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118 NE 102 St (16)
Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed:,9 /3/2002 Contractor Local Phone: Parcel # 1131010220120 Signed: Signed: Building Permit Permit Number: BP2002 -1537 Applicant: DEBORAH ELIZABETH ROBINSON Owner: ROBINSON DEBORAH ELIZABETH JOB AbDRESS: 118 NW 102 ST Contractor's Address: Page 1 of 1 Legal Description: GOLD CREST A SUB PB 21 -56 LOT 4 AND BLK 2 W1/2 OF LOT 5 LOT Fees: Description Amount FEE2002 -4938 Building Permit Application Fee $60.00 FEE2002 -4939 - Buildier's Bond $300.00 FEE2002 -4940 CCF $0.60 Total Fees: $360.60 Total Fees: $360.60 Total Receipts: . $0.00 Permit Status: Approved Permit Expiration: 3/2/2903 Construction Value: $1,000.00 Work: INSTALLING NEW WINDOWS FOR THE FRONT OUTSIDE OF HOUSE it 41sT 5'4 e, • -�- �'` r r c o. c /'&roaa.t 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. ECTOR) 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. tractor or Builder) BY: T6L, - DEBORAH ELIZABETH ROBINSON 118 NW 102 ST MIAMI, FL 33150-1232 2784 9/ 63 BRANCH 003 DATE L in airit; %. 1/ 1 .ila $ 1 1Q/ c$ 1 riC6- Ci dfi l119° 5 14 6 GOVERNMENT CREDITU111011 EMPLOYIEESDJOFFLORIDA ci• Miami,Florida 33169 FOR pfile //0/ ttifi(C/ 1: 2 63079 L 41:00000 .10080.308e 2 784 PAY TO THE ORDER OF •'" E .y , : ,.-:' 1; (. - 3 'N • ' o • : . ...._......=_. - .-Z:=_ - _77.7_7_ - :: - .1 - 7.7 1;1;7 : • - '''..:. 2." ''.'. :-:::::.-_--- ._:::-"_:: .. , '•.2. i , < _14 , C" b l it07 V 61) . 9 1 11 li .11 1 : -.1__ ill 1 li . „, tr .__ •_11 .______41_ _..._.._ ' 1, • i r 0 •-! -ITV • : I II II — 11 ' :/ l• .---, I - 1 . I I I: 11 i l■ ... 11 t: E :•., -. I; ;. .• ; ,• .., . • i; ii , , - f ?.. ! i 3 ,i . e' • i iFITJOI_t ..- 1 [ Clii-:: ; • - if I e (D3 5_ vylck,„0 cte,coss 1:?e,p cte-&- N Eck) w imd005 4gDA14- L-5 ct,-i -116 _fl i i • ' _010)(0q. p- =-7 I 6 ! - 3 C_ tc et- to" • GAiligESM ----- __ d t I! i I I _If-- _1:-..,•_-- ------ 1 ! I! i.! : 1 - - - --- - it t v.-_-,_-___..--•-•,- 4 1- 1 + -.,.-..z-=•••-. it 1 if ! i i 1 IA , it i. i i; 1 i i d I 1!_....._-__•:...,-...-li 1.1. - -- • .___._..k. i 4 II . 1 r ;: MIAMI -OADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Yale Ogron Manufacturing Co., Inc. 671 West 18 Street Hialeah FL 33010 Your application for Product Approval of: Series 6800 Aluminum Horizontal Sliding Window 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 1Mliami -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- 0908.02 Expires:01 /23/2003 Approved: 12/09/1999 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 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 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375.2908 PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372-6339 Raul Rodriguez Chief Product Control Division 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. 'rancisco . Quintana, IZ.A. Director 1 of 3 lMiami -Dade County Building Code Compliance Office Internet mail address: postmaster ©huildingcodeonline.com Homepage: http : / /www.huitdingcodeonline.com Yale Ogron Manufacturing Co. ACCEPTANCE No. : APPROVED 99- 0908.02 DEC 0 9 1999 EXPIRES : January 23, 2003 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This renews the Notice of Acceptance No. 96- 0823.01, which was issued on January 23, 1997. It approves an aluminum horizontal sliding window, as 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 Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Series 6800 Aluminum Horizontal Sliding Window and its components shall be constructed in strict compliance with the following documents: Drawing No. W96 -25, titled "Series 6800 Sliding Type Window ", prepared by AI- Farooq Corporation, dated August 1, 1996, revised on November 26, 1996, sheets 1 and 2 of 2, signed and sealed by Dr. H. Farooq, P.E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 This approval applies to single unit applications only, as shown in approved drawings. 