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363 NE 98 St (4)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Ga MIAMI SHORES VILLAGE, FLORIDA 4 DATE PERMIT N? 7047 Work to be performed under this Permit Address of Building 6 A Contractor's License No. Value of . I Amount of Project $ I Permit $ 2 4_. ® fs 2 2 0 ar) opt 5 f /l't Subdi- vision 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 application 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 been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings r in the sta ents or specifications and that he assumes responsibility for work done by his agents, servants or employees. A ,ay � Signed. f ' _ : % ,+> .,7C < INSPECTOR f 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 conf with the plans, drawings, statements or specifications,nubmitted to the proper authorities of Miami Shores Village. In ac- cepting this_ ' Y permit I assume responsibi for all ork done by either, myself, my agent, servant or employee. t ° lity CONTRA CR O) BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Contractor. or Builder Lot El i MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect Legal Description N° 5776 CONTRACTOR OR BUILDER BY DATE f . :y Contractor's License No. 19 e Work to be performed under this Permit B1 Subdi- vision Address of Value of u' I Amount of r Building `' f �; - y Project $ ° Permit $` 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 applica- tion 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 been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. (i,. Signed. ; : ,,- , - 4°"" INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance all ordinances asd , regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either; myself, my agent, servant or employee. A / � • e � , U } AUTHORITY *BOOT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ ° PERMIT N? 8612 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA 'lr Bl. Subdi- vision BY DATE :, Sq. Ft Value of Project $ Contractor's License No =� Amt. of ( ` Permit $ 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 application 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 been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY 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 responsibility for all work done by either, myself, my agent,- servant or employe. AUTHORITY 7 LtJ 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. 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 Block Subdivision Street and Number where work is to be done '' 3 ,. • State wpc to be done and purpose of building (by floors) t P. r C ._i f rd (- 4 and for no other purpose. New Building Remodeling Addition Repairs �"-- No. of Stories To be constructed of Kind foundation Ro k vering Estimated Total cost of improvements $_. © © 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, 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 he performed under this permit; and will post or cause to be posted for inspection on the site of t ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such su. - ntractors, on work be performed nder this permit, as are licensed by Miami Shores Village. /' Remarks (Signe STATE OF FLORIDA, COUNTY OF DADE. 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 ie. . - Permit No Disapproved ( Signed) APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE 7 b /J Date Building Inspector Chairman .... Member BUILDING INSPECTION DEPARTMENT ate e Date No - ›.)— fie Read, Sworn to and Subscribed before me. PLAN' NC BOARD DATE Member Member // Street r L to me well known, Notary Public, State of Florida My Co ion Expires 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. 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. New Building ..... ._. Remodeling . ._ Disapproved (Signed) AP LOCATION FOR i_LiQLD@NG - E MITT BANC! BHD ES \PI LLAG E BUILDING INSPECTION DEPARTMENT . Addition . . Date °— ZS' f Owner's Name and Address . T n . P R v t Z .T No..._ 3 ro Street • ':� Registered Architect and /or Engineer .. Name and address of licensed contractor p , N 0.2 Location and legal description of lot to be built on: Lot Block ._. _. __ .._ Subdivision_ .. Street and Number where work is to be done - c = State work to be done and purpose of building (by floors) (&°—#"" Z. . N and for no other purpose. Repairs No. of Stories To be constructed of __.._ ._..