339 NE 100 St (15)Inspection Date: 10/02/2006
Inspector: Grande, Claudio
Owner: MARKEN, SCOT AND CHERYL
Job Address: 134 100 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL 33138-
Building Department Comments
Thursday, September 28, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
OCT 03
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Garage Door
Phone Number (305)758 -3411
Parcel Number 1132060132150
Lot:
Page 2 of 2
Passed
ab
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 10/02/2006
Inspector: Grande, Claudio
Owner: MARKEN, SCOT AND CHERYL
Job Address: 134 100 Street NE
Project: <NONE>
Contractor:
Miami Shores Village, FL 33138-
Building Department Comments
Thursday, September 28, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
OCT 03
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Garage Door
Phone Number (305)758 -3411
Parcel Number 1132060132150
Lot:
Page 2 of 2
•
• • •
•
• •
...... ......
•
...... •
•••. .4.. •
• • • •
•••. • ••
• •
......
• • •
.. ..
......
• . •
•
••..
• •
• • • • ed...
•
•
• •
• ••
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 -795 -2204 Permit Number: BP2003 -147
Printed: 1 /30/2003
Applicant: SCOT
Owner:
JOB ADDRESS: 134 NE 100 ST
Contractor
Local Phone:
Parcel # 1132060132150
Permit Status: Approved Permit Expiration: 7/29/2003
Work: REPLACE GARAGE DOOR
Signed:
Signed:
Building Permit
MARKEN
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 10 & E1/2 LOT 11 BLK 16 LOT SIZE
Fees: Description Amount
FEE2003 -573 Building Permit Application Fee $60.00
FEE2003 -574 Notary Fee $5.00
FEE2003 -575 CCF $0.60
Total Fees: $65.60
Total Fees: $65.60
Total Receipts: $0.00
Construction Value:
$650.00
Page 1 of 1
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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
yself, my agent, servants or employes.
7 10
Li l aJ_.i
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
dinances 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
nd 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
uthorization. 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
d dey dinances and regulations �• - -fining 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
y his agents, servants •�u'o
ECTOR) BY:
(Contractor or Builder) BY:
FROM : ABOVE ALL GARAGE DOOR
;1�D
MIA A
MIN
•
FAX 110. 3C555E26O9
PRODUCT CONTROL NOTICE OF ACCEPTANCE
DAB Door Company, Inc. _
12195 N`V98 Avenue
Ifinlcah Gardens ,FI, 33018
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.; 01- 0516.03
EXPIRES: 08/09/2006
Raul Rodriguez
Chief Product Control Division
THIS IS THE COVERS1rEET, SEE ADDITIONAL PAGES FOR SPECIE'S AND GENERA[,
CONDITIONS
I3U DING Coat:, P REVIEW COMMITTEE
This application for Product Approval has been reviewed by the I3CCO and approved by the Building
Code and Product Review Committee to be uscd in Miami -Dade County, Florida under the conditions set
forth above.
APPROVED: 08 /09/1001
Jan. 22 21333 04:19PM P2
MIAMI -DA D E COUNTY, FLORIDA
METRO•DADE FLAG[.ER BUILDING
Francisco J. Quintana, R.A.
Director
Miami -Dade County
Building Code Compliance Ofrr-c
11t04S000 2p0011Semplace2lnotice acceptance corer pa e.dot
Internet mail address: postmaster@ buiIdingcodeonline.coln
HOmepisgc: http : /Iwww.6utldingcociconlinacom
BUILDING CODE COMPLIANCE OF
N1Crito -DADE FLA(;I.F :R BUILDING
110 WEST Fl.r \GI,ER S 1'RI;1:T. SUITE 1603
MIAMI. FLORIDA 3313(1 -;563
(305) 375 -2901 FAX (305) 375 -2905
CON rRACroR LICENSING SF:CFIOV
(305) 373.2127 FAX (305)375-255S
CONTRACTOR ENFORCEMENT 1' DIVISION
(305) 375.2466 FAX (305) 375.1908
PUoDt'Cr CONTROL DIVISION
005) 375.2902 FAX (305) 372.6130
Your application for Notice of Acceptance (NOA) of:
Sectional Residential Garage Door
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufacturer's plant for quality control testing... If this
product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the
use of such product or material immediately. h CCO reserves the right to revoke this approval, if it is
determined by I3CCO that this product or material fails to meet the requirements of the South Florida
Building Code.
