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Multiple (10)J -v Inspection Date: 12/18/2006 Inspector: Grande, Claudio Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: FRECHETTE, JOSEPH AND JOAN L� 2 0 20 Job Address: 300 103 Street NE Miami Shores Village, FL 33138- Permit Type: Roof Inspection Type: Final Work Classification: Roof - New Phone Number (305)759 -1056 Parcel Number 1132060135040 Project: <NONE> Block: Lot: Contractor: DALEY ROOFING INC Phone: (305)754 -9892 Buildino Denartment Comments Thursday, December 14, 2006 Page 2 of 2 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Thursday, December 14, 2006 Page 2 of 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 --"' Permit Permit Status: APPROVED Issue Date: 51312006 Expires: 10/28/2006 Permit Number: RF -5 -06 -1117 Owner's Name: JOSEPH AND JOAN FRECHETTE one: (305)759 -1056 Pennit Type: Roof Work Classification: Roof - New Job Address: 300 103 Street NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor DALEY ROOFING INC (305)7549892 Yes Comments: RE -ROOF LOW SLOPE SECTION INSTALL TILE AT VARIOUS LOCATIONS ON THE ROOF Additional Information Type of Work: Re -Roof Additional Info: Classification: Residential 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $3.00 Education Surcharge $1.00 Notary Fee $5.00 Permit Fee - New Roof $250.00 Scanning Fee $6.00 Technology Fee $6.25 Total: $271.25 Building Department File Copy Applicant Signature Parcel #: 1132060135040 Block: Lot: Section: PB: Total Square Feet: 350 Total Valuation: $ 4,300.00 Tin Cap Hot Mop Tile In Progress Up Lit Report Final Roof Invoice Number Amt Due i Amt Paid RF -5 -06 -24689 $271.25 1 , `0 f'-- Total: MAYO 4 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ®RS Inspection Worksheet 4 X Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL LANTES IN y -O ®►x1 Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 07/1712006 Inspector: Grande, Claudio Owner: FRECHETTE, JOSEPH AND JOAN: Job Address: 300103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: DALEY 14010FING INC Rnilelinn rlannKmant Cnmmanft W 9- 1 pwm Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number (305)759 -1056 Parcel Number 1132060135040 Block: Lot: Phone: (305)754 -9892 Friday, July 14, 2006 Page 2 of 2 Infractio Passed Comments TIN CAP SPACEING True Inspector Com nts Passed zvr � `�� 'I � 4L • ��� � � ' ��� Failed � `�� Correction Needed ` 7W/ S C•S lZ Re-inspection Fee Z % G�Nrtl �� 4e_- 4ou t/ % u 75 (� ) No Additional Inspections can be scheduled until `7 re- inspection fee is paid. Friday, July 14, 2006 Page 2 of 2 Ilnspection Number -, INSP! -16181 Permit Number. RF -6-06- 1`117 Inspection Date: 0711912006 Permit Type: Roof Inspector: Desharnis, George JUL 2 1 REETI Inspection Type: Final Roof Owner: FRECHETTE, JOSEPH AND JOAN Work Classification: Roof - New Job Address: 300 103 Street NE Miami Shores Village, FL 33138- Phone Number (305)759 -1056 Parcel Number 1132060135040 Project: <NONE> Block: Lot: Contractor: DALEY ROOFING INC Phone: (305)754 -9892 Buildina Denartment CnmmPnts REg:., Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �S OR 0) Phone: (305)795 -2204 Fax: (305)756 -8972 Ilnspection Number -, INSP! -16181 Permit Number. RF -6-06- 1`117 Inspection Date: 0711912006 Permit Type: Roof Inspector: Desharnis, George JUL 2 1 REETI Inspection Type: Final Roof Owner: FRECHETTE, JOSEPH AND JOAN Work Classification: Roof - New Job Address: 300 103 Street NE Miami Shores Village, FL 33138- Phone Number (305)759 -1056 Parcel Number 1132060135040 Project: <NONE> Block: Lot: Contractor: DALEY ROOFING INC Phone: (305)754 -9892 Buildina Denartment CnmmPnts �S tc ` [ t`k cal t 1 Tuesday, July 18, 2006 Nmets r ?.e, z�h S t. 1 '_ of Page 1 '�ta rtA. /Z., /oto'r- �i Inspector Comments Passed El 7- �f � k '7/-� Failed Correction Needed / c ��� Re- Inspection Fee ($75) et: �!''��l ,� -e. S 4,.a C -e. C �. � �, �1� d No Additional Inspections can be scheduled until re- inspection fee is paid. C (� �� O S L v _ Q G 4 of d eve �S tc ` [ t`k cal t 1 Tuesday, July 18, 2006 Nmets r ?.e, z�h S t. 1 '_ of Page 1 '�ta rtA. /Z., /oto'r- �i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 0711W2006 Inspector: Grande, Claudio JUL 1 Owner: FRECHETTE, JOSEPH AND JOAN Job Address: 300103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number (305)759 -1056 Parcel Number 1132060135040 Block: Lot: Contractor: DALEY ROOFING INC Phone: (305)754 -9892 Buildino Denartment Comments Friday, July 14, 2006 Page 1 of 2 Infractio Passed Comments TIN CAP SPACEING True Inspector Comments Passed " ' P1_ / ! •S S Z !Y �I TcG� l w (7 e..+Av,JLJ 6T' �e 4 6ult-r u� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Friday, July 14, 2006 Page 1 of 2 `' �C ...�� Miami Shores Village Building Department QR!11 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 PLEASE PRINT DATE: TIME: a_ O NAME OF PERSON REQUESTING FILE: C5C�X\ PHONE #: YOUR ADDRESS: Q , ADDRESS OF FILE REQUESTED: INFORMATION REQUES �5� vz� " �-16 '66 c- ( 0� I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date�� Time Type Insp'n Permit No. ;0e%2 " � Name. Addre —� Company Phone #� For Inspector: Approv Correction ❑ Re- Insp'n Fee ❑ a �. to .^ .,r' .y ! % /" ,r *, 1 rt ,, �r• j .. / � Lr �. %� s � � %•r»�'r . \I y'i -'s".� � - �'y ' i�. `• �J ' d° M `'+ � rT �. �iR„i 1. ,fJ� -7� l � p� � � '�: yt �, ! t r,: L,. ,,� . ,;,s.1— r � r1 �-r`' '�' � I � �.- �'.- rA,!.. ��h�t• � �� L! R � 4 Li + ; lip AV 6 tt � Cyt jail iE 5.,,�i �"�� jr,''.� •^.1 r � • � moo.,. 1 r,,,. ., i .I t` � / t ,ri R t�'dQ a f'�u c.0 � .•. �• �� � '� � � � /:' � ; =i ,�;.�� i Y y •cam .: a _ _. _ _ �. . • 6 i "a*' r .A,::'►'S. A..k ' _ e x f+ �.- f+ / f. t f r 7 ., . ... ` . • st _ l -� H� y � v �G •"' � .'q �? p � i C3 L � i-' : � ; ::j )rte IZ U � ,w � • ♦ •q • �,. ; • t Y w i G A 91"` .-� ti _ i� 3 4 9 II - k - I, . - o MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit NO. J __..___. _____._._ Date._��.'__�. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. t Owner's Name and Address.c ,__ __ .__ No.0 _Street __!^±; Registered Architect and /or Employing Plumber's Name No.— Location and Legal Description Lot Block Stmt and Number Where work b to be verformed No �3 (n 6 stmt - - -- State work to be performeS and purpose of building (BY New Building Remodeling Addition- -_- _-_- -- Repairs__Y.t----- -__.__ No. of Stories - -- - .--- _------- - - - - -- Size Septic Tank. Type of Ten1c _------- _�___ Gapadty Gals --- - ------ --- -_.___ Feet of Drain Tile _— --DigL Feet of Tank or Drain Field from Well -_� Nature of Water Supply: City WdL _Size of Soakage Amount of Permit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perm Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contract - yed 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 such blie notice or notices as are regWred by the Act. The undersigned agrees to employ only such sub- contractors, k to perfo ed under this permit, as are licensed by Miami Sham Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and-says that he is the of the above described construction, that he has carefully read the for did - he ll therein by by him stated are true. Y ageing application, and that he did sign the same, and that all facts My Commission Expires Notary Publie, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-dnspeetim is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD .SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'6 POOL CONTR. LIST CHECK Size Septic Tank. Type of Ten1c _------- _�___ Gapadty Gals --- - ------ --- -_.___ Feet of Drain Tile _— --DigL Feet of Tank or Drain Field from Well -_� Nature of Water Supply: City WdL _Size of Soakage Amount of Permit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perm Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contract - yed 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 such blie notice or notices as are regWred by the Act. The undersigned agrees to employ only such sub- contractors, k to perfo ed under this permit, as are licensed by Miami Sham Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and-says that he is the of the above described construction, that he has carefully read the for did - he ll therein by by him stated are true. Y ageing application, and that he did sign the same, and that all facts My Commission Expires Notary Publie, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-dnspeetim is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. AFFIDAVIT STATE OF FLORIDA, SS COaTTY OF DADE Paul Cloud of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, loth- &,pose and say, that tinder the provisions of 0"di_nan ^E I ?c. 16'j, dated June 15, 11:�Z8, cmuexad ing paragraph (d) of Seddon B --36*O of Ordinanae -Ho, 97 of the Eail",33incr Code of Hiwd Shores Village, he desires to build a, single family_rQaideucer_.. _ on Lot 11 and 12 Block _. :.�..� of 9. ;. - 5u1x'.lv=_sion, �. that he is the owner of said property, and will be the owner of saic' residence'' _ , that he will do the woa�k per_-onally, and that lie rill, at such times .)s are required by the Zoning ana Director;- 1. File plane and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required. fees, 4. Execute the work in accordance with the provisions of this Code. 5. ,Apply for inspections 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's - Compensation, Public Liability and Property Damage Insuraioe. 7. File with the Building Inspector as the job progresses cPrti fcates showing the payment required by the Federal Social Security Act to the State of Florida or the united States of America. S. Assume the responsibility of not employing other them properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor" 10. Sign an affidavit before commencing work to the eff=ect that he`has` read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the wilding Inspector: 11. In order to prevent. abuses and subterfuge the right of such owner - builder as herein provided, is limited to but one owner -- builder permit each 2 years, and where an owner- builder has once exercised the privilege herein conferred no second application for owner - builder Permit shall be granted in lass than 2 years, unless the applicant is qualified as a licensed Geheral'Contractor under the applicable Ordinances of said Village. And Further this Doponent says not; SUBSC IBM AND SWORN TO B:701G ME, this day of Y A. D., 15, NOTARY PUBLIC I "AUL 0-Y 4p 611) mvl Qwrjtn• -,Buildor to aan3trijatl.-)xl OC QDtl relilaence et " � I- :;r Aj.ril 2. 191,.9 6 I f N I _ At Q_ -z 4, 6� J. M. (BUCK) COUNCIL, PRES. 4150 N. W. SEVENTH AVENUE MIAMI 37, FLORIDA PI. 9 -5719 January 19, 1959 Tillage of Miami Shores 10050 N. E. 2nd Ave., Division of Plumbing Inspection Miami Shores, Florida APPLICATION FOR PLUMBING PERMITS: FOR: H. C. McKenty 70 N. E. 96th St. , Set Electric Water Heater on existing rough. FOR: Dr. Thomas Blake 300 N. E. 103rd St., pl� 1w//. Rough -in and "Set Electric Water Heater. BUCK PLUMBING, INC. NOTE; Ready to be put on Board for Inspection. I � MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Y...... APPLICATION FOR ELECTRICAL PERMIT . ?2, / - Permit No ............................. Date ......... ..-----. -- ......................I...... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address ........Y✓. . s!�.�.. ...:..1.. .......................... N......... ................ ..Street "!..�1 . /... ©. �... � �..... Registered Architect and /or Engineer ......... .� ------------ .�........... . ........ . ........... ............. ............................................ .......... r .. .... ........ . . . ... Employing Electrician's Name.... e� . Q � 7 ...Street_,. � � Locationand Legal Description Lot .....:............................. ............................... Block._......... ............................... Subdivision................. ............................... Street and Number where work is to be performed— No .......................... S. ............................... Street ... ��'�7 ~...G.. ... ...................... State work to be performed and purpose of buildin g (By Floors) ......... ................ _ .............................................................................. ............................... New Building .......... ... .................. Remodeling ................................ Addition .............................. Repairs. ...................... .. ............. No. of Stories.................... Service Overhead d Size Feeders .................... Conduit................ Wn Sw ........................ .. ..... Amps .......................... Main Fuses. ........................... Amps Typeof Installation -- Conduit ........................ Tubing ........................ B. X .L ......................... Metal Moulding ............... .. .................. » ................. .................. Amount of Permit $.........._ ............................................. ............................... (Signed b� �ig�frual tect-r Th e undersigned applicant for this building permit does hereby certify that he understands and accepts his ob - ow as aployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ..... ... ...... 4 .E ......... . ter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared......................................... ............... _ ........................................................... .................. ......................................................... ..... _ ............. ............... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................................... _ .... _......................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ... .. ........... _............................................................................................ ............................................ _................................................................ My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. ACE STRIP TOTAL OUTLETS OUTLETS RECE•P•T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER LIST LIST CHECK ENT. DIST. SERVICE - SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEMP. PERM. 0.1 HP 1.0 HP TRANS. CONTR. LIST CHECK Service Overhead d Size Feeders .................... Conduit................ Wn Sw ........................ .. ..... Amps .......................... Main Fuses. ........................... Amps Typeof Installation -- Conduit ........................ Tubing ........................ B. X .L ......................... Metal Moulding ............... .. .................. » ................. .................. Amount of Permit $.........._ ............................................. ............................... (Signed b� �ig�frual tect-r Th e undersigned applicant for this building permit does hereby certify that he understands and accepts his ob - ow as aployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ..... ... ...... 4 .E ......... . ter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared......................................... ............... _ ........................................................... .................. ......................................................... ..... _ ............. ............... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................................... _ .... _......................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ... .. ........... _............................................................................................ ............................................ _................................................................ My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING"MI°� -3z3 Permit No.__ _ __ _ _ ,__ Date-- _1.`.°_ ! fI J Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address____� Registered Architect and /or Engineer _ Employing Plumber's Name -0 L J 's-v-- No. / Location and Legal Description Lot Street and Number where work is to be verformed —No. Subdivision State work to be performeS and purpose of building (By Floors) g ea 4.-.a c-- -. -__- :: New Building__.__._....__,._ -------- Remodeling Addition _-_- Repairs __-_................. No. of Stories ... ...... _ .......... _.. Size Septic Tank.._--_--.--__. -- Type of Tank ______ � ._.._____,Capacity Gab --- - ---- _ -- _ .. ....... ...... ............. Feet of Drain Tile_ - - - -- _Dist. Feet of Tank or Drain Field from Well__ - _ _ ._.___._._ - - -__ Nature of Water Supply: City—Well. _ .Size of Soakage Pit- _ __ ___ ______.__--- ..... __ Amount of Permit (signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are reams by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, are licensed by Miami Shores Village. (Signed) aster Plumber. - STATE OF FLORIDA, 1 a& COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authosixed''to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon'oathdeposes and.says that he is the______-------- __ -_ -- of the above described " construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-lnspectim is made - necessary by improper notice for inspection, or faulty materials and. /or worinnanship. B ATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS -TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CON". LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. ^ -I LIMIT CHECK Size Septic Tank.._--_--.--__. -- Type of Tank ______ � ._.._____,Capacity Gab --- - ---- _ -- _ .. ....... ...... ............. Feet of Drain Tile_ - - - -- _Dist. Feet of Tank or Drain Field from Well__ - _ _ ._.___._._ - - -__ Nature of Water Supply: City—Well. _ .Size of Soakage Pit- _ __ ___ ______.__--- ..... __ Amount of Permit (signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are reams by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, are licensed by Miami Shores Village. (Signed) aster Plumber. - STATE OF FLORIDA, 1 a& COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authosixed''to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon'oathdeposes and.says that he is the______-------- __ -_ -- of the above described " construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-lnspectim is made - necessary by improper notice for inspection, or faulty materials and. /or worinnanship. 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. % t c- Date - -- _— _ "-- _—-- ------- - - --., 19 Owner's Name and Address -_ %%! f - - - - - -- - .- _-- - - - - -- o•---------- - - - - -- Street----------.------------------ Registered Architect and /or Engin[eer______ -- ___ -- - — -------- Name and address of licensed contracto _ —' ____ _ • _- _ _ _ Location and legal description of lot to be t on: Lot----- Block---- -___ —_ Subdivision_--- _---- _ -____ __ _ -_ - - -------- _________ --- _ Street and Number where work is to be done_ - - -— �� _ State work to be done and purpose of building (by floors) -- ---- -- -- - - - - - -- _ —____ __ __ and for no other purpose. New Building- ----- - - - - -- Remodeling----- - - - - -_ Addition---------- - - - - -- Repairs- ---- -- F� No. of Stories ------------- - -------- _- To be constructed of-- - - - - -- — - --- - - - - -- Kind �� foundation---------. ------ •------- - - - - -- ----- - - - - -- - Roo Covering-------------- - - - - -- --------•-------------- Estimated Total cost of improvements —� Amount of Permit $ ------- _ __ Zonp cubage required— ___ ___ Plan Cubage— _____ -- ------------_____------------------------ Distance to next nearest building—_____ , size of Building Lot_...__L °�'w ------------------------------------ Maximum live load to be borne by each floor_ —___ _ ---------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to — __ - - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, 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 suc ublic notice or notices as are required by the Act. The undersigned agrees to employ only such Ontractors,. on work to be qZe 6 under permit, as are licensed by Miami Shores Village. non Remarks — ( Signed) 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 — _ _ ___ - -- - - - --- __ -- --_ -- - - -- - -_ .__ -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 Istated are tru . Permit No.___�__d!�— Date P Read, Sworn to and Subscribed before me. Disapproved _ —_ _ Date__ - — — - — - -- - ----------- --- ---- - - - - - -- ( Signed) ° Notary Public, State of Florida u_ ng Y ector My Commission Expires ------- -- ------ --- ----------------------- PLANNING BOARD__-- ,_____ _ -._ -DATE Chairman �_ —_ —� Member Member Member Council 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. MUM OpjS T sib AGE A 412 Miami Shcm Village, Florida. q-^� F� L A owner, A t or Tenant of Building / �n ✓ ,Sill�dtVii3iflr �, �� -sib{ �3�d c� Lo + 1 Block 4 1 ! Street 11d471 .F,.rxb a p 2 A OCCtl_ , Approved use by PCY , Remarks: CW569010 cf ' is Imied to the above named This tlat ibe' t w' named locc�``io}�n�donly upon the +Vraw . " j� �,��q�on for building at above y�� �y With ( 7�, - 1 92, 97, 94 1. 97, �vu`as the abide by argil comply Shores lla ► in9 ID � the Zoning, Electrical, Plumbing and the erection, c onstuc- �tion, alt car lire of buildings , -E. ,c- . ma=r • r .. � <a 9 F v Sri 9',' e ~. $ 4 ,.... ._._ � h .. _ .. ........ : ._...- ...u..aa_u.- ......._ .i vu .....u.......s. . s.....vd..a- ._..2 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Applicati on 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 Buildingg 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 d" �� ,19� Owner's Name and- Addre7s7�R �� J�.vs�� c- No. Stc 4 Registered Architect and /or Engineer_ C, ° �i ` !e — Name and address of licensed contractor _LA Location and ley&l description of lot to be built on: Lot 1 1 Blo& —_ 51 Sul Street and Number where work is to be done !�! 6-7) -' State work to be done and purpose of building (by floors) 1, and for no other purpose. New Building __________ Remodeling_— Addition epairs _.____ No. of Stories__ To be constructed of Kind f foundatio =. RCoveings� Estimated Total cost of improvements $— `� ount of Permit $— Zone cubage required 1A Plan Cub y X75 Distance to neat nearest boil ' 'g ___ 1 Size of Building Lot____ Maximum live load to be borne by each floor ' I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5960, Compiled General Laws of Florida, Permanent Supple ment, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- tors employ him in the work to be performed under this permit; and will post or cause to be posted fo on on the site the" blic otice or notices as are required by the Act. The undersigned agrees to employ only su subc n ctors, o wo `be p orme un r this permit, as are licensed by Miami Shores Village. r� Remarks ( Sign ) STATE OF FLORIDA, COUNTY OF DADE. I ss , . Before me, the undersigned authority, a notary public, duly authoiz , to administer oaths and take aclmowledgments, personally ap- peared to me well known, and who, being by a my m, upon oath deposes id says that he is the_ _ of the above describ d c truction, that he has e the foregoing application, and that he did sign the same, and that all facts therein by him state are e. Permit No. Date kelylworn to and Subscribed before me. Disapproved -- 1 to - -- (Si�� _ -- Notary Public, State of Florida gn B ' ding I pec or My Commission Expires PLANNING BOARD —DATE Chairman Member Member — — Member Member _ Member Council Approved___ Date Disapproved ------ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- mspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMi SHQRES VILLAGE PUILDING INSPECTION DEPARTMENT APPLIQATION FOR BUILDING PERMIT Application is hereby made for the npproyal of the detailed statenlena or isle plans and specifications herewith submitted for the build inq or other structure he•rcin described. This application is made in compliance and conformity with the Buildin Ordinance of Miami Shores Pillage, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compliQ with, whether herein specified or not, A copy of approved plans and specifications must be kept at building during progress of the work. February 14 8 5 Date..._.,.»......._...._- �... T.._ .........._........,,- .