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Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL - -- Phone. (305 795 -2204 Fax: (305)756 -8972 ------------------------------------------ - .......... - -------------------------------------- •-------------------------------- -------------- ........ ------------------- ----- - - - - -- ..........................................:...................................... ................: :........:.... ,..............._.................................. .............:::::.....I�:��r�. Nor.., :::�I.��..•..�.'.'?�.:.::.::.:: Scheduled Inspection Date: May 07, 2009 Permit Type: Imported Permit Inspector: Bruhn, Norman Inspection Type: Final Owner: POLYNICE, JACQUES Work Classification: <NONE> Job Address: 348 NE 103 Street Miami Shores, FL 33138 -2433 Phone Number Parcel Number 1132060135010 Project: <NONE> Contractor: SEARS HOME IMPROVEMENT PRODUCTS, INC. Phone: (305)341 -5663 Building Department Comments ENTI May 06, 2009 Page 25 of 25 Inspector Comments Passed c L w e C.. Failed El Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 06, 2009 Page 25 of 25 5 Inspection Worksheet Miami Shores Village un vm 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: IN'SP =99 62 Permit Number: BP2005 -1486 Scheduled Inspection Date: May 04, 2009 Permit Type: Imported Permit Inspector: Bruhn, Norman Inspection Type: Final Owner: POLYNICE, JACQUES Work Classification: <NONE> Job Address: 348 NE 103 Street hone Number Parcel Number Project: Contractor: Miami Shores, FL 33138 -2433 <NONE> SEARS HOME IMPROVEMENT PRODUCTS, INC. Building Department Comments 1132060135010 Phone: (305)341 -5663 Inspector Comments Passed E] cc U Iceess' Failed 5 Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. b * L + ly� 1 fr if'� `J ._ J ,e....y �. �. is� ... 'mot•' r,- f . •:'u,.. �.r ' ..,.. '� o ��terbusk�essloan! »orese ,�. t „•hn,e.. n — 19a1 s�e.sai STATE-OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION) FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS Chapter 1013-6, FAC Date of Application Mg 1 a h $ Permit Application Number ' PART i — APPLICATION --- -- - -'--- Name of Owner Mailing Address of Owner • o v L. S Owner's Agent K:k V P Builder , Agent's Mailing Address �_ ` ��y� —! Telephone No. Telephone Number Property Street Address v Lot No., Block No. Subdivision Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION This ` �'.ppliaa3ion Is for: New System Repair Existing System Type of Sewage Flow Sewage Flow Establishment (Gallons per day) Based On FX TOTAL FLOW — Type of No. Bedrooms. Heated or Cooled Area No. Dwelling Sewage Flow Residential (each dwelling unit) (each dwelling unit) Units (Gallons per day) ft2: + ft2 .Exact Directions to Property AUDIT CONTROL NO. 117 9 0 0 Applicant's Signature MIAMI SHORES VILLAGE PLANNING AND ZONING BOARD GUIDELINES FOR APPEALS OF BUILDING OFFICIALS DETERMINATION REGARDING PAINT COLORS Upon a determination by a Miami Shores Village Building Official that a proposed exterior paint color for a home is inharmonious or inappropriate within the meaning of Section 523 of the Miami Shores Village Code, no building permit may be issued for such work except upon the recommendation by the Miami Shores Village Planning and Zoning Board. The members of this Board are Village residents who serve without compensation and the Board, among other things, has the duty to enforce the provisions of the Village Zoning Ordinances for the benefit of the Village at large and all of its residents. In the vast majority of cases the homeowner and the Building Official are able to agree on an acceptable color so that appeals should rarely be necessary. However, when an appeal from the decision of the Building Official is brought before the Planning and Zoning Board the burden is upon the applicant to convince the Board that the determination of the Building Official was erroneous. In this regard, the Board, by unanimous vote, has established certain guidelines as to the type of evidence the Board would want to see from any such applicant in connection with such an appeal. This evidence includes: 1. Color photographs of the entire exterior of the subject property. 2. Color photographs of all properties surrounding the subject property. 3. Any additional color photographs sufficient to show the neighborhood setting of the subject property. 4. A paint sample of all colors associated with the appeal and their intended application to the subject premises. 5. A short and plain statement of the grounds for the appeal. While there is no formal requirement for the submission of this type of evidence, the Board may, in any given case, consider the absence of sufficient evidence in support of the appeal to be an adequate basis for the denial of the appeal. Please sign a copy of this Notice in the space provided below to confirm that you have received a copy of this notice. DATE: ® _ u H:\MSVIMSV- GENIMEMOS\Piddiffis for appeals re Pam wlors Julie Davies 348 N E 103rd St. Miami Shores, Florida 33138 Planning and Zoning Board C/O Mr. Frank Lubien 10050 Northeast 2' Ave. Miami Shores, Florida 33138 February 5,2000 Dear Board Members, Please review the paint colors I have chosen for my home. I have submitted an application for permit and have been told that the colors are not approved. I have seen the same and similar colors on homes in the neighborhood. Upon brief investigation, I have discovered that permits were issued for some of these homes without Planning and Zoning board review. I realize color harmony is subjective and difficult to determine from a small paper color swatch. I have included in my appeal and color photographs of homes that have the look I am trying to achieve. I appreciate your consideration in this matter. Sincerely, Julie Davies 4# • . PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 3 y g N E U 3 S' Tax Folio Legal Description A. M90nca11y Designated: Yes No OwnerAmsee /Tenant Vic,. ` A. D A %i t E s Master Permit # Owner's Address 3 4 g £. O 3J— C3 a �� Phone 5 $ • /3J �: az 7 j 6 •X13 Contracting Co. 61"— �,.:.` �� ,.+ �.�fi � o N Address l *7 Qualifier � - Phone �3 � °rJ 7I State # Municipal # c3' # Ins. Co. ' Architect/Engineer /L�e- . Address Bonding Company np, Address Mortgagor Address Perm,' T—. ype (circle one • u!"L ING ELECTRICAL WORK DESCRIPTION A, W- 4-_,s PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN e_ - S nee SawAo _ •a • 1 ,a►t�. N � Ni, � 71 ��� 111 q,� Square Ft Estimated Cost (value) _ ,� �O O . O O WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU IlV MW TO OBTAIN FINANCING, CONSULT WITH YOUR LENDE& OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEND;) APPlication is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum if will be performed to meet the standards of all laws regulating construction in this jurisdiction I understand that ( applicable). I certify that all work PLUMBING, SIGNS, POOLS, ROOFING and hIECHANICAL WORK �P � permits are required for ELECTRICAL OWNERS AFFIDAVIT: I certify that all the foregoing information is awmve 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 4s•,a of owner and/or Como President Daft / Signature of Contractaror Owner- Builder Date as to My Commissi ExpiQERCL4L NOMUZZ JULIE A IIAVIES NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC83" // • 1e'• 9 Date �c�.cu�v �c Notary as to Co ctor SCURF— ft My Commii �, PUBLIC STATE OF COMMISSION NO CCE3600 FEES: PERMIT RADON C.C.F. NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Stnacturai a�ne:r /e" - Date October 22, 2008 Permit Resolution Reference Job number: 4996414 Monika Abels APR 16 2009 1 A& 05 — 16cg4 Dear Valued Customer, There is an outstanding permit on your window job. It has come to my attention that there has been 1a camel name number �e final inspection on this project taken care of. We have called om to with the city request of schedule you for a Final before there is no answer. This will be a last attempt to try • comply transferring the permit under Homeowner name and making you responsible for the permit and it's fines. please contact us to set and or schedule the inspection. Elizabeth 1612 NW 80 Ave Doral AL 33126 or email { earendCa seambomearo.com) 305- 341 -5681. A final inspection does require the property ommuno i a end he house for the t inspector tolook over the u o k Tlz cpperson This person will need to gloom 8 access 00 am until he final inspection takes place. needs to be at the house from Thank you *FEI,IE.�TH PItENDES ssistant Miami FL Sears Home Improvement Products 1612 NW 84`" Ave Dora4 FL 33126 r w � � � °lSg Sg01� 19a4 • Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑ Agent • Print your name and address on the reve e 11 Addressee so that we can return the card to you. • Attach this card to the back of the mailpi ce, B. Received by (Printed Name) C. Date of Delivery or on the front if space permits. 1. to D. Is delivery address different from item 17 ❑ Yes If YES, delivery below: ❑ No �A�rti�cyle�Address 1A�� /. enter address ABEL346 33138421/ 1408 22 01124109 NOTIFY SENDER OF NEW ADDRESS ABELS POLYNICE 2 -M -1540 14 FOREST RIDGES 01802 BANDY SPRINGS 30350 — Mall r.+ lecefpt for Merchandise Illtrlrrillll,; IrrIIIIIrrIIrlrlrrllllllrrrllrlrrllllLlrlllrJrlLrrllll ❑ Yes Z. (Trade rfrom ( 7007 2560 0002 1989 1454 Transfer from service IabeQ PS Form 3811, February 2004 Domestic Return Receipt 102595 -o2 -M -1540 • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpfece, or on the front if space permits. 1. Article Addressed to MV A. Signature �;; ❑ Agent X ❑ Addressee B. Recei d by ( Printed Name) C. Date of Delivery D. is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No O }— N, % co 3. Service Type r D"_,. ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑ C.O.D. Z' 4. Restricted Delivery? (Extra Fee) ❑Yes z. Article (fransie 700725'6bt�b d0[2 1989 9238 PS Form 3811, February 2004 Domestic Return Receipt 102595 -0 2 -M -1540 O }— N, % co 3. Service Type r D"_,. ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑ C.O.D. Z' 4. Restricted Delivery? (Extra Fee) ❑Yes z. Article (fransie 700725'6bt�b d0[2 1989 9238 PS Form 3811, February 2004 Domestic Return Receipt 102595 -0 Miami -Dade My Home My Home ,I Text only 'Q Color Aerial Photography - 2004 Digital Orthophotography - 2003 IMProperty Appraiser Tax Estimator Summary Details: : 11 -3206- 013 -5010 348 NE 103 ST JACQUES POLYNICE r MONIKA ABELS Beds /Baths: 48 NE 103 ST MIAMI Floors: SHORES FL [Living Units:1 33138 -2433 Prooerty Information- Primary 1000 SINGLE FAMILY Zone: RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE Building Value: FAMILY Beds /Baths: /1 Floors: 1 [Living Units:1 $230,934 dj Sq 1,635 Foota e: $25,000 Lot Size: 8,700 SQ FT ear Built: 1949 $205,934 MIAMI SHORES SEC 1 AMD Legal " PB 10 -70 LOT 7 & W112 LOT Description: BLK 37 LOT SIZE 75.000 X 116 OR 17797 -4902 0997 1 COC 21679 -0483 09 2003 1 Sale Information: ale O /R: 1679 -0483 Sale Date: /2003 Sale Amount: 1$297,500 Assessment Information- ear: 2005 2004 Land Value: $190,193 $127,269 Building Value: $105,752 $96,939 Market Value: $295,945 $224,209 Assessed Value: $230,934 $224,208 Homestead Exem tion: $25,000 $25,000 otal Exem tions: $25,000 $25,000 axable Value: $205,934 199,208 Pagel of 2 Aerial Photography - AirPhoto USA 2004 0 112 ft We appreciate your feedback, please take a minute to complete our survey. My Home I Property Information I Property Taxes I My Neighborhood I Property. Appraiser Home I Using Our Site I About I Phone Directory I Privacy I Disclaimer If you experience technical difficulties with the Property Information application, please click here to let us know. E -mail your comments, questions and suggestions to Webmaster Web Site © 2002 Miami -Dade County. All rights reserved. WTI 4 http: / /gisims2.miamidade. gov /myhome /propmap. asp ?app= none &bytool = ADDR &cmd =F... 10/10/2005 .' M ,rrtnn".k,vttunvk auni. ,�,. ��tZ.1.,•4 -C G" APPROVED PERMIT SERVICES INC PERMIT NMBER: 935 NON 31 AVE "D" POMPANO DCH, FL 33069 OTICE OF COMMENCEMENT 1111111MIMM11'1111f OR Sk 23871 F'9 2545; Qp9 ) RECORDED 10113/2005 11:46417 HARVEY RUVINP C:LERr OF COURT -_� 1TM--GAD COO TYP FLORIDA LAST PAGE The undersigned hereby gives notice that fmprovement wilt be made to certain real property, and in_uscQrdance with Chapter 713, Florida Statues, the following information is provided in the Notice of Commencement. 1. DES'CRIPT'ION OF PROPERTY (Legal description and street address, ifavailable) TAX FOLIO NTINIBER: -N�� SUBAIVitiI(lN__ U� BLOCK �� /TRACT !.U'I'�(� BL^DG UNIT ✓ ✓✓ 2 GENERAL DESCRIPTION OF Iii IPROVED4ENT: 4 3 01VNERIiVFOitNIATION AboA s 2 Add x 3�-j P-) 3. Interest in property_e`1--on Qf 4. Nara Ind tiddress of fee simple titichotder (ifcaiter than Owncr) 1 CONTRACTOR'S NAME. ADDRESS ANIIQ��AltI�LR�! ME PROD. - 1vvt�+�//114ii'17�ti77 ff7iLC CC IMP. I V _ .. _. �LON5GINOp(D{, FL 32750 - - - -- 5. M "S NA1�lE. ADDRE.4S, PHONE Nl�l1'fISF_ _;IF�PLi`Cj�Cn, 10UNT: Q,` )�Q..A'VRED WMAN OF DAD , --- --h�� _.... °per NANTE, ADDRESS AND PHONE NIM -IBER: WARV�YI 7. Persons within the State of Florida ddsignated by Owner upon whom notices or other duce Lin 71:1.13(1)(x)7., Florida Statutes: NAME. DRESS, AND PHONE Nl)M tap :R —j14 -- 51 Seal. ID LU yes— put taw Provided by Section Y. to addition to himselfor herself. Owner designates the following to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: NA11fRESS; AND PHONE N UM176p ;12 . �. Expiration date of notice of commencemen .(the expiration date is 1 year from the date ohrecording unless a different date is specified: �Il �ot;►ih� At(�g1 S SIGNA7'ME O r O "VINER PRINTED NAME OF ONV EiR SKIT J'A' OF FLORIDA. > 11v . ' ' — Sli•DRN 70 (aR .4FFllZrlfED):1ND St .S B • rTTi'Y'•w .1 ]' F , SS10N # D004913 ENTIFIC•1770N ( f rrc yr lucn'1r1.7C:•1TRIN1 V tite l F�a'AA1 Sear omaImprpvemenfProducts;: License No. CB OW§16t " /0 BOX 522290 ♦ Longwood, FL 3Z752-229 s Phone,dt �liaGeu °. {y Job;No.: j V Replacement -Wi dows y7 Nam.' .!ff�!?1��- • �•���• •r? R • •.•��r�.��2'ts�Bus:��a1'":.�� �� i •Gitg!M+"` St ; . ZIP: e :th ther orr9IMpo ers;of vemep P'• .uctsr h naftarrefentedtoas C ntrd ktoi(sin)sh,lid.UV66and ExangefiYr:frtsth(i it3tii °isf llrna4er7 'n its 6taprove tr . p to a follovirlyspacilicadOns o ,e ng urilts to ba'reAlac�i: $jt ©T��eSr�units•�alikely ta-bedameged.). \Pttrlings as- nscessag��rpcahr$•teP�t�pae4C unksr �+yb ish rxork othertllar) normal instglraCfdYJ J&t0 he don unress,s rMeRw)se. _0tetl below.) .. . ,n� n nsTallSears .� %?' IMitdowsirt: openingadescribedbelowtothe .fogo ons:. wU�g aPeoiflcafi • "� ' Gdlor•. O Whtte `C3�FfitelLl�`M dVb$d�`I�in' ` G7WhitelDar'�;Woodgrdlm - Type: ❑. DH Cl?.SH . ❑. 2 LR ❑.3 -;LR ❑ N Other . . '-0 Other ciS sty Qty-Y �p� Other O Other Ply ® Olass. ❑ Greer rtltt4e ❑ OBS',fr ° ° Scr�ns• O�)C iF QTR THi(N FlBEIfiOLA$S• ° l7 Low TYkrdn ❑ Ore ❑ OB$ Flt (Od Alum fl lCeepsefe .. ` ❑ Solar' NOTE: Tempered glees wN be ins#elled tamest butlding codes. Bevel C01 5ou1j5 _Col flat 17iamond 4 Top Clear 0 NThka :, itom Wd Grain f,i . ❑ Warranty. Manufacturers Warranty sent ugponcompletion. 4. •Erdadng units NOT tabs replaced: t7 L a Y e- d',0 7.- 5.. If applicable, after completion of proje t the application and removai.lstorage) of shutter panels shall be the responsibility of the purchaser In, event the Project requires :the installation of stpr3n shukers:or e$rass wlndoara Contrector vdli notrre costal! arty 91(ecte¢ security 6. special instructions: 4M 4. a. j 0 V T Chen up job related debris and provide neceISermits and insurance 8 if aj5p6cabia °'irf the eventtltat c rrtr Efof�t u l ,rwltetevarrea tii #o dbfain= t)feproper�0e , r#o this cairn aitm�tnsnt of any. work nbador sheltrefund stay piavii V9jk% *enPaiici tls traiPaa> tton'sitall be.autdrliaticaliy carieelled � s 9I AiloVi- apprbzinietely 3?�8eficiF.:3rTsfaii "afrorjts.. � rt "a» �. M .d 321 S c yu 1,. lM^, .hf - .. •.: H-. . NorE Tttewn rrANrYp utter N AS st1�TEO ON TItI� ttEVJ�r►s wAi sm[t> La(NED uNgt �w4 ire r ADDITIONiIL PROYISIONS;ANI} WJ( f3t�A1 Q7�ESt• AI�E�I 'A'REl3.t�JNtTffFrFIE,VEgSESID� IiND'Af1F.,�tP�i]' OF TWfS;CONTRACTi.. lilsasl� reatl Ufg ttilibuting bbid jute a titiitlai correspc�rrdint�v`Itiia Verbal •Lmdsrstandings�and.agreemarrts with- rep and agredin ' muit be set fortifi-In writing in this Contract Due to climatic conditfohs, Anterior condettsetion may, occur. ourciressr Initiate: The TOTAL PRICE for all labor & tMaterials (including any applicable discount) is $ Down - Payment $ : ,.... aw^ -;00' Contract Price $ r, Balance Payable $ ?o f i .00 State Sales Tax(_ %)$ G9` of applicable) . Total Contract Price $ a* . T0. `Credit .: (Subjecllo the approval of ` 1ES ik ti40thiiht) Cash ❑ (Final Payn=t'payabieto'insfalter upon.comptetion) Funded by: Bank City st.: Acotil _ ... - ftoPtmf erredCu6t Omar iit400UM jPCd)'8w6rdcdlotens}% itute5eer3jf ihipPb4et66 tProduc1 pure}ra s ltprldhgaVallablefdrbrre l)yeey'3? If thfs ia'a crctlit trarSaaCtlotti;'t(ia agYedn erjTfdr r it � oritair i ih a sapargfaklocument whfc h le iniiorfo' i *&eolh -b refetem a soli fYiddd act hereof.. UWe theundersigned arehereby, authorizing Sears Hofieiinproverchard Prri ducts, Inc. to vent 'y,"retAew4n0bdr'credftrecord witirantndepeY derjt credh reporting agency and release them from all liability Incurred from Inadvertent �omiss�lon/s, �o�r�errors; IN WITNESS WHEREOF Purchasers) have :hareacfto signed theirnanie(s) this.