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246 NE 102 St (4)Date Type Insp'n • Permit No. Name Address Company Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Req Name & Date Date Type Insp'n Permit No. Name / Address 1 )1,e_ ` 0 02 � P* • Company Phone # 3 Qs For InspectoW l / I )03 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Time yy\ UL2A, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 r3(v3 ' Job Address 2 4b J o 2 S� Tax Folio 1/3 a10 of 3 V 7 z/ r2 ii Legal Description t� i ( = 1 f lic. 3 Historically Designated: Yes Owner/Lessee / Tenant IC T A it, Trin L 2 /�'� /O S'' �y // Phone 3O 7 5 Contracting Co. 44- `'R" 7 / c2e;; Address /49L J 7 / 14, A7 2 ?9 Qualifier 3Ci - t, —C _ Aca,A/21) hone J© ? db �� / �'� / State # CCC 0/4627 Owner's Address Architect/Engineer Address Bonding Company Address .••••• Mortgagor Address _ • • , • • • • • • Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING • PVING FFVE •••••• WORK DESCRIPTION Square Ft. FEES: PERMIT APPROVED: Zoning Mechanical . • c: . 0000 0000 ▪ 9009 . ..... • WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOU1r F AILURE SO 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.) /// y Municipal # e rgnature : `A4' .L„ r`�, ;, ?•, ir • • • I Date rYc RADON S. 8 Building 0)' Competency # Estimated Cost (value) Notary as to Owner' and/or Condo President Date Notary as to Contractor My Commission Expires: My Commission 3.. t C.C.F. t , ( P() NOTARY Master Permit # Electrical . Ins. Co. •• • e of Contractor or Owner- Builder or Owner- Builder CarretesimOIVC bikes fin. Bowline Tani OD. Im No • •• 99 0 00 9 , • • • ...• 900 0 ... 410 • • • 9 BOND 2_ Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. TOTAL DU • .0000. SIGN • •.•••. • • 00000 • • 0 0000 00000 ate 3//03 Date Plumbing Engineering • _ Phone: 305 - 795 -2204 Printed: 3/7/2003 FOR Miami Shores Village 10050 NE 2nd Avenue I Applicant: JERRY O Owner: LANCE JOB ADDRESS: 246 NE 102 I " Contractor AAA QUALITY ROOFING Permit Status: APPROVED Permit Expiration: C Work: RE ROOF FLAT ONLY AAA QUALITY ROOFING, INC. Operating Account Ph. 954-321-5513 305 - 358 -4938 1690 Weeping Willow Way Hollywood, Fl 33019 Local Phone: 305 - 358 -4938 Parcel # 1132060134740 R/T 067006432 9/3/2003 11'0069 3611' 1:06 70064 3 21: 2090000060 Building Permit Permit Number: BP2003 -390 LANCE JERRY ST Contractor's Address: 1690 WEEPING WILLOW WAY Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 6 & 7 BLK 35 LOT SIZE 100.000 Fees: FEE2003 -1414 FEE2003 -1415 FEE2003 -1416 FEE2003 -1417 Description Building Fee CCF Builder's Bond Inpector State Educational Fund Total Fees: Amount $90.00 $1.80 $300.00 $5.82 $397.62 Total Fees: $397.62 Total Receipts: $0.00 Construction Value: $3,000.00 3 /D PAY TO THE do / �n'1r4' f <l�.Lo� (--� $ 3 V 7 ORDER OF 4s ? (1.6 f )../ZAJbO 1)..p S� r �DOLLARS First Union National Bank DATE 6936 63- 643/670 BRANCH 13095 D3 6z Page 1 of 1 ror e- inspection ation herefor in strict compliance with all rations that may have been submitted to or if the plans are changed without msibility for a thorough knowledge of the at he assumes responsibility for work done pertaining thereto and in strict conformity 3ponisibility for all work done by either Permit # Tax Folio # State of Florida County of Broward The) undersigned hereby give notice that Improvement will be made to certain .real property, and in accordance with Section 713.13 F.S., the following information Is provided in this Notice of Commencement: Legal Description of Property: Lot , '7 , Block -� Subdivisions "" fC / 4 h /L.c' /0 S° /9 etAo s,.ue for ansch legal d•acrtp41o4 Street Address: 1 u evadable ! NOTICE OF COMMENCEMENT General Description of Improvement: RE-ROOF Property Owner Name Mailing Address and Interest In Property Name and Mailing Address of Fee Simple Titleholder (if other than owner) Contractor Name Si Address Many) 11 Surety Bond, Name and Address of Surety and Bond Amount $ Lender Name and Address lif any) In addition to himself, Owner designates Owner Signature: Owner Signature: • Printed Name: Signature 01 Notary: Printed Name: (affix saMq Notice as provided In Section 713.13(1)(B). Florida Statutes. Expiration Date of this Notice: umpires 1 !roar from data re or ad mess • dolled* Idols a specified! � �`� r Printed Name: 1KAT7 6 NCB SWORN TO AND SUBSCRIBED before me this —7 day of Af.4elz- . Ile Za2r wr �K'm -c c /?, j. • / 7; * nJ L.R#vC' . di " /O /C14nc1 r rig-.. -r /; y7/6/ hoses Reseeded oecente t 4,4 .// r f 6 90 w Cl y 1.i L: /%Z 2r o7 Jean h riea Richard / fi�r• „�,���_ �����,�, .