1270 NE 100 St (3).,AMI SHORES VILLAGE
BUILDING DEPARTMENT
/ 305- 795 -2204
Building Inspection Request
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
AIA Via./ i.A
l 1
04>anq & Date
ime
no g, ^
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
Type Insp'n
D
,( c _ . S9
Name, ..r/1,�er A �J
Address 1 o /00
[ ,�
Date
Permit No.
Company LtaeL
Phone #
For Inspect 0 1 Nam ate
Approved
I i tri
Correction ❑
Re- Insp'n Fee
Date Time
Type Insp'n
Permit No. 7 c 2/90
1 ' -5
Name `-e • t
Address / v �^ z V OO S
Compan e2-t
Phone # - 901 � (/ � 6 7
For Inspector: / / / . •
/ 12-
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name
e
A --3) ,��
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull Test (P or F)
1
�F�3�
`
26
27
f9
51
52
P �45fiEp
1
76
77
2
3
28
53
78
4
29
54
7q
5
30
-
55
80
6
31
56
81
7
32
57
82
8
33
58
83
84
9
•
34
59
10
35
60
85
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
48
73
98
24
49
74
99
25
_
50
.,.T —„„
75
100
SITE SPECIFIC INFORMATION
Owner's Name: KAP--• • ' G (At VG fj ._ A Permit #: 8Q 1-00 2-51 Job Address. l 2 0 G. i Gb d- L . 1 � 1 1 A D.& 1 �jt•}� Q-1'
Roofing Contractor: X (. 1 T t l' Ft 0 4
Type of Tile 4 9Q.ogAi t9 4- SC: 1 Date Installed 3 1131
Approximate Roof Height (Teet Roof Pitch 3 : (
Type of Access to Roof: Scaffolds 'Ladder Other
Approximate Square Footage of Roof: 3300 ft2
Required Testin F ce: 3 lbs.
Date Tested: � 20 O -
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
THIS REPORT SUB ED BY:
Civil Engineer:
Lab Certification # 98- 0608.04
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
P.E.
State of FL Certificate Authorization # 4100
Testing Equipment: Chatillion 100
TEST RESULTS
P = PASS, F = FAIL
Project
N° 2145
$KETCH OF ROOF
4 710 L 1 G too S-r. 1.5tC
SHEET NO ' OF Z
QOM c ry 0IF tot
Jos
CONTRACTOR
CHECKED BY DATE
SCALE
IMMO r' � ■ ■. .ill
■ n7■ /. «1!x.1
I M■1111■® •■11•■r11Y
:II[��i ■ ®® ®ice_ ® � � �� /. ■r7 ■
■■�11 ■■ ■ A�� /lam\ ■■ PINVIEw °1•11111111
IEWAIE1111111141111111M21111011111 ■Da155
IIIGAMI11, ■■ r[ EINI11AAVA
•111111i ■11■/■ INI Ill
plum wawa smanil
■ ■11tH,■ �� [ �''ri� %11!11■ I
111111 1 � X110
g
1 um11∎ wpm= OM 11`11%' JAW / �, \ IK MIN= L.`� ■■ ■111
■RMINIMIN rte. ekl■■S A■M
1 ■ ■ ■ / ■11MWAI1■■1 ■ ■i�i11i t► W
OMNI
I ■■■r 11 ■ ■P ■■■riir T i
NOTES-
7
J
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n f)Ce
Permit No. C› - 7
Name
Address 4
- O / 006
Compan( -e- 1--4
Phone # � D3
For Inspector:
Approved
Correction
Re- Insp'n Fee
t - 0 2 ... Name
,. A " ) 0 1 )7ID
Date 12 -7 -01
gnature
Notary as to er and/o
My Commission Expires:
FEES: PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
1270 N.E. 1 0 0 Street T a x Folio / / -,3 —0709 — 0030
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Mr . & Mrs . D e O l i v e i r a Master Permit # -5p a `J
Owner's Address - 1270 N.E. 100 Street Miami Sores Phone 539- -4348
ContractingCo.Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue
Qualifier Carlos Arocho
State# RC 0 0 5 8 6 2 7 Municipal #
WORK DESCRIPTION Tear off old roof to wood deck,
ASTM felt, install galvanized eave derip and v
asphalt one layer of 901b. ASTM felt, instal
tile with polyfoam adhesive setting.
