205 NE 101 StDate 1- 1 -94
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 205 NF 101 STRFFT
Tax Folio 11-3206-4880-306
Legal Description %%��
Master Permit 4� 35✓ /I �� 0
205 NF 101 STREET Phone 759 -3078
Address 6600 NW 72 AVENUE
Owner / Lessee / Tenant
Owner's Address
Contracting Co. rLOBAL ROOFING, I NC •
Qualifier PFDRO RODRIGIIFZ SS# Phone 889 -2990
State # Municipal # Competency # Ins.Co. iAIAUSAU INS Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION #iQ AM . ,FELT, TIN TAGGED 12" 0.0. BOTH DIRECTIONS, 3X3 EAVE
METAL, 90 A,II M FELT, HOT MOPPED AND FLAT BROOMSWEPT METRO TILES.
`FEES: PERMIT
AFPROVEL:
Zoning
SERCIO LEON
Square Ft. 345 SQ FEET Estimated Cost(value) $900.00
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 • all 1 : re lating construction in this jurisdiction. I understand that separate
permits a ECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S cer ify that all the foregoing information is accurate and that all work will
be done co .p ian-e with all applicable laws regulating construct n and zoning. Furthermore, I
autho t :bo e-named ractor tondo the work stated.
- Signa o' "` and /or Cond President
'Date:
Notary to Owner:Id /or C ndo President
My Commission Expires:
NOJA(RY PUBLIC STATE OF urn
COMMON 'EMS JttNf 14, t?"'!
ONDED TH J4ls .' UNOEN;1TM
RADON
*
*
Signature of
D..te: 1
Notar as to Contractor or er- Builder
My Commission Expires:
NOTARY PtURU TATE Of FtO i •4
MY COMM •N EXPIRES JUNE i;: ^�'
* BONDED TOUGH GEl. UNDEfRN i ci5
*
*
**
C.C.F. i % 6 NOTARY TOTAL DUE
Fire
Buildin
Mechanical Plumbing Engineering
Other
Electrical
:HUSE 7FET
s -47
SIGNATURE/TITLE /LOCATION /PHONE /DATE
DATE:
TO:
FROM:
SUBJECT:
d os
UMEHU HEMQ
DEPARTMENT:
DEPARTMENT:
996
07, •
MEMO -DADE FLAOLEFI BUILDING
j •
•
Metro Roof Tile Corporation Iias filed with this office the additional and required
acceptable test data to support the request for renewal and continued use of their Cement Mal
Itoof'1'ile' for a mortar -set system which will expire on November 19, 1993.e /Z2 ,,_ �� .! � �
:';;�.,� '.';r' l 6 '
The tile sitali be installed on a solid nailable roof deck of 5/8" thick p ywood for all new
construction or to 1/2" plywood deck on re-roofing;
i .
The prepared deck shall consist of an underlayment (anchor sheet) conforming to No. 30
Type 11 (ASTM D -226) and tin capped 6" o.c. on all laps, 12" o.c. In the held and 4" on drip edge
over this, a hot - mopped 9011 ASTM D -249 granular surface cap sheet by Tamko, or equal
applied.
The tile 811011 be applied with a 2" head lap to the roof with the mortar consisting of pinker
Roof Tile Cenent mixed with sand conforming to ASTM C -144 for a 3:1 mix,
• ,
The tiles shall be presoaked and set using approximately one MI trowel; of mortar. •'
Due to Hurricane Andrew, this office has been inundated with requests for both new •
products and renewals of those to expire which has caused a large back log in responding with an
official Notice of Acceptance, .
In the Interim period, please accept letter in allowing these products to be installed by a
licensed roofing contractor In accordance with the nhanufhcturer's anther specifications and
Chapter 34 of the South Florida Building Code until an official Notice of Acceptance is issued.
OD:co
BUILDING CODE COMPLIANCE DEPA1htMENT
SUITE 1003
MEtfO•DADE FLAO1Efl BUILDING
140 WEST FLA0LEN STREET
MIAMI, FLOITIDA 33130.1603
(305) 378.2901
FAX (305) 378.2908
June 15, 1993
;,r ::.
TO W'YIIO111 IT MAY CO14Ct1 ?4
ir Dlaulmid, .13..
Product Control Division
Supervisor
METROPOLITAN DADE COUNTY, FLORIDA
• . 'METAODAOE
•
1
PRODUCT CONTROL NOTICE Og AC'f E .