FROM : ABOVE ALL GARAGE DOOR
CENTER STILE
OPTIONAL '
MAXU1UM OPENING AREA
;20 SO. IN.
MM. DOOR Wlorii
NERA NOT
E IS DESIGNED AS PER THE SOU F`ORIDA
1594 EDRION FOR DADE COUNTY, ALSO FOR WINO
tCE 7 -88 US:NC CORRESpOND!NC LOADS.
8E AS USTEO. SPACED AS SHOWN ON DE
IVff TO BASE MATZRLLL SHALL BE BEYOND WALL
JGCO.
ANO WASHERS SHALL, GE ZINC PLATED CARSON STEEL
y.DtNG CON01TioNS OTHER - MAN THOSE SHOWN IN
NOT PART OF 11 APPROVAL.
7A.; rte.
—
L +
/OPTIONAL FLUSH FACE
W000 GUN O:SICN
INSIDE ELEVATION
RAISE:0 FANEL EMBOSSED DOOR
DAB DOOR MODEL
[
MAX. SIZE 9' --4" WIDE X 1
DESIGN PRESSURE RATING =
(mgr. OR nv A70DN.IAR00tl
5TRUCilRFS
FLA. PE 1 1E557
Jan. 22 2003 O4:20PM P3
� U
v+
8
a
824
6' -0" 11_ 1GH
+ 50.0 PSF
— 60.0 PSF
fu bUi :N „ ,1r d 11IIrl II11:
r. ..
"!'":!!!'y COPE
AUG ! . _ 20.01.
_ : ii7CE
tccin it.: ::u.0 /-05!6.03
8
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drawing no.
01-09
sheet 1 of 3)
.
i
►
I
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h
i r-I
I
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,!
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1
— (
,
, I
r
I
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-.
_
_..- --
+-
•
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- - - --
\ -
1
I
FROM : ABOVE ALL GARAGE DOOR
CENTER STILE
OPTIONAL '
MAXU1UM OPENING AREA
;20 SO. IN.
MM. DOOR Wlorii
NERA NOT
E IS DESIGNED AS PER THE SOU F`ORIDA
1594 EDRION FOR DADE COUNTY, ALSO FOR WINO
tCE 7 -88 US:NC CORRESpOND!NC LOADS.
8E AS USTEO. SPACED AS SHOWN ON DE
IVff TO BASE MATZRLLL SHALL BE BEYOND WALL
JGCO.
ANO WASHERS SHALL, GE ZINC PLATED CARSON STEEL
y.DtNG CON01TioNS OTHER - MAN THOSE SHOWN IN
NOT PART OF 11 APPROVAL.
7A.; rte.
—
L +
/OPTIONAL FLUSH FACE
W000 GUN O:SICN
INSIDE ELEVATION
RAISE:0 FANEL EMBOSSED DOOR
DAB DOOR MODEL
[
MAX. SIZE 9' --4" WIDE X 1
DESIGN PRESSURE RATING =
(mgr. OR nv A70DN.IAR00tl
5TRUCilRFS
FLA. PE 1 1E557
Jan. 22 2003 O4:20PM P3
� U
v+
8
a
824
6' -0" 11_ 1GH
+ 50.0 PSF
— 60.0 PSF
fu bUi :N „ ,1r d 11IIrl II11:
r. ..
"!'":!!!'y COPE
AUG ! . _ 20.01.
_ : ii7CE
tccin it.: ::u.0 /-05!6.03
8
0
0
Z W
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E4 Q
c
0
0
� u
drawing no.
