ROOFING•
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
I e D-0 1- 5 —n\q_
Date �Q Job Address 0 1' 1- '1 • . \l\ ' Folio
Lessee / Tenant Y Master Permit #
Owner's Address 1 fl .9 _ Phone 5 ?H -
Contracting Co. (`\►eV ■r\ Address 95 C1 C) C N R V . 7
Qualifier _L `1 Cam&
State # 4 k i V_P 9 Municipal # Competency #A 6(0 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICA PLUMBING MECHANIC OOFING P VING FENCE SIGN
WORK DESCRIPTION A MS'S- I0YP_4 (LA T(1 e:S
Legal
Square Ft
APPROVED:
Description
LA(0c)(r"
* * *
FEES: PERMIT Viltabb RADON C.C.F. / 1 "
Estimated Cost(value)'t
Signatu of Contrac
Date:
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). 11
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 compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stilted.
Signature o a and /or Con•o President
Dat
to as ts8;�r a •" Qqfb President
My Commi s S i X • kreki "mission CC269323
• Expires Apr. 25, 1997
Bonded By HAI
�.►��
No ry - to Cod r g� _ Older
M Commission E j M mission CC269323
• Expires Apt. 25,1997
J , Bonded By HAI
* * * *
4 4 OF FLO * * * **
NOTARY TOTAL DUE 0
Other
Fire
Zoning Building Electrical
Mechanical Plumbing Engineering
/0O Alf a -
PERMIT NO. TAX FOLIO NO. ( ' 3-cfr-5 -cniet -no-1o
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: \
2. Description of improvement: ( Re lC.t;3I) �
n
S • o S • S- -- gd
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
Name and address:
Amount of bond $
6. Lender's name and address:
dill :,: t date is specified)
Signatu
at Owner
Print Owners Name
Sworn to and subscribed before me this
Notary Public
Print Notary's Narv
My Commission Expires:
NOTICE OF COMMENCEMENT
h,e
from contractor, if any) STATE OF FLORIDA, COUNTY OF pAOR
5. Surety:(Payment bond required by owner
HEREBY CERTIFY Met We Is a bus y tha
o:Iginat Mad 14 oh flit• an �
day
93R3107475 1993 JUN 21 14:29
W.TNESS my
HARVEY RU
B
r
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
day of
Prepared by: C /C..1e(ij
Address: 3Sg
ra.rriu", VA
33 -3
P ROPOSAL SUBMITTED TO
:'
;
DATE ; I
June rki : 1993,.
PHONE: r,,,
• BES -6581
f NAME ia]rdake�rgen.
JOB (JA >� +7 i ± r ., , (. �,.
. Work 534-227
STREET' A
°' • 9601 B. ' Broadview Drive
1
STR ' r ' .ra, rr'5 1 Z
' 1 ;75 L E.. 102 Street ;' :! ..,'M.''';''''
CITY ' By Harbor Island
1
CITY I8TAT
lsliafai ` S
I
l
a' r
DATE OF PIAN
; L:..
' STAVE
„ .. Vlorida. 33154 r ,
A RCHITECT
`'
D ade 652 +3313 1
Broward: 963 -2741
Ft:' Laud erdale: 434 -0015
c
Fae'1 865 -6706 Andre Fournier
We hereby aubmlt specifications and estimates for:
1liemove all present roofing to a Emooth workable surface. Remove
debris frors premises. Replace all'bad 'sheathing and facia
boitrds up to 200 'linear feet, any in.. a xcees 'of 200 linear feet,
to:be charged on a tide and material basis,.(for facia boards
we propose to use . spruce wood, and forth® sheathing replacement
-. tie 'wjll use 81 white' pine) . Nail and: I tin cap one layer of 308 •
f ®lt,.over
entire'roof o$ 'one lay0r•of.908.slateower entire
roof asing a :'heavy coat: ` hot asphalt back i nailing all lapel
.1" roofing ,nails. Install neq ; "3 ` , :3 inch. 'face galvanised
drip. 'Install allnew lead''stacke. Installqnew guage
alvanised 'metal in'tWvalleys;•InstaWneioV,flat Shingle broorssvelpt
le>;, color , to be selected by`, owner, in a!'•rich;,bed of; mortar. .
.1 ACCEPTED
ACCEPTANCE OF PROPOSAL
Signature
Dale • Signature
MOM Owner is responsible to protect?`!interior and exterior
furnishings frore any dust and debris during 'roofing process.
',i:
'phis roof will be guaranteed for a period of ('10) ten years ' against
faulty, workeanship and faulty reaterials.
•
.Starting date will be within two wrecks'' of: the date of the signing
f;:'the contract and deposit is given, tile will. 'also be ordered
on' day of the signing of the contract` and the permit is • obtained.
