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Windows 2006PLEASE BETWEEN 10 -12 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: !NSF- 17363 $ Permit Number WS -2-06 -311 Inspection Date: 05/17/2006 Inspector: Grande, Claudio Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SUN AIR WINDOWS & INSTALLATION INC Building Department Comments Monday, May 15, 2006 Inspection Worksheet Miami'Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phony (305+795 -2204 Fax: (305)756 -8972 cbsc!.0 Permit Type: Windows /Shutters Inspection Type: Final Work Classification: Window /Door Replacement Block: Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Phone: 305 - 621 -4149 Page 2 of 2 ns1ection.Numl Inspection Date: 05/15/2006 Inspector: Grande, Claudio Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SUN AIR WINDOWS & INSTALLATION INC Building Department Comments Friday, May 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 �¢ r erm€t Number: WS- 2.06 -31 1 Permit Type: Windows /Shutters Inspection Type: Final Work Classification: Window /Door Replacement Block: Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Phone: 305 - 621 -4149 Page 2 of 2 Passed Inspector Comments PAR 4 -. 7 / 6 0 Failed „ Z Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until ns1ection.Numl Inspection Date: 05/15/2006 Inspector: Grande, Claudio Owner: BOLTON, JOHN AND JENNIFER Job Address: 1202 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SUN AIR WINDOWS & INSTALLATION INC Building Department Comments Friday, May 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 �¢ r erm€t Number: WS- 2.06 -31 1 Permit Type: Windows /Shutters Inspection Type: Final Work Classification: Window /Door Replacement Block: Phone Number (305)754 -2136 Parcel Number 1132050210030 Lot: Phone: 305 - 621 -4149 Page 2 of 2 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.. ' 3 ) 1 TAX FOLIO 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 I 20 Z g • a• 1,0 1 t I A '3[469 rA• 3 38 2. Description of improvement: d 2 3. Owner(s) name and address: h t 2 C. Interest in property: PP Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contracto t ��1 Fl.oRIDA, COUPON OF oAoE Name and address: - i HERE: Y CERTIFY that this . t - "PY of Amount of bond $ 6. Lender's name and address: D .C. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as Fovided by Section 713.13(1)(a)7., Florida Statutes, Nme and address: 81 addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Iction 713.13(1)(b), Florida Statutes. Na? and address: 9. Eiration date of this Notice of Commencement: (the expiration a is 1 year from the date of recording unless a dill( date is specified) A 9nce of Owner' ?ringer's N ` .0 .}p Name ,,�. V I ► 1 Sworrand subscribed before me th Notary lic Print Nus Name MY corrgon expires: 123.01-5 P 1 2 t F642_, br)L- -0 — - ) Prepared by EdQAledo Z LAM , 20t?5 11111111111111111111111111111111111111111111 CF - N 2006R020 360 DR Bk 24267 Ps 0025 (I p s ) RECORDED 02/24/2006 12:38:04 HARVEY RUVIN? CLERK OF COURT 11IAMI -DADE COUNTY? FLORIDA LAST PAGE Address: i(97(90 N.10. ` a 14UF- f�(j 33055 mg .1 (7. Sa 11" Z 1 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Buildin Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) To h N 741 UUL1 `Phone # XO5 - 754 " 2 1.3 4 Owner's Address 12 O2 N `I s Et. 1 C I p 11�, City -4 !1M 1 .5110 1265 State A r" �/ Zip $ SI38 Tenant/Lessee Name o�0k 1. Z" J 1 F642 . b 0L+DNi Phone # ?AS " Z13 (9 Job Address (where the work is being done) 12 OZ )4,Ee 1 0 1 Ste City Miami Shores Village County Miami -Dade Zip 3 r5e Is Building Historically Designated YES NO ✓ Contractor's Company Name S Vkx A g.. d ots V406,13Phone # 306— 4,2 , — 4t ci Contractor's 1 Address �� ep Q f • i(J . 42. EL' AVE.. _ City MI. Pt'- 1 State F Lf Zip a ass Qualifier_, l- t State Certificate or Registration No. Certificate of Competency No. 4 0 1602-1 c i t t r S . New 111A-44 415720 q f4— 7 20 -- 7(01 Z Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition ❑Alter�at ❑Newep - 1 ❑ l D _ emolition Describe Work: ' _r 1 C 1V' ©F 25 14i t) i / 9 }/�l/l'cOs 2 30 c1 Code Enforcement $ Total Fee Now Due $ Submittal Fee $ Permit Fee $ 31 (112- 1 CCF $ CO /CC Notary $ Training /Education Fee $ Scanning $30- CC) Radon 5 Zoning Bond $ (Continued on opposite side) Miami Shores Village Building Department l 06 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 2500 ©00 P CEACE FE OM Structural Plan Review. $ Phone # Square Footage Of Work: � J 0 7 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit No. SUS V b 3 ! 