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77 NE 100 St (14)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE . Date '3 )0_tz Job Address 11 tv G (a o at . Tax Folio Legal Description ``'' -- Historically Designated: Yes N Owner/Lessee / Tenant t't�1n r ►Lt, no vr D1.. ,..Q.' Master Permit # Owner's Address — 1 Z N G ( 6 i f `(c L►. 560 , F .. 311) 9 Phone b 7-59 ^ / ( ?a 1'!? 7 — MoD ,e/ 07 Contracting C ro m Qualifier State # Architect/En€ Bonding Con cD D Mortgagor — Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION 10 s- °{ 1�Q,, 4Q0 s ca O"} eta- FA SC t 14 • 4-1 RA -) ' rots (J Square Ft. 1 5 so ` • -r44 • w 03 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 re ; . ating construction and zoning. Furthermore, I authorize the above -named tractor to do the work stated. 1. _.� �► l Z1 A 1 � ' owner and/or Condo President Date Sign < �ntractor or 1wner- Builder Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON w 0 J V C.C.F. n 0 Building Phone a IZ L eK col 0T1- Estimated Cost (value) It rb - ( ?�"`4) - a:Bo. ) &C- Notary as to Contractor or Owner - Builder j Date ,7„.7 My Co ssior O; Fl.O Gs. 4 i I NOTARY BOND TOTAL DUE APPROVED: Zoning Mechanical Plumbing Engineering Electrical METRO-DADE Stanley Door Systems 1225 E. Maple Troy, Approved: 11 /10/94 MI 48084 Acceptance No.:94- 0928.03 (supersedes No.: 94- 0714.04) METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET PRODUCT CONTROL NOTICE OF ACCEPTANCE MIAMI, FLORIDA 33130-1563 (305) 37552901 FAX (305) 3752908 Your application for Product Approval of: Series Sta - Tru - Steel Cladding Foam Filled Swing Wood Door (Deadbolt Lock) under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely desci, bed in the plans, specifications and calculations as submitted by: Applicant, Stanley Door Systems along with Miami Testing Laboratory, Inc. test report No. MTL 16201 dated: August 22, 1994 and test report No. MTL -16065 dated April 15, 1994 both signed and sealed by Ernest E. Mitchell, P.E. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3 This approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Department may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Department reserves the right to require retesting of this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. The expense of such testing will be incurred by the manufacturer. t i Di. ..n , P.E. Expires:08 /31/98 r ' roduct Control Division Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE 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. Director Building Code Compliance Dept. -1- Metropolitan Dade County 073 2 2 (42OS) Stanley Door System DESCRIPTION OF UNIT MODEL DESIGNATION: ACCEPTANCE No.: _24 APPROVED ; NOV 1 01094 EXPIRES ►• • •• •► Series Sta -Tru; Steel Cladding with Flush or Embossed Paneled; Foam Filled Inswing or Outswing Entrance Door (Deadbolt Lock) -2- Gil Diamond, P.E. Product Control Division Supervisor August 31. 