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BP-02-05780 PAY Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/21/2002 Applicant: DAVID Owner: BRIGGS Contractor MIAMI KOOL INC Local Phone: 305 - 940 -9666 Building Permit Permit Number: BP2002 -578 BRIGGS DAVID Address: 2331 NW 39 TERRACE Cellular: Parcel # 1132050240210 Legal Description: MIAMI SHORES BAY PK ESTS AMD Job Address: 1410 NE 102 ST / 0 w �I cc Permit Status: Approved Permit Expiration: 9/16/2002 Construction Value: $2,350.00 Work: EXTERIOR PAINTING AS PER AGREEMENT MIAMI KOOL., INC. 10980 BISCAYNE BLVD. MIAMI, FL 33161 305 - 940 -9666 TO THE ORDER pertaining thereto and in strict conformity OF )onisibility for all work done by either (OOJ� 0009 5 34ii' 1:06300004711: 00 548 Page 1 of 1 PB 56 -86 LOT 4 F0 1 Total Fees: Total Receipts: $0.00 f74:fc? Bank of America 9534 inspection ACH RR 063100277 634/B30 R. 1375 on herefor In strict compliance with all tions that may have been submitted to p 0 If the plans are changed without sibiiity for a thorough knowledge of the r t he assumes responsibility for work done DATE AMOUNT MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE:— 3- 11 _ o r OWNER'S NAME: PAUL P aR1 � 'ffg .� A'iWa4, 14ONE: 2b '? ;- -G i 61 ADDRESS: 14-l® tJ6 /bra M1AM# SJJvAES, 9L 3313.Y ADDRESS OF SITE: - ks / ;✓ CONTRACTOR & LICENSE (if applicable) COMPANY NAME: L tj C PHONE: o,� 4 %66 All Elements on the site must be listed and indicate the color to be painted. Walls Fascia >�^ Drip Cap/Drip Edge AZ Z /3 o Soffit ;> (� - 'z._.- �d Roof W �- CLEAVE ,4s (4) Flower Bins IJ /.4 ! ro Shutters Awnings Chimney #JtA H H x Doors and door jamsC -.�_ PL� Garage Doors AS s� 3 Railings A)/A Fences /✓/ 1`� cn Decorative Metaf All brick (simulated or regular) — G�ccwt r o� Stucco Banding tJ JA w ' e �-r 5 Any other stucco features d/A Accessory Buildings ti/A Other WA 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. I authorize the above -name tra tor, if applicable, to do the work stated. Furthermore , the paint colors w' 1 e s p r the atthed ri;&tA'4�W&A- Sii MW of Owner Date Signatur tractor Date APPROVED: Building Off'ic'ial Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 n- oZ r� OD x3 <O m° A m 3® D n , jmw 0 0 D � n coastal fog Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER -BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (Specify & Attach) PERMIT FEES $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 ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) REVIEWED AND PREPARED BY: SECTION BY $ t' Zoning � r- % ` - -3 C 1 $ (sq.ft. = x/1000 Repair x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) Relocation of Structure Fire ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) REVIEWED AND PREPARED BY: SECTION BY DATE Zoning � r- % ` - -3 C Electrical Repair Mechanical Alteration Interior Plumbing Relocation of Structure Fire Shell Only Public Works Add'1 Attachment Structural Other Building Official° Other r Revised July 2001 10050 N.E. 2- AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com PERMIT APPLICATION Master Permit No. Subsidiary Permit No. t INSTRUCTIONS - The following steps must be taken to obtain permit 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 submitted 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: x410 A)& jO 'A r,1 S; . A4IAMI Address Apt. City State Zip Folio Number t 3.4-c = a ;' Lot Block 3 Subdivision PBA ,&PG Current Use of PropertyS i DcN �-- Proposed Use of Property S;Ame Tenant Information 0 W j0i 34 W 111 ED PERMIT TYPE (✓ ) LPGX Fence ARCHITECT Name License No. Address Telephone Fax Description of Work E*1-6 -1z-t ^iz i7A't ri Tl tal t,— Zoning Linear Feet Square Feet Units Floors Value of Work Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev PERMIT CHANGE (✓ ) Ch g. Contractor Renewal Revision Extension PROPERTY OWNER Name DAVi Address Pi i A n 1 S +t� � s, j--L 3213! Home Telephone Business Telephone f — , Fax � S • TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'l Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name I p, t"o ca_ ) -tj C- License No. e G c 0 . Address 1 V (�� 0 ` S C,,",i1 Telephone (' ) r Fax ,4) Qualifier Name `j f1\ 1j �Z- Page 2 PERMIT APPLICATION IMPORTANT 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 el 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 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, 151 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA OID11,414 OF MIAMI -DADE Signature o wn - r I/V Print Name , ,( orn to and subscribed before me this day of A4 444zA A4 4, h tgga—ture of N MADE �� DIGAN SEAL:aD 73672 0 2005 �TGH 4CV TARY Personally known, OR, Produced Identification STATE OF RII�' , OUNT OF MIAMI -DADE Signature of Contra JJ ua t er Print Name i Sworn to and subs cri before me this ` day of m A k4i AI- Signature JIFfIiA:ld7 bto C 72749 XpiRES: arch 2 2002 SEAL: e`. 5ondedTt7ru Nota r'ubl' Underwriters Personally known_ OR, Produced Identification Type of Identification Produced: Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE QTY. Minimum Fee TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE QTY. Service Repair A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Solar Water Heater Fire Pump Ductwork, Cost of Outlet, Switch Signs A/C Central 8 -15 Ton Fire Sprinkler System Fixture - Fluorescent Oven Space Heater (kw) Fireplaces, Number of A/C Central 16 -20 Ton Pump and Abandon Fixture Light Sprinkler System Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps Cap - Sewer A/C Window Gas - Natural FPL - Load Central Pump, Fire Stand Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Temporary Water Closet Chiller Clothes Washer Generators, etc. Gas Piping Receptacles Switchboards Clear Violatic.its Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Pump, Sprinkler Compactor Utility - Sewer Low -volt, Burglar Discharge Well Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Indirect Wastes Demolition Relay Repair Low -volt, Intercom/Teleph. Vacuum Pump Repair Circuits Disposal Dishwasher Low -volt, Television Service, Number of Amps Domestic Well MECHANICAL TYPE Minimum Fee QTY. TYPE QTY. Condensate Drain TYPE QTY. Generator TYPE QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Q'ry. Soakage Pit 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 RECEIVED AND REVIEWED BY: DATE: Y I, kel &ItI ko�� i-V APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY i to re- occupy the single family residence known as : (address) Legal Description: hereby apply for a certificate Nf mni Shores,, Florida. Lot: Block PB & PG- I hereby certify that I understand that the zoning of the property is for single4amily residential use and that it is unlawful for more than one family to reside thm r 1 also understand: that any Certificate of Re- Occupancy that may be issued by Mani Sbcres VMAM cert€fies only that the referenced property is being used for single -family purposes and that such Certificate does not constitute any representation, warranty or certi ioation as -to the conditim of the dwelling or outer structures on such property. Applicant Date Print Name 3 ok vy 1 V For purposes of conducting the inspection required by Section . 2 of Nflami Shores, Land Development and Zoning Code, please contact: Contact Name: a �.. r` Telephone3� �' -7 - 3 i3 / Buyer Seller Realtor Companytime let d , C- Application Fee (S50) paid: Cash Check No F. LUB I EN Inspected by: ","Approved X Denied Date 2 f 9 00 CERTIFICATE OF RE- OCCUPAINCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re-occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single -fitmi1y residential purposes. MUM SHORES VEU AGE, FLORIDA r By= Date of Ccn: 2/9/00 THIS CERTIFICATE VERIFIES THAT TBE sFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS, OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREIENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY, HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER. STRUCTURES ON THE PREMISES DESCRIBED BEREIN, OR ANY ASPECT OF SUCK CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MADE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DEI MvffNE THE CONDITION, THEREOF. PAGE 2 OF 2 MIAMI SHORES VILLk E, FLA. NU 5521 JOB N ADDRESS (NSPECTION TIME READY r REMARKS: INSPECTOR _ DATE `� Villa( ,)b of Miami Shores JOB ADDRESS — INSPECTION— TIME READY e REMARKS /-.41 /o "t'). -Z-- . /a� - �V, N° 4528 INSPECTOR DATE °� 'i1lale of Miami chores JOB ADDRESS A C- y / 6 INSPECTION_ F - TIME READY C REMARKS N? 454'7 INSPECTOR DATE -,3Z - w r Village of Miami Shores JOB N® 4574 ADDRESS / `! 