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37 NE 100 St (10)I V Date S Job Address 3 7 N /ae S 7 - Tax Folio // -- 3Z OLo -/ 3- iii-/O Legal Description Owner / Lessee / Tenant .�Cd f.��f c / 4, 10 ' Master Permit �� 35c163 Owner's Address 3Y / / C . / ac, S Contracting Co. P/ 51 -2"'e �,ri�� -l s,� & Address 4 77 /Z133o /j Qualifier at/44d A r A //d5 SS4t ' Phone State it:" Architect /Engineer Bonding Company Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG' WORK DESCRIPTION deic-e/7 41' C) > Square Ft. 2 9&r S A Estimated Cost(value) � WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENT TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separatc 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 wil: be done in c pliance with all applicable laws regulating c nstruction and zoning. Furthermore, _ aut rize ,tte► above -n contractor to do the work st Notary as to Owne and /or Condo p d tt My Commission Expires: POT � I .I � , 3TATE OF FLORIDA h l ,� � �r C• �u' ISSIQC�EE ER 3' 114S 3,1494 p[. j �� � : i 1' 5 A�R�I�RAL IfIS. UM. * *� * * ** * FEES: PERMIT VCC RADON C.C.F. 11' NOTARY APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) and or Condo President X1,5 l fti, Municipal # Competency # Ins.Co. Address Address * * Fire Zoning Buildi�: '�, X11 / Mechanical Plumbing Phone 75 7 fL$ L�J �, - t 3 •F- ems., Afttss Notary as to Con My Commission E Other ilder a ctIATAR IWiitTeefl til4TERIDA ire! CINIWISSION EXP. Y f E 3,1404 IDEDAWirek4A 14,4,14. * * * ** TOTAL DUE ✓ '� v Electrical Engineering Pioneer Concrete Tile 1340 SW 34th Avenue Deerfield Beach, FL 33442 Your application for Product Approval of Pioneer Concrete under Chapter 8 of Metropolitan Dade County Code governing the use of Alternate materials and Types of.Construction, and completely described in the plans, • specifications and calculations as submitted by Construction Research Laboratory, Inc. and Professional Service Industries, Inc., has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the Specific Conditions set forth in pages 2 et seq..and in the Standard Conditions detailed on page 3. The Approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to require retesting of this system within the first two years of the approval should any amendrryetits to the • uth Florida Building node be enacted affecting this component or roof system. ACCEPTANCE No: 94- 0309.04 ExPIRES: Mnq 1 4 1997 APPROVED: MAR 1 4 1994 PRODUCT CONTROL NOTICE OF ACCEPTANCE * *PLEASE NOTE ** • 000001. METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375 -2908 it Diamond, P.E. oduct Control Division Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Charles Danger Building Code Compliance Department Metropolitan Dade County ' - THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT _ _ CONTROL APPROVAL 90- 0711.02R, #9.0= 0711.01, #9.0- 0711.03 & 92- 1114.01, #94- 0106.11 - Applicant; Pioneer Concrete Tile 1340 SW 34 Avenue Deerfield Beach, Fl 33442 Category; Sub - Category; . Type; Sub -Type Product Control Notice of Acceptance Roofing System Approval Prepared Roofing Tile Nail- on/Mortar -Set Concrete System Description METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 Product Control N 9 4 Approval Date: Expiration Date: 1, 1 4 1997 Pioneer Concrete Tile is a domestic manufacturer of extruded concrete roof tile with manufacturing plants stretching from theWest Coast to the Southeast. Products are fabricated from Portland Cement, placticizer, iron and chrome oxides, and blended aggregates. Tiles are available in two profiles, and seven varietys for nail -on systems including 'Hacienda', 'Rustic Shake', 'Spanish S', 'Shake', 'Slate', Regal and '9" Flat. Tiles are also available in three varietys for mortar -set application. All profiles are available in a variety of colors, out of which are shown in sales brochures. Pioneer tile is fabricated with a wide ridged and grooved sidelap providing a water channel at veritical joints. The ridged sidelaps provide a self aligning function, creating a uniformity in appearance. Matching trim pieces are manufactured for all profiles and form a part of-all Product Control Approvals. Pioneer markets a full