____ Kind of foundation ._. Roof Covering Estimated Total cost of improvements $..._ ...k1 Ot? 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, 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 permit, as are licensed by Miami Shores Village. Remarks (Signed ) / —� z— G G STATE OF FLORIDA, COUNTY OF DADE. 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 / Z ' Date � Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Ii .pector 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 Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner's Name and Address - ... Frank 0 Pruitt Permit No 0 3 Building Ins tor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATIOiN FOR UOL DING 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 , 19 No.. - . 363 N. E street. 98th St. Registered Architect and /or Engineer Name and address of licensed contractor Brady Roofing & Sheet Metal - 2955 N. W. 73rd St. Location and legal description of lot to he built on: Lot Block Subdivision Street and Number where work is to be done 363___L.. E.._..93th__ State work to be done and purpose of building (by floors) ROOF Add, 30 - 90 - Tile and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering T ile Estimated Total cost of improvements $ 200.00 Amount of Permit $ 5 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 emi ''er of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law. of Florida, Permanent Suppi. i nt, and has complied with the provisions thereof, and will require similar compliance from all contractor. or su.- contractors employed i him in the work to be performed under this permit; and will post or cause to he posted for 'nspectio •, t e si •f the work such , uh c otice or notices as are required by the Act. The undersigned agrees to employ only such s ' contract., o w - be perfor f .cr this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADS. $ ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac nowledgments, 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. Date t'" 7 C ° Read, Sworn to and Subscribed before me. Disapproved Dat (Signed) Notary Public, State of Florida My Commission Expires ANNING 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 Board. A re-inspection fee of $1.0(1 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Owner'. Name and Address APPLICATION FOR UILDING PERMIT Application is hereby made for the approval of the det, iled stateniem of the plans and specifications herewith submitted for ing or o h, , -ructure her i described This ri-licatic is made in compliance and con•o'm ty w.tli the Building Ordinance Shores Village, or da, and all pro. isions of the Laws t f the State of F h.rid. all o d nances of Mi m Shores Village and all regu:a +ion: of the Building Div.. i of ,rani Sho. illage F 'I e o. ipl.ed with, whether herein specified or not. A copy of plans and specificati .n' must be key at building durin progress of the wcrk. Registered Architect and /or Engineer._. Name rid address of licensed contractor. Location and legal description of lot to be built on: Lot _ Block.._ __. gib ivision Street and Number where work is to be done __..___ State work to be done and purpose of building (by floors) New Building - - _ Remodeling._ To be constructed of. _ Kind of foB tion Estimated - :'tal cost of improvements $_ __dJ C/_ . Amount o`. Permit $ Zone ^ubage required_ __. _ _Plan Cubage____ Distance to next nearest building _ _ _ ___Size of Building Lot Maximum live load to be borne by each floor 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 unde signed appli ant for th s building permit does hereby certify i fat he understands and accepts his .•bligations as an employer of I: bor under he Florida Workmen's Compensation Act being S. -tion 5966 Cm p led Gen al Laws of Florida P r anon S fipple Went. and h s compl ed w'th he prov•eons thereof, and will require smilar comp fiance from all contractors or sub-contractors einplo .ed by him in the work to be p• r1- med under this pern it and - ill post or cause to be posted for inspeetion on the site o the work su :h public note c or :•otices as are requir d by the Act. The u. d. r ign.-d agrees to employ only such ,tbcon r. ctors, 9n w to perfori} rd er ffl'fs permit as are licensed by M.am, Shores \ il:: ge. , 6. , y2/4/ fe Remarks.