METRO -DADE CENTER
BUILDING & ZONING DEPARTMENT
METRO•DADE CENTER
111 N.W. FIRST STREET
SUITE 1010
MIAMI, FLORIDA 33128.1874
(305) 375 -2612
Metro Roof Tile, Inc.
11350 N.W. South River Drive.
Medley, FL. 33178.
Your application for Product Approval of Cement Flat Roof Tile
under Sections 203 and 204 of the South Florida Building Code governinc
the use of Alternate Materials and Types of Construction, and complete)
described in the plane, specifications and calculations as submitted by
• . l .
has been accepted by Product Control to be used in the Unincorporated
areas of Dade County under the Specific Conditions set forth on pages
2 -2a and the Standard Conditions on Page 3
ACCEPTANCE No.t 90- 1005.3
EXPIRES
APPROVED $ Nov. 19. 1990
Nov. 19. 1993
coauixinas
i amon•, P.E.
roduct Control Supervisor
Metropolitan Dade County
Building & Zoning Department
-•.;I ••
This application for Product Approval has been accepted by the
Metropolitan Dade County Board of Rules and Appeals to be used in the
Incorporated and Unincorporated areas of Dade County under the conditic
set forth above.
•
1 5
APPROVED: November 19.1990
-1-
¶ onlbe M. Blac
Deputy Secretary
Metropolitan Dade County
Board of Rules and Appeals
•
•
.6100..••••••■••••
0
metro Roof Tile, Inc.
. . •
4 4.
Each tile shall be identified by the markings METRO ROOF TILE '
.5. • ,
The permittee ahall retain the services of a an independent testi')
laboratory to maintain quality control. Testing shall be performe
on a minimum of five (5) tiles. Tile shall be selected by ASTM
D-3665. Selection shall be made periodically from domestic tile.
The tile shall be tested for strength according to Section 3404 of
the South Florida Building Code and for moisture absorption
according to ASTM C-4. The test reports shall identify the tile b
a description of the tile as well as the Notice of Acceptance
number. Test reports shall be transmitted to the Dade County
Product Control. Section every ninety (90) days. If no test report
are received within a one hundred twenty (120) day period, the
• 'Notice of Acceptance will•be considered as being abandoned and the
• approval will be cancelled without, noticEcto the permittee.
Reinstatement will require a new application and full fee.
6. This renewal supersedes Notice of Acceptance 187-0901.1 dated
October 19, 1987.
•
gligaira-Cantrol
•
• .
ACCEPTANCE No. 9Q-1005, 3
APPROVED * Noy. 19, 1290
EXPIRES
Nov. 19. 199,
1 .!
;
/...14,.! .
Gil Diamond, P.E.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
1. �- .This approves flat cement tile as conforming to Section 3404.1
the South Florida Building Code
2. The tile shall be installed in conformance with Sections 34CR
the South Florida Building Code.'
3. The tile shall conform to the followings
$11601 4.I
i Diam nd,P.E
Product Controlpervisor
.Metropolitan Dade County •
-2- Building & Zoning Departwent
Cill:co
BUILDING CODE COMPLIANCE DEPA111MENT
SUITE 1003
MET 1O -DADE FIAGLEIT BUILDING
140 WEST FLAGLE11 MEET
/- MIAMI. FLOIIIDA 33130.1003
306 375 -2901
FAX (305) 078.2909
June 15, 1993
MYEDELMIAMIttagt
Metro ltoof Tile Corporation has tiled with this office the additional and required
acceptable test data to support the request for renewal and continued use of their Cement Flat
Roof Tile' for a mortar -set system which will expire on November, 19, 1993.e - % �2 ;,; Z '..t T.
c o - r .. •.i.� ' l : . ... y y s -- / mil r..,
The tile shall be installed on a solid nailable roof deck of 5/8" thick p ywood for all new "`
construction or to 1/2" plywood deck on te- rooling:
The prepared deck shalt consist of an underlayment (anchor sheet) contbrming to No. 30
Type 11 (ASTM D -226) and tin capped 6" o.c. on all laps, 12" o.c. in the held and 4" on drip edge
over this, a hot - cropped 90 /E ASTM P-249 granular surface cap sheet by Tamko, or quays
applied. .
'flee : tile shall be applied with a 2" head lap to the roof with the mortar consisting of linker
Roof Tile Cvnent mixed with sand conforming to ASTM C -144 for a 3 :1 mix.
