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Multiple (6)MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ...... ,I....� ...... Date......:. s✓ .. .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .......... ...�........._............. .........�... _............ No._....:�... :...... .... ............ Street... .� .. �.� �� ..... E , Registered Architect and /or Engineer .................. ......o ... .>.� . ......................................................� ........................................................ ................ ............... Employing Electrician's Name ........ . . .L . . j�4 Location and Legal Description Lot ....... _ ........................................................... Block .......................................... Subdivision ................. ............. ,,{{� //1� 22 Street and Number where work is to be performed— No ...................... 3. j.. ............:._................ ».......Street .rP. .A ...:. .xd......:..... ...._...... State work to be performed and purpose of building (By Floors) ......... _............... NewBuilding . .......... ... .................. Remodeling ................................ Addition .............................. Repairs. ..................................... No. of Stories.................... Service Und Overhead Size Feeders. ................... Conduit ............... Main Sw .............................. Amps .......................... Main Fuses ...... _ ....... ». .Amps Type of Installation— Conduit ........................ Tubing........................ B. X. L.........................Metal Moulding......................................... ............................... 9 Amountof Permit $ .......... ....:.............:.......................... ............................... (Signed)....... ..... .....:: ........ ................. Electri inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 lundersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village (Signed)-- °�......�......: . ._.— °_-- -- ----- : ....................... »......_....................... Master Electrician. STATE OR FLORIDA, 1 COUNTY OF DADE. j as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared......................................................... .. ........... . ..................... : ......................... .......................................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ................. .. ................ ... ... _ ... .. .................... .... of the above described construction, and he has carefully read the foregoing application, and that he did sign the salve, and that all facts therein by him stated are true. ..........._ .......... ............._................. ......... .......................................................»....._............... ..................._........... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. $@ ACE STRIP TOTAL OUTLETS OUTLETS Rzcz,P•T,S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. H691C R HEATER CONTR. - LIST CHECK ENT. DIET. SERVICE SERVICE MOTORS MOTORS_ NEON RADIO TOTAL, SW. CAD. TAMP. PERM. 0.1 HP 1.6 HP TRANS. CONTR. LIST CHECK Service Und Overhead Size Feeders. ................... Conduit ............... Main Sw .............................. Amps .......................... Main Fuses ...... _ ....... ». .Amps Type of Installation— Conduit ........................ Tubing........................ B. X. L.........................Metal Moulding......................................... ............................... 9 Amountof Permit $ .......... ....:.............:.......................... ............................... (Signed)....... ..... .....:: ........ ................. Electri inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 lundersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village (Signed)-- °�......�......: . ._.— °_-- -- ----- : ....................... »......_....................... Master Electrician. STATE OR FLORIDA, 1 COUNTY OF DADE. j as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared......................................................... .. ........... . ..................... : ......................... .......................................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ................. .. ................ ... ... _ ... .. .................... .... of the above described construction, and he has carefully read the foregoing application, and that he did sign the salve, 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No..... .. / / ................... Date............ .... �– !/ ................. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address...... ®r? ..... ..................... ......................No....... Z. 3.. .................Street.. Y. C.:.....1. ®.. ... Registered Architect and /or Engineer ...................... ............................... Employing Electrician's Name' �–� ` ..i- F....:��...Gr�4 –:... .��..�r/..�.S- .ice .......... ....No.... -. -- .:;�......................... Street. .r.'10:.�:r.....1�..:�:s.r..�.. Locationand Legal Description Lot ..................................... ............................... Block........... ........................:...... Subdivision ................ ............................... Street and Number where work is to be performed— No ......................... ........................................ _ ....... Street ....... – � ................... , ......... .......... 1.5 Mate work to be performed and purpose of building (By Floors) .......................... � ew Building . ............................... Remodeling ................................ Addition-- r.W. ................. Repairs. ..................................... No. of Stories.................... Service Underground Size Feeders ................ Conduit ............... Main Sw........................ ...... .Amps.................... Main Fuses. ..... » ............. .. ..... Amps Typeof Installation -- Conduit ........................ Tubing........................ B. X. L.........................Metal Moulding ........ .. ..... » .............. ......._ ........................... ..... ........_ .....................................................................•---........ ..._........................... Z C Amount of Permit (Signed) Electrical Im–pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co, ractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of th work such 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) ..........._...... �----Maae; ......... . STATE OF FLORIDA, tridan. 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, 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. ..... .............................. ....................... ....... ............................... ........ .............. ......................._ ....... .............................................. M y Commission Expires No �Publi .. 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. HEA STRIP TOTAL OUTLETS OUTLETS RECE•P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HL%A'MR HEATER LIST -LIST 9 4 CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO RADIO TOTAL CAB. TEMP. PERM. 0.1 HP 1.0 HP TRANS. CONTR. LIST i1 CHECK Service Underground Size Feeders ................ Conduit ............... Main Sw........................ ...... .Amps.................... Main Fuses. ..... » ............. .. ..... Amps Typeof Installation -- Conduit ........................ Tubing........................ B. X. L.........................Metal Moulding ........ .. ..... » .............. ......._ ........................... ..... ........_ .....................................................................•---........ ..._........................... Z C Amount of Permit (Signed) Electrical Im–pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co, ractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of th work such 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) ..........._...... �----Maae; ......... . STATE OF FLORIDA, tridan. 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, 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. ..... .............................. ....................... ....... ............................... ........ .............. ......................._ ....... .............................................. M y Commission Expires No �Publi .. 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 INSPECTION DEPARTMENT APPLICATION FOR BUILDING. PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. A 19 Date° Owner's Name and Address Registered Architect and /or Engineer Name, and address of licensed contractor — Location and legal description of lot to be b ' Lot_ - 4 4-17 Block— Sub ' o Street and Number where work is to be done `gL� State work to be done and purpose of building (by floors) and for no other New Building Remodeling_ Addition Repairs— No. of Stories —__r To he constructed of Kind of Joun dation Roo Coveg Estimated Total cost of improvements $ O ® Amount of Permit $ .•4 Zone cubage required Distance to neat nearest Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from. all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be eciion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ o y such subcon ctors, on, w k to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Sign STATE OF FLORIDA, COUNTY OF DADE. - Before me, the undersigned authority, , a no t ary p c, duly authorized to administer oaths and take aclmowledgments, personally of peared me well known, and who, being b me fir t my orn; uppon oath d' es and says that he is of the above d "bed c on, that he has car y r ad the foregoing ap lication, and that he did sign the same, and that all facts therein by him t d are e.; ° Permit No. Date a worn to and Subscribed before me. y Notary Public, State of Florida My Commission Expires PLANNING BO _ HATE 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 PIanning 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. V-0 % MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT Permit No ....... (I '" Date...................... .. ................................... _ ....... . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ® ®� Owners Name and Address ....... /5 _ ®1` .......................•--•---- ......._..............._No..... SJQ.- r/, � .Street__... r ®...- Registered Architect and /or Engineer ..... ............... ...... .... ...... e.................. Employing Electrician's Namea,➢__�-^_J. �T..�_.. -_ _ -� .� -�i�� Cam......... No._de-�7 l.._. .street _.... ._ ..... .. ......................... 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 Floors) ........ ................... _ .............. _............................................................................................. New Building ................................ Remodeling ................................ Addition .............................. Repairs. ..................................... No. of stories ................... O h d Service nd gr Size Feeders ................ Conduit ............... Sw.. __._____._._.._..._______....Am ea Underground �... Ps ...........................Main Fuses _ .......................... -Amps Type of Installation— Conduit ........................ Tubing -....................... B. X -L ......................... Metal Moulding ........................................................................ Amountof Permit $........................................................................................ (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 Sectipn 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. STATE OF FLORIDA, j COUNTY OF DADE. I $5' (Signed)........ >b*-Cj-1e4- .... .:.....g ..._..... ......._............_...._..... Master Electriciaa. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.................................................... _ ....................... .... k .................................. ....... ........... _. ...................................................... .................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ... . ............... _ .................. _ ........................... _ .............. ......................... ..._.....................................__......................_............. ............................_.. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T's FIXTURES NO. L AMPS REFRIG. OUTLET IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. $W. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS NEON RADIO TOTAL, 0.1 HP 1•S HP TRANS. CL ST °P , CHECK O h d Service nd gr Size Feeders ................ Conduit ............... Sw.. __._____._._.._..._______....Am ea Underground �... Ps ...........................Main Fuses _ .......................... -Amps Type of Installation— Conduit ........................ Tubing -....................... B. X -L ......................... Metal Moulding ........................................................................ Amountof Permit $........................................................................................ (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 Sectipn 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. STATE OF FLORIDA, j COUNTY OF DADE. I $5' (Signed)........ >b*-Cj-1e4- .... .:.....g ..._..... ......._............_...._..... Master Electriciaa. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.................................................... _ ....................... .... k .................................. ....... ........... _. ...................................................... .................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ... . ............... _ .................. _ ........................... _ .............. ......................... ..._.....................................__......................_............. ............................_.. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. $2.00 ems/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _/!R ?Permit No° __ 1.7-- Date 2--2=-69 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 Shore, Village Florida, and all provisions of the Laws of the State of Florida, all Ordinances of Miann Shores Village and all rules and regulations of the Building Divinon of Miami Shores Village shell 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_ H. Sedaco No. 333 street N.E. 103 St. Registered Architect and/or Engineer Employing p1moWs Name __]Pp�de Gas Company No____ 1180 street-1°,.W. 73 St. Lwatim and Legal Description Lot Block Subdiviskm.- — ------- Street and Number where work is to be performer No, Street.-..__ -- — ----- State work to be performea and purpose of building (By Flom)____ qrypr__conn. to present c as installation Now Building ------ Pwaimodeling— Addition— Repairs— No. of Stories Sim Septic TaI&-------- — ----- of Tank --- - --- -- __- -- - -.Capacity Gals.._ - -- -- ------- Feet of Drain -- _,Dist Feet of Tank or Drain Field from Well--------------_--.--------- _---------------- _- _- _ -_ - -- Nature of Water Supply: CitYWeIL Sizze of Soakage Pit_. - - - ---- -. Amount of Permit $ -- - --- (Signed) _---- - - -- ----- Plumbing Inspector 1�1 ing bT The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ons as tnemployeZof 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 i-AU under this per mt, as are licensed by Miami Shores Village. (Sigited) Master P Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall , appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he'did sign the same, and that all -acts therein by him, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-an on fee of $1.00 will be made when such re-Inspection Is made-necessary by improper notice for inspection, or faulty materials and/or warlinanship. CLOSETS BATH TUBG SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRIPIKINCI FOUNT'NSDrver TOTAL FRXTURES CONTR. LIST 2.00 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM*G POOL CONTR. LIST CHECK Sim Septic TaI&-------- — ----- of Tank --- - --- -- __- -- - -.Capacity Gals.._ - -- -- ------- Feet of Drain -- _,Dist Feet of Tank or Drain Field from Well--------------_--.--------- _---------------- _- _- _ -_ - -- Nature of Water Supply: CitYWeIL Sizze of Soakage Pit_. - - - ---- -. Amount of Permit $ -- - --- (Signed) _---- - - -- ----- Plumbing Inspector 1�1 ing bT The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ons as tnemployeZof 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 i-AU under this per mt, as are licensed by Miami Shores Village. (Sigited) Master P Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall , appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he'did sign the same, and that all -acts therein by him, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-an on fee of $1.00 will be made when such re-Inspection Is made-necessary by improper notice for inspection, or faulty materials and/or warlinanship. b, 0 0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ I CAP 71 Im 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 Shore 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. - ,I Owner's Name and Address— 3�! Z I y " �r W4 � o. 3 33 04C Street -_ � . �- �!!�!� - - -. . Registered Architect and /or En &in eer -- ------- �- Employing Plumber's Name__ - ^ No. 2 Location and Legal Description Lot .B Subdivision -_. Street and Number where work is to be performed —No- 3 1 � �G� Str.L -/" l� State work to be performedi 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 Well__ Nature of Water Supply: City= of Soakage Pit - ---- - - -_�- _ Amount of Permit $ _ (Signd) --- - " lambing 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 5986, 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 regWred by We Acct. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. --_-----_—_.--- - -- Master STATE OF FLORIDA, a& I COUNTY OF DADE. Before me, fia"doigned- othority, a 9fitary VQ. duly 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, ghat has T the foregoing appli and that did the same and that all facts therein by him stated are trut.'Y'a l mats at, 5as �' ® �d �aay Canaan ssaoil Egaires Sept. 9, 196 Bono d By Aetna Insurance GaalPaay My Commission Expires otary Pu o, ttat Florida NOTE: A re- inspection fee of X1.00 will be made wlu3n each re- inspection is necessa>ty by improper notice for /� materials and /or worlinanship. I inspection. faulty CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING -NO TOTAL FOUNT FIXTURES COMTE. - LIST CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE- SOLAR DEEP SPRKLR. SWIM*G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CH6CK - - - Size Septic Tank__ Type of Tank __ _______Capacity Feet of Drain Tile - -_ -- Dist- Feet of Tank or Drain Field from Well__ Nature of Water Supply: City= of Soakage Pit - ---- - - -_�- _ Amount of Permit $ _ (Signd) --- - " lambing 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 5986, 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 regWred by We Acct. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. --_-----_—_.--- - -- Master STATE OF FLORIDA, a& I COUNTY OF DADE. Before me, fia"doigned- othority, a 9fitary VQ. duly 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, ghat has T the foregoing appli and that did the same and that all facts therein by him stated are trut.'Y'a l mats at, 5as �' ® �d �aay Canaan ssaoil Egaires Sept. 9, 196 Bono d By Aetna Insurance GaalPaay My Commission Expires otary Pu o, ttat Florida NOTE: A re- inspection fee of X1.00 will be made wlu3n each re- inspection is necessa>ty by improper notice for /� materials and /or worlinanship. I inspection. faulty .A - . Q' / STY C. Q. S. O� � r � O i IV Z7 /0 3 A" I STREET It r r r r r r 4 I r r r r r r r r r r r r r r r CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVLSION N° 1479 Miami Shores Village, Florida,— 11 -22-63 Owner, Agent or Tenant of Building & John H. GPon Lot 16 & 17 Block 118 Subdivision Miami Shores Sect. Street Address 333 N. E. 103rd St, Approved use by occupancy screen porch addition Remarks: 4686 This Certificate of Occupancy is issued to the above named owner for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, plumbing cmd Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Tax Cube 1094 Tax Value 547 t� BUII.DING DIVISION 46* - =00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... �� Date... _.. .� Application is hereby made for the approval of the ,detailed datement of the plans and specifications herewith submitted for-die-building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work` Owner's Name and Address_ A C. c-, A, No. � � � ,5tr et . � � Registered Architect and /or ftp1oyin8 FlttmWs Natna Location and Legal Description Lot Street and Number where work is to be performed —No icy State work to be performed and purpose of building (By ) � � _., �. _..i ._,_._- .__._.._ _.-- _---- .........._ ...._... -. -- - -• -- . New Building.._ ____.._.._. Remodeling Addition.. r... Repairs _............ No. of Stories........._. - -.... . Size Septic Tank Type of Tangy . ..____ --.- __...Capacity Feet of Drain Tile . -- Dist- Feet of Tank or Drain Field from Well. -_ Nature of Water Supply: City —Well. , _.Size of Soakage Amount of Permit $ ( Signed ) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort- to he performed under this permit; and will post or cause to be posted for inspection on the site of the work such public -notice or notices as am required by the Act. The undersigned agrees to employ a* such sub - contras on k to Sa uhlo permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, l COUNTY OF DADE. Beforeesl4 the undersigpe4 authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well on n. and who, being by me first duly sworn, upon oath deposes and Says that he is the_ f__..__- _- _-- -_ - - -- -... __ ._....._.. ---- -- of the above described construction, that he has carefully read the foregoing cation. and that he did sign the Same, and that all facts therein by him stated are true. ` I99 iu91P 8 7T -'4 r. ;n, 1 .' f r a A4 [ y,I�i;r oef ia;EirtpyFas Notary Pubiio. Stst , of NOTE: A minepection fee of $1.00 will be spade whs So& n4aniaodois IS =ada•aaosssar3 by ieBproper B10F fotr iBOpsetfoB, er janky materials and/or worlaoansilip. . CLOSETS BATH Tube SHOWERS LAVA- Tonics SINKS SLOP SINKS LAUNDRY Tuns UNINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL RIXTYRce CONTR. LIST CHECK SEPTIC TANK SLWLR CONN. DRAIN FIELD SOAKAOC PIT GREASC TRAP SOLAR NEATER DEEP WCLL BPRKLR. SYSTEM Swim's POOL , CONTR. LIST CHECK Size Septic Tank Type of Tangy . ..____ --.- __...Capacity Feet of Drain Tile . -- Dist- Feet of Tank or Drain Field from Well. -_ Nature of Water Supply: City —Well. , _.Size of Soakage Amount of Permit $ ( Signed ) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort- to he performed under this permit; and will post or cause to be posted for inspection on the site of the work such public -notice or notices as am required by the Act. The undersigned agrees to employ a* such sub - contras on k to Sa uhlo permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, l COUNTY OF DADE. Beforeesl4 the undersigpe4 authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well on n. and who, being by me first duly sworn, upon oath deposes and Says that he is the_ f__..__- _- _-- -_ - - -- -... __ ._....._.. ---- -- of the above described construction, that he has carefully read the foregoing cation. and that he did sign the Same, and that all facts therein by him stated are true. ` I99 iu91P 8 7T -'4 r. ;n, 1 .' f r a A4 [ y,I�i;r oef ia;EirtpyFas Notary Pubiio. Stst , of NOTE: A minepection fee of $1.00 will be spade whs So& n4aniaodois IS =ada•aaosssar3 by ieBproper B10F fotr iBOpsetfoB, er janky materials and/or worlaoansilip. . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement or the plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified of not. A copy of approved plans and specifications must be kept at building during prggress of the work. / ,{ Date. _ 19.. Ownei s Name and Address . /.. V!. ,.. �!'