�....... , 9.. _ Ow•nor's Name and Address........... Joseph C.» Frechette »..� No,�300 S�„_NE„ 103 St _ »,,. .*.. pry ..«..1..». , Registered A.rchitegt and /or 4ngincer. ... . ......................................... .. ............................... .r,.. ................................... ..... ..,4rT {... ..,t.•• .n,,r;R'r4T- ..fireeiMt•8.. Name and address of licensed contrPctor........ 1�1, .0 %Ie�13.S2Q .7L�. ....C. 0. .. .....,.`�1$.Q._.E.,..._1.L.AVre ......... W ;:l-.] ePL- l.r.-,,.F_l • Location and leg�jal description of lot to be built ont 33013 Lot.... ,-d' / ....................... Block........... ..1............. Subdivision&..S.Z.41 1 ... �L�»� ..._. Ll...��. ..... ..... _�.. , Street and Number where work is to be done .................. ........... , ..... . . State work to be done and purpose of building (by floors)........,. -�QF• ......59�?Ei.n.... T.a,l..��,�...�..- ...b�c ._. mop 1 -9,slate & inst............... l -2 (Golden Rod) SiDanish "S ".tile. Flat: Tin .. ............... _r. „. ... ..,» _.„ .... .. ...,... . .......................... •- cap .1.. -43 #, mop 2 -15# felts and install ravel- 40, S »s �, g. _Q . ,s...,.... and for no other purpose. New Building .. ......................... Remodc} in$..._ RE.- ROOF Addition ........ ................. Repairs.......................... No. of Stories.... -. 1.. ...... To be constructed of ...................... Kind of foundation. ......................................................... . Roof Covering... Cement Tile Estimated Total cost of improvements x,.,9250.:,00, ,...., ......A,mount of Permit &..20. 00_» r . & GraVe1_ Zone cubage required ...... ............ . ....................... ... ......... ... ................ Plan Cubage .......... ......... ............. Distance to next nearest building ................................... „ ». ,. »..,Size of ] juilding 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.. Biscayne Roofing Co. .5180 E. 11 Ave. Hialeah, F1. 33013 .._ ..... .....••--• .................................... ............................... .. . 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, Penn:anpnt $up flellient, and has complied %%ith the tnuvisions theregf, and will require similar compliance from al 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 su;lj publiv notice or notices as are required by the Act. The undersigned agrees to employ only suyh- s�bteontractors, op work to be pe!� Med under this permit, as are licensed by Miami Shores Village. l 1 r �/ Remarks... _ .................._........... , „ ....--- • - - - -. STATE QF FLORIDA, ` COUNTY OF DADE. j ss, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap. peared ....... - .. ......... James T. ... .. L ... i.n as g_ »--. � . r_ ,.. „---- - ------- .---------- _.. ...................... -- _..... - .. ............. ».... _ .............. .. ....... _ ...... ._.-.._.... .................. „»._ .. .......... -. .......... -. ... _. ....to n* well known. and who, being by me first duly sworn, upon oath deposes and says that he is the. ..Roofing_ „COntYaCtor....... _. . .. .... ... 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. 1 Permit No.._.. -._ ......... t., Date. A_ ..1.� ...._._ „ Read; worn and Sub before me, Disapproved ., Date..t' gal. .... _. y ...... � NOTARY-PUBLIC STATE-OF . ..�.S? ... .., Notary Publ a State of Florida (Signed) � y ' Buil in ns cctor M Commission l $ 4J�SIv�l��io� f ll �p �FJCPIRES JUIVI; � 19g4 PLANNING BOARD ... » .......... ....... .............. ®) �iT> U GENERAy INS , UN®ERWRIT{ I Chairman.. .. .................... ­­ .... . . ...... . ......... ­. - - ----- ---? ...... ...... Member .. , ....................... ..... ..... ................... - _......._......._..._ Mcrnber.. .... .. . ..... .........- •- .•................, ....,_ ..- .......... ., ..... __ .. Member ....... . .... „. ... .......... _,...._.. ...... .. ..... _ .. Member.. .. ................. .................... .._ ..... _........._...... .... .. ..... Member _.._............... .-,-_-....... -.. ................ .... . ... ..... Council Approved ......... ....Date Disapproved ...... _ .................................................... .... ... ............ Dole NU T F: A charge of $1.00 will be made for making corrections or changes to this application after approval has hern obtained from the Planning Board. A rc,in*pection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for insPetion or faulty materials and /or work�gagship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.......�_ Date..._. -- - -.— 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 Shares Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied herein specified or not. A copy otapproved plans and specifications must be kept at building during progress of work. !e- Owners Name and Address........ �,'J � No. 300 Registered Architteecct_ and /or Epp om lF,tttplcaytnB P1s lamp eCll . —...,, Nol.,..,.���,.u.. i_. _i..!.�...��, .._ Location and Legal ion Lot. -7�� Bkxck S"vWon. Street and Number where work is to be performed -No Street S..`! p�� .!..7....... I State work to be performed and purpose of building coy Flom) C-W IQQ .��E ?- ._._. L!!itt. M....A.!a C.7..... New Building _...... _ _ _. Remodeling —. , Addition..._....... —..... Repairs... ........... No. of Starnes ................. . Size Septic Tank Type of Tangy _..._._ _ --- -. -__- Capacity Feet of Drain Tile -- _ Dist- Feet of Tank or Drain Field from Well___.. Nature of Water Supply: Amount of Permit of Soakage Pit_ — _ _..._.. log Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmeds Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and haw com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -con employed by him in the word to be performed under this permit; and will post or cause to be posted for inspection on the site of the ch public notice or notices as am required by the Act. The undersigned agrees to employ only such sub -con oa work be under this permit, as are licensed by Miami Shona Villages /% Master Plumber......- STATE OF FLORIDA, ( a& COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swas n. neon oath deposes and says that he is the —__ .__.._..___- - -... — _ ._._....... .... _.. of the above described construction, that he has earefWly and the foregoing application, and that he did sign the same, and that all facts dwrein by him stated are true. My commission Expires Notary Pubho, State of Florida NOTE: A re- inspection fee of $1.00 will be made when ami vWkffi paottam is noddl•aaowa 3 by I I ,r Ir notice for lapectloa or fu* materials ad/or worlmaanship. CLOSETS BATH TUG! SHOWERS LAVA- TONI" aINK! SLOP SINRe LAUNDRY URINALS TYa! CATCH BASIN FLOOR DRAIN DRINKING FOYNT'N! TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM aWIM'O POOL cioNrR. f11 LIST r-- CHECK Size Septic Tank Type of Tangy _..._._ _ --- -. -__- Capacity Feet of Drain Tile -- _ Dist- Feet of Tank or Drain Field from Well___.. Nature of Water Supply: Amount of Permit of Soakage Pit_ — _ _..._.. log Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmeds Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and haw com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -con employed by him in the word to be performed under this permit; and will post or cause to be posted for inspection on the site of the ch public notice or notices as am required by the Act. The undersigned agrees to employ only such sub -con oa work be under this permit, as are licensed by Miami Shona Villages /% Master Plumber......- STATE OF FLORIDA, ( a& COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swas n. neon oath deposes and says that he is the —__ .__.._..___- - -... — _ ._._....... .... _.. of the above described construction, that he has earefWly and the foregoing application, and that he did sign the same, and that all facts dwrein by him stated are true. My commission Expires Notary Pubho, State of Florida NOTE: A re- inspection fee of $1.00 will be made when ami vWkffi paottam is noddl•aaowa 3 by I I ,r Ir notice for lapectloa or fu* materials ad/or worlmaanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ .- ( °" Date..._.._ G Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares Village and all rules and regulations of the Building Division of, Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications mint be kept at building during progress of work. Owner's Name and Addres�� � ._.. � No. Registered Architect and /or Engineer �' ._.........� ___.... ___.._ .._ _._....- - loyin$ Plum- amo. ' C .1 ..'� -49° -- ..,,.. Nor.,..., ,..... it .�.......:...... .. -.. �.., ... _EM �B J;. Loren a Leal �p on Lot --1.� �.t' �- Blacir snbdivWon. Street and Number where work is to be performed —No 6 a Street_ 4z��✓�.. �e _. State work to be performeil and purpose of budding (By Floors )'�" ""-- '-c''-L - -�- `9 ��0 - • Now Buddin . Remodeling _._., Addition..._—... Repairs ........ _ ................ No. of Stories..........._...... Size Septic T-_L Type of Tangy _.__._...�.__ Feet of Drain Tile - - - -- Feet of Tank or Drain Field from Well.. _ Nature of Water Supply: City—Wal _.Size of Soakage Pit__ ....... ...... — --- _.._ -- Amount of Permit P (Signed) �'°1= _..� _ _. — .............- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 6988, Compiled Cenral Laws of Florida Permanent Supplement, and NAx com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work' to he 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 am required by the Act. The undersigned agrees to employ only such sub- e01111tracton, to be ormed undue this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA, ( ®ix, �- COUNTY OF DADE. j 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 oathdep om and says that he is the_ ___ ..- .----- _ -_ -.- - -..._ .. _._....... ...... of the above described construction, that he has carefully read tharegeing application, and that he did sign the sam% and that all facts therein by him stated are true. My Commission Fspim Notary Public, State of Florida NOTE: A re- inspection fee of $1.0D will be spade when sari afinpeotlaa it saade-naviaMy by 1 9 we mtim for ilespection, Sr &U* materials and /or worlonanship. BAT" LAVA. SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUSS SHOWER/ Topics SIMKO SINK• Tune URINALS BASIN DRAIN FOUNT'NO FIXTUKEs CON IN. LIST CHECK SEPTIC sgWLR DRAIN SOAKAOC GREASC SOLAR DEEP SPRKLR. S*1M'e TANK CONN. FIELD PIT TRAP HEATER WaLL SYSTEM POOL CONTR. LIST .-- CHECK Size Septic T-_L Type of Tangy _.__._...�.__ Feet of Drain Tile - - - -- Feet of Tank or Drain Field from Well.. _ Nature of Water Supply: City—Wal _.Size of Soakage Pit__ ....... ...... — --- _.._ -- Amount of Permit P (Signed) �'°1= _..� _ _. — .............- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 6988, Compiled Cenral Laws of Florida Permanent Supplement, and NAx com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work' to he 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 am required by the Act. The undersigned agrees to employ only such sub- e01111tracton, to be ormed undue this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA, ( ®ix, �- COUNTY OF DADE. j 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 oathdep om and says that he is the_ ___ ..- .----- _ -_ -.- - -..._ .. _._....... ...... of the above described construction, that he has carefully read tharegeing application, and that he did sign the sam% and that all facts therein by him stated are true. My Commission Fspim Notary Public, State of Florida NOTE: A re- inspection fee of $1.0D will be spade when sari afinpeotlaa it saade-naviaMy by 1 9 we mtim for ilespection, Sr &U* materials and /or worlonanship. MIAMI SHORES VIOL GS PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING Permit No. -- Date2! _ - -- 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 conforxdty with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_____ e y __._.__ No. Registered Architect and /or En _._----- �_._- - - - - -- Employing Plumber's Name__ ' No. Location and Legal Description B od - Subdivision._- Street and Number where work b to be performed —No. - State work to be performedl and purpose of building (By Floors) New Building_ _ __ ____.. Remodeling - Addition_____ Repairs_— __... - - - -_. _ . No. of Stories - -- ------ Size Septic TaAk -._- -. —_--.- Type of Tank __. -- - -- _Capacity Gals .----- ---- __._.__._.. ...... ... ........ Feet of Drain Tile._ .__ eet of Tank or Drsilh Field from Well__- .._._— _ ___ __.__-------- __- _._.__.-__. .............. _ Nature of Water Supply: City —WeL -Size of Soakage Amount of Permit $,o (Signed) -- ... - ....... _ -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo ed filer this permit, are licensed by Miami Shores Village. - m (Signed) 0 V _ Plumber. - - - -•- STATE OF FLORIDA, 1 88. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly anthorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and.says that he is the _—..-_----_ ..._........�-_.._.-...._.....- ....... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worEnanship. CLOSETS BATH TUBE SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY URINALS Tues CATCH BASIN FLOOR- DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CON72. LIST CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic TaAk -._- -. —_--.- Type of Tank __. -- - -- _Capacity Gals .----- ---- __._.__._.. ...... ... ........ Feet of Drain Tile._ .__ eet of Tank or Drsilh Field from Well__- .._._— _ ___ __.__-------- __- _._.__.-__. .............. _ Nature of Water Supply: City —WeL -Size of Soakage Amount of Permit $,o (Signed) -- ... - ....... _ -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo ed filer this permit, are licensed by Miami Shores Village. - m (Signed) 0 V _ Plumber. - - - -•- STATE OF FLORIDA, 1 88. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly anthorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and.says that he is the _—..-_----_ ..._........�-_.._.-...._.....- ....... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worEnanship. ®Seca rit enhanced document. See back for details.® 30 FOR PAYMM ON THE FOL3OIY@lO AM01 WT OBENOUR ROOFING SHEET METAL 20749 & SUPPLY CO. 9301 N.E. 6TH AVE., STE. A-101 305 -757 -2612 MIAMI SHORES, FL 33138 �� O 2 24 TOTA1� PAY DATE 2 � LES / s %DISCOUNT TO THE L / 7 T ORDER OF orrt TOTAL DEDUCTIONS �L DOLLARS AA3QUNTOF-K Q EAGLE NATIONAL BANK Aventura Branch 2990 NE 191 at Street Avetnure, Florida 33180 Ar 118020749110 1 :066006349:11831686 617011' GAF MATERIALS CORPORATION Acceptance No: 00- 0331.15 EVIDENCE SUBMITTED: Test Aeencv Test Identifier Description Date Factory Mutual Research FMRC 1996 Current Insulation 01.01.96 Corporation Attachment Requirements Factory Mutual Research J.I. I V8A4.AM Wind Uplift 06.28.93 Corporation FMRC 4470 - PA 114 Factory Mutual Research J.I. 2138A4.AM Wind Uplift 07.02.97 Corporation J.I.3B9QLAM FMRC 44704 01.08.98 J.I. ODOA8.AM 07.09.99 Factory Mutual Research J.I. ODIA8.AM Wind Uplift 07.29.94 Corporation J.I. OY9Q5.AM FMRC 4470 - PA 114 04.01.98 Factory Mutual Research J.I.3X3A2.AM Wind Uplift 08.02.94 Corporation FMRC 4470 - PA 114 Factory Mutual Research J.I. OY9Q5.AM Wind Uplift 07.29.94 Corporation FMRC 4470 - PA 114 Underwriters R1306, 87NK11819 Fire Resistance Classification 01.01.93 Laboratories, Inc. UL 790 - PA 114 Dynatech Engineering #3600.02.95 -1 Wind Uplift 02.02.95 Corporation PA 114 Dynatech Engineering #4482.02.95 -1 Wind Uplift 02.02.95 Corporation PA 114 13 of 32 Frank Zuloaga, RRC Roofing Product Control Examiner A RECORDED COPY MUST iI POSTED STATE OF FLORIDA: COUNTY OF DADE: _02RO60769 2W2 JAS 31 13 =39 THE UNDERSIGNED hereby give's 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: pe lard 4V -.�.. is 2. Description of improvement: i �� �Q,L�D�- L,/1��.,, SA� 3.Owner(s) name and address:--- YiU1. E,j o ne#y .f 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 any) STATE OF FLORIDA, COUNTY OF DADE Name and address: ! HERESY i';'R77F that thus is a rigma e m this Amount of bond $ day of- A D 20 6. Lender's name and address: -WITNESS my nand and Osf -r,a, Seai. 7. Persons within' the State of Florida designated by Owner upon whom notices or other documents may be served as by Section 713.13(1)(a)7., Florida Statutes, Name and address: N S. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 4 9. Expiration date of this Notice of Commencement: (t expiration date is 1 year from the date of recording unless a different date is specified) "I' P� . * Spy e of ner Pd At Owners Name Ice Sworn to and subscribed before me this.-Q.1. day of Qom__,8u1�•r!' pro— Notary Public _ Print Notary's N My Commission Expires: Sandra A Hart _ER!L0LApd1 2, ZOOS on e AttanUe Bonding Co., Tic. Prepared by: ��[lrJGLL� lQ.i� Address: !%& my �►►t . , FL ��Z r 1999 Roofing Mate , ~ ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)— Continued Incline: 1/4 Poly -lso" or-"Poly -Iso Special" with "Polyfoam 251" or "Polyfoam in. min. iat: One or two applications "Gacoflex UB- 7050 ", applied at 1 T accati n or three applications, applied 1 -1/4 gal/sq/apptication ig: "Gacoflex UA -65" Series (various colors), applied 1 gal/sq (12 Incline: 1/2 Poly -lso" or "Poly -Tso Special" with "Polyfoam 251" or "Polyfoam in. min. iatt One or two applications "Gacoflex UB- 7050", applied at 1 T I lication or three applications, applied 1 -1/4 gal/sq/application W mils). tg: "Gacoflex UA -60" Series (various colors), applied 1 gal /sq (15 Incline: 2 Poly -150' or "POLY-ISO Special" with "Polyfoam 251" or "Polyfoam in min. o t "GacoSil S- 1000 ", applied at 1 gall//sq (10 dry mils). lg %acoflex S- 1000 ", applied at 1 gal/sq (10 dry mils). Incline: 1 Polyfoam 251" or "Polyfoam 303 ", any thickness. 19, "Gacoftex Ure- Shield 7007 ", 40 dry mils. Incline: 2 Polyfoam 2751, any thickness. 4 "Gacoftex A- 6211 ", 1 -1/2 gal /sq (14 dry mils). tg "Gacoflex A -620d" series (various colors), 1 -1/2 gal /sq (14 Incline: 2 yolyfoam 251, "Polyfoam 275" or "Polyfoam 303 ", any thickness. mb, >One or two applications "Gacoflex UB- 7050 ", applied at 1 application (16 -32 dry mils). mg- application of "Gacoflex A -55 Series" (various colors), at 1.1/2 gal /sq. (15 dry mils). Incline: 1/4 'Polyfoam 251 ", "Polyfoam 275" or "Polyfoam 303 ", any thickness. )at: "Gacoflex UB -64," applied at 1 -1/2 gal/sq. (18 dry mils): Coat 30/60 mesh crushed walnut shells mixed at a rate of 5 With "Gacoflex UB -64," applied at 1 -1/2 gal/sq or "Gacoflek applied at 1 -1/2 gal/sq (18 dry mils) followed by the broadcast lion of 30/60 mesh crushed walnut shells applied at 7 -8 lb /sq. ngt "Gacof ex U -66 ", applied at 1/2 gal/sq. (6 dry mils). CAIS-CORP'- - - -- R1306 P5 RD, WAYNE NJ 07470, 2D" or "RH $ fROIB— Modified -base Sheet" may be utilized as an Type G2 base sheets in any of the following Classifications. ck (min) gypsum board or 1/4 in. thick (min) Georgia- Pacific `overlayment board may be used in any existing . noncombustible cation, When this is done, the resulting roofing system is n "use over combustible (15/32 in. min) roof decks. The joints in :bang and overlayment board are offset 6 in, with the joints in the styrene is part of the roof system, it must be placed below the aboard. file plies of " GAFGLAS Ply a or "Ply 6" may be adhered to n.hot asphalt. tratavent Nailable Base Sheet" may be mechanically attached or over noncombustible decks and as a recover over existing roof rft Insulation may be utilized as a cover board over "EVERGUARD" any of the following systems. WHALT FELT SYSTEMS WITH HOT ROOFING ASPNALTC< halt glass mat base sheet ( "GAFGLAS #75 Base Sheet" orl "GAFGLAS i Base Sheet") is a suitable alternate for Type G1 aspl%alt glass t("GAFGLAS Ply 4" or " GAFGLAS Ply 6 ") in the Class A, B pr C roof ated below. ck may first be covered with a Type G2 asphalt glass nat base AS Stratavent Vent -Ply) perforated" or—" GAFGLAS Stlratavent rnailable decks . Perforated to be mopped and nailable to be attached granule side down. in Type G2 asphalt glass mat base sheet %AFGLAS #75 Base 'LAS #80 Premium Base Sheet" or " GAFGLAS Stratavent (VEmt -Ply) ideks") may be substituted for G1 asphalt glass fiber ply: sheet V4` or " GAFGLAS Ply 6") as the nailed base ply in the following or base sheet may be solid mopped, spot mopped or mechanically raise indicated, all insulations maybe -hot mopped or mechanically i Systems Directory ROOF COVERING MATERIALS (TEVT) 141 ROOFING SYSTEMS (TGFU)— Continued " GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A, B or C systems listed below. When "perlite" is referenced, this includes "GAFTEMP PERMALITE®" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A, B or C systems listed. Structural cement fiber building units are considered suitable to bejnctuded as a deck in the following Class A, B or C systems listed over C -15/32 or NC: The use of gypsum board under any of the following-Class A, B or C systems does not adversely effect the rating. The use of 1/2 in. min gypsum board is an acceptable alternate for insulation ove�-C- 15 /32.decks. The use of polystyrene insulation board between min 3/4 in: perlite board and deck with rosin paper (perlite /rosin ' paper /polystyrene /perlite) is a suitable alternate for isocyanurate board i� the following CL#ss A, B or C systems. "GAFTEMP Isotherm RA ", "GAFTEMP Tapered Isotherms RA" and %AFTEMP Composite A" may be substituted for any rsoWanurate insulation in any of the following Classifications. t Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt". GAFGLAS #80 Premium Base Sheet may be used ,in any of the following systems. Class A, B and C. Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. Class A 1. Deck: C -15/32 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane;' perlitefisocyanurate composite,. perlite/ urethane composite, wood fiberrsocyanurate composite, phenolic, any. thickness. Ply Sheet. Three or, more Layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ", hot mopped. Surfacing: Gravel. Z. Deck: C -15/32 Incline: 2 Insulation (Optional): One or' more layers perlite, wood fiber,. glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic; any thickness. Ply Sheet: Three or more layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Cap Sheet: One layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet". 3. Deck: NC Incline: 2 Insulation (Optional): Qne or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Cap Sheet: One layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet". 4. Deck: NC r , Incline: 1/2 Insulation: One 6r two layers "Isotherm R ", 4 in. mak, hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. _...._� �5 Deti 5X32 c Incline:I Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet: One layer of Type. G2 " GAFGLAS 975 Base Sheet" (may be nailed). 1. LAS Ply Sheet: One or more layers of Type G1 " GAFGLAS Ply 4" orbVG Ply 6 Cap Sheet: One layer of Type G -3 " GAFGLAS Mineral Surfaced Cap Sheer. 6. `Deck: NC ' I6cUne:3 Base Sheet: One layer of Type G2 " GAFGLAS #75 Base Sheer. Ply Sheep One or more layers of Type G1 " GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 " GAFGLAS Mineral Surfaced Cap Sheet°, 7. Deck: C -15/32 Incline: 2 Insulation: One or more layers perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule)., Cap Sheet: " GAFGLAS Mineral. Surfaced Cap Sheet", hot mopped. 8. Deck: C -15/32 Incline: 2 Insulation -(Optional): One or more layers perlite; woad fiber, glass fiber, isocyanurate, urethane; perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. LOOK FOR THE UL MARK ON 'PRODUCT GAF MATERIALS CORPORATION Acceptance No: 00 -033 1.15 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been Filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, sliall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 32. END OF THIS ACCEPTANCE 32 of 32 Frank Zuloaga, RRC Roofing Product Control Examiner CAF MATERIALS CORPORATION Acceptance No: 00- 0331.1; GENERAL L[1VIITATIONS: I Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2 Insulation may be applied in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer. 3 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4 An overlay and /or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with TAS 105. If the fastener value, as field- tested, is below 275 IV., insulation attachment shall not be acceptable. 