitications and cal,:tdation% as submitted by: Red/and Technologies, The Center for :Applied Engitteeritti, has been recommended for acceptance 'oy the Building Code Compliance Office to be used in Dade Coun:y, Florida under the specific conditions se: forth on pales 2-16 and the standard conditions on nage 17. This approval shall not be valid alter thc expiration date stated below. Ti:e i3iciint!, Code Compliance Office reserves the rh: to secure this product or material at any time from a jobsitc 07 rnanuracEurc2r's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revol:e, modify, 07 SUSI)end the use of such p7oduc: or material immedia[e!y. The Building Code Compliance Office reserves :he right to revoke this approval, i: is determined by the 'Building Code. Code Compliance Office that this product or material fails to meet he requirements of the Soidth Florida Building The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 96 Renews 94 EXpERES 02/13/00 Raul RiriE Prc. Control Division Super THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metroolitan Dade County B Code Compliance Office and approved by the Buildino Code Committee to be useci Coun[y. Flo under the conditions set for,h above. APPROVED:C2/13/97 Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Ann =: Altusa Tile Alfareria del Turbio, S.A. Barquisimcto, Venezuela Product Control No.: 96- 1030.03 PRODUCT CONTROL NOTICE OF ACCEPTANCE . ROOFING SYSTEM APPROVAL - Cateitorv: Prepared Rooting Sub- Cateaorv• Tile Tyne: Nail-on /INlortar Set /Acih estt'c: Set Sub -Tvne: . Clay • System Description Alfareria del Turbio, S.A. (Altusa), located in Barquisimeto, Venezuela, manufacturers clay roof tile for nail -on, mortar set or adhesive set applications. All tile is manufactured from natural Venezuelan clays. This Product Conrrol Approval relates to ALusa's "Altusa S" tile profile. Refer to annropriate Product Control Approvals for other tile profiles. The "Altusa S" tile profile is available in a variety of natural clay colors and has matching trim pieces used for rake hip, ridge hip, and valley terminations. These accessories are manufactured for all profiles and form a part of this Product Control Approval. Optional rubber or clay cave closures are also available. Altusa roof tiles have been tested in compliance with the South Florida Building Code requirements for clay, nail -on, mortar set or adhesive set tile applications. The minimum roof slope for the "Altusa S" nail -on tiles shall be 2 ":12 ". See the "Profile Drawing" "Altusa S" profile drawing. � section in this approval for the P The "Altusa S" profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for instrillation shall be done as a'Moment Based System'. Data for attachment calculations is noted in Tables 1 through 4 of this Approval. Almar (USA), Inc., located in Miami, Florida, is the sole approved importer under contract for selling and distributing Altusa in the South Florida jurisdiction. Contact: • Carlos .f. Fernandez General Manager Altusa Tile, Almar (USA), Inc. 6645 Northwest 77th Avenue Miami, FL 33166 (305) 471 -5530 Product Control No.: 96- 1030.03 Approval Date: February 13, 1997 Expiration Date: February 13, 2000 Frank Zuioaga Plans Examiner, Product 'Control Division Test Product Product Dimensions Specifications Description Altusa One Piece "S" I = 18" PA 112 High profile clay roof tile for direct Tile w = I" deck or battened nail-on, mortar or • 1 /7" thick adhesive set applications. Head-lap min. • Exposure max. Trim Pieces 1 Product Control No.: 96-1030.03 TRADE NAMES OF PRODUCTS MANUFACTURED OR - • LABELED BY APPLICANT - 1 = varies • w = varies PA 112 • 4 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Frank Zuloaga Plans Examiner, Product Control Division SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated • Deck Description: New construction 19 /3, " or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: - '" : to 7":1?" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Gnderlayment: Install underlayment system in cwMpliance with Dade County Application Standard PA 120. (See System Limitation #5.) Roofing Tile: Install tile in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For re -roof applications, 1 plywood is an acceptable substrate. f Product Control No.: 96- 1030.03 Frank Zuioaga Plans Examiner Product Control Division 1 !Altusa 'S' Tile Tile Profile jAltusa 'S' Tile Tile Profile Battens 1 4.47 0 3":12" or Less Direct Deck l I DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - X (ft') Table 2: Restoring Moments due to Gravity - M (ft-Ibf) from PA 102 Testing 4' I Battens Direct Deck 5.35 4.40 5.27 X (W) Batten Application 0.29 Tile Profile Altusa 'S' Tile Table 3: Attachment Resistance Expressed as a Moment - M, (ft -lbf) from PA 102 and PA 102(A) Testing TILE APPLICATION I 1 nail 12 nails I 1 screw 12 screws Battens I N/A I N/A I N/A Direct Deck APPROVED I APPROVED' APPROVED NAILS SCREWS FIELD CLIP WITH: 26.80 6.20 I 8.40 I 28.70 1 58.20 1 nail 12 nails N/A I N/A 21.20 + 25.30 APPROVED EAVES CLIP WITH: 1 nail 12 nails N/A 26.90 N/A 34.90 1. Quik -Drive screws installed in two manufactured holes located 1 3 / 6 " and 1 5 / 3 " from the head of the tile: Table 4: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) from PA 101 Testing Tile Profile Tile Application Attachment Resistance Altusa 'S' Tile Mortar Set Adhesive Set 24.50 66.50 Battens 4.31 5 ":12" Direct Deck 5.16 Battens 4.20 Product Control No.: 96- 1030.03 Direct Deck Application 0.31 6 ":12" Direct Deck 5.03'' Frank Zuloaga Plans Examiner, Product Control Division Battens 4.08 7 ":12" or greater Direct Deck N/A PROFILE DRAWING ALTUSA "S" CLAY ROOF TILE 13 Fran uloaga Plans Examiner, Product Control Division • Product Control No.: 96- 1030.03 NAIL HOLE NAIL HOLE - BIRD STOP PROFILE DRAWING ALTUSA "S" CLAY ROOF TILE ACCESSORIES une,za. . • 47 .7447 Product Control No.: 96-1030.03 GABLE-RAKE Fran!, uloaga Plans Examiner, Produc: Control Division • . .• • PROFILE DRAWING APPROVED SCREW t 23 DEC 2. • Frank Zulozga Plans Examiner, ProdJet Control Division Product Control No.: 96- 1030.03 I0. I,3" SYSTEM LIrM11TATIONS Product Control No.: 96- 1030.03 I The standard minimum roof pitch.for Altusa "S" high profile tile shall comply with Dade County Application Standards PA 1 I S, PA 119 or PA 120. depending on the method of installation. 2. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter • larger than that of the preformed holes in the tile. 3. System installation shall be in with the system specifications outlined in this Product Control .Approval. The method of attachment utilized shall provide ufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance deterrnined in compliance with Dade County Protocol PA 115 or PA 127. Altusa "S" Tile tile profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as a 'Moment Based System'. 4. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. For mortar set tile applications, 30/90 hot mopped underlay:ncnt applications may be installed perpendicular to the roof pitch unless stated otherwise by the underla■ment material manufacturer's published literature. 6 A11 tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field: 7. Applications for roofing permits shall include a completed Section!! of the Uniform Building Permit, a copy of Pioneer's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 8. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix 'A'. • Fran:; Zu toaga • Plans Exarniner, Product Con:rol Division Product Control No.: 96- 1030.03 • Altusa Tile, Almar (USA), Inc. �+* 6645 Northwest 77th Avenue. Miami Fl 33166 - ACCEPTANCE NO.: 96- 1030.03 . APPROVED : February 13, 1997 EXPIRES : February 13, 2000 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, ene.ineering documents, are no older than eight (3) 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; h) The product is no longer the same product (identical) as the one originall)_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. !Party 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 1 through 17. END OF THIS ACCEPTANCE 17 A : Fran,; u oaga Plans Examiner, Product Control Division PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2- Job Address )(05 $J-e. G-8 ST y Legal Description Z 22 11 Owner / Lessee / Tenant (? • t Cl.-f FPQJc Master Permit it ssol Owner's Address ) i5 0. .. 9 '- Phone 751 - 7 9 1 3- c� Contracting Co. PeCIF c \ OLL1 Q C:a.NG Address 4 & 5E- L9 EL E 3 Ott Qualifier ilviPM . N. CcN J I t`k SS# Phone 305 - ' E1 4ftct State # Municipal # Competency # Ins.Co. 061-7 (09 Architect /Engineer — Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION L &©ot (00 T4 F61 : TEt 14 30 iAROL • CA? IU Iliff I p tAss rnx , iu Act- l cttP #r 2eop p Square Ft. -a Estimated Cost(value) 19- . 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 regulati• construction and zoning. Furthermore, I authorize the above -named contractor to do the work s i. Signature of owner and /or Condo President Signatur of Contractor or Owner - Bu' ►•er Date: Date r°% Notary as to Owner and /or Condo President My Commission Expires: APPROVED: Fire Zonin o to C My Commission Tax Folio 11 320 r- i3 2 2 dit ta • X v' Mit • :URCH State of Honda oroilOWI *tBBI . ; No. CCI97545 ** * * ,/ * * * * * * * * * * * * * ** FEES: PERMIT a `V� 0p RADON C.C.F. l 1 d NOTARY � ` 12/a TOTAL DUE SC` 41:) Other Electrical Mechanical Plumbing Engineering 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 o,f Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall bc complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. / , Owners Name and Address ... Cyr eb:?..V _ . Street_ .. ' 5: :' . Registered Architect and /or Engineer.... , ,.,. ..... ........:.�<.,.,...:,_.,. % ....... � _ .., Name and address of licensed contractor! t -✓ ✓�1 -�-E- : (I Z . t c`?" - .�� '72• f/ 57- l.� be sent to MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done 1.‘ . ) State work to be done and p rpose of buil ing (by floors) .. :v4k _ _..—A - /S.. s'....._ L. ` _'.._.(11 .�� -_ __._ - -- `k:..,...... i f i.... - -- .....f..4.. . _ _ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering .r.L. v .; .E ) .._ Estimated Total cost of improvements $ 1 0 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 fans and specifications for said building. All notices with reference to the building and its construction may 7? e, 7. 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 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. Remarks._._ (Signed) iz 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. Permit No..2�.. ?_.l.-_ Date ! /7 6 Read, Sworn to and Subscribed before me. Disapproved jDate ) / ( (Signed) (•((/' .. '... /-- s- t�., Notary Public, State of Florida \, � Building Inspector My Commission Expires _ 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 been obtained from the Planning hoard. 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 workinanship. Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 i'l1/4 Cj - 1) 26 F 51 l'44.91) 2 27 t- 52 3 28 'Q/l GjjE,j7 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 r----- 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 ,! 50 re-- 75 Owner's Name: e— C v 1.1 Permit #. ec" 2 S Job Address l ' l (AAA ( ? 4 o 9 , Ci• Roofing Contractor Q v 4. ` t T Y tt's Type of Tile: ki- T u 2 /� S � 'iD kKA ' T Date Installed 7. l Al 6 Approximate Roof Height' ‘A feet Roof Pitch 3 ' 1 2 Type of Access to Roof: Scaffolds K Ladder Other Approximate Square Footage of Roof: 1200 ft Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested' ' 7 Du Quesne & Associates, Inc. Consulting Engineers Testing Laboratory ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 ge Du Quesne, P. it Engineer #24513 D" Quesne & Aso '.tes, Inc. E.B. License #0005245 Lab Certification #94.0318.01 SITE SPECIFIC INFORMATION TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK UTR 14414 Environmental • Civil • Structural Building Inspection Services IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) 7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 5ELTCH QF Loop JOB SHEET NO. 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