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Multiple (3)Inspection Worksheet Miami Shores Village f 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INS P- 124898 Permit Number: WS -8 -09 -1386 Scheduled Inspection Date: September 22, 2009 Permit Type: Windows /Shutters Inspector: Bruhn, Norman Inspection Type: Final Owner: BAHMANI, SHAHRIAR Work Classification: Window /Door Replacement Job Address: 360 NE 103 Street Miami Shores, FL Project: <NONE> Phone Number Parcel Number 1132060135000 Contractor: GARY BERNHARDT CONSTRUCTION Phone: (305)259 -7575 Building Department Comments REPLACE WINDOWS 3 AND DOOR 1 ONLY AT FRONT HOUSE (WINDOWS AND DOOR ARE HURRICANE IMPACT WINDOWS Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 122523. Bedroom window is missing screws and buck is incomplete. Recaulk exterior. Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Cnn.nmhnr �, inno For Inspections please call: (305)762 -4949 Dane 4n -f 41 Owner Information Address Phone Cell SHAHRIAR BAHMANI 360 103 Street MIAMI SHORES FL 33138 -2433 Contractor(s) Phone Cell Phone GARY BERNHARDT CONSTRUCTION (305)259 -7575 Type of Work: WINDOWS & DOORS No of Openings: 4 Additional Info: IMPACT Classification: Residential Fees Due Amount CCF $2,40 Education Surcharge $0.80 Permit Fee $140.00 Scanning Fee $9,00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $3.50 Work without Permit Fee $140.00 Total: $295.70 Invoice # Total Amt Paid Amt Due WS48-09 -35672 $ 295.70 $ 245.70 WS414119 -35672 $ 295.70 $ 295.70 $ 0.00 Available Inspection Type: 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 September 11, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy September 11, 2009 1 COy� OU+ -G f Sp (\rice? Miami hores Vill Building Department 1005.0 N.E.2nd Avenue, Miami Shores, Florida 33139 Tel: (305). 795:2204 Fax: (305) 7$6.8972 Pemft NQ UPS- PERM APPPLICA'TIO FBC 2004 Permit Tnw k0 rC * B"dn IRooftg Master Pew No. fner's lYanae >(Fee.Stnple Titleholder) SHAHRIAR BAHMANI Phone # 305 908 7907 Owner's Address 360 NE 103 ST City MIAMI SHORES State: FLORIDA Zip 33138 -2433 Tenarrtf>essee Afinei N/A Phone ## _ Job Address-(where the work is being done) 360 NE 103 ST City lyfi m Shores:Village County Miami-Dade dip 33138 -2433 Ft?Lf'CFI. 11- 3206 - 013 -5000 Badl?ding l or1callg Designated YES Nb Co trnctor'sCoittpany Name GARY BERNHARDT Phone # 305 586 3271 Contractor's Address 7700 SW 114 ST City MIAMI State FLORIDA Zip _ 33156 Qualifier Name GARY BERNHARDT CONSTRUCTION Phone # 305 586 3271 State Certificate or Regisfixation No. CGC 025759 Certificate of Competency No. GENERAL CONTRACTOR A,rel itedffingiheees Name (ifapplicable) _.ORLANDO.FORTUN -Phone _ 305.262 6225 ...... ease 000000 .. .. 0 Value of Work For this Permit $ $3500.00 Square / Linear Footage Of Work! • • • •1r05 SQ�'T•' •see: • . 0000 0000.. 0000.. Type of Work: DAddit on DAlterat on []New � Repair/ReplaM • • ❑'Demolition • • • • • 0000.. . •0 0000. Describe Work: • 00 0• 0000 0000.. REPLACE WINDOWS (3 ) AND DOOR ( 1) ONLY AT FRONT I- t= ' • WINDOWS AND DOOR ARE HURRICANE IMPACT WINDOV jS) as .... • o • 00 • . .. .. V • J I fiWWYr &�4�3,aR�$s��trie�00� &+47Y 9nti Yt�yt�Y �k�Yr.�rRs4W&Y SeFe�0�44r �Y &e49ri' &ci4 it Raft sr fY�iY�esr e4 i74t it er �:� &WW+�� -W. �4tY4F47w 8t s94r 4t &IY Submittal:Fee $ 'p0 Permit :Fee $ � CCF $. lYotary$ °®° Technology Feet scanning' Radon $ DPBR:$ Zoning ®� Bond$ Code: Enforcement $ Double Fee $ Structural Review. S Total Fee Now Due. $ c94LS'M See Reverse, side a #Onftg G=pan�me (if applicable) N/A _. Bonding Company's Address City 9M, Moirtgage Lender's Name (if applicable) Mortgage Lender's Ad4rest City Stag 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 issnaxtce of a permit and that all work, will be performed to meet the standards of all laws regulating, constwotton in this fitisdiction. I wxderstand that a separate penuit must be secured for ELECTRICAL, WORD, PLUMING. Si ON S WELLS,POOLS, FURNACE$, BOILEI ,,HEATERS, TANKS and AIR 66 ETc .... C43MMC NT." Notice to Applicww As a cenM n to the issuance of a buili ft permit with an estimated vak e;excee&ng $2500, Fine applicant must promise in grxad fads dal a : pY of.the:.notice of commencement and coastruc ion lien law brachure will be de %eyed to tie person whose propony is, i0ject to qaachmmt Afsa, a oertfiod copy of the recorded nonce of commencement, must be posted at the job site fiir du first #tJt; p non. which occurs seven (7} d#ys air the building perririt is i ed In Me ab ence ch .pvsted notice, inspection willnotbe approved and ea r omechonfee will be charged 711 / l Owner. or Agent ( SUSAN NORIEGA ) Contractor ( GARY BERNHARDT ) The regoitig wment was acknowledgedbefore me this l l The foregoing instrument eras acknowledged before me this day of Ai T('T , 20,09 _,by SHAHRIAR BAHMANI , who- isspersonal1yknown to me or who has produced DRIVER LICENSE As identification and who did:take aft oath. NOTARY PUBUC' Sign: pmt MARTHA ROSA My Commission: Expire e,ft APPLICATION APPROVED BY: (lteviad 07/10/07) day of 1. 20 by who is personally known to me or who has produced as identification and whr*diAtake an oath. NOTARY PURL11Ct.:.. • 6 J/ . 069"669 Sign. Print: 6666 6666.. •• • 696699 •69666 I�MifFA1�SAQOt�lJAl2;• ` l*J 't 0 6 .. . 9 66 9 9 91 Examiner Engineer Zoning NOMEOPMM MIEN CEMENT illmilinful A RMWED coFqMusr 9e0o&rEbdN Yne ids trm AT Ttmg,,op: :7M 2009RO603i42 Bk 26984 Ps 0488! Qpq) IECORDED 08119/2009 14:00:20 LIO NO. 11-3206 . RVEY RUVINP CLERK OF COURT T-AXY0 -013-5000 19AMI-DADE COUNTY'S FLORIDA MIST PAGE 'rHE � NDEIRSIGNI-M Mmeby. -dywnofice-that fmpr-ovements,will be made tuve#ajn pwi, prcperty, an, d lrva=Wanw Chapter 7-13-,.:Ronda.&aMes, tbefolloWing infemobon 4s providadin-this.Notte of Cormencement. 1'. taddrew. REML6CE WHIST-DOWS ( 3 AND DOOR, ( I) A. 0wrodtl narra A., Contradefunarne',and addr=ess: 0 7. 11 0 POr-W. ft withinthoOtO 00 dF-" Flon- a d sV-*to,0 by Owner tj WhOM rw -.0es car oft'r docuffients may be serried as NWO 'Adft6%.,- I*h- qlW",n-td hM-W,0vMe m4es!ghAtes the fdbWng person(s) to reoeive a popy &RnMhoi-s Mite as p?MMM :so**: Ao 0•0•• 0 :see:* 0 •00• • :so** -0 0 sees so@*:* N/A @&&So 0 0000 kO- iA sees P-Mlia,M4 b*# MARTHA ROSA GONZALEZ 09 TOMMO" Of Addy 21681 SW 98 TH PL, CUTLER BAYFLQMDATS�1:90 . . ...... . .. .... ..... . .. - -- .... .... ... . . .. . ........ . ..... ... ... .... . . . ....... p 0-i , Xo3 �- 0034we -C� . Mr. NMAWA+: 9_C6 G� 5i,�er�f' e ?.arm )I%r ,`t�►r fir. 'g Yak �\ ; .5 d e'e CAAA O-C14Ak OA ,� • • .... . ..... d�JtJ�Q .. . .... • ...... . . �y}.... • ` { ( . T.d o98 -8b,- 088 -T386+ s -44`;s -ja eGb =ZT so 8o TIC Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/17/2005 Applicant: SHAHRIAR Owner: BAHMANI JOB ADDRESS: 360 NE 103 Building Permit Permit Number: BP2005 -889 BAHMANI SHAHRIAR ST Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE Local Phone: 305 - 751 -0382 Parcel # 1132060135000 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & E1/2 OF LOT 6 BLK 37 LOT SIZE Fees: Description Amount FEE2005 -8415 Building Fee $350.00 Total Fees: ' FEE2005 -8416 CCF $8.40 FEE2005 -8417 Training and Education Fee $2.80 Total Receipts: $0.00 FEE2005 -8418 Technology Fee $8,80 FEE2005 -8419 Scanning Fee $3.00 FEE2005 -8420 Submittal Fee ($50.00) Total Fees: $323.00 Permit Status: APPROVED Permit Expiration: 12/10/2005 Construction Value: $13,500.00 Work: TEAR OFF OLD ROOF TO WOOD DECK, REPLACE ROTTED WOOD, TIN CAP 30 LB ASTM FELT, INSTALL GALVANIZED EAVE AP JUN 3 0 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit, 1 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 responisibiitty for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 4 Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 Permit No. 8� Job Name_ jyj,4t�j BUILDING CRITIQUE SHEET v 5111 AL. ni, CgLWT'i BUILDING DEPARTMENT IOOSO N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE: (305) 795 -2204 FAX: (305) 7s6 -8972 INFORMATION FOR ROOF • Application • 2 copies Appendix F • 2 copies Appendix E • 2 copies Product Control Approval • 2 copies Polyfoam Adhesive • A $50.00 submittal fee when applying for permit • NOC when picking up permit :a 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 oar wM 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: _ 1 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 architecturaf appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building C e. (,The roof deck is usuaffy concealed prior to removing the existing roof system). 3. Common Roofs: Cv msnon voofs are those which have no visible delineation betvreen neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner x notify the D=Wnts of adoc..ent units of rmfmg work to be ,pwfn�. 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 op ' n of maintaining this appearance. 'g. Ponc3ing Water: The current roof system andtor deck of the building may not drain wen and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may maq,)ye the review of a professma1 structural engineer: Ponding may shorter, ft hfe expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original K utg system is removed. Ponding conditkms 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. Perimetededge 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. P. Ventifation: Most roof structures should have some abiffty to vent natural airflow through the interior of e structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be benefidal to 99 idw add io iA venting which can ves& in extending ft service Me of the roof. to ® 0,F,- 1 03 Waei- Property Address l 03 Date Contractor's Signature Permit Number Rev: 912012005, Computer Services, Building Department http://www.miamidade.gov/bldg/roofmg_permifing/section—d-3.html High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section D (Steep Sloped Roof System) Roof System Manufacturer. Isanta Fe Tile Corporation Notice of Acceptance Number: 00- 1212.06 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P 1: F-45 P 2:F-95.1 P 3• -95.1 Maximum Design Wind Pressures, (From the PCA Specific system): F 1.9 Sloped System Description Roof Slope: 2 1 /2 Roof Mean Height: 13 Ridge Ventilation: N/A Method of Tile Attachment: Adhesive, Large Paddy Polyfoam Polypro Alternate Tile Attachment Method: NIA Clip SPacina for Metal Roof Panels Field: N/A Perimeters: N/A Comers: N/A Perimeter Width: N/A Page 4 Deck Type: 1" x 6" T & Alternate Deck Type: NIA Underia anent b": 301b. ASTM D -226 Insulation/Fire Barrier Board: NIA O tional Nailable Substrate: NIA Fasteners: 1 1/4" R/S nails Cap Sheet Type/Adhesive 901b. ASTM felt/ TypejWgsphalt Roof Covering-, Spanish S Clay Tile Roof Covering Attachment Method: Polyfoam adhesive setting Drip Edge Size & Gauge; 3" face 26 ga. Drip Edge Material Type: Galvinized Metal Drip Edge Fastener T ype: 1 1/4" R/S nails Hook Strip /Cleat ga. or weight:, N/A 1 of 1 2/22/2005 3:43 PM hup:// www. miamidade. gov/bldg/roofing_permifing/section-e-3.htin High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section E (Tile Calculations) For Moment based tile systems, chose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each aea of the roof, then the tile attachment method Is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P 1: -45 x A 13.31 - Mg: 5.90 = Mr1: 7.47 NOA Mf: 61.9 P 2: -95.1 x A 28.24 - Mg: 5.90 = Mr1: 22.34 NOA Mf: 61.9 P 3: -95.1 x A 28.24 - Mg: 5.90 = Mr1: 22.34 NOA Mf: 61.9* Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: F_ NOA Mf: Mr Required Moment Resistance* Mean Roof Height in Feet Roof Slope 2:12 3:12 4:12 5:12 6:12 7:12 15' 20' 25' 30' 40' I 1 1 1 J 34.4 36.5 38.2 39.7 42.2 32.2 34.4 36.0 37.4 39.8 30.4 32.2 33.8 35.1 37.3 28.4 30.1 31.6 32.8 34.9 26.4 28.0 29.4 30.5 32.4 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 2/22/2005 3 :45 PM MIAM DADE COUNTY, FLORIDA METRO -DARE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL NOTICE OF A CCEPTANCE (305) s�i9' 1 F°AX (A 0533702%6 Santa Fe Tile Corporation 10302 N.W. South River Drive Bay 16 �NTRACTOR LICENSING SECTION Medley ,FL 33178 ' y (305 375-2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT DWWON (305) 375.2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION Your application for Notice of Acceptance (NOA) of (305) 375-29M FAX (305) 372 -6339 Spanish "S" Clay Tile 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 OfEce (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. //Z/ ACCEPTANCE N0.: 0-12 2. 6 loe A 0 F"E ES: 02/ 1/2006 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET. SEE ALIDITTONAL PAGES FOR SPECMC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COIVIlYIITTEE 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: 0 /2001 1 \04500011pc200011tempLUWnodce a=pwm cov. pgadot AV(- �-i" Francisco L Quintana, R.A. Director Miami -Dade County . Building Code Compliance Office Internet mail address: postmaster @buildingcodeonline.com Homepage: http : / /www.buildingcodconUne.com SANT WE TILE CO pORATION ACCEPTANCE No.: 00 -1_21_ 2_06 ROOFING ASSEMBLY APPROVAL Cat — on . Roofing Approval Date: February 1.2001 Sub- Cate�ory 07320 Roofing Tiles Mat_als Clay Roof Tiles ry Expiration Date: Februa 1.2006 Deck e; Wood 1• SCOPE This renews a roofing system using Santa Fe "Santafe S. clay roofing tile, manufactured by Santaf0 Tile Corporation described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For locations where the design pressure requirements, as determined by applicable building code, does not exceed the design Pressure values obtain by calculations in compliance with RAS 127 using the values listed in herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured bj Test licant Product A201-cant Dimensions Specifications Descrintion Santaf6 `S, Clay 1 =18" PA 112 One piece high profile clay roof tile Roof Tile w =11.5" %z' thick equipped with two nail holes. For nail-on,. mortar set and adhesive set applications. Trim Pieces 1= varies PA 112 Accessory trim, clay roof pieces for use at w = varies hips, rakes, ridges and valley terminations. varying Manufactured for each tile profile. thickness 2.1 COMPONENTS OR PRODUCTS MANUFACTURED BY OTHERS Product Test Product ime aio SQecif cations Descriptin Manufacturer Tile Screws #8 x 2 - %a" long PA 114 Stainless Steel 0.130" shank dia. Appendix E generic 0.178 flute dia. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to Perform quarterly test in accordance with PA 112 submitted to the Building Code Compliance Offs shall be uloaga, RRC 2 Roofing Product Control Eicaminer SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212,06 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.1.2 Data For Attachment Calculations Table 1: Aerod namic Multi ! ers— ft Tile � (f e) -% (� ) Profile Batten Application Direct Deck Santafe 'S' 0.274 0297 Table 2: Restorin Moments due to Gravity - M ft-!b Tile 2 ".12" 3 11•12" 4".12" r� ".12" 6 "•12" 7 ":12" or Profile ' Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.32 5.29 1 5.03 1 N/A s: Ariacnment Resistance Expressed as a Moment- Mf (ft -lbf) For Nall -On Sys m Profile Tile Two Nails Screw Two Screws One Screw Two Screws Application PS-antafe S Direct Deck 21.8 w/ clip w/ clip P29.16'— 38.28 57.31 57.60 Battens 61.77 1. Approved smvws as noted 'Product manuWftwedby others'. Table 4: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Mortar or Adhesive Set Systems Tile 'Tile Attachment Profile Application Resistance Santafe 'S' R....a.,- C%-4 I -_ - rank Zuloaga, RRC Roofing Product Control Examiner 3 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00-1, 212.06 5. LABELING 1.1 All tiles shall bear the imprint or identifiable marking of the manufacpuer's name or logo, or following statement: "Miami -Dade County product Control Approved". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6. 1.1 This Notice of Acceptance, 6.1.2 Any other docw mft required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. PROFILE DRAwiNG SA "t "SAnAFE S" CLAY ROOF TILE Frank Zuloaga, RRC Roofing Product Control Exmgner 4 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufac, the following statement: "Miami Dade County Product Control Approved ", c turer's name city, state , and as specifically stated in the specific conditions of this Acceptance. Or 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally Prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be Muse for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. I The Notice of Acceptance number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be Provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 5 END OF THIS ACCEPTANCE Frank Zuloaga, RRC Roofing Product Control Examiner MAW ADE a! ._. DARE COUNTY, FLORIDA FLAGLER BUILDING ® CODE COMPLIANCE OFFICE Y ° O-DADE FLAGLER BUILDING FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130.1563 PRODUCT CONTROL NO' TAN . , (305) 375 -2901 FAX (305) 375 -2908 Polyfoam Products, Inc.' CONTRACTOR LICENSING SECTION 2400 Spring- Stuebner Road `', �A � �> (305) 375-2527 FAX (305) 3754558 Spring ,TX 77383 -1132 CONTRACTOR ENFORCEMENTDIUSION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DTJISION Your application for Notice of Acceptance (NOA) of* (305) 375 -2902 FAX (305) 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 materiel 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 COVERSHEET, SEE ADDMONAL PAGES FOR SPECIFIC AND GENERAL BUILDING CODE & PRODUCT REVIEW COMNII'I°l!?EE This application for Product Approval has been reviewed by the BCCO and approved by the Building Cods and Product Review Committee to be used in Miami Dade County, Florida. under the conditions set forth above. APPROVED: 06/14/2001 • • • • • • • • •• • Francisco 1. Quintana, P.A. Director Miami -Dade County Building Code Compliance Office \ 1�450�11pc2000 1kempiafleslnoUepnce c�ve�pa�e,dpT. • • • Internet mail address: posim%ste b 1d. od;onia'�neuea�m Homepage: http : #www.buildingeodeoniine.com Polyfoam Products, Inc. ROOFING ASSEMBLY APPROVAL Cate -ory: Roofing Sub- Catrorg. Roof Tile Adhesive Materials: Polyurethane ACCEPTANCE No.: 014521.02 Approval Date: June 14, 2001 Ern -Date: Mai 10,2 1. SCOPE This approves Polypro® AR160 as manufactured by Polyfoam 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 RAS 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 Mane by Test Product Apulicant Dimensions Specifications Description Polypro® AH160 N/A PA 101 Two component polyurethane Foampro® RTF1000 N/A Dispensing Equipment ProPack® 30 & 100 NIA Dispensing Equipment 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list uplift resistance values with the use of Polypro AH160 roof tale adhesive. 2.2 Typical Physical Properties: Prop 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 Results 1.6 IbsJft 3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFt2 3.1 Perm [Inch +0.07% Volume Change @ -400 F., 2 weeks +6.0% Volume Chan e o 0 Humidity, 2 weeks Frank Zuloaga, RRC Product Control Examiner .... .. . ... ..... .. . . .. . ••• a ••• • •• • ••• • • • • ••• • • • ••• .2 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Results 1.6 IbsJft 3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFt2 3.1 Perm [Inch +0.07% Volume Change @ -400 F., 2 weeks +6.0% Volume Chan e o 0 Humidity, 2 weeks Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. 3. LEWTATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use ofPolypro® AH160 roof tile adhesive with their file 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 file assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. rE2� F'= MS 4. INSTALLATION 4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of PolyproO AH160. 4.2 Polypro® AH160 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 ofPolypro(D AH160 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 43 Polyprog) AH160 roof the adhesive and its components shall 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 approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foamprog 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 ®,.cif 61 Foampro RTF1000 or ProPaca 30 & 100 dispensing bquiftlidnt oAl�::': •. _ 4.7 Polypro ®•AHf 96 shall not be exposed permanently to s •�''� ..... .. . . .... • • • • • • • • • Frank Zuloaga, RRC Product Control Examiner . ... 3 • . ..... . . . . . .... . . . .. .. PoIvfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 4.9 Polypro® AH160 placement and minimum patty weight shall be in accordance with the 'Placement Details'hereim Each generic the -proflarequires_ the -spjcific placement_ - -- - noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile TileProfile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (gram) F19 Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34/ an N/A Flat, Low Mo Profiles #2 24 N/A Flat Low Profiles 1 #3 g 5. LABELING All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIRREAJ ENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. .. 00 .. 0 0 • • • • . .. • ... . .0 �4 V.. Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 1 E66txuase _ E8Y8CI0g@B Wtos=,W of Un flIBB. EBS n Men MAvwCB1M ftw iuBh eteaveoe. Em akon •• ••• • • • • • •• • •• • • • • ••• • • • • ••• • • • • • • • • • • • • • •• • • • •• • • •• • • ... . ... . .10 0. ... . ... .... . . 5 . .. . .. . .. . . .. .. . . . •• .. ... . . . ... . . OOMW edgesattlle / r Frank Zuloaga, RRC Product Control Examiner C Polyfosm Products. Inc. trial! b plastic cement Underlayment 1 7 In. �i z hL EM QWw =: 0 ACCEPTANCE No.: 01- 0521.02 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY 1 pfrTDal UndetlaymeM 7lft 11L a . ... ... ... . .. ... .. . .... .... .. . .... • •• • • • •• • • •• • • ••• • ••• • •• • ... . . . . ••• . • L . ... .. . .. . . .. • • . • . .. .. ... . . . .... . Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ADHESIVE PLACEMENT DETAIL .3 DOUBLE PATTY Nail through plastic ant pay Nail through pbudc cement Single paddy under too ° (between tile) undadaq►aerg Single paddy kitween tqe ° (under tile) ° 2 ir 17 In. medium she pe ' nurse only only Paddy =in. x 3 In. 3 in undertHe ogle lexpaddy an 2 in. 4 in. Sim 4 in. 2 ht�� umler• puldlyan laymerd ° urodar• Eeve moerse Single paddy on top of tge Fascia an to p e 1 ht X7 ht, medium EM Wye Eays ciasure Faso sm Ddp e* Nall through plastic cement 3 ILL 3 in. 4 pa an�undah ment /-2 Single paddy on top of dIe EevaCovrse .. ... . . . . . .. . .. . . . . . .. .• • • . . •.. 00 000 00 0 0 of 000 . . . ..• . . . . . . . . . . . . . . ..... .. . . .. . . • ... . ... • . . .. . 00 . ... • • • • .•• • • 7 . .. •. 