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1298 NE 100 St (7)Building Inspection Request Date 202 ' O Z Time Type Insp'n 71; DL 944Gf Permit No. 73p `Z d4 Z - 6 Name /� � Address � _ /VC - — OQ � -• - Company Teo) / Q ,A J' 1,/i '70 Phon 3 j ) n g ' ® 7 6;S For In ector: Q G 23 Name & Date Approved Correction -- -- - - ✓v ✓ - 7lJ - G LV`'F - - Re- Insp'n Fee ❑ e 0 l MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp' n Permit No. ? 0 0 I O b Name 11 Address 1 1 lJ i Compan pL5-t_t e). Phone # For Inspector: / / I/O 3 Name & Date Approved ❑ Correction Re- Insp'n Fee ❑ 2 3 —a \,( For Inspector: Approved Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Ti Type Insp'n — Permit No. Name Address Company Phone # / mph 6 -� 'D\0D3 3 Date Type In Permit No. L Name proved Address- P 9 8 ' / V- /0 Company at Phone # For Inspector: Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request q D 7 e Time Name :) . A 2,1( (2t7 CONTRACTOR Name P (1 avtax:‘,..c) License No. Address gzi 33 Cam ey Telephone � wry -, v/ ` . 6 , D) 15 , ` Qualifier Name PROPERTY OWNER New Construction Name \-( Enclosure .V. . \1V b. Address \M [` w c „ 2-- ')t3 Home Telephone Alteration Interior Business Telephone Relocation of Structure Fax Shell Only TYPE OF MANAGEMENT ( ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be 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 Job Address: 6 a . U 0 Address Apt. City Folio Number Description of Work Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property c Square Feet 3 2 v Units 1 Floors Proposed Use of Property Value of Work 1 v Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. PERMIT APPLICATION P �O • l � State Zip ENGINEER Name License No. Address Telephone Fax r`??'le'y`E • aB • 3 Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on onstruction Lien Law and Choosing a Contractor. STATE OF FLQRIDA, COUNTY OF M AMI -DADE Print Name Sworn to and subscri BER'OtRODEMU Zf • NOTARY P C, STATE • FLORIDA Signature of Notary blic - State of Florida SEAL: 2005 PERMIT APPLICATION Signature of Print ctor / Qualifier STATE OF FLORID SOUPY OF MIAMI -DADE ame L Sworn to and subscribed before me this GAr day of O • ., a : • NOTA �;,., Sign I�rAXl � f , 2005 SEAL: UEZ JR Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works .. f /111, r —==_— Structural _ Building Official %/ 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 .ft. = x/1000 $ (¢.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: CONDITION OF Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY . Outlet, Appliance Q Fv Tv Service Repair Q . l . Y . A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 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 NIECHANICAL TYPE Minimum Fee QTY. TAPE Condensate Drain QTY. TYPE Generator Q . Q . V . TypE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WalWVin. 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 Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING .rti.pE A/C Condensate QTy. TYPE Drains, Roof QTY. .i.Yi,i;. Miscellaneous Fixture Q .1Ni,i,. 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: 6760 CORAL WAY, SUITE #202 MIAMI, FLORIDA 33155 Scope of Work: We moose to fumish labor and materials, remove the existing roof decking or to a smooth workable surface and remove all debris from premises. APPLICATION OF NEW CLAY OR CEMENT TILE: ❑ FLAT SECTION: • Apply one (1) layer of #30 Ib. paper tin capped as per S.F.B.C. • Apply one ply of #75 fiberglass base sheet felt tincapped as per S.F.B.C. • Fumish & Install hot mop a layer of #90 Ib. felt paper • Furnish & Install hot mop two plys of #15 GAFGLA SS ply sheets • Furnish & Install 16" galvanized #26 gauge valley metal • Furnish & Install hot mop one ply of GAF modified cap sheet • Furnish & Install Tile agreed on ❑ SHINGLES • Apply one layer #30 Ib. felt paper tin capped as per S.F.B.C. • Fumish and Install 16" galvanized valley metal to all roof valley where required • Furnish & Install galvanized eaves drip to all eaves and gables • Fumish & Install your color of choice and type of three (3) tab fiber glass shingles • Furnish & Install galvanized p' h pans or lead s k flashing tofil) plumbing stasks For the Sum of. j / s Sao• °la 1 tom.,-. A sa mo: /lezei...