42-8270CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUUDD G DI MION
N° 10 6 5 15-60
Miami Shores Village, Florida
Owner, Agent or Tenant of Building C.H. HECKE R
Lot 22 � Block • I Subdivision_ Tradl A,, M.S.B.P.E.
Street Address 1431 N.E. 102nd St. —
Approved use by occupancy Florida Room Addition
Remarks- 9735
This Certificate of Occupancy is issued to the above named OWNER
for building at above named location only upon the express provision -that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Vill age g to
the erection, r�onstruction, alteration or remodeling of building or stru es.
pmt CUBE 4317.
TAX VALUE 216 BUILDING DIVISION
O ER'S NAME
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
OR - .tee r19 &g C' // Wcj g- .
I /431 -/ ess /.. ---P -r,
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A LO
JOB CBLOCK
ION (ST. OR AVE.)
LOT
SUBDIVISION
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GENERAL
C NTRACTOR
D$
PHONE NO.
LI ENSE NO.
✓®
ol
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BUILDER'S BOND
BUILDING PERMIT NO.
DA ��®
PERMIT FEE S ..r
NO. 2��/ DATE'`�3'�O`�
Ave, 74p fj -
—
Volwor, 1i
ZONE REQUI
EMENTS CU. FT.
i PLAN CUBE 43zl CU. FT.
I EST. COST $ z� O
DAT=
DRAWINGS. SPECIFICATIONS.
L
RESTRICTIONS AND CUBE CHECKED BY: . 64. 44 lL ` L 13 —
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION NTERIOR CONSTRUCTION
I
I
I I
I � Poop,
DESCRIPTION
REPAIRS
ALTERATION
I DES RIPTION
ADDITION
I APPROVED
I REJECTED
TO COUNCIL)
REASONS
SUBMITTED TO PLANNING
BOARD
(REFERRED
RE- SUBMITTED TO PLANNING
BOARD
I I
I
I
I REMARKS
SURMITTF.O TO VILL GE.COUNC
L
I
I I
CERTIFICATE OF OCCUPANCY
NO. ��
ISSUED
BY TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
tAot 2i"P`Ad° BWLDING INSPECT7CNS� ��951
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
ALTERATION ffi I ADDITION
REPAIRS
ROOF
PERMIT NO.
BEAMS & LINTELS
I
POOL
FRAMING
AIR COND.
FINAL
$
CLEAN UP
SLAB
$
MOTORS
SLAB
$
FIXTURES
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. I DATE
FEE S
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIALS PERMITS
I PERMIT NO.
I DATE
FEE
TEMPORARY SERVICE
I
I
$
SEPTIC TANK
S
SEWER
I $
SOLAR HEATER
IS
GAS
I
Is _
Is
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
TUB & TOP OUT
FIXTURES & FINAL
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR L
fr �CG
PHONE
PERMIT NO. �' �°%
I DATE
FEE S O -J-0
NEW BLDG. I
ALTERATION ffi I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
S
I$
INSPECTIONS
DATE
BY
RE- INSPECTI
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
APPROVAL TO POWER CO. FOR SERVICE DATE BY
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
gg APPLICATION FOR ELECTRICAL PER
PermitNo .......... . .............. a .... - - »...._........
Application is hereby made for the approval of the detailed statement of the plans and so6fications hereAth submitted for the build or other
structure herein described, application is made in compliance and conformity with th Building O ance of Miami Shores Village, Florida,
and all provisions of the La s of the State of Florida, all ordinances of Miami Shores Village es and regulations of the Building Division
of Miami Shores Village be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of iAork.
Owner's Name and Address: ........................ ...... .... ............................No. »..!: »........ »�, .....Street:. » ® ».. ....
Registered Architect al
Employing Electrician's
Location and Legal .Description Lot ....... » ....................................... ................... Block .......................................... Subdivision .... .............................
Street and Number where work is to .be performed— No ............................................ ....................:.......... Street...........:............»........... ...............................
Statework to be performed land purpose of building (By oors).................. » .........................................».._.».»....» ..... ».........................
New Building .......... ». ......... }........ Remodeling .. .................... ...Addition....... ........Repairs................ .... ».: ,.No. of Stories....................
Service Overhead Size �eeders-...... ». .....Conduit ..............Main Sw.......................___. ..Amps. »... ».... ».._.......Main
Underground ad Amps
Type of Installation— Conduit_..»_... .............. Tubing....................... B.X.L .................... » ... Metal Moulding. » ». »......» ........»..».. _,.. .......... »................
Amount of Permit $ .... . .....
�'
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts Kda ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Per manent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or su atractors 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.i 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)_ ra....4_1 ... » ».. .. »...........
Master Electriaaa.
STATE OF FLORIDA,
COUNTY OF DADE. sa'
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 fads
therein by him stated are true.
... » ............ »..»_ .... » .... 1VI p' Cpm... . ion . E e ._ .................. »..... ». ». ................ » ».ATctarY »Public, State of. Flori da. »... ........... ............ mi
NOTE: A re•inspectidn 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
LIONT
' PLUG -
FIXTURES
REFRIG.
IRON
RANGE
RANGE
WATER
W. HEAT.
frE
STRIP
TOTAL
UTLETB
OUTLETS
RECE•I=
NO. LAMPS
OUTLET
OUTLET
OUTLET
CONN.
HEATER
CONN.
HIT.ATER
HEATER
CONTR.
LIST
CHECK
- -a,
ENT.
01107.
j SERVICE
SERVICE
MOTORS
MOTORS
NEON
-RADIO
TOTAL,
�
SW.
CAB.
TEMP.
PERM.
0.1 HP
1.5 HP
. TRANS.
CONTIL
-
LIST
CHECK
- --
Service Overhead Size �eeders-...... ». .....Conduit ..............Main Sw.......................___. ..Amps. »... ».... ».._.......Main
Underground ad Amps
Type of Installation— Conduit_..»_... .............. Tubing....................... B.X.L .................... » ... Metal Moulding. » ». »......» ........»..».. _,.. .......... »................
Amount of Permit $ .... . .....
�'
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts Kda ligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Per manent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or su atractors 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.i 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)_ ra....4_1 ... » ».. .. »...........
Master Electriaaa.
STATE OF FLORIDA,
COUNTY OF DADE. sa'
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 fads
therein by him stated are true.
... » ............ »..»_ .... » .... 1VI p' Cpm... . ion . E e ._ .................. »..... ». ». ................ » ».ATctarY »Public, State of. Flori da. »... ........... ............ mi
NOTE: A re•inspectidn 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.
..
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied' with, whether herein specified or not. A copy of approved
plans and specifications (must be kept at building during progress of the work.
Date... _ _ ( .- __ .............. _ ..........
,15. �®
Ownei s Name and Address..11! .` ..d._ �!!. /,� . �._ l�-' ��_ "l . _ No._
Registered Architect and /or Engineer....- _ a _ -- _l - -• ---_•.--_.---_—.-- ---- _.------- ---- -- ------ - - -•_- -
........
Name and address of licensed contractor. = - -- �� ®_ �Z__ _.-IM .
Location and legal description of lot to be
Lot _______ -- _____.- _--- ,_- _ - -_._ Block ---------
Street and Number where work is to be
State work to he done and purpose of h
_ .__ _ ___ _ ,,._.-- •---- _ -_ - - -- , .. __._._ _- __ -- _ _ .____ __ _ _ ..and for no other purpose.
New Building - ..._...__ .................. Remodeling ..................... Addition... ---- - - - - -- Repairs .... .. No. of to ' .........................
To be constructed of - - -- ---------- Kind of fo ndatiop ?� -__a/� ._ _ _y Roof Covering..... ` _ .................. ........
Estimated e0 F) 1 -l%—
stimated Total cost of improvements $.... --- .- -,_- P_ -- _.. _Amount of Perini f qt�.f .. ___.._--•-- ---- •-- - .... l_.._ -- �.- --•- - - - - --
Zone cubage required _ _,— _ — -.._ ----- __- ,_�_.__�_� _t__ Plan Cubage-_` (�! .,�.�P!_�_t_.- �"'--- . -_ - --
ext " g---- __.__------- - -_ -_- . � �__. Sire of Building Lot_.. _��_/_/ X- J- .......................
Distance ton near building
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_- __....___...
I The- undersigned
of labor under the Fl
and has complied wit
in the work to be pe:
or notices as are requ
permit, as are license
licant for this building permit does hereby certify tliat he- understands and accepts his obligations as an employer
a Workmen's Comk�ensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
e provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
led under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice
by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
Miami Shores Village.
�
Remarks — (Signed` =
f�
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
_._......_. . __to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the- -----------------_--------_ ------------------- - ------ ---------_.....___--_-----_-
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. —
Permit No._ _ __�__._. Date..-..-,,— � . �;;;' i e __ -_ Read, Sworn to and Subscribed before me.
Disapproved . _ _ .._,: Date--. _- _- - ___ - - -- - _._.._
_ __
—Notary Public, State of Florida
(Signed) L -
Building Inspector _ My Commission Expires--- __.__-- _- •--------- - - -__. __ .___ __ _.
PLANNINt;
Chairman.__ _ - - -- — __...__ __ _ _ Member _ -- _._..._-- - - -... --...•---------- ------ - --------- - -----
MemberMember --- -------- - * - -- ..... - ......... _........... --------------- - - - --
Member -- ------- _. __ __., _.. Member
Council Approved _ _. w. -- ----- -_ - -__ _ Date Disapproved ------ __._.____.._. _. .----- _------- _- _ .. .. .... . .. . .. ................Date
NOTE: A charge of $1.10 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fed of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
8 ;1
i �l
�� a
0
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is here )y made for the approyal of the detailed statement of the plans and specifications herewith submitted e build-
ing ar other structure ein 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.
0 �A
Date.._.__.._
dress ...... --.-.\A
Owner's Name and Ad
.... ....... ............ . . No..._.. . M.St ...
Registered Architect and/or Engineer... -- ............................. . ............. . . . ............ ... . ......................................
..------- -
......... . ..........
Name and address of licensed contractor. .... )L.�s -- ---
-
Location and legal description of -lot to be built on:
. ..•... Block-- _------- - - - -_- - --------- - Subdivision - - - - --
Street and Number where work is to be done .... 10 ..........
Stat to be done and purpose ?f building (by floor 0_04, ...... .... . ..
I - - ------ - -----
.... 4-11 --- - ----------
. .. ......... . ................. . ...
,11� Ill- — — — — ------- - -- - ------ - - — -------- and for no other purpose.
New Building_._....._.; Remodeling----------- ---- -=-- Addition--.._..-- _-- ___ - -._ -- Repairs.__...._.______.- _....._ No. of Stories _...._........._..........
To be constructed of- :. .T _ ... , ............ . ... Kind of founda0on_,,-,, ---------------- * - — -------------- —, Roof Covering ............................................
Estimated Total cost of improvements 9 .. 0_0--- == —Amount of Permit $-- - - - - -- . . . .. . .............................................
Zone cubage required_--_ — — - - - - ------ ------- .... .. ... . ----Plan Cubage — ------- . . . . .......................
Distance to nod neare�t building---- .----- .--- .------- - - - - -- -- --'----Size of Building Lot........- . ..... . . .......... .......................................
Maximum live load to �e home by each floor—_- . . . . . . ... . .... . .............................
I hereby submit al� the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to---
............. . .........................................
The undersigned a licant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Fl a 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 employ by him
in the work to be perfc rined under this permit; and will post . or cause to be posted r do ,on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such ntra S, on w k to be,performed under
permit, as are licensed by Miami Shores Village. ___
Remarks (Signed)-.- . .... .......
STATE, OF FLORIDA, T -4 e_x--�
COUNTY OF DADE.
Before me, the
peered
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
me well known, i
and who, bein b I first duly sworn, upon oath deposes and says that he is the - - — ---------_------------ - --- -------__ . .................. . .. . .. .
of the above Tes%= construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No. Date d, Sworn to and Subscribed before me.
te
Disapproved Date— . . . . . ... . .............. . ... . ..... . ............ . ...
Notary Public, State of Florida
(Signed)
My
B10ding Imp tor My Commission
PLANNING
Chairman
Member
Member ...........
Council Aunrovi
TE
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 $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
ON AL�,�.
October 15s 19.57
SALES - FRANKLIN 3.7681
SERVICE- FRANKLIN 9-2888
"1��" AIR CONDITIONING - REFRIGERATION CONTRACTORS
FLORIDA
Chief Building Inspector
Niam. Shores, V%orida
I
i
Beer Sirs
gnbJeetz Air Conditioning for
e. H. Hecker Residence
1431 N, E. 102nd Street
NUmi Shores, . Fl ®ride.
We$ the undersigned, will at the instructions
of the Building Inspectors correct noise$ if
ant's from the installation of an air cooled
condenser at the above address.
Yours very truly
F# H. fficBC s ZHC.
H. C �a
Haag ®�
CzC:rla
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MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the proyal 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.
' .... I ...... . ..
----- - ----- 1220 .- .,19........
- .1 --1--9 - ..-.- ....
.
Owners Name and Addreis ..... T cl�er- o e ne s -lu i - No. Steet_7. ........102n,3 3t
RegisteredArchitect and/or Engineer................. ..........---------- •---- - - - - -- ----- - - - - -- -----------_------ - ------------ — ------------------------------------- ................
j T'. -J. 79t!'l T-Tia—i Fla.
Name and address of licensed contract Lanr Roofing f� Til'-_.' Tp -y 1��.
or .......... . . . ..... ........... .... 0 ag_2.._j!L _.�L .................................................
Location and legal description of lot to be built on:
Block ._----------------- -- ,_- _ - - -_- Subdivision ._.__......_..- ._.._-_._...____ _ - ------ - -----_-------- •- ----------
Street and Number wherp work is to be done..._... 0 1 1'' . E n�' V ia ri S'- ore s, F la
102 St.
State work to be done and purpose of building (by floors)...__ ............. . ...... . . . ................ . ............. _.---_.------ . .... . .......... . ......
s qu a r e s y. -avel- tie into e.-:i7tlnc' w'-,it- sl:Lj the
L ........... ....... .... . ..
for no other purpose.