.4. �,.:....• __ S�Dr� e e ...... „,,,_,_, No... 3 Street...N .. %D3 ... Registered Architect and /or Engineer .... . ................. _ ... . ............ 741 =.AY •�•* .. • ••••m •••r rrffreg�..... ••• Name and address of licensed contrgctor.... „„ l.��s� 4.T..r ®..„.�'•v/ ..�„_,._•_.Y��/�:.... ® �O 6 • gay �^. Location and legal description of lot to be built on: A-,.” P Ae4 . 3 Lot............. ............................... Block ............................„ Subdivision .- ...- ......-- .... »........ _........_..„„„„ ............. „. „..� .„ ... Street and Number where work is to be done ... „ ..... Z „A a...._. .... .. .._ _ _...._ „.......... „__... Staatto work to be done and purpose of building (by .°°... Y. i! 1. ......�.'�...... „_...- .. «...... ......I �i�tt .Tll+4I.•= i'EY.1�F1......../ F _ ....................................-..._.........„. ...................... „„....„._ »...._..._.. „.. „ „„ _. „... ..„..»». _._. ......aces for no other purpose. New Buil ding ............................. Remodeling....... ........... Addition............... . Repairs......K......_ ... No. of Stories...... To be constructed of ......................... Kind of foundation :... _... .... „ ................................. _ ........... Roe vexing ..................... ................ „..� Estimated Total cost of improvements $.....; ®kar v .... . ....... » «,_ „......Amount of Permit $ t..... .... ... ,,, ............. »_ ................. _.._. „. Zonecubage required...... ..................................... -.___..___Plan Cubage ................... »__ ... „..„„..„, ......... » ... _. » „._._. ....................... „ Distance -to next nearest building ...................................... ....Size of Building Lot ....... -._--. ...... „_„„._..„ ...... „ ...... ................... _.. „ .... _ Maximum live load to be borne by each. floor .........................._...........................................„.........„_....._.„.....„......._........... ........I...................... 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, Pernant•nt Sup element, and has complied «ith 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 pernrt; 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 su ntractors, on work to perfo ed under this permit, as are licensed by Miami Shores Village. Remarks ... _ .................. - ............ _. „..... --------- � (Signed)- _ �...„.. STATE OF FLORIDA, . COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap. peared .... „._ ............................... ....................................... -•--- ... -- ..... -__ ................. . ............ - ..... — ....... .» .� _.. «..».... .... ...... ....... ....... .....- - ..._. _..-_ .... ........ _........ _... „.._...... »._.„ ....... „..._ .._to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................... . ..... „ »........:.... „..._...... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated a true.. Permit No.. l'L ... _........ Date...�� _. .. --- --._, - Read, Sworn to and Subscribed before me. Disapproved ....... ate. _ „„ �„ .. „.._.�..... «..... ................... Notary Public. State of Florida (Signed) ... „ ...... W.- ......... ............... ............... „_.............. uilding Inspector My Commission Expires....._.. PLANNING BOARD ... „.._ ............. .............. »__:__ - -_ -_. „DATE Chairman ...... .. ........ ... ......... _ ....... «_ » ...... ..... _ ... _ .... ,..- ..... _......... Member .,„...M ............... _..... _., ..... .„..... „„ .._ Member....................... „..„..._..„„- ........... ..... _._..___«»...... „.„ Member _ „ .................._...�.... „.... ». �,.. �. »».... «__........... „...._.._ :\!ember .. ...................... »._......._. «..... _._.._._ „._.... „...__ Member „.._ ............ ...r.__ .... ........_......... „... „ „..._. „_ _.._„ _ Council Approved ..... .___. .Date Disapproved .. ... .... ... . „_. « ................................... ...................Date NUTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has here obtained frrn» 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 at faulty materials anti /or workmanship. APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY L 7 aRt �'' �� Cc�j , hereby apply for a certificate to re- occupy the single family residence known as : (address) 3 3,3 1%j!' Id .3 51- It , Miami Shores, Florida. Legal Description: Lot: /(9 •Y ! 7 Block 1 PB & PG. ! d I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate ofRe -Occupancy that may be issued by Miami Shores Village, certifies only that the referenced properly is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Date Print Name D (S For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please, contact: Contact Name: 12DR I.T . A .. Si6 CA Telephone: 4015 - ' �#77 Buyer Seller V-' Realtor Company Name Application Fee ($50) paid: Cash Check No. 7 Inspected by: F . LUB IEN Approved X Denied Date 14L5 0 9 Comments: PAGE l OF 2 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposesof re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single -family residential purposes. MIAM =ORES VILLAGE, FLORIDA By. Date of Certification: 1/15/99 .1 :I' i EI' 1 1 • .i �I' �I :I! PROPERTY BEEN 1 n! -By mwyff SHORES VILLAGE • ! HAS BEEN ! -2Uvff ill! TO PRESENTLY COMPLY WITH THE SCHEDUTLE'OF REGULAnONS OF THE MIAMI . • ' I! • I! DEVELOPMENT C• ! PERrARENG SOLELY TO THE REQUIREMENT ONE-FAMILY DWELLING IS USE! AND INTENDED TO �! FOR A ONE-FAMILY DWEUJNG.PURPOSE ONLY, HOWEVER, 1 E' 1 D • NOT • OR WARRANTY AS TO THE : CONDITION OF THE DWELLING OR OTBER STRUCTURES ON THE PREMISM DESCRIBED HEREIN, • ' ANY OF • CONDITION; AND IN STED PERSONS ARE ADVISED • I! ENCOURAGED • MAIKE THEIR OWN 1 `i' • OF 1 PREMISES IN ORDER • DEI MN0E THE CONDITION, THEREOF. PAGE 2OF2 A) PSI11.1 11) PARKING AREAS • DRIVEWAYS . BRICK PAVERS • CONCRETE SIDEWALKS John Dcffiasb UCENSED ix INSURED 2000 Towerside Terrace Office (305) 893 -1087 Suite #1611 Beeper (305) 657 -3460 Miami, Florida 33138 I . Fox (305) 893 -1087 j !V11111 A M I S H ORES V1 L LA G E'II BUILDING INSPECTION DEPARTMENT !I APPYCATION FOR BUILDING PERMIT Application is hereby made for the approval of the det . ing or odhcr structure hereii, described. I-This application is Shores Village, Florida, and all provisiops of the Laws cf tl regulationi of the Building Divi,.ion of Miami Shores � illag plans and specifications must be kepi atj building during pri Owner's e and Ad Registered Keet and/or Engineer .:a, --------- ----- - ------ ------- Name and 'ess of llcensed contractor . Location a4d legal description of lot to be built on: ------- - - Block.- Sul Street and Number where work is to bei done.---- State work I to be done and purpose of building (by floors). ed statement of the plans and specifications herewith submitted for the build- iade, in compliance and coWormity with the Building Ordinance of Miami Stats-, of Florida, all, ordinances of Mlivui Shores Village and all rules and -,b A be complied with, whether herein specified or not. A copy of approved tress of the work. i - 4, --- ----- - --------- ,19._____ -;I No Street- __ - ------ ------- ---- ---- -- - - - - --- ----- -- - ----- ---- - --------- -- --- - --- -- — --- - -------- -- __1 ------- - -- - - - --------- - - — ------- — - ----- ---- -- and for no other purpose.1 New Building-------,, Remod�ling --- — ------ Addition----.,--. -- ----- __ Repair,---- . ----- --- No. of Stories To be co� cted of ------- Kind of foundation — ------- ------- - -------- Roof voting__ -_ -. __ -_- -. 7 ---- -- ------ Estimi I Aal cost ot improvements ....... ------- - ------- --- ----- ...... Amount cF Permit __1 def, g, rNuired - ------- — ------ Zone uba -.Plan Cubage-' -- - - - - -- ------- - -- --- ---- Distance to next nearest building --------- I_ of Building Lot -------- - --- - -- ---- --- --- ------ Maximum live load to be home by each floor- i hereby submit all the plans and specifications for said be sent to.,--- --- - ----TMhe undersigned appplicant for this building permit does of labor u er he Florida Workmen's Compensation Act. I and h,:s complied with the prov'sions t4creof, and will requ in the wok, to be p rf--med under this pL-rniit: and will po., or i,otiLes are arereq d by the Act. The undcr-dgned agree Xe ensl ! , -illage. permit, as i 'by Miami Shore�`v Remarks- -- ---- --- STATE OF FLORIDA, ss. COUNTY OF DADE. Before) me, the undersigned authority, a notary public, peared --- --- and who, being by me first d Ay -worn, upon oath depoFes of th abo, V;o-iibed ;,ostruction- ti (b. has carefully re th,rem, kv U stated are tree. li Permit No� Date 4— -17 - -- ------- - - Disapproved Elate_ (Signed) B� h, Pmor PLANNING BOARD. Chairman --- ---- ----- Member 7 Member Council Approved- NOTE: A charge of $1.G0 will be made for making c4 the Planning Board. A re-inspection fee of $1.00 will be charged when suc materials and/or workmanship. ----- --------- — ---------------- — - — — ------------- — --- — - I - — ------ ----- wilding. All notices with reference to the building and its construction may I hereby certify oat he understands and accepts his obligations as an employer .1 1 ng S--,-tion 5965, Cov-piled Gen,_,al Law I of Florida, Pori ,anew Siippk;iient, re similar cornn'Aance from all contractors pr sub-contractors eruplo%,ed by him or cause. to be 1,,,t,d for inspection - notie� orZnjb site of the work such piibli( to employ only, such woric to he perfornv-d :;;.der this S gee d).- ign aly authorized to administer oaths and take acknowledgments, personally op, — ---- --- - - to me well known,� says that he is the - ------- __�i ib -- -b 4IIId ------ --- ----------- - _ -11 _ 8 the foregoing application, an at e sign same, and that all tactsi� Read, SWOrn to and Subscribed before me. . .......... . I Hof Florida MY Conmiission Expires- ------ --- --- ------ ---- -------- --- -- --- - ------- -----DATE Member--------- - .-- - - - - -- - -- • - - - ------- ---- -- -- - ------ Member Member----- ----- - ---- - ----- - - -------- ----------- -------- - --- Date Disapproved Date -ections or olianges to this application af6-rapproval li,�sllecn obtained from re-inspection is m4,,Je necessary by improper notice for inspe•tion or fivdtyl 1� 11 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 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 st be kept at building during progress of the work. Date January 9, 19 90 Harold Sedacca 333 N.E. 103rd St. Owner's Name and Address No. Street Registered Architect and/or Engineer Name and address of licensed contractor O b e n o u r Roofing 7 3 5 7 N. W. Miami C t. Miami, FL 33150 Location and legal description of lot to be built on: Lot Block Subdivisi n 333 N. E. 103rd St. Street and Number where work is to be done State work to be done and purpose of building (by floors), state exterior colors (submit samples). Reroof flat roof on rear and install sqs. New Budlddng Remodeling_ 1b be constructed of 1- 43,2 -glass Estimated lbtal cost of improvements 8 Kind of 900.00 � new gravel roofing. and for no other purpose. Addition Repairs r e r o o f No. of Stories wood gravel ndation Roof Covering 30.00 Amount of Permit S Zone cubage required Plan Cubage _ i Distance to nest nearest budding Size of Building Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. Ad notices with reference to the building and its construction may be sent to 7357 N.W. Miami Ct. Miami, FL 33150 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and post or cause to /lye po d for inspe on on the site of he work such public notice or notices as �g required by the Act. The undersigned agrees to ch subcontracto�n wor t. bier r e� under this permit, a are licensed b Miami Shores V' / / Remarks STATE OF FLORIDA COUNTY OF DADE. } Before me, the pnaders Sed �u:hon {ly�senntary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first duly sworn, upon oath deposes and s of the above described construction, that he has carefully read the Permit No. Date to me well known. he is the contractor g application, and that he did sign the same, and that all facts therein by him stated are true. �11 Read, S and Subscribed before Disapproved Date Notary Public State o Flordda tSignedl Building Inspector 'My Commission Expires a.f_. e..hli j► gita of Florida Chairman Member WTj PLANNING 130ARLt_____ Wcommission Expires Feb. 18, 19 Member Membe* Member Council Approved Date ; Disapproved Date NOTE: A charge of 625.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. ,tea MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMiT Application is hereby uinde for the approval of the 'detailed statement as uee plans and specifications herewith submitted for the build inC or other structure herein described. This applicatic''t_is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws Of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compliQ with. whether herein specified or not. A copy of approved plans and specifications must be kept at tudding during prggress of the work. Date Ow•nci s Name and Address ` ��.'` C' C/ q?..........« �«....:.,...._...._............ s � S Registered Architect and /or Engineer .... . ....... »....«......_'...._....«.._......» ................ t.««......,. nr.«.. ...*mm�anerrwre•mmuenri�r•••••• Name and address of licensed contactor ...........» ��'� �-5� oc� N Ltd �° i"� l ct yet 1.....3.. Y L Location and legal description of lot to uilt on: �/ Lot /hY_. ..1 .................. Block. l...._......... » » ».. »..� Subdivision._ 2. � & 01 L Street and Number where wort: is to be done.»».21J» . Nom» ..10 _-25 S.T _... State work to be done and purpose of building (by floo'rs). _ __ ............ _ ... »»»»»»,_ « »_ ............._.__ ...... .........1..�sT_� �:.�.....�W.� � off.._ '� %�......�................... .».»..... .......... _ ..... ........ »._ »......_ »•• .._and for no other purpose. New Buil ding ............................. Remodeling..._........... To be constructed of ......................... Kind ounda Estimated Total cost of improvements s_._.......... » ». Zone cubage required...... Distance -to next nearest I Maximum live load to be borne by each Addition ........ ................ Repairs: ... _. ........ _...._.. No. of Stories............. »... »_ — ........................... Roof Covering ... » ................ .. ....... .... .... .. --Amount of Permit &._� A ..... ....._»_».plan Cubage .. »....._._. ». . ............._ ........ Size of Building Lot..........._...... _....._.... ... _» .......» . ............. _.._ .... _ I hereby submit all the plans and specifications forrsaid building. All notices with reference to the building and its construction may be sent to.. The underAgned applicant for this building permit does hereby certify that he understands an a epts his obligations as an employer of labor under the Florida Workmen't Compensation Act. being Section 5966, Compiled General of Florida, Permanent Sup{{element, and has complied with the provisions thereof, and will igrees require similar compliance from all conic ctors or sub -can a ors ployeei by him in the work to be performed under this permit; and wi 1 post or cause to be posted for inspects on a site of rk ch blic notice or notices as are required by the Act. The undersigned to employ only such subcontrq Avwk under this permit, as are licensed by Miami Shores Village. I q�' Remarks ... ».» ............ ..._.._ ..... --- w....._ I (Signed) STATE OF FLORIDA' ( . j ss. e?v13 COUNTY OF DADE. � _ Before me, the undersigned authority, a notary pudic, duly authorized to administer oaths and take acknowledgments, personally ap- peared..« ...... ..»_........_................... ._.._.»....__ _ ................ _ ».....»......_...._.... _ ._.. _........»......__ and who, being by me first duly swom, upon oath of the above described construction, that he has es therein by him stated are true.. Permit No ......_.... Date—.. I Disapproved ...._ » ».... Date.._.._.. (Signed) .........._ ._....... g......:...;. » »» Buildin Ins for to me well known. s and says that he is the . .................. ........ _ ..... .............._.._..» ...........:...._..._......_ read the foregoing application. and that he did sign lice same. and that all facts =..d._._._ Read, Sworn to and Subscribed before me. ............................................................. Notary Public, State of Florida My Commission Expires....... PLANNING BOARD....... ._DATE Chairman...... .. ........ _..._..__._..._....».._. _.... Member .»» ....«»........ • .».».... __..... .. »..._ .Member ..._.._ ... ».... ».. ».. ____...... »......»_........_... ........ Member _ ...._..._..._....»....._...»_.. ._« ..».._...__.... »........... ».._ Member.. ........ ..«.. »..»_ ....._. ».....»_._....... _...._ Member CouncilApproved .... .....» ............ _.. ........... _..__ —...—Date Disapproved ..».._.._. ._«._». « ... ... ... ........_ ..... ...........................Date MUTE: 'A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained (rats the I'lannin- Board. A rc•in,%pection fee of $1.00 will be charged wh n such re- inspection is made neeessetry by Improper notice for inspection or faulty materials and /or workmanship. A E-OC ATiON QF WINDOW UNIT --FRONT--- -W 5 5T L4 I A, M I MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE:X OWNER'S NAME: ADDRESS: ADDRESS OF SITE: 7? CONTRACTOR & LICENSE (i COMPANY NAME: l0 .� applicable' ) 7 PHONE: Z All Elements on the site must be listed and indicate the color to be painted. Walls /ate /-, e, 0 i, �, . Fascia Z: Drip Cap/Drip Edge l o Soffit �fi z Roof Flower Bins Shutters `76 Awnings s Chimney y Doors and door jams x1111 Z� x Garage Doors z Railings to Fences Decorative Metal All brick (simulated or regular) �- 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 auth rize the above -named contractor, if applicable, to do the work stated. Furthermore, the paint colors will be as per the attached sampiey- e re o` caner bate, Signature of Contractor Date APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION - Building Offi al Date 4/23/01 MIAMI SHORES VILLAGE PLUMBI14G INSPECTION DEPARTMENT APPLICATIPN FOR PLUMBING 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 emplance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinuces of Miami Shores Village and all rules and regulations of the Building Di-osion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Registered Architect and /or Ent Employing Plumber's Name. -..F Location and Legal Description Street and Number where work Is to be State work to be performell and purpose of building (By a__ — No. 2552 Street W rd Ave., Hialeah Block— Subdivision— Street.................._..__..._ .._-- •----- _._..__.._..._._____ New Building ...._..-__.__- _ Remodeling __ I _ Addition -._ _ _-. Repairs___ - .--- - -__.- . No. of Stories - -- ------ - .............. Sine Septic Tank_ __ 'Type of T Feet of Drain Dr. elMst. Feet of Nature of Water Supply: Amount of Permit Gals .__----- ,------------- - - - -.. or Drain Field from Well.___. _ . _ - _. _...___-_-_-_-___-_ .... ................ -Size of Soakage Pit._._. ( Signed) ............ ..... - -- Plumbing Inspector. The undersigned applicant for this building permit does by certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being S �Vpblftlmce 988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar 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 po for inspection on the site of the work such public notice or notices as are rem by ilia Act. The undersigned agrees to employ y such sub - contractors, on work to be performed under this permit, as are Poensed by Miud Shores Village. (Signed) . Master Plumbe. r. r. • r�or, «• $ prilt 11 Before me, the undyed 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, n of the above described construction, that he has carefully r therein by him stated are true. MA thdeposes and.says that he is the - _--------- -.... -__ the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida NOTE: A re- hupeedon fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or woWi nauship. CI.G"SR'f8 BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP INKS LAUNDRY URINALS Tues CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 TOTAL FIXTURES CONTR. - LIST CHECK SE�rIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM*G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. t LIST CHECK ela Sine Septic Tank_ __ 'Type of T Feet of Drain Dr. elMst. Feet of Nature of Water Supply: Amount of Permit Gals .__----- ,------------- - - - -.. or Drain Field from Well.___. _ . _ - _. _...___-_-_-_-___-_ .... ................ -Size of Soakage Pit._._. ( Signed) ............ ..... - -- Plumbing Inspector. The undersigned applicant for this building permit does by certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being S �Vpblftlmce 988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar 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 po for inspection on the site of the work such public notice or notices as are rem by ilia Act. The undersigned agrees to employ y such sub - contractors, on work to be performed under this permit, as are Poensed by Miud Shores Village. (Signed) . Master Plumbe. r. r. • r�or, «• $ prilt 11 Before me, the undyed 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, n of the above described construction, that he has carefully r therein by him stated are true. MA thdeposes and.says that he is the - _--------- -.... -__ the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida NOTE: A re- hupeedon fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or woWi nauship. r •,y � tN �� `ey 'N A B C D Q SAVE, BASE AND 'I' BEAM SNAP ON PURLIN AND CHAIR PAVE & CORNER COL. EAVE, BASE AND FASCIA CONNECTION t- .045" MIN. RAIL SNAP CONNECTION TRANSOM CONNECTIO? t -:049" MIN. t* .040 MIN. t" .040" MIN. t- .045" MIN. DESIGN CRITERIA: 10 PSP SCREEN SURFACE, DESIGN LOAD --°-°---•--------- SCREEN SURFACE, TEST LOAD _ -- -- ------ -- - - - -15 PST ALUMINUM BFN95, MAX DEFLECTION AT DESIGN LOAD - - - -- L /80 �'- -1"�•. �� ALUMINUM BEAMS, MIN. RECOVERY FROM TEST LOAD - - - - -- 90% CONTRACTOR MUST BE ABLE TO VERIFY, AT ALL TIMES, ALIAY AND TEMPER OF ALUMINUM BEING USED. 6063 -T6 ALUMINUM BEAMS SNAIL �N a •N , N BEAR EXTRUDERS IDENTIFICATION AND ALLOY STAMP 1 FT. FRDM EACH END OF BEAM. ROOF AND SIDES SHALL BE COVERED WITH SCREEN MATERIAL BEING R S T U 60% OR GREATER OPEN. THE ADDITION OF SOLID ROOFING OR SIDING HOUSE AND COL" SNAP CORNER COLUMN DOOR FRAME STRAF CHAIR RAIL MATERIAL SHALL NOT BE PERMITTED UNLESS SPECIFIED BY THE CONNECTION ON t- .04911 MIN. t- .049" MIN. t- .049" MIN. ENGINEER ON THE LAYOUT SHEET. SIDE PANELS to .049" NIIN. LATCHES ON SCREEN DOORS OF SWIMMING POOL ENCLOSURES SMALL BE SELF- CLOSING, SELF - LATCHING, AND SELF - LOCKING, AND SHALL BE 66" ABOVE ITE THRESHOLD. PLASTIC SPLINE, HOLDING SCREEN IN PLACE, SHALL CANFORM TO THE . FOLLOWING MIN PROPERTIES. DUROMETER HARDNESS OF 70 TO 90. A DECREASE IN TENSILE STRENGTH OF NOT MORE THAN 20% WITH NO PLASTICIZERS EXUDARION WHEN TESTED IN ACCORDANCE WITH AM DESIG. D412 -51T AFTER 2,000 HOURS OF ACCELERATED WEATHERING CONDUCTED IN ACCORDANCE WITH AM DESIG. 642 -57T. IT SHALL BE DETERMINED THAT THE EEISTING STRUCTURE CAN SAFELT • 11' IL- IS` 1M S- -4 -f'0 SMS. SUPPORT THE LOADED SCREEN ENCLOSURES. ROOF .%EAM @)l5 ° ALL THICKNESSES ARE NOMINAL WITH A TOLERANCE OF * .006" ALLOWED UNLESS SHOWN THUS (t -.040" MIN.) IN WHICH CASE THE T THICKNESS, IS A MINIMUM. 10 A 10 O , q_$10 SM2 A 1 i (Dall'"` LXI%TIM4 I- FASCIA @-W ITH- 2 -•1 ALT[100-ra FASU CONNECTION THRU ROIL S 9 yp - T4tU EOL76it CORNERS A OPTIONAL q- CONC, SLAG WfTH HfbII. 8• B FT6• W/ I- t S CANT. SECTION 'p-AI OWITH L -44 THRU BOLTS O 1 -y THRU BOLTS AT GOP NER 8r8 eTt W/ 1 -'!S cows SELTIOr.I G-G ---n c 1 -2" x 21I x 1/8" ALUM. ANGLE x 1.937" LG. 2 -2" x 2" x 118" ALUM. ANGLE x 1.937" LG. 3 -2" x 2" x 1/8" ALUUN. ANGLE x 1..973" LG. F -- 4 -2" x 2" x 1/8" ALUM. ANGLE x 1.937" LG. 5. -111 x 3" x 1/8" ALUM. ANGLE x 2 11811 LG. 6 -2" x 1/4" x 211" ALUM. PLATE.- 3 A 7 -4" x 4" ALUM. PLATE x 1/81' WITH 1" FLANGE. 