tile system including all accessories required to construct a tile system. Pioneer Concrete Tile produces concrete tile for both nail-on and mortar -set applications. The minimum roof slope for all Pioneer Roof Tile slope is 2" : 12 ". Pioneer Concrete roof tiles have been tested in compliance with all South Florida Building Code requirements for nail -on concrete tile applications. • Contact Dave Snyder, Gary Reed 1340 SW 34 Avenue —• Deerfield Beach, Fl 33442 (800) 624 -4152 000002 THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT CONTROL APPROV #90- 0711.02R, #90- 0711.01, #90- 0711.03, #92- 1114.01, #94- 0106.11 Gil amond, P.E. NAIL -ON - MORTAR -SET Hacienda 2 Peice Barrel Shake Spanish 'S' Slate 9" Flat Rustic Shake Spanish "S" Regal 9" Flat Maximum Design Velocity Pressure Material Design Velocity Pressure Wood, Non - insulated psf (See Comments and Limitations) Material Wood, Nail -on System Trade Names Maximum Fire Classification Classification Class A - 0 000 Product Control No.: 94- 0309.04 Shake or Slate Hacienda Rustic Shakes Spanish "S" Trade Names of Products Manufactured or Labeled by Applicant Product Diraensions 17'/. "x13" 17Y4 "x13" 17 -1/2" x 13" 17 -1/2" x 13" Test Specifications PA 112 Interlocking, high pressure, flat, extruded concrete tile with a wide ridged and grooved sidelap; has two cast -in nail holes. PA 112 Interlocking, double roll, high pressure extruded concrete tile with two cast -in nail holes; has a wide ridged and grooved side lap. PA 112 Interlocking, flat with scored surface, high pressure extruded concrete tile with a wide ridged and gooved sidelap; has two cast -in nail holes. PA 112 Interlocking, Mission S- shaped, high pressure extruded concrete tile with a wide ridged and gooved sidelap; has two cast -in nail holes. Product Control No Product Description Product #30 Felt ASTM D 226, type II #43 Base Sheet Mineral Surface Cap Sheet Asphalt Primer Mopping Asphalt Flashing Cement _ Valley Flashing Drip Edge Wood Battens _ Roofing Nails Min. 12 ga. x 1" Trade Names of Products Manufactured by. Others - Dimensions Test Specifications Min 26 ga: x 16" ASTM A 525 Min. 26 ga., 2" x ASTM A 525 , Galvanized steel drip edge. generic 2" Min. 1" x 2" for horizontal, 1" x 4" for vertical ASTM D 2626 ASTM D 249 ASTM D 41 ASTM D 312, type lII or type IV ASTM D 4586 - Cut back, asphalt based, fiber - reinforced trowel grade cement for flashing and repair applications. LP -2 ASTM A 641 ..000005. - Product - Description Product Control No :. Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single ply underlayment. Mineral surfaced asphalt roll roofing. Cut back, asphalt based coating used to facilitate adhesion of dissimilar materials. Asphalt for bonding the mineral surface cap sheet to the base sheet. Galvanized steel valley flashing. Pressure treated wood battens. Corrosion resis . - roofing nails. • Manufacturer generic generic generic generic generic generic generic generic 1 i Laps • Tile Nails Hurricane Clip Hurricane Clip • Fasteners lvll11. Ji. 6d.- X• 1 - 5/8 " . Min. 11 ga. 8x2" PA114 Tile Adhesive ASTM D 3498 ASTM A 641 Corrosion resistant nails. generic Nail heads shall exceed the size of nail holes in tile. PA 114 Galvanized , bronze, generic aluminum, plastic, or stainless steel attachment clip for high wind • -G.0 0.o-0 G l.Ut U�lval lwl�l(1111 Lll 1. U.l dl discs. - . ��.•11,/11, Compatible fastener for generic . clip Structural bonding . • Ohio Sealants,_Inc. adhesive for roof tile. Test Agency Test Identifier TestName/Report Date X5749 45613 Test Reports Construction Research #5750 Wind Driven Rain 0286/93 Laboratory, Inc. Infiltration Resistance 00000 Wind Driven Rain Infiltration Resistance Wind Driven Rain Infiltration Resistance Product Control No.: t. 45613 Uplift Approvals; Static 04/02/93 Pressure Structural Uplift Resistance Professional Service 4395 -00074 Material Properties Test - 10/16/91 Industries, Inc. (Water Absorption and Breaking Strength) Gil Diamond, P. 02/25/93 04/01/93 14. The following documents were submitted with the application: Product literature on the following profiles: Hacienda Rustic Shake Spanish 'S' Shake Slate 9" Flat 2 Peice Barrel Spanish 'S' Product profile drawings Application Instructions il Diamond P.E. Metropolitan Dade County Office of Code Compliance NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Extension of Acceptance may be considered after a new application has been filed and the supporting data, ' lest reports no older than ten (10) years, have been re -evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for rc- cvaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising puiposes. • 5. The Notice of Acceptance number preceded by the words 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. 