1 aster Permit No. Technology Fee $ . Z S Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 's Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and. that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. • Signatur Owner or Agent Contracftor The foregoing instrument was acknowledged before me this'd _ The foregoing instrument was acknowledged before mel who is personally :nown to me or who has produced emu, NOTARY PUBLIC: Sign: Print: My Commission Expir * * * * * * * * * * * * * * * * * * ** * APPLICATION APPROVED BY: Chc 05/13/03 tification and who did take an oath. **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature ay of who is personally known to me or who has produced as identifi ation and who i 'd take an oath. NOTARY PUBLIC: Sign: Print: My Commissio * * * * * * * * * * * * * * * * * * * * * * * * ** ( fl 7 ,20e' r,-by 4 Plans Examiner Engineer Zoning Issue Date: 2/8/2006 Expires: 02/06/2007 Owner's Name: JOHN AND JENNIFER BOLTON Permit Type: Windows /Shutters Work Classification: Window /Door Replacement Job Address: 1202 101 Street NE Miami Shores Village, FL Contractor(s) Phone SUN AIR WINDOWS & INSTALLATIC 305 - 621 - 4149 Primary Contractor Yes Comments: INSTALLATION OF 25 IMPACT NEW WINDOWS AND 2 IMAPCT SLIDING DOORS Additional Information Type of Work: IMPACT WINDOWS No of Openings: 27 Additional Info: Classification: Residential 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL 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 zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $15.00 $5.00 $370.00 $30.00 $9.25 $429.25 Invoice Number Amt Due WS - 2 - 06 - 23789 $429.25 Total: F5) o POO S L.4 Amt Paid 4Zc{ ?S O Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: WS -2 -06 -311 Phone: (305)754 -2136 1132050210030 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 507 $ 25,000.00 Window Door Attachment Shutter Attachment Final Shutters Final NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. TOMER 1 '� .� / DEW ` ADDR nki - // r , r 'b ¶ • • • :ET n T l lass 1 20 2 O e° I b ti 0 • J . • • ' �� (t!) 'li4 /fi V �\X/ LXJti-. 3D 13 8 STATE Y a. PHONE �j r • • • T l u-. ! 54- 21134, • YBI�R • P. O. NO. ; I N F E R \ e ~ � ( O ` � J 1 ° 1 2 4 1 ° 5 ' 6 & 12- SO' ° r OIX OUR NV. NO. . i 41. falli CR. it : r' W 6AdT/ r'N"w' g l b OWNERS c)0J'Lil r : A v _ He/' .c. °L em_ iUANTITY SIZE TYPE GLASS ' I 1N • g 11 1"X Z( . ' � /, -L ' r te 5 lo" x 5 Ile Ed/ 5 5(0"X 51 A i osibitf A - ,„ .. 1 37" X '9 /2 illi mialimair 2 25 r 41111 2 azt 1 IP 4 2 • 41111 3 2 -. Z I • 3 - it ; • ....; ' f /WM I " x4 " X (Z 2. i " x4 " X 4912 ► Q V� • 9 2 �...k . ' I � J_J __ fit/ a., // it, , KV 0 tta ISTRUCTIONS: 1,101V-13 5 .L_ . ,,, �,. C V �' • ' u t) ', • t 4,` � .� ._�r : _ = PIS Q — t. - -• `! r' , AMOUNT I 1 d 8, Q W � t {r te- $ SALES TAX OTE: :■ " � + • T J 1 1^ ► ,•11 I I I � � , r r e / �I ' /, Materials will be invoiced upon shipment from this company's warehouse of frames and /or glass. Del inks !' ^ /'' and/or installation of screening may be withheld for iee of customer, but this shall in no .�� / J STALLATION UU affect date of invoice amount d... I n the event that amount nt herein shown is rot paid when due, interest at highest legal rate per annum m shall accumulate on total amount remaining du.. All costs of collection shall In paid by the customer in- duding fee. f` , -DJ� TOTAL - . . 