New Building------ -- -------- - - - - -. Remodeling - ... . ............... ... Addition-_1 .........•....... Repairs ............... . ......... No. of Stories. ......... ...............
To be constructed of ........................... Kind of foundation .... . .......... . ................................. . ........ . . Roof Covering..._.. L=P).-Y ... a'nPI .... . ...
Estimated Total cost of improvements $ ..... of Permit $..-- . -. --_- .00 - - ----------- ------- ------------
Zone cubage Cubage____.__.__ — — — - — - - - - - -- - - - - - --- - - - - -----------------
- Distance to next nearest building-- .- ..__...___.__...- ----- ---_------Size of Building
Maximum live load to be home by each - — - - — - — - --- — -- - ------ - - - - -- - ---------------
I I hereby submit all the plans and specifications for said building. All notices with reference to the budding and its construction may
be sent . 1 -4
. ..... . ...................................
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 subcontra ctois, on work to be performed under this
T
permit, as are licensed by Miami Shores Village. Al T (7 P.. -7 T AT'Y' 1�9_
Remarks— (Signed) AA
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....... . — — --- - - - - -- - -- - ---------
0
----------- - ----to me well known,
and who, being by me first duly sworn, urn oath deposes and says that he is the. . . ........................... . ............... . . . . ....... . .. . ............... . ...... .
,e
of the above described construction, that lie 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. Q ) S �k - Read, Sworn to and Subscribed before me.
Disapproved Date
A Notary Public, State of Florida
(Signed) .... t'_ -- - — ------ - - - My Commission _ --------------- _---_-------
NG BOARD_- . ... . .. . .... . ...... _-_--DATE
PLANNING $ Ins
4��tf
Chairman
Member
Member -----------
Council Approved— ---Date
Member --- - - - - --
Member - - _-_ - - - - -- - - -------- - --- --------------- -
Member— ---- — - _--_ - ---- - ----- --- - - - - -- .. ___
Disapproved.._--.-_----_-----•-------------------------- •--- •-- • - - -•- - •- - - - - -- - Date
NOTE: A charge pf $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 whep such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
�j — �'� ( PLUMBING INSPECTION DEPARTMENT
7,2 - ),I'> APPLICATION FOR PLUMBING PERMIT
J d�J �•
Permit No. % _ Date__ 12 - __2 -' — 7f --
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
budding during progress of work.
Owner's Name and Address-- -__,%2 A - 1, X F.4 No. 2 'Y -1 Z_.
Registered Architect and /or Engineer -
Employing Plumber's Name�f'� ) _ J' 7-WV _ No Street_ L!Z S S 7-4 -
Location and Legal Description Subdivision.— _ . —
Suvat and Number where work b to be performed --No
State work to be performed and purpose of building (By Floors)-- --------- _ - -__. __.--- ____ -- Now Build+ag ____ Remodeling —Addition---.- Repairs_-- _------ -_ - -_- No. of Stories . --
Size Septic Tank__ Type of Tank _____ .___— ___Capacity -- ___ - --
Feet of Drain Tfle _ mss_ Feat of Tank or Drain Field from Well__
Nature of Water Supply: city —Watt. _Size of Soakage Pit_____._. -_ — - -.__ _ _-- -_ -_ --
:tor.
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-
p1W 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 performed under this permit, as are
lick by Miami Shores Village. f
(Signed)
STATE OF FLORIDA, as.
COUNTY OF DADE.
Master 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 &,at duly sworn, upon oath deposes and -says that he Is __._ - - -------------
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and tat ll facts
therein by him stated are true.
My Cemomnisd= Expires Notary Public, State of Florida
NOTE: A r a"wtion fee of $1.00 will be made when such re- Inspection is made-mmosery by improper notice for inspection, or faulty
materials and /or worlmmanship.
CLOSETa
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY URINALa
TUBE
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
/4.t
$
TOTAL
FIXTURES
CON7R.
LIST
_
CHECK
®w
PIS
2' ®L7
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
.SOAKAGE
PIT
GREASE'
TRAP
SOLAR
HEATER
DEEP SPRKLR.
WELL SYSTEM
SWIM'G
L
POOL.
i_�u�G
k/ h
OCNTR.
l
/
CHECK
Size Septic Tank__ Type of Tank _____ .___— ___Capacity -- ___ - --
Feet of Drain Tfle _ mss_ Feat of Tank or Drain Field from Well__
Nature of Water Supply: city —Watt. _Size of Soakage Pit_____._. -_ — - -.__ _ _-- -_ -_ --
:tor.
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-
p1W 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 performed under this permit, as are
lick by Miami Shores Village. f
(Signed)
STATE OF FLORIDA, as.
COUNTY OF DADE.
Master 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 &,at duly sworn, upon oath deposes and -says that he Is __._ - - -------------
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and tat ll facts
therein by him stated are true.
My Cemomnisd= Expires Notary Public, State of Florida
NOTE: A r a"wtion fee of $1.00 will be made when such re- Inspection is made-mmosery by improper notice for inspection, or faulty
materials and /or worlmmanship.
r L. V " 1
3 3 1 3 6
January 4th, 1972
P
ftINTYRE
VILLAGE MANAOtM
Dr. John J. Kealy
1431 N. E..102nd Street
fta-m—f Shores, Florida
Ref: Air Conditioning Unit
Dear ,Dr. Kealy:
Chapter 5 of the Code of Ordinances of Miami Shores Village,
Florida requires a building permit when air conditioners are installed,
enlarged, moved, improved, altered, etc. Recently you relocated your
A/C unit and installed a new condensing unit without a permit.
Ordinance No. 299 which is an ordinance establishing air
conditioning regulations in Section 2a states, ` 'all equipment, existing
or hereafter installed, regardless of location, sha- be ,maintained in
good vvicrking order_ Equipment cr located t a"t ..:;b. ►ax operating noise
creates a nuisance to adjacent owners or occupants sail be provided
with 0ound absorbing baffles, or enclosures as approved to insure
maintenance of a reasonable noise level ".
It was called to my attention that you are in violatic of
both of these ordinances and several weeks .ago I spoke with your wife
and later you regarding these violations and asked that you comply and
to date you have not. I have received additional complaints about
your air conditioning unit which has been installed without a permit
in a location causing complaints and I again ask you to take the
necessary action to comply with the ordinances or be subject to more
drastic action.
I would like to thank you in advance for your cooperation
in this matter.
Very truly,
W. R. Bradford f
Director of Building and Zoning
WRB/nl
L
P RMIT APPLICATION IO N FO R MIAMI SHORES VILLAGE
Date 7�a--9 b Ad kess ��` Za2ZZ Tax Folio ��e�
Legal Descriptica ZWZ.3 &I HatoriCally Designated: Yes No
s
Ow=)Lessee /'Tenant ic- t=�1 r��s' s�`' ,C' Mister Permit # •-3 9 �®
Owner's Address � 4::5: a Phone
0
Contracting Co. e kf Address 45�7� X/ 1- e-1
Qualifier _ SS# Z O % -'- Z P hone '7,Jr' °7 - 7 7g!9'S
State # Municipal # / r Competency # �.'.s� Ins. Co.
Archi
teclEngineer
i
Bonding Address
- - -- --
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL/ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / 4
Square Ft • Estnnated Cost (value} Z f/Jr6®
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYIN G TWICE FOR IN[PROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR.ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is 1, hereby madejl to obtain a permit to do work and installation as lindicated above, and on the attached addendum (if applicable). I
certify that all''work will be ';performed to meet the standards of all laws regulating construJotion in this jurisdiction. I understand that separate
permits are required for ELEt TRICAL, 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 wor
I
Signature of owner and/or C ondl Presi t Date igtrature of Co actor or wher-Buflder Date
7 C,
ent otary
Date
as to Contractor o -
Date
My °n n � 01A io y on°l�es: O,� 30
p 4 'dX3• NOWSINK00 AN
M 919N NO18SI YI00 V � a3ennimi NOISSUI 00 V �
'{3flM S1 110 O '131AN0" tl!9 ®NtlS
i' AkdtllOid itll ��0 end �Zy`d� 'Itl S AkIYlON � 131ddO 8Id ^21'�
NOTARY TOTAL DUE
$/
FEES: RADON
C.C.F. I J
PERMIT
APPROVED:
Zoning Building Electrical
Mechanical—" Plumbing Engineering - --
ti
6,St-o
00 1
Ole u
Le rim Toc
a,
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
A is here l )y made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or
Application is herein described. This ipplication is made in compliance and conformity with the Building 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 beyeptrat building during progress of tbe-j*wkj
Owners Name and Ad
Registered Architect and/or Engineer
Name and address of licensed contractor..._...
Location and legal description of lot to be built on:
Street and Number where work is to be done__jL_T_.14 ...... -4- . ..... . I . . . .. . . . ..........
State work to be done d purpose of budding (by floors) _______________________»
.. . .... -----.-and for no other purpose.
Now Building_.. . . . . ............. Remodeling__ . . ................... Addition - - - - -- - - ...... Repairs._..........______. --- No. o
--- dadon _._..._- •- »_---- .._.__. . .... oil .. ! ---------
To be constructed Kind of foun a Roo.LCoverhig. --- to .7;A.... ...... !.
. e 4�-, 7-ID W-i
Estimated Total cost of improvements e_-Amount of P_e_* .4 - — ----- - ------ - --- - ------ -
Zone cubage required— Plan Cubage.- . .. . . . ...........................
Distance to next nears building--------- k7.*__.gZj of ---------------
Maximum live load to I e home by each floor--_ 40 ........................
I hereby submit all the plans and specifications for said budding. 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 Att, being Section 5966, Compiled Laws of Florida, Permanent Supplement,
and has complied with" - previsions thereof, and will require similar comp from n ors or pb-contractors employ by him
in the work 0 perfo under this permit; and will post or cause to be for on on sfte of the work such public notice
to d by the Act. The undersigned agrees to employ y such performed under this
or notices as e I to be
permitt, as are licensed y Miami Shores Village.
Remarks— Signed) z, A
STATE OF FLORIDA,
COUNTY OF DADE .
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared — — - — - — -
t _to me well known,
and who, !n by me first duly sworn, upon oath deposes and says thajAe is the ... . ...................... . .. . . . ............... . ...... .
of the above Zscribed construction, that he has carefully read the application, and that he did sign the same, and that all facts
therein by him slat d q
AV
Permit No.— Date Read, Sworn to and Subscribed before me.
Disapproved . . . .. . .......
(Signed) ____ Notary Public, State of Florida.
.0!90 1" My Commission Expires--__
udi
PLANNING BOARD— ------.-DATE
Chairman Member
Member Member
Member Member
Council Approved— ---Date Disapproved _._.___ _...___._..__.- ------..______ ».__. -----------_-_----_---- Date
NOTE: A charge lof $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 w 7 anshin.
Lot 22 Block LiiEl LiT LE T,,,,�, I'L' ^VBAY &.J,TA,IfEL), accordint; -c th(, ll�lt
thereof, as rcccrd,.0 in Fl:.t Dock 561 at kage t6) of tht:, Fublic liEccrds of
wade County, i'loric.,L.
Order lic September 10, li'53
#
H-'-RL)Jy Thz.t the attached "6KEfCH L, Ljlu'IiVLYll cf tht: Lbcvc described
1,ropt,rty 1% +,rui an" correct to thc- b(st c4l' rry ,mowlcdgc and of lief as rEcent-
ly sviveycd j_'i;IIted-I under rry direction.
HAPRY C. o ft'.LjoLCjnj'L_,? INC.
Albert i. _.,sslint
Re,_-istf re-' ',i.. -rvcy�r #'-,)(77
Stiitc. cl*' Florldv.
is
y.
II
20
W.4 )r
AK/AY
"Zf
/14P.
►
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Ab i
,\v I*;
,6 !V\1
az
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75
P.97
25
Ile
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14t,
wn
0,0
'ki
Lot 22 Block LiiEl LiT LE T,,,,�, I'L' ^VBAY &.J,TA,IfEL), accordint; -c th(, ll�lt
thereof, as rcccrd,.0 in Fl:.t Dock 561 at kage t6) of tht:, Fublic liEccrds of
wade County, i'loric.,L.
Order lic September 10, li'53
#
H-'-RL)Jy Thz.t the attached "6KEfCH L, Ljlu'IiVLYll cf tht: Lbcvc described
1,ropt,rty 1% +,rui an" correct to thc- b(st c4l' rry ,mowlcdgc and of lief as rEcent-
ly sviveycd j_'i;IIted-I under rry direction.
HAPRY C. o ft'.LjoLCjnj'L_,? INC.
Albert i. _.,sslint
Re,_-istf re-' ',i.. -rvcy�r #'-,)(77
Stiitc. cl*' Florldv.
is
y.
II
20
W A T E R w .4 Y
a� s t ay ac, 7 44• ,1
N
t„►�. GL "�,� t3 . b c1 vi a 1C' � °' tt �+ �• ,:1,, � ;is ca
i �p I3
1� O 82 8.4 '.!5 ire 70 y
� A
t7 � is * �i c
QT a4 N U
r
,r0
1
ar.LTG!J C-;, oUi- VLY
Lot e3 Block , IiEf IJ%T Cr' i'..t.c:I AYBAI E�rATL6, acccrdinl to thc. Ilat
thereolt as rE:ccrdkd in.F'1�,t Hook 561 at Fage LEA, of the Fublic Records of
Lade County, Floriur,, .
Order Nc. 10520 September 10, 19 3
F. u. # �xLi s shown
I HTJ%hBY C Sh1 F'Y t `ih-' t the attached "6KET(H Lr' :�)UitVEY" cf the &bcvc utscribcd
prz)T rty i s anu, correct to the bt: st (-f' my krowlFuge and belief as recent
?y zurveye6 aria 11,itted under rry direction.
ii;.FF.Y C. 6CjTAr,iKF x ,,,, CCI '. ►'i :., INC.
Alber -t jc. us�r:int
Rtgtstered I.;ar c, -- urveycr #()( 7
Staft of F'orl.da.
i
f
i
t
i'
I
i
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V
i
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Application is
ing or other struei
Shores Village, Fl(
regulations of the
plans and specifi a
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
:in described. This application is made in compliance and conformity with the Building Ordinance of Miami
d all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
ast be kept at building during progress of the work.