- (Signed) _ Chairman _ Member Member _ Council Approved . Date_. Buil�d�ing Inspector MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTNIEN' PLANNING BOARD Date Addition____ _ ___ ___ _____ __ _ Repairs- _ _ No. of Storie Roof Coy firing__ Member Member Member -Date Disapproved 3 S Read, Sworn to and Subscribed before me. Notary Public State of Florida My Com:nission Expires_ DATE the build - of Mia ii rules and approved 1 and for no other purpose. a STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adn:_nister oaths ..nd take acknowledgments, personally ap- peared to me well known, and who, being by me first d: ly sworn, upon oath deposes and says that he is the of th abov. de.c. ••istruction tl .; h: has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr le. Permit No.____1 -5� _ � Disapproved ( Signed) Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application ift -r approval is is been obtained from the Plane'ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is ma le necessary by improper notice for inspei.t'or or fa. ity materials and /or workmanship. Street and Number where work is to be done State work to be done and purpose of buiilding by floor New Building_ To be constructed of. Reinode ing Kind of foundation Estimated - ,tal cost of improvements $ Zone ^ubage required- Member _ Council Approved MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN' APPLICATION FOR • UILDING PERMIT Application is hereby made for the approval of the det iled statemem of the plans and specifications herewith submitted for the build- ing or o h, r «:ructure her i . described This t-t licatic is made in compliance and con•o•m ty w.th the Building Ordinance of Mia ii Shores Villave I or da, and all pro isions of the Laws cf the State of Fkrid. all o d nances of Mi nu Shores Village and all rules and regu: -a ions of the Building Div.. of aam Sho, illage h 'I e -oi ipl.ed with, whether herein specified or not. A copy of approved plans and specificati inc must be kci at building durin progress of tl.e wcrk. Date Owner' Name and Address.____ • 0 d No Street Registered Architect and /or Engineer... Name :nd address of licensed contractor- n !�, Location and legal description of lot to be built on: Lot a_o SI ?-1 Block 4 7 4 / Subdivision Addition___ _._ __ .__ _.. Repairs_ _ _ No. of Stories Roof Cov Amount e`. Permit $ Plan Cubage_.___ Distance to next nearest building__ . - _ ___Size of Building Lot Maximum live load to be borne by each floor. _ . ____ 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 uncle signed appli ant for th's building permit does hereby certify t'iat he understands and accepts his .-bligations as an employer of I: bor under he Florida Workmen's Compensation Act being S , tion 5966 Coi p led Gen al Laws of Florida P r anen Sipple cent, and h s compl ed w :th T he prov' :ions thereof, and will require s'milar comp lance from all contractors or sub-contractors emplo •ed by him in the work to be pi rf' *coed under this pern it and ill post or cause to be posted for inspection on the site of the work su :h public notr c or , •otices as are regmr d by the Act. The n.4% r ign.•d agrees to employ only such ubcontr. ctors, on work to be perform d . der this permit as are licensed by M•am: Shores \ iL: ge. Remarks_ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ' ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally o p- pearcd and who, being by me first d. ly worn, upon oath depores and says that he is the of th abov. de sir ibed • Tstruction t : h. has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Permit No . 3- Date__ - - - -' —3\ `` ;2 "' 3 -) Read, Sworn to and Subscribed before me. Disapproved b 1` ( Signed) 4 ( Inspec or My Com:nission Expires_ Notary Public State of Florida PLANNING BOARD DATE Chairman Member Member ____ Member Member Date Disapproved ,19 for no oth purpos .to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or ::hinges to this application :fter approval h is been obtained from the Plane ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is m..:e necessary by improper notice for inspe.