ME1HO - DADE ELAGLEFI BUILDING
The tiles elrall be presoaked and set using approximately one 1tllt trowel; of urortar. •'
Due to Hurricane Andrew, this office has been Inundated with requests for both new
products and renewals of those to expire which has caused a large back log in responding with an
official Notice of Acceptance,
In lite interim period, please accept letter In allowing these products to be Installed by a
licensed rooting contractor in accordance with the ntanufhcturer's ftrtther specifications and
Chapter 34 of the South Florida Building Code until an official Notice of Acceptance is issued,
anl ond,
Product Control Division
__11 Supervisor .
•
METROPOLITAN DADE COUNTY, FLORIDA
'METRO•DADE
Metro Roof Tile, Inc.
11350 H.N. South River Drive•
Medley, FL. 33178.
Your application for Product Approval of Cement Flat Roof Tile
under Sections 203 and 204 of the South Florida Building Code governinc
the use of Alternate Materials and Types of Construction, and completel
described in the plane, specifications and calculations as submitted by
•
• l •
has been accepted by Product Control to be used in the Unincorporated
areas of Dade County under the Specific Conditions set forth on pages
2 - 2a and the Standard Conditions on Page 3
ACCEPTANCE Noes 90- 1005.3
APPROVED $ Nov. 19. 1990
EXPIRES
PRODUCT CONTROL• NOTICE OF CCPTAN
Nov. 19. 1993
CONDITIONS
METRO -DADE CENTER
BUILDING & ZONING DEPARTMENT
METRO -DADE CENTER
111 N.W. FIRST STREET
SUITE 1010
MIAMI, FLORIDA 33128.12'74
(305) 375 -2612
r i amon• , P.E.
roduct Control Supervisor
Metropolitan Dade County
Building & Zoning Department
BdARD_OF RULES AND HEALS NOTICE OF ACCEPTANCA
This application for Product Approval has been accepted by the
Metropolitan Dade County Board of Rules and Appeals to be used in the
Incorporated and Unincorporated areas of Dade County under the conditic
set forth above.
APPROVED: November 19.1990
-1-
fg M. Blac P. E,.
Deputy Secretary
Metropolitan Dade County
Board of Rules and Appeals
5. Quality Control .
The permittee ahall retain the services of a an independent testis)
laboratory to maintain quality control. Testing shall be perform
on a minimum of five (5) tiles. Tile shall be selected by ASTM
D-3665. Selection shall be made periodically from domestic tile.
The tile shall be tested for strength according to Section 3404 of
the South Florida Building Code and for moisture absorption
according to ASTM C-4. The test reports shall identify the tile b
a description of the tile as well as the Notice of Acceptance
number. Test reports shall be transmitted to the Dade County
Product Control. Section every ninety (90) days. If no test report
are received within a one hundred twenty (120) day period, the
• *Notice of Acceptance will.be considered as being abandoned and the
approval will be cancelled without notice :to the permittee.
Reinstatement will require a new application and full fee.
6. This renewal supersedes Notice of Acceptance #67-0901.1 dated
October 19, 1987.
• •
k • • :. •
.• •••
i• ; •I
•
• s.
L
•
r•■■•■■■•11,
•
metro Roof Tile, Inc.
t.
• ACCEPTANCE No.* F
APPROVED s Nov. 19, 1990
EXPIRES
A, 4. Each tile shall be identified by the marking' METRO ROOF TILE
• : ,• . • .
t2
8 Nov..19. 1993
f'
/fl
Gil Diamond, P.E.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
1I I
1.=-- ..This approves flat cement tile as conforming to Section 3404.1
the South Florida Building Code.;
2. The tile shall be installed in conformance with Sections 340
the South Florida Building Code.'
• ;.
3. The tile shall conform to the following$
NOTICE pF ACCEPTANCE' SPECIFIC . CONDITION$
s
it Diamon , "P .E
Product Control upervisor
.Metropolitan Dade County
-2- Building & Zoning Department
Square Ft . :24)/D 5,1-r
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /0 ? 3 Job Address AoS7 A) 4E / 0 1 S Tax Folio l) 3 6 7r 0.� i
Legal Description % / - - v gifrJ � 1.4j y 3
Owner / Lessee / Tenant SL i G/D /a, Lo N Master Perm �� o� �( 7
4
Owner's Address a05 ,iUE /0/ ST. is4 t #4-01A t DALI F C' CL 3g /3Y Phone 7r -7- /7 '
Contracting Co. AJOIJE. - 0 /C 1- ' 45 A- 17- Address <A 1-,14 C.