4. INSTALLATION 4.1 The aluminum horizontal sliding window and its components shall be installed in strict compliance with the approved drawings. 4.2 Hurricane protection system (shutters): the installation of this unit will require a hurricane protection system. 5. LABELING 5.1 Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and 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 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 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. 2 of 3 ALA Manu} I Perez, P.E., Product Coritrr 1 Examiner Product Control Division Yale Ogron Manufacturing Co. 9. This Notice of Acceptance consists of pages I through 3. END OF THIS ACCEPTANCE 3 of ACCEPTANCE No.: 99- 0908.02 APPROVED DEC 0 9 1999 EXPIRES : January 23, 2003 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 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. 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. Mart I Perez, P.E., Product CO rol Examiner Prod erControl Division DESIGN LOAD CAPACITY - PSF WINDOW DIMS. 3/16 " - ANNEALED DSB - ANNEALED VIDTH HEIGHT EXT. INT. EXT. INT. 24' 36' 48' 60' 72' 55.3 370.1 55.3 217.1 55.3 296.1 55.3 166.2 24' 55.3 220.9 55.3 121.1 55.3 173.6 - - • 55.3 143.0 - - 24' 36' 48' 60' 72' 55.3 222.1 55.3 130.2 36' 55.3 164.5 55.3 96.5 55.3 138.8 55.3 77.7 55.3 111.3 - - 55.3 91.7 - - 24' 36' 48' 60' 72' 48' 55.3 158.6 - - 55.3 113.9 - - 55.3 92.5 - - 55.3 80.8 - - 55.3 67.5 - - 24' 36' 48' 60' 72' 60' 55.3 123.4 - - 55.3 87.1 - - 55.3 69.4 - - 55.3 59.2 r - - 52.7 52.7 - - 26-1/2' 37' 53 -1/8' 74' 26' 55.3 3114 55.3 182.7 55.3 258.0 55.3 147.4 55.3 181.0 55.3 99.3 55.3 127.1 - - 26-1/2' 37' 53 -1/8' 74' 38 -3/8' 55.3 190.0 55.3 111.5 55.3 148.4 55.3 87.0 55.3 118.4 55.3 65.0 55.3 83.2 - - 26-1/2' 37' 53 -1/8' 74' 50 -5/8' 55.3 137.1 - - 55.3 104.4 - - 55.3 80.6 - - 55.3 62.0 - - 26-1/2' 37' 53 -1/8' 74' 63' 55.3 • 107.0 - - 55.3 80.4 - - 55.3 58.3 - - 45.0 45.0 - - <llllll� TYPICAL ANCHORS 1X OR 2X W000 BUCKS NOT BY YALE OCRON 1 /4'HAX. SHIN TYP. TYPICAL ANCHORS 3/16 "0 TAPCONS, SPACED AS PER PRODUCT APPROVAL 0 6" FROM ENDS & 21' 0.C. TYP. AT HEAD, SILL & JAMBS USE (2) ANCHORS AT MTG. RAIL END 0 HEAD & SILL MIN. EMBED. INTO CONC. = 1 -1/4' MIN. EMBED. INTO 2BY WOOD BUCK = 1 -1/4' MIN. EMBED. THRU IBY WOOD BUCK INTO MASONRY - 1 -1/4' 3/16' ANNEALED GLASS -OR DSB- ANNEALED SEE CHART •. 4. - TYPICAL ANCHORS GLASS- 3/16 AN NEALED OR DSB - ANNEALED SEE CHART VINDOV HEIGHT BASED ON FTL -1399 OF 06 -28 -56 TEST SIZE = 96 - 1/2" X 61' (XOX) TEST LOADS = +83.0. - 83.0 PSF DESIGN LOADS = +55.3, -55.3 PSF WATER INFILTRATION TEST = 8.3 FSF TESTED CLASS = 3/16 - - ANNEALED. VINDOV VIDTH TYPICAL ELEVATION ( XO OR OX ONLY ) ALUMINUM HORIZ. SLIDING WINDOW SERIES 6800 COMPARATIVE ANALYSIS CHART 0 VINDOV VIDTH 1 /4 TYP. GLASS OVERLAP uuv pat nit u BASED ON FTL -1400 OF 03 -26 -96 TEST SIZE = 53-1/8' X 38-1/2' (XO) TEST LOADS = +105.0. - 105.0 PSF DESIGN LOADS = +70.0, -70.0 PSF WATER INFILTRATION TEST = 8.3 PSF TESTED GLASS = DSB - ANNEALED. NOTES: 1 WOOD BUCKS BY OTHERS, MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. 