G
Date_AIA -. .. _. _.__ �......- - - - - -- t?
0i ,19
Owners Name and Address.- . ._..C' %,
Registered Architect and/or Engineer ...... .... 81 �!? . - -_. Q e.l�^ 2 �� l� �_e. ..... .. .......... __ ----------------------
Name and address of licensed contractor ......... N ----- - -� _r�
Location and legal description of lot to be built on; '� - f fr. -S O U i�� . D ' X a f e 1fY 1- 47 0 011j AVI i A Mt
Block.- _ - -1. ........... _ ........ _ Subdivision_ -
Street and Number where work is to be done ... _...
State work to be done and purpose of building (by floors).... _ _._.. ..._ _ ....... _........- _ ......
.
_. _. .. _.._...._ .................... _........._ �!'s... 1.._�! _.�
for no other purpose.
New Building _.__.. .... Remodeling ..... _ ... ,........ _ _.. Addition ...... — ---------- -- - -- Repairs._-_-_ No. of Stories ..........................
To be constructed of_._._.. ------- ----- __._____ Kind of foundation.. _ _ . ......... .... .... _ .... _ ... _ ........... __ Roof Covering ........... .. .......................... __.
Estimated Total cost of provements $_..�.........._._. --_— _...-_Amount of Permit $ ..... t..: _ -............... ..- ...... -_ ................ _._ ........
Zonecubage required._ .._.__ _ _.___...._ S� _..__.plan Cubage .... _.___._ - - -_. _..__.__---- _...___ _ _ ..............................
Distance tot nest nearer building-----..-.-.-. _ :.. _ Size of Building Lot_.... ______ ........ ...... ....... _ ....... _ ........ _.._......
Maximum live load to be borne by each floor..._._. -_ _. � _._. —_ --._._.-----------------------_--
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to -.._ __a _ __ _. __ __
The underatgg
of labor under th
and has complied
in the work to be
or notices as are r
permit, as are lice
STATE OF, FLORIDA
COUNTY OF DADE.
Before me, the un
peered
ant for this building permit does hereby certify that he understands and accepts his obligations as an employer
Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement,
3rovisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
l under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
the Act. The undersigned agrees to employ only such subcontractors on work to be performed under this
liami Shores Village. '
_ - g (Signed) .e..
ss.
authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally ap-
_. .... ..._ ________ ___ to me well known,
and who, beann�g by me duly sworn, upon oath deposes and says that he is the ......................... ._.,_ ................... . .- --_ ...................... _.....
of the above described ction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stat4are true.
Permit No.� `� _ __ Date. Sworn to and Subscribed before me.
Disapproved Date_
(signed)
Notary Public, State of Florida
_._�.G..�.
Building Wector My Commission Expires .. -- ..................... _ . _ ._ .,�..__._._.__
Member
Member
Council Approved._
PLANNING BOARD......._._,.___.___._ —_ .— _.DATE
Member _...----------- _...
- _ - — Member - - - -- ___ —
Member _
__ Date Disapproved
......... . ............... _ ....................... ..Date
NOTE: A charge f $1.00 will be made for making corrections or changes to this application after approval has heeen 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.
�ss�E.op
��> t'ALa 1Y3-0
_ OWNER'S
ME
PRESENT
�1DOR ESS
EN
LICENSE NO.
PHONE NO.
, �,4 Vii. -Necker
C
11,,31 N
R -
E: 02nc1 St.
I
(
JOB LOCATION (rS
. OR AVE.)
LOT
$LOCK
SUBDIVISION
:� -x'31 N.• =E: 182nd
t.
I 22.,
I
I Bay. Park Estates r
GENERAL CON
124LCTO
ADDRESS
j PHONE NO.
LICENSE NO.
Vic Polk Swimming
Pools
6385 Sl Dixie Hway
I{
I
BUILDER'S BOND
346
8.00
I I
1942 30 -5�
'
PERMIT N .
DATE R IT S
O. DATE
a 1 01;0 u
6
3059
Z NE REQ IREMENT
U. FT.
PLAN 23 BE CU. FT
T COST $
DATE
Read
3-30-56
DRAWINGS. SPECIFICATIONS
ESTRICTIONS AND CUBE CHECKED BY:
I
TYPE
STORIES
ROOF
7ONSTRUCTION
INTERIOR CONSTRUCTION
NEW CONSTRUCTION
I
DESCR IPT ION
trimming Fool
REPAIRS
t .
DESCRIPTION
ALTERATION
ADDITION
APPROVED
REJECTED
RE
ERRED TO COUNCIL
REASONS
SUBMITTED TO PLANNING BOA
RE- SUBMITTED TO PLANNING B
b
�ARD
REMARKS
SUBMITTED TO VILLAGE COUN
IL
t
q
CERTIFICATE OF OCCUPANCY
v
ISSUED
By
TO
81.111 DING PERMIT AND,. INSPECTION ECORD—MIAMI SHORES VILLAGE
BUILDING
INSPECTIONS
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
BEAMS & LINTELS
FRAMING
FINAL
e�� "S-
-J e
CLEAN -UP
PLUMBING
PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. % DATE
FEE $
NEW BLDG. ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
$
GAS
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
ELECTRICAL
PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE $
NEW BLDG. ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
APPROVAL TO POWER CO. FOR SERVICE DATE BY
0 ; N? 4071
`' X11age of Miami Shores
JOB. c �-
ADDRESS ®`1 l N °
READY E M 4 4 6-7
REMARKS
,tea �,,�rc•.f' -'.. "'
v �
INSPECTOR
DATE �° ----
`pillage of Miami shores N °• .4097
ADDRESS
INSPECTION
TIME READY
REMARKS
gp
TSPECTOR
DATE ¢ % —s �-
No 4201
f
e o. `lMaw ShO�res
Villay
I
t JOB L ~�
cI
l ADDRESS /
I INSPECTION
I
TIME READY
REMARKS
l
I
DATE
I INSpECTOR
I --
r
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application Is hereby ade for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure here: described. This application is made in compliance and conformity with the Buik'Ung 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.
eX/ & . . . ............. ............
_e . . ... . ..... . . . . . . . . . . . . .
Owner's Name and Address..... ..... ...................... - No...2'-4.
-----------------------
Registered Architect and/or Engineer- ... .. .. ------------------- . ..... /_2 -- - ------------
Name and address of licensed contractor__ --./ --------- . ....... ..............................................................
. .... ........... ;,p
Location and legal description of lot to be built on:
Street and Number wh re work is to be done..
State work to be donend purpose of building (by
for no other purpose.
New Building.___ ........ Remodeling .......................... Addition ...--- .._..._...... - - - -- Repairs ........ r ................. No. of Stories ..........................
of.
....
To be constructed ------ - _------_--_ Kind of found- . . ...• ...... . .... . ........ . . . ........ . . Roof Covering ........... . .............................. . ...
Estimated Total cost of improvements $_._._.. . .... a Ikmount of Permit $_......_ . .............. . . ........ . ............................
Zone cubage required__---._._---_- ..__-------- .- •__ . —__----Plan Cubkge..____._,_ . . ... . ... . .............. . .. . .. . ... . . ... . .......................
Distance to next nearest: building_.._..- ......._ -__... ......._.........._.. --size of Building Lot . ..... --.-..._..._.__...... ._.• ...........................
Maximum live load to be home by each floor----.- - — - — ---- - - — - - - - - ------------------- I hereby submit al! the plans and specifications for said building. All notices with reference to the building and its construction may,
be sent
The undersigned
of labor under e F
and has complied wfl
in the work to be pe,
or notices as are requ
permit, as, are Hoenig
is building permit does hereby certify that he understands and accepts his obligations as an employer
's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
thereof, and will require similar compliance from all contractors or sub-contractors employed by him
ds permit; and will post or cause to be posted for inspection on the site of the work such public- notice
The undersigned agrees to employ only such tractors, on work to be perfo ed under this
ires Village. APPon ,, ,J/ "IT
Remarks
(Signed), i- =c - --- - ---------
STATE OF FLORIDA, ss.
COUNTY OF DAM.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, !nj by
t
of the above Own
therein by him state
Permit No.
Disapproved
(Signed)
Chairman
Member
Member
Council
....... . .. 7—.-- --.-..to me well known,
first duly sworn, upon oath deposes and says that he is the_ . . ......................... . . .................. . . . ........... ........................
construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
e true.
Date. / Read, Sworn to and Subscribed before me.
10 ntktn/
- — ---- - - -- - - - -- - _-_ - -- - ---------- .......... .
Ks Notary Public, State of Florida
Buildl;in_��Wv My Commission Expires_..._..___.____.....___
BOARD . ... . .. . .... . ...... —_.-DATE
Member ------ - . ...... . . .....
Member
Member
Approved_._.- ____-_._..._....- ........__ ----.—Date Disapproved ---------------------
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.
ir,I
OWNER'S NAME
PRESENT ADDRESS
LICENSE NO.
PHONE NO),
Guernsey Construction
Company, Inc.
JO
LOCATION CS
, OR AVE.)
LOT
BLOCK
SUBDIVISION
1131 N.E.
1022x1
pt
22
I 1
P Est. U
ENERAL C N
1RACTOR
ADDRESS
PHONE NO.
LICENSE NO.
R.V. Guer
Sep'
`
I`
BUILDER'S BOND
BUILDING PERMI
NO. 1 /ryry
19
G
s
I DATE —9--55
I PERMIT FEE S 20.00
NO. DATE
ZONE
EQUIREMENT
CU. FT.
( PLAN CUBE 27s310 CU. FT. I
EST. COST S 16,000
_
I DATE.
DRAWINGS, SPEC
IFICATIONS, R
STRICTIONS AND CUBE CHECKED BY:
TYPE
STORIES ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
CBS
1 the I ston
S and oak floors, plastE
NEW CO N
RUCTION T
DESCRIPTION
REPAIRS
7 ,.. 0
2 bdrm. -3 baths — maid's room living room Fla.
room — garage
DESCRIPTION
ALTERA
ON
ADDITIO
4, I
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
SUBMITTED TO PLANNING
BOAR
I
RE- SUBMITTED T
PLANNING BOARD
I
REMARKS
SUBMITTED TO VILAGE
COUNC
j
4
I
a
CERTIFICATE OF
CCUPANCY N
. l�
j ISSUED
BY TO
BUI
DING PERMIT AND INSPEC ION RECORD - MIAMI SHORES V1
LLAGE
ir,I
TJLXIL PAXIM "A- • &-- - BUILDING
INSPECT #O
S /'- -
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE -1NSPE T
BY
FOUNDATION
BEAMS & LINTELS
FRAMING -
-
FINAL
17 r
CLEAN -UP
PLUMBINCALPIERMITS
& INSPECTIONS
CONTRACTOR. ® I
PHONE
PERMIT NO. r DATE P
FEE S.
NEW BLDG. ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
'.
$ ®�
SEWER
$
SOLAR HEATER
$
GAS
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
s
ECTRICAL PERMI & INSPECTIONS
CONTRACTOR --- u'l .�
PHONE
99
PERMIT NO.
I DATE FEE
$
NEW BLDG.. I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY'
RE- INSPECT
BY
TEMP. SERVICE
O
ROUGHING
H. W. HEATER CONN
RANGE CONN.
,, FIXTURES & FINAL
APPROVAL TO POWER CO. FOR SERVICE DATE L6 RV4A14ilAAd" 024 J y
ERTIFICATE OF OCCUPANCY � t
MIAMI SHORES VILLAGE, MB JJ
BUILDING DIVISION
No 1'74 �,
Miami Shores Village, Florida, ��
Owner, Agent or Tenant of Building
Lo Blook_, Subdivisio
Street Address
Approve use by occupancy
Remar
This Cerlfica* of Occupancy is issued to the above names
for building at above named location only upon the express provision that the applicant will
abide b and comply with all conditions of Ordinances Nos. 92, 93, 4 and 97, known as the
Zoning, "Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
' BUILDING DIVISION
Permit No- 4�4
Application is hereby made
structure herein described. I
and all provisions of the Las
of Miami Shores Village sun
building during progress of ,
Owner's Name and
Registered Architect and /or
Employing Plumber's Name
Location and Legal Desceip
Street and Number where v
Date__
Ir the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
s.app&ation is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
of the State of Florida, all ordinances of Miami Shores. Village and all rules and regulations of the Building Division' 11
be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
/ — 5t l
No. Street
Lot Block Subdivision
Is to be performed —No.
Stad performed and p of g (By Flom)
(Ns R i
- - - - -- -- - - -- RemndaUn0_ -. - - - - - -- A.i loon., Rannira V. nt Ce.4—
®
I
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY URINALS
TUBS
CATCH
BASIN
FLOOR
- DRAIN
DRINKING
FOUNT'NS
Jar
TOTAL
IXTURES,
CLNTR.,
CHECK
SEPTIC
SEWER
DRAIN
.SOAKAGE.
GREl�8It
W
DEEP SPRKLR.
SWIM'G
1
TANK
CONN.
PIELD
PIT
TRAP
HEATER
WELL SYSTEM
POOL
I`
CONTR.
LIST
CHECK
Size Septic T
Type of TAJc), -- r-- _Capadiy
Feet of Drain Tile
_ mss- Feet'of Tank or Drain Field from Well__
Nature of Water Supply C
Welya Size of Soakage Pit---.--
Amount of Permit
(Signed) _ -- -
Plumbing Inspector.
The undersigned applic
mt for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor 'I
under the Florida Workmen
s Compensation Act, being Section 5988, Compiled Cenral Laws of Florida Permanent Supplement, and. has com.
plied with the provisions thereof,
and will require similar compliance from all contractors or sub- contradam employed by him in the work to be
performed under this permit
and will post cause to be posted' for inspection on the site of the work such public notice or notices as 1
reggited by the Ark. The t�den�igned
rr .or ,ore
agrees to employ only such sub - contractors, on work to be performed, under this permit, as are
licensed by Miand Simms
e.
