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1177 NE 100 St (9)Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 10 - ilo 0) Time “&00.1 • PD � fL 1 tO alt V-1 Address 1177 N E 100 • Company Phone # For Inspector: Qj (> 101 tit 6 Name & Date Approved Correction Re- Insp'n Fee ki IS SiA Sitjtjg e211 Kiber7 t MIAMI SHORES VILLAGE, BUILDING DEPARTMENT 305- 795 -2204 Building Insspection Request Date 4510 Type Insp'n Pi Ok 5ho7 \(S Permit No. 'she " Name e0dYrO Address i rn iota+ Company PC 8 h U 1 '' e- t Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date OW W \nn Time / f �� Type Insp'n I 44-) /� - Permit No. Name Address [ / ? 7 k jn0 f Cep 07 -W9 Company Phone # For Inspector: d\ 0,0\0 3 Name & Date Approved Correction Re- Insp'n Fee 4D-91 Page 2 INI P0 RTA NT 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. "' HELON R. H PHILL :It _. • •� ;,r MY COMMISSION # DD 078707 EXPIRES: January 9, 2006 ."-. , a:' T' scaled Thru Notary Publio Underwriters STATE OF NTY OF MIAMI -DADE Print Name Sworn to and subscribed before me SEAL: Nota OR, Produced Identification V Type of Identification Produced: > 1) ' 36 2. /2/ 6d . ��/ 0 Personally known PERMIT APPLICATION STAY ` O . ORID OF MIAMI -DADE Stgna Print Name Sworn to and subscribed before me tllis 11 day of 0 Sign ture of Notary Public - State of Florida ` 1 SEAL: 4,011Y P 'F Mayra Vina 4 My Commission DD072�93 a a Expires May 13 MO Personally known OR, Produced Identification Type of Identification Produced: CONTRACTOR Name �1 /1 c 44 �T�its 40RJit - / 4 ' / A. L. License No. d Z 6'$ 7 // . . . / „ Address cp , AiW /10 5-7-- i / Mi�9.LC A-Fe-0 t-x - TelephoneA5 / . 2D6d" Fax '5-2_ SS7 74, z / / Qualifier Name At . y /J PROPERTY OWNER New Construction Name jG Red 2 /602, Enclosure Address // 7? ! 1 4 4-- - /DD $ a i l / 3 ' i Home Telephone Alteration Interior Business Telephone Fax Shell Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior ..../ Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Job Address: INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. PERMIT APPLICATION Master Permit No. Ca? 2 CU IT) - r?) Z3 Subsidiary Permit No. 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 submit- ted 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 1177 NE roo57 Nfc 50aii - - 3 3/ 3? n State � Zip p (� - Cc�a104_ c J►'f�TGI'-e Address G Apt. City " 3 2 - t'^ 06 J - 0 Description of Work Block PG Zoning Linear Feet Square Feet Gam Units Floors Value of Work G2 . 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Folio Number Lot Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL 'I'vI'►; Minimum Fee QTY. TYPE Dryer Qi'V. .11'I'I: Outlet, Appliance Q'I'1'. TYPE Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel 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 Water Heater New NIECHANICAL TYPE Minimum Fee QTY. TYPE: Condensate Drain QTY. TYPE Generator QTY. 'FYPI' Refrigeration, Tons Q'I'Y. A/C Central, Tons Q'I'Y. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUNIBING TYPE A/C Condensate QTY. T1'PI; Drains, Roof QTY. TYI'I: Miscellaneous Fixture QTY. TY Soakage Pit Q'I'Y. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinlder 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: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) -- ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES ( x . x/1000 60) (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY 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 CONTRACTOR New Construction Name fr gc : s v r, ,zs ce.fR. , c c /A--e. Enclosure License No. 0'46)5 BS dr J t" T /. :... . 