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640 NE 101 St (6)-7.-00 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date G' G ' Job Address)/ (0 '10 lot 5 rQe - r' Tax Folio 5:E? r Legal Description _ 7v -/ . ', . I 4 r ,, J Historically Designated: Yes No / Owner/Lessee / Tenai'i(/ -6 f 6 W- PHi4usur� Lis (a 1.5~4, ct (e, Owner's Address (o L/O /L 10 ( 2Eer 1 C ,zES � � - 3 + 3 y Phoney 6305 ? S l - 2 o Z_ Address 76 2 - Z f Se-tJ ( /./(l'e-el r cc Contracting Co)( , �..1 — .-`� + � c 44-7e-el ..1/4.01 Qualifier} Z�rff Z.( c) L r ' F i SS# ��� - O N e /( Phone's! J 6 .; —...x,53 _? 7 State # Qualifie7 G S(rMunicipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one). ; UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Ref fete_ *(4:1 YS / � * C ' d ' �Q/,J j /1&hkL C r - ) 1 2 _ Square Ft. 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. • O1NER'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 wor e of owner and/• T ondo = esident Date /l /i6/aooa No as to Owner and/or dondo President Dat My Commission Expires: r-f4 i 0Z$ d003 ROXANA C. ALVAREZ Notary Public, State of Florida My Comm. Exp. MAR. 25, 2003 Commission No. CC814177 RADON FEES: PERMIT APPROVED: Zoning Mechanical Plumbing C.C.F. f ° OLv NOTARY Signa , e of Contractor or Owner -Bu' der Date Master Permit # Notary as Fo tractor or My Commission Expires:. "ti pµ, Electrical - Builder ORLANDO NUNEZ srmr!7iu -Inn M CC 72$791 Grimm. Expires Mar. 15, 2002 BOND TOTAL D 5 ~ � cco • Date Structural Engineer LOTS 3 AND 4 AND THE EAST '/2 OF LOT 5, OF BLOCK 103, OF AMENDED PLAT OF MIAMI SHORES, SECTION FOUR, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 15, PAGE 14 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. EXHIBIT A a te Job Address (4i 5 /�' ' / Da �� � Tax Folio Legal Description Owner / Lessee / Tenant Master r Permit # Owner's Address � ( y / L - c „ /C / / Phone Contracting Co. 2 . ” )4C AIroc_.• Address Q S 4 Ski_:; S / . Qualifier N " i,iV 6-V,t= A \iCet'j SS# S- - L 1-- - 80 Phone 3 5"S Z- 99 t 1 State it P. ( C nicipa1 # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION e,& , <oAL J F4 , -'o/ c'u AL I % 1i Ct . 3366 ce7 '/ ftrci,jic e o bCgC // Q Aloe ,/ Square Ft. Estimated Cost(value) /2 ) 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 author' the abov -named contractor to do the work st ed\ c \,/c..\(-_ Signature of Contractor or Owner- Builder Sig Date: ture o Notary as to PERMIT APPLICATION FOR MIAMI SHORES VILLAGE caner and Condo President er a d /or Condo President My Commission xpires: �'ic�T ._� +;_.: NOTARY PU LIC ST,r.:1': Or 1. ** * * * * C ■ iNi1SO' :N NO. CC2.717t te MY C O V . M I S S I D N Fi',. / ) :.2E, i4 FEES: PERMIT RADON C.C.F. APPROVED: Fire Zoning Buil Date: ary as to Contractor o�r- builder Electrical Mechanical Plumbing Engineering NOTICE OF COMMENCEMENT °fc :16441PC4629 • •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: r 2. Description of improvement: rett.70 r. ,o ^ I � / ('f =c= 3. Owner(s) name and address: Ron Karasz and his wife. Ana Benitez Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: 7 - e.k c1E = � G o s Lam? - 1 c vv‘ a I = . :3 g ; 5. Surety:(Payment bond required by owner from contractor, if any) WORDED OF? r IAL RECORDS BOOB Name and address: OF p pDf COUNTY, FLORIDA. �{ pRD Vi Amount of bond $ RARVEY MIN; MA of Circuit & Could/. Cow 6. Lender's name and address: 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: 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: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Print Owners Name &NAt «&k Sworn to and subscribed before me this , 7, ,.day of f S , 19 99 . Notary Public Print Notary's Name My Commission Expires: 640 N.E. 101st Street, Miami Shores, FL 33138 NOTARY SEAL MILLIE 1 RLLZN NOTARY PUBLIC STATE C; FLORIDA COMMISSION NO. CC279757 MY COMMISSION EXP. APR. 25,1997_1 0 6 /of Sf" Prepared by: n tie F L � Address: " 1, 1 (A: - -?7,7)t- � � r l f✓vo 1 ) .3 i ," ME ®DADS METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING Monier Roof Tile 1900 NW 21st Avenue Fort Lauderdale, FL 33311 Product No.: Approved Your application for Product Approval of the Vanguard Flat- Shake & Slate tile profile under Chapter 8 of the Metropolitan Dade County Code governing use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as "submitted has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the Standard Conditions attached provided the tile systems are approved in strict compliance with Protocols PA 118, 1 120. This approval supersedes all 'sections of previous tile approvals which reference Chapter 34, Appendix X, Systems 1 -3. Appendix X has