1160 NE 100 St (10)• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ' 20/ . Job Address / 1, 0 A /. 6 / O U S T. Tax Folio l l h 5 019 0
c -�_ -E 1 f Th )
Legal Description �S � E'c 9 Rey s Historically Designated: Yes No
Owner/Lessee / Tenant / n4 1 5 F o ti i Master Permit # l
Owner's Address 1/ 6 6 Al C /0 0 5 7. Phone (3 di) y 4 13 — 9 C c/ 6
Contracting Co. /e 0 R �3 1 ( u w t 7
Qualifier , 4) - f - 1208 i3 r ry 5
WORK DESCRIPTION C 4 r v I T /c ' '
ae2 ere, u
Square Ft. I `,,c
Notary as to Owner and/o
My Commission E
APPROVED:
Zoning
Mechanical
ondo President( / Da
Building
Plumbing
Ca c . Address 6 701 /1
%o /9d7 /2 a A
PhoneC'O57 7fG -4 / a /
State # Municipal # Competency # (' /4 1�36 7 Ins. Co.
Archit sLi E w G o r7 -' , t► C. Address /,-3 ,,/ a o $• W• 7f4 t
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Address
y; d e-, 6 1: t In -3 c, s T
Estimated Cost (value) /.5, 0 o !J, 0 c)
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.
OWNERS 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 . ore, I authorize the above -named contractor to do the work stated.
5: 4/
Signature ontraei Owner- Builder
Notary as to Contrac
My Commission Exp
FEES: PERMIT ,��.•� RADON C.C.F. NOTARY 0 BOND
Electrical
Structural Engineer
er- Builder y assao l ate
ma
s>• , y Scrvic4 & 8�'ding c°.
T ARy Fr-
of
Date
REV 0.1/99
SPECIAL 1NSPFCTOR
DATE: ` O
ATTENTION: Building Official
I, the undersigrned, a Professional Engineer g Registered Architect registered in the State of Florida, have been retain
by c N of the property located at: 1 R:7 1,r ,;1; In2
. (.�Ig �
•
J • �oy�ncrs: M12. J 1 S I 4-,04....o to perform all the duties of a Special Inspector, as defined In Section 305.3 of the South
Florida Building Code.
This office will be responsible to the Building Official of the City of Miami5r the inspection of the structural elements
of the building, including all excavations, pilings, foundation, all reinforced concrete and structural steel, and will file written
weekly reports for the same as to the progress, compliance or non - compliance with the plans and the South Florida Building
Code. In the event of non - compliance the Building Official shall be notified immediately so that appropriate action can be
taken. The pile lobs and all concrete test reports will be submitted to the Building Official within one week after their
completion.
All mandatory inspections, as required by the South Florida Building Code, MUST be performed by the City of Miam 5
when the special inspector is hired by the owner. The City building inspections must be called for on al... MANDATORY
inspections. Inspections performed by the special inspector hired by the owner are IN ADDITION to the mandatory inspections
performed by the City.
Upon completion of the structure, I will submit to the City of Miami with the uth Florida
Building Code and approved plans.
ENGINEER/ARCHITECT SIGNATURE & SEAL:
ENGINEER/ARCHITECT (PRINTED): -
LICENSE NUMBER: �._.. 21 181
CONTACT PHONE NUMBER: 3/)I g �
BUILDING PERMIT NUM
APPENDIX 11
Al_o13_/0
OWNER/AGENT SIGNATURE:
OWNER/AGENT (PRINTED. L.(1 ' 5 FO
BUILDING DEPARTMENT, ' CCEPTED BY:
DATE:
' Page•3 of
AMERICAN SOCIETY NATIONAL SOCIETY OF
OF CIVIL ENGINEERS
NATIONAL ACADEMY
OF BUILDING INSPECTION
ENGINEERS
Village of Miami Shores
Building Department
10050 N.E. 2nd Avenue
Miami Shores, Florida 33138
Dear Sir:
p. 72..S4e4t9aed, S.