3/3 Address gi Nw 02 cr. ,$# 11 �i L a9 C . J CL Repair Telephones / G 2'61 Fax ,3j f T 7 74 2 / / Qualifier Name 41 J /Jf)e_ i c../ 47 PROPERTY OWNER New Construction Name JG ,e,d 2 /GvZ Enclosure ,/- Address /` r 7? , /ea 5 / , i 5 3/3 Home Telephone Repair Business Telephone Alteration Interior Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior ...-- 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 Aiianti Shores Village: ECENED A ',:, , 2 2803 Step 1. Step 2. Submit the completed applicatioq 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: 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 submit- ted along with this permit application. i 1 - - Tlff•t' . Address Apt. I — 3Z - 05- 06 -- 0356 Folio Number Lot Block Subdivision Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PB PG PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. (J1 7O 2 — 1 5 23 Subsidiary Permit No. /' City Description of Work Vikit p- cc- on -Sia 3 3/ F State Zip arrer e Zoning Linear Feet Square Feet GOo Units Floors Value of Work l 4 0 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Pie2 IMPORTANT NOTICES 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. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 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. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. S. 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 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. L 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 Lay other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the ;resent federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business tnder 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 rnprovements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with :.our attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: :2 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 at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF : O is - d _iznature of 0 • PHILL MY COMMISSION # DO 078707 .rte 4 EXPIRES: January 9, 2006 Banded Thru Notary Pt 5c Undenwrtiters ` ?Tint Name ' Swom to and subscribed before me s _ day of SEAL: Y OF MIAMI -DADE Personally known OR, Produced Identification ✓ Type of Identification Produced: Abe- 36 Z YL 3 6d 3'7, ' 0 STA ORID '►i'` OF MIAMI -DADE Signa Print Name Sworn to and subscribed before me tt;is 1 day of 0 Sign • ture of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known ✓ OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TY PP. Outlet, Appliance QTY. TYPE': Service Repair QTV. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent 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 Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE', QTY. Refrigeration, Tons 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE 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: Page 4 OFFICE USE ONLY CHECKLIST • OWNER - BUILDER FORM (Attach) • FIRE DEPARTMENT APPROVAL (Commercial / multi - family) • CONCURRENCY (New Construction) • OTHER (Specify & Attach) 53.00 per page (Scanning Fee) M lami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ �cO SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE AUG 1 2003 (s .ft.. ) x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) • PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On nle) PERiIIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT PERMIT NO TAX FOLIO NO. 7f u ST a/ / 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: /1 , 7 /' G i/' 2 S T , /4j s' 4 v/ c s. :3 /,J-P 2. Description of improvement: 3. Owner(s) name and