1 INSPECTIONS ! ,Z- �l' TIME READY. REMARKS INSPECTOR I DATE 7 i y ,S Z ro 'I R IZ Village cif Miami Shores I JOB E ADDRESS / l 0 A). N? 4661 —Ile e INSPECTION 4% E TIME READY. REMARKS 7r INSPECTOR DATE Village of Miami Shores N° 4722 JOB ADDRESS Z"41/ o Al INSPECTION_ TIME READY• REMARKS —r, ej 6 INSPECTOR DATE ®� ®� 47 Villl�114 of Miami Shores 27 JOB I ADDRESS /// 0 AZ ® 4� A 4 6 ?,' - -.-- e INSPECTION ---,'!-�-� TIME READY REMARKS INSPECTOR DATE 9- 1 - 1 6 Village f Miami Shores JOB ADI No 4'754 INSPECTION TIME READY 0 t fAMl SHORES VILLAGE, FLA. JOB ADDRESS N° 5048 INSPECTION Xim?G vT TIME READY rz a REMARKS: e INSPECTOR DATE 10 ° L S-�L OWNER'S NAME PRESENT ADDRESS LICENSE NO. ; FHONE NO. GvnrI�ey kUlonSt. Co. I I . I JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 1,14.11 d E. 10-2nd. 'St. 3I 3 I M S. _ ay far'-- TS tate Z GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. GLWn'c�-' Ca r" ca I It +�f1 s BUILDER'S BOND BUILDINGPERMIYNO _':M2.2_ DATE 7- 2-f16 - I PERMITFEE$ 2-4®00 - -- I NO. 1 DATE - -- ZONE ke-2 REQUIREMENTS n CU. FT. I PLAN CUBE 27,221 CU. FT. I EST. COST s 20. 000 DAT E Markel I 7® m56 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION rBS I' Tile 13 Br, 3 B.e the NEW CONSTRUCTION I DESCRIPTION II4 I Mar4hI File on Oak Floors Wood. Base l REPAIRS 1 j DESCRIPTION I ALTERATION Plastered 'Talls $e T le Si'_i is ADDITION APPROVED REJECTED REFERRED TO COUNCIL I REASONS SUBMITTED TO PLANNING BOARD I RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL I d CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE � � ' - BUILDI &L 0Ic7 - IONS -a2..s INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 7- 6 PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS $ H. W. HEATER CONN. FRAMING RANGE CONN. $ MOTORS $ FIXTURES tINAL i $ CLEAN; PP DATE BY RE- INSPECT BY RE- INSPECT BY PLUMBING PERMITS & INSPECTIONS C!JNTRACTOR -� K, r-- a L AS PHONE cam/ PERMIT NO. C3% % p DATE J -1 D - ji> FEES 4:1 NEW BLDG. )" I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN SEPTIC TANK $ SEWER RANGE CONN. $ SOLAR HEATER $ GAS $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 7- ,1 :7jfj 6f 1/� (l 7u$� -3/ -12 -,'Q ffi d17 Z GAS SEWER SEPTIC TANK - '+�'�� // L1/4 SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR %���� • y� e ��c'c �? e. PHONE PERMIT NO. i�� `'a �i DATE FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ �1 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. POR SERVICE DATE / © -- -2 - BY 6L) OWNER'�S NAME PRE ENT ADDRESS LICENSE NO. PHONE NO. y JOB UbCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION GENERAL CONTRACTOR ADDRESS PHONE NO. LIC SE NO. ®G 4-� -s ° � g a j ee-4- 4FV,9 �i� P _ ®aA z i F$ C-4 �_ A) 42914-;o I I _ BUILDER'S BOND y/ BUILDING PERMIT NO. 3f1414- DA TE ! 69 'PERMIT FEE S NO. DATE 40 ®o p ® Tim LJ A—C— 9 ,= -- / I (o l ZONE REQUIREMENTS CU. FT. I PLAN CUBE 2 43 3 CU. FT. I EST. COST S DATE �y DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION e 4f S DESCRIPTION REPAIRS (� ®� r- � ����� ® ALTERATION I DESCRIPTION ADDITION I APPROVED I REJECTED (REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD REMARKS I SU'BMITTFD TO VILLAGE COUNCIL I N le SCE — I I CERTIFICATE OF OCCUPANCY NO ISSUED B TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE _6�'2`2Y (Z=, IRUILDING INSPF['TIAIV:4--& ?546_ INSPECTIONS DATE BY INSPECTIONS DATE BY FCt NDATION I$ I ROOF I I $ BEAMS & LINTELS I POOL SOLAR HEATER FRAMING I GAS AIR COND. I I $ FINAL I CLEAN UP INSPECTIONS DATE SLAB III BY RE- INSPECT BY ROUGHING SLAB PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE HERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION I ADDITION I REPAIRS SPECIALS PERMITS PERMIT NO. I DATE I FEE TEMPORARY SERVICE I I I$ SEPTIC TANK I I $ SEWER I I $ SOLAR HEATER I I $ GAS I I $ I I$ INSPECTIONS DATE I BY RE- INSPECT BY RE- INSPECT BY ROUGHING TUB & TOP OUT SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS PERMITS & INSPECTIONS --yEyLECTRICAL CONTRACTOR 4, " R°i �_ PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION I ADDITION �K, REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. I $ RANGE CONN. $ MOTORS $ FIXTURES $ I I$ INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TEMP. SERVICE ROUGHING I I H. W. HEATER CONN I I RANGE CONN. I II FIXTURES & FINAL I II APPROVAL TO POWER CO. FOR SERVICE DATE BY 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. rp r Date--- --- --- - -- ----------------------------- 19 Owners Name and Address. ,- --- *. - . - - - -__ No------- Street _ --- Registered Architect and /or Engineer _ - t1 - — Name and address of licensed contractor-. ___ ,____ _ ___s________ _ ___ `':. __ '____ - -- - - - --- - -- Location and legal description of lot to be built on: ? Lot- -- --- -- ------ Block_-- " - -- ---- - - - - -- Subdivision- -- - fit -- -- -- - -- -- - ---- - --- ---- --------------- Street and Number where work is to be done __ _ _ _ ____ _ ______ 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_ u $ ` ------------ :;_ Estimated Total cost of improvements $ - ____ ___.__ __ __ - __._Amount of Permit $______ -- -- - - - -- - ----------------------------------------------=------- Zonecubage 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 besent to----------------------------------------------------- ------ -------- -- ---- -- - - - - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks- ------------- - - - --- ----- -- - - - - -- - -- -- -- -------- ------------ - -- - - -- (Signed)----,--. ---- -- -- -- -- ------ - - - - -- - -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --------------------------------------------------------------- --------------- - - - - -- ------------------- - -- ----------------------------------------------------------------- ---- ----- -- ----- ---- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ____.___________.________-_______-___________-__________.________________._-- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are e. Permit No.______ -7_,,n__ ___ ----------- ..-------- Date___________ ________•a_______ ______________ Read, Sworn to and Subscribed before me. Disapproved Da - - Notar y Public, State of Florida (Signed) - - -- --- - --- -- - --- Building In c or My Commission Expires -------------------------------------------------------------------- PLANNING BOARD--------------------- ---- -------------------- -- - - -- -DATE Chairman--- - - - - -- ----------------------------------- ----- --- ------------ - ----- - Member -- ------------------------------------------- Member---------------------------------------- ----- ------------- - - - - -- Member - Member- - - -- - -------------------------------------------------------- ------------ -- ---- -- ----- - - - - -- Member -------------------------------------------------------- - --- - -- Council Approved --------------------------- ----------------------------------------------- Date Disapproved ----------------------------- --- - --------------------- - -- - - - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. A7 ol -77_ JTZ MIAMI, SHORES VILLAGE 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. WRIM.12 Owner's Name and Registered Architect and/or E: Name and address of licensed -1-_J----------- - - - - ---- No..... . .... StreeLf.QZ--- Location and legal description of lot to be built on: Street and Number where work is to be done -..._ Z -.1 ®... KE,;... State work to he done and purpose of building (by floors)-_91�-4t ................ ................ . . . . . . ............................................... :, ---------- - --------- 7 -------- - - -------­--------- - - - - -_------_-------- - -------- - _._..._.-,--_-- .--- .- -•------- .__...---- - -. - -. - - -. --- - - — ----- . ....... — and for no other purpose. New Building ...__._._.._ ............... Remodeling - -- ------ * .......... Addition .... . .. -------- R_ r ----- - ------ No'. of Stories To be constructed of ........................... Kind of foundation .... . ............................................... ...... _jRoof Covering__X=�. Estimated Total cost of improvements $..,F ...... .... . - ._.._.Amount of Permit .. . ..................... ....................................... Zone cubage ................ Cubage____..