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one):iUILDING) ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
/evo
WORK DESCRIPTION / QGr,+ovE 4 o S`errnt- v F 4)uE21I -A �6.-aAIL f 64LT, i32
j - - SS15r -RIkr
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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above-named contractor to do the work stated.
0_143 2 ALA5w7 — , t i LZG -,e /Go 3
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
Estimated Cost(value) S"oo. o
(Ai ,u6e. b ar g-/L. 7W 2'
Signal �� Contractor or Owner- Builder
Date'
ary as to Co
Commission E
** * * .? * * * * * * * * * * * * **
� V 0 TOTAL DUE 944
FEES: PERMIT � ��'1�ir %/ RADON C.C.F. C . C . F . � NOTARY �
APPROVED: Fire - I Other
Zoning Buildin: �!` Electrical
Mechanical Plumbing Engineering
jP H!NE CHURCH
� � , � ! I l+ Jt0tc V, 1 I II& App
$ C tlflil# JV: l99
, p :' No. CCI97545
amosajagoseaswawawaarastimatammatwow
Inspection Number: INSP -31336
Permit Number: RF -11 -06 -2707
Inspection Date: 12/27/2006
Inspector: Grande, Claudio
Owner: CHIONG, NENA
Job Address: 205 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: KAWALEK ROOFING & PAINTING, INC
Building Department Comments
Tuesday, December 26, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Roof
Inspection Type: Tile In Progress ,
• Work Classification: Roof - New
Phone Number
Parcel Number 1132060480030
Lot:
Phone: 786- 277 -9540
Page 1 of 2
DEC 2 8 MOD
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -31336
Permit Number: RF -11 -06 -2707
Inspection Date: 12/27/2006
Inspector: Grande, Claudio
Owner: CHIONG, NENA
Job Address: 205 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: KAWALEK ROOFING & PAINTING, INC
Building Department Comments
Tuesday, December 26, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Roof
Inspection Type: Tile In Progress ,
• Work Classification: Roof - New
Phone Number
Parcel Number 1132060480030
Lot:
Phone: 786- 277 -9540
Page 1 of 2
!Inspection Number: I'NSP- 3'13'344,
Permit Number: RF -11 -06 -2707
Inspection Date: 11/21/2006
Inspector: Grande, Claudio
Owner: CHIONG, NENA
Job Address: 205 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: KAWALEK ROOFING & PAINTING, INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
p 2 2 200i
Block:
Permit Type: Roof
Inspection Type: Tin Cap
Work Classification: Roof - New
Phone Number
Parcel Number 1132060480030
Lot:
Phone: 786 - 277 -9540
Monday, November 20, 2006
Page 1 of 2
Infractio Passed Comments
TIN CAP SPACEING True
t
Passed
) 0
/
nspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
!Inspection Number: I'NSP- 3'13'344,
Permit Number: RF -11 -06 -2707
Inspection Date: 11/21/2006
Inspector: Grande, Claudio
Owner: CHIONG, NENA
Job Address: 205 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: KAWALEK ROOFING & PAINTING, INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
p 2 2 200i
Block:
Permit Type: Roof
Inspection Type: Tin Cap
Work Classification: Roof - New
Phone Number
Parcel Number 1132060480030
Lot:
Phone: 786 - 277 -9540
Monday, November 20, 2006
Page 1 of 2
Inspection Date: 11/21/2006
Inspector: Grande, Claudio
Owner: CHIONG, NENA
Job Address: 205 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: KAWALEK ROOFING & PAINTING, INC
Monday, November 20, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
ICON 2 2 21
Block:
Permit Type: Roof
Inspection Type: Hot Mop
Work Classification: Roof - New
Phone Number
Parcel Number 1132060480030
Lot:
Phone: 786- 277 -9540
Page 1 of 2
(
1 l
Passed
v
/
Inspector Comments
.