1998 ASSIGNED ACCEPTANCE MARKINGS Impact Test PA 201 -94 Cyclic Wind Pressure Test PA 203 -94 SFBC 3603.2 -76 Dade County Approval # 94- 0928.03 Expires: August 31, 1998 OVERALL SIZE; 37 3/8" wide by 81 1/2" high 6" deep CONFIGURATION : X No. & SIZE OF PANELS: One; 35 3/4" wide by 79" high 1 11/16" thick. WEATHERSTRIPPING: Vinyl compression weatherstrip on each jamb head. An applied dual vinyl durometer vinyl weatherstrip adapter under bottom of door panel consisting of a rigid base with three flexible flaps; one 0.4" long, one 0.48" long and one 0.60" long. One neoprene pad at bottom of hinge jamb, fabricated to fit frame. One 1 11/16" x 2" closed cell urethane foam/polyethylene jacket pad at bottom of lock jamb OR single row of vinyl flap with magnetic strip in frame head and the left (lock stile) frame jamb. Single row of vinyl flap in right (jamb stile) frame jamb. An applied dual durometer vinyl weatherstrip adapter under bottom of door panel consisting of a rigid base with a double flexible flap toward the interior edge and a flexible bulb with a single flap at exterior edge. One neoprene pad at bottom of left frame jamb, fabricated to fit frame. - One-5 /8 "-by-1 1/2" long closed cell foam pad at bottom of right frame jamb. OPERATORS & LOCATIONS: One metallic throw bolt lock at panel lock stile, 40 1/4" from bottom, key operated on the exterior and turn knob at panel lock stile, 34 3/4" from bottom, key operated on the exterior and thumb turn knob on the interior. One slide bolt at the top and bottom of panel lock stile mounted to door with three #7 x 1 1/2" screws and 3/8" spacer on swing out doors with two #8 x 2" screws in slide bolt strikers. Three standard 4 x 4 butt hinges located at 8 1/8 ", 39 1/8 ", and 70 1/8" from bottom of door of hinge installed on the frame jamb with eight #9 x 5/8" long flat head screws and four #9 . 2 1/4" long flat head ' ws (Two in top hinge, one in center and one in the bottom). Deadb • t L • : i 'S r or equiv Jent. Stanley Door System ACCEPTANCE No.: 94-0928.03 APPROVED NOV 1 0 1994 EXPIRES August 31. 1998 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS WEEPHOLES: None MUNTINS: None FRAME CONSTRUCTION: Header and jambs are 4 9/16" Ponderosa Pine or equivalent. METAL SKIN THICKNESS: .018" steel skin. THRESHOLD: Extruded aluminum 1 1/4" height x 6" width with thermal break. REINFORCEMENT None ADDITIONAL DESCRIPTION: Equal leg type frame. Unit tested using an aluminum threshold with thermal break in the frame sill. Strike plate secured to frame using three No. 10 by 2 1/2 "OR two #8 x 2" installation screws. The product markings are located on the hinge side of the door at mid height OR at midspan of frame sill. INSTALLATION OF JAMB AND STRIKE PLATES; Hinge side of jamb is installed with four #8 x 3" long screws at 6 1/8 ", 37 1/8 ", 68 1/8 ", and 76 1/8" from bottom. Lock side of jamb is installed with four #8 x 3" long screws at 2 1/4 ", 28 1/8 ", 53 1/4 ", and 79 1/4" from bottom. Slide latch strike plates installed with two #8 x 2" screws. Throw bolt strike plate installed with two #8 x 2" screws. Door latch strike plate installed with two #8 x 2" screws OR strike plate secured to frame using two No. 10 x 2 1/2" installation screws. SLAB CONSTRUCTION: Entry door 1- 11/16" thick. .018 steel skins. 1.219 width of wood on top and bottom rails and on latch stile. 2 -3/4" x 12.00" lockblock. .938 thick hinge stile. Skins fastened to-sti1es d- rails with neoprene.base contact adhesive. Slab painted with grey or white primer (thermoset waterborne acrylic). Core is polyurethane fill. -2a- Gil Diamond, P. Supervisor Product Control Division TEST TEST LOAD DESIGN LOAD UNIFORM STATIC AlR TEST SFBC PA 202 -94 POSITIVE +80.0 PSF +53.33 PSF UNIFORM STATIC AIR PRESSURE TEST SFBC PA 202 -94 NEGATIVE -105.0 PSF -70.0 PSF WATER RESISTANCE (PSF) ASTM E547/E331 6.50 PSF +43.3 PSF AIR INFILTRATION ® 1.57 PSF ASTM E283 ( <0.37 CFM/FT') 0.09 CFM/FT FORCED -ENTRY RESISTANCE (FER) SFBC 3603.2 (b) MTL -16201 LARGE MISSILE IMPACT TEST SFBC PA 201 -94 SATISFACTORY MTL -16201 CYCLIC WIND PRESSURE TEST SFBC PA 203 -94 POSITIVE +69.0 PSF +53.08 PSF CYCLIC WIND PRESSURE TEST SFBC PA 203 -94 NEGATIVE -91.0 PSF -70.00 PSF Design Pressure Rating (Positive) +43.3 PSF Design Pressure Rating (Negative) -70.0 PSF INSTALLATION: SCREWS AND METHOD OF ATTACHMENT: SILL : None HEAD : None -2b- ACCEPTANCE No.: 94-0928.03 ppy 1 0 1994 APPROVED EXPIRES August 31. 