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ROOFING
Type Insp Permit No. r Name —" Address -/ Approve Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Company Phone # For Inspector: /8 Name & Date • Date Type Insp'n ' Permit No. Name Phone # For Inspector: Approved / Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date O1-e— Time Type Insp'n 1 -i4- e Permit No. 1 Z Cia4b Name Q, A/ d � Address / v L 1 Company Phone # For Inspector: Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE 4 ,BUILDING DEPARTMENT ��. 305- 795 -2204 Building Inspection Request Date Tme Type Insp'n Permit No. ' (7 Name, Imo Address /l Company (a.A. ctor: ame & Date Phone # For Ins rl Appre`I� ,. Re- Insp'n Fee �2 gyfrj&24 Date •J • 0219b Address /0 ME 102 s7 Legal Description LOT j lid g ELIZ 48 T// /joe•We Owner /Lessee/Tenet Owner's Address / 0 V& /OZ sr. Contracting Co. M• `��'�+ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204 Permit Type (circle one): BUILDING WORK DESCRIPTION: K E Roof' C Square Ft. .2 g /;0 ELECTRICAL ,eri OF ) C of owner and/or C do Pre dent Date L ° tary as t Owner nd/or Condo President Date My Commission Expires ret FEES: PERMIT c kAPON' C.C.F APPROVED: Zoning Building Mechanical Tax Folio OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and t regulating construction and zoning. Furthermore, I authorize the above named Designated: Yes Address / p Qualifjer�r 1'rLl� � /L� c!J_ S # // ' hon7 . =�6 State # 1 1 2 /Municipal # Competency # Ins. Co. 0A-(z IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. hkA-A4- 5)1204 - a 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 ANY 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 all disciplines. work will be done in compliance d con c tor to d. he work stated. / — No !. r a re of Con � � ner I er Date Si 011PM114 as to C +r 0 ntractor.®rOOwner cldec , My Commission 4tg&rJ P u @ ANGELA °7 • ,.• -. !e„ f 4 J . \ O .7 X :. ' NOTARY Si 0 0 BOND t- 3206-.0/3 /9 ? No Master Permit # Phone 3 7.11-74.9z PLUMBING MECHANICAL Qi te , ) 1 ) tiL4riL_ applicable laws � 7/ D D a \ te TOTAL DUE 51 4 0 L Z Electdcal Plumbing Structural Engineer • l ■ M1 AM1 -DADF MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Oldcastle Westilc, Inc. 1900 NW 21st Avenue Ft.Lauderdalc FL 33311 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375-2908 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375 -2902 FAX (305L372 -6339 Verona Low Profile Roof Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. ' If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:99- 1102.02 (Revises No.: 99- 0603.02) Expires:12 /16/2002 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. • Approvcd: 12/16/1999 Internet mail address: postmaster ©buildingcodeonline .corn rancisco . Quintana, R.A. Director 1 of 8' Miami -Dade County Building Code Compliance Offic BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130.1563 (305) 375.2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305.) 375 -2558 Raul Rodriguez Chief Product Control Division Homepage: http : / /www.buildingcodeonline.com OLD(ASTLE WESTILE, INC. Product Mineral Surface Cap Sheet Rainproof II Ice and Water Shield Wood Battens Tile Nails Tile Screws Hurricane Clip & Clips Fasteners min. V2" width min. 0.060" thick ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Dimensions N/A 30" x 75' roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll vertical min. 1" x 4" horizontal min. 1" x 4" for use with vertical battens or min. 1" x 2" for use alone Min. 10d x 3" #8x2' /: "long 0.335" head dia. 0.131" shank dia. 0.175" sctrew thread diameter Clip Fasteners min. 8d x 11/4" Test Specifications ASTM D 249 PA 104 PA 103 Wood Preservers Salt pressure treated or decay Institute LP - 2 resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E 3 Product Description Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. Single ply, nail -on underlayment with 2" self - adhering top edge. Self- adhering underlayment for use as a top ply in a two ply underlayment system with Approved #30 or #43 as the base layer. Corrosion resistant, screw or smooth shank nail Corrosion resistand