��4? Initial Deposit $ M6. u.-4? /jtpi1i/tJA ,;' ;s Rill ,lc /✓ec/ Balance due at Completion: $ S (Iva This contract and any agreement made pursuant hereto is between ALELUYA - ROOFING COMPANY and will be subject to all appropriate laws, regulation and ordinances of the State of Florida, and to the following terms and conditions: 1. The person executing this contract must obtain the approval of an officer of Aleluya- Roofing Company for this contract to be effective under any conditions. 2. Should default be made in payment, charges shall be added from the date thereof at a rate of one - and - one -half 1-1/2 percent, per month and if placed in the hand of an attorney for collection all attorneys fees, all legal and filing fees shall be paid by customer accepting said contract 3. Aleluya- Roofing Company shall have no responsibility for damages from rain, fire, tornado windstorm or other perils, as is normally contemplated to be covered by homeowners insurance or business risk insurance. 4. Replacement to deteriorated decking facial boards or other materials unless otherwise stated in this contract, are not included and will be charged as extra on a material basis. This contract includes three (3) plywood boards at no cost, any after that wilF .t $25 cost per sheet installed taciaime firsTT00 r feet are at no cost, any after that will be priced at $1.50 per ft. 5. Aleluya-Roofing Company is not liable for failure of performances due to labor controversies, strikes, fire weather and inability to obtain materials from usual sources, or any other circumstances beyond the control of?me Roofing Company whether of similar or dissimilar nature. 6. This contact shall not be assigned except by or with the written permission of Aleluya- Roofing Company. 7. Aleluya- Roofing Company is not responsible for construction problems of your home or building. If pointed out and notified the company, we will try to assist you on correcting them. 8. Issue a%u1,'/ ( /6Y ) year guarantee. 9. Aleluya Roofing Company reserves the right to hire other contractors to complete the work proposed. 10. No backcharge is accepted wthout a signed written concent from an Officer of Aleluya- Roofing Company. Acceptance of this Contract: The above prices, specifications and conditions are satisfactory and are hereby accepted. Aleluya- Roofing Company is authorized to do th '`rk as specified. Pa ent will be made as outlined in the contract above. This is a legal binding document when signed. ALELUYA- RO OFING CO. Contracted to: Building location // /-) 4?, /00 s t : C� ekr-of Phone: 7SG This proposal for following work and to furnish material at the following price is respectfully submitted for your consideration. Aleluya- RoofingCompany may withdraw this contract if not accepted within 15 days. Accepted Signature: Authorized Signature Date ' lb —0 Contract No. 5367 Date: 7 9•C PHONE: (305) 323 -2679 (305) 968 -0788 Lic. 8 Ins.: CCC# 057033 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -1406 Printed: 8/13/2002 Applicant: MARTHA HAY Owner: HAY MARTHA JOB ADDRESS: 1298 NE 100 ST Contractor Local Phone: Parcel # 1132050090010 Fees: FEE2002 -4496 FEE2002 -4497 FEE2002 -4498 Description Building Fee Buildier's Bond CCF Total Fees: Amount $270.00 $300.00 $9.00 $579.00 Total Fees: $579.00 Total Receipts: $0.00 Permit Status: Work: ROOF RESIDENTIAL TILE C- If there is no permit package accessible on the job -site for inspectof to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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: Owner is Responsible for Maintenance of PORTO & GARCIA ROOFING Contractor's Address: All Village Sidewalks as per Village of Miami Shores Code of Ordinances, Including D:ivew , Caused By Current Construction Ac(i•ri i_.. Legal Description: EARLETON SHORES PB 43 -80 LOT 1 BLK 1 LOT SIZE 75.340 X 109 Approved Permit Expiration: Building Permit 2/9/2003 Construction Value: $12,000.00 e,tatV Page 1 of 1 MIAMI SHORES VILLAGE NOTICE /a J (INSPECTOR) BY: 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 responisibility for all work done by either myself, my agent, servants or