► • away DNB% (Arrad Ls/ 1 1 • AAA QUALITY ROOFING CO. 1690 WEEPING WILLOW WAY / HOLLYWOOD, FL 33019 03R 150:2473 3 2 MAR 0 14:06 • , I Mince above fir. Ins .o.o,vod la wwdlne alllcs ussW iD/5 /v — 70 2 5z 6, Ad es /0 2 .r.r /49-4 / (copy of bond must be attached to this Noticfs at time of recording ) Persons within the State of Florida (names and addresses) designated by property owner upon whom Notices or other documents may be served as provided by Section 713.13 (1) (A) 7., Florida Statutes: I; to receive a copy of the Uenor's STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY1tlrat this is atrt opy of the origrnal fil�+d rn thrs ottice on br day or , A D 20 � • WITNESS my hand and Official HARVEY 1UVIN, CLERK o1 Cir it . nd County Courtls B D.C. ?J /b / (Space oboe. IMs lino Is fosorvod los ,sanding allies usa.l •of • Aloof 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,E 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. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 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 Roofing Considerations (Re- Roofing Only) 7. Any Required Roof Testing /Calculation Documentation Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF E UNIFORM ROOFING PERMIT PPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: r Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name MA' AL 't 120-10 (2 f 6 /02.5' / / may( f6*, aP Job Address Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) //4 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and ocation of parapets. ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes ROOF CATEGORY Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 System Manufacturer. Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA") 7'7 NOANo.: O2---02 - • 0 Design Wind Pressures, F omm RAS 128 or Calculations: Pmax1: '�S Pmax2: �a 7 Pmax3: 1 ?f. f Max. Design Pressure, From the Specific NOA System: S 2 . 5 Deck: Type: Woob Gauge/Thickness: /X 6 T9` `s Slope: 0 Anchor /Base Sheet & No. of Ply(s): TANA 64J'J 4C 4.ra' Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer. ,ABC / ° Ail.: Base Insulation Size and Thickness: ) / 2 Base Insulation Fastener/Bonding Material: /4411-- .r / W /,241 Top Insulation Layer. Top Insulation Size and Thickness: 44 ixy Top Insulation Fastener/Bonding Material: 61 .[' ; O/p,4l' i Base Sheet(s) & No. of Ply(s): N /iA Base Sheet Fastener/Bonding PIy Sheet(s) .& No. of Ply(s): / "D/y / ✓ PIy Sheet Fastener/ onding Material: Top PIy: /4€ 14 i✓ /7 D L< Top PIy Fastener/ Bonding Material: / e,47. ; -- . tfe Surfacing: AI/ X r pi Fastener Spacing for Anchor /Base Sheet Attachment Field: 7 ' oc @ Lap, # Rows 2 @ 9 " oc Perimeter,_" oc @ Lap, # Rows,. @ oc Comer. 4' " oc @ Lap, # Rowsfl @ 4 ' oc Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, C , E tc. I ndicat oping e: 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. 26 GM l.+ith' 4)e%, • of 4) 12. ' CO pe 2x6 pT N atR w ucFwti 9 ®(8.‘01c_ 1 41“ .s" rc- I'f* "Qv NMS FT. 10 Parapet Height / Mean Roof Height Jul 30 02 0S :22a Tr1MKO MI tlUII.DINC CODE. COyn•LJANCK OFFICE (RCCO) PRODUCT co ntot. DIVISION NOTICE OF ACCEPTANCE; (NOA) Tumid) Rooting Products, Inc. P.O. Rox 1 404 Joplin. MO 64802 RECEIVED AT MINIM — TECNS,OP 7AMtfO F_MPI,Or E This L'ottstsls of page's I through 20. The submitted documentation %vas reviewed by (rank Zuloaga. RRC lsuu��lefef4:. M• e MIAMI -D.AD£ COUNIY.I1.OKtl):\ METRO-UAI)E Ft.ACIJ;R (ullt.l)1�1C 111) wF :s ►•t St - REST. snrr : 16113 MIAMI. FLORIDA 1313(1 -1563 (31)5) 375 -2911 IAN (305) 175-290X SCOPE: This NOA i5 being issued Linda the applicable rule's and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -l)nde County Product Control Division and accepted by the Board of Rules and Appc:tts (BORA) to be use in Miami Dade County and other areas ■vht•re allowed by the Authority Having Jurisdiction (AI -11). This NOA shall not bc valid after the expiration date stated below_ The Miami-Dade County Product Control Division (In Miami Dade County) and /or the AI-IJ (in areas other than Miami Dade County) reserve the right to hav this product Or material fesud for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such retain; :old ihu AF1J may immediately n voh e. modify. or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if h is determined by Miami -Dade County Product Control Division that this product pr material fails to meet the requirements of the applicable building cute. This product is approved as described herein, and has been designed to comply with the 1 high Velocity 1 turricane Zone of the Florida Building Code. DESCRIPTION: TAM1*ZO Modified Bitumen Roo System Over Wood I)cckc LABELING: Each unit shall hear a permanent label with the manufacturer's name or logo. city, state and fulloving statement: "Miami -Dade County Product Control Approved unless otherwise noted herein. RENEWAL of this NOA shall be considered alter a renewal application has been filed and thl•re has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur alter the expiration date or if there has been a revision or change in the materials. use, and/or manufacture of the product or process. Misucc of Otis NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: Thc NOA number preceded by the words Miami - Dale County. Florida. and followed by the