SquareFt. 30dq.
ondo President
T1 ix.
" ey MI(R YLOU HERNANDEZ
tatf" MY COMMISSION # DD 060579
/ EXPIRES: October 10, 2005
of Bonded Thru Notary Public Underwriters
APPROVED:
Zoning
Mechanical Plumbing
Building
is / g/0 �
Dat
i
SS#
Competency # 17889 Ins. Co.
Address
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
Estimated Cos
replace
Notary as to C • actor o
My Commission Expires
RADON C.C.F. v ' ) NOTARY `_ 0
Electrical
ey e a
Spansih 5 Clay"
Phone 751-0382
PAVING FENCE SIGN
rotted wood, tin cap 301b.
op on with type III
to Fe colorthru
00
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
construes and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
1a -7 -0/
Signature of Contractor or • - Builder Date
'4 MAR HERNANDEZ
1.5 MY COMMISSION # DD 060579
• EXPIRES: October 10, 2005
Bonded Thru Notary Public Underwriters
BOND
TOTAL DUE S3 f LI
Structural Engineer
Contractor's Name1)U,
❑ (Low Slope Application)
C .krAcf - tY Job Address:
V.t10 E ) DO Si,(>°e+
ROOF CATEGORY
❑ (Nail -On Tile) KMorta
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
• ROOF TYPE
❑ New Roof /Re-roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft') Sloped Roof Area (ft & Total (ft 0 ., Master Permit No.
Exposure category (per ASCE 7 -88): L Building Classification category (per AS E 7 -88 table 1): 1
S A
Ft.
A
v
De , type:
Fastener Type:
CI, G
Field: Perimeter: Corner:
DETAIL 1 & 2
ROOF HEIGHT AND SYSTEM DETAILS ARE THERE
(Draw details as needed)
GAS VENT STACKS?
YES El NOL-
TYPE— NATURAL ❑ LPGX ❑
ROOF PLAN
r
' r
t 1 .
123.01 -78 4/08
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Page -1
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Ridge Ventilation?
MEAN HEIGHT
Deck type:
Wooa 1 Xtv
nderlayluent:
as
Iluulation:
30 OD. A
'Om
; l4
1T
ROO /SLOP/
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
Fastener type & spacing:
Cap Sheet:
Roof Covering:
1
�O s na; Is I /a 1b� t
Drip edge:
tz 1 io.c . ee I tt p-
- e .y-- pc» /.,.e�i /
1 0(77 - ✓kt� l e
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Miami -Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
(Pmax1: '((P • 1 x X ( Aerodyna Multiplier): 13, ) -
�5
(Pmaxl: 1 S x X (Aerodynamic Multiplier): iB %CAP ) -
.2-q
(Pmax3: A, (Aerodynamic Multiplier): d�l.to(v ) -
TILE CALCULATIONS
M )•c( = Mr,: -99 PCA: i,I -
M $-90 = Mr3 :.) 2.Pb PCA: to /-
M = M PCA: 4.4.c/0
ficike3 ►c.
5104 APPENDIX "F"
APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner
with the required roofing permit, to provide the owner with this appendix and to explain to the owner the
content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following items should be addressed as part of the agreement between the owner and the contractor.
The owner's initial in the adjacent box indicates that the item has been explained.
_ ,,ed.d 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part of the agreement between the owner and the contractor.
a 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renail'ed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually
concealed prior to removing the existing roof system)
/
j / 3. Common Roofs: Common roofs are those which have no visible delineation between
neigh .oring units (i.e. townhouses, cond etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
&el4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
a = d5. Ponding Water: The current roof system and/or deck of the building may not drain well and
may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overl aded from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with Chapter 23 of the SFBC.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
int�of the structural assembly (the building itself). The existing amount of attic ventilation shall not
be reduced. It may be beneficial to consider additional venting which can result in extending the service
life of th- o•f.