• day of 20iid aclvtowledge receipt:of a'trLe `eopy ofttiis ContrBCf an d uhidas lie€ ss §paelfledY- ltis': Understar3tf tF Othe:owcivr is�readysor:work to bdgkra= TH(S MESSAGE APPLIES :TQ DQOR i H.S1kLfS NL You the P_UrCh ser(s],m� - Cansel tlai5 trartsactiat any tits : prior to. mldnlgNt cf the:thlyd dfrlyf after thg ttafe`of:thlstatisacdon:•: 4=mpanytft noiit* 40f.cancellatlon fortYtfor err explanation of this rlgfft. s wr -m .13UBMnTED BY: Rapresantaeva Data. Al .:ACCEPTED BY: ,Saws .Home lmproveM M Produ&Ai I= JDM di rs i. ,� by r Offer Cooe: ' K MODEL ' • • ••• U.I. GLASS A2, •0 • • •• • • • $ AMOUNT 3 3 • • i • Nail /Fitt • • 1LR 1 -s Rm 05M 5> WINDOW AF OSAL WORKSHEET Cas;.&n � Date:�1 z 4 AWN Phone: to o c • • • Soo • • •• Office Loc. 2hd$ • • f�I G�1°f Customer., _,..••• �}�i - %J• —r- i i • i • Sale i•i • i • • • • :Rep: • • • • / CO City: / X2'70 Job No. /Lead No.: L f `J eery • • • • •• WD ••• • .R WIDTH &HEIGHT • • • • HT EACH UNIT TO BE # X # • • # ) ? $ ACED AND ENTER # X # • �( • �# & • 3!0,9;3 ,r 3ESPONDING NUMBER z LEFT WD.4 HT i� ✓71 4Y # X # Y � X tA #_ X Series FRONT WD HT WD HT WD HT # X .# X # X ` # X L# I I X J# I I X For secondFStory - use additional worksheet ITEM 1 2 K MODEL ' COLOR U.I. GLASS A2, SCREEI. f"e GRID 6,/" TEMP /OBS ^. $ AMOUNT 3 3 RATE: i SH , SALES MA"., ER APPROVAL 1LR 1 -s Rm 05M 5> WHITE- CORPORATE Cas;.&n � CL 4 AWN Awnin HOP Hopodr. . GW Garden Window BAY Bay 5 Bow COLOR: White �A LWG 7 DWG Dark W "rain '. GLASS: CLE Clear H -Life Block 8 Low E/S uare GRAY Gray Tint BRZ Bronze CBS Obscure OBSBOT Obs: Bottom; 10 Kee safe ' TEMP Tempered- GRIDS: CF Colonial Full CT Colonial Top OF 11 s' Diamond To SCULP Scul tured PER Perimeter.. PRA Prairee SCREENS - 12 ALUM. MISCELLANEOUSr MULL Mullions CAP Cap Facing 13 14 15 16 17 18 -- "' -otal Detail add'Itioi:Yal, labor and charges: i� SPECIALIN 'sRUCTIONS: -- 3ays1Bows Specify window type (ie, casement DH, etc.) 2% Travel VOWMR SAVINGS AuditlngManager -� RETAIL PRIG DISCOUNT $1.500.00.1 123.000.00 - 27,999.00 $2,500.00 - $2,999.00 10 13,000. $2$', EV zs % ;t OFFICE USE ONLY RATE: i SH , 1 i Volume Sa• pings _ 999.00 PD 15 123.000.00 - 27,999.00 DoublQ —Hun , 20 $28:000.ao a�u EV zs % ;t OFFICE USE ONLY RATE: i SH , SALES MA"., ER APPROVAL 1LR 1 -s Rm 05M 5> WHITE- CORPORATE SUB TO1;kL Other _ I.V.D. (Cou ion) WD RIGHT HT # X # _ X # _ X # _ X # _ X # X MODEL PD Patio Door. DH DoublQ —Hun , 2LR Two- lrte:Relrer EV Three -Lite Rolle, PW Picture SH , Sln q le, un- 1LR Single Slid` CR Cas;.&n � CL Casement Left AWN Awnin HOP Hopodr. . GW Garden Window BAY Bay BOW Bow COLOR: White Tan LWG DWG Dark W "rain '. GLASS: CLE Clear H -Life Block E2 Low E/S uare GRAY Gray Tint BRZ Bronze CBS Obscure OBSBOT Obs: Bottom; KEEP Kee safe ' TEMP Tempered- GRIDS: CF Colonial Full CT Colonial Top OF Diamond Full- DT Diamond To SCULP Scul tured PER Perimeter.. PRA Prairee SCREENS - FULL OR HALF ALUM. MISCELLANEOUSr MULL Mullions CAP Cap Facing TOTAL YELLOW-BRANCH PINK - NSTALL ATION ($ Ll -L- ($ ) ($ 3 r ) ($ 1 /" ) 11 3 r2l IMPORTANT INFORMATION: Comer of Bldg to edge of 117/f . . . ... ...... ... . . ... ...... Mean Hoot Height: Hurricane Shutters: Type of Wall.- No: of Stories: Do Not Do: of Openings: (Windows Not to be replaced) to be replaced.- THIS DRAWING IS THE PROPERTY OF 'APPROVED PERMIT SERVICES, INC AND IS AN INSTRUMENT OF SERVICE NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT THE EXPRESSED WRn7EW PERMISSION OF OWNER. 00 k so b — - - -------- -- 0000 a gas If Building Dimensions: 00 tMIYM. 4' 7!5 1�!pp pl� 4 A; uli]D I LL"ily Width: L-1-k Exterior Information Customer Nome: Address: Citv. zip: Completed By: 5 e-/, APPROVED PERMIT SERVICES, INC. (954) 590-2203 Phone Number., Room: nyFUfIM iIIUIY TCEL1UMEU. Top of Window to Ceiling Window /Door Sizes THIS DRAWING IS THE PROPE7R7YOF APPROVED PERAkj'SERVICES, INC.' AND IS AN INSTRUMENT OF SERVICE NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT THE EXPRESSED WRITTEN PERMISSION OF OWNER. ■ ■ I ■H v� nyFUfIM iIIUIY TCEL1UMEU. Top of Window to Ceiling Window /Door Sizes THIS DRAWING IS THE PROPE7R7YOF APPROVED PERAkj'SERVICES, INC.' AND IS AN INSTRUMENT OF SERVICE NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT THE EXPRESSED WRITTEN PERMISSION OF OWNER. Room: Floor to Sill Top of Window to Ceiling Window /Door Sizes Customer Nome :. 4t ✓�� city.--& Zip: 3 /7' Completed 8y:. - APPROVED PE)?WrSERVTCES, INC (934) 390 -2203 Phone Number. ■ I v� Room: Floor to Sill Top of Window to Ceiling Window /Door Sizes Customer Nome :. 4t ✓�� city.--& Zip: 3 /7' Completed 8y:. - APPROVED PE)?WrSERVTCES, INC (934) 390 -2203 Phone Number. Assume Building Fully Enclosed - All exterior openings are shuttered or impact p = q (GCp) - qi (GCPi) AREA SF) = z .• .. . 0 go: % .. . . . . . . . see . . . . 9% COMPONENTS AND CLADDING WINDLOAD PER 2001 FBC, roof <= 60 feet Customer: Sears Home Improvement Products, Inc..* • • • • • • • • Residence : Abels- 4996414 • • • . ... . . . . . ....... ... .. . Location : 348 NE 103rd St ... . ... e • . . . Municipality: Miami Shores, FL -1.40 Date: 10/12/05 • • .. :Go .. . ..... . ... . • Specific Data 39.43 Exposure Classification = C 39.43 Hz = 12.00 feet 45.73 Wind Velocity = 146.00 mph I - Importance Factor= Category 1 1.00 -1.36 Kz - Element Height Exposure Coeffici 0.85 , Table 6 -5 0.18 Kh - Building Height Exposure Coefficii 0.85 , Table 6 -5 Neg Kd - Directionality Factor 0.85 , Table 6 -6 39.43 Velocity Pressure Calculation 39.43 qz =.00256 x Kz x Kd x (I x V) "2 39.43 psf for element 44.95 qh =.00256 x Kh x Kd x (I x V) "2 39.43 psf for building Calculations for Components and Cladding -1.32 Gcpl - Intemal Press. Coeff. = 0.18 +/- , Table 6 -7 0.18 Gcp - Interpolate from Figure 6-5A for Specific Area Neg Assume Building Fully Enclosed - All exterior openings are shuttered or impact p = q (GCp) - qi (GCPi) AREA SF) = z GCp qi = qh Gc i . P 10 -zone 5 39.43 1.00 39.43 -0.18 46.52 Pos 39.43 -1.40 39.43 0.18 -62.29 Neg 15 -zone 5 39.43 0.98 39.43 -0.18 45.73 Pos 39.43 -1.36 39.43 0.18 -60.72 Neg 20 -zone 5 39.43 0.96 39.43 - 0.18 44.95 Pos 39.43 -1.32 39.43 0.18 -59.14 Neg 25 - zone 5 39.43 0.94 39.43 - 0.18 44.16 Pos 39.43 -1.28 39.43 0.18 -57.56 Neg 30 -zone 5 39.43 0.92 39.43 -0.18 43.37 Pos 39.43 -1.24 39.43 0.18 -55.99 Neg 35 -zone 5 39.43 0.90 39.43 -0.18 42.58 Pos . 39.43 -1.20 39.43 0.18 -54.41 Neg 40 -zone 5 39.43 0.88 39.43 -0.18 41.79 Pos 39.43 -1.16 39.43 0.18 -52.83 Neg 45 -zone 5 39.43 0.86 39.43 -0.18 41.00 Pos 39.43 -1.12 39.43 0.18 -51.25 Neg John H. Omslaer, P.E. FL PE #52733/EB#9011 Dynamic Engineering Solutions, Inc. 935 N.W. 31 Ave., Suite D Pompano Beach, FL 33069 ��d <f/f�a P7 - wT see • NOTES: " "•• •"' Design wind load 146 m.p.h. gust, exposure C. Assumed Fully Enclosed Structure; Designed in conformance with 2001 FBC. Mean Roof Heights 1Q feet • •. Products anchored and shimed per Product Approvals. End Zone 5 Width = 4 feet ' • • • •' All fasteners to be coated (tapcons) or stainless steel. ' ..' o • • • e • • Sears Home Impr. Products, Inc* • • Does not certify existing structural envelope. •• • 0000 348 NE 103 St • • 0000•• •••• • 0000•• 0 This specification does not certify product approvals or any approved systems. It is to be used to indicate • • • • • • : • • •: • design pressures only. See specific product approval for product certification and installation information. • • • • • NOTES: " "•• •"' Design wind load 146 m.p.h. gust, exposure C. Assumed Fully Enclosed Structure; Designed in conformance with 2001 FBC. Mean Roof Heights 1Q feet • •. Products anchored and shimed per Product Approvals. End Zone 5 Width = 4 feet ' • • • •' All fasteners to be coated (tapcons) or stainless steel. ' ..' o • • • Contractor to verify dimensions and suitability. Sears Home Impr. Products, Inc* • • Does not certify existing structural envelope. Ables- 4996414 Exterior and interior finish to match existing. 348 NE 103 St Miami. FL EB 9011, PE 52733 935 N.W. 31 Ave., Suite D Pompano Beach, FL 33069 John H. Omslaer, P.E. • 0000•• 0000•• r� NOTICE OF ACCEP'T'ANCE (NOA PGT Industries •• �•� �•• :• ••• 1070 Technology Drive .. . . . . . ... . . Nokomis, FL.34275 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction mnterials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdictioh (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and /or the AHJ (in areas other than Miami .Dade County) reserve [lie right to have this product or-material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County. Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply wi-Oi the i-tigh Velocity I•lurricane Zone of the Florida Building Code. DESCRIPTION: Serics "C -700" Out§wing Aluminum Casement Window - Impact APPROVAL DOCUMENT: Drawing No. 330, titled "Aluminum Casement Window ", sheets I through 11, prepared, signed and scaled by Robert L. Clark. P.E., dated 4118/02, bearing the Miami -Dade County Product Control. Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Snsssil Missile Impact and Non - impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city; state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be- considcrcd aRcr a renewal application has -been filed and there- has been -no change in the applicable building code negatively affecting the performance of this product. TERMINATION of (his NOA will occur after the expiration date or if there has been a revision or change in the materials, use,. and /or manufachire of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA numbor.preccded by ilia words Miami -Dade County, Florida, and followed by the oxpinition date may be displayed in advertising literature, if any portion of ilia NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at tha jab site at ilia request of the Building Official. This NOA revises NOA # 01- 0329.03 and, consists of this page 1 as well as approval document mentioned above. The submitted documenuition was reviewed by. Raul Rodriguez. NOA No 02- 0423.09 Expiration Date: April 16, 2006 ,,. Approval Date: May 23, 2002 Page I .. .. . . . .. . • . . . . . . • . . . . . • • ••• • • • • ••• M I A M I•l?ADE M IAR1 I -DAD E COUNTY, R.O Ri DA • • iVIVii'RO -DADL FLAGLim i3WIMING BUiLDING CODE COMPLIANCE OFFICE (i3CCO) ': : : • •: : • 140 tV jSFFj.AGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION : ": : • • • MIAMi, FLORIDA 33130 -1563 see • • •' ' ' (30'5) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEP'T'ANCE (NOA PGT Industries •• �•� �•• :• ••• 1070 Technology Drive .. . . . . . ... . . Nokomis, FL.34275 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction mnterials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdictioh (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and /or the AHJ (in areas other than Miami .Dade County) reserve [lie right to have this product or-material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County. Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply wi-Oi the i-tigh Velocity I•lurricane Zone of the Florida Building Code. DESCRIPTION: Serics "C -700" Out§wing Aluminum Casement Window - Impact APPROVAL DOCUMENT: Drawing No. 330, titled "Aluminum Casement Window ", sheets I through 11, prepared, signed and scaled by Robert L. Clark. P.E., dated 4118/02, bearing the Miami -Dade County Product Control. Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Snsssil Missile Impact and Non - impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city; state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be- considcrcd aRcr a renewal application has -been filed and there- has been -no change in the applicable building code negatively affecting the performance of this product. TERMINATION of (his NOA will occur after the expiration date or if there has been a revision or change in the materials, use,. and /or manufachire of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA numbor.preccded by ilia words Miami -Dade County, Florida, and followed by the oxpinition date may be displayed in advertising literature, if any portion of ilia NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at tha jab site at ilia request of the Building Official. This NOA revises NOA # 01- 0329.03 and, consists of this page 1 as well as approval document mentioned above. The submitted documenuition was reviewed by. Raul Rodriguez. NOA No 02- 0423.09 Expiration Date: April 16, 2006 ,,. Approval Date: May 23, 2002 Page I 76" MAX (64- f MAX FOR 1/4• TEMP. . GLAZING) Lilt wmawf/ Vf GW(YG 120' MAX 74.5' MAX xox NON- IMPACT WINDOWS ( X AND XX CONFIGUP.MOM.5 ) T.) GLAZING: DSB, 3116' ANNEALED, 3/16' HFAT- STRENGTHENED OR TEMPERED, 114' MfPtAEQ 2.) COMRGURA710I m. xx 3.) DESIGN PRESSURE R47ING: SEE COMPARA7W ANALYSIS TABLES ON SHMS.5 & S. 4.) ANCHORAGE; MAC 6" FROM EACH CORNER XX CONFIG. 2 ANCHORS 4" APART, 4" FROM EACH MEETING RAIL MAX SPACING AT HEAD & SILL: 11.000 . 'MAX SPACING AT JAMBS: 16.000 5.) SHUTTER R✓cOMR& WENT.• MIAMI —OAOE COUMY APPROVED §HUT7ERS ARE 'REOUIRED. 6.) REFERENCE TEST REPORTS: FTL -1518 & FIL -1519 NON- IMPACT WINDOWS ( XOX CONFIGURATION ) 1.) GLAZING. 3116' ANNEALED, 3116" BEAT — STRENGTHENED OR TEMPERED. 1/4' TEMPERED 2.) CONFIGURAMNS., XOX 3.) DESIGN PRESSURE RATING: SEE COMPARATNE ANALYSIS TABLES ON SHEET 7 4.) ANCHORAGE: MAX. 6' FROM EACH CORNER 2 ANCHORS 4' APART, 4' FROM EACH MEETING ARIL MAX. SPACING AT HERO do SILL• 11.000 • • • • • • MAX SPACING AT JAMBS: N6.OQp• • • • • • � 5.) SHUTTER REOU/REMEW ULA gWr JoUNTY NPONOM • SHURERS ARE REOLMD. • • • 6.) REFERENCE TEST REPORTS• FT!- P3V & FR— 15V • • • • • • • 000.00 • • • 0000• 0000 • • • • 0000• 0000 0000• • 0000•• 0000 0000•• • • • • • • • d lAm� Ylac wkh We9�iir�ila• i Rakf" cwt • • • • • • 6cRrtaaeeNa rX OeraiDlioti - - - -- FRONT VIEWS, ELEVATION, NON - fi4: ALUMINUM CASEMENT WINDOWS ... P.R 80X 1329 saw, /uoaea I sear' I m—o I aa+a,p Ho. r ®--i MAX ® \ IF JO' MAX X 63" MAX ®� XOX 64' \ MAX j 62.5' 55.187' MAX FIXED MAX UTE DAYLIGHT OPENING UENT W0T1i 120` MAX. XX 61.5" 60' MAX LARGE MISSLE IMPACT VONDOWS 1.) GLAZING: 3/16" SEWW GLASS 2. CONFIGURATIONS: X,XJGXOX 3.) DESIGN PRESSURE RATING: SEE COMPARATAE ANALYSIS TABLES ON SHEET a 4.) ANCHORAGE MAX. 6' FROM EACH CORNER XX AND XOX CONFIG: 2 ANCHORS 4' APART, 4' FROM EACH NEE77NG RAIL MAX SPACING AT HEAD k SILL 11.000 MAX. SPACING AT JAMBS• 16.000 5.) SHUTTER REQUIREMEMT NONE REQUIRED 6. REFERENCE TEST REPORT: FX -1517 y FK 9 c D INDUSTRIES R._ FRONT ,DH J427JVE ALUMIA R.6at L Q.�. RE P.O. 8GX 1529 S'rt" =/Yvaa6 FE 139711 swcewa Ntu:OIA3j FL 34274 C-700 CASEMENT WINDOWS s(a &.Kh D -O No. Rw: NTS 2 11 330 '. F • • •.•..• • • ... • • Ppp�t1R REY4S®. • i • . • • m empl� e$E the FWd4 •• O• •i0/it Cm. ••. •.• Aa.pt.mNo oZ -o yt7•of • • .. • • F:7apU•tl.t Drte s•.ty rO. ANALYSSIS Mi • • • � • P a Caa rr. s OWho • ...... CASEMENT WINDOWS s(a &.Kh D -O No. Rw: NTS 2 11 330 '. F - 24.375 OAYUGHT OPENING MAX i 55.187 OMYUGHT OPENING MAX, -- �---- 28 875 120.000 MAX SECTION C-c 31,625" DAYLIGHT OPENWO MAX (24.375' 11 FOR 1/4" M.U.R. J.R J /16' SENTRY) ] 1 r F--- 36.125" (28.875- MAK F_OR 114• TEMP OR J 116' sENIRY) ---� 74,50" MAX. (60" MAK FOR 114" TEMP. OR 3116" SENTRY GLAZWG) n ' SECTION 0 -0 31.153" oAYUGHT OPEMNG MAX (219" MAX FOR 1/4' TEMP. OR 3/16" SENTRY GLAZWG) • Y • • • J5.653' (28.4" UV. FOR 1/4" TEMP, OR 3116' SENTRY) • • • 37.250" MAX (JO" MAX. FOR 114' TEMP. OR 3/16" sENTRY mAZWG • sECn0u E E • • • • • • REFERENCE TEST•REPORTS. FTL- 1517, FTL- 1518• FTL -1519, FiL. -152o & FX -1535 Robot 4 Clark, P.0 PE 13871$ SRaetural T IND.USTWI-E • • • •000.8 a • 0000 • •1•• 0000•• 0000•• • rKooacrxcmgb• • • • wim "w Du• • 0 • �eg•Plxme N9, oZ- Y °d • a • 0 cT�t�l.Odc Pr°dM�! • • a• 0000 • • 0000•• •• • % > 42"r rion ALUMINUM CASEMENT WINDOWS AM 80X 1529 5-1c ad. Go.