__. ..... . . ... . . .. . .............. . ... . ....... . .............................. Distance to next nearest building-----_-_------- -_-.----- . ... .... .......... -_- ,._Size of Building . .......................................... ....... Maximum live load to be borne by each floor_._ .... .... ........ — --- — - - -- - - ----- - - -- - --------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent - - - ---- - ------ - ----- - -- . ...... — -- ---------­­- --------­--­-------- - ------ — ----- - - - ---- - ----- -- 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 Supplen nt, and has complied with the provisions thereof, and will require similar compliance* from all contractors 0 sub- contractors employed b iim in the work to be performed tinder this permit; and will post or cause to be posted for inspection the th�slte of the work such ublic otice or notices as are required by the Act. The undersigned agrees to, employ only such subrntract( �VoKto be * perform un r this permit, as are licensed by Miami Shores Village. 11 J9 I y Remarks.--- STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared, — - - — — --------- I -------- - ----- - ------------ - - - -- - - - - — — — •---- - - ---- --­--------------_ - r- •---- .-- -. - - -- to me well known, and who, !�Inj by me first duly sworn, upon oath deposes and says that he is the . .................. .......... ................ - ----- * --- — ------------- " ----- - -------- C of the above described construction, that he has carefully read the foregoing application, and that he did sip i�ie -same, and that all facts therein by him stated are true. 47 C, - Permit No.--- Date_ Read, Sworn to and subscribed before me. Disapproved ------ — ------ Date -- - — --- - -_- (Signed) - — --------------------- - ------------ - ------_---------------- - ----- - --- - -------- - - - Notary Public, State of Florida ----- — ------ ding Inspector My Commission Expires ........................................... . ........... . .... . .. . so - - �idin� g �in Chairman .......... Member Member PLANNING BOARD__ — _ - -- - ---- - ------ -----_-_DATE 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 re4ustection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owner's Name and Address......... • .......................... ..................:.... ......................No....... � s' ............................. Street ............................... I ................. RegisteredArchitect and /or Engineer ....................... ............................... .....:8........ ................................ ............................... ............_................. EmployingElectrician's Name ..............................:.. .........................:: �o. .............................. ............. Street .................................................... Location and Legal Description Lot ....... .. ............... ............................................ Block .......................................... Subdivision ................................................ Street and Number where work is to be performed— No ............................................ ............................... Street..................................... ............................... State work to be performed and purpose of building (By Floors) ................................ ............................... New Building . ............................... Remodeling ................................ Addition .............................. Repairs, ..................................... No. of Stories.................... Service Underground Site Feeders .................... Conduit ............... Main Sw ............................... Amps .......................... Main Fuses ...... _ .................... Amps Type of Installation— Conduit ........................ Tubing........................ B. X. L.........................Metal Moulding ............... » .................. ..................................... Amount of Permit $ ........... ...:: ... .................................. ............................... Electrical Inspector. . 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 Pcrmane4t Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores VlllaR L P. ®. BOX 3135 (Signed) .....® ...... ElectriciaD. COUNTY of DADE. ss N . M IAM 1 BEACH, F1 A. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........................................................................................................................................................................................................ ............................... 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. . ... ............................... ........... .................... ............................................ My Commission Expires Notary Public State of Florida NOTE: A re inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SRACIT STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST O CHECK ENT. DIRT. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL. SW. CAB. TEMP. PERM. 0.1 HP 1.5 HP TRANS. CONTR. LIST CHECK Service Underground Site Feeders .................... Conduit ............... Main Sw ............................... Amps .......................... Main Fuses ...... _ .................... Amps Type of Installation— Conduit ........................ Tubing........................ B. X. L.........................Metal Moulding ............... » .................. ..................................... Amount of Permit $ ........... ...:: ... .................................. ............................... Electrical Inspector. . 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 Pcrmane4t Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores VlllaR L P. ®. BOX 3135 (Signed) .....® ...... ElectriciaD. COUNTY of DADE. ss N . M IAM 1 BEACH, F1 A. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........................................................................................................................................................................................................ ............................... 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. . ... ............................... ........... .................... ............................................ My Commission Expires Notary Public State of Florida NOTE: A re inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 Build 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. r Date----------- - j - - - - -- - --- - - -- - Owner's Name and Address.... _.__..,__ . ... . .. ............. ..:._ ..._ .. ..... _ _.__ - - - - -. -- - -- _ - -- Street.__!t&-_______e.... Registered Architect and /or Engineer...... -- •- - - -- -• - -- ---k. • ....... '_........... - •- - -• - -- -- .......................................... - ...................................... Name and address of licensed contractor. ____d .2.e_._ ....._._. /_a z-.31 ..... ✓: 13 _jr-j",_ Location and legal description of lot to be built on: Lot -------- - __ ----- •_ ------------ Block, ------ . _.....__._._...._____ Subdivision -- Street and Number where work is to be done ...... 19% 0 . Al • i . / State work to be done and purpose of building (by floors) ..._____ ... _-. ...... _.- ... _..................................... _.._..._._. �_--- _______.___— .... _.................. -- •- •--------------------- - - - - -- - __..._ _ - ............................ --- ----------------- - --- - ---------- and for no other purpose. New Building ..... 7,r Remodeling- .__.____________ _ _ ___- Addition ................. _..... ___ Repairs --- -...__ -_.__---- _. - - -_ No. of Stories .................... --••-- To be constructed of__________ __________________ Kind of foundation _ .--• _____________----- _.___-- _. - - -- Roof govering ....... -.................. ___ ........... -------- ���33, Estimated Total cost of improvements $. _.__...e_ ___ �� Aunt of Permit $_____ - __..._ ..... -------- . ........................................................... Zone cubage required_---- • -•2!� �" Plan Cubage ----------------------- - --- -- Distance to next nearest building - - - -- . - - - -- -_._._. ... :........ ..- - -. - -- -Size of Building Lot ........ ___ ...... ...... ._ ........................ _................ - ......... Maximum live load to be borne by each 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, Compil eral Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will requite similar compliance fro all ntractors or sub-contractors employe him in the work to be performed cinder this permit; and will post or cause to be posted r in tion on the site of a ork such public notice or notices as are required by the Act. The undersigned agrees to employ only suc su actors, on work performed under this permit, as are licensed by Miami Shores Village. x /J - STATE OF FLORIDA, + COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared..._------ ----------------- - •---- _---------- -------- - -- _ _---------- •----- ---- - - - - -- ---------•---_------ - — _.�_�_ - -- _.-_---------..__ ___- _- _------------ •----- - - - - -- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ __________________________________________•.--•-•-........ __ .... ......... _.... -........ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him Ted Permit e. Permit No. __ _ ___ .... __. Date ..... Read, Sworn to and Subscribed before me. ,s Disapproved_ _ - .___ - - -- - -- Date - ...... ---- ----------- —may ._ --- - ___ ............ ___ _ No Public State of Florida (Signed) -- _.. _. . - - -- Building Inspector My Commission Expires ------------------------------------------------ PLANNING BOARD ........ ............. .................. ________DATE Chairman .-- ..._.. - - -- - Member - ----------- - - - --- Member- °____.._ ---- - _.____ _..__ ------- ------- _ Member __— -------- - --- ---•-- ----- ---- --- ------- ------- - ------------ - ___________. - -_- - -- - -- Member _ ... ___. _ _ ___ Member ___ — --- - ------- - _--- _.__.--- .__— ....... _ Council 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. r► r 1 ►a t 7 T v ' , 7 7OAxL�__ _a i SKETCH OF SUJ;VEY Lot ¢ Block HEYLAT CF T,,i;.G f AABAY FA.RK ES RTES 1 according to the Fla t th+ereol, as recorded in Flat :look 56, at Page 66, of the Public Records of Dade County, rloricta. Order No. F. # ¢off- 3ec Scales shown I HEXEB'Y CERTIFY: Thr-t the attached "SKETCH CF SURVEY" of the above described property is true and correct to the b(st of my knowledge and belief .as recent l.y surveyed and platted under my direction. W.RRY C. SCHWE KE & AboLCIATL6, 1NC.' r A'lbez t Ii. c<ussaint Registered Land 6urveyor #907 State -f Florida. A e.- OFFMA a APPLICATION FOR PLUMBING Permit No.-. ! Z y CLOSSPS I BATH I SHOWERS LAVA- I SINKS I SLOP I LAUNDRY I URINALS I CATCH I FLOOR I DRINKING I I I TOTAL TUBS TORIES SINKS TUBS BASIN DRAIN FOUNT'NS FIXTURES SEPTIC I SEWER I DRAIN LSOAKAGEI GREASE' I I DEEP I SPRKLR. I SWIM'G I TANK CONN. FIELD PIT TRAP HEATER VV9LL SYSTEM POOL CiONTR. 1 LIST CHECK ' of Tank- M _ Sipe Septic Tank_._ - --Type Capacity Gals .__ ------ --------- __ - -.. -- -_ -• -- -- Feet of Drain Tile- 17- `' ' �''�" ist. Feet of Tank or Drain Field from WeII______ — — _ - — __- ._...._ Nature of Water Supply: City —Well. __ _ _._ _ _Size of Soakage ,q o Amount of Permit i (Signed) 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 reqnired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)1_ fig' a Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 reed the foregoing application, and that he did sign the same, and that all facts thereW by him stated are true. My Commission � Expires Notary Public, State of Florida NOTE: A ro-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty materials and /or won p. 7- f MIAMI SHORES VI L.L. E BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the ap royal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. TF91is 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. Guernsey c�nst . Co. Date _— ---------- - -JLaly 27, - .._..:...•_.•.. cp 6 10231 N. E. !A - -Ave-. --- - - - - -- No..------ •- - - -_ -_ Street...._:............................... Owner's Name and Address.---___.._:._.._.--•------------- �...----- _- _._...__,...�,.- .._,..... - -•- - -__ -. Registered Architect and /or Engineer..: - ------- - ---- ........................................... --- ----- - - - - - -- -- - -- --•--------•-------------------------------------- _- _--- _._-- _-- - - - - -- .......... Name and address of licensed contractor...... -Sheet Metal Sp eC i a 1 t YCompa ny ._ Location and legal description of lot to be built on: B Miami Shores Bay Park Estates Lot-— ---- ___ -.oc.------ _. -_ - - -- ----- ....__ . Subdivision.... -------------- _--- .-._ _ ._- - _ - - - ---- Street and Number where work is to be done ...... 1410 19 . L . 102nd _ Street State work to be done and purpose of building (by floors )..> -� k o of i n On n OF s t •---- - - - - -- . ....... - .... ......... .......... _ _ - - -- aad for no other purpose. New Building .... - ..... A ............... Remodeling --- ....... - ............... Addition . -•__ ............. - .... ._. Repairs ................ - ........ No. of Stories__..... one _ - - -,- To be constructed of.__._ C_ � ! t tai`_._!_ -. Kind of foundation....- .......................... ............................. -. Roof Covering .-- - - -• -- -Shin f i l e Estimated Total cost of improvements $.... 9.89-00 .... . ... ---- - -- - - ------ Amount of Permit $ ........ __ti? t-L® ......................................................... Zone cubage required- ........ - --- ---------------------------------------- _- .__._: -. -Flan Cubage---------------------------------------_--------_---------- ------- Distance to next nearest building .... ....................... ............--- . -..-- --Size of Building Lot ......... - ....... - -.... Maximum live load to be borne by each I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to --------- __.... -- - _.. _ - _ , -- ...... - ... _-...-_---_ -._• ........ - .._............... --------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( signed) _ -__ -Sheet -let 1 ee im 1 - Company 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__ - . - _ ____— ._.- __.--- ----------- - ----- :--- ------- - •----- - - - - -. --- •- ------ .----- _ - - -._ ---- . ... --- ... -....................... me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ............................._--.--. ....................__.- .............................. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sta are true. - - -- _ - - - - -- Date.. Permit No.—. __.____._. - -, �. - Read, Sworn to and Subscribed before me. a Disapprove ( signed ) Chairman Member __. Member .-_ Council Approved------- ---- -- .-- .............----- - �_._- __-.,-...___.Date ------ - - - - ------- -------------------- __.--------- - - --.. - ---------------- - - - -__ -- Notary Public, State of Florida My Commission Expires -------- -------- - --------------------- _------ -------- ---------------- - - - - -- -DATE 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No... iJ........ Date...... ... ............. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub d for the b ding 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 plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Registered Architect and/or er ........... ................. ..... ........... t� ....._.: Employing Electricians Name ....... .................... ..................... ...............No. Location and Legal Description Lot ....... .. .... 21 .................................................. Block ........... ....... ..................Subdivision.: �.' Street and Number where work.is to be performed -No... .�Ln .... ............................... ...........Street............... .., .... `.. ` .. .. �� _.. State work to be performedond purpose of building (By Floors) .......................... _ ........................................................................... .... ............................... NewBuilding .... ........................ Remodeling_ ............................... Addition....................... .......Repairs...................................... No. of Stories.................... Service Overhead d Sine Feeders. ............Conduit._� .........Main Sw »......: SWITCH LIGHT. PLUG FIXTURES REFRIG. IRON RANGE RANGE - WATER W. HEAT. g�ACE STRIP TOTAL OUTLETS OUTLETS RECE'/P�T/'S NNo.. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. 4119 to HEATER CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. %pRp .! P� v�u _ MOTORS 0.1 HP MOTORS 1•B HP NEON TRANS. RADIO TOTAL CONTR. LIST . CHECK Service Overhead d Sine Feeders. ............Conduit._� .........Main Sw »......: ?........