8 -3/32" STAINLESS STEEL CABLE. 9 -" d THUNDER BOLTS @ 18" C.C. MAX. 231" LG. 10 -1}" Q WOOD SCREWS 2V LG. @ 18" C.C. MAX. 11 -TYPE IN' TECO CONNECTORS @ EA. RAFTER (SEE NOTE 12). 12 - ALTERNATE FOR ITEM 11, 2 -k" WOOD SCREWS 511" LG. PA. RAPIER 13 -2" NOMINAL WOOD FASCIA. SEE ALTERNATE. 14 -BEAMS 5" DEEP OR LESS, t" Y SCREWS 311" LG. EACH SIDE. BEAMS DEEPER THAN 511, 2 -}" Y SCREWS 331" LG. EACH SIDE. SEGZ'NON B4 15 -NEW 1" FASCIA BOARD. 6d NAILS @• 16" C.C. TOP & BOTTOM. — 5/ 16 [YEbOLT p wttDEO [YE 8 yn I+IGO jgvu ELEVATION OF END 6RAGIN6 ROOF BRACING $EcT1ON D- p J4,7EALU \ �G�� "XY•p!*A, t !$4REEN. Ehtr L:06URE/ r, n n 11" ; t, 36 tVE. CE]TIFICATE OF -- _ � -- OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION 'D 1067 ' Miami Shores Village, �Fla.- Owner, Agent or Tenant of Building Lot ' Bloc k Subdivision, A� 1 Street Address ..: i Approved use by occupancy Remarks• g This Certificate of Occupancy is issued 'to the above named for building at above mined location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction alteration or remodeling of i ' b ldin s or structures. ctur s. g tru e . s } B ILYJING DIVI O ' . a " i eN . ..N � l �L A B C JD Q PAVE., BASE AND 1I, BEAM SNAP ON PURLIN AND CHAIR EAVE 6 CORNER COL. EAVE, BASE AND FASCIA CONNECTION t* .045" MIN. RAIL SNAP CONNECTION TRANSOM CONNECTI01 t -.049" MIN. to .040 MIN. t- .040" MIN. t. .045" MIN. DESIGN CRITERIA: 10 PSP SCREEN SURFACE, DESIGN LOAD SCREEN SURFACE, TEST LOAD ------------------------ 15 PSP ALUMINUM WAMS, MAX DEFLECTION AT DESIGN LOAD - - - -- L /80 ALUMINUM BEAMS, MIN. RECOVERY FROM TEST LOAD - - - --- 901 CONTRACTOR MUST BE ABLE TO VERLFY, AT ALL TIMES, ALLAY AND TEMPER OF ALUMINUM BEING USED. 6063 -T6 ALUMINUM MI BES SHALL BEAR EXTRUDERS IDENTIFICATION AND ALLOY STAMP 1 FT. FROM •N P .N N EACH END OF BEMs, S ROOF AND SIDES SHALL BE COVERED WITH SCREEN MATERIAL BEING R S T U 601 OR GREATER OPEN. THE ADDITION OF SOLID ROOFING OR SIDING HOUSE AND COLUMN SNAP CORNER COL@IN DOOR FRAME STRAP CHAIR RAIL' MATERIAL SHALL NOT BE PERMITTED UMESS SPECIFIED BY THE CONNECTION ON h ,049" MIN. t- .049" MIN. t- .049" MIN. ENGINEER ON THE LAYOUT SHEET. SIDE PANELS to .0491' MIN. LATCHES ON SCREEN DOORS OF SWIMMING POOL ENCLOSURES SHALL BE SELF-CLOSING, SELF- LATCHING, AND SELF - LOCKING, AND SHAM BE 66" ABOVE THE THRESHOLD. PLASTIC SPLINE, HOLDING SCREEN IN PLACE, SHALL CONFORM TO THE FOLLOWING MIN PROPERTIES. DUROMETER HARDNESS OF 70 TO 90. A DECREASE IN TENSILE STRENGTH OF NOT MORE THAN 201 WITH NO PLASTICIZERS EXUDARION WHEN TESTED IN ACCORDANCE WITH AM DESIG. D412 -51T AFTER 2,000 HOURS OF ACCELERATED WEATHERING CONDUCTED IN ACCORDANCE WITH ASTM D SIG, f42 -57T. IT SHALL BE DETERMI105D THAT THE EKISTING STRUCTURE CAN SAFELY d' It p ly 5 -y -f'0 SMS. SUPPORT THE LOADED SCREEN ENCLOSURES. -ROOF .SEAM `'/ B S ALL THICKNESSES ARE NOMINAL WITH A TOLERANCE OF # .006" ALLOWED UNLESS SHOWN THUS (t -.040" HIM.) IN WHICH CASE THE THICKNESS,IS A MINIMUM. • 10 A . 10 a ...i, .. 4- i IO SH? A . .0 C c hJ 12 COL, _ — I FJIISTI�.y[, 1' FASCIA O-W ITH 2 -1 ALTt%NAT6 PASTA CONNECTION THRV •BOLyf"5 9 9 3 A T, TNRU I6OLTS S COPNEQ9) A OPTIONAL 4 CONC. SLAB WIT% MESH (6.6 ib) a••s: PT4. s� - - - -- W; 1- of (.a,. .J SECTION Ip -pI SE_TION '54 p °I D 10 V p) A C COL. C 0W ITN LJ; TNRU BOLT- A (O4 I -y TNRU BOLTS AT CONNERb }� 9 W/ 1-•'FS CANT. �J SECTION frir SECTION b- D A F C ✓ ^ '„ •.: is i ., '� �.'7 yl "beo EYE 3/21 race suvss - - I • 1'!'� r, '3 ALUM. STRAP s;t „} c; . 2- AI ID sM. opF` ^� F� 0 F El-EVATION OF ENA BRACING ` ROOF 6HAGING.— Ij 1 -2” x 2" x 1/8" ALUM. ANGLE x 1.937" LG. 2 -2" x 2" x 1/8" ALUM. ANGLE x 1.937" LO. 3 -2" x 2" x 1 /8" ALML ANGLE x 1.973" LG. 4 -21' x 2" x 1/8" ALIN. ANGLE x 1.937" LG. 5. -1" x 3" x 1/8" ALUM. ANGLE x 2 1/8" LG. 6 -2" x 1/4" x 2j" ALUM. PLATE., 7 -41' x 4" ALUM. PLATE x 1/8" WITH 1" FLANGE. 8 -3/32" STAINLESS STEEL. CABLE. 9 -IL" 0 THUNDER BOLTS @ 18" C.C. MAX. 2 %" LG. 10 0 WOOD SCREWS 2}" I.C. @ 18" C.C. MAX. 11 -TYPE ID' TECO CONNECTORS @ EA. RAFTER (SEE NOTE 12). 12 - ALTERNATE FOR ITEM 11, 2 -1r" WOOD SCREWS Sk" LG. EA. RAFTER 13 -2" NOMINAL. WOOD FASCIA. SEE ALTERNATE. 14 -BEAMS 5" DEEP OR LESS, Is" 0 SCREWS 3k" LG. EACH SIDE. BEAMS DEEPER THAN 511, 2 -t" 0 SCREWS 34" LC. EACH SIDE. 15 -NEW 1" FASCIA BOARD. 6d NAILS @,16" C.C. .TOP 6 BOTTOM. >rY,pi�,A! `�LRIEEN..EI�P�.L:OSUitE Alf 36 v VE. a � d - t2 d d t z --- -- -- '�' Z - '- -- -- -T' TI Type III All beams alloy 6063 -T6 Minimum yield strength 25 Kai MARK TYPE Pim", TSI0A1S T- THICKMESS MAX. REAM SPAN, SPACED C.C. I � b d bf tl t2 t3 gip" 710" 610» 5 410" E F II 1. 2.00 3.00 .056 .056 j 71 6" 81 0" 81 8" 91 6" G H II 2,00 4.00 i .058 .058 I 816" 91 011 101 0" 111 0" L I 3.00 5.00 3.00 M' I 3.20 6.60 3.00 N I 3.50 7.70 3.20 .094 I 3.85 8.70.3.47 7.00 13.00 P I 4.25 10.10 3.75 .094 .100 .110 .120 .135 .050 .o94 .055 .loo .060 .100 .070 .108 .080 .117 304. I. 3.00 4.00 3.00 .088 ls.060 .088 306. I 3.00 6.00 3.00 .094 (.060 .094 307 I 3.00 7.00 13.00 060 .125 +.066 0125 408 I 4.00+ 8000 ,3.00 '.125 1.070 .125 4010 I 4.50110.00 14.00 .140 .096 .140 I III 2.00 4.00 .060_ J III 2.00 6.00 .090 K III 2.00 7.00 .lho � • t 1M1= 151 9" 171 ON 181 3" 191 6" 211 on 1911p" 211 ON 231 ON 241.6f 261 4" 241 011 251 6" 271 211 291 ON 311 2". 271 911 �91 611 311 211 331 211 351 911 321 0" 341 6" 3612" 1 39110" 021.2" .13110111 141 6" 151 4" 161 3" .171 7" 191 Off 201 0" 211 Off 211 8" 241 ON 22111" 241 0" 251 611 26111" 291 ON 271 3" 281 6" 301 0" 31110" 341 6" 341 4" 361 On 381 0" 401. 4" 431 5" 050 .105 131 411 14' 211 151 ON 161 ON 171 2" 060 .165 191 5" 20' 811 21' 81' 231 2" 24110" 060 .265 f 1 241 611 251 8" 1 26W" _ 281 8" 1 " q AIR CONTROL PRODUCTS, INC. MI N: W. 54th STREET MUM, ROMA LOAD TABLES I 00 1. B. FORD 1712 S. W. 1st Street Marni 15, Florida Telephones: 9-2508 7-2524 f 14EREBY CERTIFY that the attached stretch 6 resenis a survey r-ade- under my direction and is true and correct to the bcst of my knowledge and belief. Therr are no encro h—o'n-Jis, cK t as he SURVEYOR 427 STATE OF FLORIDA 12 i t: I fS NN), Z/ -7- 4 Z- N AC, M. According to the Plat thereof as recorded in Plat Book Public Records of Dade County, Florida. 7-- Z' at Page For , 7- Date 1 � A (o 4 . r 3 -36 103 -- 6 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT o Z_ /7 APPLICATION FOR BUILDING PERMIT 13, Application is hereby made for the approyal of the detailed statement or me plans and specifications herewith submitted for the build, iniz or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flnrida, 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 Aall be complied with, whether herein specified of not. A copy of approved plans and specifications must be kept at building during progress of the work. Jul y 15 19.. 8 3 Owner's Name and Address ................. I.m. (?-.I d A: j e(Lag �� a _23 .. . . .............. ..... . — No. J_ Street t N..Kr .. 103 St. Registered Architect and/or Engineer.... . ................. . .... ............ ..... ......................... I ........ . .. .. . ... ...... ............................... Name and address of licensed controctor ... 9ja..._...5180 E. 11 Ave. Hia.lftah ...... Fla. Location and legal description of lot to be built on: Lot............................................ Block. ...................._........._ Subdivision ............. Street and Number where work is to be done..._............ 333 N. E. 103rd » Street State work to be done and purpose of building (by floors).___RP-:._RCjj QL. _...Bgmove existing tile & gravel roofs ........... . . Slope cap . 1-30#, mop 1-90# and lay white, flat, cement -tile . ... ....... ... ... . . . ........ ................... . . .... . ........... . .. Flat: ...... .T ...n . .q A p ... _p__ 2-15 felts & install cravel.33:-;Sq nd for no other purpose. New Building ............................. Remodeling ......................... Addition ......_.................. Repairi ...... of Stories ...... i ...... To be constructed of ......................... Kind of foundatiom ..... ..... .................................. ........... Roof Covering .... „ Tile- Estimated Total cost of improvements $ ...... ------ - - - - ------ Amount of Permit ............. ....__.................._.. ». ». 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 be sent to.. alaCaYne ... RQ.Q.:ffing ... QQ.. ........ 51.80... v.e. . ....... H ........... 3 3 ........ The limiersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labur under the Florida Workmeds Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Stippl•ment, 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 Lar4aspection on the site of the work such I lic notice or notices as are required by the Act. The undersigned agrees to employ only su tractors., on work to be perfc�c�"Fu":dr this '0 permit, as are licensed by Miami Shores Village. crsubli Remarks...- .................. . .. . ........ . . __ (Signed STATE OF FLORIDA, I ss. COUNTY OF DADE . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ..... . . .............................. . ............................ James T. n La i _.....9 ......... . ................... . . . ...... . ... . .............. . . . . .... ........ o ......... . . . . . ..... . ....to me well known, and who, being by me first duly'sworn, upon oath deposes and says that he is the..... Roofing Contractor ..... . ................................. . ............. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. r - Permit N 8 , . . ......... Date.. Read, Sworn to and Subscribed before me. Disapproved ....... ..... ...... ........ Date.._ „_„ ................ Notary . ary . Pub . I . i . c, .. State o"f' ... F'I'o**r*i'd**a,- (Sizoed) ... . .................. ................. . ................. .............. Building Inspector My Commission Expires..._____ PLANNING BOARD_......_ ...... .....................__:. -..__. -DATE Chairman ...... .. ........ Member .._. »_........._. ..... .Derr ber ....................... . ....... . .. . . ......... Member Member . . ............. Member . .............. Council Approved .....».._ .................................. . .. . . ...... _...Date Disapproved .. »........._. „..- ..... Date NUI*E: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained front the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by Improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde for the approyal of the 'detailed state:uu'nr as ttie 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 Villa ;e shall be complied with, whether herein specified of not. A copy of approved plans and specifications must be kept at building during progress of the work. �/ y�p_/ Mpc. �rf �^j Date..._... M� ! a- Ownci s Dame and Address i'.:J.t ".+if.Jbt.:?:...1..L.GTP 1 D 14..:..:.6E_P_ 9 e .:......._. RegisteredArchitect and /or Zngincer .... . ................. «..... ..... ...... ..... ......................... , .......... .» s■ f..... m... rn•*»• mnem..- mmt, em- ee :............................... Name and address of licensed controctor ............._._._............_.. r....................». ....................._»._._.».. __.._.. ..... »......................... _._ ... Location and legal description of lot to be built on: Lot ............................................ Block ..................... Subdivision._. ..._» ........,.. ............. ....... I... ..... _.. Street and Number where work is to be done ._.._._��1_M: �l0 5 ST A.ELT _— -_- ..••••••.. -. State work to be done and purpose of building (by floors) ... ..._. »_..... .._...._....... ............ o o.f_.._ rE�: r......... Q. h.... _ ... �.!'...�.��roo_... :'.....?afi ........................... _ ..._...__... . .._.._.._............._.....__» _.._ . »_ _.....».._ »......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 $..... . ?.Q ........ »_ ...... Amount of Permit _.... _ ..... ». Zonecubage required ......... ............................... __ ... _._ .............. Plan Cubage......... .................... » .....,........._..._ ...._.. ....................... _ Distance-to next nearest buil ding .............................. -.__._-_—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 8066, Compiled General Laws of Florida, Permanent Sup dement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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, 1 COUNTY OF DADE. j ss' .Before me, the undersigned authority, a notay public, duly authorized to administer oaths and take acknowledgments, persostally ap. peared .... .__ ........... ......_........ ............. .. ................_........._.... ................................... _ ....... _. ..».._...._.... ............. _.. _......._.__ . ___ ......._ ...._...... _.. __ ..._.........._ _...._. _..._........._.. _......... »._._..... ... _. .._to me well k mawn. and who, being by me first duly sworn, upon oath Aeposes 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... i Permit No.. ZaL. _.._.... te...._-�iF---•N' .. Read, Swom to and Subscribed before me. Disapproved .._...._. Date._ .._.._._....._ . » . ............ ........ .. .... ......... _.._...._...._. ....._. . Notary Public, State of Florida ( Signed) ..................... .. .................. ...__...........__......_...... Bufl 'ng Inspector My Commission Expires......._ »....._._.._............_... PLANNING BOARD................... .. .............._.....__...._DATE Chairman ........ .......:_......... _._......_......_.._._.. _........_........... »_ Member ......._.. »......_........ » _. ».............._� ...._........._ .._ .Member ... ._. ........._.._....._ »__......... ....__ _. ....._ __. Member _ ....._ ................_. » ...._ ......_.._... »._...__...._..... .._._ Member....... .......... ......... _ _......._._-._.._.._.._- ._._. _ _ Member __._..._............_...... _ .......__........�.......__..._ ._ .._. _.._ CouncilApproved ....._ . ............................... »...._.._».._.._.........._Date Disapproved .._.._......_._. ............................... ...........................Date NUT E: A ch.irge 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•in.pection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection ate faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure. herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. Date..._.. Owner's Name and Address., ft.....Z�a.._..... A .... ..._ ................ .._......_. No..... Street ......... ® 3 Registered Architect and /or Englocer ............. ... » .............. _._....r .......... .... ...... ,.,,,.,....ax, +•rernerra -x• •..rs »x+nmcxr.: ....... Name aria address of licensed contractor...... . ..........._� Location and legal description of lot to be built on: Lot ...... & .. ....... /1........ Block .......... JJ ........... Street and Number where work is to be State work to be done and purpose of building (by floors)....��..?� _.._ �._......��.. »,.... CZ f _., �i'» �.._ �..._»»._ 1. ��%... �.. ��_ �.?. �✓.._._» �t! 4�L=...».._ 1f. LG��...»..... �it�e »..._f�i..�.F�.L.LL.._..- G--» .-----'.......a.... 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 »_ .. ..................._ » »......... Zonecubage required ............................................ »...... »_._»»_ » ._i'Ian 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 General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ctors employed by him in the work to be performed under this permit; and will post or cause to be posted for i on on the site a wo such�S lic notice or notices as are required by the Act. The undersigned agrees to employ only such su� �a rfo�nder this permit, as are licensed by Miami Shores Village. �� Y Remarks --- _ -_.. STATE OF FLORIDA, 1 COUNTY OF DADE. j ss Before me, the undersigned authority, a notazy 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. Z ' �2 Permit No. .. ....... Date._ _ ___.. � � _. Read, Sworn to and Subscribed before me. Disapproved Date _. _. ....... ................. ... ..... ».. .... t Notary Public, State of Florida (Signed) Building I nspee My Commission Expires..._.__........ »___. NNING BOARD__.._ ............ .............. _...._..........DATE Chairman ....._._.. ..... Mernber ...__.— ......... Member....... ............ . .... ..... - .... _ ...... __. Council Approved ...... .._...._._.._ .— ........_..._ ».._.._____...»» » »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 fee of $1.00 will be charged when such re- inspection is trade necessary by improper notice for inspection ar faulty materials anti /or workmanship. MIAMI SHORES VILLAGE_ BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date - .__------ 't1 _ 19. Owner's Name and Address. - - - - -- ----- ------ ----- ---------- - - - - - -- ------------ - - - --- - No. - �� - - - - -- Street - --� -- Ao ;_ Registered Architect and /or Engineer.. - - -- --- --- --- W"--- - Name and address of licensed contractor_____._________ ___�_________ ________ _ Location and legal description of lot to be built on: Lot ----------- - -------- -- -_- ----- --- - - - - - -- Block ------- .._--- - -- - -••------- --- -._ ubdivision -. ` ---- Street and Number where work is to be done___________ ____ � _____-- '-/� State work to be done and purpose of building (by floors )_____.1] ----- - ----- _/�1/. M M - --------------------- - - - - -- - - - ---- --------------- - - - - -- -------- -------------------------------------- - - - - -- an - - - - -- -d for no other purpose. New Building - Remodeling - Addition - -- �------- - - ---- Repairs ------------------------ .- No. of Stories- - .... /--------- To be constructed of------- ------------- -- - - - -- Kind of founddgon-- --------------------------- ___------- __- ----- --- - - -- ffijqaj,_�overing ........................ .............. ....... Estimated Total cost of improvements $-- -- - - - -------- --- - -- --Amount of Permit $ ....... I;& --------- - --- --------------- -_...-_----•--- -- Zonecubage required------------------------- •----------- - - - - -- - - - ___ -___ -Flan Cubage ---- - --- -_-------------------- -------------------------------------------------- Distance to next nearest building - - - -- ------- -------------- - - - - -- -- - - -Size of Building Lot ----------- - ------ - - -- _ - ------•-------- - - - -- Maximum live load to be borne by each floor------------------ - - - - -- -- - - ------------------ -- ---- - -- - -- - -- -- - I hereby sub it all the ans specifica ' ns for said buil ng. All notices with reference o jthe �bui diingAa�nd i nstruction may be (� The undersigned applicant for this buil g permi does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup lenient, 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 ins tion on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only sun ors' on rk to performed nder this permit, as are licensed by Miami Shores Village. Remarks -___ - -- - - -- - - -- - - - - -- - - -- ( Signed) --- ----- ----- - - - - -- - - STATE OF FLORIDA, COUNTY OF DADE. ( ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared-- - - -- -- - - - - - -- ----------- -- -- -- - - - - -- - - -- -- _ - ---_ -- - - - - --- -- - - -- --- --- - ------ ------ - - - - -- - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ____________________________________________________________ _______________________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by.him edare true. s Permit No.—'L7 r ------- Date..__t� Read, Sworn to and Subscribed before me. Disapproved ( Signed) _L Chairman Member Member ....... ------- ------ -- _----------------------------- ...... -- --- - -- Notary Public, State of Florida My Commission Expires ------------------ _--------------------- - ---- --- --- --- -- - - - - -- -- ----------- ----------- --- - --- -DATE Member - - ----------------- __ Member Member ____ CouncilApproved ------ — ---- -------------_------- --------------- ---- - --- - --- 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. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other siruchrre herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ,� __ ., No._ Street ?'1 d` °_ - - -� Registered Architect and /or Employing Plumbers Name No. Suva_ ^'!(®, Location and Legal Description Block Subdivision— Suva and Number where work is to be performed -No aa �L � � Street ----- State work to be performed and purpose of building (By Floors)—_— __ ---- __-- _- _ - - - -- ------- -___ -- - - -•— - New.Build!ng eling Addition -- . -. Repairs---- _- -_ - -__ No. of Stories - -- - .- .--- -_ -__- - - -- Size Septic Tank._— _ _ -_- -Type of Tank - _,___- ----- __ - - -- _Capacity Gals --- - ---- ____ Feet of Drain Tile-1-29 Feet of Tank or Drain Field from Well - -_ -_ -- Nature of Water Supply: City-Well _Size of Soakage Pit --- ----------- _ ____ —____ - _.- ____-- _----------- ... - -- Amount of Permit The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida PennanenVApplement, and has com- phed with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emplojWd 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 regWred by the Act. The undersigned agrees to employ only such sub - contractors, work to be performed and this permit, as are licensed by Miami Shores Village. (Signed) __....__._ .____ `_.M.__•.----..---.__.._-•_- Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary puW 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•necewary by improper notice for inspie ,.- 3 , or faulty materials and /or worFm anship. CLOSETS BATH- TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD .SOAKAGE PIT GREASE- TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'G POOL CONTR. LIST CHECK Size Septic Tank._— _ _ -_- -Type of Tank - _,___- ----- __ - - -- _Capacity Gals --- - ---- ____ Feet of Drain Tile-1-29 Feet of Tank or Drain Field from Well - -_ -_ -- Nature of Water Supply: City-Well _Size of Soakage Pit --- ----------- _ ____ —____ - _.- ____-- _----------- ... - -- Amount of Permit The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida PennanenVApplement, and has com- phed with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emplojWd 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 regWred by the Act. The undersigned agrees to employ only such sub - contractors, work to be performed and this permit, as are licensed by Miami Shores Village. (Signed) __....__._ .____ `_.M.__•.----..---.__.._-•_- Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary puW 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•necewary by improper notice for inspie ,.- 3 , or faulty materials and /or worFm anship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address 7174. Arl Registered Architect and /or Engineer ---- a Name and address of licensed contractor Date --- - -------- C.G -- - -- - -- 19.k �- - No i�-_ - - - - - -- Street_ - X-C-- ----- /JD- -3........... Location and legal description of lot to be buff on: - Lot__ < 611 I----------- --- - - - - -- Block.-- - - - / -� �--•----- --_--- � - � ..A ° -J _r -..e-,4 s� J,__ Street and Number where work is to be done_____________ ____ ' °a c 1` fI State work p be done and purpose of building (by floors) ---------- 9- 4 X -2 ._-.___ R hr,4__�d_�j____-__f____� -•I(- S/ - .....P t .. y-- ---- --- -------- -- _--- _--- _--- _ - - - -- - -- - - - — - — - -- -------------- •------------------------ - - - - -- - ------------------------------ •----- - - - - -- -------------- ------ ---------- and for no other purpose. New Building-------------- --------- -- - --- Remodeling .-------------- --- - - - - -- Addition- - .- -- - -- - ---•-- Repairs ------_----------------- No. of Stories .-.--..-- ---------------- To be constructed of ----- t1��_°°i.___ Kind of f undation___- E'P`___ _..._.__._ _ _ _ . g �,� /• (1c! ... Estimated Total cost of improvements $- .- -___ -- - - °�4'��- .��-- ------------- Amount of Permit $-- -- -- "-_--------_--•------------------------•- Zone cubage required------------------------------- ---- --------------- - - - - -- -Plan Cubage_2tAa- --- - - - - -- 75.E �'`'�a' s -�° �- - - --- `r¢.