expiration date may be displayed in advertising literature. if any portion of the NOA is displayed. then it shall bc done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at theft b site a( the rcl of the Building Official. NOA No.: 02-0212.07 Expiration D,tte: 0S//3/07 Approval Date: OSrnf3 Paxc 1 or z0 6/1 'd I169' ONV1INNfS NV l:ll - 601i .Is'1)'0 Jul 30 D2 09:22e TANKO 8005418849 p -3 ROOFING SYSTEM APPROVAL Cntco rye Cab- Cateror v: Deck Tvpe: yiaaimunr Dcsi_n Pres me Fire Classification: TRADE NAMES OF PRODUCis MANurACTUREO Oft LABELED BY APPLICANT; MULE 1 Product Dimensions Awaplan 170 FR Awaplan 170x" Awaplan Premium FRrnt Awaplan Prentiuntr"' Awaflex f•R Roofing Sl3S /APP, Modified I3ituten Wood -60 psf Sc., General Limitation 111 Roil weight: 98 lbs.; 33' 11 "x39 3 / 4 " K Roll weight: 98 lbs.; 33' 1 1 " x 3 9 8 Awaplan Meat Roll weight: 96 WcldingTm lbs.; 2 5' 5" x 39'4, Roll weight: 101 lbs.: 33' 1 I" x 39 RoII weight: 101 lbs.: 33' 1 I" x 39'/," Awaflcx Roll weight: 76 Ibs: 35.9' N 36" Roll weight: 76 lbs: 35.9' x 36" Test Specification ASTM 5147 ASTM 0 6164 Type 1 , Grade G ASTM f) 5147 ASTM D 6164 'I ype 1 GrndeG ASTM D 5147 ASTM D 6164 Type 11 Grade G ASTM D 5147 ASTM D 616-1 Type II Grade G ASTM D 5147 ASTM D6164 Type!! Grade G ASTM [) 5147 :: ASTM D 5147.1 Product i)cccription A 180 g/m= polyester reinforced SOS modified bitumen membrane surfaced wit] granules and treated for additional fire resistance. Applied in hot asphalt or cold adhesive. A 180 g/nt= polyester reinforced Sf3S modified bitumen membrane surfaced with granules. Applied in hot asphalt or cold adhesive:, A 250 g/m'' polyester reinforced SRS modified bitumen membrane surfaced with granules. Applied by torch and also used aS 2 walkway material. A 250 g/ml polyester reinforced modified bitumen membrane surfaced with granules. Applied by hot asphalt and also used as a walkway material. A 250 g/m polyester reinforced SOS modified bitumen mentbranc surfaced %vitt, granules. Applied in hot asphalt or cold adhesive, and also used as a walkway material. SOS modified cap sheet constructed with a 155gm/m' non- woven polyester mat saturated with asphalt, coated on both sides with SOS rubber modified wtphaIt and surfaced with ceramic granules for UV protection. Sf3S 1=R modified cap sheet constructed with a 155au/m= non- woven polyester mat saturated with asphalt, coated on both sides with Sf3S rubber modified asphalt, I`R treated, and surfaced with ceramic granules for Uaprotce.tion. NOA r4o.: 02 0112.07 Eaptrstloo tae:05/23AV Approval Date: 05/13/02 Page 3 of 20 6/Z 'd 1169' aNd1INNOS 11V171:11 Z007, 'IZ'130 J41 30 02 05:22a TAMKO 8005416849 p -4 . Product Awaplan Vcrsa- Smooth Awaplan Versa -race Roll weight: 76 lbs: 33' 11" x 39 -3/8" Rase -N -Ply' 0J3SSI3aSeTM Tam- CapT''+ Tam -Glass Prcn,'iu,nTM Tam -Ply IVT" Type 43 Base Sheet Vapor-ChanTM Versa -Base FRT" Rall weight: 60 lbs.; 48' 2" x 39 Versa-Base Roll weight: 94 lbs.: 48' 2" x 39'4" Versa -Cap rRT'a Tam-Pro f ibcrcd Emulsion Tam -Pro Primer Dimensions Roll weight: .100 lbs. 33' I t" x 39'/ Roll weight: 72 lbs.; 97' -6" x 39 Roll weight_ 72 lbs.; 97' 6" x 39 Roll weight: 83 lbs.; 32' II' x 39 /s Roll weight: 53 lbs.; 161' 9" x 39'4" Roll wci�;ht: 44 lbs.; 161' 9" x 39 Roll weight: 85 lbs.; 72' x 36" Roll weight: 86 lbs.; 32' 11" x 39'/," Roll weight: 87 lbs.: 33' x 39'4" 5 gallon 5 gallon Test Stnecifiention ASTM D 5147 AS'liM0 'type 1 Grade S ASTM D 5 147 AS"I'M C3 6164 - fype 1 Gradc S ASTM D 4601 Type 11 ASTM 0 Type 11 ASTM D 3909 ASTM D2178 Type VI ASTM D2178 Type IV ASTM 0 2626 ASTM D 4397 ASTM D 5147 ASTM 05147 ASTM D 6163 Type 1. Grade G ASTM 0 5147 ASTM I) 1227, type 11 ASTM 1) 41 Asphalt haled primer . Product Uc�erintinn A 180 Wns polyester reinforced SI3S modified bittnnctt membrane. Applied in hot asphalt. by turch, or mechanically fastened, as a base, ply in 2 ply modified systems. A 170 g/me nonwoven polyester reinforced SItS modified bitumen membrane. Applied in hot asphalt, as n bilge ply in 2 ply modified systems. Asphah impregnated and coated glass fiber base sheet for use in conventional and modified bitumen built -up roormg. Asphalt impregnated and coated glass fiber base sheet for use in conventional and modified bitumen built -up rooting. Asphalt impregnated and coated felt surfaced with mineral granules used as the top ply in conventional built -up roof membranes. Asphalt impregnated glass fell for use in conventional and modified bittuncn huilt- up roofing. Asphalt impregnated glass fete for use in conventional and modified bitumen built - up rooting An organic. felt reinforced asphalt b sheet. Applied in hot asphalt or mechanically fastened. Heavy duty fiber glass base sheet impregnated and coated on both sides with asphalt with or xvithout a fine mineral stabilizer. Surfaced on the bottom side with coarse mineral granules embedded hot asphahic coating. Asphalt impregnated and carted glass titter base sltc'ct for