We hereby propose to furnish tabor and malerlall • complete In accordance with the above epecllicallons, for the sum of
ntract cont. .
douere IS ') with payment to be made as follows
NOTICE TO BUYER, GENERAL CONTRACTOR OR OWNER: We hereby propose to furnish the above labor and malerlals In accordance with the above speclfIcallons. A
deposit 015 Is required upon acceptance and the balance as wbrk proprieties In direct ratio to work completed Payment In lull to be made
' upon comp ....
letion of the lob; this estimate may be cancelled unless accepted within fen days from the dale Issued. '
WARRANTIES TO ORIGINAL OWNER: We warrant workmanship fora period of yeere, but reserves the right to tlupervlae or Inspect all
vvo4r'subsequentiy performed by other parties to the root, for a reasonable lee. Without this tiupervlslon or inspection, ell werranllee are null'and void: Warri:nly le
transferable to new owner upon written application, and payment of reasonable fee. All materials furnished will be ie epecllled and work le to be completed In a
• workmanlike manner according to standard practices. ` • • ;
Any alteration for deviation from above specifications will become an extra charge over and above•the estimate of labor and usual coats Of our agreement. All
agreements contingent upon strikes, accidents and delays beyond our control. Owner 10 carry,lneurence egalnet fire, tornado, vandalism, and other casualty looses.
• W.1-.—
will exercise reasonable care When performing the work, but can not be held responsible In any manner for damage to sidewalks, foliage, shrubbery, ecreenlnd, plpee
or.cablee, above or below ground. We will not be held responsible for water damage to the exlertor or,Interior of the promisee. CUSTOMER IS URGED TO COVER
FURNITURE & OTHERWISE PROTECT THEIR PROPERTY. We cannot assume responsibility for any damages done to the idol by plumbers, electriclana, alr conditioner
; f„ men of any other tradeemen. Irt the event we have to supply stacks, for any pipes put through the,rool, there wilt bee additions harge for plumbing $30,00,e14blhcal
$35.00 and for air conditioners $45,00. Owner to be responsible for location of septic t k
r •;
THIS CONTRACT IS NOT TRANSFERABLE. • • Authorized Signature • f� 1 -e +C.q Imo ¢ ;
NOTE: This proposal may be wilhdrewn '.
30
p y y "us it not accepted Within � .,,,.
. I 1
P.O. Box 290193
Davie, Florida 33329
:: The above prices: specifications and conditions are satisfactory and are hereby accepted. Your ere authorized to do the work es sDEelliea. Payment be Made es
outtlned above. Thla roposat has the power of a contract, when signed and accepted.;'.'
P g t : i ;'•i:
de: 652 -3313
oward; 963 -2741
Lauderdale: 434 -0015
P.O. Box 290193
Davie, Florida 33329 •
PHONE:
863 -6551
i t . ,....; ^ , : Se lion JOB NAM • •. ,
TREE?: .;„; Zellaan work 4,3''':'
. .
. 9801 8: Broadview Drive STREET '7 f2
1 , 'SCI #v % 1 !LE. 102nd Street , �,
Har .Island CITY = a STATE:
STTE Florida
�.:;; Florida 331 ` _ .:
DATE OF PLANS:
e.hiriby submit, spiclflcellons and estimate, for
Date
We hereby propose to furnish labor and materiels •complete In accordance with the above specifications, for the Ium of
' ;,Bighteen thousand ,four hundred
dollars (!
18 0
' Q with payment to be ei follows
;Continued ...
Within two weeks of the dry in we will mop 90# elate. When the file is stacked on the iroof the stoners
responsibility to contact our company' '; and let 'us know. Within
two weeks from that date we will set the , tile on the roof, allowing
for proper time, to get the final inspection and weather interuptiona.
.• �
NOM On • '
roost tile deliveries the supply houses allow a 26 to '
30 week waiting period for delivery, which we have no control.
ACCEPTANCE OF PROPOSAL "' •• • a, .._..
NOTICE TO BUYER, GENERAL CONTRACTOR OR OWNER: We hereby propose to furnish the above labor and materials In accordance with the above specifications. A
`
depot!!! of S le required upon acceptance and the balance as work pro}iresaes In direct rallo to work completed. Payment In full lo be made
upon completi of the Job; this estimate may be cancelled unless accepted within ten days Irom the date Issued.''
WARRANTIES TO ORIGINAL OWNER: We warrant workmanship for a perlod of _ __ 1 0
• work subseQuently performed by other parties to the roof, for a reasonable fee.;Wllhoul This supervlelon or Inspection, all Wa a n and vold. le
workmanlike manner according to standard practices.
transferable to new owner upon written application, and payment of reasonable fee. All materials furnished will be as epecllled and work le to be completed In a
Any alteration, for deviation from above speciflcallons will become an extra charge over end above tha estimate of labor and usual coals of our agreement, All
• agreements contingent upon strikes, accidents and delays beyond our control. Owner lo carry Insurance against fire, tornado, vandalism, and other casually losese.