= rid - -- ----------•-•-- Distance to next nearest building --------------------------------------- -- - - Size of Building Lot -------------------- --------------------------------------------------- - Maximum live load to be borne by each floor I hereby submit all thq plans and specifications for Nid lkifldirh. All noticestlwith%reference to the building and its construction may be sent to--- --_ -___ �_ -�[_t_ \ gnkl The undersigned applicant for this wilding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, be�ng Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will requirel&iilh compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or causeto 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 t be performed under his 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 ap. peared --------------------------------------------------- - - - - -- - -- ------------------ - - - - -- ------------- — ------- - --- - --- - ---------- - - - - -- ------ - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the- ---- ------------------------ -- ------- -_ -_ ------- - ...... ---------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true Permit No.�__________ Date.._ ®__°Y____4f0_d Read, Sworn to and Subscribed before me. Disapproved -- _-- - - _ --_ -__ ate -- ----- -- ---------- ----- - - - - -- ------ -------- -- ---- ---- - - - - - -- - -------------------°--------------------------•------------ Notary Public, State of Florida ( Signed) . __ -- '��fi . ... - - - - -- - &" Inspector My Commission Expires --------- ___ ---------- ------------------------ - ----- - ---------- PLANNING BOARD_________ Chairman----------------------------------- ._____----- --------------------------------- Member_ _- - •------------------ •--- - - - - -- - - - - - - - Member.- -------- - ---------- ------ ---- -- ---------------- - - - - - - -- -- - Council Approved--------_-.---_. ------- -- ---------- -------- - - - - -- -Date -- - - - -- -- ------------- ---- ----- - - - - -- --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 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. Se.eca., —?or v- #4cicL;4 Io., "T^-A LJ&.. (ve .S�e 4 � S4 7. wLe. z, I is s x rx °9 a7 I rl/A/ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build, ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date --- - ----------------- - - — 2-1 - Owners Name and Address.. ----------- -Q " " - ®� ------ --- - -- - --------- - - -__ No ..... �5__ 3-3_._ Street-- -_- /,d. -i. - - Registered Architect and /or En ineer. -._ -- __ Name and address of licensed contractor.l - -------------------------------- I�... mp/ ' Location and legal description of lot to be built on: Lot-- - - - -- ------ --- - -- Block- -- ...... W1 --- -- - --- Subdivision-1-1--of -- 1 -- - - -S_ - Street and Number where work is to be done ----------- --�,�f .- -- -��L _--.' 1Z_'--.----- --- ----- -------- ---- -- - - -•-- - - -- -- State work to be done and purpose of building (by floors i - --------------------------••------- --------- •----- ---------- - - - --- — — - -__ - ------------- , ---------------------------------- --- ---- - - - -.- -.and for no other purpose. New Building-- -------- ---- --------- -- - - - -. Remodeling- ---- -- -- -- ---- --- - - - --- Addition -------- A_� ----- -• ---- Repairs---- ---_--- -- - - - - -- No. of Stories - -_-- ---•-------------,- To be constructed of_ AVldL1------ - - - - -- Kind of foundation ----------------------------------- ----------- ------------------ Roof Gering _.___ ------ --- •---- ...-- - -• - Estimated Total cost of improvements $ ----------- 25-Q---------- ,_--- - --- -- Amount of Permit $ Zone cubage required ---•-------------------------------- •-- •----- - - - - -- — ------ Plan Cubage --------- -- ---------- - ------- -- ------ - -------- Distance to next nearest building ----------------------------------- -- T___-- - - - - -- -Size of Building Lot ------------ --------- ----------------------------- - ------- Maximum live load to be home by each floor - - - ---------•------------------------------------------------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to. --- - --- — - --- — _ - ---- --------------------- ------ - --------------------- .. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent 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 ublic 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)'-"'W_r*� _ - -- G --- e!K STATE OF FLORIDA, i ss . COUNTY OF DADE. 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 fie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated aarre� . Permit No.— ! L_-_ -_ Date ------ LAnz -1 ---- ---- Read, Sworn to and Subscribed before me. Disapproved __ - - Date — — — - - -- Notary Public, State of Flori da - - - - - -- ---- -- •- --- -- - - - -•- .... g� ( Signed) - J �' - Building nspector M Commission Expires -----------------------------------------------------_-•_-_------- PLANNING BOARD-------------- -- - - -- ------------- ------ - - - - -- ---DATE Chairman------------------- ----------- ---- ------------------ ---------- ------------- - - -_ -- Member -----------•---------- ---- -- ---- ------- ---- - - - - -- - -•- Member - - - - _.. - - - - -- Member Member----------------- -------------- ---------- --------------- - - - - -- - - — Member ----------- ------------ ------- -- --- - -- - — - CouncilApproved.------ -------------------------------------- -- ------ -- ----- - --- 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. f } d t2 d d cZ tz J II f3 'j��p T T �__.- --- ' -- - °�' -° I Type III All beams alloy 6063 -T6 Minimum yield strength 25 Kai MARK TYPE I17PWSTO? TS -T THICKNESS MAX. BEAM SPAN, SPACED C.C. d T bt ti t2 t3 810" 710" 610" 510" 410" E F II 1_ 2.00 3.00 6 .056 .056 j 71 6" I 81 on 81 8" 9t 6" Q H II 2.00 4.00 .058 .058 816" 91 On 10t OR 111 OR L I. I i 3.00 5.00 3.00 I .094 .050 .094 15t 9" 17t OR 18! 3t1 19t 6" 211 On M I 3.20 6.60 3.00 .100 .055 .100 191}x" 211 6" 231 OR 24, 60 261 4" N I 3.50 7.70 3.20 .110 .060 .100 24' OR 251 6" 27t 211 291 OR 31' 2n. 0 I 3.55 8.70 -3.47 .120 .070 .108 271 9" 29t 611 311 211 331 211 351 911 P I 4.25 10.10 3.75 .135 .080 .117. 32t OR 34t 6" 3612" 39110" 421.2" 304. I. 3.00 4.00. 3.00 .088 1.060' .088 .13110 "1 141 6" 151 4" 161 3" 17i 7" 6 ` I 3.00 6.00 3.00 .094 .060' .094 19, Ott 20, OR 211 OR 211 81t 241 OR 307' I 3.00 7.00 f3.00 .125 1.066 425 22111n X41 p" 251 61' 26111n 291 OR 4 08 I 4.00i R.00 ! 3.00 .125 x.070 .125 1 " 27 3 28 t 6 " 1 n 30 0 1 n 31 1� 34, 6 n 4010 I 4.50 10.00 4.00 .140 .096 .140 341 4n 36, On 381 O" 401. 4" 431 5" . I III 2.00 4.00 .060..050 .105 13, 4" 14' 211 15t OR 161 OR 171 2" J III 2.00 6.00 .090 .060 0165 1101 511 201 811 211 811 231 211 24110" K .III 2.00 7.00 1 1 .14() i.060 1.265 241 611 1 251 811 1 26,11". 281 8" 13213.0" -JA u` FR AIR CONTROL PRODUCTS, INC. 3601 N. W. 54th STREET MUUMr RORMM M■ �• 6� 9 t Ni. W- 1001 -2s DATE ,(4w LOAD TABLES 'A1e "•. - 1000. L APPLICAMN FOR CERTIFICATE OF ]RE-OCCUPANCY to re- occupy the single family residence. kno%m as : (address) .Legal Description: Lot: BIock hereby apply for a certificate Miami Shores, Florida. TB & PG: I hereby certify that I understand that the zoning of the property is for single- fami6r residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re= Occupancy that may be issued by Mami Shores V•tllage, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certiff aaoa as to *the conditioa of the dwelling or other structures on such property. - Applicant Print Name For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: Telephone: a I k"— 7a. 0 Buyer . Seller Realtor ✓ Company Name_ 6,*Ge,6 Application Fee (S50) paid: Cash Check No. Aa `7 Inspected by: -r' -- Approved Denied Date Comments: PAGE I OF 2 • . •' CERTIFICATE OF RE- OCCUP4YCY On behalf of vriarai Shores Vllage, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- accupzncy pursuant to - Sections 901 and 902 of the iVi'iasni Shores Land Development-and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. VIIA1R SHORES AGE, FLORIDA BT- Date of Certification: THIS CERTIFICATE VERMS THAT THE REFERENcED PROPERTY HAS BEEN INSPECTED BY NIIAlvII SHORES VILLAGE AND HAS BEEN DETER ML NED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE NOAMI SHORES LAND AND DEVELOPNIENT CODE PERTAINING SOLELY TO THE REQUMEi12ENI' THAT EACH ONE- FAtiIILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON T=om PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION,-AND ET ERESTED PERSONS ARE ADtiZSED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETE NSNE THE CONDITION, THEREOF. PAGE 2 OF 2 - ,--&,j08/20e2 14:43 3059475107 SUNNY ISLES BLDG PAGE 03!03 e41 Cltiin Gal: raeseCt in excdu or 12 ff.-A 14 bo d aaoo • p Sepiaa 23G}. =(b). rijW to Ike IvAdt aj tpsaGed en •: °) Qri+a 4nk taaoes kn • 23o =.s�J oratiq � �aod to � � � � a � Ja�diu:periGed in Ses„ '� . ' . i�aoi4ed ea 7rbttze:,�, v►. 29-A : r data LIaJc Fcse�l+9almcm• . . PeaeeStJ,�.bt •r�sa�tY�on �' 144 • Diraruloas!�'t S, past Lice Post C'oazrtte • ` Y tsII bl:aal • 8c�a FDaadstloj$ SLe d�e>E,j �Le�Caessj . �� sDeptix). Up tot' 2.711'x.3' lea Orort'toS 27n''x• ...- . Ovw l �at.033' 1Q' t' , , t' z 240 Vice ex.ur ' OYaa•ro r �.� 0' 1•Vrs toe P. • 3'z2a• ' '• IQ' �a- o�err�aly z:��r,t. ..s• ,� - it � - . Omer lato ><r =- yr�r�c. �. �a•� �o• ' � - . 12'x tt• :�z• . sT�lfo y�0—►Mav - C uhr t xic ffire not F," a SW4 ', " ' ' • YoA Rall a _ asp r .......,�,..,..._. _ slow Tow" - Qe`/' •FabtSe� I ! - s - i •.r 1 ' /° • �o TKAnIMAt aOSS L1kf. POST rur rl. � _ t1t.t. �- �' , . 610 7 s r� zc VA: .L TIt1CG SIiR . ,. 1r► �� Y >. 1 5582 N.W. 7th STREET, SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 28426W FAX (305) 2640229 ' DRAWN BY: VU t G LAND SURVE ORS SHEET NO. l OF .� Survey of Lot: 16 -17 Block:, 118 Subdivision: SECTION NO.5 OF W SHORES According to the Plat thereof as recorded in the Plat Book at Page No. 47 of the public records of MIAMI -DADE County, Property Address: 333 NE 103 ST, MIAMI SHORES, FL 33138 For: JOHN SMIT LOCATION SKETCH Scale 1" = A. 7'13 4 a FI\ t2 Z 14 15 14 17 18 1 � 2.1 ZZ Z3 E4.0 f so b0 SLe .se /� WI r M Z2 -z A = ARC. A/C = AIR CONDITIONER PAD. A.E. = ANCHOR EASEMENT. AIR = ALUMINUM ROOF. A/S = ALUMINUM SHED. ASPH. = ASPHALT. B.C. = BLOCK CORNER. BLDG. = BUILDING. B.M. = BENCH MARK. B.O.B. m BASIS OF BEARINGS. C. = CALCULATED. C.B.. CATCH BASIN. CONCRETE BLOCK STRUCTURE. CBW = CONCRETE BLOCK WALL CH. = CHORD DISTANCE. CH. B. = CHORD BEARING. CL ;.CLEAR. C.LF. a CHAIN LINK FENCE. C.M.E. = CANAL MAINTENANCE EASEMENT. CONC. = CONCRETE. C.P. = CONC. PORCH. C.S. = CONCRETE SLAB. D.E. = DRAINAGE EASEMENT D.M.E. = DRAINAGE MAINTENANCE EASEMENT. DRIVE. = DRIVEWAY. o m DEGREES. E. = EAST. E.T.P. = ELECTRIC TRANSFORMER PAD. ELEV. = ELEVATION. ENCR.- ENCROACHMENT. F.H. - FIRE HYDRANT. F.I.P. n FOUND IRON PIPE. F.I.R. = FOUND IRON ROD. F.F.E. = FINISHED FLOOR ELEVATION. s 4 3 2 If N !T 13 14 � 8 't3 to •�.1 at 23 Z4 I •' l F.N.D. = POLING NAIL 8 DISK FR. =FRAME, FT. ®FEET. FNIP.. FEDERAL NATIONAL INSURANCE PROGRAM. F.N. =FOUND NAIL H. =HIGH (HEIGHT). IN. 6 EG. = INGRESS AND EGRESS EASEMENT. LP. = LIGHT POLE. LF.E. =LOWEST FLOOR ELEVATION. L.M.E. =LAKE MAINTENANCE EASEMENT. a MINUTES. M. = MEASURED DISTANCE. MON. =MONUMENT. MM. =MANHOLE MIL. m MONUMENT LINE. N.A.P. m NOT A PART OF. NGVD= NATIONAL GEODETIC VERTICAL DATUM N. =NORTH. N.T.S. m NOT TO SCALE. M - NO. =NUMBER. , O /S. =OFFSET. OH. =OVERHEAD. O.H.L =OVERHEAD UTILITY LINES OVH. =OVERHANG. O.R.B. = OFFICIAL RECORD BOOK PVMT. = PAVEMENT. PL =PLANTER. P/L =PROPERTY LINE. P.C.C. =POINT OF COMPOUND CURVE. P.C. = POINT OF CURVE. PT. = POINT OF TANGENCY. POC. m POINT' OF COMMENCEMENT FOB. a POINT OF BEGINNING. P.R.C. = POINT OF REVERSE CURVE PROP. COR. =PROPERTY CORNER. P.S. =PLAT BOOK. PG. =PAGE PWVaPARKWAY. PRM =PERMANENT REFERENCE MONUMENT. P.L.S. =PROFESSIONAL LAND SURVEYOR. R. a RECORDED DISTANCE. RR. =RAILROAD. RES. =RESIDENCE. RNV. =RIGHT -OF -WAY. RAD. = RADIUS OR RADIAL. , R.P. =RADIUS POINT. RGE P RANGE. SEC. = SECTION. STY. =STORY. SWK o SIDEWALK S.I.P. =SET IRON PIPE L.B. tt6044 S. =SOUTH. S.N.D. =SET NAIL & DISK LB.N6044. SP. =SCREENED PORCH. "- SECONDS. T. =TANGENT. TWP. =TOWNSHIP. U.E. m UTILITY EASEMENT. UTIL a UTILITY. U.P. = UTILITY POLE. W.M. m WATER METER. W.F. =WOOD FENCE. W.S. -WOOD SHED. e =CENTRAL ANGLE. W. a wesr. =CENTER LINE � =ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE 1T) BE MADE TO DETERMINE RECORDED ' INSTRUMENTS. IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. THE TERM 'ENCROACHMENT MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR ' APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT aT1FMPTCII TO LOCATE F^OTINflS ANO.CR POUNOATIONS, FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LANG TO BE LEGEND TYPICAL WOOD FENCE. CHAIN LINK FENCE. 0.00 X C.B.S. WALL (C.B.W.) EXISTING Zo' No. 10 Florida. Date: 1 2 /12/2002 a ,j � u4 1S ti6 11 I>a �1 ' HSo ELEVATIONS %. 0.00 PROPOSED ELEVATIONS. SURVEYORS'3 NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. 2). IF SHOWN, ELEVATIONS ARE REFERRED TO B.M.i ELEV. OF N.Q.V.D. OF 1329. 3). THIS IS A ZiPECIFIC PURPOSE SURVEY. llel*l 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 1 HEREBY CERTIFY: THAT TM3'BOUNDARY SURVEY* OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 81017 -8, FLORIDA ADMINISTRATIVE LADE PURSUANT TO 472.027, FLORIDA Sl'ATUTES. BY: �2 IRIBARRA (DATE OF FIELD i NAL LAND SURVEYOR NO 2.r STATE OF FLORIDA (VALID COPIES OF THIS tiIILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON REVISEDON Situated in Zond: X Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 01/17 /1995 Base Flood Elevation: Certified to: JOHN SMIT AND HENDRINA SMIT w HESSEN, SCHIMMEL & DE CASTRO P.A. ATTORNEYS'' TITLE INSURANCE FUND, INC. CASH DEAL SURVEY No. 2 2,-001467: �� S Survey of Lot: 16 -17 Block:, 118 Subdivision: SECTION NO.5 OF W SHORES According to the Plat thereof as recorded in the Plat Book at Page No. 47 of the public records of MIAMI -DADE County, Property Address: 333 NE 103 ST, MIAMI SHORES, FL 33138 For: JOHN SMIT LOCATION SKETCH Scale 1" = A. 7'13 4 a FI\ t2 Z 14 15 14 17 18 1 � 2.1 ZZ Z3 E4.0 f so b0 SLe .se /� WI r M Z2 -z A = ARC. A/C = AIR CONDITIONER PAD. A.E. = ANCHOR EASEMENT. AIR = ALUMINUM ROOF. A/S = ALUMINUM SHED. ASPH. = ASPHALT. B.C. = BLOCK CORNER. BLDG. = BUILDING. B.M. = BENCH MARK. B.O.B. m BASIS OF BEARINGS. C. = CALCULATED. C.B.. CATCH BASIN. CONCRETE BLOCK STRUCTURE. CBW = CONCRETE BLOCK WALL CH. = CHORD DISTANCE. CH. B. = CHORD BEARING. CL ;.CLEAR. C.LF. a CHAIN LINK FENCE. C.M.E. = CANAL MAINTENANCE EASEMENT. CONC. = CONCRETE. C.P. = CONC. PORCH. C.S. = CONCRETE SLAB. D.E. = DRAINAGE EASEMENT D.M.E. = DRAINAGE MAINTENANCE EASEMENT. DRIVE. = DRIVEWAY. o m DEGREES. E. = EAST. E.T.P. = ELECTRIC TRANSFORMER PAD. ELEV. = ELEVATION. ENCR.- ENCROACHMENT. F.H. - FIRE HYDRANT. F.I.P. n FOUND IRON PIPE. F.I.R. = FOUND IRON ROD. F.F.E. = FINISHED FLOOR ELEVATION. s 4 3 2 If N !T 13 14 � 8 't3 to •�.1 at 23 Z4 I •' l F.N.D. = POLING NAIL 8 DISK FR. =FRAME, FT. ®FEET. FNIP.. FEDERAL NATIONAL INSURANCE PROGRAM. F.N. =FOUND NAIL H. =HIGH (HEIGHT). IN. 6 EG. = INGRESS AND EGRESS EASEMENT. LP. = LIGHT POLE. LF.E. =LOWEST FLOOR ELEVATION. L.M.E. =LAKE MAINTENANCE EASEMENT. a MINUTES. M. = MEASURED DISTANCE. MON. =MONUMENT. MM. =MANHOLE MIL. m MONUMENT LINE. N.A.P. m NOT A PART OF. NGVD= NATIONAL GEODETIC VERTICAL DATUM N. =NORTH. N.T.S. m NOT TO SCALE. M - NO. =NUMBER. , O /S. =OFFSET. OH. =OVERHEAD. O.H.L =OVERHEAD UTILITY LINES OVH. =OVERHANG. O.R.B. = OFFICIAL RECORD BOOK PVMT. = PAVEMENT. PL =PLANTER. P/L =PROPERTY LINE. P.C.C. =POINT OF COMPOUND CURVE. P.C. = POINT OF CURVE. PT. = POINT OF TANGENCY. POC. m POINT' OF COMMENCEMENT FOB. a POINT OF BEGINNING. P.R.C. = POINT OF REVERSE CURVE PROP. COR. =PROPERTY CORNER. P.S. =PLAT BOOK. PG. =PAGE PWVaPARKWAY. PRM =PERMANENT REFERENCE MONUMENT. P.L.S. =PROFESSIONAL LAND SURVEYOR. R. a RECORDED DISTANCE. RR. =RAILROAD. RES. =RESIDENCE. RNV. =RIGHT -OF -WAY. RAD. = RADIUS OR RADIAL. , R.P. =RADIUS POINT. RGE P RANGE. SEC. = SECTION. STY. =STORY. SWK o SIDEWALK S.I.P. =SET IRON PIPE L.B. tt6044 S. =SOUTH. S.N.D. =SET NAIL & DISK LB.N6044. SP. =SCREENED PORCH. "- SECONDS. T. =TANGENT. TWP. =TOWNSHIP. U.E. m UTILITY EASEMENT. UTIL a UTILITY. U.P. = UTILITY POLE. W.M. m WATER METER. W.F. =WOOD FENCE. W.S. -WOOD SHED. e =CENTRAL ANGLE. W. a wesr. =CENTER LINE � =ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE 1T) BE MADE TO DETERMINE RECORDED ' INSTRUMENTS. IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. THE TERM 'ENCROACHMENT MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR ' APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT aT1FMPTCII TO LOCATE F^OTINflS ANO.CR POUNOATIONS, FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LANG TO BE LEGEND TYPICAL WOOD FENCE. CHAIN LINK FENCE. 0.00 X C.B.S. WALL (C.B.W.) EXISTING Zo' No. 10 Florida. Date: 1 2 /12/2002 a ,j � u4 1S ti6 11 I>a �1 ' HSo ELEVATIONS %. 0.00 PROPOSED ELEVATIONS. SURVEYORS'3 NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. 2). IF SHOWN, ELEVATIONS ARE REFERRED TO B.M.i ELEV. OF N.Q.V.D. OF 1329. 3). THIS IS A ZiPECIFIC PURPOSE SURVEY. llel*l 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 1 HEREBY CERTIFY: THAT TM3'BOUNDARY SURVEY* OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 81017 -8, FLORIDA ADMINISTRATIVE LADE PURSUANT TO 472.027, FLORIDA Sl'ATUTES. BY: �2 IRIBARRA (DATE OF FIELD i NAL LAND SURVEYOR NO 2.r STATE OF FLORIDA (VALID COPIES OF THIS tiIILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON REVISEDON Situated in Zond: X Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 01/17 /1995 Base Flood Elevation: Certified to: JOHN SMIT AND HENDRINA SMIT w HESSEN, SCHIMMEL & DE CASTRO P.A. ATTORNEYS'' TITLE INSURANCE FUND, INC. CASH DEAL !T 13 14 � 8 't3 to •�.1 at 23 Z4 I •' l F.N.D. = POLING NAIL 8 DISK FR. =FRAME, FT. ®FEET. FNIP.. FEDERAL NATIONAL INSURANCE PROGRAM. F.N. =FOUND NAIL H. =HIGH (HEIGHT). IN. 6 EG. = INGRESS AND EGRESS EASEMENT. LP. = LIGHT POLE. LF.E. =LOWEST FLOOR ELEVATION. L.M.E. =LAKE MAINTENANCE EASEMENT. a MINUTES. M. = MEASURED DISTANCE. MON. =MONUMENT. MM. =MANHOLE MIL. m MONUMENT LINE. N.A.P. m NOT A PART OF. NGVD= NATIONAL GEODETIC VERTICAL DATUM N. =NORTH. N.T.S. m NOT TO SCALE. M - NO. =NUMBER. , O /S. =OFFSET. OH. =OVERHEAD. O.H.L =OVERHEAD UTILITY LINES OVH. =OVERHANG. O.R.B. = OFFICIAL RECORD BOOK PVMT. = PAVEMENT. PL =PLANTER. P/L =PROPERTY LINE. P.C.C. =POINT OF COMPOUND CURVE. P.C. = POINT OF CURVE. PT. = POINT OF TANGENCY. POC. m POINT' OF COMMENCEMENT FOB. a POINT OF BEGINNING. P.R.C. = POINT OF REVERSE CURVE PROP. COR. =PROPERTY CORNER. P.S. =PLAT BOOK. PG. =PAGE PWVaPARKWAY. PRM =PERMANENT REFERENCE MONUMENT. P.L.S. =PROFESSIONAL LAND SURVEYOR. R. a RECORDED DISTANCE. RR. =RAILROAD. RES. =RESIDENCE. RNV. =RIGHT -OF -WAY. RAD. = RADIUS OR RADIAL. , R.P. =RADIUS POINT. RGE P RANGE. SEC. = SECTION. STY. =STORY. SWK o SIDEWALK S.I.P. =SET IRON PIPE L.B. tt6044 S. =SOUTH. S.N.D. =SET NAIL & DISK LB.N6044. SP. =SCREENED PORCH. "- SECONDS. T. =TANGENT. TWP. =TOWNSHIP. U.E. m UTILITY EASEMENT. UTIL a UTILITY. U.P. = UTILITY POLE. W.M. m WATER METER. W.F. =WOOD FENCE. W.S. -WOOD SHED. e =CENTRAL ANGLE. W. a wesr. =CENTER LINE � =ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE 1T) BE MADE TO DETERMINE RECORDED ' INSTRUMENTS. IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. THE TERM 'ENCROACHMENT MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR ' APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT aT1FMPTCII TO LOCATE F^OTINflS ANO.CR POUNOATIONS, FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LANG TO BE LEGEND TYPICAL WOOD FENCE. CHAIN LINK FENCE. 0.00 X C.B.S. WALL (C.B.W.) EXISTING Zo' No. 10 Florida. Date: 1 2 /12/2002 a ,j � u4 1S ti6 11 I>a �1 ' HSo ELEVATIONS %. 0.00 PROPOSED ELEVATIONS. SURVEYORS'3 NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. 2). IF SHOWN, ELEVATIONS ARE REFERRED TO B.M.i ELEV. OF N.Q.V.D. OF 1329. 3). THIS IS A ZiPECIFIC PURPOSE SURVEY. llel*l 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 1 HEREBY CERTIFY: THAT TM3'BOUNDARY SURVEY* OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 81017 -8, FLORIDA ADMINISTRATIVE LADE PURSUANT TO 472.027, FLORIDA Sl'ATUTES. BY: �2 IRIBARRA (DATE OF FIELD i NAL LAND SURVEYOR NO 2.r STATE OF FLORIDA (VALID COPIES OF THIS tiIILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON REVISEDON Situated in Zond: X Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 01/17 /1995 Base Flood Elevation: Certified to: JOHN SMIT AND HENDRINA SMIT w HESSEN, SCHIMMEL & DE CASTRO P.A. ATTORNEYS'' TITLE INSURANCE FUND, INC. CASH DEAL P.R.C. = POINT OF REVERSE CURVE PROP. COR. =PROPERTY CORNER. P.S. =PLAT BOOK. PG. =PAGE PWVaPARKWAY. PRM =PERMANENT REFERENCE MONUMENT. P.L.S. =PROFESSIONAL LAND SURVEYOR. R. a RECORDED DISTANCE. RR. =RAILROAD. RES. =RESIDENCE. RNV. =RIGHT -OF -WAY. RAD. = RADIUS OR RADIAL. , R.P. =RADIUS POINT. RGE P RANGE. SEC. = SECTION. STY. =STORY. SWK o SIDEWALK S.I.P. =SET IRON PIPE L.B. tt6044 S. =SOUTH. S.N.D. =SET NAIL & DISK LB.N6044. SP. =SCREENED PORCH. "- SECONDS. T. =TANGENT. TWP. =TOWNSHIP. U.E. m UTILITY EASEMENT. UTIL a UTILITY. U.P. = UTILITY POLE. W.M. m WATER METER. W.F. =WOOD FENCE. W.S. -WOOD SHED. e =CENTRAL ANGLE. W. a wesr. =CENTER LINE � =ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE 1T) BE MADE TO DETERMINE RECORDED ' INSTRUMENTS. IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. THE TERM 'ENCROACHMENT MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR ' APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT aT1FMPTCII TO LOCATE F^OTINflS ANO.CR POUNOATIONS, FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LANG TO BE LEGEND TYPICAL WOOD FENCE. CHAIN LINK FENCE. 0.00 X C.B.S. WALL (C.B.W.) EXISTING Zo' No. 10 Florida. Date: 1 2 /12/2002 a ,j � u4 1S ti6 11 I>a �1 ' HSo ELEVATIONS %. 0.00 PROPOSED ELEVATIONS. SURVEYORS'3 NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. 2). IF SHOWN, ELEVATIONS ARE REFERRED TO B.M.i ELEV. OF N.Q.V.D. OF 1329. 3). THIS IS A ZiPECIFIC PURPOSE SURVEY. llel*l 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 1 HEREBY CERTIFY: THAT TM3'BOUNDARY SURVEY* OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 81017 -8, FLORIDA ADMINISTRATIVE LADE PURSUANT TO 472.027, FLORIDA Sl'ATUTES. BY: �2 IRIBARRA (DATE OF FIELD i NAL LAND SURVEYOR NO 2.r STATE OF FLORIDA (VALID COPIES OF THIS tiIILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON REVISEDON Situated in Zond: X Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 01/17 /1995 Base Flood Elevation: Certified to: JOHN SMIT AND HENDRINA SMIT w HESSEN, SCHIMMEL & DE CASTRO P.A. ATTORNEYS'' TITLE INSURANCE FUND, INC. CASH DEAL ELEVATIONS %. 0.00 PROPOSED ELEVATIONS. SURVEYORS'3 NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. 2). IF SHOWN, ELEVATIONS ARE REFERRED TO B.M.i ELEV. OF N.Q.V.D. OF 1329. 3). THIS IS A ZiPECIFIC PURPOSE SURVEY. llel*l 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 1 HEREBY CERTIFY: THAT TM3'BOUNDARY SURVEY* OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 81017 -8, FLORIDA ADMINISTRATIVE LADE PURSUANT TO 472.027, FLORIDA Sl'ATUTES. BY: �2 IRIBARRA (DATE OF FIELD i NAL LAND SURVEYOR NO 2.r STATE OF FLORIDA (VALID COPIES OF THIS tiIILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). REVISED ON REVISEDON Situated in Zond: X Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 01/17 /1995 Base Flood Elevation: Certified to: JOHN SMIT AND HENDRINA SMIT w HESSEN, SCHIMMEL & DE CASTRO P.A. ATTORNEYS'' TITLE INSURANCE FUND, INC. CASH DEAL 5582 N.W. 7th STREET, SUITE 202 +� TELEPHONE; (355) SURVEY NO. pzl144ia TELEPHONE; (306) 264-26M FAX: (305) 2840229 V// LAND SURVEYORS SHEET NO. of .2 BOUNDARY URV Scale 1"= L oT- �j� V �i 1002 r,W D�V A oo. c� .se�►r✓ cg Svc �G //8 / U� I R� Q 5•z ,rho �rA10'.1 . 1/ G oi= /7' I.OT -`8 NJGOG.L - /!F3 e- Ile �i Y-el r p • mss. 4v re G. o as o- '•tE� � , ' )WO a r� 1p Page 1 of 1 .. % . r Owner's Notification for Roofing Pehbl& litsded tfnd5f the Florida Building Code MAW! DME COUNTY BUUMMGDEPAIRTMMTaECTnomcAPPLiCAnofI • ••• Section 1524 - High Velocity Hurric dne ZQifes idqu14 0yvgers Notification for Roofing "ConsIftradons • • 1524.1 As it pertains to this section, it is tl;Ie-regppn ;ibjlit7-gf tpe•roofing contractor to provide the owner with the required roofing permit, and to explain tq tl=e pvtngr Ipp- cgntentof this section.. The provisions of Chapter 15 of Tne FlomSai Building Code, D}mii pq goyerq Tge fiymimaxn 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 itgwhas been explained. I. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane one) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to_ workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zos►l code, should be addressed as past of the agreement between► the oMP&s am the cWtcactw. jl� 2. Renalling Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Flori uilding Code. (The roof deck is usually concealed prior to removing the existing roof system). Common Roofs: Common roofs are those which have no visible delineation between g units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing andlor owner should notify the occupants of adjacent units of roofing work to be performed. Exposed Wtings: Exposed, apes~ beam cel %5s, are where the underwe 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 provi the option of maintaining this appearance. /6 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require time review of a professional structural engineer. Ponding may shorten the. expectancy and performance of the new roofing system. Ponding conditions may not be evident uatlt okwat soaf N system is removed. Pov4i"g c ndtuws should be owected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this dischar if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow sc ers in accordance with the Florida Building Code, Plumbing. Q e7. VentUatfon: Most roof structures should have some ability to vent natural alrflow through the rior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be seduced. h stray be belief tat to ea vAes sdditi mt vewi% %g vjhr+ h ca" sesutt %" exteadt"g the service life of the roof. / C941 OwnefelABenva Signature Data Contractor`s Signature hq : / /www.co.miami- lade. fl.us /bldg/roofing _permiting/owner notification.html 8/26/2002 Page 1 of 1 . ... .... . ...... . High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DFPAR,TMENT E4g9TRONIC APPLICATION • . . • • • • Section C (Low Sloped Roof System) Fill in the Specific Roof Assembly components and Identify Manufacturer .. . . . . (If a compgneltijs pol LF%d . old(en * as "NA ") Go 0 • System Manufacturer. ' ' Mold Ma'il'er-." GAF Materials Corporation 8 Penny Nails Base Sheet(s) & No. of Ply(s): - NoA No:' 02- 0408.09 (1) Glass base sheet Base Sheet Fastener/Bonding Material: Design Wind Pressures, From RAS 128 or Calculations: 1 1/4 " R/S nails Pmaxl: -52 Pmax 2: -87.3 Ply Sheet(s) & No. of Ply(s): Pmax3: ; -131.4 (1) PIy1V Ply Sheet Fastener/Bonding Material: Maximum Design Pressure, From the Specific - I Type IV mopping asphalt NOA System: 1„X6 "T &G - Deck type: * These decks require a fastener pull test by an approved test labratory Other Deck Type: n/a Joist Spacing: n/a Slope: 1" Anchor/Base Sheet & No. of Ply(s): n/a - Anchor/Base Sheet Fastener/Bonding Material: n/a Insulation Base Lam /Size & Thickness: n/a _ Base Insulation Fastener/Bonding Material: n/a _- Top Insulation Fastener/Bonding Material: n/a Insulation Top Layer/Size & Thickness: n/a Drip Edge Size & Gauge: 3" face 26 ga. Drip Edge Material Type.. Galvinized Metal Hook Strip /Cleat gauge or weight: N/A l Coping Metal: n/a Top Ply:, Mineral Surfaced Cap Sheet Top Ply Fastening/Bonding Material: Type N mopping asphalt Surfacing: n/a FASTENER SPACING FOR BASESHEET ATTACHMENT Fastener Type: 1 '/" R.S. Nails Alternate Fasteners: n/a 1. Field: 9 " o/c @ laps & 2 rows @ 9 " o% 2. Perimeter. 6 "o/c @ laps & 4 rows @ _ 6 ; " o% 3. Comers: 6 ° o/c @laps & 4 rows @ 6 " o/c NUMBER OF FASTENERS PER INSULATION_ BOARD Field: n/a Perimeter. n/a Comer. n/a Page 3 http: / /www.co.miami- dade. fl. us /bldg/roofing _permiting/section c 4.html 1/22/2003 Page 1 of 1 . . ... . . ... .... . .0. ...... . . ... . . . . ... High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DkPAR•TMENT ELECTRONIC APPLICATION Illustrate Components Noted and Details as Applicable' Woodblocking, Gutter, Edge Terminations /Stripping/Flashing, Continuous Cleat, Cant Strip, Base Flashing Counter lashing Coping Etc. • • • • :08 • • . ... . . . . .. . Indicate: Mean Roof Height, Parapet Height, Wghl!of Ba'se*eFlashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing Or: Submit Manufacturers Details that Comply with RAS -111 and Chapter 16. i li Page 3a PWV#t WOU R# http:// www. co. miami- dade. fl. us /bldg/roofing _permiting/section c 4 2.html 2/21/2003 Page 1 of 1 . ... . ..... . High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section D (Steep Sloped Roof System) Roof System Manufacturew j8ObjFj jiL; C�rporatjon Notice of Acceptance Number 00- 1212.06 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P 1: -47.6 P 2: -100.6 P 3: -100.6 Maximum Design Wind Pressures, (From the PCA Specific system): 61.9 Sloped System Description Roof Slope: 21/2 "/12° Roof Mean Height 13 J Ridge Ventilation: n/a Method of Tile Attachment: Adhesive, Large Paddy Polyfoam Polypro Alternate Tile Attachment Method: n/a Clip Spacing for Metal Roof Panel: Field: n/a Perimeters: n/a Comers: n/a Perimeter Width: I n/a Page 4 Deck Type: 11 X 6" T & i, Alternate Deck Tyke:_ _ n/a - _ - j Underlayment type: 301b. ASTM Insulation/Fire Barrier Board: n/a Optional Nailable Substrate: n/a Fasteners- 1 1/4" R/S nails Cap Sheet ape /Adhesive Type. 901b. ASTM felt Roof Covering: Santa Fe Terracotta 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 Type: 1 1/4" R/S nails Hook Strip /Cleat ga. or weight: N/A L http: / /www.co. miami - dade. R. us /bldg/roofing _permiting/section d 3.html 2/4/2003 x�* 80'B�JGd �d101 �� Pol. a'm Products�� rnn M ACCEPTANCE No.: z z "21.8 RQOft!Vd ASSEm LYAPPROVAL u a ° RoofTiic Ad(tt;sive Approvitl Date:.f� nc 4 0Q Mn •itl5: !'o(yurrthnnr Exryiratian Date: !1977 ID t• SCOPE 'rbls anprovCS 1'alyprotlp ARM as martuthcttured by Volyruatm Products, Inc as described in Section 2 of this Notice OfAcGtptance, Cor lie locations whets; the design Plessurc requirements, as deItcrnincd by applicable building code, does trot exceed ti:t design pressure values obtained by calculations in compliance with Roofing Applicutlat� Standard RAS 127, for use with a pProYed tint, low, and high profile roottiles system using Polypcotf0 AIi 160. Where the attachmene caIculatior� are done as n moment based systctn For single patty placcrnent, And as an uplift based System 1•br double patty systenns 2. PRODUCT DESCUPTtON M1pt;ractured by _AAAU&_a_n4 e Test Protlutt PalynroG Ah11do N/A SeaciR- --ent'� Dmtrinl an PA 101 Two component Foamprog RTF1000 NIA lolYuRuinnc Dispensing Equipment ProPnckt�i 30 & 100 N/A p Dispensinb Equipment 2•1 CaMpottcnts or products tuanufactured by topers: Any Mia"" -Dade Caunty Product Control Accepted Roor'rIle Assembly having a current NOA .vhiCh {ist uplift resistance values 1vltlt Ile test of i'olypro Al -I (GO caof file adhesive. �•2 Typical! Et= r& density Compressive S"ni"tll Tensile Strength Water Absorption Moisture vapor Transmission D;measionat stability ?hYslcal Properties; 10—at ASTM 4 16.,12 AS'I'{�t 0 1621 ASTM D 1639 ASTM D'21_7 ASTM C. 96 AM, D 2126 3 Itaxid g 1.6 lbsA.i 18 PSI Parallel to rise 12 PSI Perpendicular to rise 23 PSt Parnlici Io rise 0.08 Gbs./Fv` 3.1 Perm I Inch •"i1.07"lo Vnlumc chankle p .400 r.. woekr *6.0% Val(Ime C11031 e n "R IMAs tiau7idity, 3 �v�svk:t Frank Zuloaga• I(RC ProducLControl Examiner 80i801d £££££SGS0£ 01 08bEL6S S0£ SM –iddnS O:)tIUdS ad w : 60 £00?_ L0 NNW V ['alyrnslra Products, X— nc. '400 Spring Sturbner Road Spring ITX 773 83 -1 1 32 MIAMI -DADS COUNTY. FLORIDA NICTRO -DADZ nAGLER UUILD(NG MUILDING cOUE COMPLIANCE OFFICE MMO -DADS FLApl,l,•R LIUII.DING iat, warrl LAr.,t.Crt S"(F..3T. SUITC 1603 MIAMI, rLnn10A 33130•1s63 (30S) 375.2901 ItAX (any) 375.1KIN (:0rq'rlt..+CI'bu r,lrtrt�crcNr tiPr:,•rc�N 09S1371 .2527 FAX (305137s.39511 cnKr u.>`rrort tt,vr;orcer,atatvr aIV1VION (30S( 375 -29W I'AX ()LYS) 37S.3VVj Your 4pplication for Notice of Acceptance (NOA). of. 00IJ 311-2 2 PA. (30) n1341 jq Two Cnmportcnt Polyurethcne Fo,Im Adhesive tsus»>!- z�rn.I.A,� (�ur��,3,�)�� under Chapter 8 of the Code of Mianli -Dade County governing the uSe: of Aiturnatc Materials 24id Types of Construction, and completely described herela, has been recommended for acceptance by the Minerli.Dade Caulrty Building Code Compliance Oftice (BCCO) under the conditions specified herald, -this NOA shall not be valid after the expiration data stated below. 6CC0 reserves the right to secure this product or material ht Any time from a jobsite or manufacturees plant for quality control testing. If this Product or material Fails to perform in the approved tnn.nner, SCCO may revOke usr of suck product or material immediately. SCCO reserves the ri , ° modify, or suspend the oke Ellis dctermined by SCC0 that this product or material fails to meet the �rcquircuie is of dine South�Florida if it is D ui Wn6 Code, The "Pense of sueh testing %v;ll be incurred by the rnanufaclurer, ACCEPTAvCC NO.: Al- 5 I. EXr1RES: gLLq/jgLr, Rau) Rodrigucr, oacf Product Contmi nivisinn This application for Product Approval tuts been reviewed by the BCC0 and approved by the Building Code above. Product Review Committe4 to bo used iit Miatni -Dade County, Florida under the conditions set � Birth above. AI'r'R0'VXD: o /}4 it 1404300011p�$000N aste:lnetke �a +puneo r.o..o� pp =o ao, 90 0 1- 4-" Crltgci8cpl. Ouintana, R.A. Dl1VCtOr Wilco -Drub Centl,ty Building Cotic Conrplirrnce 0111ce iefornOt nrnit s,Jdresa: PoStmaator ShulilingCod coil linmeom j Hontar „ce: hit p :h +vww.l,u1W(ngeedeonlinC.cen, iflArAt ^'fy'er"""TAV, WVW1ITIM f I%AT A.6 &^A \R! 1 no— IT • \T. I.n .II. ran 80401d £££££S6S0£ 01 b8b646S S0£ S3I1ddnS MAE ad 81:;60 CWZ L0 NdW S. G P_ 01 o. t Pro a ets itt ACCEPTANCE No. ; 01-0521.02 CS Tiles must be adhered in frCShly applied adhesive, Tile must be set within 2 to 3 minutes after nolyprOO AH;60 has been dispensed. 4.9 PolyprOO AM i 60 placcnient and m;nimum Patty wciyh; slutll by in tteeordanee with thc'P:accmvnt Dctnils' Itcrvin, Et1ch genoric the profile requires the specific placemont noted (urein. LABELING All Palyprodb AH 160 containers shall comply with the Standard Conditions listed herein. BUILDING PERry IT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to prvporly evaluate the installation of this systcn;. a CAAM • WT 4PTAAR a , - V^?I %A, 60/901d £££££SSS0£ 01 VGVS46S S0£ Crink Zulcoga, RRC Product Control EXAmincr S3I7ddlS 000 a ad TZ :60 £00Z L0 ddW r ACCEPTANCE No. ; 01-0521.02 CS Tiles must be adhered in frCShly applied adhesive, Tile must be set within 2 to 3 minutes after nolyprOO AH;60 has been dispensed. 4.9 PolyprOO AM i 60 placcnient and m;nimum Patty wciyh; slutll by in tteeordanee with thc'P:accmvnt Dctnils' Itcrvin, Et1ch genoric the profile requires the specific placemont noted (urein. LABELING All Palyprodb AH 160 containers shall comply with the Standard Conditions listed herein. BUILDING PERry IT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to prvporly evaluate the installation of this systcn;. a CAAM • WT 4PTAAR a , - V^?I %A, 60/901d £££££SSS0£ 01 VGVS46S S0£ Crink Zulcoga, RRC Product Control EXAmincr S3I7ddlS 000 a ad TZ :60 £00Z L0 ddW I'alvroa rl Products, Inc.' nc ACCEPTANCE Aro.: 0 1- 0S21,02 Note: ' The physical properties listed ,above are presented as typical nvcrngc vatuLs as determined by Accepted ASTIV1 test methods nud are subject to a0rn,nl nt:tnurjacturing varintion. 3. LIMITATIONS 3. t tiro classification is not part of this acceptance. itelbr to the Prepared Roofi'ilu Assembly for fire rating. 3.2 VolyproG AH160 shall Solely-be used with ft, 3.3 low, R high the protlts. uerayments Shall be in compliance with the Fooling Application Standard PAS 120. 3,4 Roof Tile manui'actures acquiring acceptance for the use of polypro� Ali iGO roof tile adhesive with tilcir tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance fbr two paddy placement with the use of Polypro9 Ali] 60 roof tile adhesive with their the assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. =1— w MS 4. INSTALLATION 4.1 Polypro® AM 160 may be used with any roof the assembly having a current NOA that lists uplift resistance values with 1116 use of Polypro® Ali i 60. 4.2 Polypro® AN 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein, The roof the assembly's adhesive aftAchment with the use of PolyproD Al•i I sliall provide sufficient attachment resistoncc, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miarni -Dade County Roofing Application Standards RAS 127. The adhesive attacitnicnt data is noted in t11e roof the assembly NOA 4.3 Polypro(IP Ali 160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Poiyroam Products, inc. Polypro® AR160 Operating instruction and Maintenance Booklet. 4.4 installation must be by a Factory Trained 'Qualified Appiictaoe approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc, shall supply a list of approved applicators to the wthority having jurisdiction, 4.5 Calibration of the Foantpro4D dispensing equipment is required before application of any adhesive. The mix ratio betwLvn 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 tc 0. 15 pounds per the as determined at calibration, No other setlings shall be approved. 4.6 Polypro® AN I do shall be applied with i:oatnpro RIT 1000 or ProPack9 30 cF 100 dispensing equipment ottiy, 4.7 Polypro4D AH I GO shall not be exposed pernlanUlitly to sunli Frank Zuloaga, RRC Product Control Cxanllnar it MA Fh+ ravn+rnnr WL^T A2. a.... �,• i^. .r . . ... .-„ 801L0' d £££££S6S0£ 01 vet?646S S0£ S3I7ddnS OOO: E lid 1:2 ; 60 £00ir 4,0 6UW POIX19nrst Prpdticts Inc. ACCEPTANCE No. : 01- 0;521,02 Note,:.' The physical properties listed above are presented as typical nveragc values as determined by aeccpted ASTIdi test rnclhods mud arc subject to normal nlanuract;o•ing varintion. 3. LIMITATIONS 3.1 Piro classification is not part of this acct;ptancc. (kel'or to tits Prepared Roof Tito Assembly for Lire rating. 3.2 holyprot9 ARLO snail Solely-be used with !fall, low, R high the pronleal. 3.3 Minimum underlayments shall be in compliance with the Roaring Application Standard fi•AS 120. 3,4 Roof Tile manuractures Requiring accoptunce for the use orpolyproe Ali 160 root' the adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures Acquiring acceptance for two paddy placement with the use of PolyprOG Alil 60 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as r;lodi6cd herein. F,= MS 4. INSTALLATION 4.1 PolyproO AH160 may be used with any roof tilt assembly having a current NOA that fists uplift resistance values with 1118 use ofPolypro® Ali 160. 4.2 Polypro® AN 160 shall be applied in compliance with Elie Conlportrrnt Application section and the corresponding Placement Details noted herein. The rooftile assembly's adhesive attdchment will, the use of Polypro® AN 160 sl;all provide sufGcicnt attachment rCSistaneo, expressed as an uplift based system, to matt or exceed the uplift resistance determined in compliance with Minnll -Dade County Roofing Application Standards RAS i27. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 FolyproOP AH 160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, inc. PolyproG AR160 Operating instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator` approved and licensed by i°olyfbarn products, Inc, Polyfoam Products Inc, sliall Supply a list of approved applicators to the authority having jurisdiction, 4.5 Calibration of the FoanlproO dispensing equipment is required before application of any adhesive• The mix ratio between the "A" component and the ,,BI' component shall be maintained between I.0 -1.1S (A) : 1.0 (13), The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per the as determined at calibration, No other settings shall be approved. 4.6 Polyprot8 At!160 shall be applied %iah Foampro KIT i000 or ProPackO 30 & 100 dispensing equipment only, 4.7 holyprot A14160 shall not be cxposed pernlanuntly to sunit !:rank Zuloaga. RAC producE Control f:.tanllpar 3 , NAA� •1 \TT •CT'1nrtnYT rm^v,• T 1LAT AIw Lww - .I I^..4 - . w. .. 80fL0 ' d ££a£sss0£ of vBb6Z6s s0£ S3I 7ddnS 0:(Wt B dd TZ ; 60 £00Z 60 6dW f } I Pol o. t rr[i acts in ACCEPTANCE No.: 91-0521.02 Cli Tiles must be adhored in freshly applied adhesive: Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispenscd, 4.9 PolYPrOV Ali i GO plRCCment and minimum patty wC18N shall be in accordance with the'Macernont Details' heroin, Erich $etleric tiic pror,10 requirt:s n llic specific plactnieitt rioted licrein. Table 1: Atlhesiv�- PGiccn 111 For Ruch Generic'I'ile prolilc 'i'itel�ruP,lc Plneemcut SinOle faddy Wcil;ht Two Paddy Wel`Ut DeU�il i Min. (!;rams ) i per paddy M(ry. Flat, Low, I-fi *h 33 rants 1H +gh PrOMI: (2 fll N!A L 7 /side on caNtA 74f a" _ 2 2�4 au� 5. LABELING All Palypro0 AN IGt) con toiners shall comply with the Standard Conditions listed herein. G. BUILDING PICT R E'r REQUIREMENTS 6.1 As requirod by the Building Official or applicable Building Code in order to properly evaluate Elie installation ofthis systcn .,. Frank Zuloaga, RRC Product Control E tamincr a RRnF$t AttrAr��Anoe• orvnlrS^s ..w •.. ..... ....— ,. .. 86x 90 ' d ££Sr££S6S0£ 01 17817546S S0i_ 53rddns OOaud<3 ad T2:60 £®eZ 60 adw ralyfastm Products, Inc. 1100 Spring.Stuebnnr Road Spring,'TX 77383 -1132 MIAMI -DADS COUNTY, FLORIDA METRO -DADG rrUm.FR wip, tiUILDINC COUL Cgl►iPUANCE OFFICE Me'T t0 -DADU r•I.AQUIR L3UII,DINc 141, wrsr rLAct.crt SMUT. SUITS 1603 MIAMI, Ft,nni17A 33130.1563 (30S) 37S -2901 VikX (jt13) 371.2,,x x r:IlN'rlltG rrtte I,,CF WtNr l,rr: rtcaN (305137PUP " x (30513 75-ISSA CnN'1'1t.1i,:'rGri kNtrOfeCl;btliNY' n IVt4IUN (30SI37S -2WA VAX (305) 37S.2VU1 Your application for Notice of Acceptance (NOA) cf "tt SJ 311-' 3 FA,4 (30 1 t")3.6)jo (3uf137S -x4BS I,A,1; t3DlI a�3•GJ]V ^ ►tea ompunent Polyurd-thcht Ywtm A-dhosivo r Chapter 8 of -ti►t: Code of Miami -Dade. County governing the use of Alternate Materials ant! ? Construction, and cornpletely described herein, bas been recommended for acceptance by the Mialttii -Dude Coulrty Building Code CompUance pFtfCe (pCCO) under the conditions specii'ied herein, e.s ot` zL. 'Mis NOA shall not be valid after the expiration date stated below. SCCO reserves the right to secure this product or material ht any time from a jobsite or-manutacturer's plant for quality control testing. If this Product or material fails to perform in the approve nnntr, SCCO may revoke d m ust of such product or material lmmEdiatcly. SCCO reserves 111: right to revoke this approval, yirit lis determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code, The rmpense of such testing will bu incurred by the manuracturer. ACCrPTAj%rci EXrtRE$: Raul Rodrisucr, clucr Product CoMMI nivisinn This application for Product Approval 11tts been revit:wed by the 8CC0 and Approved by die Building Code and Product Review Committee to be used iit Miami -Dade County, Florida nd A under the conditions set i+3rtlt above APPROVEii: 6! 4 A 14843000e EOOON a1tr1meake SEC &Pueeo W.W pa =ttEne f70*1_ 4_aa�� i:railciscol. Ouintana, R.A. Dirrctor Midmi-Mide County Building Code Coll1pli.Incc 0191ce Intarnot ennil ntitlresin Pa etatnatar gbultctinl;cou call tine-enm 0 Nontarnge: Ilitp :l /www.iJutidingeddeonlin*.coin 7mnf7b M,7 •!•TYA/,A \71 w.vry,T'rA, 7FAT AID i^A 11Rl1 nn. IT .N. en.lw ,mow W/S0'd £££££S6S0E Ol VSV5415S .SOE SBI'lddlS WaMS ad IM -60 EWE 40 8UW �K* t30 ' 90ad �d101 *� X01• atn Pr ducts n ACCEPTANCE No.: R001Pwid A5SEM13LYAPPROVAL � Roo Ong ROOrTilo Aditesivc Approval Data:.rithcyt, Zup Ma 'nls' iblyurrthaar E%piratien Data: Nluv �tl� 1. SCONE 'Rsis approves Pulyprolt A11160 as manufactured by Potyfoum products, In,e, as described in Section 2 Of this Notice OfAeceptance, ror the lo'cati'ons where the design design p requirements, as determiricd by applicable building code, does not exceed the design presser,: values Obtained by calculations in compliance wi Standard RA.S 127, for use with approved PproYed tlut, th Roofing ttpplicatlatz low, and high profilo� roof tiles system using Polyprocl0 Aid i 60. Where the attachment calculations are done its a moment bwed systcl!n for single patty placement, And Ms an upliM based system for double patty systerns 2. PRODUCT DESCRIPTION Mnelyfaetured by ti ae Test palYPr*Q All Ido D IA AA— It —'cs' 1 D1�Itn�R 01 Two component FoaetlproQ RTF1000 N/A polyurv-tkanc Dispensing Equipment ProPncktB1 30 & 100 N/A Dismisinb Equipment 2-1 Cnmisoncn.ts or products manufactured by ot1►er1: Ally Mi8111i -Dade County Product Control Accepted Raol rilc Apwntbly I,aving a curre„t NOA which list upl ;(t resistanct: vt►iues with tl,e irsc of Polypro AI•I IGO roof tilt adlhrsive, 2.2 Typical Physical Properties: Rrp r TIM density ASTM 0 1622 1,6 Ibs./Il,s Re still q Compressive ASTTYI D 1621 -i IS PSI Parallel to rise Tensile Strength ASTM D t 623 12 PSI Aerpendicularto rise Water Absorption ASTM D 2137 `. rSt par12rei to rise Moisture Vapor �' °$ I,bs�rl p ASTM G 96 3,1 porn, / Inch Transmission Dimensiartal ASTM D ? 126 Stab it -40,07% Volume a e Ghartge -400 � ty weeks +6.0% Volume Chtanetr /r7 • f Iuntidily. 3.vc -ukx Frank 7-uloag2. IZRC PrOdUCtControl Cxarni,j*r it r-nn rD, ►�rr•erinanvr awn »in. .a.. _�_ _, 80/80 d £££££SGS0£ 01 i78t+EZ6S S0£ S3I iddns we w ad iz : 60 £00z 42 81jw . . . ... . . . ... MIAMI DAl?E .:. : ; ; •; • MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFI10E (BCCO) 0 140•JVEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION • ' . • ' . . . . • • . MIAMI, FLORIDA 33130 -1563 • • • • • • • • • : : (305) 375 -2901 FA-X(305)375-2908 NOTICE OF ACCEPTANCE (NOA) • GAF Material Corporation .... .. • • • • • 1361 Alps Road • • • ... . % Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation' submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). . This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION:' Convents Built -Up pof System for Wood Deck: LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA•will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process: Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC C. NOA No: 02- 0408.05 Expiration Date: 11/041 Approval Date: 05/21 Page 1 ••• • • • ••• % •• r Deck Type 1: Wood, Nvt;t4tila4d New'Construttion or Reroof Deck Description: 19/32 or VFaaterplyv oQd pt wood'plank decks • • • • . System Type E (1). Base sh8rfm'eebanically fastened" All General and System Limitations sb#jl apply.. .. .. Base sheet: GAFGLAS-;80 UUi 11MBas ®�Shaet STRATAVENTO Eliminator Perforated Nailable, RUBEROIb Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- WeldTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 40, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —4S psf, See General Limitation: #7) GAFGLAS® Ply 40, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —4S psf, See General Limitation #7) GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tee (GAFTITE) # 12 or # 14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows- are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) Ply Sheet: One or more plies of GAFGLAS® PLY 40, GAFGLAS® PLY 68 ply sheet, #80 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbsJsq. Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bsJsq. • NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 18 of 21 . 0 . ... . . . . . . . . . . . . . ••• • • • • . . . Surfacing: (Required if no cap sheet is used) Install one of the following: I . GAF Special Roofirig Biturpen %yith an application rate of 20 lbs. /sq with an application rate of 1.S gal.7s4.; ? GAf; V(EATfHER COAT® Emulsion (Matrix 305 Fibere&muh 4jn ;vkh A application rate of 3 gal. /sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibgjed 301) with an application rate of 1.5 gal. /sq. 2. Asphalt flood cdit a= app Vcgtrpr ;rrate of1601bs. /sq. f 20 %; plus gravel or slag with an applioetwn r3teo$4p0 :bs. /sq:& 300 lbs. /sq., respectively. 