&gl N9, Noxows FL 3074 G -700 NTS 3 F RE ATTACHED WM B.O.U. ITEM 27, 4" FROM EACH END AND 16" CENTERS HORIZONTALLY, A140 3.5" FROM EACH END AND 16" CENTERS VERTICALLY Q�!7/NG OPTfON• °crNrav rr a ec'• ff .Z% IA X SNIAT SPACE Z50 MAX R.S - DeacntyBvec SWU SPACE VER7 9 _r I NMXS, n 3274 1 • 0000•• 0066 • • • • 0006•• • • • • • • • rnconucrRLVL000000 • tt°ds 3 ANALYSIS • • H�ta• r 0000 • —• A14ZIUIS 76.00 MAX {64" MAX FOR 114" TEMP. 70.00 DAYUGHT 64° MAX /16" ENTRY OPENING MAX FOR GLAZING) ) 1/4' 5OPENING � 3116' SENTRY) 3 9 �( MAX SHIM SPACE .250 MAX 5£CT10N A —A 1 • s£cnoN SUM SPACE a —e ;REFERENCE TEST REPORTS: 058 GLA UNG OPT10N SHOWN —1517, FX -1518. FX -1515. FTL -1520 do F1L -1535 ' RE ATTACHED WM B.O.U. ITEM 27, 4" FROM EACH END AND 16" CENTERS HORIZONTALLY, A140 3.5" FROM EACH END AND 16" CENTERS VERTICALLY Q�!7/NG OPTfON• °crNrav rr a ec'• ff F.K. INjOhLEISTZIUES R.S - DeacntyBvec VER7 1070 TF,f7Rf0(oLy p1WF Jf2T8 Iwo ALUM P.Q wx 1529 NMXS, n 3274 C -700 SEA •000.6 • • • 0000•• •• • 0000 • 0000•• 0000 0606.• • 0000•• . • • 0000•• 0066 • • • • 0006•• • • • • • • • rnconucrRLVL000000 • tt°ds ANALYSIS • • H�ta• r 0000 • —• A14ZIUIS • . • . • . CASEMENT WINDOWS NTS 4 1 l 330 F GONIPARATNE ANALYSIS FOR: DSB GLASS EYL -1518 CONFIGURATION: X 26.000 0000•• • 38.375 3 WINDOW HEIGHT 50.625 4 63.000 • 00000 NAM 111i HEIGHT 5 78.006 • • FTL -1519 WINDOW DTH 28,000 NEG NEG FOS NEG 63.000 NEG 78.00 19,125 Z POs POS -135,0 FOS -135.0 1D4.0 EG POS NEG' 104.0 20.200 2 •75.0. :7S.D 75.0 $38_37$ 69,0 - 135.0. WPOSNEG 52.1 521 -100.8 100 8 0 .75.0 .75.0 75.0 -120,4 64.2 •120.4 104.0 8.8 46.8 -424,000 87.3 26,500 3 75,0 75 0 -98.8 -78.5 54;1 51,6 -98.8 98.8 30.1 30.1 -81.1 81.1 32.000 4 52.8 82;8 -48.7 48.7 34. 3 34.3 26.7 28.7 22.8 Z2 8 32.000 4 -58.2 681 - 46.7 46.7 33.8 33.8 -25,1 -25.4 25.1 25.4 -19.7 -18,6. 19.7 1 &B 34,OD0 4 38.000 - 50.8 60.8 - 44.7 44.7 -33.4 33.4 -25.4 25A -18 5 18.5 4 37160 (4) -48.4 X4.0 46.4 44.0 -42,8 -40,0 428 `40.0 32 7 32.7 -.25.0 25.0 . -18,8 1 &8 ' -51.2 512. 1 31.6 31.8 024.7 24.7 -18.9 18.9 COMPARA ANALYSIS FOR: 3116` ANNEALED GLASS CONFIGURATION:•X WINDOW HEIGHT FTL -1518 WIDTH NTH 28.000 NEG 3 50.625 4 63.000 5 .76.000 8 FOS PO$ NEG POs NEG FOS 19,125 -120,0 104.0 13111.15 104,0 -120,0 104.0 -104.6 104,0 -84.1 84.1 20,000 24.000 -120.0 104,0 . 104.0 -120.0 104,0 -100,8 100,8 .; -81.0: 81,0 3 28,502 3 -120,0 104,0 104.0 -83A 83.4 -71.6 71.6 .588 66,6 30,000 4 -98.8 98.8 917 -69.6 69.6 -57.9 • 57.9 32.000 4 -78.5 70.2 78.5 70.2 77. 58.9 -47.0 47.0 -40.5 40.5 34.000 4 -63,5 63.5 57.8 55,7 -43.1 43.1 36.1 36,1 38.000 4 58.0 58.0 -60,0 53.5 =53a 53,2 -40.1 40.1 -33.2 33.2 37.250 4 - 55.0 55.0 - -50.0 50.8 49.9 -39.1 . 39.1 -31.6 31.6 -3 8.4 38.4 -30.7 30.7 COMPARATIVE ANALYSIS FOR: 3116' HEAT STRENGTHENED GLASS CONFIGURATION: X EYL -1518 WINDOW WIDTH 26.000 0000•• • 38.375 3 WINDOW HEIGHT 50.625 4 63.000 • 00000 4 • 5 78.006 • • e�o,ayltAM�Si i•11s • • NEG POS NEG FOS NEG POS NEG P,OS NEG POs 19.125 20.000 -135,0 104.0 -135.0 1D4.0 -135.0 .104.0 -104.6 104.0 -6 - 84.1 84,1 24.000 3 -135.0 104,0 - 135.0. 104,0 -131.5 104.0 -100.8 100 8 0 61.0 26.500 -120,4 104.0 •120.4 104.0 -115.3 104.0 -87.3 87.3 •89.6 69.6 30.000 4 -98.8 -78.5 98.6 78 5 -98.8 98.8 98.8 98.8 -81.1 81.1 64.3 84.3 32 000 4 -70.2 70.2 - 77.1 77.1 -77.1 77.1 -74.2 74.2 -58.4 58.4 34.000 4 -83.5 63,5 - 87.8 67.8' -67,8 67.8 -67.8 67.8 - 55.7 55.7 36.000 4 -58.0 5 &0 50.0 60.0 .- 60.0 60.0 60.0 80.0 53.3 53,3 37250 (4) -55.0 55.0 -53.5 -50.0 53.5 53.5 _--m 53,5 -53,5 53,5 -51.2 512. 1 50.0 0 50.0 -50.0 50.0 - 50.0 50.0 ✓/ i%N R 9p I 'rl ltvD._ V�FS ��t X OR X COMP: I!zi7,L xz7 ALUMIP P Gwk PE I � i RoOart ral2 1329 3427, C -700 00 i 0000•• • 0:00:00 00096 •••4.4 0000•• • • • • 0000•••• •0.9 • • 0049•; 0400 • 00000 4 • •99 ••0 wl{�5 *r��90•• • • e�o,ayltAM�Si i•11s • • • of 00 *6 • • altua Ctde •00 A E 'm Nt Ot OP"mcid IIt9 07k 02 Rte • COMP. ANALYSIS • 0 c p ,i1 Oy„ • • • i COMP !S • • • 0000• • • r7 • • • 00 0 ALYSIS - NON - IMPACT X CASEMENT WINDOWS mla NTS Sfq�r 5 a 11 Ort.4n9 Na Rwt 330 F T� . .. 1.751 031 1.250 OALUdL 6o6] —TS L .03 859 224 1.094 2' AW61, 600—TS REFERENCE* TEST REPORTS. FTL -1517, M -1518, FTL -1519, FTL -1520 & FTL -1535 .039 1.148 1.383 3• AUgL 606J -73 Robml L Qm% P.0 2,048 II •000.0 • • • 0000••• ••' • 0000 • 0000•• 0000 •••�•• • ' 0000•• • • 0000•• 0000 • • • • • • 0000•• • • • • rROaucr REY6Ep • � • • • •0•••• A�bIbOF�I•• • • • A • • ��Y07A�T• • ni BF Lblq ,(py DUf L T LT. 4 18 OZ F.K. F.1G 9 Ol EO • ANRLYSI$ a• • �d+ka • o rood INDUST E-5 m v Goa R.S 12 97 • • • • 0000 • • �••••� EXTRUSIONS • ALUMINUM .CASEMENT WINDOWS P.O. 8= 1529 Noxou� Jf37{ Sm�e Snc.0 c —loo IVTS 9 0 Rw J 1 330 f- II 0 m O I, ;o SPACING 6" FROM CORNER, 16" MAX. SPACING ON CENTER TO ATTACH ITEM 21 TO MAIN 1 FRAME AND FIXED MTG RAILS f 11• � ,f� O O O 0 RFFERENOE TEST REPORTS. FTL -1517, FR -1518, M -1519, FTL -1520 k FTL -1535 "' N-0- VT DESCRIPTION I VENDOR Ifi Hall L MA RE PE 138712 Swctuml • 1fi •• . ••.• 006.0. awl Wytjj�440- .0000• 4 ra o2 co rsls "+ Uw 0000 u�pi���l•6• •6:66: e• •eT YSlS O.ds P,vdvet C • �yIS},a • � �P No oG d awl Wytjj�440- LT 4 ra o2 co rsls "+ Uw F.K. YSlS O.ds P,vdvet C • �yIS},a • • • • • • INDUSTMB R.S. 2112197 • • *see • • FRONT ' VIEWS, • VLEITATION 6 � • % 0 'O&VW= 3 27.5 ffft ALUMINUM CASEMENT WINDOWS P.0. 80X f529 Smka/XoCe4 Smla ' SMaL• Ov�7,.p Na Ra,e N0a0 r7'3a27� C —loo NTS 1G l7 330 F d ,x'10 PA TYP. HEAD, SILL JAME Bnaml L Cwt, P,E sw�aPE 1J9a 717 110 PA! I x 4 WOOD BUCK YODD 1..250 MIN. e e 4000•• TYP. HEAD. VIIX. JA " ":• ...... .... ...... ATAPCON . . Goes . . • . �. .0 Gee • • PAODW=r A.E,tO�L,�t,� e • ••40•• •0�1*9'1'I7 I x WOOD FFF���--- BUCK W TYP. HEAD. SILL JAMB ,x'10 PA TYP. HEAD, SILL JAME Bnaml L Cwt, P,E sw�aPE 1J9a 717 110 PA! I x 4 WOOD BUCK YODD 4 e e 4000•• TYP. HEAD. VIIX. JA " ":• ...... .... ...... . . Goes . . • . Gee • • PAODW=r A.E,tO�L,�t,� e • ••40•• •0�1*9'1'I7 • • • •• •• • ••21-N t • and 8� w R • L T. 4118102 ClOMPlA YSIS s ..I�taml a MdW G e• �� G • F.Kf 3 7 01 MP. A�'lALYSIS' �.�e iGGe•: 1NDUSTRIE$ N s m RS 2 12 97 • • •.• . OmafpUan; XOX CONFIGURATION AND • B. 0.M. 1070 uz ALUMINUM CASEMENT WINDOWS P.O. a..�, X0K0"� n }6274 c -loo NTS 11 11 330 F 4 A qt Inspection Date: 01/18/2006 Permit Type: Imported Permit Inspector: Grande, Claudio Inspection Type: Final Owner: POLYNICE, JACQUES Work Classification: <NONE> Job Address: 348 103 Street NE Miami Shores Village,, FL 33138- Project: <NONE> Contractor: SEARS HOME IMPROVEMENT PRODUCTS, INC. Buildina Department Comments Phone Number Parcel Number 1132060135010 Block: Lot: Phone: 561 - 732 -6614 FINAL IMPACT WINDOWS Inspector Comments Passed ' (�a,K ,_ OA-) Failed Correction Needed Re- Inspection Fee � ($75) �1 No Additional Inspections can be scheduled until re- inspection fee is paid. 4 Tuesday, January 17, 2006 Page 1 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed:10 /18!2005 Page 1 of 1 Applicant: JACQUES POLYNICE Owner: POLYNICE JACQUES JOB ADDRESS: 348 NE 103 ST Contractor SEARS HOME IMPROVEMENT PRODUCTS, Mfttractor's Address: 3020 High Ridge Rd., Suite 300 Local Phone: 561 - 732 -6614 Parcel # 1132060135010 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & W1/2 LOT 6 BLK 37 LOT SIZE Fees: Description Amount FEE2005 -13659 Building Fee $120.00 Total Fees: $132.20 FEE2005 -13660 CCF $2.40 FEE2005 -13661 Training and Education Fee $0.80 Total Receipts: $0.00 FEE2005 -13662 Technology Fee $3.00 FEE2005 -13663 Scanning Fee $6.00 Total Fees: $132.20 Permit Status: APPROVED Permit Expiration: 4/12/2006 Construction Value: $3,087.00 Work: REPLACE TWO IMPACT WINDOWS Signed: (INSPECTOR) � -�23 -7 ZED' 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: CHECK REQUEST • DA1562 DATE:NOV 14.2008 VENDOR NUMBER MAKE CHECK PAYABLE TO: Sears Home Improvement Inc PLEASE INDICATE MAIL CHECK: YES NO X MAILING ADDRESS: IF "NO" GIVE CHECK TO: BUILDING DEPT AMOUNT OF CHECK: $75.00 BUDGET ACCOUNT NO: GENERAL LEDGER NO: REVENUE NO: ITEM(S) TO BE PURCHASED Refund REASON FOR PURCHASE: Extra charge on permit renewal BP05 -1486 invoice IMP -11 -08 -33241 CHECK REQUESTED BY: DEPARTM T HEAD (NORMAN BRUHN) APPROVED BY: FINANCE DIRECTOR VILLAGE MANAGER t — Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fax: (305)751 -8872 Bill To JACQUES POLYNICE 348103 Street NE MIAMI SHORES, FL 33138 -2433 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 11/10/2008 Miscellaneous 11/10/2008 Renewal /Extension Fee Invoice Number: imp -11 -08 -33241 Invoice Date: November 10, 2008 Permit Number: BP2005 -1486 Fe_ eT Fee Amount Calculated $25.00 Calculated $75.00 Total Fees Dine: $100.00 T a tai f,U0: $0.00 a� Friday, November 14, 2008 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Bill To JACQUES POLYNICE 348103 Street NE MIAMI SHORES, FL 33138 -2433 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 11/10/2008 Miscellaneous 11/10/2008 Renewal/Extension Fee Invoice Number: Imp -11 -08 -33241 Invoice Date: November 10, 2008 Permit Number: BP2005 -1486 Fee Calculated Calculated Total Fees Due: Fee Amount $100.00 Payments Date Pay Type Check Number. Amount Paid Change 11/10/2008 Check 1620 $100.00 $0.00 Total Paid: $100.00 Total Due: $0.00 Monday, November 10, 2008 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (306)756-8972 CE FL 3313B-2433 Invoice Number: imp-9-08-32948 Invoice Date: September 29, 2008 Permit Number: BP2005-1486 `,.=-;-lewal/Extr-nsion Fee P:ay@v#en%.- W, 13. 2008 Calculated $120.00 Total Fees Due: $120.00 Date Pay Type Check Number Amount Paid Change 09/29/2008 Check 34949 $120.00 $0.00 I Total Paid: $120.00 11 Total Due: $0.00 ri"IR I "TAIT IF wM."A !m r; Fav Name Fee Type Fee Amount `,.=-;-lewal/Extr-nsion Fee P:ay@v#en%.- W, 13. 2008 Calculated $120.00 Total Fees Due: $120.00 Date Pay Type Check Number Amount Paid Change 09/29/2008 Check 34949 $120.00 $0.00 I Total Paid: $120.00 11 Total Due: $0.00 t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Ls APPLICATION FOR PLUMBING PERMIT Permit No. f !e .,j // q / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bJchngor 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 the progress of work. Owner's Name and Address Mr- Registered Architect and/or Engineer / m °� �x Location Street and Number where work is to be performed — No. Street 1® State work to be performed and purpose of building (By Floors) No. Street /ll No. 106 [ Street "4L) 2`p4�, M-k1 % Subdivision s Z eV to 2 Now Building Remodeling Addition Repairs No. of Stories Size Septic Tank q©o Type of Tank ('ogzcrele -. Capacity Gala 6c, b Feet of Drain Tile Nature of Water Supply: City - Well Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ 26--049 (Signed Vt X-�Tf 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 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 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 noti as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by ism! ores Village S (Signed Master Plumber. STATE OF FLORIDA, as. 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS 'SINKS TUBS URINALS BASIN DRAIN FOUNTAINS FDCTURES CONTR. LIST CHECK SEPTIC SEWER DRAM SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G. TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL C. . LIST CHECK Size Septic Tank q©o Type of Tank ('ogzcrele -. Capacity Gala 6c, b Feet of Drain Tile Nature of Water Supply: City - Well Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ 26--049 (Signed Vt X-�Tf 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 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 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 noti as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by ism! ores Village S (Signed Master Plumber. STATE OF FLORIDA, as. 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. r PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Q (OWNER TO RETAIN COPY) Date 3 4 1 5 .fob Address q g N C l �? 3 Tax Folio z52 Legal Description Permit # er / Lessee / Tenant Owner's Address .34p. C_ 163 Phone % 5 -2 1 R> Contracting Co. 112&�Ne t Address IQ(?/( 0L42 2 C-1 AS42 Qualifier. �� � (�>r sdyA A SS #_ - ( Phone (-2 ?ic7 5� State# 0 -3 - 0177 Competency #_12 Architect /Engineer A S Bonding Company /) fb Mortgagor__ Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION Square Ft. Ins. Co. Address Address Address MECHANICAL PAVING FENCE SIGN Estimated Cost / t> ® U Q:�21 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 above -named contractor t-th do the work stated. Signature of 0; ner and/ C-ftdo President t7rg ature of ontracto o 05m- Builder w Date: Date: �� �� r N ary 0 Yd- Owner andhatarfenldir, EtMaIdEndda at Large y as t Contractcdotwv �ti�€t idf� yida at arge My Commis ion Expires: My Commission Expires Jan. 21, 199 My Commis Expires: My Commission Expires Jan. 21, 1992 !fir 7k * *Bonded JWu Agent' *,Notary Sokerage * * *Bonded 11*u Agent'_%Notary BW kerage PERMIT FEE: APPROVED: Fire Other Zoning Building Electrical 2099f a iw,/74gineering Mechanical Plumbing `0) t 4 3217/4 six moutbr Pros auto Nb" U6 Hof-!* u9th pet Qmu* buildw at arm n Fa jr a' idao�e only at 30 H.r. 20 rd stmt, F� 17.1949 Auost 17.1949 / r A: X 17.1949 c MIAMI SHORES ` iLLAGE BUILDING INSPECTION DLPARTMENT 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. Owner's Name and Address No'Ll I L Str Registered Architect and /or Engineer Name and address of licensed T — ..14,,.. —A 1_.....1 ..t 1 - "- I -- L- i. - New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone cubage required Distance to neat nearest building _ - Maximum live load to be borne by each floor - and for no other purpose. ddition Repairs No. of Stori Roof Covering e' ^ L_"�gaount of Permit $_a --- --Plan Cubage ize of Building Lo " .gad 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 applicantrfor•tltis building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen``ss Compensation Act, being Section 5966, Compiled General' Laws of Florida, Permanent Supplement, and has complied with the previsions 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 on on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ ',only such tractors, on we --to bederforme r this permit, as are licensed by Miami Shores Village. Remarks (Sign�� ✓��., ®s. P� STATE OF FLORIDA; i COUNTY OF DADE. j S& Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally'ap- peared and who, being by me first duly sworn, upon oa deposes and says that he is the of the above describe on, that h e. has efully read the foregoing application, and that he did sign therein by him stated 457 �-to me well known, same, and that Permit No. f r ' Date d " �' Read, Sworn to and Subscribed before me. Ddsapprove D t Notary Public,'State of Florida (Signed) Building Inspect r t My Commission Expires PLANNING BOARD - - -- DATE. Chairman Member Member Member Member Member Council Approval 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 are -' tion 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. AFFIDAVIT STATE OF FLORIDA) SS COUNTY OF DADS' .. Pef_�r_e_ of the V i Count of Dade and 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and socure 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 Insurance. 7. File with the Building Inspector as the job progresses certi- ficates 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 than properly licensed contrcetors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a n contractor" . 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the wiork personally and observe all'of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Via.11age. Such affidavit to be properly notarized upon blanks to be supplied by the Building 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 less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village.' And Further is Deponent says not; OWNER SUBSC3IBID A1,TD STIORN TO B-700 12 this day of A. D., 19 0 9 llage of Miami'Shores,, y S Flia, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 19/+8: paragraph (d) of Section B -365 of Ordinance :do. 97 'f the B 'lding Code of Miami Shore o Vi lage, he desires to build a on Lot dock ' of - _ _ ulxc vision, that s the ner of said property, and will be the oi3ner of sc.a.G hhe �,, that he will do the worts personally, and that he vil1,�at suc times as are required by the Zoning aid Building Director:- 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and socure 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 Insurance. 7. File with the Building Inspector as the job progresses certi- ficates 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 than properly licensed contrcetors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a n contractor" . 