We will smirches) reasonable care when performing the work, but can not be held responsible In any manner for damage to g
, sidewalks, foliage, ahrtibbery, screening,
or cables, above or below ground. We will not be held responsible for water damage to the exterior or Interior 'of the premises. CUSTOMER IS URGED TO COVER • •
FURNITURE & OTHERWISE PROTECT THEIR PROPERTY, We cannot assume responsibility for any damages done to the roof by Ptumbe►e, electricians, air conditioner
MO or any other Uadeemen. In the event we have to supply stacks, for any plpes put through the roof, there will be an additions charge for plumbing $30.00, electrical
$35.00 and for ali conditioners 145.00. Owner to be responsible for location of septic nk.
Tiff& CONTRACT IS RANSFERABLE, Authorised Signature �,..-
r '
V� . �( A'A i• L ,
wlthdrawn by bill not accepted wllhlri "' " • 30
The above prices, ipecllliellone and conditions are satlslaclory and are hereby acts le
` oulllned abovd. `Thle proposalhes the power of a contract when signed and accepted... Your are aulhbilted to do the work as specllle�. Payment will iii midi •
•
Signature; • 1 ;. a
Signature
Q6/16/1993 06:03 3056519293
30563399'4
t
BIE1 CR
BIELER NORTH MIAMI
r -61B T -236 P- 002/003 JUN 15 '9.3 1411:1
MRTROPOUTAN DADS COUNTY. FLORIDA
MEY'p+ -OADV SU1WING
Anneal owe co+mtwwc swame
mentrapor
psi *saw
RIX wasp mass
lune 15, 1993
data La A asr (U.S.A.), Inc,, Nis filed with this mace the audefiaat*l and required eeetptsible tut
6 support lbr reaawe1 and cot ab» t4 c4 eras t r Alm "S" Cloy Roof lIe fbr
plus their Musa Bartel Gi Roof Tile far mud-cg of their Notice of
A►ompumeo 090 wlrldh expired on March 12, 1993.
The tiles Rs mud .= ibaall be installed on c slued asslable deck of S/8" thick k plywood Ibr
new construction and on 1/2" thick plywood ce to roo&1g.
The deck shill be emend with as 30 Typ 11 (ASTh( D42.6) anchor Ant and tin capped
6" o.o, on all lap; 1Z" o.c_ iaat tlra sold and 4" on drip edge. Over Ms, it hot -mopped 90 T 11
(ATM( D449) roll roofing cap lank; using hot *IV asphalt Type rir w g to AM
D- 312 -19.
The tBe sal be applied to the zfwith mortar oosnolating of one bang of Florida Roaf llle
Cement by La Yards Corpondian for Type lei matter and 14 shovels of 'WI coninarminag to ,
AMU C- 144 &hr a 2:1 mix, titan adding appresdmapt • 4,5 to 5 galloos ewe** and naafi for
minutes.
Due to %nrvk* c Andrew, this office has been Inundated wlrh requests for both now
products and renewals of those to expire which has calmed a large bade; log in rase with in
offida>Il Notice otAoceptaaos.
In the interim peed, please wept ea letter m s lowieg time ptuducts to be installed by
a limped roofing aaaetsctor in sotcotdsneo with the nn>nef'eat@rb'* further specifications and
Chapter 34 ethos Sash Florida Hudldiog Code UidB an oflfc ial Notice of Acceptance is Maned.
1 7 117 0 11 Diamand,
Product Caktml Division
Supervisor
PAGE 01
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby rnnde 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 iuilding 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 ... 1. ......�.e....�YL4_� �..�.._ -.» No. )17,5 .._.. StreetAt /D A,
Registered Architect and /or Engineer /ND(1..5.R /
Name and address of licensed contactor ....A —0/A114.6 Cc? :..._1 �.L�...•.�I / fl..E..,
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done — •• -• - -- ------ •• -• --
State work to be done and purpose of budding (by floors) 24 l! ._..... b•A -•••� � t - - -.• �-'?a& �
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 subepntractors, on or o be performed under this
permit, as are licensed by Miami Shores Village.
Remarks..._ __ -._.__ (Signed) ....1,40"
•
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared - -
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No..__.__ Date 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 fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty
materials and /or workmanship.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
ONvnei s Name and Address , %f � 1 ' aszy //0 G No..117 .. Street.__4/...10
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot 9
Street and Number where work is to be done .// 75
MIAMI SHORES VILLAGE
Block / 7 5
BUILDING INSPECTION DEPARTMENT
Subdivision
State work to be done and purpose of building (by floors)
Estimated Total cost of improvements $
New Building Remodeling Addition Repairs
To be constructed of Kin., , f foundation
.000
..�1 5 S'G.z T om_
JUL---- /a Z
and for no other purpose.
e a No. of tortes
Amount of Permit $.
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
MSaxirnum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to..
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the 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 q 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 su• • , actors, on wolk to the performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signe
STATE OF FLORIDA,
COUNTY OF DADE. SS.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No P445 Date 1 ° / 6 Read, Sworn to and Subscribed before me.
Disapproved . ,f T __ � Date.
Notary Public, State of Florida
(Signed)
Building Insp r or 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.
!� °�
, . 2 � i�,
rk 1 1