-t'ae or fun Ity materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ( - c74 Address 34 3 iJ • E. Q g Si • Legal Description Owner / Lessee / Tenant s t Mils PAUL. Sim Or5 Master Permit # 3 Owner's Address 3(o- al / S S t Phone 75 75 73 Contracting Co.O/ Jfk)j. 47,r6 ` Addressila DZ. 4 �� a, -/ Qualifier AWES 1) 0b )Q ( Phone 751 - t2 State # 01 Municipal (k Competency # Ins.Co. Dit) "Ft 1.t. Address Address Architect /Engineer N 1 Bonding Company & / v Mortgagor Fd l Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING "AVING FENCE SIGN WORK DESCRIPTION rgrsit DFG R E` -de_ 7 /6455 kmSe 544/4r 04? Square Ft. 7 . S5 Estimated Cost(value) 2 130. °-° 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 regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ignature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * FEES: PERM APPROVED: OFFICIAL OTARY SEAL SANDRA D OBENOUR N(•ARK PUBLIC FATE OF FLORIDA COMMISSION NO. CC261S 12 397 MY C. ISSION EXP. MAR. * C.C.F. Fire Zoning Buildi RADON Mechanical !o 44-6 b6At/tG ,ROO i a+*. l * 7� Plumbing Tax Folio 1H 32-(0.-. — o �O S ignature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder • OFFICIAL ' OT EA SANDRA D OBENOUR NOTARY PUBLIC STATE or FLOIDA *COVMI *,ICN NC*CC 6 27* * MY COMMISSION EXP. IVAR.12,15F7 II NOTARY TOTAL DUE ** Other Electrical Engineering to ` OUR ROOFING, SHEET METAL & SUPPLY CO. • . • 9325 PARK DRIVE, SUITE F Q�9A@,fll SNORES, FLORIDA 33138 Job Address: .5( • Contractor Process No. 123.01 -166 9/94 Base Sheet: Fasteners: APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II BUILT -UP APPLICATIONS AND MODIFIED BITUMEN SYSTEMS GENERAL: Type of Roof System Assembly to be Applied: Manufacturer of Roof System Assembly: Product Control Approval Number: System Number from Product Control Approval: qq : to l 4 t'02- E (Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System Guide Specification. ) ( Note: If a minimum roof system is to be applied, describe all components within the system and list the manufacturer of each component. DO NOT complete this section if system is Product Control Approved.) / Ply Sheet(s): Cap Sheet: Asphalt: ( Note: No insulation system is acceptable under the minimum roof category. ) Complete the following for all Roof System. Assemblies: Built -Up Applications and Modified Bitumen Systems Page -1 Recover THE SYSTEM: Deck: (Briefly describe) ENOUR ROOF!?!G, SHEET METAL 8 SUPPLY CO. 90.25 PA; �` IIVE SUOTE F IaOpL1I SmOIILo FLORIDA 88950 Job Address: ,‘ 9, '.i% Contractor Process No. ( Check one of the following) If a recover, is the existing Roof System Assembly to be used as a bonding substrate ?: If YES, has an ASTM E9O7 test been carried out to confirm adhesion of the existing membrane to the substrate ?: (If yes, attach ASTM E907 test report. ) Proposed Fastener: (Attach withdrawal resistance test report. ) Has the deck been examined for moisture ?: (Provide data confirming compliance with Section 3401.9(c) . ) All Roof System Assemblies in the Product Approval have a variety of options. Briefly describe the Roofing Components to be used in the Roof System Assembly and attach a copy of the manufacturer's published specification: Insulation: ( Type, size and method of attachment, if applicable ) Base Sheet or Ply: ( Type and method of attachment ) Re -roof: / New Construction N N Wood. - /Tonle /404- 4- 75' 6 hit 6 - D )-" 0.6 Ply Sheet(s): ( Type and method of attachment ) Built -Up Applications and Modified Bitumen Systems Page -2 OBENOUR ROOFING, SHEET METAL Li SUPPLY Oa 9325 PARK UJfltVE, SUITE F t 9 S'si;; `:: FLORIDA 33133 Job Address: 50 A7 � �r Contractor Process No. Top Ply: ( Type and method of attachment ) Surfacing: (Type, if applicable ) Flashing Materials: ( Type and method of attachment ) Roiftea pQ /me fie e k ofi- 1 44-A1111 t- ,yed 1,44, Built -Up Applications and Modified Bitumen Systems Page -3 r i) ROCr'n!G ;, SI METAL 81 SUPPLY CO. 9 ?25 PARK [:•ti', SUITE F SHOR 3, FLORIDA 03I3B Job Address: Contractor T inches inches 1 T inches FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND INSULATION LAYER(S). (Where Roofing Component not used in Roof System Assembly, fill in with "N /A ".) Bonding Material: lyre Y «y4 Ply Sheet(s): I d/A Bonding Material: a -'� Base Sheet: Surfacing: &,,-4•000/e. / Su ( - tu rf ac ing: Top Ply: 6i Ae .B9 e� Fastener: i ; f »'1 ((/be sheet mech. alto d Bonding Material: (i /base sheet bonded) h. Fastener: ((/top insulation layer mech. attached) Top Insulation Layer: (( /applicable) Bonding Material: (if top snnslation layer bonded) Fastener. ((/insulation mech. attached) Insulation: Bonding Material: ((/insulation bonded) � Vapor Retr. (i/applicable) arde Primer. (i /applicabr• 6l4 DECK: Type: M=1 ,e ® d Gage or Thickness: Density, if concrete dec : Built -Up Applications and Modified Bitumen Systems Page -4 Process No. OBE OUR ROOFING, SHEET PETAL 8 SUPPLY moo. 9325 PARK DRIVE, SUITE F ' . MIAMI SHORES, FLORIDA 33133 Job Address: W 9 g v Contractor Process No. PERIMETER DETAIL #1: Parapet Wall Detail Coping C Gage: Fastener Spacing: Clip Type: Clip Gage: f ld PERIMETER DETAIL #2: Flashing Detail Built -Up Applications and Modified Bitumen Systems Page -5 Sketch Roofing Components which make up Roof System Assembly at Perimeter Parapet Walls. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Areas to be Flashed. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment OBENOUR ROOFING, SHEET PETAL a SUPPLY 001 M 9325 PARK DRIVE, SUITE F MIAMI SHORES, FLORIDA 331 Job Address: 343 p W Contractor Process No. PERIMETER DETAIL #3: Gravel Stop or Drip Edge Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gravel Stop or Drip Edge. Insert leaders indicating Roofing Components names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. Gravel Stop/Drip Edge Gage: Fastener Spacing: o.c. Clip Type: Clip Gage: ■ Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gutters. Insert leaders indicating Roofing Component names, dimensions, thicknesses, eta Include fastener type and spacing used for wood - blocking attachment. Gutter Type: Gutter Gage: Fastener Spacing: Deck Type: PERIMETER DETAIL #4: Gutter Detail Built -Up Applications and Modified Bitumen Systems Page -6 O8BIOUR ROOFING, SHEET METAL g SUPPLY a. 9325 PARK DRIVE, SUITE F MIAMI SHORES, FLORIDA 33 Job Address: 3103 it)I✓ �SJ.� Contractor ° Process No. Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may exisit. Insert leaders indicating Roofing Component names, dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may exisit. Insert leaders indicating Roofing Component names, dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment PERIMETER DETAIL #5: 'Other' Detail 4// PERIMETER DETAIL #6: 'Other' Detail Built -Up Applications and Modified Bitumen Systems Page -7 OENOUR ROOFING, SHEET METAL g SUPPLY CO. 93225 PARK DRIVE, SUITE F MIAMI Job ,43 $ 5t Con SHORES, FLORIDA 33138 Process No. Insert Building and Parapet Heights. (If no Parapet exists, insert "N /A ") Also insert applicable information pertaining to the building below. (See ASCE 7 -88 Fact Sheet Attached ) Exposure Category: 1 a Classification Category: At Hurricane Oceanline ?: Y �N Basic Wind Speed at Building Location: 110 mph Building Condition based on % of Openings: GROUND LEVEL 1 feet feet BUILDING INFORMATION #1 Built -Up Applications and Modified Bitumen Systems Page -8 SIB METAL a SUPPLY Oa, 9325 PARK DRIVE, SUITE F MIAMI SHORES, FLORIDA 33138 Job Address: 36.3 / de 5 S1 Contractor Sketch Roof Plan indicating all dimensions, any slopes, roof drains, crickets, or roof top equipment. Also insert variable labeled "a" which indicates perimeter and corner dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheer Attached ) LLt / Built -Up Applications and Modified Bitumen Systems Page-9 Process No. BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Address: Contractor Process No. — FOR PLAN EXAMINER USE ONLY — Roof System Assembly Product Control Approved: If NO, note any deficiencies: Design Pressure Requirements: Field: psf Perimeter Areas: psf Corner Areas: psf Note any limitation Reviewed Details ?: Notes: Built -Up Applications and Modified Bitumen Systems Page -10 . Y N Y N Job Address: Contractor Process No. Reviewed Field Test Data ?: Y N Notes: Additional Notes: Built -Up Applications and Modified Bitumen Systems Page -11 Plan Examiner (a3_12fi___V_sr2:- OBENOUR ROOFING, SHEET A4ETAL & SUPPLY Oa 9325 PARK DRIVE, SUITE F But.c.i-up meolp-IdtMAA41 SHORES, FLORIDA 3313S The undersigned certifies that the VAINVIIIMITM or SISMIPPOirrte/ri Assembly is in compliance with the plans, specifications, and details submitted by the architect. STATE OF FLORIDA - COUNTY OF DA_DE Before me this day personally appeared cjAinei 0 (4E7/Ku" who, being first duly sworn, deposes and says that all information submitted herein is true and correct. icensed Contractor / Owner Signature Sworn to and subscribed before me this ( th day of 19 My commission expires: r OFFICIAL i,nTARY SEAL DRA D / ;.; CE):•.iM3E31".N .