6 Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within the specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize tite withdrawal resistance value taken from Miami -Dade Protocol TAS 105 and calculations in compliance with Miami -Dade Roofing Application Standard RAS 117. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Miami -Dade Roofing Application Standard TAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 Ivill not be applicable.) 8 All attachment and sizing of perimeter nailers, metal profile, and /or !lashing termination designs shall conform with Miami -Dade County Roofing Application Standard TAS I I I and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. Field, perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners, and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 31 of 32 Frank Zuloaga, RRC Rooting Product Control Examiner GAF MATERIALS CORPORATION Wood Deck System Limitations: Acceptance Nu: 00- 0331.13 I A slip sheet is required with Ply 40 Flex plyTM 6 and Ply 60 when used as a mechanically fastened base or anchor sheet. 2. '/ Type X gypsum board is acceptable to be installed directly over the wood deck.. 30 of 32 Frank Zuloaga, RRC Rooting Product Control Examiner JAN 8;3 2002 18:27 FR , ERADCO SUPPLY 385 836 2152 TO 305758e484 P.01/01 CAF MATERIALS GORPORATI04N* Acceptance NO: 00. 43331.13 Deck Type 1: Wood, Non - insulated New Construction or R.eroof , Dock Description: " /" or greater plywood or wood plank decks System Type A(2); Buse sheet mechanically fastened. All General and System Limitations shalt apply. Base Sheet: CAFE LASS 4T5, GAFGLAS 080 Ultima Base Sheet, GAFGLAS® PLY 49, GAFGAI~ PFLY 6t&, 0AFGLAS FlexPly, GAFGLASO STRATAVENTS Nailable, RUBEROID Modified Base Sheet or RUBERO1DS 20 applied to the deck- with Ply Sheet Cap Sheet: n (Two.br three _tes of GAFOL.ASQ) PLY 40, GAFGLAS FlexPly 6 or GAFGLASQ PLY range and at a rate of (Optional) approved asphalt EVT 3inafull of 20 -40 Surfacing: (Required if no cap sheet is used) install one of the following: I .GAF WEATHER, COATO Emulsion with an application rate of 3 galJsq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 gaUsq., 2. Asphalt flood coat at an application rate of 60 lbsJsq. � 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 30b'lbs. /sq., respectively. Maximum Oesign Pressure: -45 psf, (See General Limitation 97) Maximum Fire Classifica °ian. See General Limitation #1, Maximum Slope: See General Limitation 0I, Specification No.: N- B -3 -0, N- B-3 -C. N- B -3 -M, N- 13.4.0. N-B4-G /P6, N- 134-M, N- 134-M/P6, N- B4-C, N- 134-C/P6, N- B -5 -C, N- B•5 -C /PC, N- B -5 -G, N- 8- 5- G'1P6. N- 5 -5 -M, N- 8- 5 -M/P6 16 of 32 Frank WOW, RPC Roofing Product Control Examiner ** TOTAL Pa6E.81 ** GAF MATERIALS CORPORATION Test Product Dimensions Specification Rawl Fasteners PA 114 #14 Rawl 2" Plate 2" round PA 114 Rawl 3" Plate 3" round PA 114 Rawlite 3" Plate 3" round PA 114 Super Prep II PA 121 Tru -Fast DL PA 114 Tru -Fast Plastic 3.04" round PA 114 Plate Tru -Fast MP -3 3.23" round PA 114 Tru -Fast HD PA 114 Tru -Fast Ultra PA 114 Tru -Fast DP PA 114 Tru -Fast TP PA 114 Structodeck various PA 110 Acceptance No: 00- 0331.15 Product Description Manufacturer Insulation fastener for use in The Rawlplug steel, wood or concrete Company Inc. (with current PCA) 2" round galvalume AZ55 The Rawlplug membrane plate Company Inc. (with current PCA) 3" round galvalume AZ55 The Rawlplug steel plate Company Inc. (with current PCA) 3" round galvalume AZ55 The Rawlplug steel plate for use with Company Inc. Rawlite fasteners (with current PCA) Roof coating Thermo- Materials, Inc. (with current PCA) Insulation fastener for steel, Tru -Fast or wood (with current PCA) 3.04" round polyethylene Tru -Fast plastic plate (with current PCA) 3.23" round galvalume Tru -Fast AZ50 steel plate (with current PCA) Insulation fastener for use Tru -Fast in wood, steel or concrete (with current PCA) decks Stainless Steel fastener for Tru -Fast use in steel, wood and (with current PCA) concrete decks Insulation fastener for use in Tru -Fast steel or wood decks (with current PCA) Insulation fastener for use in Tru -Fast steel or wood decks (with current PCA) High density wood fiber Wood Fiber ,�F ndustrie tlt cu ent PCA) 12 of 32 Frank Zuloaga, RRC Roofing Product Control Examiner GAF ibiATERIALS CORPORATION Test Product Dimensions Specification Olympic Fastener PA 114 #12 Olympic Fastener PA 114 ASAP Olympic CR Base PA 114 Felt Fastener and Base Sheet Disc GlasFast Fastener PA 114 Paroc Base Board various PA 110 Paroc Cap Board various PA 110 Multi -Max various PA 110 Multi -Max FA various PA 110 UltraGard various PA 110 Insul -Fixx Fastener Insul-Fixx P Rawl Fasteners #12 PA 114 3" round PA 114 PA 114 Acceptance No: 00- 0331.15 Product Description Manufacturer Insulation fastener Olympic Manufacturing Group, Inc. (with current PCA) Pre - assembled Insulation Olympic fastener and plate Manufacturing Group, Inc. (with current PCA) Insulation fastener assembly Olympic for Base Sheet fastening Manufacturing only Group, Inc. (with current PCA) Insulation fastener assembly Owens- Corning with recessed plastic plate Fiberglas Corp. (with current PCA) Rockwool insulation Partek, Inc. (with current PCA) Rockwool insulation Partek, Inc. (with current PCA) Polyisocyanurate foam Rmax, Inc. insulation (with current PCA) Polyisocyanu rate foam Rmax, Inc. insulation (with current PCA) Po lyisocyan u rate foam Schuller insulation International Inc. (with current PCA) Insulation fastener for steel SFS /Stadler and wood decks (with current PCA) 3" round polyethylene stress SFS /Stadler plate (with current PCA) Insulation fastener for steel The Rawlplug and wood decks Company Inc. (with current PCA) 5FE7� 1 I of 32 Frank Zuloaga, RRC Roofing Product Control Examiner GAF MATERIALS CORPORATION Acceptance No: 00-0331.15 Product Dimensions Test Product Specification DeScrI tion afcturer # 12 Roofgrip PA 114 Insulation fastener for steel ITW Buildex or wood decks (with current PCA) # 14 Roofgrip PA 114 Insulation fastener steel, ITW Buildex wood or concrete decks (with current PCA) Gripdek Fastener PA 114 Insulation fastener ITW Buildex (with current PCA) Hexcel Fastener PA 114 Insulation fastener ITW Buildex (with current PCA) Hextra PA 114 Insulation fastener and metal ITW Buildex or plastic plate (with current PCA) Standard Plastic Plate 3" round PA 114 Polyolefin plastic plate ITW Buildex (with current PCA) ISO 95+ various PA 110 Po[ tsoc anurate foam Y Y Firestone insulation (with current PCA) E'NRG'Y -2 various PA 110 P0 lyisocyan u rate foam NRG Barriers, Inc. insulation (with current PCA) ISORoc various PA 110 Polyisocyanurate foam / NRG Barriers, Inc. rockwool composite (with current PCA) insulation Olympic Standard 3" round PA 114 3" round galvalume Olympic m is AZ55 steel plate Manufacturing Group, Inc. (with current PCA) Olympic Fastener #14 PA 114 Insulation fastener Olympic Manufacturing Group, Inc. (with current PCA) Olympic Polypropylene 3.25" round PA 114 Polypropylene Olympic plastic plate Manufacturing Group, Inc. (with current PCA) 10 of 32 Frank Zuloaga, RRC Roofing Product Control Examiner CAF MATERIALS CORPORATION Product Dekfast Fasteners #14 Dekfast Fasteners #l2 ISO 95+ Composite Asphalt Asphalt Primer EPS Test Dimensions Specification PA 114 various High Density Wood various Fiberboard Type III or IV Hot asphlat Pelite /Urethane various Composite Asphalt Primer Perlite Insulation various Polyethylene 4 mil min. Red Rosin various Roofing Nails Minimum # 12 Tin Caps Min. 32 ga. x 15 /81t MB aluminum roof coating Dens -Deck Acceptance No: 00- 0331.15 Product Description Insulation fasteners for concrete decks PA 114 Insulation fastener for steel and wood decks. PA 110 Polyisocyanurate / perlite PA 110 Perlite / urethane composite board insulation PA 110 Perlite insulation board Vapor barrier / Air barrier Rosin paper for barrier layer on wood decks PA 114 Corrosion resistant annular ring shank nails Corrosion resistant circular discs. Manufacturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Firestone (with current PCA) generic generic generic generic generic generic generic generic generic generic PA 121 Aluminum roof coating Grundy Industries (with current PCA) various PA 110 Gypsum insulation board. Georgia Pacific (with curren PCA 9 of 32 Frank Zuloaga, RRC Roofing Product Control Examiner ridged insulation ASTM D 312 Type III or IV Hot asphlat bitumin adhesive ASTM D 41 Asphalt Primer PA 110 Extruded polystyrene insulation PA 110 Wood fiber insulation board PA 110 Perlite / urethane composite board insulation PA 110 Perlite insulation board Vapor barrier / Air barrier Rosin paper for barrier layer on wood decks PA 114 Corrosion resistant annular ring shank nails Corrosion resistant circular discs. Manufacturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Firestone (with current PCA) generic generic generic generic generic generic generic generic generic generic PA 121 Aluminum roof coating Grundy Industries (with current PCA) various PA 110 Gypsum insulation board. Georgia Pacific (with curren PCA 9 of 32 Frank Zuloaga, RRC Roofing Product Control Examiner CAF INTATERIALS CORPORATION TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS: Test Product Product Dimensions Specification Description Pyrox various PA 110 Polyisocyanurate foam insulation ACFoam I various PA 110 Polyisocyanurate foam insulation ACFoam II various Hy -Therm Nail -line various Hy -Therm SP Hy -Therm AP Hy -Therm Stable R Hy -Therm White Line Anchorbond Fastener Dekfast Fasteners #14 Dekfast Hex Plate various various various various 2 7/8" x 3 1/4" Dekfast Lock Plate 3" x 3 1/4" PA 110 Polyisocyanurate foam insulation PA 110 PA 110 PA 110 PA 110 PA 110 PA 114 PA 114 PA 114 PA 114 Acceptance No: 00- 0331.15 Polyisocyanurate foam insulation Polyisocyanurate foam insulation. Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Insulation fastening assembly Insulation fastener for steel and concrete decks Galvalume hex stress plate Polypropylene locking plate Manufacturer Apache Products Co. (with current PCA) Atlas Energy Products (with current PCA) Atlas Energy Products (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) 8 of 32 a u oaga aRRC- Roofing Product Control Examiner MIAMI -DARE PRODUCT CONTROL NOTICE OF ACCEPTANCE (j.A.F. Materials Corporation 1361 Alps Road Wayne NJ 07170 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE, OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIASII. FLORIDA 33130 -1563 (305) 375 -3901 FAX (305) 375 -2905 CONTRACTOR LICENSING SECTION ,3305) 375.2527 FAX (305) 375.2553 CONTRACTOR ENFORCESIE•NT SECTION (305) 375 -2966 FAX (305) 375 -.903 P90DCCT CONTROL. DIVISION Your application for Product Approval of: (305) 375 -2902 FAX (305) 372.6339 CAF Conventional Built -Up Roof Systems for Wood Deck. under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types o: Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 00-0331.15 Expires: 11/04/2003 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COI,tiIITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code Review Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 06 /29/2000 I ol'32 .rancisco . Quintana, IZ.A. Director Nllami -Dade County Building Code Compliance Office Internet mail address: postmaster @buildingeodeonfine.com Homepage:*http://www.buildingcodeonline.com Appendix "E" UNWORM ROOFING PERMIT APPLICATION PROCES,S No. Contractor's Name. Job Address. 01�s lv(uw Slope Applirnfinn) ❑ (Asphalt/Flbexgla&-, Sbillgles) ❑ New Roof 5/Re- roofing RQQF_QAjEG0Ry j ftil-Oji Tile) (110rtar-Adhesive Set Tile) F I (Mftl Roofs\Wood Shdngles & Shakes) F] (()thej:) ROOF TYPE 42 Recovering 0 Repair 0 Maintenance Flat Roof Area (ft') Sloped. Roof Area f ftffl) _ Total (ft2) Master Pe.r1jut No. ExWsureCatc-f-'OfY (Per ASCE 7-88): ROOF HEIGHT ANDI SYSTEM & DET�k A I , (Draw details as needed) G A 8 V �/ 4e MAVA0Z e4yf -4PE-Sz D No 24 d ❑ LPGXC e ATTACHMENT 09rAIL I & r 61hl, - %ZaOI-78 4,149— 2-r ROOF PLAN ------------------ ------------------ ---- ------------- :t --------------- - - ---------- -------------- GS --- ,E�S-,VA1.1LXS ------------------ S�OR -?W� : - �i age ------------ - ------- ---- - - - - -• - - ------------- VILC f Jg 4ACAf MIAPAV SIB pie 1 , I � I. m: alb dhall io. Met0l Tlashing ----------- Corner. (o -- -------- ---------- - - ------ -- - ----- - --------- - - - - - - - - - - - - - ------------ --------- --- -------- --------------- xl --- ------------ ------------- ------------- ---- 7 ---------- GAF MATERIALS CORPORATION Acceptance No: 00- 0331.15 Product Dimensions Test Spec ification Product Description GAFTEMP Various PA 110 Polyisocyanurate /wood fiberboard Composite A composite GAFTEMP Tapered Various PA 110 Tapered Polyisocyanurate /wood fiberboard Composite A composite GAFTEMP Various PA 110 Polyisocyanurate /wood fiberboard Composite N composite GAFTEMP Tapered Various PA 110 Tapered Polyisocyanurate /wood fiberboard Composite N composite GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate foam Isotherm R GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate foam Isotherm RA GAFTEMP Tapered Various Tapered polyisocyanurate foam Isotherm RN GAFTEMP Various Cut perlite board GAFCANTTM GAFTEMP Various Tapered perlite board GAFEDGETM Tapered Edge Strip GAFTEMP Various PA 110 Tapered perlite board PERMALITER Tapered Roof Insulation GAFTEMP Recover 1/2" thick, PA 110 Perlite board Board Various sizes Shingle- MateT "t 4 sq. roll Fiberglass reinforced shingle Underlayment 30 lbs. underlayment GAFTITER ASAP 500 per box PA 114 Pre - assembled fastener and metal and plastic plates 7 of 32 ran Zuloaga, RRC Roofing Product Control Examiner CAF MATERIALS CORPORATION Acceptance No: 00 -0331. 15 Product Dimensions Test Specification Product Description RUBEROIDO TORCH FR '/4 sq. roll ASTM D 5147 Heavy duty, polyester reinforced, coated 90 lbs. with fire retardant asphalt modified bitumen membrane, granule surface. RUBEROIDO 30 1 sq. roll ASTM D 5147 Non woven fiberglass mat coated with 92 lbs. polymer modified asphalt and surfaced with mineral granules. RUBEROIDO 30 FR 1 sq. roll ASTM D 5147 Non woven fiberglass mat coated with fire 92 lbs. retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID Isq. roll ASTM D 5147 Woven fiberglass mat coated with Polymer ULTRACLAD® SBS 101 lbs. modified asphalt and surfaced with aluminum, copper or stainless steel foil. Vent Stacks (metal PA 100(A) One way valve vent used to relieve built - and plastic) ASTM D 1929 up pressure within the roof system. GAF ASTM D 635 Vent Stacks are available in metal or plastic. GAF Aluminum 5 gallons None Mineral colloidal bituminous emulsion Emulsion with reflective aluminum flakes RUBEROID 109. Roll ASTM D 5147 Woven fiberglass mat coated with Polymer ULTRACLAD ,< SBS 101 lbs. modified asphalt surfaced with aluminum, copper or stainless steel foil. GAF Aluminum Roof 5 gallons ASTM D2824, Non - fibered. aluminum pigmented, asphalt Paint Type I roof coating GAF Built -Up 100 lb. cartons, ASTM D312, Interply mopping and surfacing asphalt Roofing Asphalt bulk Types I, II, III and IV RUBEROID MOD 60 lb. kegs SEBS modified asphalt Asphalt RUBEROID MOD 60 lb. kegs SEBS modified asphalt Asphalt L RUBEROID MOD 60 lb. kegs SEBS modified asphalt Asphalt P 6 of 32 ran - Zuloaga, RRC Roofing Product Control Examiner GAF MATERIALS CORPORATION Acceptance No: 00- 0331.15 Test Product Product Dimensions Specification Description GAFTITE® Base PA 114 Base sheet fastening assembly. Sheet Fastener and Plate Galvalume Plates 3" and 3 %" PA 114 Round galvalume stress plates. NTB Fasteners PA 114 Fastener for use in gypsum, tectum and lightweight insulating concrete decks. Polypropylene Plates 3" and 3 %" PA 114 Round polypropylene stress plates. Ruberoid® 20 1.5 sq. roll ASTM D 5147 SBS modified asphalt base sheet and 95 lbs. interply sheet reinforce with a glass fiber mat. Ruberoid® Mop I sq. roll ASTM D 5147 Non -woven polyester mat coated with Granule 103 lbs. polymer modified asphalt and surfaced with mineral granules. RUBEROID MOP 1 sq. roll ASTM D 5147 Non -woven polyester mat coated with Smooth 87 lbs. polymer modified asphalt and smooth surfaced. RUBEROIDO MOP 1 sq. roll ASTM D 5147 Non -woven polyster mat coated with PLUS 102 lbs. polymer modified asphalt and surfaced with mineral granules. RUBEROIDO MOP 1 sq. roll ASTM D 5147 Non -Woven polyester mat coated with fire 170FR 103 lbs. retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID® MOP I sq. roll ASTM D 5147 Non -Woven polyester mat coated with fire FR - 105 lbs. retardant polymer modified asphalt and surfaced with mineral granules. RUBEROIDO 1 sq. roll ASTM D 5147 Heavy duty, polyester reinforced, asphalt TORCH Smooth 87 lbs. modified bitumen membrane, smooth surface. RUBEROID8 1 sq. roll ASTM D 5147 Heavy duty, polyester reinforced, asphalt TORCH Granule 102 lbs. modified bitumen membrane, granule surface. RUBEROID® -/< sq. roll ASTM D 5147 Heavy duty, polyester reinforced, asphalt TORCH PLUS 93 lbs. modified b777 surface 5 of 32 n uloaga, RRC Roofing Product Control Examiner It I REQUIRED OWNERS NOTIFICATION FOR ROOFING CO NSIDERATI0NS A; it pertains to this Appendix "F", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The rovi of Chapter 34 of the South Florida Building Code (SFBC � trzd try for roofing system installations. Additionally, the following items should be addressed asepartaof the agreement the indus- try owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1;�' nt bzt�vz:,n 1 � 1; Aesthetics- Workmanship: The workmanship provisions of Chapter 34 are for tputpose of providing that [h ing system meets the wind resistance and water intrusion performance standards. Aesthetics (a eaing t issues not a consideration with respect to workmanshi n e roof - that are not par[ of a zoning code, should be addressed ions. Aesthetic issues such as color or architectural appearan appearance, Part of the agreement between the owner and the contractor. "Renailing Wood Decks: When replacing roofing, the existing wood rocf deck may have to be renal e With the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed existing roof system.) 1 d to accordance y prior to removing the 3: Commopr Roofs: Common roofs are those which have no visible delineation between neigh houses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should no ' occupar,ts of adjacent units of roofing work to be performed, o boring units (`101 town_ ttf� the 4: Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof deckin g can be below. The owner may wish to maintain the architectural appearance, therefore, roofing Hall Penetrations of the under - side of the decking may not be acceptable. The SFBC provides the option of maintaining this a viewed from o appearance. aPonding Water: The current roof system and /or deck of the building may not drain well (accumulate) in ]ow -lying areas of the roof. Ponding can be an indication of structural distress cause water i pond review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the nz� ess and may require the ing system. Ponding conditions may no[ be evident until the original roofing system is removed, Ponding c should be corrected. roof - ondi[ ions 6: Overflow Scuppers ("'111 outlets): It is required that rainwater flow off so that the roof j up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow are not provided. It may be necessary to install overflow scuppers in accordance is not overloaded from a build neegvith Chapter 23 scuppers he SFBC outlets) 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the al assembly (the building itself). The existing amount of attic ventilation shall not be reduce•+ interior of the structur- consider venting which can result in extending the service life for the roof. It may be beneficial to The owner may4contact the Miami -Dade County Consumer Services the above., Department for further info r, • t7ili::.'C.'r: •- „gam °rC�' ? j� ar's /A nl's Signature —— - -- - Date /bncractor,s;nMNre 1 ;3.01 12 PACE 2 7j99 GAF MATERIALS CORPORATION Acceptance No: 00 -033 1.15 Product Dimensions Test Specification Product Description GAFTEMP® Composite various PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® Composite various PA 110 Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® Composite A various PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® Composite A various PA 110 Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® Composite N various PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® Composite N various PA 110 Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® various PA 110 Fiberboard insulation. Fiberboard GAFTEMP® various PA 110 Perlite insulation board. Permalite® GAFTEMP Recover 1/2" thick PA 110 Perlite recover board Board GAI~TEMP® various PA 110 High density wood fiberboard insulation. High Density Fiberboard GAFTITE® # 12 PA 114 Insulation fastener for steel and plywood Standard decks. Roofing Fastener GAFTITE® # 14 PA 114 Insulation fastener for steel, wood and Heavy Duty concrete decks. Roofing Fastener GAFTITE ASAP PA 114 Pre - assembled GAFTITE Fasteners and metal and pla ' 4 of 32 ran Zuloaga, RRC Roofing Product Control Examiner GAF MATERIALS CORPORATION Acceptance No: 00- 0331.15 Product Dimensions Test Specification Product Description GAFGLAS Flex PlyTM 6 5 sq. roll ASTM D 2178 Type VI asphalt impregnated glass felt 45 lb. roll with asphalt coating. GAFGLAS Ply 4® 5 sq. roll ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. GAFGLAS® 76 lb. roll ASTM D 3909 Asphalt coated, glass fiber mat cap sheet Mineral Surfaced surfaced with mineral granules. Cap Sheet GAFGLAS® 60 lb. roll ASTM D 4897 Fiber glass base sheet impregnated and STRATAVENTO D 3672 coated on both sides with asphalt. Perforated Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. GAFGLAS® Flashing various Asphalt coated glass fiber mat flashing sheet available in three sizes. GAFGLAS® 69 lb. roll ASTM D 489 Fiber glass base sheet impregnated and STRATAVENT D 3672 coated on both sides with asphalt. Nailable Surfaced on the bottom side with mineral granules embedded in asphaltic coating. RUBEROID Modified 3 sq. roll ASTM D4601, Premium glass fiber reinforced SBS- Base Sheet 67 lbs. Type 11, UL modified base sheet Type G2 BUR GAFTEMP® various PA 110 Polyisocyanurate foam insulation. Isotherm R Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate foam insulation Isotherm R GAFTEMP Isotherm various PA 110 Polyisocyanurate foam insulation RA Tapered GAFTEMP various PA 110 Tapered Polyisocyanurate foam insulation Isotherm RA GAFTEMP Isotherm various PA 110 Polyisocyanurate foam insulation RN Tapered GAFTEMP various PA 110 Tapered Polyisocyanurate foam insulation Isotherm RN 3 of 32 Frank Zuloaga, RRC Roofing Product Control Examiner CAF MATERIALS CORPORATION Cateuorv: Sub- Cateuorv: Deck Tvpe: Maximum_Desian Pressure Fire Classification: ROOFING SY'STEm APPROVAL Roofing" BUR Wood -75 psf See General Limitation # I Acceptance No: 00- 0331.15 Approval Date: June 29, 2000 Expiration Date: November 04, 2003 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED By APPLICANT: Test Product Product Dimensions Specification Description GAF Asphalt 5, 55 gallons ASTM D 41 Asphalt concrete primer used to promote Concrete Primer adhesion of asphalt in built -up rooting. GAF Mineral Sl1ield© 60 lb. bags ASTM D 1363 Granules for surfacing of exposed asphalt, Granules cold process cement or emulsion. GAP Mineral Shield© Granules shall be used for flashing applications only. GAF WeatherCoat® 5 gallons ASTM 1227 Surface coating for smooth surfaced roofs. Emulsion GAF Premium 1, 5 gallons ASTM D 2824 Fibered aluminum coating. Fibered Aluminum Roof Coating GAF Jetblak All I, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral Weather Plastic ASTM D 3409 stabilizer and fibers. Permits adhesion to Cement wet and dry surfaces. RUBEROID9 5 gallons ASTMM D 4586 Fiber reinforced, polymer modified Modified Bitumen Flashing cement Flashing Cement Jetblack Premium 5 gallons ASTM D 4586 Asphalt flashing Cement Flashing Cement GAFGLAS® 975 3 sq. roll ASTM D 4601 Asphalt impregnated and coated glass mat 75 lb. roll base sheet. GAFGLAS 980 2 Sq. Roll ASTM D4601 Asphalt impregnated and coated, Fiberglass Ultima Base Sheet 70 lbs. /roll base sheet GAFGLAS Ply 69 5 sq. roll ASTM D 2178 Type VI asphalt impregnated glass t'elt 45 lb. roll with asphalt coating. 