6. Product approval drawings, where required for.permit applications, shall be provided to the applicant by the manufacturer or his distributors; unless otherwise noted in the Notice of Acceptance. The prints need -not be re- sealed by an engineer. - 7. An annual certificate confirming listing with Factory Mutual Research and Underwriters Laboratories or such other listing agency approved by the Office of Code Compliance shall be submitted on or around the first of April annually. 8. Failure to comply with Standard Conditions shall be cause for termination of Approval. • - 000017 - BUILDING CODE COMPLIANCE DEPARTMENT - • .SUITE 1603 - 'METRO -OADE FLAGLER BUILDING - • • 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 . ' (305) 375 -2901 • FAX (305) 375 -2908 Diamond, E.E. roduct Control Division Supervisor • • • FIELD TILES • I_ Hacienda _ TRIM TILES Hacienda UNIVERSAL RAKE 000018 Shake or Slate Hacienda, Shake, Slate Trim - HIP & RIDGE 11 it• 1 f Orit'.)A, ectl:IT? 0. DADE. I Hri'Si : °; ir: �...•I}; • f...11i c'Ihc n.{- . l ... • /1 % �i:.. .a l�.l � of vi rr: .: i r ' v rot, NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. //' 3e' / STATE OF FLORIDA: 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: 3 rT 1V4 . irk S�ljjr,b S AZ. r 2. Description of improvement 3. Owner(s) name and address: _ C►` lit 5 4 Interest in properly: C( 4J H •e /Z Name and address of fee simple titleholder: Signature of Owner t Print Owners Name ((, (' °;1 < .) v S l )r) ( -- J Sworn to and subscribed before me this day of Notary Public Print Notary's Name My Commission Expires: y�,ta• 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: d id Amount o1 bond $ 4. Contractor's name and address: l3) (;[i p- I/ 4/ ? / r'i 24 5 >- % 'r — , yYI rlea i& C` 94R 162208 1994 APR 05 14:02 6. Lender's name and address: ,l!Z. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: l■ 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: /V/V' 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) .4)7 / 19 Prepared by: /46 y Co'aa Address: 372e /V / r �`I 330/3 1290162 2/93 • BUILDING INSP CTION"DEPARTMENT ' r � . AP PL1'CATIDN.' ••FCI ' BL1II�L.:DIN'G PERMIT .'Application is hereby inn.. f or t approval of the :dctailed istatvu„ •nt ur rne,plans rend specifications herewith su for She build inc or other structure herein described Tliis lq'plication Is. nnade; 'iAdeomphaiite•and,'eonformity. with Ihe•,Buildln Urdinance.of ,Miami shores Village, Florida. anal all provisions O( the. _aws'' 4 the tt1Ie 01 �Flwida • ordinances. ol., Miami b ores Vi and iIJ, miles and regulations of the ituithUng DnviUnn;of Mitenl Shpress•Villoo�g shal'be c iompli.•wilh,'whether'beta led 'or tqt, A c0p{' ol plans and specifications must bo'kept at btrikiing *win( grw'.b( IN west { t Owner's Name and Address TRL. lfene#.h »• . « : M..........+...___ • Location and legal description oflot'to be; built ant Lot Block Street and Number where work ; li to State work to be dope t�f;bWldiii (Signed) Citainnan Member Member Connc,1 Approved 'M IAM 1 SHORES VI New Bui!ding . R'entt4001V ,; To be constructed of 4 t.lnd' of f otspdation. .,. Estlmatcd Total cost of i rn9 n/f Zono '. cubage required Distance .to next neareit bu,ikling "btaiintum lire IOad to'be borne br`eaeh - floor I hereby submit aU the. pl' rand tiiisi for, be sent to.. ...... ' • • STATE OF FLORIDA. , COUNTY OF DADE. Before me. the undersigned a noliity' public, dolt' pealed . • Permit No.......1 ' Date Disapproved Building Inspect PLANNING DOARD • NOTE.. A charge of $1.00 will be Made for ,; Huard • A .rt'.m pet lion fee of 31.00 will be charged matcr,ab yncs /or workmanship., Registered Architect. and /or bn ineetr " i i �_r • �. r , ' m itt • •a .' r . ' 'rq.n ��. r.< Name. and address of ,licensed c o nt ractor. Obeiz l oo U2�i' ' l , fir•. /, j ,j? W �: l!l CQ/nX Z. (W /l( • Atnoont ; o y , .Pla k of `Byildini 29 83 • hratiea , witb nierincf ; o th. building and its conatru,ct bY'. are Iicen undersigned applicant (or,hus` •h n1ding' peiignt does hereb certify that he un Of l tgsn4s ands secepts hii ; obligation , � n c an c u►t>lgye 'I uhur under the Florida 1 Iorida W'orlinien s.'Con► tiro A;boin ''Sec' t ibti SLIGO. Complied Central Lives of Florida, PertnAnrtlStip'len in t and h ni complied v► ith the 1truvssioins tlihreof and • will'regtif�;Nnjller tomplianee .11 contractors or• s b••crintractors employ b y him l:c work to be perfornied.under this permit, lard will POO ott iffier, iffier, t.d i n oo iM.Ikeetih wocli: eh` J `bhc + n ottn, ' Or ,notices as are required br� A i Tho undett sd aV!+1s 1# „ di► permit. a tntieh s t.tto � 4 od i { r ow tw"orh ttr i,t ;fIW at saadA Mamf t•�' Ill fN E ' x - { _ f� 4��� a � { tf its a'... .., • \[�- ' ..I �' /� , j. 484 !gip . and who being by me first duly sworn. upon oath deposes sand sacs that he; is the- ! - ^� of the above described construction., that he has oar ugly: the foregoing afsplieation and'that he did sign the same, sod ' that all Bets therein by him stated' are t�i„ue: Read. Sworn to aid Subtieribed'befor. :roe. roar' Cotisntksr Eaplres Not ' P u bli c , ; State Of Jltlotridu Me hher Member C. L ..1.:a Member. ^... •.i .; .. Date Dlsapptw.d _ .......... making eeir.etkins ar' changes te'this application alter appim•al has horn obtained' from . Date ': When wach.rnittsaPectisM Is trade psesesery by' ImPropee notice lo, Inspetims err faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement to me 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... March 8th 19 8 2 Owner's Name and Address ..)4rs.. Debr•a. ._. No37 ._. Street—IL E.....1SZQth.._. Registered Architect and /or Engineer + Mt ._• ••• tf- Name and address of licensed contractor... Gauabi .11...2.o.afin,g...Repa.ir., Location and legal description of lot to be built on Lot Block Subdivision — Street and Number where work is to be done 37 ,S.tr.e gts ... .r._ »__ State work to be done and purpose of building (by floors) Scrape back gravel in leak area, repair leak, seal in a water tight manned and replace gravel, and for no other purpose. New Building Remodeling Addition Repairs Yee No. of Stories One To be constructed of Kind of foundation Roof Covering Gravel Estimated Total cost of improvements $ 3..5••.QQ Amount of Permit t.20...OQ Zone cubage required .Plan Cubage Distance .to next nearest building.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has complied scith the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performe under this permit; and will post or cause to be posted for insp ction on the site of the w. uch public notice or notices as arc required by the Act. The undersigned agrees to employ only such su • • actors, on work to •rmeoi under this pcnnit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. I ss' Before me, the undersigned authority, a nots;y public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Disapproved ........_....��.. . _..... D Date (Signed) Notary Public, State of Florida 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. •.� 5:1 Date 3 ///�%U Read, Sworn to and Subscribed before me. uilding 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 Plannir.:4 Board. A re 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. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ut we plans and specifications herewith submitted for the build • ine 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, whetlW herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date... Owner's Name and Address . •-•-• — No Registered Architect and /or Engineer s Name and address of licensed contractor... 0, e....0....- Location and legal description of lot to be built on: Lot Block Street and Number where. work is to be done. Sta work to •,' %one andrp os! ofps MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subdivision Notary Public, State of Florida Street l Date.... [ - 1/ -FA Read, Sworn to and Subscribed before me. Building Inspector My Commission )expires ...... . _. �-_. .... i ... . and for no other purpose. cw Building Re' To be constructed of Kin L` of found n {�.... -Roof Covering. v Estimated Total cost of improvements $ O a Amount of Permit LT -6 l 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 umlcrsigncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lahur under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Snpplcment, and has complied «ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. — Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. f ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated /I are true. Permit No .dgl 7 Disapproved.. Date (Signed) ., PLANNING BOARD DATE Citair:nan Member Member Member Member .. .. Member _ .._..... Council Approved Date Disapproved Date NOTE: A ch.rrgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the I'Lumir. l;o.rrd. 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. BUILDING INSPECTION DEPARTMENT MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date /1/9)' Owner's Name and Address h ai/ A 7'6W No 3 Street_/l/b /6 fr Registered Architect and /or Engineer //'' // Name and address of licensed contractor_ lrS�_ _ luta J f //i/gr 1A 3 -r " fit X ' A / Location and legal description of lot to be built on: Lot____ Block Subdivision_ :t Street and Number where work is to be done__3 e _HE /Da �T State work to be done and purpose of building (by floors ) __ E1P_d0'ELkl ES /QENCA: 'ao .45epiill I' New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $___13L 0 Zone cubage required_____ Distance to next nearest building and for no other purpose. Repairs No. of "Stories Roof Covering__1L t " /5 GAL? V Amount of Permit $ flan Cubage 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 5986, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed ) %4 7 STATE OF FLORIDA, COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved (Signed) Date Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building nspector My Commission Expires Chairman Member Member PLANNI BOARD DATE 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. BUILDING ELECTRICAL PLUMBING ROOFING ❑ 0 0 Owner of }` Building s. = .. �. :.' • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect Contractor or Builder ' Legal Lot Description II Bl N? 7572 S f m 4 DATE 19 Contractor's License No. Work to be performed under this Permit Subdi- vision Address of < °' Value of , Amount of Building � , t�� �€ ` ,` Project $ + 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 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, servants or employees. Signed- ' ' ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compl with all ordinances arid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for ail work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT 41 Ir sT 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 Mrs, Anthony Swiatek N 37 Street N. E. 100th St., Registered Architect and /or Engineer. Name and address of licensed contractor Lang Roofing & Tile Co., Inc., 430 N. W. 79th St., Miami Fla. 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) leak repairs as needed— gravel deck by N. W. parapet on garage, rear gravel deck north side. and for no other purpose. New Building Remodeling. Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering ....... Estimated Total cost of improvements $ 190.00 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 .o..y�,,e f,,•. •e•A t I.•• .p7... I..,:fro ms-..,,ix .w.t. v •".,er' i1 `O h .1'•a . I hereby'g`ubmir all• the' plans'andi'specifie'atio'r's foiasaid building. A11 notices with reference to e the buui ding anon ' 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 emtilo}ier of 'labor under the Florida Workmen's Compensation Act, be in g Section 5966,. Compiled General Laws of Florida; Permanent Supplement, m and has complied with the provisions thereof, and will require similar compliance fro•all contractors or sub - contractors employe 'byhim • in the work to be performed under this permit; and_will post:orw cause to be posted for: inspection on the site of the •work such 'public' notice n or: notices as are required by the,Act. The undersigned agrees to employ only such ubcontractor o> ork be performed �.under 'this ge permit as 'are licensed liy Miami Shores Villa. 1 , Remarks • STATE OF FLORIDA; tCOUNTY OF DADE. Ss. (Signed) MIAMI SHORES VILLAGE a t - �- Date. 37 N. E. 100th St., i Date 'Tidy 3rd, 19 '4 , 19 Miami Shores, Fla. 5.00 authority, a notary publiQ_dulv,authori " to administer: oaths and take acknowledgments, personally ; ap- :Tr',,t Before me, the - undersigned speared; •• • ... to ine'.well known, •and,wlio, being liy me first duly sworn, upon oath •deposes aqd says that lie .is •the - • of the ab`ove.'described coiistruction,'that he has carefully, read the foregoing application,- and'that'he did'sign'the same, and that•all� facts . L ` by;him stated are stated • "v , , ' ‘• s ;Read; Sworn'to and Subscribed before.me. \,. NJtary 'Public; State of Florida•':. a e Building Insp; for ' q '. ;,My •Commissson Expires k PLANNING ,BOARD ° "O 1 : DATE Permit "..,No' Disapproved Pate J. A 0 ty ° .l airman �. ' Ch ..'a ' Member . ' `Member''' . "... Council • Approved s• ` Date .',NOTE: 4 charge Of $1.00 " will be•,nii for making corrections + tI e tnnin1, B ir d . • • ' A +i -- inspection fee•of $1.00 will be charged when such re- inspection isanade materials and /or workmanship. Member - Member 0 Member' ? i y • 4.1 • .Disapproved • •. Date dr thanes to this a lication,- afteraa ' g pp ppro� lhhas'he7•n' obtained from P necessary by improper notice for inspection or faulty -. BUILDING ELECTRICAL PLUMBING 'GOOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ❑ PERMIT N9 5470 0 _]caner of 3uilding •`� Architect Contractor or Builder Legal Lot Description Work to be performed under this Permit r _ B1 Contractor's , r W License No. C' 19 Subdi- vision Address of Value of of Building Project $ f 1 1 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 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 assurnes 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, servants or employees. Signed 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY .ceor '' BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT CONTRACTOR OR BUILDER , # 4 N9 4169 Work to be performed under this Permit . B1 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, servants or employees. BY DATE 19 Contractor's License No. Subdi- vision Value of 11 Amount of Project $ 11 Permit $ • •• no,wt Signed' 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 as ceptinq this permit I assume responsibility for cal work done by either, myself, my agent, servant or employee. AUTHORITY ABBOT 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. • ,19 Owner's Name and Address ._.Mx's_.. ... Anthony Swiatek No •37 Street N, E, 100th St, Registered Architect and /or Engineer Lang Roofing & T ile Company, Inc., 430 N.W.79th St., Name and address of licensed contractor Location and legal description of lot to be built on: 0 Lot, _ • u Street and Number where work is to be done 37 N. E. 100th St., State work to be done and purpose of building (by floors) 6 sq. re -roof above front entry and replacing red cement barrel tile. Remove and reinstall solar tray. and for no other purpose. New Building Remodeling Addition ' Repairs X No. of Stories To be constructed of Kind of foundation Estimated Total cost of improvements $4 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 be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 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 su subcontra s on work to be per ormed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Disapproved (Signed) Building Inspector Chairman Member Member .. Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE Block Subdivision Dat Date May 29th, 1963 Miami Shores, Fla. PLANNING BOARD DATE i l ose.h A. Martin, Vice President. Miami Flay Roof Covering._cement.._Sha.n , l e tile 5.00 its construction may STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stat e e Permit No � Date__ -3/ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty