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Multiple (13)Inspection Worksheet Miami Shores Village . ' 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -81307 Permit Number: PT -4 -08 -665 Scheduled Inspection Date: October 23, 2009 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: KOCH, RENEE Work Classification: Addition /Alteration Job Address: 311 NE 103 Street Miami Shores, FL 33138- Phone Number Parcel Number 1121360130240 Project: <NONE> Contractor: HOME OWNER Building Department Comments October 22, 2009 For Inspections please call: (305)762 -4949 Page 21 of 22 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 22, 2009 For Inspections please call: (305)762 -4949 Page 21 of 22 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -81307 Scheduled Inspection Date: October 23, 2009 Inspector: Bruhn, Norman Owner: KOCH, RENEE Job Address: 311 NE 103 Street Miami Shores, FL 33138- Project: Contractor: <NONE> HOME OWNER Building Department Comments Permit Number: PT -4 -08 -665 Permit Type: Paint Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360130240 October 22, 2009 For Inspections please call: (305)762 -4949 Page 21 of 22 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 22, 2009 For Inspections please call: (305)762 -4949 Page 21 of 22 E� mT�w,;sr,,Jj Yeity�,:%��• Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Expiration: 1012612008 Project Address Parcel Number Applicant ........ ......... . _,...... .......__. _ .....__ ... ......... .....___._ .........- ..............._.. 311 NE 103 Street 1121360130240 Miami Shores Village, FL Block: Lot: RENEE KOCH 9WAgf. Inf. 9Q1? ati4. n ........................................................... ddress.................................................... .....................I......... Phone........................ ...........................Cell .. ............................... RENEE KOCH 311 NE 103 STREET MIAMI SHORES FL 33138 -2432 Contractor(s) Phone Cell Phone HOME OWNER Type of Work: Exterior Color: Additional Info: Classification: Residential Color: _Approved Color: _Approved_ ........................................................ ............................... Valuation: $ 1,000.00 Total Sq Feet: 0 Code Comments: BEHR - WALLS, CHIMNEY - Color: 7 r-N ' APR 3 0 Ono U11-4 Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $67.30 I Total I Amt Paid I Amt Due I $ 0.00 $ 0.00 $ 0.00 Payment Type: Available Inspections: Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning . Futhermore , I authorize the above -named contractor to do the work stated . Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Tuesday, April 29, 2008 •il 29, 2008 Date 1 Miami Shores Village Building Department 10050 NE 2 < Ave Miami, F133138 (305)795 -2204 (ph); (305)756 -8972 (fax) ATTENTION HOMEOWNERS YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION FROM THE BUILDING DEPARTMENT. This permit is valid for 180 days. If it is not finalized during this period of time, the permit will expire, and it will require payment of a renewal fee to reinstate it and to call final inspection. WHEN THE PAINTING IS COMPLETED, PLEASE CALL THE BUILDING DEPARTMENT AT 305 - 795 -2204 TO SCHEDULE YOUR ERS�kL INSPFFT19N IN ORDER TO CLOSE YOUR PERMIT. Thank you for your cooperation Inspection Date: 03/01/2006 Inspector: Grande, Claudio Owner: KOCH, RENEE Job Address: 311 103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: QUALITY ROOFING CONTRACTORS INC Buildina Deoartment Comments Permit Type: Imported Permit Inspection Type: Final Roof Work Classification: <NONE> Phone Number Parcel Number Lot: 1121360130240 Phone: 306 -751 -0382 Inspection Worksheet Q m mnn% Miami Shores Village `�w 10050 N.E. 2nd Avenue Miami Shores, FL ►a'' Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/01/2006 Inspector: Grande, Claudio Owner: KOCH, RENEE Job Address: 311 103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: QUALITY ROOFING CONTRACTORS INC Buildina Deoartment Comments Permit Type: Imported Permit Inspection Type: Final Roof Work Classification: <NONE> Phone Number Parcel Number Lot: 1121360130240 Phone: 306 -751 -0382 Tuesday, February 28, 2006 Page 1 of 2 J d Inspector Comments Passed Failed 'a Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, February 28, 2006 Page 1 of 2 BP2005 -1321 Project: Owner: Phone: <NONE> RENEE KOCH Inspection History < • Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 i Job Address: 311 103 Street NE Parcel: 1121360130240 Miami Shores Village, FL 33138- Block: Lot: Imported Permit Scheduled Insp # Inspection Type Inspection Status Inspector Date Completed 12/01/2005 INSP -1387 Tin Cap APPROVED George 12/1/2005 12/01/2005 INSP -1385 Hot Mop APPROVED George 12/1/2005 01/18/2006 INSP -6252 Tile In Progress APPROVED Claudio Grande 1/18/2006 03/01/2006 INSP -10816 Final Roof Tuesday, February 28, 2006 Pending Inspection Claudio Grande Not Complete Page 1 of 1 Project No - U.S. SOUTH Engineering & Testing Lab. , Inc. 6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPH ANCE PROTOCOL TAS 106 ---------------------------------- SITE SPECIFIC INFORMATION Owner's Name: Permit #_ Job Address: Roofing Contrac,tokr Type of Tile: V(0I P �°�'� Date Installed:. Approximate Roof Height: 1`'� feet Roof Pitch: Type of Access to Roof: Scaffolds y Ladder Other Approximate Square Footage of Roof- 1, (VVj9 ft2 Required,Testing Force: 35 lbs. Testing Equipment: Chatillion100 Date Tested: 30 - 0 6 ----------------------------------------------------------------------------------------------------------- TEST RESULTS P = PASS, F = FAIL Test Location Uplift Pull Teat(P or F) Test Loedon Uplift Pull T*P or F) Test Looatlon Uplft Pull TwgP or F) Test Loc,dw Uplft Pup T*P or FI 1 26 51 76 2 27 52 77 3 28 53 78 4 29 54 79 5 30 5`%` so 6 31 56 81 7 32 57 82 8 33 5 83 9 34 59 84 10 35 80 85 11 36 61 Be 12 37 62 87 13 38 63 88 14 39 64 88 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 75 100 -------------------------------------------------------------------------------- ----- -- -------- -- -- -- --- -- - --- IN ACCORDANCE WITH TH RITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TES THIS BY: P.E._3e-l� Lab Certification # 98- 0608.04 State of FL Certificate Authorization # 4100 I ) Sketch of Roof Job *a 1 l QC,-, E B 3 S e, Iyl • pia (t.E� �1. Sheet Number 'Zof '2— Contractor +� 4 Checked By Scale t4 ■i t ■!!■ p; I ) Sketch of Roof Job *a 1 l QC,-, E B 3 S e, Iyl • pia (t.E� �1. Sheet Number 'Zof '2— Contractor +� 4 Checked By Scale t4 ■i ■!!■ ■iii ■i ■ ■ ■ ■ ■ ■ ■!! ■ ■ ■ ■ ■i ■ ■ ■■ ■■ ■ ■ ■ ■ ■ ■ ■I ■ ■� ■ ■ ■ ■ ■li ■ ■■■ ■! ■ ■■!■■■ ■iT�Ci■iii�ii ■ ■ ■lii�r�.'. ' '`. Notes: I v�� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit Name Re- Insp'n Fee ❑ r a Inspection Worksheet Miami Shores Village L� 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 01/1812006 Inspector: Grande, Claudio Owner: KOCH, RENEE Job Address: 311 103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Permit Type: Imported Permit Inspection Type: Tile In Progress Work Classification: <NONE> Phone Number Parcel Number Lot: 1121360130240 Contractor: QUALITY ROOFING CONTRACTORS INC Phone: 305 - 751 -0382 Building Department Comments Tuesday, January 17, 2006 Page 1 of 2 Inspector Comments Passed Failed E]_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, January 17, 2006 Page 1 of 2 W < @ 4 ILI MIAMS SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date �Ilns Type Insp'n Permit No. Name PP Address � At 16) YJ Company -- 004 Phone # y PJ(a® Inspection Date J prove Correction ❑ Re- Insp'n Fee [❑ NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO."f33 I TAX FOLIO NO. 11- 2136 -01 3 -0240 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 11I11111110i(Ii 11111llilN111 OR Bk 23842 P9 0708; tips) RECORDED 10/05/2005 11:15:28 HARVEY RUVINP CLERK OF COURT MIAMI -DADE COUNTYP FLORIDA LAST PAGE 1. Legal description of property and streettaddress: 311 N.E. 10 3 Street Miami Shores, Florida 33138 2. Description of improvement :- Reroof to a new Tile and Flat Cap sheet roof . 3. Owner(s) name and address: Rene_ '= Koch . 311 N.E. 103 Street. Miami Shores, Florida 33138 Interest in property: Owner Name and address of fee simple titleholder. N/A 4. Contractor's name.and address: _Quality Roof ing 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 sTA, E OF FLORIDA, cot Amount of bond $ 00 6. Lender's name and address: N/A HARVEY RUVIN, 7. Persons within the state of Florida designated by provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A of of as 8. In addition to himself, Owners designates the following person(s) to receive a- copy of the Lienor's Notice :as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 9. Expiration date of. this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differ ate is sped [S �- Signat9f-e of Owner Print Owner's Name - ' !�-�" dh Prepared by Carlos .Arocho. Sworn to and subscribed before me this day of �, 20,,f Quality Roofing Contraeto Notary Public I Print Notary's Name My commission expires: 123.01 -52 PAGE 4 10104 EXPIRES: October 10, 2905 Bw*d Tft Notary PLm Ur a wtars Address:138006 -N.W. 1st Avenue Miami, Florida 33168 ••• • • • ••• • • • • • • . • • • . • SECiWm 1514::.:.: HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS • . • .. 1524.1 As it pertains to this section, it is the res cros b' i j of the n � �Atra� f to provide the owner with the required roofing p' � �� J� g � Ct�' p q g permit, and to explain to the owneP the lconteRt flf Chit secffdn..'The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items6show"be.aiddressed•aspart of the agreement between the owner and the contractor. The owner's initial in the adja8entgof AdUel that the item has been explained. • • .. 1. Aesthetics-Workmanship: The workmanship provisions of Chapter T5 (High Velocity Hurricane Zone) 4er the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should ddr ed as part of the agreement between the owner and the contractor. in a42. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed rdance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building C . (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring urn (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should otify the occupants of adjacent units of roofing work to be performed. 14. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the /-qtipnjof maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may use water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original fing Aystern is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overlo ded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance thq Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the'iinictural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. 11015- _ Owner` /Agent's ignature Date Contractor's Signature f� Property Address Permit Number Rev., 912012005, Computer Services, Building Department http:/l www. miamidade. gov /bldg/roofing _permiting/section c 4 2.ht nl ... . . . ••• . • . ...... . •... • • • A. • • • • • • • • • • • • • • High Velocity Hurricane Zone UMT46 RooMg7ffiermit ,&pplication Form i MIAMI -DADS COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION ... . • • • • % . • . • Illustrate Components Noted and Details ad Apolibal3re: •• • Woodblocking, Gutter, Edge Terminations/Stripping /Flashing, Continuous Cleat, Cant Strip, Base Flashing Counterflashing Coping Etc. • • 00: • • • • • Indicate: Mean Roof Height, Parapet Height, Hetghf bt Gage Plashirig,•Cbmponent Material, Material Thickness, Fastener Type, Fastener Spacing Or: Submit Manufacturers D tails that Corn% with RAS -111 and Chapter 16. ``�� v' �`S 4 «`�►i® Page 3a Parapet Wa11 He ight .A—)/-9Ft Mean loaf Height Ft- 1 of 1 8/29/2005 8:49 AM http:// www. miamidade. gov/bldg/roofmg_permiting/section—c-40/o2O... ... .. . . 0:0 • . .. . . . . .. .. High Velocity Hurricane Zone Up fpr fi Ro4fiQg rerWt &ppli4ation Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION <font> ••• • • . • Section C (Lwi jo jed Roof System) • • • Fill in the specific roof assembly components. If a compgnent ijjn,0 rgaufret►i jnftf not applicable (N/A) in the text box. Roof System Manufacturer. GAF Materials Corporation NOA N403-0501.05 System Type: Buift -Up Wind Uplift Pressures, From RAS 128 or Sealed Calculations: (P1) Field: -49.2 psf (P2) Perimeters: -82.6 psf (P3) Comers: -124.3 psf Mabmum Design Pressure, From the Specific NOA System: -52.5 psf Deck type: 1"x 6"T & G These decks require a fastener pull test by an approved test laboratory Other Deck Type: N/A Deck Sup Spacing: WA Slope-fl-/;F-:12 Fire or Vapor Barrier. WA Anchor/Base Sheet & No. of P!g (1) #80 Ulbma Anchor/Base Sheet Fastener/Bonding Material: 1 1/4" R/S nails Insulation Base La er Size & Thickness: 1/2" Gaftemp high density Insulation Base Layer Fastener/Bonding Material: Type AI mopping asphalt Insulation Top Layer Size & Thickness: WA Insulation Top Layer Fastener/Bonding Material: N/A Wood Nailer. 8 Penny nails Wood Nailer Fastener Type and Spacing: 8 Penny nails/ at 4" spacing •. •.. .• • • . •. • .. . • • • ..• • • Base -9h2"( &,No!oW s)! ON/A-- Base Sheet Fastener/Bonding Material: WA Ply Sheets & No. of Py(s): (3) Plies of Gaf Ply 4 Ply Sheet Fastener/Bonding Material: Type III mopping asphalt Top Ply: Gafgias Mineral Surfaced Cap To P!y Fastening@2nding Material: Type III mopping asphalt Surfacing: N/A Single Ply membrane: N/A Single Ply Sheet Width: WA 1/2 sheet width: WA No. of Single Ply 112 sheets: WA Single Py Membrane Fastenineonding Material: WA Drip/GS Edge Metal Size & Gauge or weight: W face 26 ga. l Drip /GS Material Type: Gaivinized Metal Drip /GS Hook Strip/Cleat Metal gauge or weight: WA Parapet Coping Metal Size & Gauge or weight: WA Coping Material Type: WA F Parapet Hook Strip /Cleat Metal gauge orweight WA _j FASTENER SPACING FOR BASESHEET ATTACHMENT 1. Field: r6- o% laps & 2 towns 9 " o/c 2. Perimeter. o% @laps & 4 rows 6 3. Comers: 0% @ laps & T rows @ 6 0% NUMBER OF FASTENERS PER INSULATION BOARD Field: N/A Perimeter. N/A Comer: N/A Fastener Type : 1 ' /a" R.S. Nails Alternate Fastener WA Page 3 1 Of 1 4/27/2005 8:13 AM http://wwwmiamidade.gov/bldg/roofing_permiting/section—d-3.htmi ... . . . ... . . . .. .. .. . .... High Velocity Hurricane Zone Umorin Roo$ngTermit Application Form MIAW -DARE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION .•. • -- • • - -• • _ ••_ • - Section D (Steep Sloped•Rbdr$ystehf) Roof System Manufacturer: jClay For4er a : • . : .. • Notice of Acceptance Number. 4-04M. ' . • • Minimum Design Wind Pressures, if Applicable (from RAS 127 or Calculations): P 1• 5 P 2• -95.1 P 3• 95.1 Maximum Design Wind Pressures, (From the PCA Specific system): 6.5 Sloped System Description Roof Slope: 2 1/2 "112" Roof Mean Height: 13' Ridge Ventilation: N/A Method of Tile Attachment: Adhesive, Large Paddy Polyfoam Polypro Alternate Tile Attachment Method: N/A Clip Spacing for Metal Roof Panels Field: N/A Perimeters: NIA Comers: N/A Perimeter Width: NIA Page 4 Deck Type: 1" X 6" T & Alternate Deck Tvne: IN /A Underla ment type: 01b. ASTM D -226 Insulation/Fire Barrier Board: N/A O tional Nailable Substrate: N/A Fasteners: 1 1.4" R/S Nails Cap Sheet Type/Adhesive T e: 901b. ASTM feltlType III asphalt Roof Covering: Spanish S Clay Volcan Terracotta Roof Covering Attachment Method: Polyfoam adhesive setting Drip Edge Size & Gauge: 3" face 26 ga. J Drip Edge Material Type: Galvinized Metal Jl Drip Edue Fastener Tvoe: 11 1/4" R/S Nails Hook Strip /Cleat ga. or weight:, N/A 1 of 1 8/8/2005 12:24 PM http;// www. miidade. gov /bldg/roofing_permiting/secti011L_e�__3.htm ... . . . ... . . . .. .. . . . .. .. High Velocity hurricane Zone Uniform'Roofin.g Nrnift Appfication Form MtAMt -DADS COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION ..• . . . . . . . ...... .. . Section E (Tile Calculations) For Moment based tile systems, cllose'Oithq mitr'dd 'L br 2. Compare the values for Mr with the values from•Mfr if the WI1 ale[es are greater than or- equal to the Mr values, for each aea of the roof, then the the attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P 1 -: P-96-1 5 x A 0.255 - Mg, 5.05 = Mr1: 6.43 NOA Mf: 66.5 P 2: x A 0.255 - Mg: 5.05 = Mr1: 24.25 NOA Mf: 66.5 P 3:. 