wner' gen ' Signature
Signa ure
IL ,4/22_
D/
D to
Contractor's
Signature
MIAMI.DA
FEB 21 '01 14:12 FR BRADCO
IS
AI'PROVEDI 0Z /OIRt101
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Santa Fe Tile Corporation
10302 N.W. South River Drive, Bay #16
Medley ,FL 33178
Your application for Notice of Acceptance (NOA) of:
Spanish "S" Clay Tile
under Chapter 8 of the Code of Miami -Dade County governin
Construction, and completely described herein, has been reeo
County Building Code Compliance Office (BCCO) under the
305 597 9484 TO 3059533333 P.01
CONDITIONS
OD ... ID W 'M
MIAMI -DADE COUNTY. FLORIDA
METRO.DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE (LAGLER OU(LDIVG
WO wen' rLAGt.GR STt.L'ET. SUITE 1603
Ml/ tI, I'LORIC)A 33110-1563
(305) 375.2901 FAX (305) 375.2006
CONTRACTOR LIC) NS1NC SECr1AN
(303) 375.2527 VAX (301) 375 -211a
CONT3LtC'r01t EVfOKCE+MIEN1' DIVISION
(305) 375•acts PAX (303)375-290S
riwuu r co r *OL uivislos
(305) 375-2902 FAX (305)3724339
the use of Alternate Moterials and Types of
t iended for acceptance by the Miami -Dade
I nditions specified herein.
This NOA shall not be valid after the expiration date stated bow. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufactu is plant for quality control testing. If this
product or material fails to perform in the approved manner, .8000 may revoke, modify, or suspend the
use of such product or material immediately. BCCO reserv4s the right to revoke this approval, if it is
determined by BCCO that this product or material fails to jll the requirements of the South Florida
Building Code.
The expense of such testing will be incurred by the manuFactu(le
ACCEPTANCE NO.: 00- 121146
EXPIRES: 041/2006
RduI Rodriguez
Chief Product Control Division
TF
AL
This application for Product Approval hos been reviewed bi the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above.
Francisco.). Quintann, R.A.
Director
Miami -Dade County
_ Building Code Compliance Officc
%\ s ampoules mw p*g•doc
Internet mail address: postmaster ®bulldIngcodeonline,cont H,mepage: http :h»••w.t
FEB 13 '01 1714S
3058880050 PAGE. et
FEB 2i '01 14 :13 FR BRADCO 365 59'7 'S4B4 TO 3O59533:3;i�
• • ...
SANTAFE TILE CORPORATION
ROOFING ASSEMBLY APPROVAL
Cnteverv; Roofing
Sub- Cateporv: 07320 Roofing Tiles
M a to rj ai
Deck Tvno:
Clay Roof Tiles
Wood
1. SCOPE
This renews a roofing system using Santa Fe "Santale
Santafs Tile Corporation described in Section 2 of this
comply with the South Florida Building Code, 1994 E
locations where the design pressure requirements, as d
does not exceed the design pressure values obtain by c
using the values listed in herein. The attachment calcu
system.
2. PRODUCT DESCRIPTION
Manufactured by Test
APntitan# Dimensions ,Specifications
Santaff 'S' Clay 1= 18"
Roof Tile w l 1.3"
Vg" thick
Trim Pieces 1= varies PA 112
w = varies
varying
thickness
2.1 COMPONENTS OR PRODUCTS MANUFAC
Test
Product Ditmeotaion3 Sneeificatianq
Tile Screws #g x 2 -W long PA 114
0.130" shank dia. Appendix E
0.178 flute dia.
3. LIMITATIONS
3,1 Fire classification is not port of this acceptant
3.2 For mortar or adhesive sct tilt applications. a
accordance with RAS 106.
3.3 Applicant shall retain the services of a Mia
perform quarterly test in accordance with PA
submitted to the Building Code Compliance 0
FEB 23 '01 17;45
PA 112 0 e piece high profile clay roof the
e• ipped with two nail holes. For nail -on,
m ' rtar set and adhesive set applications.
ACCEPTANCE No.: 00 1212.06
Approval Date: February 1, 2091
Expiration Date: Fcbruttry t, 2006
S" clay roofing tile, manufactured by
otice of Acceptance. designed to
tion for Miami -Dade County. For
ermined by applicable building code.
lculations in compliance with RAS 127
lions shall be done as a moment based
Product
oscrintlon
A cessory trim. clay roof pieces for use at
hi s. rakes, ridges and volley terminations.