I/
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 11/21/2006
Inspector: Grande, Claudio
Owner: CHIONG, NENA
Job Address: 205 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: KAWALEK ROOFING & PAINTING, INC
Monday, November 20, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
ICON 2 2 21
Block:
Permit Type: Roof
Inspection Type: Hot Mop
Work Classification: Roof - New
Phone Number
Parcel Number 1132060480030
Lot:
Phone: 786- 277 -9540
Page 1 of 2
TEAR OFF EXISTING TILE
CONCRETE COLOR THRU
ROOF TILE ROOF SYSTEM
ROOF,
MULTI
COLOR
REPLACE MONIER
COLER TWO TONE
IS ARIZONA CLAY
FEB 0 1 2 E
Passed
b ,.
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
i nspection Number: INSP -31338
Inspection Date: 02/01/2007
Inspector: Grande, Claudio
Owner: CHIONG, NENA
Job Address: 205 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: KAWALEK ROOFING & PAINTING, INC
Building Department Comments
Wednesday, January 31, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
C(-
Block:
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Roof - New
Phone Number
Parcel Number 1132060480030
Lot:
Phone: 786 - 277 -9540
Page 1 of 1
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
- ] 71A - ", // 'p
26
D
51
76
2
l
27
��
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
82
8
33
58
83
9
34
59
84
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
75
100
THIS R • o °T ' BMITTED BY:
Lab Certification # 98 0608.04
State of FL Certificate Authorization # 4100
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami Lakes, 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 COMPILANCE
PROTOCOL TAS 106
SITE SPECIFIC INFORMATION
Owner's Name
Job Address `Z�� o l S T. t 1,k19,(
Roofing Contr. c or
Type of Tile: ' 1t1. t ' - 'A Date Installed•
Approximate Roof Height: 11 feet Roof Pitch: 4'-i Z
Type of Access to Roof: Sca olds i Ladder Other
Approximate Square Footage of Roof 5 ft
Required Testing Force: 35 lbs. Testing Equipment: Chatillion 100
Date Tested 1- 10 - P '
TEST RESULTS
P = PASS, F = FAIL
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL ST.
Project piQ 8638
r rit # 06- 2 - --
Job Zt7 S t4 e- v td ;11+51-L&-5
Sheet Number
Contractor V-441.1
Checked By
Sketch of Roof Scale
• mulmJmmealit Ail 1
IIIIMMEMMMEMMOCAMMMEMENEMNIMMUMEM
IIMMEMMUMIIMMEMEMMENNEMONMMEgUMM
EMINIMMMEMMEMEMMNIMMINMUMMMEMEMM
MIIMMEMEMMIMMOOMMUMWOMMMOMMMUMMII
MOMMOMMINIMENMERMAIMEMMONAMMUMMI
MMEINIMMEMMOMOMMO MMININEWMEMBEMM
1111111111111111111
11111 111111111
11111111111111111
imminummommomuummiammummi...
111111111111111111141111k11111111
MMEMMIIMEMMIMOMMEMEMEMESIMMUMME
MMEMMIIMMERMEMMEMMORNMEMOMMMEMMII
MEMMEMMEMMMEMEMMRAMMUMMININAMMO
111111111111/1111111111111111111
MMOMENEMESEMEMPIMMEMMEMMEMUMME
11 11111d1111141121
r. •
F-Orp-cl 04
Disapproved
4 .
(Signed)
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.
Owner's Name and Address..... .•....a.Y.R.Q...Y ltttl. @Z►....... ._. No 2Q...N..E Street...l41 Straet..Miami Shore:
Registered Architect and /or Engint'er .
Name and address of licensed contrpctor .ACQf3t &.RQ.tfing..OQ• 2.4a4.. N..11.. . 78th..Strest �
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)
New Bui!ding.X Remodeling Addition Repairs
NetmanNiE brown
The undersigned applicant for this building permit does hereby certify that he understands and ac
of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled Genera
and has complied with the provisions thereof, and will require similar compliance from all coat
in the work to be performed under this permit; and will post or cause to be posted for inspect
or notices as are required by the Act. The undersigned agrees to employ only such subcontr
pennit, as are licensed by Miami Shores Village.
Remarks (Signed
Budding Inspector
Date
205 N.E. 101 Str4ot ahmm. _.._
and for no other purpose.
No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 5, 972 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 1 - 30 felt nailed on the wood mop 1 - 90 slate install 2x2" eave drip. install tile
Florida, Pennant.
sub -cones tors emp)
e site of ,' work such
on work rfo
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authorizefl 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 Date 4)i Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
s as an employer
Supplement,
'ed by hint
blic notice
under this
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member W_._.....
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application nfter 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.