2 of 32 XZtiloaga, C Roofing Product Control Examiner A MIAMI SHORES V1 I LLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. / n.- / Date . . ..........,19-- - - - - -- Owner s Name and Address .................. .............. No..__........._.._.._____ Street . ....................................... Registered Architect and/or Engineer ......... ....... .. ....... ................... 7 ---- -- -- ----- - . . ...... ... ......... . .... . ...... . ... . ................................ Name and address of licensed contractor - - -------- - ---------- ----------- ----- - --- Location and legal description of lot to be built on: Lot----------------------- •------ - - - - -- Block . . ............................... Subdivision_._..... ..._......._.------------ - - - - -- . ..... — ------ - -- . ............................. Street and Number where work is to be done-- • ... .... ...... -.3 - -- - --- - -- ------------ — -- ------- -------- State work to be done and purpose of building (by floors)_----­­. _.__-- -_ -• -. Z --- --- ------------ - - -------------­------------- - ­- - - -- for no other purpose. New Building---- _-- .- __--------- - ----- Remodeling .._...........__......_... Addition ........_.._..__._....__.. Repairs-------------------- _. - - -- No. of Stories ....._..._......__._...... To be constructed of .. . ....................... Kind of undation ------ . . . .. . ................................ . ....... Pk R f Covering ------------------------------------------- Estimated Total cost of improvements i:A P5A0j0..._______.Amount of Permit $..... woo . ....... . ..................... . ........ Zone cubage required____.___ --------- cubage --------- J-4-0 N*%, i� ............ ............................. Distance to next nearest building---- .•- --- -'—' of Building Lot ...-- ... . . . . . ............ .............................. ....... Maximum live load to be borne by each floor - - -------- - --- - -- - — - - - - - --- - ------- - - - - - - ----_---------­­-----_ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to-------- — -------- - - - ---- — ----------------- ..... - ---- - - - ---- - -------- . ......... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks-- , . ------- (signed), 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- -------- - ------- - -- - ----- — - ----- - -------- - - -------------- - - - ----- - - - - ---- - --__... .----- ----- -------- --- •-- - - -• -- and who, !jnj by me first duly sworn, upon oath deposes and says C of the above described construction, that he has carefully read the fo therein by him stated are true. �00 J4 Permit No. ------- Date___f__ Disapproved ­. . Date— . ..... .... (Signed) .• .• ........ — - ---- - - ----- - ------ nspector that he is me well known, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. ---- ---- - -- - -------------- -- -- - --- - -------------------- -- Notary Public, State of Florida My Commission Expires-------------------- ---_-------- •---- •------- - - - - -- PLANNING ChairmanMember - - -- - ----------- - --------- - - . ... . ........... ............... . ................... . . . .. MemberMember -- — ------ - - - - ---- - ---- - -- - ------ - ------ - ------------------ - - - -- - ----- - -------- - Member ...•...... Member . ................... _ CouncilDisapproved ------- - ------------------- ---_------_--_--- ........................... 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. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY '" (OWNER TO RETAIN COPY) Date A/,O/ Job Address Soo Tax Folio 1 Legal Description u / Permit #���� Owner / Lessee / Tenant�� �• e QN Mast Zew- Owner's Address Y�� �i Phone Contracting Co. Address Qualifier SS# - - Phone State Competency # Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor / C� Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION ,tau Square Ft. Estimated Cost WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work. will be performed to meet the, standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. of Owner and /or Condo President v Nota# as to Owner and /or Co do President My Cftaission Expires: PERMIT FEE: APPROVED: Fire -'e'l rai a ontractor or Owner - Builder . QZ4:�44� &LgLl N ary s to Contractor or er- Builder My Commission Expires: �/ /vl� Zoning Building - 2_q 4_El ectrical s Mechanical Plumbing Engineering MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT t? of '- Permit No.__ . _ - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. No.� �sf0b % L.Street_�.i? 1 Registered Architect and /or Employing Plumber's Name__ -- '�,,e( ___ _T Location and Legal Description r a+* Block Subdivision_._ Street and Number where work is to be performed —No. X ate )&e - - Street___ 1 State work to be performeil and purpose of building (By Floors)— New.Budding__ _ Remodeling Additiot Repairs _ __..___ No. of Stories..... �_ I--- _- - -_._. Size Septic Tank_ -- Type of Tank ___ _ .____.___ -- Capacity Feet of Drain Tile ----- ._ — D1sL Feet of Tank or Drain Field from Well...__ _ _ __ Nature of Water Supply: City —Well. Size of Soakage Pit_- ____-- __�___ Amount of Permit $ e2 ( Signed Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlonen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors 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 a of the work such public or notices as are required by the Act. The undersigned agrees to employ only such sob - contractors, IC -ta formed per 't�as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath imposes 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 that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida TE: A re-inspection fee of $1.00 will be made when such minspection is made necessary by improper notice for inspection, or faulty t7and /ca workmanship. CLOSRB BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY .URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES GLISTLIST CHECK ®� SEPTIC SEWER DRAIN SOAKAGE 'GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank_ -- Type of Tank ___ _ .____.___ -- Capacity Feet of Drain Tile ----- ._ — D1sL Feet of Tank or Drain Field from Well...__ _ _ __ Nature of Water Supply: City —Well. Size of Soakage Pit_- ____-- __�___ Amount of Permit $ e2 ( Signed Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlonen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors 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 a of the work such public or notices as are required by the Act. The undersigned agrees to employ only such sob - contractors, IC -ta formed per 't�as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath imposes 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 that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida TE: A re-inspection fee of $1.00 will be made when such minspection is made necessary by improper notice for inspection, or faulty t7and /ca workmanship. • •• •• • • • •• •• • • • ••• • • • • ••• SECTION 1524 ... HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION f01 1191OFUN23 : .. CONSIDERATIONS e ' ' • • • • see • • 1524.1 As It pertains to this section, It Is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provis*ons of Ghapter.W of.. .. the Florida Building Code, Building govern the minimum requirements and standards of the• endusiry�ot' raotsna • • • system installations. Additionally, the following items should be addressed as part of the ag of bit�e$rT the owner and the oontractor. The owner's initial in the adjacent box indicates that the item has best n explairAd. ' ' • • • • • Aesthetics- Workmanslilp: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) ar f the purpose of providing that the roofing system meets the wind resistance and water intrusion once standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. "nahling Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed oe with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building roof deck is usually concealed prior to removing the existing roof system). Common Roofs: Common roofs are those which have no visible delineation between neighboring Mtsouses, condominiums, etc.). In buildings with common roofs, the roofing contactor and/or owner r the occupants of adjacent units of roofing work to be performed. 'ad Ceilings: used, open beam ceilings are where the underside of the roof decking can be v w. The owner may wish to maintain the architectural appearance, therefore, roofing nail pen ors Ifthe underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. J"5. ending Water: The current roof system and/or duck of the building may not drain well and may water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural e and may require the review of a professional structural engineer. Ponding may shorten the life. expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. ZOverflow scuppers (wall outlets): It is required that rainwater flow off so that the roof Is not de3'from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge If ov scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers In accordance the Florida Building Cade, Plumbing. Ventilation: Most roof structures should have some ability to vent natural airflow thorough the Interior of lr 1 assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be be to consider additional venting which can result in extending the service life of the roof. �/"� Jul e °s/ a 's a gAb Date Contractor's Signature Iress P_ III Permit Number HIGH - VELOCITY HURRICANE ZONES • •• ••• • • • ••• •• • • • • •• •• • • • • • • • • • • • • • ••• • • • • ••• Florida l$ulldtl1q. C649 •Editloh 246'.4.. • Hi' b Velod Hittricane'3rona Uriifquri I�ermrtA . IlcatiQti horn . • • joti) • • • • • • IVISstBtr. i?6rlii{�•:RIO,, �_�7!' W � � l � • • • • • • • • • Job.Address. i i1)3 ST �:ciw..5lo)ad: C;1' IQf� .cl�atircally`F��t�rieit'fite' C� : 16�: c�ttaKlA�ih�esiv!e':�st':'r�.�e Asplialtic. C ffflieial;:pa�teiUSh €ngle:' :'I7 ;1fl►ood;Slairglesl3hae& Sfi3rigles: . Q P1-escrp>iie:=6UR =EIS' �kS Q New .Roafropiil; �7 :IZecpvreI�g. Q Rpatr Q i1�[sitte'hsiie' , owr..Sln{�e Rno rea (SF� Steep:Sl" Roa:f l rea (SF) Tobik SFy:. �S® S.®Ctton l' ('R0.of Lan) Sketch R66f, :.Plgn .: Iliustr te.all leudis *nd settlons, raof - drains; 6cre elrs� v�erfic�aid s .uppers .and : iverfl w .dralr%. ln*Jude dimensions b - se.Gt�pp at id Ievels; ,iclearl� idet>tfify',xlirriensian .aif. elevated, ressute.zones And locatlo".of 'p 4e pa _�.. i a.. :. ¢ 54J I iin J ti S' q } _, ?� s- rj+:""�. 'c^.Sn i....- ,,,.c.,.i...:� ^; ,•E- ..x -.� -�„ .,�».b,.�:» „�.,, {,.. �.»..,. w,,...{..' ' .it:..- g,..y_.s -,�: , q » a ._........p _ ! t. { ni 3 M� jL �•• ...fF,. : 3. :{d `r , > " 3• ,T. s" f �.4 7 . ,.. ..,.,;.... .,r... - , , : �1 , $ t V a f i r n ,a M Florida 6*404frig Oudw.E0104-n �10004* MR. firt.-S pee ffic -RoW Assenibly. C. amponents and td0hflfy-.Man6fi0'u`reri vw NOWNO�; 63OS-0 1, 07- Qe0fg,nlWm.d Pms.suresi .P.rPQxf_.A_?0`m� _8?l 004k: Typo: .. J PLYVXDO -A-nchodB0e`SheeV&No_df Andloflftse�.Shadi (naulation Base Layer: f0tem./Bon ding: Mateff& Ll r� S - iut h P(YVtw,0(6�J&Nd`-6f Tai fasWli of 0 "diti M HIGH-VELLCI-A HMTlI"E:PNjZ • •so 0 0 000 001 goo 0 Pailwher a.poel"M MR' AAnchbrlWsa ghlet Attachment ... • • • • • • J. qCJ0. Lap; -#-Rom .24.-i-04 Perimeter L_- W&LOA14: . Ro". @ -L. ec Cbmer.: - J�P " nc.6--Lag #,Rows; cr c NuMber-of Field ftih-etsf Comet W004610.&I . 119, Gutbar Ed .,ge Termination, Flasi�.frf§, tormnu,6'u5 oteat cam. 13.qse. Rishing, 00urfter- Hashing, Moan Rubf Hbioht, NwaW ' Melght, Helght of %pip flashtng, Oomppoent Material, Material Thickness, Pastenpr TYPq-i Fastener .Siw hag : 4ar S-6brnft Wahufadurers. 136tWis that �r FLORIDA BUILDING CODE — RESIDENTIAL 44.21 11URaING CODE COM PLiANCE OMCE (BCCO) PRODUCT CONTROL. D1V,#SION OF ACCEPTANCE I *- 1361 Alps Road Wayne, NJ 07470 • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • ••• • • • • ••• MIAIIII DADE COUNTY, FLORIDA MIAB►II,%`T.'Ai�JDA ��3 • • • • � • (305) 375-2901 FAX (305) 375-2"8 •. • • • . .• •. . •.• ...... • .. . . . . . SCOPE: Thm NOA ft b ft hwwd mmderffie applic&k reties md do am of The docimentalim m ahniKed bas been by the BCCO md Eby dmBmV ng Mandl Ptefta Review Coin ittee to be used in Miami Da& County and other arras where allowed by the Authority Having Jurisdiction (AID. %0 .. This product is approved as described hereim., and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DFSCRWnON: GAIL` Rubwaide Modified Bftwnen Boot System for Wood Valm �.ABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following stateniat 'Miami Dade County Product Control Approved", unless o*awise noted herein. OVAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the ice of this product TUh+IIMnON of this NOA will occur aftter'the expiration date or if there has been a revision or change in the matetials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automadcaUy terminate this NOA. Failure to comply with auy section of this NOA shall be cause for wrminabon and removal of NOA. .ADVERT1S08NT: The NOA number preceded by the words MiannDade Courity, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shalt be done in its entirety. IMPEMON: A copy of this entire NOA snail be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at tbe.request of the Building Official. This NOA renews NOA #02.0408.10 and consists of pages 1 through 31. The submitted documentation was reviewed by Frank Ziloaga, RRC. . . ... . . . ... .. .. . . . .. .. . . . . . . . . . . . . . ... . . . . ... Membrane T w: APP/SBS Hoe Weld ... .. leek Type 1; . . . . . .. . . . Woad, Non-insulated • • • . . . . . . • . . . . . - 1913 w Vedw p4wood or wood plank System Type E (1): .. . . . .. .... .. Base sheet mechanically fastened 0 0 .... • • • • • • ..... All General anal System Limdte dons shell apply .. .. . .. . Base dwet: GAFGLAS #80 Ultima m Base Sheet, STRATAVENTO Eliminator Perforated NWUble, RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, R.UBEROIDO 20, RUBEROID SBS Beat WeldT9 Smooth or RUBMWID SBS Heat-Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLASO Ply 40, GAFGLAS Flex PIyTm 6. GAFM AS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o c. at the lap staggered and in two rows 12" o.c. in the field (Madam Design Pressure.45 psi, See Generd Line on 07) GAFaLASS Ply 40, GAF43.AS Flex PlynA 6, GAFGLAS #75 Base Shea or any of above Base sheets attached to deck with Drib Tee (GAF ITM) #12 or 014 Screws and 3" Plates, l2" oc. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately IT' o.c. in the field of the sheet. (Maxinism Design Pressure •45 psf, See Genwrd Limon #7) GAFGLAS Flex Plylu 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved aimular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Madmwn Design Prasm 52.5 psf, See General Li dWion #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill Tec (GAFTrM #12 or #14 Screws and 3" Plates, l2" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced, approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —6B psf, See General Lbnmitad vn #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill Tec (GAFTTTE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field (Mx&xum Design Pressure —60 psf, See Genen d L imbdion #7) GAFM AS #75 Base Sheet or any of above Base sheets attaches to deck with Drill Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (t1 taxima n Design Pressure —7S psf, See General Unk4 ion Ply Sheet: (Opdond except over RUBEROID Modified Base Sheet. RUBER011) MOP Smith, RUBEROWO 20, RUBEROID SBS Beat Weidlm Smooth or RUBEROID SBS Heat-Weld) One or more plies GAFt3LAS PLY 4@, GAFGLASO PLY 60D Ply or GAFOLAS Flex Ply b sheet adherai in a full mopping of approvers asphalt applied within the EVT range and at a rate of 2040 lbsJsq. or Ruberoid Torch Smooth torch applied according to manufactnrer's application instructions. NQ& Nw 0845" >D� Appre d Dam! Plgp=432 • ... ... .. .. . . . .. .. . . . . . . . . . . . .. . ...... • .... Membrane: One ply of RuberoidO Torch Smooth, Ruberoid@ Torch Granule, Ruberoid® Torch Plus Granule or Ruberoid® Torch FR torch applied acco4ftg:d • . • ..: .0. •' IllanilfaLtliLL'e$ appikation inStCI1Ct1Qi1S. see • : : : : : : : : One or more plies of RUBEROMO SBS HeatWeldru PLUS, RUBEROM SBS HeatWeldTU PLUS PR, RUBEROMO SBS Heat We)dTM 17(! M .. ... .. RUBEROMO SBS Heat WeldTU, RUBEROMO SBS Heat WeldN Sn3a= :: :: • RUBEROMO UltraCladTu SBS and RUBEROMO SBS Heat- WgldfujLjajpj9e j : : according to manufacta &s application insawtions. • • 000 ' Surfacing: (Optional) Instals one of the following: 1. Gravel or slag applied at 4001bJsq. and 3001bJsq. respectively in a flood coat of approved asphalt at 601bJsq. 2. GAP Premium Mbered Aluminum Roof Coating, at 1.5 gal. /sq. or GAF WeathwCw? Emulsion at 3 gaUsq. (Torch Smooth applicabm only) 3. GAP WeathercoUM MB +(Matrix 715 MB Coating), Applied at 1 to 1.5 galJsq- 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5 pUsq. Maximum Design Pressure: See Fastening Above ]I -� IF I . . ... . . . ... .. .. . . . .. .. . . . . . . . . . . . . . ... . . . . ... WOAD DECK SYSTEM Lwuno ws: . Soo 0 s 1 A slip sheet is required with Ply 4 and Flex Ply 'm 6 when used as a me0anically leas" base br: ' anchor short. • ' • • • • • • • • 2. VMinoum V4- Dens Deck or V2 Type X gypsum board is aWTUMe to be installed directly over the • • • • woad deck. AgmbL NOA Ab: Ddm i:U86M EMPAGM Awl DbftlWMW No . Pagpmdx Juste 20.200,E GAF Materials Corporation 1361 Alps goad RYne. W 07$70•3689 OurRefercum. R1306 Dear d . Cada: IWs is in response to tws• ccmvermaicm cm jum 2U, 2(,02. A& rdi=LSSM, foli g rams O�t .%Violet cuc-LA Chas A c6teria per A-NS -L790 based On csiking &e test data- Deck. C`, -UrI2 dine- I/2 • . ... i ; ; ; 0- 0 0to . . . 0. . .. 000 . • . . . . . . . . .. - �... P . .05:.: . . mem . P 1 M qU eM. arise on the above, ply coijce ihe wnitet . Vet y truly, yowls.. A -4-!or ana toif cVmm to y NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. 1. Legal description of property and street/address: 300 1��i 10 3 OR -Bk 24488 Ps 176?; t1A9) RECORDED 05/04/2006 11:07 > "43 HARVEY RUVIN? CLERK OF C06RT MIAMI -DACE tOUHTYe FLORIDA LAST PAGE 2. Description of improvement: f a % I F4 _ :WSTAIA, T) I.0 A-17 VA U D US �JS m� 3.Owner(s) name and address: X% ir.? H %�4VLIM Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: 'r 11 10 L L)"V) 5. Surety: (Payment bond required by owner from contractor, if any) Name and addre Amount of bond 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different ate is t e of Oy4nelr " 9 wner's /Name �. Prepared by �� ti� �n J n to and subscribed before me this � day of 20 OL t �J � 7r`" 6 dam► C� Address: % h% ru y Public;' b� Notary's Name Li My commission expireI�s�: 123.01 -52 PAGE 4 8✓02 7 Drell Marie Springer MYCOMMISSiON# DD129391 EXPIRES August 25, 2006 5-1-ATE OF FLOFIb A, COUNTY OF ADE HEREBY CERTIFY that this is a tr e y of the )rigmal fti in this office on da of A L' 20 MITNESS my hand And Offi al eat. iARVEY RUVIN, CLERK of C it and County Courts 3y D.C. C ` mu LrST )r /, is 19 aiami �J GWI O illage Ar int `°' S L O 8 3 D A Nr 821 No. Houses BUILDER'S BON D KNOW ALL MEN BY THESE PRESENTS that -�'-- in col sideration of the issuance to me by Miami Shores Village'; Florida, of a, permit or permits to construct or repair a building or building at the following addresses: do% hereby deposit with Miami Shores Village,. Florida, the sum of , and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such constructit within" the meaning of such ordinances, the Village may clear, and repair the same and pay the costs of such clearance and repairs out of the aforesai ® and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then shall be returned to me. WITNESS MY HAND and Seal at Miami Shares Village, Florida, this 014--01 day (Seal) INST UCTIONS TO BUILDER —When above mentioned construction i completed and a pr , eare `l ` 'F regal this bond to the Villag Building Inspector and obtain his approval, after which Miami 'Shores Village your money',in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. WHEN CLEARED AND REPAIRED BY THE VILLAGE Amount of Bond. . . . . . . . $v Village Building Inspecto , Shores Village Cost of clearing and repairs done by Village . . $ i Balane due Builder . . . . . . . . . . $-- Cancelled 19 By ��� ::�F3 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/26/2004 Applicant: JOAN Owner: FRECHETTE JOB ADDRESS: 300 NE 103 Building Permit Permit Number: BP2004 -398 FRECHETTE JOAN ST Page 1 of 1 Contractor DECORATIVE MASONRY INC Contractor's Address: 842 N. E. 99 St. Local Phone: (305)757 -7765 Parcel # 1132060135040 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 11 &12 BLK 37 LOT SIZE Fees: Description Amount FEE2004 -3182 Building Fee $100.00 Total Fees: $41g.90 FEE2004 -3183 CCF $1.80 Total Receipts: OAO FEE2004 -3184 Notary Fee $5.00 c, -X) FEE2004 -3185 Training and Education Fee $0.60 FEE2004 -3186 Technology Fee $2.50 FEE2004 -3187 Scanning Fee $3.00 FEE2004 -3188 Builders Bond $300.00 Total Fees: $412.90 Permit Status: APPROVED Permit Expiration: 9/19/2004 Construction Value: $2,400.00 Work: REPLACE EXISTING ASPHALT DRIVEWAY IN REAR AND ADD NEW CIRCULAR DRIVEWAY AS PER PLANS Signed: (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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: I CRITIQUE SHEET JOB ADDRESS �`J e /0'3 APPLICANT �� �r -- - PHONE# APPUCATION SHEET _.OF MISCELLANEOUS i A PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING J ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL UMBING RE r UBLIC WORKS STRUCTURAL BUILDING OFFICIAL . t. Subject to compliance vlth alt Federate State. Cowdy.VMap Mas end regcAaftm Wage asumm no yes onslbplty for accvttcy aflor �esutts f�ara P .. these plans, 2. This copy of plans mutt be avallable oa building site at zto Inspection vm be coadccted. DATE ZONING COMMENTS INITIALS 3 -23� QKIucwlsy r sell =u,.� Miami �SLMJ i 11aae 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305).795-2207 _. Faxc. !305)_756 -8972. y 4 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, —a of e o h c . 41z ec h p t t ,9 , hereinafter referred to as the Owner of the (owner) following described property: - Legal description/foliog: // 3206 013 5040 Lot / / and 12 Block 37 Subdivision lr1101 S11076S SECTION / Tax Folio R:__ %B /t7-7 . requests permission to install: VAsphalt, concrete rick pavers [ J Landscaping [ ] Other within the public road right of way of 300. N. C . / 0 j 1/3 ST. (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and alien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with'the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this I day of t 4 t�� (owner) SIGNED, SEALED AND DELIVERED in the presence of: °t�Y Z JOFNN J. HEAFOV ar COMMISSION 4 DD 245752 EXPIRES: October 23, 2007 'f'fi ,wWpO. Beaded Thor Budget Services (((t- 4,U S G 1 IfI ) LJ The undersigned Affiant, does hereby attest that the (property owner) attached survey, performed by _ 0044LD MIJ T NTn U (name of surveyor's company) performed on 12-11-68 , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. �e . Waness(sign rint) uJ� SWORN TO AND SUBSCRIBED before me this of !�, Affiant is personally known to me, produced as identification. ` •� ;'vo J0HN J. HEARN * * WCOMMISSIONSOD245M EXPIRES. October 23, 2007 �� +re�Fl,�a`Oe BmMedThruB�tNohryBeroio�a I FER NMI tn' 4. kr VT oftl1fwAA MT -A' 7. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat Time Type Insp' Permit No. �0 Name( Address Company ml� LA Phone # For Inspecto . �/ �� Name &Date Approved l °2 — ` U Correction ❑ Re- Insp'n Fee ❑ JOSEPH AND JOAN FRECHETTE 300 NE 103 Street MIAMI SHORES FL 33138 -2433 Contractor(s) Phone Cell Phone HEFFERNAN ELECTRIC INC 305 - 757 -8380 Type of Work: ELECTRICAL Additional Info: FURNACE IN GARAGE Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount Total $0.60 $0.20 $ 0.00 $5.00 $150.00 Payment Type: $3.00 $3.75 cd I _ $162.55 (305)759 -1056 Valuation: $ 1,000.00 Total Sq Feet 0 Avanaoie Inspection Type: Uaw Amt Paid Amt Due $ 0.00 $ 0.00 T -C 6 PAID 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. December 19, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Wednesday, December 19, 2007 1 l � Inspection Worksheet Miami Shores Village - ;, 10050 N.E. 2nd Avenue Miami Shores, FL �cMr g i�s:tN. f Phone: (305)795 -2204 Fax: (305)756 -8972 NO Inspection Date: 02/12/2008 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: FRECHETTE, JOSEPH AND JOAN Work Classification: Addition /Alteration Job Address: 300 103 Street NE Miami Shores, FL 33138 -2433 Phone Number (305)759 -1056 Parcel Number 1132060135040 Project: <NONE> Block: Lot: Contractor: HEFFERNAN ELECTRIC INC Phone: 305 - 757 -8380 Ruildina npnartmpnt Lnmmpntc INSTALLATION OF A FURNACE IN GARAGE ckooa FEB 12 2000 Passed Inspector Comments mid Failed Correction Needed ❑ Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Monday, February 11, 2008 Page 2 of 2 Project Address Parcel Number Applicant 300 NE 103 Street 1132060135040 Miami Shores, FL 33138 -2433 Block: Lot JOSEPH AND JOAN Owner Information Address Phone Cell JOSEPH AND JOAN FRECHETTE 300 NE 103 Street (305)759 -1056 MIAMI SHORES FL 33138 -2433 Contractor(s) Phone Cell Phone THERMAL CONCEPTS INC 954 - 472 -4465 Tons: Additional Info: NEW FURNACE Classification: Residential Approved: In Review Comments: Date Denied: Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Date Approved:: In Review Amount Total $1.80 $0.80 $ 0.00 $100.00 $8.00 Payment Type: $2.50 $110.90 Valuation: $ 2,800.00 Total Sq Feet 1842 Amt Paid L± Due $ 0.00 $ 0.00 (ni J ® ��B® Available Inspections: Inspection Type: Hood 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, 1 authorize the above -named contractor to do the work stated January 08, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, January 8, 2008 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address Parcel Number Applicant 300 NE 103 Street 1132060135040 Miami Shores, FL 33138 -2433 Block: Lot JOSEPH AND JOAN Owner Information Address Phone Cell JOSEPH AND JOAN FRECHETTE 300 NE 103 Street (305)759 -1056 MIAMI SHORES FL 33138 -2433 Contractor(s) Phone Cell Phone THERMAL CONCEPTS INC 954 - 472 -4465 Tons: Additional Info: NEW FURNACE Classification: Residential Approved: In Review Comments: Date Denied: Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Date Approved:: In Review Amount Total $1.80 $0.80 $ 0.00 $100.00 $8.00 Payment Type: $2.50 $110.90 Valuation: $ 2,800.00 Total Sq Feet 1842 Amt Paid L± Due $ 0.00 $ 0.00 (ni J ® ��B® Available Inspections: Inspection Type: Hood 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, 1 authorize the above -named contractor to do the work stated January 08, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, January 8, 2008 1 y Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Project: <NONE> Block: Lot: Contractor: THERMAL CONCEPTS INC Phone: 954 -472 -4465 Buildina Denartment Cnmmpnfc REMOVE 1 VERY OLD OIL FIRED FURNACE. INSTALL 1 NEW ELECTRIC FURNACE. THERE IS NO AIR CONDITIONING IN EIGHTER THE ORIGINAL UNIT OR THE HOUSE. WE ARE PROPOSING TO INSTAL.. WE ®® WILL MODIFY THE DUCT WORK AS NEEDED TO 4 �0 ALLOW FOR THE INSTALLATION OF THE NEW UNIT. Inspector Comments Passed ® cc Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Friday, February 15, 2008 Page 2 of 2 THERMAL CONCEPTS,. 2201 College Avenue Davie, Florida 33317 Broward: (954) 472 -4465 - Dade: (305) 940 -0381 Fax: (954) 370 -6410 SERVICE DEPARTMENT FAX: (954) 472-4425 CACO 39621 - CSCO 46951 - CGCA 07936 Air Conditioning • Refrigeration • Ductwork a System Controls • Insulation • Facilities Management Proposal JOB NAME: Installation of 1) New 4 Ton Electric Furnace DATE: 12/3/2007 WORK LOCATION: Garage PROP #: 7053DFK Joe Frechette 300 NE 103rd Street Miami Shores FL 33138 PHONE: 305 759 -1056 CONTACT: Joe Frechette FAX: LOCATION ADDRESS: PHONE: CONTACT: FAX: We hereby propose to perform the following: • Remove (1) existing oil fired furnace and dispose of at our expense • Furnish and install (1) New Rheem RHSAHM4821JA - 48,000 BTU Electric Furnace • Furnish and install (1) 20kw electric heat package • Furnish and install sheet metal transitions to connect to the existing ductwork • Furnish and install (1) new return duct from new grille in kitchen floor to the new unit • Furnish and install (1) non programmable digital thermostat to replace the existing thermostat • Obtain all necessary mechanical permits and inspections from the City of Miami Shores • Limited (1) year warranty on all labor. Limited (5) Year warranty on all parts. a Excludes any work outside of the scope listed above Customer to provide electrician to run line voltage necessary for the completion of the job Contractors are required by law to be licensed and regulated by the Contractor's State License Board. Any questions concerning a contractor may be referred to the Department of Professional Regulation, Tallahassee, Florida. go Thermal Concepts, Inc. Proposal Page 2 of 2 Anv Code Umirades or Wind Load Calculations Are Excluded We propose hereby to furnish material and labor, complete in accordance with above specifications, for the sum of Two Thousand Eight Hundred Dollars $ 2,800.00 Payment to be made as follows: Net 30 Days Acceptance of Proposal This proposal may be withdrawn if not accepted within 30 days. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made David Kennedy U Account Executive as stated above. f/ Date of Acceptance 12160107 Signature �C et i 1 . ` Project Summary Entire House Thermal Concepts, Inc Job: 711276A04 J Date: 12120107 Pi �N By: ADC Frechette 300 NE 103 Street, Miami Shores, FL Winter Design Conditions Outside db Inside db Design TD 50 OF 70 OF 20 OF Miami, Intl AP, FL, US ,,!Fj P n, Ts Summer Design Conditions Heating Summary Structure 30918 Btuh Ducts 5711 Btuh Central vent (39 cfm) 861 Btuh Humidification 0 Btuh Piping 0 Btuh Equipment load 37490 Btuh Infiltration Method Simplified Construction quality Average Fireplaces 0 Area ft 2 Heating 842 Co 1 1842 Volume (ft3) 15660 15660 Air changes/hour 0.38 0.20 Equiv. AVF (cfm) 99 52 Heating Equipment Summary Make Rheem 15kw Electric Heat Trade RHSA- HM4824/RCSAH4824A Model Fan Setting- Low Speed Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 100 AFUE 49134 Btuh 491244 BFuh 15-11 OF Daily range 1528 cfm 0.042 cfm/Btuh 0.40 in H2O Heat/Cool Outside db 90 OF Inside db 75 OF Design TD 15-11 OF Daily range . Relative humidity f 5()' % Moisture difference 5 gr/Ib Sensible Cooling Equ�ipm . L d S ng Structure Ducts 5 Bt h 2 of h Central vent (39 cfm) t 1 h Blower Btuh Use manufacturer's data Rate/swing multi plier 1.00 Equipment sensible load 53825 Btuh Latent Cooling Equipment Load Sizing Structure 2776 Btuh Ducts 2132 Btuh Central vent (39 cfm) 1482 Btuh Equipment latent load 6389 Btuh Equipment total load 60214 Btuh Req. total capacity at 0.00 SHR 6.4 ton Cooling Equipment Summacyc..• Make Rheem .' . • • • • Trade Split System •• ;••.;. Cond N/A •••••• • 0.. Coil N/A • 000 Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio 0000 0000 0000• OI ttuh•. 0 Atut, 00 00 0 Ehth•• o o o e —2416 cfnr • 1.045 o(wVRtuh • . 0.00 IQJV10 •••• :0.89 .0 . 0 0 00 . Printout certified by ACCA to meet all requirements of Manual J 8th Ed. 0000.. 0000.. 0000.. 0000. 0 0 0.000 ...... . 0 0000.. 0 .0000. 1c wing htsoft Right -Suite Residential 6.0.110 RSR40603 2007- Dec -20 23:42:19 CADocumerds and Settings\BobUuty DocumerWRIght -J JobsM27604.rrp Calc = MJ8 Orientation = N Page 1 Component Constructions Entire House Thermal Concepts, Inc For: Frechette 300 NE 103 Street, Miami Shores, FL Location: Miami, Intl AP, FL, US Elevation: 13 ft Latitude: 260N Outdoor: Heating Dry bulb (°F) 50 Daily range ( °F) - Wet bulb ( °F) - Wind speed (mph) 15.0 Job: 7R276AO4 Date: 12120/07 By: ADC Heating Indoor: 70 Indoor temperature ( °F) 20 Design TD ( °F) 30 Relative humidity ( %) Cooling Moisture difference (gr/lb) 90 Infiltration: 11 (L ) Method 77 Construction quality 7.5 Fireplaces Job: 7R276AO4 Date: 12120/07 By: ADC Heating Cooling 70 75 20 15 30 50 -10.2 55.7 Simplified Average 0 Construction descriptions Or Area U value Insul R Htg HTM Loss Clg HTM Gain W Bbuh/ftk *F ft'- °FBtuh Btuh/R' Btuh Btuhff Btuh Walls 1A -c1ob: Operable, metal frame with break, clear glass,1 pane; n 20 13AB -Oocs: Above grade open core concrete block, siding /stucco, n 388 0.258 0.0 5.16 2002 5.57 2162 no board insulation, no framing a 207 0.258 0.0 5.16 1068 5.57 1154 S 126 0.258 0.0 5.16 650 5.57 702 26.2 W 229 0.258 0.0 5.16 1182 5.57 1276 nw 89 0.258 0.0 5.16 459 5.57 496 1A c1ob: Operable, metal frame with break, clear glass,1 pane; all 1039 0.258 0.0 5.16 5361 5.57 5790 Partitions 13AB -Oocs: Above grade open core concrete block, siding/stucco, 23 0.258 0.0 5.16 119 3.41 78 no board insulation, no framing Windows 1A -c1ob: Operable, metal frame with break, clear glass,1 pane; n 20 1.080 0.0 21.6 432 21.5 430 NFRC rated (SHGC = 0.75); 50% blinds 45% medium; 100% outdoor insect screen; 3 ft overhang (4.4 ft window ht, 0.75 ft Sep.) 1A -c1ob: Operable, metal frame with break, clear glass,1 pane; n 68 1.080 0.0 21.6 1469 26.2 1780 NFRC rated (SHGC = 0.75); 50% drapes, medium; 3 it overhang (5.5 it window ht, 0.75 ft Sep.) 1A c1ob: Operable, metal frame with break, clear glass,1 pane; a 34 1.080 0.0 21.6 734 46.5 1582 NFRC rated (SHGC = 0.75); 50% blinds 45% medium; 100% s 34 1.080 0.0 21.6 734 21.5 730 outdoor insect screen; 3 it overhang (5.5 it window ht, 0.75 ft Sep.) s 35 1.080 0.0 21.6 756 e4.& 752 all 103 1.080 0.0 21.6 • 2225 2QA- • 3064--609 1A c1 ob: Operable, metal frame with break, clear glass,1 pane; s 94 1.080 0.0 211%.0 $030 . 21.5. 2019 . • NFRC rated (SHGC = 0.75); 50% blinds 45% medium; 100% • • • • • • • outdoor insect screen; 2 ft overhang (4.4 ft window ht, 0.75 ft Sep.) "' ; " ' "' • • 1A -c1ob: Operable, metal frame with break, clear glass,1 pane; w 5 1.080 0.0 21Y • •' •108 3818 1A6 • • • • NFRC rated (SHGC = 0.75); 50% blinds 45% medium; 100% w 22 1.080 0.0 216• • • *.475 . RV • 854 • outdoor insect screen; 3 ft overhang (3.3 it window ht, 0.75 ft Sep.) all 27 1.080 0.0 2106 *6 583 38V 104$' : * • . 7A- 1gwnn: Glass block, wide ribs or flutes, no screen, no coating; nw 6 0.600 0.0 12.7:0 •; 72 54.Z ; 325 "" NFRC rated (SHGC = 0.66); 3 ft overhang (2.5 ft window ht, 2.1 ft .. .. . .. . • • .... • Sep.) ' . . ..•. ... ... Doors .... 11NO: Metal door, polystyrene core, no storm s 20 0.350 0.0 7.0%.- ;140 1Q.7. 21$ " ": . .. . A wn9htSC) t Right -Suite Residential 8.0.110 RSR40603 2007- Dec -20 23:42:19 14iCK C:1Doatments and Settings\BoMy Documents\Right l Jobs \7r278a04.rrp Cale = W8 Orientation = N Page 1 9I DO: Wood door, solid core, no storm Ceilings 16D -Otd: Ceiling under vented attic, no radiant barrier, dark file, no insulation 18A -Ozd: Ceiling below roof joists, dark membrane roof, no Insulation Floors 91 B: Raised Wood Floor nw 20 0.390 0.0 n 17 0.390 0.0 all 37 0.390 0.0 1532 0.408 0.0 314 0.241 0.0 7.80 156 12.0 239 7.80 133 12.0 204 7.80 289 12.0 443 8.16 12501 14.0 21377 4.82 1513 11.9 3723 1532 0.246 0.0 1.31 2002 0.97 1492 wng htsofC RlgM -Suite Residendel 8.0.110 RSR40603 2007- Dec -20 23:42:19 C:\Docume,s and S.Mngs\BobWty D..rds\Right -J Jobs \7276a04.rrp Calc = MA Orientation - N Page 2 6666 • • • 000. 6600• • • 000 • 0000•• • .•60••00 • •0.06• • 0000.• • • • 6066 0666 :0000: • 0 0 • 6006 0000 00000 •.000• . • 06.0. • . . . • .• .• 0000 6000060• 0000•. • 0 • 0 . • • . 0000 00.0 6• • • • . 0000 . • . . 6006•• •• 6 as • 0 0 • • 0. 6 wng htsofC RlgM -Suite Residendel 8.0.110 RSR40603 2007- Dec -20 23:42:19 C:\Docume,s and S.Mngs\BobWty D..rds\Right -J Jobs \7276a04.rrp Calc = MA Orientation - N Page 2 .. ' • Right -J Worksheet Job: 7R276A04 Date: 12,20107 Entire House By: ADC Thermal Concepts, Inc 1 Room name Entire House 168.4 ft Whole House 168.4 ft 2 3 Exposed wall Ceiling height 8.5 It 8.5 It heat/cool 4 Room dimensions 1.0 x 1842.4 It 5 Room area 1842.4 ft' 1842.4 f12 Ty Construction U -value Or HTM Area (W) Load Area (ft') Load I number (Btuh/ft' -- °F) (B or perimeter (ft) (B h) or perimeter (ft) (Btuh) Heat I Cool Gross N/P /S Heat Cool Gross N/P /S Heat Cool 6 13AB40cs 0,258 n 5.16 5.57 476 388 2002 2162 476 388 2002 432 2182 430 1A -010b 1A -010b : 1,080 1:080 n n 21.60 21,00 21.48 1 26.18' 20 68 0 0 432 1469 430 1780 20 68 0 0 1469 1780' t13AB -Oocs 0.258 a 5.16 5.57 241 207 1068 734 1154 1582 241 34 207 11 1068 734 1154 1582 11 -G 1A -c1ob 13AB -flails 1.080 0 258 a s ' 21.60 5.18' 58.14 5.57 34 300 11 126 650 702 309 126 850 702 1A -clob ' 1.080 s 21.60' 24.11: 34 34 734 730 34: 34 734 730 1A -clob 1.080 s •` 21.60: 24.11' 94 94 2030 2018 94 94 2030 '' 2019' 1A -01ob 1.080 s 21.60 24.11 35 35 756 752 35 35 756 752 11NO 0.350 s 7.00' 10.74' 20 20 140 215; 20 20 c 140 215 W 13AB -0ocs 0.258 w 5.16 5.57 256 229 1182 1276 256 229 1182 1276 -c1ob 1.080 w 21.60 58.14 5 3 108 194 5 3 108 194 ES1A 1A -clob 1.080 w 21.60 58.14 22 12 475 854 22 12 475 854 13A84)ocs 0.258 nw 5.16 5.57 115 89 459 496 115 89 459' 496 7A -1 gmn 0.600 rw 12.00' 54.15 6 0 72 325 6 0 72 325 1100 0.390 nw 7.80 11.97 20 20 t 56 239 20 20 156: 239 13AB -Oocs 0.258 - 5.16 7.80 3.41 11.97 40 17 23 17 119 133 78 204 40 17 23 17 119 133 78 204 C 11 DO 16D4)fd . 0.390 0.408 n - 6.16 13.95 1532 1532 12501 21377 1532 1532 12501 21377 C 18A -Ozd 0.241 4<82 11.86 314 314 1513 3723 314 314 1513 3723 F 816 0.246 - 1.31: 0.97`' 1532 168 2002 1492 1532' 168 = 2002 1492 F 22A -tph 1.358 - 27.16 0.00 26 0 0 0 25 0 0 0 e c) AED excursion 0 •••• • 0 Envelope loss/gain 28737 41784 • • • 28737 41784 12 a) Infiltration 2181 855 • • • • • • 1 ?80 8 b) Room ventilation 0 0 0 13 internal gains: Occupants @ 230 4 920 9V Appliances @ 2400 1 2400 • 1 • • 2400 Subtotal (lines 6 to 13) 30918 45959 • • • • • 30918 45959 Less external load 0 0 ' • •' • 0 tf •0 Less transfer 0 0 • • • • • • 0 0 Redistribution 0 0 • • • • • pp 0 459NO 14 Subtotal 30918 45959 •vC11S 15 Duct loads 18% 16% 5711 7224 14% • 16% • G7d4 7234 Total mom load 36629 53183 • • 3�Fi2� 5318% Air required (aim) 1528 2416 •6528 2416 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. wr-7ghtsoft Rlg"uite Residential 6.0.110 RSR40603 2007 - Dec -20 23:42:19 AZK C:\Documents and Settings\BoMy Doc umerds\Right -J Jobs \7i276aO4.rrp Caic - MJ8 Orientation = N Page 1 • • • • •• • •••• • •• • • FORM NO. H11 -524 REV. 4 Supersedes Form No. H11 -524 Rev. 3 . . . . A A BY.. ........... -C Q, AIR HANDLERS C (9 us LISTED RHLA- High Efficiency featuring R-22 Refrigerant RHLL- High Efficiency featuring Earth-Friendly R-41 OA Refrigerant Classi• c S E R I E S AIR HANDLERS RHSA- Standard Efficiency featuring R-22 Refrigerant RHSL- Standard Efficiency featuring Earth-Friendly R-41 0A Refrigerant t .Q Features ■ RHLA/RHLL feature GE's now X-13 motor which provides enhanced SEER performance with most Rheeq?8tW8Qor units. • .0. 0000 ■ 11/2 ton [5.3 kW] through 5 ton M.6 'kW] mb0@lj9:%re between 421/2 to 551/2 Inches [10M41:§*1410 mrt] tall and 22 inches [559 mm] deep. • ■ Versatile 4-way convertibi w ftqW, horizontal left and horizon I r g�h t a It- S. ■ Factory-installed high efficl n I ■ All models meet or exceed A td CF 156t 9",s] per ton at .3 Inches [.7 kP exttlm&C essm ■ Enhanced airflow up to. ■ Sturdy construction with X I h 4 of foil ap faced jacket insulation ib, h all w1i d Insulation. ■ Field-installed auxiliary electric heater kits provide exact heat for indoor comfort. Kits Include circuit breakers which meet UL and cUL requirements for service disconnect. • Engineering Features RHLA/RHLL/RHSA/RHSL- Series • The most compact unit design available, all standard heat air handier models only 421/2 to 551/2 inches [1079 to 1409 mm] high. • Attractive pre - painted cabinet exterior. • Rugged wall steel cabinet construction, designed for added strength and versatility. • 1.0° foil faced insulation mechanically retained in blower compartment for excellent thermal and sound performance. • Four leg blower motor mount. • Blower housing with controls, motor and blower. Slide out design for service and maintenance convenience. • Traditional open wire element design for heat applications. • Field convertible for vertical downflow, horizontal left hand or right hand air supply. • 3 combustible floor base accessories fit all model sizes when required for downflow installations on combustible floors. • Indoor coil design provides low air side pressure drop, high performance and extremely compact size. [ ] Designates Metric Conversions • Expansion valve on indoor coil provides for operation with air conditioning or heat pump using the same coil. • Coils are constructed of aluminum fins bonded to internally grooved copper tubing. • Molded polymer corrosion resistant condensate drain pan is provided on all indoor coils. • Supply duct flanges provided as standard on air handier cabinet. • Provisions for field electrical, connections available from either side or top of the air handier cabinet. • Connection point for high voltage wiring is Inside the air handler cabinet. Low voltage connection is made on the outside of the air handler cabinet. • Concentric knockouts are provided for power connection to cabinet. Installer may pull desired hole size up to 2 inches [51 mm] for 11/2 inch [38 mm] conduit. • Front refrigerant and drain connections. sees e • • sees: 0000•• •e0••0 • • **sees • GENERAL TERMS OF LIMITED WARRANTY 00 ••0 00000 0 0 0000 Rheem will fumish a replacement for any part of this product Indoor Coil leaks caused by 000000 0 which fails in normal use and service within the applicable factory defects ................................. �..,! ..!..FIve U ybg $ periods stated, in accordance with the terms of the limited Electric Heating Element ............. i'8 i Ti i" Five 5 () Y ars i warranty. Any Other Part ................ .......................*..Fire (51 Years • e ••. For Complete Details of the Limited VVaqanty, including, • • • Applicable Terms and Conditions, Seems Laical cal Installer or Contact the Manufacturer for a Copy. • • e sees** 2 Rheem Manufacturing Company fees:* • • .sees• •0000• •0e0• 00.00 0000.0 0 • e 000000 •0000• • Model Identification A — HM 24 17 J AA - Design Variation A =1 st Design Voltage A = 115/1/60 J = 208/240/1/60 Cabinet Size 17 =17.5° [431.8 mm] (600 -1200 CFM) 21 = 21" [533.4 mm] (1400 -1600 CFM) 24 = 24.5° [609.6 mm] (1600 -1800 CFM) Capacity 24 = 18,000/24,000 BTU/H [5.27!7.03 kW] 36 = 30,000/36,000 BTU /H [6.79/10.55 kW] 48 = 42,000/48,000 BTU/H [12.31114.06 kW] 60 = 60,000 BTU/H [17.58 kW] HM = A/C or HP Multi- Position (Vertical Upflow/Horizontal Left is the factory configuration) Refrigerant A = R -22 L = R -410A L = High Efficiency (X -13 Motor) Classification H = Air Handler Rheem HM 18 17 J AT L Design Variation I��+ nasi�n� Voltage A = 115/1/60 D = 48OV -3 -60 24D1t/60-. - -- �l Cabinet Size 17 =17.5° [431.8 mm] (600 -1200 CFM)_ RE_3 A mm_(j120Q1600 CEM} 24 = 24.5° [609.6 mm] (1600 -1800 CFM) 18 = 18,000 BTU/H [5.27 kW] 24 = 24,000 BTU/H [7.03 kW] 30 = 30,000 BTU/H [8.79 kW] 36 = 36,000 BTU/H [10,55_kW] 48 = 48,000 BTU /H [14.06 kW-, x'60 60;000 -BTU /H j1?.58TkW] Available Models at A Voltage RHSA(L)- HM1817AA RHLA(L)- HM2417AA RHSA(L)- HM2417A4 RHLA(L)- HM3617AA RHSA(L)- HM3017AA RHLA L- HM4821AA RHSA(L)- HM3617AA RHLA(L)- HM4824AA RHSA(L)- HM4221AA RHLA(L)- HM6024AA RHSA L - HM4821AA Available Models at J Voltage RHSA(L)- HM1817JA RHLA(L)- HM2417JA RHSA(L)- HM2417JA RHLA(L)- HM3617JA RHSA L - HM3017JA RHLA L - HM4821JA RHSA(L)- HM3617JA RHLA(L)- HM4824JA RHSA(L)- HM3621JA RHLA(L)- HM6024JA RHSA(L)- HM4221JA RHSA L)- HM4821JA RHSA L - HM4824JA • • RHSA L - HM6024JA` Available Models at D Volta e RHSA L - HM3617DA RHSA L - HM3621 DA RHSA L - HM4221 DA RHSA L - HM4821 DA RHSA L HM4824DA RHSA L - HM6024DA " RHSA(L)- HM6024JA Is ARI rated for three phase application only. • Supply circuit protective devices may be fuses or "HACK" type circuit breakers. • Largest motor load Is Included in single circul and multiple circuit. • if non - standard fuse size is specified, use the next larger fuse size. • J Voltage (230V) single -phase air handler Is designed to be used with single or three phase 230 volt power. In the case of connecting 3 -phase power to the air handler terminal block, bring only two leads to the terminal block. Cap, Insu- late and fully secure the third lead. • The air handlers are shipped from the factory with the proper Indoor coil Installed, and cannot be ordered without a coil. *00000 • The air handers ?6 Dot have at lbfbfnal filter • • • • •' rack. An exx[e�mee filter rack of other means of • • filtration Is jgpyWW, i • • • • • • • • • i • • 0000•• • • • or HP, Multi- Position Upflow/Horizontal Left is the factory configuration) Refrigerant A = R -22 L = R-41 OA S = Standard Model (PSC Motor) Classification H = Air Handler Rheem [ ] Designates Metric Conversions Rheem Manufacturing Company 0000•• 0000 0000 • • 0000 0886 0000• 09.00• • • 66•60 •• •• •• 6• 0000•• • 8000.• • • • • • • • • 0000 000.0• • • 0000 • • 00 • 6• • • • • • •• • Rheem Manufacturing Company Unit Dimensions ELECTRICAL CONNECTIONS SIMPLYAIH 1 NOTE: 24° CLEARANCE REQUIRED IN FRONT OF MAY EXIT VOLTAGE OR CONNECTION SIDE UNIT FOR FILTER AND COIL MAINTENANCE HIGH VOLTAGE CONNECTION y /e' jY22 mm], /� Isis' 1279 mm], I -he 150 mm] DIA KNOCKOUT IOVIC �/ \ LOWVOLTAGE CONNECTION yr [159 mm] AND '/e• [222 AUXILIARY DRAIN CONNECT s/P [19.1 mm] FEMALE PIPE HORIZONTAL APPLICATION PRIMARY DRAIN CONNECTK s/d 119.1 mm] FEMALE PIPE AUXILIARY DRAIN CONNECT si<' [19.1 mm] FEMALE PIPE UPFLOWIDOWNFLOW APPLIi LIQUID LINE CONNECTION COPPER (SWEAT) VAPOR LINE CONNECTION COPPER (SWEAT) HOR VAPO CONN[ AUXILIARY HORIZ( DRAIN CONNEI PRIMARY DRAI CONNECTIO AUXILIARY UPFLOW /w —viva DRAIN CONNECTION Unit Dimensions & Weights Model Size Unit Width "W" In. [mm] Unit Height "H" In. [mm] Supply Duct "A" In. [mm] Air Flow CFM (Nom.) ILIA] Unh WeigIR/Shippillg Weig (tM, ] • 1��iim�t with see* • Self(Mox. KW) • • Lo HI 1817/2417 171/2 [445] 42112 [1080] 16 [406] 600 [283] 800 [378] 82/96 [37/44] • • • 3017/3617 171 /2 [445] 42112 [1080] 16 [406] 1000 [472] 1200 [566] 92/106 [37/48] 3621 21 [533] 421/2 [1080] 1 1912 [495] 1200 [566] — 97/112 [44/51] 4221/4821 21 [533] 1 501/2 [1282] 1 191/2 [495] 1 1400 [6611 1600 [755] 150/166 [68/75] 4824 241/2 [622] 551/2 [1410] 23 [584] 1600 [755] — 162/180 [73/8] 6024 241/2 [622] 1 551/2 [1410] 23 [584] 1 — 1800 [850] 181/198 [82190] 4 Rheem Manufacturing Company 0000•• • • • 0000•• 0000•• •••• 0000• •••••• • • • 0• 000• • • •00000 • Airflow Directions HORIZONTAL LEFT HORIZONTAL RIGHT HAND AIRFLOW HAND AIRFLOW .o °o o so see •e . sees: •e.