use in conventional and modified bitumen built -up rooting_ Asphalt impregnated and coated glass fiber base sheet fir use in conventional and modified bitumen built -up roofing. A fiberglass reinforced, mineral surfaced, SRS modified bitumen top membrane. Protective coating. NOA No.: 02- 0212.07 Expiration Date. 0523/117 Approval Date: 05f23/02 Pate 3 of 20 6/C 'd 1169' aNd1INNAS Wd1l:ll ZOOZ '1Z'13O Jul 30 02 09:22a TANKO Product Tam -Pao Fire Rated Fibcrud Aluminum Roof Dating APPROVED INSULATIONS: Product ACFoam 1l, ACFoam Composite ConP a rl Eagan! Fiberboard GAF Permalite GAF Fiberboard High Density Wood Fiberboard Pcrlitc Insulation Dens -Deck Arnmr Board Regular Fiberboard Hubert Fiberboard ENRG'Y 2, PS1 -25 Fcsco Board. Rctro -Fu Board Kop-R Wood fiber Structodek. Structodck Fs Test Product Dimensions Specification 1 >escriptinn 5 gallons AS D21124. Flame retardant protective coating type lit TAtu.r 2 Test Dimensions Specification varitxis PA 110 various PA 110 various PA 110 various PA 110 various PA 110 ' various PA 110 various PA 110 various PA 110 various PA 110 various PA 110 various PA 110 various PA 110 various PA 110 various PA 110 Product Description Polyisocyanurate foam insulation Expanded perfite mineral fiber Wood fiber board Expanded mineral fiber Wood fiber baard 8005418849 Wood fiber insulation board Perlite insulation board Gypsum insulation board Wood fiber board Wood fiber board Polyisocvanurate foam insulation Expanded mineral fiber Po(yisocyanuratc foam insulation Wood litter board Manufacturer Atlas Energy Products (with current NOA) Conglas (with currant NOA) FMCO Ltd. (with current NOA) GAF Mat'I. Corp. (with current NOA) GAF Mar I. Corp. (with current NOA) Generic (with current NOA) Generic (with current NOA) Gcorz is -Paci I is (with current NOA) 1luneywell lneI. Inc. (with current NOA) I u bcrt Fibcrboan.l. Inc. (with current NOA) Johns Manville Corp. (with current NOA) Johns Manville Corp. (with current NOA) Koppers Industries. Inc. (with current NOA) Masonitcc (with current NOA) NOA No -; 02 -0212.07 Expiration Date: 05/23/07 Approval Date: 05/23M' Page 4 of 20 p.5 6// 'd 1159' ONV1INNIlS wv91:11 Jul 30 02 03123a TF APPROVED FASTENERS: Fastener Product Number Name I . Dekfaa, Fasteners N12. #14& 1115 ?, Ockt'tast Ilex Plate 3. #12 Roofgrip Fasteners 4, Metal Plate 5. Olympic Fastener till &1114 6. Olympic G -2 7. Olympic Standard 8. In.sut -Fixx Fastener 9. Insul -Fixx S Mac 10. Tot -mast 11. Tru -Fast Plater 6/5 'd 1169' TABL.t, 3 1'rtxluct 1) etc ri ption Insulation fastener for wood. steel and concrete decks Galvalumc hex stress plate. Insulation fastener for wood and steel. Galvalumc stress plate. Insulat fastener 3.5" round galvalume AZ55 steel plate . 3" round g alvnlunte AZ50 steel plate Insulation fastener for steel and wood ducks 3" round galvalumc A250 steel plate Insulation fastener for steel and wood decks 3" round tatvatnme AZS5 steel plate 800541 8114 I Dimensions 27/8 "x 3 1/4" 3" round 3" square 3.5" round 3" round 3" round 3" round ■ ■ Manufacturer (With Current NOA) Construction fasteners Inc. Construction Fasteners Inc. rrw fuitdcx Corp. ITW f3uildcx Corp. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Mc. Olympic Manufacturing Group. Inc. SFS Stadler, Inc. SFS Stadler, Inc. The 1'nt -bast Corp. The 'rru -Fast Corp. NOA No.: 02 -0212.07 Et pinttion Dale: 05x_3107 Approval Date: 0u23/02 P4gc5or20 P . ti GNV1INNRS 11d91:11 ZOOZ Jul 90 02 09 :234 TAW° EVIDENCE StT8MITTFD: Test A . /Identifier Factory Mutual Rcsunrrh Corporation Underwriters Laboratories, Inc. Dynatech Engineering Corporation Exterior Research & Design, t.LC. Exterior Research & Design, 1.LC. Name Comparative Rupture Testing Cia$S 1 Piro Class 1 Fire; 1 -90 Windstorm Classification Class I Fire: 1-90 Windstorm Classification Fire Classification — see current directory Wind Uplift Resistance Wind Uplift Testing Wind Uplift Testing Wind Uplin Testing Wind Uplift Testing 9005419949 Retort bate 1.1. 4DOA7.AM 10.2 1.98 .1.1. 07.4A3.AM 0L 27.97 1.1. 1D4A7.AM 10.20.97 J.I.3f35A9.AM 08.27.973 83225 Published A initially R3225 -1 through 13 02.17.94 4440.05.95 -' 05.0195 4440.05.95 -1 05.01.95 4444.06.98 -1 06.15.98 4.49.08.99 -1 08.03.99 NOA No.: 02- 0212.07 F.xpiration Date: 05/23/07 Approval Date: 05/23/02 Page 6 01 20 p • 7 6/9 'd 1169' GNV1INNf1S Wd61:11 Z007, '17'100 Jul 30 02 09 :25n TRNKO 9005419949 p.113 Deck Type 1: Wood, Non - insulated. New Construction Flock Description: Minimum 13 / 12 " or ttreater plywood or wood plank. Plywood shall be attached to 2" x 4" wood supports spaced 24" o.e. using wood screws spaced 6" o.c. at perimeters and intermediate supports. System Type E: ilasc sheet mechanically fastened. All General and System limitations apply. Anchor Sheet: Fastening: Ply Sheet: Membrane: Surfacing: Maximum Design Pressure: Sec Base Sheet Fastening Options above Otte ply of Tamko Glass -Base, Vapor -Chan, Versa-Rex, Versa-Base. Versa- Smooth