0 b r 7 OD 0 , J 5 65 • DEPOSIT /2, • / ,.0 reasonable attom.y's Title Title to materials delivered and/or installed pursuant to this order shall remain in the name of SUN AIR WINDOWS INST. until some is paid in full, and the purchaser waives all right to homestead and other exemption under state law applicable. SUN AIR WIN- DOWS INST. shall not be 'responsible for delay in delivery resulting from strikes, labor difficulties, fire or other casualty, or any causes whatsoever beyond its control. Prices sub- felt to change without notice. Contract prim does not ind y wand 050 intonation permit fees unless stated herein. � ...4 STOMER: ^I Sales Dept. _ Date 54 BALANCE DUE /2. S9 f D O / / ' Credit Dept. Dote TERMS: �/`� O • ) ■ • / ORDER ESTIMATE. •• •• • SUN AIR WINDOWS &' AWNING WINDOWS- SINGLE HUNG -SLI STORE FRONTS -TUB & SHOWER 16760 N.W. 42nd AVE.,. NI 50 5 �21 RE MIR 05 GLASS RS, •• I ' Model: s �+n si �. . . . • . .... o ....! o . 0 00 0 00 , o I . • o : : :. • :.: :.. . •• . • •. •• • •: • • • : • • • • • • • • • • • • • • • 00 0 • • • • • • • • Su4qvA1, Wfvidow ', Iv o., 16760 N.W. 42"I'Avesi e, Warm FL 33055 Telephovur (305) 621 -4109 Fav (305) 621 -5976 a - r 80 HADER TO CONTRACT Customer: Et44 NtrE(- &1+ 4 Address: 12b 14.6 ld 5l- MIPcM 1 GIANLES ul3B Contract Includes: Sun Air Windows specifically "includes" the following items in the base Contract: 1) Material as listed above W iodocos btf I 0811 56clin l NO- bcf teiktheit 2) Installation labor 3) Break metal, caps and strips as necessary to seal openings 4) Interior and exterior caulking Contract Excludes: Sun Air Windows specifically "excludes" the following items from the base Contract: 1) Repair or replace any damage caused during installation to stucco, plaster, drywall, any type of flooring, any type of sill, casing, trim or moulding 2) Painting or touch -up painting y owN€42- WILL 13* Sit l Su■D - .114 3) Lever or deadbolts for doors . p 4) -4 SUN - A .. I�INdO1ruS Ind � % � q r 1 Pt,r4, 1.4 te• Warranty: There is a 5 -year parts and service warranty on material defects. caused by Acts of God is not c ered under Warranty. Purchaser's Signatu Print Name: ' . 't -a Damage that may be / VP 1, /y /G -4 0 *lb m 0 ss3iiSa -yam xox 119p frail $ tv14.Stx3 P- m P 0 Vsx biftfl R.00rwl F} •9liR- xn N. &dea. xx 1 r 53Ye xse% 53ress 58" ,, s* gAge?t fit 11 18'.."74 50 " 4 vo ct- CO k SS? 0 S) (G „ Zbx, B 9 arliS 3 ? 1 dd o Q good s T - �o" a ' NI ppS 'ox EMT F RomTDoolz. „Zbx „8E .,zbwtm 1 X:: 601 ns 'rA 'a xo sod Nott: 5.j4 apt,. De usoiwesf x �” I x '100 • 'S 74 )c 505 /8 1 X3,5 "X 5o5/S /./ r 37'')c5o% 1"X9 1 X4 1' • tl�O l.4ON Tubs •o1 TvbE � z< iF6� - w' 0-iiPatAt ShOf -eS „4X41 .Ra tai••• ••••• 53 /QX+ • • • • •- •• • BEDROOM CR5ueM X I+ -sid aacX ,,..— ,, • 3 ..%,91f..1811% • •• • • • •• ••. •,�: ..� • . • •••S• • • •••• • • ••••• • • • ••••• 000000 • • •••• • • • ••• .•. • •••• •••• • • • •• • RboFI3kt to • • .. MI A ADE • BUILDING CODE COMPLIANCE OFFICE OBCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA Yale Ogren Windows and Doors • 671 West 18 Street Hialeah, FL 33010 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami,Dade County and other areas where allowed by . the Authority Having Jurisdiction (AHD. • This NOA shall not be valid after the expiration date stated below'. The Miami Dade County Product Control Division (In Miami Dade County) and/or the AH1 (in areas other than Miami Dade County) reserve the right to . have this product or material tested for quality assurance purposes. if this product or material fails to perfoml in the accepted manner, the manufacturer will incur the expense of su testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High .Velocity Hvnricane Zone. DESCRIPTION: Series -1700 Impact View Aluminum Single Hung Window • APPROVAL DOCUMENT: Drawing No. W03.1OS, titled "Series -1700 Impact View Alum Single Hung � WDW. ", sheets 1 through 5 of 5, prepared by AL- Farooq Corporation, dated 11/19/03, with revision "A" dated 02/02/04, signed and sealed by Hurnayoun Farooq, P.E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami Dade County Product • Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has bccn no change in the.applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this' NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page I and evidence pages E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Theodore Berman, P.E. tA) o(ko • ••• • •• •• • • • • • • • • • • • • ••• • • • • • MIAMI.DADE COUNTY7IalRIbA METRODADEFLAOLER BUILDING 140 W1S7' FLAMER Sumo volt • • (305) 375 -2901 PAX 1 ) 375 • .• .. • .. ••: •. • • • • • • • • • • • • • • • • • • • .... NOA No 03- 1211.01 Expiration Date: April 29, 2009 Approval Date: April 29, 2004 Page 1 • ••• • •• • • • • • • • • • .