M nufactured for Inch tile profile,
URED BY OTHERS
Product
pcscrintion
tainless Steel
r.Vii; iYJZ'
Manufacturer
generic
atic field uplift test shall be performed in
i-Dadc County Certified Laboratory to
hall be
1
uloaga, RRC
Roofing Product Control Examiner
3058880050 PA'SE.02
Tile
Table 4: Attachment Resistance Expres d as a Moment - Mr (ft -Ibf)
for Mortar or Adhesive t Systems
3 ":12" , 4 ":12"
Tile
Profile
Tile
_Application
Attachment
Resistance
Santafe 'S'
Profile
Mortar Set
23.6
Adhesive Set
61.9
Tile
2 ":12"
3 ":12" , 4 ":12"
One Screw
5 ":12"
6 " :12"
7 ":12" or '
Profile
Direct Deck
21.8
29,18`
{ 38,28' _
57,31
57,50
61.77'
greater
Battens
Direct
Battens
Direct
Batons
Direct
8lnens
Direct
Battens
Direct
Battens
Direct 1
Deck
Deck
Deck
Deck
Deck
Deck
5.32
5.29
5.03
N/A J
Santafe 'S'
3.93
5.90
5.85
5,82
5.73
5.69
i 56
5,53
Tile Profile
Tile
Application
Two Nails
One Screw
Two Screws
One Screw
w! Cli?
Two Screws
w/ Cli
Santafe S
Direct Deck
21.8
29,18`
{ 38,28' _
57,31
57,50
61.77'
Battens
1 I
1. Approved screws as noted
'Product manufactured btothers'
•
FEB 21 '01 14:13 FR BRADCO
SANTA TILE.Ot ORATION
305 59? 5484 TO 3059533333 = .03/05
ACCEPTANCE No.: 00 1212.06
3.5 30/90 hot mopped underlaymeat applications ay be installed perpendicular to the roof
slope unless stated otherwise by the underl yrnen: material manufacturers published
literature.
3.6 This acceptance is for wood deck applications Minimum deck requirements shall be in
compliance with applicable building code.
4, LNSTALLATION
4.1,1 Santafe 'S' and its components shall be installe in strict compliance with Mimi Dade
Cowry Roofing Application Standard RAS l l , RAS 119, and RAS 120,
4.1,2 Data For Attachment Calculations
Table 1: Aerodynamic Multi�lyers- a. ft')
Tile X (ft') 7, (ft) Profile Batten Applic � tion Direct Deck
Santafe 'S' 0.274 0,267
WEB 13 '01 17:46
Table 3: Attachment Resistance Express
al l -On Syst
3
• R e storing Moments due i Gravity - M
d as a Moment- Mf (k -Ibf)
rank Zuloaga, RRC
Roofing Product Control Examiner
3058680050 PAGE. 03
FEE 21 ' 14! 13 FR BRADCO 30S 59? 4B4 TO 305Y5.
SANTAFE TILE CORPORATION ! ACCEPTANCE No.: 00- 12112.06
5. LABELING
5.1 All tiles shall bear the imprint or identifiable narking of the manufacturer's name or Togo,
or following statement: "Miami -Dade County'ptoduct Control Approved ".
6. BUILDING PERMIT REQUIMENTS
6.1 Application for building permit shall be accompanied by copies of the following:
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or applicable Building Code in
order to properly evaluate the installation othis system.
F =B 13 '01 17:46
PROFILE DRAWINIC
SANTAFE "SANTAFE S" CLAYIROOF TILE
4
rank Zuloagn. R.RC
fing Product Control Examiner
3058880050
PAGE.e4
SANTAFE TIE C9,RPOR TION
FEB 13 '01 1746
N OF A
OTIC$ C
CCEI?T1�NCE S� D
T ANDt1
1 Renewal of this Acceptance (approval) shall be considered site
original submitted doct:mentation, including test supporting da
eight (Y) years.
5
4 Any revision or change in the materials, use, and/or mane actu
automatically be Cause for termination of this Acceptance. unlcs
(through the filing of a revision application with appropriate fee
Acceptance.
9 This Acceptance contains pages 1 through 5
END OF THIS ACCEPTAD CE
ACCEPTANCE No. 00 12X2.06
QPIDTTIONS
renewal application has been filed and the
engineering documents. arc no older than
2 Any and all approved products shall be permanently labeled witJt the manufacturers name, city, state, and
the following statement: "Miatni•Dadc County Product Contra pproved ", or at specifically stated in the
specific conditions cif this Acceptance.
3 Renewals of Acceptance will not be considered if:
a) There has been a change in the South Florida Building Code affecting the evaluation of this product
and the product is not in compliance with the code changcsi
b) The product is no longer the same product (identical) ss one originally approved;
c) Lithe Acceptance holder has not complied with all the req rrmcnts of this acceptance, including rbe
correct installation of the product;
I) The engineer who originally prepared. signed and sealed required documentation initially
submitted, is no longer practicing the engineering prefessi
5 Any of the following shall also be grounds for removal of this Ac prance:
a) Unsatisfactory performance of this product or process;
b) Misuse of this Aomptanc c as an endorsement oI any prod ct, for sales, advertising or any other
purpase$.
The Notice of Acceptance number preceded by the words Miami - ride County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any , nlon of the Notice of Acccpwncc is
displayed, then It shall be done in its entirety.
of the product or process shall
prior written approval has been requested
and granted by this office.
7 A copy of this Acceptance as well as approved drawings and oth documents, where it applies, shall be
provided to the user by the manufacturer or its distributors and a1 all be available for inspection at the job
site at al; times. The copies need not be resealed by the engineer
8 Failure to comply with any section of this Acceptance shall be Case for tcrrnination and removal of
rank Zuloaga, RRC
offing Product Control Exarrjncr
3058880050 PAGE.
<* TOTAL PACE . 05 ,..r.
.:41 RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION •
' PERMIT NO. TAX FOLIO NO. ll —.3 .2 O - 19o5 -- 00, 3 0
-,
STATE OF FLORIDA:
COUNTY OF DADE:
• 1. Legal description of property and street. address: 1 270 N. E. 1 00 , t r_ e a t
'.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.
NOTICE OF COMMENCEMENT
2. Description of improvement: Re:Loof to a new Ti le Roof.
Miami Shores, Flnr Ada 1311R
3.Owner(s) name and address: Mr. & Mrs. DeOlivei r. a
1270 N.E. 100 Street Miami Shores, F'Trida 33118
Interest in property: Owner
Name and address of fee simple titleholder: N/A
4. Contractor's name and address: Quality Roofing Contractor, Inc.
13800 N.W. 1st Avenue Miami, Florida
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: N/A STATE OF FLORIDA, COUNTY OF DADE
Amount of bond $ 0 0
6. Lender's name and address: N /A
o -,,,, ,,,,
ignature 6f Owner
oPrint Owner's Name 7/24p 5 H de 6L' VC - -ll2A
Notary Public
Print Notary's Name
My Commission Expires
1 HEREBY CERTIFY that this is a truly of the
pr Pic�l fled in this office on Hof
, A D 20
NESS my hart 4nd Othcial seal.
• 'If Cirruit and
HARVEY R , Ct
7. Persons within the State of Florida designated by Owneh • ,u. • �' - • r o
by Section 713.13(1)(a)7.; Florida Statutes,
Name and address: N/A
. Sworn to and subscribed before r e this o day of ,O c . , 20 C1
YLOU HER
MMISSION 11 DD 060579
EX IRES: October 10, 2005
Uonded Thru Notary Public Undervrtiters
02R014167 2002 JAN 09 09:04
bunt' Courts
:C,
ocuments may p vided
33168
/v
"Yds core,
be served as ro
8. In addition to. himself, Owner 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: N/A
9. Explratio date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differen" is specified)
Prepared by Carlos
Quality Roofing
Address: 13 8 0 0 N. W
Miami, Florida
Arocho
Contract.
. 1st Ave.
331 68
Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305 - 795 -2204
Printed: 1/11 /2002
Applicant: CARLOS M DE
Owner: OLIVEIRA
Permit Status: Approved
If there is no permit packri
fee is $50.00, which must be
This Permit is granted to the contra
ordinances pertaining thereto and wit!
and approved by the proper municipa
authorization. A further condition upo
ordinances and regulations pertaining
by his agents, servants or employees
Signed:
In consideration of the issuance to
with the plans, drawings, statements I
myself, my agent, servants or employ
Signed:
Fees:
FEE2002 -171
FEE2002 -172
FEE2002 -231
Description
Buildier's Bond
CCF
Building Fee
Total Fees:
PAY
TO THE
ORDER OF
lr
Bank of America.
ACH Rrr 083100277
Ly1a.p- �tL.• —•_•� _.._..
Building Permit
Permit Number: BP2002 -59
OLIVEIRA
CARLOS M DE
Contractor QUALITY ROOFING CONTRACTOR1€ss: 13800 NW 1 AVE
Local Phone: Cellular:
Parcel # 1132050090030 Legal Description: EARLETON SHORES PB 43 -80 LOT 3
Job Address: 1270 NE 100 ST
Amount
$300.00
$8.40
$225.00
$533.40
Permit Expiration: 7/7/2002 Construction Value: $13,500.00
Work: TEAR OFF OLD ROOF AND INSTALL SPANISH "S" CLAY SANTA FE
1 Sec u
QUALITY ROOFING CONTRACTOR, INC.
13800 N. W. 1ST AVENUE
MIAMI, FL 33168 -4849
FOR 4-t..,lfi /27(7 ALA-. 10O ,T
11'0 3,685611' , :0 6 30000 4 7
COLORTH W /ADHESIVE SETTING SETTING
Aocamenl. See back for details
00 595300 24611'
Page 1 of 1
DATE
Total Fees: $533.40
Total Receipts: $0.00
BLK 1 LOT SIZE 75.000 X 109
l - a9 -®-z
16856
1 $ 533,t/O
OLLARS 8
63 -4/630 FL
1348
5/31/ 79
Owners Name and Address rte'. & Mrs. S. R Fgebles .... No.1270.. .. Street_. »• E•_100 St .
Registered Architect and /or Engineer ......
Name and address of licensed contractor B. B. Martin Roofing 3680 N,tw,,_135 St, Q . .Loaka, F1a.� x.3054
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1270 N. E. 100 St.
State work to be done and purpose of building (by floors).
Re — Roof 33 sq. Flat Tile
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering Flat.. Tile..._...._
Estimated Total cost of improvements $ 5660.0 Amount of Permit $. $16...5.0
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit 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 wwitli the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this pennit; 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 subcpptractors, on work to performed under this
pennit, as are licensed by Miami Shores Village. G
Remarks... (Signed) ....... .
STATE OF FLORIDA, `
COUNTY OF DADE. j ss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby unade for the approval of the detailed statement of the plans and specifications herewith submitted for the build.
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
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,'end that all facts
therein by him stated are true. �f A
Permit No.._..!!' i Date 11 / 1 ) (L Rea • •rn to Su r'bed • jeme.
Disapproved 4 0 Date_.
(Signed) takitAA)
to me well known,
AO
Notary Public, S t ate o :IFflirica.;:::-.07.::0"-R o _
N AR Y v I tM �AN Building Inspector My a•mmission Exprrsy_cL,} p�^`y OCT I t9
PLANNING BOARD _ DAD watWai'rls
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL. 1 1 PERMIT N? 12617
PLUMBING
ROOFING
Owner of
Building s�
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
( 1
`o;° Work to be performed under this Permit
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of
Project $
DATE f - — 195
Contractor's
License No
Amt. of
Permit $ •
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date t , 19
Owner's Name and Address _ _' L No Street
v � o ,2 t , , P' '
Name and address of licensed contractor______ " % ' ,- �' // � o' <� ' ' c = / , r
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
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 Roof Covering ^'
Estimated Total cost of improvements $____. -/_ i Amount of Permit $
Zone cubage required / _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor_
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
(Signed) -
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. K o
Pennit No 1 i ,i(1` j Date d ° ' 1 Read, Sworn to and Subscribed before me.
Disapproved Date_
I Notary Public, State of Florida
(Signed) - - - - -- ' ( silt .4 - : , , -
Building Inspector X.) , ) . My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member _ Member
Member ____ ___ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
maters and /or workmanship.