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MultiplePERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Date 1 1 �-S Job Address l J /J I �� -Tax Folio �j °vUs -0j 1j >I _ Legal Descri tion g P � � %�� 1� 1 f 9 �l -�" aster Permit �� ,_J��, % ✓.% '. Owner--'IA,, �U TA l Ak k, CylV P( L Tenant Owner's Address �-7 13 %✓' C/o 3S�- Day -Time Phone Contracting Co.:. V, `Y IZ106) �Ayc Address alo C) (/1 AI ii „) AV6 i (JP,4- ),e)ce_� �4 Qualifier �� /1-Lf ��/�;•D Mc' CxVS241C SS // Phone �� `t�C� /' vL�zj State // C r o .� u�� Competency# Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor // Address Permit Type: ii0OF BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION �� c.t^ J y - ice' 6A I ( !✓J(v�a 4- 1 lZ-A ,% ,),A)f Square Ft. 7 ��{, Estimated Cost-. ? 0,.7 �) 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 SUCH NOTICE. Application is hereby made for a permit to do work & installation as indicated. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, & 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. A BACKFLOW PREVENTION DEVICE may be required on this property. Call the Public Works Dept. ASAP at 787 -1001 or visit their f ice at 1815 Northeast 150 Street. ig ur of Property wner or Condo Pres. Signatuxe—of Contractor bscribed fore me bx'xi C day 9 4 % S' "diure of1Not *rpW� V ,,ndo 'r sident NOTARY PUS!.IC STATZ OF FLORTOA gp, Dr f,GE tiR ,I��o , mp Commissioned Name) Personally Known OR Produced I.D. CS'yo- off -Z� -Doi a TYPE OF I. D. PRODUCED 6 54710 - &!� - rn to & Aubscribed re me is o — day ig` afire of NoiVary t Contra c b.4 ��` PUBLIC S'� W c ATc O FL RMA (Print, Type, or Tfi►o ) Personally Known � OR Produced I.D. . TYPE OF I. D. PRODUCED 2 2:` :2 la G' "11 Cf, , :FEE ` p•of, Zoning �Buildin� Electrical ft Mechanical Plumbing Engineering ., __ ,� �', r � � �L� i /� .10 \ s � •/2 r Dr NOV�rL I 3 7 � o Ale ,h /w.zr In - o N tom° 'ylCor i7 z�-r L pth CIO � EJec�rlc 'ow LEA -r WOOD FENCE D.E. DRAINAGE EASEMENT T»- WIRE FENCE U_E. UTILITY EASEMENT NAIL FD. FOUND O PROPERTY CORNER P PLAT R RECORD ASPHALT M FIELD MEASURED O.H.L OVERHEAD UTILITY POLE C CALCULATED P.P. POWER POLE CL CLEAR TX TRANSFORMER ENCR ENCROACHMENT CATV CABLE RISER CL CENTERLINE W.M. WATER METER CONCRETE TEL TELEPHONE FACILITIES R PROPERTY LINE � COVERED AREA C.M. CONCRETE MONUMENT B.R. BEARING REFERENCE F.I.R. FOUND IRON ROD CH CHORD F. I.P. FOUND IRON PIPE RAO RADIAL RJW RIGHT OF WAY N.R. NON RADIAL Property address: 243 N.E. 103 Street Miami Shores, Florida 33138 D v� Q r 1 HEREBY CERTIFY THAT THIS BOON RY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS T FLORIDA BOARD OF PROFESSIONAL LAND SURVEYO C AMORTH O AADMINISTRATIVE CODE. PURSUANTTO SECTION 472.027. F O SIGNED RALPH SW DLOFF REGISTERED LAND SURVEYOR NO. 3411 STATE OF FLORIDA D Date of field work: 3/15/96 Completion date: 3118/96 Flood zone: X Survey number: G -8455 Legal Description Lot 17 and the East 1/2 of Lot 16, Block 119, of AN AMENDED PLAN: SECTION NO. 5 OF MIAMI SHORES, according to the Plat theni recorded in Plat Book 10, Page 47, of the Public Records of Dade County, F Certif.ed to: Federico LlamosaS; Gulf Stream Title Company of Miami, a Division o� National Title Insurance Company of Pennsylvania; Resource Banesha- Group, its successors and/or assigns. NOTES I) BEARINGS SHOWN ARE EITHER ASSUMED. PER PLAT. OR PER RECORDED INSTRUMENT. 2) LEGAL DESCRIPTION PROVIDED BY OTHERS. 1) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 4) UNDERGROUND PORTIONS OF FOOTINGS. FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 5) ELEVATIONS ARE BASED ON NATIONAL GEODETIC DATUM. 3) FENCE OWNERSHIP NOT DETERMINED. 7) WALL TIES ARE TO THE FACE OF THE WALL B) NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL 3) ONLY VISIBLE ENCROACHMENTS LOCATED. 10) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. jj ' � I ?o" VWAI , . . /��eE�•as�- Cam, rce. CA Co,�'4. �d1�i,YS,t� j r`� �T�cfJv�!•Irti SJoN�rS i t z o: t e Z,57-ES -rs &Mfwi'6 -.4 Joe I(np SHEET NO. OF. CALCULATED BY DATE CHECKED BY- DATE SC ... . . . ............. T-7- L -4 ...... .. . �_ ��? � t norms M nor Vero FATKm ro W.190-40 l Isometric Site NORTH Elm mw `ef 1 b, W LL �� a � w� Lu o W c� a� C0 6 VV //j m ffi A-01.Q 0 0 WOf lOG9aB NI PLOP �I. ®vB'ef4 PAtNVt& -- I' -4' C EG M A 00 � Detail #1 Notes: 2 "x 6" PT Pine Seat. Spaced 4" o.c. CBS with Stucco Finish. 0 2 "x 2" PT Pine Strips. 0 2 "x 6" PT Pine Beams. t 1/4" dia. thru Bolts. 0 4 "x 4" PT Pine Post. © 4 "x 4" PT Pine Brace. t 1/4" dia. thru Bolts. 0 6" Conc. Slab (Existing). 0 #4x 16" Steel Rod T —O" o.c.. 4" into Slab t 12" into Conc. Filled cell. Ui 6i IL oil w 1 us W ac col a1 C �d 8� Detail ONW4, M, 5FW6' 7W8' OK I V Job Address: W-� Contractor: Underlavment (contimied): Check all of the following which apply to the proposed underlayment for use with the proposed tile system assemW. 1 ASTM 430 asphalt saturated felt with: ❑ 19" overlap ❑ J6" overlap �% i� 4" overlap �cturer :l/� r ASTM #15 asphalt saturated felt with: ❑ 19" overlap 0 6" overlap U 4" overlap Manufacturer. 4/mineral Surfaced Roll Roofing with: ❑ 19" overlap 0 " overlap Manufacturer: re l V 4" overlap Other. Type: Manufacturer: Check one of the following which apply underiayment attachment: Minimum 12 ga. eleetro- galvanized minimum 3 2 ga. x 1' /3" tin tom: Length: " Manuer: Process No. Spadgg (ner the system assembly Product Control Approval: Field: " O.C. Laps: " o.c. 5. Related Accessories: Edge Metal (refer to Section 3408.2 of the South Florida Building Code): Type: 3 x Dimensions: 3 -3 Cmge or Thickness: 7 Finish: � /L✓!�I!/� f� Note: All edge metal shall be nailed on the flange and nailed or clipped at the face in compliance with the provisions set forth in Dade County Protocol PA 111, marked Appendix 'U' in the South Florida Building Code. Adhesives (check one of the followine): to the proposed i� )q Cold Adhesive: roofing nail with Other: .Type: 20 Length: lu /" � Manufacdu�er: l- 1ic/z(z ( C Type: VFlashing Manufacturer. Cement: Type:� A'D1119If .S/19,4) �r Manufacturer. eZA.) Mortar or Adhesive Set The Systems Page - 3 ef.sAj .� Job Address: Adhesives (continued): Contractor: �� Process No. Note: Application of adhesives shall be in compliance with the Roofing Component Product Control Approval and the minimum requirements set forth in Subsection 3403.5(e)(4)(cc) of the South Florida Building Code. Ventilation System (check one or more of the following): The following information is required to confirm compliance with Subsection 3401.4(e) of the South Florida Building Code. �f`JPdt3 1 Ridge: Type % / Size in2 Soffit: Type �' �1Q V in2 /// £Y9 Note: If underlayment is comprised of a self - adhered membrane, both soffit and ridge ventilation systems are required, unless a base sheet is applied as an anchor sheet below the self - adhered underlayment. Note: The Tile System Assembly shall be installed in strict compliance with the application instructions enumerated in the Product Control Approval. A permit shall be issued for application of the specified Tile System Assembly only. Any change to the specified Tile System Assembly shall require submission of a revised SECTION II with a copy of SECTION I, noting the permit number issued. Additional Notes:: / g, re j- 64 R? 7x7= z1 3a 44m, 3 ?. 7 Mortar or Adhesive Set Tile Systems Page - 4 S,� Job Address: Ale- � �� Contractor: � Process No. APPENDI K W Is the deck solid sheathed? (circle lye or no) METRO -DADE UNIFORM BUILDING PERMIT yes no SECTION H Deck Tvce (check one of the following): MORTAR OR ADHESIVE SET TILE SYSTEMS ❑ Nominal W Plywood (for re -roof only) 1. General ❑ Nominal' / e" Plywood YWood Plank" The information provided in this Section is required to confirm ❑ Other (fill in) Product Control Approval of the proposed tile system assembly; — conff m compliance with the wind load requirements of Chapter 23 Roof Pitch (fill in): of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. " : 12" 2. Documentation The following documents are required for submission with the Uniform Building Permit application: ► Two (2) copies of the proposed tile system assembly's and associated roofing component's Product Control Approval(s). ► One (1) copy of the tile system assembly and/or roofing component(s) manufacturer's published application instructions and literature. ► All documents attached herein, filled out and completed in full. 3. Project Information Check one of the following: Note: Mortar or adhesive set tile systems shall not be installed at a pitch greater than 7W:12 ". Mortar or adhesive set tile applied at a pitch greater than 5 ":12" and less than or equal to 7 " :12" shall have the first three courses of tile nailed with not less than one nail per tile. As an alternate, the first three courses of tile may be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than ' /a" which is mechanically attached to the sheathing with not less than one nail per 2 W. Circle 'Yes' or 'no' for each of the following: Have you attached two copies of the tile system manufacturer's Product Control Approval for the proposed tile system? y ®es no Have you attached a copy of the tile system assembly and/or roofing component(s) manufachuees published, application instructions and o r literature yes no ❑ jNew Construction Is the proposed underlayment approved for use with this tile W Re-Roof system assembly? No)e: Mortar or adhesive set file systems are not acceptable as mover no applications. ,x_ 68 Mortar or Adhesive Set Tile Systems Page -1 Job Address: � �` � Contractor: Process No. Project loformation (continued): 0 Mortar: Manufacturer: If the proposed underlayment is self - adhered, have you complied Mixing Ratio: with the venting requirements of Section 2913.3 (b), (c) and (d) of the South Florida Building Code? Adhesive: Type:' es no N/A Manufacturer: A-477/a" 2�� G 4. Are all related accessories approved for use with this tile system assembly? yes no Are the proposed edge metal attachment fasteners in compliance with the requirements of the South Florida Building Code (minimum 12 ga. annular ri.iaank, corrossion reisistant nails)? yes JJ no The Tile System Assembly: The following information is required to confirm compliance with Subsections 3403.5(a) and (c) and Section 3404 of the South Florida Building Code. Tile: Tile Name: 1!57j ,r17 If Manufacturer: 4 ✓6'„� Tile Material: P'/Clay Eff Concrete 0 Other: Product Control Approval Number: _ -7' 741::Z.,2 9 J. (9 Y Mortar or Adhesive: Check one of the following which apply to the proposed tile securement for use with the proposed the system assembly: Tile Fasteners (for first three courses if roof :pitch exceeds 5 " :12" and is less than or equal to 7 .12 "): Check one of the following which apply to the proposed tile fasteners (for the first three courses) for use with the proposed tile system assembly: 0 Minimum I2 ga. galvanized roofing nail: Length: 0 Other: Type: /NIA Length: " Note: All ties shall be installed in compliance with the provisions set forth in the tile system assembly manufacturer's Product Control Approval and the minimum requirements set forth in Subsections 3403.5(c) and 3404.2 of the South Florida Building Code. Tile fasteners in the first three courses (if applicable) shall be of sufficient length to penetrate the sheathing a minimum of 1" or through the sheathing thickness a minimum of /,s ", whichever is less. Underlayment: The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Mortar or Adhesive Set Tile Systems Page - 2 Process No. Job Address: -,e Contractor: Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment. Also insert variable labeled "a" which represents perimeter and comer dimensions per Chapter 23 of the South Florida Building Code. ee ASCE 7-88 Fact Sheet Attached) BUILDING INFORMATION #2. Roof Plan with Perimeter and Comer Dimensions Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 7 Job Address: � 6 XF- 1 -'9S7-- Contractor:�%.1 c"� �� Process No. The undersigned certifies that the Mortar or Adhesive Set Tile System Assembly is in compliance with the plans, specifications, and details submitted by the architect. STATE OF FLORIDA - COUNTY OF DADE Before me this day personally appeared 1' ®O o -)/ 11e' q!!QO✓7 who, being first duly sworn, deposes and says that all information submitted herein is true and correct. 11Z4 W.", z/"%� ltI Licensed Contractor / Owner Signature Sworn to and subscribed before me this t th day of 19 ax My commission expires: iELAINE ALOIA - � Notary of Ftoeida 3�L c My COMM. Exp: 11=7 CCC Not Public Con"#: CC328702 �Y State of Florida Mortar or Adhesive Set Tile Systems Page - 8 Job Address: Process No. Contractor: 1-iwi,�w- �Z— Pr Deck Thickness. Underlayment: Underlay-ent Fastener. SX,4 Ridge Venting: laifg IN I tIZA) t-5 L0^9 A) 4fe FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SI IOWN ON THIS PAGE. ( Where Roofimg Component not used in Tile System Assembly, fill in with "N/A". ) Head Lap Dimension: 2 - (mintomon 2*unkss odserwise specified In dw lik system asse&&*Pro&ct Control ASPI-4 Mortar/Adhesive: sJ po'tv � zze TiIe:,131(7m,47jq F/yq--f Z/ A Tile Fastener: '1110 Edge Metal or Gutter,,.# Fastener: '10,41 'el.Al: Bird Stop: � Nfwficaw) V I.. .............. Existing or Proposed j Soffit Venting- rz 7- DETAIL #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 5 �e4or Xyqst-014 S1FJez f1r7S M Roof Pitch 12" Edge Metal or Gutter. t3 V I.. .............. Existing or Proposed j Soffit Venting- rz 7- DETAIL #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 5 �e4or Xyqst-014 S1FJez f1r7S M Job Address: C;� s1-4 e- I�C4 sy-- Contractor: AA1 IE- 710i'� —V-77/J-4411 s No. Insert Building Ridge Height, Eave Height and Roof Mean Height. Also insert applicable information pertaining to the building below. (See ASCE 7-88 Fact Sheet Attached) Exposure Category- 111-4c #. Category. -lurricance Occanlinc ?: Y N BUILDING INFORMATION #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page -6 is Wind Speed at iilding Location: I I0 muh Iding Condition based on of openings: re Table 9 ojASCE 7-88) Ground Level r� M co Planter Wall on O 8 1$x 16" Conc. Filled CBS. El v- .e ® 2 "x 2" PT Pine Strips. , =0 O 2 "x 6" PT Pine Beams. $ & 1/4" TRELLIS PLAN AO Q,i 91-,411 l © _iu� 1- © 0 2 TRELLIS SECTION f-0' PAIXVlB — G) TRELLIS PLAN VIEW U TRELLIS FRONT VIEW 00 e �© Detail #2 Notes: OBrick Planter Wall on go E 8 1$x 16" Conc. Filled CBS. .e ® 2 "x 2" PT Pine Strips. , 2 "x 6" PT Pine Beams. $ & 1/4" dia. thru Bolts. v i� 0 4 "x 4" PT Pine Post. Galy. Metal Post Anchor © w /1/2" dia Bolt into Slab. IL 7 Z ® 6" Conc. Slab w/ 10 -10 W ; Qr. 6"x 6" Welded Wire Mesh LU w/ 18" Folded Edges. cc a� C �d S J Detail #2 Ion % iii oa iii a p NOW ,E3= � CIMAL M POOL UDMTINCW POOL DECK CUCMTOtG) --. Io aes I so= MECH - aroma mm ww T1 M4A GM WT'AL 61 100! PLAMM NW MOD ?lag= AIM 1!lEa.i' OOlit9MM 81A1S ilk.' EMAL 0 aM u 12- CRIB DECK UDGWTM 1 wffH MM TM MUK Q !® PLAMER Site Plan NORTH 0 5 10 15 20 %M 1W OD e �0 R 11 gill fill gd R I LLI r Q A -020 ML 0000 # • .:l �Lloo�- a a� l Qs A-06pll-- . , . 000e � • • 1 ADD 2foF+ ®P 4 r • dp dp • • . ", ' • 4 ` • • • • • v op ow ar ow:ose-e 14,13. o AO ' ` A tw u I �k -- t 7P- 2 4.r A J PLUMBING INSPECTION DEPARTMENT APFUCATION FOR KUMBINO PERMM Permit No. Q 7 Date 5,29-76 Application is hereby made for the approvel, of the detailed sbAement of the plans and specifications herev4th submitt for building. or other fttcbm herein describe& This application, to made In 60moliano and conformity v&h the Budding Ordblailot Florida, and an provisiow of the laws of the State of Florida, all aanazim of Miami Sham Village and'all miles and regulationi of the Budding Division of Miami sham Village 9W be complied wftk whether herein specified or�nft:A opy-of approved plans and'specifications-muk be kepi:at building during ptogiess of work. O"es Nam and Addrm.— At OX COW01 1 243 N. E. 103 St No. Street i� Fl a.^ Inc, of Fla. 7570 1q- W. 14 St. a i, Fla- 33126 Registered Architect and/or Engineer ........ .. . Employing Pludmes 0— IA"ti= WA L"d DNMIV#= 13100k Subdividdon ........... Stmt and Nag= Whwe work is be peribrmixi—No— 244 H, 9 . . ..... . ....... stme wo& to be whimell and vmvm of bdft (By rw=)_ . . . . . ........ . ........ New— No. of Stories................. .. CLO&M BATH Tun AlHowSS1111 LAVA. Yellin RINKS GLOP SINKS LAUNDRY Tuse UNINALS CATCH BASIN FLOG R DRAIN DRINKING FOUNTINS TOTAL FIXTURM LIST CHECK SEPTIC SEWER I DRAIN SCAMOR I Coft"sc SOLAR M I OE SISONLIt. I "IM., I TANK CONN. 011, TRAP NEATER I WELL SYSTEM POOL Fed of Drain Tfie__ 1318- Feet of Tank or Drain F from Well-- Noture of Water Supply: City Wes, --------------Sire Of SOBIMV Pit----- set gas dryer Bdm zoo, the widelidened mWitefty, a votary paW d* udwrized to adnftiow oaths and take admowledpwats, personally appeared ,p me, well Imiyo, sworn, upost. mfii d= and. that he is the Slid who, being by d 0, D that he did sign the same, and that an fach the above described constiuction, that he his awft5* read the ragoing application, and thadn by him a" we true. .... ............................... MY commission FAI*w Notary PaW-State of DWW- or favity NOTE: A re- ftwoectiola fee of $1.00 will be meds, whim south re4rispectim is made-necessary by improper notice! for inspection, or faulty materials wid/or WORE111111111146 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT / j� t ............. s /as /T5 PermitNO.......1. ° � .... Date .................... ............................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Nuada, 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. Ir. & Mrso Alexander P. Ceamel� 243 .....Street......N.E...1©3rd_ St........ OwnersName and Address ........................................................... ............................... o....... ............................... RegisteredArchitect and /or Engineer ....................................................................................................... ............................... .......... ............................... L & M EI+IC CO* INC. Og .. .................Street...N•W1. 166th Street EmployingEleetriciafi's Name ....................................................................._....... ......No....................... .. ............................... Location and Legal Description Lot .................. .................................................. Block ................................ Street. Subdivision . l.............. ............................... 243 N.E 143rd Street Street and Number where work is to be performed—No ....... ............. .... ...................... ............. ............................... . State work to be performed and purpose of building (By Floors) ..... Ne gl; dmae@ . ................................................................. ........................................ . New Building ................................ Remodeling............. .................. Addition .............................. Repairs .... X + ........................... No. of Stories.................... Service Overhead Size Feeders .................... Conduit ............... Main Sw ............................... Amps.......................... Main Fuses...................... Amps Underground . Typeof Installation — Conduit ..... .................. Tubing ......... .............. B. X. L.........................Metal Moulding....................... '............................(" ...... .......................................................... ............................... . ...... ................... ......................................................... ...v ............................ ................... ............................... ... ...................N Amount of Permit 5...4.76 I ........ ... (Signed)................... ..... .......... ... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl' ations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida jermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contra rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work'such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ......... ............ .......5....r'1't.....Cf./........... . ............................... Master Electrician. STATE OF FLORIDA. 1 COUNTY OF DADE. j a' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............................. .................................. ....... ... .... _ ..... .. .... .. ..................... ... ............................... ........... ..... ...... ..... .......................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. _ ............................_................._...................... ._............................. ...... ...... ........ ..... ...... .. .... ........ ..... ............................ My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $j.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 Ft%TURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS D.S HP NEON TRANS. RADIO TOTAL CONTR. LIST 150 Am 9. Increase 1 $4.75 CHECK Service Overhead Size Feeders .................... Conduit ............... Main Sw ............................... Amps.......................... Main Fuses...................... Amps Underground . Typeof Installation — Conduit ..... .................. Tubing ......... .............. B. X. L.........................Metal Moulding....................... '............................(" ...... .......................................................... ............................... . ...... ................... ......................................................... ...v ............................ ................... ............................... ... ...................N Amount of Permit 5...4.76 I ........ ... (Signed)................... ..... .......... ... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl' ations as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida jermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contra rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work'such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ......... ............ .......5....r'1't.....Cf./........... . ............................... Master Electrician. STATE OF FLORIDA. 1 COUNTY OF DADE. j a' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............................. .................................. ....... ... .... _ ..... .. .... .. ..................... ... ............................... ........... ..... ...... ..... .......................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. _ ............................_................._...................... ._............................. ...... ...... ........ ..... ...... .. .... ........ ..... ............................ My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $j.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 compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during pipgress of the work. fie. March 4.... Owner's Name and Address.... A 1 e x a n d e T, C o n ne I l l »,.,,,,. » », No._ .Z4 4 3 .._., Str N,.,, E a,,,10 3rd,,, St. RegisteredArchitect and /or Enginver ...... ............. ...... ...... _. _...» ........ ............. ,........,.". :.,. "'M.•....... ..................... »....». Name and address of licensed contrgctor..._Ob e n o ur Roofing Co. 7 357 N . W . Miami C t . Location and legal description of lot to be built on: ....... ...... ......................... Block .... ............... . subdivision.__.----- .._................»... _. Street and Number where work is to be done_.._..2 43 _ N. E. 103rd Std Rdinove existirt roof and replace with 1 -30 lb. State work to be done and purpose of building (by floors). ..»_» ...... __...... _.......»»»— .........»»» ...E.» —.._. _.,....... felts 1 -90 lb. slates galv.,,.flashin .and green c ®recut shin�l® tile„,„. Install �4� ply built up asphalt and gravel roof on flat deck. ... and for no other purpose. New Building ............._ ............... Remodeling ................. ...... -» Addition .......................... Repaid ............... _.. .... _ No. of Stories.- .....- ». — To be constructed of............ ................ Kind of foundation» ».. ..._.........._..._....... _...._........ Roof Covering. 27...34x!►........ ».., 6 00 Estimated Total cost of improvements $ . ., _..__ __Amount of Permits—— .................._.._............. .--. Zonecubage required- .. ........ ..... ----- _— ....... _ ..._ -. — .Plan Cubage.._ ........ _...... ..-_ ...............__ ». . Distance to next nearest building.. .. .... .. ..... _.... .... » .. ..Size of Building Lot....... »»»» ...... ......... »_.. _................» .._ Maximumlive load to be borne by each floor ................ _ ... .....—...._ .. .... _........................ » .» ..»...-_...__-»»» -.._ .... .._ .... .. ...... .............................. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ............................ _.,................__............._...................__......---................----.............-•---....... ........._._..------ ........... 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 8966, Compiled Cenral Laws of Florida, Permanent Sappleinent. 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 subcon actors, oa work be performed under this permit, as are licensed by Miami Shores Village. Remarks..._ _....._._.__.— ...... »..._...... _ (Signed STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -- ----- —• -_-------- ..... ...... — --- ------ ..._.. ._ ... _ ._........... ..._ ..__. _» ..... _ .. ..._— - _ - ._____ - -... .......... . . _ ... ....__ —to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .................. .......... ..................... ... »..» .._ ...... _. ». . of the above described construction, that he has carefully read the oregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.__ffe. C'- Date._. eZ"_�� . Read, Sworn to and Subscribed before me. Vto -- ------ Disapproved .».1.... - ..» _ DEf ..- ._..... .................................. Ntary Plc, tate of Florida; (Signed) .._...... ... B g Insp My Commission Expires.........»»»P .................... » .. .DATE Chairman .._ ...... ........ _.__... __ .. ».. ..... Member Member.....» _._....._.» .... ...._ _..».»» ._ — »_ Member..._..._....... _ _ » ......._ Member ....... .......... ........ _ . _._ ..... .» .... _ Member ..... Council Approved ...... ».._........... ___ ». _.. ......._»_ Date Disapproved ...._ .. .......... ....... ........ .................................. »..Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin.- Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper rmtiee for inspettinn or faulty materials and/or workmanship. MIAMI SHORE , ILLAGE BUILMING INSPECTI lo D PARTMENT r APPLICATION FOR B ILDING PERMIT Application is hereby a!pproyal of the statement of the p -herewith submitted for the build- ing or structure herein described. This application is made in compliance and un a ce of Miami S I Florida, i and all provisions of the Laws of the State of Florida, all �f WiamitbelioBjvstla e Man 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 (luring progress of the work. L 119 ..... . Owpqr's Name and Address.-L-) f.-.8 � A, kc_ . ------- --- Regiiiered Architect and/or Engineer-- _CW, ....• .•... ................... ... Name and address of licensed contractor_. Location and legal description of lot to be built on: Lot- Block-JIT -) Subdivision_41-1 A_LXL._1fi_A"E Street and Number where work is to be done__J-_4J E JAO j J* State work to be done and purpose of budding (by floors) _-and for no other purpose. New Building—___ Remodeling------ Addition Repairs-- .----- _._-_ .- No. of Stories...._ .1-- ._ - - - -- To be constructed of--t.&I Kind of foundation-_ tV NS"_T__E__.____ ____ Roof Covering_ jJj) J kT Estimated Total cost of improvements, _-Amount of Permit $_JQLS� . ..... .. . . .. .... - - ------ • --- ----------- - ------ - Zone cubage required-- Plan cubageALoll-_ I 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 fox said budding. All notices with reference to the building and its construction may be sent to--- The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being $cc' ion 5966, Compiled General Laws of Florida, Permanent Sti glenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors em by him wl employed in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks- (Signed) STATE OF FLORIDA, COUNTY OF DADE. Is' 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. Q -7 7--� - Permit No.- L_ Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) L Building Inspector pector My Commission Expires-_ --- ----- -- ._.H--- _. -. -. ------ G BOARD_ . -_ - Chairman Member Member .... .. member ----------- — ---- - ---- Member -- - ---- member Council Approved-- --Date Disapproved ------ - -- -.Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspectn is made necessary by improper notice for inspection or faulty materials and/or workmanship. .e 'j .n "� 7 y 4 LINDS-LEY LUMBER, 2300 N.W. 36th STREET, MIAMI, FLORIDA 33142 LINDSLEY STORES NORTHSIDE store MIAMI, FLORIDA NORTH MIAMI store CAROL CITY store MIAMI, FLORIDA BIRD ROAD store MIAMI, FLORIDA LITTLE RIVER store MIAMI, FLORIDA SOUTH MIAMI store ALLAPATTAH store MIAMI, FLORIDA CORAL WAY store MIAMI, FLORIDA TRAIL store MIAMI, FLORIDA NORTH MIAMI BEACH store SOUTH HIALEAH store PALM SPRINGS store HIALEAH, FLORIDA PERRINE store HOMESTEAD store TAVERNIER store KEY WEST store Dear Mr. $ WEST HOLLYWOOD store HOLLYWOOD store WEST ORT LAUDERDALE, FLORIDA This FORT LAUDERDALE store 2 x 10-221 OAKLAND PARK store POMPANO BEACH store BOCA RATON store DELRAY BEACH store LAKE WORTH store. WEST PALM BEACH store LAKE PARK store BELLE GLADE store VER0 BEACH store FORT PIERCE store COCOA store MELBOURNE store please HOLLY HILL store DAYTONA BEACH; FLORIDA GANDY store TAMPA, FLORIDA NORTH TAMPA store EAST HILLSBOROUGH store TAMPA, FLORIDA DREW store TAMPA, FLORIDA HENDERSON store TAMPA, FLORIDA PINELLAS PARK store LARGO store ST. PETERSBURG store LINDSLEY EXPORT CO. MIAMI, FLORIDA WHOLESALE ONLY DANIA SUPPLY CO. DANIA, FLORIDA DANIA SUPPLY CO. de re MIAMI, FLORIDA DANIA SUPPLY CO. HIALEAH, FLORIDA DANIA SUPPLY CO. TAMPA, FLORIDA LINDSLEY WHOLESALE LUMBER CO. MIAMI, FLORIDA LINDSLEY IMPORT & EXPORT COMPANY MIAMI, FLORIDA LINDSLEY STEEL CO. MIAMI, FLORIDA DANIA MANUFACTURING CO. MIAMI, FLORIDA March 29, 1968 Re: Wm Bean Job 243 N.E. 103 St. radford: 3 ro letter is to "clarify the grade of the used on the above job. We buy this material from Dant & Russell at.Port Everglades. The only grade we buy, and the only grade available from Dant & Russell is. 25% Standard & Better. If we can be of any further assistance call us. /Hr. �« n Very: truly yours. LINDSLEY & R.B.C. LBR. CO. . to R. D. Whitman A. C.