3. Top Coat Surface Seal §B ZMatrix 602 0 Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. Maximum Design Pressure: See Fastening Above C. NOA No: 02- 0408.09 Expiration Date: 11/04/03 IQ Approval Date: 05/23/02 Page 19 of 21 ... . . . ... . . . . .. .. . . . .. .. . . . . . . . . . . . . . . ... . . . . . . WOOD DECK SYSTEM LIIVII4AT10r4S' • 1 A slip sheet is required with Ply.4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. • • • • 2. Minimum V4" Dens Deck or'/%yje�C gy ssumohoard kacceptable to be installed directly over the wood deck. 0 0 • Soo • •. GENERAL LD mAnONS: .. ... • • • • • . ......... . 1. Fire classification is not part Sf this ec,FeptggCe, :r4Fei.to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached incompliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4'x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psE 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE {fir �- 9 �p NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 21 of 21 _FEB 21 '01 14:12 FR BRADCO M 140A I 305 597 9484 TO 3059533333 P,01i05 •• •• •�• •�• �• •: Mt,1MI.OADE COUNTY. FLORIVA • �•% : : : METRO- DADEFLAGLBRBUILDtNG • • . . • • Santa Fe We Corporation 10302 M.W. South River Drive, tray 016 .... MMcdley.FL 33178 • Your application for Notice of Acocptw= (NOA) of: • under Chaptettoftbe -Cod's of W&Mi•Dade County goveruir Construction, sad completely described herein, has been reco County Building Code Compliance Office (BCCO) under the BUILDING CODE COMP LIMCE OFFICE 49TRO -UADL' FLAGI.G`it DUILDINO • • • • • 140 wt;ST FL.ACLER STIt @L•T, SUITE 1603 • MIAMI, I'LORMA 33130-1563 • : (305) 373.1001 FAX 003) 275.2909 CONYVACrOR LICU' UqC 5E 110 • • • poa) I.33171'AX poi) Sts -23SO • • CONTRACTOR t:.YFOitCt nil t T DIV13lo.1q : (303) M-20" 20" PAX (301) 375 -1908 PRODIU rCO.Y1'aouD1v1510X 0 0 4 315 -2903 FAX 003) 37244 the use of-Alternate Moterials and Types of liended for acceptance by the Miami -Dade )nditions specified herein. This NOA shall not be valid after the expiration date stated be ow. BCCO reserves the right to secure this *product or material at any time from a jobsite or manuractu is plant for quality control .testing. If this product or material fails to perform in the approved mamer, 8CC0 tnay revoke,- modify, or suspend the use of 3Uch product or material immediately. SCCO reserAs the right to revoke this approval, if It is determined by BCCO that this product or material falls to eet the requirements or. the South Florida Building Code. In The expense of such testing will be incurred by the rnanufactui��er. J/% ACCEPTANCE No .: , 0.1�tz•06__� i EXP1RESs � Raul Rodriguez Chief Product Control Division V AL SONfl1TIONS BUIL131jiGS92KA-MODUCT RE 11W COMMMEE This application for Product Approval has been reviewed the BCCO and approved by the Building Code and product Review Committee to be used in Miami -D de County. Florida under the conditions set forth above. i4•, Franciscv J. Quintonn, R.A. 1 Director ? Milunl -Dado County t3uildinyt Coda CEmp &i cc Orrice 14o4soaot�ntlo0C11wfloltteN +oeteraeesP.n.seew�tp.d,e — Interact trail address: poatmasterebulldlnLcoatonlin e.coln H eaehago: b1tr ,J. »..w.ou�IdingcodevAlieacora FEB 13 '01 17145 3058880050 P POPE. 01 opt Mul Luui ••• •' • • ••• • SANTAFE ; •; ; RociFiNG ASSEMBLY APPROVAL 'entegiryl ROATfi1$ .' • •' • •' • sib- catjsr i, ioofr$ thes ' ' •. Myt� eriais Clay Roof Tiles , i. SCOPE This renews a roofing system using Santa Fe "Santafe Santafe Tile Corporation described to Section 2 of this comply with the South Florlda•Building Code, 1994 5 locations where the design pressure requirements, as d does not exceed die design pressure values obtain by c using the values listed in herein. The attachment calct system. 2. PRODUCT DESCRIPTION • Manufactured by Test &ILIkan Dimansions Inecifications Santafd'S' Clay I = 111" PA 113 Roof Tile w a 11.5" Spa" thlck Trim pieces I = varies PA 112 W W varies vnryitig thickness. 2.1 COMPONENTS OR PRI r due Dimonitiatt Tile screws #8 K 27-l/s" long., 0.130" shank die. 0.178 flute die. ACCEPTANCE No.: 09:12 12.OG Approval Date: Egbruory 1.2001 Espimtion Date: Fohrunry 1, 2006 S" clay rooting tile, manufactured by lotice ofAcceptanee; designed to don for Mltunl -bade County: For ermined by applicable building code, culatiom in compliance -with RAS 127 ttlons shall be done as a moment based Product Doscrintion pieta hl$h profile clay roof cite pped with two trail holes. For nail -on. tar set and adhesive set applications. tsoty aim, clay roof pieces for use at rakes. ridges wtd valley terminations. ;facturcd for each the prpiilc. )DUCT'S MANUFAC URED BY OTHERS Test Product Socei{ientinna Description Mitnufncturor PA. 114 itainles3 Steel generic Appendix: E .,, 3. LIMITATIONS 3.1 Fire classification is not port of this acceptant 3.2 • For mortar or adhesive set Ulu applications, a atic Feld uplift test shall bo performed in accordance with RAS 106. 3.3 Applicant shall retain tho services 'of a Mia i-Dadc County Certi(icd Laboratory to perform quarterly test in accordanco with I'A 113 a Ball be submitted to the Building Code Compliance 0 tc u 0222. RRC Rootinz Product Control Examiner FES 23 101 37;45 30880850 PPrX.02 t =E5 21 '01 14 :13 FR BRAD-0 305 59? 5484 TO 3059533333 = .03/011, I T N •• •• • A'CANCE No.: 00- 1212.06 SANTAFd. • CQRPOiRA IO ' • • . •• 3.5 30/90 hot mopped underlayment applications ay be installed perpendicular to the roof cn: manufacturers published ttic undcrl Pat :lope unless stated otherwise .bye � Y•n► � � 8U� literantre. • • • 3.6 This acceptance is for wood ddckapplrcpji • Mirs"Am dick requirements shall be Ln compliance with applicable building code. so 4. INSTALLATION • • jin 4.1.1 Saritafe'S, and its cornpontnts."'t Se ic1& Aiet 0 01TIP nee with Ztitiami Dade Cowuy Roofing Applicatiod Standard AA , US LV, and RAS 120, 4.1.2 Data For Atuchrttcnt Calculations Table 1: Aerod namic Mufti' 1 ers- ft' Tile % (ft') 7. (W) Profile Batten Anolicition Direct Deck Sanrafa %, 1 0',274 111 0.291 Tabu 2: Restorin Moments due Iq uravit - M9 ITT-107) Tile Profile 2 ":92" 3 ":12" 4 "•12" 5".12" 6 "'12" 7 "'12" or ' mater Mena 01red Dock rims Direct Dock ens Direct NO stem Direct Deck Bottom Direct Battens Deck D ract s. Oeck � Santate'S 3.93 5.40 5.85 5.82 5,73 5.69 1.56 5.53 3.32 5.29 5.03 Wa Table 3: Attachment Resistance Express 4d as a Moment- Mf (ft -lbf) For Nall -On S st " Tile Profile Tlla Application Two wails One Screw 7wo $crows One Sercw w/ Clip Two Screws w/ clip Santa(e S Direct Deck 21.8 29,18 38,28 57,31 57,60 Battens 1 t 1 61.77 71, A raved screws as noted'Product manufoctvrcd b others'. Table 4: Attachment Resistance Expres d as a Moment - Mr itt-10T) for Mortar or Adhesive S t Systems 1 The Profile Tile A220cation Attachment Resistance Santafe 'S' Mortar Set 23.6 Adheslvo Set 61.9 k 3 4 n2 I Zuloags, RRC Roofing Product Control Examiner FES 13 '01 17:46 3058.�8Et050 PAGE.03 i SANTAIT TILIC C R)y01tATt • • • ; • ACCEPTANCE No. . 00-1312.06 S. LA'SUING • • • • • • I S. l Al tilts sW boar the imprint or idemifiable nhrkike of the manufacturor's namo or logo, or following xwxnM "Mip j -Lft Coua4 p uct Control Approved ". . . . 00 0 • 6. BU=IVGPMUW=nCJuII1EIvt4DftS - o: 6.1 Application for building permit shall be accomanlcd by copies of tho following; 6.1.1 This Notica gf�AccAptanoe. .. • • 6.12 Any other docVftmntCAuCrs4 bi Avbull&ng Official or applicable Building Code in order to propmy ovaWato ijaiast4g'oa plus system, .. ... . . • I PROFILE DRAwi* II . mring Product Control Exa finer 4 '1 ' FED 13 101 17:46 3058880050 PAGE.e4 �_�- ... ,; - -- - - -- ' ��' b `' ' r: ;- �_�- ... ,; - -- - - -- A ��' b `' ' �_�- ... ,; - -- - - -- ,� g' i ; �. _____ �_�- ... ,; - -- - - -- .,, __ .. �� x. t,. . . .... ...... so 00 0000:0 000.0• . . ..... •0•• • • • 0 ..... 0000 . . 5582 N.W. 7111 STREET, SUITE 202 • • • MIAMI, FLORIDA 5) 26 ova Attruitillar'o • • • • • • • �� • • 02_./7.2• TELEPHONE: (305) 2642880 SURVEY NO. - -. • • • FAX: (305) 2840229 LAND SURVEYORS*. SHEET NO. BOUNDARY SURVEY Scale ` ''9� t%O//• ,`AF T r . Q , 7 .M All! r I� St•'v� J� .201 A 00 C!L G�oc.K -�/8 Sew n ee 'Amp I�•Sr•� �, { ,ear -/8 o • o, X h o,Pa ...... o ••..• .009 rot( Ftw�j ..� . A 97 _.� .,' —� �� • • 0 0 0 0 , • • 00 • • • ••• •• • • • • • QAO QL /L3 COW- l3LV -r /8 se��'✓ Loa 440 I O�ocx b a% • s qff lip • /3.4D \ fh, • i ry ` 2 1 cu wio' Ilk y � zp occq� _ v :�� '�C `ti^ A. t/!r�• ;rte ••' Z q:n i n g N� APP►gved TP.MI SHORES VILLAGE B MIAMI DEPARTMENT 305- 795 -2204 Buildin Inspection Request f r Date Type Insp'n _ RC— (KIC, , Permit No. R C05- Name 5M4 Address Company Phone # �q s' --7:) q 7 Inspection Date a Approved Correction ❑ Re- Insp'n Fee ❑ � G � J_ PAY 7106. TO THE ORDER OF • _ /f,// DATE �� /A �' A2.__ • _ /1, _ leas : FOR ."z r Bankof $ merica. .4 ACHWrpf{10027 I DOLLARS 19 11800710611. x:06 300004 �• � %��lo _ 7 • 001596 5 2998 2u■ � k s DATE RECEIVE ' D FROM No. R � F RENT U R A/ I DOLLARS � ACCOUNT j%4 PAYMENT ' :�//VD O CASH BAL. DUE �VQ U6ntCK FROM /L I -. t--•- OMbNEY ORDER BY Al sue.: n s f � BSecueit enhanc¢d dOpu�nent. SUPER See STAA?P ETE, INC. 305-220- -.1.163 OR hack ° ' 305-729-.1726 PAY 7106. TO THE ORDER OF • _ /f,// DATE �� /A �' A2.__ • _ /1, _ leas : FOR ."z r Bankof $ merica. .4 ACHWrpf{10027 I DOLLARS 19 11800710611. x:06 300004 �• � %��lo _ 7 • 001596 5 2998 2u■ � k s DATE RECEIVE ' D FROM No. R � F RENT U R A/ I DOLLARS � ACCOUNT j%4 PAYMENT ' :�//VD O CASH BAL. DUE �VQ U6ntCK FROM /L I -. t--•- OMbNEY ORDER BY Al sue.: n * . MIAMI SHORES VILLAGE BUILDING DEPARTMEN* Building 305-795-2204 Ming Inspection Request Date Time AType Insp,rr- Permit No. Name 2ja Address --Compan 3:V Phone# For Inspector: Name & Date Approved Correction ❑ Re-Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 1 /612003 Applicant: -V7tttfAM , GHIGWr= cnl�TlruE >C� Owner: E _WI�IAM -- JOB ADDRESS: 333 NE 103 ST Contractor POPEYES FENCE 8 CONSTRUCTION CO Contractor's Address: 10801 NW 27 AVE Local Phone: Parcel # 1121360130250 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOTS 16 817 Buildin g Permit Permit Number: BP2003 -8 1 of 1 132 BLK 118 LOT SIZE 100.000 X Fees: Description Amount FEE2003 -67 Building Permit Application Fee $60.00 FEE2003 -68 Buildier's Bond $300.00 Total Fees: $361.20 FEE2003 -69 CCF $1.20 Total Receipts: $0.00 Total Fees: $361.20 Permit Status: Approved Permit Expiration: 7/5/2003 Construction Value: $1,500.00 Work: V HIGH C/L FENCE If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. II the equipment or device described in the application herefor in strict compliance wtth all r tr 3 1 ;a with any plans, drawings, statements or specifications that may have been submitted to 314 c is not done in compliance with such ordinances or If the plans are changed without ractor or builder named above assumes the responsibility for a thorough knowiedge of the '16� zings or in the statements or specifications and that he assumes responsibility for work done .7 y /o L 'ankQfAmerica. :063100 27 ?1: 00 36 74 28 20T] 2ii'1-.03 i4 842 7 24D BY: r in compliance with all ordinances and regulations pertaining thereto and in strict conformity ores Village. In accepting this permit I assume responisibility for all work done by either -= — — BY: Type Permi Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 1 _ d — l2t it Company Phone # For Inspector-5 03—�>Name & Date zM Approved ❑ Correction `lam Re- Insp'n Fee ,❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Building Permit Permit Number: BP2003 -221 Printed: 2R /2003 Page 1 of 1 Applicant: WILLIAM CHICHEPORTICHE Owner: CHICHEPORTICHE JOB ADDRESS: 333 NE 103 Contractor SUPER STAMPED CONCRETE Local Phone: 305 - 220 -1163 WILLIAM ST Contractor's Address: 5204 134 CT Parcel # 1121360130250 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOTS 16 & 17 BLK 118 LOT SIZE 100.000 X Fees: Description Amount FEE2003 -851 Building Fee $70.00 FEE2003 -852 CCF $3.00 Total Fees: $373.00 FEE2003 -853 Buildier's Bond $3$3.00 Total Receipts: $0.00 Total Fees: $373.00 emit Status: Permit Expiration: 8/6/2003 Construction Value: $4,400.00 Work: STAMP CONCRETE DRIVEWAY If there is no permit package accessible on the lob -site for inner -tnrc t,. Ve,ifi, 416— —111 -_ I-__ _ -.. fee is 50.00, which must be pa - _ _ - , _ _ , _ This Permit is granted to the contractor ordinances pertaining thereto and with the and approved by the proper municipal autl authorization. A further condition upon wh ordinances and regulations pertaining to tt by his agents, servants or employe Signed: In consideration of the Issuance to me 01 with the plans, drawings, statements or sp, mys6if _m_y agent, servants or employes. D< Signed: c Zzz PAY TO THE ORDER SUPER STAMP CONCRETE, INC. 305- 220 -1163 OR 305 - 729 -1726 44,� V Bankof America. ACH Wr 083100277 FOR L�iY!/ /%t• 11'00686611' 1:0630000471: 83 -a /6W R. DATE a 111 109-3 1822 $8/3t DOLLARS C Ar 10 L S96 S 2998 20 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. 12, Name Addressf Company 1° Phone # For Inspector: . Approved Correction ame &Date 1-5 -3 Re- Insp'n Fee ❑ - _," . S C. Its i sm OR � 1L1�' STATE OF FLORIDA) COUNTY OF DADE) a m t S4 a r a V.i L—I—i a-A The undersigned Affianj/a W 5'W-1.;72 , does hereby attest that the (property owner) attached survey, performed by (name of surveyor's company) performed on . is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to.issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, finther agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) W Witness(sign and ommibsion # CC 925828 Expires Apri1 6, 2004 130 d Tlnu SWORN TO AND SUBSCRIBED before me this day of 4�-A-jY '.7- 0 3 Affiant is personally known to me, produced as identification. Notary AFFIDAVIT .. .. .... .. .. . . . . . ... .. The undersigned Affianj/a W 5'W-1.;72 , does hereby attest that the (property owner) attached survey, performed by (name of surveyor's company) performed on . is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to.issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, finther agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) W Witness(sign and ommibsion # CC 925828 Expires Apri1 6, 2004 130 d Tlnu SWORN TO AND SUBSCRIBED before me this day of 4�-A-jY '.7- 0 3 Affiant is personally known to me, produced as identification. Notary ••• • • • ••• • • • •• •• • • • •• •• • • • • • • • • • • ••• • • • • ••• • • •• ••• •• • • • •• • •• • • • • ••• • •• ••• • • • • • •• MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ t�Q� ite Timr l TypeInsp' Permit No. —� Name c Address Company Phone # For Ins pec r: Approv a Correction ik® Re- Insp'n Fee O Name & Date ' ai r ,a y v " .0 Miami Shores Village Building Department .10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 RE— OCCUPANCY Fax: (305) 756 -8972 APPLICATION Permit No. I Loc Date � 'g y/0 ` ID Contact Name J0 (7A) :3"oq /') Phone # -3�--: 7%l7--;97 Buyer Seller Realtor Company Name/ Vjta� t�J/l I� Y5 Property Address -33S A/ 203 City Miami Shores State F1 Zip 3_3 `3!�? I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any. representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name �� (-)A) Signature - The foregoing instrument �was acknowledged before me this _2:� day of .Fr 200 S by �U H Al &M / J , who is personally known to me or who has produced -o d.—.z— ye, re S L--) c es- A//�g_- as identification and who did take an oath. Sign: Print: NOTARY PUBLIC: My Commission Expires: Re -Occ. $60.00 Notary $5.00 CCF $0.60 Total Building Officials Approval: s� tiMMM Rev. 10/02/03) ,�, 9erbedTkuNotary ur'der*ltm MIAMI SHORES VILLAGE . BUILDING DEPAR 305 - 795 -2204 Building Inspection Request Lane di� %'`�`O Type Insp' _ Permit No. Name _ Address . _ �•� /AW"I'am For Inspector: d ";3) Name & Date Approv Correction ❑ Re- Insp'n Fee ❑ a M <v Contractor c��Lt/t Local Phone: Contractor's Address: Parcel # 1121360130250 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOTS 16 & 17 BLK 118 LOT SIZE 100.000 X Fees: Description Amount FEE2003 -1293 Building Fee $232.50 Total Fees: $540.90 FEE2003 -1294 CCF $8.40 Total Receipts: $0.00 FEE2003 -1295 Buildier's Bond $300.00 Total Fees: $540.90 Permit Status: Approved Permit Expiration: 8/30/2003 Construction Value: $14,000.00 Work: TEAR OFF OLD ROOF TO WOOD DECK, REPLACE ROTTED WOOD TIN CAP INSTALL COLORTHRU TILE WITH POLYFOAM If there is no permit. package acc fee is $50.00, which must be paid it e This Permit is granted to the contractor or bi ordinances pertaining thereto and with the and and approved by the proper municipal authorib authorization. A further condition upon which i ordinances and regulations pertaining to the w by his agents, sery or employee Signed: In consideration of the issuance to me of thl with the plans, drawings, statements or specif myself, my agent, servants or 7s. Signed: '• ' -- ��-- _— _ - -�:�� s....Inam —e-+nrc +n varify + iera will_be no inspections. Re- inspection QUALITYROOF,WG CONTRACTOR, INC. 13800 N W. IST AVENUE 170-3 ? rl MIAMI, FL 33168 -4849 PAY TO THE ORDER Bankof America. AcHWros IW2-" . i 29611' 1:01130000471: 18296 DATE 3 - z & _W 63-4/ m 00 1595300 24611' $ (00a. ?o L L A R S 8 MIAMI SHORES VILLAGE BUILDING DEPARTMENT '---105- 795 -2204 Building Inspection Request Date Time Type Insp' Permit No. Name ® Addres Compa Phone For Inspector: �n Name & Date �C Approve -- Correction Re- Insp'n Fee I. I * . 1 ;� .1 - o ., 1'ME tlf�tOb�D fltrtby �Vtli 1 i0 f Se '0vtm0rns mid bt wads fv ctrf fn rtai pro r, and in mwftm vm 713, ft0/ida . #1� q �pn Jd � iMt Mai Newt of COmr1#en�ctmtnf. f. LI> drsioiplien of proper andlMrMef► 333 N.E. 103 Street Miami Shores. Florida 33138 �! 0 r7 w M Ch co II �..I� *I ■ti 61{ ■1IY LL@, 2, V@g&*ftn Of DoE: Reroof to a new Tile and Flat Roof. III I ■ John Smit 333 N.E. 103 Street Miami Shores, Florida 33138 Owner WNW and aditff of fit 0" Wshofdsr: N/A 4. 001108OWS 111111111ne and add"; Quality Roofing Contractor, Inc. 13800 NW 1 st Ave, Miami ,Florida 33168 Oftm and gdftn,, N/A of t10f IQ s on ■.. I I.sedrr's two and ad**": N/A �I ■ I1 - - - - .�■ ■ II■II I w■. L.��I ■I I ■ I ■ �I■■■^�.■I 1■..I Ftr"ne WVM ft SWO Of f dNOflIlid 6Y Owner llpen 0110M nogns or COW dowmths may be sttvtd as pr~ by tOdeA ?W3(1l)W7,, Fbft Wase, &V i N/A a In s"*W *"*MW, , Owner es ft np p S"111y 10 (SOW a OW of ft#t Lienor's NOW n prod In 1304�00 71SAXI)W, Finaridt Sad", wand i N/A ■ 0, daft soft NedoO ol Ca m 1 111 mtm: 0110 00WOM dat0 k f year bom f10 dw of r, wdit a a Ptf1d OwrWs Namt p� by► Carlos Arocho Swan to OW PA=dW 0 a 0 1 a me ftA of NOINY P11 F N.GWY0 Name MY COMMISSION # DD 080579 EXPIRtS: October 10, 2005 Bonded Thru Notary Public Underwriters STATE OF FLORIDA, COUNTY OF DADE J HEREBY CERTIFY that this is a true coQy of the ar rInDl fi d in this office on [ "day of :_r;S rry han and OlficraI Seat. of Grcuit a G Coun Courts °y 20-42 Quality Roofing Contractor, Inc. jj► 13Rnn NW 1 ct QVAYll1121 Miami ,Florida 33168 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'nj Permit No. 0 Name �rt� --tom Company Phone r ) For Inspector. Name & Approved ��.� Correction ❑ Re- Insp'n Fee ❑ r e • � e Po! 10'1111 Prg-ductS, 111C. ACCEPI'ftivCC No.: L1.0521,02 Ir Renmal of Ellis Aeccp1ra,= (approval) 911,11" bo coast -Nd ailur a rcilv%ml al�plictuion I+as bcea Glt;d ache cite Original sttbtnittud documents, including ttst- supporting data, ellSi,+ucring d�cunicnts. are no old4r that eiglht (8) yLIrs, z. Any and all approved products shall be pertuancntly labulud with ilte 111311%,1, tarar'tt t+;tnlu, e'•t }, state, rind the Pallo +vittg Stalcnium: "Miathai -Dada County Product Cvlitrul Approval", or as rpccitically stated In d1c spcoitia conditians of this Acceptance. 3. Rt,�ul +all of Acceptance: +vial not be coASidorud if: a• Then., has bcun a d+ange ill clue South Florida Building Codc at%ctinb the evaluation of Ellis product and the product is not it, compliance with the code: changes. b. Tile product is no longer the =111 product (idcnticai) as the ono originally approved. e. If tlhe Aeet:pta co holder has not complied Wilk all 1110 ruquiramcnts of this accc:pcance, including dw correct installation of die produet. d. The ungincer Who originally prepared, signud and staled rite ru4uired docurilOWIEion initially submitted, is no longer practicing clue engineering proressior;, 4• Any revision or change in the materials, use, and/or matuifucturc of tic product or process shall autonhatically be causo rOr =111inition of this Acceptance, unless prior writran Approval has bean rrcqucsced (through t114 Filing of a +t vision application with Lppropristc fcc) and grantrd by this a cc. 3. Any of tile fvltfl,+gng 31+411 also be grounds for removal of this Acceptance; a. unsatisfactory perforn,anco of this product or process. b, Misuse of this Acecl=cc as an endOrsCtncnt or any product, for sales, advertising or any 0111Cr Purposes. d• The Notica ofAcceptaticc t+umbor pr=,.,dud by t he words Micu+hi -Oadc County, Florida. and followed by Ulc cxhirstion date may be displayed in advertising literature, Iran), portion of tic Notice of ricccptancc is displa)•ad, then it shall be done iii its cutirL -ty, 7. A copy of this Acceptance as wall ns Approved drawings and other docu :ncnts, lyharC it Ippli6.1, 31i.-ti! be provldad to the user by the manufacturer or its distributors and shall be avaIlibiu For ithsvection at tl+d job site at all tinhc. 711c cnginmr need not r4cal tic copies b. Failure to cothhply %vitk a:hy section of this ActrlPtmcc skill be cause for terminntion and rentov al of Acceptanco. �• This Notice oFAcceptance consists of pages 1 through S. END or, THIS ACCEPTANCL' b Frank Lu10.11P. RRC Product Control Cxaminur son ' 1VT'V1,%nrrmTJ ErvA.:T -mf +an7 nrn onw ,..r• n... — .... 802 ®'d £££££S6S0£ 01 V81PE46S S®£ S3I 1ddnS 0001 E ad 6T:60 £®Oir L0 6UW MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. Name Address -- -J LI D-,�- 5 _ Ofvfcaru PrQ_ du tsL[nc. 11wwiarm t fin G OLO ACCEPTANCE No.: AI mesivIy PLACEMENT 1% -rArL I SINGLE PATTY Fmb ru mrnrm9" K +q wAare �r.i. Wellateigig i M. inr carom LrIV rewa vnlr: li4at IBralla Tip► Irrdr MaroAry @M "b" Odardp 5 Qnn a lrrr err ,nirw r rnrw r�.n 80�S0'd £££££SEGO£ Ol b81?6L6S S0£ Fmnk Zutoap, kRC Product COMfO( Examinur S3I'IddrS 0. C[UQ a ad OZ o 60 £00Z LO adW MIAMI SHORES VILLAGE�'�5� BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request P Date ,� Time Type Insp'n r 1Ir, o-oo 5=) . Permit No C13 P Z�^ �� Name J m I Address J� �y� S Company! Phone # �,C5 For Inspector: b? 0114ame & Date Approved Correction ❑ Re- Insp'n Fee ❑ Ol EW11li Prodtt_ ctsIc. ACCEP1'ANCC No_ : a 1. 052,.02 Ir Renmal of this Accoptatue (approval) SHAII bu considered after (L rcrtcu -al al)pliauion has bben tiled attd tllc origittai 5011nittud doCUnlcrlts, inelud;gg hmt- supporting data, ttityincoring documents. are np older ihan eight (K) )%.Ira, 2. Any and all approved prvdt,ets shall be pernt.mi;ntty labutud +rich the rttanttl'icturer's tittmc, c'tv, stau:. and the following statement: "M'at'h -Dade Ccnutty l'roducl Cuntrul Approval ", or us specifically stated in the specific conditions of dlis Aecuptanco. "-. Renewals of Acceptanco 1vill not be WAS!Jorcd If: a. There has bor a changi; ill the South Florida Building Gods alTectittg the evaluation of this product and the product is not its compiiant:o with dlc code chmuges. b. The product is no Jottgur side same product (idotltical) as the one ori5inally npprovud. c. if the Acccptanco holder has not complied wish all the rcquiramwnts of tills acceptance, including tiv correct installation of dhc product. d. Thu engineer who originally prepared, sibmJ and scaled tic required doeurhlt:nttitto,t initially submitted, is no longer practicing the enginccring profcssiorl, 4. Arty revision or change in the nlatcrials, use, and/or man+,fueturc or tho product or process shall autoelatically be cause for tcrt»ination of this Acceptance, unless prior tvritren Approval has been rtquestrd (through dic Filing of a revision application with appropriate foe) and granted b"° this office. S. Any of the following shall also be grounds for removai of this Acccptancc: a. Unsatisfactory perrormanco of alis product or process. b. Misuse of this Accq: lapel: as an cridorsenletlt or an), product. ror sales, ndvertisiltg or any other purposes, 6. The Notied afAcccptancc number precedud by file words Mituni -Dade Count)•, Florida, and followed by Utie expiration date play by displaycd in advertising literature, tf any portion of the Notice of Aeei;p(ancc is displa)%d, licit it Shall be done ill its ctttlrety. 