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868 NE 100 St (12)CJv11 / Structural Engineer OFFICE: 1840 N.E. 164 th STREET N. MIAMI BEACH, FL. 33162 TELE: (305) 956 -9911 FAXt (305) 956 -2900 Project: R Q. - fno F- Permit No.: • 3'. q q Address: 5- (,s‹ fo -& DATE INSPECTED PROFUSION/II SE ?XiCC ZNDUIST ?ZCS, INC. Donald W. Shackelford, P.E. -FOR R0BERTS ROOFING COMPANY Dear'SiIs, Please be advised that on the above date, I performed the inspections described beloVv. To the best of my knowledge end professional judgement. All work Inspected la In accordance with applicable sections of the South Florida Building Code and /or appropriate sections of the Dade County Amendments thereto. WORK DESCRIPTION Beeper: Date: •6Q -„?. `9 y APPROVED • - TIPjUT TVrT • Res tfull y, oneld W. Shackelford, P. as TELF _A P n ur R THIS TEST HAS BEEN CONDUCTED IN CONFORMANCE WITH DADE COUNTY BUILDING • FFICE: 1840 NiE• 164th STREET Donald W. Shaakdlfcird,, P.E. Civil / Structural Engineer TELEPHONE'. (305) 956 -9911 N. MIAMI BEACH, FL. 33162 FAX: (305) 956 -2900 FIELD STATIC UPLIFT TEST RESULTS PROJECT: - �0.oaF PERMIT N0. ;3gga. TILE TYPt: ADDRESS: 9(0 Fs ALE. /UU 61 DATE: TEST LOCATION RESULT TEST LOCATION 11 12 13 14 15 16 17 18 19 20 TILE LOAD LBF DONALD W. SIIACKEL ORD • . E .' Fla. Reg. Engr. PE- 24803 RESULT a, j ....o_ca,(5,..L..40 3/ - .s TEST LOCATION 21 22 23 24 25 •26 27 28 29 30 RESULT a7 19505 Collins Ave., Miami Beach, Fl. 33160 (305) 931 -7600 #108 DotialtI 1111. Shackelford 1 civil/ Structural Engineer STATIC.. 35( 7 1 .43LIPr LocATroN colt 8G E3 M.E. l 3'7 9 35 3`f tf y3 5 4 I( ib ETG Sr. 3 • EMS /em N•.7� Professional Service Industries, Inc. Jammal & Associates Division To who it may concern: Sincerely, • PROFESSIONAL SERVICE INDUSTRIES, INC. • ..' .. ASSOCIATES DIVISION 1 genlo M. San T g Miami District M :nag March 4, 1994 This letter serves as authorization for Mr. Donald W. Shackelford, P.E. to serve as representative of Professional Service Industries, Inc. for the purpose of performing tile uplift tests on roofs. 3901 N.W. 29th Avenue • Miami, FL 33142 • Phone: 305/633 -7555 • Fax: 305/634 -1973 c,. Hurricane Engineering & Testing, Inc. 8532 N.W. 64 St. Miami, FL 33166 Contact: Dr. Wakar Ali/Arshad Vigar, P.E. Ph 305 -597 -5590 Fax 305 -597 -7023 Hurricane Test Laboratory, Inc. 8011 -B2 Monetary Dr. Riviera, FL 33404 Contact: Mr. Richard Boyette, P.E. Ph. 407 - 881 -0020 Fax 407 - 881 -0075 Kenneth H. Nash, Jr. Testing Laboratory 10758 S.W. 188 St. Miami, FL 33157 Contact: Kenneth H. Nash, Jr., P.E. Ph 305 -256 -4126 Fax 305- 256 -6402 Miami Testing Laboratory 1640 West 32 Pl. Hialeah, FL 33012 Contact: David G. Ober/Robert G. Miller, P.E. Sandy Mitchelle, P.E. Ph 305- 822 -1141 Fax 305 -825 -1924 National Certified Test Laboratory (NCTL) 1420 Gemini Blvd, Suite 6 Orlando, FL 32837 Contact: Michael Lane/Barry Portnoy, P.E. Pli 407 - 240 -1356 Fax 407 - 240 -8882 PA201 -94 PA202 -94 (Excludes water infiltration and forced entry tests.) PA203 -94 _PA201 -94 (Excludes small missile impact test.) PA202 -94 PA203 -94 ASTM E -547 ASTM E -987 ANSI Z97.1 PA 106 -94 ANSI/AAMA 101 AAMA 1600/1605.1 AAMA 501.2 AAMA 501.3 ASTM 547 ASTM E783 ASTM E985 ASTM E987 ASTM E783 ASTM E1105 PA202 ASTM E987 ASTM E1E5 ASTM F588 ASTM F842 PA201- 94(Excludes small missile) PA202 -94 PA203 -94 Professional Service Industries, Inc. PA 105 3901 N.W. 29 Ave. PA106 Miami, FL 33142 PAl24 (ASTM E907) Contact: Mr. Robert LaFata Concrete /Soils/Environmental (Per PW Kenneth Houseman,P.E. /Donald W. Shackelford, P.E. Ph 305- 633 -7555 Dept. Certificate.) Fax 305 -634 -1973 - �� AO • 2349857. STATE Or- FLORIDA DEPARTMENT OF PROFESSIONAL REGULATION! THE P R OF ESS I ONAL E E ER ' • .• NAMED BELOW HAS REG I STEREO - *: • • 'UNDER TU.. YR_OVISION5 OF CHAPTER 'O FOR T YEAR EXPIRING t- he e8k 1995 . HE BOARD OF : PROFESS I ONAL ENG INEERE • 04/29/93 • " 92901929 • .. ra:M:14 NCE.' SHACKELFORD DIMALO W 18906 .125TH AV.•! JUPITER • , FL, 5343tt. :•• • `.