employes. (Contractor or Builder) BY: 0 PAY TO THE ORDER OF First Union National Bank firstunion.com Org. 003 R/T 067006432 THIS CHECK IS DELIVERED IN CONNECTION WITH THE FOLLOWING ACCOUNT (S 11 762" 106 70061.3 2i: 20000013 268 3 I8n' SCISIZIS OF/ter/0 a DATE a ik -C2 -c-r--544FL-) $ 1 DOLLARS c -cD c. ) 63-643/670 BRANCH 88269 S•CUIlly NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: 02R4 74.256 2002 JUL 31 12:28 COUNTY OF 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: 4-) ! f �� •�� 3� , 1 /� 2. Description of improvement: Interest in property: Name and address of fee simple titleholder: 3. Owner(s) name and address: 4. Contractor's name and address: 5. Surery:(Payment bond required by owner from contractor, if any) Name and address: ST "' ,ir Ft ORfn ran' /KIT Or DADE Amount of bond $ t I cBY CERTIFY that this is a to copy of t e b , filed in this of'. • ,-, - - ,!- �'ay of 6. Lender's name and address: 1 (v�r A n , 'ours t h.,..6 - ;;u C'f;,c�al eat. 1ARV Y rr,;VI; Cf_: ±ir ancyCountyCourts 7. Persons within the State of Florida designated by Owner upon by Section 713.13(1)(a)7., Florida Statutes, Name and address: 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: 9. Expiration date of this Notice of Commencement: (the expiration date is year from the date of recording unless a different date is specified) r a\r•Q_ Sworn to and subscrAte teatinPuEz iy of 6r, f) , 20 a z NOTARY PUBLIC, STATE OF FLORIDA Notary Public COMMISSION NO CC 811: :1 Signature of Owner Print Owner's Name Print Notary's Name - ----My Commission - Expires Prepared by -330(Y, Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles -. A,B,D 1,2,4,5,6,7 c oncrete or Clay IlTe A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes ". A,B,D 1,2,4,5,6,7 Other As Applicable i 1,2,3,4,5,6,7 1. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofin • Considerations Re- Roofin • OnI 7. Any Required Roof Testing /Calculation Documentation Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE ATTACHMENTS REQUIRED: COMPLETE THE NECESSARY SECTIONS OF THE NIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH. THE REQUIRED DOCUMENTS AS NOTED BELOW: Florida Building Code Edition 2002 L High Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Contractor's Name Job Address ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof Section A (General Information) Process No. ilDG P5 1>9 t (oo sf ROOF CATEGORY ❑ Mechanically Fastened Tile L7 Mortar /Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) Section B (Roof Plan) Sketch Roof Plan: Illustrate all' ftiiPels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 0 / F / ash /p $ke. R$S 81/ e ha /7+ Of p �( OF // Roof System Manufacturer: Notice of Acceptance Number: Minimum Design Wind Pressu Prhax1: P , If Applicable (From RAS 127 or Calculations): ax2: Pmax3: Maximum Design Pressur (From the NOA Specific ystem): Method of tile attachment: Roof Slope: : 12 r Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Steep Sloped Roof System Description Deck Type: Type Un Ridge Ventilation? Mean Roof Height. 5 eQ / derlayment: sulation. Fire Barrier: a - Fastener Type & Spacing Adhesive Type / 3 or ype Cap Sheet: Roof Covering: Type & Size Drip Edge: Z o c n o t --{�� to • Fill in Specific Roof Assembly Components Fastener Spacing for Anchor /Base Sheet and Identify Manufacturer (If a component is not used, ide tify as "NA ") Attachment System Manufacturer: NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Pmax 1: Pmax2: Pmax3: Max Design Pressure, From the Specific NOA System: Deck Type: IIIus ate Components Noted and D ils as Applicable: Gauge/Thicknes.. oodblocking, Gutter, Edge Termination Stripping, Flashing, Continuous Cleat, Cant Slo / Strip, Base Flashing, Counter- Flashing, Coping, Etc. Anchor/Base Sheet & No. of P (s); Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material Anchor /Base Sheet Fastener/Bon. g Material: Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Insulation Base Layer: Comply with RAS 111 and Chapter 16. Base Insulation Size and Thickness: Base Insulation Fastener /Bonding ateriff: Top Insulation Layer: Top Insulation Fastener onding Material: Base Sheet(s) & N., of