1998 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS JAMBS : #10 x 2 1/2" FH Wood screws at a max. of 6" from corners and 24" apart. OR # 8 x 2" FH Wood screws at a max. of 6" from corners and 24" apart. (4) #9 x 2 1/4" FH Wood screws at hinges. Note: Please see note #11. Pale 3 - A copy of this approval as well as manufacturer's installation instructions shall be provid . to the permit applicant by the manufacturer or his distributors and s lt�eA cable for ins • do • at the jobsite at all time. Gil Diamond, P.E. Supervisor Product Control Division tanley Door System TYPICAL ELEVATION; .• • ' :► • ►, •` 4.3/4' TYP. 24' TYP. 2.' TTP. 1_L 4 -3/4' TTP. rums OR ENDOWED Q 1 r 24' TTP. This approval applies to single unit applications only, as shown above. Units with dimensions smaller than those shown above shall qualify under this approval. Deviations for higher design pressures by downsizing the unit are accepted only thru comparative analysis approved by this Department. Sub -bucks shall be of pressure treated material at least 2" nominal thickness, and secured in at least 6 points on each leg with 3" or equivalent fasteners. Fasteners must have their own Notice of Acceptance and must be made of stainless steel or have adequate protection against corrosion, per DIN 50018. Aluminum contacting metals not considered compatible shall be properly protected. This revision supersedes Notice of Acceptance No. 94- 0714.04 dat -2c- ACCEPTANCE No.: 94- 0928.03 APPROVED NOV 1 01994 EXPIRES USE s0 X 3' SCRE14 FOR MOUNTING ODOR JA MO (1.1/1' SECTION) TO 2' NOMINAL SUe - BUCK (0) REO'0. (SUPPLIED eT of 1EA) . : August 31. 1998 1994. it Diamond, P.E. Supervisor Product Control Division NOTICE OF ACCEPTANCE: STANDARD CONDITIONS FOR GLAZED PRODUCTS 1. For multiple window installations, approved mullion drawings and calculations must be filed with Product Control. 2. This Acceptance will qualify smaller units of the same design and as the unit tested. 3. All units must be labeled, giving the manufacturers name. Dade County Product Control Approval Number. approved elevation and date of expiration. 4. Extension of Acceptance may be considered after a new application has been filed and the supporting data, for test reports less than four (4) years old, has been re- evaluated. 5. Any revision or change in materials, use or manufacture of the product shall automatically be cause for termination, unless prior approval is granted for revision or change. 6. Any unsatisfactory performance of this product or a change in Code provisions shall be grounds for re- evaluation. 7 This Acceptance shall not be used as an endorsement of any product sales or advertising purposes. 8. Aluminum windows and sliding doors have been tested in accordance with ANSL-4A`L4 101 -38 or for wood window unit by ANSI/NWWDA I.$ . 2 -37 and sliding doors ANSI/NW'VDA I.S. 3 -3 and swing doors ANSIfNWWDA I.S. 3 -33. 