‘T*- • • • • " • b ACONS. . C- L. GEO -STU T. JR • . • •. S EC R ETARY • ;: j • ...... •••■• • A PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (VI "! Job Addre s O cS I(/ C I 0 0 5' Tax Folio `/ .7 °C c 3 5( 1 01/2 9 Legal Description 4 r g P Owner / Lessee / Tenant i0 )(a‘ V1 Yl L' Art Master Permit # _ Owner's Address ?(DR Iv E 1 0 ?f 5 Phone Contracting Co. R De�S R0011 `^ Address 1 7 0 0 40 ,1, 8/vJ Qualifier Ro\7kek \ p S # - Phone ( JaW Q �T State #RCWca (D31 Municipal # Competency # 370 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION P,' 7c10.4 ame. 0", S ( Th - uC (a c y Square Ft. o1J 0 Estimated Cost(value) 10(_ 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 tb- abo e-named contractor to do the work stated. Signature of own Date: Condo Pr iden Notary as to • r and /or My Commission Expires: ** * * * * * * FEES: PERMIT 3 7(31 RADON C.C.F. lP / S 6 NOTARY J c D TOTAL DUE it APPROVED: C•,%do President ARY PUM.IC STATE ,OF FLORIDA MY COMMISSION EXP JUNE 13,1995 BONDED THRU GENERAL IOC rtat), * * Fire Zoning uildin Mechanical Plumbing ° s ign ture of Contract Date: r or Owner- Builder otary as i• Contract •; -' My Commis - ion Expires: NOTARY PUILIC STATE OF FLORIDA MY COMMISSION EXP JUNE 13,1995 OONDEO YOU GENERAL TPA *DM, * or Owner _Builder * ** Other 1, Electrical Engineering NOTICE OF COMMENCEMENT . �; 1 .-- c PERMIT NO. TAX FOLIO NO. = STATE OF FLORIDA: r s COUNTY OF DADE: 0- THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with PO Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. ii �- -r 1^ ��/ Sri 1.. Legal description of property and street address: 7( % - /Q . • r! 0 S lv e-R �- ` i i wt. r Ii V\ re S ) \-----( 0 c 33 ) 3 ' N ce nn M 2. Description of improvement: 1 - c e a n d t• ?R. ( C y. 5(G N • , 1 0 0 - S t e-T SNn c3 r e S � \ Lori ct wi '3 3 t 3 '9 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address t• , Esa-4 - S () o g r v . , cl- V7 0 0 p Lc) e. lC U,\evand 0 ? a L.oQ c4.14 33O 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: . O 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be serviglaspro !3ett . of c 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 Cienor's Notice as provided iri ` `� u. Section 713.13(1)(b), Florida Statutes. = o ' 3 m • Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording un different date is specified) Signature of • ner Print Owners Name Notary Public Print Notary's Name Sworn to and subscribed before me this day of My Commission Expires: MI C O*ISSION EXP J 13 199 !MOO, jg1 )) g/gZS , Prepared by: J kci 19� Address: c9-1 1 0 ()pc) e t- 1�U1�.(Fuf�►2c� o co e6 123a1 -52 2/93 PROOF K, INC, .JUN 0 91993 IAsllll, F '10 Wxc MtT MAY CONCERN MORTAR SET SYSTEM METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING COVE COMPLIANCE DEPARTMENT SUITE 1603 METRO•DADE FLAGLER BUILDING 140 WEST FLAMER STREET MIAMI. FLORIDA 33130 -1563 (305) 376.2901 FAX (305) 375.2908 June 4, 1993 Prodeck, Inc. has filed with this office the required and acceptable test data to support the renewal of their Volcan "S" Status Clay Barrel Roofing Tile as a mortar -set system along with revisions to their expired Notice of Acceptance for application of this tile for a nail -on system as welt. The tile is identified by the imprint "Alfareria El Volcan, made in Venezuela ", For both mud -on and nail -on systems, the tile shall be installed on a solid nailable roof deck of 5/8" thick plywood for ail new construction or to 1/2" plywood deck on re- roofing. The nailable deck shall be covered with a 30 type lI (ASTM D -226) anchor sheet and tin- capped in accordance with Section 3403.4 (c) of the South Florida Building Code, over this, a hot - mopped Tamco type #90 (ASTM D -249) Type II cap sheet or equal shall be applied The tile providing a 2" head lap shall be grouted to the cap sheet using a 12" trowel of mortar consisting of one bag of Florida Roof Tile Cement (I cubic foot) by Lafarge Corporation, to 2 parts mason sand (14 shovels) with a reconunended mixing time of 5 minutes after all ingredients are in the mixer. The nailable deck shall be covered with a 30 type 1I (ASTM D -726) underlayment applied with a 4" over lap and end lap and tin - capped 12" o,c. infield and 12" on all headlaps. Drip edge metal shall be applied directly on top of 30 type 11 felt. Over the underlayment a 90# (ASTM D -249) type 1I cap sheet shall be installed providing a 2" head lap and a 6" end laps and applying plastic cement or hot asphalt between plies, and backnailing with 1" rooting nails and tin tabs 12" o,c, approximately I" from top edge of cap sheet. PAGE 1 NAIL - ONSYSTEM (3 :12 MIN. SLOPE 06 -17 -1993 1 0:24 305— VU' 11 au as.. s,■ Ouu - QUU 1 ♦I 6a,i r 'NAIL/L.11\/ 1 INV. Each field tile and rake tile providing a 2" head lap shall be attached to deck with two 10 d comrrtbn hot - dipped galvanized steel nails and glued to each other at the crown portion of the head lap with a nominal 2" diameter by 3/8" thick bead of Ohio Sealant RT -600 roof tile adhesive, The tight side of each eave tile shall also be attached to the deck near the bottom of the tile with a 1/2" long by 0.045 thick formed galvanized steel clip and a 16 d common hot - dipped galvanized steel nail, A nominal 1/2" diameter weephole shall be incorporated at the bottom of each mortar closure below each eave course tile. Due to Hurricane Andrew, this office has been inundated with requests for both new products and renewals, which has caused a large back log in responding with an official Notice of Acceptance. In the interim period, please accept this letter in allowing these two application systems to be installed up to 75 feet for a nail -nn system with unlimited height on the mortar -set system. GD: co PAGE2 p ly yo rs, Gil diamond, P.E. c --- Product Control Division Supervisor P. 02 .941 vv.d ._. • • a-- ' ,- -4- 1' I 1 ' ;' 1 1 - r - r-- 1 --1- - - - i - + I I -- -- - t t rt1t+ / 1 +- - • 1- - + - _ 4 23 , I • t • - J. r - - - — - i — 1 --I- _ - 1 t - t--r t i 1 � I I \I 8 C T I r - I 1 i i 1 _t- 4— ; _: __4,-- - 4.- 1 j 1 t ' -- - - r ; I , t I L1 t— r ' — -- I 4, I I i 1 - - 14 - i i - - - - + - - ' - _+-- i - - -- -' -' - t I I I I -+ L- -1 I l I ----14-- 1 t -- � I H - - -- - - 1 i - _ r +- I r - -, t- r -_. -D I - I i ! — t -----1.--..- --4. —+ — + - r _ -1 , _ . -� r E TS I OO , ¢� r I---.- 4 -1- -I- -4, - _ _ a } 1 L '� - _ _ RUB R r t - I - - + } - - - - I - � ` -r- - + -- ' � - -�-- *-- 4- - - - ++ ---± —� : -1---- t + +- 1 ■ . —'a_ --1 —1 I 1 I I I I —+- + — 4- t+ y I - i- --t -. - - I r i t l T i j I I t -r -+ - --- +- - - r t -i- -r-- a - , - �- -4 - + -- -+- I I � � I I NOTICE OF COMMENCEMENT PERMIT NO" TAX FOLIO NO. 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: � . • S tv �� ►'_ l : 1 wl r L\vre s \ Lori 8, A . 4 3'3 1 3 2. Description of improvement: t'C e -- r o y 3. Owner(s) name and address: e X A N t. ( e (' yr S( ( (■.) . L- , 1 U 0 Sri (� `i\-/k; ,o v.A, S SG r e S \ — Lo ri c W 3 t 3 e g Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and addressT o rgC1 � c) . , a- I - 7 0 e) e. le►� aR_d 0 ?a L...nC. w 1,�nCLA 33 5. Surety:(Payment bond required by owner from contractor, if'any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be serv/Iti as $ro by Section 713.13(1)(a)7., Florida Statutes, Name and address: o =r� a a at 0 .� a } 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provife'd irk Section 713.13(1)(b), Florida Statutes. 1`1 Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording un different date is specified) Signature of • ner • ' Print Owners Name Sworn to and subscribed before me this_ day of Notary Public Print Notary's Name My Commission Expires: 11Y COMIISSIOM EXP JUNE 13,1995 I Inky, qt' 11J a ■ •u CI o .. Prepared by: led is 3 Address: 0 10 Off) L_ o e ki4 tlOt,(euflrL. O Co ek1 plc r� JP; 3 C)S7 123.01 -52 2/93 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. ,19.._._ Owners Name and Address .//i/` /0.... A✓ I& J%S No. ..a�?.. ..._. StreeL GD S R egistered Architect and /or Engineer G, , ,, Name and address of licensed contactor C FNrV k r C O'vs / - / �3 sv _/V.,� . / C r- /v-/19-4. Location and legal description of lot to be built on: Lot v-e ./ 2 Qf V Block /6 ? Subdivision... - . .1 5.i11.eE.... -5 t C 7-70/1/ (Si£ /v /oo sr: _ 1/ _..._.. State work to be done and purpose of building (by floors) f EP.6 l` C 1� /5T ///6' _REA/gotiz/Q//A/t j ' sry cco So FP/ r a v Et? WW F - ...__.._.._.._ ._ Street and Number where work is to be done and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ / Z 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 CEAv7 - L'/ Co /VS! / �3 (// ,VE 2 / - 7 /i%/ 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 pennit, as are licensed by Miami Shores Village. Remarks (Signed). - - �e 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 _ \(V V Date li //ip Read, Sworn to and Subscribed before me. Disapproved .._ Date. Notary Public, State of Florida (Signed) - Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member — ....... _......... --- Member Member Member Member ...._ �.•_. - -.- Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 31.00 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 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 Registered Architect and /or Engineer ? � p . 8 _ ? Name and address of licensed contractor A. B. & n ., C 0��d _ 1.r t N' �' 5 J Siee 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) % e-/d00 20 o cemt?d IL& and for no other u P rpose• New Building Remodeling Addition Repairs No. of Stories cenevi To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ,Q33e. 00 ........ 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the ' lorida Workmen's Compensation Act, being Section 5966, Compiled General Laws o Iorida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors o sub actors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe �lion on. t site t e work su i ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such subco wo t. be under this pennit, as are licensed by Miami Shores Village. Remarks (Signed). MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ,19.. 74 111X. 8 JIkd. 841.294 _ _ No..... Ail. street X00 .S rceet STATE OF FLORIDA, COUNTY OF DADE. j 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 ap. 'cation, and that he did sign the sna; iaud tl3at all has therein by him s d e p /j Permit No.._.` Date 4 7 Rea orn to an. ubs ribed be ore me Disapproved at wen "Y (Signed) . } My Building n -- for 1 C tom' > P i aF FIORIDA AT tAROet MY COMMISSION EXPIRES JUNE 14, 1978 PLANNIN BOARD BONDED DIR11.cpttni 1NSUR4rorF UNDEPWRIii 1IS Chairman Member Member Member Member _ ..— ._....._..._.-- •-- .- -...._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re 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. Notary Public, State of Florida BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA (� ❑ DATE P- •i' '"' do ) 19 ° PERMIT N? 5578 Owner of Building Architect Contractor or Builder Legal Description Address of Building _ Lot tir In consideration of the issuance to me pertaining thereto and in strict conformity with cepting permit I ass a responsibility ]j for i 1 y ` .. ' t¢,7.i (4 * , CONTRACTOR OR BUILDERKJ B Work to be performed under this Permi Value of Amount of Project $ 63 11 Permit $ • BY Contractor's License No. .. y Subdi- vision 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. - 'INSPECTOR Signe of this permit I agree to perform the work covered hereunder in compliance with all 'Ordinance's and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao all work done by either, myself, my agent, servant or employee. AUTHORITY 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 Villag3, Florida, and all provisions of the Law. of the State of Florida, all ordinances of Miami Shores Village snd all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specifier) o. not. A copy- of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Addres Registered Architect and /or Engineer n Name and address of licensed contractor __r _ i_._ d e_ma_L�_i,�j_ a • , ___ ��/_ t 73S P o Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done X? e 8 4'7 a' State ork to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. j ss. Permit No 7se Disapproved _____ .___________ (Signed) MIAMI SHORES VILLAGE Date Date 8-,6-(ad Date- - - - / _ - - - - 19 __ No._.?_g_' . ___ . Street__ /Y._e _ . /_t 8 c?. Z Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspg r My Commission Expires PLANNING BOARD DATE Chairman ___ ____ ___ _ _ _ Member Member _ ____ _______ Member Member _ Member Council Approved Date Disapproved --- - - - - -- - - -- - - -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering. 0_ G-4 4_ Estimated Total cost of improvements d o G ]? $--- -,�,�� • 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 subco tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) _ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 Owner of Building Architect Contractor or Builder I.1 - •t. i o o PERMIT N? 4944 J o Legal Lot I Subdi- Description ! Bl. , vision Address of " ° V alue of � I Amount of / - Building ` " 6 ""/ i / c , : :::" / Project $ r �- 0- _ 0 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 resp sibility for a thorou• . knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drat n gs cr in�t '' statements or spgpif' •nd that he assumes responsibility for work done by his agents, servants or employees. 1` Signed. I INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work cover hereunder in complianc th all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications - emitted 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. Wit ONTRACTOR. 11 BUILDER l Y MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit A. BY ,ti'! at► DAT Contratt6r's License No. 195 7 AUTHORITY o State work to be done and purpose of building (by floors) Permit No Disapproved (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..... #14 Registered Architect and /or Engineer _ Name and address of licensed contractor Location and legal description of lot to be built on Lot Block Subdivision Street and Number where work is to be done G k) + + l D ,7" ' No r4 Street + , ® 6 ' 7 F �v and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ S e,0-00 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 I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to 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 subco reactors, on w to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) ��- e. a Building Inspecto Date - A ,� , 19 STATE OF FLORIDA, COUNTY OF DADE. j 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 Date.__ J Read; Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PL. NING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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 Dainfl8 CQnat UQfQv__exl No Registered Architect and /or Engineer Name and address of licensed contractor Idea. Roofing and Sheet Metal Works, INo 261_14E 73 St. Location and legal description of lot to be built on: Lot 8 W 7 Block 169 Subdivision Street and Number where work is to be done 868 N•E: 100 St. Date July 14 State work to be done and purpose of building (by floors) 1 felt tin Dapped _ 190# slate mopped solid Galv Metal--tile and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 92Q_..0_0 Amount of Permit $ 5,00 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' spection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such'subccontractors,,on work ,to� be - erfdimed under this permit, as are licensed by Miami Shores Village. _)) i' - � p q Remarks ( Signed) ,�-1� l/`' % - -,` g nspector 5232 ,19 53 Street W. Flagler St. STATE OF FLORIDA, COUNTY OF DADE. J ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Read, Sworn to and Subscribed before me. 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 P'f ____ t Date Disapproved _ Date (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. y ate re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty rials and /or workmanship. /7" /l.(s -/ %'r' £,?iG6 / #7,2/ 6-'/710,4e,CS