Master Plumber.
co,.An.c ^a LR
Before me, the
to me well known, and w described
the thherein by t m stated are
authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
g by me first duly sworn, - upon oath 'deposes and. says that he is
Tiro
, that he has carefully read the regoing application, and that he did sign the same, and that all fZh 'I
Noty Public, State of Flotilla
NOTE: A,m, fce if $1.00 win be made when such minspectlon is made necessary l y improper notice for inspection, or faulty
materials and /or
4
on
I
MIAMI SHORES 'VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit xo ...... 1.» .. ...... t Date . . ...... .;�Co � .:................ .. . ..
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith r t he building or other l!
structure herein described. This application is made in compliance and conformity with the Budding 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 Addre �4� ?r �No:./ -�� Street ..f . .._ . ................... _ ..........._..... _......_....._...._..._.. ....
RegisteredArchitect and/or Engineer ................... ................. .................... .. ................. 1....... ......................... I.....................................................................
EmployingName ............................. ........ .......... N . ... ..................... . .......... Street ......_................_.. ...................... .
4 and Le g al Description Lot r1_?4_12 ..... ....................................... .BI ..... ..................... Subdivision .... ..... ...
Street and Number where rk is to be performed—No ......... � e ...._.......�.. . »...._....Streetd. ......................
:
Statework to be performed and purpose, of building (By Floors) ............. .... ........ » »..........._.__..._._ .............. ..............................: ....._._... ................
New Building ........... ... ........ I .......... Remodeling ................................ Addition .... .. ........................ Repairs- ..................................... No. of Stories. ................
:..
Service Underground Sue Feeders . ............ ........ Conduit................ Main Sw ............ .... ...Main Fuses....................
Amps ......Amps
Type of Installation -Co duit ........................ Tubing....................... B. X .L .................... .. ... Metal Moulding ..... ......... ...-..............................................
»..... .. ...................... t ........... ............ ............... ..... ... .. ........................................ ... ... ............ ... ... ..I...._. ..;
Amountof Permit $.Z. .... ........ ............. .. .............. ................ (Signed)........................ .......... 4 .......... .. ... _ ..... .. ........ ...., ........
Electrical Inspector.
The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligations as an employer of
-labor under the Florida Workmen's Compensation Act, being Sectipn 5466, 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 A . The undersigned agrees to employ only such sub•contracto on rk to be performed under permit, as arc;
licensed by Miami Shores Village.
(Sian ... _ ... .. .....
. :..... :...... :.....
Master Electrician.
STATE OF FLORIDA, � '�*`�/ •
COUNTY OF DADE,
Before me, the, un ersigned authority, a notary public, duly authorized to administer . oaths and take acknowledgments, personally
avowed............ _ ... .... ...... ........ ............. _._ ....... _ ..... ..... ...................... .. ».. ». . ........ _.. ..... ..-..._..... ................ _.... • ..._ ... . .......... .._.................
to me well known, and w o, being by me first duly sworn, upon oath deposes and says that he is the .... ......... _..: ........ ..._- ... . .... _ .... ............ ........ ...,
of the above described ccustruction, 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.
............... vry » Commission Expires .. Notary Public, State of P1orlda » . 1
TE: A re—inspection fee of $1.00 will be made when such re�inspection is made necessary by improper notice for inspection, or faulty
rials and /or workmanship.
SWITCH
.LIGHT
PLUG
FIXTURES
REPRIG.
IRON -
RANGE
RANGE
WATER
W. HEAT.
SPACE
STRIP
TOTAL
OUTLETS
OUTLETS
RECE•P'T'S
NO. LAMPS
OUTLET
OUTLET -
OUTLET
CONN,
HEATER
CONN.
HEATER
HEATER
LIST
CHECK
-
ENT.
DIST.
SERVICE
SERVICE
MOTORS
MOTORS
NEON
-
RADIO
TOTAL
SW.
CAS.
TEMP.
PERM.
O•r HP
1•5 HP
TRANS.
CONTR.
...
..
�,i
. LIST
CHECK
Service Underground Sue Feeders . ............ ........ Conduit................ Main Sw ............ .... ...Main Fuses....................
Amps ......Amps
Type of Installation -Co duit ........................ Tubing....................... B. X .L .................... .. ... Metal Moulding ..... ......... ...-..............................................
»..... .. ...................... t ........... ............ ............... ..... ... .. ........................................ ... ... ............ ... ... ..I...._. ..;
Amountof Permit $.Z. .... ........ ............. .. .............. ................ (Signed)........................ .......... 4 .......... .. ... _ ..... .. ........ ...., ........
Electrical Inspector.
The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligations as an employer of
-labor under the Florida Workmen's Compensation Act, being Sectipn 5466, 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 A . The undersigned agrees to employ only such sub•contracto on rk to be performed under permit, as arc;
licensed by Miami Shores Village.
(Sian ... _ ... .. .....
. :..... :...... :.....
Master Electrician.
STATE OF FLORIDA, � '�*`�/ •
COUNTY OF DADE,
Before me, the, un ersigned authority, a notary public, duly authorized to administer . oaths and take acknowledgments, personally
avowed............ _ ... .... ...... ........ ............. _._ ....... _ ..... ..... ...................... .. ».. ». . ........ _.. ..... ..-..._..... ................ _.... • ..._ ... . .......... .._.................
to me well known, and w o, being by me first duly sworn, upon oath deposes and says that he is the .... ......... _..: ........ ..._- ... . .... _ .... ............ ........ ...,
of the above described ccustruction, 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.
............... vry » Commission Expires .. Notary Public, State of P1orlda » . 1
TE: A re—inspection fee of $1.00 will be made when such re�inspection is made necessary by improper notice for inspection, or faulty
rials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PWMBING -PERMIT
Permit No.—I.O.—J... Date—. S.�_/400
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the Vdin other l�'
structure herein described. This application is made In compliance and couhnnity with the Building Ordinance of Miami Shares Village, Florida,
and all provisions of the La of the State of Florida, all ordinances of Miami Sham Village and all rules and regulations of the Building Division
of Miami Sham Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
,budding during progress of wor4 I
Owner's Name and A. street—.
Registered Architect and/or fAtteer-
A
Employing Plumber's NaIme- L&E
Location and Legal. Description IA*--
Street and Number where work to to be
subdivision
State work tobe purpose, of buildtag (By Floors)— f 11 ..
New.Building— Addftion__..� NO. Of Stories_-- - ..._....__....»,..,
Size Septic wank—
Fed of Drain Tile.
Nature of Water Supply:
Amount of Permit
Feet of Tank or Drain Field from Well--
-size Of Soakage Pit--—
(Signed)
Plumbing Inspector.
The undersigned appliont for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Worlanees Compensation " being Section SM, Compiled General Laws of Florida Permanent Supplement, and has cm-
plied with the provisions thereof, and will require similar cornpliance fro all contractors or sub-contractors employed by him in the work to be
performed under this and will post or cause to be posted for =CM on the site of the work such public notice ar notices as am
permi=ed
this p
mq*a by We Act. The agrees to employ only such sub -cos trad'��tp to perf ed erMit. AW are
licensed by Mind � 39hkMwomM vIlk9e.
(Signed) 0 Af-
STATE OF FLORIDA,
COUNTY OF DADE.
Before m% the underdoW authority, a notary public, duly aufficriza to administer oaths and take acknowledgments, personally appeared I
to me well known, and who being by me first duly Ah depases and. says that he is the---.--
y SWOM, U1xm a
of the above dew ;;;�cdon, that he has carefully read the foregoing applicIation, and that he did sign &e same and F&t an facts 1:
therein by him stated we true,
Notary Public, State of Florida
fee of $1.00 will be made when such re-inspection is maIde•necessary by improper notice for Inspection, or faulty
C1604111"I
BATH
TU138
6141"'MO
LAVA•
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS URINALS
CATCH
. BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOT i AL
FIXTURES!
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
F=
.SOAKAGE
PIT
GREASE'
TRAP
SOLAR BOLA
'
HEATER
DEEP SPRK LR .
WELL SYSTEMPOOL
SW'...
CONTIL
LIST
CHIM
a;a-
A
Size Septic wank—
Fed of Drain Tile.
Nature of Water Supply:
Amount of Permit
Feet of Tank or Drain Field from Well--
-size Of Soakage Pit--—
(Signed)
Plumbing Inspector.
The undersigned appliont for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Worlanees Compensation " being Section SM, Compiled General Laws of Florida Permanent Supplement, and has cm-
plied with the provisions thereof, and will require similar cornpliance fro all contractors or sub-contractors employed by him in the work to be
performed under this and will post or cause to be posted for =CM on the site of the work such public notice ar notices as am
permi=ed
this p
mq*a by We Act. The agrees to employ only such sub -cos trad'��tp to perf ed erMit. AW are
licensed by Mind � 39hkMwomM vIlk9e.
(Signed) 0 Af-
STATE OF FLORIDA,
COUNTY OF DADE.
Before m% the underdoW authority, a notary public, duly aufficriza to administer oaths and take acknowledgments, personally appeared I
to me well known, and who being by me first duly Ah depases and. says that he is the---.--
y SWOM, U1xm a
of the above dew ;;;�cdon, that he has carefully read the foregoing applicIation, and that he did sign &e same and F&t an facts 1:
therein by him stated we true,
Notary Public, State of Florida
fee of $1.00 will be made when such re-inspection is maIde•necessary by improper notice for Inspection, or faulty
ing or o
Shores V'
regulatio
plans and
Owner's
Register
Name an
Location
Street an
State wor
New Bud
To be cor
Estimated
Zone cube
Distance i
Ma)dmum
I hers
be sent u
The i
of labor u
and has o
in the woj
or notices
permit, as
i
MIAMI SHORES VILLAC
BUILDING INSPECTION 'bEPARTMENT
APPLICATION' FOR BUILDING PE
Ition is hereby made for the approval of the detailed statement of the plans and specif
thr structure h 'ein described. This application is made in compliance and conformity
ge, FIorida,. a;d all provisions of the Laws of:the State -of Florida, all ordinances- of
of the Building Division of Miami Shores Village than be complied with, whether hei
ecifications rust be kept at building, during progress of. the work.
Date
ame Registered c and Aandrl ss Caleraaey Construction Cot No..Io
or Engineer-
ZMIT
tions herewith submitted for the build -
ith the Building Ordinance of Miami
iami - Shores Village and all rules and
1 specified or not. A copy of approved 'p
r 260 ,1:55
'�- street N•E• 13th A®el�
d address of li cnsed contractor iihe e ffi et d 1 ,Spe Q Co.. b ?.
�d legal description of lot to be built on:
22 Block 1 Subdivision min' M1 shore
d umber where work is to be done 1431 W. E• 102nd Street
k to be done and purpose of building (byq floors) Boat In8 on new r®
s
g a - Remodeling____ - Addition Repairs- -
eted of +_t R94. Bind of foundation-- R,
otal cost of improvements '987 .00 amount of Permit $_ 6
e requirerL. Plan Cubage
next nearest :building Size of Building Lot
-
e load to be: by each floor
;I y submit all the plans and specifications for said building. All notices with reference t
, dersigned applicant for this building permit does hereby' certify that he understands an
der the Florida Workmen's Co t! Act, being Section 5968, Compiled General
. plied with a provisions thereof, and will require similar compliance from all contra(
to be performed under this permit; and will post or cause to be posted for inspection i
O are required$y the Act. The undersigned agrees to employ only such subcontractors
'�re licensed b Miami Shores Village.
(Signed) SHM M
STATE O FLORIDA,
COUNTY F DARE. ss'
Be €o4l me, the unde signed authority, a notary public, duly authorized to admimster-,oaths a�
peared
and who, ing by me duly sworn, upon oath deposes and says that he is the
of the abo, a described o is ction, that he has carefully read the foregoing application, and thal
therein by ' sta are �r e. /
Permit NO W61 Date t� ° � � Read, Sworn to and Sub;
Disapproved Date -
(Signed) ;
Notary Public,
Building or" My Commission Expire
PLANNING BOARD , DAT
Chairman Member
Member Member
Member Member
Council prov 'nuts Disapproved
NO : A charge o $1.00 will be made for. making corrections or changes to this applicane
the P g Board. I
A re- on fee bf $1.00 will be charged when such re- inspection is made necessary by
materials or worlana ship.
t St, P
Bay Perk Estates
Aem e
and for no other purpose.
No. of Stories - _ DUA
covering Shingle the
it
the building and its construction may
I�
kl accepts his obligations as an employer
{ aws of Florida, Permanent Supplement,
ors or sub - contractors employed by him
the site of the work such public notice
on work to be performed under this
AL SPECIALTY COM AO
take acknowledgments, personally ap-
he did sign the same,
ribed before me.
me well known, i
nd that all facts
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PER IT
Permit No....� }... n .�2.
Application is hereby mad for the approval 'of the detailed statement of the plans and specificati ns th submitted for the b 'ding or other
structure herein described. This application is made in compliance and conformity with the Buildin rdinance of Miami Shores Village, Florida,':
and all provisions of the of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building. Division',
of Miami Shores Village sliall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
budding during progress of 'work. ®y w
Owner's Name and
Registered Architect
Employing Electricians Nam`,.. ` . :.. ...................... .... No....... ..L7_ ....... ............ Street .... d... `::_..... ...� '
'Location and Legal Description Lot ................... -- ....,.._..._......... ....Block /..... ....... ...Subdivision ....... ........_- ..a................
i p
Street and Number where work is to be performed— No .............C..:. ......... : .......... _ .......... .Street .....h..-........ .... Z. :..:
State work to be perfo r1and purpose. of building (By Floors) .................................. _..._............._... ..........................., #_.
NewBuilding ............... ...... .......... Remodeling ................................. Addition .... .. ......................... Repairs. ... .. ................................. No. of Stories ...................
Overhead ' > Am
Service Underground Size iFeedets-_-_-._, �_._,_Conduit._.�. /#M. am Sw .....�® �....._. ps ...........................Main Fuses. .... /_ ......... temps!
Type of Installation —Co ricluit .... ............ ....... Tubing.. -_:_ ....... B.X.L .................... . Metal Moulding ..._..__._.... - .............. .
Amountof Permit $..... ,.l. ..�. t7._ ... ....................... (Signed) . ........... .............. ..........
Electrical Inspector.
The undersigned app 'cant 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 A The undersigned agrees to employ only such subcontractors, on work. to bey erformed under this a it, as are
licensed by Miami Shores Village. A' V "
(Signed)... ..» .. ............ »... ».............. .— e. ...................... e
Electrician.
S'L'ATE _ OF FLORIDA,
COUNTY OF DADE �'
:
Before me, tht un ersigned authority, a notary public, duly authorized vto administer oaths and take acknowledgments, personally
...................... ....._.._-....... ...... __ ...............
...:�:
to me well known, and w io, being by me first duly sworn, upon oath deposes and says that he is the _._ .... ......... _......... ..._..._....._......:...._.._ ..
of the above described cc nstruction, and he has carefully read the foregoing application, and than he did sign the same, and that all fact#
therein by him stated are e
. .._ ............................ mmission Expires »......... ».�....� ... .._ ... » ............... Notary Public, State ....
Florida. ...................
NOTE: -gasp, on fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and r wor slop.
SWITCH
LIGHT
PLUG
FIXTURES
REFRIG.-
IRON
RANGE
RANGE
WATER
W. HEAT.
SPACE
STRIP
TOTAL
OUTLETS
OUTLETS'
RECE•P'T'8
NO. LAMPS
OUTLET
OUTLET
OUTLET
Comm
HEATER
CONN.
HEATER
HEATER
CLIST
CHECK
6)
l
e�
ENT.
DIST.
SERVICE
SERVICE
MOTORS
- MOTORS
NEON
RADIO
TOTAL.
SW.
CAB.
TEMP.
PERM.
�g ��
-
0.1 HP
1.8 HP
TRANS.
-
CONTR.
'L18T
..
y�-
—
.
CHECK
70
-
Overhead ' > Am
Service Underground Size iFeedets-_-_-._, �_._,_Conduit._.�. /#M. am Sw .....�® �....._. ps ...........................Main Fuses. .... /_ ......... temps!
Type of Installation —Co ricluit .... ............ ....... Tubing.. -_:_ ....... B.X.L .................... . Metal Moulding ..._..__._.... - .............. .
Amountof Permit $..... ,.l. ..�. t7._ ... ....................... (Signed) . ........... .............. ..........
Electrical Inspector.
The undersigned app 'cant 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 A The undersigned agrees to employ only such subcontractors, on work. to bey erformed under this a it, as are
licensed by Miami Shores Village. A' V "
(Signed)... ..» .. ............ »... ».............. .— e. ...................... e
Electrician.
S'L'ATE _ OF FLORIDA,
COUNTY OF DADE �'
:
Before me, tht un ersigned authority, a notary public, duly authorized vto administer oaths and take acknowledgments, personally
...................... ....._.._-....... ...... __ ...............
...:�:
to me well known, and w io, being by me first duly sworn, upon oath deposes and says that he is the _._ .... ......... _......... ..._..._....._......:...._.._ ..
of the above described cc nstruction, and he has carefully read the foregoing application, and than he did sign the same, and that all fact#
therein by him stated are e
. .._ ............................ mmission Expires »......... ».�....� ... .._ ... » ............... Notary Public, State ....
Florida. ...................
NOTE: -gasp, on fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and r wor slop.
BUILDING
EJ
ELECTRICAL
❑
PLUMBING
❑
ROOFING
❑
ct
Owner
Buildin
Archite
-ontra
or Buil
Legal
Descrip
Addres
Buildin
MIAMI SHORES VILLAGE. FLORIDA
"N.Al
PERMIT X9 9735 Contractor s
License No.
95
Work to bepm'�'*$ VkMit
f .., /■ c
�-3
..
k4k 5I
g .
ct
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
BUILDING
❑
ELECTRICAL
❑
PLUMBING
❑
ROOFING
❑
El
Owner of
Rnilrlinn
Architect
- ontractor
or Builder
Legal Lot
Description.
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 9793 Contractor s
License No.
`u
Work to be performed under this
Subdi-
vision
Sct. Ft.
Address of I Value of ` .Amt. 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
M
CONTRACTOR OR BUILDER
BY
AUTHORITY
17
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE 195
PLUMBING ❑ PERMIT NO 9789 Contractor's
License No.
ROOFING ❑
❑ Work to be performed under this Permit —_ -__ --
Owner of
Architect
- ontractor
or Builder _
Legal Lot II Bi.
Description
Subdi-
vision
II
Address of Sci. Ft. Value of `I Amt, of
Building i 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 ZQM�0, 17
BUILDING ❑�
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 6172
DATE r 195
Contractor's
License No.
Work to be performed under this Permit —
Owner of 1- �-
Building - i
Architect '
Contractor
or Builder
Legal Lot Subdi-
Description Bl. vision _
Address of t . Value of
Building ' �`Proiect
Amount of r
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
INSPECTOR
— B
In consideration of the issuance to me of this permit I agree to perform the work covered h reunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submied 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 o employee.
CONTRACTOR OR BUILD° BY AUTHORITY
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑ i ' -� A. 195
ELECTRICAL F-1 DATE �'
PLUMBING PERMIT N? 6180 Contractor's
❑ License No. —
ROOFING ❑
❑ Work to be performed under this Permit
Owner of tt
Building ' i 5 C 1a ti 4L C ,�3. J` ..': Lf
Architect
Contractor""
or Builder
Legal Lot II Subdi-
Description I Bl. -- vision — —
Address of Value of �—`
° Amount of
Building f / 10-2 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 drawincs: or in thetements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.` Jf
Signed: BY.'
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covereditiiereunder in compliance with all ordinances and regulations
pertaining .hereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• 91
cepfing }//6 ,�permit I assume responsibility for work done by either, myse myZgent,¢rvant or employee.
W CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
❑ Work to be performed under this Permi
Owner of II
Building
Architect
Contractor
or Builder
Legal Lot II Subdi-
Description — Bl. vision
Address of , Value of `' �, Amount of e rt
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.
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
EJ
N
PERMIT N.
_ 34
tN
J A o.
❑ Work to be performed under this Permi
Owner of II
Building
Architect
Contractor
or Builder
Legal Lot II Subdi-
Description — Bl. vision
Address of , Value of `' �, Amount of e rt
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.
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
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 her structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
"'�''' / ? Date..... _ � - _7 `
Ownei s Name and Address .'j ` !tc, "..... ._s :.l._ . ..... ........
_ ............................ _. No.. .Y, ✓.. Street.d?..L ...
Registered Architect and /or Engineer .............. ....... ., ......................
Name and address of licensed contractorler ✓� / %'�'.....!`��r.
Location and legal description of lot to be built on:
Lot............................................ Block .................................. Subdivision '.................._...... ,� ...- --.---..._._-.-----_-.--._-_..-.. .-- --- _._.--.........-- .._ - - - --
Street and Number where work is to be done. ` sy i • Y
State work to be do and purpr of b ilding (by floors) ... ,f��'- ..e J 1� -',;� t.? fC1 ..%� �"_... " t.. . —..e -
_ ................•--•----....._----......_--------- ......................... - -- ._....._......._.------.......... ....--------------- ......_.. -- -- •-- -..... ....and for no other purpose.
New Bu0 ding ............ Remodeling ................. ........ Addition .................. ........ Repairs.....F- -.. - ._._._..... No. of Stories ......1..._......_
To be constructed of_ ....... ............... Kind of foundation ......................... .......... ............................. Roof
Estimated Total cost of improvements .............Amount of Permit 5,............ ..........
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
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 theFlorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be "formed 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 true.
Permit No.._.._.- f�'`_------------- - - - - -- Date ...... .. ............... ......._._._. °___._ Read, Sworn to and Subscribed before me.
Disapproved-- -- -- - - - - - -- -- ------- - ....... . Date .-- -------- - --------- . ... .............. ----------- - .............. ......................................... .........
Notary Public, State of Florida
(Signed) = - - - -- - - - = -- ...__. ........ -• -- -..
Building Inspector My Commission Expires ....... ... ................ ... ...... ....... . ....
_
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 hecn obtained from
the Planning hoard.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
is
eI I # Competency ft
At lre r {
ILDIOG BLEM14CAL
PLUMBING; E "
CRxPT1
t
C o
S
r
{r
TO. OHM:
xkr IttE m° a
U MUST RZC RD A NOTICE Off'
OUR PAY I NO TWICE FOR I MPROV
.
vo INIIiG,
T WITH YOUR
LENDER OR R.
XM 14= of
xTY.
. Iication si h
a to obtain a permit
to do woad a 129 t
Win the atti d- add
uqa (if • applic4ble) . I certify tbat aI
` a all l
etai.ts are iea@nr
lating construction
for'LBCiRI'�Ai,, PLUMixG,
in this a .j
SIGNS,
'B APPi`UVI
certify that all the foregoing
ink i#
in Ii
"with *11 applicable laws
regulati a
hcrisa "tom a
e" ract to a the
work staLed'
5
Oil
Si "
$ianats of it ind/orAowfo Pies' ent
METROPOLITAN DADE COUNTY, FLORIDA
META DARE %, ®,
al �®
METRO•DADE CENTER
BOARD OF RULES AND APPEALS
CODE ENFORCEMENT
SUITE 1010
111 N.W. 1st STREET
MIAMI, FLORIDA 33128.1974
(305) 375 -2612
Binnings Pan American
2805 N.E.'185 Street
Miami, F1. 33163.
Your application for Product Approval of Series PA -�4 A�um�nym S�na�e
Hung Window DH -R35 under Sections 203 and 204 of the South Florida
Building Code §overning the use of Alternate Materials and Types of
Construction, and completely described in the plans, specifications and
calculations as submitted by Miami Testing Laboratory lepQrt #MTr
jAncl . FER1 dated March 22 1991. Comnara *_ i s ►e na l ya; , y R.E. Fisher &
Associates dated 4 -2 ? -91 has been accepted by Product Control to be used
in the Unincorporated areas of Dade County under the Specific Conditions
set forth on pages 2 -2b and the Standard Conditions on Page 3 -for Glazed
ACCEPTANCE No.: 91- 0510.2
APPROVED : Jul g lggl Gil Diamond, P.E.
Y , Product Control Division
Supervisor
EXPIRES : March 22. 1995
* *PLEASE NOTF. **
BOARD __OF RLiL•ES ANp AppFAT S NOTIrF OF A C'FATANf F
This application for Product Approval has been accepted by the
Metropolitan Dade County Board of Rules and Ap- to be used in the
Incorporated and Unincorporated areas of Dade under the conditions
set forth above.
APPROVED: July 8. 1991
Charles Danger, E.
Deputy Secretary
Metropolitan Dade County
Board of Rules and Appeals
-1-
ACCEPTANCE No.: 91- 0510.2
APPROVED July 8. 1991
EXPIRES March 22, 1995
MODEL DESIGNATION AAMA 101 -88 DH -R35
Dade County Approval #91- 0510.2
PA -14 Aluminum Single Hung Expires: March 22, 1995
Window DH -R35 Approved for installation up to 25. ft.
above grade.
OVERALL SIZE:
CAUTIONa Elevation must be reduced in
3' - 9' by 6' - 6 7/8" high the coastal construction zone
No. & SIZE OF VENTS: One, 42 3/8" by 31 5/8" high; one fixed light
frame glazed at the top with a clear opening of 40 1/2" by 43 3/8 11,high .
WEATHERSTRIPPINat Single vinyl flap in vent top rail and sill
weathering flange. Single pile with integral plastic fin on exterior of
vent jamb rails. One 1/2" by 1" open cell foam pad in each lower frame
corner. One 1" strip of pile weatherstrip at each end of fixed meeting
rail.
OPERATORS A LOCATIONS: Spring and pulley balances. One metallic cam
lock at midspan of vent top rail.
GLAZING MATERIAL: Fixed light 3/16" annealed; vent, single strength
annealed glass.
GLAZING METHOD: Exterior glazed using adhesive bedding compound and
rolled aluminum glazing bead.
WEEPHOLES: One 3/4" notch in each end of sill weathering flange. One
1 1/4" notch in each end of sill screen retainer.
MUNTINS: One horizontal and three vertical in vent (1 over 8).
10 504 Z Via) : v Z WINK=
G
-2-
4�W
it Diamond, P.E.
roduct Control Division
Supervisor
ADDITTOM DESCRIPTIONS A 2.42" overall interior sill flange used.
Standard vent top rail used.
TESTS:
INTERIOR WINDLOAD:
EXTERIOR WINDLOADe
WATER RESISTANCE :
AIR INFILTRATION :
FORCED ENTRY
54.0 p.s.f.
54.0 p.s.f.
10.40 p.s.f.
0.29 cfm /sf
MTL 14772
SCREWS AND
METHOD
OF ATTACHMENT
PH SMS
SILL
3
#
10
x 1"
CP
HEADER:
2
#
10
x 1"
CP
PH SMS
JAMBS
5
#
10
x 1"
CP
PH'SMS
LKM
APPROVED FOR ELEVATIONS UP TO: 25. feet above existing grade
Higher elevations are approved based upon the attached Comparative
analysis.
This product must be re- evaluated for structural adequacy when installed
within the Coastal Construction Zone in accordance with Chapter 23
Sub - section 2309.2 (b) of the South rlorida Building Code.
0
Gil- Diamond, P.E.
Product Control Division
Supervisor
-2a-
Binninas Pan American ACCEPTANCE No.: 91- 0510.2
APPROVED July 8, 1991
EXPIRES March ^ 2, 1995
STANDARD VENT TOP RAIL - 1,%8 - DH -R35 MTL# 14718 - TEST UNIT SIZE: ¢5.0" X 78.875"
TEST LOAD +/- 54.b PSF _
12o
110
'
-
H2O 10.4 PSF
100
90
T
'
S 80
-
70
L
0
A 60
D
F
F
-
_ 50
P
38.373"
40
S
_
F
50.825"
30
H3.0"
20
78.875"
90.0"
96.0"
to
• ORIEL
0
30 34 38 42 46 50 54 55
WIDTH IN INCHES
Ail Diamond,-P.E.
/Product Control Division
Supervisor
-2b-
�s
1: 4.
REVISED 6 -18 -91
NOTICE OF ACCEPTANCEs STANDARD ONnMONS FOR GLAZED PROD Q M
For multiple window installations, approved mullion drawings and calculations must be
filed with Product Control.