•• • • • •• sees • 0 00 • • • • 0000 000 ••• • • • • •• s• •• • • • • •••• • • 0000 • • .00 • O • 0 • *0000 • •• • Rheem Manufacturing Company 5 •0e• • • •eee • ••e• 06 as • • • • •••0 • ••0• • 0 Airflow Performance 17 Airflow performance data Is based on cooling performance below for both cooling and electric heat operation. For optimum with a coil and no filter In place. Select performance table for blower performance, operate the unit in the .3 [8 mm] to .7 appropriate unit size, voltage and number of electric heaters to inches [18 mm] W.C. external static range. Units with coils be used. Make sure external static applied to unit allows opera- should be applied with a minimum of .1 Inch [3 mm] W.C. tion within the minimum and maximum limits shown in table external static range. Airflow Operating Limits -060 Model Cabinet Size 17 17 21 24 Cooling BTUH x 1,000 -018 -024 -030 -036 -042 -048 .048 -060 Cooling Tons Nominal 1.5 2 2.5 3 3.5 4 4 5 Heat Pump or Air Conditioning 0000•• • • • 0000•• 0000 0000 Maximum Heat/Cool CFM [Us] 675 900 1125 1350 1575 1800 1800 1930 (37.5 CFM [18 Us]/1,000 BTUH) [319] [425] [531] [637] [743] [850] [850] [911] (450 CFM 1212 UsyTon Nominal) • • • • Heat Pump or Air Conditioning *be* 009000 • • 0000 Nominal Heal/Cool CFM [Us] 600 800 1000 1200 1400 1600 1600 18M (33.3 CFM [16 Us]/1,000 BTUH) [283]' [378] [472] [566] [661] V55] [755] [S50] (400 CFM [189 Usyron Nominal) Heat Pump or Air Conditioning Minimum Heat/Cool CFM [Us] 540 720 900 1080 1260 1440 1440 1620 (30.0 CFM [14 Us]/1,255 BTUH) [255] [340] [425] [510] [595] [680] [680] [765] (360 CFM [170 Usyron Nominal) Maximum kW Electric Heating 10 10 15 15 20 20 20 25 & Minimum Electric Heat CFM [Us] 500 [236] 1 650 [307] 865 [408] 1015 [400] 1200 [566] 1 1400 [600] 1 1400 [600] 1730 [821] Maximum Electric Heat Rise T [ °C] 85 [29] 1 85 [29] 85 [29] 85 [29] 85 [29] 1 85 [29] 1 85 [29] 85 [29] [ ] Designates Metric Conversions 0 6 Rheem Manufacturing Company 0000 • • 0000 0000•• 0000•• • 0000•• • 0000•• • • • 0000•• 0000 0000 • • 0000 0000 00000 • • 0000•• • • 0000• •• •• 0009 00.0.0 • • • • • *be* 009000 • • 0000 • 0 00 • 00 • • • • • •0 0 240V Airflow Performance Data— RHSA/RHSL (PSC Motor) (con't.) Model No. Motor Speed from Factory Manufacturer Recommended Air -Flow Range (Min/Max) CFM Blower Size/ Motor HP [W] # of Speed Motor Speed PSC CFM [L/sl Air Oelivery/RPMMlatts -240 Volts Bdomal Static Pressure — Inches W.C. [kPal 0.1 [.021 0.2 [.051 0.3 [.071 0.4 [.101 0.5 [.12] 0.6 [.151 0.7 [.171 - 3617/3621 with 18 kW Heater High 240V 1054/1148 CFM [497/542 Us] 10x8 1/3 HP [249] 2 Speed Low CFM 1179 [556] 1151 [5431 1120 [529] 1091 [515] 1054 [497] — — RPM 838 883 922 959 1001 — - Watts 1 446 442 407 386 375 — — High CFM — — — — 1148 [542] 1094 [516] 1033 [487] RPM — — — — 1033 1053 1067 Watts — — — — 458 445 424 -4221 No Heater High 240V 1241/1537 CFM 1586/725 Us] 10x10 1/2 HP Speed 2 Speed Low CFM 1526 [720] 1474 [696] 1427 [673] 1307 [617] 1241 [586] — — RPM 834 870 902 948 968 — - Watts 560 549 535 476 462 — — High CFM — — — — 1537 725 [ ] 1418 669 [ ] 1334 630 [ ] RPM — — — — 1072 1077 - 1085 Watts — — — — 860 835 820 -4221 with 20 kW Heater High 240V 1225/1500 CFM 1553/678 Us] 10x10 1/2 HP [373] 2 Speed Low CFM 1456 [687] 1404 [663] 1357 [640] 1237 [584] 1171 [553] — — RPM 886 906 925 959 992 — - Watts 542 524 505 468 431 High CFM — — — — 1437 [678] 1318 [622] 1234 [582] RPM — — — — 1080 1090 1105 Watts — — — — 840 800 785 - 4821/ -4824 No Heater High 240V 1572/1824 CFM 1742/861 Us] 10xio 3/4 HP (ed 2 Speed Low CFM 1741 [822] 1719 [811] 1667 [787] 1628 [768] 1572 [742] — — RPM 878 920 950 981 1007 — - Watts 785 757 707 667 641 1 — — High CFM — — — — 1824 861 [ l 1767 834 [ ] 1653 780 ( ] RPM — — — — 1102 1112 1121 Watts — — — — 871 830 770 - 4821/ -4824 with 25 kW Heater High 240V 1225/1500 CFM [709/814 Us] 10x10 3/4 HP [559] 2 Speed Low CFM 1671 [7891 1649 [778] 1597 [754] 1558 [7351 1502 [709] — — RPM 945 965 995 1025 1050 — - Watts 715 685 650 630 610 — — CFM — — — — 1724 [814] 1667 [787] 1553 [7331 — 1116 1119 1130 Watts — — — — 810 780 730 -6024 No Heater High 240V 1766/1965 CFM 1833/927 Us] 11X11 3/4 HP [ 2 Speed ed Low CFM 1944 [917] 1912 [902] 1860 [87811 1813 [856] 1766 [833] — — RPM 764 1 803 838 865 889 — — Watts 779 763 747 729 708 High CFM — — — — 1965 [927] 1908 [900] 1854 [875] RPM — — — — 943 967 977 Watts — — — — 828 799 795 -6024 with 30 kW Heater High 240V 122511500 CFM [709/814 Us] ® 11X11 3/4 HP [559] 2 Speed Low CFM 1844 1870] 1812 [855] 1760 [831] 1713 [808] 1666 [786] — — RPM 839 865 890 913 935 — - Watts 745 729 713 696 678 — • • • • — High CFM — — — — 1869 [880 1808 [853]• -W94 [828] RPM — — — — 987• • 1001 • 4,:J14 Watts — — — — M • • • 766 • 744 Notes: • All 208/240V PSC motors have voltage taps for 208 and 240 volts. • • • * • • • • All 208/240V PSC motors are shipped on high speed and 240 volts. • If the application external static is less than 0.5° WC, adjust the motor speed to the low static speed as described below! • • • • • • • Unplug the black motor wire off the relay on the control board and plug in the red motor wire. • • ' • • • • • • Replace the cap on the black motor wire. •. •.' ' • • • as • Voltage change (208/240V motors): 0#0000 • Move the orange lead to transformer 208V tap from 240V tap. Replace the wire cap on 240V tap. : • 0 • • Unplug the purple motor wire off the transformer and plug in the yellow motor wire. • • • Replace the cap on the purple motor wire. : •' • "" • The above airflow table lists the airflow information for air handlers without heater and air handler with maximum heath ?alloted for P.AM 9ftel. • The following formula can be used to calculate the approximate airflow, if a smaller (N kW) than the maximum heater kit is installed. • • • Approximate Airflow = Airflow without heater - (Airflow without heater - Airflow with maximum heater) x (N kW /maximum heater kW) [ ] Designates Metric Conversions Rheem Manufacturing Company • • • •••••• 115/208/240V Airflow Performance Data— RHLA/RHLL (X -13 Motor) (con't.) Model No. Tannage Application Motor Speed From Factory Manufacturer Recommended Air -Flow Range (Min/Max) CFM Blower Size/ Motor HP [W] # of Speed Motor Speed PSC CFM IL/s] Air Delivery/RPM/Waft-115/208/240 Volts External Static Pressure — Inches W.C. [kPal 0.1 [.021 0.2 1.051 0.3 [.071 0.4 [.101 0.5 [.121 0.6t.151 0.71.171 -4821 No Heater 3.5 Ton 5 1337/1447 GFM [631/683 Us] 10x10 3/4 HP [559] 5 Speed 2 GFM 1473 [695] 1442 [681] 1401 [661] 1373 [648] 1337 [631] — — RPM 781 825 867 905 949 — — Watts 1 257 271 303 307 315 — — 3 CFM — — — — 1447 683] [ 1433 [676] 1402 [662] RPM — — — — 987 1034 1065 Watts — — — — 1 394 406 405 -4221 wth 20 kW Heater 3.5 Ton 5 1297/1333 CFM [612/629 Us] 10x10 3/4 HP [559] 5 Speed 2 3 CFM 1433 [676] 1402 [662] 1361 [642] 1333 [629] 1297 [612] — — RPM 831 875 919 954 989 — - Watts CFM 277 — 295 — 313 — 319 — 325 1333 [629] — 1300 [613] — 1267 [598] RPM — — — — 1011 1046 1080 Watts — — — — 1 350 364 377 -4821 No Heater 4 Ton 5 1535/1654 CFM [724/781 Us] 10x10 3/4 HP [559] 5 Speed 4 CFM 1665 [786] 1631 [770] 1601 [756] 1572 [742] 1535 [724] — — RPM 853 893 934 968 1015 — — Watts 1 51 387 401 406 422 — — 5 CFM — — — — 1654 781 [ l 1624 66 [7 1 1563 [738] RPM — — — — 1036 1078 1095 Watts — — — — 500 513 523 4821 with 25 Heater r 4 Ton 5 1495/1614 CFM [706/762 Us] 10x10 3/4 HP [55 9] 2 Speed 4 5 CFM 1625 [767] 1591 [751] 1561 [737[ 1532 [723] 1495 [706] — — RPM 894 932 970 1020 1052 — — Watts CFM 389 — 400 — 410 — 430 — 450 1614 [762] — 1584 [748] — 1523 [719] RPM — — — — 1085 1090 1105 Watts — — — — 514 520 530 -4824 No Heater 4 Ton 3 1545/1732 CFM 1729/817 Us] 11x11 3/4 HP [559] 5 Speed 2 3 CFM 1748 [825] 1669 [788] 1639 [773] 1599 [755] 1545 [729] — — RPM 1 660 698 734 762 795 — — Watts CFM 1 297 — 311 — 326 — 340 — 353 1732 [ 81 — 1683 941 — 1630 [769] RPM — — — — 840 872 899 Watts — — — — 448 467 480 4824 with Heater 4 Ton 3 1505/1692 CFM (710(/98 Us] 11x11 3/4 HP [559] 5 Speed 2 CFM 1708 [806] 1629 [769] 1599 [755] 1559 [736] 1505 [710] — — RPM 680 736 760 790 820 1 — — Watts CFlVI 305 — 330 — 341 — 350 — 361 1692 [798] — 1643 [775] — 1590 [750] — 865 890 1014 — 460 470 481 -6024 No Heater 5 Ton 5 a 1739/1905 CFM [821/899 Us] 11 x11 314 HP [559] 5 Speed 4 5 CFM 1902 [898] 1862 [879] 1809 [854] 1781 [840] 1739 [821] — — RPM 712 749 787 815 856 — - Watts GFM 1 389 — 409 — 419 — 432 — 459 1905 [899] — goes— 1866 [881 1864 [865] RPM — — — — @W 924 • 650 Watts — — — — • 9eti • • 570 • 592 -6024 wrath 35 kW Heater 5 Ton 5 1699/1865 CFM [802/880 Us] 11X11 3/4 HP [559] 5 Speed 4 CFM 1862 [879] 1822 [860] 1769 [835] 1741 [822] 1899 r8" — • — RPM 750 790 810 850 •980 • • — • ' • • Watts 410 420 430 455 Moo — a* ' 5 CFM — — — — 1849 826 [8Ea 17.92 1846] RPM — — — — 0 945 Watts — — — — • 6 • 587 610 Notes: X -13 motor speed changes. • • All X -13 motors have 5 speed tabs. Speed tab 1 is for continuous fan. Speed tab 2 (low static) and Speed tab 3 (high static) A forjour tonnagg.%$ted tab 4 (low static) and Speed tab 5 (high static) are for higher tonnage. • • • • • • '. X -13 air handlers are always shipped from factory at Speed tab 5, except for -4824, which is set at Speed tab 3. For instance, RHLA- HM2417JR iserways shipped at high static 2 -ton airflow (Speed tab 5). To change to 1.5 -ton airflow, move the blue wire to Speed tab 2 or 3 on the X -13 motor. The low static Speed tab 2 (lower tonnage) and 4 (higher tonnage) are used for external static below 0.5° WC. The high static Speed tab 3 (lower tonnage) and 5 (higher tonnage) are used for external static exceeding 0.5° WC. Move the blue wire to the appropriate Speed tab as required by the application needs. • The airflow for continuous fan (Speed tab 1) is always set at 50% of the Speed tab 4. • The above airflow table lists the airflow information for air handlers without heater and air handler with maximum heater allowed for each model. • The following formula can be used to calculate the approximate airflow, if a smaller (N No than the maximum heater kit is installed. Approximate Airflow = Airflow without heater — (Airflow without heater — Airflow with maximum heater) x (N kW /maximum heater kW) 12 Rheem Manufacturing Company [ ] Designates Metric Conversions • • • • • • RHLA/RHLL Electrical Data -with Electric Heat Installation of the U.L. Listed original equipment manufacturer provided heater kits listed In the table below is recommended for all auxiliary heating requirements. Nominal Cooling Capacity Tons/ Cabinet Size Rhoem Model No. Heater KW 208/240V PH/HZ No. Elements - KIN Per Type Supply Circuit Single Circuit Multiple Circuit Circuit Amps. Motor Ampacity Minimum Circuit Ampacity Maximum Circuit Protection RXBH- 17A03J 2.25/3.0 1/60 1 -3.0 SINGLE 10.8/12.5 1.6 16/18 20/20 RXBH- 17A05J 3.6/4.8 1/60 1-4.8 SINGLE 17.3/20.0 1.6 24/27 25/30 11/2 & 2/ RXBH- 17A07J 5.417.2 1/60 2-3.6 SINGLE 26.0/30.0 1.6 35/40 35/40 RXBH- 17A10J 7.2/9.6 1/60 2-4.8 SINGLE 34.6 /40.0 1.6 46/52 50/60 RXBH- 17A13J 9.4/12.5 1/60 3 -4.17 SINGLE 45.1/52.1 1.6 59/68 60/70 17 RXBH- 17A13J 3.1/4.2 1/60 1 -4.17 MULTIPLE CKT 1 15.0/17.4 1.6 21/24 25/25 6.3/8.3 1/60 2-4.17 MULTIPLE CKT 2 30.1/34.7 0 38/44 40/45 RXBH- 17A07C 5.4/7.2 3/60 3-2.4 SINGLE 15.0/17.3 1.6 21/24 25/25 RXBH- 17A10C 7.2/9.6 3/60 3-3.2 SINGLE 20.0/23.1 1.6 27/31 30/35 RXBH- 17A13C 9.4/12.5 3/60 3-4.17 SINGLE 26.1/30.1 1.6 35/40 35/40 RXBH- 17A03J 2.25/3.0 1/60 1-3.0 SINGLE 10.8/12.5 2.7 17/19 20/20 RXBH- 17A05J 3.6/4.8 1/60 1-4.8 SINGLE 17.3/20.0 2.7 25/29 25/30 RXBH- 17A07J 5.417.2 1/60 2-3.6 SINGLE 26.0/30.0 2.7 36/41 40/45 RXBH- 17A10J 7.2/9.6 1/60 2-4.8 SINGLE 34.6/40.0 2.7 47/54 50/60 RXBH- 17A13J 9.4/12.5 1/60 3-4.17 SINGLE 45.1/52.1 2.7 60/69 60/70 RXBH- 17A13J 3.1/4.2 1 /60 1 -4.17 MULTIPLE CKT 1 15.0/17.4 2.7 23/26 25/30 6.3/8.3 1/60 2 -4.17 MULTIPLE CKT2 30.1/34.7 0 38/44 40/45 RXBH- 17A15J 10.8/14.4 1/60 3 -4.8 SINGLE 51.9/60.0 2.7 69/79 70/80 21/2 & 3/ 17 RXBH- 17A75J 3.6/4.8 1 /60 1-4.8 MULTIPLE CKT 1 17.3/20.0 2.7 25/29 25/30 7.2/9.6 1/60 2-4.8 MULTIPLE CKT 2 34.6/40.0 0 44/50 45/50 RXBH- 17A18J 12.8/17.0 1/60 3 -5.68 SINGLE 61.6/70.8 2.7 81/92 90/100 RXBH- 17A18J 4.3/5.7 1 /60 1 -5.68 MULTIPLE CKT 1 20.5/23.6 2.7 29/33 30/35 8.5/11.3 1/60 2-5.68 MULTIPLE CKT 2 41.1/47.2 0 52/59 60 /60 RXBH- 17A07C 5.4/7.2 3/60 3-2.4 SINGLE 15.0/17.3 2.7 23/25 25/25 RXBH- 17A10C 7.2/9.6 3/60 3-3.2 SINGLE 20.0/23.1 2.7 29133 30135 RXBH- 17A13C 9.4/12.5 3/60 3-4.17 SINGLE 26.1/30.1 2.7 36/41 40/45 RXBH- 17A15C 10.8/14.4 3/60 3-4.8 SINGLE 30.0/34.6 2.7 41/47 45/50 RXBH- 17A18C 12.8/17.0 3/60 3 -5.68 SINGLE 35.5 /41.0 2.7 405 50/60 RXBH- 24A05J 3.6/4.8 1/60 1 -4.8 SINGLE 17.3/20.0 3.8 27/30 30/30 RXBH- 24A07J 5.417.2 1/60 2-3.6 SINGLE 26.0/30.0 3.8 38/43 40/45 RXBH- 24A1 0J 7.219.6 1/60 2-4.8 SINGLE 34.6 /40.0 3.8 48/55 50 /60 RXBH- 24A15J 10.8/14.4 1/60 3 -4.8 SINGLE 51.9/60.0 3.8 70 /80 70/80 RXBH- 24A1 5J 3.6/4.8 1/60 1-4.8 MULTIPLE CKT 1 17.3/20.0 3.8 27/30 30/30 7.2/9.6 1/60 2 - 4.8 MULTIPLE GKT 2 34.6/40.0 0.0 44/50 45/50 RXBH- 24A18J 12.8/17 1/60 4-4.26 SINGLE 61.6170.8 3.8 82/94 90/100 �r 31/2 & 4/ 21 RXBH- 24A18J 614/8.5 1/60 2-4.26 MULTIPLE CKT 1 30.8/35.4 3.8 44/49 45/50 6.4/8.5 1/60 2-4.26 MULTIPLE CKT 2 30.8135.4 0.0 39/45 40145 RXBH- 24A20J 14.4/19.2 1/60 4-4.8 SINGLE 69.2180 3.8 _92/105 100/110 RXBH- 24A20J 7.219.6 1 /60 2-4.8 MULTIPLE CKT 1 34.6/40.0 3.8 48155 50/60 7.16.6__ 18.0/24.0 1/60 1/60 -_4.8 6-4.0 MULTIPLE GKT 2 SINGLE 34.6/40.0 86.4/99.9 0.0 3.8 44/50 113/130 45/50 /150 RXBH- 24A25J R -ton only) (4 -ton only) 6.0/8.0 1/60 2-4.0 MULTIPLE CKT 1 28.8/33.3 3.8 41/47 4 i50 6.0/8.0 1/60 2-4.0 MULTIPLE CKT 2 28.8/33.3 0.0 • • 6/42 49/45 6.0/8.0 1/60 2-4.0 MULTIPLE CKT 3 28.8/33.3 0.0 36/42 • • 0/45 RXBH- 24A07C 5.4/7.2 3/60 3-2.4 SINGLE 15.0/17.3 3.8 • 4/27 25/30 RXBH- 24A1 0C 7.219.6 3/60 3-3.2 SINGLE 20.0/23.1 3.8 SON 30/35 RXBH- 24A15C 10.8/14.4 3/60 3-4.8 SINGLE 30.0/34.6 3.8 • 43/48 4/50 RXBH- 24A1 8C 12.8117.0 3/60 3 -2.84 SINGLE 35.6/41.0 3.8 ` •`50/56 0 •10/60 RXBH- 24A20C 14.4/192 3 /60 3 -3.2 SINGLE 40.0/462 3.8 • • 60 • /63 0 0 RXBH- 24A20C 72/9'6 3/60 3-3.2 MULTIPLE CKT 1 20.0/23.1 3.8 • • • • 30/34 • • 3E/S5 7.2/9.6 3/60 3-3.2 MULTIPLE CKT 2 20.0/23.1 0.0 • • • • /29 25/30 RXBH- 24A25C 18.0/24.0 3/60 6-4.0 SINGLE 50.0/57.8 3.8 • 98(17 • • !'9 /80 RXBH- 24A25C (4 -ton only) 9.0/12.0 3/60 3-4.0 MULTIPLE CKT 1 25.0/28.9 3.8 • 936/41 • •46/45 9.0/12.0 3/60 3-4.0 MULTIPLE CKT 2 25.0/28.9 0.0 • 7 o#36/40 • Supply circuit protective devices may be fused or "HACK" type circuit breakers. • If non - standard fuse size is specified, use next size larger standard fuse size. • If the kit is listed under both single and multiple circuits, the kit is shipped from factory as multiple circuits. For single phase application, Jumper bar kit RXBJ -A21 and RXBJ -A31 can be used to convert multiple circuits to a single supply circuit Refer to Accessory Section for details. • Largest motor load is included in single circuit or circuit 1 of multiple circuit • Heater loads are balanced on 3 PH. models with 3 or 6 heaters only. • Electric heater BTUH - (heater watts + motor watts) x 3.414 (see airflow table for motor watts.) 16 Rheem Manufacturing Company • No electrical heating elements are permitted to be used with A voltage (115V) aNhandler. • J voltage (230V) single phase air handler is designed to be used with single or three phase 23D volt electric heaters. In the case of connecting 3 phase power to air handler terminal block without the heater, bring only two leads to terminal block. Cap, Insulate and fully secure the third lead. • Do not use 480 volts electrical heaters on 230 volts air handlers. • Do not use 230 volts electrical heaters on 480 volts air handlers. 0000•• • • 0000•••• 000090 • 9 0009• • 0000•• 0060•••• 0 a • 9690•• •00.0• • • Date 1 Z8 ZOh Miami Shores Village paint Color Approval and Agreement Owner's Name JOSEPH Phone #305 - 759 -1056 Owner's Address 300 N. E. 103 ST. City MIAMI SHORES, State FL.. Zip 33138 Job Address (where the work is being done) SAME ASAABOVE City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO XX Name(ifa applicable) Contractor's Company PP ) CARLTON WASHINGTON Phone #305-469-9337 All elements on the site must be listed and indicate the color to be Dainted Walls ANSONIA PEACH Fascia ADOBE Drip Cap /drip Edge Soffit ADOBE WH; ITE Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco bandin Any other stucco features Accessory Buildings Attach Color Samples With Numbers Other 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 re ting cons ctioyrpn�d);e�g• • Date 4W Signature ' �.. Owner or Age t _ r Date /oto APPLICATION APPROVED BY: p& Z Official chc 6/18/03 Mia*hi Shores Village 10000 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 1/11/2006 Expires: 01/11/2007 Permit Number: PT- 1 -06 -86 Owner's Name: JOSEPH AND JOAN FRECHETTE one: (305)759 -1056 Permit Type: Paint Work Classification: Miscellaneous Parcel #: 1132060135040 Block: Lot: Job Address: 300 103 Street NE Section: Miami Shores Village, FL Contractor(s) Phone Primary Contractor HOME OWNER Yes omments: EXTERIOR PAINTING Additional Information Type of Work: Exterior Color. ANSONIA PEACH, ADOBE WHITE, AUDI. Additional Info: Classification: Residential issuance to me of this permit, I agree to 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Final PB: Total Square Feet: 0 Total Valuation: $ 1,800.00 Fees Due Amount Invoice Number Amt Due Amt Paid CCF $1.20 PT -1 -06 -23388 $65.00 $65.00 Education Surcharge $0.40 Total: $65.00 Permit Fee $60.00 Technology Fee $3.40 Total: $65.00 Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Applicant Signature p 7 Z ?'3 S'q, FT, n 3 vA Z RpFxjQucF- C.I2W)'- - f SOOvA E4e,4 - - -- I LL ugr>7tr C,r2Cuir - - - - - - -- - _ (_ SpP.iuiUE:Tz Ur-)p C,"fW-.1iT_ _ Iti/ a TF, 7?- HF,4T0Q- - - - 6S 14 VA 300�J VA I �O© Vt0. I Z 00 0 ✓r\ 3 pro vr- 4.5 OO vA 5 p (DO VA, s -roTAL- OF AWOE - - - 45 Sii vA F i 2sr it) K uj �e /Cc 4% = /0 boo vcN- -14F.Mal'u - OF Loop 35 519 = 14 Zng v� 21 ZO S VA 12. t jU A/C_ vrL H21 t 100 ";/,o = - - - /Z 000 va. 310 ZO s ya. 31c, Z08 v Z vcYa- 151 JuP . L 4V uc)IE KIEW (;mVicE Si rz zoo ziry (,Pa 120/Z40 vo - MF- 1 a3 ST, LLI A M I S1,1 S/ FL- P, pA•-. VIIAMI SHORES VILLArZIb APPROVED I BY I_ DATE ZONING STRUCTURAL MECHANICAL ROOFING BLDG. OFFICIAL SUBJECT TO COMPLIANCE WITH ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. MIAMI SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY OF OR RESULTS FROM THESE PLANS. COMPLIANCE WPM THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CHARGED WITH THE KNOWLEDGE OF ALL BUILDING REGULATIONS WHETHER OR NOT SPECIFICALLY 114DICATED HEREIN. I Tq#�1�1 tiCtTarr2 C.AKI . WO AMP, -M-A 1 U a �o i-fj:;"j 1' I O .1 CU �1 f'Z wpoo v i --r- - rb 314 " W p j -5/s Z— �s X 10 r Q. PLv. TE O D S 'DR.avei -1 U APAP -7— Ni u �ERViCE' ZCO 4m(I IPN IZIJ(Z4O v�,tTs RISER DfAGR AM Fce : 30b u iF- / 03 Sr, �, i Am i SF6Onc-S,/ FL- .i MIAMI SHORE-Y-, , AGE_ BUILDING DEPARTMENT 305 -795 -2204 Bu'lding Inspection Request Date , Type In 'n _ c-ond I ior) . �- t Permit N�o., "_ ;W( -1-3�r Name I'�yjvj - \ddress ( ) Company, C A,,N-JO ]Vhone # Inspection Date Approved Correction ❑ Re- Insp'n Fee ❑ mac' �:If Cc) t-,j 01/31/2002 02:38 3057588484 OBENOUR ROOFING PAGE 01 NOTICE OF COMMEN 'tE � spErroiia : SITE AT Y1ME . E POST ON THE J .` A RECORDED COPY MUST BE P JOB "' ,�:�` TAX FOLIO NO. PERMIT NO. "` �v ✓ STATE Of: FLORIDA: IOI2RID,EtO7b'9' 2002 JAN 31 13g39 COUNTY OF DADE: and in accordance with THE UNDERSIGNED hereby gi've's notice that improvements will be made to certain real prbpeny, Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. �n srd rJ• 1. Legal description of property and street address: 2. Description of improvement: 3. Owner(s) name and address: r r Interest in property: Name and address of fee simple titleholder: a. Contractor's name and address: 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $, 5. Lender's name and address' u Y 'Y \. ( , r *-V, , t, , 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as by Section 713.13(1)(a)7., Florida Statutes, Name and address: N S. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (t expiration date is 1 year from the date of recording unless a different date Is specified) x L- &2 U!! OI her Pr' t Owners Name " its Sworn to and subscribed before me this day of Notary Public Print Notary's Name new Sandra D. Hart Z, 2005 Prepared by:Q.i'C Address: MIAMI SHORES VILLAGE eb� BUILDING DEPARTMENT�� 305- 795 -2204 Building Inspection Request Date Type Insp'n tic n • Pm-e ;/�4 Permit No. �y �� e[,l�"l c�` t(3 Name amg,,k Address Company Phone # s Inspection Date Approved Correction ❑ Re- Insp'n Fee ❑ s 1. PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: NOTICE OF COMMENCEMENT TAX FOLIO NO. 93R44CI484 i993 SEP 07 11:01 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:._ JV&g,t JG'c- X-r �lj,Frnl S.vvd`.r �3i38 2. Description of improvement: ,,'0f711r,4- o047'V- /6 iWV.#. r4- 3.Owner(s) name and address: bb&- V 6402v Sd o i�Gr l0 3 X7-2tr t 7' ooO IVAi Jyv 012 sly A Interest in property: 4W W A-�c. Name and address of fee simple titleholder: 4. Contractor's name and address: A ,r14e /� a /d�a,k / ? --/ 0i e zr, - ZeoA -,4 5. Surety:(Payment bond-required by owner from contractor, if any) 6rA [E OF FLOaIpA COUNTY ®r' DADE HERE4y C�RF(fy ;:5 ®• tfvs is ®Crv© Name and address: ..r F' Amount of bond $ eA A iy r 6. Lender's name and address: /e//W VA A,. „ �,�',.; ' `r � s o� 50,1. a lanaCouniyCoar 111! a u c V a 7. Persons within the State of Florida designated by Owner upon whom notice or Cher documents may be by Section 713.13(1)(a)7., Florida Statutes, Name and address: D cJ N a- n' C 8. In addition to himself „Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differe,"ate is specified) �tv ✓. /Wg w& e of Ow rint Owners Name J©ii/ -&. Prepared by: s; '0 �w Sworn to and subscribed before me this day of 19 °l 3 Address: /-� 7� Notary Public weet . -W, -, N &2.J Print Notary's Name X-Pli'o My Commission Expires: CTS lam` �°► G1t� fr'UN� 'SNI '103N39 f11IH1 030N0 — NOISSI101V103 AVI r- Vaido13 30 31tl1S 3I'180d AbVION It . W- '1 _, ,{ Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 12/28/2007 To: Current Owner 300 NE 103 Street Miami Shores Village, FL 33138 Permit: PT -1 -06-86 Address:300 NE 103 Street Miami Shores Village FL Date Expired: January 10, 2007 Type: Paint Dear Sir or Madam In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And/or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein. " Please contact the Building Department, immediately upon receipt of this letter. Sincer , C 4,1dio Grande C.B.O Building Official/ Director 11 0 MIAMI SHORES VILLAGE v BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request DU2)'Q Type Ins Permit No. Name Address b CompanyN Phone # Inspection Date Approved Correction ❑ Re- Insp'n Fee ❑ Inspection Date: 01/0312008 Inspector. Grande, Claudio Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner. FRECHETTE, JOSEPH AND JOAN Job Address: 300103 Street NE Project: Miami Shores Village, FL <NONE> f3MN Contractor: HOME OWNER Ruildinn Danartment Cnmmants Permit Type: Paint Inspection Type: Final Work Classification: Miscellaneous Phone Number (305)759 -1056 Parcel Number 1132060135040 Lot: EXTERIOR PAINTING I SAN 0 a 200, Inspector Comments Passed Permit expired OK, to final as per CG and Barbara Estep. 1/3/08. Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, January 3, 2008 Page 2 of 2 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BCTILDING DIVISION N° '744 Miami Shores Village, Fla. Owner, Agent or Tenant of Building Lot Block Subdivisio Street Address _ Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above name' ` 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 Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. Thor-i F . BZake I I ( JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 300 N.E. 103rd Street I /f -1 7 I . . ~� S d � GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. Grimelli Conet. Co, I I - BUILDER'S BOND 2585 -19 -55 9.00 1M BUILDING PERMIT NO. DATE10 PERMIT FEE S NO. DATE I 6,426 4l 500 ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST S DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: I.) TYPE STORIES ROOF CONSTRUCTION I INTERIOR CONSTRUCTION NEW CONSTRUCTION DESCR IPTION bedroom and bath addn. I REPAIRS DESCRIPTION ALTERATION I ADDITION APPROVED REJECTED REFERRED TO COUNCIL ( REASONS SUBMITTED TO PLANNING BOARD I I RE- SUBMITTED TO PLANNING BOARD ( I REMARKS SUBMITTED TO VILLAGE COUNCIL ' I o ( t -L'' CERTIFICATE OF OCCUPANCY NO. ! ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE BUILDING INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOQNDATION �A'd BEAMS &`LINTELS /tisY' FRAMING' 4 FINAL CLEAN -UP PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. qh DATE cZ - / 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 "S� GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES LECTRICAL ERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. .+K' " DATE i' - 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 •I C H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. UDW, PAUL - ` 1610 N. E. 34th Street 1., _ I JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 300 N. E. 143rd Street 11 & 12 137 I 1 GENERAL - CONTRACTOR - -. ADDRESS PHONE NO. LICENSE NO. Owner- Builder 1 610 N. E. 34th Street I 3249 0_B - BUILDER'S BON,D•'� Q 7758 �, / /},p 2/ 16.o /i. 821 2 49 BUILDING PERMIT NO. DATE 4/2/49 49 PERMIT FEE S NO. DATE 4/ ZONE REQUIREMENTS 18600 CU. FT. I PLAN CUBE 2392.53 CU. FT. EST. COST S 12, 000,00 D ATE --r�tev 4/V49 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: Ji.�ii STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION $ I I CBS CBS ( 1 I Tile �ak Floors Bmter W16 NEW CONSTRUCTION -- _I. REPAIRS T2 'p,.. g ;p,,,,,, �9.DESC�RpIPTIOLN, I •iy 1l[ _Br � Kit-2 Bed ju 8_j Bath -Porch I DESCRIPTION ALTERATION I attached ADDITION 1 .ear garage APPROVED REJECTED TO COUNCIL ( REASONS SUBMITTED TO PLANNING BOARD IREFERRED I RE- SUBMITTED TO PLANNING BOARD REMARKS 1 SUBMITT 1 UN L j� CERTIFICATE O C ANCI NO.. 71� Q ISSUED 7/1 / 7 �t BY �B ( TO Paul (�i1011d. S00 N2 3 n... .. as BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE - `..,� u "'�• BUILDING INSPECTIONS INSPECTIONS DATE NEW BLDG. X I ALTERATION ADDITION RE- INSPECT BY RE- INSPECT BY FOUNDATION TEMPORARY SERVICE mBYYv nH $ SEPTIC TANK Owner p Z3 0 -BEAMS & °LINTELS 4AW49 VLt;+ $ SOLAR HEATER FRAMING , J/17/49 JDH GAS $ $ INSPECTIONS DATE BY FINAL BY RE- INSPECT BY ROUGHING 10 JDl CLEAN -UP GAS PLU MBING PERMITS & INSPECTIONS CONTRACTOR A. & A. Flumbinb Co. I owl— PERMIT NO, Mo DATE FEE $ S� NEW BLDG. X I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK Owner p Z3 0 n 2 $ ,00 SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 10 JDl GAS SEWER SEPTIC TANK 11 T1L7 �J TM SOLAR HEATER. FIXTURES ELECTRICAL PERMITS & INSPECTIONS H CONTRACTOR Os8Ck ElsetTio Co. PHONE �} PERMIT NO. 1 DATE 219 FEE $ 9 +3 NEW BLDG. g ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE _ FEE TEMPORARY SERVICE 7763 ...9 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE hl5zLa ryBBY� . ROUGHING 1/ r7 JM H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 1 V5/49 1 TDH APPROVAL TO POWER CO. FOR SERVICE DATE 7/8149 BV JJW ADDREss300 N. rs. 103rd St. LEGALLots 11 -12, El-k.37, mss ;;1 RECORD GARBAGE TAX 7 -15%.9 oty .occ. PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Paul Cloud (o) 194.9 15,12.00 12-3)1-49 s= >5.50 7-28-49 13318 Ili _ MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE'. tlE. 194'xt ELECTRICAL PERMIT N? 7763 Contractor's PLUMBING License No. Work to be performed under this Permit.. Owner, Of " = Building >> II Architect Contractor or Builder, Legal Lot II BL Description Address of. Rnildino a Subdi- vision Value of Amt. Project Project Permit _ h ; This permit is granted to the contractor or builder named above to construct the building or to install the egmpwent or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if tjie 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 respon- sibility for. work done by his agents, servants or employees. Signed: 7' . By 4 INSPECTOR pp�� In consideration of the issuance to Me of this permit I agree to performFthe work covered hereunder in compliance vcat Fxl or 'n ' ces aA tUtinns pe ' g thereto and in strut c,nformity with the glans, drawings, statements or specifications submitted to the proper authorities of amt Shores Village. In e� ' g this t assurfie respoUsib 'ty for all work done by either myself, my agent, servant or employee. 9' n I I `a► � _ R'$iJII.DER J BY AUTHORITY MIAMI SHORES VILLAGE, FLORIpA BUILDING DATE 194" ® '7'7'70 PERMIT N ELECTRICAL � Cori actor's PLUMBING License loo. Work to be performed under this Permi Owner of g Building Architect Contractor ai or Builder Legal Lot II BL Description Subdi- vision Value of Amt. of -, ° as Permit- _ ' _ � , 7 �9 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 appli- cation herefor in strict compliance with all _ ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings- in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. _ S By, INSPECTOR ,e In consideration of the issuance to me of this permit I agree to performAe 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 authornigs of Miami Short V fte " In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE - 194 ELECTRICAL O PERMIT N 7758 Contractor s PLUMBING • ' nse No. -,� Work to be performed under this Perini ` Owner of Building Architect Contractor 1 or Builder { Legal Lot Bl. Subdi- rp , Description ,` -- _ II - - , vision . Address 0f Value of i • Amt. of -Ji Wilding 0 r�r ,.�r� Project /a` ✓`✓ °r� Permit° This permit is granted to the contractor or builder named above to construct the building or to install the equippwent or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work .will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes. the responsibility for a thorough knowledge of the ordinances and regulations . pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. f Signed: ' '"s By t INSPECTOR In consideration of the issuance to me of this permit I agree to perform' a work covered hereunder in compliance with _ordii ances and rem ,l�oac pe g thereto and in strict conformity:-With the plans, drawings, statements or specifications submitted to the proper authof s of Miami $j o&jj Q ge S acce g this pe respon ty for all work done by either myself, my agent, servant or employee. C&TIlACT-051COM.- BY AUTHORITY \I - a MIAMI SHORES VILLAGE, FLORIDA BUILDING DAT _ , � i 194 * ' ECTRICAL O Contractor's PERMIT N. '7814 PLUMBING License No. Work to he performed under this Permit Owner of Building a Architect Contractor or Builder°'' Legal Lot II Bl. Description .Address of i�, `i 'i ��� . �. Subdi- vision Value of Amt. o I Permit ,� This permit is granted to the contractor or builder named above to construct the building or to install the egwpment or device described in the appli- cation_herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. .� Signed: ,_ e By INSPECTOR In consideration of the issuance to me of this permit I agree to perform work covered hereunder in compliance with all rdinances and re 01M pertaining thereto and in strict conformity with the plans, drawings, statement§' or specifications submitted to the proper au Hof Miami S r In this t I re o ibili for all work do e b th r self m a ent, servant or em to - ' accepting perms assume sp ns ty n y ei a my y g p yee. CONTRACTOR OR BUILDER l'e AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE �` � � < °��� z-' � �' 194`!-' ELECTRICAL : PERMIT N? 7870 contractc'ir s PLUMBING License No - -- Work to be performed under this Perini .� . Owner of G Building' . Arcbitect 3 Contractor or Builder Legal Lot II Bl. Subdi- Description vision Address of Rnilrliny� t v < _ ` Value Project Amt. of Perm j This permit is granted to the contractor or builder named above to construct the building or to install the equipwent or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pert aining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. SSgned:` a = r� � p mzg Z_ZZ By " In consideration of the issuance to me of this permit I agree to perform th0 or covered hereunder in compliance with �rdinan.es and r�g�ns pertaining thereto ands in strict c(mf 'ty with the plans, drawings, statements' or specifications submitted to the proper au on of Miami Sho�`�s ge In ceptingRthis p /ei, 15— ,assumo res ibility for all work done by either myself, my agent, servant or employee. coNTRAcroiL ox- mVILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE- 195 ELECTRICAL ❑ PERMIT N° 13 914 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner Buildin Archite _ontrac or Build Legal Descrip Address Buildin of g 4. ct for er Lot II 131. Subdi- tion vision of Value of I Amt. of Q 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. ..,....., l 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 AUTHORM 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. ..,....., l 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 AUTHORM MIAMI SHORES VILLAGE, FLORIDA BUILDING U ELECTRICAL PERMIT N° PLUMBING Work to be performed under this Owner of Building �.e. Architect Contractor �{.. or Builder e. Legal Lot II Bl. DATE 195 9 816 Contractors License No. _ visi Address of -y Value of Amt. of ? ,;-•, Building E 4f 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 mdnicipal 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 pr specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE. EL RI BUILDING ❑'' ELECTRICAL AF 4� _ ` , 195 PLUMBING ❑ PERMIT N? 2 Dconflor As ❑ License No. ROOFING ❑ ❑ Work to be performed under this Permit Owner of I) Building Architect Contractor or Builder Legal Lot I Subdi- Description Bl. vision Address of Value of Amount of Building — Project $ —_ �+ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed:_— BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY b *> BUILDING ❑ ELECTRICAL ❑ PLUMBING P1 ROOFING ❑ Owner of Building Architect MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6873 Contractor or Builder /"or X/ C ,.. C- (-a G Legal Description Lot Address of Building /a DATE— 195k. Contractors License No. o �� Work to be performed under this Permit _. Bl. } 1p-- c_ 4.. • .�r� as Subdi- vision Value of Project Amount of j 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 cr 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 her,@nnder 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 6 't= MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N�' 2799 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building _ chitect contractor Builder ral Lot i l Subdi- scription Bl. vision _ ress of Value of Amount of ling — Project $ �+ Permit $ is 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 in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 he understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations > the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work agents, servants or employees. Slaned:_ _ BY INSPECTOR n of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations i in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village, in ac- assume r ponsfbilfty for all work one by either�.}nyz�elf, ag t rvant or employee. OR OR BUIL15Er BY AUTHORITY 8 BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE. FLORIDA (/ N� 2954 DATE i I - 1 195 Contractor's License No. Work to be performed under this Permit Legal Lot l Subdi- Description Bl. vision Address of Value of Amount 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. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a -, MIAMI SHORES VILLAGE, FLORIDA 3UILDING ❑ ELECTRICAL ❑ PERMIT p DATE 195 PLUMBING ❑ Na 8 2 5 8 Contractor's License No. _ 300FMG ❑ ❑ Work to be performed under this Permit __ Dwner of 3uildinq contractor or Builder_. Legal Lot ( Bl_ Subdi- Description_ I I vision Sq. Ft. Address of 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. CONTRACTOR OR BUILDER BY AUTHORITY l g 17 BUILDING ❑ ELECTRICAL ❑ PLUMBING EJ ROOFING ❑ Owner of Building . Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE 195 PERMIT N? 2.9_ '7 3_ Contractor's License No. B1 Work to be performed under this Subdi- vision Value of j Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 o,> MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL DATE 195 PLUMBING ❑ PERMIT N0 8248 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Owner of Building_ Architect - ontracta or Builder Legal Descriptic Address c Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements,:or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Lot �) n Bl. Subdi- vision if Sq. Ft. Value of Project $ Amt. of Permit $ly. 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 BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE__` 19 PERMIT wO 7610 Work to be performed under this Subdi- vision Contractor's License No. Address of , Value of ( Amount of Building "� J 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed: 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 rpsponsi 4v for all work done by either, myself, my agent, servant or employeo. CONTRACTOR OftBJJIL-15 BY AUTHORITY ­OT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Addresg-'�, 7 00 a . L �r Tax Folio Legal Description Historically Designated: Yes. Owner /T 0) �- e— Owner's Address Contracting Co. ---- No, - Qualifier SS# - - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAYNG FENCE SIGN woRx DESCRIPTION /,71-6 6711Ya 7 0 I�VI-6 -7 ag), Le, &�z 4i2 gL S Fit / P Estunated Cost (value ftNOTICE WARNING TO OWNER: YOU MUST RECO RD A NOTICE OF COMMEN AILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEME M TO YOUR PROP (I TO OBTAIN FINANCING, CONSULT WITH YOUR.LENDER OR AN ATTORNEY BEFORE RECORD YOUOMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT �14- RADON C.C.F. P l0 ® NOTARY_ BOND ,� TOTAL DUE iJ t-��6 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering Date Xgft4iture of tractor or Owner - Builder F623 r7- X1411 -0 > ljdas to C&Aaclgir or r- Builder Date My. Commission Expires: OFFICIAL NOTARY SEAL. GLAD YS I vYLLAR NOTARY PiJBU STATL OF FLOWDA COMML^.SION NO. CC714103 MY COMMISSION EXP. MAIL 12M C.C.F. P l0 ® NOTARY_ BOND ,� TOTAL DUE iJ t-��6 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date . a&Pr, o,7. r 3 Job Address, ft3;:P 0 119,7 tf* , ,c r Tax Foli�p Legal Description NuiJ cJN®AAe 41- 0AJ J AR16- /b • 70 Owner / Lessee / Tenant C nz �.o,.+ �A� Master Permit # PW Owner's Address J c0,0 yly h, Is-?r 11 Phone Contracting Co. [7 /,a a-�s6 Address Qualifier So 46'% ss# Phone 7 r7` 07 % State # ®073 Municipal # Competency — Ins.Co. Architect /Engineer ���`' Address Bonding Company Gf�lAr d Address le i Address Permit Type(circle one): IfUILDIgG ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION l/C-�o�� /�Jlf`sa-a� ��N - %r,�a �,- ✓.�� -r Square Ft. 4,0 Estimated Cost(value) � WARNING TO OWNER: YOU BUST RECORD A NOTICEIOF COMMENCEMENT AND YOUR FAILURE TO uDO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROII�V ENTS TO YOUR PROPERTY (IF YOU INT D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER';IOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT)'. Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify-that all work will be performed to meet the standards of all laws reg4iating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGN,''POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be do in compliance with all applicable laws regulating const ction and zoning. Furthermore, I auth r'ze the ab-named contractor to do the work stated. 77 ^ iture'df owner and /or Condo President TI gnature o& Contractor or Date: 9-'7-q3 Ck- `- °7-?3 Notary as to Owner and/ a •fteWA tnaH1 030909 Notary as to Contractor or Owner - Builder My Commission Expires: S66L`5 AVW 'dX3 NOISSIWWO3 AW My Commission Expir VOIaOIJ A �1VIS 311BAd'AHVIONNOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP. MAY 5,1996 _ DONDIO THRU JENERAL JNS. UND , FEES;;' PERMIT RAON C . C . F ._ NOTARY lZ;OTAL DtJE APPROVED: Fire Other Zoning Building__ Electrical Mechanical Plumbing'' Engineering Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building JAIN Y1 Permit No. PT—O& — Master Permit No. Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder)TOSEPH C. /JOAN G. FRECHETTSione# 305-759-1056 Owner's Address 300 N. E. 103 ST. City MIAMI SHORES, FL State FL. Zip 33138 Tenant/Lessee Name Phone # Job Address (where the work is being done) SAME AS ABOVE City Miami Shores Villa a County Miami -Dade Zip Is Building Historically Designated YES NO XXXX Contractor's Company Name CARLTON WASHINGTON Contractor's Address City Qualifier. State Certificate or Registration No. Architect/Engineer's Name (if applicable) StateA Phone# 305 - 469 -9337 Zip Certificate of Competency No. Phone # $ Value of Work For this Permit $18 00.00 Square Footage Of Work: Type of Work: ❑Addition DAlteration FlNew ❑ Repair/Replace ❑ Demolition Describe Work: PAINTING HOUSE Submittal Fee $ Permit Fee $ CCF $ —a.0. CO /CC. Notary $ Training/Education Fee $ Q. 40 _ Technology Fee $ 3 •� - 3 -� Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip �- 7---Ar Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is sub" ct to attach nt. Also, a certified opy of the recorded notice of commencement must be posted at the job site for the first inspecti which oc s s en days a e th building permit is issued. In the absence of such posted notice, the inspection wifdl o bap rove d a ns�on ee t arged Signature Owner or Agent Contractor The foregoing instrument was acicq owledged b fore a �lu� % ! �Jbe foregoing instrument was acknowledged before me this day of 20 J by s �' L -Iqg C!f erj? day of 20 � by who is ow n to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOT. Sign: Print: My Commission Expires: As identification and who did take an oath. t NOTARY PUBLIC: Sign: Print: EXPIRES: October 23, 2007 My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer 11 ©� Zoning Chc 05/13/03 Miami Shores Village Building Department N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical JAM C', BY Permit No.' ` c O� 13 Master Permit No. Owner's Name (Fee Simple Titleholder) Joseph & Joan Frechette Phone # (3 05) 759 -1056 Owner's Address 3 0 0 NE 103rd Street City Miami Shores State Florida Zip 33138 -2433 Tenant/Lessee Name E- MAIL: Phone # Job Address (where the work is being done) same as above City MiamiL Shores Villaga. County Miami -Dade FOLIO /PARCEL# 11- 3206 - 013 -5040 Zip 33138 Is Building Historically Designated yES NO X Contractor's Company Name Thermal Concepts Inc Phone# 954 - 472 -4465 Contractor's Address 2201 College Ave City Davie State FL Zip 33317 Qualifier Name Lawrence Maurer Phone# 954 - 472 -4465 State Certificate or Registration No. CACO 3 9 6 21 E -MAIL. Certificate of competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 2 8 0 0.0 0 Square / Linear Footage Of Work: 1842 Type of Work: E]Addition DAlteration []New 13 Repair/Replace ❑Demolition Describework: Remove (1) very old oil fired furnace. Install (1) new electric furnace. There is no air conditioning in either the on final unit or the l are ro osin to install. We will modify the duct work as needed to allow for the installation of the new unit. Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $� Scanning $ 3 ' Radon $ CCF $ CCO /CC Technology Fee $ .0 DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —> q- Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING D Permit No EL -i -LNt9 PERMIT FBC 2004 RECE . APPLICATION DEC 1.8 2007 aster Permit No. MAW-- Permit Type: Electrical Owner's Name (Fee Simple Titleholder/ G �i phone # ,- ya� -- Owner's Address X/, _ City: ��� Tenant/Lessee Name E -MAIL: Zip Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name{ (- _�ZA,l�f /y ` (a/ C Phone # 3C)S' 3-0 E3 06 Contractor's Address City / State Zip 3 p Qualifier Name , P7'l- (•f����2tj Ad Phone # State Certificate or Registration No._ CC ( 3WI ! (o 2— Certificate of Competency No E -MAIL: Arch itect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 00 W Square / Linear Footage Of Work: Type of Work: Describe Work: ElAlteration E]New Repair /Replace ❑ Demolition 0014 xxxaY &xxxxaY atzx &xxx9eie �Y �Yti: �Yxxa4xxxxxxx�dcuxxFeestzx�Y otu�cuz9r �euiexxx &ekuz�t 9c9e �r do �cxxi: xu�e �e �2at iexxzaY�FxaY aY is Submittal Fee $ 0 Permit Fee $ �- oD .,,^ Notary $5' Training /Education Fee $ - 0J Scanning $ 3. Radon $ DPBR $ CCF $ CO /CC Technology Fee $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1(ej - S See Reverse side -> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: 1 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection, fee will be charged Signature .� Signature — or `Owner or Agent Contractor The foregoing instrument was acknowledged before me this Ib day of V& , 20® , by zUA C�(j�Ud 'Fl dj-, who is personally known to me or who has produced _UC.IC1gtl() As identification and who did take an oat NOTARY PUBLIC: \asso95 Sign: ",` ¢ • the Print: My Commission Expires: ' The foregoing instrument was acknowledged before me this /$I day of TX , 2001_, by &ZkU :YM t lea «rx� who is personally known to me or who has produced 11C &tztgo as identification and who didla4 NOTARY PUBLIC: Sign: Print: My Commission Ex xzxxxxxaY icxA: aYxxx9:xxie �Ykxa:.xu xatxacxxxtrxxx& xxxxoY dex xieu ie4c irx& aYxnkurxxxxxuxxatxxzxxdexzde &xxaY APPLICATION APPROVED BY: (Revised 02/08/06) �p \Qy�9g5 ��p o 0631lk xa zxx xx9:xxxxaY 4a aYxzicxaY 9c > r Plans Examiner Engineer Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 300 W rE , 103 ST Tax Folio 11 3ZO 4=> - of 3 - SC 40 Legal Description LOr 11 E Q- -&LCU-'-- 3 `l I- Estorically Designated: Yes No I I Owner/i essee / Tenant A A1z9 - 4-C 0.A h I Y-' CH& -T5E- Master Permit # i cotAq Owner's Address 500 kj P-;� I Q-S -Sr • Phone 130GJ ` - I (P Contracting Co. aC-V-0 'J a k=k� C 1,--C • Address ZIP 1J 1J 4j . 16 4- &, - Qualifier Htyln � --:,::> 3a-o=,�n SS# Phone (,-1b) 62-2 - 1 003 State # C) ® 1 2 1 '70 Municipal # 3 0 1 -7 1(0 9 3 Competency # 1-7 34571 Ins. Co. Architeet/Engineer I :frj "r C, M _u sub Address Permit Type (circle one): BUILDING LELE CTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION V 1 CE V iC,3 Lk./r-> .;X I rL Tc> zcr,? &m , Square Ft. Estimated Cost (value) Z -4' QC� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated tore of ovrmer and/or Condo President Date Z ®� Signature of Contractor or Owner - Builder Date 1111.1 T- Z?t--ft T 6n- 4 %1 -Zq 914 - O Date FEES: PERMIT .�® P(YA* RADON C.C.F APPROVED: Zoning Building Mechanical Plumbing TOTAL DUE Electrical _ Engineering Miami Shores Village Building Department 0050 N E 1 A -- - .2nd venue, Numm Shores, Flonda 33138 L� O vi 10. Tel: (305) 795.2204 Fax: (305) 756.8972 BUli N -6 Q4 PERMM ICATION FBC 2001 � .�di Permit Type (circle): Buil mg lectrical MAR 2004 Permit No. &=Lt — Master Permit No Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) TO=6 Phone Owner's Address --?00 City,���jfa/ State, Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City NNami Shores Village County Miami -Dade -zip3/ Is Building Historically Designated YES NO_k_- Contractor's Company Name / ge r' 2ZR --,5_L Phone # 30.5 757 -Z? 5 �S Contractor's Addresse�C City�� /���p State , Zip_ Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: El Addition teration ❑New Describe Work: Phone # Square Footage Of Work: 7670 j ❑ Demolition Submittal Fee $ Q i) Permit Fee $ ; '- CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ ZoniMg Bona $ Code Enforcement $ Total Fee Now Due $ 3 4 :ok . C/ 0 (Continued on opposite side) Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip_ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first i spection which occurs seven (7) days after the building permit is - issued In the absence of such posted notice, the inspection w l not be appooveoangalreinspectiq#fee oll be charged. _ Signature'_ F&,JQ*fff27 IRK TO, Owner or 1 Contractor The foregoing instrument was acknowledged before jne this JZ day of �v , 20, by ��n��� w o is personally known to me, r who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: p Print: J wwl �l if El41,7'141 My Commission Expires: tpRY P4Bli 0 State Certificate or Registration No._ APPLICATION APPROVED BY: Chc 12/15/03 The foregoing instrument was acknowledged before me this Gf day of CP 2C& '' , by X 1 \-E( N() 1 who 's pers nally known to me or who has produced D � ,- 6) 1 as identification and who did take an oath. NOTAAY P I C Sign: Print: o� , P" °.; : G sion #D B 007 My Commission _. ro EXPIRES: Oct066r'4ate of Competency Holder) k1M TAN ffVW"8WM Certificate of Competency No. FO Bonded Th t1e Bond+n Co in n MAR 2 4 2004 Plans Examiner Engineer Zoning Miami Shores Village Building Department 1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (005 756.8972 BUILDING I mar, Permit No f I PERMIT APPLICATION Master Permit No. FBC 2001 BY: Permit Type (circle): Building Elect ''ca Plumbing Mechanical oofm Owner's Name (Fee Simple Titleholder) MS %V L Phone # X3.5 AC-q / 0 eS-(o Owner's Address j- City M I C4W State Ft-, Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 7a� i t Cr;;5 1 City Miami Shores Villaee County Miami -Dade Zip _ Is Building Historically Designated YES NO Contractor's Company Na me -D 4 'J Ej C' Phone # 30 lii;7 7Sx/, 9 el Contractor's Address %& .41 & it) co City I AfM 1 State Zip 331-39- Qualifier State Certificate or Registration No._ 0-6 5'7 / °ZO Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit A 0 0 ® Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New [)te air/R lace p ep E] Demolition Describe Work: jZE -4666' L04J S Pg, <- EMV t0 Submittal Fee $ Notary $ 11ZD , M Scanning $G, co Permit Fee $ (�� /� CCF $ CO /CC. Training/Education Fee $ t ° e Technology Fee $ C,:; •2> Radon $ Zoning Bond Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ -2 ` 1 a 2� Continu on_oppo e p Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a cert�rled copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wil lot be approved and a reinspection fee will be charged Owner or Agent The f oin ennt%was acknowledged before me this day o 20f, by'V1 �_��('�G%.�� , who is nally own to me or who has produced Signature 0,� Contractor, The fo e�going instrument was acknowledged before me this � day of l l 20 y .L:� -4t1L:1— who is ersonally known to me or who has produced. As identification and who did take an oath. I'L--) as identification and who d'd tak th NOTAR PUB _ NOTARY PU Sign: Sign: Print: Print: My Commission Expires: �<1�Y :dk�, Dell Marie Springer 1y MYC9MM {SSX7N# DD129398 EXPIRES y ........ _ _ _ _ iw_ **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Y I eanoa . ilTl , Ln �n Asion Expires: e n111 Wion # D 455 Bonded Thru Atlantic Bonding Co., Inc. Plans Examiner Engineer the 05/13/03 Zoning .,a . . w 1 � � MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. cy� , Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith,-submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Registered Architect Employing Electricial Location and Legal Description Lot — ______.Block__^ — __Subdivision_ - -__ Street and Number where work is to be M State work to be performed and purpose of building (By Floors)--- New Building— — Remodeling _ Addition.__- _- - -____ .Repairs___ of Stories i; Service Overhead Size Feeders__ Conduit Main Sw. d -------Amps. Main Fuses __ Amps' Underground Type of Installation— Conduit— Tubing 1R.X.L__.______Meta1 Moulding Amount of Permit $- A —(Signed) r Electrical Inspector. The undersigned applicant for this building permit does hereby certify that v 'be"understands and sa`cce 4 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral 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 tbe' work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such pu lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contra- on work to be performed under I this permit, as are licensed by Miami Shores Village. (Sip Master STATE OF FLORIDA; l ss COUNTY OF DADS. I' 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 t] of the above described construction, and he has carefully read the foregoing application, and that therein by him stated are true. My Commission Expires he did sign the same, and that all facts Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. li ii SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP' TOT4 OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON , RADIO - TOTAL SW. CAB. TEMP. PERM. O• HP i -S HP TRANS: _e LIST (- 4 CHECK t Service Overhead Size Feeders__ Conduit Main Sw. d -------Amps. Main Fuses __ Amps' Underground Type of Installation— Conduit— Tubing 1R.X.L__.______Meta1 Moulding Amount of Permit $- A —(Signed) r Electrical Inspector. The undersigned applicant for this building permit does hereby certify that v 'be"understands and sa`cce 4 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral 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 tbe' work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such pu lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contra- on work to be performed under I this permit, as are licensed by Miami Shores Village. (Sip Master STATE OF FLORIDA; l ss COUNTY OF DADS. I' 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 t] of the above described construction, and he has carefully read the foregoing application, and that therein by him stated are true. My Commission Expires he did sign the same, and that all facts Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. li ii . A MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. Date' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other !, structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. " : Owner's Name and Address 01, � lt' L, _w No. Street 7.4, Z- Registered Architect and /or ee Engineer — Employing Electrician's Name ____!� a ov - � 7 C Z:& a G` Co ____ No. __ __ Stteet Location and Legal Description Lot q_/21 37 Block Subdivision Street and Number where work is to be performed No. _ _ /v_ Street /03 ` Stater work to be performed and purpose of building (By Floors) New Building______ Remodeling Addition___,.__ —_ Repairs No. of Stories_. r 1 � 1 0 a CLIS7 � 7 0 CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON SW. CAB. TEMP. PERM. 0-1 HP 1 -3 HP TRANS. RADIO TOTAL'S CONTR. '. LIST CHECK Overhead ( Service Underground Size Feeders __ Conduit Main Sw.— Amps. Main Fuses An+ps Type of Installation -- Conduit_ _ Tubing B.X.L.____________Metal Moulding Amount of Permit (Signed) Electrical Inspector, The undersigned applicant for this building permit does hereby certify that Wunderstands and accepts his obr'g�tions as an employer of labor . under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 Hader signed agrees to employ only such sub- contractors, on work to be performed u der this permit, as are' licensed by Miami Shores Village. (Signed) Master Electrican. STATE OF FLORIDA. p " COUNTY OF DADE. ( as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally, appeared to me well known, and who, being by me first duly sworn,. 'upon oath deposes and says that he is the of the above described construction, that he has carefully, read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. __ r _ _ ___ _ _ _ _ - - -� - - -_ �------- - - --�- My Commission Expires ..�.�. --- - -�- ----- -- -- - - -- ��- -�- � Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty, materials and /or workmanship. SWITCH L LIGHT P PLUG F FIXTURES . .REFRIG. I IRON RANGE RANGE W WATER W W. HEAT. S SPACE S STRIP T TOTAL 1i OUTLETS O OUTLETS R RECE'P'T'S N NO.LAMPS O OUTLET O OUTLET OUTLET CONN. H HEATER C CONN. H HEATER H HEATER'' Overhead ( Service Underground Size Feeders __ Conduit Main Sw.— Amps. Main Fuses An+ps Type of Installation -- Conduit_ _ Tubing B.X.L.____________Metal Moulding Amount of Permit (Signed) Electrical Inspector, The undersigned applicant for this building permit does hereby certify that Wunderstands and accepts his obr'g�tions as an employer of labor . under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 Hader signed agrees to employ only such sub- contractors, on work to be performed u der this permit, as are' licensed by Miami Shores Village. (Signed) Master Electrican. STATE OF FLORIDA. p " COUNTY OF DADE. ( as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally, appeared to me well known, and who, being by me first duly sworn,. 'upon oath deposes and says that he is the of the above described construction, that he has carefully, read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. __ r _ _ ___ _ _ _ _ - - -� - - -_ �------- - - --�- My Commission Expires ..�.�. --- - -�- ----- -- -- - - -- ��- -�- � Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty, materials and /or workmanship. CLOSETS fSATH Tugs SHOWERS 4.NYN TORIES ;. SINKS -' A4VY SINKS 4MV KWKi TUS# URINALS" 4 »3i:K BASIN : Pa.wY3@c T.iK31YAi3VY A ij., FOuMT-ym v LIST < CHECK _ SEPTIC SE4,1!ER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR +WiAct'#i.: .. TANK: CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL: CONTR.,. LIST GHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ...... . ... ...... Date. /.L.. - ® ®. Application is hereby ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ........ ..No......... .era. ...............Street i. . ...` ..... .._..� ... Registered Architect and /or Engip &,er ........................, ..................... ... I....... Employing Electrician's. Location and Legal Description Street and Number where work is to be performed —No.. State work to be performed and purpose of building (By 6^ .8- -Y , New Building- ........... ................... Remodeling ................................ Addition .... V'_'................ Repairs--•---.... ..............._......._....No. of MR Underground ® T Service Overhead Size Feeders ............_. Conduit ...............Main If Sw." Amps.. ®. ......... Main Type of Installation— Conduit ............ ........... Tubing -....................... B. X. L ......................... Metal Moulding ........................ Amountof Permit $ .... __ ..................... ....__.................__•• --- ................_........... ma The undersigned applicant for this building permit does hereby certify;,that he understands and accepts his obligations as an employer labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, a has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in I 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 noti as are required by the Act. The undersigned agrees to employ only such sub - contractors, on- -work to be performed under this permit, as licensed by Miami Shores Village. F p� t J S � � � ea �- L ... . ... . ...... 1 e Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona 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 therein by him stated are true. ... .. .......... ... ................ .. .... ...................................................................... ...... , ......................... - ............... , .......... _., .... I ................. -,........... My Commission Expires Notary Public, State of Florida NOTE: A re•inspection a of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or materials and /or workm, 'p. SWITCH LIGHT . PLUG FIXTURES REFRIG. IRON RANGE',', RANGE WATER W. HEAT. SPACE STRIP 'TOT OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET' CONN. HEATER CONN. HEATER HEATER CONTR. -� LIST CHECK s Imo' ® i ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.8 HP TRANS. CLIST LIST CHECK / Underground ® T Service Overhead Size Feeders ............_. Conduit ...............Main If Sw." Amps.. ®. ......... Main Type of Installation— Conduit ............ ........... Tubing -....................... B. X. L ......................... Metal Moulding ........................ Amountof Permit $ .... __ ..................... ....__.................__•• --- ................_........... ma The undersigned applicant for this building permit does hereby certify;,that he understands and accepts his obligations as an employer labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, a has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in I 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 noti as are required by the Act. The undersigned agrees to employ only such sub - contractors, on- -work to be performed under this permit, as licensed by Miami Shores Village. F p� t J S � � � ea �- L ... . ... . ...... 1 e Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona 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 therein by him stated are true. ... .. .......... ... ................ .. .... ...................................................................... ...... , ......................... - ............... , .......... _., .... I ................. -,........... My Commission Expires Notary Public, State of Florida NOTE: A re•inspection a of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or materials and /or workm, 'p. o Q MIAM4 SHORES V1 LA W /.. PLUMMNG INSWPON DEPARTMENT APPLICATION FOR KUMIUNG PERMIT Permit No•- -� ��� hate -- �!`�° �� - Application is hereby Made for the approval of, the detailed statement of the plans and speciflicatiosis hitewi& sat- ed €or the or ' structure herein described. This! application is made in compliance and conformity with the Building Ordinan Df Miand,Shores Village, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and 'all rules and r 'ons'of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications roust be kepi at building, during progress of work. Owner's Name and ------ - ------ .____ No. - - -- Registered Architect and/or Engineer _ - _ •_ Employing Plumber's Name Location and Legal Description Lot ------------ Block ---- - Subdivision Street and Number where work is to be performed -1�%.� !`l__! ._______ Street - - - - -, - - -__ -- State work to be performed and purpose of building (By Floors) _ ------ w -------- — New Building - - -_ - - - -__ -- -- - -__ -_ ___ Remodeling -- __ - - Addition----- - - -_ -- _ -_ Rep iss_ __. ______ - - -- No. of BATH LAVA- SLOP LAUNDRY CATCH Fa.DOrt DRINKINO TOTAL CLOSETS TUBS SHOWERS TORIES. $INKS SINKS TUBS URINALS ,BAEPN r5RA1#�" fOUA1T'FIS ' :: rZIlETUWEB' " COM LtBT CHECK SEPTIC SEWER DRAIN SOAKAGE Oft"SE SOLAR 'DEEP $PRKLR, SWIM'IS " . TANK: CONN. 'FIELD PIT TRAP HEATER WELL SYSTEM POOL LIST CHECK Size Septic Tank e - -- -- - - -- --Type of Tank- - -__ --_ - - -- -- - - - - -- __ - - - -_- - -- - Capacity Gals. _ --- -- Feet of, Drain Tile-- -___!- `! !! � Feet of Tank or Drain Field from WelL -------- _ Nature of Water Supply: City -V ell. - -- __ ___:_a ;— ._____. - - - - - -_ _Sim of'Soakage Pit. ----- -- - ---- _ _— T _ __ ._.__ -- - _- - - -,------ - -- — - -- - — - - -- - - - - -- - - -_ -_ -. •- • -_ - - -- - - -- - - -- _ __�___ _ _ :._,_ . a - Amount of Permit - -- - -- ---- - -` — — — ° - -- - "(Signed) - - - -° J ` Plumbing pector. The undersigned applicant for this building permit does hereby certify that he understiInds and accepts his obligations as an employer of labor, under the Florida Workmen's Compensation Act, being Section 59M Compiled General Laws of Florida Permanent Supplement, and, has cqm- "plied'with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work ,such - public notice or as are required by the Act. The undersigned agrees to employ only such subcontractors, on work 'to be performed unclear this = petmit, as are licensed by Miami Shores Village. ( Signed?-------- .._.__......_____..__w;____M_, ____ ;__� ____._�._--- - --- -- -- - - - -•- - Master Motber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared r to me well known, and who, being by me first duly sworn, upon; oath deposes and says that he is the - - - - -__ w_ of the above described construction, that he has carefully -read the foregoing application, and' that he did sign the same, and drat ag €acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of1.U0 will be made when such re- inspection is nnade necessary by atzn notice for inspec tior, or,faulty materials and /or workmanship. r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT , APPLICATION FOR PLUMBING PERMIT Permit No.- ° / Date-- --- -- - - - --- f'� Application is hereby made for the a roval of the detailed statement of the Ians and eeifications her wi #h i i 'n pP p sp, a subm ed= the bur dx g 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 o£ the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address- ____ -- _ -- ___ -- ffj� �_ -_- _ -- __ -- _ - _ No.___Q Q -- ------- - --_ -- Street_ /__. -e _._: ''.__�s! s�?_ --t-�� .1�� lJ Registered Architect and /or Eng>neer - -- -- Employing Plumber's Name ` -- - -- t.l�a��.__t�l�_�r t1! .o---- - - - - -- - -- - - - -- - - - -- _ -- - - -- Street_ __- _--- - -___- —_ -- -- — , -- Location and Legal Description Lot-- - - - - --- - -- - -- ____ -- __-_ Block -_- Subdi ' 'on - - - -- ----- - - - - -- -� Street and Number where work is to be performed No__ _______ _ _ ___ �� ! - - - -- --- --: __- -- Street- - -- -_- �.�_i�'. _ _,_ State work to be performed and: purpose of building (By Floors) - _ - - - - -- New Building-- --- --- - - - - -- - - - -- - - - - -- Remodeling__ _- _____- - - - - - -- - -_ Addition--- - - - - -- ----- - - - - -- Repairs - - - - -- - - -- -- No. of Stories - -_- --- t Size Septic Tank -- - - - -- - - - - - --- - - - - -- -Type of Tank - - -- - - - - -- - - - - - -- -- - - - - -- - -- -- - - - - -- Capacity Gals_____ — _ Feet of Drain Tile __ _ - __- ____/__%fj__Dist. Feet of Tank or Drain Field from Well _______ ____ Nature -of Water Supply: City Well. - -- -- -- - -- - -- - - -- - - -- - -- - -- - - - - -- ----- - - - - - - - - -- - - - -- ----- - - - - -- - - - ----� Amount of Permit $- - - - - -- = -- - - - - _ - -_ (Signed) - - - - - _ , I'1:ixrrA g sr. The undersigned applicant for this building permit does hereby certify that_he un4rsta nd accepts his obligations as an employer of is r under the Florida Workmen's Compensation Act, being Section 5966, Compiled; 1 s of Florida Permanent Supplement, arnl has eom plied with the provisions thereof, and will require similar compliance from alI c tractor sub- contractors employed by him in the work performed under this permit; and will post or cause t9 be posted for inspection the of the' work such - public> notice or as are required by the Act. The undersigned agrees to employ only such sub - contra rs, ork to be e er th permii,' as are' licensed by Miami Shores Village. " -�" "r"- ( Signed) - -- --- - - --- - - - - Win. - STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon :oath deposes and says that he is the - - -_. _ -- - - -- - _-- _ - - -_— ____ ____ _ _ ____ _- __ -___ -- of the above described construction, that he has carefully read the foregoing application,. and that he did sign the same, and that all facts '� therein by him stated are true. - - - - --- - -- - - -- - -- -- -- - - - --- - - - - -- _ _- - __._� - - - - - -. -. - . — - - - - _- - - - - - - - - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessarx by improper notice for inspectim, or faulty' materials and /or workmanship. CLOSETS ,BATH SHdW ERS .LAVA- - FINK& •SLOP LAUNDRY URINALS CATCH, FLOOR DRINKING TOTAL' TUBS TORIES SINKS TUBE BASIN DRAIN FOUNT'NS FIXTURES, LIST CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G . TANK CONN. 'FIELD PIT TRAP HEATER W�ELLL SY�STE`M� POOL _ - CONTR. 'T LIST O® CHECK. Size Septic Tank -- - - - -- - - - - - --- - - - - -- -Type of Tank - - -- - - - - -- - - - - - -- -- - - - - -- - -- -- - - - - -- Capacity Gals_____ — _ Feet of Drain Tile __ _ - __- ____/__%fj__Dist. Feet of Tank or Drain Field from Well _______ ____ Nature -of Water Supply: City Well. - -- -- -- - -- - -- - - -- - - -- - -- - -- - - - - -- ----- - - - - - - - - -- - - - -- ----- - - - - -- - - - ----� Amount of Permit $- - - - - -- = -- - - - - _ - -_ (Signed) - - - - - _ , I'1:ixrrA g sr. The undersigned applicant for this building permit does hereby certify that_he un4rsta nd accepts his obligations as an employer of is r under the Florida Workmen's Compensation Act, being Section 5966, Compiled; 1 s of Florida Permanent Supplement, arnl has eom plied with the provisions thereof, and will require similar compliance from alI c tractor sub- contractors employed by him in the work performed under this permit; and will post or cause t9 be posted for inspection the of the' work such - public> notice or as are required by the Act. The undersigned agrees to employ only such sub - contra rs, ork to be e er th permii,' as are' licensed by Miami Shores Village. " -�" "r"- ( Signed) - -- --- - - --- - - - - Win. - STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon :oath deposes and says that he is the - - -_. _ -- - - -- - _-- _ - - -_— ____ ____ _ _ ____ _- __ -___ -- of the above described construction, that he has carefully read the foregoing application,. and that he did sign the same, and that all facts '� therein by him stated are true. - - - - --- - -- - - -- - -- -- -- - - - --- - - - - -- _ _- - __._� - - - - - -. -. - . — - - - - _- - - - - - - - - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessarx by improper notice for inspectim, or faulty' materials and /or workmanship. Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) • FIRE DEPARTMENT ❑ HRS / DERM APPROVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic / Sewer) multi - family) • CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify & Attach) (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village $ Bond $� o® Metropolitan Dade County (C.C.F.) $ (sq.fr. = x/1000 x 0.60) Inspector State Educational Fund $ (0.005 /sq.ft) State DCA (Radon) $ (0.01 /sq.ft) Code Enforcement Fine $ Zoning Review $ TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION BY DATE Zoning Renewal Electrical Extension Mechanical Sd lement Plumbing Relocation of Structure Fire Shell Only Public Works Add'1 Attachment Structural Other ` Building Official Other Revised July 2001 10050 N.E. 211D AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 06Z °1 Shores -INSTRUCTIONS - The folloxving steps intist be taken to obtain a permit from the Miami Step 1. Complete the attached permit application which must be signed by the proper y owner and qualifier. Both signatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the mm l� Mho cation with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: ; :_ QF� 0 ,b ra !SE 00 (rwi IS1 LF J_ 0 —b L. -3 ±) l sa Address Apt. City State Zip Folio Number ( WT6 0 13, . T O Description of Work — •- Lot Block LA At W Subdivision PB PG Current Use of Propertyk_% D a- Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Buildin Electrical Mechanical Plumbing LPGX Roofing Fence ARCHITECT Name License No. Address N Telephone Fax Zoning Linear Feet Square Feet Units Floors Value of Work 3, ' Q° Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE ✓ ) Ch g. Contractor Renewal Revision Extension Sd lement Reins ection Relocation of Structure Shell Only PROPERTY OWNER Name Address - - - -= 3po o r 103, S miaxn! SuoraA I FL 33136 Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'1 Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name O License No. d Address q3o I ae &iA&m ,s c& n'. 33/30 Telephone �� 1 _ Z/v 1 Z Fax Qualifier Name D 1Td Meg &1XA)0LLA Page 2 , , ? It . _ • I , PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DI1tT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami Dade Water and Sewer Department (MDWASD•) approval is required for applications involving sewers. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA'Tr1E OF FLQ�IDA, COUNTY O /( AW -DADE Signr of gwner Print Name Sworn to d subscribed before me this 22 day of )GAn , Ear Si eo �t:4.j°i�1'12 SEAL: +CIA ;, 6 d T:hru. Personally known OR Produced Identification• Type of Identification Produced: STATE ORIDA „COUNTY -DADE e of Contractor / Qualifier J�Qmes �. f�eNOule Print Name Sworn to and subscribed before me this *;'.PL day of Signature of Notary Public State of Florida �tnee, D. HaA SEAL: f DD 014872 es Aed�'lhrtt 005 �..... he pondiag Co., Tim Personally known OR, Produced Identification Type of Identification Produced- Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE Minimum Fee 1 Dryer TYPE QTY Refrigeration, Tons Outlet, Appliance / Service Repair Heating Strips, each A/C Central 1 -3 Ton A/C Wall/Win. Tons Fan Paint Booth Outlet, Wall Service, Temporary Ductwork, Cost of A/C Central 4-7 Ton Periodic Inspections Fire Pump Fire Sprinkler System Outlet, Switch Signs Bath Fan- Vented, # A/C Central 8 -15 Ton Pressure Vessel Fixture - Fluorescent Cap - Fixture Oven Space Heater (kw) A/C Central 16-20 Ton Fuduret Light Parking Lot Lights Spas/Hot Tubs Gas - Appliance A/C Central 20+ Ton Pump, Domestic Flood Lights Supply, AC Well Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Catch Basin Air Conditioners Gas - Propane Garbage Disposal Pump, Re- circulate Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Urinal Clear Violations Dental Chair Heat Recovery Grease Trap Refrigerator, Comm. (p/PH) Temp Serv, Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Pump, Sump Deep Freezer Utility - Water Low -volt, Fire Dishwasher Renew - Temp Service Indirect Wastes Demolition 1 Low -volt, Intercom/Teleph. Repair Circuits Interceptor Dishwasher Roof Inlet Low -volt, Television Water Closet Service, Number of Amps Domestic Well MECHANICAL TYPE Minimum Fee QTY. TYPE QTY. Condensate Drain TYPE QTY. Generator TYPE QTY Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan- Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate / Drains, Roof Miscellaneous Fixture / Soakage Pit / Bath Tub Drinldng Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair 1 Vacuum Emp Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4” Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, Floor Minimum Fee Shower Water SpMce Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY: DATE: