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95 NE 98 St (2)BUILDING ELECTRICAL 50 PERMIT N. o PLUMBING ❑ 8930 ROOFING ❑ Owner of Building JO . ! Z Architect Contractor or Builder Legal Description Address of Building rt C. ,: [ - Lot MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit Bl. Subdi- vision ' Sq. Ft Value of Project $ DATE 2 t- Contractor's License No r raj? • Amt. of Permit $ 2, 3 ' ) 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 th he assumes responsibility for work done by his agents, servants or employees. ' Signed s ' ELY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered he nder in compliance with all ordinances and regulations pertaining they and in strict conformity with the plans, drawings, statements or specifications su itted to the proper authorities of Miami Shores Village. In acceptiig permit I assgpie responsibility for all work done by either, myself, my agent, s ant or employee. CONTRACTOR OR B LDER BY AUTHORITY M 195.' Permit No Application is hereby made for the approval of the detailed statement of the plans and specificatio $ he with submitted for the b ding or er structure herein described. This application is made in compliance and conformity with the Building dinance of Miami Shores illage, F orida, 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 work.. l Owner's Name and Address Registered Architect and /or }yn Employing Electrician's Nam P Location and Legal Description Lot /' — // Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER T D . ES. My Commission Expires No (Signed No .... ; .. Y (Signed) StreetAl Street L/ Block Subdivision Street and Number where work is to be performed —No / 0/ 0 � Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories e i S O e: Feeders A� r a.,:. ! Main s... , ....._ ,� Main Fuses / , Amps ervrce __ Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding lectrical Inspector. 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 subcontractors 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 .n work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. e : Muter Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMP REVRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. apes HEATER STRIP HEATER //�� '//1,t, Q ,,, Y i� TOTAL 4 CONT BTR r / tN / Y CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. CA g � � p t7•l.Y.{ / ' 4 � ? eh ORS IM/ MOTORS t•3 HP NEON TRANS. Ifia4 It RADIO TOTAL CONTR. LIST / ! / . F / CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specificatio $ he with submitted for the b ding or er structure herein described. This application is made in compliance and conformity with the Building dinance of Miami Shores illage, F orida, 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 work.. l Owner's Name and Address Registered Architect and /or }yn Employing Electrician's Nam P Location and Legal Description Lot /' — // Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PER T D . ES. My Commission Expires No (Signed No .... ; .. Y (Signed) StreetAl Street L/ Block Subdivision Street and Number where work is to be performed —No / 0/ 0 � Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories e i S O e: Feeders A� r a.,:. ! Main s... , ....._ ,� Main Fuses / , Amps ervrce __ Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding lectrical Inspector. 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 subcontractors 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 .n work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. e : Muter Electrician. Permit No Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. f S • 3 0 55. MIAMI SHORES VILLAGE 'ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address J° 1311 S. Carroll No Street Registered Architect and /or Engineer Employing Electrician's Name.. 1431 0. WAGNER, Blectrie N . 9930 N.,,,N,7"git Location and Legal Description N'at * of 22& 23 Block 6 Subdivision Miami Shores Street and Number where work is to be performed—No 95 DIA Si. 9 8 " dt Street State work to be performed and purpose of building (By Floors) residence New Building XI Remodeling Addition Repairs No. of Stories Service L uar g y e zaa Size Feeders 2/ 2 0 Conduit Amps . Overhead " Main Sw. 150 Type of Installation—Conduit Tubing B.X.L Metal Moulding earkill Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli" tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floridaj ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cont (Signed) (Signed Date June .Main Fuses Amps ctors 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, k to be performed under this permit, as are licensed by Miami Shores Village. 29" 1959 4ec Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE a rm 1 WATER HEATER 1 W. HEAT. CONN. SjACE NCATER STRIP HEATER TOTAL CONTR. LIST 13 13 25 13 1 1 CHECK ili:aiihtle ENT. SW. Dist CAD. SERVICE Temp. SERVICE PERM. MOTORS —7*--- MOTORS NEON _...., RADIO TOTAL CONTR. LIST 150 CHECK Permit No Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. f S • 3 0 55. MIAMI SHORES VILLAGE 'ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address J° 1311 S. Carroll No Street Registered Architect and /or Engineer Employing Electrician's Name.. 1431 0. WAGNER, Blectrie N . 9930 N.,,,N,7"git Location and Legal Description N'at * of 22& 23 Block 6 Subdivision Miami Shores Street and Number where work is to be performed—No 95 DIA Si. 9 8 " dt Street State work to be performed and purpose of building (By Floors) residence New Building XI Remodeling Addition Repairs No. of Stories Service L uar g y e zaa Size Feeders 2/ 2 0 Conduit Amps . Overhead " Main Sw. 150 Type of Installation—Conduit Tubing B.X.L Metal Moulding earkill Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli" tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floridaj ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cont (Signed) (Signed Date June .Main Fuses Amps ctors 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, k to be performed under this permit, as are licensed by Miami Shores Village. 29" 1959 4ec Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date `�_rr Time Type Insp'n ; W • �J ' Permit No. faW-' 2- G _1 • Name ahlo kQ r Address GS ■f . 'I,n Company T Phone # For Inspector: 'V ' 9'J5 Name & Date CONTRACTOR Name ;,ft r Evefr e . zne License No. Address 94)( qSSO Nw Ig S-h�f lc Telephone 5q .OS Zit Fax S O _ �j�_ q /�{rf a .)"f J � l �� M Qualifier Namef(ra 11 A. j e , tt V i PROPERTY OWNER I� ,� ) j '' Z I� n V• T V 1 1( Name --1 Address qc Nr grli 31-1-6-1- k Otm' $) e5 Home Telephone 1/4 3os - _ 7c r F3 C /') Business Telephone 30 �^ u3,72 s 1 Fax 30C- 533 " 63e 3 ENGINEER N IA- Name A 'v I (L �1 n License No. J' 1 Pr Address NilA Telephone Telephone N) 4 Fax N 1 f1- ARCHITECT j/ / A Name o a f t License No. Iv / f Address NilA Telephone tvi It Fax N/ il- TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Current Use of Property Proposed Use of Property Tenant Information Address Folio Number I 1 3g0(9-013-00 Description of Work i ee i b /CAS a /3/47-/ % Z Lot 2a 4 ,Q3 Block e Brr _ke r- f Ac eoc# -,4 av15 Oi Scrvt`C Subdivision PB 1� PG Zoning Linear Feet eS i �kn Square Feet /� Units 1 Floors es 1 dit I e. Value of Work 9100 06 U . Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 1 Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) Master Permit No. P. Ia(x)3 • a(nq Subsidiary Permit No. S*ee+ 11/4-11'uw S Apt. City PERMIT APPLICATION FIOnda 33) State Zip vO a. QL '-1 `) 5(o Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure .4age Hall on Construction aw and Choosing a Contractor. ST TE OF FLORI A, COUNTY OF MIAMI -DADE -4<?'-7 el) gn ature of Owner Print Name q Swo oand subscribed before me this / day of SEAL: Signature of N Personally known � i' '' � » : KILPATRICK S MY ! , ., • '. 49152 l9fiE° Stat € Ili + September 27, 2006 1 3 NOTARY FL Notary Service 8 Bonding, Inc. Type of Identification Produced: OR, Produced Identification Print Name Wan Sworn to and subscribed before me this q day of I ztcM COMMISSION # DD 149152 1 4 F yo' EXPIRES: September 27, 2006 1. 8003 - NOTARY FL Noisy Service & Bonding, Inc. Signature of SEAL: Personally known , PERMIT APPLICATION OR, Produced Identification Type of Identification Produced: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNER (Attach) ❑ HRS / DERM APPR( (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & PERMIT FEES $3.00 per page (Scanning Fee)' $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ Zoning Review $ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 9136 Time Type Insp'n El P( no, 1 Permit No. El g.003 Name To W). Address qJ I c1 D S Company Phone # For Inspector: Approved Correction Re- Insp'n Fee 10(01 /) _ Name & Date SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY 91 DATE CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent - Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv, Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps ,1OC Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. 'TYPE Generator QTY. 'TYPE': Refrigeration, Tons Q'I'Y. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Pump and Abandon PLUNIBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTV. Tvpl: Miscellaneous Fixture QTY. TYI'E. Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 11- TAX FOLIO NO. 01 1170 PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -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: kesit nO1. 1 qS N t q 8 I 1 UYni she+ -es / rIOr• tic( 33!3'S 2. Description of improvement: T P P) U (1p -fuse. • 61 611/e +V bz u rs r'd DCa i-C 4- ihS-UI1 )few © u d t ° s rvi 3. Owner(s) t name and address: LI Z 1 1 rl = h i0 �1 ij f E 9J dA ' tr e+ ' I &U I s OY C.S �tic( 3R Interest in property: -ms n CQ- Name and address of fee simple titleholder. 4. Contractor's name and address: &A l Elietr It _The.- qc c t1 W t a - S t r a + - 6( lS 1\.4 i OIm I' FL 33 '7 5. Surety: (Payment bond rec� by owner from contractor, if any) q� Name and address: � Amount of bond $ 6. Lender's name and address: /A" 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( )(a)7.. Florida Statutes, Name and address: 4 4- 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), FiorI Statutes. Name and address: N 9. Expiration date of this Notice of Commencement: dtffff rent date is specifl na ure of e IAA /951A the date of recording unless a °4I e6 MARY A. KILPATRICK MY COMMISSION DD 148152 'or M 1 EXPIRES: September 27, 2006 18004-NOTMY R Koury &Kyle. a BOnWnB. Ine. S�g Ow�t r T Y« ry nitt Print Owner's Name L.t . h n ly � • I � "� Pre pared by Sworn to and subscribed before me this /8 day of See c- , 20Q2 Notary Public Print Notary's Name 1 / My commission expires: ()'?- 123.0142 PAGE4 1/02 STATE OF FLORIDA, COUNTY OF DADE r HEREBY CERTIFY that this is a of the ongine sled in this o�fice on day of WITNESS my hand and HARVEY RUVIN, By AD Seal. nd County Courts o.c. 11111 111111 CFN 2003R1169 S OR Sk 21659 P9 4103; (1Ps) RECORDED 09/18/2003 13:13:14 HARVEY RUVIN, CLERK OF COURT MIAMI - DADE COUNTY, FLORIDA LAST F'AGE Address: • DRIP LOOP ro BE30' AFG (MIN) • ' 6' •r Cve 1:1.diiP 200A) 1 2' ABOVE ROOF • FIIITTIIED S RA7)E • r •• • • .4 • Z 70 'ARAI a14 `� e- PLAS11C r t etiLl •.1 • i • MAIN 03 • SUB C 13 PANES. • PANEL ri w.01 411fO.Q / rvC SLFSrV� 1 WO' ?ON 11E1'711 1 i TENM tear • VVQ x Ir RIDS vMU n V . 1 NOIARY k1:3L•k UI< MAST •I- letpht Conductor sccr _ _._ • Conduit stz c .,__,_._.,.�, .•_. Conduct ty Thru roof , Y ES ___•._ NO • 11A114. DIS OI'11HECT R ahn° Hutt Sub 73rea$cerS SUB FEEDER BIS EDE PANEL PER S.F.A.C, 4506. 20) • Ground wire :tf: • • ••' .Amps An ps • ▪ Amps • • New. Exl - 1Jnp__" Type .._._.. • Size ••� i Bond atza •;.0•2•■•..,:•;- - .._ .- Rating • . • Alps Aond Buss Yes _Nn .1.oCf tyon_ • • • • SIGNATURE: OF CORTRACTOR ____; ,••..