+a t �v.lc ire.. a +� /�► �`t G� �Yr I'! h'�' 0 -7 {" Y d.�.,: e .�.• MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application d a statement o£ the p the build- � in comp an with of Miami � f d the ca of FIM �Uws f 6e State a rules and ge shall be com with, whether herein specified ar not. A copy of approved ing or other herein described. I PPL Shares Village, d progress of the work g =XgL WEdo approval �51ho Building of� of the D i M plans regulations mut must kept t b 19 O%i* No. _y's Name end Address- - -._1Y _1�V - Regigbera Architect and/or Engineer-.. . ................... . . Name and address of licensed contractor- G4 ve Location and legal description of lot to be built on: Lot-. _ -_-----Block_. -- --- Subdivisioa.__ — ----- - Street and Number where work is to be done?_ 'Z 3 V ZE Z 0 State work to be done and purpose of building (by floors)- - ----- �� ' 6f " --and for no other purpose. New Building_ Remodeling---_---- Addition-- .----- _.___.. Repairs-- .___.__ - - - -__ — No. of S r_ es--.-. _--_------ To be constructed o£--- __._.______ -__ -- Kind of foundation__.. - — — -------- — --- - --- Roof Covering__S---Y --- Estimated Total cost of improvements $ . ..... *' —__Amount of Permit _- - --- ----------- - - ---- - Zone cubage required--- ------Plan Cubage___ _.___---------- -- - - -- Distance to next nearest building__ ize of Building Lot— ..... . ........ Maximum live load to be borne by each floor— I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to--- The undersigned n't is building permit doc hereby certify that he understands and accepts his obligations as an employer r e lding P'- Act. being Section 5966, Compiled General Laws of Florida, gatio of labor de t Florida F Workmen s Compensation Permanent Supplement, and has complied with the . . is thereof, and will require similar compliance from all contractors or sub-contractors employed by him the in the work to be perform 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 bcontractois, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks- (Signed)-- STATE OF FLORIDA, COUNTY OF DADE. Iss' 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 arr tr Permit No. Read, Sworn to and Subscribed before me. Date___3_— Disapproved Date --- - ------ - - (Signed) - L:Wc ----------- - - — Notary Public, State of Florida Building o My Commission Expires__ NING BOARD- __.____.___DATE Chairman Member --- ---- ---- ----- - ........ Member Member Member --- - ---- Member Council Approved-- --Date Disapproved - ----- - __ - --- --Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. AW 2 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT _ Permit No..... 1... �� ... _» Date........... � - - --- �---- - -6._C) Application is hereby made for the approval of the detailed statement of the pans and specifications herewith submitted for the building or other structure herein descnbed. This application is made in compha ece and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of they Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shore= Village shall be complied with, wheeher herein speeibied or not. A copy of approved plans and specifications must be kept at building during piogress of wor -. Owners Name and Address......NIA•..._ W, ..� .� . ............No ........ 44.3 ............. _. Street .. . ..._..� - -• . Registered Architect and /or Engineer_ .................. ...........-. - ._.... - -•-- - - _. ... ........ —........ Employing Electrician's Name. ...... .(►_.._ . f ,� .. o..........- •� - -.� ...._ ....Street oo , Location and Legal Descriptioi 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.................... Service Overhead Size Feeders. Underground ....... -Amps._..... Main :uses .- .... . ................ Amps Type of Installation— Conduit.. _.....Tabing.. .. ........ B.X L.. ._.....-._Metal Moulding.. ...... ... .... .. ...... .......... ____ ........ ._.......... Amount of Permit $ ................ .............. :.__... ...... (Signed)....vG.C..' ._.. _................ ......... ........ ... .. Eleettacal Inspector. The und-rs ,*fined applicant for his building permit does hereby certify that he understands and accepts his obligations as an employer of iabo under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has omplied 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 o_ cause to be posted for inspection on the site of the wo.k Such public notice or notices as are requird by the Act. The undersigned agrees to _a,iploy only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village (Signed) ...... Via.... �.._.., d� ... ., clan. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared .. ...... -- - -- - - -- - . . - - - -- - -- - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .1. .... ...... .. .... ............ - ..... .......................... of the above described construction, and he &-, carefully read the foregoin,, 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 LIOHe PLUG FIXTURES REFRIO. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP A OUTLETS OUTLr7S RECIIP'T'S No LAMPS OUTLET OUTLET OUTLET CONN, HEATER CONN. HEATER HEATER TOTAL LIST CHECK ENT. DIST. SERV2cE SERVICE MOTORS MOTORS NEON Sv;. CAB. TEMP. PERM 0.1 HP 1.8 HP TRANS. RADIO TOTµ CONT[-. L1- T CH6 -:X Service Overhead Size Feeders. Underground ....... -Amps._..... Main :uses .- .... . ................ Amps Type of Installation— Conduit.. _.....Tabing.. .. ........ B.X L.. ._.....-._Metal Moulding.. ...... ... .... .. ...... .......... ____ ........ ._.......... Amount of Permit $ ................ .............. :.__... ...... (Signed)....vG.C..' ._.. _................ ......... ........ ... .. Eleettacal Inspector. The und-rs ,*fined applicant for his building permit does hereby certify that he understands and accepts his obligations as an employer of iabo under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has omplied 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 o_ cause to be posted for inspection on the site of the wo.k Such public notice or notices as are requird by the Act. The undersigned agrees to _a,iploy only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village (Signed) ...... Via.... �.._.., d� ... ., clan. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared .. ...... -- - -- - - -- - . . - - - -- - -- - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .1. .... ...... .. .... ............ - ..... .......................... of the above described construction, and he &-, carefully read the foregoin,, 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. M� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT CPP Permit No_ Date Wo- for buildi or other Application is hereby made for the approved of the dots" statement of the plans and specifications herewith smVubnmif or _119 structure herein described. This application is made In compliance and conformity with the Budding Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miann Sham Village and all rules and regulations of the Building Dixigion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must kept at building during progress of work Owner's Name and Address. No. —A-YI-3 ---- ISmxeet Registered Architect and/or ErighWer Employing Plumber's Name 7T—ct Location and I&W Description Tnf, BlodL---. Sub&v1sknL________ — ------- Street and Number where work Is to be performed—No. Z43 WIF Street AL-4 9000 stwo work to be perfornieli and purpose of building (By Floors). Now Building -__-. Remodeling Repairs.. No. of Stories Size Septic Tank------ --------Type of Tank— __Capacity rxa1L__ - - . - -__ --------------- Fed of Drain Tfle— Fed of Tank or Drain Field from Well_------- - - - - -- ------- - — --- ------ ------- Nature of Water SupPlYowell. Size of Soakage Pit Amount of Permit Plumbing In vectoi The undersigned applicant for this budding permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida workmen 9 compensation Act being Section 5966, Compiled General Laws of Florida Permanent men Sup 'p I t, d has as 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 perfatined under this permit; and will post or cause to be posted for inspection on the site of_the work snp"ublic I notice or no' ices as are required by We Act. The undersigned agrees to employ only such sub- contradrn to be of under It* per m ah are c licensed by Miami Sham Village. a (Signed Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acktiowledg%nents, personalty appeared to me well known, and who, being by me first duly sworn, upon oath deposes 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, suited are true. My Commission Expires Notary Publio, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspectim is made-necessary by improper notice for Inqmtion, or faulty materials and/or worlimenship. CLOSETS SAY" TUBE SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINAL$ CATCH BASIN FLOOR DRAIN DRINKING FoUmT,Ns TOTAL FIXTURES LIST CHUCK 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 rxa1L__ - - . - -__ --------------- Fed of Drain Tfle— Fed of Tank or Drain Field from Well_------- - - - - -- ------- - — --- ------ ------- Nature of Water SupPlYowell. Size of Soakage Pit Amount of Permit Plumbing In vectoi The undersigned applicant for this budding permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida workmen 9 compensation Act being Section 5966, Compiled General Laws of Florida Permanent men Sup 'p I t, d has as 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 perfatined under this permit; and will post or cause to be posted for inspection on the site of_the work snp"ublic I notice or no' ices as are required by We Act. The undersigned agrees to employ only such sub- contradrn to be of under It* per m ah are c licensed by Miami Sham Village. a (Signed Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acktiowledg%nents, personalty appeared to me well known, and who, being by me first duly sworn, upon oath deposes 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, suited are true. My Commission Expires Notary Publio, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspectim is made-necessary by improper notice for Inqmtion, or faulty materials and/or worlimenship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appro }jai 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 riot. A copy of approved plans .and specifications must be kept at building during progress of the work. �y Date --- - --------- -- --- - - -••• /_.."�..._. __. 1 d .g d�,/ - - -- - - - -• -• 19- ----, Owner's Name and Address.... -- -- _._.,._ ------ --- ---- ------ --- -- -- - --_ No.7..__..._.. Street.11!"....��._.'-- Registered Architect and /or ingineer .... .. ..................... - --------------- _. ------- ---------- -a---_........._.... Name and address of licensed contractor_- ___- __ -------- ------------ Location and legal description of lot to, be built on: �J Lot------------ -------------- ---- -_ - - -- Block------------------------- - - - - -- Subdivision----- •---- - - - - --- - Street and Number where work is to be done._._ ___- _--- __- _— __._____7 ------- %- State work to be done and purpose of buildjng (by floors)...- __e ar -.y 0 f� r _ --- -__. -_ -- ----------- ---- ------- -------- --- -.- - ------ - ----- V ---------- - -- -- _...___- __._.___ _____..._.._.ankl for no other purpose. New Building --- - - - - -- --- --------- - - ---. Remodeling --- --- ------ _- __ - - - - -- Addition ......... . - - -• -- Repairs .......................... No. ok Sto s -._.. To be constructed of- ----- ------ --------- - - --_. Kind of foundation ------_---_ ----------- _..____--- .____ - - - - -- ---------- ..- Roof Covering....... - d .- ____._ _ Estimated Total cost of improvements $...........7 _�J_ 0---- ,---- - - -_.- Amount of Permit $ ......... _ ........ _-- .................. : ....................................... Zone cubage required---------------------------- - - - - -- -_ _ _- - -- - -Plan Cubage ----------- - --------- - --------- ----------- _ - - - - -- I- -- 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 aid its construction may be -sent to------- -------- - -. -__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work t performed under this permit, as are licensed by Miami Shores Village. Remarks____.___ � -- _-- .-- -- r___ -- -___ ____�_._._ _ (Signed) ___ __ __._._ STATE OF FLORIDA, COUNTY OF DADE. 1 as Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared— _— — - - - - - _ _ _ -_ -- --- -------------- _----- - - - --- and who, being by me first duly sworn, upon oath deposes of the above described construction, that he has carefully r therein by him stated are true. Permit No. ?I- �D __ Date--° Disapproved (Signed) - -- Chairman Member -- -------- ----- - -- me well known, foregoing application, and that he did sign the �- - '___- •----------- •- - -__ -_ foregoing pp same, and that all facts Read, Sworn to and Subscribed before me, ------ - - - - -- -- ,� • - -- Notary Public, State of Florida - My Commission Expires ------------------------------------------- -- -- ---------- -- BOARD- ----- -------- _--- ------------- ------- --- - -- -DATE - - ---- -- - - - - -- Member ------- - _ Member .___------ -___ -. Member ------ -------------------------------- Member -_ Council Approved .___-- ---- ------------------- ----- - - -- _____Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. �• s�, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. 133 Date—C) � 71 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for a building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. r, Owner's Name and Address. e Registered Architect and /or Employing Plumber's Name �< No e z S Location and Legal Description Lot_ Block Subdivisions Street and Number where work is to be performed -No �Str 6_1035 State work to be performea and purpose of building (By Floors)----:- _°_ e— _ v Now .Building ____ _ Aemodei3ng Addition -. Repairs_ - No. of Stories_ WI Size Septic Tank. Type of Tank __ -- - -__ _---- Capadty Feat of Drain Tile "&L Feet of Tank or Drain Field fry Well__ Nature of Water supply: City wen _Size of Soakage Pit __---- - - -_ -- _ _�-- ______ - -_........ Amount of Permit \-L,,). ` . Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under this 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 y by him in the work to be performed under this permit; and will post Or cause to be posted' for inspection on the site work c notice or notices as are required by the Act. The undersigned agrees to employ only such sab- contractors, on be permit, as are Hemmed by Miami Shares Village. _ ��41 _�j — Plumber. STATE OF FLORIDA, l COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and.esys 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 thin by him stated are true. My Commission Expires Notary Public, State of Florida'- materials ad/or NOTE: Are�pee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspE,.Na�n, or faulty CLOeafB BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CH19CK SEPTIC TANK SEWER CONN. DRAIN FIELD .SOAKAGE PIT GREASE• TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM•G POOL CONTR. LINT CHSCK Size Septic Tank. Type of Tank __ -- - -__ _---- Capadty Feat of Drain Tile "&L Feet of Tank or Drain Field fry Well__ Nature of Water supply: City wen _Size of Soakage Pit __---- - - -_ -- _ _�-- ______ - -_........ Amount of Permit \-L,,). ` . Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under this 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 y by him in the work to be performed under this permit; and will post Or cause to be posted' for inspection on the site work c notice or notices as are required by the Act. The undersigned agrees to employ only such sab- contractors, on be permit, as are Hemmed by Miami Shares Village. _ ��41 _�j — Plumber. STATE OF FLORIDA, l COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and.esys 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 thin by him stated are true. My Commission Expires Notary Public, State of Florida'- materials ad/or NOTE: Are�pee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspE,.Na�n, or faulty 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 Buildinng Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Flori ddaan� all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compli ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date---- �---= ' - - - - Owner's Name and Address W E e6d4747 --- No.A '13 Street.�� 4193 Si — Registered Architect and /or Engineer_— ___�__%p - -� --- ___ Name and address of licensed contractor�l�l L ✓ �C^ - - - - - -_ __ °'� �0yl -`� --- - - - - -_ Location and legal description of lot to be built on: Block Subdivision— Street and Number where work is to be done State work to be done and purpose of building (by floors) PA v l= Poe T for no other purpose. New Building Remodeling Addition Repairs_____- __- _— ____ —_ No. of To be constructed of Kind of foundatiorn_._._._.__.___ ^_ _____________ Roof Cuffing_ ______________:_--- -_ -_ -_ Estimated Total cost of improvements $ S0 ° ® 0 Amount of Permit $� -- Zone cubage required plan Distance to neat nearest building Size of Building Lot----_ -- Maximum live load to be borne by each T hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to --�- -- -- - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida. Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. -° Remarks (Signed) ��= e?��✓_��°�� STATE OF FLORIDA, COUNTY OF DADE.• 1 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 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 hire stated are true. Permit No. Date — Read, Sworn to and Subscribed before me. Disapproved Date — Notary Public, State of Florida (Signed) Building kspecto My Commission Expires- _____ - -- _ Chairman Member . Member PLANNING BOARD __ —DATE Member Member Member Council Approved Date Disapproved -- — ---------------- ---- ------------ - --- . -- -.Date NOTE: A charge of $1.00 will be made for - making corrections or changes to this application after approval has been obtained from the Planning Board. A re- mspection fee of $1.00 will be charged when such re- inspection is made necessary -by improper notice for inspection or faulty materials and /or workmanship. I- 7-k ) C E a MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.--- Date. _? 161? 1 1? Application is 'hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Budding Ordinance of Miami - Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances; of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein vedfied or not. A copy of approved plans and specifications must be kept at building during progress of work. ownges Name and Address- /c/1 6 ev No. "%�3 N;e/0JAWStreet_.__. — ------ Registered Architect and/or Employing Plumber's Name Location and Legal, Description Lot Block $fteet and Number where work is to be performed -No State work to be pedwmea and purpose of building (By Floors)_ Now B 14,14-g— Remodeling_- Addition No. of Staries.- _.- . ....... Size Septic T=k----r.%- Type of Tank.— _--Capacity Gals. -._ -. A I/ Dist. Feet of Tank or �Drain Field fiam Well 'Feet of Drain Tlle__�dFk_ ------ -- -- Mature of Water Supply: City-Well. Size of Soakage Pit - Amount of Permit L (Signed) Plumbing bLvector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all con or y him in the work to be performed under this permit; and will post or cause to be posted for Inspection on site the on Pu C or notices as are reqt*a by We Act. The undersigned agrees to employ only such on on or this permit, as are licensed by Miami Shares Wage. .4 STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer Oadw and; take acknowled$ments, personally appeared to me well known, and who, being by me Bra duly oath deposes and. says that he is the of the above docriba construction, that be = Zar'da'jnad the foregaing application, and that he did sign the same and that all facts therein by him stated we true. My Commission Expires Nobw Public, giZe of Florida It NOTE: A re-inspection fee of $1.00 will be made when such minspection is made-neoessary 'by improper notice for inspection, or faulty materiels and/or worlimmship. 'U'88' SHOWERS LAVA- SINKS SLOP LAUNDRY .URINALS,. CATCH FLOOR DRINKING TOTAL CLOSzT6 T TORIES SINKS Tuns BASIN DRAIN FOUNT'N FIXTURE$ CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE, SOLAR DEEP SPRKLR. SWIMIG TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic T=k----r.%- Type of Tank.— _--Capacity Gals. -._ -. A I/ Dist. Feet of Tank or �Drain Field fiam Well 'Feet of Drain Tlle__�dFk_ ------ -- -- Mature of Water Supply: City-Well. Size of Soakage Pit - Amount of Permit L (Signed) Plumbing bLvector. 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 of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all con or y him in the work to be performed under this permit; and will post or cause to be posted for Inspection on site the on Pu C or notices as are reqt*a by We Act. The undersigned agrees to employ only such on on or this permit, as are licensed by Miami Shares Wage. .4 STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer Oadw and; take acknowled$ments, personally appeared to me well known, and who, being by me Bra duly oath deposes and. says that he is the of the above docriba construction, that be = Zar'da'jnad the foregaing application, and that he did sign the same and that all facts therein by him stated we true. My Commission Expires Nobw Public, giZe of Florida It NOTE: A re-inspection fee of $1.00 will be made when such minspection is made-neoessary 'by improper notice for inspection, or faulty materiels and/or worlimmship. APPLICATION FOR MUM TO XMITGATE VRH MUM . )FTHY1.BR01+2IDEr'1ACR1MT DATE 1, Location of building to be fumi, ga 2. Nme and address of owner of premises 3. Type., size and construction of building i 4. Is entire building to be fumigated?. 5. If not, what portion? 6* Approximate number of cubic feet of space in building or in rtion to be fwdgated 7. Kiwi.- -and quanity of fumigant tobe used and Manner of application and length of fumigation period. io - -- ---- 8. of nearest - building_ and direction from building to be fumigated 9. Ma what manner will vents to exterior of building to 'be 10* Date, when faeLgaticn will be begun Time 11. It is hereby agreed to'station a guard on the premises to fumigated during the fumigation period and to poe% suitable placards each entrance to Wd'.buil ding bearing the folio -teing words in letters at least two' inches by one inch in size: "DI&NGER, THIS BUMINd UNDER... -7—IMMIGMION WITH A DEADLY GAS". It is hereby agreed to make such provisions that all 'opening i into building may be opened from the oirtside after the the period of f%migation is over and to take such other precaut.f.,ons as may be necessary to inffaft that all of he f-wraiga-at is re:aoved from the building before, anyone is., Witted to entsr.-., 13. It is hereby, agreed to notify the Health Department wren the building hao 13,3a . spared for 2Wrw1gatic.-.,,, + FM NAM. ORM EXTERMULUAT.MG CO. 2 Mi ADDEMb.....1960 N. W. 27th Avenue Niamio .Fly ifta WPM Signatara of Ceit-ified Agt Control 0p,sr&to:L, Ln charge of is fumigati6n 9 1M. Z MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT the s 'tement of the plans and specificatips herawfth submitted for the build- ing t' c OL a" is made in compliance and conformity with tiro B Ordinance of Miami Laws of the State of Florida, all ordinances of Miami Sholnvsv Village and all rules and i his ap ca is' "adaf"6* a �MR and �= of dw 0 the Building SM�OfM V as I be complied whether herein specified or not. A copy of approved cati Miami Shores f t� must !:=jW at budding E g progress 0 the work. Date.. 1Q1;1_ .......... ........................,18.._. Owner's Name and - — --------_---- ----- ---- Registered Architect and/or Engineer.......... - . RPM ...... . . .... ................. I ............. Name and address of of J___ T" . .. . ...................... . .. lAcation and legal description lot to be built on- 1960 N . W. 27th Mi F2a Block — — - ------------ - --- - Subdivision.___ Strad and Number where work is to be - done ....._ 1 3 State work to be done and purpose of building (by ....... aa for no other purpose. Now Building Remodeling .-- __--- .- .--- .._- .._._. Addition ...... . . ....... _. Repairs__......__ No. of Stories ....................... To be constructed Kind of Roof Covering-...._ . .. . ...................... .. Estimated Total cost of improvements . ..... __-Amount of Permit --------- . ..... . .......... 1W 2 00 Zone cubage nxp*ed— Cubage— . . . ....................... Distance to next nearest budding-_29.20st. WeSt ---Size of Building W_. . ......... Maximum live load to be bome by each floor_ . ... . . . . ...... . ........... I hweby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to-- . . . . .. . ... . ..... . .. . ................ . The unders! ;nod applicant for this budding permit does hereby certify that he understands and accepts his obligations as an employer Of labor under Florida Workmen's own Act, being Section 59K Compiled Cenral Laws if Florida, Permanent Stglement, and has oompliea with tlu� provisions 2=0unsadd w, by him in tiro work to be performed user this permit; and will post or esuse to be posted for inspection on the site of the work such public notice under or notices as err® required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed this permit, � are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. Is' Before ma, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared ...... —to me well known, and who, by. me first duly sworn, u deposes _. ......... bed construction, r oath and says that he is the . . . ......... . ...... . . . . . ..... . a, ------- Of the above described that a has carefully read the foregoing application, and that he did sign the same, and that an facts therein by him stated WP Permit No . Date.- C -- Read, Sworn to and Subscribed before me. Disapproved Da fi Notary Public, State of Florida (Signed) --- L4 My Commission Chairman Member .-DATE Member Member Member Member Quacil Approved —Date Disapproved ............ . ............................ ...........................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hem obtained from the Planning Board. ' A re-inspetion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.�� q_�_ Date__-__U,_—_j_64 -__.. . __ 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 a 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 • F• Beare _ No. 243 N. E ! .Street _A03 St • - Registered Architect and /or Engineer - Employing Plumber's Name-_ TRmlgas Inc. of Fla.. _ No., 3795 N. W • street._._ . 21 St. - — Location and Legal Description Lot._..._._ -_ Block Subdivision.,._.;.___._._,.___ _. Street and Number where work is to be performed —No 243 N. �' . streeL_ _ _103 8t. State work to be perfamell and purpose of building (By Flom)__ New Build; ro _ _- Remodeling _— Addition ------ __... Repairs _ __._- - - - - -. _.. Noy of Size Septic Tank_ Type of Tank -- __._ _ � ___. _ Capacity Gals. _ -- Feet of Drain Tila DisL Feat of Tank or Drain Field from Well_..._... — Nature of Water Supply: City— Well. -- _Size of Soakage Pit__.. INSTALLID 2 GAS SPACE HEATERS. Amount of Permit $---4 0 (Signed) �I'la: in toz. 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- csu►tractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or u&ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per•nit as are licensed by Miami Shores Village. 28876 -C STATE OF FLORIDA, as. 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, ulxm 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 ]rim stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-iiivection fee of $1.00 will be made when such re- inspection is mede-necessary by improper notice for inspection, or faulty materials and /or worl®anship. CL086T8 BATH TUBE SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBE 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 CON". LIST - ---- CHECK -- �. Size Septic Tank_ Type of Tank -- __._ _ � ___. _ Capacity Gals. _ -- Feet of Drain Tila DisL Feat of Tank or Drain Field from Well_..._... — Nature of Water Supply: City— Well. -- _Size of Soakage Pit__.. INSTALLID 2 GAS SPACE HEATERS. Amount of Permit $---4 0 (Signed) �I'la: in toz. 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- csu►tractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or u&ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per•nit as are licensed by Miami Shores Village. 28876 -C STATE OF FLORIDA, as. 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, ulxm 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 ]rim stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-iiivection fee of $1.00 will be made when such re- inspection is mede-necessary by improper notice for inspection, or faulty materials and /or worl®anship. Issued r 19 '` �- - aiami Jhores=ilIage F L O A I D A Amount_ No. Houses BUILDER'S B O N ALL MEN BY THESE PRES in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or bus in at the following xpd esse�: N? 761 to construct or repair a building or U do hereby deposit with Miami Shores Village, Florida, the sum of te1 , and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of 41aid Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such constructs within the meaning of such ordinances, the Village may clear, and repair the same and pay the costs of such clearance and repairs tt- o-fft the � aforesaid' and return the remainder to me; and that, if I shall clear and repair said property immed' ely, as aforesaid, then said /q��LCshall be returned to me. F WITNESS MY HAND and Seal at Miami Shores Village, Florida, this A:i— Y of � (Seal) INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises e cleared and repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. WHEN CLEARED AND REPAIRED BY THE VILLAGE c: r' Amount of Bond. . . . . . . . . . . $ G - Village Building Inspe' mi Shores Village Cost of clearing and repairs done by Village $ ` Balance due Builder . . . . . . . . . . $ 457e) Cancelled---.-- 19 By MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.___bkff6 Date. 10 1?.� ®� 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 aU 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 Addresses Beane _. No. 23 Street - - - -_N �_.E�. 103rd St. Registered Architect and /or Engineer- Employing Plumber's Name__Rose Septic Tank Co., Inc. No -2552 Street w- 3rd Ave., Hialeah, Fla Location and Legal Description Lot Bieck Subdivision Street and Number where work is to be performed —No - -- 243 Streak _ N • Ew l0�rd St . State work to be perforIneS and purpose of building (By Floors) — ___-- - - - - -- _ .