9. Swinging doors shall be tested for positive and negative wind pressures as per Chapter 23 of the South Florida Building code. 10. Hardware for all windows and doors shall conform to Security and Forced Entry Prevention, Chapter 36 of the South Florida Building Code. 11. The spacing of fasteners shall be as tested or 24" whichever is less. R_ The first fastener shall be located a ma mum of 6" from each corner and mullion or she. Minimum penetration of fastener shall be as tested or 314" whichever is higher. No wood or plastic shields or pins shall be used. Unless otherwise noted in the test report, minimum size of screws shall be No. 3 for first and second floor installations and No. 10 for all other floors above the first and second floors. Revised 5 -20 -9 (") f a X , 3 1 Diamond, P.E 1 \product Control Division • Supervisor e=nIIMPORTANT Final Installation and Painting Instruction FOR NEw Want a oaa� II to taro re SCREWS lit ter owe we at sop Iyipa, and ore soew ewe' In h lamb Sol at the India aid EOeRn Meets as Mom. To maroon a 20 ninon Ire nom eosami oa of ONO tar mow a rewired P A 1 N T 1 N G • TAY Sunray way door has a tummy ammo Oreasr. MSS prone mom Y not ramrmnOSd • Mon applying rnih paint. woo rr door air moor rrtaow anon of err/ dust or �. • UM; Yes pow fr pont du wands or yaw door win • warty minor M s dint aid des rods rah a wady arm pars • TI* mntrete door nrlaoa r,ra,arq dam. Ow Wet widow Win. and *nib not Oa pr+1.d DO NOT PANT WEJATMENSTIIm C A U T 1 0 N • Do memo woo omsaininn ammo oil Yowar at +sued Oawa sow ra • De mows warlecertp and do not ma door rill pairs Y ay (saw oars nniraaaah rpae+mema tr 11WWWIe OW9 ins) • 00 m use deck aimed owe armor a Stan dace wh an envy comma ho moose orations or woo. eon Sur aooaua eon cam SEINI NO row taliwup swot nay darn Ms Ina. Failure to follow proper Innt ilallow lastrrtp'tlmu and/or railer. to print deer, reisdow trim deoorwtleo trio and lamb IMAM 45 days a 4leteMetlerr WY odd wanecnq, STANLEY DOOR SYSTEMS now Y Pen Ns. � MIT 0. alto Slistay Door Systems ILad 1 ef sw+� T . s Nor We OW Pb, Sold a. Tani of Atlfl t 4 war Om we am. Ifnr w awl SWIURNlh •wNw_ Imams ...r.anarr► rota QA•41" f. NOME IP TIU$ DOOR to GLAZED IN ANY . THE RRE RATNO A SPECOIED Q NO LONGER YALU 21111171 Stanley Door Systems Troy, Michigan o Southwest Research Institute 20 Minute Rated Wood Frame § San Antonia Texas Far the in wood, steel stud and =scary ,rt NF3t QA -409 walla Must be used with fire rated door a SWRI Reference No. 9200E-03 and hardwares I A1 1 1336 L86S0 •a 9llnytlO STA -TRU THRESHOLD 'SWING -IN' JAMB. HEADER 4 -9/16' MAT'L: PONDEROSA PINE OR EQUIVALENT. STA - TRU WEATHERSTRIP: HEADER. MAT'L.: MAGNETIC W /VINYL JACKET. SECTION B - B CAULK. LATEX. EXTERIOR JOINTS AND UNDER THRESHOLD. WEATHERSTRIP. HINGE REF. SEAL-HINGE MAT'L: EPDM FOAM W/ SELF ADHESIVE BACKING BRICKMOLD (OPTIONAL) HEADER: 1 -1/4' x 2.0' MAT'L: PQOCEROSA PINE OR EQUIVALENT. WEATHER- STRIP: HEADER CAULK. LATEX. EXTERIOR JOINTS AND UNDER THRESHOLD. SEAL-LATCH MAT'L.: EPOM FOAM BOTTOM SWEEP FAT'L: OVAL QJROMETER VINYL. THRESHOLD MAT'L: ALUMINUM W/ THERMAL BREAK. STA -TRU THRESHOLD 'SWING-IN' SLAB SIZES: 2/6X6/8 - 29.75' X 2/8X6/8 , - 31.75' X 2/10X6/8 - 33.75' X 3/0X6/8 • 35.75' X SCREW. MOUNTING - se X,3'. (8) REO'D. (SUPPLIED BY OTHER) 'FOR DARE COUNTY APPROVAL SEE SPECIAL MOUNTING INSTR- UCTIONS'. 000S0.T S T1 100 1' THROW 100 SERIES. 