This acceptance will qualify smaller units of the same design and materials as the
unit tested.
MOM
ke Met mo WTI 1=0 •, ., ?. .�
Extension of Acceptance may be considered after a new application has been filed
and the supporting data, for test reports less than four (4) years old, has been re-
evaluated.
5. Any revision or change in materials, use or manufacture of the product shall
automatically be cause for termination, unless prior approval is granted for revision
or change.
6. Any unsatisfactory performance of this product or a change in Code provisions shall
be grounds for re- evaluation.
7. This acceptance shall not be used as an endorsement of any product sales or
advertising purposes.
8, Windows and sliding doors have been tested in accordance with the 'American
National Standards Institute's specifications and the Architectural Aluminum
Manufacturer's Association Standards ANSI -AAMA 101 -85 or for wood units
ANSI /AAMA 302 and 402 and for vinyl units ASTM D- 4099 -82.
9. Swinging doors shall be tested for positive and negative wind pressures as, per
Chapter 23 of the South Florida Building Code.
10. Hardware for all windows and doors shall conform to Intrusion and Burglary Security
' Chapter 8C of the Code of Metropolitan Dade County.
11. The spacing of fasteners shall be as tested or 24" whichever is less.
R The first fastener shall be loca e a maximum of 6" from each corner and mullion
or stile. Minimum penetration of fastener shall be as tested or 3/4" whichever is
higher. No wood or plastic shields or pins shall be used.
Unless otherwise noted in the test report, minimum size of screws shall ba No. 8
for first and second floor installations and No. 10 for all other floors above the
first and second floors.
/Product Diamond ,••P.E.....•........•........
Control Supervisor
Metropolitan Dade County
Building & Zoning Department
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
93R505797 1993 OCT 14 09:21
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Le al Zcription of propeny and street ress: P
2. Description of improvement:
3.Owner(s) name and address:
za21 AJ.101—'�- ' / /z < r- A��'! /'
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from contractor, if anATATE OF FLORIDA, COUNTY 0,' DADE
Name and address:
I HEREBY C#11WY the, Mb is a hue coat f I
, . , _ � - -
o nol 1 h on 1
Amount of bond $ • A O. "If
W 1NESS my R rrd nood ONkrat Seel.
6. Lender's name and address: - Whvi M Ville
r
7. Persons within the State of Florida designated by Owner upon whom notices or other
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself „Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
1
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of fts Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
S%nature of Owner
Print Owners Name d
Sworn to and subscribed before me this JLZ day of
r
Notary Public Ak - %---.A
Print Notary's Name
My Commission Expires: WM
AINE M IM.
by;
Address: A a -4 GL yi
A Vt
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PER.IT
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 Shares Village shall be complied with, whether
herein specified or not. A copy of approved plans and specifications most be kept at building during progress of the work.
Date Z 19 j /<
Owner's Name and Address ®�, s �A Na �f J8treed a a �
Registered Architect and/or Engineer
Name and address of licensed contractor e9 L dze
Location and legal description of lot to be built on:
Loth Blocti / Subdivision
Street and Number where work is to be
5,-,- v.5 v- erlro 3
State work to be done and purpose of building (by floors), state exterior cokes (submit samples) ,' "! L / & ®�1 e
Z¢ 2 �`�� and for no other purpose.
New Building_ Remodeling Addition Repairs Na of Stories
-
To be constructed of Kind of foundation Roof Covering
Estimated Tbtal cost of improvements 5 Zl nQ) Amount of Permit S t 1
Zone cubage required
—. Distance to next nearest building
Maximum live load to be borne by each floor
Cubage
of Building Lot
I hereby submit all 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 obligatons 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 p3gted for inspection
on the site �twork such public notice or notices as are required by the Act. The undersigned agrees to gjr only � subc k � erformed
under this as are licensed b Miami Shores Village. / / /
Remarks (Signed
STATE OF FLORIDA
COUNTY OF DADE. a&
Before me, the undersigiyd authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
e d
to me well known,
and who, being by me first duly an, upon oath deposes and says that he is the `i% cJ / t- y&=%Z-
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. 4 R Lk Date ` �, to and Subscribed before .� "O7'"�
4
Disapproved R Date
(Signed) N `
Building Inspector
PLANNING BOARD
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved
Notary f hc, Sj.ate of Florida
f 0011 'SNiI 1Vtl3N39 Wi 030Rl08
Expires % i66I`8Z 130 'dX3 NOISSINN00 AN
Valul-3 30 31 LS
DATE
Date
NOTE: A charge of 625.00 will be made for malting corrections or changes to this application after approval has been obtained from the Planning Board.
A re- Inspection fee of 625.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
MIAMI SHORES VILLA13E
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is her" hy 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 (hdinance 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 hot. A copy of approved
plans and specifications must be kept at building during piggress of the work.
March 14 ??
Dace. 14 31 S l:"=2nd-31..
lip
Owners Name and Address..... � r • .John Kea 1 y .. __._ _ __.. _ _. _......
Registered Architect and /or Engineer......... ................. .... ...........I..... .. vttaxxx•. nttx •nsrrxnstmtxttnx.mtttasLnxxttt• •••••..•••
Name and address of licensed contritctor ...... 0 be n o ur Roofing _C o - 7357 NN .. W. Miami C t .
Location and legal description of lot to be built on:
Lot _ ...... _._ ............................... Block ._ .................. Subdivision—____.— .... .. .- .I............. .......
..».._.
Street and Number where work is to be done_...14 31 N. E. 102nd St.
State work to be done and purpose of building (by floors ). Remove the existing tile roof and install
1-30 lb. �felt. _1 -90 lb.- .Slate, _.Qaly. _.fleshings and white shingle tile.
_._ ... .......... _ ... _.....__. ---- ...............__.... .._ ...... ..._...._.__ »._. —. -sad for no other purpose.
New Building ............................ Remodeling ......................... Addition .......................... Repairs:...... X............_.. No. of Stories.............. _...._.
To be constructed of............ ................ Kind of foundation. ......_._.... .................................. ......... -.. Roof Covering...... 37 sqs.
5200 00 12 50 ���•����� ���'��"
Estimated Total cost of improvements $..._ ............. ....._ ......_. _ .... .Amount of Permit $�....» _.�
Zone eubage 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 Central Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contra�Ik �:hq, oyed 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 th ublic notice
r notices as arc required by the Act. The undersigned agrees to employ onlych �g>aora on �6ork t,� �1 d under this
permit, as are licensed by Miami Shores Village.
Remarks. .._._ --- _ ----- __
STATE OF FLORIDA, 1
COUNTY OF DADE. j as.
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 swom, upon oath deposes and says that he is the . ........................... . .... .............. .. _._. ......
of 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 a true.
o
Permit No. L_. ` 1 --- - - - - -- Date._ _3 �' � � Read, Sworn to and Subscribed before me.
Disapproved
( Signed) --_
_ ........ . .
• ........ .......................... ».. �•- --- ......
Notary Public, State of Flor- ida
I1rly Commission Expires.--
PLANNING BOARD ..-.-.._ ... .. ....... .............. _........._......DATE
Chairman .................. Member .._ �....... _ .... _._. _...� ..._ _
Member..._._ ... _ ........ _.._. - Member _ ._..._.. _._..._._._._. ._.....
Member .. ... .. ........... _ - - ._. _ ...._ . _ Member ..._ . _.. ..... .
Council Approved.._..__- .......... _....___. _ Date Disapproved ..._._ --- _ .. .. . . . . .. ..... ...........................Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Plannin.- I:oard.
A re- inspection jee of 11.00 will be charged when such t&inspection is made necessary by improper mice for inspation or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job �0,£- /6.:2 S'i7t' ?' TaxFolio
1fistorically Designated: Yes No
/Tenant M/Z 5r 1i fS Master Permit # ,
1 y 3 Z ,y. f e z srl?eeT Phone 3 s' - 06 o
co b U�4&t) &AW,14A /�jkjL C Addressf, g1 y15 ///Pm�.
SS# - Ph.
S3ae # .rt Aral # Cry # — /S4 7 lms. Co.
Atd >e /1
--1,11AIAC, Ztjef,g f Address
Bonding C npaq Address -
/�/ Address
pen* Tnw (dr+de erg): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost (value) �bb-
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IM ROVEMENTS 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 perfimned to meet the standards of all laws regulating construction in this ' coon I understand that separate
permits ere required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANI ORK
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all Vill be compliance with all applicable
laws mpilating construction and zoning. Furthermore, l authorize the above named )o'do
an&or
Date
No as to ontractor or
r �Y )6' 115 My on
A (;RMDV` lay N AR`! sF.�►L
>�t�Ai�11�A �-
111pwyPakSTaiB.ti�l�pet� � t 0 COMMISSION NUMBER
.4y Conn. Eames � A �
I+m: CO �r u� CC401261
f:lhw " �� ht r,OMfAi171 6
FEES: PERMIT * RADON C.C.F. 1)6 G NOTARY 04
1101WO, a
Electrical
Engineering
Date
BOND
TOTAL DLtE 0
Zara C Associates, Inc.
Roof ing La borat or
Testing and Research
Moisture and Up -Lift Testing
May 21, 1996
RE.: TEST TO DETERMINE ROOF TILES ARE SECURED TO DECK AFTER 30 DAYS
INSTALLATION - SOUTH FLORIDA BLDG. CODE 3404.3
Date: 5/20196
Property address: 1431 NE 102nd. Street, Miami Shores, Fl
Owner:
Dr. and Mrs. John Kealy
Contractor:
Obenour Roofing
Permit #:
39375
City:
Miami Shores
Type of Tile:
Coma Cast flat
Product Control #: 94- 1222.05
Roof Slope:
3/12
Sq.ft. area:
3,600 sq.ft. approx.
Testing Equipment:
Chatillon - DFIS 100 - Calibrated 9/7/93
The purpose of this quality control test is to confirm that there exists sufficient
bonding by the mortar to the tile and underlayment in the tile system applied; it will be
determined whether 75% of the the bonds to be tested in three different roof areas, provides
sufficient resistance to an arbitrary static uplift load applied on the tile. This procedure will
satisfy the Building Code Compliance requirements set forth in Protocol PA 106 -95.
Tiles have been tested on three different roof areas: field, perimeter and corner
areas. Prior to testing, dimensions of these areas were determined and recorded according
to Chapter 23 of South Florida Building Code.
Tiles selected at random from the three different areas, were lifted by hand, in order
to test for loose components.
LOAD APPLICATION: An arbitrary load of 35 Ibf has been applied to each tile, holding
the load for 5 seconds. Test results are tabulated as follows:
2524 W. 3rd. Avenue, Hialeah, Florida 33010
C954 }433 -14s4 * (9543437-2032 * fax {954 }437 -2206
Net re -Dade CDunty Certif ication Na. 94- 0125.00
AREA
#
LOOSE
BROKEN/
ADHESIVE
TILES
PULLS
TILES
CRACKED
DELAMINATED
DELAMINATED
TILES
FROM
FROM
UNDERLAYMENT
ADHESIVE
Field
45
none
none
none
none
Perimeter
59
none
none
none
none
Corners
36
none
none
none
none
Enclosed find a sketch of the test site roof, indicating field, perimeter and comer
areas with dimensions, and also, location where pulls have been conducted.
XX
More than 75% of the tile bonds tested in each of the three areas, provided
sufficient resistance to the arbitrary load applied.
More than 25% of the the bonds tested in each of the three areas, did not
provide sufficient resistance to the arbitrary load applied.
More than 10% of the components have been determined to be 'loose"
components.
XX
The static uplift quality control test for the property in question, complies with
the Code requirements 34044.3 and Protocol PA 106 -95.
Truly yours,
ZARA AND ASSOCIATES, INC.
Encl. Sketch
"P
RICARDO CARLES, P.E.
PROPERTY LOCATED AT 1431 NE 102ND. STREET, MIAMI SHORES, FL
23 ft
-- ---- - - - - --
` ® Eft
` 17 ft
r `
6 1/2 ft
r rr 17 ft
I I I r
66 ft ' \-- - - - - -- --
loftr
'----------------
35 ft
Field
I
Perimeter ®i.'r ® ®'� ® �`�® loft
O Corners ®_ _ _ _ _ ®\ _, 1 FRONT
® a!
ft
PERMIT APPLICATION FOR MIAMI SNORES VILLAGE'..
,r
Ike Job Adss Tax Folio 4
LeWDaniptim
i
Historically Designated: Yes Iaiia
/T,t h 1 Iasi Permit
Owner'sAddress %0i tJ 10210 a Phone
Contracting Co. onortria Addtm q d 0
(*i&r o D Nth SS# - Phone 5 7-4 �.
Ste # _ Municipal # competency #°° Iris Co� i`AL-
Arebitect/En Address
Bonding Company Address
ff'
Address
Permit Type (eiircle one): ING ELECTRICAL PLUMBING MECHANICAL ti6 APING `,it
WORK DESCRIPTION
Square Ft ,-?/? Estimated Cost (value) f 2020 6 _
WARNING TO OWNER: I YOU MUST RECORD A NOTICE OF COMMENCEMENT A" YOUR FAILUM TO ISO. ,MAY
RESULT IN YOUR PAYIlq TWICE FOR VAPROVEMENTS TO YOUR PROPERTY (IF YOU r4 D.TO ORT * m
CONSULT WITH YOUR,ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMCDOCEMENT
Application is hereby madej to Main a permit to do work and installation as indicated above, and on the {if applicable)., I
certify that all work will be Iperfcuxned to meet the standards of all laws regulating construction in this juris� 1 = d separlte
ELE+TRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WC
permits are required for
OWNEWS AFFIDAVIT- I Iljee * that all the foregoing information is accurate and that all work will be done in cabs
laws regulating construction and zoning, Furthermore, I authorize the above -named contractor do the
r
ignature of owner and/or Condo Presid t Date Si of Contractor or Owner-Builder Date
Uf1 _,�f�h f K fl e..d1... I' 2 l f1JGG d,,e� f bfzerAk, ��/Y�
STATE OF FLORIDA, COUNTY OF DiADE
HEREBY CERTIFY that this is a fro o of the
erigina filed in this o ' eon Y of
kD 14
W T"V115 rnv d ^n OPi'ci Seal.
HAWS i RK, i coitandACOVOyCOUrb
By
6L22% V
a
Lus e TW'!
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. Z l'` �3 !! J � 2 4/ Lda -
COUNTY OF DADE: '�- FZ I tJ, 6 8 3 2 1996 MAR 13 10., 00
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: A13) uE 102AY-0 --
2. Description of improvement: 1Ujj. &
3.Owner(s) name and address: &JUYVK '1
1u3J Q-= 102-,d fi-
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from
Name and address:
Amount of bond
6. Lender's name and address:
if any)
F�
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:
S. In addition to himself, Owner designates the fol wing 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)
Owners Name
Sworn to and subscribed before me this /ea day of IIPM0117 ,19 80 .
Prepared by: 6 6&921G�
Address: X? -W
M/N,
Job Address: Contractor: Process No.
.The undersigned certifies that the Mortar or Adhesive Set Tile System
Assembly is in compliance with the plans, specifications, and details
submitted by the architect.
STATE OF FLORIDA - COUNTY OF DADE
Before me this day personally appeared
who, being first duly sworn, deposes and says that all information submitted
herein is true and correct.
F Contractor / Owner
Signature
Sworn to and subs before me this L3 th day of
19
C -1 It L
i; r ,3u11
FLORI
My commission expr r
a 1 °. MAR. 12,1!
Notary Public
State gfFlorida
Mortar or Adhesive Set Tile Systems
Page - 8
Job Address: _ 1 431 IX 108 rd Contractor:
APPENDIX 'E'
METRO -DADE UNIFORM BUILDING PERMIT
SECTION H
MORTAR OR ADHESIVE SET TILE SYSTEMS
1. General
The information provided in this Section is required to confirm
Product Control Approval of the proposed file system assembly;
confirm compliance with the wind load requirements of Chapter 23
of the South Florida Building Code (SFBC); and confirm compliance
with Sections 3403.5 and 3404 of the South Florida Building Code.
2. Documentation
The following documents are required for submission with the
Uniform Building Permit application:
► Two (2) copies of the proposed file system assembly's and
associated roofing component's Product Control
Approval(s).
► One (1) copy of the file system assembly and/or roofing
component(s) manufacturer's published application
instructions and literature.
► All documents attached herein, filled out and completed in
full.
3. Project Information
Check one of the following:
on
Process No.
Is the deck solid sheathed? (circle 'yes' or'no)
yes no
Deck Tvoe (check one of the following):
O Nominal 'W Plywood (for re -roof only)
O Nominal' /s" P `god
[fT Wood Plank
0 Other (fill in)
Roof Pitch (fill in):
3_ " : 12"
Note: Mortar or adhesive set file systems shall not be installed at a pitch
greater than 7 %0:12 ". Mortar or adhesive set file applied at a
pitch greater than 5 ":12" and less than or equal to 7 " :12" shall
have the first three courses of tile nailed with not less than one
nail per tile. As an alternate, the first three courses of tile may be
applied in mortar over a single layer of minimum 12 ga. wire
mesh with square openings of not less than 3/," which is
mechanically attached to the sheathing with not less than one nail
per 2 W.
Circle 'ves'or'no' for each of the following:
Have you attached two copies of the tile system manufacturer's
Product Control Awroval for the proposed tile system?
yes no
Have you attached a copy of the tile system assembly and/or
roofing component(s) manufacturer's published, application
instructions and pthetr literature
LITO no
❑/ New Construction Is the proposed underlayment approved for use with this tile
[� Re -Roof system assembly
yes no
Nole: Mortar or adhesive set tile systems are not acceptable as recover
applications.
12am_15e Mortar or Adhesive Set Tile Systems
Page -1
Job Address: lo),49 Contractor:
Project Information (continued):
If the proposed underlayment is self - adhered, have you complied
with the venting requirements of Section 2913.3 (b), (c) and (d) of
the South Florida Building Code?
yes no N/
4.
Are all related accessories approved for use with this file system
assembly?
t no
Are the proposed edge metal attachment fasteners in compliance
with the requirements of the South Florida Building Code (minimum
12 ga. annular ring.ghank, corrosion reisistant nails)?
ves no
The Tile System Assembly:
The following information is required to confirm compliance with
Subsections 3403.5(a) and (c) and Section 3404 of the South Florida
Building Code.
Tile:
a/� o
Tile Name:
Manufacturer: LOAL ([1!
Tile Material:
O Clay
Concrete
O Other:
Product Control Approval Number: q 4 - r ;0P . 05
Mortar or Adhesive:
Check one of the following which apply to the proposed tile
securement for use with the proposed tile system assembly:
a
Job Address: 433) W 1 D2- 40
I�
70
O Adhesive: Type:
Manufacturer: ,A
Tile Fasteners (for first three courses if roof pitch exceeds 5 ".:12"
and is less than or equal to 7 " :12 "):
Check one of the following which apply to the proposed file
fasteners (for the first three courses) for use with the proposed tile
system assembly:
O Minimum 12 ga. galvanized roofing nail:
Length: "
O Other: Type:
Length: "
XN/A
Note: All tiles shall be installed in compliance with the provisions set
forth in the tile system assembly manufacturer's Product Control
Approval and the minimum requirements set forth in Subsections
3403.5(c) and 3404.2 of the South Florida Building Code. Tile
fasteners in the first three courses (if applicible) shall be of
sufficient length to penetrate the sheathing a minimum of 1" or
through the sheathing thickness a minimum of /16 ", whichever is
less.
Underlayment.
The following information is required to confirm compliance with
Section 3403.5(b) of the South Florida Building Code.
Mortar or Adhesive Set Tile Systems
Page - 2
Contractor: Process No.
Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment.
Also insert variable labeled "a" which represents perimeter and comer dimensions
per Chapter 23 of the South Florida Building Code.
(SeeASCE 7 -88 Fact Sheet Attached)
toy ',a `
�-_�
� 3y-�
/ rr
9
3�
BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions
Job Site Identification:
Mortar or Adhesive Set Tile Systems
Page - 7
Job Address: 1 1[3l d'r 1,0Lt4 Contractor: %kylk4 k- Process No.
Insert Building Ridge Height, Eave Height and Roof Mean Height
Also insert applicable information pertaining to the building below.
(See ASCE 7-88 Fact Sheet Anacled )
Exposure Category: (:
r��ssiftcation Category: S
iurricance Occanlinc ?: — Y �/- N
is Wind Speed at
iilding Location: 110 mph
ding Condition based on
of openings:
re Table 9 ofASCE 7.88)
?14 / 2-7
BUILDING INFORMATION #1
Job Site Identification:
Mortar or Adhesive Set Tile Systems
Page - 6
Job Address: 1L[ 3) Or I oy ss- Contractor:
Underlayment (continued):
Check all of the following which apply to the proposed underlayment
for use with the proposed file system assembly:
[� ASTM #30 asphalt saturated felt with: ❑ 19" overlap
0 6" overlap
❑ 4" overlap
Manufacturer: "'rA(lf &
❑ ASTM #15 asphalt saturated felt with: 0 19" overlap
❑ 0,6" overlap
[f 4" overlap
Manufacturer.
[Mineral Surfaced Roll Roofing with: 0 19" overlap
❑ " overlap
Manufacturer. -TA Kez 4" overlap
❑ Other:
Type:
Manufacturer:
Underlayment Fasteners (if applicable):
Check one of the following which apply to the proposed
underlayment attachment:
❑ Minimum 12 ga. electro- galvanized roofing nail with
32 minimum: x 1' /a" tin cap;
�
Manufacturer.
❑ Other:
Type:
Length: '
Manufacturer:
7W.3
loo. -r rc • t �.. J': o eo
/9.04
5- x.2�/ -s;0A
19.04
4 A4-,t4 As l-u" C -e It o., It to,
Ground Level 3 9 o o
l43/ Or 16Lh9' Process No.
4e
Spacing (per the system assembly Product Control Approval):
Field: 10) " O.C.
Laps: = " o.c.
5. Related Accessories:
Edge Metal (refer to Section 3408.2 of the South Florida Building
Code)
Type:
Dimensions:
Gauge or Thickness: 91,
Finish: IQ
Note: All edge metal shall be nailed on the flange and nailed or clipped
at the face in compliance with the provisions set forth in Dade
County Protocol PA 111, marked Appendix 'U' in the South
Florida Building Code.
Adhesives (check one of the following):
❑ Cold Adhesive:
Type:
Manufacturer:
® Flashing Cement:
Mortar or Adhesive Set Tile Systems
Page - 3
I 1 "I j
Job Address: W A),P tilld St Contractor: Process No.
Adhesives (continued): Additional Notes:
Note: Application of adhesives shall be in compliance with the Roofing
Component Product Control Approval and the minimum
requirements set forth in Subsection 3403.5(e)(4)(cc) of the South
Florida Building Code.
Ventilation System (check one or more of the following):
The following information is required to confirm compliance with
Subsection 3401.4(e) of the South Florida Building Code.
0 Ridge: Type Size it?
D
er-soffit: Type COA17- Size 5 In=
Note: If underlayment is comprised of a self - adhered membrane, both soffit
and ridge ventilation systems are required, unless a base sheet is
applied as an anchor sheet below the self - adhered underlayment.
Note: The Tile System Assembly shall be installed in strict compliance
with the application instructions enumerated in the Product
Control Approval. A permit shall be issued for application of the
specified Tile System Assembly off. Any change to the specified
Tile System Assembly shall require submission of a revised
SECTION II with a copy of SECTION I, noting the permit
number issued.
Job Address:
lu) I uF- ►DZ r4 v
Ridge Venting: _
(I/�teobde)
Mortar or Adhesive Set Tile Systems
Page - 4
Deck:
type:
Tldeinua:
Undedayment: g► # �1D
Underlayment
Fastener. / ` ' ,
VW-
Contractor: Q�t� u,R �� Process No.
" Roof Pitch
12"
II
DETAIL #1
Job Site Identification:
FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP
TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS
INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN
ON THIS PAGE. ( Where Roofing Component not used in Tile System
Assembly, fill in with "N /A ". )
Mortar or Adhesive Set Tile Systems
Page - 5
Head Lap Dimension: / "
(mbdmum?'wdeu odkenrUe speeUed
in du rile system aetemblyproduet Comd
ortar/ dhesive:
Tile: &uu& rw-
Tile Fastener
Edge Metal g� utter rye
Fastener: / y,
Bird Stop:
Edge Metal &�
or Gutter
Existing or Proposed
Soffit Venting: I ce
ontae JAETIl01METr10.OADE FLAGLER BUILDING
OVROtHO CODE COMPLIAME DEPARTAM
SURE toad
MTRO -DARE FLAGLER BUKZ 0
140 WEFr nMLER SLREET
MlA A FtotIm 0300-ta13
PM WS-MI
PRODUCT CONTROL NOTICE 12F ACCi
:orna Cast Corporation
;3$3 Southwest 70th Court
,iW4 iT d& 33135
'our application for Product Approval of Cflma Cast Cal-r- to tart. Mortar or Adhesivr Set. Carterete
'CamatJle® ITT.-it" Roorinr Tile umkr Chapter 8 of the Metropolitan Dade County Cods goveming the we of
iternate Materials and Types of Corutruction, and completely deseribed in' the plain, specifications and
alculaiioas as submittal by Itediand Technologks, The Center for Applied Engineering, Inc., and Tes(well
rest; Laboratorks & Consultant% inc has been recommended rot acceptance by the Building Code Compliance
)epartmeM to be used In Dade County, Florida under the specific and standard conditions set forth herein.
lie approval shall be valid for a period or three years. The Building Code Compliance department reserves the
girt to secure a product or material u any time for a jobsbte of marw[aetunx plant for quality control testing. It
odtrct or material fait to rerrorm in LSc approved manna, the Code CompYwnee Department may revoke, modify
suspend the use of such product or material humediately. The Duild'mg Code Compliance Dgmrtmcni reserves
ie right to require, testing orlhis product or material should any amendments to the South Florida Building Code be
iacted alTming this product or material.
lie expense or such testing will be Incurred by the Manufacturer.
RODUCT NO.: / / fr //� c
.CCFXTANtCE NO.: 44,1222, S2.gS Rodriguez /1z
Product Control Division
xrlltES: DEC 2 7 1991 Supervisor
- PLEASE NOTE- "
THIS IS THE COVERSHEET. SEEADDI TIONAL i'ACES FOR SPECIFIC AND GEi4ERAL
CONDITIONS.
outumc CODE COr4IMrrru
11s;appGpation for Product Ai+proval has been reviewed by the Metropolitan Dade County Building Code
"npllanc�c Department and approval by the Building-Code Committee to be used in Dade County, Florida under
C eiincritiotu set forth above. '
PRODUCT CONTROL NOTICE OF AccEPTAN cE
ROOFrNc; SYSTEM APPROVAL
Coma Cut Corporation Product Control No.:
4383 Southwest 70th Court
M-rL 33155 Approval Date:
calan : Prepared Roofing
Str at onrv: Tilt:
1= - Mortar SetlAdhesive Set
S tom: Concrete
Expiration Date•. 7 CLU
Coma Cast Corporation, located in Miami, Florida, is a manufacturer of cement roof tite for
mortar or adhesive set applications. This P adtter Control AnnrnvaI relates in Pnrna t--o- at^- --...
All profiles have matching tr'sm pieces used for rake hip, ridge hip, and valley terwinations and
are available in a smooth or broosnswept surface texture. These accessories are manufactured for all
profrles and form a part of this .Product Control Approval
Coma Cast's *Comatile® Flat' roof the has been tested in compliance with the South Florida
Building Code requirements for concrete, mortar or adhesive set life applications. The minimum roof
stope for Coma Caws *Comatile® Flat' mortar or adhesive set cites shall be 2 ":12 ". See the *Profile
Dratrinz'sectson in this approval for the *Comatile® Flat' profile drawing. The Coma Cast "ComaI'Ice
Ftar the profile has been tested for both wind characteristics and static uplift performance, therefore,
any consideration for installation shall be done as a 'Moment Based System', Data for attachment
calculations is noted in Tables I through 3 ofthis approval.
Contact:
Mike Arronte
President
Coma Can Corporation
4383 Southwest 70th Court
Miarn.i. FL 33155
(305) 665 -3664
.'PROVED: DEC 2 7 1994
Charles Danger, P.Iw, Directo
Building Code Compliance Department
Metropolitan Dade County
- 1
aui Rodriguez
Pra3�'t
Comatile ®Fiat Tile
True Pieces -
Product Condral No: 94
TRADE NAMES OF PRODUCTS MANUFACTURED OR
1 AIIELEt7 oY APPLICANT
Tat Product
Dimensions ►SALCI ■tin s Deseriotton
1 16' PA 112 Flat. Interlocking, extruded concrete
Wf . 9 %
roof We. For mortar set or adhesive
r /s" thick
an appiicationi
_ 1 R varies
PA 112 Accessory trim, concrete roof pieces
w Y varies
for on at hips. raises, rids" and valley
varying thicka"s
terminations. Maoufaetured for each
6116 pror&
Ile
ui Rodrigucz
Pradnet
I}3 Felt
t43 Coxed Base
Sheet
:+lineral Surface Cap
Sheet
l e alstex -28140
t:nderiayment
%waproof Q
Ice and WaterShield
ldoppiny Asphalt
flashing Cement
Product Control Av.: yy
TRADE FAMES OF PRODUCTS MANUFACTURED OTHERS
Test
Dlrnensinns Snrrlrirttiom
Product
nS,L ntlon
WA ASTM D 226
Saturated organic felt
type It
to be used as a nailed
axhor sheet.
% A ASTM D 2626 .
Saturated and coated
organic base sheet for
_
single or double ply
underlaymen .
NIA ASTM D 249
Muteral surfaced
asphalt rag roorfany
roe use as a tap ply In
a double ply
underhyment sysera.
Man +farrur
generic
generic
generic
59" x 164' roll PA 104 Single ply, nail -on lsrtaing
22lbs/rolt underhyment. Perfonrwnce.:
PCA 994 -052
30" x 7S toll PA 104 Single ply, nail -on Protect -O -Wrap
36' x 7s' roll umderhyment with 2" PCA 994 -071
or self - adhering top
60' x 751 roll cdge,
36' x 7S roll PA 103 Self- adhering W.R. Grace t
underlayment for cue PCA 992 -111(
as a top ply in a two
Pty utderlayment
system with oppraved
030 or 943 as the base
layer.
WA ASTM D 312 Asphalt for bonding; generic
type Ill or IV mineral surface cap to
a mech. attached base
sheet in a dogbie ply
undedaymcnt system.
NIA ASTM D 4586 Cut back, asphalt generic
based, asbestos tree,
fibcr reinroreed,
trowel grade ceruent
for repair and !lathing
applications.
3
Raul Rodriguez
'
Product Control Ito.: 94- 12 77_05
Test
Product
Prod=
plmt sto ps
CnreiRestions
Deserintlon
Minuht tvm PXoduct DjmrMlon
Asphalt Primes
WA
ASTM D41
Cut back4 asphalt
generic Drip Edge min. 26 ga.
based coating used to
min. 2' face flange
facilitate bonding of
min. 2' dedc llmv
dtssimiiar materials.
Roofing Nails
min. 12 ga. with
PA 114
Annular ring shank,
generic
s /r' head
Appendix E
hot dipped, electro or
mechanically gate.
roofing nails for use
_
is underayment
attachment
Tan Caps
min. 32 ga.
PA 114
Corrosion resistant
generic
grin. Iils o.d.
Appendix E
emdar disc for use in
max. 2' *A
underlayment
anachmuu
Tile Nails
m a. Sd x 2h' or
PA 114
Corrosion resistant,
generae
mitt. 10d z 3'
Appendix E
strew orsmootb
shank nails for
additional anaehmeat
of tale at cave &
Comm
RoorTile Maur
NIA
PA 123
Prepared mortar mix
Bermuda Roof
:-Mer:W"4'j
designed for mortar
Company, Inc.
setrooftile
PCA 894- 06I4.01
applications.
_.
Roof le h: "W
WA
PA 123
Prepared in*= mix
Quil:rete Constmdio
-Quikretem Roof
designed for mortar
Products
i0e: Mortar if[ 140-)
set roofthe
PCA 894 - 0809.01
applications.
3001 Tile Mortar
WA
PA 123
Prepared mortar mix
W.R.130=l Co.
780NSAUI� Roof
designed for mores
PCA #94. 0628.03
go Moran Mbc7
set roof file
applications.
:oof Tile Adhesive
NIA
PA 110
Adhesive designed
?olyfoam Products.
PoiyproC AH 160)
for use in roof file
Ium
applications.
PCAti 94- 0401.01
:alley Flashing
min. 26 ga.
ASTM A 525
Galvanized steel
generic
min. 16' width
valley hashing
Test Product
Sn= inns Description
PA 111 Galvanized steel drip
edge
Raul Rodriguez `haul Rcditu :z
rva.• .rg . �
I�iarul -ee[tQ
ge3:crie
Tell A ?tnrr
The Center far Applied
Engineering. Lie.
T1te Center for Applied
Engineering, Inc.
Redland Technologies
TESTRicroRTs
Test lde"W=
94 -084
94 -060A
P0631.01
T estwell Craig Laboratories Lab N: YF -1
& ConsuitawA inc. • Teck G. Suarez
Product Control No.: q4.172-703
jest aamraeoert
Static UpM Testing
PA 101
(Mortar Set)
Static Uptiil Testing
PA 101
(Adhesive Set)
Wind Tuand Testing
PA 101
(Mortarset)
Pbyskd Properties
PA 112
D IC
May 1994
March. 1994
July 1994
Product Control No.: o4_t�"►� n�
SYSTEMS
Deck Type: Wood, Non - insulated
Deck Description: New construction 1e /ms" or greater plywood or wood plank.
SYSTEM D: Mortar or Adhesive Set Application .
Slope Rnage: 2`:12" to 7 ":12
Kate: System D Is only acceptable in-this slope range
Underlayment: • install choice of approved underlayment system, noted on Page 1 of Dad,
County Protocol PA 120. is compliance with Section 3.02 of PA 60. See
System Limitation 116.
July, 1994 Roofing Tile: Install the in compliance with PA 120 using one of the approved mortars or
adhesives noted in this approval. Mortar or adhesive shift be applied in
compliance with the mortar manufWurces Roofing Component Product
Control Approval. no mortar or adhesive attachment shall provide sufficient
attachment resistance expressed as a moment to meet or exceed the required
moment of resistance determined in eompfiaace with PA f 15 or PA 127. The
mortar and adhesive attachment data is noted in Table 3, attached.
Comments: 1. For re -roof applications " /n" plywood Is an acceptable substrate.
2. Formortar set applications, the first threccourses of tile shall be nailed with
not less than one nail per tile- As an aStcraate, the first three courses of tile
shall be applied In mortar over a single layer of minimum 12 ga. wire mesh
with square openings of not less than %" which is meehanisally attached to the
deck with not less than one roofing nail every 1 ft= For roof pitches from
6 ":12" to 7 ":12 ", every third tile of every fifth course, beginning at the eightim
course, shall be nailed with not less than one nail per tile.
;
aul Rodriguez Raul Rodriguez
,
Product Contmt No» 24-17770S Product Control \o»
SYsubt LiQSITATioNs
The standard rtriuimum roof pitch for Coma Cast "Comatile017131" mortar set or adhesive set the
applications is 2" rise in 12" run (2':12'). The maximum roof pitch rot mortar set or adhesive set
file applications is T rise in 12' run (7 ":12 ").
Coma Cast's "Comatile® Flat" file profile has not been tested for nail -on applications. therefore.
System A (Counter- Batten Nail -on Application). System B (Direct Deck Nail -)n Application) and
System C (Horizontal Batten Nall-On Application) do not farm part of this approval.
system instaltition shalt be in compliance with the system specifications outlined in this Product
Control Approval. Mortar set or adhesive set the shall be attached using an approved mortar or
life adhesive noted in this approval. the data of which Is noted in Table 3 of this Approval. The
method of attachment utilized shall provide sufficient attachment resistance expressed as a moment
to meet or exceed the required moment of r+ sistanee determined in compliance with Dade County
Protocol PA 115 or PA 127.
For mortar set appficatons. the first three courses of tile shall be nailed with not less ihan one nail
per tile. As an alternate. the Gast three courses of the shall be applied in mortar or adhesive over a
single layer of minimum 12 ga. wire mesh with square openings of not less than %' which is
mechanically attached to the deck with not less than one roofing nail every 1 W. For roof pitches
from 6':12" to 7 ":12 ". every third the of every GRh course, beginning at the eiglith course, shall be
nailed with not less than one nail per tiles
For mortar set or adhesive set the applications, a field static uplift test by a Dade County
necredited testing•agenay ;.,in compliance with Dade.County Protocol PA I06, shall be required.not:.
less than 30 days after. application to conGmr :tite adhesion. -The results of this testing shall -be
reported to the Building Official and the installer stating thatthe application has passed orfailed PA
106 testing' Irthe application fails PA lo6 testing; tile-repont shall irate.which portion of the Ica
was failed; Category i (examination for loose tile) or Category 2 (uplift testing of tile). Subsequent
to testing, tie irmUller may repair not more than 5% of field area tiles and 10' /a of perimeter area
(i.e. ridge/ rake) tile with approved the adhesive. The installer shall place an Identifiable marking on
each repaired tile for future reference. Any PA 106 re -test shatl not include.nny marked tile.
For mortar or adhesive set tile applications, 30190 hot mopped underlaymaht applications may be
installed perpendicular to the roof pitch prior to June 1, 1995 unless stated otherwise by the material
maeuCaeturer. Thereafter. 3Q/90nndatayment systems shalt be installed parallel to the roof pitch in
coinpli�riee with Appetidix'A' of Dade County Protocol PA 120.
All tilei shall bear tie utiprint or identifiable marking of the manuracturces name or logo for
idcntir=tion in the field.
The Co,na Cast "Comatile® Flat" the profile has been tested for both wind characteristics and static
uplift performance. therefore, attachment calculations for installation in compliance with Dade
County Protocol PA 115 or PA 127 shall be done as a'Moment Based System'
S � �
Raul Rodrigues
SYSTEM LiMITAT1ora
(CormliurD)
Applications for roofing permits shall include a completed Section 11 of the Uniform Bui:l
Permit. a copy of Coma Cast Roof Tile's eunvnt specifications and details, a copy of this Pro:
Control Approval and a copy of the Product Control Approval of any Roofing Component use
the proposed tile application. Reference shall be made to appropriate data for the required
rating.
10. The applicant shall retain the services-of a Dade County certified testing laboratory to mair
quality control in compliance with the South Florida Building Code and related protocols. Sara
taken shall be in compliance with Dade County Protocol PA 112, Appendix'A'.
11. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the S
Florida Building Code.
Raul Rodriguez
DATA FOR ATrActtMFNr
CALCULATIONS
Table 4: Attachment Resistance Expressed as a Moment - Mr (tt-lbt)
from PA 101 Testing
'H Tite
Profile Application
Attachment
Resistance
Ftat TUe Mortar Set,
Adt»sive Set
39,00
118.90
4�
Raul Rodriguez
METIIOI'OLIfAN DADE COUNTY. FLORIOA
METne -DAOE FLAMER BUILDING.
M ouzoam COLE co R'LIARM DEPARTMENT
SMITE titer
1dETNGDME "tun BUILDM
14o War PLADLEA SMET
UWA FLORIDA 33MISa7
Pon irs-zaot
. . taut artc�aoa
eomldered after a new applkadm has been filed and the supporting
(lp) years. bare beat rs- evaluated.
er the sell, signature and date of an engineer registered in the state of
aerials. use, or manufacture of the product or process Shan automatiestly
riot approval Is granted for revisions or change
if this product or process or a el►ange In Code provisions shalt be grounds
as an endorsement of any product for sales or advertising purposes.
er preeesic,d by the words Dade County. FJoridi. and fonowed by the
in advertising aimtwe if any portion or the, Notice of Acceptance is
Its entirety.
required for permit applications, shall be provided to the applicant by
m unless otherwise noted in tiw . Loden of Acceptance..Ila prints need
rd Conditions slut3 be eause for termination of the Approval.
ul Rodriguez
product Control Divislon
sopnsvisor
PROFILE DRAwwc
ICS
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yil„{rr,ra+n snaasuren,ents
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FLAT SMOOTH
COMATILED FLAT Tut:
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Raul Rodriguez
A
I
Legal Description
Owner / Lessee / I
Owner's Address
r
Contracting Co.
Qualifier G
State #gao
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle
WORK DESCRIPTIOi,,,
Square Ft.
WIT APPLICATION FOR MIAMI SHORES VILLAGE
Address-,,,' /.3/ AYE fDaT Tax Folio f! "
G�
Master Pe_rm.i. t it �.
D 1�17 Phone
o�01 Address
SS# / - Phone
cipal # Competency art Ins.Co.
Address
Address
Address
Pro
PLUMBING MECHANICAL ROOFING PAVIM F=C1 SIB
Estimated Cost(value)J
WARNING TO OWNER:;! YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR"PAIIJUX TO DO~
SO MAY RESULT IN rOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROF 'T (1F 'F INT` H
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY SR E ��I; YOUR
NOTICE OF COMMEN EMENT).
Application is hereliy made to obtain a permit to do work and installation as,indicmtod 4evo, and
on the attached add'ndum (if applicable). I certify that all work will be V*r #o to ***t
standards of all laws regulating construction in this jurisdiction. I s t se to
permits are require 'for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and 19
OWNER'S AFFIDAVIT: certify that all the foregoing information is a+cc ate -aad > tba 11 work Will
be done in complian a with alllapplicable laws regulating construction nd its. P rep,, I
aut4o,rize the above coon ractor to do the work stated.
a�
of
Date:
Notary as Co' ' Id,
My Commission W4 s:
I
FEES PERMIT
APPROVED:
Mechani a
LIO ROBLES
emission Expires
Signature
Date:
t Notary as tch.
7a
, Nei