or Class -N -Ply fastened to the deck as described below: (Option N1) Attach anchor sheet using 11 g . annular ring shank nails and 1 -5 /11" diameter tin caps spaced 9" o.c. in a 4" lap and 9" o.e. in two staggered rows in the center of the sheet. ( -5J.5 p+f. Sc t General Limitation *7.) (Option #2) Attach anchor sheet using CF Dekfast or #14 DekPast Fasteners with CI= ilex Plates, SFS 012 or 1 -ID 1nsullixx S. or l3uildex Aecutrac Fasteners and 3" Square Plates spaced 12" o,c, in 4" lap and 12" o.c. in two stagcred rows in the center of the sheet. ( -60.0 ptf, Ste General Limitation *7.) (Optional) One or more plies of Tam -Glass Premium, Tam -Ply IV, Glass fiance, Base-N -Ply, Awaplan Versa-Smooth, Awaplan Versnflex, or Versa -Base adhered with a full mopping of approved asphalt applied within the EV'I' range and at a rate of 20-40 IbsJsq. Awaplan Premium. Awaplan Premium FR. Awaplan 170. Awatlex, Awaflex Awaplan 170 FR, Awaplan Versa- Smooth. Awaplan Versallex. or Versa -Cap 1'R adhered with a full mopping of approved asphalt applied at 400' I' at the paint of contact and at a rate of 20-40 lbs. /sq.: or Awaplan !lent Welding or Versa - Smooth adhered by torch. Opt Iona! to mineral surfaced Membranes. Required for smooth surfaced ,ncrnbranes: 1. 400 lb./sq. gravel or 300 lb Jul. slag in a flood coat of approved moppinc asphalt at an application rate of 60 lb./sq.. 2. Tam -Pro FR Aluminum Coating applied at l'' /- gal /sq., or Tam-Pro I'ibcred Emulsion at 3 gal /sq. NOA No.: 02 -0312.07 Expiration talc: 0933107 Approval Dale: 03/2.3103 Page 17 or 20 6/L 'd 1 169 • °N ONd1I NNf1S Wd9 I l l 1002 ' l 1 ' 1 3U Jul 3002 08:26a TAMKO 8005418849 p.21 WOOD DECK SYSTEM LIMiTATiONS: 1. A slip - sheet is required with Ply 4 and Ply 6 when used as :t mechanically fastened base i +r anchor sheet. GENERAL LIMtTATiONS: 1. Fire classification is not part of this acceptance, refer to a current Approved planting Materials Directory for fin; ratings of this product. 2. Insulation may bc installed in multiple layers. The first layer shall be attached m compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the IWT range and nl n rate of 20-40 IbsJsq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall bc 4' x 4' maximum. 4. An overlay and/or rcuwery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sleet shall be applied using spot mopping with approved asphalt, 12" diameter circles. 24" o.c.: or strip mopped 8" ribbons in three rows, one at e.'tth sidefap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lb Jsq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psf. S. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as hosted in compliance with Testing Application Standard'1AS 105. lithe fastener value, as lie)d- tested. are below 275 ibf. Insulation attachment shall not be acceptable. 6. Fastcnetir spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance bc less than that required. as determined by the Building Official. a revised fastener spacing. prepared. sign 1 and scaled by a Florida registered Professional Engineer. Rceistcrcd Architect. or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shalt comply with the enhanced uplift pressure requirements of these arras. Fastener densities shall he increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared. signed and scaled by a Florida registered Professional Engineer. Registered Architect. or Registered Roof Consultant (Ware this limitation is specifically referred within this NOA, General Limitation N9 will be applicable.) 8. All attachment and sizing of perimeter Hailers. metal profile, and/or flashing tem+ination designs shall conform with Roofing Application Standard RAS 111 and applicable what load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all rcx+f pressure zones (i.e. field,'perirnetcrs,and corners). Neither rational analysis. nor extrapolation shall be permitted for enhanced fastening at enhanced pits zones (i.e. perimeters. extended corners and corners). (When this limitation k specifically referred within this NOA, General Limitation q7 will not be applicable.) END OF T11IS ACCEPTANCE ■ NOA No.: 02.0212.07 Expiration !later: 05/23/07 Approval Date: 05/23/12 Page 20 or 20 6/8 'd 1169' °N fNV1iNNf1S WvgI :11 7,007, • I7 & SYSTEMS [XRECTORY ROOF COVERING MATERIALS (TENT) Roofing, Systems (TGFU)– Continued • Membrane: Speedweld GP or Speedweld SP (modified bitumen), heat tv lded. Surfacing: Kokem Products "Sunguard Acrylic Roof Coating" at 1 . gal /sq. 24. Deck: ('15/32 Incline: Insulation: Per lite, wood fiber or glass fiber, 1 in. mechanically fas- h•nod. Ply Sheet: lyl>,' 1.2, media:wally fastened. Membrane: Speedweld tit` heat welded. Sarfacing: Mtntw'y )'rodu.