coated, square drive, galvanized, coarse thread wood screw Corrosion resistant bronze, aluminum, stainless steel, galvanized steel or plastic attachment clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with t clip. A hurrican • - =- all nail -on Manufacturer generic Protect -O -Wrap, Inc. with current NOA W.R. Grace Co. with current NOA generic generic generic generic oaga, RRC Roofing Product Control Examiner • C OL;DCASTLE WESTILE, INC. 1. SCOPE This revises roofing system using "Oldcastle Westile Verona ", as manufactured Oldcastle Westile, Inc. Tile described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Oldcastle Westile Verona Trim Pieces Product - #30 Felt #43 Coated Base Sheet ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Category: Prepared Roofing Sub Category: Low Profile Tile Test Dimensions Specifications 1 =16'14" w= 13" 'A" thick 1= varies w = varies varying thickness 2.1Components or products manufactured by others Dimensions N/A N/A PA 112 Low profile, interlocking, high pressure extruded concrete roof tile equipped with two nail holes and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Specifications ASTM D 226 type 11 ASTM D 2626 Product Description Product Description Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply underlayment. Manufacturer generic generic Frank Zuloaga, RRC Roofing Product Control Examiner 'OL• DCASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Product Product Dimensions Specifications Description Manufacturer Roof Tile Mortar N/A PA 123 Prepared mortar mix designed Bermuda Roof ( "TileTiteTM ") for mortar set roof tile Company, Inc. applications. with current NOA Roof Tile Mortar ( "Quikrete® Roof Tile Mortar # 1140 ") Tile -Bond 3. LIMITATIONS N/A PA 123 Prepared mortar mix designed Quikrete for mortar set roof tile Construction applications. Products with current NOA Roof Tile Mortar N/A PA 123 Prepared mortar mix designed W.R. Bonsai Co. ( "BONSAL® Roof for mortar set roof tile with current NOA Tile Mortar Mix ") applications. Factory premixed See PCA Single component Flexible Products canisters polyurethane foam roof tile (with current NOA) adhesive Roof Tile Adhesive N/A See NOA Two component polyurethane Polyfoam Products, ( "Polypro® AH 160 ") adhesive designed for Inc. adhesive set roof tile with current NOA applications. 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. _ • 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applicatiofis. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 4 Frank Zuloaga, RRC Roofing Product Control Examiner Table 2: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Verona Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 5.57 6.30 5.48 6.18 5.37 6.05 5.24 5.90 5.09 5.73 • OLLDCASTLE WESTILE, INC. ACCEPTANCE No. : 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4. INSTALLATION 4.1.1 "Verona Tile" and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 3: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nail -On Systems Tile Profile Verona Tile Fastener Type Direct Deck (min 15/32" plywood) 1 #8 Screw 25.8 2 -10d Ring Shank Nails 27.8 1 -1Od Smooth or Screw 8.8 Shank Nail 2 -10d Smooth or Screw 16.4 Shank Nails 2 #8 Screw 1 -10d Smooth or Screw 24.3 Shank Nail (Field Clip) 1 -10d Smooth or Screw 19.0 Shank Nail (Eave Clip) Direct Deck (min. 19/32" plywood) Battens 25.8 22.9 37.4 28.8 21.9 7.1 47.1 49.1 1C.- 1 Installation with a 4" tile headtap and fastemers are located a min. of 2 -4 06. 24.3 24.2 19.0 22.1 2 -10d Smooth or Screw 35.5 Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) 35.5 31.9 31.9 34.8 32.2 2 -10d Ring Shank Nails' 43.0 50. head of til • .. rank Zuloaga, RRC Roofing Product Control Examiner Table 1: Aerodynamic Multiplyers -X(ft ) Tile X. (ft') X (ft') Profile Batten Application Direct Deck Application Verona Tile 0.267 0.289 • OLLDCASTLE WESTILE, INC. ACCEPTANCE No. : 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4. INSTALLATION 4.1.1 "Verona Tile" and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 3: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nail -On Systems Tile Profile Verona Tile Fastener Type Direct Deck (min 15/32" plywood) 1 #8 Screw 25.8 2 -10d Ring Shank Nails 27.8 1 -1Od Smooth or Screw 8.8 Shank Nail 2 -10d Smooth or Screw 16.4 Shank Nails 2 #8 Screw 1 -10d Smooth or Screw 24.3 Shank Nail (Field Clip) 1 -10d Smooth or Screw 19.0 Shank Nail (Eave Clip) Direct Deck (min. 19/32" plywood) Battens 25.8 22.9 37.4 28.8 21.9 7.1 47.1 49.1 1C.