01-09
sheet 1 of 3)
DOOR HEIGHT
CONSISTS or
• 8' -6'
2 SECTIONS 18'
2 SECTIONS 21'
•6' -9'
1 SECTION 18'
3 SECTIONS 21'
T
4 SECTIONS 21'
-
7' -3
-
_
7' -6'
5 SECTIONS 18'
-
T -9'
4 SECTIONS 18'
1 SECTION 21'
6'
3 SECTIONS 16'
2 SECTIONS 21'
e' -3'
2 SECUONS 18'
3 SECTIONS 21'
8 -6'
1 SECTION 18'
4 SECTIONS 21'
8' -9'
5 SECTIONS 21'
-
f'
6 SECTIONS 18'
-
9' -3'
5 SECflONS 18'
1 SECTION 21'
9' 6'
4 SECTIONS 18
2 SECTIONS 21'
9' -9'
3 SEC11ONS 18'
3 SECTIONS 21'
10'
2 LECT1ONS 18'
4 SECTIONS 21'
10'-3'
1 sECf0N 18'
$ SECTIONS 2t
10'
6 SECTIONS 21'
-
10' -9'
8 SECTIONS 16'
1 SECTION 21'
11
5 SECTIONS t8'
2 SECTIONS 21'
11' -3'
4 SECflONS 18'
3 SECTIONS 21'
t1'-8'
3 SECTIONS 18
4 SECTIONS 21'
11' -9'
2 SECTIONS 18'
5 SECT10N3 21'
'6 SECTIONS 21'
12
1 SECTIONS 18'
12' -3'
7 SECTIONS 21'
-
2 sECT10NS 21
t2 -6
8 SECTIONS 18'
I2' -9'
5 SEC7LONS 10'
3 SECnONS 21'
13
4 SECTIONS 18'
4 SECTIONS 21'
13 -3'
3 SECTIONS 18'
8 SECTIONS 21'
t3' -6"
2 SECTIONS 18"
6 SECTIONS 21'
13' -9'
1 SECTION 13'
7 SECTIONS 21'
14`
8 SECTIONS 21'
-
14' -3'
6 SECTIONS 18'
3 SECTIONS 21'
14' - 6'
5 SE:flONS 18'
4 SECTIONS 21'
- 14' -9"
4 SECTIONS 18"
S SECTIONS 21'
15'
3 SECTIONS 18
6 sF.CT10NS 21'
13-y
2 SECTIONS 15'
7 SECTIONS 21'
SE 'CTION5 21'
15' -6'
1 SECn
14 -9'
9 SECTIONS 21'
16'
3 SETJ1oI9 1e 4 iccn0NS 21'
FROM : ABJUE ALL GARAGE GOOF FAX NO. : 3
.071' X 7-1/2' GALv. STEEL
END ROLLER HINGE
W/ (6) i14 X 5/8' SKIS
OUTSIDE HANDLE
Jan. 22 2003 04:21 0 M F4
2/ 000R
3' X 1- I /2' X 6-1/2' X .1' STEEL
WITH (2) 114 X 3/4' SELF DRR.LINC SCREWS
7 X 7 GALV. AIRCRAFT TYPE
CABLE * NtCO -PRESS SLEEVE
W/ MIN. 5 TO 1 SAFETY FACTOR
CENTER STILE
OUTjoF KEYED LOCK
LOCK BAR LOCKING SHOWN
.071' X 7 -1/2' GALV. STEEL
CENTER HINGE
W/ (4) 114 X 1/2' SMS
SPRING LOADED SLIDE SoLT LOCI( (80TH SID
FASTENED w/ (4) #14 X 1/2' S.M.S.
5/E MIN. LOCK ENGAGEMENT CONFORMS TO
STEC 3603.2 REGARDING GARAGE 000RS
LOCK EAR GUIDES
INSTALLED ON ENO S71LE
.15T X .6W LOCK BAR
ENGAGES IN TRACK
ON EACH SIDE of 000R
1. 7kIS STS
BUILDING
LOADS AS
E. AXCr4ORS
ANCHOR 1
DRESSING
3- ALT. BOLTS
4. ANGNORINI
TMESE GET"
D
FROM : ABOVE ALL Of -PAGE LOOP
POP RN1,TS
I
3/4' X 2' X 2 -1/2' X 18 GA. STEEL (0.04 ")
_END STILE. CONNECT TO PANELS WITH
FLAPS AND 3/16' ALUM RIVETS
SEE DETAIL A80YE
3 -3 MIN.
EDGE DIST. I
: b .. • :711 1/4• •
Fa?{ I Q. : 3556260?
•
F.IF 5 OEt,T CVE1 PANEL
1/2' PUNCHED HOLES
0 4" O.C.