CONSULTING ENGINEER
PROFESSIONAL BUILDING INSPECTION
12420 S.W. 75th AVE. / MIAMI, FLORIDA 33156
TELEPHONE: (305) 378 -1244
Established 1976
Att: Building Official Ref: 1160 N.E. 100 Street
PROFESSIONAL ENGINEERS
FLORIDA ENGINEERING
SOCIETY
20 February, 2001
We have been retained by the owners of 1160 N.E. 100 Street, Miami Shores, to
provide special inspector services as defined in section 305.3 of the S.F.B.C. The repairs
are to be performed by Robbins Gunite Service under contract to the owner. The repairs
will consist of the following:
Gunite repair to approximately 450 1.f of concrete rib joist
1. Remove all loose and spalling concrete using a light chipping hammer.
2. Inspect exposed interior reinforcing steel and replace any steel damaged in excess of
15 %. Should laps be required, at least 48 bar diameters or 30 inch minimum is
required as per ACI 318 -98. Steel is to be 60KSI. Concrete cover for steel rebar is to
be a minimum of 1.5 inches.
3. Embedment of rebar into existing concrete structures is to be a minimum of 9 inches
and Sika 31 Gel epoxy is to be used.
4. Sandblast' existing exposed rebar and coat with Armatec 110 or equivalent.
5. Gunite to original dimension.
In progress inspections will be performed and a final inspection report will e fo arded
upon completion. -
s,
old, PE. 217181
AMERICAN SOCIETY NATIONAL SOCIETY OF
OF CIVIL ENGINEERS n 11. 5 �� PROFESSIONAL'ENGINEERS •
NATIONAL ACADEMY
OF BUILDING INSPECTION CONSULTING ENGINEER FLORIDA ENGINEERING
ENGINEERS PROFESSIONAL BUILDING INSPECTION SOCIETY
12420 S.W. 75th AVE. / MIAMI, FLORIDA 33156
TELEPHONE: (305) 378 -1244
Established 1976
NDE
AP'PL1CADLr TO MpfbZONTAI.,, vERTICAL AND AD LOGATIC *
PCCi. J016T
•
t bP __ CONCRETE TO Be
REPAID M 1100119
TYP. PC.). CONC. JOISTS
11 6. o tJ. , 10, K'`
•
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Ar.■1131"lir!
Ai t ,t'l/t . .■1
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BY
DATE
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SUM TO COMPUANi:E ';'. 'TL STATE AND COUNTY
ism SHORES vluitoEilss,!;.'127. ' r:`:.SPO; FOR ACCURACY
OF OR Pa:: :.. '.,. i i 1 1 :::3: . :: ..'!•?
MIAM: SHORES VILIAGE
'111./ THE. SI ••EV"
■:itnt,M , 1.0r trP, 1.?13
AMERICAN SOCIETY NATIONAL SOCIETY OF
OF CIVIL ENGINEERS /� 4 .S4e4494U, PROFESSIONAL ENGINEERS
NATIONAL ACADEMY
OF BUILDING INSPECTION CONSULTING ENGINEER FLORIDA ENGINEERING
ENGINEERS PROFESSIONAL BUILDING INSPECTION SOCIETY
12420 S.W. 75th AVE. / MIAMI, FLORIDA 33156
TELEPHONE: (305) 378 -1244
Established 1976
Village of Miami Shores
Building Department
10050 N.E. 2n Avenue
Miami, Florida 33138
Dear Sir:
1 ,, teal
19 March, 2001
Ref: 1160 N.E. 100 Street Contractor: Robbins Gunite Service
The structural repairs for the above referenced single family residence have been
completed. The repairs are in accordance with the applicable provisions of the S.F.B.C.
and acceptable standards of practice for gunite construction. This,letter is.int ded as the
notice of final inspection and acceptance of . air.
2-11 1
APPLICATIO O ' CERTIFICATE OF RE- OCCUPANCY
5 a w\-e. D - 11° , hereby apply for a certificate
ccupy th single famil residence known as : (address)
// 6o AI) Ssi2i,z
Legal Description:
Lot: S Block /7f
I hereby certify that I understand that the zoning of the property is for single - family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representati. . o certification as to the condition of the dwelling or other
structures on such
e LUIS FDA FT
Contact Name: t,v4 47 - 1/ 1 /
PAGE 1 OF 2
, Miami Shores, Florida.
PB & PG: 513 -- (. 7
Applicant Date 417L 2 20
Print N.
* * * * * ** *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** -
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Telephone:3 7,58-5
Buyer Seller Realtor (/ Company Name all i
Application Fee ($50) paid: Cash Check No. Z 4 / 0 3
Inspected by: F. LUB I EN-- Approved X Denied Date 8/3/00
Comments:
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single - family residential purposes.
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
By:
Date of Certification: 8 / 3 / 00
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.