__ --- ...... New Building _.:_ _ Remodeling ___ Addition- ____._._._.._ Repairs- _......_--_. No. of Stories.._ Size Septic Tank _ Type of Tank __ —__ �_-- - -._ -- (:opacity Gals. --- ------ ____ ____ -• -- •- -___ -- Feet of Drain Tile 32 r ft ®e1 `y nix+_ Feet of Tank or Drain Field from Welt____ —_ . - --. -- Nature of Water Supply: City- Well _Size of Soakage Pit______ - -_- Amount of Permit $ 3.00 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 Cmpensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit, and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village (Signed) - s --,� - .°� Master Plumber. I STATE OF FLORIDA, a& OF DADE. Before me, the undue authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duty sworn, upon oath deposes and. says that he is of the above desrrbibed construction, that he has carefully read the foregoing application, and that he dick sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-hapection fee of $1.00 will be made whim such winspection is made•neoessary by improper notice for inspection, or faulty materials and /or worlmaanship. CLOSETS BATH Tune SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FoUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G - TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL COHTE. LIST CHECK Size Septic Tank _ Type of Tank __ —__ �_-- - -._ -- (:opacity Gals. --- ------ ____ ____ -• -- •- -___ -- Feet of Drain Tile 32 r ft ®e1 `y nix+_ Feet of Tank or Drain Field from Welt____ —_ . - --. -- Nature of Water Supply: City- Well _Size of Soakage Pit______ - -_- Amount of Permit $ 3.00 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 Cmpensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit, and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village (Signed) - s --,� - .°� Master Plumber. I STATE OF FLORIDA, a& OF DADE. Before me, the undue authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duty sworn, upon oath deposes and. says that he is of the above desrrbibed construction, that he has carefully read the foregoing application, and that he dick sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-hapection fee of $1.00 will be made whim such winspection is made•neoessary by improper notice for inspection, or faulty materials and /or worlmaanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or o structure . described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, ill provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and re tions of & Bu , g Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved and d specifications ust be kept at building during progress of the work. Date_._ 90 - - — ----- .... . ........... 19% Owner's Name and Address. - ------ .............. No ......2 Street ---......._103 ---- Registered Architect and/or Engineer.---- --------- - - - ----- --_----_-- - ----- ------ -------- -----------_--_----- ---------- - -------- * --- — --- - , ---------- -------- ** --------------------- and d address of licensed contractor ------ SOUTIMSTM NATURAL G&S CORP* 2540 N*W* 29th Ave* .----- ----- -•-- - -- - -• ......... ...•.••....•.............••..... Location and legal description of lot to be built on: Lot- - - ----- __ ------------ __ ------ Block - - - -- ------------ ------------- Subdivision.- - - - -•- ------------ - -------- - ----- - - _____-_-...----..._.....-------- Street a nd Number where work is to be done ----- 2.0 ---- & -1,031h ... jat#_1U_mJL__§ho_._ro.,q4 ... Klwrk State work to be done and purpose of building (by floors) ------------ Heater - - - - ----------------- - ---------------------------------- -----------------_------- — - — - --- — ---------- - ------------- -- - ----- for no other purpose. New Building------ - - - - -- -------------- Remodeling--------- _-_----- -_ - - -- Addition-------- --- - -- --------- . Repairs ................ . ........ No. of Stories - - - - -- ---- •------- • - - - - -. To be constructed of---- ---------- -- ----- - - - - -- Kind of foundation --------------------------------------------------- - ----- .._ Roof Covering_--- .---- _— _...__.......___...._. Estimated Total cost of improvements $ ---------------------------------------- - -------- Amount of Permit $_..___.._ . ................... . ............ Zone cubage required-_ ------ ----- - — - - --- - - - - - -----_-------_------ Distance to next nearest j building ----_--------- ------_----- ----__---__Size of Building Lot_._..----------.—.__.......__.___.__.. .__ ............................ Maximum live load to be borne by each floor - ------------- - ------ - - - - - - -- - ------------------- — ------ - - - - - - _- - --------------- ....•..• ..... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ---- - --- - ------ - - ---------- — -- ----------- ------------------------ - ------- - - ----- . . . .... . .................................................. The undeisigned a cant for this building pennit does ere certify a e understands an accepts is obligations as an employer of labor under the lori A Workmen's Com nsation Act, being Section 5966, Compiled General $ o Florida, IPen-n- ent u lenient, and has complied with provisions thereof, and require similar compliance from all contractors or sub- contractors e lo y hi in the work to be pe o eX under this permit; and will post or cause to be posted for inspection on the site of the work such u )lie notice or notices as are required by the Act. The undersigned agrees to employ only suchsu -actors, on _woVk to be perform under this permit, as are licensed by Miami Shores Village. r -: , Remarks-------- — ------ - ------ (SignedY 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- i 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. H /_ i.? i Date - -__ -_ Read, Sworn to and Subscribed before me. Disapproved - --------------------- - - - ----------- (Signed) . - — — — ----------- - -- ---------------- ----------- — ---- - -- --------- ---- Notary Public, State of Florida Building Inspector My Commission Expires ---------------------------------------- - ----- PLANNING BOARD - — — -------_--- -------------- ----.--DATE Chairman - - ---------------- --- ----- Member -- — - — --------------- - ----- — — - - - _-----_----- - - Member------------ •-- +--------------- - -- - -- Member -- — -------- - --- - ----------- - - ------ - - - ---------- Member ........ --------- - - - -- ____ — ------------- Member CouncilApproved----_---- - --------- 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 &-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. M Permit No...... d $.......... Application is hereby made structure herein described. and all provisions of the La, of Miami Shores Village at building during progress of Owner's Name and Registered Architect and /c Employing Electrician's Na Location and Legal Descrit o Street and Number where v State work to be performed tel:` New Building ....................... 3'? �Lv S MIAMI SHORES VILLAGE 37 E4ECTRICAL INSPECTION DEPARTMENT PLICATION FOR ELECTRICAL PERMIT ,....... Date ............ ... •- •- ••--- .......... ir the approval of the detailed statement of the plans and specifications herewith submitted for the building or other is application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, of the State of ;Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at A- is to be performed—No .......e —_'Pt.� y+ -.. purpose of building (By Floors) ......... ».. N M - of Stories. ................... Service Overhead Size I� era ...........:.» ».;.Conduit ...............Main Sw............_................. Amps. »........................Main Fuses..:,...................... Amps Underground Type of Installation —Con uit ....................... Tubing _....................... B. X .L ......................... Metal Moulding ............... ».» , ...... r...». . ...... . ...... ................. Amount of Permit $ ........... 4- .........................»................ ............................... (Signed) The undersigned t for this building permit does hereby certify that he understands and a is his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or bcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .......... ad.a .� P �.... t....1.!�.:..�... �. Master Electrician. STATE. OF FLORIDA, COUNTY OF DADE. �' Before me, the unde signed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and whd, being by me first duly sworn, upon oath deposes and says that he is the . ............ . ....... »... ».......... . .............................. of'the above described cn 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 Cdinmiesion »� ............................... ... ...................Na ary 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. ggACE STRIP TOTAL OUTLETS OUTLETS i�ECE'P•TS NO. I.ANPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER LIST CLIST . CHECK ENT. DIST. SERVICZ SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM.. - 0.1 HP 1•5 HP TRANS. - CONTR. LIST CHECK _ _ -. - - -_ Service Overhead Size I� era ...........:.» ».;.Conduit ...............Main Sw............_................. Amps. »........................Main Fuses..:,...................... Amps Underground Type of Installation —Con uit ....................... Tubing _....................... B. X .L ......................... Metal Moulding ............... ».» , ...... r...». . ...... . ...... ................. Amount of Permit $ ........... 4- .........................»................ ............................... (Signed) The undersigned t for this building permit does hereby certify that he understands and a is his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or bcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .......... ad.a .� P �.... t....1.!�.:..�... �. Master Electrician. STATE. OF FLORIDA, COUNTY OF DADE. �' Before me, the unde signed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and whd, being by me first duly sworn, upon oath deposes and says that he is the . ............ . ....... »... ».......... . .............................. of'the above described cn 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 Cdinmiesion »� ............................... ... ...................Na ary Public, State »of» Florida ............................. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or' faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date ... _...... - __ _— -------- ----- _---- ,19........ Owner's Name and Address -.._ .._...._- __ -- _ _._,- - -- -- ........ ____. No. -_- -._° _�'�__ ------ Street -- 0____'5- __ AC - - - -.- S /- Registered Architect and /or Engineer...... - _ - - - - Name and address of lic nsed contractor ..____ -- _P Location and legal description of lot to be built on: Lot--- ---- --- - ----- -- ----- -- --- - - -- -- - -- Block -------- __.................... Subdivision ----------------------------------- - - -_ — _ — __ - ---------------------•--------- Street' and Number_ where work is to be done ------- _-- ---- .-------- ___ - -. - --------- - --- _ - - - -_ _ _.. - - -___ _ -_.— ..--- .._.. -- ._.._ - - - - -- State work to be done and purpose of building (by floors)_.._— ___._._ -__� l_._� - .__.._ _ -- �—.� - - - - -- . 1 _ - - - - -- _ "" ` _. ----- ----------•---•------------------ --- ----------- - -- - - — - _- - - - --- -- - - -- -------- ----- --------- - - - - -- - - -- ------------------------- ------ - - - -_- ----- - - - - -- -_ -_ ........ and for no other purpose. New Building _-- -- --- - ------ _------- Remodeling------ ---- --_--- -.---- - -_ Addition ........ __-------------- Repairs ---------------- ---------- No. of Stories. ------------------------- To be constructed of..____; ------- ------------- Kind of foundation ---------- - ------ __.. ... ............................__. Roof Covering ................................................ Estimated Total cost of improvements $-------------------- ---_-- ------- - _.__ ------ Amount of Permit $ ------- & _. -_ -__. ---- ---- -_-------------------------------------------------- Zone cubage required-_..-------------- ___-- _---------------- __ - - -_ Plan Cubage___--- __- - ---__ _.___----- ___ --- - -------- - - - - -- Distance to next nearest) building ------- — ------- ------- _---------- _•._-- - - - - -- ---_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----- - ---- -- _ ___ — - - - — -- — — - r -- - ------- - ------ - --- --- - - - - -- -- -- -••- -- ------------ The undersigned ap lic for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Flori Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with a provisions thereof, and will require similar compliance from all contractors or sub- contractors employ him in the work to be perfor ned 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 require by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed I Miami Shores Village. �! Remarks____. -_ (Sign)_____ STATE OF FLORIDA, j t COUNTY OF DADE. ` Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared_ _ __ _— ---- -------------------------- ------- --- - _-- --------- _ _— — - ------------ _-- -_ - - -- ------ ----•- -------- _-____.— ----- ------- --- - --- ------------------- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the- ................. ----------------------- ------------- --------------._-•---------- -------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. 4 __________ Date__ ' ! Z ' Read, Sworn to and Subscribed before me. Disapproved �- - - --- -- - --- Date__ —. - - — - - - - ---"---- —_— -- Notary Public, State of Florida ( Signed) - - - -- - - --------- - - - - -- B ' g Inspec My Commission Expires-------------------•------------------------------------------- PLA G 130ARD..__ ___ ---- _..•--- .---------- - -• - -_ __ -- ._DATE Chairman- ------ _ _--- - -___- — -- ---- ---------- ----- Member - --- _-- •------ _- ----- -- ----------------------_-_---------•----------------- Member Member _�----- •— __.____,. Member......... ------ -- . -. - - -- - - -.___ — __ .T _ Member --- ----- _�.— _._ _ -- _---- _-- -___ - -- -- - -- _._. Council Approved -_ -- ----_-------- _----------- ---- - _- _---- - -_.._ -Date Disapproved ------ - -------- -- ---------------------------------------------------------- .. -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning,Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workm ship. MIAMI SHORES VILLAGE BUI1,DING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the proval 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 Build 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 Registered Architect and /or Engineer...... ...__— .— ........... 19_._4_. _..._ No.-.. �____--- Street__.A ,..-. F7 . ....... .... � Name and address of licensed contractor.. - 44 sJ. ___ ^, -5_ ....... ____..- ............................................................ Location and legal description of lot to be built on: Lot__ �.--------------- •- __ -_.. Block. _ .................. _........... Subdivision ............... _ ... __ -- __ _ _ _ _ _.-------.__-------...._......_...___..-- �lr�,a. Street and Number where work is to be dome--- _'_�.._� �_ —._. _.�._._ .._..._......_._....._..__---.___._ ........................_..._..------__---- State work to be donee and purpose of building (by floors)... joa, .A7 _ E gib....------------ --------- .-- ........_ _..._ _._._.._- -------- - --- - --- -- _----- -._ - -. -------------_.....---.-----•--....-------------------------- __._. -_-- .-- .-------- ._.----- .-- .___ - - -- ---- ------- ---- ----- ._... -------- _ __._...____— _._.____._and for no other purpose. New Building-_-_____ Remodeling ...— .................... Addition ------- ---------- _.. - -_ -- Repairs ............... _......... No. of Stories .......................... To be constructed of ----- ................. _... Kind of foundation .........____......_..__....._. .____.._._..............._.._.. Roof Covering ................................................. Estimated Total cost of improvements $ ...... A ''. ___..____ - -- _Amount of Permit $ ------ ---- --------- — ----- - -------- -_-------- Zone cubage required___.___.__..__ ..... _ ........ __._----_Plan Cubage ---- _ ----- -- --- _---_---_:--____._ .... _ ........... _ ... _._.__ ....................... Distance to neat nearest building_- _ of Building Lot ---------- _ _-_----------------------------_--------------- Maximum live load to be borne by each floor_ —.--_. -___ _ , ._ _ _ _.- �----- ___._�_.._. ____ _----------_._. --- ---- _-------- _--------- -- - - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to_ — ...___-_—_-__-- ---- ---------- --------- ---.--.-.-.-_---------•------ The undersigned a pplicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Flo Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work 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, F 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, ! jn by me first duly sworn, u 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 areyrue. Permit No. g 7 �/ Date_ �� _._ Read, Sworn to and Subscribed before me. Disapproved _ �Bufldimn -- to _ �_ _ ____ _._____ - -- -------------------------------- •---- ..__._----- _._:._.__.._.. (Signed) .__�r� _ Notary Public, State of Florida Inspector My. Commission Expires ----- - --------- - ---- -- -------------- - --- ---- ------------ PLANNING BOARD.-..__ Chairman _— Member Member ....._...- _- Council Approved._.__ NOTE: A charge of $1.00 will be made for making correctio the Planning Board. Member ------ -------- --- ----- ---_____- ---- --- ---------- - --- --- --------- - ------ — ._ Member_- ------ __ _-._..---------------------------_-------_----•--- Member Disapproved------- ---------- --- •- -- -- -• ---- ------ -- -- --- ---- -- -- -- ------ -- ------ --Date ns or changes to this application after approval has been obtained from 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. MMIAMI -SHORES VILLAGE BUILDING INSPECTION DEPARTMENT IJ APPLICATION FOR BUILDING PERMIT Application Is here made for the aTproyal of the I statement of the plans and specifications herewith submitted for the build- ing I herein described. his application is In compliance and conformity with the B Ordinance of Miami Shares Fl and all provisions of I Laws of the State of Florida all ordinances of Miami Sh=ftfa e Man all rules and ti of 'the Building Division of Miami es Village shall be complied with, whether. herein specified or nat. A copy of approved p al s must be kept at building during progress of the work. Date.. Owner's Name and Addtess-I./ 8 - - - ------- .................. Registered Architect and/or Engineer....._ ... . ....... _ Name and address of licensed Location and legal description c Lot . . ................ . ....... Block -- ---------_---- Street and Number where work is to be - ----- - .. . - -_ -• -- • ...... State work to be don� and purpose-of buildi ng (by floors).�_ E ._........ ..._.....- ...... ».............. A . . ........ . .. . ... . ................ . .... . ...... . ...... . . ....... for no other purpose. New Buflding____..� ..... . ..... Remodeling ..... .........._......._ Addition_..- ..:....... ........._ Repairs............__._....._._ No. of. Stories .......................... Tobe constructed of..--- .---- .--- .---- _ -_ - -- Kind of found 0"____ — - — - - — ------------__------------ - - - -------- - - Roof Covering_ .......... .................. ............ Estimated Total cost of improvements --Amount of Permit $ .. . ..... L7. J =.-_.__.____.. ._._ ................... . .... . . Zone cubage: Cubage .... . ... . ....... . . . ..«.. ._,_ ......................... Distance to next nearest budding------ _Size of Budding . ............ ........... . .. . ...... Maximum live load to 6 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 employ by him in the work to be performed under this permit; and will post or cause to, be post r inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only sue bcontractors, on wory to be performed under this permit as are licensed by Miami Shores Village. Remarks (Signed) V--------- - -- STATE OF FLORIDA,! COUNTY OF DADE. • Before me, the und6signed authority, a notary public, duly, authorized to administer oaths and take acknowledgments, personally ap- peared . .... . ....... . .. . to me well known, and who, being me first duly sworn, upon oath deposes and says that he is the.. .......... ................... . .................. . ........ .... .......... of the above, bed construction, that he has carefully read the foregoing application, and that he did sign the same, and that -a-'ll facts therein by him stated are true. ed* 4 Permit No. Date. Read, Sworn to and Subscribed before me. Disapproved Date . ................ Notary Public, State of Florida (Signed) ............. In as Building s My Commission Expires ............. ......................... LANNING BOARD--- .. . ... Chairman Member Member Member Member Member Council Approved- •_......_.. . Disapproved — - - — ------------------------------------------------------- Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the 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 W14DING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereb made for the yal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure ein described. application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, d all provisions of the.Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the 13uiI g Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications ust be kept at building during progress of the work. r Date.. Ownei s Name and Add' ess._./L✓11�_�..:.-- - - - -_- _ -..- ................... . -_ No. -----. Z .3. - -. Registered Architect and/or Engineer...__, -- ..... ...... ...�_.......-- • ....... .. ..... T __._......... . _._ - i P Name and address of licensed contractor ' -- -- ---- - - - - -- - -- - - - - -- -- - -- ---- --- --------- - - - - -- ° Location and legal descri tion of lot to be built on: 30 - � ......... .__._ ... - ..... - .. '_.._.._ Block - _ ...... +-- ......... _........... Subdivision. .__..__,..... _ .. .._._._ ....... .... ..._--- ......................... _. Street and Number whe�e work is to be done._.__.—_ State work to bqcdLon a id purpose of building (by floors )... » -.. - ......__._ ........... ..... ------ - - - - -- -__ M _ .._.. _ - - - — — --- --------- --- _. ------ _..and for no other purpose. New Building .:.... -.- _._..� ----- - ----- Remodeling. ...._........._ _..: Addition ....... _ ............. .._ Repairs ....... _ ............... . No. of Stories .......................... To be constructed ................. Kind of foundation...._...___. ........... ___ .. .... - ...... - ........ __ Roof Covering _ ........ _ ... ..........._....._..._.... -_... Estimated Total cost of improvements t�--- -- ---.-.Amount of Permit $. -Z.-O _._ ........ _ ....... ............................... _........ Zone cubage required'..__ _ _.�__.. - - -- _. __ _ _ Plan Cubage_.. _---------- ...._ - - -_ _ Distance to next near buiilding_.. ; - - -- .......__._.....Size of Building Lot ._.. ------ — ...... . ..... _-. .......... _ ...................................... Maximum live load to 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 a pplicant for this building permit does hereby certify that he understands and accepts his obli of labor under the Flo da Workmen's Compensation Act, being Section 5966, Compiled Cenral Laws of Florida, l and has complied with he provisions tbo=f, and will: require similar compliance from all contractors or sub - contra in the work to be perfo ed imder this permit; and will post or cause to be posted for inspection on the site of the or notices as are require by the Act. The undersigned agrees to employ only such subcontractors, on work to be permit, as are licensed Ipy Miami Shores Village. A w � _ . // '1 /_9 /J STATE OF FLORIDA! COUNTY OF DADE. 1 ' Before me, the un ersigne lamed 1 and who, beingg by me t du of the above described nstru therein by him stated true. Permit No. Disapproved (signed) -- - Chairman ._._............. Member Member ........_. Council Approved...-... NOTE: A charge the Planning Board. A re- inspection fe materials and /or works ....._ ...... -:.r as an employer nt Sup lenient, iployeby him h public notice ned under this authority, a notary public, duly authorized to administer oaths and'take acknowledgments, personally ap. ....... . _ _ _ to me well known, sworn, yon oath deposes and says that he is the . ......................... _ ....................... _.._...... --.._...-------------- 3n, that he has carefully read the foregoing application, and that he did sign the same, and that all facts _. Date- .�� Read, Sworn to and Subscribed before me. Date -- .. .......... -- - - ... _ -- Notary Public, State of Florida .............. _ _ ... __ .............. Inspector My Commission. Expires ........................................................ PLANNING BOARD _.�..._._.._.... ----- Member ------ ......... ._._ ....... ------- ..................... _ ...... ...._ .................. ------ Member - .___ ----- .�_ Member . _._--..__ ...... . _._..M...Date Disapproved _ - - ....—:....:-------------- ----- _------ ..._-- _- .- -. - - -- -Date $1.00 will be made for making corrections or changes to this application after approval has been obtained from of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty anship. A. �l tJ MIAMI SHORES VILLAGE BUILDING INSPRCTION 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 ;vfiami 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- -- ---- ---- - -- --- 19 Owner's Name and Address._- / 5Ca i No.___ f eK - �--- •------ !...x__ -___Y- - - - -- -- - - - - -- r�7Y,�-- - - - - -- sweet �/ j.5 — Registered Architect and /or Engineer. -_ -1r = .*D_.!.G. �� ------------ - -- --- ----- -- -- - -- -•- -•- - - --- --•-- ----- -• - --- ••- -- -- -- •----------------- Name and address of licensed contractor ------- --- .- 5?r3k?_- -- s; �_------„ ---------------------------------------- Location and legal description of lot to be built on: Lot jol --- �� 4 1 fav -- - - -- Block- - - - -1. +-- ----- ------- • - - - -. Subdivision- - - -... ;F_s -_N-------- ----- - - - - -- t1lay��t-•- ��5 3 l • 5 - -- -- Street and Number where work is to be done ------ u2.`(3- ----- 6t4T- -------- 4� .n- +- — - State work to be done and purpose of building b floors --- ------- -- ---- ----- •-- --- ----- -- -- -- - - -- - - --- - ------------- --------------- - ---------------------------- ------- ----- ---- --- -- ---- - - - - -- -------------------------------------------------------------------------------------- ---------------------------------------------- --- --- -- ----- - - -- -- ------- -- ---- ---- ------ -- - - -- ----------------------------------------- ------------------------------------ ------------ and for no other purpose. New Building ------------------------------ Remodeling --------- .--------------- Addition_.__.�C__- ___.._______ Repairs________________________ No of Stor' 7 To be constructed of___�__ j_�_______ Kind of foundation___ Q!- 5_C__._g_.�� _E _t- ________ Roof Cowering_.��_.__.T.__.- ...__. ------------ Estimated Total cost of improvements $ --------- .1p_c�: ______________- _Amount of Permit $. ---- 4 ' Zonecubage required -------------------------------------------------------------------------------- Plan Cubage ------------------------------------------------------------------------------------------------ Distance to next nearest building _--- .-------------- .--------------------------- _------------ Size of Building Lot___' -5..t- --_____t_.�Cn - --------- -------- - - - - -- ------------------------- Maximum live load to be borne by each floor-----------------------------------------------------------------------------------------• -- ----------- -- -------- -- -- - --- - - -- -- I hereby submi all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to --------- _<:r__C3' +Z ' C �� _', -`': _: �` --- ----- - - - - -- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such tubcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks------- ------------------- ----- - - - - -- 1 4- -------------------------- ----- --- ---- ---- ------ - - - - -- � Sig ed ).._ -- --- ---- ------- -- ��- µ- -- �- — STATE OF FLORIDA, t 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____`_________ --____ Read, Sworn to and Subscribed before me. Disapproved- - - - - - - --- ------------------------------ Notary Public, State of Florida (Signed) - - -- - ---- - My Commis sion Expires -------------------------------------------------------------------- PLANNING BOARD------------- -- - - - - -- - ------- ---------------- - -- - -- --DATE Chairman---- - - - - -- ----------------------------------------------------- ---- ------- ----- --- -- - - - - -- Member -------------------------------------------------------------------------------------------------- Member---- --- ------- - - - - -- ------------- -- -- ----------- -- - - - - -- ---------- ------------ ---- - - - - -- Member ------------------ --------- --- ••- - -- - - -- - -------- - - - - -- - Member--------- ---------------------------------------------------- -- ----- ------------ ------ - -- --- -- -- Member Council Approved--------------------------------------------------------- ---- ----- - - - - -- -Date Disapproved ---------------- - -- --- ------ - - - - -- -- - -- ------ ----- - - - - --- -- -- - - - - -- -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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- t ------------------------------ �/ ----- - - - - -- 19� Owner's Name and Address_ �yy� � -- - -- - - - ------------------------------------------------ - - - - -- No. - - -- - - - -a4� - Street -N __ -� ' -�it ,�-- 1dll!"