address: C /P6) die/ / Z //77 /1Kg jau Interest in property: /,1�/ . /f,) )P,€ Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 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), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different d e if r 'Signature of V er Notary Public Print Notary's Name My commission expires: 123.01-52 PAGE 4 8/02 5 WITNESS MY HARVEY 11 By , 203. Pre STATE OF 1- LO - 1 HHEREBY HEREBY F'/ lhai thi> is a true ,-o; Uw -_ r Onytnal fi' hi ; of / I f and County Cowls D.C. 11111111 1 CFN 2003RO567665 OR Bk 21520 Ps 4615; (las) RECORDED 08/12/2003 13:16:53 HARVEY RUVINr CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE ti i: MY C t � R ,4 O I D078707 E.;PIRES..ihr ary G. 2006 Bondee IT!! I Undeiwriters ddress: di=),e/4 -v& ().6,(0 /7//4 ‘;et , 11IIaM1 IIOIUE SIIUTTERS INC 1130 West 23rd Street • Hialeah, Florida 33010 Phone: (305) 885 -4488 Fax: (305) 887 -4488 SHUTTER PRODUCT APPROVAL AUTHORIZATION FORM Building Official Dear Sincerely, Miami otters, Inc. Narciso Rodriguez President ///0 ,i/4/d/ _smdg We are the Dade County Notice of Acceptance Holder for theI IXU Act Sir under number03- This letter authorizes 1 s - tQwm,S to use our 400 Oct. S►1vler approved under number mIO� o� to be used at the following job: or %(Do s+ %&i s l y a 3i E 5 ' This form must accompany the appli a 'o • +?;'li permit and shall become part of the permit documents. Z The authorized signature must bear Dade County Notice of Acceptance. Rafael Rodriguez Excecutive Vice President e seal of the company holding the RAM MS ENGINEERING, INC. 2100 W 76 ST. #311, HIALEAH, FLORIDA, 33016 Robert S. Monsour, P.E. FI # 11955 / 0006024 DESIGN WIND LOADS (LBS /SQFT) FOR Height (Maximum) 1 ' 2n 30 40 660 1 1 10 -62.9 ' •60.3, -63.5 -72.6 -76.1 -73.9 -65.6 1 -69.6 1 -73.0 i -75.7 -1.10 i -1.C5 1 -1.02 1 -0.99 -63.9 -67.9 -71.1 -73.7 Kd = 1.00 FLORIDA BUILDING CODE 2001 ASCE 7 -98 WIND CODE 146 ; MPH ZONE Interior Zone (4 - Walls) Negative Pressures the 146 mch `Hind Zone Effective `Nine Area (cr, Tributari Area) in Square Fee: 20 I 30 1 40 1 50 -54.4 ! -0.98 '1 58.7 . ! -57.6 ! -56.8 1 -56.1 -61.3 I -6G.2 - 59.3 i -58.6 c. -62.8 -66.6 -69.8 1 -72. 1 -61.9 -65.6 -63.8 -71.3 Length of End Zone (a): 10% cf least horizontal dimension or .4 h, whichever is sr;i7 r, r_ but not less than 4% of least hcrizcrnal dimension cr 3 (h = mean roof height in;:teCt" '4y/`"' 50 -61.1 -64 -66.0 -70.5 • Exterior Zones (5 - Walls) Negative Pressures c.... -c,,, C Fcr "- e 146 mph W.nd Zone Interior & Exterior Zones (4&5 - Walls) Positive Pressures Exposure C For the 146 mph Wind Zone Height (M 'ms t ) I Effective Wind Area (or, Tributary Area) in Square Feet 10 ! 20 ! 30 I 40 I 50 I 60 10 I 20 1 30 I 40 1 50 I 60 ! 1 .00 1 0.95 I 0.92 I 0.89 1 0.38 1 0.86 15. -77.6 I i 54.7 i `•.123i ( 50.8 I 49.8 1 49.0 I 4& 4 20 . i 58.0 -6c.4 ; 5 5.3 I 53.8 I 52.7 1 51.9 I 51.2 I -71.3 1 1 60.5 I 51.8 I 56.2 I 55.1 1 54.2 1 53.5 30 5 1 - 63.1 I 60.3 I 53.6 I 57.4 1 56.5 I 55.8 40 -90.9 1 ! - 67.0 -84.3 64.0 I 62.2 0, 60.9 1 60.0 1 59.2 50 1 70.2 I 67.0 1 65.2 I 63.9 1 62.8 62.0 60 1 72.8 1 69.5 1 67.6 I 66.2 I 65.2 ! 64.3 RAM MS ENGINEERING, INC. 2100 W 76 ST. #311, HIALEAH, FLORIDA, 33016 Robert S. Monsour, P.E. FI # 11955 / 0006024 DESIGN WIND LOADS (LBS /SQFT) FOR Height (Maximum) 1 ' 2n 30 40 660 1 1 10 -62.9 ' •60.3, -63.5 -72.6 -76.1 -73.9 -65.6 1 -69.6 1 -73.0 i -75.7 -1.10 i -1.C5 1 -1.02 1 -0.99 -63.9 -67.9 -71.1 -73.7 Kd = 1.00 FLORIDA BUILDING CODE 2001 ASCE 7 -98 WIND CODE 146 ; MPH ZONE Interior Zone (4 - Walls) Negative Pressures the 146 mch `Hind Zone Effective `Nine Area (cr, Tributari Area) in Square Fee: 20 I 30 1 40 1 50 -54.4 ! -0.98 '1 58.7 . ! -57.6 ! -56.8 1 -56.1 -61.3 I -6G.2 - 59.3 i -58.6 c. -62.8 -66.6 -69.8 1 -72. 