304 NE 99 St (6)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B uilding Inspection Request
Date ✓/2
Type Insp'n D( ((.(.JG1) w I NQ,
Permit No. 6P ZC)O 3- 162-)9
Name )(bs .
Address so q V ° t qq Cs-J-- •
Company OJUI -
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
•884 ° V1144
MIAMI SHORES VILLAGE 1 44 s
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date7/ J Z /05
Type Insp'n rI l I I ry ci- C,VInXis
Permit No. — C PS
Name J ohn FO flocs
Address 301 ST
Company f YU rn I 11 GIB YYlndotAs.
Phone # WS 757 - 7750•
Inspection Date 7 / / )
Approved
Correction
Re- Insp'n Fee
o
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Owner's Address
$ Value of Work For this Permit
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Owner's Name (Fee Simple Titleholder) loIa e6ge,e /g C ek5 Phone #( 9S) 757- 7750
301 ti� 99'x' 57
City hfiwi . 4 ( State F/ Zip .3
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 3t/ ,4�/ 99w
City Miami Shores Village County Miami -Dade Zip 4 .3, ° 3/3?
Is Building Historically Designated YES NO
Contractor's Company Name YA tIi ' 6 Q 1, ,// ,(Phone # (0 C '1/.2j
Contractor's Address OQ 0,,,S I Sr `Q 7
City „� .,0 State ci Zip ✓,3 9
Qualifier x'/ (J//efe ' e °
State Certificate or Registration No. Certificate of Competency No. 97
W
Architect/Engineer's Name (if applicable)
Type of Work: ['Addition ❑Alteration
Describe Work:
r x :
* * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 1 t2
Notary $ Training/Education Fee $ Technology $
Scanning $
Radon $
/3
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, porida 33138 "
Tel: (305) 795.2204 Fax: (305) 75
. b "f* {. 4 ` b d. ••, b1.1 I
Permit No ,�P,e(/D,L , -- 95
Master Permit No.
Electrical Plumbing Mechanical Roofing
Structural Plan Review. $
Phone #
Square Footage Of Work:
❑New kr Rep
Zoning
MR 3 O PAID 31 °-
Bond $
❑ Demolition
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 m compliance with all
applicable laws regulating construction 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."
RVotice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant Hurst
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.
Signature
/6461.- a-
Owner or Agent
Signature
Contra
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 6%
day of , 20 , by day of r C �" , 20 0 S S , by X. U I L' 'rte''' `) ,
who is personally known to me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUB
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05 /13/03
As identification and who did take an oath.
0''4 Rosa I. Palacios
ra
' s OM DD080001
' pm a= Rapines Dec 28, 2005
°c n
a „1 Atlantic Bonding Co., Inc
Plans Examiner
Engineer
Zoning
( -15 rJ1- X ("b/u6)
+ 66:7 Psr: ) 693/4 x 30
HR
45
)(0
ti5 PSF
4- GG
PSF
AR
43 3g
0 X
Zeir we
grAifrtet ResiStiod
0 (-76 PSF
6q x 3g y4 4 66.7 PS g)
0-15/HS)
geliAtua (eeae ( 4‘z - e i )
1.1i2
r48 (-75 PSF 66 .7 P1/45F)
(EresS
VA) ,aie4 1
3% #6 99rili7
39/3?
q 3qa X 33
NOR :
c9 3/4" )( 38 '/4
Nool: - 03OS.0,
1-Nori2c - Vu2r kvhec
- l a a -l-l� -
� -
OD, ► RDO3
S( Dui dro 1
30y NE 99'
' !r\c7r-es , �L
Jl�g
MIAM1•DADE
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
MIAMI -DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901 FAX (305) 375 -2908
PGT Industries
P.O. Box 1529
Nokomis, FL 34274
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (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 fails 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 use of such product or material within their jurisdiction. BORA 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: 1 "x Heavy Wall- Aluminum Tube Clipped Mullion
APPROVAL DOCUMENT: Drawing No 6621, titled "1" Heavy Wall Mullion Arrangement Detail ", sheets 1
through 6 of 6, prepared, signed and sealed by Robert L.Clark, P.E., dated 5/24/01, bearing thc Miami -Dade
County Product Control Revision Stamp with thc Notice of Acceptance number and expiration date by the Miami -
Dade County Product Control Division.
MISSILE IMPACT RATING: Large and Small Missile Impact
LABELING: 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 after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse 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 -Dadc 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 this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at thc job site at the request of the Building Official.
This NOA revises NOA # 01- 0323.02 and, consists of this page 1 as well as approval document mentioned above.
The submitted documentation was reviewed by Theodore Berman, P.E.
NOA No 02- 0701.09
Expiration Date: June 28, 2006
Approval Date: July 12, 2002
Page 1
Miami Shores Village
10050 NE 2nd Avenue
Printed: 2/3/2005
Applicant: JOHN FORBES
Owner: FORBES JOHN
JOB ADDRESS: 304 NE 99 ST
Parcel # 1132060135600
Signed: (INSPECTOR)
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2005 -95
Contractor YAMILL GLASS & WINDOW INC Contractor's Address: 480 W. 84 St. #107
Local Phone: (305) 826 -2121
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 11 & 12 BLK 41 LOT SIZE 100.000
Fees: Description Amount
FEE2005 -1432 Building Fee $540.00
FEE2005 -1433 CCF $7.80
FEE2005 -1434 Training and Education Fee $2.60
FEE2005 -1435 Technology Fee $13.50
FEE2005 -1436 Scanning Fee $30.00
FEE2005 -1437 Submittal Fee ($50.00)
Total Fees: $543.90
Total Fees: $543.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 7/23/2005 Construction Value: $13,000.00
Work: REPLACE 20 (16 SINGLE HUNG AND 4 ARCH IMPACT WINDOWS IN 17 OPENINGS
FE3 0 3 PAID
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): (Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) L t 110 010., C 1 Iwer i cl f o r b eS Phone # gm-., ` I, r7 - " , 2 7
Owner's Address 304 IQ E 9 q Si- City 1 iO.iWti Shores State i- L Zip 33 138
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 30 i /1/4) € 19 5 f .
City Miami Shores Village County Miami -Dade Zip 33138
Is Building Historically Designated YES NO
YO./WA '1 n
Contractor's Company Name Q W 1 SS * , r1 C t s Phone # 3O5 2a6- —1 D-I
Contracto 's A dres `�' 0 (0 g '1 St -k ) 0 7
City la-) e �rl State FL Zip 35 D I ci
Qualifier V.-0.-0 COO ej r e °
State Certificate or Registration No. Certificate of Competency No. q1 85003D l
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: ['Addition
Describe Work:
1
Submittal Fee $ Permit Fee $
Notary $
Scanning $ 3lO
Total Fee Now Due $
(Continued on opposite side)
Radon $
Miami Shores Village '7ne 99-7
Building Dpi.rtment "
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ..
Tel: (305) 795.2204 Fax (305) 756.8972
Master Permit No.
Square Footage Of Work:
['Alteration ['New Repai /Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * ** * * * * * * * * * * * * * * * ** *
Training/Education Fee $
Permit No. h6 -C15
1
®� CCF $ 11 60
CO /CC
4g, CO Technology Fee $ )�
Zoning Bond $ r--
Code Enforcement $ Structural Plan Review. $
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 pennit 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 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.
Signature
Owner or Agent
The foregoing instrument was acknowledged before / me this )
day of 1c -nL.) r � , 2005 G.
, by 1 LJc vv r
yr LES
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY LIC:
Print:
My Commission Expires:
iDIL F s; 3 (0C yc/8 0
p,,, , Commission # DD080001 Print:
" Rosa I. Palacios Si gn:
Y
2005
%, of it °4 Aorlied �'i
„ 0 Atlantic liondattg co., Inc.
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
k*************************** * * * * * * * * * * * ** * * *** * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Signature 7/-
/
NOTARY P
*
Contractor
The foregoing instrument was acknowledged before me this S
day of r►o .rY , 200 S by lei GU e irerO
who is personally known to me or who has produced
as identification and who did take an oath.
***************************** Eapu2s Dec 5
u ;-O`` Atlantic 3onding Co., Inc.
` ��.��rnpe Q
� Rosa I. Palacios
My Commission Expires: i z yr r .Co mission # DD080001
28 200
JAN 25Ng
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
TAX FOLIO NO.) 133 OO v0, c ( oOO
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 d scription of property a nd street/addrrss: 304 N � - ? C? St •
-O 114-0, 61 41 of Irl,ar" 5Ir,ores Sec ' I Ar►-►el Pb 10 P 7O
2. Description of improvement: t■J r n i s k Tns t0 I ( v3 i h d o w s
3. Owner(s) name and address: II i &vl CIaver;ci For b eS
30 ME, Ict 3f. }i■eoni shores, FL 33I31i
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: YaA41 i (i G lass & i r1ttow S
480 bJ Si Sf. tD1 I4 i6Ce0..11, FL. - 33014
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address: 0/■
Amount of bond $
6. Lender's name and address:
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,j
address: ��J�- Y ^ 1T -/ r1F 7n: cu'z co.‘ nT. C FLC)R ' ' C`iJ h^ ;lt',' r, 1 , 8• In addition to himself, Owners`desiirtat .s, th e : followirnjr to fe v,e a copy : of.the Li nor s Notice as provided
ER_3Y CL - ' � , i r� >
in Section 713.13(1)(b), Flonda S ute � ^s 0 cc c n _-- ;` �, , ;%:> � '_
Name and 1
or 'y .� /��r,�� ��
/A��r/Od tiu,s ` , i CU ,..
tr 9. Expiration date of this Notice ofipomnience
'' e expiration date is 1 year f the date of recording unless a
different date is specified) N/".
PA /."/A.-- Of g
Signature of Owner nn �/ � I _
Print Owner's Name / 1 / /e?/) (, /c� w -ri . ` r) ' be
Sworn to and subscribed before me this 4 / day of J vAr y
-1 F ,S ,(�� - � � S 00
Notary Public
Print Notary's Na
My commission xpires: �. 1
123.01 -52 PAGE 4 8/02
tS Commission • DD080001
1 ' Lit', 2E, 2005
l apties D. Tbru
' °: Banded - # 44;;;;;:i * Atlantic BendingCa.Tnc.
Prepared by
200f.
1( 11111IIl 111111
CFN 2' :05R0045893
OR Bk 22999 P9 0592; (1P9)
RECORDED 01/13/2005 15:25:36
HARVEY RUVIN► CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
t—;L ;c 1 F:fkS