7, A cop)• of this Acccptancc as +Felt as approved drawings And olhcr documents, tt$lert it Ipplial, SJLI!,, be providad to the user by the manuPaeturcr or its distributors and shall be avaiLibtu For hupection at the job site at all time. Tihc etlginmr need not r4cal dle CopicS b, Failure to cmnply with arty Semion of this Acceptanco. Act:r tallec shall be cause Far tenninntion and rento`st of 9. This Notice of Acceptance consists of pages 1 through S. END OF THIS ACCEPTANCE, b 1'r;1nk Luloaba, RRC Pmdtuct Control Examiner tfrhrl lid '1VT'CTnnffAVJ VVnJT -1A2 -e. ^T n'0 &^w "'. ....... .... • - ... 80 /zo I Cc E=6S01= Ol b81r6L6S S0E SBI7ddnS 001CIti�El d=l 6T:60 £00E 60 claw Re- Insp'n Fee onn a -��) •odu rs lttc. ZE ACCEPTANCE No.: U Daull. q2 Aw- itsivty PLACEMENT DcrAlL I SINCLE PATTY n rum�l' at raeh �ma Kup iaAUke large, 111 -p "pWal 5 ••t�tr •e•rnnR�V r VAWA TO., 80 /S0•d £££££S6S0£ Ol 08176L6S S0£ Z-q: Zuloap, IkRC Product COMMI Examiner S3I'IddnS O:aUW dd 0Z.60 £00Z L0 6UW MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Bui ding Inspection Req t Z�ZS gate Time ., F Type Insp'n Permit No. Z Name ' Address -333� Phone # For Inspectzo Approv Correction Re- Insp'n Fee 0 1 i c 1� Name 1 2002 ROOFING MATERIALS AND *SYSTEMS DIRECTORY ROOF COVERING MATERIALS (TEVT) R00fing Systems (G Fiy— Continued • ' " ' ' ' GAFGLAS #80 Premium Base Sheet may be used in -any of the following systems. . • "GAFglas Flex Ply 6" is a suitable alternate to "GAFglas Ply 6" •' ' "GAFTEMP Permalite Recover Board" ma be used in lieu of anS perlite insulation in any of the following NC Classifications. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified lritumea membranes. • • • "Ruberoid Heat Weld" SBS roofing membraner may be used lon lil of "Ruberoid Mop" SBS products in any applicable Classification. • •' ; Class A 1. Deck. C -15/32 Incline: 3 Insulation (Optional): Onc or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type Gl " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ", hot mopped. Surfacing: Gravel. 2. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type Gl " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Cap Sheet: One layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet". 3. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, 2 in max. Ply Sheet: Two or more layers Type G1 " GAFGLAS Ply 4" or "GAF - GLAS Ply 6 ". Cap Sheet: One layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet". 4. Deck. NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck: C -15/32 Incline: l Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet: One layer of Type G2 " GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet: One or more layers of Type Gl " GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheek One layer of Type GG3 " GAFGLAS Mineral Surfaced Cap Sheet". 6. Deck. NC Incline: 3 Base Sheet: One layer of Type G2 " GAFGLAS #75 Base Sheet". Ply Sheet: One or more layers of Type Gl " GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G-3 " GAFGLAS Mineral Surfaced Cap Sheet". 7. Deck C -15/32 Inge; 2 Insulation One or more layers perlite, glass fiber, isocyanurate, ure- thane, perlite /isocyanurate composite, perlite/ urethane composite, phe- nolic,l.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber; glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type GI. Membrane: One or more layer: of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granulek LOOK FOR THE -UL 6 • ••• ROOF COVERING MATERIALS (TEVT) 173 • • Woofing Systems (TGFU)— Continued • • Cap ShWh ; GLAS Mineral Sdifaced Cap Sheet", hot mopped. ' •' • : : •' Class B fleck („• -1131: Incline: 3-1/2 ' • • • Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ • •• urethane composite, wood fiber /isocyanurate composite, phenolic, any PIf. Sheet:• Two or more layers of Type Gl " GAFGLAS Ply 4" or ► • • # GAFGLAS ky 6" • tap'S1tee'k' Type G3 " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. 2. Deck: C -15/32 Incline: 3-1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Class C 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, mute/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. , Ply Sheet: Three or more layers of Type Gl " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing. "Special Roofing Bitumen" 201bs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A 1. Deck C -15/32 Incline. 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type Gl " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ", hot mopped with coal tar bitumen Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A 1. Deck. NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber or glztss fiber, 2 in. max. Ply Sheet: Three or more layers of Type Gl " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing. Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq. 2. Deck: NC Incline: 1 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type Gl " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing. "Weather Coat Emulsion" at 3 gal /sq. 3. Deck: NC Incline: 1/2 Insulation One or two layers "Isotherm R ", 4 in., hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. 4. Deck NC Incline: 2 Insulation (Optional): Isocyanurate, perlite, isocyanurate /composite wood fiber and glass fiber, any thickness, mechanically fastened. Base Sheet: One ply Type Glamor G2, mechanically fastened or hot mopped. Ply Sheet: One or more plies Type Gl or G2, adhered with hot roofing asphalt. Surfacing: "GAF Premium Fibeered Aluminum Roof Coating", 1 -1/2 gal /sq or "GAF Weather Coat Emulsion ", 3 gal /sq, 5. Deck: NC Incline: l Insulation (Optional): Perlite, glass fiber, polyIsocyanurate, wood fiber, mechanically fastened, any thickness. IARK ON PRODUCT . .. .. . . . .. .. . . .. . . . . . . .... ....... . ••• . . • • • .• . . . . ...... V: . . . . . . . ....... . .. .. MIAMI SHORES VILLAG BUILDING DEPARTME 305 - 795 -2204 Building Inspection Request Dat Time Type Insp'n f AA Permit No. Z 0 Name 11 F Address Company Phone # For Inspector, �%� Name & Date Approved ❑ Correction Re- Insp'n Fee ❑ P ma = JANTAM TILE _ORDnM:rrnru 11 ACCEPTANCE No.: 00;1212.06 • .... . .: . ... .... . ... .. . 1 Renews) of this Aaeptanea (approval) shWl �e considered Vic original submitted tlocl;menMIlon. including 1stlupporittt&es eight (t) Y". 0 . • Z Any and al! approved products shall be pern►artendy labeled wi the %11owiM ststerncac: 'M &rW -Dade C�yory Plodtp Cpptro specific Conditions of this Aaceptsnee. • 3 Ranswd►s of Ace %nee will not be Coallticretl it • a) There has been a ck=ge in the South Florida $umng Co and the product is not In compliance with the code change b) The product is no longer the same product (identical) as C c) If the Acceptance holder hss not complied with all the req correct inatalladon of the product; d) The engineer who originally prepared, surfed and scaled t subrnlued, is no longer pracdeiq the engineeristg pretessi ► re ncwaj � pplieation has been filed and the atgoc; ng documents, arc no older than the manufacturer's narne, city, state, and UproWd', or at epoeifieally stated in trc affecting the evaluation or this product one originally approvcd; cments of thin aeceptu►cc, including the required documen►t Lion initially 4 Any revision or change in the rnaLeriala. use, and/or rtiartuaCtu i of the product or process shall automatically be cause for terrWrAtion Of this Acceptance, unlcs prior written approval has been requested (thrQuO the filing of a revision application with appropriate lee' and gnniod by this o6icc, s Any of the following shall also be grounds for rc.'noval of this a) Unsatisfactory performance of dais product or procesr, b) Misuse of this Aooeptanco as an eadomemes►t of any p purposes. o The Notice or Acceptance number pmcedcd by the words K; expiration date tsuy be displayed in advertising literature. If displayed, then it shall be done in its entirety. for sales; advertising or any other County, .Florida, and followed by the ►n of the Notice of Acceptance is 7 A COPY of WS ACCeptancC as wall as approvcd drawings and oth' documents. where it applies. shall be provided to the user by the VMufaeturer or US distributors and c 11 be available for inspection at the job site 81 al: tints, The Copies need not be resealed by the engineer 8 Failure to comply with any section of lhls Acceptance stall be ease for tcrMination and removal of Acceptance, 9 This A=ptancc contains pages 1 through 3 1 XND OF TRIS ACCEPTA,TF �I I FEB 13 101 17:46 ra=ZUtodg>e, RRC oting Product Control Examrncr s I ' 30seeM050 pRG . 05 ** TOTAL PAGE. 05 w-x. • •• •• • • • •• •• ••• • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • ... • • • • • • • • • • • • •• • • • • ••• • •• ••• • • • • • •• Z� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 ®�J Type Insp'n Fint /�1 Permit No. � "-•`�'o 5 - n� Name �Vk cJfl t Address -Y" 103 "' Company STAG, Phone #� b� Inspection Date Z�-1 Approved / IV Correction ❑ Re -Insp' n Fee ❑ Page 1 of 1 • .... .... . ...... . ... . ..... . . ....... .... High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDJNG DqPAIJTMENT ELECTRONIC APPLICATION • • • • • • • • • 000 000 Section E (Tile Calculations) •• • • • •• ••• •• • ••• • • • • % • For Moment based tile systerds;cao$e elflerlNethod 1 or 2. Compare the values for Mr with the values fromI if. It the Mf VhIdegWGreater 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: -47.6 X a .297 - Mg: 5.90 = Mr1: 8.24 NOA Mf: 61.9 P 2:1-100.6 X A .297 - Mg: 5.90 = Mr1: 23.98 NOA Mf: 61.9 P 3: -100.6 X A .297 - Mg: 5.90 = Mr1: 23.98 NOA Mf: 61.9 Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below:' NOA Mf: j Mr Required Moment Resistance* Mean Roof Height in Feet 15' 20' 25' 30' 40' Roof Slope 1 1 1 1 1 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *This Table must be used in conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 http:// www. co. miami- dade. fl. us /bldg/roofmg _permiting/section a 3.htm 2/4/2003 . ..... . . .. .. . ... .. . . . . .... ....... . .. ... .. . .. .. . .. . .. . ... . .. ..... . . . . .. Z 5ZL,* /j/ -- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 k' Building Inspection Request Dade %s -Type Insp'n 44 C e isJO .0 ; Permit No. 1 �, ��i�.J — [7 NameYIh Address Company 'ST&Te, Lul ®� 50;Ec CUn►1(odt%Uf `s Phone # u (° a Inspection Date Approved' F . Correction _i Re- Insp'n Fee ❑ Z OWNER'S NAME PRESENT ADDRESS ' STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION LICENSE NO. PHONE NO. B. E. 1 Tile Strip �ak c/o Roemelmeyer Corp. NEW CONSTRUCTION DESCR IPTION JOB LOCATION (ST. OR AVE.) I - LOT BLOCK SUBDIVISION 333 N, E. 103rd Street 16 & 17 118 Miami Shores Sect. #5 GENERAL CONTRACTOR ADDRESS - ALTERATION PHONE NO. LICENSE NO. Roemelmeyer Corp. I E* 96th Street .89 -3 I 22 34$9 REJECTED (REFERRED TO COUNCIL BUILDER'S BOND r3r� BUILDING PERMIT NO. 676. �]� �� DATE �0 PERMIT FEE $ 1a no NO. 1043 DATE �7�1 RE- SUBMITTED TO PLANNING BOARD p �+ ZONE REQUIREMENTS 1H.5QO CU FT PLAN CUBE MW,.CU. FT. EST. COST $ 14,000. rtlA /I AI (.0 C�Fr`1 CI!`�TIII NI C. AF CT4J I!"'TIlINC GNIM rllI C rw rKrr) nv• 3m 7/10/50 BUILDING PERMIT AND INSPECTION Kt;LVKLJ -MIAMI SPiVKhtl VILLAC�t TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION Z I CBs 1 Tile Strip �ak Floors - Plaster 'calla NEW CONSTRUCTION DESCR IPTION I ILiv RM - Din Rm - Liv Porch - Bit - 3 Bed F'+as - 2 Bathe - 2 ear att. ga REPAIRS DESCRIPTION ALTERATION ADDITION APPROVED REJECTED (REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING BOARD I RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL � _% J _-nI I I CERTIFICATE OF OCCUPANCY lrlO. %a / ISSUEDK /'J BY TO BUILDING PERMIT AND INSPECTION Kt;LVKLJ -MIAMI SPiVKhtl VILLAC�t w BUILDING INSPECTIONS .INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 0 nE FEE SPECIAL PERMITS PERMIT NO. DATE BEAMS & LINTELS Q 8 8/1Q/50 im H. W. HEATER CONN. $ SEPTIC TANK ANN FPAMING $ p ,n $ 12 "0 $ 11,00 SEWER $ $ _SOLAR HEATER $ FINAL III $ $ CLEAN -UP INSPECTIONS DATE BY RE- INSPECT PLUMBING PERMIT -, P, IN --PPe'Y1n1U-_ CONTRACTOR Owner IDATE . 8/25/50 FEE PHONE NEW BLDG. x PERMIT NO. DATE V2 V50 5 0 FEE $ • 0 NEW BLDG. a ALTERATION I ADDITION REPAIRS FEE SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ 1.00 H. W. HEATER CONN. $ SEPTIC TANK ANN 862 $ p ,n $ 12 "0 $ 11,00 SEWER $ $ _SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 8/115o JI)H (D GAS ROUGHING r� SEWER RANGE CONN. SEPTIC TANK 11z8/50 PG SOLAR HEATER FIXTURES & FINAL !!f� FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR C & 0 Electric PI-1nllI PERMIT NO. 9928 IDATE . 8/25/50 FEE $ 10•fi NEW BLDG. x ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 9 682 18 0 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE im ROUGHING r� H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL !!f� APPROVAL TO POWER CO. FOR SERVICE DATE //--2/-.y BY I1- 2.v -L) DATE DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: G•N, HogfLjL.LFL I OWNER'S NAME TYPE PRESENT ADDRESS LICENSE NO. ROOF CONSTRUCTION PHONE NO. Kt, aaa 2s Joist H. , S. I 33 i ^( • E• /03'` —° I I I JOB LOCATION (ST. OR AVE.) LOT BLOCK REPAIRS SUBDIVISION 3,53 A/. ;F. /a3 DESCRIPTION ALTERATION I ADDITION GENERAL CONTRACTOR I REJECTED ADDRESS PHONE NO. SUBMITTED TO PLANNING BOARD LICENSE NO. c. Cs. �z�G�? I �• /a �cl, [.J, i34. =is'r I 6s'Lt, BUILDER'S D BUILDING PERMIT NO. 4/iSG DATE /�''ZZ -`3 PERMIT FEE S /Cl I NO DATE `/ DA gd.Li*-Fre' / I ISSUED �� 'i.'1 77 4-4-7 TO I ZONE REQUIREMENTS CU. FT. 44--*M CUBE , CU. FT. EST. COST S /.1 CO DATE DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: G•N, HogfLjL.LFL I BUILDWIS' PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION I I I DESCRIPTION REPAIRS // DESCRIPTION ALTERATION I ADDITION I REJECTED REFERRED TO COUNCILI REASONS SUBMITTED TO PLANNING BOARD .APPROVED RE- SUBMITTED TO PLANNING BOARD I REMARKS I SU'BMITTFD TO VILLAGE COUNCIL / / CERTIFICATE OF OCCUPANCY NO. ��i'�/ ` � / / I ISSUED �� 'i.'1 I BY J,a TO BUILDWIS' PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE RI III I"1INr INRPF[^. TIC1N4 _IN;?iPECTIONS FOUNDATION DATE BY INSPECTIONS DATE ROOF BY BEAMS & LINTELS Is POOL I I $ GAS FRAMING I MOTORS �- AIR COND. FIXTURES _ FINAL FIXTURES & FINAL CLEAN UP SEWER SLAB SEPTIC TANK SLAB ( ` PLUMBING PERMITS & INSPECTIONS C PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK I $ SEWER Is SOLAR HEATER I I $ GAS $ MOTORS �- INSPECTIONS DATE BY RE- INSPECTI BY I RE- INSPECTI BY ROUGHING $ RANGE CONN. ROUGHING I I $ MOTORS �- TUB & TOP OUT FIXTURES _ $ FIXTURES & FINAL S SEWER SEPTIC TANK SOLAR HEATER FIXTURES I GAS LECTRICAL CONTRACTOR (.- .S:- G"- 7elz. -.c f±_ PHONE PERMIT NO. DATE 1C,- Zlt,� �+` FEE $ SPECIAL PERMITS PERMIT NO. DATE I BY RE- INSPECT BY TEMPORARY SERVICE .FEE I $ H. W. HEATER CONN. $ RANGE CONN. ROUGHING I I $ MOTORS I $ FIXTURES _ $ FIXTURES & FINAL S INSPECTIONS DATE I BY RE- INSPECT BY RE-INSPECTI BY TFMP SERVICE ROUGHING I� H. W. HFATER CONN RANGE CONN. _ I FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY IT s a #5 ADDRESS 9,39 Ni, M:'., 10_3 Street LEGAL X16 & 17 81004 #110 RECORD. GAR BAG E TAX clo.• 1067 2-13-51 P ID BY 1 0 YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID NUMBER oo MIAMI SHORES VILLAGE, FLORIDA BUILDING u DA' ELECTRICAL E PERMIT N° 9682 PLUMBING ❑ Work to be performed under this Permit Owner of Building Architect - ontractor or Builder Legal Lot Bl. Subdi- vision Contractors License No._ 95 Address of I Value of I) Amt. of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL Owner of Architect MIAMI SHORES VILLAGE, FLORIDA DATE �! PERMIT N° 9 115 Contractor's License No._ Work to be performed under this Contractor /f , or Builder , Legal Lot f `} Bl. _. Description Subdi- vision 95 Address of /K; Value of Amt. of Building R . -. Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descAed in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL ❑ PERMIT N° 9632 Contractor s PLUMBING L� License No._ Work to be performed under this Permit Owner i Buildinc Architec Contras or Build Legal Descripl Address Buildinc 195 Df ;t for er Subdi- Lot Bl. vision Jon. Of Value of Amt. of ( r Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY �I MIAMI SHORES VILLAGE, FLORIDA BUILDING I—1 DATE ELECTRICAL [7- PERMIT N° 9928 Contractor's PLUMBING ❑ License No._ Work to be performed under this Permit Owner Buildinc Archite �ontrac or Build Legal Descrip Address Building 195 �f 1 ct for er Subdi- tion. Lot I) Bl. vision of Value of Amt, of Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE ELECTRICAL ❑ PERMIT N° 9862 Contractors PLUMBING, ❑ License No._ Work to be performed under this Permit Owner Buildin Archite - ontrac or Build Legal Descrip Address Building 195 of a Ct for er Subdi- tion. Lot I Bl. vision Of Value of Amt. of b' Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ - ❑ Owner of Building" MIAMI SHORES VILLAGE, FLORIDA DATli _� 19 PERMITN ° 1 �y 8 5 8 Contractor's License No. _ Work to be performed under this Permit ---_------ Architect Contractor or Builder Legal Lot Description __ Bl. Subdi- vision Address of Value of Amount of t Building Project S � � Permit $ r_" _ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 ail work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA DATE__:_— 19 ELECTRICAL ® - ' PLUMBING ❑ ■ �' o s Fi No Contractor's y r ~ License No. ROOFING ❑ ❑ Work to be performed under this Permit — Owner of Building II Architect Contractor or Builder _ Legal Lot Subdi_ Description II Bl. vision Address of Value of Amount of Building `° x 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 wit -,, 11 ordinance- 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 CONTRACTOR OR BUILDER BY AUTHORITY AGBOT Page 4 PERMIT APPLICATION OFFICE USE ONLY CIJECKLIST ❑ OWNER -BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS / DERM APPROVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic / Sewer) multi - family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER (Specify & Attach) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village $ Bond $ io 1--) Repair Mechanical Metropolitan Dade County (C.C.F.) $ o (sq.ft = x/1000 Plumbing x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft) State DCA (Radon) $ (¢.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ TOTAL $ � � � -y � D ISSUING 01, FICIAL REVIEWED AND PREPARED BY: DATE: SECTION BY DATE Zonin Enclosure ©3 Electrical Plumbing Repair Mechanical Alteration Interior Roofing Plumbing Fence Relocation of Structure Fire Shell Only Public Works Add'l Attachment Structural Other Building Official Other Revised July 2001 10050 N.E. 2- AVE., MIAMI SHORES, FL - (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.gom PERMIT APPLICATION Master Permit No. Subsidiary Permit No. �� l Q Step 1. Complete the attached permit application which must be signed by the property 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 submit- ted along with this permit application. Step 2 Submit the completed Mlication with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: r DTs tIQ ��• �1►°[ r ��'Gb�%• �f ��/ Address Apt City /jam State / p � �/� Zip Folio Number Description of Work ' / V 1 � 1� oNk'e r Lot Block Subdivision PG . Zoning Linear Feet Current Use of Property V —` `� �� :- ., Square Feet 1_ _,T jaits Floors Proposed Use of Property Tenant Information PERMIT TYPE (V) Building New Construction Electrical Enclosure Mechanical Alteration Exterior Plumbing Repair LPGX Alteration Interior Roofing Demolish Fence Relocation of Structure Other Shell Only ARCHITECT Name License No. Fax r Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal I Extension I I PROPERTY OWNER Name C' v c� Address �� t �� Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (V) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'1 Detachment Other ENGINEER Name License No. Telephone Fax CONTRACTOR License Address ! rr O I f Vj 2 � , jA^_e Telephone �f '"� F t� Qualifier Name % e Page 2 Page 3 PERMIT APPLICATION PERMIT APPLICATION 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 street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1, Applicatiotris hereby made to- obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. lst Street, 111 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 O OF MIAMI -DADE Si of @"—Cr J40 to Print Name � N/ Dec Print Name Sworn to and subscribed before me this L / . day of - �� and subscribed before me this � f day of >6 • , Signature of Notary Mate of7t Signature of Notaty Pubhc Stlq; pf) S SEAL: try �ar�tr SEAL: ' �tl: &C. Y t;c. C� a� ;57 p.tl`Eil Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced 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. T Y P E, Outlet, Appliance QTY. TYPE, Service Repair Q-l'Y- A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4-7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot 1bbs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal RangeMange Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations 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 Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE QTY. Condensate Drain TYPE QTY. Generator TYPE Q'I-Y. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaIUWm. 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 A/C Condensate Drains, Roof Miscellaneous Fixture 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 Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4f° Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor NImimum Fee Shower Water Service Drains, French NTiscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY: DATE: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1W50 N1. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 Date Job Address —333 E ZO Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee/Tenet - J0 &A/ !;Aq % f Master Permit # —� 9 1 Owner's Address 3L3 A/19 17— Phone `° % 7 Contracting Co. v5Q -e " 5��14 yc_e-e `V'G Address Qualifier IAo (T. SAA/S SS# State # Municipal # Competency # Phone 3 0 5 A �L O 1 , 6� Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle on ): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING /) - A % 1 I.. WORK DESCRIPTION:. Q(,U «,A,. D7— k6emx s Square Ft. Estimated Cost (value)_ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR BIPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. ow awp • ' Hit 0 Signature of owner and/or Condo President Date Signature of Contractor or Owner Builder Date Notary as to Owner and/or Condo President Date Notary as to C tr or or Own4r Bui er e M r D Date My Commission Expires My Commis si n v nisei® , df Expires November ISM 2i6 FEES: PERMIT RADON C.C.F NOTARY Q BOND APPROVED: TOTAL DUE Zoning Building 4e Electrical Mechanical Plumbing Structural Engineer _ b a PERM IT APPLICAW F014%W1 SNORES VILLAGE ... .... ... .... Date 09/18/2002 Jahn 333 N.E. 103 . Street TaKgGRO Legal Desption ricr�Ity� . .. . . • Yes No Ownei=e /Ten John Smit • • • • • • •Master Permit # .0 3 per+$ Addr= . 333 N. E. 103 Street Mi p iL hores • • , _ . _ p (305) 981 -3152 orte Quality Roofing Contractor, hlc •0 ; ; ;A. 0 13800 N.W. 1st Ave. 000 00 Qum= Carlos Arocho gS# lror� (305) 751 -0382 Stm# RC0058627 Municipal# Bonft Company Mortgagor 000017889 IM Co. Permit T (CImk ime): BUILDING ELECIINICAL PLUMBING MECHANICAL ROOFING PAYING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, replace rotted wood, tin cap 301b. ASTM felt, install galv. eave /valley /flashing metals, mop 901b. ASTM install colorthru tile with polyfoam. Flat with Cap sh Square FL 28sq. Tile 3sq. Flat Estimated Cad (value) $14,000.00 WARNING TO OWraM YOU DOW RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR DIPROVEMENis TO YOUR PROPERTY (IF YOU WTEND TO OBTAIN FINANCING CONSULT WITH TOURIMM-M OR AN;ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMFNEEI4IENT.) . AppUcation is herebymadetoobisapennitto dovaadc and iluisitallation as irAcated above, and on the attacilied addendum.