-• -• - ofary Public --" J — cite of Florida ‘-.V111.7 Wood Shingle or Shake Systems Page - 7 Froc6s /•1•: qi: GAF Materials Corporation :1361 Alps Road Wayne, NJ 07470 Your application for Product Approval of CAF Mo ficd Bituman Ro g c Metropolitan Dade County Code governing the use of Alternate Materials and types und Construct on, and the completely described in the plans, specifications and calculations as submitted by Factory Mutual Research Corporation and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the specilyc and standard conditions sct forth herein. The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the right to secure a product or material at any time for a jobsite or manufacturer plant for quality control testing. If product or material fail to perform in the approved manner, the Codc Compliance Department may revoke, modify or suspend the use of such product or material immediately. The Building Codc Compliance Department reserves the right to require testing of this product or material should any amendments to the South Florida Building Codc be enacted affecting this product or material. The expense of such testing will bc incurred by the Manufacturer. PRODUCT NO. : ACCEPTANCE NO.: 44 EXPIRES: This application for Product Approval has been reviewed by the Metropolitan Dadc County Building Codc Compliance Department and approved by the Building Codc Contnrillec to bc used in Dade County, Florida under the conditions sct forth above. NOV 1 0 1994 APPROVED NOV 1 0 1997 METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA '33130.1563 ' (305) 375 -2901 FAX (305) 375 -2908 Gil Diiond, P.E. - Product Control Division Supervisor - PLEASE NOTE - TIIIS IS TIIE COVERSIIEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. BUILDING CODE COMMITTEE Char cs Danger, P.E., Dirccto Building Code Compliance Department Metropolitan Dadc County Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Category; Sub - Category; Type; Sub -Type; SYSTEMS PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Membrane Roofing System Built -up Roofing Modified Bitumen SBS,APP Product Control No.: 94- 1014 -02 Approval Date: 1 0 1994 Expiration Date: 1 q 9 System Description GAF Materials Corporation has been manufacturing commercial rooting products for more than 100 years. GAF produces a wide range of roof products for built -up roofing systems. The modified bitumen products include both APP and SBS products in smooth, granule and fire rated versions. In addition, GAF offers two ply modified systems to meet the specification requirements for multilayer SBS modified specifications. GAF products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. GAF provides warranted systems over various insulated and non - insulated substrates, can be obtained from GAF and can be found in the Ruberoid Modified Bitumen Specification manual published annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Underwriters Laboratories. GAF modified bitumen membranes have been tested in ASTM D 5417 test requirements. copies of which Application and Corporation and compliance with 1 Contact: William J. Woodring Director of Technical Services (201) 628 -3000 2 Gil Diamond, P.E. Product Control No.: 94 1014.02 V Insulation Types: Fibrous glass Perlite Fiberboard Polyisocyanurate Expanded polystyrene (EPS) Polyisocyanurate Composite Board. Maximum Design Pressures Material Design Pressure Wood — =45 psf Steel -45 psf Concrete -90 psf Lightweight Concrete -45 psf Poured Gypsum -45 psf Maximum Fire Classification Material Classification 1 Gil Diamond, P.E. j 3 Product Control No.: 94- 1014.02 Wood Class A Steel Class A Concrete Class A Lightweight Concrete Class A Pourcd Gypsum Class A Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. Pry Rubcroid® Torch Smooth Ruberoid® Torch Plus (Granule) Ruberoid® Torch Granule Ruberoid® Torch FR Ruberoid® Mop Plus (Granule) Ruberoid® Mop Granule Ruberoid® Mop FR Ruberoid® 20 Ruberoid® 30 Ruberoid® 30 FR Product Control No.: 94- 1014.02 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Dimensions I sq. roll 87 lbs. 3 /4 sq. roll 93 Ib. roll 1 sq. roll 102 Ib. roll 3/4 sq. roll 90 lbs. 1 sq. roll 102 lbs. 1 sq. roll 103 lbs. 1 sq. roll 105 lbs. 1.5 sq. roll 1 sq. roll 92 lbs. I sq. roll 92 lbs. Test Product Soecifi ation pescriplicm ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaccd with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire- retardant, polymer modified asphalt surfaccd with mineral granules. ASTM D 5147 SBS modified asphalt base sheet reinforce with a glass fiber mat. ASTM D 5147 Non woven fiberglass mat coated with polymer modified asphalt and surfaccd with mineral granules. ASTM D 5147• Non woven fiberglass mat coated with fire retardant, polymer modified asphalt surfaced and surfaced with mineral granules. 