L S/16" HILTI SLEEVE ANCHORS OR EQUAL
1 -1/ MIN. EMBED INTO MASONRY
1 PEA BRACKET
1 /4-20 SS BOLT do NUT
7 -1/2' X .071"
ENO ROLLER HINGE ' 1.62' DIA X .50 ROLLERS
W/ .44 OUL X 4 -1/4' STEM
env. cut MW ArguN FAADOC
• STRIK:TURCS
M PC / t65S7
J' L12 2001
24 C& 5 TEF1 PANEL
3/16' •tWM RIVETS
r••
END S11LE
PFi .MD AS COW= WO I illf
FtIG!D.1 e!!!tD!! C r.o
D''c AUG. 2001 ___
rcrrr:.t ;.t ..;o.0 /-- 05/6.03
Jan. 22 2003 04:21 PM P5
2
J
0
1
a � y
v « v :/1
drawing no.
01 -09
(sheet 2 of 3 )
'FROM : ABOVE ILL GARAGE DOOR
1
i.
•
i
. 1
•
OPTIONAL STOP MOULDING
BY DOOR INSTALLER
STEEL TRACK BRACKET FASTENED
TO WOOD JAMB WITH -
ONE 5/16" X 1 -S /8" LAG SCREW
SOUTHERN PINE
0.55 S.G.
3/4' MAX.
1.9' X 2.19" X 3.3" X .102'
STEEL SEE SHEET TRACK OR BRACKETS
2-1/6' X .078" GALV. STEEL TRACK
W/ SLOTTED 4 20 _8" TRUSS HO.
M.S. 6c LM. Ec LOCK NUT
Fa4: HO. 3035.56260 Jan. 22 2033 04: 2PM P6
_ i 1 X 5/5" Sus
6 PER HINGE
7/16' PUSHNUT
INSTAIl..ED ON ROLLER SM.1FT
1/2" X 1 -3/4" X .059' FORMED STEEL
CLUED TO PANEL AND SECURED TO
ENO STAE WITH 3/16" POP RNETS 0 12' 0.c.
1-7/8' X 2 -5/8" X
- CENTER STILE. GLUED I
TO Pura. W/ (4) 3/1
/14 X 5/1
r 4/ HUE
7 -1/2' X .050' GALV. STEEL
CENTER HINGE -
SECTION 8 -5
INTERIOR SID
SLEEVE ANCHOR SPACING
ANCHOR, STRUCTURE
EMBED.
I -1/4
SPACING
11
BLOCK
5/16•
CONC.
1 -1 4
1 -1 4
11
14 '
BLOCK
3/8.
CONC.
1 -1/41 17"
000R
• SECTION HEIGHTS
BRACKET PLACEMENTS
HEIGHT
1ST
2N0
3R0 SDI
81
82 1
B3
1
84
85
86
87
BB
6' -0'
FEN
115
15 . 118' /A
1
11 - 3/4' 1
23'
34"
45
55'
67'
-
6' -6'
21'
18'
Q ®ZO
1'
11 - 3/4'
23"
34'
1
45'
56'
67'
7' -0•
BP
21'
M®=
1'
11 - 3/4'1
23'
I
34•
45'
67'
18
18118' 18'
1
11 -3/4'1
23'
1
34 '
1
45
56'
6' -0'
Emit.
18 "118'121'
1'
111 -3/4 1
23'
34'
45 inm
67-
78"1/4
FROM': ABO u)E ALL GARAGE DOOR PA}..JO. - 3O555E2609
HOPI:. TRACK su:PCR; AS R E0D.
_
�� CABLE DRUM BY DOOR iNTIALLER
-.- �I
• :SC
KORI ?. TRACK LENGTH - OPENLVC HEIGKT PLUS 12
2' X 3 X 12 G.A. TRACK BRACKETS
2 -3/16' HIGH
CONNECTED TO TRACK W/114 CNE
1/4 B2LTS & NUTS.
1 -1/2"
Al BE FRAMED SOUO
/RE TREATED GRADE 2
7T1NG TO TLE mu.
) MASOkiar
ICK BRACKETS TO
IS WHICH SHALL
:cop uASONRy
1/4' TAPCONS
; OF 16" O,C.
S. 1— 3/4' MIN.
;ROUT FILLED AND
EXTENDING INTO
3AR5 SHALL BE
)0TING.
•- SEcT10NS ARE Nthi8DIE0 STARTING AT 71{i. BOTTOM
FOR 000RS MORE THAN 8 FT. HIGH, USE ADOcfONAL TOP BRACKETS AT 10' 0.C.
14 CA. CALM. STEEL TRACK
STEEL STRUCTURE BY OTHERS
r UUST SUPPORT THE LOADS IM
SY DOOR SYSTEM
1/4' 1 HEX HEAD
U.S. le LOCK Nu? 0 12' 0.C.
• 111N. EOCE
• DISTANCE
•lYPcA.
1 1//4' X 2 -1/2' X 4 CA
CO' .
102' GA CALV. STEEL FLAT
b RACXET w 3' LONG O * 12' 0.C.
CONNECTED TO CONT. ANGLE
W/ (3 ) SPOT WELDS AT EACH SIDE
ALTERNATE TRACK INSTALLATION
ATION
1 -1/2'
14 GA G.M.V. STEEL TRACK
FASTENED T0. TRACK PLATES
wJ (2) 1 /4- 20x5 /8' TRUSS HD.
SLATTED M.S. & LOCK NUT
Ar .cnVEO CCULPLTIP.0 ram iI1E
:^NT'1 FIOGmD.' DIRDIUG CODE
Sar 22 2003 04:23PM P7
L &-"'°
0
l
I
{
AcsrrtAriCE „D.ol- o5�G �3
drawing (sheet 3 of 3 )
FROM : PBOUE ALL GARAGE DOOR
ev
•
0
A
!EC'iION A--A
POP RNETS
089' CALV. STEn. AD4S:TAHLz
SUDS FASTENED 10 RRACKE(
W/ 16-1;. X 3//ti • JD
HEX H
u. SCREWS k NUTS.
F-V. 140. : 355E2609
HORIZONTAL Rag
1/2' X 1 -3/4' X .0 E >OR,TEL 3 E.
GLUED TO PANEL MO FASTENED TO
VERTICAL STILES WITH
(2) 3/16' POP RIVETS
2 -7/8' X 5 -1/2' X 3' X .1'
CALV. STEEL
TOP ROLLER (6) BRACKET X 5/8' S.M.S.
HORIZONTAL REINFORCEMENT
1/2' X 1 -3/4' X .059' FORMED STEEL
CLUED TO PANEL AND FASTENED TO
VERTICAL STILES WITH
(2) 3/16' POP RIVETS
5/16' MEETING RIB
/16' Ok X 3 -3/4' ROLLER SHAFT
CPT1ONM INRIIAT101N
(TY 'APAC14F PPADLICTSSQ'
EPS- EXPANDED POLYSTYRENE
Dean . 1.07 PCF
N.0.A. 1 98- 0904.04
OR
ISO-25 POLY- ISOCYANURATE
DENSITY • 2.0 PCF
N.O.T. / 98-0904.03
14 CA. DALY. STEEL
ROLLER NtNCES FASTENED
W/ (4) f 14 X 5/8' SIAS
MIN. .024' ROLL FORMED STEEL PANEL
DRAWING QUALRY 0 -40 '
MIN. YIELD STRENGTH • 39 KSI
WITH PRIMER AND BAXal -ON
P0LYSTER PAINTED TOP COAT
APPUED TO BOTH SLOES OF STEEL
'12 CA. GAT` /. STEEL
E01T0u BRACKET FASTENED
w/ (4) #14 x 5/8' S14S
BOTTOM SEAL
.058 AWU PLATE
WITH 1/8' X 1' SJL.S. 0 48' 0.C.
• AND RU88ER WEATHERSTRIPPING
Jan. 22 2003 04:23PM P5
5/16' X 1 - 5/8' LAC SCREWS INTO WOOD OR
5/16' SLZEVE ANCHORS
AITH 1 -1/4' 0.IBE0 INTO MASONRY
3 PER BRACKET \
2 -1/2' X 4 -1/4' x .1 STEM PLATES
WE.DED TO 1 -1/2' x 1 -1/2' X .089' ANGLE
FASTENED 10 TRACK
WITH (4) 1/4 -20 SS. BOLT do NUM \
0 t
o s
zz
k , $
oz
T
oI
TRACK CONFLGURAIT(
W000 FRAMEgua n
STUD WALLS OR DOOR CI
BY NOT LESS IVAN (3)
OR BETTER WOOD STUDS
STUD WALLS TO BE CONT
WQD BUCK Cr*NE
TRACK SHALL SE SECURE
PRESSURE TREATED 2X6
BE ANCHORED TO CROW
BLOCK WALL OR CONC. (
WITH 1 -3/4' USED mt
OR 3/8' OIA. HILT1 Sfl'
• EMBED AND A SPACING
THE BLOCK WALL CELLS
RDNFORCED WITH FOUR
FOOTING AND INTO 'RE 8
CONTINUOUS FROM 1LE 8
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
1
Permit Number: BP2003 -147
Invoice Number: imp -9 -06 -26261
Applicant: SCOT AND CHERYL MARKEN
Company Name:
Owner Address:
134 NE 100 ST
MIAMI SHORES, FL 33138•
Job Address:
134 100 Street NE
Miami Shores Village, FL 33138-
Date
Thursday, September 28, 2006
09/28/2006 Check
Payment Type Check Number
1492
Amount
$75.00
Change
$0.00
Total Payment: $75.00
Page 1 of 1
PROPERTY OWNER
\Name S _1/ . j el% /ki --,
Address I •.34) t t/' / 57
1/1/cmi S s FG 33/3?
Home Telephone 0365) 7 57 39/i
Business Telephon 3c$) - f 9 O 3 5.
O
Fax 605d 7 59 F
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l 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•m ge pigoed b ;tIlvieserty owwier and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate process. g of ;off appItrin o •If rjqfing work will be done, a roofing application must be submit- • t 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.
A PPLICATION
\'q Address:
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
1 3 Y AT /00
Address
Apt.
Folio Number of Work ieta- 3 Lot Block ) escriPtion
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property lue of Work 65 0
Tenant Information Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
• •• •• •
• • • ••• • • • • •
• • ••• • • ; • •
• . • faster Permit No. 03' 1 47
• • • • . Subs i No.
• •.
••. ••• •.• • • • •
/t4, 1 o.4i4 15 h ofe rL 33 /36r
City
PERMIT APPLICATION
State Zip
Bldg Value
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
Page 2
IMPORTANT NOTICES
DO NOT BEGIN ANY WORK WITHOUT HAVING'.RR.CI VTaD Ylk V91,IZ)ATED•PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTIONt 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,� CLgAN, NEAP AND CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL DiR? AhVD DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED 13/ E PISQESIT4R VEIACLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk. •
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5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE 91F FLORID/,, COUNTY OF MIAMI -DADE
r ea
X gnatureGf.,Owner
Z4,4 et_ /iCtill
ignature ofi
SEAL:
Name
n to and subscribed before me thi
e of
niv
Angela M Becker
My r.ommissimt D0150048
November 15, 2008
Personally known OR, Produced Identification
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STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
1 1 { / Personally known OR, Produced Identification
Type of Identification Produced: -L - �C77— W
6kTypee of Identification Produced:
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PERMIT APPLICATION
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE,
Dryer
QTY.
"''1' "E
Outlet, Appliance
QTY
TYPE
Service Repair
QTY
A/C Central 1 -3 Ton
Cooling Tower
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
- Paint Booth
Fire Pump
Ventilation, Cost
Outlet, Switch
Air Handler, Tons
Signs
Ductwork, Cost of
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
Process/Pressure Piping
A/C Central 16 -20 Ton
Fixture Light
Bath Fan - Vented, #
Parking Lot Lights
Fireplaces, Number of
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
'TYPE
Condensate Drain
QTY TYPE
Generator
Q'I'Y
TYPE
Refrigeration, Tons
Q'I'1'
A/C Central, Tons
Bath Tub
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
- Paint Booth
Filter Replace
Ventilation, Cost
Pool Piping
Air Handler, Tons
Sprinkler Repair
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Water
Gas - Appliance
Bath Fan - Vented, #
Pump, Domestic
Fireplaces, Number of
Pressure Vessel
Cap - Sewer
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
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INSTRUCTIONS: Please indicate the type o {work being performed add quantity(ies) in the space provided below.
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PERMIT APPLICATION
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
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PERMIT APPLICATION
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 P >,TANI:APPtc L:
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
3
❑ CONDO ASSOCIATION APPROVAL
• • • (Attach)
• •
$ / (` C-./ ( sq.ft. = x/1000
x ¢.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
• ▪ • • • ❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ (''')
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com