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the wiork personally and observe all'of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Via.11age. Such affidavit to be properly notarized upon blanks to be supplied by the Building 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 less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village.' And Further is Deponent says not; OWNER SUBSC3IBID A1,TD STIORN TO B-700 12 this day of A. D., 19 0 9 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 'A. Permit No._ Date -_ ... _ . t Applies tion hereby made for the approval of the detailed statement of the plans and specifications herewith submitted .for the building ` other; structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sham VYi'ilam 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. , (164, --- --Owners Name and Address Registered Architect and /or Engineer ... ���yy Employing Electrician's Name. �-1 � — N ! A.a" street- , _ _ �l Location and Legal Description te Street and Number where work is to be performed —Na. _.s �� -� -- Street State work to be performed purpose of building (By Floors)._ New Building_ -Remodeling - .Y._. -------------- Additio n.____.__-.- _._._ Repairs------ ____.__-- _ --No. `of Stories- CHECK r Overhead • t n! Z 1Vlsin Stiv. _._ __ __ Amps._ l tG Mast Service � Size Feedet�?'_' -�__� T of Installation — Conduit.- .- ._ -_..- -Tubin B.X.L. Metal M Amount of Permit f t _ — Lr �C _ _ ( Signed ) The undersigned applicant for this building permit does hereby certify this understands and his o ors ,as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, piled General Laws of Florida 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 sub - contractors, on work to be performed under this as are f licensed by Miami Shores Village. (Signed)--- ;w .blaster Electrician. STATE OF FLORIDA, l COUNTY OF DADE. f ss' • Before me, the undersigned authority, a notary public, duly authorized to administer oaths _ and take a ledgments, personally appeared ------- - - - - - -- — - - - -_ - - 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, and he has carefully read the foregoing application,_ and'that he did sign the , and that all facts therein by him stated are true. My Commission Expires Nam Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made n by improper notice for inspection, or faulty " materials and /or workmanship. P M SWITCH LIGHT PLUG FIXTURE$ REP'RIG. IRON RANGE RANGE WATER W. HEAT. SPACE - STRIP` TOTAL OUTLETS OUTLETS Rzce'P'T,s NO. �LAMPs OUTLET OUTLET OUTLET CONN. HBATER COMIC. HEATER HEATER COIF . CHECK ,i' 't�ty ( i. J. 7. 5 ENT.. DIST.. SERVICE SERVICE ' MOTORS MOTOR$ Mom - -�- n¢IO TOTAL - SW. CAB. TEMP. PERM.:. 0-1 HP '; t -S No* TRANS. CONTR.. .LIST , ,t r Overhead • t n! Z 1Vlsin Stiv. _._ __ __ Amps._ l tG Mast Service � Size Feedet�?'_' -�__� T of Installation — Conduit.- .- ._ -_..- -Tubin B.X.L. Metal M Amount of Permit f t _ — Lr �C _ _ ( Signed ) The undersigned applicant for this building permit does hereby certify this understands and his o ors ,as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, piled General Laws of Florida 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 sub - contractors, on work to be performed under this as are f licensed by Miami Shores Village. (Signed)--- ;w .blaster Electrician. STATE OF FLORIDA, l COUNTY OF DADE. f ss' • Before me, the undersigned authority, a notary public, duly authorized to administer oaths _ and take a ledgments, personally appeared ------- - - - - - -- — - - - -_ - - 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, and he has carefully read the foregoing application,_ and'that he did sign the , and that all facts therein by him stated are true. My Commission Expires Nam Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made n by improper notice for inspection, or faulty " materials and /or workmanship. P M r MIAMI SNORES, 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 witli 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 pr6gress of work. -- - - - - -- ----------------------- .. s Owner's Name and Address _ ____ __ _ _ ____y No..�- _���__.� --- -_ -- --- Street---- �___ -� ��---- °- _ ✓_____ Registered Architect and /or Engineer - - - -- - - - -- - - - - - - -- - - -- -- -- - - - - -- --- - - - - -= -- - - - - -- ----------- - - -- -------------------------�/ Employing Plumber's Name----------- ___,l_ --- _----- -- _ - -- -- -- No.- - - - --- - °_- -_- Street --- - - - - -- Cl �-- /" -- - f - - Location and Legal Description Lot-----7 1 - - -- Block - -- __ - - - - -- subdivision ---- - ----- - - - - -_ Street and Number where work is to be.perfonned- No.- _____,__ -- -_J - -__- r_------- Street ------ 'S_ ---- _ --- ---------- State work to be performed and purpose of building (By Floors) -- - - - - -- - -- - ---- - -- - - - - -- --- - - - - -- -- - - - - -- - ___ - - - -- - -____- -- --- ------------------- _ ----- - -- New Building ----- -?'_ Remodeling-- - - - --- -- - -- ------------ Addition ------------------- _ - -_-_ Repairs_ ___ -- - -- _ ------------ No. of Stories---------- - ---- - -- -- - - -- CLOSETS BATH gHOWERS - LAVA -, SINKS'r OP --.D Size Septic Tank- - ------------------ -- ----------- - - - -- - -- -Type of Tank` - - - - - -- - - - -- - - - - -- -_ ------- - - - - -- Capacity Gals . - - - - - --------------------------------- Feet of Drain Tile--------- - - -- -- -- - -- - - - - -- -- ---- -Dist. Feet of Tank or Drain Field from Well- ------ - ------------------------- Nature of Water Supply: Cit ell - - - - - -- ------------------------ - .____ -_ __ --_ -Size of Soakage Pit --------------------------------- --------------------- - ----------------- - -------------------------------- Amount of Permit $ - - - --- ---- - -- - -- - - - - -- -- -- - - ( Signed) - - - - - - - - __ -- - - -- ---- -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that be understands and accepts his o bons as an employer of labor under the Florida Workmen's Compensation Act, being ,Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn 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 t performed under this permit' as , are licensed by Miami Shores Vill4ge. ' (Signed)______ - - - - -- - - -- -- -- - -- --- - - - - --------------------------------------- - -- lalumber. STATE' OF FLORIDA, ss. .COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to a mister aths and.take ackn lodgments, pp�eonally appeared' ft; - ------ - - - - -- -- -- - - - - -- - - - - - -- -------- - --- -- - - - - -- - -- - -- 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, that all facts therein by him stated are true. - - - - - -- - - — - - - - - _- -_ -- - -------------------------- - - - -- - ------ -- -- - - - - -- - -- - - - My Commission Expires Notary Public, Statue of'Florlido,, NOTE: A're- inspection fee of $1.00 will be made when such re- inspection is made necessary, by improper potice for inspection, or faulty materials and/or workmanship. CATCH FLOOR DRINKING �" TOTAL TUBS TORIES SINKS, TUBS .URINALS BASIN DRAIN FOUNT'NS �. ;, FIXTURES' LIST ` I CHECK- SEPTIC SEWER DRAIN SOAKAGE GREASE ,^�@ DEEP SPRKLR. Swim'6 TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR.'. LIST CHECK - Size Septic Tank- - ------------------ -- ----------- - - - -- - -- -Type of Tank` - - - - - -- - - - -- - - - - -- -_ ------- - - - - -- Capacity Gals . - - - - - --------------------------------- Feet of Drain Tile--------- - - -- -- -- - -- - - - - -- -- ---- -Dist. Feet of Tank or Drain Field from Well- ------ - ------------------------- Nature of Water Supply: Cit ell - - - - - -- ------------------------ - .____ -_ __ --_ -Size of Soakage Pit --------------------------------- --------------------- - ----------------- - -------------------------------- Amount of Permit $ - - - --- ---- - -- - -- - - - - -- -- -- - - ( Signed) - - - - - - - - __ -- - - -- ---- -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that be understands and accepts his o bons as an employer of labor under the Florida Workmen's Compensation Act, being ,Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn 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 t performed under this permit' as , are licensed by Miami Shores Vill4ge. ' (Signed)______ - - - - -- - - -- -- -- - -- --- - - - - --------------------------------------- - -- lalumber. STATE' OF FLORIDA, ss. .COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to a mister aths and.take ackn lodgments, pp�eonally appeared' ft; - ------ - - - - -- -- -- - - - - -- - - - - - -- -------- - --- -- - - - - -- - -- - -- 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, that all facts therein by him stated are true. - - - - - -- - - — - - - - - _- -_ -- - -------------------------- - - - -- - ------ -- -- - - - - -- - -- - - - My Commission Expires Notary Public, Statue of'Florlido,, NOTE: A're- inspection fee of $1.00 will be made when such re- inspection is made necessary, by improper potice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. -- - 7 7 O - Date_ < -- - - - ...... - - -._ 17—If K, Application is hereby made for the approval of the detailed statement of the plans and �r p specifications herewith submitted for the Wilding 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 hot. A copy of approved plans and specifications must be kept at building during progress of work. ' ' )VI (� Owner's Name and Address X �------ 2. - -_ T ___ ....... No --------- - -- _ ___ -------------- Street__ —,-- Registered Architect and/or Engineer / -- - - - -- ----------------------------------- A Employing Plumber's Name_ _, _ �C _�}__- - - - -- , -� x f'✓ - - 7 A - - - — -° -- No - - - ---- - - - - -- Street - --• - — - -- - - -- � ------- - - - - -� Location and Legal Description Lot ---------- _-- _ -- --- -- -- Bl P _ - -- SubdlvWon f Street and Number where work is to be performed No.__ _SV - - - -- - /_ -_Y_- - - - -- --_ s— _________ Street______ __ _______ State work to be performed and purpose of building (By Floors) - - - - -- -- --- ---- -_ -- - - - - -- -- - -__ -- New Building ------ 1!�- __ _ - - - - -- Remodeling -__ _---- -- - --------------- Addition --- - ------- - ------- - --- Repairs - ----- - ----------------- No. of Stories -- -- ----------------- Size Septic Tank -- � �°i' -- _ -_._ -_Type of Tank- - - - - -- - -_ - - - - -- -- _- Capacity Gals---- - - - - -- ��- - - -_ Feet of ! Drain Tilei _ - - - -- - - - - -- -Dist. Feet of Tankor' Drain Field from We1L___- - - - -- - _ - - - - -- --- - - - - -- - - -- - -- -_ --- -- -_ -- -- _ - - - ------ - -- Nature of Water S City- Well ----------------- -- -__ __- __-- -__ -___ =- -- - -- - -- -Size of Soakage Pit ------- - --------- - -- --- - - - - -- - - ------------------ ------- ----------- ------ - -- - -- - - -- - - --- ---- -- - - -- -- - -- - --- Amount of Permit $- - - - - - - - Signed) — - - - tk -- - Plumbin Spector. The undersigned applicant for this b ' g permit does hereby certify that he understands and accepts his obligations-as an ployer 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 him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of th work such lic ` r or notices as are required by the Act. The undersigned agrees' to employ only such sub- contractors, on wor ` to be perfo ed er this permit, as ' are licensed' by Miami Shores Village. ( Signed) - -- ------------ -- -- — ------------ - - - -- - - - - -- Masten Plumber. .STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the --- -___- ___ _ _ -: -__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that aIl €acts therein by him stated are true. --------------------------- - -- -- - - -- -- - - --- -- - _ _ __- -- - — - ° — - -- - - - - -- -- - - - - -- -- — My Commission Expires Notary Public, State of F%rida 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 BATH TUBS SHOWERS LAYA•: TORIES SINKS .u•LOP LAUNDRY SINKS TUBS URINALS CATCH. , BASIN : FLOOR DRAIN DRINKING FOUNT-71S . TOTAL.: FIXTURES CONTR -. LIST:. CHECK SEPTIC -SEWER DRAIN SOAKAGE GREASE. SOLAR DEEP SPRKLR. SWtM'G TANK CONN. FIELD -1 PIT TRAP` - HEATER WELL - SYSTEM- POOL- CONTR. LIST CHECK Size Septic Tank -- � �°i' -- _ -_._ -_Type of Tank- - - - - -- - -_ - - - - -- -- _- Capacity Gals---- - - - - -- ��- - - -_ Feet of ! Drain Tilei _ - - - -- - - - - -- -Dist. Feet of Tankor' Drain Field from We1L___- - - - -- - _ - - - - -- --- - - - - -- - - -- - -- -_ --- -- -_ -- -- _ - - - ------ - -- Nature of Water S City- Well ----------------- -- -__ __- __-- -__ -___ =- -- - -- - -- -Size of Soakage Pit ------- - --------- - -- --- - - - - -- - - ------------------ ------- ----------- ------ - -- - -- - - -- - - --- ---- -- - - -- -- - -- - --- Amount of Permit $- - - - - - - - Signed) — - - - tk -- - Plumbin Spector. The undersigned applicant for this b ' g permit does hereby certify that he understands and accepts his obligations-as an ployer 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 him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of th work such lic ` r or notices as are required by the Act. The undersigned agrees' to employ only such sub- contractors, on wor ` to be perfo ed er this permit, as ' are licensed' by Miami Shores Village. ( Signed) - -- ------------ -- -- — ------------ - - - -- - - - - -- Masten Plumber. .STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the --- -___- ___ _ _ -: -__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that aIl €acts therein by him stated are true. --------------------------- - -- -- - - -- -- - - --- -- - _ _ __- -- - — - ° — - -- - - - - -- -- - - - - -- -- — My Commission Expires Notary Public, State of F%rida 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tiro buiWbs or structure herein described. This application is made in compliance and conformity with the Budding Ordinance of Miami Shores VI , ftwida, and all provisions of the Laws of the .State of Florida, all ordinances of Miami Shores Village and all rules and regulations -of tht bAldlog Dhision of Miami Shores Village shall be complied with, whether herein specified or not. A copy of - approved Mans and speoificatioria must be kept at building during progress of Owner's Name and Address_ _ Registered Architect and /or Engineer_ Employing Electridaxz's Name._...?` �L��-= �!=`°' Location and Legal Description — ----- ' _„ �.__. a.�. -�_ -- Black__ - -- r_ - -_ -_ _.._Subd vi9oa_.�.,�_.. Street and Number where work is to be State work to be performed and purpose of building (By New of Shirt _ SWITCH LIGHT PLUG - FixTuREB.. RarRIG. IRON RANG RANGE WATER W. H SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S No. LAMPS OUTLET OUTLET OUVL 'CON. H � ER. C HEATER HEATER CONTR. LIST ' _Pry CHECK ENT. DIST. SERVICE SERVICE OT MOTORS... No" RADIO TOTAL SW. CAB.. - - "TEMP. PERM. O.I P I -S HP TRANS, CONTR. ,.LIST CHECK •,.• erhead Service UUnnderground Size F Conduit._.___ ..._.M W.—.---- .......Amps.-_- -- -...-_. _.Ampts Type of Installation- Conduit__ _ _ - Tubing. _ _ $:X Moulding— �__ Amount of Permit : -1..� - a `� �. _ _ _ _ (Signed ).,..- _ -00� Inspector. The undersigned applicant for this building permit does hereby certify tha understands and accepts has ons as am employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida WeftrMilanent I Supplement, and has complied with the ;provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by ham 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,notim public,: or notices as are required by the Acct. The undersigned agrees to employ only such sub- contractors, on work to be performed under this as are licensed by Miami Shores Village. (Signed)-- STATE OF FLORIDA, COUNTY OF DADE. L Before me, the undersigned authority, a notary public, duly authorized to administer,oaths and take adwowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, and he has carefully read the foregoing application, and that he did sign the saw, and that all facts therein by him stated are true, My Commission Expires Notary Public >' $#ate of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper note for $aqwcoon, or faculty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.---- -_- �( Data_ -- _ .® ®_- � ®!" -� - - -- _- Application is hereby, mad 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 Divisior of Aiiami 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-- 9__.:_- v!�_._'_ -- _ - -_ -- - -___ _ No. 3 ___ —____ Street '_ A_�4? Registered Architect and /or Engineer_ —__ ------- ----- ----- - - - - -. _ - -- _------------------_.- Employing Plumber's Name__ _ No. 41_94t S eetA- - - - -_. Location and Legal Description Lot--- Block subdivision— street and Number where work is to be perfonaned —No._ i Street_ State work to be performed and purpose of building (By Floors) New Building — ------ _ ---- ---------------- — Remodeling —_ _ Addition ---- - - - -_. Repairs__`-___ ----- No. of Stories____- _____.______... ype of Tank_—_ _-___ -- Capacity Gals.------------- -_____ - •-- -___ —_ Feet of Drain Tile.— ______- _ - -_ -- _ _ _Dist. Feet of Tank or Drain Field from WeU- -- ___ — _ ------ ___ -__ __� __..- ......... 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 SM6. 