(if applicable). I m* that alt t►raak v�71ba> pedxaamektt l��dfeP.iavain.iad�s�tas+ader�. Ltsald. tit. �pac�t iaacacupriracifatELF&'TBICCAL, TUNING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I oer* that all the foregoing inibrmabola is accurate and that all weak wllt be done in compliaaoe with all applicable laws rung =*ufte. and zoning. Fq*Vmwe. I n>11harize the abova I cottttactcr to do the work sta[ed. dz✓�%t3 Signature of owner )-0/0? Date Notary as to thi My fiolmmissit President MARYLOU HERNANDEZ MY COMMISSION # DD 060579 EXPIRES: October 10, 2005 Bonded Thru Notary Public Underwriters Notary as to Cmttiactor or My Cmnin scion Espirm: ey MARYLOU HE RNANDEZ ;;- MY COMMISSION # DD 060579 EXPIRES: October 10, 2005 aed Thru Notary Public Underwriters FEES: PERMIT RADON C.CF. NOTARY BONO3 p4° APPROVED: TOTAL DU 2 O zoning moohicat PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date _ ► job Address �33 ; J) k 1 ®3 Tax Folio Legal Description Historically Designated: Yes No l Owners /Tenant P-b-&S s � C Master Permit # ��U t✓ Owner's Address 93 3 &Ei Z®15 Phone �J�9� 6 V Contracting Co. MOCK- A,)- Ca l� �%3/� � Address �J�� Q e.JS AIA ti. A P. Qualifier /To ,(3 9 SS# Phone __ W3 ° G 95?,L State # Municipal # / Vol -e� Competency #_1V605? Ins. Co./l Architect/Engineer Address Bonding many Mmtgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Fri "1/U 1 - Square Ft 4,82S 10 Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IM[PPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done m compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. V A44��r Signature of owner and/or Condo President Date tiXJ� z2� -Z 3°. f J' Notary as to Owner and/or Condo PresidenL Date x 2&4Z �7 /1,u Signature of Contractor or Owner -Boil Date otary as to Contractor or Owner -B 'lder Date My; O�,m II1R" EWiW)kL NOTARY SEAL MI-co-1 i n t 7SAD NOTARJ Q li SANDRA M MONTIEL ® is A M M�COMMISSION NUMBER SSION < CC401261 Q CC4012MY COMMISSION •EXP. ?'� � MY COMMISSI�� r�� AUG. 17 1996 oF t"0 AUG. 17, 4cee FEES: PERMIT 7o RADON C.C.F. J, NOTARY 4_- TOTAL DUE 43, APPROVED: �� f Zoning Building 1 �T'�► Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No7� Date_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the .State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address g. e r `°g t r-f —_ No. Stree Registered Architect and /or Enginepv- Employing Electrician's Name No. Street Location and Legal Description Lot__._ Street and Number where work is to be State work to be performed and purpose of building (By Floors)_____ New Building Remodeling Addition Repairs No. of Stories___._.__ Service Overhead Size Feeders _ /_ ConduilZ Main Sw. -a- Amps. �� Main Fuses Amps Underground p Type of Installation — Conduit °s Tubing R.X.L.T_____._Meta1 Moulding Amount of Permit (Signed- lectrical Inspector. The undersigned applicant for this building permit does hereby certify .that derstands and accepts his oblig °ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Co p' General Laws of Florida anent Supplement, and has complied with the provisions thereof, and will require similar compliance o 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. i ( Signed) Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ____ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIO. 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 C� CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1 -5 HP TRANS. CL BT U / r/ CHECK Service Overhead Size Feeders _ /_ ConduilZ Main Sw. -a- Amps. �� Main Fuses Amps Underground p Type of Installation — Conduit °s Tubing R.X.L.T_____._Meta1 Moulding Amount of Permit (Signed- lectrical Inspector. The undersigned applicant for this building permit does hereby certify .that derstands and accepts his oblig °ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Co p' General Laws of Florida anent Supplement, and has complied with the provisions thereof, and will require similar compliance o 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. i ( Signed) Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ____ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. t • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT �} Permit No. 7" Date. 71- r-fp Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the .State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ^/ p� Owner's Name and Address ��'�-°-'�= "'— °Q't`"� '- No. 333 Stre,y&, ,0 3 Registered Architect and /or Engineer _ Employing Electrician's Name z (c) C A._1 -----No. / Street ,`iZ !.y % 9XAA-9✓ Location and Legal Description Lot - __.___Block;_ — Subdivision-Street and Number where work is to be performed -No. Stre at State work to be performed and purpose of building (By Floors) _ New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Underground Type of Installation- Conduit_ Tubing R.X.L.— Fuses Amps �..f Amount of Permit $T (Sig, ) Electrical, ector. The undersigned applicant for this building t does hereby certify .th he understands and accepts his obligatio an employer of labor under the Florida Workmen's Compensation Ac , Section' 5988, mpiled General Laws of Florida' Perma ent Supplement, and has complied with the provision thereof,. and will requires ante 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 sjte of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o or td b erfo under this permit, as are licensed by Miami Shores Village. (Signed) 41 V V IA- ; Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG - FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1•5 HP TRANS. CONTR. LIST CHECK - 4 - Service Overhead Size Feeders Conduit Main Underground Type of Installation- Conduit_ Tubing R.X.L.— Fuses Amps �..f Amount of Permit $T (Sig, ) Electrical, ector. The undersigned applicant for this building t does hereby certify .th he understands and accepts his obligatio an employer of labor under the Florida Workmen's Compensation Ac , Section' 5988, mpiled General Laws of Florida' Perma ent Supplement, and has complied with the provision thereof,. and will requires ante 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 sjte of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o or td b erfo under this permit, as are licensed by Miami Shores Village. (Signed) 41 V V IA- ; Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE /,�5, PLUMBING INSPECTION DEPARTMENT ^ Dtl APPLICATION FOR PLUMBING PERMIT Permit No.- - -f - - -� � - - - -- Da - --- - -- Z Application is hereby made for the approval of the detailed statement of the plans and specificati s herewith submi ed for tVbuilding 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 No.- - - - --- - k Street -1- -- -'' (-�": -- ✓__: - -f! - 'c Registered Architect and /or Engineer ------- fl✓Z'?''`'____ F__ Employing Plumber's Name--- -- --- -- - - -- - - - - - -- ---- -- ---- --- -------- ---- - - - - -- No ----------- 1 f /- -------- -- - - - - -- Street----- - Location and Legal Description Lot ___________ °__ fit_______ ___:_ __1__________________ Block_______ ________________________ Subdivision____ Street and Number where work is to be State work to be perf rmed and purpose of building (By Floors) ------ - - - - -- - -- -- )1- -------- - - -- - - -- - -- - - -- - -- New Building - - ------------ -- - --- Remodeling------------------------ - - - - -- Addition---- - - - - -- - - - - - -- - - Re s - No. of Stories ------------------------- Size Septic Tank ---- _�f. Type of Tank___ _ _______- _ --------------------------------------------- Capacity Gals _- Feet of Drain Tile ____ _______ ______ _________Dist. Feet of Tank or Drain Field from Well __ -_ 11l't --- ______ __ _ ------------------------------------ _ ®Q r- Nature of Water Supply: (9 Well.--) of Soakage 7t ---------- — - --- -- --- - - - - -- -------------------------------- ----------------------- Amount of Permit (Signed) Plumbing The undersigned applicant fothis building permit does hereby certify that he understands and accepts his obligations as an employer of lab( under the Florida Workmen's Co> pensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has c - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in tbeyrnM 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) STATE OF FLORIDA, ss. COUNTY OF DADE. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------ .---------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires - --------------------------------------------'---- Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT NS FIXTURES CONTR. LIST CHECK 179 � F J r `7 S7 SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. 1 LIST CHECK Size Septic Tank ---- _�f. Type of Tank___ _ _______- _ --------------------------------------------- Capacity Gals _- Feet of Drain Tile ____ _______ ______ _________Dist. Feet of Tank or Drain Field from Well __ -_ 11l't --- ______ __ _ ------------------------------------ _ ®Q r- Nature of Water Supply: (9 Well.--) of Soakage 7t ---------- — - --- -- --- - - - - -- -------------------------------- ----------------------- Amount of Permit (Signed) Plumbing The undersigned applicant fothis building permit does hereby certify that he understands and accepts his obligations as an employer of lab( under the Florida Workmen's Co> pensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has c - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in tbeyrnM 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) STATE OF FLORIDA, ss. COUNTY OF DADE. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me 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. %— , r t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit NO. ._--- _ / - - -- Date--- ---- - - - -- -- - -------------- --------------- ----- - - - - -= Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be com lied 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 Engineer --- `--- - ------ - - - - -- --------------------------------------------------------------------------------------------------------------- L ---- -- Z� Employing Plumber's Name = - No----------- ------- --------- ----- --- - - -- -- Street---------------------------------------------------- Lgeation and Legal Description Lot--------------------------------------- ------ --- ---- ---- - - - - -- Block---------------------- ------ Subdivision---------------------------------------------- Street and Number where work is to be performed —No. Street---------------------------------------------------------------------- State work to be perform and purpose of building (By Floors) ____________ New Building---------------------------- - - - - -- Remodeling------- --------- -- ------ -- -- - -- Addition----- ------ ---- - - - - - -- Repairs------------------- - - - - -- No. of Stories-- --- ---------- - - - - -- - -- Size Septic Type of Tank---------------------- - - - - -- -- I---------------- ---- - - - --- _Capacity Gals.- -- - - -- -6--- r, o Feet of Drain Tile________________1 19----------- - - - - -- -Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City—Well ------------------------------------------------------------- Size of Soakage Amount of Permit r D—rt (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 9XI tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per a nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors of sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection or -Ihe site of the w rk such publiv, notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contrActors, on work to a performed un his permit, as are licensed by Miami Shores Village. /y" I . " N Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________________________________ _______________________________ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS $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 Type of Tank---------------------- - - - - -- -- I---------------- ---- - - - --- _Capacity Gals.- -- - - -- -6--- r, o Feet of Drain Tile________________1 19----------- - - - - -- -Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City—Well ------------------------------------------------------------- Size of Soakage Amount of Permit r D—rt (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 9XI tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per a nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors of sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection or -Ihe site of the w rk such publiv, notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contrActors, on work to a performed un his permit, as are licensed by Miami Shores Village. /y" I . " N Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________________________________ _______________________________ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. } /. r Es " -- - - -- f - t - - - —T ,o iv --- Nero -- f- = - - -- 3M L- t -. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 33 _? IV tEF- Z& -< Legal Description Historically Designated: Yes No Owner&essee �Master Permit # Owner's Address 33? 4 r °e/�d:za..4 Phone Contracting CO Address Qualifier SS# - - Phone State # Architect/Engineer Bonding Company Mortgagor Municipal # Competency # Ins. Co. Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIONJ,�?�� `��lu Z Square Ft. Estimated Cost (value) A5 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR E"ROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furth , I authorize the ve -named contractor to do the work stated. Signature owner or Condo dent Siggatige of Contra4 .J /—' h ll 1 r` Notary as to Owner and/or Condo President Date My Commission Expires: f FEES: PERMIT RADON C.C.F. NOTARY BOND 4. ..d APPROVED: / TOTAL DUE 1 ti Zoning Electrical Mechanical Plumbing Structural Engineer 0 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date/2-9-?Z Job Address �5 3 3 RAJ E / ®3 s> _ Q �Tax Folio.// Legal Description / 9�f ✓� /�t3 %%% S` X78.//.7 Owner / Lessee / Tenant �Or/ -S se Cep Master Permit �� ✓� %Z Owner's Address - S"/fAglG- Phone Contracting Co. EfPCr ®plc ��r. -r✓� ®� C®• SyS. Address 1231,y S/_J X3.3 c7- Qualifier �09 2 J" • I- SS# Phone 2-a3-9 �E'� State #15RN 'C�/ Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / ✓�&AAe_ Z© b'reV/ce' Square Ft. Estimated Cost(value) -, �- o � 0 el WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoniig. Furthermore, I authorize the above -named contractor to do the work stated. /z7 =MW 0N#IM�1 Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: N#aryfas to Contractor or Owner- Builder My Commission Expires: FEES: PERMITS RADON C. C. F. �® NOTARY, TOTAL DUE IA. APPROVED: Fire Othe Zoning Bui E1 Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date A Job Address Tax Folio i L-I 19) 02- I Legal Description a ct t Owner / Lessee / Tenant q�� lcS �G� �0�' Master Permit # Owner's Address Sa ; %� 1�� Phone Contracting Co. R -5 I L= �� Address l %�/� J -8 /,Se ��L- Qualifier a1,: C�i/1��_ Phone ef 73-• g�f2.e State Municipal # I W" Competency # 06 Ins.Co. a Architect /Engineer Address Bonding Company. Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ?%'C�S(e�f�� v Square Ft. _ _ Estimated Cost(value) VA Y" WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. x Au;v 4 - a� ,�< &&I ;� A-9-4� Signature of owner 4udto r Co President Signature of Contractor or er- Builder Date: of 2C% J Date: 'tOi %5 -/ Notary as to Notary as to CDn rc .r-ak 9*FWM V @ • �� SCOTT W DAMS •�� SCOTT W DAVIS My Commission E n My Commission % COMMISSION NUMBER �c = * COMMISSION NUMBER Q CC255237 a CC255237 MY COMMISSION EXP. > Q? MY COMMISSION EXP. ** * * F�F� JA+td. 2g 1997 * * * * *r OF P -�+r< 26.197 FEES: PERMIT % RADON C.C.F. NOTARY 'DOTAL DUE t� APPROVED: Fire Other Zoning Building__ q0194-Electrieal Mechanical Plumbing Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY rAfo (OWNER TO RETAIN COPY) Date 11 -30 -92 Job Address 333 NE 103 Street Tax Folio %� gd, %J ®yJ e Legal Description /e/ V11 ho RAIL" Owner / Lessee / Tenant SEDACCA Master Permit ed Owner's Address 333..:NE 103 STREET Phone 759 -5477 Contracting Co. NORTH DADE SEPTIC TANK Address 800 NW 111 STREET Qualifier DENNIS NEVILLE SS# Phone 754 -3375 State # 025836 -8 Municipal # Competency # 12842 9V�ns.Co. AFCO Architect /Engineer Address Bonding Company, Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION INSTALL DRAINFIELD Square Ft. 300 SQ FT Estimated Cost(value) $1000.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing informatign -as accurate and that all work will be done in compliance with all applicable laws regulating conikruc ion d z n g f�urthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Si a of Contractor or Owner- Builder Date: Date: o Notar as Owner d or do President Not r s to tr c or Owner - Builder My Co ion Expir6seNOTARY PUBLIC, STATE OF FLORIDA AT LARD: My Commission Tres: MY COMMISSION EXPIRES JUNE 19, 1990 (VOTARY PUBLIC; STATE OF, FLORIDA AT LARD..' BONDED THRU HUCKLEBERRY 1 ASSOCIAY # COMMISSlo/1 EXPIRE! JUMR 19, 1998 ** * * * * A * * * * NONDID THRU HJICIIL"i*%Y t ASSOJIATES ** FEES: PERMIT'S RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fir e_ Other Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date //-'Y 6 Job Address �� ✓� .S- Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant (—!a S=sr 9s Master Permit # No 1/- r State # � Municipal # l�o �� Competency # Architect/Engineer Bonding CmPffiy Mortgagor ,f • !li Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ROOFING PAVING FENCE SIGN WORK Dncitu TION OSL -.✓' S use; C��9� �MECC-HANICAL � MIA / 2!z4 4F- a-,822C Square Ft. C;Z 3 'e' & Estimated Cost (value) _-02e WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR R"ROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attacked addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK'; OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date 26 7/' tary as to Owner and/or Condo President _ Date Notary as to Contractor or Owner - Builder Date My Cmss�oxpuf pr,� ; t�ai�� J� �,� �— �.�� My Commission Expires: .�. a rAMMRA PA €AG IEL EXP. 1h j FEES: PERMIT G RADON C.C.F. a �� NOTARY BOND TOTAL DUE APPROVED: ( �[ Zoning Building I ° Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 71-71?'? Job Address ��N l ®L�J ! TaxFolio Legal option Historically Designated: Yes No der/Tenant Master Permit # Owner's Address .7 Phone Contracting Co. Address ?ill oval yAr �/ �'I �✓ Qualifier f F� Ss# Phone 9Y 2, /z4`7 State # 10C a{i r 3 9d' of Municipal # Competency # ,/6' %�� Ins. Co. ,e�fll Architect/Engineer Address Banding Company Iy� :._• Permit Tvae (circle one): BUILDING ELECTRICAL PLUMBIN G Address Address MECHANICAL OOFIN PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR RWROVEMENVTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR.LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK; OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done' rr compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor t� do xhe work stated. 7 1 Signature of owner and/or Condo President ate Si gna or Owner- Builder d Notarf as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder My fission Expire My Commission Expires:_: FIVICI AL NCr i s. �� L� ?A Y LCU sL NOTARY PUBLIC STATr : Eli C ®ililhil s�IL'' r 4�b" F� LM 1V ft ®. CC472/3 MY COi�i�ti &LIOI�1 FEES: PERMIT RADON C.C.F. NOTARY BOND % ®a TOTAL DUE APPROVED: 4(0.7-6 Zoning Building Q_Z Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE IR Date % 2T 97 Job Address " .4,; IV, e. 149,9 'W off? — Tax Folio Legal Description Historically Designated: Yes Owrer/Lessee / Tenant 264,",d %�, tJcIi em Master Permit # No /s Ownees Address 3 3 M i!5. lD3 A- Sr Phone 74—f — 5V77 Contracting'Co.' A A A' —P-4 Vint G Address oo©T ERS /,P /A. 441AMI Ml38 Qualifier 7) - i5 4A510 sS# - one MF?3 "' /400� State # Municipal # 30.3 90295 Competency # "�► /0Z' Ins. Co. NS. /A/D Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING`PAVIN ) FENCE SIGN WORK DESCRIPTION vV Square Ft S60' Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR.LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF "COMMENCEMENT -) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORKj OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. �-Aq4'� /f- It 4I9 Signature of owner and/or Condo President Date v as to Owner and/or Condo President Date my 0 P, saWMa M 90071E cc,"101 261 ION emu, FEES: PERMIT aQ° RADON C.C.F. - NOTARY � s APPROVED: dt/'--j �`�!� Zoning Building '`" D Electrical Mechanical Plumbing Engineering BOND c 3 ®®< TOTAL DUE 21 `1 A STATE OF FLORIDA PERMIT NO. � DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DIPOSAL SYSTEM FEE PAID: �� , , CONSTRUCTION INSPECTION AND FINAL APPROVAL RECEIPT 1: APPLICANTS AGENT: PROPERTY ADDRESS: LOT: BLOCK: SUBDIVISION: -7'1 PROPERTY ID 1: xsxxaxxxxsaxxxxxxxxxs =xxssass::sazzsasssx:ssss: :sass ss a--- ssssazasaxssazasaxxsxaxxx�x =x CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. sxxxxx�xss�sss�xxsxssssssssx--- -x�ss— sass=— FILL AMOUNT asasaa— sa=ss- — �sssxxxxxz= xxxxxxx =ass TANK INSTALLATION [ ] [25] SETBACKS [ ] [26] [ ] [ 01 ] _ TANK SIZE ( 2 ] _ [ ] [ 2 7 ] SURFACE WATER FT [ ] [02] TANK MATERIAL �--, 3 _-, a _J :, [ ] [28] DITCHES FT [ ] [03] OUTLET DEVICE [29] PRIVATE WELLS FT [ ] [04] MULTI- CHAMBERED [ Y / N ] [ ] [30] PUBLIC WELLS FT [ ] [05] OUTLET FILTER [ ] [31] IRRIGATION WELLS FT [ ] [06] LEGEND 4/ [ ] 132] POTABLE WATER LINES FT [ ] [07] WATERTIGHT [ ] 1331 BUILDING FOUNDATION FT [ ] [08] LEVEL ( ] [34) PROPERTY LINES FT [ ] [09] DEPTH TO LID [ ] [35] OTHER FT DRAINFIELD INSTALLATION [10] AREA [1] ' + [2] SQFT [11] DISTRIB I N BOX HEADER [12] NUMBER OF DRAINLINES�_ [13] DRAINLINE SEPARATION :- [14] DRAINLINE SLOPE [15] DEPTH OF COVER [16] ELEVATION [ABOVE/BELOW]-BU [17] SYSTEM LOCATION [18] DOSING PUMPS [19] AGGREGATE SIZE [20] AGGREGATE EXCESSIVE FINES [21] AGGREGATE DEPTH FILL / EXCAVATION MATERIAL [ ] [22] FILL AMOUNT [ ] [23] FILL TEXTURE [ ] [24] EXCAVATION DEPTH [ ] [25] AREA REPLACED [ ] [26] REPLACEMENT MATERIAL EXPLANATION OF VIOLATIONS / REMARKS: f I [ l FILLED / MOUND SYSTEM (36] DRAINFIELD COVER [37] SHOULDERS 1381 SLOPES 1391 STABILIZATION ADDITIONAL INFORMATION [40] UNOBSTRUCTED AREA [41] STORNWATER RUNOFF [42] ALARMS [43) MAINTENANCE AGREEMENT [44] BUILDING AREA (45] LOCATION CONFORMS WITH SITE PLAN [46) FINAL SITE GRADING [47) CONTRACTOR (48] OTHER ABANDONMENT [ ] [49] TANK PUMPED [ l [50] TANK CRUSHED % FILLED CONSTRUCTION [APPROVED /DISAPPROVED]: /:._" FINAL SYSTEM [APPROVEDIDISAPPROVED] :,I DH 4016, 10/97 (Previous Editions Nay Be Used) PT t: Applicant PT 2: Installer /Contractor PT 3: Building Department PT 4: Health Department BUILDING DEPARTMENT CHD DATE: CHD DATES Page 2 of 3 -6' R PERMIT NUMBER: Pem-A tracking number assigned by CHD. APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION Lot, Block and Subd;vision for lot or PROPERTY ID#: 27 character number for property. (property appraiser ID # or GIS location) COUNTY HEALTH DEPARTMENT CHECKS [X] ITEMS NOT IN COMPLIANCE WITH CONSTRUCTION PERMIT AND STATUTE OR RULE. INFORMATION IS COMPLETED BY CHD ON FOLLOWING ITEMS: TANK SIZE (gallons) TANK MATERIAL (concrete, fiberglass, etc) OUTLET FILTER (manufacturer, make, model) LEGEND (manufacturer code) DRAINFIFLD AREA (square feet) DISTRIBUTION BOX / HEADER (check box) NUMBER OF DRAINLINES (number installed) SYSTEM ELEVATION (n relation to BM) DOSING PUMPS (number installed) SETBACKS (record actual setbacks in ft) SETBACKS OTHER (as required) STABILIZATION (date stabilized) CONTRACTOR (contractor installing system) ADDITIONAL INFORMATION (as required) ABANDONMENT TANK PUMPED (date) TANK CRUSHED AND FILLED (date) AS BUILT INSTALLATION SKETCH EXPLANATION OF VIOLATIONS: Record item number, explanation of violation, and required CONSTRUCTION APPROVAL: Circle approved or disapproved, CHD signature and date. FINAL APPROVAL: Circle approved or disapproved. CHD signature and date of approval. Final approval shall not be granted unit the CHD has confirmed that building construction and lot grading are in substantial compliance with plans and specifications submitted with the permit application. ELEVATION WORKSHEET ELEVATION OF BENCHMARK OR REFERENCE POINT: [ +] SHOT H.I. ELEVATION EXISTING GROUND TOP OF AGGREGATE H.I. H.I. H.I. [ -] SHOT [ -] SHOT [ -] SHOT