______ _ • • \\/ 1- D c ::27r =S1 / MIMS CC # 16047 Broward CC 197 -CME- 1743 -R ELECTRICAL CONTRACTORS Post Office Box 226317 • Miami, FL 33122 -6317 Tel: 305/592 -0534 • 305/274 -1606 Fax: 305/592 -9462 Abov too- cb ! a.o/ a.'1.O v N cw O ( % 1h ai N t, t' \\ \-No.uc , 60A r i N 6c er- kr - �� aae..Ace e- 3 ' INC. 1 Job: a .. � , i. (7 f i Stec A r}rv-C / 60-4 •-f'J, 3 - duo Tfl ' Cu. STR (No \'_) "To ;: `` % e. l: lc-1 O S C a ; N -4 e Oaf-ac N �v,Ne1 New 'Ja k\r• w/i -may H 1-1 •-.) c'.'. STi1.. I a- j0, Fo $ /g' Gr-ouNci (Cods r- ;.-, c _ - I,Ji'I;V 0. - wkr-x- Car UNd • L►Ly Tor\ r^ i A •-•'\ 5rrr o c S 3o5— 75? -- 'Si' o 9/11103 • I oC "StrPo MARY A. KILPATRICK 6 ' S MY COMMISSION # DD 149152 " l'0► n ° EXPIRES: September 27, 2006 1. 8003NOTnav Ft Notary service a Bonding. Inc. w■4cr 33138 L e - 6O`0 aaS ). OJ1Lto Y 156 rh, L, S9 t0 e1 Zo Loc..vcd t U *Le. G o4 e (Ne gus ► s iN .1-0o A C). tit J✓ A /Pin 9 4 6 1 151 jea d 1 * //cl / 2003 '" i s J � r 1:' ,D L i ( Li Zorn E Associotes Inc. Roofing Laboratory Testing and Research Moisture and Up —Lift. Testing Date: 6/12/96 Property address: 95 N.E. 98th. Street, Miami Shores, Fl Owner: Howard Doyle Contractor: Obenour Roofing Permit #: 39656 City: Miami Shores Type of Tile: Monier Bermuda flat Product Control #: 94 1221.08 Roof Slope: 3/12 Sq.ft. area: 2,700 sq.ft. approx. Testing Equipment: Chatillon - DFIS 100 - Calibrated 9/7/93 2524 W. 3rd. Avenue, Hialeah, Florida 33010 C954)433 -1484 * (9543437 -2332 * Fax (954)437 -2296 Metro -Dade County Certification No. 94- 0125.08 June 19, 1996 RE.: TEST TO DETERMINE ROOF TILES ARE SECURED TO DECK AFTER 30 DAYS INSTALLATION - SOUTH FLORIDA BLDG. CODE 3404.3 The purpose of this quality control test is to confirm that there exists sufficient bonding by the mortar to the tile and underlayment in the tile system applied; it will be determined whether 75% of the tile bonds to be tested in three different roof areas, provides sufficient resistance to an arbitrary static uplift Toad applied on the tile. This procedure will satisfy the Building Code Compliance requirements set forth in Protocol PA 106 -95. Tiles have been tested on three different roof areas: field, perimeter and comer areas. Prior to testing, dimensions of these areas were determined and recorded according to Chapter 23 of South Florida Building Code. Tiles selected at random from the three different areas, were lifted by hand, in order to test for loose components. LOAD APPLICATION: An arbitrary Toad of 35 lbf. has been applied to each tile, holding the load for 5 seconds. Test results are tabulated as follows: AREA # PULLS LOOSE TILES BROKEN/ CRACKED TILES ADHESIVE DELAMINATED FROM UNDERLAYMENT TILES DELAMINATED FROM ADHESIVE Field 40 none none none none Perimeter 45 none none none none Corners 32 none none none none Enclosed find a sketch of the test site roof, indicating field, perimeter and comer areas with dimensions, and also, location where pulls have been conducted. XX XX Truly yours, ZARA AND ASSOCIATES, INC. i IELA ZARA esr. ent Encl. Sketch More than 75% of the tile bonds tested in each of the three areas, provided sufficient resistance to the arbitrary Toad applied. More than 25% of the tile bonds tested in each of the three areas, did not provide sufficient resistance to the arbitrary Toad applied. More than 10% of the components have been determined to be "loose" components. The static uplift quality control test for the property in question, complies with the Code requirements 3404.3 and Protocol PA 106 -95. RICARDOA. CARLES, P.E. PROPERTY LOCATED AT 95 N.E. 98TH. STREET, MIAMI SHORES, FL • Field ® Perimeter o Corners Q w 46 ft 1 I ` FLAT BUR / / / / / ♦ / / ® ' / , / , J / r 40 ft • 1• *I J ` ®`♦ ® / / ` / : / n ♦®` \ 22 ft ■ 8ft 16ft FRONT 1 ® 7 / ■ 1 • 1 /''" 1 / 1 I 4 ®1 1 ® / /' /// 1 i ® 1 /® 1 J / , ®/ /1 ` ' ` I / / • • 1® i / ` 1 itio, 1 ' • � .. 1 G .• • • 22 ft 4ft 16 ft / , 1 40 ft