been redesignated PA 118, 119 and 120of the South Florida Building Code. This approval shall remain valid until implementation of the 1994 revision of the South Florida Building Code. The Building Code Compliance Department reserves the right to secure a product or material at any time from a job site or manufacturing plant for quality control testing. If product or material fail 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 should any amendments to the South Florida Building Code be enacted affecting this product. The expense of such testing shall be incurred by the manufacturer. Acceptance No.: 94- 0323.22 PRODUCT CONTROL - PLEASE NOTE - THIS IS THE COVER SHEET. SEE ADDITIONAL ORIGINAL APPROVAL 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 Cpunty, Florida under the conditions set forth above. MAR 2 4 1994 BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 NOTICE OF ACCEPTANCE (305) 375-2901 FAX (305) 375-2908 Gil Diamond, P.E. Product Control Division Supervisor Charles Danger, P.E., Dire'l Building Code Compliance Department Metropolitan Dade County SHAKE & SLATE TILE TOP VIEW OF TILE Configuration of surface and rnterlotldrig Jotnl. NOTE: Physlcol properties of Monier Shoke & Stole Tiles ore the some. Shbtions added to surface of shake files for decorative effect. UNDERSIDE VIEW OF TILE Head hugs rest on solid sheathing or hongover battens: nose lugs and weother checks normolly rest on tower course of tiles. SHAKE & SLATE TILES ACCESSORIES NOSE LUGS RIDGE & HIP TILE For use on ridges and normal hips. Tt .3 opering between sides Is 120° Weight 8.0 lbs. RAKE/BARGE TILE For gable ends to be nulled onto gable rafter or barge board Interchangeable for V111 or left • Product Detail WENIErr PECKS HIP STARTER For use os o stotler lile al Bove for hips. Weight 10.5 bs. RAKE /UNIVERSAL TILE For gable ends to be nailed onto gable ratter or barge boord Interchangeable for riphl or left Product .Control No.: 94- 0323.22 Test Agency Construction Research Laboratory, Inc. J.E. Brennan Consulting Engineers, Inc. J.E. Brennan, Consulting Engineers, Inc. Ned Shah, P.E. Professional Service Industries, Inc., Jammall & Associates Division Test Identifier Test Name/Report #5749 Infiltration Resistance #5750 Infiltration Resistance #5613 Infiltration Resistance Gory- VR00130 -SPU Material Properties Test 04/30/90 JEBCEI- 097 - 001 -90 Material Properties Test Engineering Report Uplift Approvals pprovals 11224 -17017 Uplift Approvals Note: Test #5613 is applicable to all National Tile Roofing Manufacturer's members. Please see the March 18, 1994 letter, attached. Association Test Reports Gil Diamond, P.E. Product Control No.: 940323.22 Date 03/05/93 03/05/93 04/01/92 04/30/90 05/04/91 05/01/91 MEETRO ADE FLAGLER DADE COUNTY, FLORIDA METRO -DADE FGLER 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 GAF Building Materials Corporation (MB) 1361 Alps Road Wayne, NJ 07470 PRODUCT CONTROL NOTICE OF ACCEPTANCE Your application for Product Approval of GAF Ruberoid Roofing Systems 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 GAF Building • Materials Corporation, Factory Mutual Research Corporation, Underwriters Laboratories, South Florida Test Sevice, and Construction Research Laboratories 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 amendments to the South Florida Building Code be enacted affecting th' - o .• ent o roof system. ACCEPTANCE No: 93- 1130.04 DEC 1 3 1996 APPROVED: .DEC 1 3 1993 **PLEASE NOTE** Diamond, P.E. roduct 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 Acceptance Number: 93- 1130.04 Approved: DEC 1 3 1993 Expires: DEC 13 1996 Moisture content in an existing built -up roof must be in compliance with Section 3401.9(c) of the South Florida Building Code. Prior to application, all existing roof surfaces used as a bonding substrate shall be tested for uplift resistance in compliance with ASTM E -907 to the calculated design velocity pressure of the roof deck. Existing roof surfaces and dissimilar materials must be fully primed with ASTM D -41 primer and allowed to dry. If insulation board is bonded to the existing roof or to a base sheet no one dimension should be greater than 4 ft If more than one insulation layer is applied, the top layer may be mechanically attached or bonded in a full mopping of ASTM D -312, type III or type IV asphalt. Note: No insulation panels shall be bonded to an existing built up roof with a gravel surface without full removal of the loose gravel, priming of the surface with ASTM D-41 primer, and a flood coat of asphalt, prior to mopping of the insulation with bonding asphalt. Refer to GAF published application considerations for insulation application and to attachment requirements published in the current Factory Mutual Approval Guide. Basesheet Option #1: One ply of Gafglas #75, Gafglas Stratavent (non perforated), Gafgas Ply 4, Gafglas Ply 6, Ruberoid 20 or Ruberoid 20 FR mechanically attached to the wood deck with approved nails and tin caps 9" o.c. at the laps and 18" o.c. staggered in two rows in the field, or over an insulation substate with insulation fastener and plate assemblies 18" o.c. at the laps and 36" o.c. staggered in two rows in the field. (See Comments and Limitations #6 and #7) Option #2: One ply of Gafglas #75, Gafglas Ply 4, Gafglas Ply 6, Gafglas non - perforated Stratavent, Ruberoid 20 or Ruberoid 20 FR bonded to an insulated substrate attached with Factory Mutual approved 3 Basesheet Option #1: staggered rows in the center of the sheet with a suitable fastener providing an average withdrawal resistance of 50 lbs. per fastener. Head diameter shall not be less than 1V4". If insulation is mechanically attached, attachment of the base sheet is not necessary. Mechanically attach one ply of Gafglas non - perforated Stratavent or one ply of Gafglas #75 base sheet over a red rosin sheet with an approved base ply fastener achieving an average minimum withdrawal resistance of 60 lbs. Head diameter shall be not less than 1 W. Base sheet shall be attached 6" o.c. at the side lap and two rows staggered 12" o.c. in the field of the sheet. (See Comments and Limitations #6) Option #2: One ply of Gafglas #75, Gafglas Ply 4, Gafglas Ply 6, Gafglas non - perforated Stratavent, Ruberoid 20 or Ruberoid 20 FR bonded to an insulated substrate attached with Factory Mutual approved fastening assemblies in compliance with FM class 1 -90 windstorm classification requirements, in a solid mopping or mopped in ribbons maintaining 50% adhesion, using type III or type IV hot asphalt at a rate of 25 lbs. per square ±20% or Gafglas perforated Stratavent applied dry to the insulated substrate and mopped over with a full mopping of type III or type IV asphalt over which an interply of Ply 4 or Ply 6 shall be applied. (See Comments and Limitations #7 and #14) Plysheet (Optional) Mop one or two plys of Gafglas Ply 4 or Gafglas Ply 6 in ASTM D -312 type III or IV at a rate of 25 pounds per square ± 20 %, or torch apply one ply of Ruberoid Torch Smooth. Membrane Torch apply one ply of Ruberoid Torch Granule, Ruberoid Torch Smooth, Ruberoid Torch Plus, or Ruberoid Torch FR. Acceptance Number: 93 1130.04 Approved: DEC 1 3 1993 Expires: DEC 13 1996 Surfacing The base sheet and the cap sheet shall maintain a minimum stagger of 12 inches for all laps. (See GAF application instructions) Option #1: Apply not less than 400 pounds per square of ASTM D -1863 aggregate or 300 per square of slag in a pour coat of an ASTM D -312 type III or type IV asphalt. Comply with GAF slope requirements for slope and type of asphalt. Gravel surfacing shall be completed as soon as practical but the membrane shall not remain exposed for more than 30 days. Option #2: Apply one of the following roof coatings at the specified rate: Note slope limitations and membrane aging requirements published by GAF. Flashings Refer to GAF application instructions for flashing specifications. Fastening Install all plies of Gafglas Felts used in conjunction with all Ruberoid membranes vertically on slopes of 1 inch per foot or more and backnail them into wood nailers or nailable decks approximately 4 inches from the back edge of the sheet All end laps must be at wood nailers, and the top edge must nailed into the wood nailer on 6" centers. Use approved roofing nails and tin caps. See Approved Insulation and Fastening Pattern list attached. Comment and Limitations 1. Maximum slope shall be 1 ":12 ". 2. An overlay insulation panel is required on all applications over closed cell insulations (See Insulation List). 3. All perimeter nailer and metal profile design shall conform with Factory Mutual Loss Prevention Data Sheet 1-49. 4. All asphalt must meet ASTM D -312 requirements. a� Acceptance Number: 93- 1130.04 Approved: DEC 1 3 1993 Expires: DEC 1 3 1996 roof coating rate GAF WEATHER COAT Emulsion GAF Grundy Fibered Aluminum Coating Karnak No. 97 ._ ICarnak No. 169 Grundy Industries 20 F Emulsion Grundy AL MB Aluminum Roof Coating 3 gals. /sq. 11/4 gals. /sq. 11/4-3 gals. /sq. 11/4-3 gals. /sq. 3 gals. /sq. 1 -2 gals. /sq. Acceptance Number: 93- 1130.04 Approved: DEC 1 3 1993 Expires: 'DEC 1 3 1995 5. Bonding to dissimilar surfaces (other than insulation facers and asphalt saturated membranes) should be preceded by an application of ASTM D-41 primer for asphalt applications and allowed to fully dry. 6. This roof system assembly, when applied over a dry and structurally sound cementitious deck with the base sheet attached at 6" o.c in the lap and two rows at 12" o.c. in the field has been approved for use to a maximum field design velocity pressure of -45 psf. The design velocity pressure may be increased based on field withdrawal resistance testing and/or the submission of a more dense fastening pattern. 7. This roof system assembly, when bonded to an insulated substrate attached in compliance with Factory Mutual Approved fasteners at the density detailed in the current Factory Mutual Approval Guide has been approved for use to a maximum field design velocity pressure of -45 psf. 8. Perimeter and corner areas shall have an increase in fastener density for both insulation and base sheet in compliance with the Factory Mutual Loss Prevention Data sheets 1 -28 and 1 -28S. 9. The chosen assembly must comply with the fire resistance requirements of Sections 3401.5 and 3401.6 of the South Florida Building Code. Refer to fire 'classification ratings' in the Underwriters Laboratories Current Directory. 10. Any amendments to these provisions shall be in compliance with Section 203 and 204 of the South Florida Building Code. 11. Refer to GAF specifications for appropriate flashing materials. 12. Refer to one of the following GAF specifications for this application:- I- 1 -1 -TG, I- 1 -1TS, I -1 -1 TSC, I -2 -1 -TGP, I -2 -1- TGPFR, I-3-1-TGP, I-3-1-TGPFR, I -1 -2 -TGP, I-1-2-TGPFR, I- 1 -2 -TG, N-1-1-TG, N- 1 -1 -TS, and N- 1- 1 -TSC. 13. A withdrawal resistance test shall be carried out on all reroof and recover projects to confirm deck integrity. 14. This roof assembly, when applied over a perforated Stratavent base sheet bonded to an insulation panel secured in compliance with Factory Mutual requirements, in an intermittent mopping of asphalt is approved for use over a non nailable or insulated substrate to a maximum design velocity pressure of -30 psf. 3� Gil Diamond, P.E wt, (Signed) Registered Architect and /or Engineer.. / , Name and address of licensed contractor 4 r " Location and legal description of lot to be built on: Lot Block MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT ' Application is hereby utndc for the approval of the detailed statement 01 one 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 13nilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications n s be kept at building during progress of the work. Owner's Name and A dress6 /it z L. .. Str r l Disapproved t Date BUILDING INSPECTION DEPARTMENT Street and Number where work is to be done to _ sass ..� rW_ 4 bdivision U State work to be done and purpose of building (by floors) _ // 3 _) — ) /7 1 G — a4 for no other purpose. New Bui!ding Remodeling Addition Repairs No. of tones To be constructed of Kind of / p� �. Roof Covering.....( 0 1 Estimate Total cost of improvements $ F v ' Amount of Permit S. 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, anti has complied sitlr the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed render this permit; and will post or cause to be posted for in . ction on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su • actors, on o be performed u er this perrnit, as are licensed by Miami Shores Village. r C Remarks (Signe FAA r 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 true. Permit No. ._. , ..c -. Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chair:nun Member Member Member Member .. .. Member Council Approved Date Disapproved Dale NOTE: A charge of $1.00 will he made for making corrections or changes to this application after approval has kern obtained from the Plannir.g Board. A re inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. mike Brown MIAMI ROOFING & COATING Nuclear Roof Scans Single Ply • Urethane Foam Modified Systems • B.U.R. (305) 652 -0768 18917 N.E. 5th Avenue • North Miami Beach. FL. 33179 Traffic Deck Coatings Waterproofing Systems Shingle • Tile Application is hereby wade for the approval of the detailed statement co toe 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 iuilding Divisinn 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 t j "Roorti Name and address of licensed contactor Location and Ieg31 description of lot to be built on: Lot F�• �} ,.:4 Block...lR„? Subdivis�Y i 11 on jj _ ..._._. gG Street and Number where work is to be done' 62 L _1 1 __... . K II ((�� j State wor to be done end purpose of buildin (by floors) Tve�•!.:. e I [ T f .Le_....'� ..y...*.11.C�v c� . i 12,12 . ( 7 r?.- _.._.. .c.at= .. a el - I t L ._.•._ f O ek (an for no other purpose. New Building Remodeling Addition Repairs No. of Stories / — To be constructed of Kind of foundation Roof Covering Amount of Permit $....� 5 '. ' P 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 dots hereby certify that he understands and accepts his obligations as an e mployee of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Sap Ileurent, anti has complied with the provisions thereof, and will require similar compliance f all .ntr ors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ns e do the si of th wor uch public notice or notices as are required by the Act. The undersigned agrees to employ only such H su n .rs, on wot to l e .. rmed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) ji + ( SLV_� . • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Estimated Total cost of improvements $ 3 700 Citair;nan Member Member .. .. _.....__.._.._..._.�...._ Council Approved Date NOTE: A charge of $1.00 will be made for the Planning lo,rrd. A re-inspection fce of 51.00 will be charged materials and /or workmanship. a Date. U A/E ,195 f 4L . J (4-1 No. ...1#...._. Street/ /.s 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 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 c t � ruee. . Permit No.._.._. _ Date q ( 4 {' Read, Sworn to and Subscribed before me. Disapproved �... Date " k&Av Notary Public, State of Florida (Signed) 1 Building Inspector My Commiuion Expires PLANNING BOARD DATE Member Member Member Disapproved ti. 7,.... IT}STS•!NS•••tt} STttl t!Y!!ST Lis Date making corrections 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 to me well known, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date July 15, Job Address 640 N.E. 101 Street Legal Description'-» 7 Owner / Lessee / Tenant Mrs. Magilton Master Permit # /!S Owner's Address 640 N.E. 101 Street Contracting Co. Quality Roofing Contractor, Inc. Address 251 N.W. 99th Street Qualifier Carlos Arocho State #RC0058627 Municipal # 9.O q (. Competency #17889 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off part of tile roof, tin cap 30 lb. as per building code, mop on with hot asphalt 90 lb. felt install metal eave drip and install tiles to match tiles on existing roof. Flat white tile. TG ft, a fc-h +• /e en £ sf.ny roe -. (O -c, T. le) Square Ft. 7 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 dome i,n co pliance with all applicable laws regulating construction and zoning. Furthermore, I au$ harize th,, \ ab 've -named cons ractor to do the work state. f✓ signatsre of owner Date: 7, " , ., , MARYLOU HERNANDEZ .N MY COMMISSION N AA 714214 EXPIRES: October 10, 1993 9orxled Thru Notery Public Underwriters - ter ;..r Notary as •o Owner and /or My Commission Expires: FEES: PERMIT 1 D, a0 RADON C.C.F /40 NOTARY TOTAL DUE�J/# APPROVED: Zonin or Condo President Fire Mechanical Plumbing Phone 757 -1737 Tax Folio /l '9 "7 " SS# 265 -21 -4362 Phone 751 -0382 2,000.00 Signature of Contractor or Owner- Builder Date: 7 Notary as to ont My Commission Exp Other 2i--11ectrical Engineering JOB Wage o f Miami Shores N° 3705 ADDRESS INSPECTION TIME READY • REMARKS INSPECTOR DATE 6j ")1 `d f BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA !/ DATF 195 PERMIT 11T° 3144 Contractor's License No. ❑ Work to be performed under this Permi -- B1 Subdi- vision Value of I Amount of Project $ I Permit $ t. 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 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. CONTRACTOR OR BUILDER BY AUTHORITY e r Registered Architect and /or Engineer ..._.. . s ,� Name and address of licensed contractorg/2 �% Location and legal description of lot to be built on: P Lot Block Subdivision Street and Number where work is to be done (v_ 7 c i C' State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Date (Signed) 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 , 19 =� r. Owner's Name and Address L> , e. ,/ — No._ a Stree `—` -2 9 5 Ge./ 75 PAV: 3 0 — 90 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 $.. 77 5 Amount of Permit $ °--0 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 Sup ment, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ y him in the work to be performed under this permit; and will post or cause to be posted for inspection n tie si of the work sucl i notice or notices as are required by the Act. The undersigned agrees to employ only such sub,6ntractor o .r to be p ; a e nder 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. Permit No Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida / 6. _ . 7_71 .,, _ . i 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.