•. • . .• • • • • ••.•• •. • • •• Yale Ogron Windows and Doors NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED • . • . .... . .. ... . . . . . . .. . . • •• • . .... •... • A. DRAWINGS ... • .... ... • • • ... . . 1, Manufacturers die drawings and sections. • 2. Drawing No. W03 -105, titled "Series-1700 Impact View Alum Single Hung, . . ••• •• WDW. ", sheets 1 through 5 of 5, prepared by AL- Farooq Corporation, datY I . 11/19/03, with revisions "A" dated 02(02/04, signed and sealed by Humayoun:: . . •.. •• Farooq, P.E. B.. TESTS FBC, TAS 202 -94 • 1. Test reports on 1) Air Infiltration Test, per , pgC, TAS 20294 2) Uniform Static Air Pressure Test, Loading per 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile•Impact Test per FBC, TAS 201-94 • 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 2411.3.2.1 (b) TAS 202 -94 along with marked -up drawings and installation diagram of aluminum singlehung window, prepared by Fenestration Testing Laboratory, Inc.; Test Report No. . FTL- 3822, dated 07110103, signed and sealed by Joseph C. Chan, P.E. • C. CALCULATIONS 1. Anchor Calculations, ASTM- E1300, and structural analysis, prepared by AL- Farooq Corporation, dated 11/17/03, signed and sealed by Humayoun Farooq, P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 01 - 1204.01 issued to "Solutia Inc." for "Saflex/Keepsafe Maximum" dated 05/17/01, expiring on 05/21/06. 2. Notice of Acceptance No. 03 - 1117.05 issued to " Surface Specialties, Inc." for • Uvekol a Laminate Glass Component" dated 01/29/04, expiring on 02/08/09. 3. Notice of Acceptance No. 02. 0828.15 issued to " E.L DuPont de Nemours & Co., Inc" for " DuPont Butacite PVB Material" dated 11/21/02, expiring on 12/11/05. F. STATEMENTS 1. Statement letter of conformance and no financial interest, dated Novemberl7, 2003, signed and sealed by Humayoun Farooq, P.E. G. OTHER 1. Letter from the consultant stating that the product is in compliance with the Florida Building Code (FBC). E -1 Theodore P.E Deputy Director, Product Control Division NOA No 03-1211.01 Expiration Date: April 29, 2009 Approval Dates April 29, 2004 Owner's Name and Address Registered Architect and /or Engineer STATE OF FLORIDA, 1 . COUNTY OF DADE. j ss. Disapproved (Signed) , MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby Lunde for the approval of the detailed statement ut me 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 ... _ ..._ _ ...._ _ _..._._._..._.... ,11 _ No....1.2-0 L .. Street..�� 1 / p � Uttt tH• tH .tttttXtt tlHt•t. . t Name and address of licensed contractor /i CtUA. -0 C. '� ..�.. _ ^tt Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done L.Z -Q _ ..fa-__.'._ 6 1 ' State work to be done and purpose of building (by floors). .__ ... and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation s� Roof Covering Estimate Total cost of improvements $ /2- Amount of Permit S. ^l ® Zone cubage required .Plan Cubage Distance .to n ne.uest 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 •atractors 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 fiction on the site of•the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su actors, on •rk to be performed- under this permit, as are licensed by Miami Shores Village. Remuks (Signed) 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 true.. 4 Permit No.._.r�!.�C! Date .l y I.{ Read, Sworn to and Subscribed before me. Date 6 7 L_ X 175 Notary Public, State of Florida Building Inspector My Commluion Expires to me well known, PLANNING BOARD DATE Ciiair:nan 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 I'I.innir',; 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. FFL 1 -59- 013 -01 -G9 -14151 DURABLE INDUSTRIES INC. 107 N.E. 25th Street Miami, Florida 33137 Phone 672 -7173 1 0/ A DIVISION OF DURABLE INDUSTRIES, MIAMI, FLORIDA FFL 1 -59- 013 -01 -G9 -14151 DURABLE INDUSTRIES INC. 107 N.E. 25th Street Miami, Florida 33137 Phone 672 -7173 / 444,„,, ,, m Rs e / / is a- ,a /o j e i 4 -e ?ems, C J ul vp'", / ..rrtf_ - P , L 00 7 C- A leg a re 77A% 2 eel) h LA w ✓4-4 w r y 75i9 vE,e A DIVISION OF DURABLE INDUSTRIES. MIAMI. FLORIDA