5.1 x A 0.255 - Mg: 5.05 = Mr1: 4.25 NOA Mf: 66.5 Method 2 "Simplified Tile Calculation Per Table Below' Required Moment of Resistance (Mr) From the Table Below: F- NOA Mf: r® Mr Required Moment Resistance* *This Table must be used In conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 1 of 1 8/8/2005 12:25 PM Mean- roof Height in Feet 15' 29 25' 34' 49 Roof Slope I I 2:12- 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12- 30:4 32.2 33.8 35.1 37.3 5 :12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *This Table must be used In conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 1 of 1 8/8/2005 12:25 PM P , MtiASv44DAD�e ••• • ••• • • . .. .. . . . .... BuaDD G CODE COMPLIANCE 0MCE (BCCo) .% 1�iJ RO-DA H S`Y'R��SBUILD 6 3 PRODUCT CONTROL DIVISION • A FLORIDA 33130 -1563 • ••: .•. .•• :• �305�3' MIA1 i52901 BAX(305)3i52908 NOTICE OF ACCEPTANCE (NOA) ' • • ' • Clay Forever • • • 6801 NW 72 Avenue Suite 301 ' .. ... .. .... 11I1ami, FL•33166 • • •: •.:::: •: . • ....... . .. .. SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami Dade County Product Control Division and accepted by the Boaxd of Rules and Appeals (BORN to be used in Miami Dade County and other areas wlizEe allowed by the Authority Having Jurisdiction (AM). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division (In Nam IIade c mty) W&W the AM (in areas otitt than Miami Dade cvatyf) mseve ft right to have this product.or material tested for'gaality assurance purposes. If this product -or material fails to perform in the accepted manner, the manufacturer wiff incur the expense of such testing and the AEU 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 with the Florida Building Code, including the High Velocity Hurricane Zone. D%C ION. Voicaa by ALlfun) SpauM "Su a4y roof Ue LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and faD oiadng steteaneal.• 1'Mjam3 Dwe Couniy Product Control Approved", unless otbe�rwsa noted jerc)n. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMMTION of this NOA WjA occW after the rxpbAca data or if tb= has term a revision Ar change In the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, far sales, advertising az amry oth�c puuposes sb�1l ;a�tomaticalYy termimaYe this I30�,. Failimte to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advati .sing Utemblre. Yf any portion of the NO A is displayed, ttaru it shall be done in its entirety. INSFECITON :'A copy of ft entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 01 -0828.01 and consists of pages 1 through 6. The submitted documentation was reviewed by Frank Zuloaga, RRC &CP • NOA No.: 04. 0426.04 Expiration Date: 08x16109 qW Approval Date: 08!26/04 Page 1 of 6 . . ... . . .. .. . . . .. . .. ... . ROOFING • ASM C 110 W.27/04 ASSEMBLY TAS 101 10109102 API;R01�A�, TAB 1D] Miami Dade NOA 199 0/08Jfl� Category: Roofing Sub Category; .' dtcbfUn 'dies •' • Material: Q,; • • . .. ... ... •' ::. . • : • • �: . 1. SCOPE new cby furevc as s u' IR by'9ltusa Spanish "S" Clay Roof Tile as manufactured by rtc of t? �9 Nonce of '4cceptsrace FDr locstions urlit°re tie pressure requirenMits, al ddmnlined'by applicable Buildin IaBgSUM values obtained g ode does not exceed the design . section 4 by calculations in compliance with XM 127 using the values listed in herein. The attachment calculations shall be done as a moment based system 2. PRODUCT DESCRrYON Manufactured by Dimes A lican nominal Volcan by Altusa spawsb ".S» cuy Roof Tile Tarn Piece, Length: 19.8►, Width: l0 varying thickness Uagdu varies Width: varies varying thickness 2.1 SUBMITTED EVIDENCE: Test A tnm IBA Caaasnit=1;, In4 PRI Asphalt Technologies, Inc, PRI Asphalt Technologies, Inc. Roof Tile Association 3. Test Syecl leations Pra3nrr Ami p_= •4S�' +�f C 21b7 cHigh tprofile, th u n+npt 2S r irrchpedh single roll For direct deck nail -on, mortar set, or P adhesive set applications. Accessory trim, clay roofpieces for use at PA 112 hips, rakes, ridges and valley terminations. Manufactured for each tle profile. Ttst idt-- n `hest iamefR"wrt Bate 2397 -59 ASM C 110 W.27/04 PDI -002 -02 -01 TAS 101 10109102 2DI -0] -02 -01 -0041 NTRMA High TAB 1D] Miami Dade NOA 199 0/08Jfl� LDWATIONS 1999 3.1 Fire 01"sificadorr is rrot pat of this acceptance. 3.2 For mortar or adhesive set file applications, a static field uplift test maybe or�med accordance with RAS 106. P in 3.3 Applicant shall retain the services of a Miami Dade County Ear" test in accordance with PA 112, appendix `A' . Such Certified g for be submitted two the Building Code Compliance office for review. 3.4 Minimum underlayment shall be in co Staa�dards lWad sec&w 41 hereia. compliance with the applicable Roofing Applications 3.5 30/90 hot mopped underlay nt applications may be installed unless states otherwise b the perpendicular. to the roof slope 3.6 This acceptance r for wood underlayment material manufacturers published literature. deck applications. Minimum deck requirements shall be in compliance with applicable building code. o { NOA No.: 04- 0426.04 ExpIration Date: 08/26/09 Approval Date: 08/26/04 Page 2 of 6 . % .. . . . % . . . . . . . . . . . . . 4. INSTALLATION . .... ....... . 4.1 V olcan by Altusa Spanish "S" Clay Rooi Tile and its components shall be installed in strict compliance with Roofing Application. Standard RM 120. • 4.2 Data For Attachment Calculations . . ...... .. . Table 1: Average Weight (iV acrd DImertsl . ......... . Titre groi3tie 19�etigl�t 1fif (tibf}�....::ti� (!t }•.. Width -w (ft) Volcan by Altusa 7.1 1.650 0.533 -r NOA No.: 04-0426.04 Eviratton irate: G&2G& Approval Date: OWN Page 3 616 Table 2: Aerod amic Multipliers - T�le � } (ft � t } Profile V olcan by Aitusa Batten Applicatio n Direct Deck Application 0.235 0.255 ?able a: Restorin MOMMMOts due to Gmy - AL it lb 2 ":12" 3":12" 4 ":12" 5 ":12" 6 ":12" 7 ": 12" or OT tress Batten Direct Batten Direct Batten Direct Batten Direct relater Batten Batten Direct Deck 4.78 5.12 Deck 4.71 5.05 4.62 Deck Deck 4.96 . 4.51 4.84 Direct eck Deck 4.38 4.67 4.25 4.55 -r NOA No.: 04-0426.04 Eviratton irate: G&2G& Approval Date: OWN Page 3 616 rd Table 6: Attachment Resistance Expressed as a Moment Mf (ft -lbf) for Two Pa Adhesive Set Systems The Tile Application Profile Minimum Attachment VOlcanb P&B-a Resistance 2 See manufactures corn onent a royal for installaiotn8 uirements. 29.3 3 F1�exibde Prcx�4acts GOMPUny 7�s8arxl A wra0+e ++e ht Polyfoam Product. Inc_ Avarn„o u,eI -k# .,__ ---- _ ., _ Patty 71} ?drams. Table �R: Attachment Resistanco. Expre&wd as a Momnt - for Sln le P#ttY Adhesive Set stems lft -lbi� Tile Tile Profile bpptication Mlnlmum A tachment Volcan by Altusa Pol oam Pol ProT"^ Resistance Pol oam Polyp --.- 66. 4 Large paddy nlacamant of aa........_ _. .. 38. Table 513: Attachment Resistance Expressed as a Moment - Mt (ft -lbf) e for Mortar Set Systems Th Q�n {eta _ Tile__ Attachment Volcan by Altma Y NOA No.: 04- 0426.04 Expiration Date: 08/26109 Approval Date: 08126/04 Page 4 of 6 ... . . . ... . . . .. .. . . . .. . . . . . . . . . . . . 5. LABELING • .... ....... . All tiles sl'all beat the imprint ar i6wdflable mulCmg of the manufacturer's name or logo, or following statement: "Miami Dade Cevfty P i'oduge VoWpl Apozoue'd 6. BUILDING P EI2IVII IEQvIIEMEVr5 : • ' • : • :.' : : • 6.1 Application for buildin * * * * * * 00 g permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 An other dom=n • • • • • • • Y �7egv2re� �Y � 1ding*Official or applicable building code in Or$. to 1110 OAAM4 "tallation of this system. ° Y XUA No .% 040426.04 , &pkation Date: 08/26109 .4pproaa2 Date: MAW Page 5 of ... . . ... . . % .. . . . % .. . . . . . . . . . . VOLCAN `,S' ,STATUE CI�ArBA , ibbF TILE PROFILE DRAWINGS ... . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . ... ... .. . END OF THIS ACCEPTANCE ° NOA No.: 04- 0426.04 Expiration Date: 08/26/09 Approval Date: 08/26/04 Page 6 of 6 MIA•Ml•DADE ••• ••• MIAMI -DADE COUNTY, FLORIDA • • • ; ; ; ; • •I1 I'RO -DADE FLAGLER BUILDING ' • • ' ... •BUI]WING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING • • • , . .140 WEST FLAGLER STREET. SUITE 1603 • • ; ; • ; :: : MIAMI. FLORIDA 33130 -1563 PRODUCT CONTROL NOTICE OF At�`'IPTANOE :: (305) 375 -2901 FAX (305) 375 -2908 POlyfOam Products, Inc. • 000 •ee • • • CONTRACTOR LICENSINC SECTION 2400 Spring- Stuebner Roa'd (305) 375 -2527 FAX (305) 37$-2558 Spring ,TX 77383-1132 "' • • • • • • • • • • • eO'VrRACTOR ENFORC&MENT DIVISION • • • 60* ; ; • • • ; ; • • • (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION Your application for Notice of Acceptance (NOA) of (305)375-2902r-AX(30S)372-6339 Two Component Polyurethene Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO 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, BCCO may revoke, modify, -or suspend the use of such product or material immediately. BCCO reserves the right to* revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01- 0521.02 EXPIRES: 05/10/2006 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHF.ET SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 06/14/2001 Francisco J. Quintana. R.A. Director Miami -Dade County Building Code Compliance Office 11 s04500011pc200011temp1ueslnodce accepcme cover page do, �- •____. _..:. _..r_. -_. ___•-.-. .._..�....st..a_�_...t.....t:_- _..... � u.....- ......... I.tt...! /....�+u h..il.linarntiwnnlinP rnm Polvfoam Products. Inc ROOFING ASSEMBLY APPRbV:XL' ' Catc"ory• Roofing Sub- Cateyory• lVaTile Adk;siw • Materials• Po1;ur-c1hane "' ACCEPTANCE No.: 01- 0521.02 Approval Datc:.Iunc 14, 2001 Expiration Date: May 10. 200 I. SCOPE •• ' "' .. .� ... . : :.' :' '. This approves I'olypr�Q.A�I0 as�nxir j1gtVrcd by Po1yfoam Products, Inc, as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RA.S 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and' as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by Test Product Annlicant Dimensions Specifications Description Polypro® A1-1160 N/A PA 101 Two component polyurethane FoamproG RT171000 N/A Dispensing Equipment ProPack® 30 & 100 N/A Dispensing Equipment 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Rool'Tilc Assembly having a current NOA which list uplift resistance values with the use of Polypro Al•1160 roof the adhesive. 2.2 Typical Physical Properties: Pro cr Test Density ASTM D 1622 Compressive ASTM D 1621 Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 2 Results 1.6 IbsJft? 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFt2 3.1 Penn / Inch +0.07% Volume Change a -400 R. 2 weeks ,.: +6.0% Volume Clian ve u 0. Humidity, 2 weeks Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. 0:0 0 .ACCE.P�TANCE No.: 01- 0521.02 ...... . .... . ..... . .. . Note: The physical properties listed above are pr`&nted as typicuf nvcrnge values as determined by accepted ASTM test methods and arc subject to normal manufacturen; variation. ... ... .. .. .... 3. LIMITATIONS " 3.1 Fire classification is not part of tni-s acceptance.�Refer to�the Prepared Roof Tile Assembly for lire rating. .. . .... 3.2 Polypro® AH 160 shall solely be usoo.. ti w..,►. lh2la't,2o%y,:&j h1gA tile profiles. 3.3 . Minimum underlayments shall be njoLi1 jliaciie'whlt: toe Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH 160 roof tile adhesive with their the assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. F -w F'= 2 MS 4. INSTALLATION 4.1 Polypro® AH160 may be used with any roof the assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH 160. 4.2 Polypro® AH 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH 160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA , 4.3 Polypro® AH160 roof tile adhesive and its components sliall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approve,¢ applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AH 160 shall be applied with Foampro RTF 1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® AH 160 sliall not be exposed permanently to sunli Frank Zuloaga, RRC Product Control Examincr Polvrozm Products, Inc ACCEPTANCE No.: 01- 0521.02 . .... . . .... .... . ...... . 4.8 Tiles must ba adliere�i.;fc+esily ap�hed adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH 160 has been dispensed. 4.9 Polypro® e*V 1.60 plagC*mgM and jNnbhrim patty weight shall be in accordance with the'Placer4ellt Ddtails' herekl. tics ger=eric tile profile requires the specific placement noted hereu70 - - :- :-- - 5. 6. Cable sivQV a roc for Each TilcProfilc :Pw i ;Cnt Single Pat '" • • • -Dt<td'lr'' -• Min. Flat, Low, High Profiles # 1 3 High Profile (2 Piece Barrel) #1 17 /side o 34/ Flat, Low, Hi h Profiles #2 2 Flat, Low, High Profiles #3 eneric Tile Profile dy Weight ,,rams) Two Paddy Weight per paddy Min. rams 5 N/A i cap and )an N/A `I N/A 8 LABELING All Polypro® Ali 160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 kt Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, 111C. Mau through plastic COMM LIA"yMam . . . . . . . . . . � 02 EX600sum ACCEPTANCE No.: 01-0521.02 ADHESIVE PLACFkE;NT I)HAri•1• • SINGLE PATTY ••: .". .Paddy (tlwith Tile) • , F"da Keep &04&kl sWox 4 1% up hm wit"I ire j jh ZAYMM Pad* (Bowth Thl U *0 see 10 4w `1i ......... 3 In Eavo Count Is" wfsphaio Em count a*. Esve datum V66P &&4$bjj IWOS. 4 In. up barn a 11 Place enough adhesive to achieve 17 to 23 aqtw# kwa in canoe with ON W too �0p P awkwm Uzi WtwO plaide cLum TWA CO-8 Up" down. PIvA ad wshs M JL TO I k F(OM OuWds edge Of No In" the t1o. 9 I" pargaft of W one uwwag Count covet WC AW to ucww Ca u" of OpUonU Pan IUL Emun "" UW of Pan and CMf dies am Paw-up MWX W 9 tare IInL 04 *4kwkw Em donuts WG*PhOI4 Fa" 5 Frank Zuloaga, RPLC Product Control Examiner Polyfonni Products, Inc. OV .0. Or ACCEPTANCE No. 01-05-21.02 *ADhZjtv'E-KACiA,fNT DETAIL 2 SINGLE PATTY 0 0 0 0. 00. :00 • • 00. NaU 0 so .0 W-911 PIS= cement • :06 C cement • Uadedayme't 0 :.: 0 PMWY M-ULh Tk) :09 Udi •• • • n 0 7 Ln. V2-1n. Ere UWU FwJa Feed Em CWWI Five Couru Eve dosurs 10 Frank Zuloaga, RRC Product Control Examincr Pol To:tm Products Trtc. ••• • .ACCU.TANGE No.: 01- 0521.02 • • • • • • • • • • ADHESIVE PLAC�MNT bHAIL 3 • DOUBLE PETTY. • . • . . . . • . . . . •• • • • • • • • • • • Nall through pusiic coment i y} / $�Iln.x J In. Single paddy on undedayrnent Sln91e paddy on top of UIe Eire Course 4 2 7 er tle SLngle•paddy between We Ears Closure 2 in x Irr. medium Fascia paddy eave course only 3m:::) Frank Zuloaga, RRC Product Control Ex=iner Polyfoant Products, Inc 0 0 ACCEPATANCE No.: 01- 0521,02 . ...... . .... . ..... . ... .. • ••• • • • • ••• • • 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including. pest -su oropg d:LtIL. cpg�nc ring documents, are no older than eight (8) years. .. . . • • . . . . . . 2. Any and all approved products shalt be permanently labeled with the• manufacturer's name, city, state, and the following statement: "Miami -Dade gpunjy j'rpdvct Control Approval ", or as specifically stated in the specific conditions of his acLptuf a 3. Renewals of Acceptance will not be considered tf ; a. There has been a change in die 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 die 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 Mi4mi -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 otluir documents, Nvherc 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 time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages I through 8. END OF THIS ACCEPTANCE Frank Zuloaga, RRC Product Control Examiner MI® AQE .. .. , .. .. MIANII -DARE COUNTY, FLORIDA •: • : : • : • �M�TRO -DADE �LACiLER BUILDING PwDu wr CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION • • • NQAMI, FLORIDA 33130.1563 . . . . . .. . . . .. • • • : (305) 375 -2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) • • . • • . • • . • GAF Material Corporation 1361 Alps Road • • . • • ., .... Wayne, NJ 07470 ' ' • ' ' ' • . ......... . ....... . .. .. SCOPE: This NOA is being issued under the applicable rules and regulations.goveraing the use of construction materials. - The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (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 the 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 with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built Up Roof System for Wood Deck. 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 considered after 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 this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any Product, for sales, advertising or any other purposes shall 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 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 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 the job site at the request of the Building Official. This NOA renews NOA #02-0408.09 and consists of pages.1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC m NOA No: 03- 0501.05 { Expiration Date: 11/04/08 Approval Date:10/23103 Page 1 of 21 s System Type A (1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved. aepla .. ... .. ........ . All General and System Litq;kl:n3 si�l a�p�lr.• One or more layers of any of the following insulations. Insulation Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only =S, platic plate only (Table 3) Density /fe =P) ACFoam -I, ENRGY 29 GAVITM N Isotherm R, E'NRG'Y 2 Plus, GAFTEMIP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEw Composite A, GAFTEMP . Composite No BMCA EnergyGuard, BMCA EnergyGuard Composite, EverGuard ISO, ISORoc, EnergyGuard RA, EnergyGuard RA Composite Minimum 1" thick N/A N/A BMCA High Density Wood Fiber, GAFTEM PO High Density Wood Fiber, GAFTEMP RecoverBoard, Wood Fiber, GAFTEMP® Fiberboard Minimum VY Eck N/A N/A Perlite, GAFTEWO Permalite®, Permalite Tapered, Paroc Minimum l /a" thick N/A N/A Fiberglas (Min. 15/16" thick) N/A N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20 -40 lbs1100 fe. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator Perforated laid dry or a layer of •GHQ PER MALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENTO Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat Weldrm Smooth or RUBEROID SBS Heat-Weld 25 base sheet mechanically fastened as described below; Fastening Options: GAFGLAS® Ply 40, GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o:c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) a % NOA No: 03- 0501.05 Expiration Date:11/04/08 Approval Date:10/23 /03 Page 10 of 21 .... . .. • • .. . • • • • • • • • • • APPROVED ASSEMBLIEJ . ... . . . • ••• Deck Type 1I: Wood, Insulated ... Deck Description: .... .. .. .• . . 19 /say i grgater+w� or ;voo(Vtw k . •• ••• ••• • • System Type A (1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved. aepla .. ... .. ........ . All General and System Litq;kl:n3 si�l a�p�lr.• One or more layers of any of the following insulations. Insulation Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only =S, platic plate only (Table 3) Density /fe =P) ACFoam -I, ENRGY 29 GAVITM N Isotherm R, E'NRG'Y 2 Plus, GAFTEMIP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEw Composite A, GAFTEMP . Composite No BMCA EnergyGuard, BMCA EnergyGuard Composite, EverGuard ISO, ISORoc, EnergyGuard RA, EnergyGuard RA Composite Minimum 1" thick N/A N/A BMCA High Density Wood Fiber, GAFTEM PO High Density Wood Fiber, GAFTEMP RecoverBoard, Wood Fiber, GAFTEMP® Fiberboard Minimum VY Eck N/A N/A Perlite, GAFTEWO Permalite®, Permalite Tapered, Paroc Minimum l /a" thick N/A N/A Fiberglas (Min. 15/16" thick) N/A N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20 -40 lbs1100 fe. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator Perforated laid dry or a layer of •GHQ PER MALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENTO Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat Weldrm Smooth or RUBEROID SBS Heat-Weld 25 base sheet mechanically fastened as described below; Fastening Options: GAFGLAS® Ply 40, GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o:c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) a % NOA No: 03- 0501.05 Expiration Date:11/04/08 Approval Date:10/23 /03 Page 10 of 21 GAFGLASO Ply 4 ®, GAFC)LASeP1x0.PV1'46, JAM LAS #75 Base Sheet or any of above Anchor sheejv0ttichej tQ dgcj&itb Drill Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows.. One row is in the 2" side lap. The other rows are equally spa c edapproxlmatgly 12" Q.c. ip the field of the sheet. (Maximum Design Pres�rC-45 jv4r, See Veaef 4L*ntta1ion #7) GAFGLAS Flex Ply''M 4, GAFOLAS"#75 base !KVt orany of above Anchor sheets attached to deck with approved *annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design %ressil;e ; 5 .� pj;;Sge �*Q#* %eral Limitation #7) GAFGLAS #75 Base Sheet or an%of de'•Alclof sheets attached to deck with Drill -Tec (GAFTTTE) #12 or #14OScrews and 3 "i?lates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill-Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 Ultima7d Ultra Base Sheet, GAFGLAS STRATAVENT'o Eliminator Perforated, RUBEROID Modified Base Sheet, RUBEROID Mop Smooth, RUBEROID® 20-RIJBEROID SBS Heat -Weld Smooth or RUBEROID.SBS Heat-Weld directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbsJsq; (see General Limitation #4). Ply Sheet: One or more plies GAFGLAS PLY 40, GAFGLAS Flex Ply 6 sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. Cap Sheet: (Optional) One ply of GAFGLASO Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. Surfacing: (Required if no cap sheet is used) Install one of the.following: L GAF Special Roofing Bitumen with an application rate of 20 lbsJsq with an application rate of 1.5 galJsq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered. Emulsion) with an application rate of 3 galJsq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 galJsq. 2. Asphalt flood coat at an application rate of 601bsJsq. t 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 3001bs. /sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. Maximum Design Pressure: See Fastening above. o NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 11 of 21 WOOD DECK SYSTEM jM TA:PI ®NS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum l /s" Dens Devils pr j4 :r ggpgu�n poprc js acceptable to be installed directly over the wood deck. :: •: : :. 0 of GENERAL LmTATIoNs: :00 oo 1. Fire classification is not pgrt; of $19i a�tptMce, Vfer to a current Approved Roofing Materials Directory for fire ratings of U& ISrcWct:::....' 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bsJsq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4'x 4' maximum 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 121bsJsq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 If. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter milers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9- The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and cornei s). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B-72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03- 0501.05 Expiration Date: 11/04/08 19 Approval Date:10/23 /03 Page 21 of 21 — ..-- ...- -. ...— ...".. -. —err V / V 1 L.IVIJ U111LV 1 Val l ROOF COVERING MATERIALS (TEVT) ' • • Roofing Systenns (TGFU)— Continued ee• GAFGLAS #30 Premium Base Sheet may be used in-any of the following systems. "GAFglas Flex Ply 6" is a suitable alternate to "GAFglas Ply 6 ". see �' "GAFTEMP Permalite Recover Board" may be used in lieu of any pet;e insulation in any of the following NC Classifications. Class A, B and C • Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid Heat Weld" SBS roofing membraner may be used in lieu of e "Ruberoid Mop" SBS products in any applicable Classification. • Class A • . e 1. Deck. C -15/32 Incline: 3 _ Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isoryanurate, urethane, perlite /isoryanurate composite, perlite/ urethane composite, wood fiber /isoryanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type GI " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ", hot mopped. Surfacing. Gravel. 2. Deck. C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, gglass fiber, isocyanurate, urethane, perlite /isoryanurate composite, perlite/ urethane composite, wood fiber /isoryanurate. composite, phenolic, any thickness. Ply Sheet: Three or more layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Cap Sheet: One layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet". 3. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isoryanurate, urethane, perlite /isoryanurate composite, perlite/ urethane composite, wood fiber /isoryanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more layers Type G1 " GAFGLAS Ply 4" or "GAF - GLAS Ply 6 ". Cap Sheet: One layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck: C -15/32 Incline: l Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet: One layer of Type G2 " GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet: One or more layers of Type GI " GAFGLAS Ply 4" or GAFGLAS Ply 6 . Cap Sheet: One layer of Type G-3 " GAFGLAS Mineral Surfaced Cap Sheet". 6. Deck: NC Incline: 3 Base Sheet: One layer of Type G2 " GAFGLAS #75 Base Sheet". Ply Sheet: One or more layers of Type GI " GAFGLAS Ply 4" or GAFGLAS Ply V. Cap Sheet: One layer of Type G-3 " GAFGLAS Mineral Surfaced Cap Sheet". 7. Deck: C -15132 Incline: 2 Insulation: One or more layers perlite, glass fiber, isoryanurate, ure- thane, perlite /isoryanurate composite, perlite /urethane composite, phe- nolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet- " GAFGLAS Mineral'Surfaced Cap Sheet", hot mopped. 1 s.J Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, )socyanurate,, urethane, perlite /isoryanurate composite, perlite/ urethane composite, wood fiber /isoryanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule)t • • e + •R ®OF COVERING MATERIALS (TEVT) 173 •; �opfingSystems (TGFU)— Continued Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. • • • e Class B 1• IPA- Li 42 ; : ; ; Incline: 3.1/2 • I4ula jon (Op:lbnalt- pne or more layers perlite, wood fiber, glass e •%ber,•-*m:yanuraW, urethane, perlite /isoryanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. • • •P11 Sj4gt: ;Tr$o bF more layers of Type GI " GAFGLAS Ply 4" or • • "C}AFGLIIS RZ 6". • •• ea� fheek9TVe•9j " CAFGLAS Mineral Surfaced Cap Sheet", hot mopped. 2. Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isoryanurate, urethane, perlite /isoryanurate composite, perlite/ urethane composite, wood fiber /isoryanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule} Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class C Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isoryanurate, urethane, perlite /isoryanurate composite, perlite/ urethane composite, wood fiber /isoryanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type GI " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing: 'Special Roofing Bitumen" 20 lbs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isoryanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isoryanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type GI " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ", hot mopped with coal tar bitumen. Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A 1. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber or glrlss fiber, 2 in. max. Ply Sheet- Three or more layers of Type GI " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing. Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq. 2. Deck: NC Incline: l Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isoryanurate, urethane, perlite / isoryanurate composite, perlite/ urethane composite, wood fiber /isoryanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type GI " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing: "Weather Coat Emulsion" at 3 gal /sq. 3. Deck: NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in., hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. 4. Decks: NC Incline: 2 Insulation (Optional): Isoryanurate, perlite, isoryanurate /composite;,, wood fiber and glass fiber, any thickness, mechanically fastened. Base Sheeh One ply Type GlAor G2, mechanically fastened or hot mopped. Ply Sheet: One or more plies Type GI or G2, adhered with hot roofing asphalt. Surfacing: "dAF Premium Fibered Aluminum Roof Coating", 1 -1/2 gal /sq or "GAF Weather Coat Emulsion ", 3 gal /sq. 5. Deck: NC Incline: l Insulation (Optional): Perlite, glass fiber, polyisoryanurate, wood fiber, mechanically fastened, any thickness. LOOK FOR THE UL MARK ON PRODUCT • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • ••• • • • • ••• AdEkk WL • • • • C 000 . . • F-R-EC E IV740 •• ••• •• �tLIJ • • •• 0. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/13/2005 Applicant: RENEE Owner: KOCH JOB ADDRESS: 311 NE 103 Building Permit Permit Number: BP2005 -1321 X161'.1 RENEE ST Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE Local Phone: 305 - 751 -0382 Page 1 of 1 Parcel # 1121360130240 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOTS 13 TO 15 INC BLK 118 LOT SIZE Fees: Description Amount FEE2005 -12342 Building Fee $325.00 Total Fees: $350.60 FEE2005 -12343 CCF $10.80 FEE2005 -12344 Training and Education Fee $3.60 Total Receipts: $0.00 FEE2005 -12345 Technology Fee $8.20 FEE2005 -12346 Scanning Fee $3.00 Total Fees: $350.60 Permit Status: APPROVED Permit Expiration: 3/11/2006 Construction Value: $18,000.00 Work: TEAR OFF OLD ROOF TO WOOD DECK, REPLACE ROTTED WOOD, INSTALL 30LB ASTM FELT, INSTALL GALVANIZED EAVE Signed: (INSPECTOR) Nov 15 PAID �K- -u--z i 2-13 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: MIAMI SHORES VILLAGE '�. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval ing or other structure herein described. This ap Shores Village, Florida, and all provisions of the regulations of the Building Division of Miami Sh plans and specifications must be kept at building A d A Owner's Name and Registered Architect and /or E Name and address of licensed of the detailed statement of the plans and specifications herewith submitted for the build - plication is made ' compliance and conformity with the Building Ordinance of Miami Laws of the State of Florida, all ordinances of Miami Shores Village and All rules and or Village shall be complied with, whether herein specified or not. A cgpy of approved ' g progress of the work. y Datr _ — ,19- No.____� Stree Locationand ,Legal description of lot to be built ow" Block Sub divisi e, j��_ f Street and Number where work is to be done �o� 2 State work to be done and purpose of building (by floors) E and for no other purpose. New Building Remodeling Addition Repairs No. of Stories______ To be constructed of Cgs Rind of foundation __— Roof Covering_ Estimated Total cost of impr eme $ oust of Permit $="4' Zone cubage require Distance to next nearest binding Maximum live load to be borne by each Cub We of Building Lot—. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may he sent to — The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Sup lenient, and has complied with the provisions thereof, and. will require similar compliance from all contractors or sub-contractors em loye 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. a (o su public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors,' on work,°to e o ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)— V STATE OF FLORIDA, COUNTY OF DADE. ss . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ of the above described construction, that he has carefully read, the foregoing application, and that he did sign the same, and that all facts therein by him stated are rue. Permit No. ° ® Date �� Read, Sworn to and Subscribed before me. Disappr Date Notary Public, State of Florida (Signespe ctor My Commission Expires PLANNING BOARD SATE. Chairman Member Member Member Member _ Member — Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. R G® H , , , , s %19 _ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and rle atinoa of the Building Division of Miami Shores Village shall be complied with, whether herein specifi or not. A copy of approved p specifications must be kept at building during .progress of the work. _ -------------- 19 ----- ... Owner's Name and Address .............. - - - - =- - - -- — — — •- • - - - - _ No.. :'�' ------- - - - - -- Registered Architect and /or Engineer. - - -__ -- 7-'-'*---- and address of licensed contractor A °�Ifl '_' Location and legal description of lot to be built on: Lot------------------------------- - - - - -- Block ------•--------- - - - - -- Street and Number where work is to be done_ --+4 work to he of building (by flq m for no other purpose. New Building ...... .................... Remodeling ................ ........... Addition .......................... Repairs - •..... _--------- _. - - -. No. of Stories ..... _.................... To be constructed of- ........................... Kind of foundation__. ------ 2_�*_;"7" .._ __- ..... _• ----- - - - -_- Roof Covering p � -- .° ?' i4moun Y� Permit $ ........ _ -------- -- ------- •-- " " "- " -• - -. rovements $_d_`� _ 4 Estimated Total cost of improvements a r Zone cubage required-_ ...... --- _— __._______— _— __. - - -_ -- —_ _Plan Cubage --------- -----_..--_ ------ - -------------- _-- _ --- ------------------------ ....... Distance to next nearest building ....... _ _ _.._ Size of Building Lot _ ------ -- ....... _.._ .... ......... _....................................... Maximum live load to be borne by each floor__--- _________ _ ....- _- .--- ____ -. --_..__ --- — ----- _ ---- -- ._.._.- ___•----- - ----------- I hereby submit alt the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ------ _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks- ._.__._ ___ _ ___. _ (Signed � ... 'l?1 STATE OF FLORIDA, ss. COUNTY OF DADE. I 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, ! e nnj 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_ _3 _' .._.._._._ Read, Sworn to and Subscribed before me. Disapproved - -- Date__ . :.... _ _ �_ _ ... __ — -- -- - - - - -- - -- -- --------- - - - - -- -- - - -- -- -- - ---- -- ......... ._ (Signed) _ Notary Public, State of Florida _ _ ___ ...._ .............. ...... - - - -- - ---- ----- Building Inspe for Commission Expires .................................. _ ....... - _— --------- ____. LANNING Chairman_ ................ .... ...... _ - - - -_. _ Member __._--.-------_-_ .... _ ............. _ ... — _- ------ --- ------ __ -- Member ---- _._— .__._._..._ __.-- -_ ---- _ _ Member . ____.___.___.___ _..._----- -_.__. _..____-___.- _.._._._._.__._. Member...... _ -------- ------- Member __ .- - - - - -- _ _.— _..._._.__.__- --- -------- - - - -- - _ -- Council Approved __ _ _. _ -_- _- .- ---- _____ —_. _ _ __Date Disapproved ..—.___ ... ........ _ .......................................... ._........_..Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r MIT Permit I Date__. Application is is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt ed 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. s' Owner's Name and Address_ �1�� _ .T No. ++�� s� Street M,._ Registered Architect and /or En°giinneer -- -__ - -- Employing Plumber's Name.___! ® 4, j3f." -v-'V F s5 —/Z _ No. 3-Fal Street-._ X Location and Legal Description Block Subdivision.._ �yy-- _ .. ___ Street and Number where work is to be performed —No. 3 // & State work to be performed and purpose of building (By Floors)__ _� �_�r— ___— __.__.___._- • -.--_- _ --- �___ -.- New Building_ _ ____ __ _.__ _ Remodeling — Addition _ Repairs—_-_-- ---- -- _-_.__ No. of Stories__. ...... . ........... Size Septic Tank--- ___._ - -_— —Type of Tank.._.- __..___.._ -_ — — ._____..Capac ty Gals.___ _. ___ ._- _.___..._.. -- •_- . - - - -. Feet of Drain Tile _---- Dist. Feet of Tank or Drain Field from Well__ _ __ _. Nature of Water Supply: C1ty —We1L -Size of Soakage 09" r J_o S'e.4,IA- %P'_1 CY X.,S%--- "iP'J Amount of Permit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida WorlarnWn S Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by floe 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) (y�JA- B UI`��..L Master Plumber. , STATE OF FLORIDA, 1 � COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath imposes 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 worlmoanship. BATH LAVA. SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TOR1E6 SINKS SINKS Tues URINALS BASIN. DRAIN FOUNT'NS FI %TYRES COMM. LIST CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. -I LIST CHECK Size Septic Tank--- ___._ - -_— —Type of Tank.._.- __..___.._ -_ — — ._____..Capac ty Gals.___ _. ___ ._- _.___..._.. -- •_- . - - - -. Feet of Drain Tile _---- Dist. Feet of Tank or Drain Field from Well__ _ __ _. Nature of Water Supply: C1ty —We1L -Size of Soakage 09" r J_o S'e.4,IA- %P'_1 CY X.,S%--- "iP'J Amount of Permit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida WorlarnWn S Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by floe 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) (y�JA- B UI`��..L Master Plumber. , STATE OF FLORIDA, 1 � COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath imposes 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 worlmoanship. P MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ -- �- Date. - 311f 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. O� Owner's Name and Address �!�'''� �'�� &I L4 -.?,// No., Street. Registered Architect and /or En Employing Plumber's Name No. Location and Legal Description BIAA Subdivision— Street and Number where work is to be performed —No. Streei State work to be performed and purpose of building (By Floors) _ ~ New.Building —_. __, Remodeling — Addition----- Repairs_._---- - - -__. No. of Stories - -- ------ .......... � -- Size Septic Tank_ Type of Tmnk _ -__ Capadty Gals. .._--- .._.---- •--- ------ -- ---. --- Feet of Drain Tile — mss- Feet of Tank or Drain Field from Well__ Nature of Water Supply: City Well _Size of Soakage Amount of Permit (Signed)—_.._._ _ C � _°�� C' _._.._ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are requited 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)..ee -A- Master Plumber. STATE OF FLORIDA, i COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared I 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 he same, — at all facts - therein by him stated are true. and that all My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is madwnecessary by improper notice for inspection, or faulty materials and /or worYm anship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS - LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TUBS. BASIN DRAIN FOUNT'NS FIXTURES COMM. LIST CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CON". LIST CHECK Size Septic Tank_ Type of Tmnk _ -__ Capadty Gals. .._--- .._.---- •--- ------ -- ---. --- Feet of Drain Tile — mss- Feet of Tank or Drain Field from Well__ Nature of Water Supply: City Well _Size of Soakage Amount of Permit (Signed)—_.._._ _ C � _°�� C' _._.._ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are requited 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)..ee -A- Master Plumber. STATE OF FLORIDA, i COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared I 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 he same, — at all facts - therein by him stated are true. and that all My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is madwnecessary by improper notice for inspection, or faulty materials and /or worYm anship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. �Ji �) Date ........... ----- -------- ------- ---- - --•--- - -- --------- ---- ---- ----- -• - - -- , 19 Owner's Name and Address --- P-- -�e — /8 - -�- --- - - - -r% - - - - - -- -- - - - - -- ---------------- - - - - -- - - - - -_ No._ �- �--- hJ- Ig3Street--------------------------- - - - - -- Registered Architect and /or Engineer._._._ ____ ______ ______ ----------------------- -- - -- Name and address of licensed contractor ----- --- --- ----- - - -- -- - Location and legal description of lot to be built on: Block- -- ------------ ----------- - - - - -- Subdivision-----------------•-•------------------------------- ---- --- ----- ----- ---- - - ---- Street and Number where work is to be done------ - .... t__ ---- /_ -------- - _�- ____ -- _ -- -° _ ------------------------------------------------- - -- -- - State work to be' done and p ose of building (by floo s )---- -- --- -- -•--_----- -/-- ` - - - -- -- i? l __Q------ --- - -- - ... - --............. ---- -- -- -- -- - --____ -- ------------- ----------- (---------------•••---•-------------•---------- -- ------- ---- -•-•-------------- ------------ •--- - -- -•- ---------------------•--------------- ------- ----------- ------ - ----- --------------- -- -- - - ---- -- - — - ----- • - - - -- ----------------•--------------- --- •---•- -------- -- ---- -- - - - -_. -and for no other purpose. New Building ------ - - ---- ----------------- Remodeling--- ----- - - - --- --- -- - - - - -- Addition_ ----------------------- Repairs- ------------- - -- - - -- - - -- No. of Stories -- •--- -- --- ------ -- - - ---- To be constructed of--- ------ ------------- - - - - -- Kind of foundation ------ - ---- --- --- ---- -- - - -. -• ----- ----------- --------- - - - - -- Roof Covering-- -- --- -------- - - - - - -- --- -- - --- --- - -- --- - - - - -- Estimated Total cost of improvements $- .7_f� --- - - -------------------------------- ---Amount of Permit $_.y. -_-- -- -------------------------••---------_-------•Zone cubage required ----------------------------------------------------------- ------- --- -- - - - - -- --Plan Cubage- -- ---- ------- - - - - -- ------------------------------------------ ---------- --- ------------ - - - - -- Distance to next nearest building------------------------------------- ---------- ---- --- - - -- --Size of Building Lot-----•--------------------------------------------- ------------------------------ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to_________ The undersigned applicant for this building permit 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 SuMement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks--------------------------------------------------------------------------------------- - - - - -- (Signed)4'9 v ------------ - - - - -- STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared--------------------------------------------------------------------------------------------------------------------------•-------------------------•-------------- •---------------- --- --- --------- - -------------- - ---- - -_ - -- -- --- --- ----•----- ------------ -------- -- - - - - - -- -------------------------- ---- --_-- -- --- --- --- -- -- - - - - -- --- ---- --- -- -- -- -- -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ------------------ _... __ ------------------- _----------------------- ..--------------------- ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state are true. i Permit No._________I_____- ____________ - . Date --------------------- P_�`� — �YRead, Sworn to and Subscribed before me. Disapproved----- - - - --- -- ---- --- --- ----- --- -- -- - -- Da e-- --- --- - - ------ ---- --- - ----- -------------------------------------------------------------------------------------------------------------- (Signed) Notary Public, State of Florida ----------------------------- - - ------------------ - Building Inspec o My Commission Expires_____________________________________ _____ __ ___ __________ ___________ PLANNING BOARD ---------------------- --- -------------------- --- - -- --DATE Chairman---------- ----_-------------------------------------------- - ------------ -- -- ----- -- ----- -- Member -- •------------ ----- -- -- - --- -_ Member- - - - - -- ----------- •-- •- - -• - -- ---------•------------------------------ •----------- - - - - -- Member Member.- --- ----------------------------------------------------------------- -------- - -- Member - ----- - --- -- --- -- -- ---------- --- ----- - - - - -- Council Approved_________ _______ ___________________ __ ___ -_ ______Date Disapproved - ------- ------- --- -- - - -- -- ----- --- - - -- - -- °-- ------ -- - -- - -- - - --- -- - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1019 Miami Shores Village, Fla., Owner, Agent or Tenant of Building T nr 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 Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION Date—q--1-6— Time =/ ' ✓ WHILE YOU WERE OUT M of Phone Area Code Number Extension Message 0"141or �. r•r'"AMNGY LINE NO. 2729 . 60 SHEET PAD ffi MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. -_ ............ ............ 19........ Owner's Name and Address....!-O.. -`� �!�1.�_!� / • _ - - - - - -- - -- _ No ---- --- ---------- - - - - -- Street ------------------------------------------ RegisteredArchitect and /or Engineer...-.- ------- �----,--•------------------------- - - - - -- -- ........... --------------------------- - --- ----------------- _------------------------ -------------.--- - - ---- Name and address of licensed contractor ------ l\- CG_ r.®_-!!%_------ C®' -------- ®V-- -- -- /0�----- •- ----- ° %� - - -% Location and legal description of lot to be built on: Lot-------- ---- --- _-- _--- -------- --- - - - --- Block.------ - - -- -- -- ---- •--- --- - -• - - -- Subdivision .- ._..--•- -_------------------ - - - -- - -- — - ----------------------------------------- Street and Number where work is to be done___ ______ J.42 State work to be done and purpose of building (by floors) - - -------------------- - - - - -- ---•-----_---------------- -------- - ------ — --- - ------- --- -------- ----------_--- •---- ikAp.f - - - -- vwr ---- --- -A- rrv.p _? _ — -- - --- - - - - -- — - - - — - - ------ _---- •-- ... - - - - -- - -- -- -- ---------------------•-------------- ---------- ---------- ----- -- -- -- ----and for no other purpose. New Building ---- - ------- - ---- ---- -- - - - -. Remodeling ------- _-- .----- --- _____. Addition---- ---------------- - - - - -- Repairs .... ....... No. of Stories ........ _----------------- To be constructed of--- ---- ------- -------- - - - - -- Kind of foundation ---------------_--.-------------- __._.__---------------------- Roof Covering - -- -- _.._- ---------- Estimated Total cost of improvements $- -- -- -- °_--- ---- ._- ---_ -- -Amount of Permit $ ......... - --------- - ---------------- -------------------------------------- -- Zone cubage required- --------- ---------------- -------------- - - — — -Plan Cubage------- _- - - - - -- Distance to next nearest building ---------- Maximum live load to be home by each of Building 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 a4d 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 inspecti cttl the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such this permit, as are licensed by Miami Shores Village. Remarks_---- -. - - -- --- ------------ - - --- -- — - — — -- — (Signed) ---- - -Q — STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared-- -- - - ---------------------------------------------------•---------------------------------------------------------- - - - - -- and who, being by me first duly sworn, upon oath of the above described construction, that he has ca therein by him stated are true. Permit No. -_ -_ -- Disapproved __ S S (Signed) -------- - ....... - Building Chairman Member __. Member ._. - -- •-------------------------------------------------- - - - - -- — --- - -- -to me well known, andsays that he is the- -- ------------------ -- ---- - - - - -- •------------__ ------------------------------------------ gd the fdregoing application, and that he did sign the same, and that all facts = : - -7 Read, Sworn to and Subscribed before me. Notary Public, State My Commission Expires__________________ ___ PLANNING BOARD----- ------------- ---------------------------- DATE Member Member Member Council Approved--- ----- -- - - -- ---------- -- ---- - - - - -- -Date Disapproved ----- ---- ------------------------------- ------- ----- -- _-- ------- -- - - -- .........Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. k r ; , MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date----- - - --9/ d!61'--------------- --- - -- .... ....... _. 1 19..• - - - -- Owner's Name and Address . C -, Ball '----- -- - - - - -- ----- - - - - -- -- - - - - -- No311- -- - - - - -- - Street_ A e F+.s 0_3rd_.. $t $t- RegisteredArchitect and /or Engineer.-, --- -- ---------------------------------------------------•------------------------------------- •- ----------- -------- - - -•-- - Name and address of licensed contractor_. N©rth- -Dade- ROOfIng - -- COQ__ - -1- 40-1 -1 _ N..- W.2©th..- Ave....... ma. -L_ock . Location and legal description of lot to be built on: Lot--- ------ ------- - - - - -- -- ---- --- - - - --- Block. - - - - - -- -------- ----------------- Subdivision ------------ --------- --- ------ ----- - - - - -- — -- — - — - — Street and Number where work is to be done ----- 3 .1.1 ---- N._E.10,3r_d,___Str_eat ------------------------------- State work to be done and purpose of building (by floors)----------------------------------------------------•--------------------------- ------------- ----- --- - - - - --- - .- Rego -of ... thr_e e---- s-qs_. off'--- gravel.._and.__nUa_Sq_.. tile- =----------------------- - - - - -= ------- - - - - -- - --- ---- ------------ - - - - -• • - - - - -- • - - - -- ------------ --- - --- ----.-- ------------ -------------- _--------------------- --- - ----- - ------------- and for no other purpose. New Building------------------ --- - - - - -- Remodeling .--- ------ ---- -- --- -- - - -- Addition- .------------ ------ - - -- -- Repairs- ---- --- ---------- -- - - - - -- No. of Stories...... .......................... To be constructed of-- ----- --------------- - - - - -- Kind of foundation - - -• -------------- _- __---------- --- --- - - - - -_ ------- • -- - - -- Roof Covering--Ti-le --- & --- gravel ... Estimated Total cost of improvements $- 225 ,,00 ------------------ -- ---- __ Amount of Permit $5. 0- 0 ------ -- -------------------------------------------- Zonecubage required ----- ------- --- ------------ ----------------------- ------------ .--- -- __-Plan Cubage---- _-- ------- - - - - -- --------•--------------- •- ------- ----- ----- -- -- - -- - - -- Distance to next nearest building------------------------------------------- - - - - -- -Size of Building Maximum live load to be borne by each floor--------- ---- - - - - -- — - - - -- - ---- - --- -_-- ------- --- --- -- ----- — ------ - -------------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to - -- - ------------------------------- - - - - -• — - — - - - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ---- - - - - -- ---------------- ---- - - - - -- — �� - (Signed) - ----- - - - - -� _-• ----- -- ----- — ________-- _ - - - -- - ----_. STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared_ --__ — — - - - ----- ---------- — _— ------ - - - - -- ------------ - - - - -- - _ __ —_ -- ---------------- ------- •-- .— __._----- ..... �______ _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ------------------------------------ ....... _________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.___S_� Q - 3 ---- ----- Date______ Read, Sworn to and Subscribed before me Disapproved _ - -- -------------- --- -- - - -- Date — — - - -- ---- - - - --- —_ -- - — (Signed) - ----- -- — Notary Public, State of Florida ��--- -- - -�- `- --- - -- -- - - - ------- -- -- -- - - Building Inspecto _ - -- - -- - -- My Commission Expires _______________ ______ -_. PLANNING BOARD----------- -------- ------------ ---- - -__-- -DATE Chairman -_---------..__. -- Member ----- ------ ------ Member ... --- - - - - -- Council Approved_---- --- .- . --- ------------- ----- -- - - -- Member------- ------ -------- - - - - -- --- -------------------- - - Member -- — -------- --- ---------- - - --------------------------------------------- Member --------------- - - - - -- ------ - - - - -- Disapproved ------ - --- - - ---- ---- - - - --- - ------ -- -- -- - --- --- ---- _- - - -- -.Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P! :ik IT Permit N ®. -- 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. LL Owner's Name and Address___1 - ' �@�iS �.__ NoZ.LL -__-A .6 Str.,JAW. Registered Architect and /or Employing Plumber's Name &Y-, 9t7-L G �%��1�Te l- _ Street. ,._. —__. __. -__-__ Location and Legal Description Lot B Subdi _ Street and Number whore work b to be performed -No mi � / Street__ L ------ State work to be performeS and purpose of building (By Floors)— New Building .__. __r_ Remodeling Additlon - -_ _ -__ Repairs- --.. ------ - -_-- No. of Stories. -- -._... Size Septic Tank_ -- - -. _Type of Tan—.__ -- _ _ _ -- - - -__ Capad#y Gals. -- _ ------ - ..... ... Feet of Drain Tile !.'" -� Feet of Tank or Drain Field from Well__ -- Nature of Water Supply: City -Well. _ _ ___ -Size of Soakage Pit___ -_�__ Amount of Permit Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of da Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or su tractors 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) J_ ac- <V- .__ c ._TA/A� COO Master Plumber. STATE OF FLORMA, t COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon 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 worlmvanship. CLOSETS BATH TUee SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY URINALS Tuns CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC SEWER DRAIN .SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM•O TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. -LIST CHECK Size Septic Tank_ -- - -. _Type of Tan—.__ -- _ _ _ -- - - -__ Capad#y Gals. -- _ ------ - ..... ... Feet of Drain Tile !.'" -� Feet of Tank or Drain Field from Well__ -- Nature of Water Supply: City -Well. _ _ ___ -Size of Soakage Pit___ -_�__ Amount of Permit Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of da Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or su tractors 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) J_ ac- <V- .__ c ._TA/A� COO Master Plumber. STATE OF FLORMA, t COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon 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 worlmvanship. STATE OF FLORIDA $ DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applican# -5° Permit Number -mil/ • E 3 s?"' /� . / � ----- ------ - - -- -PART II - CYST INSTALLATION INSPECTION AND F&AL INSTALLATION APPROVAL-------- ---- -- Installer s r Tank Manufacturer Proper tank legend: Yes //A No - Tank material Tank level: Yes No Systems including plumbing stub -outs installed at proper elevation: Yes No Average depth to drainpipe invert from finished grade: oo?t) inches Maximum depth: Inches Average depth of drainfield gravel: A inches Minimum depth of gravel: jl:?:22� inches Proper gravel size: Yes V/' No Gravel is suitable quality: Yes -� No Backfill or fill material as required: (Qu _glity) Yes Z No (Quantity) Yeses No Other findings: Inspected by: Date '° •---- �---�- -PART -FINAL INS ALLATION APPROVAL Date/ l Approved by. S'� J /// UNTY PUBLIC HEALTH UNIT AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this form will be provided to the applicant, installer and the building department. HRS—H Form 4018, Feb 85 (Obsoletes previous editions which may not be used) Page 2 Of 2 (Stock Number. 5744- 002 - 4018 -0) Tanks watertight: Yes_A? No Tanksize: gallons gallons 1 gallons Proper tank outlet device: Yes Atf:�/ No Manhole or marker to grade: Yes AIZA No Drainfietd Trench Absorption Bed Length Width Le—ngth Width Length 22, feet x_L0_ feet =Q. A ft2 feet feet feet feet //eo Length (::R / feet x4� feet =a 16 ft2 feet feet feet feet Proper No. drainlines: Yes `�No feet feet feet feet Proper pipe separation: Yes ✓ No $d Total = ft2 Total= ft2 Distribution box level: Yes AUA No Systems located as permitted: YesZ No Systems including plumbing stub -outs installed at proper elevation: Yes No Average depth to drainpipe invert from finished grade: oo?t) inches Maximum depth: Inches Average depth of drainfield gravel: A inches Minimum depth of gravel: jl:?:22� inches Proper gravel size: Yes V/' No Gravel is suitable quality: Yes -� No Backfill or fill material as required: (Qu _glity) Yes Z No (Quantity) Yeses No Other findings: Inspected by: Date '° •---- �---�- -PART -FINAL INS ALLATION APPROVAL Date/ l Approved by. S'� J /// UNTY PUBLIC HEALTH UNIT AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this form will be provided to the applicant, installer and the building department. HRS—H Form 4018, Feb 85 (Obsoletes previous editions which may not be used) Page 2 Of 2 (Stock Number. 5744- 002 - 4018 -0) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. -.� i�Date.. - - -- Ito Application is hereby made for the approval of the debdW 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 head, spedfied or rat. A copy of approved plans and specifications must be kept at building during progress of work. C. % /� / 1 Owner's Name and Address.--. � �" . �� .� � ._..�. No.__SL.! ! ._. � Street!. - . G_ O 3.-R .. "'r Registered Architect and 1 FAnploying Plumber's Name, rl�east e� N where wl State work to be performe8 I New Building__.__-___ -__ - -___ __.__- Remodeling _..N Addition___—...._ ----- Repairs ..___.. L/- _---___--_.._ No. of Stories .................. Size Septic TaA Type of Gals --- --- _ -.�. Feet of Drain T11* _-- DisL Feet of Tank or Drain Field from Well-____ Nature of Water Supply: City WSIL _ x--&. -- -.Size of Soakage Pit__._.---__._._. Amount of Permit ...- 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 5998, Compiled Cenral Laws of Florida Permanent Supplement, and Ilex com- plied with the provisions thereof, and will requir4 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 thew such public notice or notices as ar+^ required by the Act. The undersigned agrees to employ only such sub-contractors„ on work rmed under this par►nit, as are licensed by Miami Shore Village t—\ STATE OF FLORIDA. l COUNTY OF DADE. Plumber. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known, and who, being by me first duly sworn, up= oath deposes and says that he is the _ ___ ._ _-- ____ -_ - -... — .--- __......... .. - -_ -- of the above described construction, that he has carefully seed the soregoiog applicadoa, and that he did sign the same, mid that all facts therein by him stated are true. My Commission Expires Notary Public. State of Flodda NOTE: A re- inspection fee of $1.00 will be wade wlbm sand ea4iss11`910 si r mode-n ones ry by 16 * npI, notim for leapeciion. or hu* materials and/or workmansbip. BATH OVA' BLOT LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUB{ SNOW{ TONICS aINK{ SINK{ Tun{ URINAL{ BASIN DRAIN FOUNT'N{ FIXTURES COMM. LIST CHECK SEPTIC SEWSR DRAIN SOAKAGE GREA {a SOLAR Damp SPRKLR. SWIN'e TANK CON ". FIELD PIT TRAP HEATER WELL SY{Tan POOL Comm. LIST CHECK Size Septic TaA Type of Gals --- --- _ -.�. Feet of Drain T11* _-- DisL Feet of Tank or Drain Field from Well-____ Nature of Water Supply: City WSIL _ x--&. -- -.Size of Soakage Pit__._.---__._._. Amount of Permit ...- 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 5998, Compiled Cenral Laws of Florida Permanent Supplement, and Ilex com- plied with the provisions thereof, and will requir4 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 thew such public notice or notices as ar+^ required by the Act. The undersigned agrees to employ only such sub-contractors„ on work rmed under this par►nit, as are licensed by Miami Shore Village t—\ STATE OF FLORIDA. l COUNTY OF DADE. Plumber. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known, and who, being by me first duly sworn, up= oath deposes and says that he is the _ ___ ._ _-- ____ -_ - -... — .--- __......... .. - -_ -- of the above described construction, that he has carefully seed the soregoiog applicadoa, and that he did sign the same, mid that all facts therein by him stated are true. My Commission Expires Notary Public. State of Flodda NOTE: A re- inspection fee of $1.00 will be wade wlbm sand ea4iss11`910 si r mode-n ones ry by 16 * npI, notim for leapeciion. or hu* materials and/or workmansbip. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statcment ear ene 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, acid all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the iuilding 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. May 3 0� ». 19..8 6 Owner's Dame and Address........A1beY'ta )all No..» 311 ,•,,,,, SireeL NIL 103 St,.,• _ Registered Architect and /or Engineer .... . ............. ....... ........ ». ... .............................. ••r•• •••- e, tfr•• ••sn•••en•fmm��rwas•urr,mrmexr• Name and address of licensed contrilctor...... i- -CA_YA R„q,Qf . ass. QQ.•._._ Location and legal des 6 tion of lot to be b/�ilt on: 33013 Lot...13-- 1..I.J� /�..f....... Block. „....... /...1.� » »....._ Subdivision._7 ..a � t / _slv %.� Street and Number where work is to be done. — ......311 N.E. 103rd Street _ w» „ • �� State work to be done and purpose of building (by floors). Re -Roof. Remove eXisti„n„�, the & graver y roofs. ��Install 1 -30# felt & 1M -90# slate »& „white,• »cement tile. on slope_ _ Flat: 1 -30# felts 3 -15# ,felts & gravel sub f,_,,�,Q�_,Sgg for no other purpose. New Buil ding ............................ Remodeling ......................... Addition .......................... Repairs .......................... No. of Stories ...... ..: ... ». ...... _ To be constructed of ..... Kind of foundation ... .... ... .... ........................................... _. Roof Covering. Tile_.. & Gr�velM Estimated Total cost of improvements $„9.1.750 X00 _____^mount of Permit &._ 40. OQ ., »•_ ... _•• ..... . ...... __................... Zonecubage required ............. ........................ »...».: ....... _... »._ .._.» Plan Cubage ................... .._».........»................_ : »_.._........................_ Distance -to next nearest building ........................................... __...Size of Building Lot......... _........... ..... _ ... ....... ...... ..... ................. .... _ Maximum live load to be borne by each floor .................................................................... . ....» „...__...... ».... _......_................ ......... ........... .... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may 5180 E 11 Ave. Hialeah Fl. 33013 be sent to.. B]cas ... R.00£ing: ... Goa. ........ ........... .... .... �...................................................... .............. ...... ........... .......... 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 %Vorkn►en'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 postedlar inspection on the site of the work such. public notice or notices as are required by the Act. The undersigned agrees to employ only arch su tractors, on work to be perfo, nder this permit, as are licensed by Miami Shores Village. Remarks..._ ..................- ............... ._ .... ».. „. „. _.. STATE OF FLORIDA, I . COUNTY OF DADE. as. �C�96 Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared ... — - ------------- Jame.S_.J....... La ire .......... _ _ ._ ................. » .......... » » ... ........ _. ... _._ ............. - _._...».__..»».__._ ....... ..... ........ ...___ ... ...... .._ .. _...... ». ............ » ».. ».__ »._. »_ .» » _to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.... .QQ;f n9. qC?A a ctQr 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.. J.6. _... ...... r Date...... s`,��._._....._ Read, Sworn to and Subscribed before me. Disapproved..... Date _.. _.... ...... . ..... ....... . .. .. .. ........ .... .... .... ..... _. .. ' . � Notary Public, State of Florida ( Signed) ..._....._.... ................... ................._.........._.. Building Inspector My Commission Expires.................. „„ ..._......,. .�. PLANNING BOARD _. ...._._ ......... .............. _ ..; __...._DATE Chairman........................... .. . »._» _._....__....._ »... »» Member ._ »» .....».. ». ». ».:. . ».».. » �. »...». » ».... ».._ .Mernber ....................... » ....... _..__ ........... .... ... »_ »_ »..._...»»».» _». Member »._ .........._........_..». »„ ...».._..._ » ».... »__................. ».._ Member... .............„»» ...» _._..._..... »....... �.... » _._.._.» ._ Member ».._.. ».... ».....�._ .. _.. _... » »._» _.. �.__ _ CouncilApproved .....»..» ............. » ................... _.—».............. -Date Disapproved -._-----».._ ». »».. ...... . .......................... .... ... ............ Date NUTF.: 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 anti /or workmanship. ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB BIDET 01 SMASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY T0: A/C UNIT FIRE SPRINKLER HEATER —NEW INST. HEATER— REPLACE LAWN SPRINKLER —WELL SWIMMING POOL WATER SERVICE 'EWER CONNECTIONS TILITY —SEWER T IL ITY —WATER EPTIC TANK ELAY ,RA INFIELO, 4' TILER JP 8 ABANDON SEPTIC ]AKAGE PIT W. FT. aTCH BASIN ISCHARGE WELL IMESTIC WELL REA DRAIN )OF INLET ILAR WATER HEATER RE STANDPIPE OL PIPING 'AN SPRINKLER SYSTEM S RANGE TER SET (GAS) 3 PIPING UNITI FEE I ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/I�TER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0— 1 HP MOTORS OVER 1— 3 HP MOTORS OVER 7 5 HP MOTORS OVER 5— 8 HP MOTORS OVER 8— 10 FP MOTORS OVER 10— 25 FIP MOTORS OVER 25-100 FP MOTORS OVER 100 FP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATGRS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK F IXTLJRES ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION UNITI FEE I ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MIECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION UNIT 1 FEE a �l Ll 2-- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Datef Type Insp Permit No. 6 h 0 1\ Name Address Company `^ Phone # Inspection Date o Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time r Type Insp'n/- Permit No. —1 O / Name -9-4 . / J Address �= 1 / E Company 0 a,, -e� Phone # 4 3,e� D For Inspector: O a Name ate Appro4e vCJ d q'2 Correction ❑ Re- Insp'n Fee ❑ f "wo-FE., MIAMI SHORES VILLAGE BUILDING DEkiA MENT 305- 795 -2204 Building Inspection Request- Dat 0 -\ Type Insp In, Permit No: 1� t� � � � Name Address } Company . A Phone # Inspection Date -S� Approved _. Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ..... 7-5.-3..2 ........ - - --• / Date ......,..?�._..:. /.....:.W/.Z. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address ............... %� _ 3 No ............................. ..............Street ................................... RegisteredArchitect and /or Ea eer ............................. ....................:............ .• -------------- No-.. -...%......._.....l .... ............._..:......................_..........--....---- --.......__........ Employing Electricians Nam . Street.-.- .. -•- ........ Location and Legal Description Lot .................................................................... Block.--••-•-•---- ............................. Subdivision....-•--•-•---••---- ..............._............ Street and Number where work is to be performed— No.._- -.__ _jj � .. � --._.. ._ .............. ...._.............Street ..... r. ':._ ._ ................................... State work- to be performed and purpose of building (By Floors) .......................................................................................................... ............................... New Building ................................ Remodeling ................................ Addition .............................. Repairs ...................................... No. of Storie8_................... Service Overhead Site Feeders ................ ....Conduit._ ..........__..Main Sw............................... Am ............Amps Underground Amps ..........................Main Fuses of Installation— Conduit ........................ Tubing..... --...... ..........B.X.L.........----..- .........Metal Moulding........................................................................ _ .......... _ .... .............................� - ��................----------...._ ..................................................... . .._............................ Amount of Permit $ ................... (Signed).. - ........... ....._.....-- °- ...... p........ � Electrical ector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed)..... ..... ._ .... ............................... .Master Electridan. STATE OF FLORIDA, 1 COUNTY OF DADE. I �' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................................................................. ..................................._..........................................---.........--••--...................... ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the............. ......................._..... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P•T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL, SW. CAB. TEPAP. PERM. 0.1 HP 1.8 HP TRANS. LIST h CHECK Service Overhead Site Feeders ................ ....Conduit._ ..........__..Main Sw............................... Am ............Amps Underground Amps ..........................Main Fuses of Installation— Conduit ........................ Tubing..... --...... ..........B.X.L.........----..- .........Metal Moulding........................................................................ _ .......... _ .... .............................� - ��................----------...._ ..................................................... . .._............................ Amount of Permit $ ................... (Signed).. - ........... ....._.....-- °- ...... p........ � Electrical ector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed)..... ..... ._ .... ............................... .Master Electridan. STATE OF FLORIDA, 1 COUNTY OF DADE. I �' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................................................................. ..................................._..........................................---.........--••--...................... ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the............. ......................._..... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. rO BE 30, "iF" l_, (Mitt) Q] (H�TER OOA PANEL euawttr No" ►i►mQ e auo L—j ,-14. r.�•utl• • r^;c IED rRAmr DEP TI I I rFl I.uy J 1' 1 4.0- x it n;trxll4o plus Qillll Iu�L1� UI� h'tfi��'I' • • �. [:ondtac =for st'ct_ �. • Condul-k stzr_, —• 71u-u Grounr•J wlre rtl�r_,. d �L HAIll. DIS CHAJECT R cL-bnp ' Mug► � Apps St rb IIreplters ..�� Ar►rg SUB FEEDER .Ci�ii� L C Tew --,� ' ExIsUnO PANEL Bond ze;_ ENS(DE PANEL Rating )land Bus � ,� , �,� ► e 5 t,lnL PER S.F.U.C. n5n5r ?(p) ,CONTR , SIGNATURE OF CONTRACTOR �• —"— ..'__•._, NOIARi cl E D ' D =NDUM TO EUI LING PERMIT APB L CATION r ✓ r -.O 3U=—T iG MUST &CCO -j.Y. MS UD- -kMUM. t.— A aU=- Pv—:U= r 0 3- 03Tn_N., - -= CWtiER' S ZED S- MiA,—r %E N=- - NOT 3 ??zs -r,,M- ON SUBS?IT PLUMBING ELECTRICAL MECHANICAL IT731 UBfTT BATH u FEE ITr'3l S711mi a u7s 11NIT FEE r0 10111 SPA:` tzATt--S Fc: 8IOET LIGff OUTLETS ( Ml(iRX HEATING I B ISHHASHER p RECEPTACLES I A/C (1116) 0ISrPOSAL SERVICE TESPOR.W AX MIRAL) DRINKING FOUNTAIN SEERViCE SIZE III AM ma in FLOOR CRAIN SERVICE REPAIRMTER G�iJtiGE p RERIMTION GUSE TRAP APPL IANM amm PROCESS AND PRESS PIPING INTERCEPTOR I RANGE TOP 1 WERSM TAIM LAVATCRY, OVER ABOVE GUM DUS LAN" TRAY WATER HEATER U.F. PRESSURE VEMS C UIM RASA wTLTUS a 1 HP STEAM BAILERS Sti7WER IOTC S OVER t- 3 HP NOT 117UTER BAILERS SINK. POT/3 CDP. 1J7TCRS OVER 3.. 5 N? 1I£CUI AL VEHTR.ATION SINK. REMIOENM XITORS OVER 5- B HP TRANS WING ASO.IES SINK, SLOP 1GTCRS OVER 3- m w ELEFVATOElVESC LAT[RS TEItPt3W WATER C.Ur'ScT wm OVER BQ- 15 Ip FIRE S?RIIKM SISMS U7R 1NAL 1dEm OVER 15-100 HP COMING Tmus WATER CLOSET NNW OVER BOO HP VIMATO p IMIRECT WASTES A/C WINOO{i p REINSWMN WATER SPRY TO- p AIR CPOITIMUS - A/C UNIT STRIP WAM FIRE SPRINKLR- GENERATORS TRAM I 'HEATER-NEW INST. GENERATORS PA49MM } I 1KATSkqEPLACE GENERATORS T8A1 LAIN SPRINKLER -WELL SPECIAL PLOPOSE SwIWING POOL amm COmIAL WATER SERVICE SIGN TU313 SEWER mlowiml SIGN TRN UTILITl-SEUR SIGN TIE M= UTILITY -HATER FIXTURES SEPTIC TANK A1([E}81A RELAY TELEVISION OUTLETS ORAINFIELO. 4" TILDM. VIOLATION RW & ABANDON SEPTIC TAM( EWER SOAKAGE PIT C1. FT. CATCH BASIN I OISOURGc WELL DOI;IESTIC BELL . AREA DRAIN ROOF INLET SOLAR IUATER HEATER F IRE STANOP IPE POOL PIPING LAYIN SPRINKLER STSTc -d GAS RANGE p METER SET, (Ga) I I p GAS PIPING I CRITIQUE SHEET JOB ADDRESS __ / / E I APPLICANT E_ N L K® c tf PHONE # APPLICAMON # SHEET --OF MISCELLANEOUS PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING ! ZONING DEPARTMENT • SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBUC WORKS STRUCTURAL BUILDING OFFICIAL • I. "ad to compgana vdth aft Federal. State. ! coo ty.`iffiaga g4tas VW regttfaftm Wage esstmm , no respanstbulty for accurtcy offor resutts from these plans. 2. This copy. of plans must be auallable ca building site or no lnspectlon toff be coadaded. DATE \ l9 �Uv �' M & _ COMMENTS ' L.Ii°`/ - e.o%5f Ftg7h, Sa i INITIALS ea. w WOOD FENCES 5t Wood Posts I� 4' -0" High or Less = 6' -0" O.C. 5' -0" High or Less = 5' -0" O.C. 2915 Fences 2915.1 Wood fences, so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minimum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 feet -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 foot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisions of this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 feet -0 inches on centers for these heights. •ILEAR -YARD RE SIDENTLAL FENCE/ WALL TAN-BARDS=INTERIOR. LOT V N AND ND SIDE YARD: W HEIGHT LIMIT a•� L IL SIDE YARD ♦� a . 25' FRONT YARD TRIANGLE OF VISIII:ILIT1': `` 0' All driveway /roadway entrances and exits shall be constructed so that vehicles ma ent d FRONT AND SIDE YARD �` 3.5' I�IGIIT LIMIT \ All walls and fences in the front yard require ` approval by the Planning and Zoning Board. 3.5 �, Z.5 . -• - — Sidewalk f� �+ exit without posing danger to occupants, pedestrians, or other vehicles. Structures and landscaping shall 'Swale not obscure vision above 2.5' within the triangle commencing at the point of intersection -of the driveway and sidewalk/right -of -way for a distance of 10' along the driveway and 10' along the right -of way. Mav 2000 Stroal `PROPERTY LINES Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/23/2004 Applicant: RENEE Owner: KOCH JOB ADDRESS: 311 NE 103 Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Building Permit Permit Number: BP2004 -390 1.T1Z61Z RENEE ST Contractor's Address: P.O. BOX 531051 Page 1 of 1 Parcel # 1121360130240 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOTS 13 TO 15 INC BLK 118 LOT SIZE Fees: Description Amount FEE2004 -3060 Building Fee $100.00 FEE2004 -3061 CCF $0.60 FEE2004 -3062 Notary Fee $5.00 FEE2004 -3063 Training and Education Fee $0.20 FEE2004 -3064 Technology Fee $2.50 FEE2004 -3065 Scanning Fee $3.00 Total Fees: $111.30 Permit Status: APPROVED Permit Expiration: Work: ROOF REPAIR Signed: 9/1812004 Construction Value: $500.00 (INSPECTOR) Total Fees $111.30 Total Receipts: - *80 6 1 , ,31J 4iiq, NAR 2 4 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: ❑ New Re DDe Roof Arc imn KOOT IPpers ant nM d1mae on NO �IrR�itrirrili� ■ii�l�rrrrrrr ❑ Re- Roofing 0 Re ROOF SYSTgM I I (SF) Steen Slonad 1; actNOn a (hoof Plan) rate all levels and sections, roof draln drains. Include dimensions of sec iol Ivated Pressure zones and location of r ppers, ovC 1 lovala 0 urtr L " IUMAIMMEM ■.✓Ai USE Wa : a �r';rill ■ ?I'1'i��'.rr;fl ■iiiiiii■ . WA■iiiiUii' 1�tilri NORMS iiit�iiii ■iiiiiAiiiiiit�i- ■ \iiiiiMlAl EMnownwor" Now\ onamosomo1�ir��r1��Nwrr% ■iiiiii■ ter• i ■iiirixiiiiiiiiiiiiiiiiiiiiiit ■ titMiirL�i�iiL> •Ati�ii�Aii�LLi��rLlrrrrlf�tAl■ �i■ i■■ iiiiiiiiiriiii ■iiiiiiiiAtiiillii■ Oki ounii bill iiiiiiiiiiiiiiiiiiiiiiiiiiti■ ►h iiii ■iii " ■ii iiiiiiiiiiiiiiiirliiiiiiiiri :�rrr: - ---- \Milw�iiiiiiiiiirilAiiiirrrr�rr ■ .�rrrrrr�� ►1 #, \` ■ii�iiPri■ iiiiiiiiil . <..�-�, lx ;- �' �wr�mAii ■ r NMiiiii fir r IiiiNii■ iK> itiiiiiiiiittiliir ti�iiiiliiiiiiiiiit JAr��j�jR \�r iNo iiiil4iil s ■Nir�iiti ■iri�iiiit iiiiiilii ►_. •liiiiiti■ IiiiiiiiiiNliiiiii iiiiiiMiiiiiiir► lr71r Yiiiiiiiiiiiitir itllliiitiiiit iiiiiiiti■ Ii\ rrtilitwtiiiirtill !rtiMtri ili was iiiiiir kllLlwttri lrtlfi>fiiir ■iiitiiMi■ ll�iiitNiiiiiiiitii �� _�_��n�rrrrr��iiitlliiiiiiMiit �iiiiiitt■ liar(rllitlrrli>firl:NWIM21,14 YRA��tiilrr�r liii ■iiiiiititiiiMiirfiiiitti>tit liittiiti■ INBiom�1��IA�rjlrr�r jltitrr\ rA��M r��r��rr�� \�� \Ii1��rA� \�ftr�rr�r�r�ir 188 iriiiiii �iiiiiiiiiii:: ii HUMMi IiiititlriiYL�JtiipyiiilliiiiiiiiiiiiMtiiiiiiiiil■ iii ■liitiiiiiiiiiitriiiiiiti■ liittttitiri\ tit■ At�t■ tiiiiiiiiAiitirtiiii■ iilritiiiiiiiittiiiiiiiilriilttiitil IiGNtttiiitlrMiii1�11liitttii> tiiiiitltiiiiiiiiiiiiiiiiriiiitiiiliititlriiitiitt■ Hitt Rio initllitilUlililltt■ Atirliliiii AtNi iiiiiii/ i ■iritiiiitrititilirtll ■ \itittl■ Ii 1111tttrlr�ir► Itti�rtirptttttiiiiiiitittiiiiiiiiiitrtiirriiirfttititiititllirtttit7■ riOtttir�rli�rlrtiaiir{ r► �7tttttrtiittittttttiriiittlftittttiiAttrtitiiiituiittttrtr SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 116. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. c _&L2. Renalling Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). �3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. �4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. �5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. _ 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability* to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. 3, D Owner's/Agent's vature Date Contractor's Signature SK ETCH OF SURVEY (BOUNDARY SURVEY) Q Z Ww O_ a: ~ -D L_ H � o cn o to .. a J a P.LP. O o1w 00' a 9q'17'30' Lor 13 SLOW 16 Y CL 25.15' O to ui F PROPERTY ADDRESS 311 NE 103 rd STREET MIAMI, FL LEGAL DESCRIPTION SCALE: 1 " = 20' LOTS 13 , 14 & 15 BLOCK_1 1 8 SUBDIVISION AN AMENDED PLAT OF SECTION No 5 QF MIAMI SHORES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 47 r, - OF THE PUBLIC RECORDS OF MIAMI –LADS COUNTY, FLORIDA. U SX ASPHALT 13.35' 12.991 re W bo W IL 12.91 – IV ALLEY o 150A0' (R&M) —� CONC. I t 421.0' I LRf 1s elogc 11 b I N LOf 14 SL= 118 b 21.40' I C o 31.211 ONESTORY RESMENCE #311 19.10' I �R5iI -- -- -1.91, J r42'30 . O I O I o O O O M Ln N N M I N FIX ow tRBltr+q:- 0 19' PARKWAY 6 M r 24' ASPHALT PAVEMENT N. E. 103th STREET. (60' TOTAL R /W) .15' C:-. K= 1 11e PL. A LOCATION SKETCH SCALE . ................................... N.T.S. tn 11"11 111:z K Z O 3� a � � a0 � o� i W + _ I i Ig I � I� w o! o C to Z Z O W N U 4 dU �ZZ _ tJ 1 1 1 1 1 I I 1 1 tn Z a Y m i 0 I to W tJ J 8 Z w N o M, r=— Ig I � I� w o! o 6 -2 I � x 1 1 1 1 1 1 1 1 1 8 8 Z 1 p 1. 1 0o� d e� X N C 8W '^ . O ° z 3 o� - poz o m - 8 t d � �m gal w CL m m w to 0 P Z Q 'ni 11 . Its! R gn 0 }g ` m 1 1 1 1 I t l t C Z Q OgBe Q N W o� w S Z I Z of m _ O O y jy1 IOU. 1— Z J 0 IF 1 1 11 1 I 111 ■: t CL Y n 1 1 1 1 1 I I 1 1 °� Z iFE us Nil' 6 -2 I � x 1 1 1 1 1 1 1 1 1 8 8 Z 1 p 1. 1 0o� d e� X N C 8W '^ . O ° z 3 o� - poz o m - 8 t d � �m gal w CL m m w to 0 P Z Q 'ni 11 . Its! R gn 0 }g ` m 1 1 1 1 I t l t C Z Q OgBe Q N W o� w S Z I Z of m _ O O y jy1 IOU. 1— Z J 0 IF 1 1 11 1 I 111 ■: �> Q `ee � M existing parkway Northeast 103rd Street site plan _ 1/16" scale i INVA i I o �1 r ill tea I �,;lbL PROPERTY ADDRESS_ 311 NE 103 rd STREET 'MIAMI, ' FL 41S. 1 � � S K E T�, H OF SURVEY LEGAL DESCRIPTION z � z$ (BOUNDARY SURVEY) LOTS 13 , 14 & 15 _ BLOCK 118 SCALE: 1 = 20 SUBDIVISION N�FD PLAT OF '�FCTION No 5 OF MIAMI SHORES z 0 ' 0:1 1 I �AN.�M 10 AT PAGE 47 M. ' ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK MIAMI COUNTY, FLORIDA. d ' OF THE PUBLIC RECORDS OF _C-AD-E it �wl .I W 3 a oi r^ v d F— N O O Om to LJ z J FM. O as' PSPWLT ow 90.17'30' I WBLOCK je I "g. i In. o H 3 R � a CL 25.15' 13.35' 12.90' i M , W O O 5.38' 13.35' I '42'30%- O O I O O O a IR N N M 15' ALLEY - 150.00' (R&M) CONC. 021.0' B�� to 2170' $ o d ONE STORY RESIVENCE 0311 .J n: 1 0 I I i I I I 31.211 I Lo I r� M N Lur BLOCK �l e a toe ✓� i I i � r ( • 15�O.W' (RSIiA)' 5'. SIDEWaL'E 0 19' PARKWAY M � 24' ASPHALT PAVEMENT N. E. 103th STREET. (60' TOTAL R /W) 0.15' C ;'- Ur 16 mrac Aa . 101 ON PL. 0 0 RAP. o' A W z LOCATION SKETCH SCALE........... .........................N.T.S. men mer I- N.E 103th AVE. cn o _ L0 cc d. 0 iga•i i �: • Z w 0 � O Z -Z ID CL z v W v, W U v U a. =u) 0 �O�3j`Pf I � WZ p ii a 0 13 rA oN W m ax I LA V) 3 0 �� N ? O� °� z 3 �p ° °Z O La Gj a. in & c p z Q ' z� ° � � z E2 lives Sol z $ KFI�O < Z ° <>� 0 Z U H LLJ :3 W C� I Z� J z N < Z�8 I 1_: IAJ F-"' J� �R Z ° o6'�� 1 oil vigil 11�"E &A919du OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. H. C' 4500 N. W. 11th Place JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION N E . 103rd-Street I I 18 I Miami Shores Sect GENERAL, CONTRACTOR ADDRESS PHONE NO. LICENSE NO. Jahn M. Bitter & San I 277gN. E. 108th St. I 7 -2108 q9;81} BOND BUILDING PERMIT NO. 868o--- A I DATE 12/29%.9 PERMIT.FEE S 22.00 `BUILDER'S NO, 609 DATE Trans 09 189500 26,226 189000.00 ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COSTS DATE MH 1.12/28/49 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION R I I /� CBS I 1 I Tile 10ak Floor - Plaster Wallis NEW CONSTRUCTION DESCRIPTION y I Liv Rm - Din Rm - Kit - Seir. Parch - Den - Foyer - 3 Bed Rues - 2 Bathe REPAIRS I DESCRIPTION I ALTERATION Portecochere - 1 car garage ADDITION APPROVED REJECTED REFERRED TO COUNCIL I REASONS SUBMITTED TO PLANNING BOARD I I RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. ISSUED TBY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE BUILDING INSPECTIONS I INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION _V95-0 FEE TEMPORARY SERVICE $ B9AMS & LINTELS 2 1 Q 3DH $ SEWER FRAMING SOLAR HEATER $ GAS $ INSPECTIONS FINAL BY RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP JDH GAS PLUMBING PERMITS & INSPECTIONS CONTRACTOR Woods Pl mabin,- Go. PHONE pp PERMIT NO: .0 - DATE 1 1 Q FEES 11,00 NEW BLDG. $ I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING .1/19/50 JDH GAS SEWER SEPTIC TANK JoRo JDH SOLAR HEATER FIXTURES tai ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR Electric 00, PHONE PERMIT NO. 90 DATE 1 0 FEE f� $ 18,2 NEW BLDG. JX I ALTERATION I ADDITION REPAIRS SPEiC1AL P RMITS NO. DATE FEE TEMPORARY SERVICE QpOpPERMIT 88 � 1 Q $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING y 'fit H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 15/17/501 JDH APPROVAL TO POWER CO. FOR SERVICE DATE 5 1 / /50 BY JDH Annlow -mc311 N. E. 103rd St. CP- A I .19 1 C/. OCf -%rlE3 1 I'M AIM QAf-ftC TAY q _, t� PAID BY y 6��101 Z2 -�^- V. YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER H G Ball a 1950 $12.00 12- 31-50 $6,00 5 -31 -50 1522 BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ OOFING ❑ MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 5712 E� Work to be performed under this Permit :hi tect rj Builder f�: � -4 Builder r _ jal Lot II 1.31 of Subdi- vision DATE 7 + 195 Contractor's License No. Value of 11 Amount of Project $ n ''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 or in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans ings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 ed is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ining 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 by his agents, servants or employees. e 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 ining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- ig 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 ❑ ELECTRICAL ❑ DATE'" 195 PLUMBING F-1 PERMIT No 9 916 Contractor's_. License No.– — ROOFING ❑ ❑ Work to be performed under this Permit_ Owner of Building Architect - ontractor or Builder Legal Lot I) Bl. Subdi- Description I vision Scl. Ft. Address Of Value of Amt. of ?^ Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOTING Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building _... MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 811' Bl. Work to be performed under this Subdi- vision DATE 11 A 195 Contractors License No. — Sq. Ft. � r_r Value of Amt. of f'!y Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR �' In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this ,i a me responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR & BUILDER BY AUTHORITY �'G -sa: 17 1 BUILDING E-1 MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL PLUMBING ❑ PERMIT N° 6958 Contra or's -. l95 ROOFING 0 License No. — Work to be performed under this Permit Owner of Building f._ Architect Contractor or Builder Legal Lot Suhdi- Description — Bl. _ vision Address of ' Value of I Amount of Building Project Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: 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 reg ions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- CONTRACTOR 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 6 UILDING LECTRICAL PERMIT N? 8680 LUMBING Work to be performed under this Permi DATE 1. V_194 '* Contractor's / License No. of 9 Ct.ui` ntractor' Builder gal Lot - Bl. scription of Subdi- vision Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and lions pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- for work done by his agents, servants or employees. Signed: BY INSPECTOR If 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 ling thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. epting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. a CONTRACTOR• On bU1LUi;1i BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ? 194. — ELECTRICAL PERMIT No 8856 Contractor's License No.—_. PLUMBING Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot BI. Description Address of Subdi- vision Value of Amt. of Project 11 Permit L yµyThis 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: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING u DATE ELECTRICAL E PERMIT N° 9064 Contractor's PLUMBING ❑ License No._ Work to be performed under this Permit Owner i Buildinc Architec - ontrac or Build Legal Descript Address Buildinc 95 Df f :t — for er Subdi- Lot Bl. vision ion. of Value of Amt. of I) Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements pi specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY INSPECTOR'" In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194! ELECTRICAL PERMIT N? 8745 Contractor's License No. PLUMBING Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Subdi- vision Value of Amt. of Permit r. 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. �, g : f. - B Signed: INSPECTOR y In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATES C _S, 19 ELECTRICAL ❑�, P E R M I T PLUMBING ❑ N 6239 Contractor's r- License No. ROOFING ❑ 1. ❑ Work to be performed under this Permit__' -= Owner of Building 4 i_ L Architect Contractor or Builder J — Legal Lot (,r II Subdi- Description Bl. vision Address of Value of Amount of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: __ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Y AUTHORITY nceor�� MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE - ELECTRICAL ❑ PERMIT PLUMBING ❑ NV 7532 Contractor's ROOFING ❑ License No. – ❑ Work to be performed under this Permit_ ___ Owner of Building Architect Contractor or Builder Legal Lot Description Subdi- Bl, vision Address of Value of Amount of Building 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: _ _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in comoliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ..BOT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect _ Contractor or Builder _ Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE. 19 -- PERMIT N 9 5693 Contractor's , License No. Work to be performed under this Permit 91 Subdi- vision Address of Value of �, .,°~- �I Amount of - Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY spoor PERMITS APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address d— , " ' Tax Folio ek V-9 Legal Description Geo-i -j ir'Jo C' — kid a-4l41e Historically Designated: Yes No —K Owner/Lessee / Tenant I/ �. �(�� Master Permit #�-� Owner's Address Phone Contracting Co. j( !S-e �-F () , own P ("I Address L1 . tT State # Archhect/Engineer Bonding Company Mortgagor Municipal # Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION Square Ft. SS# Competency # Phone Ins. Co. Address Address Address PLUMBING MECHANICAL ROOFING PAVN FENCE SIGN AJA -t..L- Estimated Cost NaluefV * 4 mo. && WARNING TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR Ll 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 will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRI PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERIS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. `1 Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT 6!^ RADON Contractor or ,-elf Date 94-ary a'strarr:Over= Builder Date My Corm E�fres a �w�a s P.,;aa r� r:3 ana ti _ 1 C.C.F. a. LID NOTARY 4-5� ' APPROVED: v� � l�j Zoning �_ Building l a Electrical BOND TOTAL DUE Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date a ' r q Job Address :5511 Al E, Jng nd Sr Tax Folio Legal Descnphon E-i r ffistoric ally Designated: Yes No_)( 04m/Lessee /Tenant 0\ ��'E,c L K®d Master Permit # y `� OwrWs Add= 011 JVOE. /Q �3,A j S7-, , Phone CoatraWng co. SO U- 'h gfO .5 Ti 4Z b P-Ct� lC; -�WC Address _/o ��e /u w, Qualifier Fe 1112 -5 / eeed SS# PhonW3AS C�qi —9 57 Stake # 4TIM777iri1 Municipal # Competency # 9( Z'- dM13 `7 Ins. Co. � r Bonding Company Mortgagor L��I�J�dj Address i)1)4(?V ; 313q �%Ziz(Au Alec , f zr= 43'?®> I 3i39 Per nit Type (circle one): BUILDING LECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN C WORK DESCRIPTION ��® Jg Y'l Square Ft. Estimated Cost (value 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 pemut 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 PLTJ VIBING, 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 construe 'on and zoning. F ernore, I authorize the above -named contractor to do the or stated. ��l l 6-t 9 9 of owner or Condo dent Date Signature of Contractor or Owner - Builder Notary as to Own or Condo President Date - ..,,,Notary as to Contractor or Owner- Builder Date- My Commission es: F, IViy Commission Expires: 1 P NANCY NOTARY I'i1B1dC j`�'A r 6 �, CARMEN ROMERO swN ... My Commhmion C0550201 com E .;u'es Mray. 28, 2000 FEES: PERMIT �i'�� RADON C.C.F.NOTARY BOND APPROVED: TOTAL DUE Zoning Building Eleclri Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date j� b / qK Job Address Tax Folio &l W Legal Description -5 Mstorically Designated: Yes No Owners /Tenant (� �!%+��Jr C Master Permit # Owner's Address 311 Al , • h93 �� Phone 3b7 26- V 2- Contracting Co. (� 1 �� (Dl Address J8 k5 C C' 'i tV(9 Qualifier (tea U SS# State # - Municipal # Z�L6e) 6- Competency # Bonding Company Address Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �Olik- C- 4 z'S' " 4Ao �.�!✓� �� Gt%i(% ��0 GcJ/ 1 L" /—S bra Csi9n� 7 Square Ft � � Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR DIPROVEMENTS 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 AFFIDAVIT: certify at all the foregoing information is accurate and that all work will be done in compliance with all applicable m i d 1 ning. Furthermore, I authorize the above -named contractor to do the work stated and/or Nodrry as to Owner a$cyor president Date My Commission Expires: pRli'aF•R:+ S!A08 NM) }. i'�M'f1�41(3 S46# of Contractor er- Builder Date 3 - 7 7 otary as to C tra t Owner- Builder Date My Commissi ies' OFFICIAL. NOTARY SEAL GIAMSj'VELA►R C rfARYWBIXsrA TE O FFW r D A L3 NO. CC7t4 ' b yC0% 55?W EXR VkR ! FEES: PERMIT RADON C.C.F. NOTARY'_ ;• i - TOTAL DUE APPROVED: Zming Building Electrical Mechanical Plumbing Engineering . y PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date °� ° ! Job Address � �� .�:. 1 amp �- Tax Folio Legal Description Owner / Lessee / Tenant Z—em--)e 3' emee f ! oe/ Master Permit �� ✓ �� 1 Owner's Address ��/ �/a C. / ®3 el% 5'7 /yl`A4, 5/10'e Contracting Co.G22'�i Qualifier SS# - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Gv'e?",-y -t— Il Square Ft. Estimated Cost(value) '1 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TOI'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 tha all work will be done in compliance with all applicable laws regulating co ruct on and zoning ZJurhermore' I authorize the abov -named contractor to do the work stated. Signature of owner and /or Condo President Signature of Contractor or r -Bui Date: Date: Notary as to Owner and /or Condo President o6ao as to r. r;a�l "pwnE Exgy car My Commissio pires: Commission x .o W,CC197545 i FEES: PERMIT RADON C.C.F. $ NOTARY TOTAL DUE APPROVED: Fire Other �P� I Zoning Building�' Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ,6 9 Job Address 3II Ni4 . 163Rsf. Tax Folio Legal Description i d Historically Designated: Yes No X Owner/Lessee / Tenant RE A96 Master Permit Owner's Address A Phone ']SS- 75"W, Contracting Co. ejN&/ A( e P— Address State # Architect/Engineer Bonding Company Mortgagor Municipal # SS# - _ Competency # _ Address _ Address _ Address Phone Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ',',MECIL&NICAL ROOFING PAVING FENCE SIGN 4 ` woltx DESCRIPTION /\ Square Ft. Estimated Cost (value) k WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANi 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 applii certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that 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 al laws regulating constructi9 q and zoning. Furthermore, I authorize the above - name_, entra r to do the woj4 stated. �! .- �. Notary as to Owner and/or Condo President Date My Commission Expires: 04,40 .9-0 / /;f7'> FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE - APPROVED: g . zoning Building ' 1 Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6 I Job Address 3 11 A.2, l0-1 Tax Folio LEA♦ t 3 -1 �- ! S i3 !E-. l' Legal Description �}Y Kworically Designated: Yes Owner/Lessee / Tenant d 1 �Il��(� ~ L . / ®C� Master Permit # Owner's Address Contracting Co. C o w b-e— e Address Qom' SS# _ State # Municipal # Competency # Architect/Enginm Bonding Company Mortgagor Permit Type (circle one): BUILDING WORK DESCRIPTION Square Ft. Phone Phone Ins. Co. Address PLUMBING MECHANICAL ROOFIN PAVIl�T FENCE Estimated Cost (value) r SIGN WARNING TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN Y PAYING TWICE FOR RAPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEN 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 will be performed to meet the standards of all laws regulating construction in this jurisdiction. 'I understand that separate permits are required for ELECTRI 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 construction and zoning. Furthermore, I authorize the above -named contractor to Bork stated a � 1 Y I 1 Signature of owner and/or Condo President Date /-1:50- 0I Notary as to Owner and/or Condo President Date Notary as tKn t1AY Ovi��) ' Date My Commission Expires: My Commission UC ST " . Or FLOY�ID IvLMiSION I"n . i_C. t� id?3 OI�IM i0`1 E XP. %A AFL 1 FEES: PERMIT RADON C.C.F. '20 NOTARY J BOND ® % APPROVED: TOTAL DUE Zoning Electrical dins Mechanical Plumbing Structural Engineer s° PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 - 06 - ®1 Job Address 1 _ NZ ,, 10,3 9 g � Tax Folio LC45 13, 14 ti 15 131oeK l ►$ - SUBIXYision 5e&-4r tr! ij 1— ►?),'nAll Legal Description OW K I Q Ig P 4 l Historically Designated: Yes Nc Owneaasee / Tenant � y E L � j ®� (rl Master Permit # `7 4 Owner's Address 3n ME, &7 3 e>I � � Phone 3 ®5 " '7 5 7 Contracting Co. 570 s,G' @ ee- Address Je,80 e W S6 CT A Qualifier S7 -ce,d SS# Phone 34s- State # Architect/Engineer Bonding Company Mortgagor Municipal # Competency # 6d 96,eO 0/37 Ins. Co. Address Permit Type (circle one): BUH DING WORK Square Ft. ry Address MECHANICAL ROOFING PAVING FENCE SIGN Estimated Cost (value) 00 WARNING TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN PAYING TWICE FOR ]IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR Li 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 will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRI PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: construction and z=im Notary My Co, r I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regi Furthermore, I authorize the above -named contractor to do the work stated. ty - ®f or Condo President Date Signature of Cont3actor or Owner - Builder Date D to Notary as to Contractor or Owner - Builder Date spires: CLhMs i ViLY.AR M Commission coarmen Romero t,Itlr�Y PUBUC'STAM OF FLORIDA y * * Commissbn CC9Q6W4 �:.t7P ti3StOA11VCl.CC7t4I03 V %,y e0resM"28,1M V 99 tk@110 l� Zoning Building C.C.F. r� .0 C� NOTARY "'S7- a 0 BOND TOTAL DUE Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE PLUMBING INSPECTION 'DEPARTMENT APPLICATION FOR PLUMBING PERMIT k Permit 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 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 Addresst_. _ -- -- _1 t - - - -- - - - -- - -- - - - - -- ------------------ No.:I_ - - - -- - -_ - -- ------ Streeil Registered Architect and /or Engper -} - — _ Employing Plumber's Name ----- - - -- - - - ------- — — No. -- / Street��_ Location axid Legal Description Lot_A ------------ _`____ y_ - --------- ______ Bock : __ __, _____ ______ __ Sub& ' Street and Number where work is to be performed— No. - -1-------- - Street ---- - --- �_ _ _ _ -_ - -- ----------- State woik to be performed and purpose of building (By Floors) - - - - -- - - - -- - - -- modelig_- ____ Additio- - - - -__- _--- - - - - -- Repairs ----- of Ste _ -- - --- - - - - --- _ New Building ---- _------- ----------- - r Size Septic Tank--- � --- - - # - -- -_Type of Tank-------------- - -------------- - - ---------------------- - -Capacity Gals,. —= -- - - - - -- ho //�� Feet of Drain Tile ___ ---- _4 -'__ ------------------- Dist. Feet of Tank or Drain Field from Well - ----- —_ __ ____-- _ ______ -_ ____- __;_____________ Nature of Water Supply. Ci Well.--__ -- - ---- __ -, -_- -__ -_- -- ___ -_- - __ -_ -- -Size of Soakage Pit--------------- - - --- -- -- --------- - - -- - -- -- - - - - - -- Amount of Permit $- F Q - — - — - -- - - — —� ( Signed) — — — - __ - - --- -- - - - - - -- - - - — - ., Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he u erstands and accepts his gations 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) -- - - --- -- — - - -- — ----- - 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 say0that 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: Aare- inspection fee of $1.W 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 -LAVA- TORIES ; ' SINKS SLOP $INKS LAUNDRY TUBS URINALS CATCH '. BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CO! I ST LIST - CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE 4601!0101110 DEEP SPRKLR. SWIM'G" #4 TANK CONN. .FIELD '_ PIT TRAP HEATER WELL SYSTEM 1 POOL LIST T� CHECK. Size Septic Tank--- � --- - - # - -- -_Type of Tank-------------- - -------------- - - ---------------------- - -Capacity Gals,. —= -- - - - - -- ho //�� Feet of Drain Tile ___ ---- _4 -'__ ------------------- Dist. Feet of Tank or Drain Field from Well - ----- —_ __ ____-- _ ______ -_ ____- __;_____________ Nature of Water Supply. Ci Well.--__ -- - ---- __ -, -_- -__ -_- -- ___ -_- - __ -_ -- -Size of Soakage Pit--------------- - - --- -- -- --------- - - -- - -- -- - - - - - -- Amount of Permit $- F Q - — - — - -- - - — —� ( Signed) — — — - __ - - --- -- - - - - - -- - - - — - ., Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he u erstands and accepts his gations 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) -- - - --- -- — - - -- — ----- - 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 say0that 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: Aare- inspection fee of $1.W 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 No. Date. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the .State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. �p �° Owner's Name and Address =_ No. Street _ Registered Architect and /or Engine Employing Electricians Name _ No. Street Location and Legal Description L 110C Subdivisio Street and Number where work is to be performed —No. Sw Stre —_ State work to be performed and purpose of building (By Floors) "= New Building Remodeling Addition Repairs No. of Stories SWITCH LIGHT'. PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOW L OUTLETS OUTLETS 'RECE'P'T'S No. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOT L CONTR. LIST CHECK Service Overhead Size Feeders Conduit Main Sw. '_ __ Amps. Main Fuses Am Underground Type of Installation— C Tubing R.X.L.Y._ _ _ Metal Moulding Amount of Permit $ �' ( Signed Electrical Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts V*ermanent ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, iled General Laws of Fl Supplement, an has complied with the provisions thereof, and will require similar compliance m 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 notice as are required by the Act. The undersigned agrees to employ only such sub- contracto work to b rfox under this permit, as are licensed by Miami Shores Village. )n (Signed)—r a� Master Electrician. STATE OF FLORIDA, } ss COUNTY OF DADE. I. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personall appeared_ to me well known, and 'who, being by me first duly sworn, upon oath deposes and says that he is the_ — of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fact 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 fault, materials and /or workmanship. - s -06 1. . _F MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. ®� Date. 3 `°`� �-® Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot1 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flori 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 Divisi of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept building during progress of work. , Owner's Name and Registered Architect and /or Employing Electrician's Nan Location and Legal Description Lot Street and Number where work is to be `a // IY- rs' Vj State work to be performed and purpose of building (By Floors )- -_ New Building ✓r Remodeling Addition_ _ _Repairs No. of Amount of Permit $. J (Signedrp*d le�cirical Inspector. The undersigned applicant for this building permit does hereby certify that stands and accepts his o bons as an employer labor under the Florida Workmen's Compensation Act, being Section 5988, Co neral Laws of Florida Permanent Supplement, has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or noti as are required by the Act. The undersigned agrees to employ only such sub- contractors, on,-work to b perfArmed under this permit, as licensed by Miami Shores Village. (Signed) ZZ12-GIR &/4 A,11JU -WV1% —. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perso - - - -- to me well known, and wvho, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all therein by him stated are true. 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 materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOT L OUTLETS OUTLETS RECVP rs NO. LAMPS OUTLET OUTLET OUTLET'' CONN. HEATER CO/NN. HEATER HEATER CONTR. U LIST (^�i Z / ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOT L SW. CAS. TEMP. PERM. 0.1 HP 1 -5 HP TRANS. tsT CLIST / `` / CHECK Overhead Feeders_ Conduit Sw. /00 Main Fuses o Amp Service Size _% _Main ps. "I -o Underground Type of Installation— Conduit Tubing R.X.L._-_. —Metal Moulding Amount of Permit $. J (Signedrp*d le�cirical Inspector. The undersigned applicant for this building permit does hereby certify that stands and accepts his o bons as an employer labor under the Florida Workmen's Compensation Act, being Section 5988, Co neral Laws of Florida Permanent Supplement, has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or noti as are required by the Act. The undersigned agrees to employ only such sub- contractors, on,-work to b perfArmed under this permit, as licensed by Miami Shores Village. (Signed) ZZ12-GIR &/4 A,11JU -WV1% —. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perso - - - -- to me well known, and wvho, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all therein by him stated are true. 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 materials and /or workmanship. Miami Shores Village Building Department y 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Sig itl er) Y60 Owner's Address 3� 1 10 �i _- MAP . ° 200 Permit No. `5F —3°1® Master Permit No. Plumbing Mechanical Roofing Phone # J ® En EDI9 City N1 ��o 6 State IE — Zip Tenant/Lessee Name Phone # Job Address (where the work is being done),_ City Miami Shores Village County iv Is Building Historically Designated YES NOS Contractor's Company Name ��-� ®� Contractor's Address s & 1v 0 City t "` 1 4i re, e� -k Qualifier a-LL r�� Phone # 305 r75 ! 0 t I 1 S Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit goo# &0 Square Footage Of Work: Type of Work: ❑Addition ❑Al ❑New rr s El Describe Work: `� 1 ;Tus i-1 e -P-t Air Submittal Fee $ � ` Permit Fee $ eO CCF $ 6r 1�0 Notary $ 15 1:�n Training(Education Fee $ ot Technology Fee $ , Q Scanning IS Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 6 1, ID (Continued on opposite side) -i Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State t Zip { Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding 52500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection wil approved a rei pection f e will be charged P � .Signature Signature_" Owner or Agent Contractor The fore oing Instrument acknowledged before �,me'this' The foregoing instrument was acknowledged before me this day.of W 2 y �&442�e l�l.C�► ' o day of 20�, by �c I wllo is pergonally known to me or who has produced L J�.who is personally known to me or who has produced As identification and who did take an oath. Print: U 0 LCJt / R My Commission Expires: identification and who did take an oath. NOTARY PU Sign: co., Inc. My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: MAR 2 3 2004 Plans Examiner Engineer Zoning Chc 10/14/03 r f - Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138` Tel: (305) 795.2204 Fag: (305) 756.8972 1` BUILDING R E 4I O ED) I Permit No. ePC6 — ) 32 % PERMIT APPLICATION $gyp' l aWa ter Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name. (Fee Simple Titleholder) Renee Koch Phone # ( 305) 758 -7542 Owner's Address 311 N.E. 103 Street City Miami Shores State Florida Zip 33138 Tenant/Lessee Name Phone # Job Address (where the work is being done) 311 N,. E . 103 Street City Miami Shores Village County Miami -Dade Zip 33138 Is Building Historically Designated YES NO X Contractor's Company NamQuality Roofing Contractor phone# (305) 751 -0382 Contractor's Address 13800 N.W. 1st Avenue City Miami State Florida Zip 33168 Qualifier Carlos Arocho State Certificate or Registration No. RC 0 0 5 8 6 2 7 Certificate of Competency No. 0 0 0 017 8 8 9 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit $18,000.00 Square Footage Of Work: 32sq. Tile 4sq. Flat Type of Work: ❑Addition ❑Alteration ❑New 19 Repair/Replace ❑Demolition Describe Work: Tear off old roof to wood deck, replace rotted wood, install 301b. ASTM felt, install galvanized eave drip metal, mop 901b. ASTM felt, install tiles with po y oam adhesive i , emye Mid flashing metals, man eT 1 l PR of 1V 4, - ,urfac-p to mop mineral cap sheet Submittal Fee $ Permit Fee $ � S/ CCF $ 10 "Opn CO /CC Notary $ Training/Education Fee $ 3. 60 Technology Fee $ . Z Q Scanning $ 3. CO Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ '350. -(=o (Continued on opposite side) Bonding Company's Name (i Bonding Company's Address City Mortgage Lender's Nam Mortgage Lender's Address City State State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n approved and Areinspect$on fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this-2— day of , 20 by ,e e J�od, , who is personally momm to me or who has produced Signature Z5;z� Contractor The foregoing instrument was acknowledged before me this 9 day of i 20V,!;'-,by- �� Prroa� , who is personally known to me or As identi cation and who id take an oath. as NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: - Print: has produced. who did take ap oath. My Commission Expires: '� MY COMMISSION # DD 060579 Rq. ' ; MY CO ISSION #tlDD 060579 = *; _ My Commission Exp' N •. ,;: EXPIRES: October 10, 2005;: EXPIRES: October 10, 2005 APPLICATION APPROVED BY: chc 05/13/03 Plans Examiner Engineer Zoning 4115101 RqK 41N10% 17kM_,(6 Miami Shores village 4 7-'s h /R Building Department ELY: � ____ "_____ 10050 N.L;2nd Avenue_ Miami Shores, Florida 33133 Tel: (305) '79.11.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION FBC 2004 Permit Type PAINT PERMIT Master Permit No. Owner's Name (Fee Simple Titleholder) _ �� / j�, �l4 o e- h Phone # Owner's Address 3l I 1b 3 ' `�' 8�, - City-M-1,04i 6AoP26 State r' %, Zip -3�31ag Tenant /Lessee Name E-MAIL Job Address (where the work is being done) 514 P'11= 311 JU City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES _ NO Z_ Contractor's Company Name _ * Oww Phone # Contractor's Address State Qualifier Name State Certificate or Registration No. OWNER BUILDER: Value of Work For this Describe Work: Zip Phone # Certificate of Competency No. 60 Type of Work: ❑ Addition / El Alteration / ❑New / [,(Repair /Replace 0 Application is hcrehy made to obtain a hermit to (lo the wort( 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 he perlorn ed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit nwst be secured liar E.I.EC'T'RIC'AI WORK. P[ -UMIllNG. SIGNS. WELLS. POOLS, FURNACES, f3011.1.'RS, HEATERS, TANKS and AIR CONDITIONERS, GrC..... "WARNING TO O«)NER: YOUR FAILURE TO RECORD A No,ricr OF COMNIENCEMENT MAY RESULT IN YOUR PAYING TWIT. FOf IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LLNDER OR AN ATTORNEY REFORI RECORDING YOUR NOTICE OF COMMENCF.MEN'r." Notice to, I pplicani: .-Is a condition to the issuance of a building pertntt wilh an eslinulkd value e'xc'eeding $2500. the al)I)hcanI Inust 1p'otmse in (>ood latch that a cop!' (!/ *I/)(' police of conunencentenl and construction lien law brochure will be delivered to the person whose properly is subject to attachment. Also, a cerltlied cohv of the recorded notice of commencemew ,rust he posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the ahsence of such posted police. the inspecting will not he approved and a reinspeclion fee will be charged. Y.%>. TT XY.XXX %Y.XT"X>:' %YT'T'Y.XY>CX �Yi:X % %�.>:YX %X>F>Y Feest X>�>CY>: %X>:>:XXXX]t>: %>C %�: iCXK %f:YYXYY>¢YX'T'YYYX'KYYX>:Y Permit Fee $ Training /Education Fee Double Fee $ CCF $ `" L - Technology Fee: tfi Code Enforcement $ _ Zoning $ Total ee Now Due $ - I See Revel se sic e , MINN A1 SHORE SS Vii 4.P:GJAt» PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. Walls: 2 3 4 l — Attach cold "_:a_m �Ij eS with name and gentle butterfly just peachy OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicftble laws regulating construction and zoning. Owner or genl CC The 121re of nstrument was ack/% owledged h tore m this IJ day oI' _ _ 20I by �? _ wltl is personally known to me or who has pRlduced identification and who did tal:e_,t � Signature Contractor The foregoing instrument was acknowledged before me this day of . 20 _. by who is personally known to me or who has produced as identification and who did take an oath. N TA R 1 tt + Oo NOTARY PUBLIC: G 1 �, .� Sign: r9�. v Sign: -- Print: Print: My Commission Expires: �+�� +�� ,C�Q� My Commission Expires: %%%% iC%:•:•.• C % % % % % % % % % % % % % % % %% % % % % %T�irf(IrT Y.%% X%%%%%%%% iCif%% tsa: dC% 4C%%X% itX%%%%%%%%%%%%%%%% % % % %dC % % % % % % % %i: % % % % % %iX% % % % % %% t 4(Zya,1e4 APPLICATION APPROVLD FAY: (Jt`. OS k►• U 6otk �iro/�` Plans Examiner Preservation [hoard Code En(oreement �t (Revised 04/24/0 Fascia: 1 3 4 Drip Cap /Drip Edge: I 3 4 N Soffit: 1 2 3 4 I Y w —- Roof: 1 2 V 171mver Bins'. 1 2 3 4 Shutters: 1 2 4 Awnings: I f', ) 4 2 N Chimney: I 2 3 4 w Doors and Door Jams: 1 2 3 4 01 0 Garage Doors: _1 2) 3 4 Railings: 1 2 3 4 3 WAA \, fcnces: 1 2 3 4 All brick (simulated or rC(ular): 1 2 3 4 Stucco L3andin,g: I ' 3 4 i Anv oth r Stucco Fea Tres: 2 3 4 4 '� c��essor uildings�C'i ,,0.Mt� i s. Other/1, gentle butterfly just peachy OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicftble laws regulating construction and zoning. Owner or genl CC The 121re of nstrument was ack/% owledged h tore m this IJ day oI' _ _ 20I by �? _ wltl is personally known to me or who has pRlduced identification and who did tal:e_,t � Signature Contractor The foregoing instrument was acknowledged before me this day of . 20 _. by who is personally known to me or who has produced as identification and who did take an oath. N TA R 1 tt + Oo NOTARY PUBLIC: G 1 �, .� Sign: r9�. v Sign: -- Print: Print: My Commission Expires: �+�� +�� ,C�Q� My Commission Expires: %%%% iC%:•:•.• C % % % % % % % % % % % % % % % %% % % % % %T�irf(IrT Y.%% X%%%%%%%% iCif%% tsa: dC% 4C%%X% itX%%%%%%%%%%%%%%%% % % % %dC % % % % % % % %i: % % % % % %iX% % % % % %% t 4(Zya,1e4 APPLICATION APPROVLD FAY: (Jt`. OS k►• U 6otk �iro/�` Plans Examiner Preservation [hoard Code En(oreement �t (Revised 04/24/0