4 Gil Diamond, P.E. .y- Pry GAFGLAS® Stratavent® (vent ply) for Nailable Decks. GAFGLAS Ply 6® GAFGLAS Ply 4® GAFGLAS #75® GAFGLAS® Mineral Surfaced Cap Sheet GAF Materials Coroporation Asphalt Concrete Primer GAF Materials Corporation Fibered Aluminum GAF Materials Corporation Weather -Coat® Emulsion GAF Materials Corporation Jetblak All Weather Plastic Cement GAF Materials Corporation Jetblak Flashtite® Cement GAF Materials Corporation Plastic Cement Dimensions 3'x36" 69 Ib. roll 3' x 180' 45 Ib. roll 3' x 180' 40 Ib. roll 3' x 108' 75 lb. roll 3' x 36' 76 Ib. roll 5 gallons I, 5 gallons Test Specification 5, 55 gallons ASTM D 41 Product Descri lion ASTM D 5147 Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Asphalt impregnated and coated glass mat base sheet. ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. 1, 5 gallons ASTM D 2824 Fibered aluminum coating. ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. 1, 5, 53 gallons ASTM D 4586 Asphalt flashing cement. 1, 5, 53 gallons ASTM D 4586 Trowel grade, asphalt plastic cement. Gil Diamond, P.E. 5 1/ Product Control No.: 94- 1014.02 Membrane Type: SBS Deck Type 1: Wood, Non - insulated Deck Description: 19 / 22 " or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations apply. Base Sheet: Fastening: Note: Ply Sheet: Membrane: Surfacing: Maximum Design Pressure: -45 psf. Product Control No.: 94- 1014.02 One ply of GAFGLAS® PIy 4 ®, GAFGLAS® Ply 6 ®, GAFGLAS® #75 or GAFGLAS® Stratavent® (Vent Ply) for Nailable Decks mechanically fastened as described below: Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9" o.c. in the lap and two rows staggered in the center of the sheet 18" o.c.. PIy 4® and Ply 6® applications require sheathing paper over the wood deck before application of base sheet. (Optional) One, two or three plies of GAFGLAS® Ply 40, GAFGLAS® Ply 6® or a single ply of Ruberoid® 20 in type III or IV asphalt at an application rate of 25 lb./sq. ± 15 %. One ply of Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule or Ruberoid® Mop FR in type III or IV asphalt at an application rate of 25 lb./sq. ± 15 %. (Optional) Install one of the following: 1. GAFGLAS® Mineral Surface Cap Sheet in type III or IV asphalt at an application rate of 25 lb. /sq. ± 15 %. Maximum Fire Classification: Class 'A'; see General Limitation #2. Maximum Slope: 3:12; see General Limitation 113. Specification No.: N- 1 -1 -MG, N -1 -2- 20/30, N- 1- 2- 20/30FR Wood Deck System Limitations: 1. A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of base sheet to wood plank deck. A red rosin sheet may also be installed on plywood decks as an option. A red rosin sheet is required on all applications where PIy 4® or PIy 6® is used as an anchor sheet. 2. Pre-assembled 'Cap Nail' shall not be used for base sheet attachment. 4 1 Gil Diamond, P.C. �� Estimated Total cost of improvements $ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PE 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. Owner's Name and Address / C- 7 –. 4 7 yl /< Registered Architect and /or Engineer Name and address of licensed contractor / f) Location and legal description of lot to be built on: Lot Block Subs ivision T// /T Street and Number where work is to be done__ (3 t/-3 State work to be done and purpose building (by fl ors) ' ! 2e ✓ 71iii, <h z21(r / 4 42c ' C('-, /77e / /- New Building Remodeling Addition Repairs No. of Stories j _Date ( Date , 19 p �`' r No jtG` Z -1 ' Street 4 �1 7)_e r t J� C�' � a, j /L% Remarks (Signed) MIT Notary Public, State of Florida To be constructed of Kind of foundation R pf Covering 7:4-e- �, Amount of Permit $ �' and for no other purpose. 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, 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 i pection on the site of the rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such su ntr •; • <, on work to erformed under this permit, as are licensed by Miami Shores Village. // 3 / STATE OF FLORIDA, COUNTY OF DADE. 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 f`27U Date / Read, Sworn to and Subscribed before me. Disapproved - - - - -- (Signed ) 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 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement in toe plans and specifications herewith submitted for the build in 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 prggreu of the work. Owner's Name and Address ..... 