2. ANCHOR CONDMONS NOT DESCRIBED IN THIS APPROVAL ARE NOT PART OF THIS PRODUCT APPROVAL 3. WINDOWS GLAZED WITH 1/4" GLASS OVERLAP ALL AROUND USING ROLL FORMED ALUMINUM GLAZING BEAD AND ADHESIVE COMPOUND WITH COLOR TO MATCH METAL FINISH. TYPICAL ANCHORS APPROVED AS COMPLYING WFTN THE SOUTH FLORIDA BUILDING CODE DA E 19 99• �I A BY PROD' ; 9 BUILDING CODE C OFFICE ACCEPTANCE NO. (Jk• D XO OR OX SIZES ONLY Engr. DR. HUW,YOUN FAR000 STRUCTURES F'.f. PE # 1 E557 DEC3 01996 APPROVED AS COMPLYING WITH TI SOUTH FLORIDA BUILDING CODE OAT E TA ..UA85 . / 1991 Byj PRODUCT C IIIUL DIV.S ON BUILDING CODE COMPLIANCE 01'FI( ACCEPTANCE z z 0 .-4 0 0 O a- (14 N •t w 1, z �yM 00 CL 0 o co 1 (/1 O ut d L. I z w .V i v 0 z N 0 N g 2 0 C 0 cn 0 0 x H x E a steel 1 of 2 L- ' drawing no. W96 -25 XOX SIZES ONLY DESIGN LOAD CAPACITY - PSF WINDOW DIMS. 3/1e- ANNEALED 1/4'- ANNEALED VIDTH HEIGHT EXT. INT. EXT. INT. 72' 85' 108' 24' 55.3 147.5 55.3 217.7 r 55.3 123.2 55.3 182.0 55.3 95.4 55.3 141.0 72' 85' 108' 36' 55.3 94.6 55.3 139.7 55.3 79.0 55.3 116.7 55.3 61.2 55.3 90.4 72' 85' 108' 48' 55.3 69.6 55.3 89.7 55.3 58.1 55.3 82.8 45.0 45.0 55.3 66.6 72' 85' 60' 55.0 55.0 55.3 65.8 46.0 46.0 55.3 59.3 ITEM / PART f RZQD. DESCRIPTION RE3LARICS 1 YE -5001 1 FRAME HEAD 6063 -T5 2 YE -5004 1 FRAME SILL 6063 -T5 3 YE -5006 1 SILL RISER 6063 -T5 4 YE -5002 AS REQD. FRAME JAMB -VENT 6063 -T5 5 YE -5003 AS REQD. FRAME JAMB-FIXED 6063 -T5 6 YE -5019 1/ VENT FIXED MTG. RAIL 6063 -T6 7 YE -5009 1/ VENT VENT TOP RAIL 6063 -T5 8 YE -5008 1/ VENT VENT BOTTOM RAIL 6063 -T5 9 YE -5018 I/ VENT VENT INTERLOCK 6063 -T6 10 YE -5007 1/ VENT JAMB RAIL 6063 -T6 11 AS REQD. GLAZING BEAD ROLL FORMED ALUM. 12 $110X3/4' SMS AS REQD. FRAME 1. VENT ASSY. SCREV CAD PLATED SHS V/ #8 HEAD 13 YH -6016 1/ VENT CAM LATCH ZAMAK PLATED OR PAINTED 14 $110X3 /4' SMS 2/ LATCH LATCH INST. SCREV CAD PLATED CRS 15 - AS REQD. FIN SEAL PILE W/ STRIP TOP 1. BOTTOM RAILS 16 - AS REQD. FIN SEAL PILE V/ STRIP BOTTOM RAIL 17 - AS READ. - AT VERTICALS 10 Y11 -6001 2/ VENT ROLLER ASSY. YH -6002 1. YH -6003 S < < ; lC- • �- r1 WINDOW HEIGHT VINDOV VIDTH TYPICAL ELEVATION ( XOX ONLY ) 3/16' ANNEALED OR 1/4' ANNEALED SEE CHART CLASS 3/16' ANNEALED OR 1/4'- ANNEALED SEE CHART 0 m IFi rjaukcal.- 1110; 17 1 ►v►uuuea►n�uaunnuuuu►► "AtirA Env. DR. HUMAYOUI FAR000 STRUCTURES FLA. PE f 16557 DEC 3 01996 APPROVED AS COMPLYING WFFH NE SOUTH FLORIDA BUILDING CODE DAT / _ _ 19_/9 BY_ � PROUD 'T C))NTROL DIV:S 0^1 BUILDING CODE p CO� �PLIANCE OFFICE ACCEPTANCE NO. =L! O` '010 \PPRO' /ED AS COMPLYING 1'1�1H 111 ;OUTH FLORIDA BUILDING CODE )h1 A .UAK_Y. 23 I9_ I'RODUCI IROL DIV;S.ON DUILOING CODE COMPLIANCE OFFIC n ACCEPTANCE NU. ^LI R? Q1__ z z • ~ U 0 0 IX o O a O • N '- U w '.J < � o o as °o • mrt 1 g N 0 v- z i ri 0 0 z w 0 z 0 N 0 0 to In w 0 w In C 8 i 8 1 draw ng ,n LO N 3 d 0 O 0 C 1 no. W96 -25 sheet 2 of 2i PROPERTY OWNER NameI\_ /_ -oLr A) � I !) / Address it f6 N� le a, SI,- m , a■ 7u ' &—L 53/5C Home Telephone 3 (7 _ , 15q ; 3,_.,7 75 Business Telephone x 5_ 3 4 9 —1,3Q q J I Fax l V� C le 7 1 ,9e7--.5 � 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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. APPLICATION Job Address: t 18 I r LJ 1 O a ti d SI e I Address Subdivision PB 1 PG 5(o Current Use of Property Pr t i4611 Proposed Use of Property 1 r"► PnG/l 1\101.- Tenant Information fill / PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Master Permit No. Subsidiary Permit No. M ; a•rt,l City Zoning Square Feet ( a 'balue of Work 11000 .00 �ax Assessed/Appraised Value Flood Zone 1V o FL State rn15 -tal ; N NeLJ PERMIT APPLICATION Linear Feet 5 Zip iv/W.41.05 £p 1�US� u?�, Folio Number Description of Wor Lot q On f; 106+ t ��1 L Ri o CJ a GoIDCRest O I-I Units Floors Bldg Value Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 111POR'I'AN'F NOTICES 1. 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 se • 1 1 • HE JOB SITE in accordance with Section 13 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. � � ao�tt STA C rA,�U N �at e of Owner 2 A E . 3?4 Print Name Sworn to and subscribed before me this 9 day of of Notary Public - State of Florida Signature of Notary Public - State of Florida SEAL: SEAL: PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Personally known t / OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: OF17CI,�.L,•:tdi AIjY SEAL MIOSOTIS PABLUS NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD079197 MY COMMISSION EXP. DEC. 17 ELEC'T'RICA TvI'1•; Minimum Fee () T1'1'1'; Dryer (1 'rm.: Outlet, Appliance (1 'Il'I'I: Service Repair Q'I' A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 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 11 IC11 ANICAL Tl'l'P. Minimum Fee ()Ty. TV'PE Condensate Drain QT1'. TYPE Generator QTl'. 'fl'1'E Refrigeration, Tons QTY. 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 Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLU i\1RING T1'I'i•: A/C Condensate Qi'1'. "1'1'1'1: Drains, Roof QTY. 'nil: Miscellaneous Fixture QTY. 'El PE 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 1 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) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (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 SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE ( x .60 x/1000 ) (¢.005 /sq.ft.) (¢.01 /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. 2ND 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 statc,nenn or ore 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 lttiami 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 plats and specifications must be kept at building during progreu of the work. — �-� _ � �..._._�........ 1'9..� Owner's Name and Address .... /.Y.l./.`. . L<<`.........! e;/1/4- v...._._ ._. p No. � �/2 —/7" LStreet/1' ..... _, - Registered Architect and /or Engineer........ D. ( S ( - rs, h rag j • • O) ,,,tmx..... / rr Ci, fc-`r_ _ o ✓-/ o ir/. w , 7,9 ("vc -NvL >141- Name and address of licensed contr�ctor.... � � j3�66 Location and 'I,,e}} �I of lot to be built on: Lot D ...°T 11 Block. Su bdivision... &di! a j /O/ <71 Q / o7e 5 . _ill.. � Street and Number where work is to be done State work to be done and purpose of building (by floors). A) c ua ti.) vvv ua ri+ O 4- - )4 /Pa e x,>sri`�G 04) 641.1ive S.- _..C1/ 4 51- u°-J and for no other purpose. Remodeling Addition Repairs No. of Stories Kind of foundation Roof, _Covering Amount of Permit $. Zlie W Zone cubage required plan Cubage Distance .to next ne.trest building. Size of Building Lot Ncw Building To be constructed of Estimate Total cost of improvements $ r U° 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.. s i • ntractors, on The undersigned applicant for this building permit does hereby certify that he understands and accepts his of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Flo and has complied ss ith the provisions thereof, and will require similar compliance from all contractors or su in the work to be performed under this permit; and will post or cause to be posted for ins e ' , , or notices as are required by the Act. The undersigned agrees to emplo pcnnit, as are licensed by Miami Shores Village. Remuks (Signed to cfg yy r -.:ligations as an employer 4 Permanent Supplement, ntractors employed by him the work such uhlic notice der this 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 ..cS mo GT1 ttiy4 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 ell facts therein by him stated are true.. Permit No..... _ 7 414 4) l Date Disapproved L._.... a ate (Signed) Ilk ii Building Inspector Chairman Mcrr,bcr Member .. _....._......_..._. _ ...._....._ Council Approved Date Reat Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Ex pines.. HQ1ARY_P.1161LEAT.E.QE11QB1DA... MY COMMISSION EXPIRES JULY 25 1987 PLANNING BOARD DATEXONI I1 I V .C.ENEgAL NCE unto Member a — Member Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the I'I.,nnir.;; Board. A re.in.pectiorr fee of 31.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. has been obtained frnan for inspection or faulty 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 Villap shall'bc 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.. /_ �..... ,19 Owner's Name and Address y j�, . '9! 4,2-n-42-42(r. — No....,11 .• .. Street--,M Registered Architect and /or Engineer.. .. r t �� .... ., -..•.:.,..,,.-,..<.. T. _e Name and address of licensed contractor .. -.. . ...GL..r .. .?� .G1.Q°..:7t!J. . -• -••• •••¢.� .2' Q'�4:.5� A. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done .1.__.g %.. oex- State work to be done and pu fp se of building (by floors ).441/ .. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ._.....__.. Date (Signed) Budding - Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fougdation 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 subcontr ;ctoys, on work to be performed under this pernit, as are licensed by Miami Shores Village. Remarks (Signed) 1�T�L".! _. �. �.` ts. �?- r .:lccr_�.1._.._.�.P/�•i.�Y ©�¢.D �.x..l fi and for no other purpose. 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 for oing application, and that he did sign the same, and that all facts therein by him stat d are tru 3 Permit No..___L� Date 3 — - Rea d, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Comm m ssion Expires PLANNpG 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 err fault materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 budding during progress of the work. Date...�.. 25 _._..._..__ _..._.__ ....... ,19.. Owner's Name and Address Mrs Maria DeLucia - No..3B........_... Street N.'E. 102nd. St. Registered Architect and /or Engineer Name and address of licensed contractor Calumet Windows Inc. 1002 E. 24th. St., Hialeah, Fla. 33013 Location and legal description of lot to be built on: Lot Block Subdivision �....__ ._ Street and Number where work is to be done 118 N.E. 102nd. Street Miami Shores, Fla. State work to be done and purpose of building (by floors) R 8 existing windows and install 8 aluminum awning type windows. No structural changes. and for no other purpose. New Building Remodeling 6 WindowsAddition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Amount of Permit $,. 