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 performed under this permit, as an Aq licensed by Miami Shores' Village. (Signed)—- - Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac 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 faul materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBE SHOWERS TORIES SINKS SINKS TUBB URINALS BASIN DRAIN FOUNT*NS FIXTUREI- CON TR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL COMM. LIST CHECK ype of Tank_—_ _-___ -- Capacity Gals.------------- -_____ - •-- -___ —_ Feet of Drain Tile.— ______- _ - -_ -- _ _ _Dist. Feet of Tank or Drain Field from WeU- -- ___ — _ ------ ___ -__ __� __..- ......... 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 SM6. 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 performed under this permit, as an Aq licensed by Miami Shores' Village. (Signed)—- - Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac 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 faul materials and /or workmanship. l MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 Shares 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 _..----- ...._.__ � _1 �..._....._ .._ ---------- — ........... 18.��. Owner's Name and Address......... � 7 _!; ........ &im --- --- - - - - -• ------------- - - - - - -. Registered Architect and /or Engineer._._-_ Name and address of licensed contractor - - - Location and legal description of lot to be built. on: Lot1___� �!4'___ -- -_. co _ Block-------- 3 1. _.---- .- - - - - -- Subdivision... P�/,�� �` - - - -- G - --�1- - -- __ _ __....1_ - �------- -. - -.- Street and Number where work is to be done ........ -- - - -- - -- - - - - - -� _.. ... State work to be d ne and p ose of wilding (by "L, r- _- .�a_._L_P� �4 S_7��'�!. - - -- -- --------- - - -P C:f ---------- - - - - -- - for no other purpose. New Building - __._------- _---- - - - -__ Remodeling-------- ._- _------- - - - - -- Addition ........ _................ Repairs ----- ..___------------- No._ of Stories...... .................... To be constructed of.....41etr4..._ Kind 9� foundation -.-- ---- ------------------ ------ --- .------- _----- • - -.-_ Roof Covering .................. .•- .•- .- •........... - ......... Estimated Total cost of improvements $ . ...... ---- 7_ © ®-------------- - Amount of Permit $ --------- _-. M .................... ............................ Zone eubage required_ -----_ -___ _ _.. ------ - • ------------ — . - - - - -- —._.Plan Cubage ---- -----------_--- --------- ___-- Distance to neat nearest building___---- ---- --- -------------- -- __- ___ - -- -_Size of Building Lot ---------- �Io--------.-- .____-•---------- --__-._- - - - - -- Maximum live load to be borne by each floor I hereby submit all the plans and sp cifications for said budding. All notices with refere to the building and its con"ction may be sent to_ �_u!% -v Gcr - f%� - 1_f%}?! ..... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra ors, on woP be o e� nder this permit, as are licensed by Miami Shores Village. 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 acDmowledgments, personally ap- peared— - -- - -- — - -- -- ---------- - - - - -- me well known, and who, ! jnng by me first duly sworn, upon oath deposes and says that he is the- ------------------------------------------------- — -------- —„-_------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. _________ Date_____ ___ ____ —____ Read, Sworn to and Subscribed before me. Disapproved ( Signed) ___ Date___ Notary Public, State of Florida Building Inspector My Commission Expires-- ------------- -- - - -- - - -- --- PLANNING BOARD_-_._-_--- ----------------------------------- DATE Chairman__. --- - _--- -_- --------- _ —__ ___ - - _ —__ _ - _. _ Member ------_--_--------------------- ...... - ......... - ....... - ...................... -._.. MemberMember --- -------- ---- -------- -- ------ — --------- —_ _—.------------- • - - - - -- Member ... ..... Member --- __ —_ -- Council Approved--__ _ __— .__ - -_ Disappr oved --- ------- --- - - - -__ —_Date Ihsa ------ - ------- -------------------------- --- -------- ---•--- °---- •- - - - -- -.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. INVESTORS DIVERSIFIED SERVICES, INC. FORMERLY INVESTORS SYNDICATE F S T A B I S H E D 1 8 94 MINNEAPOLIS 2, MINNESOTA MORTGAGE LOAN DEPARTMENT X . xxx may 10., 1949 Room 300 lst National Bank Bldg, Coral Gables, Florida City of Miami Shores Plumbing Inspector City of Miami Shores 9734 N. W. 7th Ave, Miami Shores.. Florida Re: Fred B. Mott FHA #09- 036657 Gentlemen3 We hand you herewith the F. A. A. Plumbing Card on the above case number. Please send us the necessary papers as soon as _possible. Very truly yours, INVESTORS DIVF�RSIFIED SERVICES, INC. Formerly INVESTORS SYNDICATE By Ruth Brotherson Mortgage Loan Dept. RDB Encl. Principal Underwriter and Investment Managerfor . . INVESTORS SYNDICATE OF AMERICA,INC. ... INVESTORS MUTUAL, INC... . INVESTORS SELECTIVE FUND,INC.... INVESTORS STOCK FUND,INC. APPLICATION FOR CERTIFICA'T'E OF RE- OCCUPAINCY 6.1,i-e6- -/). / < / � 144, �6: hereby apply for a certia"cate to re-occupy he - O c"uS the famiTy residence known as: (address) �2 /� G �� /� iM mi Shores, Florida. Legal desc #don: Lot: ,Block ,PB&PG: I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unkwful for more than one &m ily to reside therm. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, Florida, certifies only that the referenced property is being used for single -may purposes and that such Certificate does not constitute any representation, wan=y or certifrcadon as to the condition of the dwelling or other Structures on such property. Applicant: Date: f �' % / Print Name: _�/4�4PG For the purposes of conducting. the inspection reT irr+ed by Secion 902 of. the .W Shores Development and Zoning Code, comacr. Contact Name.-///?, /C 1 Telephone: / •S�' ���U Buyer:_ Seller jA Realtor._ Compaay Name: Applicaton Fee (350) Paid: Cash:_ Check Number: Inspection: By-. Approved: +Tied: Daze: Continents: CERTIFICATE OF RE- OCCUPAINCY On behalf of Miami Shores VMage, Florida, the undersigned certiffes that the property described in the application has been inspected for the purposes of re- oaaq=cy pursuant to Sections 901 and 902 of the Mani Shores Land Development and Zoting Cade and that such property may be re- occupied by the applicant for single- family residential purposes_ Date of Certificaticm: THIS CERTIFIC�.!LTE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED By, �IIA�bII SHORES VU.ILAGE AND HAS BEEN DETElu'vMNi ED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MI-jINII SHORES LAND ,0D DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUMEME1NT THAT EACH ONE- FA�2MILY DWELLING IS USED AND I MNDED TO BE USED FOR A ONE- FAIMMY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTM TE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTFMESTED PARTIES ARE ADVISED AND LNCOURAGED TO MAKE THEIR OWN h 'SPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. i :\ 4VAIDu Quesne &dissociates, Inc. UTR 15841 Consulting Engineers Envimmental . CA. Structural Testing Laboratory Building Inspection Services ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 ------------------------------------------- SITE SPECIFIC INFORMATION Owner's Name: �� iJ�S Permit #: Job Address: - 3 'B 1`i 1= (O 3 S M, NA t A.&kx 'S E0 t -r= Roofing Contractor: (% -`( :Coo-r1 �30 Type of Tile: 'S(?n..041.52 kk (S'— Date Installed: Approximate Roof Height; t feet Roof Pitch: — Type of Access to Roof: Scaff olds ladder Approximate Square Footage of 'Roof: 5'0m ft' Required Testing Force: jS ills. Testing Equipment: Chatillion DFIS 100 Date Tested: & -3 Q - Aq TEST RESULTS P = PASS, F = FAIL' 1 • $ , Test Location = #lplift Pull Test P or F) Vest Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 1> 26 51 2 27 52 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 1 35 60 11 1 36 61 12 1 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67' 18 43 68 19 44 69" 20 45 70 21 46 71 22 47 72 23 48 73 24 1 1 49 74 25 50 75 ------------------------------------ SKETCH OF ROOF IN BACK --------------- --------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT OUALITY CONTROL TFU X THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Jkrge Du Quesne, P.E. AG��uI Engineer #24513 Du Quesne & Asso ates, Inc. E.B. License #0005245 Lab Certification #94.0318.01 Please Note: This form is not valid unless Company logo appears in color (burgundy) 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 SHEET NO. OF, CALCULATED BY DATE CHECKED BY DATE SKETCH OF ROOF SCALE NOTES: / . -j* NOTES: ,OB 3 4 IV E lto 3 arr. _ P . 5"t' SHEET NO. VOF CALCULATED BY DATE I I CHECKED BY D , SKETCH OF ROOF SCALE MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby trade 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 compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. Date. 8/10/73 Owners Name and Address ...... Reme-11,11M.... . ............... ... . — No. Registered Architect and/or Engineer ...... ...................... . ........ __-_ .......... ....................... ........................... Name acrd address of liccrisea contrgctor .......... kq�w I tM.jLjjLk iqfL.AAC 902 S.W. 69 Ave. ...... 261;-0807 Location and legal description of lot to be built on: Lot............. ............................... Block.......................... .. Subdivision._............. ....._,....................._.. Street and Number where work is to be clone ............. State work to be done and purpose of building (by floors) Install 2hp a c,_;Lrj._Rp_1j 2 . . .. . ..... .... . ................ . .... . .......... . .. . . . . . .. ....................... __ . .. . ................ . . .......... . .. . ..... . .. . ................. . .... . . .. for no other purpose. New Building .............................. Remodeling ......................... Addition ......................_... Repairs ......................_... No. of Stories......................_ To be constructed of ............................ Kind of foundation ... . ........................................................ . . Roof Covering.............. ..........................._... Estimated Total cost of improvements $..._... 0Loo....Amount of Permit IL ..... G',.Qo ....... . . ................ Zone cubage required .................. Cubage ............ . ..... . . . . ................ Distance to next nearest building ................. . ................ . ... . . —.---..-.Size of Building Lot........_. ............. I .Maximum live load to be borne by each floor ........ ............... . ................................ . .................. . ....... . ........................................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ............................... -------------------------------------------------------------------- -----------_---- .............. ............................................... .. ...... ... __ . . ............ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup element, and has complied 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 postedkr- —infriection on the site of the work ch public notice or notices as are required by the Act. The undersigned agrees to employ only su subc6tractors, an work be r rmU under this permit, as are licensed by Miami Shores Village. Remarks ... . . ..... .......... . .. . ........ . __ (Signed STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared- — — -- — -------- — --------- --_---------------- — ------- - -- ____ .............. - ------------ - ----- . ........... --to me well known, and who, being by me first duly SWOM; 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.- 7 L _� Permit No. A Date...... ------ Read, Sworn to and Subscribed before me. Disapproved......... Date._. ...... . ...... ............. . .• .................................... . . . (Signed) Notary Public, State of Florida ........... ..................... .......... ........ Building Inspector My Commission Expires.. PLAN LAN NG BOARD..._..._ ............... ............_._.._....._...DATE Chairman .......... ........ Member Member .... . . . .............. . ..... . . . . . ..... . .. Member Member .. ... .. .............. Member .... . .. Council Approved......_ -._............ 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 Plannir._,, Board. A re- inspection fee of 31.00 will be charged when such re-inspection is made necessary by Improper notice for inspection or faulty materials and/or workmanship. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: TAX FOLIO NO. 99R 109268 W99 MAR 03 04:33 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: 348 N . E . 103 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to a new Tile roof. 3.Owner(s) name and address: Julie Davis 348 N.E. 103 Street Miami Shjores, Florida 33138 Interest in property: Owner " Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quality Roofing Contractor, Inc. 13800 N.W. 1st Avenue Miami, Florida 33168 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 00 y 6. Lender's name and address: N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A 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: N /A 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) laavv-� W—o"ClOwner -� n Print Owners Name U I. �; r LJs r✓. z. Sworn to and subscribed before me tlrs day of Notary Public -- I Print Notary's Name My Commission Expires: Y"WMMISSION as CC 6474 EXPIRES: Octatraz 10, 2O1 STATE OF FLORIDA; COUNTY OF DADE �,,L o i5 s a COPY of tiw a on Of to D 19 „d Or;c ;o( Seal. HA;cVE; y C BY a c CircuPond Countycoarlt r� Prepared by: Casrlos Arocho Quality Roofing Contractor Address: 13800 N.W. 1st Avenue Miamir Florida 33168 12UI -U 1QWBe • Appendix "ER t :UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: o3y 9 Mae_ )Q3 &Vect ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar' Adhesive Set Tie ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal RoofslWood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof 09'ie- roofing ❑ Recovering . ❑ Repair ❑Maintenance Flat Roof Area (ft') 3 Sloped Roof Area (fts Total (ft' _ate i s Master Permit No. Exposure category (per ASCE 7 -88): a Building Classification category (per ASCE 7 -88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) .ROOF PLAN r ------------------------------------ -I �y 1 1 ' r -- - - - - - - - - - - - - - - - - - - - - - - - - - - - t r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I t I I r - ------ -- -------- -- - - - - - - - - 1 1 - 1 - - - - - - - - - - - - - - - - - - - t 1 1 1 1 1 -- - - - - - - - - - - - 1 1 1 1 r------------- - - - - -- 1 I 1 t Jam" 1 1 1 1 r- f- 1 1 1 1 1 1 1 1 1 1 1 •' 1 1 1, 1 1 1 1 1 1 ( I 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 t I I 1 •__________ ___ I I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I I 1 I 1------- - - - - - - - - - - 11 1 I 1 111'Isl I' 1 1-- - - - - -- 1 1 ' --- - - - - -- _ 1,1 ------------------------------------ - - - - -- 123.01-n W6 Page -1 Rid a Ventilation? 13 MEAN HEIGHT Q Appendix "Ett UNIFORM RQOFTNG PERMIT APPLICATION ' PROCESS No. SLOPED SYSTEMDESCRIPTION i.� i Fastener typo & spadaYs t I� Cap Shoots cI Roof covering -1 C „ _ I a 1 ad A., Drip edges 211 L, �C; f ),65et K eJ7z I r ur AOOIiLOAi D 8 T A I L 3 r -F, 1C- BI et a Lr� I�,�#-ho�•- ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet ' a) Specific System Description b) Specific System Limitation c) Cleneral Limitations .... d) Applicable Detail Drawings 3) Municipal Permit Application -4) Other Component Approvals . I . �5), TILE CALMATIONS (Pmaxl: W.3 x71, w a ynto Multipliar) :� .9 Mg: �� m Mi: J .3 I PC (Pmax2:II x% (A=dy a�Multiplier); q M 0® 0 t-i 1 PCA: LO W-6 D �) - a� 1J_ Mrz�� (Pmax3: X 7. (Aorodrmlio Multipllor); M ® _ • 3 ®• 1 PCA: b �!6 �L..�.) - a� �1 Mrs• _�. Page -2 s' r METRO -DADE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 PRODUCT CONTROL NOTICE OF ACCEPTANCE FAX (305) 375 -2908 Metro Roof Tile, Inc. PRODUCT CONTROL DIVISION 11501 Northwest 117th Way (305) 375 -2902 Medley, FL 33178 FAX (305) 372 -6339 Your application for Product Approval of- Metro Roof Tile, Nail -On, Mortar Set, or Adhesive Set "Spanish S" Roofing Tile under Chapter 8 of the Miami -Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Redland Technologies, The Center for Applied Engineering, Inc. and Testwell Craig Laboratories & Consultants, Inc. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -11 and the standard conditions on page 12. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 98- 0423.10 Renews: 94- 1017.01 EXPIRES: 06 104101 Anuli ez Product Control Supervisor THIS IS THE COVERSHEET SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade Count , Florida under the conditions set forth above. Charles Danger, P.E. Director Building Code Compliance Dept. APPROVED: 06/04/98 1 Miami -Dade County Internet mall address: postmaster @buildingcodeonline.com Homepage:' http : / /www.bulldingcodeonllne.com 0 e METRO ROOF TILE INC. Product Control No.: 98- 0423.10 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Product Dimensions Test Specifications Product Description Spanish `S' l = 181' PA 112 High profile, interlocking, one - Concrete Roof Tile W= 10 /3 �� piece, 'S' shaped, concrete roof tile %s" thick with current PCA equipped with two nail holes. For Single ply, nail -on Protect -O -Wrap, nail -on, mortar or adhesive set Inc. 2" self - adhering top applications. Trim Pieces 1= varies PA 112 Accessory trim, clay roof pieces for Self - adhering w = varies use at hips, rakes, ridges and valley with current PCA varying use as a top ply in a terminations. Manufactured for thickness each tile profile. TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Product Dimensions Lenzingtex -ZB 140 59" x 164' roll Underlayment 22lbs/roll Rainproof II 30" x 75' roll 36" x 75' roll ' or 60" x 75' roll Ice and Water 36" x 75' roll Shield Test Product Specifications Description Manufacturer PA 104 Single ply, nail -on Lenzing underlayment. Performance, Inc. with current PCA PA 104 Single ply, nail -on Protect -O -Wrap, underlayment with Inc. 2" self - adhering top with current PCA edge. PA 103• Self - adhering W.R. Grace Co. underlayment for with current PCA use as a top ply in a two ply underlayment system with Approved #30 or #43 as the base layer. Page 2 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner s METRO ROOF TILE INC. SYSTEMS (CONTINUED) Product Control No.: 98- 0423.10 SYSTEM D: Mortar or Adhesive Set Application Deck Type: Wood, Non - insulated Deck Description: New construction 19/32" or greater plywood or wood plank.. Slope Range: 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 " :12 ", refer to System C. Underlayment: Install underlayment system in compliance with Miami -Dade County Roofing Application Standard PA 120. (See System Limitation #5.) Roofing Tile: Install tile in compliance with Miami -Dade County Roofing Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For re -roof applications, 15/32" plywood is an acceptable substrate. Page 8 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner E-"+ METRO ROOF TILE INC. Product Control No.: 98- 0423.10 SYSTEM LIMITATIONS 1. The standard minimum roof pitch for Metro Roof Tile's "Spanish S ", flat profile the shall comply with Miami -Dade County Roofing Application Standards PA 118 or PA 120, depending on the method of installation. 2. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Protocol PA 115 or PA 127. The Metro Roof Tile "Spanish S" tile profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as a 'Moment Based System'. 4. For mortar or adhesive set tile applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance with Miami Dade County Protocol PA 106, shall be performed. 5. ' For mortar set tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section I1 of the Uniform Building Permit, a copy of Metro Roof Tile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 8. The applicant shall retain the services of a Miami -Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Miami -Dade County Protocol PA 112, Appendix'A'. Page 9 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. DATA FOR ATTACHMENT CALCULATIONS Product Control No.: 98- 0423.10 Table 1: Aerodynamic Multipliers - X (ft'j Tile 7l (ft) Moments due to Gravity - M Profile Batten Application Direct Deck Application Metro Roof Tile Spanish 'S' Tile 0.29 0.31 Table 3:. Attachment Resistance Expressed as a Moment - M, (ft-lbf) for Nail -On Systems Table 2: Restoring Moments due to Gravity - M (ft -lbf) Approved A Tile 3 "A 2" 4 ":12" 5 ":12" VAX' 7 ":12" or Profile With: W With: 1 nail 2 2 nails 1 1 2 2 1 1 nail 2 2 nails 1 greater 2 nails Batten Direct Batten Direct Batten Direct Batten Direct Batten Direct screws s Deck s Deck s Deck s Deck s Deck Metro Roof 6.70 7.10 ..6.60 7.00 6.46 6.84 6.30 6.67 4.08 N/A Tile Concrete N/A N N/A Direct Deck 6 6.20 8 8.40 . Flat 31.80 2 21.20 2 25.30 2 26.90 3 34.90 Table 3:. Attachment Resistance Expressed as a Moment - M, (ft-lbf) for Nail -On Systems Tile T Tile A Approved A Approved A Approved A Approved With: W With: 1 nail 2 2 nails 1 1 2 2 1 1 nail 2 2 nails 1 1 nail 2 2 nails screw s screws Metro Roof B Battens N N/A N N/A I N N/A 2 26.80 N N/A N N/A N N/A N N/A Direct Deck 6 6.20 8 8.40 . .28.70 3 31.80 2 21.20 2 25.30 2 26.90 3 34.90 i nnin nniorl i in r-kf f_ a a_��_A! #$1 4 Oulu %J JU► InsLauauvn wain a 3° We neadlap. 2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. -Clips on eave the are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. I i ame 4: Attachment Resistance Expressed as a Moment — M, (ft-lbf) for Mortar or AdhPCivra cp+ n,� Tile Tile Attachment Profile Application Resistance Metro Roof Tile Concrete Flat Mortar Set 24.50 Adhesive Set 66.50 rte: Page 1.0 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner L'13 rte: Page 1.0 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner L'13 r METRO ROOF TILE INC. Product Control No.: 98- 0423.10 PROFILE DRAWINGS �i 1 -1/2' ",.,Ir 10 -1/4' 1' 3 -3/8' 5 -7/8' 1/2' 3/4'17 I -V i/ V METRO ROOF TILE CEMENT FLAT TILE 2.5' 3 -1/4' 3/4' Page 11 of 12 kran Zuloaga, RRC Roofing Product Control Examiner V^ o a� METRO ROOF TILE INC. Product Control No.: 98- 0423.10 Metro Roof Tile, Inc. ACCEPTANCE NO 98- 0423.09 11501 N.W. 117 Way APPROVED : June 4. 1998 Medley, FL. 33178 EXPIRES : June 4.2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS I 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. 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, shall 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 12. END OF THIS ACCEPTANCE Page 12 of 12 Xoau ga, RRC Roofing Product Control Examiner J t� �` . • : `tom,\ IYIC' , NL1y�. . •i e i vas �,y• .. .. ` METROPOLITAN DAQE METRO -DADE F HNG z: BUILDING CODE COMPLI NCE %OFFICE. ' METRO- DADE•FLAGCER'BUILDINGr'r° . 140 WEST FLAGLER STREET, SUITE 1603:,::x:;;•; MIAMI, FLORIDA 33130 -1563. " .(305)375-2901 PRODUCT CONTROL NOTICE OF ACCEPTANCE FAX.005) 375 -2908 GS Roofing Products Company, Inc. PRODUCT CONTROL 01VISION`�•:, 5525 MacAuthur Boulevard, Suite 900 (3 0 5) 375 - 2902. ". ,... ; Irving, Texas 75038 '. FAX (305) 372-6339...::; ,:_' " Your application for Product Approval of: GS Roofing Products Modified Bitumen Roof Systems Over Wood Decks under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types•of Construction, and completely described in the plans, specifications and calculations as submitted by: Factory Mutual Research Corporation and Underwriters Laboratories, InG has been recommended for acceptance by the Building Code Compliance Department to be used in Dade Counry, Florida under the specific conditions set forth on-pages 2 through 31 and the standard conditions set forth on page 32. The approval shall not be valid after the expiration -date stated below. The Building Code Compliance':Office reserves the right to secure this product or material •at' any time for a jobsite or manufacturers plant fof; quality. control testing. If this product or material fails 'to perform in the approved manner, the Building Code Compliance Office may revoke,. modify . or suspend the use of. such product or material immediately. The, applicant shall re- evaluate this product or material should any amendments to the South Florida Building Code be enacted of acting . this product or material. The Building Code Compliance Office reserves the right to revoke this approval, •if'it is determined by the Building Code Compliance Office that. this. product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by th man ac r. Acceptance No.: 97- 0520.01 Revises. No. 95- 0502.04 Raul Rodr' uez Expires: 06/19/00 Product Control Supervisor - - THIS ISTHE COVERSHEET. SEE ADDITIONAL PACES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code �•q Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. ar, es anger, P.E. Director Building Code Compliance Dept. Approved: 06/19/97 Metropolitan Dade County Internet mail address: postmaster @buildingcodeoniine.com Homepage: http : / /www.buildingcodeonline.6om Product Control No.: 97- 0520.01 •a. ROOFING SYSTEM APPROVAL Applicant GS Roofing Products Company, Inc. (MB) 5535 MacArthur Blvd. Suite 900 Irving, TX 75038 Product Control No.: 97- 0520.01 Approval Date: June 19, 1997 Expiration Date: June 19, 2000 Catezorv: Membrane Roofing System Sub- Cateeorv: Built -up Roofing ims Modified Bitumen Sub -Tvpe: SBS/APP System Description GS Roofing Products Company, Inc. manufactures and markets nationally a complete line of residential and commercial BUR and modified bitumen products. GS Roofing Products Company, Inc. markets these 'prb'Oucts through local distribution in the South Florida jurisdiction. GS Roofing products and systems are the result of years of manufacturing experience and product development and have been proven by years of experience in the construction field. GS offers a variety of approved insulated and non - insulated roofing systems. For detailed system constructions, refer to the following publications: "Commercial Roof System Specification Manual ". GS products and systems have been tested in compliance with all provisions of the South Florida Building Code as well as Underwriters Laboratories, Inc., and Factory Mutual Research Corporation for fire and wind uplift resistance. GS provides .technical service and warranty information through regional offices. For the South Florida Metro-Dade area, call 1- 800 - 777 -2563. Contact: Pat Neuhaus Commercial District Manager 2900 Bird St. Charleston Heights. SC 29405 (803) 744 -7451 2 A 4ranuloagea-Plans Examen uct Control Div. Produ'ct Control No.: -:`7.0520.01 -insulation Tvpes Fibrous glass Perlite Fiberboard Rockwool Polyiso,cyanumte Polyisocyanurate Composite'Soard Maximum Design Pressures -Material Design Pressure Wood -45.0 psf, Maximum Fire Classification Material Classification Wood Class A Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types. Review system -listings for design pressures and1he Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. N A FZI.ag -Plans ; E Exams ct C ontrol Div. Product Control No.: 97- 0520.01 Wood Deck System Limitations: A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of base sheet to wood plank deck. Red rosin sheet may also be- installed on plywood decks as:an option. 2 Pre - assembled 'Cap Nail' shall not be used for base sheet attachment. 3 When All Weather Empire base sheet is installed as the base sheet, a ply sheet of ASTM D 4601 type 11 (type G2) must be applied in approved mopping asphalt applied within the EVT range and at a rate of 3040 lbsJsq prior to installation of membrane. 29 A . Xuloa,-a -Plans Examen uct Control Div. Product Control No.: 97- 0530.01 GENERAL LoRTATIONS l- All asphalt shall comply with ASTM D 313, type III or IV requirements and approved by applicant. 3 Fire ratings are determined by a combination of slope, deck type and assembly. Refer to the current Underwriters Laboratories Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range varies for each system. Consuluthe current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board is required on all applications over closed cell foam insulations when the base sheet is fully mopped in hot asphalt. All work shall be performed by a contractor licensed to do roofing work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer and the requirements of the South Florida Building Code. 6 The submission of system specifications and details shall accompany the Section 11 Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 7 Perimeter and comer areas shall comply with the elevated design pressures of these roof areas, as ° calculated in compliance with Chapter 33 of the South Florida Building Code. Anchor or base sheet fastening patterns and/or insulation attachment densities shall be increased in compliance with the provisions set forth in Metro -Dade County Roofing Application Standard PA 1 17 to meet these elevated design pressures. 8 All attachment and sizing of perimeter hailers, metal profile and/or flashing termination designs shall conform to Metro -Dade County Roofing Application Standard PA 111 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturer's standard details and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit Application. All details shall comply with the provisions of the South Florida Building Code. 10 Fastener spacing for anchor or base sheet attachment is based on a Minimum Characteristic Resistance Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA 105 or PA 105(A). If F', as tested, is less than that listed in the System Limitations, a professional engineer may 'submit revised fastener spacings utilizing F', taken from a Metro -Dade County Protocol PA 105 or PA 105(A) test report, and the provisions set forth in Metro -Dade County Roofing Application Standard PA 117. l l Fastener density for insulation attachment is based on a Minimum Characteristic Resistance Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA 105. If:F', as tested, is less than 275 lbf., insulation attachment shall not be acceptable. 12 Asphalt moppings shall be applied with approved asphalt and shall be in compliance with the equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(A)(3) of the South Florida Building Code. 13 Insulation may be applied in multiple layers. The first layer shall be attached in compliance with the 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 2040 lbsJsq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with the provisions of Z5Maga-P1_an—ss-EXrmmm` =�m_-.Q=�4uctrControl Standard PA 117. 30 Div. Product Control No.: 97- 0530.01 4 All standard insulation panels sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 1.5 In re -covery applications, prior to -the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro-Dade County Protocol PA'124 for uplift resistance:. Test pressures shall be calculated in compliance with the wind load requirements of Chapter 23 of the South Florida Building Code for the roof in question. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Subsection 3401.10(m.), (n) of the South Florida Building Code. 17 Roof goods shall be stored on end and on a clean, flat and dry surface. is If required, any Factory Mutual Approved vapor barrier in conjunction with ro riet adhesives may be used prior to the application of the insulation layer. p p �' °r approved 19 Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire racing. The assembly shall be installed in strict compliance with Subsection 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. i 31 j • uloaga -Plans x uct Control Div. Product Control No.: 97- 0520.01 CS Roofing Products Company, Inc. 5325 MacArthur Blvd., Suite 900 Irving, Texas 75038 ACCEPTANCE NO.: 97- 0520.01 APPROVED: June 19. 1997 EXPIRES: June 19, 2000 NOTICE OF ACCEPTANCE STANDARD CONDITIONS I 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: "Metro -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. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Metro -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. $ Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages l through 32. END OF THIS ACCE 32 Zga- Product Control Div. V 27 j Frank Zuloaga -Plans Examiner, Pro uct Control Div. •�;� _; X14 � 0. N Product Control No.: 97- 020,01 Membrane Type: SBS MODIFIED L' Deck Type 1: Wood, Non- insulated Deck Description: 1Vj.," or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All Ceneral and System Limitations apply. Base Sheet: One plly GS Glas Bash,, GS Flex -1 Glas Base, Flex -I Glas FR Base or GS Poly SMS base mechanically fastened as detailed below. Fastening: Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c. Ply Sheet: (Optional) One ply of GS Glas Base, GS Flex- I -Glas Base, Flex- I -Glas FR Base, GS PoIySMS or one or more plies of Flintglas Ply Sheet (Type IV) or Flintglas Premium Ply Sheet (Type VI) adhered to the base sheet in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 lbsJsq.. _ Membrane: One ply of Flintlastic GMS, Flintlastic Premium GMS, Flintlastic FR -P, Flintlastic Premium FR -P, Flintlastic FR-PG or Flintlastic FR Cap adhered to base or ply sheet with approved mopping asphalt applied within the EVT range and at a rate of 20 to 40 IbsJsq. or Flintlastic GTS torch adhered to base or ply sheet Surfacing: (Optional) Install one of the following: 1. 400 IbJsq. gravel or 3001bJsq. slag in a flood coat of approved mopping asphalt at an application rate of 60 IbJsq.. 2. Karnak 97 or APOC 212 Fibmted Aluminum at an application rate of 1 %z galJsq.. Maximum Design Pressure: -45 psf Maximum Fire Classification: Class W; see General Limitation #2. Maximum Slope: 1:12; see General Limitation #3. Specification No.: GMS 2 -3, FRP 2 -3, GTS 2 -3, FRBC 2 -3 r V 27 j Frank Zuloaga -Plans Examiner, Pro uct Control Div. ROOFING SYSTEMS (TGFU)-- Condaued - Memb;�A; One layer'Flinttestic GTA (•3f4 sq or •1 3), Gi7 (modified bitumen), heat fused or "FUntlastic GMS , hot mopped. Surfacing: APOC'No. 212 Fibratod'Alunrinum'•, at 1.1/2 gal. 100 sq/ft. Deck: NC lndfr4i'3 /4 Vapor Retarder (Optional): Type G2 'Glasbase base .sheet or UL Ctassiflea vapor retarder, Insulation (Optional): One or afore layers or combination or the following: Ultraganl Premier, polyts6Cyonurite, pa:rlitr. glass fiber or wood fiber insulation. Bass Sheet: One layer of T�yype G2 %Wbase' base sheet. Membrane: One layer of'Fiintiastic 5TA (modified bitumen), heat fused. Surfacing: Karnak "No. 97 Fihratad Aluminum*, at 1 -1/2 gat. per 100 stt ft. Docle C -35/32 Inctina: 3/2 Insulation (Optional): Schuller International "U mGard Premier", po(yisocyanurate, wood fiberboard, partite, fiberglass• tsocyanumM any thickness. Base Sheet 04e or more plies of "Gtasbase, hot mopped or mechanically hastened: .. ..• . Membrane: One ply or'Flinttastic FR" (modified 1;16Aan), hot mopped in piece. Decla lc Udiaes 1/2 Insulation: Polyisocyonurate, glass fiber, partite, wood fiber, hot mopped or mechanically fastened, any thickness. Base Sheet: Type 62, mechanically fastened or hot mopped. Membrane: "Flintlastic GTA or STA, heat fused. Surfacing: Henry Co. "Henry $20 Aluminum', applied at 1 -1/2 gat/sq. Deck: NC. Indfnes 174' 4 Insutatiori (Optional) :•Gta.s fiber, polite or wood Ober board. Ply Sheets Ype G2, macharrically'fbstened. •. Membranes FUntlastic SW, "GTA ", VA Stack Diamond' or 'GTA White Diamond', heat fused. Surfacing: Karnak Chemical Corp. 'Karnak No. 97, 1 gaVsq. Deck: NC Incliner 1 Insulations Potyisocyanurate, plans fiber, perlfte. wood fiber, mechanically Fastened or adhered with hot roofing asphatt, any thickness. Base Sheets Type G2, mechanically fastened or adhered with hot roofing asphalt Membranes "FUntlsstie GMS', 'GMS Premium ", adherad with hot roofing asphalt Surfacing: Karnak ''Chemical Corp "Karnak No. 97 Fibrated Aluminum Asphalt Roof Copting', 2 -1/2 gal /sq. Docks C•15/32' Iaclioe:l "AU joints blocked with 2x4's. Insulation: Glass fiber, perUte, 3/4 in min, oints in insulation must be offset 6 in, from joints in deck, mechanically fastened. Base Sheet Type 62, mechanically fastened or adhered with hot roofing asphalt Membrane: 'F1lnttastic GMS ", adhered with hot roofing asphalt. Surf'adags Kamak Chemical Corp. 'Karnak No. 97 Piibrated Aluminum Asphalt Roof Coating', 2.1/2 gaVsq. Dicks NC lactim,1/2 Insulation: Polyisocyanurate, glass fiber, partite, wood fiber, mechanically fastened or adhhered with hot roofing asphalt, any thickness. Use Shouts Type 62, mechanically fastened or adherad with hot roofing asphalt Membrane: 1tintlastic 5TA", "GTe,'GTA Black Diamond' or 'GTA White Diamond', heat fused in place. Surfacingt Karnak Chemical Corp. ' Kamak No. 97 Fibrated Aluminum Asphalt Roof Coating ', 3 gal/sq. Dec -kC • Indiaes 1 Insulation (0 t'tonaIP':. t�:glass.f36er, olyurethane, isocymurate, phenolic comb ination ?isocyanauat�e/ partite, poo mthane /p :wood- ' fiber, any thickness. hot mopped or nailed. Membrane: "F•lintlastic STA', "GTA', "GTA Blade Diamond', "Ftintla.,'tie GTA White 019 mond "GMS', *GAS-5M , 'GMS Double Coverage' or 'GMS premium', heat fused or hot mopped in place. Surfacins: Grundy Industries, Inc. "at MS Aluminum Roof Coating' at 1.-2 :aVsq• �. Dock C•15/92 L•sdire: 214 Insulation (Opdanaq: Any thickness polyiaocyanumts, glass fiber or paiiite, mechadiCaUy tanad, joints in insulation mussi. be onset 6 in. from joints in deck Bate Shoats Type 62 baso /ply sheet, mechanically fastened' or hot mopped. Ply Shoat:' ypa 62 base /ply shoat, machanicaUy fastened or hot Met brave: "Flintlastic SW, 'GTA White Diamond' or "GTA Btadc Diamond'. SurPadngr Grundy's "al MB Aluminum Roof Coating' at 1 to 2 gal/sq. Deck NC Incline 1/2 Insulation (Optional). Polyisotyanusate, glass fiber, partite, :rood fiber, any combination, any thickness, mechanically fastened. ROOFING SYSTD-S (TGFU)-- Continued Base Shoat: Type G2, 'Hex- I-G'as Or or "FlintUstic FR Base% meth Fastened or adhered with hot roofing asphalt Membrane: 'Flintlastic FR -lr', 'Flintlastic Premium 11intlastic- FR/PG' or 'FUntlsstic FR Cap', adhered with hot asphalt 1.Y -DCtk C- :�3j13° Udine: 1/2 �ve—•All 'oints in deck blocked -vith 2x4's. Insu�tion (Optional): P•rlyisocyanurate, glass fiber, partit combination, any thickness mechanicAy- fastened. Base Sheets Typo -G -4 41ati•ai:icatly fastened or adhered with hqt asphalt, Membrane:'Fliniiastic FR -P', `Flinttastic Premium FR- P'.or'f_lin FX/P.G* adherad with hot roofing asphalt____ w � NC _ lndiaar 1/2 lnsu Lion •(Optional): VS, any thickness, covered with 3AJ or wood Fiber mer hanicaUy fastened. Base Sheet: Type G2. men hanically fastened or adhered with hot asphalt. ;. Membrane: 'Flinttastic Fi -P'; 'Flintl3stic Premium FR-P' or'Rin 'FR /PG', adhered with bat: roofing asphalt. tq 14. Seek: NC 111cUrie:1 /2 - Insulation.. Poly)socyauurate, , glass fiber: perlite, wood -fib,@ combination, any thicia.efs.'medhanical! fastened- .'• j.,'ey�j • Base Sheet: Type G2 as 'Flex- t -glar, adhered •with,hokroofin� Ply Sheet:-Poly- S14S Base Sheet', adhered with -hot roa0g;a Membrane: "GMS', adhered with hot roofing asphalt r :g; Surfacing: Karnak Chemical Corp. 'Karnak No. 97 Fibratce� Asphalt Roof Coating ", at 2 -1/2 gaf/sq. • 15. Deck: NC lacuna 1/4 i•, Insulation (Optional; : Poty(socyanurate, glass fiber, petiiter, any combination, any thickness, mechanically fastened or adhe hot'roofing.asphall. c :glk Base Sheet Type 62 or " flax- i•glas". pechanically fasterred�o c with hot roaring asp salt " Pty Sheet (Optional): Type 62 or'F'lex i qW, mech;MG` y adhered with hot roofing as halt Membrane: "fliatla: tic GMS', "GMS Premium adhered with' a asphalt. r, Surfacing: Asphalt Products Oil Corp.'APOC -400 Sunbrita�; +3 a 16. Deck: C -15/32 lactioe: 3/4 Insulations Glass fiber, partite, 1 in. min, joints in inttiia�iob offset 6 in. from joints in deck, mechanically fastened._." Base Sheet: Type G2 or'Rex-i- glas•,-mechanically fasten' - with••hot roofing ; sphalt. V,asr Ply Sheet (Optimial): Type G2 or "flex -i- glen', machanica adhered 'with hot roofing asphalt Membrane: "FUrelastic GMS', "GMS Premium', adhered wvit R asphalt- •• :.k Surfacing: Asph:dt Products Oil Corp. 4APOC -400 Sunbrit;' 7. neck: NC kafte :1/2 . Insulation (Optional): Polyisocyantirate perlite• glass in fiber, any thidoaa s, mechanically fastened or hot mopped. ekse Sheet: One oi mote layers of Type G2 or lux—i-9las e fastened or hot mopped in place. kt. Ply Sheet (Opt tonal): One or more layers or Types G1,rG mechanic2ly f:stoned or hot mopped in place. Membranes'Fintlastie GTA', 'GTA Blade Diamond , TrA or V9, hiat fused. • - ' .. - ••• .0 ; Surfacing. Karnak Chemical Co. *No. 97', apptkd aVl'3 18. Dada NC Inclines 1 //4s^•.i, Insulation ( Optionat): Perlite, glass fibe4 metdhanich mopped in pace, 2 in. max thidmess. , a Base Sheet One or more layers of Type 62 *FLEX -J-9 -- ,heektened or not mop ed in place. Ply St-(Opkiooal�:_Qna or more layers of Types G1;,;G2' Membrane: "GTA , 'GTA Black Diamond". 'GTA Whit heat fused ' . •'n Surfacing: APOC No. 212 Aluminum Coating,•applier 19. Packs C -15/112 Incilne: 1/2 Inulatiota Glass fiber or perlite, min 1 in. think, mi or hot mopped in place. •. Use Shoot: Type G2, lzx- I -G<as' or Tex- I -Glas FR fvstaned or hot mopped in place Membranes "flintiastic FR -P', 'Fligtlastic Psensival l Fil/PG', lot mopped in place-, • • ; 20, Docto NC . 1. Insulation (Optional): Pedite, glass fiber, polyiir l phenolcI" combination isokyyanurata /polite, potyurett fiber, a ry. thickness, machanically Fsstaned or hot n Base Sheet 11a c -I Was FR Base", Type G2 or'RW fastened of hot mopped in place, LOOK FOR MARK ON PRODUCT Membr FR-P" r 71. Deck C -' Insuta or hot Base ; Memb IVSack: C. Insul: tomb' must Base roofir' ease with Base Merr IA otcic cast fast Bas adh . 'ft adh • 9at Nr Co to CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N� 714 Miami Shores Village, Fla., Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks- This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances N : "92, 93, 94 °'and 97, known as the Zoning, Electrical, Plumbing and Building Ordinax�icea Miami Shores. Village pertaining to the erection, construction, alteration or remodelingof b 'ldings or ^strlwtures. I 4s' READaa PLR�Sxlwy '1`10.24 NROY• I BCRRPK [5Ra LNpRT]. 1.MK -DOWN BRRLRRT -838 •xaur. 0c0. S � ants IS^ cc Mqx -y4` RI•AM. MiKN.BDtT .W/ STAR IIOxIN SNIaLD TO WRLL 1 • N . T PxILD -- A.CLIP NAtY. -.OSO PLUM - .. _ Tie• x a!'1h4 ALLOY- aeo3^ X114 .AOGRteD RTTA. RRPTBR BRACE TRVDaD MG wqx IMAx 3 MAX FIPa BRACH-- - T¢BSeeAxy RI.9M tPBIN4 1 a9 +.OPR Wgtl rxlcngnns �m. x 04a + •, o pax• s RRFTER BRACE •B• •8• Al •a, Mw-7/ISLE VM7- ONLY 70P MRSNINy I We c•c 43" e' c-C 7'0 57' 36° C -e 6 =o' e 69N 30" C -C sto, a -c /I - I i,� j' _ 1,OCU DewN BaacNer - I 1 I i I ; � I• x lt�B• ATTacx Te �aa ORNLNnT IY4" aLVM PIN / "x /" 51'c 8UI'7 � ° - �; -11� -__ �I��'I 'lul DSTp1L ! r STIPPIAVR. II I N /wq6 wlrx a /� �� O I I 1(°-32 MPeA. Ms—o', a Wu eta °c -e ax. n Nn+GE ERRS 1 L ib— S ROTS , wau ' ARM sm'Ac;!R ' `IVTI .OSORW M. 3" x I x 1Y4` RiItN Na.DP99vIN �, � lag` o"Viws TO WALL R' CLIP SIDE WINy ���� TAIL BpR ` �,I� SVPPORT , —'4 ..� flttgCx TO PwNi N(1 WITR G. yN" DIA p1.VM P11•II SEE CHART I I pwy wt:' BRACxrt MULTIPLE UNIT SIRE WINN(4. J xls + y w ,B RI.I,{UDED STwNGBR ' SECTION NA -A" D Q,000° - 2ar5 . F i•� T A -^^ DECp LRa6 ON egCN RWNINR! T G.Avm'. A -.tugB AND HART 1 ` -- TRapTNPiHT OP ALL• METAL IN THIS f4cou T CONPOAMa To TN8 S9ECIFICAT IONS ODNTemaU IN THB P4RH8. .,Sod l,ISG 6UBMIT'P" FOR F RMIT CeWRItN01 TN19 INSTR. TION. Tm-_ AWNING Mist BE CLOSSO ANC SECURED To TN@ , WALL DURIRN R A4%A1GRNa WARNU14:OR.ALVRT. .437 NINGIe CASTING 014H Temma RUM, AUDI 313 Y� - - Burr NlNga 4HL Yz SacTTBN D-D•' HINye BPRS' B LAS• Y4 +YL +Yi K. •060 yR• P'".%""- 3-3- A W MOURTimf HIN4 KUYZ CSR. DST "I w nTPD 1S6' Max. MRCN. S<REW '\ rnesorR T-•LIPSNIAy V4 +R I R` STAR DRIVE IN. RNC80R ?O WALL —2.410" , � 4t o .123 "lj IupLL THICKNESS - , OSO RLLOy - 6003 -T6 �" ALUM CLEVIS %N 1 WItH C0T18R RM _ • Raax.N4 MOUNTING NIN4F ASSEMBLY ' Sme -'D9' "'Ri W"M 8 USE 244 -25x98 / MpLN 9oLTs n` USE Ye x?ye 11"T RAFTER BRACE / / PIPB BRPICH HINyB CASTIN&I -PIPE . 4>2M T 7 RAFTER BRACE DGTAIL. ` F 1 PIPl8RAC8 DETAIL 'F' 2- 1/4' -IV STAR ORIVS INS .-PIPEA2M TO 5T121AfGEP_ To MASONRY Wp1.L. SLR, ExtR9DRO PIPR BRRCM HINyn Z -Y4'3o MACH = StRiNylR Se RRWS Q NUTS ---�` WRLA RD H. STLNENSON S`TRUcT UR A L. SHgiM9WR $TATS DF FLORiDR RBC�, 6410. I �3i .teeR � _ yg I�c•r _ROOFINGG SLAT ALLOY - 3003- H14- .019 (W MRT'LL , �` +3P. 'Tip R - ARM SN Ruoy- 30oa -NMF A .I rte• ,• l a. . SMVIRW T1.1T. OAY RBVroIe� a.> 1 MIBMI Sr�,AVIEW •INDUSTRIES INC. FLORIDA SEA VIEW AWNING DRTF= PpRli- II I SC RLH PS SHOW DW6 EN H. RSH5RPCiK qPP V' D !Q A it PLOT PL RN I No i 9 tl Al. AF /o1 RRWMTI.W RAPMR BRTKB PIPE SUPRIRT 33° O" C-c We c•c 43" e' c-C 7'0 57' 36° C -e 6 =o' e 69N 30" C -C sto, a -c RI.I,{UDED STwNGBR ' SECTION NA -A" D Q,000° - 2ar5 . F i•� T A -^^ DECp LRa6 ON egCN RWNINR! T G.Avm'. A -.tugB AND HART 1 ` -- TRapTNPiHT OP ALL• METAL IN THIS f4cou T CONPOAMa To TN8 S9ECIFICAT IONS ODNTemaU IN THB P4RH8. .,Sod l,ISG 6UBMIT'P" FOR F RMIT CeWRItN01 TN19 INSTR. TION. Tm-_ AWNING Mist BE CLOSSO ANC SECURED To TN@ , WALL DURIRN R A4%A1GRNa WARNU14:OR.ALVRT. .437 NINGIe CASTING 014H Temma RUM, AUDI 313 Y� - - Burr NlNga 4HL Yz SacTTBN D-D•' HINye BPRS' B LAS• Y4 +YL +Yi K. •060 yR• P'".%""- 3-3- A W MOURTimf HIN4 KUYZ CSR. DST "I w nTPD 1S6' Max. MRCN. S<REW '\ rnesorR T-•LIPSNIAy V4 +R I R` STAR DRIVE IN. RNC80R ?O WALL —2.410" , � 4t o .123 "lj IupLL THICKNESS - , OSO RLLOy - 6003 -T6 �" ALUM CLEVIS %N 1 WItH C0T18R RM _ • Raax.N4 MOUNTING NIN4F ASSEMBLY ' Sme -'D9' "'Ri W"M 8 USE 244 -25x98 / MpLN 9oLTs n` USE Ye x?ye 11"T RAFTER BRACE / / PIPB BRPICH HINyB CASTIN&I -PIPE . 4>2M T 7 RAFTER BRACE DGTAIL. ` F 1 PIPl8RAC8 DETAIL 'F' 2- 1/4' -IV STAR ORIVS INS .-PIPEA2M TO 5T121AfGEP_ To MASONRY Wp1.L. SLR, ExtR9DRO PIPR BRRCM HINyn Z -Y4'3o MACH = StRiNylR Se RRWS Q NUTS ---�` WRLA RD H. STLNENSON S`TRUcT UR A L. SHgiM9WR $TATS DF FLORiDR RBC�, 6410. I �3i .teeR � _ yg I�c•r _ROOFINGG SLAT ALLOY - 3003- H14- .019 (W MRT'LL , �` +3P. 'Tip R - ARM SN Ruoy- 30oa -NMF A .I rte• ,• l a. . SMVIRW T1.1T. OAY RBVroIe� a.> 1 MIBMI Sr�,AVIEW •INDUSTRIES INC. FLORIDA SEA VIEW AWNING DRTF= PpRli- II I SC RLH PS SHOW DW6 EN H. RSH5RPCiK qPP V' D !Q A it PLOT PL RN I No i 9 tl Al. AF /o1 OWNER'S NAME PRESENT ADDRESS -1 LICENSE NO. PHONE NO. FRED B. WIT � -_� - � I n- 6 R# W. 119th Street JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 348 N- E. 103rd Street � & wi 6 I 37 I m. S. Seat. #1 GENERAL_ CONTRACTOR ADDRESS PHONE No. LICENSE NO. Owner- Builder I 116 N. W. 119th Street I 3217 -A 0-1 BUILDER'S BOND BUILDING PERMIT NO. 7616 �/ I DATE ` % '7/49 PERMIT FEE $ 16,00 I No. 719 DATE Trio ZONE REQUIREMENTS 1V,50© CU. FT. I PLAN CUBE ��� r�� CU. FT. EST. COST $ 12, 000.00 DATE DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: Jy� 2/17/49 TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION S I NEW CONSTRUCTION I CBS I 1 Tile I Plaster Walls. Oak Strip Floor DESCRIPTION I REPAIRS ILiving Ro=, Dining Room, Kitchen, 2 Bedromis, 1 Bath, Jalou6ied Porch ALTERATION I DESCRIPTION 11 car attached garage ADDITION APPROVED REJECTED REFERRED 70 COUNCIL I REASONS SUBMITTED 70 PLANNING BOARD I I RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. 714 ISSUED 5/9/49 IBY JD-11 I TO Fred B. MOtt,' 318 111' 10�,rd St. BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORE$ VILLAGE BUILDING INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION Z 49 JDH SPECIAL PERMITS PERMIT NO:- DATE FEE BEAMS & LINTELS lO JDH H. W. HEATER CONN. $ SEPTIC TANK - - 06 FRAMING -- 1 '' $ 1,00 - - SEWER MOTORS $ SOLAR HEATER $ $ - GAS FINAL ,INSPECTIONS $ BY RE- INSPECT BY CLFAN -UP 11 1 DATE Y RE- INSPECT BY 1 PLUMBING PERMITS & INSPECTIONa CONTRACTOR • JOUeS PHONE - PERMIT NO. 7 DATE 9 �/ ], 1 49 FEE $ NEW BLDG. • S I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO:- DATE FEE TEMPORARY SERVICE 49 -$ 1000 H. W. HEATER CONN. $ SEPTIC TANK - - 06 RANGE CONN. -- 1 '' $ 1,00 - - SEWER MOTORS $ SOLAR HEATER $ $ - GAS ,INSPECTIONS $ BY RE- INSPECT BY RE- INSPECT BY'- INSPECTIONS DATE Y RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING 26 JD� GAS SEWER SEPTIC TANK q/171IL9 JDH SOLAR HEATER I JDH FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR Hurst, leOtric Os I PHONE PERMIT NO. .7731..... • DATE FEE $ 0 NEW BLDG. X I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 49 -$ 1000 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ .y FIXTURES $ ,INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY'- TEMP. SERVICE 2 !,©© 49 im ROUGHING 26 JD� H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL I JDH APPROVAL TO POWER -CO. FOR SERVICE DATE 49 BY JDH ADDREss348 N. E. 103rd St. LEGAL? l'T�, B1k.37, NI S S #1 RECORD GARBAGE TAX Ctf PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER / F -Cfl� I i s h 1949 f,12.00 a - 1 1.317/ A, Olt s A 1A ®® A MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE `/ " w: % 195 ELECTRICAL ❑ PERMIT N© 11777 Contractor's PLUMBING ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner of Building Architect - ontractor or Builder Legal Lot Bl. Subdi- vision Address of Value of Amt, of Building 11 Project $ 11 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. CONTRACfOVORjU1"% BY AUTHORITY MIAMI SHORES VILLAGE, FLT ®R_(DA BUILDING DATE ELECTRICAL _ PERMIT Nn 7731 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner of r Building _ Architect Contractor" r or Builder Legal Lot II Bl. Subdi- Description vision Address of - Ema 194 Amt. of Permit I; ,z- /a, 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed:_ 4 a :, -":.,. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform Chg''work covered hereunder in compliance with all ordi#ian s and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authp}*es of -MAmi S4- @$Ugagz: In accepting this permit I assume responsibility for all work done by either,myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 151 "T BUILDING ❑ ELECTRICAL ❑ PLUMBING 0 ROOFING ❑ of y x or Builder f" �.t Legal Lot Description PERMIT N° 7157 Work to be performed under this f'tca, "e- 0 Subdi- vision Address of A Value of ! Amount of i "2 Building Proiect $ 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:C d.: •�' '� — INSPECTOR A 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. DATE 195 Contractor's License No. 2 CONTRACTOR OR BUILDER BY AUTHORITY s "I' BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORID - DATE 1 9 E R M I T N° 7616 Contractor's License No. 