_. ....Ain........Z .............mw i ...�....... Am s Fuses...... P Type of Installation -- Conduit ....... ............. .... Tubing ....... . ...... B. X. L ......................... Metal Moulding ........ ...... ............... .... ..... .............................. Amount of Permit 5 .......... .l... ia ..................................... ............................... (Signed) eK �....... ...... .................ectic �_ct :�.. ( g ) ....................... Electrical ector. 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)..- ............................. ,..................... . ......................... Mauer Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. j 86 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared...................... .. ......... .. ...... .. .... . .... » ........................... .................................... .................. »... .................................... ................ ................. ............ 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, and he has carefully read the foregoing application, and that he did sign the some, and that all facts therein by him stated are true. ..... .............................My .Commiesioa .E spires... ............................... ......... . ..................Notarr.PubliG State of. I+ lorid a'-- ........................... NOTE: A re inspection fee .of $1.00 will be made when such re - inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e> MIAMI SHORES VILLAGE. FLORIDA BUILDING ELECTRICAL ❑ DATE 195 '- PLUMBING ❑ PERMIT No@ 397.8 Contractor s License No. ROOFING ❑ �� ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder f Legal Lot Subdi- Description J BL vision __. Value of Amount of Address of Building —� Project $ _ �_�+ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e> MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL DATE 195 PERMIT o 413 6 Contractor's PLUMBING ❑ _ _ � License No. _ ROOFING ❑ -_' ❑ Work to be performed under this Permit Owner of Building Architect Contractor {;` A,, - or Builder' Legal Lot Description — Bl. Address of Building _ Subdi- vision 4- ,��,a - Value of Amount of Project $ �+ Permit u This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR `/ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY s _ MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ a f DATE 195 ' PLUMBING ❑ PERMIT N? i 0"� Contractor's M: License No. ROOFING ❑ Work to be performed under this Permit Owner of Building k - Architect Contractor or Builder Legal Lot Description ' BL Address of Building Subdi- vision Value of I Amount of Project $ Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY s _ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building . Architect Contractor or Builder m ■ ■ ■ ■ MIAMI SHORES VILLAGE, FLORIDA DATE 195 PERMIT N? 3 9 4 ntrQcto= Li Noy Work to be performed td Legal Lot Description I Bl. Address of Building Subdi- vision -- Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY OA � w,.. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ EJ x DATE 195 PERMIT N? 5074 Contractor's t� License No. Work to be performed under this Permit Owner of Building Architect _ contractor ' or Builder Legal Lot Description Bl. — Address of Building (7 Subdi- vision Value of "' "` "' Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: �, ,_.... BY: t--- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. a CONTRACTOR OR BUILDER BY ..";' UTHORITY 6 MIAMI SHORES VILLAGE. FLORIDA BUILDING 0 ELECTRICAL ❑ DATE 194' PERMIT U rs PLUMBING F-1 8 4 r ContractoLicense No. ROOFING ❑ ❑ Work to be perfck this Permit Owner of Building_ Architect � ontracto: or Builder Legal Descriptio Address c Building 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. f Signed: By 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY _s 3i r r , Lot II Bl. Subdi- n. vision Sq. Ft. f Value of Amt, of Project Permit $ . This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f Signed: By 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL El PLUMBING El N U 7966 Contractor's License No._ ROOFING El ❑ Work to be performed under this Permit— Owner of Architect Contractor or Builder_ Legal Lot Bl. Subdi- vision Sq. Ft. Address of Value of Amt. of Building Project $ 1 „ p p Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining, thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: 'af r t e�+ BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY clg� 17 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL 13 r� p DATE i � 1. 195 PLUMBING El PERMIT NO 1 9 8 7 Contractor's License No.--' ROOFING ❑ ❑ Work to be performed under this Permit _ Owner of Building_ Architect - ontracto: or Builder Legal Descriptic Address c Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY �.17 r Lot �I BL Subdi- n vision Sq. Ft. Value of Amt. of ; A ,f t Project $ Permit $ '° This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY �.17 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 4/4/91 Job Address 1401 N.E. 102nd St. Tax Folio A_� ® /Q� Legal Description Master Permit # Owner / Lessee / Tenant Mrs. H. W. Jones Owner's Address 1401 N.E. 102nd Street Phone 758 -3132 Contracting Co. Luzer Electric, Inc. Address 3371 N.W. 154th Terrace Qualifier John E. Carter Phone 681 -9531 EC0009302 2069 CC State# Competency# Ins. Co. Pennsylvania General Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING CALF. PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION New 175 AMP Service: 1. New FPL service lateral from meter to pole, (supplied main ou si e. 3. New breaker panel inside to replace misc. existing fuse box cluster. 4. Two new dedicated circuits to kitchen. Square Ft. Estimated Cost $1,960.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and Dn 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. )WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work sill be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor tW4 the work stated. 3- ature of Owner an /o Condo President Si ture of )ate: Da e: W®40eVpa 6 lotary as to Owner and /or Cando President Notar as to Cont a t sy Commission Expires: My Commission Expires: k 11 'ERMIT FEE: APPROVED: Fire Zoning Bui Mechanical Plumbing Engineering r- Builder �,rey�Builder MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING . MIT Permit No. . -- Date --- _- Application is hereby mad for the approval of the detailed statement of the puns and specifications herewith su mitted #or the building 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 work. %T `/ /o / ♦ I Gd /e/ d i q Owner's Name and Address.,_ °--- L ` �� I e .M_ " ______ . Street _ �°__.._... --- .- _-- _--- ' - -• -- Registered Architect and /or Engineer / Employing Plumber's Name--.--- 1^ ® ® / t' j �" /� ®� / d � No. � k d � Street.�� a A Location and Legal Description Lot__. Block Subdivision- Street and Number where work is to be performed --No. Street State work to be performed and purpose of building (By Floors) New.Building___..,_ - - -_._ r Remodeling Addition- __-_.-_____.. Repairs - .._.— ------------ _- No. of Stories.---.-..._.__-...___- Size Septic Tank__ __ _ _ _. _ Type of Tank ____ I_._ -_ -- Capacity Feet of Drain Tile - -- Dist - Feet of Tank or Drain Field from Well___.._: - _ _ ___. _.___ _..__ ..---_.._.._.-_.. Nature of Water Supply: City—Well- -Size of Soakage Pit_------- _��- /�� ie � // L 1� ® ....... _ D----- - - - - -- C A— lo. At S' 191- i iv /r I _ - — 5V Sly e /0 _ 3 9 (' o r 7. Amount of Permit $_ ___ (signed) —. _ ............ _....... __ Plumbing Inspector. 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 sub - contractors,_ on work to be per 'o ned under this permit, m are or licensed by Miami Shores Village. �d (Signed) ----- Msster Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and.says that he is the __._ __-- _ - -_.. _.._._______ - -- .. _ - -.- - __ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. MY Commission Expires Notary Public, State of Florida NOTE: A re- hapectiion fee of $1.00 will be made when such winspection is made-necessary by improper notice for inspection, or faulty materials and /or worEmanship. CLOSETS BATH TUBS SHOWERS LAVA° TORtre SINKS SLOP SINKS LAUNDRY TUBS (1RINALB CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTW. LIST CHECK SPRKLR. SYSTEM SWIM-0 POOL - TIC NK SEWER CONN. DRAIN FIELD .SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL CONTR. LIST tT7A CHECK Size Septic Tank__ __ _ _ _. _ Type of Tank ____ I_._ -_ -- Capacity Feet of Drain Tile - -- Dist - Feet of Tank or Drain Field from Well___.._: - _ _ ___. _.