5. plan Cubage Size of Building Lot Estimated Total cost of improvements $....Ul a20 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. be sent to Calumet Windows Inc., 1002 E. 24th. The undersigned applicant for this building permit does hereby certify that he un of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp and has complied with the provisions thereof, and will require similar compliance f in the work to be performed under this permit; and will post or cause to be posted or notices as are required by the Act. The undersigned agrees to employ only such pennit, as are licensed by Miami Shores Village. Remarks..__ (Signed )...;_ All notices with efer �' a to the St., Hialea �.a. 33 erstands and accepts his obligations as an employer aws of Florida, Permanent Supplement, ctors or sub - contractors employed by him on the site of the work such public notice rs, on work to be performed under this ding and its construction may ... 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 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.. / t .7 _2_ Date - 2 -2 - f Z Read, Sworn to and Subscribed before me. Disapproved Date. ._..__...._ (Signed) Building Inspecto to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ...... _..__._..._. _....._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin.t Board. A re fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7009 Work to be performed under this Permit Architect Bl. Contractor or Builder Legal Lot Description Address of Building This permit is granted to the contractor or builder n ed above to construct the building or to install the equipment or device described in the appli- cation 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 tlra gs 'r ' the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. F e,p.: .• . •:,,, Signed: f i sa, --. ::�, .: � By "` ` .� fa EN SPEC TOR i In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with 41J„ ordinances and. egtdat ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifica s submitted to the proper authorities of Miami ShotetTililllaage. ' In acceptig this permit I assume responsib ity for all work done e 'myself, my a_ • • , servant • employee. 11 t DE ri R / // ( AUTHORAUTHORITY % r r CONTRAC'I OR $UIL Y 3 Subdi- vision Value of Project DATE Contractor's License No Amt. of Permit $1 /s7 ( 194 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. / Date fi %1 _ + ,% � 7ia,, , 1 '..: Owner's Name and Address t � ___— ,I° — ! 4 , No Street Registered Architect and /or Engineer Name and address of licensed contractor________ ,e,__ 7 _ Location and legal description of lot to be built on: Lot Block Subdivision_________________ _ rA Street and Number where work is to be done ,.! ___ 1 - --a _ + :' 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 D � 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 4 to be perfoifned under this permit, as are licensed by Miami Shores Village Remarks-_--------------- __ --_– ( Signed) 7 Z_ Date 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 car fully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Building Inspector Permit No Disapproved Date ( Signed) Chairman Member Member Council Approved. Date PLANNING BOARD DATE - " -4 to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member 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.