Ply(s): Base Sheet Fas ner /Bonding Material: Ply Sheet(s & No. of Ply(s): Ply Shee Fastener /Bonding Material: Top P y Top Ply Fastener/ Bonding Material: Surfacing Florida Building Code Edition 2002 Hi.h Velocit Hurricane Zone Uniform Permit A..licalion Form. Section C Top Insulation Size and Th ness: / /? C C t7/ Low- SIo ed Roof System Field: " oc @ Lap, # Rows @ " oc Perimeter: oc @ Lap, # Rows @ oc Corner oc @ Lap, # Rows @ ' oc Number of Fasteners Per Insulation Board Field Perimeter Corner • FT AFT Parapet Height Mean Roof Height Where to Obtain Information Description S ymbol PI or P2 or P3 Where to find RAS 127 Table 1 or by an engineering analysis prepared.by PE based on ASCE 7 Design Pressure Mean Roof Height 11 Job Site Roof Slope 0 Job Site Aerodynamic Multiplier. A, OA Restoring Moment due to Gravi M • Attachment Resistance Mr wCIa- Rcquircd Moment Resistance M, Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance F, Calculated Average Tile Weight W NOA Tile Dimensions 1= length .w-- width NOA All calculations must be submitted to the Buildin• Official at the time of .ermil a..lication. M Required Moment Resistance' Mean Roof Height -* Roof Slope + 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 0.1 X 28.0 31.6 32.8 34.9 6:12 26.4 / // 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M with the values from M if the M values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Motitent •Based Tile Calculations Per RAS 127" (r,: t,�,}-- ('x l x-45. ) - = M d"'3 f. NOA M t ( g' (P3: too kx X 0Z19= a djo3) - Mg: = Mr: i-sll NOA Mf ' rr /479 (P3: (n0 • In x = oq-)- Mg: = NOA M t( r7 Method 2 "Simplified Tile Calculation Per Table Below" v/0 n NOA M Required Moment of Ffesistance (M From Table Below *Must be used in conjunction with a list of moment based tile systems endorsed by the Droward County Board of Rules and Appeals. For Uplift based tile systems use Mitl 3. Compared the values for F' with the values for F the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (r, : x I: x w: = ) - W: x cos B.• = F NOA F' (P : x I: = x w: = ) - W: x cos B: = F NOA F' (P x I: = x w: = ) - W: x cos B: = F NOA F' SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with thc required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, building 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. V'N�\ 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) 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 thc contractor. y \t'AJ\ 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the cut provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usualty concealed prior to removing the existing roof system). 1 .A V\ 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor andior owner should notify the occupants of adjacent units of roofing work to be performed. \-\ \(\ 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be vie'lvcd from below. •I owner may wish to maintain the, architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not he acceptable. The Florida Building Code provides the option of maintaining this appearance. Iv \ 5. Ponding Water: The current roof system and/or deck of the building may not dram 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. • \N\ ` 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded 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 the Florida Building Code, Plumbing. T.X. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior 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 the roof. Owner's/Agcnt's . ignaturc Date Contfactor's Signature C •DON ?I payLL.00A 13- 117'm, \SCCTIO• utter NI IAM APPROVED: 12 /Q7/20QQ • PRODUCT CONTROL NOTICE Entegra Roof Tile Corporation 1201 N.W. 18 Street Pompano Beach ,FL 33069 Your application for Notice of Acceptance (NOA) Skandia Roof Tile under Chapter 8 of the Codc of Miami -Dade County Construction, and completely described herein, has b\: County Building Codc Compliance Office (BCCO) u This NOA shall not be valid after the expiration dal( product or material at any time from a jobsite or n product or material fails to perform in the approv use of such product or material immediately. BC determined by BCCO that