SHUTTERSMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 1. c9-7-• 05 r�
Type Insp'n
Permit No. c Q--CA ? 05
l Q
Name C Ir• 2
Address c 6E-
1 ci 0L?C"
Company
Phone #
Inspection Date \ • C) 0
Approved
Correction
Re- Insp'n Fee
O
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT C
305- 795 -2204
"
Building ns ecti.Request
Date / OO
;UJfi NtiltaA
Type Insp'n
Permit No.
Name f
Address 6& 4 /j & f J / '
Company
Phone #
Inspection Date
Appro d
Correction
Re- Insp'n Fee
4
(
6 / < .4 C./0 taS"
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING• DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
r fr1 5k &
6f 65 -t s
Inspection Date
Correction
Re-Insp'n Fee
cor
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle) k Building
Owner's Name (Fee Simple Titleholder)
q� fit.
City [,Q2Mi State FL_
Owner's Address 0(0 g kE
Tenant/Lessee Name
Job Address (where the work is being done) 96pq NE q q
City Miami Shores Village County Miami -Dade
is Building Historically Designated YES NO X
Contractor's Company Name (1
Contractor's Address
L O 1,
City e'77-1 , 4 State -i- Zip
Qualifier G 2y Se.v2 4 ,
State Certificate or Registration No. e ao, ap57 Certificate of Competency No.
Architect/Engineer's Naine (if applicable) Phone #
$ Value of Work For this Permit 4 ) b Q (")
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
Total Fee Now Due $ 6:9
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. 6P65 —
Master Permit No.
e2vdf- .
Type of Work: ['Addition Alteration � ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: 'tom (A r r 1 C2►\ . s hot -H -P. g'
* * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $
Training/Education Fee $
Radon $ - --
tr&vi-v-y 3
a eiL 0
Structural Plan Review. $
Zip
nn Plumbing Mechanical Roofing
tK6dflgUeahone #
3313
Phone #
Square Footage Of Work:
Zip
Phone # .3o -g-.5q-
� t .c 9
CCF $ I CO /CC
Technology Fee $
Zoning Bond $
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 constniction and zoning.
"WARNING TO 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 of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Chc 05/13/03
Owner o Agent Contractor
The foregoing instrument w acknowle e re me this I 3 The foregoing instrument was acknowledged before me this 3 *16.
day of V Q.YI . , 20 05, by , day of AQteY1. , 20 05, by
who personally known �p me or who has produced wh Is personally knows to me or who has produced
as identification and who did take an oath.
NOTARY P LIC:
Sign:
Print:
My Commission E
As identification and who did take an oath.
ISSION N DD277311
APPLICATION APPROVED BY:
NOTARY PUBLIC;;
Sign:
Print:
i . •' —
.j�, 1 " MY COMMISSION # DD277311
EXPIRES March 30, 2008
x6
My Commissi
*******************:************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** * J****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
JAN 2 0 2605 Plans Examiner
Engineer
Zoning
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2005 -65
Printed: 1/27/2005
Applicant: ROBERTO RODRIGUEZ
Owner: RODRIGUEZ ROBERTO
JOB ADDRESS: 269 NE 99 ST
Contractor BERNHARDT GARY CONSTRUCTION Contractor's Address: 8515 SW 129 TERR
Local Phone: 305/259 - 7575
Parcel # 1132060134570
Page 1 of 1
Legal Description: MIAMI - SHORES SEC 1 AMD PB 10 -70 LOT 20 & 21 BLK 33 LOT SIZE 100.000
Fees: Description Amount
FEE2005 -1172 Building Fee $200.00
FEE2005 -1173 CCF $1.20
FEE2005 -1174 Training and Education Fee $0.40
FEE2005 -1175 Technology Fee $5.00
FEE2005 -1176 Scanning Fee $15.00
Total Fees: $221.60
Total Fees: $221.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 7/17/2005 Construction Value: $1,800.00
Work: HURRICANE SHUTTERS - 10 OPENINGS
zIPNT
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
50 x 69
60 x 69
102 x 67
102 x 67
102 x 67
102x67
f
NO
10
8
7
6 5
3
60 x 85
4
60 x 69
NO
269 NE 99 ST
NO
NO NO NO
NO
NO
NO
NO
NO
60 x 85
60 x 85
FD
MI AMI•DADE
BUILDING CODE CON(PLIANCE OFFICE (13CCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
<i\I IANI I -DARE COUNTY. I I.ORII)A
\II ?'I'RO- I)/\l)I{ l l.\(;1.Iit( 11t1Il.l)IN(1
141) WEST FLACLER STREET, SUITE 1(113
MIAMI, FLORIDA 33130-1563
(305) 375 - FAX (305) 375 - 2')US
Madden Manufacturing Co.
1889 N. W. 22'"' Street
1'onrl)anu Beach, FL 33069
SCOPE:
This NO :\ is being issued under the applicable rules and regulations governing the use of materials,
"('lie documentation submitted has been reviewed by Nli :uni -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (t3ORA) to be used in \liaini (fide County and other areas where allowed by
the Authority Having Jurisdiction (AIIJ).
This NOA shall not be valid after the expiration date stated below. The I \lianli -Dade County Product Control
Division (Ill f\'1iami Dade County) and/or the AFIJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material tails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the USC of such product or material \vithit) their jurisdiction. I3ORA reserves the right
to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: 0.050" Aluminum Storer Panels Shutter
A PPRO VAL DOCUrNIENT: Drawing No. 00 -380, titled "0.050'' Aluminum Storm Panels ", sheets 1 through 10
of 10, prepared by Knezevich L: Associates, Inc., dated March 6, 2001, last revision ::2 dated February 19, 2002,
bearing the Miami -Dade County Product Control Approval stamp with the Notice ofAcccptancc number and
approval date by the Miami -Dade County Product Control Division.
�1ISSILE IMPACT RATING: Large and Small !Missile Impact
LAI3ELINC: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered aflcr a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
'I'ER,\IINATLON of this NOA will occur aflcr the expiration date or if there has been a revision or change in the
materials, use, and /or manufacture of the product or process. 1Nlisuse of this NOA as an endorsement of any
product, for sales, ,Advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of entire NOA shall be provided 10 the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA revises and renews NO :\ 1/ 98-1110.03 and consists of this page I as well as approval document
mentioned above.
I hC submitted documentation \vas reviewed by 1 lelrny A. Makar, P.E.
NOA No 01- 0313.20
Expiration Date: 03/13/21)08
Approval Date: 1)3/21/21)1)2
Page 1