77741- -.. ....+!'e rl—� Registered Architect and /or Engineer . , « /7 Disapprov (Signed) .. Date..._... .: � .._._.__._ �....._ No ... Street— Name and address of licensed contrpctor... < r/.9 3 s / w ; v 7 9 ,a — Location and legal description of lot to be built on: Lot Block Subdivision _. Street and Number where work is to be done 3<P.3. r State work to be done and purpose of building (by floors) _..__ and for no other purpose. New Building Remodeling ...V Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering. go /6 - /5Ji 30 /6 /14 :3t 2c.' » -' Estimated Total cost of improvements 5..... /. Qo 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 ..1.... < 4/4/i7 The u applicant for this building perinit 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 Sup pleurent, and has complied %%ith 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 arc 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. Rernarks (Signed).. , STATE OF FLORIDA, COUNTY OF DADE. } 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. p Permit No. .l . Date / lJ...!- Read, Sworn to and Subscribed before me. D e Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Mcmbcr Mcrr,ber 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 frotn the 1'L Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and /or worktnanship. 3 )0 „ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at building during progress of the work. _ �p Date '! '/ ¥ , 19 .-7 F Owner's Name and Address RR, �AN� 1 1 zj j 7Y No...- 6 Z Street 'C • f' ,-7 Registered Architect and /or Engineer Name and address of licensed contractor gER r s, 61 co • 4( //, ,e , /a- sr- - Location and legal description of lot to be built on: Lot Block / Subdivision Street and Number where work is to be done Si H E State work to be done and purpose of building (by floors) eoo .$ i g Pogc // - - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation R Covering Estimated Total cost of improvements $ /4"o �o Q �- 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, 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 perfonned 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, p work to be perforrped under this $ . permit, as are licensed by Miami Shores Village. Remarks (Signed) Read, Sworn to and Subscribed before me. Permit No Disapproved Dafe Notary Public, State of Florida 9 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 c refullj the foregoing application, and that he did sign the same, and that all facts therein by him s te$I are true. (Signed) 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 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. IMO APPLICATION FOR =LJILDING 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. � Owner's Name and Address F AN if 0• P R (0 1 7 Registered Architect and /or Engineer Name and address of licensed contractor____B_ _ _ .E_t" R_ -._ 3 I-l_! j ?_1 ` i-/ 111 Street and Number where work is to be done ' clL4 Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose ,4 RA S e MIAMI SHORES VILLAG.E BUILDING INSPECTION DEPARTMENTo Building Ins -ctor Date I 0 :p ,, 19 6 1 No. 163 Street -__ !_vLE . -�d of building (by floors) !" . 1_H!• p.° y s , - • c� ' t a T 'a;t 7/ '§' SE'S and for no other purpose. New Building Remodeling Addition Repairs J No. of Stories / ! To be constructed of Kind of foundation Roof Covering 1 ''II Estimated Total cost of improvements $ �'P 11 Amount of Permit $ Zone cubage required Flan 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, Permanent Supplement, and has complied with the rovisions 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 ins ection o the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc tract on work to be 'performed under this permit, as are licensed by Miami Shores Village. � `' Remarks (Signed)__ / / r _1 It' . STATE OF FLORIDA, COUNTY OF DADE. 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.__ ?_Ce Date /a - 7'C/ Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida 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 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. MIAMI SHORES VILLAGE, FLA. No JOB fg-Apl ADDRESS 2 ' INSPECTION �. TIME READY/ se fi d 6129 REMARKS • INSPECTOR DATE