1' ROW OR V L.000SET SCFLAGE 'A' SERIES 2 -3/4' BAOCSET 1/2' LATCH THROW OR EQUIVALENT. MOUNT STRIKE PLATES W /e8 X 2-1/2' SCREWS. WEATHERSTRIP. HINGE 1 REF • 5.500 SEAL-HINGE MAT'L: EPOM FOAM W /SELF ADHESIVE BACKING CAULK. LATEX. EXTER I OR J01 N TS AND UNDER THRESHOLD WEATHERSTRIP. LATCH. REF. STA -TRU THRESHOLD OPTIONAL 'SWING-OUT' STA -TRU THRESHOLD OPTIONAL 'SWING -OUT' WEATHERSTRIP. LATCH REF. ,-SEAL -LATCH MAT'L.: EPOM FOAM SLAB - ENTRY 000R: STA -TRU: 1-11 /16'ITHICK. .021 STEEL. SKINS. 1.219 WIDTH OF W000 ON PERIMETER X 1.640 THICK. (STILES AND RAIL). 2 -3/4' X;12.00' LOCKBLOCK. SKINS FASTENED TO STILES AND RAILS WITH NEOPRENE BASE CONTACT AOHESIVE. CORE IS POLYURETHANE FILLED IDE BOLT (WHEN REWIRED) MOUNT WITH (3) e7 X 1 -1/2 INTO TOP AND BOTTOM RAIL. MO(NT STRIKER WITH (2) s8 X 2 -1/2' BOTTOM SWEEP FAT' L .: DUAL DU O+ETE3R VINYL. CAULKED. KEAF MONIED AND STAPLED.W /t4) 1/2' X 1/2' STAPLES. 79.00' 79.00' 79.00' 79.00'. BRICKMOL CAU K.LATEX. EXTERIOR JOINTS AND UNDER THRESHOLD. OLD. JAMB. LATCH (SEE HEADER) WEATHERSTRIP: LATCH 34.750 2.250 28.000 2. STA-TRU WEATHERSTRIP: LATCH. NAT'L.: MAGNETIC W /VINYL JACKET. SEAL-LATCH 2/6 - 35.500 2/8 - 37.500 2/10 - 39.500 3/0 - 41.500 2/6 - 31.500 2/8 = 33.500 2/10 - 35.500 3/0 = 37.500 SECTION A - A FRAME I.D. LABEL ON HEADER. Br 15 /16' TYP. 3 f STA -TRU WEATHERSTRIP: HINGE. MAT'L.: VINYL COMPRESSION. ICKM0L0 JAMB. HINGE (SEE HEADER) WEATHERSTRIP: HINGE SEAL-HINGE ti 2.000 2.000 2.000 DOOR 1.0. LABEL ON EDGE OF / / / /// 000R. 2.000 NOTE : ALL EXTERIOR JOINTS TO BE CAUJ(ED. DO NOT SCALE THIS DRAWING IOU:R*1MS ON FRACTIONS : 1/64. DEC DIALS :.015.ANGLES :1• .UNLESS OTHERWISE SPECIFIED. REVISIONS LEI, OE9Qi IPTI W I EPR I BT ryATE1OM RELEASED HINGE 4' X 4' .088' STEEL W/ .234' DIA. STEEL PIN. (3) REO'D. ATACHMENT SCREWS: TO DOOR: ( 12)s9 X 1.0' STEEL TO�JA1 HEAD SCREWS. C e9 X 5/8' AND 89 X 2-1/4 STEEL T HEAD SCREWS. ACTUAL PRODUCT MEETS OR EXCEEDS PRODUCT NOTICE OF ACCEPTANCE THROUGH THE USE OF MATERIALS AT OR GREATER THAN THOSE TESTED. H O N O cma OO:O • ' W y cn <m N <.1lfs PRODUCT APPROVAL NO. UNIFORM STATIC AIR PRESSURE- POSITIVE SFBC PA 202 -94 UNIFORM STATIC AIR PRESSURE- NEGITIVE SFBC PA 202-94 WATER RESISTANCE ASTM E547/E331 TEST ••i0 b' OATr Me/ /l,1( •80.0 -103.0 8.50 TEST LOAD PIP' •53.3 -70.0 •43.3 DEMON LOAD PSF DADE COUNTY STANLEY DOOR SYSTEMS DIVISION Or MN WrMaiy MORNS T10t. MIONION.I PRODUCT E r IG I NEER I NG ^""r• yw►aI STA-TRU: P/H ENTRY DOOR W/0 -BOLT t SURFACE BOLTS RECDMEtCEO ASV, t INSTALLATION .IN6TRUCTIONS OF PM UNIT. MATIEN I AL AS NOTED "A"T ,a0 . 1 `.._° I► I . 7 „' X 5987 ow++ r oArs oam w�c 019 7 -7 -94 o.AH &Ps NCI. 05987 My Commission Expires: APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / Job Address 9 E /&4 Legal Description;gQeAtil'e Ag / `® •�ftAle-7 C /►/A7 y4» Lessee / Tenant Owner's Address 7/c% /9—U ��z� /ll�, i ��5 Phone 7.5 3 7' Contracting Co. OW/tel.— Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one) WORK DESCRIPTION �� ,s2 /A), h ec)% d e- e, o v.o? -1l ✓v�J�- / /� 0./7 4 ) Square Ft. Signature of owner a — Gende- P- es4dent Date: ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING (FENCE) SIGN Estimated Cost(value) 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 stat 4 0! Sature o • r . e: / t . • • st . Notary as to Owner and /or Condo President Jtary :s to Corltraoilarmt 'r it It : ., ;• y Commission E:•' s: ❑ DID take an oath, or fg. DID NOT take an oath. ** * * * * * * * * * * * * * * * . ** �� /00 NOTARY 6 76 ' 4° TOTAL DUE 1 115-° FEES: PERMIT �7 ��/l/ RADON C.C.F. Fire Other Zonin Buildin: /N Electrical Mechanical Plumbing Engineering Tax Folio /' iG / /N ,'D / Master Permit # �73cto Address f �. •' JOSEPHINE CHURCH 11, I , ad ubII ate of Fr _ ,So r • i . er . Of •N6 CI 1 p name-of Notary Public a � +. selelkotl. vnr. .,. ur +..