this product or matet Building Code: The expense of such testing will be incurred by the m d J. ACCEPTANCE NO.: 00-1 106:01 EXPIRES: ;2107/2005 \ jO4500011pc20001\iemp[atelModee accepanee ca.," pate.dot 301.) V' J' J� L L � i l,• L 'J. G L . J i r` J - : MIAMI -DAOE COUNTY, FLORIDA METRO -GAGE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO•DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1607 MIAMI. FLORIDA 33130-1563 (305) 375 -2901 FAX (305) )75-2908 CONTRACTOR LICENSING SECTtON (305)315452T FAX (305) 375.2531 CONTRACTOR £NFORCEDIENT DIVISION (345) 375 -2966 FAX (305) 375 -290* PRODUCT CONTROL DIVISION (3051375.2907 FAX (305) 3724339 of Alternate Ni, leriats and Types of •: ! for acceptance b) the Miami -Dade s specified heron. .CO reserves the to secure this for quality cost ✓ol testing. If this \ay revoke, trtrdlf :. suspend the • h revoke :hi. ,proval, if it is • - emerts of t)'e :•outh Florida • Raul Rodriguez Chief Product Control Division TRIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE 84 PRODUCT REVIEW COMM1TTEk This application for Product Approval has been reviewed by 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 J. Quintana. R.A. Director M iami -Dade County Building Code Compliance Office 1, ENTE1• - ' CEPTANCE ":u.: - 03 2. PRODUCT DESCRIPTION Manufactured by ,naLsaal Skandia 1 y 16 ''/" w 13" '''4 " thick Trim Pieces ?Coduc4 Dimensions Roo Tile Adhesive NIA ("Polypro® A H1.60") • Category: Sub Category: Materials: RoofTile Adhesive TileBond Roof Tile Mortar ( "TileTitc *"" Dimensions I* varies w - varies Factory premixed canisters ..;a :,ySfrm using En,tegra di.. • !.e C'orpraC.on, as clescribe wi :a the S • • Fk,ridtt Bt i'.. tKti 1r -. -" 3.!:ure E: y; ■• ' 'tt �tlt. •a „n -"Les • 'sad e_ two patty sysittil ai.d:, „_ _ It bt:s. S; . Roofing Flat Profile Tile Concrete 'rat . SnecifIcatlons PA 112 2.1Components or products manufactured by others Test Sneciftcatlons See NOA See NOA NIA PA 123 • YDITIONS :te roof tile as manufactured Otis Notice of Acceptance, Edition for Miami -Dade letermined by applicable ui;:ain by calculations in herein. The attachment ::hment calculations for a Prod Descrintioq Flurprofile- concrete roof file for direct deck ar battened nail -on. PA 112 Accessory trim. concrete or clay roof pieces for use at hips. rakes. ridges and valley terminations. Product Descriotioq Two component polyurethane adhesive designed for adhesive set rooftik applications. Single component polyurethane foam roof tile adhesive Prepared mortar mix designed Bermuda Roof for mortar set ro • til e. wi applicoti •r,�' • Air -04111W ga. RAC Roofing Product Control Examiner Manufacturer Polyfoam Products, Inc. Flexible Products (with current NOA) ENTEGRA ROOF TILE NOTICE ,� Prad4�,t Roof Tile Mortar ("Quikretee Roof Tile Mortar 10 1140 ") Roof 7ite Mortar ("BONSAI.® Roof Tile Mortar Mix ") Wood Battens Tole Neils Tile Screws Hurricane Clip Fasteners 3, I ( J - N: �rtiral .1 1, 1" x 4 toriarintal r tr ; "x4 N for .'�. ,erti.al br Of .i " x2 "t:..: alone min. lOd x 3" M8 x2''A "long 0.33S" head dia. 0.131" shank dia. 0.175" screw thread diameter min. V, width min. 0.062" thick ' 2 rr.. 14 Ap radix E PA 114 Appendix E PA 114 Appendix E • ... • part of this �... • . ACCEPTANCE No. : 00- 1106.03 APPROVED: December 7, 2000 EXPIRES: December 7, 2005 ANDARD CO NDITIONS Product Qcsenstton Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. vers Salt pressure treated or decay generic resistant lumber battens •Corrosion resistant, srhooth.• screw or annular ring shank nail Corrosion resistand coated. square drive, galvanized, coarse thread wood screw Corrosion resistant bronze, aluminum, stainless steel, galvanized steel or plastic attachment clips for supplemental the anachment. Clips are installed with corrosion resistant roofing 't!, the clip. .: wired ., ran ulOP^A, Qn . Manufacturer Quikrete Construction Products with Current NOA W. R. Bonsai Co. with current NOA generic • generic generic • 4' �.- Table 4: Attachment Resistance Expressed as a Moment M, (ft -lt9f) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment — Resistance Skandia Adhesive 31.3 2. See manufactures component approval for installation requirements. 3 . Fiexibie Products Company TileBond Average weight per patty 13.9 grams. Poytoam Product, Inc. Average weight per patty 8.grama. ENTEGRA ROOF TALE CORP N 1 ION r- TIIo Profile Skandia Tile Profile Skandia NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Table 3' As schmeqt Resistance Expressed as a Moment - M, (ft -Itrf) for Nahi -On Systems Direct Deck Direct Deck (min 15132" plywood) (mire. 19112" plywood) Fastener Type 30.9 ! -101 Ss:tooth or .•.crav, 7.3 Shank NesI 2 - 10d Smooth or Screw s tit.: Shank Neils I e8 Screw 2118 Screw I -10d Smooth or Screw Shank Nail (Field C lip) I -10d Smorrth or :c, w 2 -10d Rin$ Shank Nails k Shank Ntil !Save Chi 2 -10d Smooth or Screw Shank Nails (Field (..10) . 2 -10d Smooth or Screw Shank Nails (Eave Clip) 30.8 51.7 24.3 PolyPro • PoIyr ".; Skandia 4. Large paddy placement of 45 grams of PnIvPr_'". 5. Medium paddy placement of 24 grams of PoZPPrn '-. ?OOG J 1 (.3111) 19.0 35.5 ',t.9 31.9 Tile Application ACCEPTANCE No. :111106.03 APPROVED: December 7, 2000 EXPIR ES: December 7, 2005 18.8 35.5 Table 4A: Attachment Resistance Expresst:rl na ,) Ffni eat • M, (ff•Ibf) for Single Patty Adhesive Set Systems 9 =ttens 17.2 4,9 7.4 24.4 24.'2 22,1 34: 8 32.2 2 -10d Ring Shank Nails' 50.3 03.5 , 48.3 1. Installation with a 4 the headlap and faatcrnere are locates a mir. o! 2W from flea el C ie. Minimum Attachment Resistance 118.9 oaga, RRC Roofing Product Control Examiner k a � Table 2: Restoring Moments due to Gravity - @M (ft -lbf) —w Greater than 7 ":12" TIle Profile 3 ":12" -- 4 ":12" 5 ":12 " 6 ":12" Battens 6 85 ,. `� Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Entegra Skandia / 7.79 , 6.75 7.67 6.61 7,52 6.44 7.32 6.26 NIA :4 ENTEGRA ROOF TILE CORPORATION ACCEPTANCE No.: 00- 1106.03 APPROVED: December 7. 2090 EXPIRES: December 7. V TICE OF ACCEPTANCE: STANDARD CONDITIQN 3,2 For mortar or adhesive set tile applications, a static field uplift test shali be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 1 12, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3,5 30/91: hot mopped underlayrnent applications may be installed perpendicular to the roof slope unless stated otherwise by the underlaymetu 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. INSTALLATION 4.1.1 "Entegra Roof Tile Corporation Skandia Flat ", and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 1 and RAS 120: 4:2 Data For Attachment Calculations d ;nle`,llC ON/i7 ,l'i ^,,/ N ZOO? Cv L Jflii Frank Zulnaga, RRC Roofing Product Control Examiner 1(' Table 1: Aerodynamic Multipliers - X. (ft Tile x (ft Profile Batten A . • lication Di Deck Application Skandia 0.267 0.289 :4 ENTEGRA ROOF TILE CORPORATION ACCEPTANCE No.: 00- 1106.03 APPROVED: December 7. 2090 EXPIRES: December 7. V TICE OF ACCEPTANCE: STANDARD CONDITIQN 3,2 For mortar or adhesive set tile applications, a static field uplift test shali be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 1 12, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3,5 30/91: hot mopped underlayrnent applications may be installed perpendicular to the roof slope unless stated otherwise by the underlaymetu 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. INSTALLATION 4.1.1 "Entegra Roof Tile Corporation Skandia Flat ", and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 1 and RAS 120: 4:2 Data For Attachment Calculations d ;nle`,llC ON/i7 ,l'i ^,,/ N ZOO? Cv L Jflii Frank Zulnaga, RRC Roofing Product Control Examiner 1(' ENTEGRA ROOF TILE CORPORATION ACCEPTANCE No. : 00-1106.03 APPROVED: December 7, 2000 EXPIRES: December 7, 2005 I (OTICE QFACCEPTANCE; STANDARD CONDITIONS 1, Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test- s:Jp;►orting data, engineering documents, are no older than eight (B) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: n. 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 changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the t.equired documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or, change in . the materials, use. and/or-manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior apprdvdt lias'been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance 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 Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well tr 7 n , e d ar- 4t,.7z7 .and other documents, where it applies, shall be provided to the user by distributors and shall be available for inspection at the job site at all time. The engineer need not reseal di- copim g. f ailure to comply with any section of this Acceptance shell be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 7. END OF THIS ACCEPTAN L d i :fi'tl ( /1F . '1S %TIt'Cl 7,00Z F.:1 - ran - u oaga, RRC Control Examiner I<f 0'd d No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 21 -25 Passed 41-45 Passed 71 -75 91 -95 6 -10 Passed 26 -30 Passed 46 -55 Passed 76 -80 96 -100 11 -15 Passed 31 -35 Passed 56 -60 Passed 81 -85 101 -110 16 -20 Passed 36-40 Passed 65 -70 Passed 86 -90 111 -200 IDA\ mg Building Solutions For The Construction Industry kt neering & suiting, Inc. 5220 NW 72nd Avenue, Bay 8A, Miami FL 33166 PROPERTY ADDRESS: 1298 NE 100 St. PERMIT No: OWNER: Martha Hay PCA No: CONTRACTOR: Aleluya Roofing ROOF PITCH.: 3:12 ROOFING SQUARES: 30 INSPECTION DATE: TILE TYPE: White Flat TEST DATE: 1/17/03 CONTACT PERSON.: JOB NUMBER: Testing Equipment: Digital Chatillon DFIS 200 THIS ROOF HAS PASSED: Voice: (786) 331 -8565 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH METRO -DADE COUNTY PROTOCOL PA -106 Test Tabulation FAILED 1 1 THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY PA106. 49 56 55 60 59 48 63 61 57 58 62 68 64 65 66 67 2 "ROOF SKETCH" 44 53 50 41 43 40 42 45 51 46 54 52 47 3 38 36 39 37 35 22 32 25 24 34 33 26 31 27 28 23 30 29 Front 21 18 19 15 4 5 6 1 11 12 7 8 9 10 North 17 16 Lab Report No. 03- 010039 Certificate No.02- 0501.06 Required Testing Force: 35 Ibs 14 13 FloridaTec.net Fax: 1- 866 - 333 -6988 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address R l Location and legal description of lot to 64 built on: Lot Street and Number where work is to be done • Council Approved Block 3 &((f 7 Art Name and address of licensed contractor 211• defL... Registered Architect andior Engineer Subdivision Sta work to be done an. .urpo f build g Iby floors), state exterior coloreds .mit sa Remodeling Addition New Building To be constructed of Ky�d of foundation Estimated Total cost of improvements S ( 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 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on ti5k 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 appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing a.. 'cation. and that he did sign the same, and that all facts therein by him stated are true. Date Date Amount of Permit S Repairs Permit No. Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member J fo24 Roof Covering Read. Sworn to and Subscribed before me. , No. of Sto Notary Public. State of Florida and for no other purpose. s Date Disapproved Date NOTE: A charge of 525.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and+or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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.. .....__........ &.. _._......... 19�� Owners Name and Address ..., 4/5 4/P1/21. .... No1P?9g_ . Street &E.ZA1. Registered Architect and /or Engineer Name and address of licensed contracto .... l ' ✓/o o Location and legal description of lot to be built on: Lot Block / Subdivision — Street and Number where work is to be doneL79> .A/' Ave) State work to be done and purpose of building (by floors) . R . r . ._2 /' _ Z.e" and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 7 ! /` Estimated Total cost of improvements $. Amount of Permit $. Zone cubage required plan Cubage Distance to next nearest building.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the y lorida Workmen Compensation Act, being Section 5066, Compiled General w's of Florid. ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all co, actors or sub- • ntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for insp: ion'on the si of the work pch public notice or notices as arc required by the Act. The undersigned agrees to employ only such tractors, • . or to be rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the fsregoing application, and that he did sign the same, and that all facts therein by him stated are / .._ Q�' Permit No 2 Date U ead, Sworn to and Subscribed before me. Disapproved .._....._._._ Date.._....___ . - / Notary Public, State of Florida (Signed) { .. // 7i�� wi Building tlp pector � '� --_� _ i My Commission Expires PLANNI$C BOARD DATE Mcmbcr 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. Chairman Member _ to me well known, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 - r/--5/ nn .. /.._ 19.P o Owner's Name and Address ! _._ _ No._ /a�..f Xt. .Street.JWQ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: ( 5 v I31. i e Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling Addition 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, therein by him stated are y Permit No / 0 CO Date //, /• � ° Read, Sworn to Disapproved ' 61 - 5)1 (Signed) Date Building Ins •d.! or Chairman Member Member Council Approved Date Disapproved l To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 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, Pennanent 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 b inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ o `�'` on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) W �� and for no other purpose. No. of Stories 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 PLANNING BOARD DATE to me well known, and that he did sign the same, and that all facts and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member 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 51.00 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 ❑ date i- # v ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10644 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Building Owner of � °,� ,. 4. I ,.•® ` '.ti t r4S E t, 61 j� ; e. t: re►i Architect I'' Contractor •• a or Builder .M' ' " ►, � + .. Co. , , f F ¢� s /Z, 1C.. - L_ ., . Legal Description 1 Address o a , Building -I Lot 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 applica- tion 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 respon- sibility for work done by his agents, serval or employees. .- ��; l A ' K Signed • ,- 4 t i ` -- ' (INSPECTOR) BY In consideration of the issuance to me of this permit I agree''t perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawin 4, tatements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work do by either, myself, myragent, servant or employee. 1 CONTRACTOR or BUILDER I BI Subdi- vision Sq. Ft. ��.. Value of R II Amount of Project $ " 11 Permit $ BY AUTHORITY 19 P. O. BOX 502 NORTH MIAMI BEACH. FLA. eiuteuri ROOFING & SUPPLY CO., INC. 15700 WEST DIXIE HIGHWAY NORTH MIAMI BEACH. FLORIDA AIR- CONDITIONING DIVISION Miami Shores :Bldg. Dept. Miami Shores re. Air Cond. Installation 1298 NE 100St. Gentlemen; Please be advised that in case of undue from this installation, the problem will be SE- 77- 2624A -3 20M 8 -53 Sincerely, Robert E. Hebb 7 -29 -58 or objectional noise to the community corrected by our company. - 7.142-- Page PHONES: 81 -6 -4750 81-6-5761 81-6-2341 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 12616 Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ DATE 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 Owner's Name and Address Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. ss. . 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 iri 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. n • Date // A / J , 19 No Street__ Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _ __ ' ?) 1 . ®r) X State work to be done and purpose of building (by floors) r . and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering a� oo En Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required flan 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 w to be perfo ed under this permit, as are licensed by Miami Shores Village. � • -, c a ,� Remarks (Signed) 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. Permit No 1 a 6 � _ Date 1 / ®° '" Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) �� Notary Public, State of Florida __ a > _— Building Inspector 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 materials and /or workmanship.