- 1 Installation with a 4" tile headtap and fastemers are located a min. of 2 -4 06. 24.3 24.2 19.0 22.1 2 -10d Smooth or Screw 35.5 Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) 35.5 31.9 31.9 34.8 32.2 2 -10d Ring Shank Nails' 43.0 50. head of til • .. rank Zuloaga, RRC Roofing Product Control Examiner Table 4: Attachment Resistance Expressed as a Moment M, (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Verona Tile Adhesive 26.1' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polyfoam Product. Inc. Average weight per patty 8 grams. Table 4A: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Verona Tile Polyfoam PolyPro 86.61' Polyfoam PolyProTM 45.5 4 Large paddy placement of 54grams of PolyProTM. 5 Medium paddy placement of 24grams of PolyPro TM . Table 4B: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Verona Tile Mortar Set 20.60 OJ'_.DCASTLE WESTILE, INC. ACCEPTANCE No. : 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. 6 Frank Zuloaga, RRC Roofing Product Control Examiner • -OL b €ASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWING 1 -1/4" NAIL HOLES 11 -3/- . 1 -1/2" 16-1 /2" WATERLOCK VERONA TILE 13" WATER COURSE NOSE OVERLAY 2-1/8" Frank Zuloaga, RRC Roofing Product Control Examiner • O1,DCASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 • APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3.. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 7 and this last •age 8. END OF THIS ACCEPTANCE Frank Zuloaga, RRC Roofing Product Control Examiner 1. Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION. FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: `` Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable DetniI Drawings J Roof System • Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 - Prescriptive BUR -RAS 150 A,B,C . 4,5,6,7 •- Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D, 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D .. 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 1. Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION. FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: `` Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable DetniI Drawings J 3 . Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 ' 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofin. Considerations Re- Roofing OnI 7 . Any Required Roof Testing /Calculation Documentation 1. Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION. FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: `` Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable DetniI Drawings J Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") System Manufacturer: NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Prnax1: Pm2y2• Pm2r.3• Max. Design Pressure, From the Specific NOA System: Deck: Type: Gauge/Thickness: Slope: Anchor /Base Sheet & No. of Ply(s): Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of PIy(s): Base Sheet Fastener /Bonding Material: .:ne. f(g) u' PIy Sheet Fastener /Bonding Material: Top PIy: Top PIy Fastener/ Bonding Material: Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment Field: " oc @ Lap, # Rows ' @ " oc Perimeter: " oc @ Lap, # Rows @ " oc Corner: " oc @ Lap, # Rows @ " oc Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and • Details a Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, • Counter- Flashing, Coppg, Etc. Indicate: Mean Roof Height, Parapet Height, - Height of Base Flashing, Component Material, Material.,Thickness,:.Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. F yFT. Parapet Heiaht Mean Height Roof Slope: 12 Florida Building Code Edition 2002 Hi.h Veloci Hurricane Zone Uniform Permit A.plication Form. Section D Stee• Slo• ed Roof S stem Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations : P1: P2: U. P3: Maximum Design Pressure From the NOA S•ecific S stem : 00 Method of tile attachment: Ridge Ventilation? CO Stee . Slo. ed Roof S stem Descri • tion Deck Type: ype Underlayment: Insulation: 0 /' r 44 3 Fire Barrier: Fastener Type & Spacing: \Adhasi'IP Typz : ype Cap Sheet: Roof Covering: 90 .t- AS G411-- 1 Type & Size Drip dge: • Florida Building Code Edition 2002 High Velocih Hurricane Zone Uniform Permit Application Form. Section A General Information Master Permit No. Process No. Contractor's Name i/ Job Address 0 ❑ Low Slope ❑ Asphaltic Shingles ROOF CATEGORY ❑ Mechanically Fastened -Tile Ggl Mortar/Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes_ ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof PA Re-Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORIV ATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) Zoo Le Sketch Roof Plan: Illustrate Sect B Roof Plan levels ion ( and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and, levels, cle identify dimensions of elevated pressure zones and location of parapet C7' IIAMII SHORES VIII AGE Metal Flashing at all change of Plane Whcrc to Obtain Information Description Symbol Where to find Design Pressure 1 or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on MCI: 7 Mean Roof I!eight H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A. NOA Restoring Moment due to Gravity M. NOA Attachment Resistance NI( NOA Required Moment Rcsislnnce M, Calculated Minimum Attachment Resistance P' NOA Required Uplift Rcsistanec F, Ca eu ulyd Avcragc - rile weight W NOA Tile Dimensions I' length NOA w... width All calculations must be submitted to the Building Ullicud at the timcol'pcmtit application. Q8/06/01 08 :34 FAX 305 375 2908 '-t BLDG.. CODE COMPLIANCE -► SWEETWATER • 0008/01S- High Velocity Hurricane Zone Uniform Permit Application Form 1 Section E (Tile Calculations) For Moment based tilt systems, choose either Method 1 or 2. Compared the values for M with the values from Mr. If the Mr values are greater than or equal to the Mr k values, for each arcs of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127 � " ( P I : -`+.26 x A. -0 . = _ 0.7. - m 6 gO =m,, • b NOA Mr C. I I ( / 2 X X ✓ i " 2� � � - Mg: �•✓tJ = M 2Z (P3 :-1 °0.6 x 1x02: • _ z','.'' Mg: m : ' 6• �Q M 22 . NOA NOA M r Method 2 "Simplified Tile Calculation P'er Table Below" Required Moment of Resistance (M From Table Below 2 6? 7 NOA M Mean Roof Height -Jo- Roof Slope 4, 2:12 3 :12 4 :12 5:12 6 :12 7:12 Mr Required Moment Resistance" 15' 30.7 . '28.7 26.6 24.5 • 22.5 20.8 20' 33.4 31.3 28.9 26.7 24.5 • 22.6 25' 35.7 33.4 30.9 28.5 26.2 24.1 30' 37.7 35,2 32.6 30.0 27.6 25.4 40' 40.7 38.1 35.2 32.5 29.8 27.5 *Must be used in conjunction with n list of moment based tile systems cndorsctl by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (t' x1: = x w: = ) -W x cos 0: = F NOA F' (P x 1: = x w: - ) - W: x cos 0 = Fr2: NOA F' (P x 1: = x w: _ ) - W: x cos 0: = F Fr3: NOA F' s, Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2002 -1405 Printed: 8/13/2002 Applicant: BERTHA JONES Owner: JONES BERTHA JOB ADDRESS: 10 NE 102 .ST Contractor MK ROLLAND Local Phone: Parcel # 1132060131490 Signed: Legal. Description: Building Permit Permit Status: APPROVED Permit Expiration: 2/9 /2003 Construction Value: $7,000.00 Work: RE ROOF COLOR THRU TILES ALL SAME COLOR Page 1 of 1 MIAMI SHORES VILLAGE NOTICE Contractor's Address: 1559 NE 1 6iNgelf is Responsible for Maintenance of All Village Sidewalks as per Village of Miami Shores Code of Ordinances, Including D. ivew.-ys, MIAMI SHORES SEC 1 AMD PB !3LE`Tgtrrlixrg136001etifOT }f 9L1k 11 LOT SIZE Fees: Description Amount FEE2002 -4492 Buildier's Bond $300.00 FEE2002 -4493 CCF $4.20 t !0 FEE2002 -4494 Notary Fee $5.00 Total Fees: $309.20 Total Fees: $309.20 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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. (INSPECTOR) BY: 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. REG C01 081502 0858 MCfl01 000357 CASH $519.20 . Signed: (Contractor or Builder) BY: Date /7-;" �� ' Job Address /0 /f/i,- / &. 