000 . • • 0 . file Single paddy between the 2�j,/� EereCl�ue 2 hw x 7 in. median F paddy eave cams. only Frank Zuloaga, RRC Product Control ExaminPr- Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 1. Renewal of this Acceptance (approval) shall be considered af= a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. - -Any and an approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. Renewals of Acceptance will not be considered if a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product ( identical) as the one originally approved. C. If the Acceptance holder has not complied with all the requimments 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 shad automatically be cause for termination of this Acceptance, unless prior written . approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. Fail= 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 1 through 8. END OF THIS ACCEPTANCE . • ... . . . • • .. .... . . ......... •. . .. ... .. . .... • • • • • • ... •• . ..... . .. . . •• •• • • • •• •• ... . • • 000 • • Frank Zuloaga, RRC Product Control Examiner ` Polyfoam Products Inc. ACCEPTANCE No.: 01- 0521.02 NOTICE OF ACCEPTANCE: EVIDENCE SUBNIITTED (For File ONEY. Not part of NOA), A. DRAWINGS: NONE B. TESTS: Test Agency Test identifier Test Name/Reuort Date Center for Applied #94 -060 Miami Dade Protocol PA 101 04108/94 Engineering Center for Applied Engineering 257818 -I2A Miami Dade Protocol PA 101 12/16/96 Center for Applied 25- 7438 -3 SSTD 11 -93 10/25/95 Engineering 25- 7438 -4 Center for Applied Engineering 25- 7438 -7 SSTD 11 -93 11/02/95 Center for Applied Engineering 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Raratech.Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 Southwest Research Institute 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 PA 114 03/14/96 Celotex Corp. Testing 528454 -2 -1 Miami Dade Protocol PA 101 10/23/98 Services 528454 -9 -1 528454 -10 -1 Celotex Corp. Testing 520109 -1 Miami Dade Protocol PA 101 12/28/98 Services 520109 -2 520109 -3 520109 -6 520109 -7 Celotex Corp. Testing. ':645201094-l" •: $2Q19I ••• Miami Dade Protocol �" Ci219 Services "' • • • • • • • • • • • • • ..... .. . . ... . Frank Zuloaga, RRC • • • • • • • • Product Control Examiner .... ....... .E -1 . ..... . •• . ... •• 11.0 . .. .. Polvfoam Products Inc ACCEPTANCE No.: 01- 0521.02 NOTICE OF ACCEPTANCE: EVIDENCE SUBNI=D (For File ONLY. Not part of NDA.) C. CALCULATIONS: Walker Engineering, Inc., Evaluation of Tests. Dated 04/07/99 D. MATERIAL CERTIFICATIONS: NONE E. STATEMENTS: NONE ....... . .. .. . ......... . .. ... .. . .... .... . E -2 . ..... . ... . . V •• . • . .. .. ... . .... . Frank Zuloaga, RRC Product Control Examiner 554 LYDIAN .ELECTRICAL SYMBOLS uartdo ounen iPEwo rltt "� semi wnt[Ta rmtl8 6a elmmwv Ilmrt Tml ernar.yao0c ap�ulsr r9X-� m�0imm"�vuia"10�sw°tl1o�umem°� -paam,re am-m m ac a -,-a m mm. 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Q U J Z Lj to a � � F 00000015 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statemeit of the plans and specifications herewith submitted for the build- ing another structare herein described. This appUcation is made in compliance and conformity with the Build Ordinance of Miami Shares Vfllage, Florida, and all prrnhsions of the Laws of the Stare of Florida alI ordinances of Miami Shores Village and all rules and r alas and raBtions n �be ke t at bildinh durtnillage shall be complied wish, whether herein specified or not. A copy of approved p1 specifi p g g progress of the work. Date............ D�gEemt�. e� .......1�.,.. ».......... »..... Owner's Name and Address....diale _H....- Saut�li rA...._... ».... ............ .». No....3.91._N_.1C itreet--»-1Q3 x'd... St.:........ RegisteredArchitect and/or Engineer ...... .. ....... » ................ -^-- ........ .....................................................................»......... ._............................. Nameand address of licensed contractor- .•._- Salf »_-- -_ » - -- ... ...... _ ........................ »...._. ».» ....-» ................. ..................... ..... ».......... Location and legal description of lot to be built on: Block...... 131 . ............ ..» Subdivision ........ HiSM . - -- Shams-_S ectiOn-5-..». ...-...........-.....- ....._... Street and Number where work is to be State work to be done and purpose of building (by fkrora).. _ CO2tC'>'ate Patio g] ypi� C811 ..=Crete. pis Orm...1}. ... ft.«- •- b-Y.. fl ft., �;an� rate -�al� .30• �r�hee- �#�e __a�ld.._._ .. » -. .4 "10: faAt 3.x1 le><igth- .- tnirming- .tmom.. tanna...g8te- -to pat30 .._-.....--.-_. -_----.._and for no other purpose. New Building - _.-. ».»........ _ Remodeling ..... . ............ _.. Addition.- A ........... _..... Repairs ............... . --. ..... » No. of Stories ...... ...... - ........... To be constructed of. Q=rat.S Kind of foundation..__.._ C4?AS ' f'r8 ».... »..» ._.....__. ». Roof Covering ... _ ....... .T ................... ..._.. »... Estimated Total cost of improvements of Permit $......... »..»» ... .. » .... ............ __......... Zone cubage required......». .»- ..»_»» .»_--.--- ._- ._.--. ...---_-Plan Cubage._. » »P..&u0_ .2. _ � .. -by .. 6...it.•� Distance to next nearest building ._.,toi ring - -. -_- _._size of Building Lot.—.-MO- _U5_f e e t._. ...... ..... 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». Dale Hi* Southard . 351_N.E. 103rd _St.» 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 5M. Compiled General Laws of Florida, Permanent Supplement, and has complied with the previsions thereof, and will require similar compliance f all contractors or sub- contract s employed by him in the work to be performed under this permit; and will post or cause to be pos r on on the site of ubl, notice or notices as are required by tk.e Act. The undersigned agrees to employ only ch ntractors, on war performe underNhis permit, as are licensed by Miami Shores Village. Remarks _ __ _ »»»»» . _ . ( Sign STATE OF FLORIDA, ! Dale H. Southard COUNTY OF DADE. t 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, beGg by me first duly sworn, upon oath deposes and says that he is the . ............... .....».....»....»-.........._..-..» .......- .............._........ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. _--_-. Date --/ �� ..aL� .. Read, Sworn to and Subscribed before me. Disapproved » _» Dat ------- Notary Public, State of Florida ( Signed) _.. _--.--.._ ........ .......... _.. B ding Inspector My Commission Expires- ......_.__.. Member Member Council PLANNING BOARD»»..._.._..... ---__—__-DATE Chairman Member _. ». _......_ . _ . » Member Member 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 91.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI S430 HORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Bu' ding Inspection Request Date 1 Type Insp'n I 053 1 ' Permit No. JtS �CJ� Name Address SGO NE S+ Company l l+ Phone # Inspection Date 2- Approved L) 01j` Correction ❑ Re- Insp'n Fee ❑ rr U.S. SOUTH Project No 6553 Engineerin g & 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 COMPILANCE PROTOCOL TAS 106 -------------------------------------------------------------------------------------------------------------- SITE SPECIFIC INFORMATION Owner's Name: Job Address: — Roofing Contractor: Type of Tile: r !,Ma( °f Approximate Roof Height: --1 L feet Type of Access to Roof: Scaffolds V11, Ladder Approximate Square Footage of Roof- S 7 ° ® ft2 Required T 'n Force: 351 bs. Testing Equipment: Chatillion100 Date Tested '7-4)r'', l TEST RESULTS P = PASS, F = FAIL Permit # 5 t ®-5-° b Ilgi . Date Installed:— ®- t z -21- Roof Pitch: 5 p ` -7- Other Test Locdm Uplift Pup Test(P or F) Test Location Uplift Pup Test(P or H Test Locdon Uplift Pull Tap or F) Test Location Uplift Pull Test(P or H 1 26 27 51 52 76 77 2 v 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 6 56 83 9 34 59 84 10 35 60 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 46 71 96 47 72 97 M23 48 73 98 24 49 74 99 50 75 100 -------------------------------------------------------------------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROUEST. THIS REKAZALIBMITTED P.E. J / Lab CertiticaUon # 98- 0608.04 State of FL Certificate Authorization # 4100 �/ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date '1 k ° Type Insp'n Permit No. ^r \ z `ts Name Address/ Company Phone #� Inspection Date IZ�, 0S s Appr Correction Re -Insp' n Fee ❑ 4 _ -% Sketch of Roof lm- I i Job 32&Q O E 103, SIM Sheet Number of contractor — w�tw�t iFr t ►9 G. Checked By Scale Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair Q'I-Y. A/C Central 1 -3 Ton A/C WaWWin. Tons Fan Outlet, Wall Ventilation, Cost Service, Temporary Ductwork, Cost of A/C Central 4 -7 Ton Periodic Inspections Fire Pump Outlet, Switch Process/Pressure Piping Signs Bath Fan - Vented, # A/C Central 8 -15 Ton Pressure Vessel Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Gas - Appliance Spas/Hot Tubs Pump, Domestic A/C Central 20+ Ton Supply, AC Well Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Catch Basin Swim Pool, Commercial Gas - Propane Air Conditioners Pump, Re- circulate Garbage Disposal RangelRange Top Swim Pool, Residential Chiller Generators, etc. Receptacles Urinal Switchboards Dental Chair Clear Violations Grease Trap Heat Recovery Refrigerator, Comm. (p(PH) Temp Serv, Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Vacuum Pump Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Closet Dishwasher Low -volt, Television Service, Number of Amps Water Heater MECHANICAL Minimum Fee Condensate Drain Generator Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaWWin. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE QTY. A/C Condensate TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture Q IN. TYPE Soakage Pit " Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Re air Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY DATE: $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon Code EnforcemAnt Fine Zoning Review $ (/ $� $ (sq.ft. = x/1000 x 0.60) $ (¢.005 / sq.ft.) BY DATE Page 4 Electrical PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS / DERM APPROVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic / Sewer) multi- family) Z o " ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify & Attach) PERMIT FEES (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon Code EnforcemAnt Fine Zoning Review $ (/ $� $ (sq.ft. = x/1000 x 0.60) $ (¢.005 / sq.ft.) REVIEWED AND PREPARED BY: SECTION BY DATE r Electrical Mechanical REVIEWED AND PREPARED BY: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official Z o " (¢.01 /sq.ft.) TOTAL e,-5- 4 o DATE: t, Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305),795 -220 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com I Y \ X �` SNoRes Ig PERMIT APPLICATION Master Permit No. Subsidiary Permit No. INSTRUCTIONS - The following steps must be taken to-obtain a permit from the Miami Shores Village: F�oRtvp' Step 1. Complete the attached permit application which must be signed by the propeM owner and qualifier. Both signatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completean application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Folio Number &Description of Wor � Lot Block Subdivision PB PG oning Linear Feet Current Use of Property Square Feet Units Floors_ Proposed Use of Property /74­� %l /X)�alue of Work j.0 Q Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence ARCHITECT Name License No. Address Telephone Fax Ch g. Contractor Renewal Revision Extension PROPERTY OWNER Name • Address j 7, Home Telephone Business Telephone l �9 Fax I TYPE OF MANAGEMENT(./) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add' Detachment Other _ ENGINEER Name License No. Address Telephone Fax CONTRACTOR ,gyp Name Crn��•r^� License No. "5-1 -2— IS 4 Address Telephone') 1 j Faxes Qualifier Name . \O 1 a Page 2 PERMIT APPLICATION IMPORTANT 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the streettsidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. I WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 131 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE 9q FLORIDA, COUNTY OF IAMI -DADE ' 1 e er Print Name Swo to a d subscribed before me this day of k� S�ture of No ta> F �-z­SkkptR1 cpjdott kF-B COM SSION NUMREN SEAL: * Q Cc7B66 ,3) M 'f '0MMISMON EXPIRES OF F� n. STATE OF FL O IDA, COUNTY OF MI I -DADE gnature of Co actor /Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification t/ Personally known OR, Produced Identification Type of Identification Produced: ��1�� c��i --( 373 Type of Identification Produced: r-Ta 1 a /i h �°o. ° �_o � ✓� //' '' wank ��� ---�}— i I �AVt J ly f .�' �'° `.3 =�Gcu G. - � � j i YFC,.:r „ „: 3.a u�•: t i 1, 1 / C— _ Fl, i� �c i. �EG. �� e,; . a ' - ,: Ej t�"rl.{..sr.. C , —” _, a Ay;,w•,� ,,,�s�` ._ 4E i D Ez G-7- 7i x T iT ht �.— a C /A 11 4-cE - ___ __- - — .-.tee ..-._. - - .... - •_- •-- __ -••_. - .._ -.. .. e .....e....._.....u.�.- _...�.... _ �. ' s � ' ?a ; Y � � �, a �t ; � AYR �, :F S< �t .. `MODELS 83 84A 93 94 H83 H94 rn rn d .r co 1 co IIII W 50 0 02 ti7 x 8x 00 N END STILES ATTACHED TO DOOR SKIN WITH PATENTED TOG -L =LOC SYSTEM (TOP, BOTTOM, & CENTER) ONE INTERMEDIATE STILE BETWEEN EACH EMBOSS ATTACHED WITH TOG -L -LOC (TOP & BOTTOM) ACID URETHANE ADHESIVE (ALONG CENTER) r - A SEE ENO HINGE DETAIL- SEE INTERMED. HINGE DETAIL. TWO POINT LOCKING INTO TRACK PER SFBC 3603.2 5/8" MIN. ENGAGEMENT (OPPOSITE SIDES F DOOR) (SEE LOCK OPTIONS) LOCATION OF OPTIONAL' VENTS A ,&MAXIMUM VENT. OPENING: 60 IN' MAX. DOOR WIDTH : 9' -0' INSIDE ELEVATION END STILES ATTACHED TO DOOR SKIN WITH PATENTED TOG -L -LOC SYSTEM (TOP; BOTTOM, & CENTER) ONE INTERMEDIATE STILE BETWEEN EACH EMBOSS ATTACHED WITH TOG -L -LOC (TOP & BOTTOM) AND URETHANE ADHESIVE (ALONG CENTER) -- - —► A TABLE 1 SuDE BOLT DOOR NUMBER OF SlIL aK E" HEIGHT SECTIONS * TRACK. ONE 6'0" TO 7'0 4 LOCK ON EACH SIDE 7'6' TO 8'9- 5 OF DOOR. 6 INSIDE SLIDE BOLT 10'9' TO 12'0- 7 LOCK OPTION • SECTION ARE EITHER 18" OR 21" HIGH S w x gr 8 W 'X6• s z •xs•.X4 . w ao 'X3" wXT-- HORIZONTAL TRACK SUPPORT BY DOOR INSTALLER (TO SUIT) 13 GA. GALV. STEEL FLAG BRACKET. EACH FASTENED TO WOOD JAMB WITH (3) 5/16'x1 -5/8" WOOD LAG SCREW.. TRACK CONFIGURATION 2" GALV. STEEL TRACK, TRACK THICKNESS: .060' DOOR HEIGHT "L' BRACKET PLACEMENTS 93 H93 83 24 GA_ STEEL SKIN• 18 GA. STEEL ENO STILES 94 H94 Xt X2 X3 X4 XS X6 6'-6' 70 3 -1 2 10 35 60 - - 7 -0 76 3 -1 2 /0 38 66 - - -6 -1 1 a a_ - - 8 -0 88 3 -1 2 10 34 8 - - 1 2' 10' 34" 58' 82" - i 1 - -1 2 10 34 58- - 1 2' 10' 34 58 82'_ M136" " 4" ` ' -t 10' 34' 59' 82" 106" TYP. 2- 1/2'02 GA. GALV. STEEL TRACK BRACK ((4) TRACK BRACKETS PER SIDE ((UP TO 8' HIGF (5) TRACK BRACKETS PER SDE (UP TO 10' HIC (6 TRACK BRACKETS PER SIDE (UP TO 12' HIC END INTER. STILE STILE LOCK. BAP. OUTSIDE GUIDE. HANDLE LOCK BAR ENGAGES IN TRACK ON OUTSIDE KEYED LOCK EACH SIDE LOCK BAR LOCKING OF DC4P.. 2x6 WOOD JAMB 12 G& GALV. STEEL TRACK BRACKET FASTENED TO WOOD JAMB WITH ONE 5/16'x1 -5/8' WOOD LAG SCREW PER BRACKET. 2" GALV. STEEL TRACK -J FASTENED TO TRACK BRACKETS. EACH BRACKET ATTACHED WITH ONE 1/4'x5/8" BOLT & NUT OR TWO 1/4' RIVETS. ,IAMB CONFIGURAT1Qi J SNAP LATCH ENGAGES ONTO VERTICAL TRACK. ONE SNAP LATCH ON EACH SIDE OF DOOR. INTER. STILE / OUTSIDE END KEYED STILE HANDLE INSIDE HANDLE OUTSIDE KEYED LOCK SNAP LATCH LOCK OPTION WED s 11•sc Florida 3 I fL ^Inl Deuc 1•rrniuct C,fntrol �tti:tion 24 G0. MIN. G -40 MIN. GALV. STEEL TWO POINT LOCKING (MIN. YIELD STRENGTH: 28 KSI. INTO TRACK PER DRAWING (DUALITY) WITH PRIMER AND SFBC 3603.2 BAKED -ON POLYESTER PAINTED TOP COAT 5/8' MIN. ENGAGEMENT APPLIED TO BOTH SIDES OF STEEL. (OPPR SIDES (SEE LOCK OPTIONS) (4) 114x5/8 SHEET METAL SCREWS 0 '00 0 000 O (a) 1/4'x3/4" SELF TAPPING SCREWS O 14 GA. END HINGE 18 GA INTERMEDIATE HINGE STOP MOULDING BY DOOR INSTALLER (TO SUIT) - 20 GA. MIN. GALV. STEEL END STILE --,- 20 GA. GALV. STEEL INTER. STILE 2' THICK 12 GA. GALV. STEEL TOP ROLLER BRACKET. EACH BRACKET ATTACHED W /(4) 114x5/8' SHEET METAL SCREWS. SHIP LAP JOINTS. 14 GA. GALV. STEEL END HINGE. EACH FASTENED TO END STILES W /(4) 114x5/8' SHEET METAL SCREWS & (4) 1/4" SELF TAPPING SCREWS. 2 -1 /4'x20 GA. GALV. STEEL U -BAR. TWO U -BARS PER SECTION, EXCEPT 3RD SECTION WHICH HAS ONE U -BAR. U -BARS MADE FROM 80 KSI STEEL. EACH U -BAR ATTACHED W /(2) 1/4 "x3/4' SELF TAPPING SCREW PER STILE. 13 GA. GALV. STEEL BOTTOM BRACKET. ATTACHED W /(2) /144/8' SHEET METAL SCREWS. ALUMINUM EXTRUSION & VINYL WEATHERSTRIP. INSTALLER MODEL RETAIL MODEL I DESCRIPTION' 93 H93 83 24 GA_ STEEL SKIN• 18 GA. STEEL ENO STILES 94 H94 84A 4 0. T KIN- 18 GA. PAINTED STEEL N STILES •- ALL DOOR MODELS ARE RAISED PANEL EMdUSb 18 GA. GALV. STEEL INTER. HINGE FASTENED TO CENTER STILE W /(4) \ EACH 114x5/8' SHEET METAL SCREWS. 7/16' PUSHNUT INSTALLED ON ROLLER SHAFT FOR UNRESTRICTED DOOR OPERATION. 14 GA. GALV. STEEL END HINGE FASTENED TO END STILES W /(4) EACH #14x5/8' SHEET METAL SCREWS & (4) 1/4 'x3/4 . SELF TAPPING SCREWS. 2' STEEL ROLLER. NOTE: SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED BY A REGISTERED PROFESSIONAL ENGINEER FOR WIND LOADS SHOWN ON THIS DRAWING. DESIGN ENGINEER: MARK W. WESTERFIELD FLORIDA REGISTRATION No. 48495 MECHANICAL ENGINEERING THE 2x6 VERTICAL WOOD JAMBS ARE TO BE GRADE 2 OR BETTER YELLOW PINE. NO LOAD IS TRANSFERRED TO THE HORIZONTAL (TOP) JAMB. ALL JAMB FASTENERS MAY BE (BUT NOT REQUIRED) COUNTERSUNK TO PROVIDE A FLUSH MOUNTING SURFACE. 2x6 WOOD JAMB CAN BE ANCHORED TO GROUT REINFORCED BLOCK WALL OR CONCRETE COLUMN. BLOCK CELLS SHALL BE FILLED WITH CONCRETE AND REINFORCED WITH CONTINUOUS /5 BAR EXTENDING INTO THE FOOTING AND INTO TIE BEAMS. ANCHORS CAN BE 1/4'x1 -3/4' EMBED TAPCON CONCRETE ANCHORS STARTING AT NO MORE THAN 8" FROM BOTTOM AND 16' O.C.. DR WITH 3/8'x4' (1 -3/4" EMBED) RAWL LOK /BOLT ANCHOR STARTING AT NO MORE THAN 8" FROM BOTTOM AND 24' O.C. DESIGN LOADS: +42.0 PSF & —48.0 PSF. I- -X t' Nompony - 07/14,2005 11:07 3056515610 MR C SEPTIC DRAIN CO PAGE 05 fiTATZ Or IMMXIUL Priam SO, 4i am PAWS ONSITr SLVMZ '101l1b�' 21M nT�'� 71L 8Y9 FIX lRID: ' CANSTRUCTI08i IL18rEcwxo t' AND IFXML APPRtaVZL m==r: AFPLICA'11li LOT= C._ DiAMI Z_1- ouwsVITIaV: ,•��- ---•�+ -xg� , �" ' .. Id c cSn3a jxl xmws ans gar IN cOWWANC8 MW VVII OR Imw am MU W as C011212C23D. INSI1T T.1VION ' TAm Slos [1 #i [2] [ i 694MACM (27] acs Kr 14 ..._ — rah [ # [oil ^E/ [ l 1021 um ML9g16RIAL e, -42= ,aa "T,- [ l 12sl n=om i''r [ 1 1031 � =VICE x- I I 9291 � f � i 1 1041 Ste= -cam [cVJ x l [ l 1301 r IC MELIA � rs [ I to3] 0uMM 111=R �;�(,. r [ ] [31] ITRSaMGK WIff S bi! 14, pr I 1 (06] L==w , '' — [ ] [33] POD 1/i'!ES, LIMBS Ic..____ PR [ l 107 ] ,& .Y =M=2I4 r I # [331 WIIAI ►isI031 r ye^ �'i �^;_ i 1 fool Lamm [ ] [341 PWWAWY LIMBO FT +1 t l 1081 DOM s0 LID [ ] 1363 0% 6 FT DVA11 'I= IUST J►1'IQIf rILLSp J Szsl'sM [ # 1101 ARIA [ 11 I3 i l [fir►] rites'- - �° t l 1.111 DzSMUX"'U N TOW 20i a -JISAV= [.•] 1.3►T 3 MOM [ 1 1121 or saw 01-/ [ # [3 81 sLW= t I [ 131 vvAnM=x IWARiIMOW [ # 1391 rJaslushwX001 C ] [ 141 ORLIME z2 SuWs f ] [ 181 nunm or c0v= A3WIM01= [ l t 16 ] ZLNVAWON [A84v'RJ ] RM [ l [ 401 IM 912IMPIP Mi A [ 3 [ 1'71 no= zac"Im [ l 14:11 =NO" [ ] 1183 Doslua P [ i [431 A#'.i1RNS [ l 1101 AGOVAGM SIX2 ` -<' / ; • [ l [43 1 Air I 1 I zo l - AawbKL 'R RxCU91W r DDS 1 I ] [ 441 1431 so =Iw DM LiOw =xm cow W128 SITS Pxa �r __ [ ] 1211 ,11GGREGEM 4 �" i l 1461 YX=L Sin +DIM rsLt. / NXCAVATZGN ULUMIAL I 3 1471 C C —, [ ] 1221 rus. a [ail omm [ 1 [23] FIL'L. UZZURE [ l [281 S1CavaTXO0 ng"M ;'8] -.. " F LI� [ [ 1351 ARTS tRmo► t 1 { EM CUMMM a rzzz D 4 ) C 1 f 36 l RZPXACNOM Kati [ 1 [Sol _,.,_J anion 01► vY0Y:11TI�8 / RAT: -�� �j' I F [ Coi'1`S: F'I3�' . �Xf a[]Ir�DIC19 ®l i�•"rz:y,�..�yf� { f- _ •• ."'; � �-.• Cm vazss DR 4016, 1OJ37 (Fawtous idi'l "" MAT 20 VA ") Page- Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/23/2005 Applicant: SHAHRIAR Owner: BAHMANI JOB ADDRESS: 360 NE 103 Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Plumbing Permit Permit Number: PL2005 -155 ItWMWI WN SHAHRIAR ST Contractor's Address: P O BOX 693239 Page 1 of 1 Parcel # 1132060135000 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & E1/2 OF LOT 6 BLK 37 LOT SIZE Fees: Description Amount FEE2005 -6273 Building Fee $175.00 FEE2005 -6274 CCF $1.80 FEE2005 -6275 Notary Fee $5.00 FEE2005 -6276 Technology Fee $4.37 FEE2005 -6277 Scanning Fee $3.00 FEE2005 -6279 Builders Bond $300.00 Total Fees: $489.17 Permit Status: APPLIED Permit Expiration: 11/13/2005 Construction Value: Work: Drainfield repair Signed: (INSPECTOR) Total Fees: $489.17 Total Receipts: $489.17 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance wfth 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 1 assume responisibillty for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Z t Oq ap MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date -7 1 DI Type Insp'n TF Laoc i I Permit Noa'` (-)5 — 1 55 Name 560VAN I Address M i�i� to Company ► ' I Y �' 1 Phone # Inspection Date 21 �P Approved Correction ❑ Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/23/2005 Applicant: SHAHRIAR Owner: BAHMANI JOB ADDRESS: 360 NE 103 Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Parcel # 1132060135000 Plumbing Permit Permit Number: PL2005 -155 Page 1 of 1 BAHMANI SHAHRIAR ST Contractor's Address: P O BOX 693239 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & E1/2 OF LOT 6 BLK 37 LOT SIZE Fees: Description Amount FEE2005 -6273 Building Fee $175.00 Total Fees: $489.17 FEE2005 -6274 CCF $1.80 Total Receipts: $489.17 FEE2005 -6275 Notary Fee $5.00 FEE2005 -6276 Technology Fee $4.37 FEE2005 -6277 Scanning Fee $3.00 FEE2005 -6279 Builders Bond $300.00 Total Fees: $489.17 Permit Status: APPLIED Permit Expiration: 11/13/2005 Construction Value: Work: Drainfield repair Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: ti MIAMI SHORES VILLAGE e "n BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ' 1 i ,a Type Insp'n Fp ( . r d L-c 4 c ,( y�g Permit No. Name Address OF— 1 )" Company Phone # Inspection Date 7 �l Approved Correction [� Re- Insp'n Fee STATE OF FLORIDA r DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION P:. g >� wa Perms Action r c .77 7777. ----- --------- --- - -- PARTII -SITE PLAN-------------- s�--- - - - - -- kale: Each bk)cc represents 5 f araf 1 Itch - 50 fee# T77 T i„i °�»-Q Ji _...,_,_..e__S._ 1 ) i S b S f i 1 5 , .... ��;,,;v,•,ww�..'"h `36 � 4 e 4 EE f '-.•- ' �f ! - I t L F i 1 -.¢p. t ik r- f s -fir° bra. f a � t { � �---t '?x 't'+"�t- +�'',nf•. =.m..,� .;,.,y . 1, >.�.,.al..,,..�-- b.,�in..jod�W" °>F' t^3a'�:3 ".-y -� f��+•s• r-- q'- �'�§"a' ,--"Y +.. y —t'• 3 - V f _ - y £ - 2 .{ ..-.. 5 { •�'' Y-. L - 7 t i f �... i .<-.,• •,..,7{., t a q --� { J •.t -�-j . � t �_ ..�..�. :{ ,' 4 � .p.. }.. 3 i,..t,.. y 2 - V c.N.,P ,^b� $""� ¢°'�,ea�.sv'F""'^'` -YT �., ,.. +✓ m .�w•3++•w• �- .a�i, -. ...� 9' k .�.: ^'3` 9 •'-^'i -"' . a i _ 3 S a F0_. I .. 4 : 111 Y --^•.. .y4 _�• a _._ Y .•�. -..J -- I. .�_� 3 1 "s` "3.'"1 -5 5 .-# . ....�_ ,. I yi _.i. g . ,. i. " -�. t �. � z �� '�`-d° ` �,# e• ! a t } s e - E t -' -i i E 2 g�}_ +t ►{ f o s t i .¢ I i f ". s._ - ..�- 1:_: ..,{ .1_ 1t S f..- 4i..:., fy.r� -r $, • .... -ff - °.4 ,�.� S _..J,.,,aa- ti,.�,"". y V .,r..•w t'a.ss.A,�..:..., e.1+..,.o,•, -A.-( .i�.< �..e.». le®. t„ - .,...,,...wee, , , . .. _.. ..•,.,,.� : >..n.�.ya:.� .,•.�,�.� ..e- t.- �+,. -- "° 4OteS• ! j ' 6? (+y is a a f t •i a sdi i�a 4. f • d " .1 / t" ( 6f T -�• 3 :''� {s''' ';- y ,_ _ /� _ - .. �'j E... „,..qaR.. ! �� P d"' ' a. 3 P 1 �'' � �" A �•!� 1 ' aQ"'-> � 6' [+ � P.� � i S ,ray L 3itee I'lart SUbriii#t@c'! ........__.... • _ w �.._...__� •�•- <•'',�s'�/"....IJ TWO 31an Approved Not Approved Date 3y County Heafth Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT H.me. =N fbo oa HIGH ram4M5W" nWb9=" Psae 2 of 3 W* Abal6w suo. tffl6M .0 LIN MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date-f /� / pp"5 Type Insp'n > in CUP '�- NOP Permit No. 425�� — BeR Name S r D h YI d C 60P- i' nCJ f--) 1 Address 3&0 WE 10-8 Si Company Phone # C305) 4-51 " ®3 3Z Inspection Date c)-+ Approved Correction ❑ Re- Insp'n Fee ❑ Yilli Ll V ;' L•.YIVi\.iLA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ X ]Repair , [ ]Abandonment [ ]Temporary DATE PAID: FEE PAID : RECEIPT : OSTDSNBR :-05-1557--R I ] Innovative Other [ NA ] APPLICANT:_Babmani, Shabriar AGENT: SR0931119, COCKING MS)TEPHEN PROPERTY STREET ADDRESS: 360 HE 103 St Miam4 FL 33138 LOT: 6 BLOCK: 37 SUBDIVISION: Miami Shores See [Section/Township/Range/Parcel No.] PROPERTY ID: 11 -3206 -013 -5000 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND 8 OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL-OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH: OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 750 ]Gallons SEPTIC TARE A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 MULTI- CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] 1GALLONS 0 [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] D [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ ]STANDARD [ N ]FILLED { N ]MOUND I N ] I CONFIGURATION: [ ]TRENCH y I ]BED { N ] N F LOCATION TO BENCHMARK: M: 11.5' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 1.9 ] I FBBT ] I BELOW ]BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.4 ] I BEET ] { BELOW]BENCHMARK /REFERENCE POINT L D FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES OTHER REMARKS: 1. Install 200 of of drainfield in bed configuration. 2. Existing 750 gal. septic tank has to remain. 3. Existing 750 gal. septic tank to be inspected for an appropriate pump -out and a solid vertical deflector installed on the outlet device. 4. Invert elevation of drainfield to be no less than 7.60' NGaVD. 5. Bottom of drainfield elevation to be no less than 7.10' NGVD- THIS PERMIT IS NOT FOR ADDITION(s). SPECIFICATIONS BY: APPROVED BY: Andre. Paul DATE ISSUED: 5/6/05 TITLE: TITLE: Professional Eagan Dade CHD DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) (ast4a_=W 4016 -i1 EXPIRATION DATE: 8/4/05 Page 1 of 2 r� r MIAMI SHORES VILLAGE Florida In consideration of the issuance by MIAMI SHORES VILLAGE to the undersigned of a permit to construct improvements upon the property hereinafter referred to, the undersigned hereby agree that no part of the premises will. be used for rental. purposes, or for any purpose which is in violation of any of the ordinances of Miami. Shores Vi lage. It: is further agret:d that if the premises are used for a purpose contrary to the terms of said ordinances that an injunction may be applied for and granted forthwith and without notice to us, or those cl.airriing under us. The said property is described as fol.l.ows ,; STATE OF FLORIDA ) SS. COUNTY OF DADE ) Before me, the subscriber, a Notary Public in and for said State and County personally appeared the persons who signed the above agreement, who are well. known to me and known to me to be the persons described in said agreement and each of said subscribers acknowledged to and before me that 7hey executed the same freely and voluntarily for the purposes therein expressed. WITNESS my hand and seal this day of 1955, NotaryTI'ubl.c, "State of Florida at Large My Commission expires. Notary public, State of Florida at 1a19° MY commission expires Dec. 14, 1959. Bonded by mericon Surety Co. of N. Y, 3 MIAMI S ORES VILLA 0 BUILDING DEPARTMENT 41 305- 795 -2204 Building Inspection Request Date Type Insp'n �� Ih 1�if4�1f Permit No. Vases Spa Name SI 6t -(tay- lAk �rl Address d 9 135T Company -- Phone # �! ✓� _ �3d `- Inspection Date Approved 71 Correction Re -Insp' n Fee CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 60o Miami _Shores Village, Owner, Agent - or Tenauf'of Building Lot Block - ,� Street Address Approved use by occupancy Remarks : This Certificate of Occupancy is issued to the above nam for building at above named location only upon the express abide by and comply with all conditions of Ordinanct3s Nos. Zoning, Electrical, Plumbing and Building Ordinanc s of M' the erection, construction, alteration or remo r Now ision that the applicant will 3S 94 and 97, known as the Shores Village pertaining or ucWes. BUILDING jI Art eve a p i r� F A—• jI Art eve a p i r� F L-tL� /S �M�1 �►�I i SHORES VILLAGE BUILDING INSPECTION DEPARTMENT jX- 77 11 APPLICATION FOR BUILDING PERMIT Application is here 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 ail 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 a kept at building during progress of the work. Date... -..... i�' ..__. ......... _ ....... _' '9 Owner's Name and Address .... / - - -... /u� - t - •—• _ ................ ... .......... - No. ..... - .......... - Street _ ................... __ ................. Registered Architect and/or Engineer..____ ._._____ Name and address of licensed contractor ............ eAA ..- - - -• -_ WAR e - - - - -- =� 6 - - - -- . �.�. _ ., ..................... Location and legal description of lotto be built on: A Lot ...... � ar ?r_ _.. -. Block ....... - X..?_ ' Street and Number where work is to be done.__,7.140..® State work to be done and purpose of building - __ -.. _- - - - - ...... ....... _._ .... ......... _--. �.._ ........................ .... .. ........... _..__. _ .__ _..:----- •- -------------------- - _ - - --- _--------------- - - - - -- _--and for no other purpose. New Building - ... _ ....... ...'_ ... - ......... Remodeling . ......................... Addition_._. ...... Repairs .......................... No. of Stories .......................... To be constructed of! .. I ........... Kind of foundation_. 0 Z _. 1------------ ----------------- - - - - -- Roofer vering - - - - -- Estimated Total cost of improvements $... .......... / ci_A___._ ........ Amount of Permit $ .... _._l► �--..__.,__.__......__..._..._ _._.._......____........._.._._ Zone cubage required _. _- ____-- •---------------- - - - -._ .. -_ __ _ _ _Plan Cubage ......................... - ............................................. ....................... Distance to next nearest building ------- »_._.._A ...11 .. .___._._..._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 beVol ­nt +.. ° - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement, and has complied wit fh the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be perfdnmed 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 S74bpontractors, on work to be peA-o " ed under this permit, as are licensed by Miami Shores Village. (Sign " STATE OF FLORIDA, COUNTY OF DADE.I J as Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared me well known, and who, beangg by me! first duly sworn, upon oath deposes and says that he is the- ............. _ ............. _ ......... .......... --_ ...... ._..._ ................... ...... of the above describedi construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.---_-- _ -_-___ __,..-___.......... Date__--_--_-__-- Read, Sworn to and Subscribed before me. Disapproved ___ _.. _; _---------- _,._._ Date----- _ ...---_.... ( Signed) - -- -�� - -. _.,i Building Inspector — _ ------------ - ------------ --------_---------- _---------- .... _......... .- Notary Public, State of Florida 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 r&inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. e MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit .... . ............... Date».AI6—..& .. N..//_._f7........ 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. copy of approved plans and specifications must be kept at building during progress of work. ( 0 o V- ca V'b- . ) .Tta" . a Ile Caro 360 N- E. !D0 " Owner's Name and Address .......................................................................................... No......... ...........:........_.....,.... Street.................................................... Registered Architect and /or Employing Electrician's Nag e 1" --- - - - - -- - - - -Nn 9 r 10 w-W Location and Legal Description Lot ....... _ ........................................................... Block....._............... ....................Subdivision .. ................................ I...... . ...... Street and Number where work is to be performed—No ._...tr74 .Q N 0 Street ............... �..__..�._....... �� ............... ..................... ............................... Statework to be performed and purpose of building (By Floors). ._ ................... ................................................................ ........... ._............................. ....... NewBuilding ..........._ .................. Remodeling ............................. Addition ........................... Repairs ...................................... No. of Stories.................... Service Overhead Underground Size Feeders. ............ _ ..... Conduit ............... Main Sw ............ _ .......... ....Am ps ................. ........Main Fuses ...... _ .............. . ... Amps Typeof Installation— Conduit ........................ Tubing......................._ B. X. L.........................Metal Moulding ... ........... ............... ... ..................................... Amount of Permit $........V...:. 7° .................................. ............................... ( Signed)_. !�?,. :....�...._............ `..- v:... ............................. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands - and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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 sub•cont re, A to be performed under this permit, as are licensed by Miami Shores Village. Q I (Signed).... .... •.. V . W... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.... ............................. .. ...... .» ............. ... ................................................. .. ...... ........... ............................... ................._....».... ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .. ............... .. ................. I.... .. ............. ................ 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 Coinmissioa 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 REPRIG. IRON RANGE RANGE WATER W. HEAT. STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER CONTR. / Il Z LIST / CHECK ENT. GIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL Sw. CAS. TEMP. PERM. 0.1 HP 1•5 HP TRANS. CONTR. LIST r-- CHECK Service Overhead Underground Size Feeders. ............ _ ..... Conduit ............... Main Sw ............ _ .......... ....Am ps ................. ........Main Fuses ...... _ .............. . ... Amps Typeof Installation— Conduit ........................ Tubing......................._ B. X. L.........................Metal Moulding ... ........... ............... ... ..................................... Amount of Permit $........V...:. 7° .................................. ............................... ( Signed)_. !�?,. :....�...._............ `..- v:... ............................. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands - and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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 sub•cont re, A to be performed under this permit, as are licensed by Miami Shores Village. Q I (Signed).... .... •.. V . W... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.... ............................. .. ...... .» ............. ... ................................................. .. ...... ........... ............................... ................._....».... ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .. ............... .. ................. I.... .. ............. ................ 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 Coinmissioa 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. F MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING €4�--'MIT 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. 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 Dhision of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address___ --, f y��' a: g �.__ No.__:. �' Street . -. Registered Architect and /or Engneeic - - -_- — --- - - - - -- _ _._ -.- _ - - - -_ -•- Employing Plumber's Name__ - Location and Legal Description Lot - Black Subdivision._ Street and Number where work is to be performed —No. Street -_ - _.-_______- --_._�____. State work to be performed and purpose of building (By Fly) . - New Building __..__ Remodeling____ _ Addition____— ,._._....._ Repairs. _ —__-..._.--- - - - - -- No. of Stories­ ............ . ..... Size Septic Tank _! Type of Tank._ - . .-- _ -_ - -- .Capacity Gals --- _ ------ Feet of Drain Tile .� — Feet of Tank or Drain Field from Well_ - Nature of Water Supply: Ci''ty Well. -Size of Soakage Pit-------_---- .- __- _--- __- ____ ------- __ - - -.__ __----- - -._.. Amount of Permit $ -- — (Signed) _ -- — — — __ ----------------- - - - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmeds Compensation Act, being Section 5988, Compiled Cenral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this penniti and will post or cause to be poster)' for inspection on the site of the work such public notice or notices as are reqwred by We Act. The undersigned agrees to employ only such sub - contractors. on work to be performed under this permit, As are Eicensed by Miami Shores Village.;: (Signed) C�Z2 Mastr Plumber. STATE OF FLORIDA, $5. I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon-oath deposes and -says that he is the-----_---_ _______.- -_-- _._.___----------- - -- -- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty materials and /or worli manshlp. BATH- LAVA SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS 'SHOWERS TORIES SINKS SINKS Tuns URINALS BASIN DRAIN FOUNT'NS FIXTURES COIF . d CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL I CLierr LISP CHECK Size Septic Tank _! Type of Tank._ - . .-- _ -_ - -- .Capacity Gals --- _ ------ Feet of Drain Tile .� — Feet of Tank or Drain Field from Well_ - Nature of Water Supply: Ci''ty Well. -Size of Soakage Pit-------_---- .- __- _--- __- ____ ------- __ - - -.__ __----- - -._.. Amount of Permit $ -- — (Signed) _ -- — — — __ ----------------- - - - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmeds Compensation Act, being Section 5988, Compiled Cenral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this penniti and will post or cause to be poster)' for inspection on the site of the work such public notice or notices as are reqwred by We Act. The undersigned agrees to employ only such sub - contractors. on work to be performed under this permit, As are Eicensed by Miami Shores Village.;: (Signed) C�Z2 Mastr Plumber. STATE OF FLORIDA, $5. I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon-oath deposes and -says that he is the-----_---_ _______.- -_-- _._.___----------- - -- -- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty materials and /or worli manshlp. ~D IAMI . SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r % MIT Permit No.- - - - -S1 (10 Date - - -- rt 4/t / _ ---- 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 descnbed. This application is made in compliances 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 No._.._ Street_- ._._.._.r. --- —. Registered Architect and /or 'Engineer _- _ ----_____.-_...___----_---------__--- Employing Plumber's Name.—I& l � > No. Location and Legal Description Street and Number where work is to be Subdivision__.:_ State work to be performed and purpose of building (By Fly) — New Building __ ______ Remodeling Addition _..-._.-.___-.. Repairs..__-_-- _ _-.__ No. of Stories. -. Size Septic Tank__ _24— ­ of Tank — — ._- - -- Capacity - Feet of Drain Tile. st. Feet of Tank or Drain Field from Well__ -..__ ....... ............ _- Nature of Water Supply: C1ty —We1l. -Size of Soakage Pit - - Amount of Permit �___ �,� ( Signed)_ i — �. _____ — iployed _ .__ ..--- .._... _.._ .......Plumbing Inspector. The undersigned applicant far this building permit does hereby certify that he understands and accepts hons as an employer of labor under the Florida Workmen's Compensation Act, being Section 6868, Compiled General Laws of Florida Pe Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors 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 Shore Village � (Signed) /' .... -- •- ..... Master Plumber. STATE OF FLORIDA, as. COUNTY OF LADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 construct[on, 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- fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or p. CLOSETS BATH TUBS 'SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank__ _24— ­ of Tank — — ._- - -- Capacity - Feet of Drain Tile. st. Feet of Tank or Drain Field from Well__ -..__ ....... ............ _- Nature of Water Supply: C1ty —We1l. -Size of Soakage Pit - - Amount of Permit �___ �,� ( Signed)_ i — �. _____ — iployed _ .__ ..--- .._... _.._ .......Plumbing Inspector. The undersigned applicant far this building permit does hereby certify that he understands and accepts hons as an employer of labor under the Florida Workmen's Compensation Act, being Section 6868, Compiled General Laws of Florida Pe Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors 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 Shore Village � (Signed) /' .... -- •- ..... Master Plumber. STATE OF FLORIDA, as. COUNTY OF LADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 construct[on, 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- fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or p. a+ r 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 - in¢ 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 p%gress of the work. Date. Au gust 23s 1972 _,19........ Owner's Name and Address............. Shaffer ».. A N.E. 103.. St- ......... --- No.-----.— Street...........» .»». ......_. Registered Architect and /or Engineer ....................... _.............._................�.t :,..,.,,.. • ,,,....,,,,�.�,.<.n,., „,Qm, :<., ......................... ..... .......................... ...... Name and address of licensed contactor..........QXkJ n_-.E9tfi1Mdj3at].I9..19611-X... 2 ... -.. ---- _..... ..... ........ » »........ -__ _-- Location and legal description of lot to be built on: Lot_ ........ .. ............................ Block .. . .................. _........... Subdivision._ -.-_......,............... ...._._.._... _........._.._..._ .... Street and Number where work is to be done .... ............. ». »._ _. .. - ....__ ....».» _ - ...... _»__ _.._ ....__._... State work to be done and purpose of building (by floors ). .......... »_._. »_........... _» ... __ .... _.._..........__.__ -_- __-.. ..... .......... Wlmn_Tent I+�mi�ation Qikans 18- 24..hrs. -25 � 2 .$395. - ......... ........_._._._ . _-__.._ ..... _ ........................ ....._ _ -. ........... . _._ »_._ ........and for no other purpose. New Buil ding .............. .............. . Remodeling ................. ...... _ Addition .......................... Repairs ......................... No. of Stories ...... ...._.__...... To be constructed of............ ................ Kind of foundation ...-_..._ ................................................... _ Roof Covering ....................................... _..._ Estimated Total cost of improvements $ --- ----------------------- _ ---- - .-- ,- _ ------ Amount of Permit $ ... ..... ._...... .- .-.-, ..... »_.. .............. _ Zonecubage required ...... 4 ........... »...... _.--- -. »__. _.._..__. . __plan Cubage ............ _ .... .. _.._,___ ......... » ... .___,_._. 1................ ».... Distance to next nearest building .............................. _.__.__._. -. -- -. -Size of Building Lot...... . »_ .. ....__.....: _ „_............._ ._._. . Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ............................... ,. ........................................................ .......... .................................................... - ............................. ................ . ..........•. The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of Iabor under the Florida Workmen's Compensation Act, being Section 5958, 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 subcontraacttorsspon work to be performed under this permit, as are licensed by Miami Shores Village. Remarks --- _.- ---- ---------- _ -------- _ (Signed).»..» STATE OF FLORIDA, ss I . COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ._ _- •- -_ -_ -_ ......... _..__._» ._ _ -...to roe 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 acre t�rue. / Permit No. .»» . �_ _� ✓; . L_._..__.. Date..... � � Read, Sworn to and Subscribed before me. Disapproved _ - -- �.... te- ((Signed) ........ ........._......__........._ ».. uilding nspector Notary Public, State of Florida My Commission Expires.. PLANNING BOARD ......... ............. .... .......... _...._... -. -DATE Chairman.......... ........ _.; ....... _.._ ... . _ - ...... . _ _ _. ..... _ Member .» » ............ ...... _ ._......_...._................. _. _ Member Member ._ ......_. _. » . w.. .- --.._.,._...._ .. 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 here obtained from the Plannin-; Board. A re- inspection fee bf $1.00 will be charged when such re- inspection is trades necessary by improper notice for inspection or faulty materials and /or works ship. I .AMI _i .ORES VILLAGE, FLA. NQ 6632 JOB — ADDRESS INSPECTION De - ,ffl �% TIME READY A REMARKS: K E . . 1 - INSPECTOR DATE 1 1 MIAMI SHORES VILLAGE. FLA_ wrn e% . JOB - 4 " 1 ADDRESS 3 1 I INSPECTION TIME READY d I REMARKS: Y r 1 1 t 1 INSPECTOR DATE � 4 M r ORKIN EXTMDENATLIG COMPANY, INC. 1960 N.W. 27 Ave. Miami, Florida 33125 r Wed Obwa FUMIGATICI NOTIFICATION LOCATION OF STRUCTURE 360 jjj, 20-ImSt, OWNER'S NAME AND ADDRESS glamor TYPE OF STRUCTURE I stozz OAS Nr= OF CUBIC FEET ( APPROXIMATE) ,,OOp NAI2 ZTD APPROXIMATE QUANTITY OF -FlEIGANT = i 22 DATE AND APPROXIIWE TIME OF M7 -'.SE OF FUNIGA14T LECdGTH OF FUMIGATION PERIOL (A-T . -MATE) 18.24 Hours. DISTANCE TO NEAREST STRUCTURE OVER 10 FP. UNDER 10 FT. CERTIFIED FUMIGATION OPERATOR X OR SPECIAL FUMIGATION IDWTIFICA$ Cad. CARD HOLDER IN CHARGE: NAME: V.E. Humphries, Jr. TELEPHONE: D.1Y: 633 -3421 NIGHT: 821 $450 FUMIGATION SHALL BE PERFORMED AT ALL TIMES IN STRICT ADHE EWE TO THE FUMIGANT'S REGISTERED LABEL AND FZA.STATE BOARD OF HEALTH REGULATIONS. CHAP. 1701 -2 FAC. CC: County Health Dapt. Fire Dept. Sheriff' 3 Cffir ED JVT Tom: T .4, . " w !t t. 0 . " I AMI-SHORES VILLAGE, FLA. NO 6647 JOB — - ADDRESS INSPECTION &L CEI:;e�Z 4- TIME READY REMARKS: INSPECTOR DATE 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- inq 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 piggren of the work. Date.... Mar h 3.a.»�.2.... Owner's Name and Address. M §.t.. Flox; a nc a J.Lh_q f, ear..... »............ No._746D».XL_ Street»7�i' rd-» S t .., - .....» -. Registered Architect and /or Engine' er .... .. ................. .. •,. • ......................... -- `•rax:x.n.TxxxxKn :x:xt cox :xxx.xxmxsttxexxrx:er••.• •• ............•••• Name and address of licensed controctotBohnert RfE,. &�Su��ly »Co., »Tne .. 710 Nw 41st_. St.._t ».Miami_, 33142 Location and legal description of lot to be built on: Lot........ . ................ ....._......... Block ..................... ....... .» Subdivision._... »_....._ ».. _........ ....» _.. _ ..........»....._. Street and Number where w0`.kQ NE l03.rd St $ ...L Miami Shorest- Fla- 3313 �fq work is to be done_ _3 State work to be done and purpose of building (by floors).�t2..'.�Ro.l�a... �1Ei -. �-30 - .2�ht�lt felt,_ one ..Cl L #l���spi}alt felt and one_ (,1 ,�4 .mineral surfaced roll roofing. 25 qua. res......._....- » ....................... _ ».....» .._. - .......... . » »»..» »__» .._....and for no other purpose. New Building ..................... }....... Remodeling .......................... Addition ......................... Repairs. .®.- roof., No. of Stories.... �....... ».....» To be constructed of............ ................ Kind of foundation .... ....._............. ........... -» Roof Covering...... Til® .._ . »». Estimated Total cost of improvements ..-- Amount of Permit $.12.50 .... ...... _ - Zone cubage required ....... :. ........ -_ ....... _ ..... _ ... —__----_-Plan Cubage- _---- •- - - ----- --..-.---.-.-.» -_ - -- Distance to next nearest building ................. _ ........... _ ... _.__....__. »........Size of Building Lot_ »....._ _....._». »» ......_ _....... »...... »........_ » ». ».» Maximumlive load to be borne by each floor ........................ --- ..................................... _.. .....__»..._». ---- _ -------- ---- _ ------ - ---------- .................. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to..3.710... .._ UL&MI- , ... FLR* -.. 33142 . ............................................................................ ....... ........ . ........ .- 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 Cenral Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in 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 ---- -- ----- --------- _._.._...__ _ (Signal) -- _-- STATE OF FLORIDA, . COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared •---- ------ -.- _ ----- -- ----------- - ------ »-- - - -_ ............. » —° - _ -- — __ ._to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the . ............................ ... ................... _. .....---........._..._..........- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.....».,L_4J ® _-- ------ Date..........» _ Read, Sworn to and Subscribed before me. Disapproved» »� °_..... »_ Dater ...... _.--•-------.. �..-- _..._ ......................... _ No Public, State of Florida (Signed) _. _ .... - - - - - -- Building Inspector My Commission Expires..._ PLANN C BOARD ..----._ ... _ ....... .............. _.. ._DATE Chairman - ........ Member .» . »..... »_... ».. ............ - -- Member ...._._...._........ ». __ . » _ - _ »» . Member Member....... .......... ..... _. _._._. _ _ _ _ . » _ Member _ . . »» .... _».. .» ...... _. Council Approved ...... __........... __..._..__..__»__ _... Date Disapproved ............ _». ---_- .................. ...._.... ...........................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin;; Board. A re- in %pection fee bf $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection of faulty materials and /or workmahnship. i ./ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT I . APPLICATION FOR BUILDING PERMIT Application is here y made for the a??,, royal of the detailed statement of the plans s ing or other structure erein described. s application is made in compliance and o Shares Village, Florida, and all provisions of the Laws of the State of Florida all ordh regulations of the Building Division of Miami Shores Village shall be complQ with, w: plans and specifications must be kept at building during progress of the work. Date: Owners Name and Ad ss < <... .._.__ .._.. _. �. _ _-..- -_._ ........................._ — Name and address of /or Engineer. - -. -- - -. - -. - ------ - - - - -• Registered Architect an , -- censed contr .... . .. .!� Location and legal d ption of lot to be built on: ri Street and Number � M - - - - -- Block.__- _�_- ...._._._.....__ -- Si e work is to State work to be done;d purpose of building (by floors _-,-- _- ___ ___-_-_--L---_ ............... . - .---- ---------- -- r herewith submitted for the build - ie Building Ordinance of Miami Shores Village and all rules and Ified or not. A copy of approved for no other purpose. - New Building_-_-_-__J ....... ....... Remodeling -_ .......................... Addition ...ST_ ............. Repairs ............... _........ No. of Stories ................... _...... To be constructed of ---- • .... ...........__... ICiad of foundation_ Roof Covering ......... _ .............................. _... Estimated Total cost improvements $ -_ - -- ...� _._�.._— _- Amount of Permit $...._:xi-0:0 ....... _ ...... -_._..... _ .............................. o#j Zone cubage required)~___.__ _. ___.__.._ __.-- - -.,.._ — Plan Cubage ......... _...._.__.._.---- -------------- _._._ ...... _ .... _....................... Distance to next neart it building ___._..__._.___.._.._.._.. _ _.___ Size of Building Lot ........ _-.-_ ... __..-._ ...... -_ .......... ............................... Maximum live load to borne by each floor.— __ - - -- - -•_ -_ -- _ _ -- _•-----_•___.__ .... _ ........ . .................. I hereby submit the plans and specifications for said building. All notices with reference to the building and its construction may besent to-__-­ - ___ _ . - — ___ - — _.--....._...._-_ ----------- - ----- -- --------- - - - - -------- The undersigns a plicant for this building permit dogs hereby certify that he understands and accepts his obligations as an employer Of labor under the Flo da Workmen's Compensation Act, being Section 5888, Compiled Ceneral 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 perf rmed under this permit; and will post or cause to be posted f inspection on the site of the work such public notice or notices as are requir d by the Act. The undersigned agrees to employ only such�pntractors' k t� performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORID COUNTY OF DADE, f 99' Before me, the undersigned authority, a notary public, duly auth peared administer oaths and take acknowledgments, personally ap- me well known, and who, beans by me first duly sworn, upon oath deposes and says that he is the ......_..._.._ .............. _ ................... .. ....... - - .................... _........ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him ted re true. (' j Permit No._ . D Z' ___.__. Date—J, ' l7 L _ Read, Sworn to and Subscribed before me. Disapproved _ _ _ .._._ Date _. Notary Public, State of Florida (Signed) .._ ._ - -- ...._ __ ._ ___..._-- ___ -. - -- _ - - -- ' 91 nspecto My Commission Expires _.__ ......... _ ..... __ Chairmar Member Member Council BOARD _---- _•- _------ .__.._. __._DATE Member _ . _..__....__.____- -.--_.._ ............ _.- _....... _ .... _._ ...... __._ Member Member _ _ _. _ __ _ ...... Disapproved. - _ _ _- ---------------------------------------------- ---------------Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection f of $1.00 will be charged when such re - inspection is made necessary by improper notice for inspection or faulty materials and /or worla nanship. i MIAMI SHORES VILLAGE, FLA. 6582 JOBS ADDRESS INSPECTOR DATE i. i �o MIAMI SHORES VILLAGE, FLA. NQ 6552 JOBe� ADDRESS =� INSPECTION r REMARKS: . vx,N- INSPECTOR DATE MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the. approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure h' ein deseribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, adall provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and r! �a of the Buildi g Division of Miami Shores Village shall be complied' with, whether herein specified or not.,,A; copy of approved p specifications ust be kept at building during progress of the work. Owner's Name and Address....-.- ._ _ Registered Architect and /or Engineer______ _____ ____ Name and address of licensed contractor- - Location and legal description of lot to be built on: Lot__ -_ _.___._.._._._.._.___... Block .__ .... - .......... _. Date. ._.. ._ ........,19. No.._63 &_7_._... Street sex.. Street and Number where work is to be done.-. -.. Sta to be don purpose of building (by floors). __.t`.�_. ®���_.,/ _.:. �,.. -- -- - - - -- ----- _ .. ....... ................ - ----- _ ______ __ _ .._.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- .- .....•___._._.__ —___ ._... _ _ - -- _._.._._.„....._Flan Cubage__.._..___--- -._.__ ____.. _----._____.---•---- -_-__ ......................... Distance to neat nearest building.. -_...._. _-- _-------- •--- - ----- ---..._._Size of Building Lot ........ __ —__._ _---_._ ... .... __ ........ ............................. Maximum hereby submit all borne by each floor —____. ___ .._. ._ _ . _ -- —_---------- ..... _..-- ...................... the plans and specifications for said building. All notices with reference to the building and its construction may be sent to---- -- . The undersigned a plicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Of labor under the FI da Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement, and has complied with provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be perfo ed under this permit; and will post or cause to be posted for inspection on the site of the work sue notice or notices as are require by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed y Miami Shores Village. Remarks _ _ _ ( Signed ) STATE OF FLORIDAo COUNTY OF DADE. j 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 sae, and that all facts therein by him stated true. Permit No. _____. Date---� Read, Sworn to and Subscribed before me. Disapproved _ - -- - -__ note Notary Public, State of Florida (Signed) • -�---- ... - - -• ...... . - Building Insp or My Commission Expires .......................... _: .......... __�._.__.._._. PLANNING BOARD ._ ... --------- _._.._.___._._._ -.- -DATE Chairman Member _._ _ ......... - ._ .... _. _.. --- ... _ ...... •-- ........ -- ...... ._.- ...... Member Member .. _ .___.__...._._ w._.._.-------- •-- _......._. �_ _ 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. a 4 KNOW Address_ If in consideration of the issu. orb udings at the following cJ� [lams hones We- F L O n I D A AV% IL 1 e"% Village, Florida, of a permit or permits to construct or repair a building OQ do hereby deposit with Miami Shores Village, Florida, the sum of a®.+ , and I agree with said Village that, when such construction shall . have been completed by we within the meaning of the ordinances of laid Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction -or repair and that, if I do not so clear and repair such premises immediately upon the completion of such constructs n within the meaning of such ordinances, the Village may clear and.repair the same and pay, the costs of such clearance and repai ut of the aforesaid V and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said " shall be returned to me. 04- �r WITNESS MY HAND and Seal at Miami Shores Village, Flori this day of - - - - VV ;Y' INSTRUCTIONS TO' above mentioned construction is completed and the t3remises are cleared and repaired take this bond to he • Village B_ uilding Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the aboVeL agreement. S VILLAGE BUILDING INSPECTOR'S APPROVAL r I hereby certify -that the construction contemplated under this Bond, has been completed and that the builder_ thereof has •• t caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. _ WHEN CLEARED AND REPAIRED BY THE VILLAGE a °''•_ Amount of Bond . . . . . . . . . . . $ ® Village Building Inspector, Miam es Village. `? Cost of clearing and repairs done by Village $ 5 a-0111 - - -- - Balance due Builder . . . . . . . . . . . $ . Cancelled 19— )Iy � OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. M�? . M. HORAR I 360 N.E. 103rd Street J B LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISIO 360 N.E. 103rd Street 5 & E * of 6I '37 I iiiam& Shores # 1 GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. DE C.ARLO BUILDERS I 1391 N.W. 117th Street I 1 1577 K 5957 �ft� IDATE 20 -5 ( 6.0o BUILDER'S BOND _ ila 8_20 -57 BUILDING PERMIT NO. PERMIT FEE $ NO. DATE ADO, i c• - ADDI�.'ION 1642 I I 15W ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST $ DATE C. H. Markel. 8420 =57 ;. DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION I ONE LT UP 'T g W &11a and floor, NEW CONSTRUCTION DESCRIPTION REPAIRS I BATH ADDITION' DESCRIPTION ALTERATION ADDITION APPROVED -I REJECTED IREFERRED TO COUNCIL I REASONS SUBMITTED TO PLANNING BOARD I }I RE- SUBMITTED TO PLANNING BOARD I REMARKS SUBMITTED TO VILLAGE COUNCIL � �^ � v rh. G1.s l-bR -� Tza �yy CERTIFICATE OF OCCUPANCY NO. (.Y- ISSUED BY wVN� BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE BUILDING INSPECTIONS PHONE FEES APECTIONS DATE BY RE- INSPECT BY RE- INSPECT By O DATION $li 19 : %i3 • 7. lwi FEE TEMPORARY SERVICE BEAMS & LIN`FELS RANGE CONN. $ SEPTIC TANK) - MOTORS FRAMING' SEWER FIXTURES $ SOLAR HEATER y GAS BY RE- INSPECT FINAL $ BY TEMP. SERVICE CLE, N -UP DATE BY RE- INSPECT BY RE- INSPECT BY PLUMBING PERMITS & INSPECTIONS CONTRACTOR 4 PHONE FEES PHONE PERMIT NO. ®ATE 's -a t FEES - NEW BLDG, ALTERATION V ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ RANGE CONN. $ SEPTIC TANK) - MOTORS $ SEWER FIXTURES $ SOLAR HEATER $ GAS BY RE- INSPECT BY $ BY TEMP. SERVICE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 0". H. W. HEATER CONN GAS RANGE CONN. SEWER SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE FEES PERMIT NdG b DATE t-# NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL ITO POWER y0. FOR SERVICE DATE BY e MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ....... 1 3..! .L ............. Date ................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. p �y r Owner's Name and Address .................. , �°4',- �� ...No ...... .3 ..... treet....� Registered Architect and /or Engineer .................... ................ ...._....._... _ _....................... ......._....................... ............ Employing Electrician's Name ................ ......................... . . . . .. .... ------------ `._..No ....... 4..,7: J 1.!i K..Street......... t.(... ...................... Location and Legal Description Lot .................. .................. ............................... Block.......---. ............................... Subdivision................. ............................... Street and Number where work is to be performed— No ........ .............. .. .. ............................. -- -- -- .......... Street .....---........................---- ...--- ......................... State work to be performed and purpose of building (By Fl oors) .......................... _ .............. _ ........................................................ ..................................... New Building . ............................... Remodeling ................................ Addition .............................. Repairs ...................................... No. of Stories.................... Service Overhead Size Feeders .................. Conduit ............... Sw.__....._........... .Amps Underground •• ..._._.....Ampa ....... . . .. ...............Mafia Fuse; of Installation —.. Conduit ........................ Tubing--•----..... ............ B. X .L........... .............. Metal Moulding ................................... »................................... _.._ .............................. ........................ ....... - - -- ...._.... ....................... ............................... ...................................................... _ .... _ .... _............................. .. .......... _ ....... .............. ,............................ -� .. ...__._ .._ ......- ........................� ... Amount of Permit $ ............. ............. -.... , ........ ............................... (Signed)........ ............ .. ........... Electrical Insp r. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of da 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. oCl ( Signed) . ............................... /` ' ... ..._......_... .................... Master Electrician. STATE OF FLORIDA, j COUNTY OF DADE. j 55' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........................... ...................................................... .,---- ................ ............ ....................................._............................._........._..... ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................... ..... .... _ ... _ .............. ................ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. - - - -- --------------------------- - - - - -- ...................................................... ....... _.._ ... .. .............. ... ........ ...._........ 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 OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. L AMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST L Pow; CHECK (TV CQ Service Overhead Size Feeders .................. Conduit ............... Sw.__....._........... .Amps Underground •• ..._._.....Ampa ....... . . .. ...............Mafia Fuse; of Installation —.. Conduit ........................ Tubing--•----..... ............ B. X .L........... .............. Metal Moulding ................................... »................................... _.._ .............................. ........................ ....... - - -- ...._.... ....................... ............................... ...................................................... _ .... _ .... _............................. .. .......... _ ....... .............. ,............................ -� .. ...__._ .._ ......- ........................� ... Amount of Permit $ ............. ............. -.... , ........ ............................... (Signed)........ ............ .. ........... Electrical Insp r. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of da 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. oCl ( Signed) . ............................... /` ' ... ..._......_... .................... Master Electrician. STATE OF FLORIDA, j COUNTY OF DADE. j 55' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........................... ...................................................... .,---- ................ ............ ....................................._............................._........._..... ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................... ..... .... _ ... _ .............. ................ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. - - - -- --------------------------- - - - - -- ...................................................... ....... _.._ ... .. .............. ... ........ ...._........ 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. r ; CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUMDING DIMION N? 644 Miami Shores Village, Florida, 11,21/57 Owner, Agent or Tenant of Building Xr. & Kra. Horan Lot 5 & E J: 6 Block 37 Subdivision Miami Shores #1 Street Address 366 NE 103rd St. Approved use by occupancy B� th add i ti OH Remarks: This Certificate of Occupy CY is issued to the above named der for building at above named location only upon the express .provision that the applicant will abide by and comply with all conditions of Ordinances Naffs. 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. Plan Cube - 19642 r Tax Value - 821 � �-, .� UILDING DIVISION i DRLUE 1sV re R seem TllianziSL j Llaqe 10050 N.E. SECOND AVE. NM SHORES. FLORIDA 33138 -2382 Telephone: (305).795-2207. ' t3051.7.fr.8972 .. COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, f 1 it7� —�1� -- &W*_� einafter referred to as the Owner of the (owner) following described property: Legal description/folio #: Lot Block Subdivision Tax Folio 9: requests permission to install: 44sphalt, concrete, brick pavers [ J Landscaping [ J Other within the public road right of way of 4 (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and alien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with'tIie land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this d y of S e SIGNED, SEALED AND DELIVERED in the presence o ommiss 1984 = • '�• ^ E m: J 113,, 2007 TIRU �%�9oia °,•` '����n�` der►tic imCo.,Im. VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT g the lega roperly owner, for the property Located at:_:z �V , Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7), qnd I have read and understand the following disclosure . Statement, which entitles me to' 3rork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out-building. t You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing. ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct FI.C.A. and with - holding tax and provide workers'scompensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk INd foregoing instrument Was acknowledged before me this day of 1i 20 .` o ~� who is personally known to me or who has Produced as identi at on and who did take an oath.* Owner 1984 �1 2007 `. Owner �shinttt RN�ALIL "k60nn Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Nil. Permit Number: P2003 -174 r"rited: 1 102-003 Page 1 of 1 Applicant: SHAHRIAR BAHMANI Owner: BAHMANI SHAHRIAR JOB ADDRESS: 360 NE 103 ST Contractor Contractor's Address: Local Phone: Parcel # 11 32oeol 35000 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & E1/2 OF LOT 6 BLK 37 LOT SIZE Fees: Description Amount FEE2003 -6958 Builders Bond $300.00 Total Fees: $411.30 FEE2003 -6959 Scanning Fee $3.00 Total Receipts: $0.00 FEE2003 -6960 Notary Fee $5.00 FEE2003 -6961 CCF $0.60 FEE2003 -6962 Training and Education Fee $0.20 FEE2003 -6963 Technology Fee $2.50 FEE2003 -6964 Building Fee $100.00 Total Fees: $411.30 Permit Status: APPROVED Permit Expiration: 5/3/2004 Construction Value. $600.00 Work: DRIVEWAY O � .1 Signed: (INSPECTOR) in consideration of the Issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and In strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibiUty for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: CRITIQUE SKEET JOB ADDRESS APPLICANT PHONE # yAPPLICA'nON SKEET.,*_ OF MISCEUANEOUS ' PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING ! ZONING DEPARTMENT• SECTION BY ' _ DATE ZONINGS ELEOTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING 0FFl=L 1. Subject to corapltance with an Fedem% Stata; County.Wgm Was SrA (00*daux wage ass== no tesponsibVity for accucecy attar results fraat i 2. This copy of plans trust be avaltahte as badin9 site at ao Inspecilaa wtii be con"ad. DATE ZO.UJYG • COMMENTS . _ INITIALS Y/ 'T v 3 �1 _It _ Y MIAMIDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 Clopay Building Products Co. 8585 Duke Blvd. Mason, OH 45040 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 Board of Rules and Appeals (BORA) 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: Sectional Garage Door 9% 0" Wide. APPROVAL DOCUMENT: Drawing No. 101702 -24, titled "Door Models: 83. 84A, 93, 94, H93 & H94 ", dated 11/18/96 with last revision on April 2003, sheets 1 of 1, prepared by Clopay Building Products, signed and sealed by M.W. Westerfield, P.E., bearing the Miami -Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be 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. LIMITATION: This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E -8 by a Dade County approved laboratory selected and paid by the manufacturer. Every 3 months. four times a year, the manufacturer shall mail to this office: a copy of the tested reports with confirmation that the specimen were selected from coils at the manufacturer production facilities. And a notarized statement from the manufacturer that only coils with yield strength of 28000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance 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 # 01- 0326.01 consists of this page I as well as the approval document mentioned above;. The submitted documentation was reviewed by Cand' ont PE. 5 � NOA No 03- 0428.04 ° M Expiration Date: August 21, 2008 he Approval Date: June 5, 2003 Page 1 r•� Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/19/2004 Applicant: SHAHRIAR Owner: BAHMANI JOB ADDRESS: 360 NE 103 Contractor ALL GRAND GARAGE DOORS Local Phone: Parcel # 1132060135000 Building Permit Permit Number: BP2004 -368 Page 1 of 1 BAHMANI SHAHRIAR ST Contractor's Address: 9901 NW 80 AVENUE #3A Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & E1/2 OF LOT 6 BLK 37 LOT SIZE Fees: Description Amount FEE2004 -2837 Building Fee $100.00 FEE2004 -2838 CCF $0.60 FEE2004 -2839 Notary Fee $5.00 FEE2004 -2840 Training and Education Fee $0.20 FEE2004 -2841 Technology Fee $2.50 FEE2004 -2842 Scanning Fee $6.00 Total Fees: $114.30 Permit Status: APPROVED Permit Expiration: Work: GARAGE DOOR Signed: 9/13/2004 Construction Value: $650.00 (INSPECTOR) Total Fees: $1 3® � Total Receipts: �` �00 y, o XAP1" " 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: F (Contractor or Builder) BY: Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL ` 33138 Phone: 305 - 795 -2204 .Printed: 2/26 /2002 Applicant: JOSEPH Owner: MURAWKA Contractor EMERALD MASONRY CORP Local Phone: Building Permit Permit Number: BP2002 -346 IT, W : _ PI:I_1 JOSEPH Address: 390 NE 103 ST * * *" Cellular: Page 1 of 1 Parcel # 1132060134990 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 Job Address: 372 "NE 103 ST Fees: FEE2002 -999: FEE2002 -1000 FEE2002 -1001 FEE2002 -1002 Permit Status: Approved Work: SURFACING EXI; If there is no permit-pact fee is $50.00, which must k This Permit is granted to the con ordinances pertaining thereto and M and approved by the proper municii j authorization. A further condition u ordinances and regulations pertains by his agents, servants or employe Signed: In consideration of the Issuance with the plans, drawings, statemer myself, my agent, servants or eml Signed: Description Building Permit Buildier's Bond CCF Notary Fee Total Fees: Amount Application Fe$60.00 $300.00 $0.60 $5.00 $365.60 Permit Expiration: 8/19/2002 Construction Value: $1,000.00 BLK 37 LOT SIZE 100.000 Total Fees: $365.60 Total Receipts: $0.00 - EMERALD MASONRY CORP oa-98 2765 305- 754-0042 390 N.E. 103RD ST. J4 lA11R ��pj&Wj FV MI. DATE o� L � 2 /� � W27/631 8 . PAY &Me K S. Ud ME%Lj ,� aes . TO THE 4 SWRE_ • ORDER OF � � � � Qj -41,1 ,.: bankof America. DOLLARS ACH Wr063100277 Are /03'5-it FOR ` 4 � 0000 2 76 5 11:06 3 i00 2 ? ?1: 00 36609464 591is (Contractor or Builoer) -1. r - -'V CRITIQUE SHEET JOB ADDRESS 3 —1.2- Al. C. le) :3 S- . APPLICANT PHONE # APPLICATION SHEET —OF- MISCELLANEOUS PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILOING / ZONING. DEPARTMENT- SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL _ BUILDING OFFICIAL t. subject to compttasass with ett Fademt, Slate. Coady. W AP lutes gad reg*dwA. V6424 essusstes no responsibptty for accurecyr oftor resutts (rasa these plans. 2. This copy of picas must be aYalttbte srs4 buRQing site at no Inspection viii be mdsscted. OATS ZONIdyyI ' COMMENTS INITIALS L/1 3 O2 L - DO n d— Ao,� oge 4&e�l)05@- of } 9 �tv� 81 C, •' RT�SY NpTICE • • • pU . ; ;•�.; ;.�.; ;:•.•• t"' 1� {:� C_ �`.' rte, •. ; • •, ,tddress: �a iarrci SkvreJ V� e 10050 N E SECOND AVE NQANO SHORES RO f►�22oTM2 t �aaoP T � 89M Dear Property Owner: While making inspection r�attention area, I noticed the _ following items needing you O Property is in need of mowing / cleaning O Trash on site O Exterior of structure requires maintenance O Trees/bushes/hedges need trimming O Commercial vehicle in residential zone O Inoperable vehicle on property area O Vehicle parked in landscaped areas must be paved O Vehicle parking properly stored O Vessel / boat not prop Y t,4 tenor / exterior work requires permits O Prohibited signs on property O Non - domestic animals on property O. ether: -- �• _ ,-7: • � � Corrective action needed by (Do the above date may Failure to correct the violation by ear before the result in a Notice of Violation to app may impose fines up Code 0 per . The Board Village residents have always to $500 per Y and we know that taken great pride in the community t e „Village Beautifur". you share in this effort to keep Yo cooperation is appreciated. V\ - o to ) ode Enforcement Offi r t (305) 795 -2204 MIAMI SHORES VILLAGE ' Paint Color Approval and Agreement DATE: � � Z 'V"' OWNER'S NAME: f- ffM- f-%tA-12- tj t PHONE: Ind' ADDRESS :, ADDRESS OF SITE: 2_,be jL S CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Elements o th sG must be listed and indicate the color to be painted. Walls Fascia o Drip Cap/Drip Edge r Soffit t.r-� 0 Roof Flower Bins Shutters to- �n.��- tv Awnings UJ&k Chimney— Doors and door Jams _ z Garage Doors U-J4A - Railings , N Fences Cn Decorative Metal " All brick (simulated or regular) LA .�. Stucco Banding Any other stucco features Accessory Buildings Other OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached s le . Signature of Owner Date Signature of Contractor Date APPROVED: Building Official Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 r r i MIAMI SHORES VILLAGE + _ BUILDING INSPECTION DEPARTMENT i APPLICATIDN FOR BUILDING PERMIT {►ppli tSon is hereby made for tho 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- lillagc, Florida, and all provisions of tlic Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Villagge shall be complied with, whether herein spedfied or not. A copy of afproved plans and specifications must be kept at building during pi�pgress of the work. Date. u n e 2 7..a._.....,....._........._. 19.._.� 8 Owners Name and Address....F.t.... Js ... Shaffer.._ ....... ......_. .,._............_..._.......... No._...3 6 0................. Street_.. 4 3 .....,.. ..........:... Registered Architect and /or Engineer ........... . ......._.........._ . »..................... ........................... ••x•• ••••• e•! ntsttt• xr, ssx- tx. xxxtntfxzt!xttxtmetttfaatrf::••• Name and address of licensed contr{tctor..........Miami Shores Air .0 on d Inc a,,, ,�7 6 5 N. E _79th St.. Miami Location and legal description of lot to be built on: Lot_.._ ..... ............._......... Block ._ .................. .. . . Subdi vision ._.............._...._. ---------- --------- ............ Street and Number where work is to be done.._..._._..360 N. E . 103rd Street State work to be done and purpose of building (by floors). .»_T n&-t s311a�t ion ... A.£-,.3. -Inn ._.EiEtuBS _ Air Conditioiing „_System.,w th9.6 K �Wr.. ht at _as per .plans attachede_ ._. _ .. ......... _w_... .... _.. . ... .......... _ ... -.... ............ .................... ..... .._ ..... __.._ ....._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 $.... .r. Q .. ..__.._......Amount of Permit L..-...­ ....._.....------ ............... 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 besent to ............................ _-,- ...................................................... -........... .................................................... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)- STATE OF FLORIDA, L Wm. G. Solitare COUNTY OF DADE. t �' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared __._..__-- - ........ __ ........... _ ..... ___ me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .... ....................... ..____...... .... ......... .... .._._.._ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. -? Permit No. _ s . . ___..__.. Date.._. _ __ ... _ ..._ Read, Sworn to and Subscribed before me. Disapproved� - --.. Date._ ....... ... -__ .................... . ...._. _......._..... (Signed) C°_� . + ' _ ............ Notary Public, State of Florida Building Inspector My Commission Expires - .. ` P NNING BOARD .... ..._ ... _ ....... ............. _.. _DATE Chairman.__ ....... ........ _ . __. . __..__ Member ...__...... _ ..... _ ....... ........._ .._ ... _.__ Member..._._ ... _ ........ _..... ___ ._ .___.....__ .... Member ............... » ... ..._........._ ..._...._..___.._.._ Member ....... ........... _..._._._._. _ _ Member Council Approved ...... _............. _ __......___. ____ ._. Date Disapproved ........ —Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin;; Board. A re- impaction 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. b� C w � , t. Miami Shores Air Conditioning, Inc. 765 N.E. 79th STREET - MIAMI, FLORIDA 33138 - (305) 751-8513 June 22, 1978 Subject: Residence: Florence J. Shaffer 360 N.E. 103rd Street Miami Shores, Florida 33138 1 Miami Shores Air Conditioning, Inc. has been contracted to :install a Central Air Conditioning System at the above residence. We would like to install a 3 -Ton GENERAL ELECTRIC EXECUTIVE Air Conditioning Unit on the east side of the house between you and Miss Shaffer's. However, the City of Miami Shores requires permission from the neighbors allowing us to do so. We would appreciate your signing this letter allowing us to dd this installation as outlined above. Name �' %`� - Z let— Address Date �`Uyr MIAMI SHORES VILLAGE��3 BUILDING INSPECTION DEPARTMENT / APPLICATION FOR BUILDING PERMIT ta App 'cat.on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other strut tore 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 regulatrons of the Building Division of Miama Shores Village shell be con�plied� with, whether herein specified or not. A copy of approved plans and specificatrons must be kept at bu.ldmg during progress of the work. Date-------------- - ----- ji1I1 __j t ,LQ-- -------- _ 19-- - - - - -- Owner's Name and Address - __ _- . _ FloY"emck -.,L-- Shaffer _- -__ — No.____3 Q_ -_ _._ Street ------- 103' - - - -- ------ - -____ Registered Architect and /or Engineer. - - -- - -- - -- -- - - --------------------------------------------------------------------- Name and address of licensed contractor - - - -_ _TR 600 N_: W _•___-?___AV@nu-e.,__ Mia.Mi.f Fla. Location and legal description of lot to be built on: Lot-- - -- — ------- Block - — -- - - — Subdivision- - - - - -- - — - - -- - - - - - -- --------------- - Street and Number where work is to be done ------ --- �_�_-- .---- �0StrC�_ }M_] �mi__Shgre8- a F180 - ------------- State work to be done and purpose of building (by floors) _ ._FU_MIGAT10N — _ Us ].11 - Vikane gas with an _- a-PFmox.- •--- 29..h- ours--- expQsur -e period._- N3�- 1-o-n tent, -- -- - - -- -------- - - - - -- — FtiKtIGI��TI _- ---- -_ _ --- ----- -_— __.and for no other purpose. New Building-------------- - - - - -- Remodeling------- - - - - -- -- Addition ------- -- ------------- -_ Repairs -- ------- _ ---- - -- No. of Stories ------- ---- --- - ----- - To be constructed of------------------- - - - - -- Bind of foundation ---- ------,S_-.----------- ----_ Roof Covering ------- - Pr8ked- -F - -- Estimated Total cost of improvements of Permit $--_--------------_--------------_-- Zone cubage required------ - - - - -- -_ Plan ---------- - -------- - Distance to neat nearest. building- ----- - - - -- Q4e r 10 Ft -- -Size of Building Lot- _--------------- Minimum 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 Supplenient, 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 it of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on o ormed un 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- - — - - - ----- - - - - -- - -- - - -- -- - -- — -- - - - - - -- 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._ -__ 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 --- -- - - - - -- - --- - - - - -- - - - - - -- - - - - -- 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. Permit No._ _(_ Application is hereby made structure herein described. and all provisions of the La* of Miami Shores Village shall building during progress of Ownees Name and Address Registered Architect and/or 'MIAMI SHORES VILIAGE PLUMBING INSPECTION DEPARTMENT N -, APPLICATION FOR, PWMBING 7.4t-M IT Date r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other ii s application is made In compliance and confdra-dty with the Budding Ordinance of Miami Shores Village, Florida, of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division be comphe& with, whether herein specified or not. A copy of approved plans and specifications must be kept at Ar I e_ No__ street 3 0 16 3 S-F� 7 - — ------ W e-11 ip-t I it Employing Phunws Name --- ty-9-Y e ZOV cl 0, Al' &M 6ko. _>­_7 X-C StreeLftfl W Lh - ;WT"s F Location and Legal Descripi Ion Subdivisioa Street and Number where rk is to be peribrme-No- Street- .3'( _'L S-+, State work "to be performed and purpose of building (By Floors) . ..... New Building Remodeling --Add1t1on—_.. No.: of Stories.- . ......... Sim Septic Tank-- —TYPO of Tank— -----capacity Fed of Drain Tde--; Di Feet of Tank or Drain FW hom Well Nature' of Water Supply: C�ty Well. -Size of Soakage Pit__ ii of Permit (Signed)— The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati ono an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S plement, and ; hus earn. plied with the provisions . eof, and will require similar compliance from 4 oon&actm or sub - contractors !xV him in the work, to be performed under this !I znd� Will post or cause to be posted for inspection on the site of the work such public 1, notice or notices as are Pam required by the Act. The Lgned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami SAhoommu Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. More me, the and gned authority, a notary public, duly authorized to administer oaths and take ackwwledgmetits, personally appeared to me well Imown, and who being by me first duly swam, 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 an facts therein by him stated are tr to. MY ntmission Expires Notary Public, State of Florida NOTE: A re-hipIctiop fee of $I.oD will be made when such n-fnspection is made•neoe&ury by improper notice for inspection, or faulty materials and/or workman7. ATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL. CLOSE're TUBS KIM TORIES SINKS SINKS Tuns URINALS BASIN DRAIN FoUNT'NS FIXTURES CONTR. LIST CHICK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOL.AR bow PRKLR. *,n 9 SWIM-* TANK COHN, "FISILD PIT TRAP HEATER WELL SYST21,01 POOL CLIST ONTN' CHECK Sim Septic Tank-- —TYPO of Tank— -----capacity Fed of Drain Tde--; Di Feet of Tank or Drain FW hom Well Nature' of Water Supply: C�ty Well. -Size of Soakage Pit__ ii of Permit (Signed)— The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati ono an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S plement, and ; hus earn. plied with the provisions . eof, and will require similar compliance from 4 oon&actm or sub - contractors !xV him in the work, to be performed under this !I znd� Will post or cause to be posted for inspection on the site of the work such public 1, notice or notices as are Pam required by the Act. The Lgned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami SAhoommu Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. More me, the and gned authority, a notary public, duly authorized to administer oaths and take ackwwledgmetits, personally appeared to me well Imown, and who being by me first duly swam, 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 an facts therein by him stated are tr to. MY ntmission Expires Notary Public, State of Florida NOTE: A re-hipIctiop fee of $I.oD will be made when such n-fnspection is made•neoe&ury by improper notice for inspection, or faulty materials and/or workman7. a MIAMI SHORES VILLAGE 131.111_[1ING 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sbores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions 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. - 7 19" Owner's Name and Registered Architect and /or Name and address of licensed Location and legal //description of lot to be built on: Lot –y ,2_S�_ —_ Block___ _aL __ —__ Subdivis Street and Number where work is to be done ----- – __________� State work to be done and purpose of building (by floors) Pate is r, Nq„-! –��—� 77 ----- ---- ----- - - - - -- -- — — – - - - -- - - -- — --------------------------------------------------- - - - - -- -and for no other purpose. New Building--- ____-- . – -------- Remodeling---- ---------- - - - --- Addition -------------------------- Repairs ------------ --------------- No. of Stories --------- To be constructed of___{2sL_ -i---- Kind of foundation ---------- _ :_____- _---------- - - - - - -- -Roof Covering ------------------------ 4______– _______ Estimated Total cost of Zone cubage required_________— __/__0- Distance to next nearest building ------- –_ Maximum live load to be borne by each O 4� Amount of Permit F7 S __ of Building Lot —_L_ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to---------------- ---------- -- -- - - -- , , ` - - -= -- -------- — ------ – --- ----- --------------- — --------- — ------------------------------------------ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks _ -- – -- �� - -_ -- -- - - -- -- ---------- - -- - -� (Signed) ----- ------- ----------- - - - - -- — __- ___-- - - ---- STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me firsgt duly sworn, upon oath of the above described construction, that he has u therein by bi stated are true -- Permit No. Date____ / r/'sappr"` e°s - - --- - - -- -- Date (Signed) — iKildtng inspector PLANNING Chairman Member Member me well known, and says that he is the----------------------------- - - - - - -- --- - -- — – – - -- - - - - -- read die foregoing application, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Member Member Member DATE Council Approved ------- – --------- – ------- — ____________— ____ ---- – ---------- Date Disapproved ---- — ----------------- 4ate 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 imprcper notice for inspection or faulty materials and /or workmanship. e Y v, a MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 c Building Inspection Request Date4W\63 Type Insp'n / Permit No. a Name t/ Address Cam' Company Phone # i 4 1 — X17 O Inspection Date Appro --- Correction ❑ Re- Insp'n Fee ❑ V --e MIAMI•D�ADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION OF ACCEPTANCE ES Windows LLC 10653 NE Quaybridge Ct. Miami, FL 33138 MUM-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 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 Board of Rules and Appeals (BORA) 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. N 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 Florida Building Code, including the High Velocity Hurricane Zone. --DESCRIPTION- Series 2000 Aluminum Horizontal. Sliding Window — L.M.I. APPROVAL DOCUMENT: Drawing No. W03 -75, titled "Series -2000 Alum. Horiz. Sliding Wdw. (L.M.I.) ", sheets 1 through 8 of 8, dated 08/27/03 with revision D dated 05/12/08, prepared by Al- Farooq Corporation, signed and sealed by Humayoun Farooq, P.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: barge and Small Missile Impact Resistant 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" or the Product Control Seal, 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-Sr-change in the materials, use, and/or manufacture of the product or process. Misuse of this N©A 4s 3m endq 4ent of • any product; for sales, advertising or any other purposes shall automatically terminat%WF. NOA. iFiLUt W to ... comply with any section of this NOA shall be cause for termination and removal of NO& 9 0000.. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade CouutV, T19rida, U4 fQljowed • • by the expiration date may be displayed in advertising literature. If any portion of the MA is displayed, then *: 0000.. . .. .0000 it shall be done in its entirety. • • • 00 •• 0000 000000 INSPECTION: A copy of this entire NOA shall be provided to the user by the manufaeUzer or its . 0' distributors and shall be available for inspection at the job site at the request of the $uikiing Officials.. so This NOA revises and renews NOA 0 07- 0928.13 and consists of this page 1 and gideM pages$al -and : . • E -2, as well as approval document mentioned above. The submitted documentation was reviewed by Manuel Perez, P.E. APPROVED; -NOA ,No. 08- 0527.13 Expiration Dater November 6, 2013 Approval Date: July 10, 2008 Page 1 ES Windows LLC NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No W03 -75, Sheets 1 through 8 of 8, titled "Series -2000 Alum. Horiz. Sliding Wdw. (L.M.I.) ", dated 08/27 /03 with revision D dated 05/12/08, prepared by At- Farooq Corporation, signed and sealed by Humayoun Farooq, P.E. B. TESTS 1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Missile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 24113.2. 1, TAS 202 -94 along with marked -up drawings and installation diagram of series 2000 aluminum horizontal sliding window, prepared by Fenestration Testing Laboratory, Test Report No. FTL -5475, dated 01/18/08, signed and sealed by Carlos S. Rionda, P. E. 2. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Missile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 24113.2. 1, TAS 202 -94 along with marked -up drawings and installation diagram of series 2000 aluminum horizontal sliding window, prepared by Fenestration Testing Laboratory, Test Report No. FTL -5338, dated 01/17/08, signed and sealed by Carlos S. Rionda, P. E. (Submitted under previous NOA #07- 092813) 3. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Missile Impact Test, per FBC, TAS 201 -94 0000 5) Cyclic Wind Pressure Loading, per FBC, T4S 293 -94 6....0 6) Forced Entry Test, per FBC 2411 3.2.1 and TAS X02 -94 .. . along with marked -up drawings and installation diagram of an a}i►rFinum hWonlal sliding window, prepared by Fenestration Testing Laboratory, TWRtport No' FTL -3809, dated 06/16/03, signed and sealed by Joseph Chan, -p.T* :..•:. 0000 (Submitted under previous NOA #03- 0910.02) 0000 0000 E -1 0600.. . 666666 0000.. 0000. .6666 666666 0000.. . . .. . ..666. 1 too 66 . 6 0000.. Manue��Qaez, Product Control ExaiWer NOA No. 08- 0527.13 Expiration Date: November 6, 2013 Approval Date: July 10, 2008 ES Windows LLC NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED 4. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Missile Impact Test, per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading, per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 2411 3.2.1 and TAS 202 -94 along with marked -up drawings and installation diagram of an aluminum horizontal sliding window, prepared by Fenestration Testing Laboratory, Test Report No. FTL -3804, dated 05/15/03, revised & reissued by Fenestration Testing Laboratory dated 08/10/06, all signed and sealed by Joseph Chan, P. E. (Submitted under previous NOA #03- 0910.02) C. CALCULATIONS 1. Anchor verification calculations and structural analysis, complying with FBC -2004 and 2008, prepared by Al- Farooq Corporation, dated 05/28/08, signed and sealed by Humayoun Farooq, P.E. Complies with ASTM E1300 -02 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 07- 1116.04 issued to E.I. DuPont DeNemours & Co., Inc. for their "DuPont SentryGlas ® Plus" dated 01/03/08, expiring on 01/14/12. 2. Notice of Acceptance No. 05- 1208.02 issued to E.I. DuPont DeNemours & Co., Inc. for their "DuPont Butacite PVB Interlayer" dated 01/05/06, expiring on 12/11/10. F. STATEMENTS 1. Statement letter of conformance, dated May 6, 2008, signed and sealed by Humayoun Farooq, P.E. 2. Statement letter of no financial interest, dated May 6, 2008, signed and sealed by Humayoun Farooq, P.E. .0** 3. Laboratory compliance letter for Test Report no. FTL -5475, issued by Fenestration .... • • Testing Laboratory, Inc., dated January 21, 2008, signed and sera ?� .13y CarldS s. • • • 0 • Rionda, P.E. 0 0 0 • • • • • • • G. OTHER .... . ..... 1. Notice of Acceptance No. 07- 0928.13, issued to ES Windows LI.G for theiu Sales • • ; • • • 2000 Aluminum Horizontal Sliding Window, approved on 0519870°8 and exp!W on 0 a a 0 11/06/08. •••••• • . . ... ...... Mandea�'� .E. • Product Control a iner NOA No. 0 27.13 Expiration Date: November 6, 2013 Approval Date: July 10, 2008 E -2 • 1/8- ANN. GLASS .o90' UREIGAYER .080- INTERLAYER 'DUPONT BUTACDE PW -DUPONT SENTRYCIAS PLUS' 1 /8' ANN. GLASS 118- ANN. GLASS DWDW C ORNING 798 SILICONE DOW GORN30 788 8/32- HEAT SOffMD. GLASS MW INTQRLAYER 'OUPOM SEWIRYGtAS PLUS' 1/8- ANN. GLASS \TI .o90' UREIGAYER • • 'DUPONT BUTACDE PW ilia/ 1 /8' ANN. GLASS GLASS TYPE 'B' DWDW C ORNING 798 I� 8/32- HEAT SOffMD. GLASS 1 HEAT STROM C 7' OITERLAYI9M POM 1ENTRYGIAS Puier 1/8- HEAT STREMD. GLASS rDOW CORNM 788 GLASS TYPE 'Al' HEAT STF EMD. GLASS Y WIERIAYER PONT BIRACITE PW 1/8- HEAT STREMD. GLASS `DW COMM 795 ••• \TI • • • \.0 ilia/ • GLASS TYPE 'B' GLASS TYPE 'B1' 3118' ANN. GLASS 8/32- HEAT SOffMD. GLASS MW INTQRLAYER 'OUPOM SEWIRYGtAS PLUS' .080' IMERIAYER 'DUPONT SUTACRE PVB' 3/18" ANN. GLASS 118' HEAT STR MO. GLASS & G 38dCONE • • • • • s • • • • SILNIOME • • 08W CORN= 795 • • • • • • • • • • tl! • • • ••• • •• ••• sit O F . . . . . . •• • • • . GLASS TYPE '�' • • CLASS TYtE 'D'• ••• • • • • ••• • • • • • • • • • • • • ••• • • • ••• • • FALSE I� �I 33 1/2- 33 3/8- 11 33 1.L GPO. D.L. OPO. O.L 37 5/8' 3T ENT WIDTH VEM TESTED LIM SERIES 2000 ALUM HOM SLIDING WINDOA DESIGN LOAD RATINGS FOR THESE WINDOWS TO BE AS PER CHARTS SHOWN ON SHEETS 2 & 3. THESE WINDOWS ARE RATED FOR LARGE MISSILE IMPACT. SHUTTERS ARE NOT REQUIRED. APPROVAL APPLIES TO SINGLE UNITS OR SIDE BY SIDE COMBINATIONS OF H.R./H.R. OR H.R. WITH OTHER WINDOW TYPES IN MODULES OF TWO OR MORE WINDOWS USING MIAMI —DADE COUNTY APPROVED MULLIONS IN BETWEEN. LOWER DESIGN PRESSURE FROM WINDOWS OR MUWON APPROVAL WILL APPLY TO ENTIRE SYSTEM. THIS PRODUCT HAS BEEN DESIGNED AND TESTED TO COMPLY WITH THE REGUMMI S OF THE ROM MUM CODE 2004/2007 EDITION INCLUDING I= VELOCITY HURRICANE ZONE (WH4. WOOD BUCKS BY OTHERS. MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE ANCHORS SHALL BE AS LISTED. SPACED AS SHOWN ON DETAILS. ANCHORS EMBEDMENT TO BASE MATERIAL SHALL. BE BEYOND WALL DIMS= OR STU= ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL A LOAD DURATION INCREASE IN ALLOWABLE STRESS S USED IN DESIGN OF ANCHORS INTO WOOD ONLY. MkOTERIN.S OICLUDOIG BUT NOT LIIMa TO SMS0461EfL& EWETTTS, THAT COME WTO CONTACT WITH onffR DISSpMI.AR MATERIALS SIEAtI MEET' Tiff REauDTEAEENrs OF 2004 FLORIDA BLDG. COOS SECTION 2003.8.4. m(a% t4 8� 4��� = pp4m p�M M 33333 Z Z� W b LAMINATED GLASS C 6 m V O LARGE MISSILE IMPACT § UCTURES PRAIDUCPR,EVmm E i9S97 W9= whhd fbft ti drawing no. 16200 W03 -75 eheeL 1 of 8 DESIGN LOAD CAPACITY - PSF (XO OR OX SIZES) WLNDOV DIMS wgaLN HEX 1T A STD. KM. RAIL B.D. LLTG. RAIL GLASS TYPE 'A' GLASS TYPE 'B' GLASS Tm 'AL' GLASS TTPE 'B!' GLASS TYPE 'C CLAM TYKE 'D' M.- TTPE 'AL' Exr( +) and -) &F4H W4 ) EXrr.( +) Kr.( EU-(+) o+*d 28 -1/2• 37' 93 -1/8• W (� 3 70.0 80.0 70A 90.0 70.0 80.0 83.3 9" 784 two 70.0 80A B37 90A - 5 70A 80A 70.0 9DA Tao 80.0 83.3 ODA 7 70.0 BOA 70A 80A 70A 80A 53.3 90.0 1 'X 28 -112• 37• 74' 38 -3/B' (3) 3 70.0 BOA 1 7" 9a0 7" SOA 837 90.0 4 7" $0.0 70.0 9" 70.0 80.0 837 90.0 S 7a0 80A 70A 90A TOA BOA S37 90A 7 70A 80A 70A 90A 70A BOA 837 90A 28 -1/2' 3 70.0 80.0 70A 90.0 70.0 80.0 WA Sam 3Y 00 -8/S• 4 70.0 80.0 70A 20A 70A BOA 837 9a0 53 -1/8' 74' (4) S 70.0 80.0 70.0 90.0 70A BOA 837 90.0 7 - TOA ODA 70.0 804 837 SOA 28 -1/2' 37, 83 -1/B• 74• eY 3 70.0 80.0 70.0 90.0 700 BOA 837 80.0 4 989 873 70.0 90.0 70.0 80A 83.3 WA 3 428 48.T 70.0 B&8 70.0 80A 837 a" 7 1 - I - _ - _ - 833 90.0 24• 2 704 80.0 7" 90.0 704 BOA 837 50.0 39' 3 70.0 80.0 70.0 90A 70.0 80.0 837 90A 48' 24 4 70.0 SaA 70.0 96.0 704 BOA 833 80.0 80• 5 70.0 804 70.0 90A 70.0 80A 83.3 90A 72• 8 70.0 80.0 70.0 90.0 704 BOA 833 BOA 24• 2 70A 80.0 70A 804 833 90A 39• 48' 3 70.0 BOA 70A 90.0 70.0 80A 833 804 70A 80.0 70A SOD 70.0 B04 83.3 90.0 80• (3) r.- 70.0 50.0 704 90.0 70A 80.0 833 90.0 70A 80.0 70.0 90.0 70A 804 83.3 90.0 24• 2 704 80.0 70A S" 70.0 804 833 90.0 38• 3 70.0 80.0 704 90.0 70.0 804 833 90A 49• 4 70.0 80.0 "A 90.0 70A BOA 83.3 90.0 9p• 5 70A 80.0 70A 90A 70.0 800 833 gam 72' 8 70.0 80.0 70A 90.0 70.0 804 833 9" 24• 39• - 2 70.0 80A 70A 90A 704 BOA 933 BOA ,3 70.0 80.0 70.0 90. 0 70.0 804 837 Sao 48• -- ' 4 S42 819 70.0 904 70A BOA 833 50.0 -- 80• 8 1 4S.1 1 519 "A 87.3 70A 80.0 EM3 80.0 6 -7B.7 1 -70.0 78.7 837 90.0 A ° NO. OF ANCHORS PER HFAD k SILL .J ( ��',` �' / / /��J�_'• () ° 140. OF ANCHORS PER JANE a • •• •• • • • •• •• ••• • • • ••• • • HI -FM SILL WRH RISER Lour W-( +) Low 70 837 PSF GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -02/04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 16m Z at a� 8 � 41; m go 4m 01, O M y R tain 20 � 4 W03 -75 M N N N Sm. SILL WIHi00r FZM W Loor Eu.(+) LOAD9 70 533 PSF • STD. SLLL WDH RAM • UBT EXL.( +) LOAM TO 70A PSF • LS-mm SILL WnHoLff HISER LMr E%r.( +) LOADS 7O Ws PSF • •• •• • • • •• •• ••• • • • ••• • • HI -FM SILL WRH RISER Lour W-( +) Low 70 837 PSF GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -02/04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 16m Z at a� 8 � 41; m go 4m 01, O M y R tain 20 � 4 W03 -75 DESIGN LOAD CAPACITY - PSF (XOX SIZES) 1 ROM DIMS. Wm7H FelmtT A STD. MTG. RAM H.D. Mm. RAIL GLASS TYPE 'A' GLASS TYPE 'B' CLAW TYPE 'Al, GI TYPE '81' GLAD TYPE 'C GLASS TYPs 'D' GLASS TYPE 'A1' EXL( +) INT4 -) 1XQ +) Wd -) EMd +) I W'1-) EXr.(+) INT-H 74' 189 -if4' 111' 2r 1 7 70A BOA 70A 90.0 70.0 1 80.0 93.3 WA 10 70.0 SU 70A 90A 70.0 8 LO 813 90.0 10 - - - - - - 93.3 90A 74' 109 -1/4• 111• �3� (3) 7 70A 80A 70A OU 70.0 80A 933 90.0 10 700 �.0 70A 90.0 70.0 aA 933 90.0 10 - - - - - - 93.3 90.0 74' 108 -1/4• 111• 50-5/8* (4) 7 70A 90A I" 80A 70.0 80.0 833 9mo 10 70.0 90A 70A 90A 70.0 80A 933 9" 10 - - - - - - 933 90A 74' 109 -1/4• 111• or (8) 7 49.4 Sig 70A 90A 70.0 80.0 IN" 90.0 t0 _ _ _ _ _ _ 933 90.0 r 10 80.0 (13 7 - - - - 83.3 90.0 72" 84' gg' 24• (2) 7 70.0 1 an 70A 90.0 mo 80.0 833 SmO 9 704 90.0 70A 904 70.0 80.0 933 90.0 9 704 90.0 mm 90.0 70.0 8" US SU 10 70.0 80.0 70.0 80.0 70.0 80.0 933 90.0 72' S4' w ,OB• 3W (3) 7 70.0 8" 70A 90.0 70.0 90.0 933 90.0 70.0 70.0 804 70A no "A !m o 933 90A 9 70.0 80A 70.0 9" 70A 90.0 933 90.0 10 70A 90.0 704 900 70A 90.0 933 no 72' 84' gg' 48' (4) 7 70.0 90.0 70.0 10.0 70.0 80.0 933 90.0 8 70.0 BOA 70.0 90.0 no SU 63.3 90.0 a 70.0 50.0 70.0 90.0 no I 80A 933 90.0 10 70A 90A MA WA 704 SOA 833 W.O 72' g4• to6' ep' 7 842 619 70A 90.0 70.0 50.0 93.3 90.0 8 479 84.4 70.0 90.0 70A 80.0 833 1 90.0 1 79.0 939 70.0 90A 933 90.0 /0 700 79.7 79A 7&7 1 933 I 90.0 A = NO. OF ANCHORS PER HEAD & SILL { ) m NO. OF ANCHORS PER JAMB OPERATING VENTS TO 13E 1/3 OF THE WINDOW WIDTH DESIGN LOAD CAPACITY - PSF (XOX SIZES) VINDOW DIML WIDTH I MEW A (1/3111) (113N) (1/3117 H.D. MTG. RAIL GLASS TYPE A' GLASS TYPE T' MASS TYPE 'AI' GLASS TYPE '01' GLASS TM *C* GLASS TYPE 'D' GLASS TYPE 'At' Exr.(+) OPERATING VENTS TO 13E 1/3 OF THE WINDOW WIDTH DESIGN LOAD CAPACITY - PSF (XOX SIZES) VINDOW DIML WIDTH I MEW A •• ar STD. MTG. RAIL H.D. MTG. RAIL GLASS TYPE A' GLASS TYPE T' MASS TYPE 'AI' GLASS TYPE '01' GLASS TM *C* GLASS TYPE 'D' GLASS TYPE 'At' Exr.(+) w(-) Exr.( +) I WT) txL( +) IMF( -) gxr.( +) I OFFT) 74• 108 -t/4• 111• 26' (3) 7 70.0 no 70.0 90.0 70.0 80.0 93.3 90.0 10 70.0 80.0 70A MA 70.0 80.0 83.3 90A 10 - - - - - - 83.3 Su 74' 108 -1/4• 111• 39 -3/9• (3) 7 70.0 BOA 70A 9" 70.0 BOA 83 7 90A 10 - - 70A 90.0 70A BOA 813 SU t0 - - - 10.0 74' 80 -3/8" 7 - _ "A SILO 70.0 BOA _a" 833 no 7-C or 7 • •• • 72• 94' g8• 108• 2$ (2) 7 70,0 SU 70A MO 70.0 SG.0 IN" 90.0 8 70A SO4 70.0 MO 70.0 410.0 83.3 90.0 9 70.0 8" 70.0 90.0 70A 80.0 (13 7 SU 10 80.0 704 90A 70A 800 BJ3 �A 7y 94' 38• (3) 804 70.0 SU 70A S0.0 833. Su 70A 90A 70A 804 833 50.0 80A 70.0 90A 70A MO 833 =0 r$1 70.0 90.0 70.0 BOA 633 904 72• Be 4) 90.0 70A SILO 70.0 80.0 833 - 70A 90.0 70.0 80.0 833 BOA _ _ - 833 80A 72' 60' (S) 7 70A 90.0 704 80.0 633 90.0 A = NO. OF ANCHORS PER HEAD & SILL () - NO. OF ANCHORS PER JAMB (t /4111) (t /2ttQ (t /4 I 6 4 OPERATING VENTS TO BE 1/4 OF THE WINDOW WIDTH STD. MTG. RAIL H.D. KM RA6 •• ••• • • • •• ar • • • • • • • • • • • • • •• • • •• • n N n N n N • •• • • SID. SILL Wmaff Rom • • SID. Suomi" RI9}A • 0 W -RISE SILL Willow RISER IBBr Fwf.1 lam TO 833 PSF LWT ETLr.( +) LOADS TD 70.0 PSF Low W.( +) IAADS 70 66.7 PSF ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • n HI -RISE SILL WITH RISER LSAT EXTj +) LOADS TO 83.3 PSF NOTE' GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -02/04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 62008 0 Z i 101110 `� aS m Q u) 0 07 gnM wffi crowng 00. W03 -75 I • _ • • -._ •.• . ...... : :... TYPICAI. ANCHINIS SEE ELEV. FOR SPACING t SPACING �a g [#00D BUCKS AND METAL STRUCTURE NOT BY E.S. WINDOWS SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM TRANSFER THEM TO THE BUILDING STRUCTURE. fi TYPICAL ANCHORS SEE ELEV. FOR SPACING $ 1 A! T INTO 2BY WOOD BUCKS OR WOOD STRUCTURES 1 -3/8' MIN. PENETRATION INTO WOOD THRU 18Y SUCKS INTO CONC. OR MASONRY 1 -1/4" VIN—EMBED INTO CONIC. OR MASONRY aa� gt DIRECTLY INTO CONC. OR MASONRY r of 1 -1/4" MIN. EMBED INTO CONC. OR MASONRY J14 SMS OR SELF DRILLING SCREWS INTO DADE COUNTY APPROVED MULLIONS (MW. THK. _ .090" ) a INTO METAL STRUCTURES Z n STEEL : 12 GA. MIN. (Fy = 38 KSI MIN.) $ Z 4I ALUMINUM : 1/8" THK. MIN. (8083 —T5 MIN.) (STEEL IN CONTACT WITH ALUMINUM TO BE PLATED OR PAINTED) 41 N TYP tM� ICAI EDGE DISTANCE Ln m INTO CONCRETE AND MASONRY - 2 -1/2" MIN. INTO W000 51RUCTURE = 3/4" MIN. INTO METAL STRUCTURE = 3/4" MIN. SEALANTS: Q FRAME AND VENT CORNERS AND INSTALLATION SCREWS AT SILL c SEALED WITH WHITE /ALUMINUM COLORED SIUCONE WEEPHOLES: g $ W1 = 1- 13/18' X 1/4" WEEPHOLES AT 3" FROM EACH END WITH PLASTIC BAFFLE in fi W2 = 1/4" WEEPHOLE AT TOP & BOTTOM RAIL 1" FROM EACH END MAY 16 2008 17'aM PART * 6RIANT117 DffiCRII�TION tf61'8RTA1. YANP. /aDPPf,I6R/BE1(AR® TIPM ANCHORS 1 FS1003 1 FRAME HEAD 6063-To - . .... SEE ELM 2 E'52001 -, i STD. FRAME SILL 80&7 -TS - .... . Z �[ ?A F82012 1 10 -R6E FRAME SELL BoeE -m - • SEE S N a M6aNOA ANf27 . •. ' •. e . �E SEPARATE NOA s Esmoo -s-, , FRAME ,laem vEMr aces -m - . ' 4 e. 4 E5L000 -1 , FRAME JAMB FIXED BORE -TS - a E52000 -s -1 t/ vaur Fo® Faut eoeE -m - y 8 E5� -4-1 ,/ VENT SID. VENT' IIEflDQO RAIL 8083• -m - 8A F,S2004 ,/ VENT H.o. VENT IrIEErato atil eDBE -m - 7 ESt000 -7 -t 2/ VENT TOP AND BO1TW1 RAH. a�3� -m - n 8� a Eszaoo -e-, 1/ vFrrc .wua smE aoeE -m - A. ` O a E520� -8-1 As REao. cLazDlc BEAD saes -m - ,o E52002 -1 1 SILL TRACK D,SERT eoe3 -m - 4 ALT. t 1 ESlOt, As �. SID. SILL RISER saes -m - Jga� TYPICAL ANCHORS 11A - As REiXI. 6e -RISE SILL RISER 808E -m - p SEE ELEV. FOR SPACING ,z Es,00e 21 VENT vmrt uTa+ 6063-TS ar a• Fl�A1 Evros T bf ,3 E51012 ,/ LATCH VENT lATt21 sPRaVt1 St. STEEL - ,4 AS ftE�. FOAM FILLED FABRIC wSTRiPPINO SCHLEOEI. O 1S je % 1' AS �. fRWE/VENI ASSEMBLY SCRE•5 CRS P.N. 5165 18 je % 3• 2/ VENT FOL PAS. SB.I SCREWS (SID. 91LL ENO) CRS P.N. SIa3 1eA 410 x 4• 2/ VENT F06. RA0. SILL StziEVls (HI -RAE Stl1. END) CRS P.H. 5M5 17 as82o -ta7 As ttEt�. VENT k FDL wm. wsRaPPwe AMES�RI' OR Eotmr. 18 4E828 -,87 As I�QO. FRAME JAMS wsfPoPPINO aYE'>BURY OR EOUN. 14 WPHL -100 2 BAFFLE - M k M PtASDCS Za /8 X 3/8' 2/ BAFFLE BAf1•l.E SCiRY! - P.H. SMS 21 ESi010 AS �QD. GLAZWO GASKET SOFT PVC - FRA1� ADAPTER BOBS -m 22 E52007 ROLLER HOUSING d: GIADE PllSiiC - 6m 23 F.5L006 VENT' 81tAS5/Sf. ST. - 0� ROLIER PDi SI. - 4 OPEN CELL FOAM PAD X 3/4• % 1• LOP%i Z i JaNROLLER S/18• a0% Sl3sEEH - OPTIONAL FLUSH N� Li O �o ALT. • ! • • • • • ...•. • • • • • • ,_^ • • • • PRODUCT REVISED i •, • • • ••• •. FLA. =tooD>slSAwh6�P6etWR Carlo .p .v•.I v ° CAN. Kn yg ' n'•• •a • : ° •1 ••• • • 8 dmring no. • • • • • P� ' • • � Y 1 8 2008 W03 -75 � • •' • : : eneec s •t s . • . .... . .. : ... .... . . . . .... . . ... . FRA1� ADAPTER BOBS -m OPIIONAI. 1 /4• WX t VENT WIDTH SHIM OLO. A�� 1/4 MAX z@ 13 STD. SHNS H.D. 3 1B B 4 v..1By $ MOOD BUCK tCt sORNDTURE U� a .. � c 1 . 1 B B < Q IYPICIIL ANCHORS SCREEN OPf. os SEE WI6V. FOR SP e AtOOI 3 D.LO. i' S y EXTERIOR o a WINDOW wam _ XD LAYOUT SEE /,fiiCAL �NG OX OPPOSITE OVENT VADTH v 1 /a• Sm >` MAX 1 1 © VENN 1TroTH tf4 ���myy} ttpp �d 3 g 'TfPM•AL ANCHORS tD MOOD 18 ' .v.s SEE ELEV. FOR SPACIMs N P y o R 3333bb 17 + Irk t S B 9 S _SCRMN M. SCRETdJ OPf. EXTERIOR ° WINDOW v9m XOX LAYOUT 7YPM ANCHORS 1/0 VAX . W N I -OADE COUNTY SEE E". FOR SPACING 1M SHIPS ALT. APPROVED Mum fill es so • • �<m�o • • • 1 1 t t • t • • W. OR IR1N +FARO F11DUL7' REVD C @ . • FLA. ANN. { wag...� 6 • 'd • SEEv. sPt• •.• e e dmMi� rro. :.. .. . •. W03 -75 • . . . . . . • • • • Mlroorr wmTH�Mwootr Mro1H •�• ••� • JAAY 1 62m ism s • • •ee e • ••• 2330 �-114z • .7903 e3] Jw .082 .st9 .s13 Z 4 ."O 2188 982 7.344 .147 Q MAZING BEAD 2/ B2ILB VINYL 1.421 .813 •• O VENT TOP /BOTTOM RAIL • • ••• 2.188 .gap 1.100 .780 1.122 Q (t FRAME HEAD An gag o79 M q .892 7.118 1.149 '8� .973 � ,983 1250 .813 t2 VENT LATCH 2.190 TVP. rn. 2.998 O JAMB STILE . T Os2 J' .900 c7, 7R 2.083 M -2189 Q if m 9I oez 9N © FLUSH FRAME ADAPTER 4ii n 7n 4- —2330 7.130 O O2 STD. FRAME SILL $g Z 3 I © SM. MEETINO RAIL .4� W �j 2..083 r 9� .830 ,•� 9� Li 9FTVP. 3.437 29,9 2900 o 0 L SM. SILL RISER $ @{ J $ �o ® H.D. MEETING RAIL OCR ^ S ... 113 . : ••t+79� • .. . • •. 1112 • • .� .. Q HI -RISE FRAME SILL : '088 .. .490 • • • • • • 294, 2130 .�2 973 909 �: OR. YOUN • 0 PR91iUC1'NEV� Z JB2 2935 2182 2lJO FlA Ob°@IaNd1 ,.979 � jJ ffi C 41 . 8 •tear{ r .082 -I . ; • • • .719 L.mj Y 16 2008 W03 -75 . to SILL TRACK • • ® I= M4 %M • • � ai•RISE SILL RISER ® FRAME JANE VENT s0 FRAME JAMB MW sheet 7 of 8 ••• • • • • ••• • ••• • •• • • ••• • .. •.• .. .: . . .. • is 162008 /%: �v O �o 8� ti drawing no. WO3 -75 MIAM MIAMI-DARE COUNTY, FLORIDA k in METRO -DARE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 160:1 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) www.buildingwdeonfne.com E4. Windows, LLC 10653 NE Quaybridge CL 1V#iami, F1331.38 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 Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where 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 Miami Dade County) and/or the AI-]J (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 Florida Building Code, including High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Series "300(1" Aluminum Outswing French Doors w / wo Sidelites APPROVAL II ocumENT: Drawing No. W0451, titled "series -3000 Alum Outswing French Doors (UM", sheets 1 through 7 of 7, prepared by Al Farooq Corporation, dated 06 -10-04 and last revised on Sep 28, 2007, signed and sealed by Dr. Humayoun Farooq, P.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami Dade County Product Control Division. MISSILE IMPACT RA►Tiw.- LaMe-and s an Missile impact _ Limitation: 1. Door installation require total four (4) flush bolts for double doors & two(2) for single doors 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 chap& jn the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an ea orsement of any.' . .... �. product, for sales, advertising or any other purposes shall automatically terminate this Nd'A -More to oocnply • • • 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,MoMa, and followed by • • • • • the expiration date may be displayed in advertising literature. If any portion of the NOA4i �4s�layed,;henlrshall , , • • • • • be done in its entirety. • • INSPECTION: A copy of this entire NOA shall be provided to the user by the manufactste=4r its dis&9ty ors • • • • • • • and shall be available for inspection at the job site at the request of the Building Official. ; • •; •; 0 ' '. This NOA revises NOA # 040712.02 consists of this page 1 and evidence page E-1, as wbll as eo . 9 90006: I Ipprovat... document mentioned above. : :See*: NOA No 07. 0828.09 Expiration Date: September 16, 2009 Approval Date: October 25, 2007 Page 1 E.S. Windows, LLC NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS (transferred from file # 04- 0712.02) 1. Manufacturer's die drawings and sections. 2. Drawing No. W04 -51, titled "series -3000 Alum Outswing French Doors (LMI) ", sheets 1 through 7 of 7, prepared by Al- Farooq Corporation, dated 06 -10 -04 and last revised on Sep 28, 2007, signed and sealed by Dr. Humayoun Farooq, P.E. (Note: the revision consists of an additional glazing & hi- bottom rail options) B. TESTS (transferred from file # 04- 0712.02) 1. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Small Missile Impact Test, per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading, per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 24113.2.1 and TAS 202 -94 along with marked -up drawing and installation diagram of aluminum outswing French door, prepared by Fenestration Testing Laboratory, Inc., No. FTL -3947 & FTL -3955, dated 02104/04, both signed and sealed by Edmundo J. Largaespada, P.E. 2. Additional test report: Test report No. FTL -5164 per TAS 201/203 -94, issued by Fenestration Testing Laboratory, Inc, dated 08/01/07, signed & sealed by Carlos S. Roinda, P. E. C. CALCULATIONS (transferred from file # 04- 0712.02) 1. Anchor verification calculations and structural analysis, prepared by Al Farooq Corporation, dated 04 /09/07 signed and sealed by Dr. Humayoun Farooq, P.E. 2. Glazing complies w/ ASTMS- 1300 -02 D. QUALITY ASSURANCE BY: I. Miami -Dade County Building Code Compliance Office (BCCO) E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No.05- 1208.02 issued to E.I. DuPont DeNemours for "Butacite PVB Interlayer", expiring on 12 -11 -2010 2. Notice of Acceptance No.0&1205.10 issued to E.I. DuPont DeNemours for "SentryGlas Plus", expiring on 01 -14 -2008. F. G. STATEMENTS 1. Addendum letter dated September xx, 2007, issued by Fenestration testing lab, • • • signed & sealed by Carlos S. Roinda, P. E. • • • • • • .. 2. Statement letter of conformance and "No financial interest", da ted06�11 /07�; . • ; • signed and sealed by Dr. Humayoun Farooq, P.E. 3. Laboratory compliance statements, part of the above referenced test r ports : • • • • OTHER 0000 • 1. This NOA revises NOA # 040712.02, expiring September 16, 2009,,',, 0 ' 2. Test proposal approved by BCCO dated 02/06/06 & 07/31/07. • • • ... E -1 lihaq I:Cln nor' p Prodnet Control Examiner NOA No 07- 0528.09 Expiration Date: September 16, 2009 Approval Date: October 25, 2007 0000•• L 30 1 /4 ' fir, 28 1/16• Li 30 t /4• O.L OPLi. 0, In D.L OPLi. 34 1/4' 34 11118' 34 1/4' PANEL WIDTH LEAF NnDTH ( 0XX0) PANG. wu SERIES -3000 ALTJM OUrMMI" FRENCH DOOR THESE PRODUCTS GLAZED WITH LAMINATED GLASS RATED FOR LARGE MISSILE IMPACT AND REQUIRE NO SHUTTERS. APPROVAL APPLIES TO SINGLE (X) AND DOUBLE (XX) LEAF DOORS WITH OR WITHOUT SIDELITES. SIDE UTES CAN BE ON ONE OR BOTH SIOES OF DOOR. SEE SHEET 2 FOR DESIGN LOAD CAPACITIES. THIS PRODUCT HAS TO SOM Y W$Ij THE REQUIREMENTS OF THE �ITIDN YICLUDING HIGH VELOCITY HURRI ZONE (HVH4 • • •• • • • • WOOD BUCKS BY UST AJCHW PyOPSLLYiTO TRANSFER LOADS TO THE STRUC7W • • • • • • • • • • ANCHORS SHAD. BE AS LISTED. SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL. SHALL BE BEYOND WALL DRESSING OR STUCCO. ANCHORING OR LOAQIQ(G CQIdDI10NS {�j S�TQYIe! IN THESE DEVILS ARE NOT PART OF jHIS" APj�Rq�(AL • • • • • • A LOAD DURATION E :N �VFM4NS LIED %&SIfN IF ANCHORS INTO %0 On .• • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • (xx) TYPICAL ELEVATIONS TESTED UNITS NOTE FLUSH BOLTS ARE CONCEALED ON INACTIVE LEAF AND EXPOSED ON ACTIVE LEAF SEE DETAIL G ON SHEET S. PRODUCE R6YL4ED osagn'ylgl with 16o Flad" NoO - S •d% _!�. ORaEmbd 5EP 2 8 2007 Z F 1$ yA i� ate^ n z�� Y i H!, L; drawing n•. W04 -51 sheet 1o_ 7 144' ADDL ANCHORS REDD. FRAME WIDTH INTO OR 0WALLATIONS ONLY 34 S/e 68 3/4" 34 S /8' FIR 8 SILL FRAMEj�- H�EA SILL FR HEAD 4e SILL WAD/SILL CORNERS /HEAD lA 1 —D �d{o l V 1 I _!! ' I _ SURFACE APPLIED FALSE MMUN INS MAY BE USED L 30 1 /4 ' fir, 28 1/16• Li 30 t /4• O.L OPLi. 0, In D.L OPLi. 34 1/4' 34 11118' 34 1/4' PANEL WIDTH LEAF NnDTH ( 0XX0) PANG. wu SERIES -3000 ALTJM OUrMMI" FRENCH DOOR THESE PRODUCTS GLAZED WITH LAMINATED GLASS RATED FOR LARGE MISSILE IMPACT AND REQUIRE NO SHUTTERS. APPROVAL APPLIES TO SINGLE (X) AND DOUBLE (XX) LEAF DOORS WITH OR WITHOUT SIDELITES. SIDE UTES CAN BE ON ONE OR BOTH SIOES OF DOOR. SEE SHEET 2 FOR DESIGN LOAD CAPACITIES. THIS PRODUCT HAS TO SOM Y W$Ij THE REQUIREMENTS OF THE �ITIDN YICLUDING HIGH VELOCITY HURRI ZONE (HVH4 • • •• • • • • WOOD BUCKS BY UST AJCHW PyOPSLLYiTO TRANSFER LOADS TO THE STRUC7W • • • • • • • • • • ANCHORS SHAD. BE AS LISTED. SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL. SHALL BE BEYOND WALL DRESSING OR STUCCO. ANCHORING OR LOAQIQ(G CQIdDI10NS {�j S�TQYIe! IN THESE DEVILS ARE NOT PART OF jHIS" APj�Rq�(AL • • • • • • A LOAD DURATION E :N �VFM4NS LIED %&SIfN IF ANCHORS INTO %0 On .• • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • (xx) TYPICAL ELEVATIONS TESTED UNITS NOTE FLUSH BOLTS ARE CONCEALED ON INACTIVE LEAF AND EXPOSED ON ACTIVE LEAF SEE DETAIL G ON SHEET S. PRODUCE R6YL4ED osagn'ylgl with 16o Flad" NoO - S •d% _!�. ORaEmbd 5EP 2 8 2007 Z F 1$ yA i� ate^ n z�� Y i H!, L; drawing n•. W04 -51 sheet 1o_ 7 ii - =lr- -- -= -Irr-- --'\lr- -- -=7r - __ LL u I^ fi u L 30 1 /4 ' fir, 28 1/16• Li 30 t /4• O.L OPLi. 0, In D.L OPLi. 34 1/4' 34 11118' 34 1/4' PANEL WIDTH LEAF NnDTH ( 0XX0) PANG. wu SERIES -3000 ALTJM OUrMMI" FRENCH DOOR THESE PRODUCTS GLAZED WITH LAMINATED GLASS RATED FOR LARGE MISSILE IMPACT AND REQUIRE NO SHUTTERS. APPROVAL APPLIES TO SINGLE (X) AND DOUBLE (XX) LEAF DOORS WITH OR WITHOUT SIDELITES. SIDE UTES CAN BE ON ONE OR BOTH SIOES OF DOOR. SEE SHEET 2 FOR DESIGN LOAD CAPACITIES. THIS PRODUCT HAS TO SOM Y W$Ij THE REQUIREMENTS OF THE �ITIDN YICLUDING HIGH VELOCITY HURRI ZONE (HVH4 • • •• • • • • WOOD BUCKS BY UST AJCHW PyOPSLLYiTO TRANSFER LOADS TO THE STRUC7W • • • • • • • • • • ANCHORS SHAD. BE AS LISTED. SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL. SHALL BE BEYOND WALL DRESSING OR STUCCO. ANCHORING OR LOAQIQ(G CQIdDI10NS {�j S�TQYIe! IN THESE DEVILS ARE NOT PART OF jHIS" APj�Rq�(AL • • • • • • A LOAD DURATION E :N �VFM4NS LIED %&SIfN IF ANCHORS INTO %0 On .• • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • (xx) TYPICAL ELEVATIONS TESTED UNITS NOTE FLUSH BOLTS ARE CONCEALED ON INACTIVE LEAF AND EXPOSED ON ACTIVE LEAF SEE DETAIL G ON SHEET S. PRODUCE R6YL4ED osagn'ylgl with 16o Flad" NoO - S •d% _!�. ORaEmbd 5EP 2 8 2007 Z F 1$ yA i� ate^ n z�� Y i H!, L; drawing n•. W04 -51 sheet 1o_ 7 I I DESIGN LOAD CAPACITY - PSF SINGLE OR DOUBLE LEAF DOORS WITHOUT SIDFLITES IMAXIMUM DESIGN LOAD RATING - + 70.0 PS(L I VOR SAS SHOWN W LOW OR SMALLER) - 80.0 PSF (xx) HEIGHTS: PAME 0 NOMINAL HEEOR FRAME HEM LEAF HEIGHT STANDARD ATOM RAIL HI- PRORLE SOTMM PAL ;,- - -8/e- - C 77 -1/4' 69 -1118' 88 8/0 95 -3/4' 93 -1/4' BS -1/". \r 71 -3/4' 34- 11/16' 70.0 80.0 70.0 \ 704 80.0 D 80.0 70.0 (x) (xx) HEIGHTS: DAYLITE OPO. NOMINAL HEEOR FRAME HEM LEAF HEIGHT STANDARD ATOM RAIL HI- PRORLE SOTMM PAL ;,- - -8/e- - "-3/4' 77 -1/4' 69 -1118' 88 8/0 95 -3/4' 93 -1/4' BS -1/". 81 1':1117�Y:1'T7 NomaNAL WIDTH FRAME WIDTH I LEAF wurH o 2/6 (X) 31 -1/2' 28 -11/1W 39 r. 3/0 (1) 37 -1/2" 34- 11/16' 6/8 1 70.0 ow 59 -3/4' 28- 11/16' / 6/0 (40 71 -3/4' 34- 11/16' 70.0 DESIGN LOAD CAPACITY - PSF STATIONARY PANEL (0) FRAME WIDTH INCHES E OR V . ( -) 36 • W0 • 41 • 7010 • E 39 00 7ft I EXT. ( +) 42 6/8 1 70.0 8" 70.0 8" / 8D.0 70.0 WA 70.0 80.0 70.0 80.0 704 80.0 70.0 80.0 70.0 80.0 70.0 80A 70.0 80.0 70.0 SC.0 70.0 80.0 70.0 an 70.0 BOA 24 27 30 33 36 39 7/0 70.0 8" DESIGN LOAD CAPACITY - PSF STATIONARY PANEL (0) FRAME WIDTH INCHES FRW HMV OLAgg T=VA'.d0.4W • FT.A*- at OR V . ( -) 36 • W0 • 41 • 7010 • • 8p,Q6 39 00 7ft I EXT. ( +) 42 6/8 1 70.0 8" F • a • F • • • • • • • • • • • •• •• • • • •• •• 9 m DESIGN LOAD CAPACIPY - PSP SINGLE OR DOUBLE LEAF DOORS WITH SIDELRES SIDELIIE WIDTH ITCHES FRAME HEN84T FT./M. GLASS TYPE 'A'. 'B'. 'C' OR 'D' QNREEMRCED MOLUON REINFORCED MULLION Ev. ( +) SIR. ( -) I EXT. ( +) DIT. ( -) 24 27 30 33 36 39 42 6/8 70.0 8" 1 70.0 8D.0 70.0 WA 70.0 80.0 70.0 80.0 704 80.0 70.0 80.0 70.0 80.0 70.0 80A 70.0 80.0 70.0 SC.0 70.0 80.0 70.0 an 70.0 BOA 24 27 30 33 36 39 7/0 70.0 8" 70.0 80.0 70.0 80.0 1 70A 80.0 1 70A 80.0 1 70.0 80.0 70.0 a.0 70.0 80.0 7DA 80.0 7" a.0 70.0 80.0 70.0 BOA 18 21 24 27 30 33 36 8/0 70.0 78.8 70.0 80.0 70.0 749 70.0 80.0 70A 71.1 70A 80.0 87.9 879 70.0 80.0 88.0 68A 70.0 80.0 82.4 82.4 70.0 7&9 60.1 60.1 70.0 7 6.0 SEE SHEET 4 FOR GLASS TYPES DESCRIPTION. i NOTE: FOR DOORS WITH SIDELJTES USE SIDELITE RATING TO QUALIFY DOOR & SIDELITES. n n CO�tsl C O n CDC E F F \ \ \\ D B C O n CDC (x0oxi (0) n 17 E F F //L \ \ B D \ LJI (x0oxi (0) n 17 C (om) NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -02 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 S 8 '2007 �V it Z F �n�r1y aM d y�am_nM1 ^ � M y C, to W04 -51 E F //D \ \J LJI C (om) NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -02 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 S 8 '2007 �V it Z F �n�r1y aM d y�am_nM1 ^ � M y C, to W04 -51 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • MEML ��u TYPICAL ANCHORS snoxTuRE SEE ay. FOR SPACING aqj # e 18y wow BIJCK ANCHORS SEE ELEV. FOR SPACING F O21 Y! © 21 Q: 1s 1s s Q a�� 8 irinw ON ' s _ Jt 31 OFRIomL rmm us �Ln 2� O PRISMUMMOM Ji J1 �1� aI $ oil I � s 1 z•� s •�`. ?i - • • • • PEttERL1110N m SILL 14 t4 AY PI A_ ' q FLA. PE QZW CAN!• ' •'e ••� i °I • °�• •.• , 311' X 1- 1 WEEP • e . • j °°� •. • • • SPACi • • ° 18• X 1 -1 • AT ?— PROPIIE i RAO. PTO TAR U� 8 draMing no. 1 /SILL A -• W • / DOORS . ,._rnrrmc W04 -51 ST'ATIO24ARV OPFILS�L ULVIT�+ SEP i 8 2007 sneer 3 o 7 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 1YPICAL ANCHORS ��'j SEE ELEV. FOR SPACING �, WOOD OR pge Mw$ -OAOE cOum m"Im m it Muum s MULLION ANCHORS kAl SEE SEPARATE NOA US LJ 8 " � WOOD BUCKS AND METAL STRUCTURE NOT BY E.S. WINDOWS y MUST SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM AND TRANSFER THEM TO THE BUILDING STRUCTURE. 4 SEE EEV FOR MGRS TYPICAL ANCHORS: SEE Eum FoR SPACING 3 TYPrAL SEE 0.EVFOR � 1W T- � � - INTO 28Y WOW BUCKS OR WOOD STRUCTURES 1 -3/8' MIN. PENETRATION INTO WOOD -� WU 18Y BUCKS INTO CONC. OR MASONRY-- A 1-1/4° MIN.;.EMBEO INTO CONC. OR MASONRY aQ DIRECTLY INTO CONC. OR MASONRY $J' 1 -1/4' MIN. EMBED INTO CONC. OR MASONRY JJA SIMS OR SELF DRILLING SCREWS INTO METAL STRUCTURES STEEL : 12 GA. MIN. (Fy = 38 KSI MIN.) ALUMINUM : 1/8' THK. MIN. (6083 -T5 MIN.) m +fin (STEEL IN CONTACT WITH ALUMINUM TO BE PLATED OR PAINTED) S n n M $14 SLC OR SELF DRILLING rreeu1c � � Z � .. INTO DARE COUNTY APPROVED MULLIONS (MIN. THK. a .0907 I (NO SHIM SPACE) 1N o TYPICAL EDGE Ott N[ F INTO CONCRETE AND MASONRY = 2 -1/2' MIN. INTO WOOD STRUCTURE = 1' MIN. INTO METAL STRUCTURE - 5/8' MIN. SEALANTS: ALL JOINTS AND FRAME CONNECTIONS SEALED WITH c 3 /1e' Ns Guess 3 /16' H.S. Gum 1/8' Hs GLASS 1 /e' Hs. GLASS WHTTE/ALUMINUM COLORED SILICONE. q5 t+ .0�' INIQdAYER .090' INTERLAYER .090' P1IERIAYIR 11.090' MTERLAYER $ p LnIPONT SENIVA AS PLUS' DUPONT BUTACRE PV$' 'CUP= SUTAaTH PW � DLMNT BRACITE PVW s •iN 5 3/18' HS. GLASS 3/1$- H.S. GLASS 1/$' K.S. GLASS 3/3Y H.S. GLASS A 2 •• ••• • • • • •s, SAXONE • • • • SILICONE a COW CORNIN00 • • • G 793 OORt CORNING 795 DOW C010�@iG 79S _ < m o • •• • • • • ••• •• j 31 31 i qr. OR HUW N FARM A PE"• • • CAN. � Is • • • • • • • • • • • drawing no. GIASS TYPE W 0 GLASS WYPE 'B' • • GLASS TYPE 'C' GLASS TYPE 'D' SEP 18 2007 W04 -51 GLAZING OPTIONS sheet 4of 7 ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • EXTERIOR OPTIONAL W. ANCHORS .99• X 2• x .99• 1 8• oLENGTH FULL LENGTH STL x ( ) (STEEL TO BE PAINTED OR PLATO) ANCHORS V. FOR SPACING 1/4• MAX. MAIL 9'ACH 2 J R 13 v •. v� IBr •DOD BUCK LEAF kAD' • • • • .. . . . • . . FRAME W= I ....... . . .. • • • • • • • • • • • • EXTERIOR (X) • . . • • . . • • • • • •• •• • . • • •• •• ••• • ••• • • SEE ACTM LBAV r100D (FLUSH 13OL75 AT ALINE AND INACTNE LEAFS t EXPOSED FLUSH BOLTS MUST BE ENGAGED, D R M PERIODS OF HURRICAM Wes) / n FROM EACH END CONCEALED FLUSH BOLTS AT 10• FROM EACH END 0 u IN -ACTH LE V e �C O UNRENFORCED MULLION F{ SEE CHART ON y3�T�1am 4 � OnM�g (Z3M�b cl MULLION REINFORCINO CHANNEL .9HH• x 2• X.99• X 1 /e• ��G111 F FULL (STEEL. TO BE PAINTED OR PLATED) 2 O RFJNFORCao MULLION �- SEE CHART ON SHI'. 2 4 ' ACnVR IF C .' E,.r. N18p N AROOO sTttucrD�a gvhvdm �S ETA. �1 4 C.A.K. x739 drawing rto. P 2 8 2700) W04 -51 �4A00 --�{ 1.779 � 1.500 L 2.290 .078 I t� -zata Q ® FRAME HEAD /JAMB 1.608 .OW .388 1.600 1a WEATHERSTRIP ADAPTER TOP /BOTTOM RAIL 2.163 1.145 .49110 .078 ,.900 .883 T_ aa10 U FRAME SILL -11.1451-- I = 11 A4175 .92 e • • • .225 .145 WEDGE GASKET maLE 1:* 3.3x0 r f .078 398 2.874 SHEAR PLATE 1.000 .800 .045 .5a2 JAMB TRIM 1.112 .260 1.931 PANEL CLAMP R.913 1.750 1 .09 14 SILL COVER • • • • • • • • • • 4.000 --•� • • t"4161 1.780 Ll p HINGE STILE 0 LOCK STILE /KEEPER STILE 2.125 6.375 8IS + oats + ,pg 4�- -2.12s 3 PIECE HINGE .960 I .125 2,060 MULLION REINF. CHANNEL 2874 .078 .J9a .760 3.3x0 SIDELTTE ADAPTER 17-1 If PARR / QUANR,IR DRBCRTPRION - -_ M&THRIAL MANE. /80PPLIB6/R9YA869 1 ES3001 -1 1 FRAME HEAD 6093 -76 2 E53001 -2 2 DOOR FRAME JAMB 8083 -T8 3 ES 3=-1 1 DOOR FRAME SILL 6063 -75 4 ES3003 -1 AS REM SMUIIE ADAPTER 8083 -T8 - 5 ES3004 AS REOD. SHEAR PLATE • ANCHOR LOCATIONS 6063 -TB 3' LONG 8 ES3005 -1 2/ LEAF TOP AND BOTTOM RAIL 6063 -79 GA ES307A 2/ LEAF HB- PROFILE BOTTOM RAI 5083 -75 - 7 ES3006 -1 1/ LEAF DOOR LEAF JANE - HINGE SIDE 8063 -10 - 8 ES3007 -1 1/ LEAF DOOR LEAF - LOCU SIDE 6083 -111 - 9 E83007 -2 i/ LEAF DOOR LEAF - KEEPER SIDE 5963 -T8 - 10 ES3008 -1 AS REOD. SIDEUTE STILE 6003-TS 11 FB -1202- 914 2/ LEAF EXPOSED FLUSH SOLT STEEL SUUNAN & ASSOCIATES 12 FB -1202- 914 2/ LEAF ODNCEALED FLUSH BOLT STEEL SULLIVAN & ASSOCIATES 13 ES3011 AS REDO. JAMB TRIM 6083 -79 OPnONAL 14 ES3012 1 SILL COVER 6093 -T8 _ 15 ES3013 2/ LEAF WE4711E115ITRIF2 ADAPTER 6083 -T5 - 15 ESM14 -1 4/ PANEL PANEL CLAMP 6063 -TB 17 MM03 -3 3/ OPEFL LEAF HINGE ASSEMBLY 6083 -T8 19 - - DOOR LOCK (SAVANNAH 2O1SQ - YALE 20 - - DEAD 60lT LOCC (PREMIER) - YALE 21 W22321N9 AS REOM FIN -SEAL PILE •'STRIPPING - I ULTRAFAB 22 ES3020 AS REDO. BULB WEATHERSIRIPPWG VINYL AT SIDELITE PANELS 23 - 1/ HINGE HINGE REINFORCING BAR ALUMINUM 1- 1/4'%1/8'X4 -1/4' LONG 24 - AS READ. HINGE REINFORCNO BAR ALUMINUM 1 /8' THK. X 7 -7/6• LONG 25 - 2/ LEAF 3/8' 91A. THREADED ROD W/ NUTS STEEL. - 26 - AS REDD. FRAME ASSY. SCREWS - /10 PAN HEAD SMS 27 - AS REDD. MULLION REINFORCING CHANNEL A38 STEEL. - 26 ESQ14 AS REDO. BOTTOM RAIL GLASS STOP NEOPRENE - 29 EM19 AS REOD. PANEL SILICONE STOP NEOPRENE - 30 - AS REDO. 318' M X 1 /8' HT. BUMPER SILICONE FRANK LOWS RUBBER CO. 31 EM13 AS REOD. WEDGE GASKET 32 ES= 2/ STILE FLUSH BOLT BRACKET 6083 -75 - 33 - 2/ BKT. BRACKET INSTALLATION SCREWS - 010 X 1' FN SMS 34 Q/LOM AS REDO. DOOR PANEL W SIRIW N9 JOEL EA HI- PROFILE BOTTOM RAIL SEP 2 8 2007 PRBDUCTREVtM Cwtrol B =91c"m wa 60 FIj6 O u n �m SSS �_o nMq� z WO drawing no. W04 -51 MIAMI SHORES VILLAGE, , JOB , ADDRESS - /® INSPECTION€,s r TIME READY Ire� Z v , REMARKS: , , , , FLA. I NP , , , , INSPECTOR DATE ...6 6.0.0. 6666 4 . 6666.. .6000. 400. 6666.. 6.44• . 6666 .0606 40 . 0 6666.. 666.6 6666 .00044 6 4 0 .400 . . OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. MAXWELL & MOTT 9068 Biscoyne Blvd 17 -4216 JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 360 N E 103rd Street 5; Ez 6 I 37 M S Section #1 GENERAL CONTRACTOR + ADDRESS PHONE NO. LICENSE NO. Tohn M. Bolen I 301 N E 79th St I X 2068 _ BUILDER'S BOND 677" f� $} 7/7/`^1JJ'8 19.00 ry'7 � 19 7/7/48 BUILDING PERMIT NO. DATE PERMIT FEE S NO, DATE 181500 20532 157000.00 ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST S DATE m7� JDH 7/7/48 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: PE TYPE STORIES ROOF CONSTRUCTION Frame: INTERIOR CONSTRUCTION m X I CBS 1 Tile Oak flrs - Porch - tile NEW CONSTRUCTION DESCR IPTION I Liv Rm - Din Rm - Kit - Jalousie Porch - 2 Baths 2 BedRms REPAIRS I DESCR.PTION ALTERATION 1-car garage - ldy ADDITION Bldg I sp//e//ctor APPROVED REJECTED TO COUNCIL REASONS SUBMITTED-12. 7,7/48 (REFERRED RE- SUBMITTED TO PLANNING BOARD I - - -- - _ REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. 606 / /Q I ISSUED10 /29/48 77�V BY JDH To Maxwell & Mott 9068 Bis Blvd BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE BUILDING INSPECTIONS INSPEC;L^S DATE BY RE- INSPECT BY RE- INSPECT BY FOUNRNTION PERMIT NO. DATE FEE TEMPORARY SERVICE $1.00 H. W. HEATER CONN. BEAMS & LINTELS r7 �}. ! 22 O L7 JDH 6791 ::77/874-8 $ 1 00 FRAMING $ $. SOLAR HEATER $ $ GAS $ INSPECTIONS DATE FINAL RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE INSPECTIONS CLEAN -UP BY RE- INSPECT BY RE- INSPECT BY ROUGHING PLUMBING PERMITS & INSPECTIONS CONTRACTOR Freelan Jones I PI4nmF PERMIT NO. 6001 DATE 7/12A8 FEE $ 5.50 NEW BLDG. X I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $1.00 H. W. HEATER CONN. $ SEPTIC TANK WaldenW 6791 ::77/874-8 $ 1 00 SEWER F $ $. SOLAR HEATER $ $ GAS $ INSPECTIONS DATE $ RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER 0 1 �} 8 7T JDJ FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR A E . VLLilirLCa PHONE PERMIT NO. 009 DATE � NEW BLDG. Z I ALTERATION '{ ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE AMR 6792 7-8-1 $1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ML ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 0 1 �} 8 7T JDJ APPROVAL TO POWER CO. FOR SERVICE DATE ].0/29/48 BY JDH Disconnect temp ser4 10/29/48 JDH "P" ADDRESS 360 N. E. 103rd St. LEGAL 5, EJ6, Blk 37 M S S #1 RECORD GARBAGE TAX Ctf Oce 10/29/48 PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER J. P. Rothschild o i/ 9 /� 1 1948 $12.00 11 gg 1 2/j 8 -- $2.50 10/23/48 11730 V E- �• �• / '� —7/ /3 js 4, 1 �0'� h 7 s, N-1 MIAMI SHORES VILLAGE, BUILDING' ELECTRICAL PERMIT N° 6778 PLUMBING lr z Work to be performed under this Permi Owner of 110i'_ tr Building � — Architect c Contractor or Builder Legal Lot Description I g I Bl. Subdi- vision DATE O - 194_` -- Contractor's Licerme No. c Address of j`� -:_.: Value of % / I Amt. t Of Building tt��+�'''' '� Project ! !r''' Permit , �""'�O" This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device des ribed 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 jesponsibilit fora thorough knowledge of the dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings r in the s ents or specifications and thtlt' a umes respon- sibility for work done by his agents, servants or employees. Signed • By + PECTOR In consideration of the issuance to me of this permit I agree to perfd�m, a work covered hereunder in compliance with all ordinances and regulations pertaining thereto and. in strict conformity with the plans, drawings, statement r specif%ations submitted to the proper authorities of Miami h s Vill ge. In accep ip this permt I assume re nsibility for 11 work done by either my elf, my ent, servant or employee. 1J }/ .( CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194 ELECTRICAL PERMIT Nn 6792 Contractor's PLUMBING License No.- Work to be performed unPermit { Owner of Building Architect Contracto or Builder Legal Descripti Address o Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 ap roved by the pro er municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plan are changed wi u authorization. A further condition upon which this permit is granted is the understanding that th® contractor or builder named above as umes A a respo i ' ity for a thorough knowledge f the inances and regulations pertaining to the work covered hereby whether shown on the plans or dyawm or,' tements o specifications an at lie umes respon- sibility for work done by his agents, servants or employees. Signed: By On vision f ��� ��.� —_� Value of I Amt. of/r =� .�' Gs" � Project Permitt!! In consideration of the issuance to me of this permit I agree to perform pertfiining thereto and in�� onfo ity withplans, drawings, temei In accepe3pjr1 perm it I e f onsi 'ty f )1 work done b e' ' er CONTRACTOR OR BUILDER e wo k covered hereunder in compliance wit" ordinances anJL tions or ecifications submitted to the proper authorities of Miami Shores Village. agent, servant oA employee. BY AUTHORITY r _ Lot Bl. S Subdi- In consideration of the issuance to me of this permit I agree to perform pertfiining thereto and in�� onfo ity withplans, drawings, temei In accepe3pjr1 perm it I e f onsi 'ty f )1 work done b e' ' er CONTRACTOR OR BUILDER e wo k covered hereunder in compliance wit" ordinances anJL tions or ecifications submitted to the proper authorities of Miami Shores Village. agent, servant oA employee. BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE -{ 194 ELECTRICAL PERMIT N° 6801 actor's PLUMBING,,. - License No. Work to be performed under this Permit Owner gf ! /rf,. Building Contractor or Builder _ Legal Descriptioli Address of RM Lot BL 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- 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 re possibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby - whether shown on the plans o dr ings o the statements or specifications and tladt he &`ss mes respon- sibility for work done by his agents, servants or employees. / f Signeikr'r By 2 , /`e+' In consideration of the issuance to me of this permit I agree to p jaat fo the work covered hereunder in compliance with all ordinances and #goons pertaining thereto and in strict conformity with the plans, drawings, s ent s or specifications submitted to the proper authoMPs of Miami Sho s. l ge. In accepting this permit I assume responsibility fora work done by ei r myself, my agent, servant or employee. CONTRACTOR. R BUILD R % BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194`—' OF ELECTRICAL PERMIT N? 6791 Contractor's i PLUMBING s a No. Led Work to be perf9xme d under his Permit f f Owner of Building Architect =---- C llov"_4 K4 ontractor f.. or Builder Legal Lot II Bl. Description Address of �i Rnilrling � Subdi- vision Value of This permit is granted to the contractor or builder named above to construct the cation herefor in strict compliance with all ordinances pertaining thereto and with the u plans, drawings; statements or specifications that may have been submitted to and apprc at any time if the work is not done in compliance with such ordinances or if the plans permit is granted is the understanding that the contractor or builder named above` regulations pertaining to the work covered hereby whether shown on the plans _ av sibility for work done by his agents, servants or employees. Signed: Amt. of ,(f, // y Permit ding or to install the equipment or device described in the appli- standing that the work will be performed in compliance with any by the proper municipal authorities. This Permit may be revoked sang ithout authorization. A further co ition upon which this tponsibility for a thorough knowle e of the or ces and the stateme :.4£ specifications d that he ssume respon- INSPECTOR y p In cons'd ration of the issuance to me of this permit I agree to erf the work covered hereunder in compliance withp4 ordinances anre�l![tio pertaining the e o and in st conformity with the plans, drawings, ements or specifications submitted to the proper authorities of Miami Shdfesi ag . In accepting i ermit I e responsibility for all work done by either myself, my agent, servant or employee. TRACTOR OR BUILDER BY AUTHORITY L. MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE' 194_ ELECTRICAL PERMIT Nn 6778 Contractor's PLUMBING License No._ Work to be performed under this Permiit Owner of Building T/ Architect Contractor „ or Builder Legal Lot f Bl. Description Address of Rrnildiny Subdi- vision Value of F I i 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- 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 responsibililf for a thorough knowledge of o dmances and regulations pertaining to the work covered hereby whether shown on the plans or drawing or in the statopents or sppcifications and, -that YLdsurues respon- sibility for work done by his agents, servants or employees. jr, Signed: e,. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications itted to the proper authorities of Miami Shores Village. In accepting this permit I assume respoi►gbility11 work done by either myself, my agent, sery m to t P& � 41 �' 11 v Pi Unif CONTRACTOR OR BUILDER BY AU C "7 MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N° - 5964 Contractor s License No. —_ ROOFING ❑ ❑ Work to be performed under this Permit Dwner of Building c krchitect - ontractor Dr Builder '-egal Lot I Subdi- Description I Bl. - -- vision —_ Address of Value of ! 1 Amount of uilding _ Project I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining 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 one 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 iing thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- 1 this permit I assume responsibility for all work done by either, myself, my dcjent, servant or employee. ¢ t OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N° 6801 Contractor's PLUMBING License No.— 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 194_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: 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. t CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING 0 ROOFING ❑ Owner of MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5967 Work to be performed under this DATE 195 Contractor's License No. Architect Contractor C. or Builder Legal Lot Subdi- Description Bl. vision Address of Value of ! Amount of f Building - — Protect $ 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 x in strict compliance with all ordinances pertaining thereto and with the understanding that the work, 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. r' 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 MILDING A ;LECTRICAL p PLUMBING El PERMIT N° 5 9 5 6 r tOOFING ❑ ❑ Work to be performed under this Pei owner of Suilding architect : ontractor r Builder .egal Lot Subdi -'- )escription 11 2, Bl. -- vision At address of Value of Amount of wilding V ('e' c> t r ` Project $ Permit $ DATE Contractor's ax L!cenr No. —_ T 1 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. Signed: BY: INSPECTOR f -- In consideration of the issuance to me of this permit I agree to perform the work covered lreunder 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• tg this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 4r c .; .. CONTRACTOR OR BUILDER BY AUTHORITY -CRI- BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING ❑ EJ Owner of Building Architect Contractor or Builder Legal Lot Description — ., Z 11 ri �. PERMIT N° 6037 i DATE Contractor's License No. — 95 _ Work to be performed under this Permit Subdi- vision Address of Value of Amount of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings, or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY: INSPECTOR s' 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 dr employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE PLUMBING ❑ PERMIT N? 2441 Contractor's ROOFING ❑ License No. Work to he performed under this Permit— — Owner of Building Architect Contractor or Builder Legal Lot Description —_ Address of Building 95 Subdi- vision Value of l Amount of Project $ Permit $ 9.. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. E MIAMI SHORES VILLAGE, FLORIDA f BUILDING DATE 194= ELECTRICAL ' PERMIT NO 6889 Contractor's PLUMBING •^' . License 110. Work to be performed under this Permit , V --`` Owner of �3�r�.✓`t�i/ ✓� Building Architect l Contractor or Builder Legal Descriptie Address of Subdi- vision Value of 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- 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 ab a assumes ttll�pe resp . ility for a rough knowledge of he ordinances and regulations pertaining to the work covered hereby whether shown on the planror dra or in tatemen ecifications ar�d th t e assumes respon- sibility for work done by his agents, servants or employees. � f f! Signe f i1t ` By '411"INSPECTOR In consideration of the issuance to me of this permit I agree to perform t e work covered hereunder in compliance with oftrdinances a d r�gti?a ns pertaining thereto and in strict conformity with the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In a this permi s res sibility fora work don%by ither myself, r9Ly agent, servaflt or employee. CONTRACTOR OR BUILDER BY AUTHORITY UILDING ❑ LECTRICAL ❑ LUMBING ❑ OOFING ❑ Owner of MIAMI SHORES VILLAGE. FLORIDA DATE 1 ° 5 IRM" PERMIT N? 6052 Contractor's License No. " Work to be performed under this Permit �hitect ntractor Co ilder _ . `.: > `� Lot i of f' I I Bl. _ f� Subdi- e- vision Value of Amount of Project Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawinf�r or in thea1tatements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ./ t Signed: INS'I ECTOR 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 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N? 6792 Contractor's PLUMBING License No.- Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot I 131. Description Address of Subdi- vision Amt. of Per mitf y This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: INSPECTOR By 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 ass n- responsibility fo all work done by either 3nyself, my agent, servant or*mployee. 1W j 194— CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N: 6791 Contractor's PLUMBING tense No._ Work to be performed under this Permit Owner of Building - Architect Contractor or Builder '. f.. Legal Lot II Bl. Subdi- Description vision Address of / x Value of II Amt. of Buildin>r .. Project I Permit 194_ 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 q!!umes „respon- sibility for work done by his agents, servants or employees. Signed r _. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DA' PERMIT 7586 Contractor's License No. 11.0, 19 —^ Work to be performed under this Permit _.__________ — - - —_ 17.11 Subdi- 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 BY AUTHORITY ABBOT - kP MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT AP LIGATION FOR ELECTRICAL PERMIT Permit No ------ ____ 7byy __ Date– ____– N .........fX .: ......._ Application is her ade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all. provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address --- -- _'__!% E -- ---- -- No ------------- ------------------------- Street--------------------------------- - – - »-- Registered Architect and /or Eng* ^ - -- Employing Electrician's Name __. Location and Legal Description Street and Number where work State work to be performed and purpose of building (By Floors) --------------- – ---- — ----- — --- __- -------------- ___-- ---------- — ----- — -------------------------------- New Building------ ----- --- ----- -- ------- - - -- -- Remode ling---- ------- --- -- ----- - - - - - -- Addition ..-- -- --- --- ---- -- --- -- - - -- Repairs-------- --- -- -- - --- ---- No. of Stories------- --- - -- - -- Service Underground Size Feeders -`4 -1 -- Conduit- ---.Z %.... Main Sw.- - - - - -; – Amps. — -- Main Fuses ----------------- – ----- Amps. Type of Installation ondd __ ______________ Tubing- __- ---------- – B.X.L ----------------- Metal Moulding —__– --------------------- --__— -------- – ------ – ------------- – Amount of Permit $ ---- --- ---- ---------L:- ------------ ---- ---------- -----_— ._____ ( Signed) --------- --- ------ - - - - -- — — — -- -- — – - -- -- - -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r, (Signed) -- °`Apisz_ --------------------------------- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 be 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 OUTLETS OUTLETS RECE'P'T'S No.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER TOTAL CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. I TEMP. PERM. ( 0-1 HP 1 -3 HP TRANS. CONTR. LIST LIST CHECK I Service Underground Size Feeders -`4 -1 -- Conduit- ---.Z %.... Main Sw.- - - - - -; – Amps. — -- Main Fuses ----------------- – ----- Amps. Type of Installation ondd __ ______________ Tubing- __- ---------- – B.X.L ----------------- Metal Moulding —__– --------------------- --__— -------- – ------ – ------------- – Amount of Permit $ ---- --- ---- ---------L:- ------------ ---- ---------- -----_— ._____ ( Signed) --------- --- ------ - - - - -- — — — -- -- — – - -- -- - -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r, (Signed) -- °`Apisz_ --------------------------------- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ---------------------------------------------------------- ---- --- ---- ---- ---- ---- -- - - - - ---• ------------------------...------------------------------------ My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE / PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r Permit No._ - -- ----------- Date ---- -------- ____ --^ -------------------------------------- Application is he by m de or the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein escribed. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ - -- --------- -- ---- ------ ------ - - - - -- - - ------ ----------- - - - --- No.---* ------------------------------------ Street --------------------------------------- - --- -- Registered Architect and /or Employing Plumber's Name ------------ /l G�`4, ..r`, -� No----------- -- -- -------------------- - - - - -- Street-- ----- ---- - -, - -- r' Location and Legal Description Lot____ _______________ J"__.1J_ -------------------- __ Block --- - ___________ --__ Sjubdivision__ - Street and Number where work is to be performed—No -------- __- !t__ ----- - _________ ___________ "; v ' /o � -------- - - - - -- Street -' —`" -� State work to be performe and purpose of building (By Floors)---_-__-_____________ ____________ __ ___________ _ ___ -_ ___ _- __--- ___- _-- _-- __- ____ -__ New Building.--- - - - - -- - - - - -- -- -- - - - -- Remodeling-------------------------- - - - - -- Addition - - - - -- - Repairs No. of Stories -------------------------- Size Septic Tank ---- - - - - -- Q Type of Tank---------------- �'r`?j'- --- ,----------------------------- Capacity Gals. - - -� ® � Feet of Drain Tile--- --------- - - - - -- -------- - - - - -- -Dist. Feet of Tank or Drain Field from Well -------------------------------------------------------------------------------------------- Natureof Water Supply: City — Well ------------------------------------ ------- -------- - - - - -- -Size of Soakage Pit----------------------------------------------------------------------------------- - - - - -- Amount of Permit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 thek such public notice or notices as are required by the Act. The undersigned agrees to employ only sdch sub - contractors, on workX be performed er 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 says that lie is the ---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. -- - -- ------------- - - - - -- ------------ - - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH 1 FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS $INKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM 'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank ---- - - - - -- Q Type of Tank---------------- �'r`?j'- --- ,----------------------------- Capacity Gals. - - -� ® � Feet of Drain Tile--- --------- - - - - -- -------- - - - - -- -Dist. Feet of Tank or Drain Field from Well -------------------------------------------------------------------------------------------- Natureof Water Supply: City — Well ------------------------------------ ------- -------- - - - - -- -Size of Soakage Pit----------------------------------------------------------------------------------- - - - - -- Amount of Permit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 thek such public notice or notices as are required by the Act. The undersigned agrees to employ only sdch sub - contractors, on workX be performed er 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 says that lie is the ---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. -- - -- ------------- - - - - -- ------------ - - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. u MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. — — Date----------- - - - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subiyfttfor the building or other structure herein described. This application is made in compliance and canformity 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. __ X__ __ ��1 ---' - '_= No. Street Owner's Name and Address _ �� Registered Architect and /or Employing Plumber's Name_ CG c. -� Z - - - - -- NO Street Location and Legal Description Lot ____ � _� =____ _— ______________Bloch___ _ �: Subdivision ___L _�'___ Street and Number where work is to be performed—No ---- — -------------------------------------------------- - ----------- Street ----------------------------------------------------------------------- State work to be performed and purpose of building (By Floors) ------------------------------------ — -------------------------------------------------------------- —_______________________________-- New Building------ --------------------- --- - - - - -- Remodeling-------------------------- - - - - -- Addition-------------------- - - - - -- Repairs----- ------------ - - - - -- No. of Stories - - - - -- ------------ - - - - -- Size Septic Tank - - - - - -- --- - - - - ---- - - - - -- -Type of Tank- ---------- ------- ---- - - - - - -- ------------ - - - - -- -- - - -- Capacity Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City—Well ---------------------------------------------------- — ------- Size of Soakage -------------------- --------------- - -- - -- ---------------- --- -------- - - - - - -- - - - - - - - - --- - - - - -- — Amountof Permit $ �� ---------------------- -------------------- - - - --- ( Signed)-------------------------------------------------- - - - - -- - -bi - - - ----- - - tor. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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)----,_- M - aster Plumber. STATE OF FLORIDA, 1 J ss. V (% COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. - CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CLIST LIST = CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE .+@0EWF DEEP SPRKLR. SW IM'G TANK CONN. FIELD PIT TRAP HF�ATER WELL SYSTEM POOL LIST CHECK Size Septic Tank - - - - - -- --- - - - - ---- - - - - -- -Type of Tank- ---------- ------- ---- - - - - - -- ------------ - - - - -- -- - - -- Capacity Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City—Well ---------------------------------------------------- — ------- Size of Soakage -------------------- --------------- - -- - -- ---------------- --- -------- - - - - - -- - - - - - - - - --- - - - - -- — Amountof Permit $ �� ---------------------- -------------------- - - - --- ( Signed)-------------------------------------------------- - - - - -- - -bi - - - ----- - - tor. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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)----,_- M - aster Plumber. STATE OF FLORIDA, 1 J ss. V (% COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Oil BUILDING :CleZi No.lsp5 '" 45q PERMIT APPLICATION 10t"VVV rmi No. FBC 2001 `� 1.. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Shahriar Bahmani Phone # ( 305) 720 -3368 Owner's Address 360 N.E. 103 Street City Miami Shores State Florida Zip 33168 Tenant/Lessee Name Phone # Job Address (where t h e work is being done) 360 N. E. 1 0 3 Street City Miami Shores Village County Miami -Dade Zip 33138 Is Building Historically Designated YES NO X Contractor's Company Name Quality. Roofing Contractor Phone# ( 305) 751-0382 Contractor's Address 13800 N. W. 1st Avenue City Miami State Florida Zip 33168 nitnlifiPr Carlos Arocho State Certificate or Registration No. RC 0 0 5 8 6 2 7 Architect/Engineer's Name (if applicable) Certificate of Competency No. Phone # 000017889 $ Value of Work For this Permit $13,500.00 Square Footage Of Work: 3 0 0 0 sq . Type of Work: ❑Addition ❑Alteration ❑New ® Repair/Replace ❑ Demolition Describe Work: Tear off old roof to wood deck, replace rotted wood, tin cap_ 301b. ASTM felt, install galvanized eave drip & valley metals where required, mop .� ASTM felt, , install Spanish S Clay tile with polyfoam adhesive setting. C k W Submittal Fee $ 50• CO Permit Fee $ _9 CCF $ (5,40 CO /CC Notary $ Training/Education Fee $ '80 Technology Fee $ 8 C�J Scanning $ 3' C0 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) c;23 r Do Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first, inspection which aKurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro d d a reinspection fee will be charged. Signature Signature I ent Contractor The foregoing instrument was acknowledged before me this J day of U u,,,,e— , 20 0.�, by _S41& c, r who is personally known to me or who has produced As identification and who diA take an oath. NOTARY Sign: Print The forgoing instrument was acknowledged before me this J day of U 200,:;-, by _ 0,s Jc s Avoca who is personally known to me or who has produced as identification and wh> did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: =;, .- MY COMMISSION # DD 060579 MY COMMISSION # DD 060579 ?24 . 'c = My Commission Expires: *- EXPIRES: October 10, 2005 EXPIRES: October 10, 2005 _ g APPLICATION APPROVED BY: f �J Plans Examiner Engineer Chc 05/13/03 Zoning MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT � �q APPLICATION FOR ELECTRICAL PERMIT Permit No.- — -- -- — Date---- - - - - -- Application is hereby made f r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address L— ---------------- No --- ______ ----------------------- —. Street_______ Registered Architect and /or Engineer Employing Electrician's Name ___ !� = �� G_C [ x> I_C•�- 6 -t=i- No.__A� o !____ ��!________ Street- ��1.1rr"'' Location and Legal Description Lot ___________ ______ _____— --- _ --- — ---------- — -------- Block --------- - » _ _ __________ Subdivision— _�Lr— _______— _______— __- _______ Street and Number where work is to be performed—No ------------ .------------------------------ (� _!!!___ Street____.__: -_ — ----- - ----------------- State work to be performed and purpose of building (By Floors) ---------------------- — ---- — ---- __ -------------------- —_ ------------- ----------------------------------------- New Building--- --- --- ------------------- - - - - -- Remodeling--- --- -------- -------- - - - - -- Addition ..----- ----- --- ----- - - ---- Repairs------------- -- ------ -- - - -- No. of Stories------- --- - - -- -- . »rC� Service Overhead Size Feeders ------------ Underground Type of Installation — conduit__ ______________ Conduit ------ — _------ Main Sw ------------ _ --- —__ Amps.! —___ Main Fuses ------------------------ Amps. Tubing______ ____ ______ B.X.L ----------------- Metal Moulding �� _ ----- --------------------- - - - - - -- - - - -- Amount of Permit $ - - -- f —_ C_______— --- --- ---- — ----- (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �: r (Signed) - — L -- �•'� !- = r------------------------------------- Master EIectrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- -- ---- — --------------------------- -- ------ — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -_— --- — ----- __-- --- — ------------- _ --- — --- - ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - -- -------- ------ --° -- --- -- •--•-----•--- -- --....... My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CL �" ST lj I L CHECK . »rC� Service Overhead Size Feeders ------------ Underground Type of Installation — conduit__ ______________ Conduit ------ — _------ Main Sw ------------ _ --- —__ Amps.! —___ Main Fuses ------------------------ Amps. Tubing______ ____ ______ B.X.L ----------------- Metal Moulding �� _ ----- --------------------- - - - - - -- - - - -- Amount of Permit $ - - -- f —_ C_______— --- --- ---- — ----- (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �: r (Signed) - — L -- �•'� !- = r------------------------------------- Master EIectrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- -- ---- — --------------------------- -- ------ — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -_— --- — ----- __-- --- — ------------- _ --- — --- - ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - -- -------- ------ --° -- --- -- •--•-----•--- -- --....... My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. RECEIVED NOV Q F 2003 Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): CBuilLdqin) Electrical Plumbing r� Map e,c,hanical Roofing Owner's Name (Fee Sim p le Titleholder ) Phone # � — S4�_ Owner' Address CDC � L;% City J "t X21 J iM�.� State `z–�� - Zip 3 - � a 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 o. 17q& Permit N Master Permit No. Tenant/Lessee Name Phone # Job Address (where the work is being done) tP 0 V6 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name %) Phone # Contractor's Address City Qualifier State Zip Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State $ Value of Work For this PermitlRi, Zip. Square Footage Of Work: Number of. Bays Stories Families Bedr oms Baths Type of Work: ElAddition ❑Alterations E]New Repair/Replac _ o it- Describe Work: PD CA A -GA- C,(� /�CJ� � 00-t klx" /j , f\ * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees**** � *,� * *, County Escrow Fee $ r Permit Fee $ 00 ' � Notary $ 0 Education/Training Fee $ 1110 Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ ' 0-6 Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip W f � ik,AUVgaq Lenders Naffit' if aMlicable) ort�g�Lends S, e City State Zip. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is s ' ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first insp ctio which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n a proved and a reinspection fee will be charged. er or A ent The foregoing instrument was acknowledged before me this day ofo�-`T —, 21Q5 by � L fA11�1C who is personally known to me or who has produced As identification and who did take an oath. NOT LI Sip: „` abel Var as QUO 1094 Print 1 ��` `� Expires: Jul 13, 2007 My p " ` Atlantic Bonding Co., inc. M Commission Ex s: State Certificate or Registration No. 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. NOTARY PUBLIC: Sign: Print: My Commission Expires: (Certificate of Competency Holder) Certificate of Competency No. ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOV — 6 1003 Plans Examiner Engineer i� t el, Zoning chc7l7 /03 G I -IM F a- Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit No. 4 S 1 Master Permit No. . Permit Type (circle). Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) SAO/ G 13 C A m a1 Phone # 90-T y 3 9/ a 3 d� Owner's Address 3 6 U Mt / 03 S City /%. 5%O � S State t Zip �� �S - Tenant/Lessee Name Phone # Job Address (where the work is being done) 36 0 fft / 0 3 SY City Nami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name A G e 4 dilly cz4 1,e AGE D® hone # . ? o g% q Contractor's Address City 4 Qualifier •YAYOD 3216. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit J6 15-6 Type of Work: ❑Addition ❑Alteration ONew Describe Work: Square Footage Of Work: rc -oq- 1— Repair/Replace ❑ Demolition o Submittal Fee $ E50 ° 00 Permit Fee S 100 CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ 4 0 Scanning $ Radon $ Zoning Bond $ Code Enforcement S Structural Plan Review. $ -*-97- Total Fee Now Due $_ / v , -3-b (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip 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. • A a con& on to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith t a co o otice of commencement and construction lien law brochure will be delivered to the person whose property is to a ent. Also, a tified copy of the recorded notice of commencement must be posted at the job site for the fir ' spection whichJ' ccurs sev d s after the building permit is- issued. In the absence of such posted notice, the insp on will not be approv0d and a reinspecti ee will be charged. Si Signature Owner or Agent E Contractor The foregoing instrument was acknowledged before me this 1 7 The foregoing instrument was acknowledged before me this /9- day odr & 20 r) 11 bySnG i �®l�i �G� r� I °day of �'' 20 �by t/L. who is personally known to me or who has produced ci who is personally known to me or who has produced_V , /_ a As identification and who did take an oath. as identification and who did take an oath NOTARY LIC: NOTARY PUBL : Sign: , g�MAbut ) *L4 Si , Print: ' ° �: ommissto *= ° es: Jul 13, 20 ®7 Print: 4-- en.5•Arl6 kff -__4SF Bonded M y Commission Expires: Atlantic Bonding Co., Inc. My Commission Expires: D Certificate of Competency Holder)''1{ e�s'° M� ���RES• °p�""d�` State Certificate or Registration No. Certificate of Competency No. _ d APPLICATION APPROVED BY: Chc 12/15/03 Plans Examiner _ Engineer _ Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) Owner's Address P217 (0 0 t, City State Tenant/Lessee Name Permit No. Master Permit No. Zip EX EC 1, MAY 18 2595 Mechanical Roofing Phone # `7d J fie, !� �P Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO tc �►� Contractor's Company Name ^ one # 0 � S Contractor's A(d�dnress (C-19 3� � � cx � 7�yc 2 Ci State Zip J �� Qualifier State Certificate or Registration No. Architect/Engineer's Name (if applicable) Certificate of Competency No. Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: -D QN j � EI E_ LD R f-PN R Submittal Fee $ Permit Fee $ 17-5. CCF $J .80 CO /CC Notary $ 5.00 Training /Education Fee $ t Technology Fee $ 4,37 37 Scanning $ 3. C)o Radon $ Zoning Bond $ W l.�ll oo U Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ JU 4J�� '�JIJ -`�-J U -'T r7 pjc," ( `�✓ (Continued ono osite side PP ) r Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip WE 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 n (7) days after the building permit is issued. In the absence of such posted notice, the inspectiopection fee will be charged. Signature Signature Contractor The foregoing instrument was acknowledged before me this The foregoin instrument was acknowledged before me this day of 20 _, by day of C 20 tj , by who is personally known to me or who has produced who is personally k can to me or who has produced As identification and who did take an oath. NOTARY PUBLI Sign: a" Print: My Commission Expires: 4asPdentification and who did take an oath. NOTARY PUBLIC Sign: Print: My Commission Expires: ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *x ********** * * * * * * * * * * * * * * *x * * * * * * * * * * * * * +* APPLICATION APPROVED BY: 'Plans Examiner Engineer chc 05/13/03 — Zoning