_ - - -- RegisteredArchitect and /or Engineer = ------------------------ ------------------ - - - - -- -- - ----------------------------------------- ------------ - - - - -- Name and address of licensed contractor Location and legal description of lot to be built on: l Lot-------- - - - - - -- --------------------- - - - - -- Block---------------------------- - - - - -- Subdivision - ` 1 _' I - - /-` - 3 =ter ,e --------------- Street and Number where work is to be done__ .t+S-____ - —_- -------- - -------------- - ------------ -- --------- --- ------ ----- State work to be done and purpose of building (by floors)-------------------------------------------------------------------------------------------------- - - - - -- - - - - -- -- ----- - - - - -- ------------- - - - - -- --------------------------- ---- ---- --- ------ - - - - -- -and for no other purpose. .,., 4t �. - - -- ---- - - - - -- New Building------------------- ---- - - - - -- Remodeling-------------------- - - - - -- &Odnd ------- --- ---- - - - - -- - -- Repairs------- ---- --------- - - - - -- No. of Stories-------------------- - - - - -- r To be constructed of __________ _ _ _ _ __ Kind of foundation ------------------------------------ ----------------- - - - - -- Roof Covering ----------------------------------------------- _ Estimated Total cost of improvements $------------------------------------- ------- - - - - -- Amount of Permit $---------------------------------------------------------------------------------- Zonecubage required---------------------------------------------------------------------- - - - - -- --Plan Cubage ------------------------------------------------------------------------------------------------ Distance to next nearest building -------------------------------------- --- --- - ---- - --- _Size of Building Lot---------------------------------------------------------------------------------- Maximum live load to be borne by each floor--------------------------------------------------------------------------------------------------------------------------------------------------- -- - - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and. its construction may be sent to-------------------- - - - - -- --------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco ctors, on work to be performed 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- - - - - -- ----------------------------------------------- - - - --- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _________________________________________ _______________________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.__�_l__� 0 ------------------------ Date_____________ _______________________________ Read, Sworn to and Subscribed before me. Disapproved _________ _______________________________ Date__. ( Signed) ----------------------------------------------------------- Building Inspector Notary Public, State of Florida My Commission PLANNING BOARD----------------------- ------------------------ - - - - - -- -DATE Chairman------------------------------------------------------------------------ ---------------- - - - - -- Member ---------------------------------------------------------------------------------------------- Member------------------------------------------------------------------- --- ---------------- - - - - -- Member ------------------------------------------------------------------------------------------------ Member------------------------------------------------------------------------ ------------ -------- - - - - -- Member --------------------------------------------------------------------------------------------- Council Approved------------ -- --------- - - - - -- -- - - - - -- -Date Disapproved --------------------------------------------------------------------------- - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. . n. 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 -'� --------- - - - - -- 19_Y Owner's Name and Address---- - - - - -- - __j____________ No._ --- Street__, Registered Architect and /or Engineer_____________________ Name and address of licensed contractor_______________ Location and legal description of lot to be built on: Block------- --------------------- - - - - -- Street and Number where work is to be done ----------- State work to be done and purpose of building (by ------------------------------------------------------------------------------------------------------------------------------------------- --------------------- - - - - -- -and for no other purpose. New Building------- ---------- ------ - - - - -- Remodeling-------------------- - - - - -- Additions- ------------------ - -- - -- Repairs----- ---- -------- -- - - - - -- No. of Stories-------------- ------ - - - - -- To be constructed of------- -------------- - - - - - -- Kind of foundation--------------------------------------------------------- - - - - -- /Roof Covering------------------------------------------------ Estimated Total cost of improvements $__________ ____ _________________________Amount of Permit $______l Zonecubage 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 - -- -- -- -------- -- - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on k to erformed 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 started are true. Permit No -------- rl_ --- °__a_J - — _________ Date__ -�`°_____ Read, Sworn to and Subscribed before me. Disapproved---------- ---- -------------------- - - - - -- Date------------ ---------------- ----- ----- - - - --- ------------------------------------------------------------------------------------------------------------ Notary Public, State of Florida ( Signed) - - -- - -- ---- -- - - -- Building Inspector -'7 My Commission Expires --------------------------------------- - --------------------------- PLANNING Chairman---------------------------------------------------------------- ---------------- --- --- - - - - -- Member ------ Member---------- - ------------------------------------------------------------- - - -- Member - - - -- Member---- - - - - -- ------------------------------------- ---------- ------ - - - - -- Member Council Approved __ __ ___________________________Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. %%t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.- — Date ------- �� Application is Hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_G • " ° ff6V ----- - - - - -- -- No.____5t__O_� S________ _ _ _ _ __ StreetA4_ _1_- f--_J__r?! A le — % __ Registered Architect and /or Engineer__ _ _ __________ _ _______________ _________ __ Employing Plumber's Name__ /"- 2"1#W^ ---- `! --- 1 - .E -- i- -- <!--- - - - - -- No. - - {_`` y --- 1- -- - --- - - -- Street^' -t�s-�++F ---- Location and Legal Description Lot__ �_i`�- 1�'F-1lf0- Block ----- - - -�C_ _______________ Subdivision 1ti + __ ! s Street and Number where work is to be performed—No ------------- (_ -' s?_}_---_-_------------------------- - - - - -- Street�l_ {!_ "t ---- J_$__ -S------ _____,zx_______________________ State work to be performed and purpose of building (By Floors) _ ________ < ' New Buildip� ----- ----- --------- - - - - -- Remodeling---- ------------- --------- - - - - -- Addition------- -- - - - -- -- - - - - -- - Repairs------------------- - - - - -- No. of Stories -��k- �---- - - - - -- SizeSeptic Tank------- ---------------------- ------------- ---- - - - - -- -Type of Tank----------------------------------------------------------- - - - - -- Capacity Gals. Feet of Drain Tile________________________ __________ - -_ -_— _ ist. Feet of Tank or Drain Field from W u Nature of Water Supply: City — Well.___ _ _________________ _________________:______Size of Soakage Amount of Permit (Signed) i" Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- cpntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si �e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as 4W. licensed by Miami Shores Village. s f, Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the____________________________________________ _________________ ______________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fault! materials and /or workmanship. LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS BATH TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN Fo UNT'NS FIXTURES LIST ;W CHECK CONTR. LIST CHECK SEPTIC TANK SEWER CONNN.. DRAIN FIELD SOAKAGE PIT GREASE TRAP FT� HEATER DEEP WELL SPRKLR. SYSTEM SWIWG POOL SizeSeptic Tank------- ---------------------- ------------- ---- - - - - -- -Type of Tank----------------------------------------------------------- - - - - -- Capacity Gals. Feet of Drain Tile________________________ __________ - -_ -_— _ ist. Feet of Tank or Drain Field from W u Nature of Water Supply: City — Well.___ _ _________________ _________________:______Size of Soakage Amount of Permit (Signed) i" Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- cpntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si �e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as 4W. licensed by Miami Shores Village. s f, Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the____________________________________________ _________________ ______________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fault! materials and /or workmanship. /- c a 'V 'Y DEPART.1,TY"T OF F' SLIC SERVICE 3 ISPECTIO.N DIVISIM", OF PLI.,'MIBTN� "T N 'I'M' OIF MIATIU., FLORIDA D,,Ate Record of inspection of pernit covering tree -installat i oil of. SeDtio Tank L,,- Soakqf;e Pic Solar Wa-ter Hoatnr -311211,k4 �W, r- '.) FIC TANK CO, P. O. Box 1000 Installed by HIALEA1q. Ij Oplq)t Discharge "']'ell, Address New L Old Story Addition Renodeled Store Res• A T, t 9 Hotel Offic(.: F"lil-ding has: Stores Of f " . ce.,, Ants. E 0 t, (-, 1 Ph s Bedrns* Owner of Ag nt fiddr7)ss of work - I,jT_ /Z }-r , � r 1 OTIT �t ,t Munbor of Plumbing Fixtiireo �Tauildry Tubs 'Floor 'rains Mature of grater Sjjppj.y: City WO II Foot dis,jart from ,--Il wells Type of Septic T,-Ink inzstuaull od Capacity ha gallons . !� v 0 N-umbir or f (., c-, t o A' dm. j,114 e U11 0 Size of Soakape P-,Lt Purpose of saino Silo of Solar _Keats ,,r (c.�allons') Size of ITell (inches) Additional Inforriation: Plimbor It e I ady for Tilspection; DatDate; PT%11 Approved by Condnnn,,d -Re, m� rks Permit Yo;. OFFICERS D. DEW. SMYTH JOHN L. TRAIN S. KELLOGG F v cE vRESIDENT F. E. BARBOUR EDWARD D J, HADFIELD RY All III R RoJLR O. JUDD Mc KEOWN BOARD OF DIRECTORS 1. F- AMOS BARBOUR 1ACKI I. 31LBERT BUTLER ALBERT H. CROSSMAN No EARL W. DUNMORE AUGUSUS F. S .You F LECKERT W. L FORSYTH WM. B. FOSTER J. DAVID HOGUEA OesEI TC FREDERICK S. KELLOGG HENRY W. KIMMEL CHARLES MILLAR J RES.HHOYGEII REFRIGERATING co. O. DEW. SMYTH JOHN L. TRAIN TIIA MUTUIL INSURANCE 11. DISTRICT AND BRANCH OFFICES LT -ICA __\4 U UAL INSURANCE COMPANY CASUALTY INSURANCE Home Office FIRST NATIONAL BANK BUILDING Utica,N.Y. R. F. TOOP INSURANCE AGENCY 2010 N. E. 2ND AvE. MIAMI 37, FLORIDA October 27, 1948 Mr. Gerald A. Lanham 8025 N. Vi. 4th Ave. Miami, Florida Dear Mr. Lanham: IN REPLYING PLEASE REFER TO We enclose binder No. 7816 in connection with Workment s Compensation and Contractors Liability insurance requested by you effective as of October 28, 1948. This binder has been issued pending ,delivery of the actual policies which will be mailed to you within the next couple of days. Very truly yours R. F. Toop RFT /f Ss Fife Insurance written by ALLIED FIRE INSURANCE COMPANY OF UTICA under Same management C_ -A BINDER ]1T° '7816 185 -191 GENESEE STREET UTICA, N.Y. UTICA MUTUAL INSURANCE COMPANY agrees to bind such and so many of the kinds of insurance listed below as are indicated by specific limits of liability, subject to all the terms, conditions and exclusions of the policy or policies for such kinds of insurance and subject to the following conditions: 1. The liability of the company hereunder shall commence al.2:OLA.m., on the..28t.n..day of.O.Ctober..... 19.48 and shall cease at 12:01 A.M., on the..7th ... day of. Navewber...., 19.43 (both Standard Time at the address of the assured as stated herein), or upon the issuance of such policy or policies, or upon cancellation hereof, whichever shall first occur. 2. Such policy or policies in place hereof, when issued, shall have a policy period commencing at the time stated herein for the commencement of the company's liability and shall include a premium charge made in accordance with the rules and rates adopted by the company for the kinds of insurance covered thereby, which the assured named below agrees to pay. 3. Upon expiration or cancellation of this binder, a premium charge for the kind or kinds of insurance covered by this binder oh-11 bo —do in accordance with the rules and rates adopted by the company, for the period this binder is in eff ect, which premium charge the assured named below agrees to pay. 4. The company may cancel this binder by notice in writing delivered to the assured named below or mailed to him at the address herein given stating when, not less than ten days thereafter, such cancellation shall be effective; the assured named below may cancel this binder by mailing written notice to the company stating when thereafter such cancellation shall be effective. 5. The company, when it issues such policy or policies in place hereof, may attach thereto any other endorsement or endorse- ments necessary to state correctly and to effect the insurance which the company is willing to provide under said policy or policies. KINDS OF INSURANCE LIMITS OF LIABILITY (a) Workmen's Compensation and Employers' Liability I nelad Pd (b) Manufacturers' and Contractors' Liability Bodily Injury Property Damage 65.,000.00 xxxx Each Person 01U., UJU • ` 1 ��Q . (�� Each Accident xxxx Aggregate (c) Owners' or Contractors' Contingent (.Protective) Liability xxxx Each Person Each Accident xxxx Aggregate (d) Owners', Landlords' and Tenants' Liability xxxx Each Person Each Accident (e) Contractual Liability xxxx Each Person Each Accident xxxx Aggregate (f) Elevator Liability xxxx Each Person Each Accident (g) Teams Liability xxxx Each Person Each Accident (h) xxxx Each Person Each Accident Aggregate DECLARATIONS Name of Assured ................... GFRA ).. A... LANHAN. ..................................................... :........ P. O. Address ...................... 13 925.. NQrth.. VVe,*ts..Fourt ti. Av JA J).a4e..CQu at y.,..Floridi Operations Covered... Q�irp ent ry., ..Mas o nry...and . Plas t e ring. i n..c onne at i Qn .with.. c.QxzKtx uo t i on 1UQ.v144..4r.e..c.Qver.ed. heX' ap.P11 thexeto..e.st4.bll.shea..W the . Flox10,4..Coxpexw "ti ;iii. Ratin4.. Bureau . a nd...DAanuaa..Rates.. applic,abl.e..t.o........ Manufacturers and Contractors Liability. Locations...... ]�aae.. Qt.4er..1ocatl.Q=.1n. she . State..QX..'1Qrida IN WITNESS WHEREOF, the UTICA MUTUAL INSURANCE COMPANY has caused this binder to be executed by its President and Secretary at Utica, New York, and countersigned by a duly authorized representative of the company. U President Secretary ?.Y.Toop—ITnsurance Agency Countersigned at .....41ri ........... �...� - ��:�: -�... ........ Authorized Representative this ... V,7.th ... day of ... 0Qto.ber ............. 19. +P Form No. 8 -E -64 6 -42 -2M No. 5977 I r A F I D A V I T STATE OF FLORIDA) SS COUITTY OF D'SDE ) of the Village of Miami Shores, County of P.ade and State of Florida, bung duly sworn, doth d�;po e and say, that under the prosris�.on of ;)- °G�.na_Z ^e Tc, 1 ;, datod June 15, lc�!,S, ai::end- ing, pa.ra.g,aph (a) of E ectoio n B• -36"S of Ordi. ante Ito. 97 of the tai .-3irg Cx:?.e� of iIi Ali Snores Villa-' e, 'r_e desires to buiicl a '_ L _ , &�, Mock of � j . _ on Lot/ ;,;,4' that he is, the oviner of said property, and v7i.11 be the owner of s :J_ C. � �- . _ __ that ,ie; will do the wor'L per -- oned ly, and that I.e .,ill, at such times as are required by the Zoning a c! Director;- 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. o. File with the Building Inspector certificate- that provision has been made to carry the necessary Workaen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job r:-opresses certi- ficates showing the payment required by the Fedcra.l Social Security Act to the State of Florida or the united States of A,nerica. S'. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the ef-f'ect that he has read this Article and will do the wore personally and observe all of the requirements of the Duilding, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Duilding Inspector. 11. In order to prevent abuses and subterfuge the right of such ovmer- builder as herein provided, is limited to but one owner- builder permit each 2 years, and where an owner - builder has once ex- ercised the privilege herein conferred no second application for owner - builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Doponent says not; 04d M . SUBSC:1.IBED AND SWORAT TO B:IFOR:. TE this day of "" _ A. D. 19�.;<- NOTARY PUBLIC Notary Public- State of Florida at Large, My Commission Expires Sept. 22, 1952.. 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of t he work. / ate _ D ��P � ,� �- - �.- __.,,, 19�r'!/ --� Owner's Name and Address ---- _��,�� '� � � /�^�%- ��7'! � —_ No..�� Streel� Registered Architect and /or Engineer_ -__ lrkl — - �frl�!?' L��_ _________ ___________- --- - _ Name and address of licensed contractor_�_'A�,4. , _/ /i' At-� • __�___ - -_ -� - Location and legal descripti f jr ot to be built on: Lot-------- -____- Subdiv i°n -T- :fir.: -r i �-�rrc- -r•� — -- -- Street and Number where work is to be done___ ± _L AZ- -_��a. State work to be done and purpose of building (by floors) ------- ---- ------- --- - - -- - --- __ -_ -- -- - - - - -- -and for no other purpose. New Building------- ----- -- -- ___ _- Remodeling -------------------- - Addition--- ----- - --- ------- --- -Repairs ---------------------------- No. of ° Stories -- ---- ------ -__-_-_ -- - ---- - _ To be constructed ofl Kin4 of foundation___ IV_ 1G1 -- - - - - -- - oa - of Covering ------ r__ - Estimated Total cost of improv nts a_J r _'�_ —� _Amount of Permit $ - - - - -- ---------------------- ___�_________ Zone cubage required_________ _______flan Gabage______ Distance to next nearest building _- ________ —_ _ _ _ _ -____ _______________Size of Building L �________ °__ _ _ ______- __- ____- ____-- _______ Maximum live load to be borne by each floor __— __ __ — __— _- - - -_ ___ -------------- _- ------- %f f the !, J — �- - — to the building and its construction may y e plans and s cifications for said building.. All notices with reference f I here all th C� ✓ V -- be sent to__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to he performed under this permit, as are licensed by Miami Shores Village. _ , (de" Remarks � el- .lE - • k /j t6 WS 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 and who, being by first dul sworn, upoa oath of the above descr' ed co ruction, that he has c-, therein by him st4e±a true. I Permit No ------ L -- Date_ r - Disappro __ ved Date Building me well known, and says that a is the------ ------------ ----- --- - -- - -- --- ------ - - - - -- -- - .ad the for oing application, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ----- _ ---- - _ --- -__ -- --------------------- __ PLANNING $OARD___ ___ __ —___ - ______DATE Chairman Member - -- _-- --- ____ -- Member - -- --------- -------- --- - --- -- - — Member -- - - -- - -- Member ---------- - _- _---- - - - - -_- __ - -_ —_ _ __- Member Council Approved ------- — ------- - --- - -_ - -- --- __ --_- -Date Disapproved NOTE: A charge of $1.00 will ba4made for making corrections or changes to this application after approval has been obtained from the Planning Board. f 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. Q J ZF7 PQL E- '�2 M) 7-• EAST G lt1 7"D NEW PDL E PEP W CHUPCI -IMAM FPVL POLE PL ©LIIPf D TO PEO VI D -- LL EA EA lV � E FPO M PG , L AS PL O LrE SXED T4`( VILLAGE OF MIAMI SHO tr='ES d 4 73 VILLA vl OF MIAMI SPOE'Z-S PEeh+IT F-2t. L)L,?L D . • SOUTHERN BELL TELEPHONE AND TELEGRAPH COMPANY .. NE ID 4 c 7- rn. a TP.AS14 $I 3,01-5- OL 4.3 A. CONNELL NL I6 • SOUTHERN BELL TELEPHONE AND TELEGRAPH COMPANY .. APPROVED: • ZONE EXC11 OFF ;., , ✓, r . L �/ ENGR DFi51dN PROD NO. _ "— tom; ✓_' - DISTRICT ENGINEER ` DIST /V" �';° ; A M! / STATE r CODE NATURE AND NECESSITY OF WORK APPO DATE EST OR JO 1'L A! ALL_. .. _ .. DIVISION ENGINEER - c' - �Vr._.• 10 3 -S7 APPL DATE VOLTS GRD G _ . mr. NO. 41t EXPND %/` / SCALE OF PLT RETD l TAX DIST SALVAGE NTCE ' /D RECORDS REF GR ADDS. DATE ENGR• APPD, 11 ATURE eF RMCIMd w r .w MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No...... ......... (07 l ° Date ......4 f t�r- ....... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other Structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiucida, 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. sk Owners Name and Address.. ►4Ex�v.. % f�...�e. Idrl!!�.lkK............No...1 .ys .... ......................Street... f.1.03 ..........................-- RegisteredArchitect and /or Engineer .................... ...../.. .............................................................................. ............................... ........... ............................... Employing Electriciafi's Name.... .......... No ............ ............................... Street.................... ............................... Location and Legal Description Lot ..................................... ............................... Block.......... ......................_........ Subdivision................ ............................... Street and Number where work is to be performed —No.. y„ �... op.r......>f in 4-07 ............. Street ............... ...................... ..........................._... State work to be performed and purpose of building (By Floors) ....................................................................................................... ............................... . New Building .............. .... Remodeling. ............................... Addition .............................. Repairs.......... ............................No. of Stories.................... Service Overhead S' i4e Feeders ............. ...... Conduit ................ Main Sw ............................... Amps ...........................Main Fuses....... ............... Amps Underground Type of Installation—Conduit ..... .................. Tubing....................... B. X. L.........................Metal Moulding........................................ ............................... ........................................................... ............................... .................................................................................................................... ............................... _ ................... ......................:... ................ ... ... . ... ............................... . . .... Amountof Permit $............ ............. ... ............................... ( Signed )..................,.....` _.... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga Ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractorf 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,contracto o to be performe under this permit, as are licensed by Miami Shores 'Village. (Signed) ......................... Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I Be. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............................. .................................. ....... ... .... _.. ... .. .... .. ............... ...... .................................. ........... ..... ...... ..... .......................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................................... ............................... of the above described construction, and he has carefully read the foregoing application. and that he did sign the same, and that all facts therein by him Stated are true. ........... . .................. .... ..... ........ ...... ._ ............................... ................................................... ...................... »........ My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUS FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RiecE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR' t LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEMP. PERM. 0.1 HP 1•5 HP TRANS. CONTR. 'JI� II NP LIST g /- 2r .. Service Overhead S' i4e Feeders ............. ...... Conduit ................ Main Sw ............................... Amps ...........................Main Fuses....... ............... Amps Underground Type of Installation—Conduit ..... .................. Tubing....................... B. X. L.........................Metal Moulding........................................ ............................... ........................................................... ............................... .................................................................................................................... ............................... _ ................... ......................:... ................ ... ... . ... ............................... . . .... Amountof Permit $............ ............. ... ............................... ( Signed )..................,.....` _.... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga Ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractorf 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,contracto o to be performe under this permit, as are licensed by Miami Shores 'Village. (Signed) ......................... Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I Be. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............................. .................................. ....... ... .... _.. ... .. .... .. ............... ...... .................................. ........... ..... ...... ..... .......................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................................... ............................... of the above described construction, and he has carefully read the foregoing application. and that he did sign the same, and that all facts therein by him Stated are true. ........... . .................. .... ..... ........ ...... ._ ............................... ................................................... ...................... »........ My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 6 Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing Or other structure herein described. This application is made in compliance and conformity with the Budd Shores Village, Florida, and all provisions of the Laws of State of Florida all ordinances of Miami Shores V% rules and Village �anaH of Miami 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 ptWess of the work Owners Name and Address..".11e,-J- N�L:1_ Registered Architect and/or Engineer ............... ... — — -------- ti . .... .... Name and address of licensed contractor1EV_4&&-_-'____ Location and legal description of lot to be built on: Block . - x._1.93------------ - - - --- SubdivW*m1-A.Vne.V%nM Street and Number where work is to be done I C) rv, i State work to be done and purpose of building (by I ► -% I - I , I e�' e I R1 , 1- --..-and for no other purpose, New Building_------------ _-_ - - - -. Remodelin g --- - - - -- •--------- -_ Addition ....... . .......... . ..... No. of Stories___ To be constructed of.._ .............. . . ---. Kind of foundation- - - ------ * -------- - ---- - --- - - \ Roof Covering _.- _- __._.-------- _---- - - -_ -. Estimated Total cost of improvements $_:Z:k -----LC1--ATnount of Permit Zone cubage required—.------_---- Plan Cubage___ Distance to next nearest Size of Building Lot-..— Maximum live load to be borne by each I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction ma be sent ;_,I J 71 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, Pe ent Su lenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -con Mors mplo by him in the work to be performed under this permit; and will post or cause to be posted for inspe9tiap on to of a wor ch blic n or notices as are required by the Act. The undersigned agrees to employ only such subcon k this permit, as are licensed by Miami Shores Village. Remarks-- (Signed) I STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowldgment, per-.ally ap. peared — ------ ..••.••• .• we 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 fads therein by him ted are true. Permit N Date- Read, Sworn to and Subscribed before me. Disapproved Date- Notary (Signed) — -- — _--------------- --- -- ----- Public, State of Florida Building Inspector My Commission Expires-- PLANNING BOARD__- -------------- --DATE Chairman . . . ........... Member - ------ ---- - -- - Member member Member - ----- ---- - - - -.a -------- 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 hem obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. mvb(. Lt%jt4- I i . EAR /11 /' 5 10:40 NO.690 PW4 17132n6A0 09/11/1995 09:24 17137986450 PSI PPI ECI PAGE 04 Product Control No.: 95- 0314.1 n TuAdr. NAMit 00 PROI)OM MAtWOAt' CURED OR Locuo BY AMICANT Test Product p,�i bt,m� t►� S�pe�t�lcsttt�tl� I?��a Polyprot) AR 160 W/A PA 101 Two component polyurethane Foamprog RTF1000 NIA Sec Detail Attached bispensing Equipment a 2 11JAA14- . oe 11 / 95 10:40 NO.690 FE'S 17124`C1 PAtaE 05 09/11/1995 09:24 17132ae6450 :, ; >< P5 pPI EC;I product Control No.: 95-03-L41D— TRA11E l4d[IVit:,.4' b>r P11t itlt<' S "A$jjJFACCURED BY OTHERS Product 'Vest Crtteris product vest riptioa Manufacturer Underlayrnent PA 120 All Mda County Compo"nk,Approved All Dade products ai detailed lit Wde County Approved Application Standard PA 120 products Roof Tile PA 101' 0 i All Approved toot the system$ having All Dade tested in compliance with Glade County County Protocol PA lot, as debited in the systems Approves section of this Component ApprovAl RFD .UITROGEN l I-AC IV4TOR %- RESIN ACCEPTANCE NO.: 94- 04131.01 APPROVED = - OMSL24 EXPIRES 05/05/94 PAGE 1 of '2. DATE: 5/2/94 BLUE N1TR0GZN i HOSE -- NITROGEN RIGULAiUK ,'\ ASSEMBLY xTTRQUL + CYUNOER BLUE PRODUCT HOSE riv POWER StJPpt'f f QR TW£R 1 AIR COmIARESSOR Foampro RTF 1 000 Dispenser SCALE: NONE. APPRO ED BY: RAWK Sy- TEF DATE: 5/2/94 QEYISED: polyfoam Products, inc. =: °DETAIL i Component Approval z 1 -- MIX AIR ,j. VCL:iME CON7RCL 'r' / CYLINDER — SE OR SW7 - CN r T ALT - 0.VAT:C MIX AIR I �- MIX AIR nnrENS;Nc ON,'or7 —, ,I MAHUAL � MIX f j DISPENSING _ .. - _ _ - TUBE -- ~000 NAP FoamprD _ _. - - 1� + - AtRSJPPLY w� SECUENC ;iMErZ _ Lzzx , SUPPLY wx CARTRIDGE D.D to 99..9.9 seconds - �- TRIGGER /12V - TRIGGER 4 ; CONNECTION : �• NOTE: SEOUENCE TIMER MOUNTS -ON MATERIAL XCSE (NC-1 ILLUSTRATED) _ ACCO nANCE NO.: 94- =j;,c7 Fo ampro RTF1 000 Dispenser APPROVED :105!94 Ew.JRES Q�IQ�,j�d , SCALE: HONE APPROVED BY: DRAWN BY: TEF DATE: 3/2/94 REVISED: PAGEZ of 2 _ Polyfoam Products, Inc. DETAIL A Component Approval f 09-,,1 1,/95 10, 40 09:24 XW An Center for Applied Engineering Miles Laboratories lVislon 1,10 .690 PM 17132886450 & PSI PPI ECI PAGE 06 Product Control No.; 95.Q314.IQ TmRspolas TwIdotifie, Tfidsumiusad 094-060 Metro Dade Protocol PA 101 N13-599-631 ASTM D 1623 TYPicAL,Plli(8t,CAL ]PROPEOTtES VAIX 04/08/94 02/01/94 4 Density ASTM D 1622 1.6 lb.s#tol Catnpressivd ASTM D� 1621 1 S psi Parallel to rise 12 PSI Petventl wide to Ose n stre. Terisile Strength ASS 29 PSI Parallel to risc, 77, ID163"— Water Absorption ASTM D 2127 0.09 LbsJFe Moisture Vapor ASTM 906'' 3_ krrn / I Ocil Ttansmission Dimensional V ASTM 1) 26 _X0,01% 00 voltifilt CllangO -40° F., 2 Stability weeks +6.00/a Volume Change @I WE, I OVIs Humidity. 2 weeks Closed Cell ASTM 0 2856 86% Content ,* values as determined as "leal ilveruF Note: The physical properties listed above are presented ASTM test and are subject to normal U1411"t"tur'ng v"12"On' by attepted methods 4 08/11/95 10:39 F' O . F,90 P911 17132es64sO 08/11/1995 09:24 17132886450 P51 PPI ECI PAGE 07 < Product Control No.: ,g5,� 1.1 sitg mg ' Deck Type: wood, Won- insulated, New Construction/Reroof Deck Description: New coni:troction i%16 or greater plywood or wood plank. Re -roof '%," or greater plywood SYSTEM At Adhesive Set Application 2 ":12" to 7 ":12" Underlaymont: install choice or Approved uaderlayt Ent system, noted on Page I or Dade County Protocol PA 120i in abmpliance with SectlOn 3.02 of PA 120. Roofing Viet Instoll Approved the's 060 iii�Cr 011finde'with PA 120. Adhesive shall be appllW it1 cote Ilanct with the Component Application seotion and the Corn tidjti laCi0t 64i t�etalla 6l: thi! Ro`ofing Component Product Control Approval. "' ;Ne ddllealtte attachrt:tnt shall provide Oflcleht attachment resistance expressed IS a moment to meet or exceed the requited moment of resiitahce ddtettttld6d lit compliance with PA 115 or. PA 127. The adhesive attachment data is noted. in the the Roof System Ahem* Product Control Approval. Comments: 1. For re -roof applications, minimum " /„" plywood is an acceptable substrate. 2. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval shall apply. r 08/11/95 10:20 801311995 09:24 Deck Typt: Deck Dcstriptibm. Yri1,C T tlitderlhymetit 1 Watorprodtitit: 17132886458 1713'545t�J MI PPY Ect Concrete] NeW ConstnhctioWReroof c lew donothictioti, q Adhesive Sett App�icatlon 2 ":12" to V.,12" 11113.690 P( 110 PAGE 08 Product Control No.: $- 03-14.10 WtAll Approved uhderieymeot system trfone of the following: r_lnderlaymetit 8yitsm I` (30/90 Hot Mop) hatted tin Page I of Dade County Protocol PA 110, installed in compliance with Section 1.62 (A) of PA 120 or Any Approved utOhana , of Mpltielt bGSW concrete watorpmot'ing component Installed in cotnpliaode with the weiterproofing contpot ant matsufacttirtes Roofing Comporie tt Ptoduettontrol Approval.; Strike of reinforcing Mkic shall bo installed at all concrete deck joints. ttootiag Tile: install Approved tilt system In compliance with PA 120. Adhesive shall be applied in toM i lltiilet With 'thi ' Cothpohent Applieatibti section and the corn Monding pidebm6tit betalls of this Roofletg Component Product Control Approval. 'the adhesive attachment shall provide suMcient attachment resistance expressed tit a moment to meet or exeetd•the required moment of resistMct'dele thlied-lit ttiMpliato'ivtth PA i 15 or PA' 127. The adhesive attachment data is noted in the the Roof System A$seitibly product Control Approval. Comments: t. For to- roofapplictitionc minimum "/n plywood is alt acceptable substrate. t 2. All 'Systent Limitations' noted in the the Roof System Assembly Product Control Approval of watt >tproofing Component ROCfln$ Component Product Cohttol Approval shell apply; at applicablt. c 8/11:,95 10* 39 171328e6450 08/11/1995 09:24 17132886450 PSt PPI Lct 1.10.690 ocm- PAGE '09 Product Control NO.: 2S!!0314. 1-0 -. Compor mT APPLICATION Polyprog A14160 the adhesive shell only bb applied over an underlayment installed In compliance with application instructions detailed in its Component Approval.. Underlayment shall be any underlayments or underlayment ssyystems llgteid M Approved in Dide Couhty protocol PA 120. 2. Adhesive application shall be in accordance with the instructions provided in this Component �`�- >�•:;,. `fat, the�tti>sttafstotttrbr tttaly provide ddditionai instructions subsequent to this approval date `l ,:: alb p i �l. ltts`t_a�lla�tion :oust be b� a l act* Tithted'Qualtfied Applicator' approved and . `` s�'��rtiYC _ ��5.� •. .: �,'� -` ��En I�IiTal:Ct$� inC. 3. Calibration of the FoamproV dispensing equipment is required before application of any adhesive. The tnix ratio betw6bti the 'A" boinootilhUtutd the' b13" domponent shall be maintained between 1.0 -1.15 (A) 1.0 (13). The dispensa tintee shall be set to delivet 0.08 to OAS pounds per title as determined at calibration. Nd other 1*01t1JO: hall lib approved without tevision of this Component Approval. a;.. g,, . Adhesive shall be dispensed in a 17 in' to 23 In' pad at time Of appliretion, The cured pad shall be approximately 5" x W. Foam placerttetit shall be in accordance with the 'placement Details' provided in this Cdnipd ltttit �rpl't;0 "` eltt l4 till "pt�flld�Nedultri3� >I sp iflc placement, as noted ift Taibld 1. below. pA 016 tttbttiitCat W May that j tile systetrl in compliance with PA 101 and add an additional detail without ln6ifitifiJ h ddditidlittl rovisi0h cost. 5. Adhere the directly in Cre§hly applied adhedivet Tila must be set within 2 to 3 minutes after foam has been dispensed. 6. Adhesive shall be placed to create contact with minimum 2 tiles, as outlined in the 'Placement Detail' for each the profile. 'Cable I.i Adh11*6 Placement iror Egtb Go nerie Tile Profile Tile " Profile P1tltetHettt Detail Two -Piece DArel #1 'S' Shaped 02 Double Roll 03 Large Plat 64 Ismail Flat #5 28,11,/9, 10,39 v. 08.111/1995 09:24 17132886450 r; 5 pSI PPI ECI SY$TEm UmITATIONS N0.690 pffl— M PAGE 1'0 Product Control No.:-25:0 — 1. Tile must be applied within 2 to 3 minutes of the application of polypro® AH 160 adhesive. 2. polyproO A1-1160 adhesive shall be installed only by'Quaiitied Applicators' approved and licensed by Polyfaam Products, Inc. g�lhestve. t; t the applications, a field Static uplift test by a Dad b County accredited testing Protor -01 l A 106, shall be required not less than 72 hours with Dade County ti shall be reported tale The results testing a orted to e of this tea �3ir dpplication to conl'xrtnt adhesion. Building Otftcial and the installer stating that the application has passed or failed PA 106 testing. If the application fails PA 106 testinpu the r6port shall state which portion of the test was failed; Category I (examination for loose tile) or Category 2 (uplift testing of tile). Subsequent to testing, the installer may repair not inore than S% of field area tiles and 10% of perimeter area (i.e. ridge/rake) tale with approved the adhesive. The installer shall place an identifiable marking on each repaired the for future reference- Any PA 106 re -test Shall not include any marked tile. 4. Refer to application drawings published by the National Tile Manufacturers Association for penetrations and terminations, as well as the 'placement Details included with this Component Approval. 5. Refer to the hoof System Assembly Product Control Approval for system Approvals with this Compwtent. 6. Refer to the prepared Roof System Assembly for fire rating. 7. Polypro® AH 160 shall not be exposed permanently to sunlight. S. Polyprol) AH 160 shall ba applied with l:oampro RTl~ 1000 dislMsing equipment only. 9. Any amendments to these provisions she'll be in compliance with Sections 203 and 204 of the South Florida Building Code, k �z FM Ma L"A"M 71 08/11/95 10:37 W. 690 POO 3 J-, 1326450 06/"11/1995 09:24 171329e6450 PSI PPI EC1 PAGE 15 Product Control No.: 95-0314, 10 - PLAMMOT DETAILS (COPIT INUEID) Halt or o"t lU Is NoT, MAI'" A stcae ME 7"-c iN FIRWOis UASt 011 O WO VOCO LM Or AT AgJACOIT M. RAIL HCRI TWWr PLAST, • 2' x 100 ream Pad vhtn bolted f BAROt 6010 SAWCUI 14ALF 111 PONTCO-UP MORMA Ito tASCA DOW Plateuttut Detail 0 Small Flat PrOffle 13 1*00/0411995 13:24 1- 305 - 4751462 POLYF044 PAGE 15 I►AETnOPOLI1'AM DADE t AUNTY, FLOFIIUA ME'Tp0•V!Abf: ME O-OADE FLAGLER BUILDING' bU1LUINO C0115 COMPLIANCE DESUItE God Ml-etht WEST FLAGLER STR ET 40 MIAMI, FLORIVA 33130.1509 (305) 379.2901 FAX 13051 375 -2908 1. Extensions of Acceptance may be considered after a new application has been filed and the supporting data, test reports no older than ten (IQ) years. have been re- evaluated. All reports of te- testing shall bear the seal, signature and date of an engineer registered in the State or Florida. 2, Any revision or change In the materials, use, at mat ura for revisions the pro uct or process shall automatically be cause for termination, units$ prior approval granted 3• Any unsntisractory perilorniance of this product or process or a change in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance numbt:f preceded by o�if any Florida, and Notice of followed by expiration date may be displayed lit advertising literature. displayed, then it shall be done in its enlitety. applicant by 6, Product approvbl dr>llvings, where required For portnit in ati a Notice) of Acceptance The prints need the ritanufacturet or his distributors* unless otherw ise noted not be resealed by an engineer. 7. Failurelto comply with (lit Standard Conditions shall be cause for termination of the Approval. 'flies approval supersedes till prevluUs appruvals- Rau odriguez P r uct Control Division Supervisor IT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date Aflaflkpl Address, Legal 4-3 N� Tax Folio/ ; V3 (P— 0/.370X/ � 7 Master Permit # �fl Owner / Lessee / Tenant - 12& xa—zae er Cael)ell- Owner's Address _ 249 NE /03 SereeT Phone �� -61567 Contracting Co. 20di7 an a;?!2 Address APS&I 1W s10 ---bw-e Qual if ier no.01 Ss# . Phone Oos- State # IR C' ® '026 Ll o Competency #iO/ 306dy /f,� Ins. Co. ��S > Architect /Engineer. Bonding Company, Address Address Mortgagor Address 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 gill be performed to'meet the standards of all lava regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLmmmG, SIGus, FOOLS, ROOFING, and MECHANICAL Mork. OiiMIS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable lava regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of. Date: - s. Signature of r- Date: Y c Notary l dent Notaryfae9/toContractor oz Owner -ful de=° My Commis ion Efpijes: My Commission Expires: - PERMIT I'M APPROVED: Fire ` Other �)Oj ) Zoning Building , 1 �� Electrical ( °c 1460 1 Mechanical Plumbing Engineering Amy /990 76, < ' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is her 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 Chdinance 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 pi'Qgress of the work. Q Date. jQg Am .... ,19. Owners Name and Address. 1A �. -----t- - - -- ..4 .............. Registered Architect and /or Engineer...... ............... .......... « «.... Name and address of licensed controctor.......... ».». ..... --- -.» . ---------------- ......�.._._......».._ ... »......»... »..»»...» .. Location and legal description of lot to be built on: Lot_...... »_...... » ................. Block .- ............... ».. ...... _... Subdivision ._............_._ »... .. ...._..._.........�. Street and Number where work is to be done ..... ............. ._... -.» . » .... .....,.�„�._......» ..�.. _ ..y State work to be done and purpose of building (by floors)__1piD _ ....... .......... _.... .... »-..........- ..... »... ................... » »_.» »-...- »_....» . ».» _ ..._. ........and for no other purpose. New Building .............- ............... Remodeling ................. ...... » Addition .......................... Repairs ....... ........... ....... No. of Stories._......._.... »._. Tobe constructed of.. .......................... Kind of foundation ........ ............................................... . -.. Roof Covering........ ............................... Estimated Total cost of improvements $... ..�..•� ®�°.. -» — ...._Amount of Permit 5 ..w»_ .. ............ . ......_�..........._ .. Zone cubage required......... ._... _._ ... ._ _...-- .- .....» - --Plan Cubage.- »._• Distance to next nearest building ........................................ - -__.._ -Size of Building Lot ...... .............-,.-..:-.....-.- ..... ._ ...... .................. :Maximum live load to be borne by each floor ................ .. ......... .»-_ .......... _ ................... _ ... » __......-...-_».......___•... .... .... _ ...... .............................. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ....................... ---------.-.-..-.-.-.-..------ -------------------------------- ------------ ---------------------------------------- _ ----- - --- » ------------------ »--------- -- -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ennployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ivApection on the site f the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such tract oa worn be perf nder this permit, as are licensed by, Miami Shores Village. ( 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 are true. Permit No. L- » _... Date._ Read, Sworn to and Subscribed before me. Disapproved�. .. »..._.._ . Hate. _.» » ----.._ ........... ......._........... »..........» �? »».Y w. Notary Public, State of Florida (Signed) �'�. wilding Ins etor My Commission Expires. ......._» ...... LANNING 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 frorn the Plannin;; hoard. 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, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is her 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 Chdinance 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 pi'Qgress of the work. Q Date. jQg Am .... ,19. Owners Name and Address. 1A �. -----t- - - -- ..4 .............. Registered Architect and /or Engineer...... ............... .......... « «.... Name and address of licensed controctor.......... ».». ..... --- -.» . ---------------- ......�.._._......».._ ... »......»... »..»»...» .. Location and legal description of lot to be built on: Lot_...... »_...... » ................. Block .- ............... ».. ...... _... Subdivision ._............_._ »... .. ...._..._.........�. Street and Number where work is to be done ..... ............. ._... -.» . » .... .....,.�„�._......» ..�.. _ ..y State work to be done and purpose of building (by floors)__1piD _ ....... .......... _.... .... »-..........- ..... »... ................... » »_.» »-...- »_....» . ».» _ ..._. ........and for no other purpose. New Building .............- ............... Remodeling ................. ...... » Addition .......................... Repairs ....... ........... ....... No. of Stories._......._.... »._. Tobe constructed of.. .......................... Kind of foundation ........ ............................................... . -.. Roof Covering........ ............................... Estimated Total cost of improvements $... ..�..•� ®�°.. -» — ...._Amount of Permit 5 ..w»_ .. ............ . ......_�..........._ .. Zone cubage required......... ._... _._ ... ._ _...-- .- .....» - --Plan Cubage.- »._• Distance to next nearest building ........................................ - -__.._ -Size of Building Lot ...... .............-,.-..:-.....-.- ..... ._ ...... .................. :Maximum live load to be borne by each floor ................ .. ......... .»-_ .......... _ ................... _ ... » __......-...-_».......___•... .... .... _ ...... .............................. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ....................... ---------.-.-..-.-.-.-..------ -------------------------------- ------------ ---------------------------------------- _ ----- - --- » ------------------ »--------- -- -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ennployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ivApection on the site f the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such tract oa worn be perf nder this permit, as are licensed by, Miami Shores Village. ( 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 are true. Permit No. L- » _... Date._ Read, Sworn to and Subscribed before me. Disapproved�. .. »..._.._ . Hate. _.» » ----.._ ........... ......._........... »..........» �? »».Y w. Notary Public, State of Florida (Signed) �'�. wilding Ins etor My Commission Expires. ......._» ...... LANNING 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 frorn the Plannin;; hoard. 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. 1� i � f 8 .•. R� _ _ �. . �. Village of 'Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/11/2002 Applicant: FREDERICO Owner: LLAMOSAS Contractor Local Phone: Parcel # 1121360130410 Job Address: 243 NE 103 ST Fees: FEE2002 -845 F-EE2002 -846 FEE2002- 847 Building Permit Permit Number: BP2002 -287 LLAMOSAS FREDERICO Address: Cellular: Page 1 of 1 Legal Description: 36 53 41 31 52 42 MIAMI SHORES SEC 5 PB 10-47 LOT 17 & E1 /2 OF LOT 16 BLK Description Amount Building Permit Application Fe$60.00 Total Fees: $65.60 CCF $0.60 Total Receipts: $0.00 Notary Fee $5.00 Total Fees: $65.60 Permit Status: Approved Permit Expiration: 8/10/2002 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) 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 calf' This Permit is granted to tlie contractor or builder named above to cons ordinances pertaining thereto and with the understanding that the work wil and approved by the proper municipal authorities. This Permit may be re% authorization. A further condition upon which this permit is granted is the ordinances and regulations pertaining to the work covered hereby whether by his agents, servants or:employees. Signed: (INSPECTO In consideration of the issuance to me of this permit, I agree to perform with the plans, drawings, statements or specifications submitted to the prc myself, my agent, servants; or employes. Signed: (Con FEDERICO LLAMOSAS FLOR LLAMOSAS 243 NE 103RD ST. MIAMI SHORES, FL 33138 // € PAY TO THE t /� I 5 11 . f� A n 1 / 1 (�j ORDER OF 1 1 `1 A V C//� V Washington Mutual \` Washington s Final clank. Center p FA u Mi is hOr� Finenclal Comer 1722 `\ 984 E. 2nd Avenu i -en0 -7 7000 Mie ShOre9. FL 33 � c�[mme! Semce MEMO A 1 ,1 Jt IJ� Ind_ 1:267084 L3 0:83 Lee, 46306 2oll0iin 63- 8413/2670 4326 8314630620 DATE 630 20 ) 12-102— 326 65, . Q-0 DOLLARS B i 0000•• 0000•• • • • •••0•• 00.00 0000• 0000•• 0000•• • • • 0000•• •• • • •• 0000 • • •••• • • •• • • • 0000 0000 • • •••• • •• • •••• • i Return Ji: ( Self- addressed _ envelope) -fl kl brews �DO�,(1 cxTm 00 Address' Jh This Instrument Prepared by: YolQnclak Kmf Address: 2V.4 Ald� 0 91 ovI491771 ,Cl operty Appraisers Parcel Identification (Folio) Numberr(s� ACE ABOVE THIS LINE FOR PROCESSING DATA d NOTICE OF COMMENCEMENT FS 713.13 SEMINOLE FORM 408 966 111940 1996 MAR 5 120-41 SPACE ABOVE THIS LINE FOR RECORDING DATA Permit No. NOTICE OF COMMENCEMENT State of Florida County of The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal scripho -n of property,(include Street Address, if available) �� AQ % �- eP 27-/ % 6� A L-o %/ / � -- eeA // q1 General description of r Owner 15 a-Cot Address C;41-4 Owner's Interest in site of the Improvement Fee Simple Title holder (if other than owner) Name Address Contract Address Surety _ Address Amount of bond $ Any person making a loan for the construction of the Improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name Address In addition to himself, owner designates Of to receive a copy of the Llenor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date 1 pecifled). Signature of Owner Printed Signature of Owner 4 r r t t t NOTARY RUBBER STAMP SEAL I have relied upon the following identification of the Affiant Swoom ;o and subscribed before me this 0 day of 1906 . ..yo, _e Notary SigrMtu,* w a b .. - •Il r //�� AA Notary Signature Notary =S t ate o f F l o r i d a Pdre +`MY Caron. Exp: 11 MI/9 /" //I t\ \,` I: CC328762 STATE OF FLORIDA, COUNTY OF DADEhe i fR9101< ts+o this 1s a ba ep�Y�� o iaenb. /Soli th,s office on V ,A 0.19 W 1NESS my h nd and pOf C1I Saot. HA*WE- I' tUylm. C ��Kr o_ f CIIrR, wd C By Ws e it Job Address: 3` �!�j�� Contractor J�g ProcNo. APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II BUILT -UP APPLICATIONS AND MODIFIED BITUMEN SYSTEMS GENERAL: Type of Roof System Assembly to be Applied: Manufacturer of Roof System Assembly: ��W';/ A�,�071 4 Product Control Approval Number: 1L: e / .� System Number from Product Control Approval: Al —1-3— 1-1-211 (Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System Guide Specification. ) ( Note: If a minimum roof system is to be applied, describe all components within the system and list the manufacturer of each component. DO NOT complete this section if system is Product Control Approved. ) Base Sheet: Fasteners: Ply Sheet(s): Cap Sheet: Asphalt: ( Note: No insulation system is acceptable under the minimum roof category. ) Complete the following for all Roof System Assemblies: 123M.188 904 Built -Up Applications and Modified Bitumen Systems Page -1 f &Wow Job Address: z �.fd� /� � Contractor q��aPa roc s No. (Check -one of the following) Recover Re -roof: New Construction If a recover, is the existing Roof System Assembly to be used as a bonding substrate ?: Y N If YES, has an ASTM E907 test been carried out to confirm adhesion of the existing membrane to the substrate ?: Y N (!j yes; attach AMME907 test report. ) Proposed Fastener: (Attach withdrawal resistance test report. ) Has the deck been examined for moisture ?: (Provide data confirming compliance with Section 3401.9(c) . ) THE SYSTEM: Y N All Roof System Assemblies in the Product Approval have a variety of options. Briefly describe the Roofing Components to be used in the Roof System Assembly and attach a copy of the manufacturer's published specification: Deck: &JO &) A/ / (Briefly describe) Insulation: (Type, size and method of attachment, if applicable) Base Sheet or Ply: 6/� 7,S (Type and method of attachment) /i '� Ply Sheet(s): e1w Z?/'t —1/ ( Type and method ojattachment) Built -Up Applications and Modified Bitumen Systems Page -2 Job Address: °�� '� Contractor C,e - rriNo. 14� Top Ply: .149 (Type and method of attachment) Surfacing: A-1 121-91 5a!zgficl�✓� 'T i f applicable ) Flashing Materials: 3X S �b/i9 N JO/z 1 (Type and method of attachment) Built -Up Applications and Modified Bitumen Systems Page -3 s: iiZj�,5-vwO. tf-e-- Process o. Job Address: 1 lzf-1404�0- Contractorywlww� FELL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND INSULATION LAYER(S). (Where Roofing Component not used in Roof System Assembly, fill in with "NIA ".) Surfacing: 07-9 (bris*dkiar&. ............................. . .................. . ..... Ply: Bonding Material: Ply Sheet(s). Bonding Material: Fastener. (#lb—sn"I Base sheet: 4�E ATZ-5 Bodin Fastener (vtop nwla on yo asech. attached) VPp Tjfo =b-n Uyer/ inches (11k) Bonding Material: A 'l,�0=22'_ If 4v(411 Fastrner: (ifiamiattaft meth. attached) inches Imulation: A/ Bonding Material:' T . ......................................................... .. ... .... . . ......... .. . Retarder: dw*. ............................... ......................... . . ..... ............. . . . .. (fincabr) .. er r Z4 cable; DECK: inches Type: Gage or Thiclaress: Density, ifconcrete deck. Aj /10 Built-Up Applications and Modified Bitumen Systems Page-4 t Job Address:-7 � ®mss= Contractor &o Qs No. PERIMETER DETAEL # 1: Parapet Wall Detail WfP Fastener Spacing: ,_„ o.c. Clip Type: Clip Gage: Sam 11isiisill IN.— I lack Type: P � Deck Type: NIA Sketch Roofing Components which make up Roof System Anembly at Perimeter Parapet Walls. Inert leaders tndicating Roofing Component tames. dim>ensiaas, tbidmma. dc. Include hdaner type and spacing used for wood. blocking Sketch Roofing Components which make up Roof System Assembly at Perimeter Areas to be Flashed Inert leaders indicating Roofing Component manes, dimerniorn, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment PERRVM7 R DETAIL #2: Flashing Detail Built -Up Applications and Modified Bitumen Systems Page -5 Job Address: -20 Contractor %,, —71 6e _ Process No. PERIIVM -M DETAIL #3: Gravel Stop or Drip Edge Sketch Roofmg Components which make up Roof System Assembly at Perimeter Edge with Gravel Stop or Drip Edge. Insert leaders indicating Roofing Components names, dimensionns, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Gravel StopOrip Edge Gage: } Fastener Spacing. A— I Clip Type. Clip Gage: ;t Deck Type: Sketch Roofmg Components which make up Roof System Assembly at Perimeter Edge with Gutters. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Gutter Type: Gutter Gage: Fastener Spacing: s! Decks Type: PERIMETER DETAIL #4: Gutter Detail Built -Up Applications and Modified Bitumen Systems Page -6 � " � � ° Process No. Job Address: ��" ��'�� Contractor � _ � � ,� PERDAETER DETAIL #S: 'Other' Detail Sketch Roofing Compote which make up Roof System Assembly at any'othee Perimeter Condition which may eidsit Insert leaders indicating Roofing Component names, dimensions, thickesses, ao. Lxlude fastener type and spacing used for wood. blocking attachment e R,r3 411 Sketch Roofing Components which make up Roof System Assembly at any'other' Perimeter Condition which may wdsit Imert leaders indicating Roofing Component names, dimensions, thickesses, etc. Include fattener type and spacing used for wood - blocking attachment 14 PE MNETER DETAIL #6: 'Other' Detail ) 10 // A 10GF 0001- Built -Up Applications and Modified Bitumen Systems Page -7 Job Address: -.10 .s e �16c °� � Contractor '7 � L'�� _ 16c Ws No. Lsert Building and Parapet Heights. (Ifno Parapet casts, insert 'MIA ") Also insert applicable information pertaining to the building below. (See ASCE 7.88 Fact Sheet Attached) Eatposum Category. Classification Category: At Hurricane Ocewdine ?: Y N Basic Wind Speed at Building Location: 110 mph Building Condition based on % of openings: GROWD LEVEL BUILDING INFORMATION 41 Built -Up Applications and Modified Bitumen Systems Page-8 Contractor Job Address: °' Sketch Roof Plan indicating all dimenssioM any $lopes, roof drains, crickets, or roof top a ponent. Also insert variable labeled "a" which indicates perimeter and corner dim msions per Chapter 23 of the South Florida Building Code. (SeeASCE 7-N 1 — '.Y r -- Process No. _9 of f.F -- -14.1 -- BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Built -Up Applications and Modified Bitumen Systems Page -9 r Job Address:,-,2 ,4 X1 %4-YT Contractor 4`4e Process No. -- FOR PLAN EXAMINER USE ONLY -- Roof System Assembly Product Control Approved: Y N If NO, note any deficiencies: Design Pressure Requirements: Field: psf Perimeter Areas: psf Corner Areas: psf Note any limitations: Reviewed Details ?: Y N Notes: Built -Up Applications and Modified Bitumen Systems Page -10 t Job Address: — 9 ®fir.° A'/ Contractor � ��- Process No. Reviewed Field Test DataT Y N Notes: Additional Notes: Plan Examiner Built -Up Applications and Modified Bitumen Systems Page -11 ' f .y r, AD METROPOLITAN DADE COUNTY, FLORIDA METRO•DADE PLAGLER 13UILDING '01,11.610 CODE bOMPLIANCI bEPARTMENT SUITE 1003 MEIAO -bADE FLAOLt A BUILDING 140 WEST FIAGLER STREET MIAMI, FLORIDA 33130.1503 FAX 3005 315.2908 i 17 1 T", Vom 77 1 T Tel, 11 ►e 4W , W Materials Corporation 1361 Alps Road Wayne, NJ 07470 Your application Cot Product Approval bit VAP rol►vdutional built -Up Itoalinp Systems under Chapter 8 of the Metropolitan bade County Code governing ilia use of Altet ioN Mlateridli and types or Conilmellon, and cotnpletely described in the plats, specllitntions and calculdlions tit suboilllcd by Pottery tMuludl ttesentett Corporntloo mid Underwriters Lnboratorles, Wei' lint been ietotitntended rot nccepltinea by the Building Code Complinnce Departntent to be used in bade County, Plotlda under the specine and standard conditions set forth herein. Tire approval shall be valid rot a period of Ilitee yerits. 11te Building Code Compliance bepartinenl reserves the right to secure a product or tnaletial at luny (1106 Ibt� d jobslie of ptdnuratturet plant for quality control letting. If product or nwicrial rail to perrotto lit the approved maitll ft the Coda Complimite bepattit eul nlay revoke, nnodiry or suspend llte use of such product or nialetidl Iliilitcdldltlly► I I building Code Complitlhee Dcparllnent reserves tltc right to require testing ol'.111i! lifedutt 6r hiii(miil ihnuld 6hyi dnlendmenli to the 5duilt t:lorlda Building Code be enacted affecting this product of hiditetlal, The expense of such testing will be lottitted by die iuianuNdutet. PRODUCT NO. �� '�` �z" ACCEPTANCE NO.: 9440U.0t OpliMando p;$. product C6tittol of lsiott ." EXIVIRiE S.. NOV 1 0 1991 5upervlsor - PLEASE NOS' - TIIIS IS THE COVERS111rLr`i' su AbbitiONALVACES VOR MIECitrIC AND GENERAL ct�Nb►IttoNS. IIUiLDINC CODE COMMI ILE This application for Product Approval hits been reviewed by ilia Metropolitan Bade County building Code Coinpliance beparinicnt and apptovtd by file iiulldltlg Code Cishoulliea to be used in bade County, plotida under (tie conditions set Forth above. i NOV I a 199 ,�' APPROVED � y Chafiet bringer, P,13 *0 Dtrecto Building Coda Compliance Department Metropolitan bade County Product Control Notice of Acceptance Roofing Sygtetft Approval Applicant: CAF Materials Corporation Product Control No.: 944014.01 1361 Alps Road Approval tinter �U j Wayne, 141 07470 Expiration date: No I Category: Membrane Rooting System Sub - Category: Built -Up Mooting Type: Conventional Tu - 'rype: Fiberglass GAF Materials Corporation, a hisittdiacturei' products for more than 100 years, produces a wide range of roof products for 6011140 Md m6ilOW 61witim rooting systems. In addition GAP offers two ply modified systems to meet the demands tot tnul4ly bSi Modified specifications. GAP provides warranted systems over varlttus lhsitlated trod hon- insulated substrates, copies of which can be obtained from GAP and can bd round 10 did "CJAPOL. A'9 built -Up Roofing Appifcatioti and Specifications" manual published annually. Tlie GAF Root System Assemblies have beet) dxtetiisively tested at Factory Mutual Research Corporation and Underwriters Laboratories and hAV6 been laded 1h iafitollitfit:e rvith all N401rements of the South Plorlda building Code. Specific classificaltohi !`dt i ttibI16 art listed IN the cuttent U.L. Roofing Material Directory and the current Factory Mutual ApproViil Guide, GAF Materials Corporation ptdducts are diittibuted through a wide network of roofing wholesale distributors throughout the South Florida area. For more information on Specific rootsystern toostruetions, contact the Technical Service Office, located in Wayne, New Jersey, at 1- 800 -ROOP -411. William J. Woodting birector of technlcdl Services 1361 Alps Roan Wayne N1 07470 (201) - 6211-3000 On 1 I lamoncl, 11.L. �itI 4 0 N Trade Ndiftes of Products Manufactured or Labeled by Applicant Product Control No.: 94- 1014.01 Product Dimensions Test Specifications Product Description GAF Asphalt/Concrete Packing: 3 gallon ASTM b 41 GAF AtphaIUConcrete Primer used to Primer pails, 33 gallon -- promote adhesion of asphalt to dissimilar drums, turfaces in built -up roofing. GAF Fibered Aluminum Packing: I and 3 ASTM D 2824 A cut back asphalt based protective Coating gallon palls coating containing leafing type aluminum pigment and Inorganic fibers. GAF GaRite Roof PA 114 insulation fastener system. Available in a Insulation Pasteners variety of lengths and styles. GAF Jetblak All - Weather' Packing: 1 and 3 ASTM D 3400 All - Weather Plastic Cement used to Plastic Cement gallon pails. install flashing And may be applied on wet surfaces. Coverage: 1 gallon/14 GAI: Jetblakt'+ Ail - Weather Plastic Cement Shall be used for flashing applications only. GAF Jetblak FlashtiteS Packing: 1 and 3 AStM 4386 A trowel grade cut back bitumen Cement gallon pails, 33 flashing -grade cement mixture, containing gallon drums, inorganic fibers and mineral stabilizers. GAF Mineral Shields Packing: 60 lb. ASTM d 1863 (Imules for surfacing or exposed asphalt, Granules bags. cold process or emulsion. GAF Mineral Shield► Granules shall be used for flashing applications only. GAF Plastic Cement hacking: I and 3 ASTM D 43$6 A trowel grade cut back bitumen gallon pails, 33 standard -grade cement mixture, gallon drums. containing inorganic fibers and mineral stabilizers. GAP Weather Coate Lacking: S Callon Asirm d 1227 Clay bated ehudsined asphalt coating Emulsion pails. with inorganic fibers. l� GAFGLAS Ply 40 3' x 180', troll ASTM b 1178. Type IV asphalt impregnated glass fall for weight: 44 tbs., 'hypo IV use in conventional and modified bitumen built -up roofing. GAFGLAS Ply 60 3' x 180' Roll ASTM D 2178 i Type VI asphalt impregnated heavy duty �j /� •� V r1'il11.•a oil D ar�idnd, P.E. Weight: 52 Ibs Type VI GAFGLAS SttataventIP Dimenslons: 3' x ASTM D 4897 for nailable decks 36% Roll weight: 60 tbs.. 1/ OAFGLASM #73 Base Tx 108'; Roll Sheet weight: 75 tbs., ASTM 13 4601 r Product Control A(R.: 94- 1014.01 glass felt for use in conventional and modified bitumen built -up rooting. Heavy duty fiber glass base sheet Impregnated and coated on both sides with asphalt with or without fine mineral stabilizer. Surraced on the bottom side with coarse mineral granules embedded in asphaltic coating. let 2. ;. Oil Diamond, P� ,...r --,! s t j I C. /GAFOLASM Mineral Surfaced Cap Sheet GAFTEMP GAFTITE® Base Sheet fastener Gafgias® Flashing Gafglas® Stratavent® Perforated Ruberoid(M 20 3' x 1081; Roll ASTM D 228 weight 79 lbs.. various PA 114 PA 114 P x 72', 1' /i x 72% 3' Proprietary x 72; Roll weight: 25 lbs., 38 lbs., 76 lbs.. • 361 x 3 Roll weight: ASTM b 4897 60 Ibs . 39.4" x 33.4; Roll ASTM D 5147 weighte 90 lbs. Ruberoid® 20 FR 39.4" x 33.411 Roll , ASTM D S 147 weight: 90 tbs.' Ruberoid4D Mop Granule 39.4" x 301; Roll AM D 3141 weight: 103 lbs.; Roll site: 100 R.I. Vent Stacks (metal and plastic) PA I00(A); U13C No. 52.2; ASTM 171929 (pigs.) & 635 (Metal) Product Control Nola, 9d- 1014.01 An asphalt Impregnated and coated glass Met base sheet for use in conventional and modified bitumen built -up rooting. Asphalt Impregnated and coated felt surfaced With Intneral granules used as the top ply In conventional built -up roof membranes. Polyisocyonurate foam Insulation. Basesheet fastener for built -up roof systems. Asphalt coated glass fiber mat flashing sheet available in three sizes. Heavy duty perforated fiber glass base sheet impregnated and coated on both sides with asphalt, with or without line mineral stabilizer. Surfaced on the bottom sidd with coarse mineral granules embedded In asphaltic coating. Asphalt modified bitumen membrane, polyester teinrorced for use in conventional built -up roofing. Asphalt modified bitumen membrane, polyester' reinforced and treated far Fite resistance, for use in conventional built -up roofing. 'A heavy duty, resilient, asphalt modified bitumen membrane, polyester reinforced. Used in dashing applications for conventional built -up roofing One way valve vent used to relieve built -up pressure within the roof system. GAP dent Slacks.are svpilable in metal or plastic. i r, •-i) ��, 4 Oil Di ond, P.R. �-• t• , CR -Base Sheet PA 114 Fastener CR -8ase Sheet Plate ASTM A 325 GlasFast Fastener PA 114 Glasfast Striker PA 114 Fastener _.. Paroc varlout PA 110 Multi -Max various PA 110 Insulfixx Fastener PA 114 Plate Fixx Fastener PA 114 Rawl brive PA 114 Rawl Spike Fastener PA 114 , Rawlite Fastener PA 114 Non woven fiberglass -mat Partek, Inc. ., Produict Control No.. 9a- 10.14.01' CR -10 coated galvanized Olympic steel fastener. Manufacturing Oro - Inc. 2.75" galvalume steel Olympic stress plate Manufacturing Group, SFS/Stadler Inc. insulation fastening Owens - Corning assembly Insulation fastening system Owens - Corning Non woven fiberglass -mat Partek, Inc. Insulation. Polyfsocyanutate foam RMAX Insulation. i insulation fastening SFS /Stadler assembly Insulation fastening SFS/Stadler assembly insulation hastening system The Rawlplug Company, Inc. Insulation fastening The Rawlplug assembly Company, Inc. Insulation fastening system The Rawlplug Company, Inc. T -Fast PA 114 Steel/Wood fastening Trinity Engineering, assembly Inc. Tru -Fast Fastener PA 114 insulation rastening Tru -Fast assembly ASTM b 112 roofing ASTM b 912 ASTM i7 rooninb asphalt. generic asphalt ,. Gil Diamon , P.E. 14 xy Gil D mond, PS Product Control NOV4- 1014.01 ASTM D 41 Primer ASTM D 41 Asphalt primer generic riberglns PA i i0 Fiber glass roof insulation generic Gypsum Sheathing . Various PA 110 Gypsum Sheathing used in generic specific Roof Insulation Assemblies Iligh Density Wood various PA 110 Wood fiberboard generic Fiberboard insulation. �.- -•'''� C� Nails ASTM A 641 Min. 1112 corrosion generic resistant annular tang shank nails, FF- N- 105 -136 Type 2 Perlite PA 110 Periite insulation board generic Red Rosin Rosin paper for barrier generic layer on wood decks Tin Caps 15/9" - 2" Min. .010" (32 ga.) x I" generic corrosion resistant disc 14 xy Gil D mond, PS • 4 I Insulation Typo: Basalt Wool Perlite Po lyisocyanu rate Composite Board Wood Fiberboard 1 -ligh Density Wood Fiberboard Rockwool Maximum Desian Pressure Material Desiii Wood pressure -60 psf Steel -45 psf Concrete X90 psf Lightweight Concrete -45 psf Cementitious Wood Fiber -45 psr Poured Gypsum Concrete -45 psf. Product Controk;I. `.: 941014.01 Wood C lost 'A' Steel Class 'A' Concrete Class'A' Lightweight Concrete Class 'A' Cementitious Wood giber Class 'A' Poured Gypsum Concrete Class 'A' Note: Eire classifications and•maximumAesign pressures do not reference all assemblies over all deck types. Review system listings Colt design Otessures and the Underwriters Laboratories Rooting Materials Directory tot Fire Classiticallohs. 0 . (311 Dtamond, P.C. • Product Control No.: 94- 4014.01 ek Type 1: Wood, Non- Iisulated Deck Description: 19 /„" or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fdstetied. All General and System Limitations shnil apply. [lase Sheet: GAFGLASO 075; GAPOLASO PLY 40, OAFOLASO PLY 601 GAFGLAS® STRATAdfsNIV or RU1313KOIND 20 applied to the deck with approved annular ring shank'nalls and minlmum I %" tin caps at a fastener spacing of 9" o.c. at the 4 Inp, 12" o.c; In two rows sltiggcred along the center litre of the of the sheet in the field. 4 Ply Sheet: Two or three plies of OAFGLASO PLY 40 or GAFGLASO PLY 60 ply sheet adhered in a full mopping ofapproved asphalt at an application rate of 25 lbs. /sq. f 15 %. Cap Sheet: (Optional) One ply of GAFGLASS Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt at an application rate of 25 lbs. /sq. -115%. Surfacing: (Required if no cap sheet is used) Install one of the following: I. Grundy AL MB aluminum Roof Coating with an application rate of 1.5 gal. /sq.; or GAF WEATHER COAT® Emulsion with an application rate of 3 gal. /sq.; or GAP Fibered Aluminum Coating with an application rate of 1.5 gal. /sq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. -+ 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 lbs. /sq., respectively. Maximum Design Pressure: -55 psf. Maximum Fire Classification: 'A'. See General Limitation 02. Maximum Slope: 3 ":12 "; See General Limitation 03. . Specification No.: N— B- 4M /P6, N- 13-4—M Oil Diamond, P.E. t!2 Pt, 21 "� l;. Product Control No:•'94- 1014.61 General Limitations: t. All asphalt shall contply with ASTM D 312 type III or type IV requirements. All proposed asphalt prodtteers thust be approved by the applicant. 2. Fire ratings are deteritiihed by a combination of slope, deck type and assembly. Refer to current Undet%vtiidd Rooting Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3. Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and OAF specifications for compliance with design criteria fbt each project. Refer to the coal tar pitch manufacturers Product Control Approv®1• tot slope limitations on these systems. 4. An overlay /recovery board . Insulation panel is required on all applications over closed cell (barn insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter citcles, 24" o.e.; or strip mopped g" ribbons in three rows, one at each sidelap and otie dow h 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 mInfinum rate of 12 lbsJsq.. 5. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida wilding Code. 6. All work shall be performed by a Contractor licensed to do roofing work in bade County. Contractor shall be familiar with the details and specifications published by the manufacturer. 7. In re- roofing applications, moisture content in an existing built -up roof must be in compliance with Section 3401.9(c) of the South Florida Building Code. 8. Prior to application, all existing toot surfaces used as a bonding substrate shall t 6 be tested for uplift resistiho lit ipliance with Dade County Protocol PA 124 to the calculated design pressutt of the roof deck. 9. If required, any Factory Mutual Approved vapor barrier In conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 10. Perimeter and corner areas Shall have an increase in fastener density for both insulation and base sheet in compliance with PA 117 of the South Florida Building Code. I L All perimeter and nailer metal profile design shall conform with .Dade County Protocol PA I I I of the South Florida Building Code. Gil Diamond, P.E. .74 NZ I .- -" T Product Control No.: 9i'%1014.01 12. Flashings shall be installed according to the manufacturers standard details, and may be applied In cold application adhesive, hot asphalt or may be an approved torch applied modified bituni6n menibrane. Specific details, approved by the manufacturer; shall be submitted tvitlt the Section It Permit Application. 13. GAF roll good materials shall be stored on end and on it clean, flat and dry surface. 14. Consult current Underwriters Laboratories Directory for the required coating for each roofing as4t mbly. Thtl sssemb Y shall be installed In strict compliance tvitlt Chapter 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 15. Asphalt nioppings shall be with asphalt approved by the applicant and shall be approved in Compliance with equiviscious temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate a LVT, finished blowing temperature (Fl3T) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 16. insulation may be installed in multiple layers. First layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full Mopping of approved asphalt at an application rate of 25 Ibs /sq. k 15% or mechnnicnlly attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or (lie NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels In hot asphalt or Adhesive. 17. Pre - assembled cap nails may only be used for termination of fully bonded surfaces such as mechanical termination at wood blocking, head and side laps, 'And base flashing ternnlnations. Cap mails shall not be used for the mechanical Attachment of a base sheet. Tin caps are required by the South Florida Building Code. 18. Tlie submission of system specifications and details shall accompany the Section It Building Code Permit. This Information is available in the publications listed in tine 'System Descriptioitt of this Product Control Approval.' The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 19. All standard panel sixes are acceptable for mechanical attachment. When applied in hot asphalt, panel site shall be 4' x 4` maximum. Gil Diamond, P.E. +�-; • ' • j6i� , 75 NOTICE OF ACCEPTANCE: STANDARD CONUITIONS 1. Extensions of Acceptance may be considered taller a new application has been filed and the supporting data, test reports no older than ten (10) yearn, WV6 been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materiall fitie, be manufacture of the product or process shall automatically be cause for termination, unless priot approval it granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words bade County, Florida, and followed by the expiration date may be displayed in advertising filerttture. If any portion of the Notice of Acceptance is displayed, then it shall be done in Its entirety. 6. Product approval drawitig9, Where tequired (be permit applications, shall be provided to the applicant by the manufacturer or his distrlbdtors unless estherwise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval. This approval supercedes all previous approvals. I r Jli! Oil product Control Division Supervisor i ' GAFGLAS® Specifications NB -4 /PO and -5 -4-M Specifications General Application recommendations detailed on pages if -20 shall -Apply lh gddidoh ht Me following recommendations and specifications. Application of Roofing Membmnu 1. Over entire surface, WY one ply of sheathing paper "I# applicable. Lap' each sheet 2 Inches over preceding sheet. Nall suffldd* to hdkf iH place: 2. Starling at the low point of the roof, lay one ply of GAMLAS Base Sheet; lapping each sheet 2 Inches at edges and not less than S Ind* at end laps.`j Nail along lap of base ply at intervals not to exceed 0IfibliM and "got-hill down center of sheet in two rows with nails spaced at 16 Ihbh lntefts Iff eaich . `� row. Use fasteners with Integral metal heads at least i Inch iII diaF"f dt : " square that are recommended by GAF Mate(,iais Corpuradbh of manufacturer. (See `Special Instructions" beloww j ' "` 3. Starting at the low point of the roof, mop two pik& of CIJi ply chlhla { t ' fashion; lapping each sheet 19 Inches over the precadingJhjjt solklyt htoppl ra to the underlying base sheet to provide three plies over the ontird root ared:'' Asphalt Requirements Irnerply moppings of Roofing Asphalt must be applied in a cdotlndoda 111M and shall consist of approximately 25 pounds per 100 squarb feet of roof grk With a tolerance not to exceed 20°% plus or minus. The appropriate asphpit for the ' slopiss involved must be used. On slopes up to 1/2 Inch per foot, Rat ASTM Type II may be njed ipt (n Ronda, Texas, New Mexico, Arizona, and California. Suffactng??, Apply GAPGLAS Mineral Surfaced Cap Shed in accohlam:e tvifie the 600146 5y .s InsuUctlons on page 20, so that the laps are offset from fhe laps bf t% ply E 5poei91 inttrnatons {rs t. See recommendations for use over gypsum decks on pagll 9 z 2. Acceptable fiA�GLAS Sheets include: S.MTAVtNr (Vent i'llyj f,, ' Nailable flecks required for freshly pouted gypsum decks, t#dFGLit9 ri75 Sheet, GAFGLW PLY 8®, and GAFGLAS Ply 4. For wood decks im fdr- wood fiber decks, when GAFGLAS Ply 4 dr GAPOLAS PLY B is tfssd`iii3 d bw -04 sheet, a sheathing paper is required. i 3. See °Nailing of Base Sheet, pages 18-19. 4. For roof sloes of 1 Inch per foot or more, all ply felts Ihflst lug bAck4dleit 41 f ` es In from the back edge of the Isil See'lnsiailadon on Stdep kdow 04 16 � > UL ciassmeatfon i UL Chart Key 1. tittbstrate C = Combustible and Noncombustible Combustible = wood planks, boards, etc., plywood (min. 15/6 inch thickness?, oriented strand board (min. % inch thickness). NC = Noncombustible only ,tsy a Noncombustible = Steel, poured or precast structural concrete, IlghCtliitgfit insulating concrete, gypsum, structural wood fiber, etc. 2. Slope Maximum slope allowed, In Inches per foot. I r® U ti Forth. South, and Wee Zones Naileble deoks up td tt Inches per foot Slope, except tot lightweight Insulating CoWN decks which are limited to a hWmbm slope of V per fool wood, plywood, poured gypsum, precast gypsum planks, other acceptable nallable decks. For Iightwelght insulating concrete decks, see pap 9. 41 BLACKTON INC t3052623339 F. 01 ~' M lrto1)A1)t! MCITnot�OUrAN VAD9 CbuNnr, F onlDA �1 MpTfto•DAbl! r1.AoLEA BUILDING. UUiL131110 Coon; COMPLIANcS IMPARTMENT SU1T9 1003 MATAO•IA09 WOW UU11.131No • 140 WEV FLAOLIER MEET MWAI. FLORIDA 113130 -15e3 j'11QDUM' CON2'li; Y NOT.ICE Qr-1 AC EMINC FAX �aos) oie -zt►oe Monier Roof Tile . _ 1900 Northwest 21st Avenue Fort Lauderdale, FL 33111 Your application for Product Approval of monlet hoof 31le lylatjnr or dheslve Set Cone " erntu in Irlat" Hoo[ittg_.M tender Chapter A of the Metropolitan Dade County Code governing the use of Allernnle Materials and Types of Construction, and completely described fit lite plans, speciftcatlons and calculations as submitted by Itediand Teelmologles, The Center for Applied Csttglneerhtg, lite. and Professlonnl Service lnduslries, lac. has been recommended for neceptanee by ilia thillding Codc Complinntce Department to be used ht Dade County, Florida under lite specific and standard conditions set forth herein. The approval shall be valid for n period of three gcnrs. The Building Code Compliance Department reserves Cite right to secure n product or malarial of tiny tittle for it jobsite or nttntufacturer plant for quality control testing. If product or ntntcrial fail to perform itt Cite approved manner, the Code Compliance Department tnny revoke, modify or suspend the use of such pr duct or material inmtediately. The Building Code Compliance Department reserves ilia right to require testing of this product or ntnlerial should any amendments to Cite South Florida Building Code be enacted affecting, this product or material. The expense or such testing will be incurred by ilia Manufacturer. PRODUCT NO. : ACCEPTANCE NO.: EXPIIWS: DEC 2 7 1997 �r haul itodriguez Product Control Division Supervisor - PLEASE. NOTE - ,mi5iSTIiECOVERSHEET. SHE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. IIUiLI)1NC CODE COMn11'rrEf:. this npplicatioot for Product Approval has been reviewed by Ilia Metropolitan Dade County Building Code Compliance Department and approved by the Ouitding Code Con;mIlleo to be used In Dods County. Clorida.under the conditions set forth nbov�ec Z 7 , 994 . APPROVED: Charl nger, P.., Direcibf Building'Code Compliance Department • `'• Metropolitan Dide County .s ti. • BLACKTON INC 13052623338 P.,02 r r PRODUCT CONTROL Noma. or ACCEPTANCE ROOrINC SY.4TEht APPROVAL �p�Jic nt: lYlonler Roor Tile Product Control No.: 94-1221,08- 1900 Northwest 21 st Avenue 7 , 9 9 d Fort Lauderdale, FL 33111 Approval Date: Expiration Date: DEC 7 *, Category: Prepared Roofing Sub-Cat cSM: Tile' 3) R": Mortar SeVAdhesive Set Sub-jyp_c: Concrete Solt m I)cscrilffloit Monier Roof Tile is n member of ilia Itedland Group, a world wide producer of primary building products and roof tile. Monier manufacturers concrete roof tile for nail -on, mortar set or adhesive set npplicsttions in plants throughout the United States ranging frost Washington Stato to Florida. All the is manufactured from extruded concrete consisting of Portland Cement, plasticizer, iron and metallic oxides, and blended aggregates. 'Ills Product.Csllllrol Anptova�ll te�latess to Monj " rn"�r�n{!' file milk. 13,dminimirominisi_I'LO IUQLQOHIE APPEQ�ttt1Sj`ldtA1gr- (110mrda. Monier sells the systems throuilt local 'distribution and directly to consumers. All profiles have matching trim pieces used for take hip, ridge hip, and valley terminations. Tile system accessories such ns underlayment, ventilation systems and flashing systems are also available. These accessories are mnnufac[tired for all profiles and corm n part of this Product Control Approval. Ivlonier's "Bermuda Clot" roor tile has been tested in compliance witlt.the South Florida Building Code requirements for concrete, mortar or adhesive set Cite applications. The minimum roof slope for Monier's "Bermuda Flat" mortar or adhesive set tiles shall be 2 ":12 ". See Cite "Profile Drawing" section in this npproval for the "Bermuda Flat" profile drmving. The Monier "Bermuda Flat" Cite profile: ins been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation sltnll be done as a 'Moment Based System'. Data for attachment calculations is noted in Tables I through 3 of this approval. Contact: Reese 1.1. Moody Technical Service Accessories Manager 1900 N W. 21 st Avenue Ft. Lauderdale, CL 33311 (800) 432 -271 S PLACKTON INC 1 3032523839 P.03 Product Control No.: ' 44- 1221.08 _ T1ubE NAmzs rid' htc►wms MANurACTUnED OR LAUELED IWArPLICANT q� Test Productt,'' Product D101i " ec1 cations j)c er111111211 Bermuda Flat Flat I- Is" PA 112 Flat, Interlocking. extruded concrete Tile W" Idl /," roortile equipped with two nails holes. 1 V4" thick For mortar set or adhesive set applications. Trim Pieces -- 1 a varies PA 112 Accessory trim. concrete roorpieces w to Varies for use at hips, rakes. ridges and valley varying thickness terminations. Manuractured for each file profile. r 2 rfmh ct 030 Felt 1143 Coated Base Sheet BLACkTON INC 1 305 62 0 F. 1,R Product Control No.: 44.121 -08 TRADE NAMES OF PRODUCTS MANuFAcrURED OTHERS Pest Product DlmeltslQU.4 Speeifi�alto_ng LILW llllitA N/A ASTM D 226 Saturated organic felt , type It to be used as a nailed anchor street. N/A ASTM D 2626 Saturated and coated organic base sheet rot • -- single or double ply underlayment. r d Mineral Surface Cap N/A ASTM D 249 Mineral sur ace Sheet asphalt roll rooting for use as It top ply in a double ply underlayment system. Lenzinglex -ZB 140 Underlayment Rainproof 11 Ice and Water Shield Mopping Asphalt Flashing Cement Manufnet rgr generic generic generic 30 x 164' roll PA 104 Single ply. nail -on Lenzing 22 lbs/roll underlayment, Performance, Inc. PCA 1194- 0527.03 30" x 75' roll IA 104 Single ply$ unit -on Protect -O -Wrap, file. 36" x 73' toil underlayment with 2" 1'CA 1194.07 14.01 or self - adhering top 60"x 75' roll edge. 36" x 75' roll PA 103 Seir- adhering W.R. Grace Co. underlayment rot use PCA 092- 1116.01 as a top ply in a two ply underlayment system with approved 1130 or 1143 as life base layer. N/A ASTM D 312 Asphalt rot bonding R generic type III or 1V mineml surrace cap to a mech. attached base sheet in a double ply underlayment system. N/A ASTM D 4586 Cut back, asphall generic based, asbestos free, (ib hreinrorced. trowdl 4rade cement for repak -and (lashing t�:;.. appllcaliohs. r ,•, e B1_ACkTON INC 13052623338 P.05 Product Control No.: 24- 1221.08 Test Product rraduct .Dimensions ji��Cltlli!?Jl Mu011iaclu r Asphalt primer N/k\ AS�'1'Nt� b 41 Cut back, asphalt generic P �►� based coating used to y >• facilbale bonding of dissimilar materials. Roofing Nails min. 12 ga. with PA 114 Annular ring shank, generic ' /," head Appendix G hot dipped, electro or mechanically gale. rooting nails for use -- in underlayment altachment. Tin Caps min, 32 ga. PA 114 Corrosion resistant generic min. I'/,* o.d. Appendix C circular disc for use in max, 2" o.d. undcrlayment allachment Tile Nails min. 8d x 2W or PA 114 Corrosion resistant, generic mitt. IOd x 3" Appendix Is screw or smoolh shank nails for additional the atlachnienl at enve the courses. Itoof Tile Mortar N/A PA 123 Prepared mortar mix Bermuda Roof ( "TileTiteTWI) designed for mortar Company, Inc. set roof tics PCA 094- 0614.01 applications. RoofTile Mortar NIA PA 123 Prepared mortar mix Quikrete Constructio ( "QuikreteO Roof designed for mortar Products Tile Mortar 01140") set roof lilt PCA 1104- 0808.01 applications. Roof Tile Mortar N/A IA 123 Prepared Mortar mix W.R. Donsal Co. (" DONSAUD hoof designed for mortar PCA 094- 0628.03 Tile Mortar Mix ") set rootiite applications, Roof Tile Adhesive N/A PA 110 Adhesive designed Polyfoam Products, (11olypro® AH 160) for use in roof rile • Inc, applications. PCAOI)4- 0401.01 Valley Clashing min. 26 goo ASTM A 525 Galvantzed steel generic a min. 16 width valley h s Pin b A PLACKTDM INC 13052623338 P.06 Product Control No.: Test Product 1'radurl J)Imenslons Speellkhtlefts j'jescrt,�tian JYjBnuf�etnrer Drip Edge min. 26 ga. i'A 111 Galvanized steel drip generic min. 20 face flange edge min. 2" deck flange or t� i .f • • PLACKTON INC 13052628338 P.07 - product Control No.1 ' Q.4- 122 1_09 TEST REPORTS►. • �'esi Arend \ Vest ldrntltier v lat Name eDW D119 The Center for Applied 94 -084 Stalk Uplift Testing May 1994 Engineering, Inc. (� "" PA 101 (Mortar Sat) The Center for Applied 94 -060A Static Uplift Testing Much, 1994 Lnigneering. Inc. PA 101 (Adhesive Set) Redland Technologies P0631 -01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Professional Service 22447099 physical Properties Sept. 1994 Industries, Inc. PA 112 Deck Type: Deck Description; SYSTEM D: PL.ACKTON INC SYS' Ems 13052623339 R. ►31.1• Product Control No.: " 4A.1221.09 Wood, Non - Insulated New construction " /j," or greater plywood or wood plank. Mortar or Adhesive Set Application Slope 12noge: 2" :12" to 7 " :12" Note: Systen; l) Is ottly;tccepinble lit this slope range. Underinymenh htstall choice of approved tutderlayment system, noted on Page i of Dade Counly Protocol PA 120, In compliance with Section 3.02 of PA 120. See System Limitation 06. RonRng'i'ite: Instill Tile iii compliance with PA 120 using one of the approved mortars or ndl:esives doted In this t►pproval. Mortar or adhesive shall be applied in complianco with the mortar manttfacturces (tooling Component Product Control Approval. The mortar or adhesive attachment shall provide sufficient nttnchmctit resistance expressed as a moment to meet or exceed lire required moment or resistance determined In compliance with PA 11.5 or PA 127. The mortar and adhesive noncliment darn Is noted lit Toble 3, attached. Comments: I. Forrre -roof sij)plications, " / „” plywood is nn ncceptnblo substrate. 2. For mortar set applications, the first three courses of life shall be' nnilcd with not less than one nail per (lie. As an alternate, the first three courses of tile shall be applied in mortar over a single layer of minhimm 12 ga. wire mesh with square opbnings of trot less than /.o which is mechanically attached to the deck with not less thntt one roofing nail every I ft'. For roof pitches from G " :12" to 7 ":12 ", every third the of every fifth course, beginning at life eighth course, shall be uniled with not less than one nail per tile. 0 PLACKTON INC 13052623330 P -rifle Product Control No.: 91-122 1.00 SYS"l' m LimiuA IONS 1. The standard minimum roof, pitch for Monier "Dornttida Flat" mortar set or ndltesiva set lily applications Is 2" rise in 12" ruq (2 ":12"). The maximtnn roof pitch for mortar set or ndltesivo set the applications is 7" rise In 12 "�tin'(7 ":12 "). 2. Monices "llcrmtcla Flat" tile profile iris not Lean tested for tutll -on npplkntiotts, therefore, System A (Counter. Batten Nail -On Application), System f3 (Direct Deck Nall -On Application) and System C (Horizontal Batten Nail -Ott Application) do not form part of this approval. 3. System installation shall be in cotnplinnee with ilia system specifications outlined in this Product Control Approval. Mortar set or ndltesive set the shall be ntinched using an approved mortar or tile adhesive noted in this approval, ilia data of which is noted In Table 3 of this Approval. The method ofattachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed ilia required moment of resistance determined In compliance with Dade County Protocol I'A i IS or I'A 127. For mortar set applications, cite first tireo courses of iilo shall be nnifcd with not less than one nail per tile. As an alternate, the first three courses of life shall tic nppiicd in mortar or adhesive over a single layer of minimum 12 go. wire Mesh with square openings of not toss than t /t" which is mechanically punched to Ilia deck with not less than ono roofing nnil every 1 ft". For roof pitches from 6 " :12" to 7 ":12 ". every third tile of every fifth course, beginning at the eighth courso, shall be nailed with not less than one nail per tile, S. For mortar set or adhesive set tile applications, a field static uplift test by n Dado County accredited testing agency, in compliance with Dade Comity protocol PA 106, shall be required not less than 30 days after application to confirm tile adhesion. 'Ilia results of this testing shall be reported to the Building Official and Ilse installer slating that llte Application tins passed or failed PA 106 testing. if ihc•application fails PA lod testing, the report shall state which portion of Cite test was failed; Category 1 (examination for loose tile) or Category 2 (uplift testing of tile). Subsequent to testing, the instnticr may repair not more than 5% of field area tiles and 10% of perimeter area (i.e. ridge/rake) the with approved the adhesive. The Installer shall place an identifiable marking on each repaired tile far future reference. Any PA 106 re -test shnll not include any marked tile. 6, for mortar or Adhesive set till applications, 30/90 hot mopped underlayntent applications may be installed perpendicular to ilia roof pitch prior to line 1, 1995 unless stated otherwise by the material manufacturer. Thereafter, 30/90 underinymenl systems shall be installed parallel to ilia roof pitch in compliance with Appendix'A' of Dade County Protocol PA 120. 7. All tiles shall bear Ilia imprint or identifiable marking of tite tuanufncturer's name or logo for identification in ilia field. 8. The Monier "Dermuda Fin(" life profile tins been tasted for both wind characteristics and static uplift performance, thercfore, attachniclit calculations for installation. In compliance with Dade County Protocol PA I IS or PA 127 shall be dono as n wotitbdpascd System' _ t. BLACKTON INC L30526233319 P• !ro Product Control NO.: 9A•1221 -QB SYSTM LIMITATIONS (CONTmm) 9. Applications for roofing permits shall include a completed Section 11 of the Uniform Building. Permit, a copy of Monier hoof Tile's current specifications had details, n copy of (1113 Product Control Approval and a copy of the Product Cositrol Approval of any itooting Component used in the proposed tilt application. Itefercnco Ahall be inade to appropriate data for lire required tiro rating. 10. The applicant shall retain Ilse services of a bade County certified testing laboratory to maintain quality controf tit compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix IN. i I . Any aniendmetits to these provisions shall be in coniplionco with Sections 203 and 204 of the Soutii Florida Building Dodo. v- PLACKTON INC 13952623339 P. 1 i Product Control No.: • 94.1221.09 DATA l+oR ATTACj1r4ENT CALCULAT PNS Table 1: Aerodynamic Multipliers -1l (IV) from PA 108 Testing Tile )L (ft') 4 ":12" Profile Batten Application Direct Deck Application Bermuda Fiat Flat Tile N/A 0.24 Table 2: Restoring Moments duo to Gravity - Me (ft -lbf) from PA 101 Testing Tile 3 ":12 " 4 ":12" 5 ":12" 611:12" 7 ":12" or Profile • r• greater Monier Mission 5.20 5.12 5.01 4.69 N/A ©arrol Tile Table 4: Attachment Resistance Expressed as a Moment • M, (f(•Ibf) from PA 101 Testing Tile Profile Tile Application Attachment Resistance Monier Bermuda Flat Flat Tile Mortar Set 39.00 Adhesive Set 116,90 L r • r• 10 L r F BLACkTON INC PRor-ILE DRAWING MONIER ROOFTILE bull kilo 011ll iluxtdllU&C f. llEHHUDA FL%T b'LkTTnx, 13®526233Z8 P.•12 Product Control No.: _.9A -71s08 JKAO or rill it ./ .1. ,',••- dvLllw x MULL " V_ BLACKTON INC 13052623338 P.13 i MC1I10 A0F_ MEMOPOLITAN DADE COUNTY, FLORIDA METI`10•13ADE PLAGLErl BUILDING. DUILDINU COOK COMPLIANCE DEPA11TMENT SUITE 100) METRO -DADE FLAULEi1 131,111.01110 140 Weer rLAOLEn 077 :ET ._..M�I� FLORIDA aiao•tsL4rCE QE ACCEPTANCE! SCANDARD CS N)131fNS.1 133 06 1 062l FAX os 9 0.me I. Exlensious of Acceptance cony be considered ntler a new application inns beets filed and 010 supportini data, test reports no older than toil (10) years, have been to- evalualed. All reports of rc- testing shall bear ilia seal, signature and date of nn engineer registered in ilia State of Florida. 2. Any revision or change in lire materials. Ilse. or manufacture of ilia product or process shall automatically be cause I'or termination, unless prior approval Is granted for revisions or change. 3. Any unsalisfnclory performance of this product or process or a change in Code provisions sliall be grounds for re•evalunlion. 4. '1'l►is acceptance shall not be used as nn endorsement or any product for sales or advertising purposes. . S. '111e Notice of Acceptance number preceded by ilia words Dade County, Florida, and followed by ilia cxpiralion date may fie displayed hr advertising literature. if any portion of ilia Notice of Accepinrice is • displayed, then it shall be dune in its entirely. • 6. Product npprowrl drawings, where required for permit applications. shall be provided to [tie applicant by Ilia manufacturer or his distributors unless othemisa noted in ilia Notice of Acceptance. The prints need not be re- sealed by nit engineer. 7. Failure to comply with ilia Standard Conditions shall be cause for Iernilnatioli of ilia Approval. haul ltodriguez Product Control Division Supervisor '1'liis approval soperscdcs all previous approvals. 4 •t* ,! .A 4 •t* BLACKTON INC 13052623338 P i 1 dt �MOruEa ROOF TILE FLAT BERMUDA SHINGLE TILE Installation Specifications 'these specifications are designed as a manageable guide to be used by roofing contractors, installers and code officials. Architectural format specifications tiro available upon request for the requirements of specific projects- Requirements of building code(s) applicable to the area of Installation may differ from the Information herein and should take precedence over these g ecifications. (Please contact Monler's Customer Service Department for the Installation Guide showing recommended drawings and detail for tile and felt application.) MATERIALS Tiles I. Flat Bermuda Shingle . Portland cement color-through concrete the manufactured by Monier Roof Tile. 2. Tile fixtures - Nip, ridge, half and full starters and finishers. 3. Surface finish -Smooth or brooinswept. 4. Approximate weight - 7.0 lbs. each. 840 lbs. per square (2' headaap) - not including mortar when installed. 3. Tile meet or exceed all waterproof requirements for absorption and permeability as well as break strength and freeze thaw requirements Underlayments Note: Minimum underlayment recommendations are listed below. Check with local codes for local requirements. Two-ply system 1. Organic Type It Commonly called (No. 30) or (30r#) asphalt felt, and 74# mineral surface 1011 roofing felt commonly called 9011. Membranes 1. Organic - Asphalt impregnated cotton membrane, min. 3- wide. Conforming to ASTM D -173. 2. Inorganic - Asphalt Impregnated fiberglass membrane, min. 3" wide. Conforming to AMU D•1668. Nails 1. For tiles. the fixtures, hurricane clips and hip mile rs -- corrosion resistant rain. hot dipped galvanized or approval equal. Metal Flasbings Min. 26 gauge galvanised 0-90 coated, corrosion resistant conforming to AMM A -323 and A -90 or approved equal. Mortar, Coloring Compound For the purpose of Wdlag held tile, hip, ridge, rake and for pointing valley areas, wall bases and toot protrusions. A. Components. 1. Blended high strength masonry ccracit Type M conforming to AM C -91. 2. Portland cement -Type 1, conforming to ASTM C -150. 3. Masonry cement -Type M, conforming to ASTM C -91. 4. Sand - uniformly graded, clean and free from organic materials, conforming to AMU C -144. B. Mixes - Type'M' mortar, conforming to ASTM C -270 (2 -1/4 to i soad/cement ratio} 1. Blend high strength masonry cement with sand until desired mix ratio is achieved. -OR- 2. Blend equal portions of Portland and masonry cements, with sand until desired Mix ratio Is achieved. C. Integral color -fast synthetic oxides to match tale color. Eave Closure NOTE: Pre- manufactured tbickbutt tine Is most commonly used as ad eve closure with Flat Bermuda Shingle tile. 1. "Ickbuit toe. Manufactured the with i -112' thickness to the cave edge of the tile. 2. Prefabricated EOPM synthetic tubber con- forming to ASTM 0I056. 3. Metal - Mtn. 26 gauge galvanized t3 -90 coated, corroslon resistant conforming to ASfM A-52S and A -90 or approved equal. 4. Mortar for case with mineral surface 1011 rooting felt only (color optional). Adhesive/SealanUCoating Lumber 1. Sheathing - material to conform to APA min. standards for laid. IM plywood. 2. Wood millers. pressure treated In accordance with local code requirements. Felt System 3 -'lino -ply sealed system (commonly called 30190). 1. Cover roof deck with min. type 30 saturated roofing felt. Secure using tin -tags or cap Bails max. 120 O.C. In field and along headlaps (local codes prevail). 1. Asphalt plastic roof cement. nourunning, heavy body material composed of asphalt and other mineral Ingredients cotttortning to ASTM C -284 Type IL 2. Card process liquid roof coating tonforntng to ASTM D -3019, Type IL 3. Structural bonding adhesive eoaformlng to ASTM C -557 or D -3498. 4. llot steep asphalt conforming to ASPM D-311 2. For standard roof deck (relt and flashlags) --min. S. AcrAle sealer for pointing exposed mottaf 2. Lap each course min. 2" and end joints 4 ". Lap hip and ridge min. 6" and weave felt through valley areas. 3. Nail or staple drip edge metal directly on top of type 30 felt. Fasten max. 6" O.C. within 1R" of Inside edge. Continue up gable ends lapping joints min. 3". 4. Install standard roll flashing min. 16' aide down center of valley areas. Nail within 1' of metal edges max. 6' O.C. Lap joints min. 6' and extend beyond fasciae as required. S Install ILI type metal flush to base of walls and roof deck over type 30 felt. Nail 6" O.C. lapping Joints win. 4* and apply plastic roof cement between laps. Seal along top edge of vertical, flange, covering. all nail penetrations with plastic roof cement and membrane. (Flashing at apron of wallichimney may be installed after type 74 mineral surface felt (90 lb. felt)). 6. Apply plastic roof cement around base of pipes, turbines, vents. etc. prior to nailing and sealing unit bass flashing to roofing felt. Cover type 30 felt and metal flashings with min. type 74 mineral surface roll roofing felt (commonly called 90 lb. felt) In hot asphalt or approved equal so that no felt touches felt. Backnail using tin -tags or cap naiis max. 12" O.C. S. Lap each course min. 2% Lap end joints and hip and ridge told. 6". Weave felt through valley areas. TILE APPLICATION Mo r -set lnsta(1a1ilm (recommended for min. code required roof pitch and greater) It Is not recommended in areas subject to ftceze/thaw. 1. Roof shall be clean, smooth and dry. 2. Avoid stacking ties on roof which could endanger stability of structure; distribute stacks uniformly. 3. Layout roof using horizontal chalk Installation. psragel to cave line to guide Mark at 14' Increments maintaining a the headlop of 2'. Exposed lengths of installed tiles should not exceed 1/4' beyond average. , 4. Install thickbutt file along eave line overhanging roof edge using guiding lip provided. Starting at loaner left corner (facing down 1Vof) set tiles in refill 10' length treason trowel full of type "M" mortar placed vertically under right side of the (with point ra.tineror+lrxff.recommended not PLACKTON INC 1SO52623338 P.15 previous Course towards head of file being set to facilitate proper bedding. Set the In stepped course or vertical fashion maintaining consistent headlap. Cutlbreak tile to form straight edge at ceetet of hip /ridge or to meet wood nailer:. Saw tut tiles at finishing gable to avoid applieatiod of mortar to exposed roof areas. Use half and full! starter with finishing tiles as needed. Nailing requirements In addition to mortar (local codes prevail) - a) For roof pitches 4:12 up to but not including 6:12 and elevations up to SS ft. fasten each tile In eave course with one 8d mitt.14DO nail. Seal nail penetrations with plastic roof cement. b) For pitches 6:12 through 7:12 and elevations up to 55 fl. fasten each file in eave course and every third the in every fifth Course with one 8d min.11DG nail. c) For pitches master than 7:12 and elevations up to 55 Ft. fasten evtty the with one 8d min. 11130 nail. d) For all roof pitches at elevatlons greater than 55 ft fasten every the with two Bd min. HDO nails. 6. Valleys -Select closed or open valley. a. Closed valley -Miter tile to meet at center of valley. Open valleys -1) Chalk parallel lines min. r on both sides of valley center. Place mortar beds along outside edge of lines nod miter the to form straight border along lines. Point voids to flush finish. .- Oil .- 1) Place min. one 2x4 board on edge doMi valley center and apply continuous bed of morvir along edge of board. Cut/break and set the mite I" to max. 4' from board. L1ne of mortar to be consistent throughout valley. Smooth and form mortar to match tile contours. 2) Separnte board after initial set by sliding trowel along both edges. Remove board and point to finish (lightly sweep with brush or broom to match broom wept finish tile). 7. Flip and Ridge Nailers - Secure with cotresion resistant nails nn steep nmf pitches of (ruffcient length to penetrate decking min. 3/4 °. Install each the using one 8d min. HDO nail driven Into nailer in addition to mortar. B. Hip and Ridge Tile . Set over field tile in con - tinuous edge bedding of mortar lapping each the min. V. Point and finish to match file surface. 9. Wall Abutments - Cut/break tile to fit adjacent to wall base. Place mortar along bass of wall to fill small voids between tile and wall and to provide consistent line along wall Point to match We comour. 10. Roof Protrusions -Cut the to accommodate all roof penetrations and till all voids with mortar. Point to match the surface. 11. Acrylic Sealer (optional) -Apply to exposed mortar as required. 12. 1 He Replacement: a) Full removal - break out damaged the and existing mortar. Repair underlayment If necessary. Set replacement the In new mortar bed. Prohibit any mot traffic tot min. 72 hours. b) Tile removal only (small areas only) - break out damaged roof file and brush clean existing mortar bed. Apply min. one sq. inch of approved adhesive onto cadsting'bed. Immediately tile - elevate loose tile and apply min. 110 wide bead of approved adhesive on head of tile in course below. tdtmedtatefyt {Dose tUa down into adhealve. 13. Roof 7!ratfleldrig - When absolutely necessary to traverse toot aftet letting time, walk on the the beadlap (overlsp) In a horizontal or diagonal fashion. Refrain (tom vertical movement where possible. ®1992 Monier Roof 7711e, Inc. t -w BLACKTON INC 13952€23339 P.16 NOTE: MORTAR CONTACT IS MADE WITH 3 TILES I. THE HEAD OF ONE :iL 2. THE UNDERLOCK SIDE NOTE: MORTAR SHALL NOT REACH A SECOND TILE ONTO THE HEAD OF TILE IN PREVIOUS COURSE OR ONTO UNOERLOCK OF 3. THE UNOERSIOE CF ADJACENT TILE. ° THE TILE BEING SET ' t NAIL, HERE j THROUGH PLAS" ROOF CEMENT FU MASON T- TROMN • , (WHEN REQUIRE= FULL 0 TYPE • , t BY CODE) MORTAR ----- •....,�` ( . • t , ; 0 HEADLAP . V 1 • 1 ti fir. -qi, .6-, / / ' W /// / `- -BARGE BOARD SAWCUT HALF TILE METAL EAYE DRIP POINTED -UP MORTAR BED THICKBUTT FASCIA BOARD TILE 42. 'TILE do MORTAR PLACEMENT —FLAT TILE 09t'`11--?5 10:40 i7i328864W 08/11/1995 89:24 17132886450 1 -1.1 . PSI PPI ECI PAGE. 03 pROt)LtCj CowmoiL Nova: of AccprrAtqCE RooFiNG Cowman APPROVAL AjWIlCA0j,- )Inc. Product Control No.: 25--03JLW PolytoAjd 2400 9prIh$ - StUebntr Road ApproUl Date' AM-LL1995 pritrCxsia 77393-1132 1998 Expiration Date. .. APR -2 111006 UM Roar tile Adhoolve St1bjYr&: two comodhtdt Polytit6thift'. system Description '? Polyfosi" Products, Inc., produces hwo-como►helt bx0at1d1jtjg polyuttthent adhesivd r or the attachment or eddy and concrete roof tile; Polypro► , AN I 60'Is *tWily doolsoed for Ap'MicAtioft or concrete and r , - clay roof the over it �htiety of roof dsok sointritesl and ,uMe, i 0� 1"Oft t lriateflals "` PolyprtM adhesive is applied with proprietary FoomproG I(Irr' 1000 disPe"tiog 6qtjjpMj0t. Approval of this product Is specific to the two component mix and FoaniproC RTF1600 dispensing equipment. Alternative methods of dispensing Will M(ItHte it e0visib" to Oils approval- PolyproS adhesive shall be nopfibd only by'Quallfled Appliestorei licensed by Polyfoam Products, Inc. Certificates nod Identificatich vii;ii Ott Issued to doplicAtors Ulpoij successrul completion or it application tmining progtarni' ApptOV61 of this adhesivt system IS contingent I 'vooii 1� application by it 'Qualified Applicator. Contact: pat M(w6y 0.6. 9611 11 Spring, Te.kas 77383.1132 Q13)350-8888 Fdx: (713)288-6450 Oe/ 11 / 95 10:40 08/11-/t935 09:24 17132886450 66 T ROE 17132t�45� Psi PPI ECX 1!0.690 P016 PAGE 02 MF,tnopOLITAN I)ADL COUNTY, FLQHl0A MI_TFi0- AnF FLAOLF -A BUILDING ..�. .� w .�—. -- btiiLtlitdt� ttitcE t;OMaLIANt:I: t}�'AfttFAENt SUITE 1603 wrno.DA09 VLACLE14 tW11.01Nti 140 West 11At IUM STREET MIAMI, FLORMA 3313X-1563 • Pus) srs -ml FAX POO Vs -etroe CO%tT$Q1, NUTI 1: OF j&CCEFT L ate: srr. �t • ; �,: a��y`!'y�. E,y -Inc. er Road Spring, Texas 77383 • oddets " Pellrete AH- 1td1'� 1tt►e[ T41e A wive under Your application for product Approval of �t..�' � ---- Chapter 8 of the Metropolitatc bade County Code govemit:g the use of Aittmruttt: Materials and Types of Construction, and completely described In the planih bpecificatiotte And calculations as submitted by The Center for Applied Engineering, Inc, and Miles laboratories Polyartrs Dlvlalon has been recommended for acceptance by the Building Cede Compligrice Department to be used to Dade County, Florida tinder the speeille and standard conditions set Earth herein. Thd iWovkl shtil bt; valid for d Period of du to Y""., 11* Building Coda Compliance Department reserves the right to secure a product or material at Wy time toy d,Na6k#'bi' n MO%chitef Vieth fbr quality control testing. If product or material fail to perfotm Itt the AppcoVidd ltiithh'jrI lhj Code Concpliartcb Department may revoke, modify or suspend the use of such product or blateHlil Wihbdiot*r '`t'ht Buildln j Cade Cwciptiance Department reserves The right to require testing of this product;01' material shodid any amendments to the South Florida Building Code be enacted affecting this prodddt or inAterIaI Tfie expense of such tasting will ba ihbutttd by the Manufactuter. ; rRo0VCT NO. : ACCENTANCfNo.: p2 II:.. lltatt>rtga "" ' "" tact Control Division EXPIRES: APR 2 7 supervisor - VLFAM NOTE - T141S IST11Lr COVERSNELM sict Atb Nldl L PAGES bolt SPECIFIC AND GENERAL 11111i..DINti Gt?IIR.COM1VlCt"CIrE This application i'or Product Approval lug bfto revie, ' by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Coda Committee to be used in Dade County, Florida under the conditions set forth above. r APPROVED: ,8.0 Irector WguildalItgaCdowde C,.ompliance,Cpe ent Meoopolitert Dade C,.punty t 7 Du Quesne &..Associates, Inc. UTR N ® 10522 Consulting Engineers Environmental . Civil . Structural Testing Laboratory Building Inspection Services ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE ------ PROTOCOL PA — — SITE SPECIFIC- INFORMATION Owner's Name: Permit #:— Job Address: a Roofing Contractor: S Type of Tile: MW - ate Installe Approximate Roof Height: feet WRoof Pitch:_ Type of Access to Roof: Scaffo�- s Ladder Approximate Square Footage of Roof:. �,i z Required Testing rce: 35 I Test' g E ipment: Chatillion DFIS 100 Date Tested: �- -------------------------------- TEST RESULTS P a PASS, F - FAIL Other Test Location Uplift Pull .� (P or Uplift Pull •� �•* SKETCH OF ROOF IN BACK triRRbTgCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT 7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone: (305) 264 -1425 • Fax: (305) 264 -1426 -Tc-s-Ts r- JOB 4-- p t4 0 SHEET NO. oNe , OF CALCULATED BY DATE CHECKED BY DATE SCALE NTS q... _... _.. y... _ . ....... ..... ......._._e ..... ..... . . . . ........... .. ............. . . ...... . . ....... . . 13 MIAMI SHORES VILLAGE 0 *Soo 0 0 Paint Color Appivx�al and•Eigreement DATE: --1 � t O Z - _._ _.. OWNER'S NAME: F6-Ar, ra-j Ln! ADDRESS: -n- Le 0 S •F�li a ••• ADDRESS OF SITE: Q� ��T•: :30S-7S6 SY4/ CONTRACTOR & LICENSE (if apprlicable)• • • • - COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge I o Soffit % �- Roof e- Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or Stucco Banding Any other stucco features Accessory Buildings Other ro r r� H H x Z x r� OW ER AF DAVIT: I certify that all the foregoing information is accurate and hat al w rk i be done in compliance with all applicable taws regulating con ructi n nd ng. I authorize the above -named contractor, if applicable, to o t w k t urthermore , the ant colors will be as per the attached s Sign ture of O ner Date Signature of Contractor Date APPROVED: Building Official bate WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 ff7j Du Quesne & Associates, Inc. UTR 2 10522 Consulting Engineers Environmental • Civil • structural Testing I.,a6oratory Building Inspection services ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA — — — — SITE SPECIFIC INFORMATION �� L Owner's Name: 15,w� M 17QC Permit #: Job Address: - I l Roofing Contractor: S Type of Tile: CAN - bate Installed: Approximate Roof Height: i feet Roof Pitch: _ Type of Access to Roof: ScaffX Ladder Approximate Square Footage of Roof: ft Z Required Testing rce: 35 Ibs Testi g E uipment: Chatillion DFIS 100 Date Tested: 1 L TEST RESULTS P = PASS, F = FAIL Other Test Location • Test •. - Location . •. Location Pull - •. - -�� — M EVA -------------------------------- SKETCH OF ROOF IN BACK - -- -- *-- �. -- ---------------------------- IN ACCg�t' 1kq 1 ((I�jFt�ft('Fl1iril+'.PRQT000L PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALliFY f U 1111 No. S J LJ14LE s rat I Ii`o 0' ',4sso T 7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone: (305) 264 -1425 • Fax: (305) 264 -1426 JOB SHEET NO. CALCULATED BY CHECKED BY_ NOTES: DATE fo f ^ I 1 r ZvT /B 1 � ct ' CL35 J'✓B // T. . \\'�' 40 k 000wo Veoce- w 1 1-6 C rho �2a, D� wN aJ0 �1: t 25 ,Qe�arao%r Ze7 10 AS B 1loC11'ge� Jorr�� I /' \N\ C A ( �� 'V � Property address: 243 N.E. 103 Street Miami Shores, Florida 33138 LEGEND �....- WOOD FENCE D.E. DRAINAGE EASEMENT —�� WIRE FENCE U.E. UTILITY EASEMENT NAIL FD. FOUND O PROPERTY CORNER P PLAT I HEREBY CERTIFY THAT THIS BOUN RY SURVEY MEETS THE MINIMUM TECHNICAL R RECORD - \' -�i- ASPHALT STANDARDS ORTH V T FLORIDA BOARD OF PROFESSIONAL LAND M FIELD MEASURED O.H.L. OVERHEAD UTILITY POLE SURVEYO CHA ROM 17 O AADMINISTRATIVE CODE, PURSUANTTO SECTION C CALCULATED P.P. POWER POLE 472.027, F O ATU S. CL CLEAR TX TRANSFORMER ENCR ENCROACHMENT CAN CABLE RISER SIGNED Y CENTERLINE W.M. WATER METER RALPH SW DLOFF REGISTERED LAND SURVEYOR NO. . 3411 i'• CONCRETE TEL. TELEPHONE FACILITIES STATE OF FLORIDA R PROPERTY LINE + 'T— COVERED AREA C. M. CONCRETE MONUMENT B. R. BEARING REFERENCE F.I.R. FOUND IRON ROD CH CHORD F.I.P. FOUND IRON PIPE RAD RADIAL R/W RIGHT OF WAY N.R. NON RADIAL s� L sk ' d J • r �o N fV 0 3 Date of field work: 3/15/96 Completion date: 3/18/96 Flood zone: X Survey number: G -8455 Legal Description Lot 17 and the East i/2 of Lot 16, Block 119, of AN AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES, according to the Plat thereof, as recorded in Plat Boob 10, Page 47, of the Public Records of Dade County, Florida. Certified to: Federico Llamosas; Gulf Stream Title Company of Miami, a Division of Fidelity National Title Insurance Company of Pennsylvania; Resource Bancshares Mortgage Group, its successors and /or assigns. NOTES 1) BEARINGS SHOWN ARE EITHER ASSUMED, PER PLAT,.OR PER RECORDED INSTRUMENT. 2) LEGAL DESCRIPTION PROVIDED BY OTHERS. 3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 4) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 5) ELEVATIONS ARE BASED ON NATIONAL GEODETIC DATUM. 6) FENCE OWNERSHIP NOT DETERMINED. 7) WALL TIES ARE TO THE FACE OF THE WALL. 8) NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL. 9) ONLY VISIBLE ENCROACHMENTS LOCATED. 10) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 7700 North Kendall Drive Suite 409 First Miami, Florida 33156 (305)271.3655 Fax(305)271 -8499 Financial 2201 Lucien Way Suite 402 Maitland, Florida 32751 (407)875 -1470 Fax(407)875 -3195 Nationwide: 1. 800 - 227.2854 AND AFFILIATED COMPANIES Fax: 1-800,227-2860 i CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1148 Miami Shores Village, Florida, 10 -15 -60 Owner, Agent or Tenant of Building --C • P. Pessino Lot 17 & E 2 16 Block 119 Subdivision Miami Shores # 5 Street Address 243 N.E. 103rd Street Approved use by occupancy Florida Room Addition Remarks: 716 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 and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or struct res. i Plan Cube 2470 Tax Value 1235./, BUILDING DIVISION CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA ISTQ 7 Owner, Agent ��or Tenant of Buildi: Lot L� x, Block Street Address , Approved use by occupancy_ Remarks: BUILDING DIVISION Miami Shores Village, Fla. ` — Subdivision This Certificate of Occupancy is issued to the above named for building at above named location only upon the express abide by and Comply p provision that the applicant will p y with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION cat 17 -E-16, r31k . 11 ; S S c ADDRESS 243 Ai. E. 103rd St. LEGAL RECORD GARBAGE TAX PAID BY �.'t occ 2-1-4-3 YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER i 'op is - 3/— t; 9 z U 3 - -.24 — 5-3 1.5-133 79 0 / /�7`s� o-a a(o C.. I OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. 1 GERALD A.'LANHAM 8025 NW 4th aye JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 243 N E 103rd Street 17; E2 16 119 M S Section #5 GENERAL CONTRACTOR ADDRESS -.PHONE NO. LICENSE NO. Owner I Sam_ e I ( OB 22% _ _ BUILDER'S BOND BUILDING PERMIT NO. 7231 DATE 10/29/48 PERMIT FEE S17.00 NO. 761 DATE10 /29/48 ZONE REQUIREMENTS 182500 CU. FT. PLAN CUBE 19,683 CU. FT. EST. COST S 13000.00 DATE 77� JDH 10/27/48 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: I TYPE STORIES ROOF CONSTRUCTION Frame: INTERIOR CONSTRUCTION ]( NEW CONSTRUCTION CBS 1 Tile Oak flrs — Terrace —' cem tile DESCRIPTION REPAIRS Lv Rm — Din Rm — Kit — 3 Bedrms 2 Baths DESCRIPTION ALTERATION I1 -Car attached ADDITION garage Bldg Inspect/o[rt APPROVED REJECTED REFERRED TO COUNCIL REASONS / SUBMITTED TO F �G�I�C]A�Ftp/ 10/27A8 RE- SUBMITTED TO PLANNING BOARD ( I REMARKS GUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. 700 I ISSUED 49 -_I BY JD1i ITO Gerald A. Lal hwn, 8025 1-fa 4th eve* BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE BUILDING INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION O} MH ( BEAMS & LINTELS / 12 1}O IDH FRAMING FINAL 1 28 CLEAN -UP PLUMBING PERMITS & INSPECTIONS CONTRACTOR Keeton um rig Go PHONE / PERMIT NO. 725 e DAT 4 FEE $ 10.00 NEW BLDG. ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK Acme �/ 266 11/10 8 n $1.00 SEWER $ SOLAR HEATER $ GAS $ _ $ INSPECTIONS DATE BY RE INSP CT Y RE- INSPECT BY ROUGHING �y 1 16 la.� JDH GAS SEWER SEPTIC TANK -2140/411 JDHI SOLAR HEATER FIXTURES p 1. 28 TDH E RICAL PERMITS & INSPECTIONS CONTRACTOR'-4 !ti, PHONE PERMIT NO. 746 3 DATE �7' FEE $ ©' NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE' TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL z APPROVAL TO POWER CO. FOW SERVICE DATE 1/28/49 BY JDH Io- , % =Ccof�- OWNER'S NAME NEW CONSTRUCTION PRESENT ADDRESS I LICENSE NO. PHONE NO. C.t7, �c-s� INTERIOR CONSTRUCTION 24� Stl 1 �A -( t-A ,C [c,� t' JOB LOCATION (ST. OR,AVE.) LOT BLOCK SUBDIVISION `z-4 hl cc, � -- �-f- �..Y `.: ry` I E 1iZ �L �l� (�i�� -,, S��.�� Ste` J_ GENERAL CONTRACTOR DEMYRIPTION ADDRESS PHONE NO. LICENSE NO. caN ST z0c- tc, � �.I 13 L e- v) -w. � �=� S I 4t 4--e- I BUILDER'S D BUILDING PERMIT NO. `7 ! �` ( DATE C= 4 `t l PERMIT FEE E Ir a0� I NO. DATE I I ZONE REQUIREMENTS CU. FT. PLAN CUBE ��"� CU FT. EST. COST S DRAWIN[;S- SPFrIFIr.ATInNR RFCTRIrTI(IAIC Akin rIIRC ru r(-vrn `. * IK A-tL 14- )✓ -L._ ci e ♦< BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION t' DESCRIPTION REPAIRS tL ID d �..Y `.: ry` C••C31 f ✓t C k/ tic lsl e-( ALTERATION ADDITION I `�. -.3 c:..:_c - DEMYRIPTION I APPROVED I REJECTED REFERRED TO COUNCILI . REASONS SUBMITTED TO PLANNING BOARD I RE- SUBMITTED TO PLANNING BOARD I ( I I I K REMARKS SU'B D E_ MITTF TO VILLAGE COUNCIL I I I'` (E I 2 S r7 CERTIFICATE OF OCCUPANCY NO. ��1 ISSUED ��'�+ _V BY TO - ' BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE RUILDING INSPECTIONS INSPECTIONS DATE I BY INSPECTIONS I DATE BY FOUNDATION SEPTIC TANK I ROOF $ SEWER BEAMS & LINTELS I I POOL Ls ,FRAMING GAS I AIR COND. I $ FINAL I Is CLEANUP I $ SLAB (S SOLAR HEATER SLAB FIXTURES PLUMBING PERMITS & INSPECTIONS NEW BLDG. I ALTERATION I ADDITION I REPAIRS SPECIALS PERMITS PERMIT NO. I DATE ( FEE TEMPORARY SERVICE RE- INSPECT I I $ SEPTIC TANK DATE I $ SEWER TUB & TOP OUT $ SOLAR HEATER Ls $ GAS SEWER I $ I $ I Is INSPECTIONS DATE I BY RE- INSPECT BY RE- INSPECT BY ROUGHING PERMIT NO. DATE FEE TEMPORARY SERVICE TUB & TOP OUT H. W. HEATER CONN. H. W. HEATER CONN Ls RANGE CONN. SEWER I $ MOTORS is FIXTURES SEPTIC TANK I $ (S SOLAR HEATER FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR Al. ✓f 'AL 4- AI rV - I PHONE PERMIT NO. � I DATE f-'/5- 61, FEE $ Z NEW BLDG. ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN Ls RANGE CONN. RANGE CONN. I $ MOTORS is FIXTURES I $ (S INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT PLUMBING % Work, to be erformed Owner ofi Buildingf- r. Contractor or Builde - _ DATE_ � 194 N? 7250 Contractor's •-- -°'"�� "der a No._ j� der this Permit �'" �� i' =--' - 4,1°`x'. Legal Lot Subdi- Description vision t s� r' "" Value of ( Amt. of Address of (..,�- ` f'' i • �' r Building ✓ _ 's; ? Project Permit This permit s granted to the contractor o builder named above to construct the building or to install the equipment or dgvi a descri ed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed � bout authorization. A further conditio�nn upon which this permit is granted is the understanding that the contractor or builder named above as tfie nsibilit for a thorough knowledge ofrthe dinances and regulations pertaining to the work covered hereby whether shown on the plans..or dregs o re statements or s cations and tahat he umes respon- sibility for work done by his agents, servants or employees. i ?.,. 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 m pertaining thereto and in strict conformity with the plans, drawings, stateents or specifi cations s bmitted to the proper authorities of Miami Shores Village. Ina brig s permilrI��me respo sibility for work done ithef myself, y ignt t o mployee. AUTHOR CONTRACTOR OR BUILDFR BY "00101 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE _2. 3 194 ELECTRICAL PERMIT N? 7825 Co ractor's PLUMBING License No. Work to be performed under this Permit Owner of Building Architect f Contractor or Builder - C -A -f Legal Lot II Bl. Subdi- Description vision Address of / ^� / } Value of Amt. of Buildings �-,,2 t� -3 __ _ %'J / d � Project :s� P ----- — r This permit is granted to the contractor or builder named above to construct the building or to install the equipment or &vice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. , Signed: BY__ J� SECTOR In consideration of the issuance to me of this permit I agree to perform work covered hereunder in compliance with all nc and sego �4s pertaining thereto and in strict conformity with the plans, drawings, statement or specifications submitted to the proper authori i of i Shore abe. In accepting this permit I assume responsibility�or all work done by either myself, my agent, servant or employee. LA NA ,� , 7!�.3--_ CONTRACTTOR—BUILDER BY AUTHORITY BUILDING ELECTRICAL -OwAff RIXe Owner of Building or Builder _ Legal Description Address of MIAMI SHORES VILLAGE, FLORIDA DATE f 194 PERMIT N° 7231 Contractor's�t License Work to be ®® Lot -;� Bl. Subdi- C Al� � t vision .,/y7J/ �i / 1°: 4� 7-, j I Proiect l/ -R 61)e I F=t' Jot JI/7 e5� This p� eermit is granted jdthe contractor o'r_ builder namecra`bove t6 construct the bQiild1`ug Tr Xo install the equipment or &vicvescribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibili for a thorough knowledge 0,the-4rdinances and regulations pertaining to the work covered hereby whether shown on the plans or dr win7in the ments or six ' ications and a sumes respon- sibility for work done by his agents, servants or employees. t Signed: BY ,/ a sP T R� In consideration of the issuance to me of this permit I agree to perfonpA a work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, state e s or specifications submitted to the proper authorities of Miami Shores Village. In ace tmg this pe t I assumej/I sponsi ' 'ty for all work done by either myself, my agent, servant or employee. CON RACTOR R UILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL JDERMIT PLUMBING Work to be /erfori Owner of �! Building �...�• _1 r Contractor or Buildl N° �a e 0 Legal Lot Bl. Description Address of 7266 r f Subdi- vision Value of Project DATE 194_t -' V/% c� Amt. of Permit j This permit is granted to the contractor or builder named above to construct the building or to install the equipment or di vice described in the appli- cation herefor in strict compliancy 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 witho t authorization. A further condition n which this permit is granted is the understanding that the contractor or builder named above ssumes resporsi ility for a thor gh knowledge of dinances and regulations pertaining to the work covered .hereby whether shown on the plans or awin for in�the atements o ications and that Ire ssumes respon- sibility for work done by his agents, servants or employees. Signed:., =; ' � 1 !" Yom_ INSP CTOR In consideration of tbje issuance to me of this permit I agree to perfornn th covered ereunder in compliance with all ordinances and regulations per irtiYlg thereto and i ict con rmity the pl s, drawings, statemer 0 ecif,( - ubmitted to the proper authorities of Miami Shores Village. accepting this permi assum�g on y for a or a by ei in Im age rva t or employee. CONTRACT9F OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORID BUILDING DATE 19 ELECTRICAL E R M I T Nn 7403 Contractor's PLUMBING License No._ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot El Ll MIAMI SHORES VILLAGE, FLORIDA .� DATE- PERMITNY 6885 Contractor's License No. Work to be performed under this Permit Subdi- vision Address of Value of Amount of Building Project — Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac, cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING❑ Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 19 PERMIT N° 5948 Contractor's License No. Work to be performed under this Permit__ — Architect • Contractor or Builder Legal Lot Description I Bl. Subdi- vision Address of Value of j j Amount of w, Building Project $ �� Permit $ °l , I J This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: _ — INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY A960T ' ' 4 BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ ❑ Owner of Building Architect Contractor .# or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA, Date PERMIT N? 9797 Contractor's License No. Work to be performed under this Permit — Address of -, fif -7 1.1 4f 4:* Building li Subdi- vision Sq. Ft. _ Value of Project Amount of $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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) BY --_. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I 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 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) BY--. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation, 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 ❑ G ELECTRICAL ❑ Date PLUMBING o PERMIT N? 9752 Contractor's License No. A" 3k4 _ ROOFING ❑ Work to be performed under this Permit Owner of +* Building i:J 1 x t _ ' f� .J • �.. , s t�J 4.0 �• Architect _..___ ��`=-- - - -' -A I ! C"*4 f `-° � � ��-� ', i � L or Builder _ � / •1 — Legal Lox Subdi- Description Bl, vision - - - - - -- Address of — • 4 " �c, Sq. Ft. Value of Amount of Building __ Project $ Permit $— — This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: -' (INSPECTOR) BY--. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation, 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 0 ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ - ❑ MIAMI SHORES VILLAGE, FLORIDA Date 19— '- r . PERMIT N° 9720 Work to be performed under this Contractor's y License No. —_ - Owner of GO _F3 ? +t . C TBuilding f –t " .��i i Architect — C.?-4 Subdi- ti- vision Sq. Value of t/ T yam` Amount of ri 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 fn — (INSPECTOR) BY - -_ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings,, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY �^- Contractor or Builder _ .. � ' A _ Legal Lox'%'Z Description t Bl. 1 t — Address of '� ? ` ,{ ti =• -' Building C.?-4 Subdi- ti- vision Sq. Value of t/ T yam` Amount of ri 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 fn — (INSPECTOR) BY - -_ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings,, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA DATE PERMITN° 460 Contractor's License No. Owner of Building Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Bl. Subdi- vision 19_,— Address of Value of I! Amount of Building Project $ Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. BY: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either,, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT PRINT MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL ❑ �/, ry p DATE ❑ P" M I NO 9 2 1 8 Contractor's PLUMBING License No— ROOFING ❑ ❑ Work to be performed under this Permit_ Owner of Rnilrlintx Architect . ontractor or Builder_ Legal Descriptiol 'Address of Ruildint7 Lot II BL Subdi- vision Sq. Ft. Value of Project $ Amt, of Permit $ 195 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 MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4492 Work to be performed under this Owner of Building Architect Contractor or Builder Legal Lot Description M Subdi- vision DATE Contractor's License No. 195 Address of Value of Amount of Building Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. rn Signed: Z BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY o :' BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ p, a .J 7 El MIAMI SHORES VILLAGE, FLORIDA PERMIT ETA 4547 Work to be performed under this Permit Owner of Building .. s , �i f . Architect Contractor or Builder Legal Lot Description � DATE 10-1f, 195_ Contractor s License No. t Z r^ I k- v Z. C , r, ir. 0 Ic Subdi- vision Address of II Value of ! I Amount of Building Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or s ecificgtions and that he assumes responsibility for work done by his agents, servants or employees. ` INSPECTOR a/ " In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR gUILDER BY AUTHORITY ems?= BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING El .,,• C Owner of Building Q Architect Contractor 0/7 or Builder Legal Lot Description MIAMI SHORES viii Aar FLORIDA ,i DATE._ Al " 9 " 416 9 PERMITNY 6301 Contractor's License No. _ Work to be performed under this Permit ffil Subdi- vision Address of a t Value of t" Q " Amount of Building Project — Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed:---.--- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinisces and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vfilage. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY nceor' MIAMI SHORES VILLAGE, FLORIDA i BUILDING DATE 194_ ELECTRICAL PERMIT N° 7231 Contractor's - PLUMBING License No. a Work to be performed under this Permit_' Owner of Building +' ' Architect r , Contractor' or Builder Legal Lot g�. �+ %% I Bl. Description ddress of Subdi- vision .✓, Value of ✓, } ayl Arnt. of Proiect s Permit This permit is granted t the contractor or builder"named above to construct the building or to install the equipment or device described in the appli- :ion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ins, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ;ulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ility 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 rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accel4ing this per)Dit I assume responsibi4ty for all work done by either myself, my agent, servant or employee. CON ACTOR 011 UILDER BY AUTHORrrY BUILDING ELECTRICAL PLUMBING ROOFING Owner i Buildinc Architec �ontrac or Build Legal Descripl Address Buildinc Low- MIAMI SHORES VILLAGE, FLORIDA + ❑ DATE f 195 ❑ PERMIT W? 11862 Contractor's ❑ License No ❑ Work to be performed under this 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 s r � for er Lot II Bl, Subdi- :ion vision Of Value of Amt. of I Project $ Permit $ I 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 s JILDING ECTRICAL .UMBING MIAMI SHORES VILLAGE, ERMIT N° 7403 Work to be performed under this vvner of r' d ding - chitect )ntractor Builder ,gal of Bl. FLORIDA �a DATE , ,� +� 19 1F 00- Contractor's License No. Subdi- _ vision Value of Amt. of Project I Permit This permit is gra ted to the co tractor or buillfnamed above to construct the building or to install the equipment or device`'cTescribe e appli- herefor in strict compliance with all ordinances pertaining theretgg and with the understanding that the work will be performed in compliance wi any drawings; statements or specifications that may have been subm ged to and approved by tlfe proper municipal authorities. This Permit may be revoked time if the work is not done in compliance with such ordinances or if.fhe plans are changed without authorization. A further condition upon which this is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and :ions pertaining to the work covered hereby whether shown on the plans or drawi gs {r in the statements r ecifications and that he as sne s espon- for work done by his agents, servants or employees. ' "r" In consideration of the issuance to me of this permit I agree to Orform the 'Ark covered hereunder in compliance withOWordinances and 46gulations ing thereto and in strict. conformity with the plans, drawings = stateme #or specifications submitted to the proper authorities of Miami Shor s Village. ;pting this permit I assume responsibility for all work done b eith self, my agent, servant or employee. CONTRACTOR OR BUILDER < BY AUTHORITY PE IT APPLICATION FOR MIA SHORES VILLAGE Date 16 � Job ,� 5� iC 11� -S' %- Tax Folio 8 /P-4/7 '4e)'71'7 L%jID"QrjP6M_ 43 4& // ' Historically Designated: Yes No `C suns A,essoe / Tenant /�Ael a- Master Permit # 7 ms's Address v oV E 10A S7- , i^ v�'PS Phone Co. � Address e 1 State ,� G S Municipal # Co. ArchiteF,Wngin= Address Bwding Company Address E Mortgagor Address Perm* Type (circle one): BUILD E CTRI LUMB ME AL OOFIN PAVING FENCE BIGN 'rte WORK DESCRIPTION / Y qqm4ar Plat le- w- i .SS C S S Square Ft 1 Estimated Cost (value) WARNING TO OWNER; [YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO ISO SO MAY RESULT IN YOUR PA TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO. OBTAIN FINANCING. CONSULT W]TII YOUR NDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'T'ICE OF CO CE :) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if i slo), I certify that alt work will be performed to meet the standards of all laws regulating construction in this jurisdiction. i undasund tbat , 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 ompliw= camp ' with all app . laws regulating construction aiW zoning. Furthermore, I authorize the 'above -n contractor to do work steed. Vf I.(#L Signature of owner and/or 6ndo President 'D de Signature of CECmttract6r or Owtw' -Bu lde r s as to Owner a&lior �,tLAM*LOIA Y Not as to Con or der Dte My Commission Expires: // te o f F 1 a '=71- M Commi Y s FEES: PFR,M T 3 RADON C.C.F. S - NOTARY TOTAL DUE 9 APPROVED: Z"* _ Buiig k'" Electrical Nfixhanical P4luznbingg I ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / Job Address 7 4)6 f D3 S/ ` Tax Folio ,�++ __ ,j�% -//9 . //,' F -r of Cc.T , Legal Description Z0l 17 A10-1-Ac C. /Z O rI0 14, C Historically Designated: Yes No X� CoqLessee / Tenant -FooEwlc c7 L �A"©feq -1 Master Permit # g ,2 = Wo - Owner's Address ;�L l iC.%4 40 3 S % Phone 6,65-1-66 Z- Contracting Co. VV_ At r IQ Address i.S7 O? D Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architeet/Erigineer -- Address Bonding Company --- Address Mortgagor _ Address Permit Type (cirelbe one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING NC SIGN WORK DESCRIPTION a" /'4 au1 C;V_ o °`2 4711AC& 9''��t��¢)O�?Q"� Q1-1, sr� o r Square owct Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Appli at n is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certi th t all woFn erformed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate req TRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. O R' ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable aws r g co d zoning. Furthermore, I authorize the above -named contractor to do the work stated: q 2/96 "r - _U A __k. / -1 — Signa of owneT an or Condo President Date Signature 67-6. f ntractor or O r- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My W "'T Lily ®�� SA¢ < IA rte ' O E' L ciwm ss 6 { 'R t9MQLR < C C Y V 1 p , i FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Zoning Building ' Electrical Mechanical Plumbing Engineering L PERMIT APPLICATION FOR MIAMf4rrFol ORES VILLAGE Date " Job Address /�° o /, Legal Description Owner / Lessee / Tenant l i Master Permit � Owner's Address 4 /o 3 A T Phone �r , Contracting Co. XW%/ Address eve- Qualifier A aa&zwmai S$# Phone I. yns.Co.State # tyS4; nicipal #J%/ -�petency - -#m,P C,- Architect /Engineer Address Bonding Company Address - Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING- PENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(valu� z WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEM NT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTM TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGYOUR 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: 1I : certify that all the foregoing information accurate and that all work will be done in compliance:: with al applicable laws regulating c truct 'on ; and zo ` g. Furthermore, I authorize the above -named ctor to do the work state J S' ature of owner and /or C do President Sig ure Contra for or Own: - der at Date` Notary as to Owner _and /or Condo President Notary as to Contractor or °Owner*- er MT CRN"ietA#VM&%'N My Commission Expirew: h0f -w�+ t ary i�bla4 Sfot.a Try Commission Expires Doc 18, 199 i by Om Mission Expires Dec. ts,1993 ** * banded 7hm* Troy fai * ao4"Oft bodedihnrTroyFph�. FEES: PERMIT �! ` RADON C.C.F. , NOTARY TOTAL DUE /1 e 44 APPROVED: Fire Other Zoning Building Electrical ZMechanica Plumbing Engineerin PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 ^ Z -73 Job Address 3 i /d Tax Folio// -2-IA- 613 =Qy 1' a Legal Description ?� 7 / /1 lit esa' c Owner / Lessee / Tennnt tY7.92J-.: .5m;IX7 Master Pervait # Owner's Address 2,L13; M�`' /d Phone 2S Y 6,Ye tf Contracting Co. � es J, eee.r�� / 6 TAddress 2? JPF 6,ec±ng atQd&49 1 Qualifier U %"I i %� SS# _ Phone State #e�, :aW Municipal # Competency # Ins,Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ECTRI PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION O/v ter 10-e ISM &---5 Square Ft. Estimated Cost(value),_, WARNING TO OWNER:, YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILLE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOV INTMD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereb* made to obtain a permit to do work and installation as indicated above, and on the attached adds *dum (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 WORE.. OWNER'S AFFIDAVIT: 11 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--oamed n r `tor to do the wor�, stated. e ture of owner a0d /or re o President Signat of Contractor or Owner - Builder D Date: Notary as to Ow4r acid /or Condo President Notary as to` retractor or Owner-Builder Commission E My Commission Exp�a L.,,, „ My '= "OFFICIAL SEAL" pro. "OFFICIAL SEAL r r °•• n= s Robert C. Beggs. : *_ Robert C.:Be99 My Commission Exppires 515196 * * * * = �, My Co►��misstonCC r 9� CAmiss10� #CC 19A08 ('rt?1�tti11S5 195 "NUihNP 'nNtt+ FEES: PERMIT' 119(490:: RADON_ C.C.F. i.5 NOTARY TOTAL DUE.pi r APPROVED: Fire Other Zonin Electrical Mechanical Plumbing Engineering MIAMI SHORES VI LLAG E 1V% ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /tted Permit No._____ Date_Application is hereby made fort approval of the detailed statement of the plans and specifications herewith sub r the building or other structure herein descr;I ed. 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 i building during progress of work. Owner's Name and Address ----- - - - - Z6d—_,.r_Jr.A_ No.___ ?_'______— _.____. Street__!41-__t Registered Architect and /or Employing Electrician's Nam Location and Legal Descript Street and Number where work is to be verformed —No._- --------------------------- State work to be performed and purpose of building (By Floors) ____________ ------------- ___ ��___;--- --------------------------- – ----- – ---- l4 New Building-------------- --- -- -- ------- - - - - -- Remodel ing----------- ---- ------- - - - - -- Addition..-- - - - - -- ---- ----- - - -- -- Repairs -------- –--- - - - --- No. of Stories. - r ry SW FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL LETS OUTLETS RECE�P T LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER tONTR. ENT. DIST. SERVICE SERV MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PE M - 0.1 HP 1•5 HP TRANS. LIST LIST CHECK Overhead Service Size Feeders.._ - -- Underground –�- Conduit._ /_ ______ Main Sw._____________------ Amps. Type of Installation — Conduit---------------- Tubing-4 ______ BXL ----------------- Metal Mould --------------- - _- ._ - -________-_-__ -------- --_____J S----------- - ------- - ---------------------- ------ i _____ -___ __ Amount of Permit (S Main Fuses____�_t_____________Amps. The undersigned applicant for this building permit does hereby certiVf that he and stands and accepts his obligations yan employer of 1 lbor under the Florida Workmen's Compensation Act, being Section 5966, Ccfmpiled Gen 1 Laws of Florida Permanent Supplement, and has m- plied with the provisions thereof, and will require similar compliance f to all c ractors or sub - contractors employed by him in the work be performed under this permit; and will post or cause to be posted for in n on the site of the work such public notice or notices as re required by the Act. The under signed agrees to employ only such sub - contractors work to b formed under this permit, as are Iicensed by Miami Shores Village. (Signed) Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------- — -------- __ --- — ---------------------- – ---- _---- 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 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job A 3 t � � ' Tax Fdfio lA j* Description Historically Designated: Yes No Ownerk.essee / Tenant _ T?" �%ji C. LLN4 OF P Master Permit # % Owners Phone ca*acting Co. m Address Qualifier SS# - Phone State # h Municipal # compcy # Ins. Co. Airhitacffitigineer Address Bonding Ccsnpany Address Vigor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FACE SIGN WORK DESCRIPTION S M DI -7 flhi? A �t7�i ll ? X+ r t A-DDT = -r'� t 1 � 100 W 1 Square F tit? t— Estimated Cost ti"z) ZOO, 19,'' WARNING TO OWNER: ! YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAIDLURE 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 CO CI MENT.) Applicati n is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable); I certify all ork wi ortned to meet the standards of all laws regulating construction m this jurisdiction. I understand that seporate permits re fo C CAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK O 'S IDA T: I that all the foregoing information is accurate and that all work will be done iS compliance wish all applicable ws re ti g. Furthermore, I authorize the above - named to do the work mat & ' '3 Signa of owner Condo President Date Signature of Contractor or Owner - Builder Date Notary as to Owner and/or Date Notary as to Contractor or Owner- Builder Date My Commission Expires: _1� rzY pve oFFlcle.c NorA r q MY CoMSSIion Expires: O (. BARBARA ANN FUGA G * '11" `' ' COMMISSION RUME'E; 5 Q CC360191 MY Comm MY g NID OF no FEES: PERMIT I RADON C.C.F. NOTARY BOND TOTAL DUE c APPROVED: Zoning Bull Electrical Mechanical Plumbing Engineering_ ` , x iR�$i11��IM1i�lr1� V�iMI � Altll9 �� ' ��.� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure 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 Villap 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. rr '3 Owner's Name and Address ............ ........ . _' . . ............. . No ...... S� ...Z ...... Registered Architect and/or Ep.gincer .... ....... A! /y:�7.-'/.X_-Z_. 'P ................................. Name and address of licensed contr4ctor ...... ....................... # - ------ - - Location and legal description of lot to be built on: ell Lot .... ............... Subdivision ................ Z'O.V_e�X .......... . ................. ....... Street and Number where work is to be done_...._.......:. 71- Af 4 Ze ... 4, -.15:1— ....... . . ......... . . ..... . . ................ . State work to be done and purpose of building (by floors)-. ....... ........................ ...... ......... . ... . .. . . . ............ ........ . ....................................... . .................... and for no other purpose. New Buil ding .... __ ---------- ......... Remodeling....-_._.._..._ ._... ... Addition ........_..- ......... - - -. Repairs .......................... No. of Stories......................_ To be constructed Kind of foundation ............. 11-1....- .... I ..................... .......... _. Roof Covering................. - ............ ... __ Estimated Total cost of improvements $. ........ ........... _ ...... Amount of Permit t .............................................. . ..................... ... .... Zonecubage required. - --- -------I .................................... ---- ___ --- Plan Cubage ...................................................... _ ..................... Distance to next nearest building ----------------- -------- _ ------------ _--------- ------ Size of Building Lot_......._._ rze .. ---------- ____ 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 I q� be sent to:.. _ k6o'l 'G%'4 _ .--. — ---- -- ------- --_-- o --------- _ ------------ _ --- ze, ........ ---------------- - ------ -------- ------ ........... I ------ ------- The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Scction .5966, Compiled General Laws of Florida, Permanent Stip )I nent and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub-contractors eniployeJ by' him in the work to be performed under this permit; and will post or cause to be posted for inspection on the it of the e eork such public notice I to or notices as are required by the Act. The undersigned agrees to employ only such subcontraoirs, 01 k to performed under this pennit, as are licensed by Miami Shores Village. AF T Remarks. -- - --- ------- ------- - ---------_--_-- -----_-----------_-------- - __- - - (Signed).... dec - STATE OF FLORIDA, COUNTY OF DADE . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared------------------------------------- ----------------------- --------- ---------- ----_------ __ ... ---------- --------_----------------- - -- _ .__ .____- -•---- --- --•- --- - -- ------------------ _ ---- --- ----------- - - - --------- -------- ........... . .................. . ---...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 lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him statld are true. Permit No. -- --- - ------- - -- — ---------_-------- Date. ............... Read, Sworn to and Subscribed before me. Disapproved ------------ ------ I ------- Date- -- -• ---- ......... ............ ------------ ......... I .............. ......................... .. . ........ Notary Public, State of Florida ...... ............ (Signed %_ ----- ---- Building Inspector My Commission Expires......._ ....... .........._........_...... .... PLANNING BQARD ......... ...................... ..........._-._._....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 rc-in>pection 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, 969 10 5155 5 -72 2 376• 1.} ' PERMIT APPLICATION FOR MIAMI 'SHORES VILLAGE Dater1 S Y Job ,Address 3 ^ 3 ST Tax Folio Legal Description Owne / Lessee / Tenant 416 7C' .� 7-1 -/ Master Permit #'`, Owner's Address_ 2.- 7- Phone) i 4V T Contracting Co. (L� / Address Qualifier SS #k - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company, Address , Mortgagor I Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FEE SIGN WORK DESCRIPTION._,:, d�C70�M� �6gCf�•� '.. Square Ft. Estimated Cost (value)!!k&�T,. 2)6 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 PRO#ERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R XCO RDING 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 will be done in compliance with all applicable laws regulating construction and zoning. Furt#ftwre, I authorize the above -named contractor to do the work stated. Si0i6ature of owner .and /or ondo President S' atu e f Contractor or Owner wilder te: ate: -Ia'�9 V (), () JI Notary as to Owner and /or Condo President My Commission Expires: $ot r as to Contractor or Owner - Builder My 'ssion rNPOTARY PuBuc sT%TE OF OMCIAL A Y SE YVONNE F FORGES 11 AMN ftf 'uWW. AN.16191i7 FEES: PERMIT___ RADON C.C.F._ -_L NOTARY TOTAL APPROVED: Fire tA Other Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE w Date �% `'I Job Architect /Engineer Address Bonding Company. Address Mortgagor Address Permit Type(circle one): BUILDING ,�10R ESCRIPTI P ELECTRICAL PLUMBING 'MECHANICAL ROOFING f VINGCF NCB Square Ft. Estimated Cost(value'71/ 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 d authorize the above -name contractor to do the work stated. Signature of owner and /or Condo President sig;pdtul Y Builder Date: Date: YVONNE F FORBF . NOTARY PUBLIC STATE OF FLO Z' A COMMISSION NO. CC253776 Notary as to Owner and /or Condo President Notary e My Commission Expires: My Commission Expires: FEES: PERMI!r _ RADON C.C.P. r � NOTARY TOTAL D ` APPROVED: Fire Other Zoning ildin Electrical Mechanical Plumbing Engineering Address .►�J � /03 S � Tax Folio// all 0 a/ Legal scription T ln LDT 14 .4LL �-oT &ad /f Owner Lessee / Tenant , /i9'7P _ /t!J %/ Master Permit # y ?f Owner's Address 05�- /VC /03 S /i./r yr -ps Phone Contracting Co. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company. Address Mortgagor Address Permit Type(circle one): BUILDING ,�10R ESCRIPTI P ELECTRICAL PLUMBING 'MECHANICAL ROOFING f VINGCF NCB Square Ft. Estimated Cost(value'71/ 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 d authorize the above -name contractor to do the work stated. Signature of owner and /or Condo President sig;pdtul Y Builder Date: Date: YVONNE F FORBF . NOTARY PUBLIC STATE OF FLO Z' A COMMISSION NO. CC253776 Notary as to Owner and /or Condo President Notary e My Commission Expires: My Commission Expires: FEES: PERMI!r _ RADON C.C.P. r � NOTARY TOTAL D ` APPROVED: Fire Other Zoning ildin Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SNORES VILLAGE Date 01- ° 9-7 Job Adams 2 '[ 3 m E i o 3 5%r ax Folio Legal Description Historically Designated: Yes No Ovvner/I.essee /Tenant 7E- C).4— e/ G0 (�Q Master Permit # Ownes Address 2 4 3 H nic 10 S-i Contracting Co. Address Qualifier SS# - - Phone f State # Municipal # Competency # Ins. Co. Architect/Engineer Address I Bonding Company Address Mortgagor Address Peratisit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION t S L ' Square Ft. Estimated Cost (value) 620• WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO HA SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN F NANCING# CONSULT WITH YOUR ,ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN -) 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 and that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. k OWNER'S AFFIDAVIT: I! certify that all the foregoing information is accurate and that all work will be done in oomplianooWith all Applicable Taws regulating construction end zoning. Furthermore, I authorize the above - Tof to do the work stated. Signature of owner and/or Condo President Date Sigtor or O wner Builder Date Notary as to Owner and/or C, ondo President Date .Notary as to Contractor or Owner-Builder Date My Commission Expires: My Commission Expires: ,. sr:TARY SEO L R OMIEL , 2Y PU rCIr O !0 MNT r WM0N NUMBER y O;- .�asnaase.+e *-w... ri,.�u...,._, g a..sMC -... s...•°*. ,. . - i �? FEES: PERMIT ®. AABOiV / 817 C.C.F. .e O NOTARY BOND E TOTAL DUE _Z. APPROVED: y ✓j C M Zoning Building / j { [ Electrical i Mechanical Plumbing EngineerinP, PERMIT APPLICATION Master Permit No. Subsidiary Permit No. Step 1. Complete the attached permit application which must be signed ed by the property owner and qualifier. Both sienatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: off- yA Ne- t o 3 S J �1'�/ sbab �/ �-3�3 Address Apt. City Staatte Zip Folio Number a 13 Ce b l 3 0 j' /V XDescription of Work Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE( ) 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. Address Telephone Fax Zoning Linear Feet Square Feet Units Floors 0<Value of Work Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE ( ✓ ) Ch g. Contractor Renewal Revision Extension PROPERTY OWNER // ` Name J 03A Address y3 Home Telephone 305 _ 1 D 6 Business Telephone 30 `y , (= - 3T Fax 305 ✓ J C b TYPE OF MANAGEMENT (✓ ) 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. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name K Page 2 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 fora 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. AFFIDAVIT Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for Vance o your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with r lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: eet, 1 or, (3 ) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in th ectio 71 - 5 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and n. ctor. O ID , COUN IAMI- STATE OF FLORIDA, COUNTY OF MIAMI -DADE Print N / wom' to ai Signature of Contractor / Qualifier A Print Name subscribed before me this day of Sworn to and subscribed before me this day of O euo nnEea SEAL: * ¢ ti „lvu37 a �O �y �C>lA4�R arJt9i°. Personally known OR, Produced Identification Type of Identification Produced: L. Signature of Notary Public - State of Florida SEAL: Personally known Type of Identification Produced: OR, Produced Identification Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE qr-,,. Service Repair A/C Central 1 -3 Ton A/C Wall/Win. Tons Fan Paint Booth Outlet, Wall Air Handler, Tons Service, Temporary Piping, Flammable Liquid A/C Central 4 -7 Ton Barbecue Fire Pump Process/Pressure Piping Outlet, Switch Bath Fan - Vented, # Signs Pressure Vessel 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 Tubs 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 Range/Range 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 QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pool Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Cap - Fixture PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'TYPE QTY. 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 Ca - 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 Draintield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY: DATE: Page 4 PERMIT APPLICATION OFFICE USE ONLY ❑ OWNER -BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ r' Metropolitan Dade County (C.C.F.) $ 1 ( sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) • CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) Code Enforcement Fine $ Zoning Review $ �_S_60 C) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION BY DATE Zoning Electrical U Mechanical Plumbing Fire Public Works Structural Building Official — Revised July 2001 10050 N.E. 2NiD AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http:/ /www.miamishoresvillage.com