•ts "Endure Aluminum Roof Coating", "tVoader Cheek" or - 1'r Gr.tde Aluminum Roof Coating", 1.5 gal /sq. 23. Deck NC Incline: 1 insulation (Optional): Polyieocyanurate, glass fiber, pedite, wood fiber. any combination, any thickness Base Sheet Type C;2• medtdnicalIy fastened or hot mopped. Membrane: Speedwell ( ;P ur Speedweld Si tmodified bitumen), heat wetded. Surfacing: Gr Industries "al MB Aluminum Roof Coating" of 1 - gal/sq. 2t•. Deck: NC Incline: 1/2 insulation: Polyisoeyanurate, glass fiber. perlite or wood fiber any thickness, meth.aniiall) f..sten.d or adhered with hot roofing asphalt. Base Sheet Type C:2 or Pnlyglas "Elustobase", mechanically fastened or adlher.rJ with hot tnnling asphalt. Membrane. ShettlwelJ GI' or Speedweld SP ;modified bitumen), heat tvt'lJ. r,1. Surfacing: (.ilti.titite "No. 1)5 Ciro Retardant Aluminum Coating", 1-1/2 gal /sq. 27. Deck: NC Incline: 1 Insulation: Cellular :onsets. gypsum Concrete, vermiculite concrete, ptrliW oncrete or )tnt.:tural i.tncrete. Primer: Not t.1 Classified as required by manufacturer. Meotbrana 5ikvdtceki (a' or Speedweld SP. Coating \luusc) Products "Endure Aluminum Roof Coating ", "Weather C:heek ".•r "I'ro C:rada Aluminum Rnaf Coating ". at 1.5 gal /sq. or Grundy lnJu' Ii es ".d Alft Aluminum Roof Coating ", 1 - gal /sq 28. Deck NC incline: 1 insulation (Optional): Any thickness, one or :pore layers UL Classified partite, wood fiber, glass fiber, polyisocyanurate, polyisocyanutate/ composite, EPS /wood fiber, EPS /perlite, EPS /composite or Partek insu- lation 'PAROC" roof insulation. Base Sheet: One or mots. layers Type G1 or C2. Membrane: One or more layers Speedwell GP or Speedweld SP (modified bitumen), heat fused. Surfacing Fields "1.53111 teat Shield Aluminum Coating" or "F630 Heat Shield Fibertd Aluminum Coating', 1-1/2 gat /sq. 29. Deck: C- 15/32 incline: 2 Barrier Board: G -I' Gypsum Dens- Deckda, 1/4 in., mechanically fastened. Insulation: Any combination, any thickness, hot mopped or mechani- cally fastened. Polyisor:yanur.ne, wood fiber, glass fiber, cellular glass or tvtkavool. Base Shear. One ply Type G: or "Versa - Base, hot mopped or mechani- cally faahned. Membrane: "Versa-Cap FR" (modified bitumen), hot mopped. 30. Deck: C -15/32 Incline: 2 Barrier Board: G -t' Gypsum Dens - Decks, 1/4 in., mechanically fas- tened- Baae Sheet: "Moisture; Guard Plus" self adhering membrane. May be used with an asphalt primer. Membrane: "Versa -Cap FR" (modified bitumen), hot mopped. 31. Deck: NC: incline: 1/4 insulation Any polvisoeyanurate, perlite, glass fiber, any thickness ire haeically fastened. Base Sheet "Vent Ply", - Tam-Glass Premium ", "Tam -Ply IV ", "Vapor- Chan", "ClasrBax', "-De Base Sheet" or "versa- Base", adhered with "M -3" adhesive at 1 gat per s. Membrane: "Awaplan Premium FR", "Awaplan 170 FR ", "Awaflex FR" "Versa -Cap FR" "Awaplan Premium ", "Awaplan 170", "Awaflex" or "Awaplao-1 ieat Weld" adhered with "M -3" adhesive at 1 gat per sq. 32. Deck: C -15/32 Incline. 1/ Insulation: Any polyisocyanurate, perlik', glass fiber, 1 M. min thick- ness, mechanically hastened. MARK tNIPRO - . d 1169' °N ROOF COVERING MATERIALS (TEYT) 1 2ooi, ROOFING MATERIALS & Roofgtg Systems (TGFU)– Continued Base Sheet: "Vapor -than" or "Glass- Base", adhered with "M-3" adhe- sive at 1 gal per sq. Membrane Awaplan Premium FR ", :'Awaplan 170 FR", "Awaflex FR ", "Versa -Cap FR ", adhered with "M3" adhesive at 1 gal per sq. Class B — Fully Adhered 1. neck C -15/32 Incline: 1/4 Insulation (Optional): glass Fiber, loath glass any thickness, mopped in place. Base Sheet "Tam -Cap" (inverted) or ' Vapor- Chan ", hot mopped in place. Membrane: "Awaplan Premium FR ", "Awaplan 170 FR" "Awaflex FR" or "Versa Cap FR ", hot mopped in place. • 2. Deck C -15/32 incline: 1/4 Insulation: Perlite, wood fiber. glass fiber min. 1 in.thick. hot mopped in place. Base Sheet "Tam -Cap" (inverted) or "VSpor-Chan ", hot mopped in place. Membrane, "Awaplan Premium FR ", "Awaplan 170 Fi " " Awaflex FR" or "Versa Cap FR ", hot mopped in place. 3. Deck: C - 15/32 Incline: 1 Insulation: Pettit wood fiber, glass fiber min. 1 in. thick. hot mopped in place. Base Sheet Onte or more layers "Versa -Base FR" or "Versa - Base", hot mopped in per- Ply Sheet (Optional) : One or more layers "Tam -Glass Premium" or "Tam -Ply IV ", hot mopped in place. Membrane: "Awaplan Premium FR ", 'Awaplan 17(1 FR", "Awaflex FR" or "Versa Cap FR ", hot mopped in place. 4. Deck 15/32 Incline: 1/2 Insulation: Perlite, glass fiber, wood fiber, min. 1 in. thick, hot mopped in piece. . Base Sheet One or more layers of the following: "Awaplan Versa - Smooth ", "Tam-Glass Premium", "Tam -Ply IV" "VaporChan" "Class - Base", "43e Base Sheet", "Versa -Base FR" or "Versa- Base", hot mopped in place. Membrane: ,"Awaplan Premium FR" or "Awaplan 170 FR ", "Awaflex FR ". "Versa Cap FR ", hot mopped in place. 