1 -61.9 -65.6 -63.8 -71.3 Length of End Zone (a): 10% cf least horizontal dimension or .4 h, whichever is sr;i7 r, r_ but not less than 4% of least hcrizcrnal dimension cr 3 (h = mean roof height in;:teCt" '4y/`"' 50 -61.1 -64 -66.0 -70.5 • Exterior Zones (5 - Walls) Negative Pressures c.... -c,,, C Fcr "- e 146 mph W.nd Zone Height (Maximum) E: ectve Wind Area (cr, T,, ibutary Area) in Square Feet i 10 ! 20 ! 30 I 40 I 50 I 60 ; -1.4.0 i -1..9 I -1.23 I -1.19 j -1.15 1 -1.13 1.C -73.3 i -c 4 I -65.5 i -63.4 I -61.8 i $0.5 ••••• 1 -77.6 I • -72.4. I -69.3 1 -67.2 I -65.5 ! -6 2✓ i -81.0 ! -/O.8 j -72.4 ; -70.1 ! -6c.4 ; -6o.9 30 ! -84.5 1 -73.3 1 -75.5 ! -73.1 I -71.3 1 -69.3 40 1 -39.7 I -33.6 I -80.1 I -77.6 i -75.7 1 . ., : 74 ..1. ' '• 5 -94.0 -87.7 I -84.0 -81 1 -79.3 . ►,(ir.c as ' 60 I -57. ! -90.9 1 -87.0 I -84.3 I -32,2: • . .(5" 0, RAM MS ENGINEERING, INC. 2100 W 76 ST. #311, HIALEAH, FLORIDA, 33016 Robert S. Monsour, P.E. FI # 11955 / 0006024 DESIGN WIND LOADS (LBS /SQFT) FOR Height (Maximum) 1 ' 2n 30 40 660 1 1 10 -62.9 ' •60.3, -63.5 -72.6 -76.1 -73.9 -65.6 1 -69.6 1 -73.0 i -75.7 -1.10 i -1.C5 1 -1.02 1 -0.99 -63.9 -67.9 -71.1 -73.7 Kd = 1.00 FLORIDA BUILDING CODE 2001 ASCE 7 -98 WIND CODE 146 ; MPH ZONE Interior Zone (4 - Walls) Negative Pressures the 146 mch `Hind Zone Effective `Nine Area (cr, Tributari Area) in Square Fee: 20 I 30 1 40 1 50 -54.4 ! -0.98 '1 58.7 . ! -57.6 ! -56.8 1 -56.1 -61.3 I -6G.2 - 59.3 i -58.6 c. -62.8 -66.6 -69.8 1 -72. 1 -61.9 -65.6 -63.8 -71.3 Length of End Zone (a): 10% cf least horizontal dimension or .4 h, whichever is sr;i7 r, r_ but not less than 4% of least hcrizcrnal dimension cr 3 (h = mean roof height in;:teCt" '4y/`"' 50 -61.1 -64 -66.0 -70.5 • RodR/pez 1/?? kg / aG sy-,yt S-/joR,e a-- 7— _ ) F/ /' .- 3� X /al - 3rx "V /0- ,/?da/ /7/7 2 // r, 1 6 i4- CCa2diaA) S 1/7 — �. — 31 )' c)-/ — 2( a -- 3 3 — d '� y- 3 ‘0 v 5 if4 o12ya( /717 41,E b Si 144w41 S r2 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Miami Home Shutters, Inc. 1130 West 23 Street Hialeah, Florida 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 (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: "HT - 100 " Aluminum Accordion Shutter APPROVAL DOCUMENT: Drawing No. 03 -802, titled " HT 100 Accordion Shutter ", sheets 1 through 7 of 7, prepared by Knezevich & Associates, Inc., dated October 17, 2002, last revision #1 dated December 04, 2002 bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. 1IISSILE 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 the following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the produce 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 io 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 revises & renews NOA # 00- 0118.05 & consists of this page 1 & approval document mentioned above The submitted documentation was reviewed by Helmy A. Makar, P.E. MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No 03- 0407.07 Expiration Date: 05/22/2008 Approval Date: 05/22/2003 Page 1 f C CLEWWED M 2903 Miami Shores Village Building Department BUILDING Permit No. jZCO3- 1 2 9 9 PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Buildin Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) z7C 2.42n ' /.,a.i Phone # 36 S '7 3 S. 5 1 Owner's Address WI _? N• £-. 