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ROOFING' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 10 1 lJob Address Edo 1 C - 4 TaxFolio Legal Description Owner/Lessee / T enant VA b?� Owner's Address N Contracting Co. -k \ D 1 e- Qualifier �� L.9 State # ^ � A o'ISZ'7 Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFING/ FENC S IGN WORK DESCRIPTION I X 1 & V 1 6 d A- Z ° o Estimated Cost (value) I Z GOO no Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Si Not ∎ \dv. i"1U11Fie -D s 1� My • ommission Expir : FEES: PERMIT of owner an or Condo President Date JOSE P. PEREZ Notary Public - State of Ronda My Commission Expires Aug 10. 1999 Commission *CC 487527 RADON .,7 J His rie�lly Designated: Yes Mas ter Permit # No (` J � 2" 4 �rC C 10 � . Phone 1 S 1 — tat' 6 l i C�LI i� Lo ocA , Address 32 j� QUO Ca a 1 - . ' `L'- ( SS# 109 3 IC) 22 0 O 7 / ®- /y -i 7 C.C.F. Competency # Ins. Co. Address Address Address Signature of Contractor or Owner - Builder JO:: P. PEREZ/ 0 Notary as to tractor or 0 ���' • -• i s • • on-gn on Expires Aug 1 • My Commis ion Expires-- Commission #CC 437327 TOTAL DUE Date BOND eic APPROVED: �y �/ Zoning Building 1 6 M © y Electrical Mechanical Plumbing Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: • .0 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 Commencem nt. 1. Legal description of property and street address: d E r S• 2. Descripr of improvement: e 3. Owner(s) name and address: 4. Contractor's name and address: 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 97R48 1866 1997 OCT 22 15:47 M �- 4-4Qs �o� Interest in property: Name and address of fee simple titleholder: � oc &EL N) (7 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: 9. Expiration date of this Notice of Commencement: (the 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: 1\1 Pr different date is specified) Signatur Owner Print . • ners Name t_> Sworn to and subscribed before me this day of 06 , 19 a ll . Notary Public Print Notary's N - e My Commission Expires: \a tir date is 1 year from the date of recording unless a rs Commission ACC 437527 Prepared by: 0 u &a_ z Address: 12a01-52 2/93 Contractor's NameAW 4 KX� v� U ( • Job Address: 1 SD N g 1 0 ROOF CATEGORY ❑ (Nail -On Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ,__,., // ROOF TYPE ❑ New Roof CS/Re-roofing ❑ Recovering Cl Repair ❑ Maintenance d (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) Flat Roof Area (ft (MU Sloped Roof Area (ft 11 ( Total (ft Master Pe it No. 1' Exposure category (per ASCE 7- 8): Building Classification category (per ASCE 7 -88 table 1): ❑ (Mortar- Adhesive Set Tile) Ft. A V Ft. A V oz- �Viawel,.�l Zo SNl) o.) V 111 -jAdQ.v Deck type: ATTACHMENT Fastener Type 1 t e_i\ SPACING Field: \ ' L Perimeter: C r Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM D (Draw details as needed) VJ� r \J(' R ,OF PLAN r r r r k r Q- • 123.01 -78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 Ridge Ventilation? MEAN HEIGHT Deck type: A z Underlayinent: Fastener type & spacin It Insulation: 12" ROOF SLOPE D E T A I L 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION Cap Sheet: Roof overing: Page -2 e ge: ATTAC ENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pmax1: x ? (Aerodynamic Multiplier): ) - M (Pmax2: X ?1, (Aerodynamic Multiplier): ) - M (Pmax3: x a, (Aerodynamic Multiplier): ) - M TILE CALCULATIONS = M PCA: = M = M PCA: PCA: METRODADE 100,\ 6, GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 UUILDINO COUE COMPLIANCE DEPARTMENT SUITE 1603 MEMO-DACE FLAGLER BUILDING 140 WEST FLAOLER STREET MIAMI, FLORIDA 33130.1303 1305) 7754901 PRODUCT CONTROL NOTICE OF ACCEPTANCE FAX (305) 375.800 METROPOLITAN DADE COUNTY, FLORIDA MOETRO.OADE FLAGLER BUILDING Your application for Product Approval of GAF Materials Corporation Modified Bitumen Roof System under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and types of Construction, and completely described in the plans, specifications and calculations as submitted by Construction Research Laboratory, Inc., Factory Mutual Research Corporation, South Florida Test Service, Underwriters Laboratories, Inc. and Dynatech Engineering, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth herein. The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the right to secure a product or material at any time for a jobsite or manufacturer 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 testing 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. PRODUCT NO. : ACCEPTANCE NO.: 95- 0330.06 EXPIRES: NOV 1 n 1997 ul Rodriglfez Product Control Division Supervisor - PLEASE NOTE - 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 C • orida under the conditions set forth above. APPROVED: _ MAY 0 4 1995 - ov Danger, P.E., Director Building Code Compliance Department Metropolitan Dade County ••. is'ant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 SYSTEMS PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: Membrane Roofing System Sub - Catego Built -up Roofing Type Modified Bitumen Sub -type; SBS, APP Product Control No.: 95- 0330.06 Approval Date: MAY 0 4 1995 Expiration Date: NOV 1 0 1 Q 97 System Description GAF Materials Corporation has been manufacturing commercial roofing products for more than 100 years. GAF produces a wide range of roof products for built -up roofing systems. The modified bitumen products include both APP and SBS products in smooth, granule and fire rated versions. In addition, GAF offers two ply modified systems to meet the specification requirements for multilayei• SBS modified specifications. GAF products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the Ruberoid Modified Bitumen Application and Specification manual published annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories. GAF modified bitumen membranes have been tested in compliance with ASTM D 5147 test requirements. Contact William J. Woodring Director of Technical Services (20 l) 628 -3000 0 Product Control No.: 95- 0330.06 insulation Types: Fibrous glass Perlite Fiberboard Polyisocyanurate Expanded polystyrene (EPS) Polyisocyanurate Composite Board Maximum Design Pressures Material Design Pressure Wood -60 psf Steel -75 psf Concrete -248 psf Lightweight Concrete -45 psf Poured Gypsum -45 psf Maximum Fire Classification Material Classification Wood Class A Steel Class A Concrete Class A Lightweight Concrete Class A Poured Gypsum Class A Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. 3 0 Product Control No.: 95-0330.06 r Product Ruberoid® Torch Smooth • Ruberoid® Torch Plus (Granule) Ruberoid® Torch Granule Ruberoid® Torch FR 3/4 sq. roll 90 lbs. Ruberoid® Mop Plus (Granule) Ruberoid® Mop Granule Ruberoid® 20 Ruberoid® 30 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT' Dimensions 1 sq. roll 87 lbs. Y. sq. roll 93 lb. roll 1 sq. roll 102 lb. roll 1 sq. roll 102 lbs. 1 sq. roll 103 lbs. Ruberoid® Mop FR 1 sq. roll l0S lbs. Ruberoid430 FR , 1 sq roll 92 lbz Ruberoid® Mop 170 FR 1 sq. roll 103 lbs. Test Specification Product Control No.: 95- 0330.06 Product Description ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire - retardant, polymer modified asphalt surfaced with mineral granules. 1.5 sq. roll ASTM D 5147 SBS modified asphalt base sheet reinforce with a glass fiber mat. 1 sq. roll 92 lbs. ASTM D 5147 Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non woven fiberglass mat coated with fire retardant, polymer modified asphalt surfaced and surfaced with mineral - - granules ASTM D S 147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with min 4 Raul Rodriguez Product Dimensions GAFGLAS® 3' x 36" Stratavent® (Vent Ply) 69 lb. roll for Nailable Decks. GAFGLAS 3' x 36" Stratavent® (Vent Ply) 69 lb. roll Perforated GAFGLAS Ply 6® GAFGLAS Ply 4 GAFGLAS #75® GAFGLAS Mineral Surfaced Cap Sheet GAF Materials Corporation Asphalt Concrete Primer GAF Materials Corporation Fibered Aluminum GAF Materials Corporation Weathe tCaatm Emulsion GAF Materials Corporation Jetblak All Weather Plastic Cement 3' x 180' 45 lb. roll 3' x 180' 40 lb. roll 3'x108' 75 lb. roll 3' x 36' 76 lb. roll 5, 55 gallons 1,5 gallons 5 gallons 1,5 gallons Test Specification ASTM D 4897 D 3672 5 Product Control No.: 95- 0330.06 Product Description Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 4897 Fiber glass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built-up roofing. ASTM D 2824 Fibered aluminum coating. • Raul Rodrigues ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. General Limitations: .11)14 SHLt.S 1U • 1'• V 1.0 c ' 1. Refer to the South Florida Building Code 2913.3 for nquire,n.nte for calculating tho total requited ventilation. Product Control No: 44= 0907.01 e'.02 W Surfacing: (Optional) Install one of the following: 1. GAFGLAS® Mineral Surface Cap Sheet in type III or [V asphalt at an application rate of 25 lb /sq. * 15 %. 2. Karnak 97 or GAF Fibered Aluminum at 1.5 gal /sq. or GAF WeatherCoat Emulsion at 3 gal /sq. (over Ruberoid Torch Smooth only). Maximum Design Pressure: -52 psf (Strip or spot mopping to -45 psf only) Maximum Fire Classification: `A`; see General Limitation #2. Maximum Slope: V2:12; see General Limitation #3. Specification No.: [ - 1 -1 -TS, I- 1- 1 -TSC, [- I -1 -TG, I- 2 -1 -TG, I- 1 -2 -TG, I -1 -1 -TGP, I -2 -1 -TGP, I -3 -1 -TGP, I -1 -2 -TGP, [- 1- I- TGPFR, 1-2- l-TGPFR, 1- 3- 1- TGPFR,1 -i -2 -TGPFR Rau! 16 Product Control No.: 95-0330.06 Membrane Type: SBS liP Deck Type 1I: Wood, Insulated, New Construction Deck Description: "/,_" or greater plywood or wood plank System Type A: Anchor sheet mechanically fastened; all layers of insulation adhered with approved asphalt. All General and System Limitations apply. Insulation Fastener Fastening Fasteners Fastener Rase Layer IX111 Detail No, Per Board Density Approved Type(s): ACFoam -I Minimum: 1.2" x 3° x 4' N/A ACFoam -lI Minimum: 1.75" x 4' x 4' N/A E'NRG'Y -1 Plus, E'NRG'Y -2 Plus • Minimum: 1.5" x 3' x 4' N/A E'NRG'Y -2, PSI -25, ISO -95, GL, GW Composite Plus . Minimum: 1.4" x 3' x 4' N/A Fiberglas Minimum: 15/16" x 4' x 4' N/A GAFTEMP® Isotherm R, Hy -Therm AP, Pyrox, White Line, UltraGard Gold Minimum: 1.3" x 4' x4' N/A GAFTEMP® Composite, ACFoam Composite Minimum: 1.5" x 4' x 4' N/A • Gypsum Board Minimum: 'fi" x 4'x N/A N/A N/A N/A N/A N/A N/A N/A N/A . Raul 17 Product Control No.: 95 -0330.06 N/A • . N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Insulation Fastener Fastening Fasteners Fastener Base Layer Detail No, Eet..BiaLd Density Isotherm R Minimum: 1.3" x 3' x 4' N/A Thermax Hy -Tec, Hy -Tec 2, Energy Lok Minimum: 1.2" x 4' x 4' N/A Thermax TRI -STAR, Hytherm Premier Minimum: 1.2" x 3' x 4' N/A Insulation Base or Top Layer Note: N/A N/A N/A Product Control No.: 95 -0330.06 N/A N/A N/A N/A N/A N/A Fastener Fastening Fasteners Fastener Detail No Per Board Density Approved Type(s): GAFTEMP® High Density Fiberboard, GAFTEMP® Fiberboard Minimum: %:" x 4' x 4' N/A N/A N/A N/A GAFTEMP® Permalite Minimum: W x 2' x 4' N/A N/A N/A N/A Note: All insulation shall be adhered in full mappings of approved asphalt at an application rate of 25 lbsJsq. t 15 %. Refer to Dade County Protocol PA 117 for insulation attachment requirements. Overlay board of GAFTEMP® Permalite or wood fiber is required over isocyanurate insulations. Anchor Sheet: One ply of GAFGLAS® Ply 4, GAFGLAS® Ply 6®, GAFGLAS® #75, GAFGLAS® Stratavent® (Vent Ply for Nailable Decks) for nailable decks or Ruberoid® 20 mechanically fastened as described below: Ply 4 and Ply 6® require sheathing paper over wood decks before application. Fastening: Anchor sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9" o.c. at the lap and two rows staggered in the center of the sheet 18" o.c.. Base Sheet One 'ply of G4FGLAS® Ply 4, GAFGLAS® Ply 6®, GAFGLAS® #75, GAFGLAS® Stratavent® (Vent Ply for Nailable Decks) for Nailable Decks, Ruberoid® 20 adhered to the insulation in a full mopping of type III or IV asphalt at an application rate of 25 Ibsisq. * 15% or adhered in a strip or spot mopping of type HI or [V asphalt; see General Limitation #4. Ply Sheet (Optional) One, two or three plies of GAFGLAS® Ply 4, GAFGLAS® Ply 6® adhered with type III or IV asphalt at an application rate 25 15 e. 18 Raul Rodriguez I Membrane: Surfacing: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: One ply of Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® Mop FR, Ruberoid® 30 or Ruberoid® 30 FR in type [II or IV asphalt at an application rate of 25 lb /sq. t 15 %. (Optional) Install one of the following: 1. GAFGLAS® Mineral Surface Cap Sheet in type III or IV asphalt at an application rate of 25 lb/sq. t 15 %. -52 psf (strip mopping to -45 psf only) Class 'A'; see General Limitation #2. 3:12 see General Limitation #3. I- 0- 2- 20/MG, I- 0- 2- 20/MGFR, I- 0- 2- MGPFR, [ -0 -2- 20/30, [- 0- 2- 20/30FR, I-1-1-MG, I- 1- 1 -MGFR, [ -1 -1 -MGP, I -1 -l- MGPFR, I- 1- 2- 20/MG, I-1-2-20/MG FR, I- 1- 2- 20/MGP, I- 1- 2- 20/MGPFR, I -1 -2- 20/30, [- 1- 2- 20/30, 1- 1- 2- 20/30FR, I- 2 -1 -MG, I -2 -1 -MGFR, I -2 -1 -MGP, [- 2- 1- MGPFR, 1 -3 -1 -MGP, 1 -3- l -MGPFR 19 0 Raul Rodriguez Product Control No.: 95-0330.06 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 progreu of the work. , „ o �� L Date...; / _ _._..._.__ ......... Owner's Name and Address ... /mil / �` t — ..,a /A e _ No..: o��.._ . Street2.. Registered Architect and /or Engineer Name and address of licensed contractor ...`1,t4^a3.i 4 Le tie Location and legal description of lot to be bui t on: Lot . Block..... /0. Subdivision.': . Street and Number where work is to be done 75 i �J® State work to be don and osc of building (by (I G' e ' C V ,� �� Estimated Total cost of improvements $ Building Inspector fT 11 New Building V Remodeling Addition Repairs TTTT, � :• !T _f_jd /1 5,42-q, l7 />D 5 '')e. 4r 'nor) and for no other purpose. No. of Stories /. _ To be constructed of Kind of foundation Roof Covering Amount of Permit S. C s:fi 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 element, and has complied ssith 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 pcnnit, as are licensed by Miami Shores Village. Remarks (Signed).. STATE OF FLORIDA, 1 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 46.- 1 e t ......_._ Read, Sworn to and Subscribed before me. Disapproved . b,.... D to (Signed) Notary Public, State of Florida My Commission Expires _._._.........._...._...__r.__ PLANNING BOARD DATE Chairman Member Member Member Me mber .. .. _.....__....._..._._...._....._ 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. STATE OF FLORIDA, COUNTY OF DADE. ss. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 NE�y� Registered Architect and /or Engineer ,�} Name and address of licensed contractor... ././ /!�Tff../.e.91 've Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Disapproved Date (Signed) State work to be done and purpose of building ( b New Building Remodeling Addition tl Repairs No. of Stories To be constructed of Kind of foundation Roof Covering C EL WU, Go , , 00 Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building 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 ff✓ permit, as are licensed by Miami Shores Village. fl Remarks..._ (Signed) 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 true. Permit No._..__._ Date Read, Sworn to and Subscribed before me. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT .....A. ._...._ Subdivision �7. ...._ _ ...... , /. — No. Z- .. ..- . Street.._ .N �0� �S� t IvE _161 iusimr/01 peAveL — Zgz y floors)._ _NSW R°F Ul✓ Amount of Permit $. .Plan Cubage Size of Building Lot — 30L NW NW and for no other purpose. Notary Public, State of Florida My Commission Expires ... / 7 / 6 , off_ 7 to me well known, 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 P1.innir, Board. A re- inspection fee of al.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Location and legal description of lot to be built on: Before me, peared Disapproved ____ _ ( Signed) ..a.‘ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ---- ILOOF 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 December 22 19 70 Owner's Name and Address._ Howard Lang No 75 SthmLN• E. 101st Street -- Registered Architect and/or Engineer Name and address of licensed contractor_ Adams & Beg1 es....Ro9.fing Co„Inc, 4021 NW 28 St. Miami, 33142 La Block Subdivision Street and Number where work is to be done 750 N, E, 101st Street State work to be done and purpose of building (by floors)_ Main Flat Roof Only: roof. Apply 1/30;2/15 Asphalt and Gravel. Remove present and for no other purpose. New Bu Remodeling Addition Repairs.R.e..-R00 f No. of Stories 1 To be constructed of Kind of foundation_ Roof Covering_ Gravel Estimated Total cost of improvements $ 800.00 5,00 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 WO & Beagles Roofing Co., Inc. 4021 N. W. 28th St. Miami, 33142 The undersigned applicant for this building permit doe hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Sec:ion 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Adams & Beagles hoofing Go. Inc., STATE OF FLORIDA, COUNTY OF DADE. ss. undersigned authority, a notary public, duly authorized to administer oaths and take aAnowledgments, personally ap- 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 La / c , D Building Insp ctor Date_ 1 -2 - .23 7LL Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires. PLANNING BOARD_ DATE Chairman Member Member Member Member . Member Council Approved _Date Disapproved 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. - ------ ----- Date 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 .41. H. Lang No 750 Street 14 E. 101 St. Registered Architect and/or Engineer Name and address of licensed contractor Lang Roofing & Tile Co., Inc., 430 N. W. 79th St., Miuni Fla. Location and legal description of lot to be built on: Lot Block Subdivision 750 N. E. 101 St., Miami Shores, Fla. Street and Number where work is to be done State work to be done and nurpose of building (by floors) 5—.ply _gravel addition - to residence - tie into stucco wall and for no other purpose. New Building X Remodeling Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering.. 5.,ply..gravel Estimated Total cost of improvements $ 140.00 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 :,ubrnit 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 he 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 subcontrac s, on work to be performed under this permit, as are licensed by Miami Shores Village. LAN ROOFI TILE QO 9 Remarks (Signed) STATE OF 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 true. Permit No ) 7 , Date , / ' 'LL ‘ -' - A) Read, Sworn to and Subscribed before me. , Disapproved ___ --- , Date.- -1 7 i,. \ r y / Notary Public, State of Florida (Signed) '''' ' -= , .,..-- ,- , - ----- '....--- -,-- -4 --,--. Building Inspe9tor My Commission Expires / • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Dec 1960 , 19 to me well known, ANNING 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 materials and workmanship. when such re is made necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE STATE OF FLORIDA, COUNTY OF DADE. j ss 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. )./ A . Owner's Name and Address Registered Architect and /or Engineer......... .... Name and address of licensed contractor.._. ° Location and legal description of lot to be built on: Lot Block Subdivision. 0 y floors) r Street and Number where work is to be done State work to be done and purpose of buildi Before me, the undersigned authority, a peared BUILDING INSPECTION DEPARTMENT New Building Remodeling Addition To be constructed of Kind of foundato Estimated Total cost of improvements $ fo Date... ,19 re No. ..�... -(0 Street. , � ® ,(, and for no other purpose. Repairs No. of Stories Roof Covering 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 5968, 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 subc tractors, on w.� to be perfo -d under this permit, as are licensed by Miami Shores Village. Remarks (Signed) notary public, duly authorized t•'administer oaths and take acknowledgments, personally ap- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved ( Signed) C, Date Date Building Inspec /'—/ Chairman Member Member ... Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. A re-inspection fee of $1.00 will be charged materials and /or workmanship. Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building !' MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 2950 f' c Architect Contractor or Builder ,. % z / Legal Lot Description Bl. Address of Building / L t r 1 Work to be performed under this Permit Signed. 4 Subdi- vision Value of , Project $ /• / INSPECT DATR 1- / t' 195 Contractor's License No. c. 4^ ' N !1! et / C. !"• c t!.tr. Amount of 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. BY In consideration of the issuance to me of this permit I agree to perform the wqrk 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- 6 cepting this permit I assume responsibility for all work done by either, myself, my age f t, servant or emgloyee 9 CONTRACTOR OR BUILDER BY AUTHORITY 6 1c: BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building L.t Architect Contractor or Builder Legal Description Address of Building Lot PERMIT IT? 12405 Contractor's License No Work to be performed under this Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATF. 1/ ,' Y 195 Signed• Subdi- vision Value of Project $ BY BY Amt. of Permit 5'r t i;;4, U.A3 SPECTOR In consideration of the issuance to me of this permit I agree to erfo the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, stat is or specifications submitted. to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor_ 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. A Date No Street Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done f _ �✓ j • r __ State work to be done and purpose of building (by floors ) __ 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 $ 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) 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 true. / e / % , f ,.; ,, �< Permit No 1 '� Date .__Z� A 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.