5. Deck 15 /32 Incline: 1/4 Insulation: Polystyrene 1 in. thick min, mechanically fastened. Insulation Perlite or wood fiber 1 in. thick min, mechanically fastened. Base Sheet One or more layers "Versa-Base FR" or "Versa -Base" (modified bitumens), hot mopped in place. Membrane: "Awaplan Premium FR", "Awaplan 170 FR", "Awaflex FR" or "Versa - Cap FR" (modified bitumen), hot mopped in place. G Deck C -15/32 Iodine l/2 InaulationlOptionalk Class fiber. poilyisoyanurate or perlite, hot mopped or mechanically fastened, any thickness. Base/Ply Sheet: Two or more layers "Tam -Ply IV" or "Tam -Glass Premium ", hot mopped or mechanically fastened. Membrane: "Awaplan Premium FR ", "Awaplan 170 FR", "Awaflex FR" or "Versa-Cap FR ", hot mopped or adhered with Henry "No. 200" or GEO industries "No. 902" at 1 -1/2 gal /sq. 7. Deck: C -15/32 Wine: 1/2 Insulation (Optional): Glass fiber or perlite, hot mopped or mechani- cally fastened, any thickness. Base Sheet One or more layers "Glass - Base ", hot mopped or mechani- cally fastened- Membrane; "Awaplan Premium ", "Awaplan '170", "Awaflex" or "Awaplan - Heat Weld ", heat fused. Surfacing Henry "Henry 520 Aluminum" at 1 -1/2 gal /sq. 8. Desk: C -15/32 Incline: 114 Insulation (Optional): Glass fiber, perlite, any thickness hot mopped or mechanically fastened. Base Sheet One or.inore layers "Glass- Base ", hot mopped or mechani- cally fastened in place. Membrane: One or ore layers "Awaplan Premium FR ", "Awaplan 170 FR ", "Awaflex FR" 4 "Versa Cap FR ", hot mopped in place. east C W Fully Are 1. Deck NC Incl d 1/2 Insulation (Optloualk Perlite, glass fiber, wood fibet phenolic, isocya- nurate, urethane, polystyrene, any combination, any thickness mopped in place. TAI h 1 . 3. 1 2- t t A1c CACI THE UL MARt ONd1INNf1S V 1: 11 ZOOZ '17,1 0G §1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owners initial in the designated space indicates that the item has been explained. 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (Le., townhouses, condominiums, etc.). In buildings with common Toofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. I ' 3 7 07 Owner's /Agent's Signature Da e SECTION 1524 HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS ontractor's Sign Lure Ccc O / /�% Application is hereby mode for the approt'a1 of the detailed statement or the plans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address tic2.-9 J. LA KJ e " ...... ».. No.srZTIP... Street /e. .. it Registered Architect and /or Engineer Name and address of licensed contractor 4RC. - b {L00tF6(^6 Location and legal description of lot to be built on: Lot ‘ ..'fe.. Block -1 Subdivision.MS Street and Number where work is to be done ati'C2._ l'■)•6. D _ _. t State work to be done and purpose of building by floors) sass.. r►1c. � .... i C� f) 1 X43 '�?.IR ......IA0W Ut`:.�.FN T L'Q (S14A1ov) 'Ak4 a PLAT Y?6c:P 4 3 )15 I • , a..&,�( • New Building Remodeling Addition To be constructed of Kind of foundation Estimate Total cost of improvements $ 4 1 moo Amount STATE OF FLORIDA, COUNTY OF DADE. ss. peared Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ate Building Inspector SI:I. III II1.•'t I.T1R!t.1t•' . ,,fie . _ 861 S. l : — )o (VIC- 1' 1..... Repairs No. of Stories �7 Roof Covering of Permit $.. Zone cubage required ...plan Cubage Distance .to next nearest building Size of Building Lot \faxirnum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement, 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 ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) e gl, 7 Celia 1'7 S" 17 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 fads Perm ttherein by him true.. • Date tl XA t Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _.._. 1./_.,7.P4. . a y7 fD© 1 kf3 `rt and for no other purpose. to me well known, PLANNING BOARD DATE Chairman Member Member Member Member .. ... _....._......_..._. ....._....... Member Council Approved • Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re 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. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date f,; ay D ° 19 74 Owner's Name and Address J.!:.1. Lance .____ -__ No 246 Street ° E. 102 r� RegLftered Architect and /or Engineer FERGUSON RC3; IG P.C. Sox 4662 iiialeah Lakes 33014 Name and address of licensed contractor__ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 246 i . E . 102nd Street E' i a m i Shores State work to be done and purpose of building (by floors) Re- roofing of Florida room e Residence and for no other purpose. New Building Remodeling Addition Repairs x No. of Stories 1 To be constructed of Kind of foundation Roof Covering Gravel 04,01/17 Estimated Total cost of improvements $ 7 0 0 . 00 0 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 doc� 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra , on work to be perform under this permit, as are licensed by Miami Shores Village. Remarks (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- E. A. i erDuson peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the i r•1 0 O 1 1 fl (� Contractor 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. l Permit Date.. -_ __ Read, Sworn to and Subscribed before me. Disapproved ___ Date__ ( Signed) Builds Inspector My Commission Expires_ PLAAfWING BOARD__ __ . DATE MIAMI SHORES VILLAGE Notary Public, State of Florida 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. Chairman BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect 7 { Lot ?L 7 Address of !'r Building Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA o PERMIT N? . 