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 ' 5 ELECTRICAL ❑ PERMIT W? 13 214 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner of Building Architect - ontractor or Builder. Legal Lot II Bl. n. Descriptio Subdi- vision Address of Value of Amt, of Building �" I Project $ I) 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. i jj , , ,,�,...•�^° Signed: __ BY BPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA , E BUILDING DATES {'° 194 ELECTRICAL PLUMBING Owner of Building Architect PERMIT N? 7706 Contractor's License No._ Work -to be performed under this Permit * r. Contractor or Builder Legal Lot I 131. Description Subdi- vision Address of Value of Amt. Building °: /, e�) , <-1 Ail � .. � � :_ � Project 11 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 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. �r / Signed: " ! it . By INSPECTOR In consideration of the issuance to me of this permit I agree to perform a work covered hereunder in compliance with all ordin c s and regulations pertaining thereto and in strict conformity with the plans, drawings, state nts ^or specifications submitted to the proper authw. ies of NFi mi Shn1re�V�la CD In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. i `3 CONTRACTOR OR BUILDER BY ` - AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE �``�. 7/ 194 ELECTRIf-4L r� PERMIT N° 1636 Contractor's PLUMBING License 100. Work to be performed under this Permit Owner of y Building ���' •+ �;4_ol ` Architect Contractor [,., -s,,:: �r' or Builder Legal Lot Bl. Description Address of Subdi- vision Amt. of U 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 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 r in tl a statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: INSPECTOR By In consideration of the issuance to me of this permit I agree to perfo work covered hereunder in compliance with al,ordina and regulations pertaining thereto and in strict conformity with the plans, drawings, statem s or specifications submitted to the proper authori es of Miami Shos Villfige. 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 MIAMI SHORES VILLAGE, FLORIDA DATE % if •- T194 L PERMIT N? 7669 Contractor's License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder —,- Legal Lot r ( Bl. Description Address of �} .-i Rnildin� f f _ `_ Subdi- vision Amt. ` o -7 --� Permit t j� 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. / Signed: ,._ rt,. r� INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance pertaining thereto and in strict conformity with the plans. drawings, statements or specifications submitted to the proper In accepting this permit I assume responsibility for all work done by e' er myself, my agent, servant or employee. ..,. 5 , ". or ` CONTRACTOR OR BUILDER Y By with ord i es andgeg¢l o authorities o iami Shores age. AUTHORITY j PERMIT APPLICATION FOR MIAMI SHORES VILLAGE d Date Job Address 3 y E 0 3 nA Tax Folio Legal Description Historically Designated: Yes No OwnerA essee / Tenant -5u.1 e t-t • D A%j i E S Master Permit # WW r Owner's Address 3 4 1 is f . d 3 c,.Sl. Phone �3 ° �� 15 $ • 3 t $ az -1 6 •°131L 1 Contracting Co. Address 2 %,r Af % Qualifier State # Municipal # SS# - _ Competency # Architect/Engineer Address Bonding Company Address _ Mortgagor Address Phone (3 "JJ 7 j F • / 5 i/4 Ins. Co. Permit Type (circle one • UII.DIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ?A'% -IS e.. - S �- S� - � e.+ �a...�• r+ � n.t � i111�1 Square Ft. Estimated Cost (value) � 570 0 . O O WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WTTH 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 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. Furthermore, I authorize the above -named contractor to do ggature of owner and/or Condo President Date hr. 9i 4as to Date My Commissi ExpM. Jr MIA DAVIES NUfARY PUBLIC STATE OF: COMMLSSION NO Ca MY COMMMION EXP. W FEES: PERMIT ® RADON Notary as to My Commis I C.C.F. l ' o NOTARY APPROVED: Zoning Building '% ' "" r Electrical 2 21 f� a Date ATE OF FLORIDA NO. Cc714103 V1YL TOTAL DUES Mechanical Plumbing Structural Engineer I PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / E,�Job Address q� � � � � Tax Folic�'i // r c��r � X 0`3 - .50/0 Legal Description 4a r' -7 Vr. io '— r. -a4-i437 Owner / 46easee / T.., s /�tt�� �O 6�1 /�f'ifJ� � „Master Permit # Owner's Address P tJ �% ® S T Phone 75 ° /?7; J l �® 4W ;L �- Contracting Co. e � Re / Address Phone fo LL /_ aZ Qualifier �- v'� --SS4� - �� _� ,�� State #/V % 40( Municipal 4# Competency I l �f �� Ins.Co. Architect /Engineer Address Bonding Company. Address Mortgagor Address Permit Type(circle jone): B UI DING LECTRICAL PLUMBING MECHANICAL ROOF NG PAVING FENCE SIGN 7 WORK DESCRIPTIO Square Estimated Cost(value)_� f.� ®� 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 i ccurate and that all work will be done in compliance nth all applicable laws regulating construction and zoning. Furthermore, I authoriz med contractor to do the work stated. Signature o owner.a d/ r Condo President Signature o Contr ctor r Owner- Builder Date: - • ��� 71V Date: v Notary-.-as to Owner and /or Condo P sident Notary as to ntractor or Owner-B der',I My Commission Expires: NOTARY 11uppW, STAT2, ®r FLOREDA., My Commission', Expir my COMMISSION Emil'ir' Esa nee- 299 1999 ��'A�Y rMLIC, S'TAT-2 OF FLORMA. BONDED THRU NOTARY PUBLIC UNDERWR 7?2 "5. MY COMMISSION EXP +Sa Dec. 29, 199 . EM"EiD THRU NOTARY PLBLIC UMERWLBI R8. FEES: PERMIT V RADON C.C.F. c % _ NOTARY TOTAL DUE APPROVED: Fire 'l Other Zoning Buildin Electrica Mechanical Plumbing- Engineering Date 2 -19 -99 Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 348 N . E . 103 Street Tax Folio Historically Designated: Yes No Owner/lessee / Tenant Julie Davis Master Permit # Owner's Address 348 N.E. 103 Street Miami Shores Phi 75R — _Al2R Contracting Co. Quality Roofing Contractor, Inc — Address 13800 N.W. 1st Av -n u Carlos Arocho SS# Phone 751 -0382 State# RC0058627 Architect/Engineer- Bonding Company Mortgagor Municipal # Competency # 17889 Ins. Co. Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DF,S spa7?N Tear off old roof to wood deck, tin cap 301b. ASTM felt as per code ins a galvanized eave drip metals, mop on with type III asphalt one layer of 901b. ASTM, install So =', Vi S Kc6o colorthru tiles with adhesive Square Ft Estimated Cost (value) $ 8 , 5 0 0.0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENTS 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 0 -1,9 r i f4s" a of owner and/or Condo President Date Signature of Contractor or Owner - Builder Date - 9 1S Notary as to and/or Notary as to CondIctor or My Commission Expires: = R� " W MN t# CC WW4 My Commission Expires: Z COMMON Il(00 74 EXPOES: October % 2DOt f �7SPIF�E9 , � off; : MUM 10.2001 ®ended DM MW Puh�o that M BMW Thm Notary Pubk ttadonr bm FEES: PERMIT , RADON C.C.F. NOTARY �® BOND g� TOTAL DUE_. --° APPROVED: Zoning B Electrical 1Vlecbanical Plumbing Engineering IT 3- C=> S To --- - -- ---------------- - Y ,,-n L-EL h VA f MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No------------ - --- - - - - -- -- Date-- - - - - - Z 1'- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith - bmitted fo a 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 ----------------- r _ ----------------------------- No. - -3 l �+ --- - - - - -- -- Street fu / 3 -57 Y i° o 7 -- - -- - - - - - - -- - -- - - - -- - Registered Architect and /or Engineer --------- - -- - ---- - - --- -- - - -- - -- - - -------------- --- -- - - - - -- - - -- - - -- ----------- ------- - -- Employing Plumber's Name ------------ - -- - - -- - ------- --- - ------ - - - - -- Subdivision - - - --- - - - - -- Location and Legal Description Lot-------------------- - -- -- --- _— ------------ — Block -_-;- _ -- --- -- -- _ Street and Number where work' is to be performed— No.- __- _- - 4- f-__ ----- -_ -- - - - --- ---- - - - -- Street-A/ - - - -1-03 ----- S_ -tk_Q �_ t_-_- -- - - - - -- State work to be performed and purpose of building (By Floors) _ �?K __- _ _ ___ _ __ _ _ ____ ______ New Building ------------ - - - - - -- --- - - - - - -- Remodeling`__ -------------------------- Addition --- - - -_ ----------------- - Repairs -------------------------- No. of St Ties Size Septic Tank - -- -- - - - - -- -- --- - - -- -- --- - - - - -- -Type of Tank-- -- --- - - - - --- -- - - - - - - -- - - -------- - - Capacity Gals------------------ 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) -- - - - - -- ----------- - - - - -------------------------------------- Plumbmg'Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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 performed under this permit; as are licensed by Miami Shores Village. o "1'`- a 4 ( Signed ) ---- - - - - -- -- - -- - - - - -- - -- - - - - -- -- - - - - -- ------ - - - - ------------------ - - -- Master Plumber. 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. ...BATH '.LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TU ®S URINALS BASIN DRAIN FOUNT'NS ' FIXTURES:. 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 Tank - -- -- - - - - -- -- --- - - -- -- --- - - - - -- -Type of Tank-- -- --- - - - - --- -- - - - - - - -- - - -------- - - Capacity Gals------------------ 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) -- - - - - -- ----------- - - - - -------------------------------------- Plumbmg'Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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 performed under this permit; as are licensed by Miami Shores Village. o "1'`- a 4 ( Signed ) ---- - - - - -- -- - -- - - - - -- - -- - - - - -- -- - - - - -- ------ - - - - ------------------ - - -- Master Plumber. 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. ti MIAMI SHORES VILLAGE PLUMBING" INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ----- ! - l� - - -- �' 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 - -' A!Y - f--------------- - ------- No.----- A-_7---1 ---------------- Street ---* © -' = Registered Architect and/or En nieer- - -------- - ------ - -- - - - - -- -- -- - - - - -- --- - - - - -------------------------------------------------------- c _ Employing Plumber's Name_. --- R _�Q C��1'_SV/T[---- ---- - - - - -- Street_1 Q - -- Location and Legal Description Lot -------------- -__- -_ - ----- _ Block --------------------- Subdivision ------- ,�7 Street and Number where work is to be performed —No.. _.____-__ - -A � - - - -- - - - - -- Street - � ��_• % Q �l l State work to be performed and purpose of building (By Floors) ______:__ ______________ _ _ __ __ _ __ ___ ___ __ ___ _______ __ New Building ------------------------------------ Remodeling -_ ------------------------ Addition- - - - - - -- - - -- - Repairs--------------------------- No. of Stones Size Septic Tank ------------------------ _ ii - --- Type of Tank -- -- - - -- -- - - -- - --- - - - - - -- Capacity Gals Feet of Drain Tile_�071_l____ � 1 ----Dist. Feet of Tank or Drain Field from Well- _______ __ ___ ______ - ------------------ Nature of Water Supply: City -Well----------------------------- - -- - -- - - - -__ _ - - -- -- -Size of Soakage Pit -------------------- - - - -__ --------------------- - --------------------- -t - - - - -- - - - - - -- - --- -- -- - - ---- --- - -- --- --- -- - -- - -- -- -- ----------------- / - - - r� - ns - -- Amount of Permit $- ----- - - - - -- - - - - - - -- --- -- - - - - -- - - - -- -- ----------- -- - - -- (Shed)--- - --- -- ---- - - - - -- - -- -- - --- - - -- -- Plumbing Ins o . i g pec%t The undersigned applicant for this building permit does hereby certify that he understands and accepts 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 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 ` performed under this permit, as are licensed by Miami Shores Village. (Signed) - - -0 &( Z�'lc /7 /C/��� —1--R,-, Master Plumber. STATE OF FLORIDA, r A� I1(O 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 m� t : �t duly sworn, upon oath deposes an.4 says that he is the------------------------------ __ _ _ _ _ _ of the above described construction, tb t !If ": =:s carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - -- --------------- -- -- - - - --- -- - My Commission Expilru 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 f& inspection, or faulty materials and /or workmanship. L CLOSETS BATH TUBS SHOWERS LAVA- .TORIES SINKS. SLOP SINKS LAUNDRY TUBS URINALS. .CATCH BASIN - FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES 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 Tank ------------------------ _ ii - --- Type of Tank -- -- - - -- -- - - -- - --- - - - - - -- Capacity Gals Feet of Drain Tile_�071_l____ � 1 ----Dist. Feet of Tank or Drain Field from Well- _______ __ ___ ______ - ------------------ Nature of Water Supply: City -Well----------------------------- - -- - -- - - - -__ _ - - -- -- -Size of Soakage Pit -------------------- - - - -__ --------------------- - --------------------- -t - - - - -- - - - - - -- - --- -- -- - - ---- --- - -- --- --- -- - -- - -- -- -- ----------------- / - - - r� - ns - -- Amount of Permit $- ----- - - - - -- - - - - - - -- --- -- - - - - -- - - - -- -- ----------- -- - - -- (Shed)--- - --- -- ---- - - - - -- - -- -- - --- - - -- -- Plumbing Ins o . i g pec%t The undersigned applicant for this building permit does hereby certify that he understands and accepts 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 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 ` performed under this permit, as are licensed by Miami Shores Village. (Signed) - - -0 &( Z�'lc /7 /C/��� —1--R,-, Master Plumber. STATE OF FLORIDA, r A� I1(O 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 m� t : �t duly sworn, upon oath deposes an.4 says that he is the------------------------------ __ _ _ _ _ _ of the above described construction, tb t !If ": =:s carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - -- --------------- -- -- - - - --- -- - My Commission Expilru 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 f& inspection, or faulty materials and /or workmanship. L y Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 . Tel: (3 89 72 BUILDING �G Permit No. � PERMIT APPLICATION aster Permit No. FBC 260.1 I Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) %jndj fi c�i Abel o Phone # Ownpee s, Address 3q g O G I cS S-r City, 5ipre� state- zip 331 b? Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Mi Dade Zip 13 t 3� Is Building .Historically Designated YES NO Contractor's Company Name SEARS HOME IMP. PROD. Phone # Contractor's Address - 1024 FL, CENTRAL PKWY, City. rim. KI - FL 32750 _Zip. Architect/Engineer's Name (if applicable) —� Dk n 0-614e- K Phone # 'j S `� S Ce S ZZ $ Value of Work For this Permit �O VaL Type of Work: ❑Addi 'on Alteration ❑New Describe Work: K KP P Ic-t C. e � --3-M 0c, Square Footage Of Work:Z D Demolition Re air/Re lace P P Submittal Fee $ Permit Fee $ s1. /�(� CCF $ Z . 4-0 Notary $ Training/Education Fee $ ©. Technology Fee $ • c Scanning $ 6- 00 . Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 3 •Z . 3Z7 10-14-0.5 .H 1 0 :,40 1 fl (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 Zip rA State 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 commeneement must be posted at the job site for the first inspection which. occurs seven (7) days after the balding,, permit hF .,gged -��trtdte'', absence of such posted notice, the inspection will not be approved and a r ' nspection fee will be chai`' d SignaturcL Si Owner, or Agent : r h ` x E f a : " Contractor The foregoing instrument was acknowledged before me this day of�20Q , by j\� 0, Age 15 , who is personally known to me or who has produced As identification and who did take an oath NOTARY PUB IC: Sign: i Print: c:J q@ N e My Commission Expires: The foregoing instrument was acknowledged before me this2 day of 5gpW a ( 20 S by &RILL d., who is personally known to me or who has produced as identification and who did take an o TARY PUBLIC: \\ ` 23 Raeere�e`5 Sign: .`,g P��4o *i M� G 1 \�iS'MaPub`wun' a� Print. : 3S �JQ \�NNaIBt� � � � n �a@arn My Commission Expi off;; &�Y�it #xAtRattt *izleirkasF fi�ia *�r�tsts *�c *sr - f�ei� iti�ta**** �icit�i9i * *it,titftftst *te * * <ir it4iift3edc itieitsink k',itiklk *at iE�k atc *test *����t * * &�i 9nk�lc (Certificate of Competency Holder) State Certificate or Registration No. C_ C`-, C C) 1 Certificate of Competency No.:!' APPLICATION APPROVED BY: Chi 10/14/03 V Plans Examiner Engineer Zoning