= .-or'ug....,:.;.ar+,,lu:wm pipe- N � no4� m-- 2T • it • c: • lr ' QS` 21 , -S1 (1-:.B.S.. """ t o • I �pl / 4. ° ) I y° SD.84 ti I 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 !�' ' g' ik" E UJS Location legal description of lot to be built on: Lots 5-7'19- J Block 1 O Street and Number where work is to be done _ Co rJ Cs -•E� } � / 1C MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT New Building Remodeling Addition �J I, Date Q�. �%l�- / Z ,19 J No 7 9 Street.... • E / U k-S Registered Architect and /or Engineer Name and address of licensed contractor Subdivisio ee-7 1 7 7 ?.t •E / oa 'Lk s floors) a - State work to be done and purpose of building (by flo 1 a S [ il2 Q lA�a1.1.. f a5. S 1�c�F. 0 p 54 � �f'��of/� /G n � Repairs No. of Stories az ''''''''''''' and for no other purpose. To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $._.c . 0 D • Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building. 3 U c * Size of Building Lot Maximum live load to be borne by each floor • I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ` f Remarks (Signed) O STATE OF FLORIDA, i 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/ 71 are true. Permit No .L Date Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) Notary Public, State of Florida 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 of proval 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. Lcr;LZ0GUZZ3 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. r , Owner's Name and Address .f_ No Street Registered Architect and /or Engineer Name and address of licensed contractor.._ _.. Location and legal, description of lot to be built on: Lot Block Subdivision 7 )'C' , /la Street and Number where work is to be done Date 453 . , 19 State work to be done and purpose of building (by floors) ° 2. • J ,, "a t and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fou�ti nn RoofC 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, 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) _.__. t ^ ^2. 1 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 ° Date 8- n Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan 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. BUILDING LI ELECTRICAL ❑ PLUMBING ❑ RO9FING ❑ Owner of < Building Y . Architect Contractor or Builder Legal Description Address of Building i l_r`vtt> g sr CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATR >/ 1 '" 195/ PERMIT N° 5171 Bl. 7 7 / >> Work to Signed• Contractor s • License No. be performed under this Permit 41 ""' � / aA-4- 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 pspecific ns and that he assumes responsibility for work done by his agents, servants or employees. '9 Value of I Amount of 47 Project $ 1 Permit $ /` Subdi- vision 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 2335 0 CONTRACTOR OR BUILDER 195 DATF Contractor's s License No. B1 Work to be performed under this Permit Subdi- vision Value of Amount of Project $ I Permit $ This permit is granted to the contractor or builder named above to construc 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ems,