5 > max Folio Legal Description Historically Designated: Yes No -� I Owner /Lessee/Tenet ge-/fs� (l �� Master Permit # / 3/ Owner's Address /2 IV/ ' � 2 '' � 5Y Phone Contracting Co. G/17f/r gee` ;1/‘-- Address Qualifier , PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 State # C c ! D / A. 7/ Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING SS# � Phone -74 -- 0 /g6 Competency # Ins. Co. ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: /14— /" 3' 7' e, / — 6 5 - " e.4� ?: 4 — Square Ft. 94i4i 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 ANY 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 all disciplines. OWNERS 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date N. ary as to ontractor ►r Owne My Commission Expires My Com ,slon F A eiai1 Becker • My Commission DD150048 V or ,,,o` A Expires November 15, 2006 FEES: PERMIT ! 2 5 ()RADON APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer C.C.F NOTARY BOND Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -1939 Printed: 11/14/2002 Page 1 of 1 Applicant: BERTHA Owner: JONES JOB ADDRESS: 10 Parcel # 1132060131490 Permit Status: NE 102 Building Permit JONES BERTHA ST Contractor CARRUTH ROOFING CO INC Contractor's Address: 301 NW 71 ST Local Phone: Fees: Description Amount FEE2002 -6389 Notary Fee $5.00 FEE2002 -6419 Building Fee $265.45 Total Fees: $270.45 Approved Permit Expiration: 5/11/2003 Construction Value: $14,000.00 Work: re roof 1 -30 tile 3 x 3 gals valley metal 1 -90 slate venezian "S" clay tile Total Fees: $270.45 Total Receipts: $0.00 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 10 & N3OFT OF LOT 11 BLK 11 LOT SIZE If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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: ' ' 7(INSPECTOR) BY: 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building and Zoning Department Miami Shores, F1 33138 RE: Pro located t (address and egal description) i n. , Ioa Gentlemen: As legal owner, subject property, I request the cancellation of permit number -Novo issue d to Q 0 Q �1 C� , for the following reason: Date of last inspection: I hereby apply as owner- builder, or authorize (new contractor) to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume responsibility for the correction, if required, of work performed under the permit for which I am requesting cancellation. Very truly yours, (owner's signature) (print name) Notary Public, State of Florida at Larg HOLD HARMLESS bate Prime contractor (only if sub ntractor holds permit or if c ' ge s f qualif - FITIM■Ar, (signature (print name STATE OF FLORIDA COUNTY OF DADE: The undersigned, being the first duly sworn, deposes and says that he /she is the legal owner of the above property. Sworn to and subscribed before me this i! day of5,rd/ ? 0 Et; iklio D • 50048 Expires November 15, 2008 CONTRACTOR New Construction Name 4 , C J 7 J Lic�• No. ecre ©y` l V Address Repair Telephfe 1,26-' (N1 O Alteration Interior Qualifier N Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Step 1. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name Address Home Telephone Business Telephone Fax PERMIT APPLICATION Master Permit No. az Subsidiary Permit No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: / 4/i l■ 7- - S 2 — /14 -dor; .5 .M65 f l .3.3/3 Address Apt. City State Zip Folio Number L- cription of Work Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE ( Signature of Owner • /\ / j Signature of Contractor / Qualifier Print Name Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: SEAL: Personally known OR, Produced Identification PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE w• to and subscribed before me this State of o 14 0 pi Angela M Becket • My Commission 00150048 Expires November 15, 2006 Personally known �_ ,Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. "1'1'1'1: Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. Minimum Fee TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) O IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE cjZ - 7 ( x .60) x/1000 (¢.005 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 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 bc kept at building during progress of the work. Date.._ ' `�ici �,....... 