___ _..__ ..---_.._.._.-_.. Nature of Water Supply: City—Well- -Size of Soakage Pit_------- _��- /�� ie � // L 1� ® ....... _ D----- - - - - -- C A— lo. At S' 191- i iv /r I _ - — 5V Sly e /0 _ 3 9 (' o r 7. Amount of Permit $_ ___ (signed) —. _ ............ _....... __ Plumbing Inspector. 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 sub - contractors,_ on work to be per 'o ned under this permit, m are or licensed by Miami Shores Village. �d (Signed) ----- Msster Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and.says that he is the __._ __-- _ - -_.. _.._._______ - -- .. _ - -.- - __ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. MY Commission Expires Notary Public, State of Florida NOTE: A re- hapectiion fee of $1.00 will be made when such winspection is made-necessary by improper notice for inspection, or faulty materials and /or worEmanship. 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 ol 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 pNgress of the work. 19 Owner's Name and Address...4_./9JL2_.VL. - ................ NoJ,_Z&._ Registered Architect and/or Enginver .... - Name and address of licensed contrActor#-0-14 Location and legal description of lot to be built On: Lot............ ..................... »...•..... Block..................... Street and Number where work is to be done.l. State work to be done qnA purposeof building ........... . ........... . .. . ............. . ....... . .. . ....... . ....... for no other purpose. New Building.. ... Remodeling..... ........ ........ Addition .......................... Repairs .......................... No ol Stories. '04 Lz; ........... To be constructed of........ .................... Kind of foundatlon_,5� ................................................... - Roof Covering A ... a__024. Estimated Total cost of improvements $ of Permit Zonecubage required.- .....----- ..---------- - - - - -- ------ •.-- - - ___-----_Plan Cubage ............ . .............. . ........ Distance to next nearest building ..... .............................. - _...:_._...-_.-..Size of Building Lot.......-_--_ -...... .... ... .... ... Maximum live load to be borne by each floor I hereby submjIt all the plans and be sent ...... 4 E.�all .. I ............ . . .. . . ..... . ........ .... . .......... .......................... reference to the building and its construction may 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 bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks - - - ---- ---------- - - - -------- - (Signed) &_j . W-4- STATE OF FLORIDA, ss. COUNTY OF DADE. I Before me, the undersigned authority, a not4xy public, duly authorized to administer oaths and take acknowledgments, persoilally ap- peared- — — - - - ------ - ---- -------- - - - ----------- - ------ . .. . ...... . . ... . . . . ................ ............. . . ...... . _to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the..........._ ....................................... ........ . ............. ........... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.—XZkYe - - ------ Date .... &__ Read, Sworn to and Subscribed before me. Disapprove (Signed) .................................................................. Notary Public, State of Florida My Commission Expires..._____ ...... .............. ____._DAM Chairman ...... . ......... Member Member.... . . . .............. . ... . .. . . . . ........... Member Member........•.. .........__._-- .:.-- .--- . - - - - -_ Member CouncilApproved......--._.....: ................ ....- __.._.....__.............. -Date Disapproved .._.._.........__.» ..............I.............._• ... I ...... ................ 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 Pl;tnnir,-,, Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by Improper notice for inspection at faulty materials and/or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ..5 ' - 9 Job Address� O J T Tax Folio Legal Description )eI d! C' �7 r_ t Historically Designated: Yes No Owner/Lessee / Tenant C /I l " /S C' �/ s Master Permit Owner's Address / / 0 �2. S Phone Contracting Co. / Ce= IA�2 Pte°_. Address Qualifier State # Architect/Engineer Bonding Company Mortgagor Municipal # SS# - _ Competency # Address Address Address Phone Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION W# Square Ft. C, C C) Estimated Cost (value) /11,5706 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo P esident Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 3 RADON APPROVED: Zoning 7 c C.C.F. `s NOTARY . R `J TOTAL DUE Building Electrical Mechanical Plumbing Engineering Signature of Contractor or Owner- Builder ! Date c Notary as to Contractor or Owner - Builder Date My Commission Expires: pY N OFFICIAL NOTARY SEAL �ls OAP SANDRA M MONTIEL COMMISSION NUMSER CC401261 � ° My COMMISSION -EXP. AUG. 17 , B 7 c C.C.F. `s NOTARY . R `J TOTAL DUE Building Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request For Inspector: e� Name & Approved Correction ❑ �� Re- Insp'n Fee ❑ NIIANII SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ ao0,- : MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Time J Type Insp'n Permit No. Name Address Company Phone # °f For Inspectorf i Approved Correction M/ 7r?eeV,:VP Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date ° 2 -02 Time Type Insp'n &L7h k Permit No. _ 2 —9 ` -7 Name A 6 49 is Address Company a� r Fled Phone # _ ® ' 7 / 7,7 For Inspector: e- 3- Z)Z. Name Approved ©,,/ Correction ❑ V ✓ : �; -/,/,' Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE WELDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n_ Permit N9.� Name _ �f T Address Compan Phone # `'� •��� ° '" For Inspector: Name v % ®� Appmil Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n /��L K`✓�i �?= Permit No. � Name `41 "L� C Address Compaq Phone # For Inspect Name 4'a q J pproved�/ Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Company t Phone # Q Q z For Inspect ! 3 ( QaDName & Date Approved 0 Correction ❑ Re- Insp'n ee 9N �r `` �y � `.1 --d s MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp' n Permit No. 9 Name ." a Company Phone # n �1 9 ® 0"o 5 Name For Inspector: O a Approved ❑ Correcti C000-40- Loo Re- Insp'n Fee ❑ a L- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date ®e2-- Time Type Insp'n Permit No. Name Addres, Compa Phone # 1 i- O D U L% For Inspector: %���%� Name & Approved L7 Correction ❑ /� �' ®�® �' Re -Insp' n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date 69- Time B Type Insp'n Permit No. Name Address Company�� Phone # a For Inspector: Approved Correction ❑ Re- Insp'n Fee ❑ Name & Date '�oo�- L\-11 Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date Tim Type Insp' 14 � '° b MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dateg—/1-612, Time Type Insp'n �''► Permit No. ® �� Name Address Z ,�q® 9 r0 Company Phone # de q For Inspector: �..� N e Date Approved Correction ❑ - \qVT Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No.® IYY Name Address /0,721V- Company /644,(&,7 Phone # 3 b For Inspector: N ate Approved C.J� I If Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Tj e ...- - �il �✓ ' Type Insp'`n� 1� Permit No. Name Address 11171 / 0 HE / 019? (S—t-, Company Phone # For Inspector: Q� Name & Date Approved 9 bIrr] Correction ❑ Re- Insp'n Fee ❑ * MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n r PermitJ� a 1 E For Inspector: N e &Date A pp roved Correction ❑ Re- Insp'n Fee ❑ �� f MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Company Phone # S°- For Inspector! Approved Correction ❑ Re- Insp'n Fee ❑ LG ENGINEERING SERVICES, INC. Consulting Engineers c • 1 • v • 1 • I. North OtHcei South; Office: 7370 N. W. 3& Street 13380 S. W. 131 Street Suite 374 Suite 120 Miami, Florida 33166 Miami, Florida 33186 LGIN.E-E-R Tel: (305)'994 -8128 Fax: (305) 994 -8135 October 20, 1999 American Quality Roofing .c% Orlando Nunez 7526 Northwest 70 Street Miami Springs, Florida 33166 Project:I iJl'L_TEST Residential Home 1410 Northeast 102 Street Miami Shores, Florida Information provided by client Permit Number: 45420 Date Completion: October 13, 1999 Roofing Contractor :. American Quality Roofing LG Engineering Services, Inc. Project Number: LG09 -1337 (Testing Laboratory Certificate #99- 0609.61) Dear Sirs; In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No. 106 -- Standard procedure for field verification of the bonding of mortar or adhesive set the system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 20 feet above ground surface, The type of tile used for this project was reported to be Concrete Roof Tile. This tile was reported to have been 'foamed in place. At the time of this testing, one test. for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof the in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10 % of the roof tile located in the field area and more than 20 % of the roof tile at the roof perimeter and corner ' were physically examined. I I I I t LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the ' undersigned. Respectfully submitted; ' LG Engineering Services, Inc. 9 M amad onny 3A11eb, I" oject anager TES Residential Home 1410 Northeast 102 Street Miami Shores, Florida 1 Report of TILE UPLIFT TEST foY Residential Home 1410 Northeast 102 Street Miami Shores, Florida Project Number: LG99 -1337 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 ` 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass :.LG:Engineering :: .. s, ....... 133 Page 1 Services, Inc. -- Tlile Uplift Test Result — Project Number: LG99 1 7, , g 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 - Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass LG. Engineering ..... .. gc ng Services, Inc. — TYIe Uplift Test Result Project Number. LG991337, Page 2 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass . 64 35 Pass' 65 35 Pass 66 35 Pass 67 35 Pass . 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass 73 35 Pass 74 35 Pass 75 35 Pass 76 35 Pass 77 35 Pass 78 35 Pass 79 35 Pass 80 35 Pass 81 35 Pass LG Engineering Services Inc. —Tile Up li Test Result Project Number: LG99 -1337 Page 3 P .ft J _ g 1: i 1 1 i 1 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG99 -1337, Page 4' 1 LG Engineering Services, Inc. Tile Uplift Test Result Project Number: LG99- 1337 Page 5 /V V � PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ` d Job Address lglo L jG S 7 � Tax Folio It 3 -R D 5 - 0:4 L/ Legal Description f1/k#�, �6.ra4 & Art- & g 4ft f g /,t I stoncOy Designated: Yes No N 1 1, Ownerk,essee /Tenant t c A) 0 2l I r ,r7 s` �f Master Permit # �� �� C Owner's Address ILk 1 b ti° t i O Si Phone -30,S- 7 S-L( S rl Contracting Co. = ktcA„ C a� (t 2 r kC r7��� N _- Address ZC K g l (2 d&n6- A„ci� s /` Qualifier � c (A m -26 a1., � C A u -- Phone `?Jt% State # W-11 Municipal # - � � Competency # / 9 e-/ d Y' - Ins. Co. Architect/Engineer 6,%�14- Address Bonding Company /V } Address a — Mortgagor A/! Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFING AVING FENCE SIGN WORK DESCRH'TION -k c� /� 4 Yr S'�r r� 5 c� �� ice%c i GCc 1�7 r$7 d CJ 5 U i .� 5 ��9 ff n B7G Square Ft. — Estimated Cost (value) ��rQy'--,' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: construction and zoning. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating Furthermore, I authorize the above -named contractor to do the work stated. Si aturepf Con for or Owner - Builder Date u �oaaut L. Greene - ,State No as o Contrac r "1 0 a ion o. CC 578424 13,, , Date M C il E numssion Exp. 08/29/2000 > My mmsson X 00 3•NOTARY - Fla. NOWY Service & Bonding Co. 1 FEES: PERMIT �'�` RADON C.C.F. 7. Q ( ') NOTARY '"' BOND 3M — APPROVED: TOTAL DUE 0 Zoning Mechanical A, g M Building r 'L Electrical Plumbing Structural Engineer NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: TAX FOLIO NO. f% - D b .r - 6,)q— 0')d U COUNTY OF DADE: 99R-476979 1999 SEP 15 09x44 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 2. Description of improvement: e- L t1 3. Owner(s) name and address: J c , , 113 ( F k; k _L1 Lf I � N 6 Ina ill t 4 -c3'L s V i in a t S r� \, I B S Interest in property: r u = t) Name and address of fee simple titleholder: 4. Contractor's name and 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: 4J / ,4 Amount of bond 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: IV 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of *.his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Awl Signature of own r pp Fl- AIL it 6q) rl' 4 )6.- 6 °j- 33 5 -0 Print Owners Name L � � n 5 Sworn to and subscribed be f ;y,�{g�;;yC:yjs,{,« 4 s «<5 , 19 1 < Sh�Y J 3IIt1 � � Kota lic, State of Florida � < n C IOA o. CC 578424 , Notary Public: MN 9r�000 1- 800 -3- NOTARY - Fla Notary Savice & Bonding Co. . Print Notary'syName My Commission Expires: .ME OF FLORIDA, COUN , f 0= DADE HEgg3y CEg'itFy a his is a trued Of the tilirict ¢il od in r -s o < cg on _ wTNgS$ my h .n and Obicial Seal. HA kVEYPUVIiNL�U i 'If Circuit and CmuntyCau% Pby: . / Address: d - f?a 4 l t Z 123.01.52 2/93�� Ed APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all 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 owner's initial in the adjacent box indicates that the item has been explained. ° i. Aesthetics- NVorkmanship: The workmanship provisions of Chapter 3=I are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues 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. 7S 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 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) !o-3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, 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 SFBC provides the option of maintaining this appearance. S. 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 now off so that the roof is not overloaded from a build tip 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 Chapter 23 of the SFBC. i* o7. Ventilation: Most roof structures should have some ability to went natural airflow through the interior f 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 roo,`. S. The owner may contact the Mianti -Dade, County Consumer Services Department for further information regarding the above. ellk— Mfyyf_�_ ©caner' Agent's Signature -Da=te F- ontrartor' mature Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: ICA a66 ob Address: ROOF CATEGORY ❑ w Slope Application) El (Nail-On Tile ) 7 ortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof E9Rroofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft) Sloped Roof Area (W) _FS-70 Total (ft2) 3 S 7 0 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Fastener Type: Field: Perimeter: DETAIL 1 & ROOF PLAN ' ----------- 6==T— - -- - -- -----=--- - - - - -. 1 I1 ------ ' I t I I I1 i - - - - - - - - - - - - - -= ---------------------- - ' --------------------- 1 I 1 I 1 - - - - -- I I I 1 r------- I 1 ---- - - - - -- I I I I 1 1 I 1 I I 1 I I I I I I I , I --------------------- 1 V - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 , - - - - - - - Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION Ridge Ventilation? Fastener type & spadng: ® tz• ROOF SLOPZ MEAN HEIGHT TILE CALCULATIONS ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance-Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4), Other Component Approvals (Pmaxl: 7d,-3X X (Aerodynamic Multiplier): ac 1 _- + s ) - Mg: � = M,.I: � PCA: / a -(5"" is (Pmax2: X X (Aerodynamic Multiplier): o ) M ,S'�(� � V ` PCA: `? 8' — "'r2_ (Pmax3: %aZ i X X (Aerodynamic Multiplier): M ( 'L), M • 23 -'� ) " e' • rs• PCA: Page -2 f. a IRld a V t1laUon7 MEAN l Mcm Appendix "E" UNIFORM ROOFING PERMIT. APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION Inderlayment Insulation ./V I( / Fastener type & spacings Cap Sheet: 40 ti,56 Roof Covering: ttLe ROOF SLOFt A,. Drip edge:. ATTACHMENTS REQUIRED I TILE CALCULATIONS (Pmaxl: 7of -3 x X ( Aerodynamic Multiplier): -f ) Ms' - -a(�'� KI: • ld PCA: /2 (PM=2: tx X (Aerodynamic Multiplier): s o� Mg:' s= - a Q Kz: PCA• �_ B' Pmux3: l d ( x %1. (Aerod),namic,Multiplier):.Ca'V ) - jyjs; S -a�aa May: a�•��PCA: a3 4 7 Page -2 a Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: ►GQ DuAltj;g S� Job Address: /C! / n A16 ROOF CATEGORY ❑ (Low Slope Application) (Nail -On Tile) L ortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal RoofslWood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof 34" 1` roofing ❑ Recoverin g Repair air ❑ Maintenance Flat Roof Area (ft) Sloped Roof Area (W) 5S'70 Total (w) 3 S 7 0 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE• 7 -88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Ft. In Deck type: ATTACHMENT Ft. Fastener Type: SPACING Field: Perimeter: Comer: DETAIL 1 & Z Page -1 a ROOF PLAN - -- --------- - ' - -- — , -- __ 1 - - - - - -- -- - I -- -- - - ' - - - ------- - - - - - - - -- 1 1 ------------------ - - - - -- , 'y 1 1 r------- -- ---- - -- -- - , 1 1 1 1 1 1 t 1 I 1 1 1 r r------- - - - - -- I 1 - - - - - -- I 1 1 1 i 1 1- cc7i --- - 1 -- ' 1 ----- - ----- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - -- ----------- --------- - - - - -- - - - - - -- Page -1 a Y 1 ii nL .: 1t r i.i. rat, fiv. 954 491 4499 METROPOLITAN DAOt? COUNTY, FLORIDA METRO -DADE FLAGLEA 13UILnINr3 IJUILDING CODE COAKPLtANCE orrICE METRO -DADE FLAGt_FR AIIII.DiNG 140 WEST FLAGLER STREET. SUITE 1603 MAMI. FLORIDA 33130.1563 (305 )375 -2901 FAX (305) 375 -29tas PRODUC MNT—ROL N AVf'VD'r. Monier Lifetile LLC 135 N.W. 20 St. Boca Raton, FL 33431 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Product Approval of Bermuda Flat Tile under Chapter 8 of the Miami-Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the puns, specifications and calculations as submitted by- Redland Technologies, The Center for Applied Engineering, Inc. and Professional Service Industries, .Inc.. has been recommended for acceptance by the Building Code Compliance Office to be used in Miami - Dade County, Florida under the specific conditions set forth on pages 2 -8 and the standard conditions on page 9. This approval shall not be valid after the expiration date stated below.. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant -for quality control. testing. If this product or material fails to perform in the approved manner. the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office 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.: 97-1124.1a Revises No.: 96- 0528.06 EXPIItES: 5 /01 aul Rodri ez Product Control Supervisor ]WE IS V R O FI NP GE, NERAL 9NDIT>IONS BUILDING CODE COMMITTEE This application for product Approval has been reviewed by the Miami Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Miami -Da ounty, Florida under the conditions set forth above. r Charles Danger, P.E. Director Building Code Compliance f)ept. APPROVED: 06/25/98 1 Miami Dade County Internal mail address: posimaster@buildingcodeonline .tom Homepage:' htlp : / /www.buitdingcodeonline.com Page 2 of 9 u oaga, RR Roofing Product Control Examiner t I j I t t MONIER LiFETILE LLC a Product Control No_: 97-1_L74� ! 1t'ADE NAMES OF PRODUCTS MAMNACTURED OR LABELED BY APPLICANT 'rod i e s' ns Test Product c ''IGcations escri ti Bermuda Flat Tile 1 -15" PA 112 Flat, interlocking, extruded w- lo 3/g" concrete roof file equipped with IV4" thick two nails holes. For mortar set or adhesive set applications. Trim Pieces 1 - varies PA 112 Accessory trim, concrete roof w = varies pieces for use at hips, rakes, ridges varying and valley terminations. thickness Manufactured for each tile profile. IVADE NAMES OF PRODUCTS MANUFACTURED OTHERS Test • Product roduct pimensions SneclCcatons PM 04 Mauutactq�cr Rainproof 11 30" x 75' roll PA 104 Single ply, nail -on Protect -O -Wrap, 36" x 75' roll underlayment with Inc. or 2" self - adhering top (with current NOA) 60" x 75' roll edge. Ice and Water 36" x 75' roll PA 103 Self - adhering W.R. Grace Co. Shield underlayment (with current NOA) Wood Battens Vgr�tical Wood Preservers Salt pressure generic * Min. 1 "x 4" Institute LP — 2 treated or decay i to resistant lumber Min. l "x 4" for use vattens with vertical battens or Min. I "x 2" for use alone Tile Nails Min. 8d x 2 %t' or PA 114 Appendix E Corrosion resistan generic ruin. 10dx 3" screw or smooth shank nails Page 2 of 9 u oaga, RR Roofing Product Control Examiner R" MON R L11FETJ1E LLC i. Product Control No.: _ 91.1174.13 r duc pimeasious Test Product ec l [EILIOM Description Manufacturer Tile Screws #8x 2 %" long PA 114 Appendix E Corrosion resistant, 0.335" head dia_ coated, square generic 0.131" shank dia. drive, galvanized, 0.175" screw thread coarse thread wood dia• screws Roof Tile Mortar ( "TileTitcTm') N/A PA 123 Prepared mortar Bermuda Roof mix designed for Company, Inc. with mortar set roof the current PCA applications. Roof Tile Mortar ( "Quikretee Roof N/A PA 123 Prepared mortar Quikrcte a Mortar ortar mix designed for Construction #i mortar set roof the Products with applications. Current PCA hoof Tile Mortar N/A PA 123 Prepared mortar W. R Dorsal Co. Roof Tile oof Tile Mortar mix designed for with current PCA Mix ") mortar set roof the applications. Roof Tile Adhesive NIA See PCA Two component Polyfoam Products, ( "Polypro�t polyurethane inc. AIi16b °) adhesive designed PCA 094- 0401 _Ot for adhesive set roof tile applications. Hurricane Clip & Clips PA 114 Appendix 1; Corrosion resistant Generic Fasteners Min. 1/1" width clips with corrosion Min. 0.060" thick resistant nails. Clip Fasteners Min. Sd x 1 ' /." Page 3 of 9 Zuloaga, RRC Roofing Product Control Examiner MONIER LIFETIM LLC Test. At'ettcY The Center for Applied Enginccring, Inc. The Center for Applied Enigneering, Inc. Redtand Technologies Professional Service Industries, Inc. Product Control No.: 97 -1 124.13 EVIDENCE SIJI) 'IITTED Test Identifier Test LI&M—C/R Date 94- 084• Static Uplift Testing May 1994 PA 101 (Mortar set) 94 -060A Static Uplift Testing March, 1994 PA 101 (Adhesive Set) P0631 -01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) 224.47099 Physical Properties Sept, 1994 PA 112 Page 4 of 9 ran Zuloaga, RRC. Roofing Product Control Examiner MONIER LIFETME LLC Product Control No.: _91j 124. U - - SYSTEMS Deck Type: Wood, Aron- insulated Deck Description: New construction 19/32" of greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: 2':12" to 7 ":12" Note: System D is only acceptable in this slope range. Underlaymcnt: Install underlayment system in compliance with Miami -Dade County Application Standard PA 120. (See System Limitation $94.) RooCag Tile: Install the in compliance with Miami -Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For're -roof applications, i5/32" plywood is an acceptable substrate. Page 5 of 9 Frank Zuloaga, RRC Roofing Product Control Examiner r F lv16NIEft LEFETUX LLC Product Control No.: 97- 1124.13 SYSTEM LIMITAwxoNS 1. The standard minimum roof pitch for the Monier Lifetile LLC's Bennuda Plat Tile high profile the shell comply with Dade County Application Standards PA 120. 2. System installation shall be in compliance with the system specifications outlined in this Product Control Approval, The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA I IS or PA 127. The tile profiile'listed herein has been tested for both wind characteristics and static uplift performance , therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as an 'Moment Based System' 3. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. 4. For tile applications, 30190 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 5. All tiles shall bear the Imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 6_ Applications for roofing permits shall include a completed Section It of the Unifornr Building Permit, a copy of manufacturer's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed the application. Reference shall be made to appropriate data for the required fire rating. 7. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. S. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 9. Fire classification is not part of this acceptance. Page 6 of 9 Frank Zutoaga, RRC Roofing Product Control Examiner MONiE,R LIYETILE LLC DATA FOR ATTACHMENT CALCULATIONS Product Control No.: 47.1 124, l3 _ Table 1: Aerodynamic Multipliers-.—IC(fill) from PA 108 Testing Tile ;L {ft) X (w) Profile Batten Application Direct Deck Aonlication 24 Table 2: Restoring Moments due to Gravity - MI, {ft -Ibf) from PA 101 Testing Tile 3 ":12" or 4 ":12" S ":12" 6 ":12" 7 ":12" or Profile less 39.00 Plat Tile greater Monier 5.20 5.12 5,01 4.89 NIA Lifetile LLC Bermuda Flat Tile Table 4: Attachment Resistance Expressed as a Moment - M, (ft -lbf) , from PA 101 Testing Tile Tile Attachment Profile Application Resistance Monier Litetile LLC Bermuda Mortar Set 39.00 Plat Tile Adhesive Set 118,90 Page 7 of 9 Frank Zuloaga, RRC Roofing Product Control Examiner + b 4 i�d�►�i�It ii��a'LY.,E L.Lf; KIM t`1— Product Control No.: PROFILE DRAWING 7 9•_� BEt AMDA FLAT Tax Page 8 of 9 Frank Zuloaga, RRC Roofing Product Control Examiner Frank Zuloaga, RRC Roofing Product Control Examiner