1 00 S City M. c%A. , Lof'e -s State F1 Zip 33t 3 S' Tenant/Lessee Name N 1 a Phone # 1 k 7 7 N. C, l 0 a 5 City Miami Shores Village County Miami -Dade Zip 3 3 / 3 Y Job Address (where the work is being done) Is Building Historically Designated YES NO Contractor's Company Name E5 w a2 r Contractor's Address 1 I l 1.3 g- t b o 3 City /K . CP • 1` a -►.1tN r State 1 Qualifier Architect/Engineer's Name (if applicable) N . Phone # 0 6 7 " c f.? 7 Architect/Engineer's Address 1 3 ° S . City C, ,- G R-. State F 1 $ Value of Work For this Permit She • Number of: Bays Stories r Families / Bedrooms Type of Work: ['Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: (o c, k. u p - L w, N Oel . e-,,0%., U) S. SO b E ' 14 04 f fi to4S/, /1 �e.► b le_. cQbar- • • X r.. 2 I ) &,ak d 1J2 U d t- ' -KTia_ci s ) Abl e door- .. d�e^� �Ca), cQ>rw ®pCwr�.� t ++ $rt �N� �OJ�I2 e sLr,et i\- C h or • County Escrow Fee $ • 2,0 Permit Fee $ (Cl 1 . co Education/Training Fee $ Tech $ Code Enforcement $ Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Scanning $ 759- /6 L_• Phone # 3 0-s' - '74 rh 7 C zip 3 3 � Zip 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Baths Notary $ ', - Radon $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ Continued on opposite side) VG Rt. Cactr6 . .CEO Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done 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. i Signature Owner or Agent Contractor The foregoing ' •,�u • ent was acknowledged before me this I The foregoing instrument was acknowledged before me this day of 1 20 QS , by VCl C 103 ay of , 20 , b who is personally known to me or who has producec j US (S As identification and who did take an oath. as identification and who did take an oath. NOT UBLIC: Ma �IQT PUBLIC: ; Mabel V s Sign: L.; ��(� I''_� �_ A �'•. _ Commission #DD23I98 Sign:. Print: �/i �� %Pr, ' �9r OF i.,:, „s' Bonded u _ 3 , 2007 Print: ru My Commission Expires: _. My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ********* s*** s***** ******* s * s* s* s* s******* s***** s* s***************_ * * * ***** ** *** * * * *** * *** *s * * * *s* APPLICATION APPROVED BY: Chc7ll /03 Signature who is personally known to me or who has produced AUG 1 1 200) lans Examiner Engineer Zoning Aug 14 03 11:38a . 4i ®9 / / :0 09 /&- /l gee- T /T 39t1d Miami Shores Village Building Department ELECTRICAL CRITIQUE SKEET Pe-.€ cr 49 e2 s "— re- (.t, , .1 I L N .� 1L?n 4 x" t( 'T' I of S'(' i 10050 t.E.2nd Avenue Miami Simms. Florida 33138 l5 ) 19U.119i Faz: (305)756.8972 Permit NoL ,z o/ /zfy Job Name / ? t 2 ,r-,, / .tee •.e" oG Yo y , v p.1 1 2,68992.90£ : Xti3 --- ^39d`11I r1 S3d0HS I Wd I W: Q I 8T : ZT 80, VT/80 SzL' °N 3113 r MIAMI•DADE Ii. 002/03 Miami Home Shutters, Inc. 1130 West 23 Street Hialeah, Florida 33010 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone_of_the_Florida_Building Code. (- D . ESCRIPTION: "HT - 100 " Aluminum Accordion Shutter j APPROVAL DOCUMENT: Drawing No. 03 -802, titled " HT 100 Accordion Shutter ", sheets 1 through 7 of 7, prepared by Knezevich & Associates, Inc., dated October 17, 2002, last revision #1 dated December 04, 2002 bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and the following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising, or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -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 io 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 revises & renews NOA # 00 0118.05 & c The submitted documentation was reviewed by Hel MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375-2908 & approval document mentioned above q &L NOA No 03= 0407:07 xpiration Date: 05122/2008 -- Approval - Date:- 05/2212003- - - Page 1