6798 X ❑ _ Work to be performed under this Permit try �-7 s -vt f Bl 5 Subdi- vision Value of Project $ DATE.') • 195 Contractor's 7/ License No. 4��// Amount of r"' trO Permit $ 2 • 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 statemen /star specifications and that he assumes responsibility for work done by his agents, servants or employees. '.r CONTRACTOR OR /BUILDER Signed. -I 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 alj work done by either, myself, my agent, servant or employee. BY BY • AUTHORITY 6 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address.. Registered Architect and /or Engineer Name and address of licensed contractor_._47 ... Location and legal description of lot to be built-an: �J Lot A./ Block 0 5 S bdivi ion Street and Number where work is to be done.__/` T State work to be done and purpose of building (by floors)F�1 - STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved Date__ (Signed) - Bu lding Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT /6,7/vvt,e 12./6 Date x ,19.. No.7_lP gtreet /,IE..L�- r- __2.Gl 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 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such bcontr. on work t the perform 4 under this permit, as are licensed by Miami Shores Village. Remarks Before me, the undersigned authority, a notary public, duly authorized to a: minister 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. ? C _ Permit No - -� L Date___. 1 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 Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Date__ ( Signed) MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det, iled statemen• of the plans and specifications herewith submitted for the build- ing or o h • :ructure her i described. This rilicatic is made in compliance and con•oim.ty w.th the Building Ordinance of Mia ii Shores Villture, ' or da, and all pro. isions of the Laws cf the State of I krid. all o d nances if Mi ni Shores Village- and all rules and regu'a■ion. of the Building Div.. i of •iam Sho, iilage I '1 ,e -o, ipl.ed with, whether herein specified or not. A copy ot approved plans and specificati n must be key at building durin,, progress of tl.e wcrk. Date 8/26154 Owner' Name and Address .Jer_orne__ oxistamatinn . Co No 279 Street IT 26 St.._ Registered Architect and/or Engineer Name nd address of licerhed contractor. ___La..nRo_ofing___a_nd _79th_ St. Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done, 2.46-11—E— State work to be done and purpose of building (by floors) and for no other purpose. New Building Rernodeling Addition_ X Repairs. No. of Stories_ _ _ To be constructed of_ _ Kind of foundation . Roof Cov iring _ Built. _ Estimated cost of improvements $. Amount c Permit $. 5.00 Zone ^ubage required __. __Plan Cubage Distance to next nearest building_ _ _Size of Building Lot Maximum live load to be borne by each floor. _ _____ hereby submit all the plans and spechications for said building. All notices with reference to the building and its construction may be sent to The unde signed appli ant for th's bu'lding permit does hereby certify flat he understands and accepts his ...bligations as an employer of 1. bor under he Florida Workmen's Compensation Act being S—tion 5966 Coi p led Gen al Laws of Florida P r anen. Sipple tient. and h s compl ed with he prov thereof, and will require s.milar complance from all contractors or sub-contractors cmplo .ed by him in the wo. k to be p rf -med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :11 public noti e or •otices as are requir d by the Act. The u. & r ign..d agrees to employ only such ubcontr. ctors, on work to be perform d . der this permit as are licensed by M am: Shores N, i 1 : : ge. Lang Roofi g and. Tile Co. , Inc Remarks__ (Signed) Building Inspector My Com:nission Expires. PLANNING BOARD DATE Chairman Member Member ___ Member Member _ . Member Council Approved Date Disapproved Notary Public State of Florida 19 Before me, the undersigned authority, a notary public, duly authorized to adm.nister oaths ..nd take acknowledgments, personally p- peared to me well known, and who, being by me first d. ly cworn, upon oath deposes and says that he is the of th abov. de A. ibed • t h has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Permit No Read, Sworn to and Subscribed before me. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application :her approval his hecn obtained from the Planr ng Board A re-inspection fee of $1.00 will be charged when such re-inspection is ma necessary by improper notice for inspeytioo or fa. ty materials and workmanship.