19 J Owner's Name and Address .2774 oxLC.a■/ sass..__ ._ No.....1.Q_......... Street22 Registered Architect and /or Engineer p !, ,,,,,,,,,,,, Name and address of licensed contrtctor.W °`�'' %s " & 4 ZZ.GS!.r• 3? C Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Subdivision / 0 77 € /oar ^ 'S f La ; ems State work to be done and purpose of building (by floor ).2 -..s.L /44 -41 " W! '4- J - 3 o, 6 , ?� "`"_, /— 9a/6 . S/ tg BuildLg Inspector Date `4° ate New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ ..01..4.0 Amou and for no other purpose. Repairs. l.4i?? e � No. of Stories r . / Roof Covering.ff4/ C t C -4 of Permit $,.g.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 herebyy� submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to...75 21 a 1 AI W Z3 ` egwt.1 /U, u,,.�.� F/�2.53/ ,2-- 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 t e work such public nonce or notices as are required by the Act. The undersigned agrees to employ only such bco; tractors, on wo • to performed and pennit, as are licensed by Miami Shores Village. Remarks 0--5? b ' S (Signed). 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 true. Permit No .._.... Disapproved (Signed) Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member .. Member T.._..._ 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 hoard. 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 10050 NE 2nd Avenue Building Permit Phone: 305- 795 -2204 Permit Number: BP2002 -1939 Printed: 12 /26/2002 Applicant: BERTHA Owner: JONES JOB ADDRESS: 10 Contractor CARRUTH ROOFING CO INC Local Phone: Permit Status: Signed: NE 102 Sign (r (Contractor or Builder) JONES BERTHA ST Parcel # 1132060131490 l� S V Work: re roof 1 -30 tile 3 x 3 galv valley metal 1 -90 slate venezian "S" clay tile Contractor's Address: 301 NW 71 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 10 & N3OFT OF LOT 11 BLK 11 LOT SIZE Fees: Description Amount FEE2002 -6389 Notary Fee $5.00 FEE2002 -6419 Building Fee $265.45 Total Fees: $270.45 Total Fees: $270.45 Total Receipts: $0.00 Approved Permit Expiration: 5/11/2003 Construction Value: $14,000.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 r-' ulations 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, s . or employ ECTOR) BY: In consideration of the issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict cant: ii with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all wont don= t e1 myself, my agent, servants or employes. BY: Page 1 of 1 • BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ DAT1 — / ` 195 ❑ PERMIT 11T° 2351 Contractor's License No. ❑ Work to be performed under this Permit r` B1 Value of Amount of Project $ �`'t / I 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. Signed BY J 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. Subdi- vision CONTRACTOR OR BUILDER BY AUTHORITY e 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 he 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 Owner's Name and Address._. ..e vet ,94/ Registered Architect and /or Engineer Name and address of licensed contractor (/L/ ( _ a.a./. as (0 ' f Disapproved Dat (Signed) Building Insp Street./ Location and legal description of lot to be built on: Lot r "0 [„u 7 �2 )/ Block 14/ �/� Subdivision. .1.`�(/ Street and Number where work is to be done _.. &er -' fir ✓; • Sta a work to be done and purpose of building (by floors ).... 4 V/ l4f( it/eU leag/ •,' r Roof Covering 7 ' / • and for no other purpose. New Building _ V Remodeling Addition Repairs' .'' No. of Stories To be constructed of Kind of fou da on Estimated Total cost of improvements $ __.1 or- ' L% 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 ).__Q ''-t _ _ _ lli�i .5�t'l�J 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 -_SI Date v Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge o ..'t "will be made for making corrections or changes to this application after approval has been obtained from the Planning Board A re -ins . ion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials • - ' /or workmanship.