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MultipleInspection Date: 05/09/2006 Inspector: Grande, Claudio Owner: CHILDERS, PINSON Job Address: 142 103 Street NE Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village, FL 33138- Project: <NONE> Contractor: Buildina Deoartment Comments Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Block: Phone Number Parcel Number Lot: 1132060131750 RUBEN VILA (786)287 -7177 (786)662 -9319 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, May 9, 2006 Page 2 of 2 11 RE-OCCI APPLICA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -89`72 'ermit No. P-C�7 — ! (S-7 ,oc ID Date��`�i Contact Name .1 rJ 1 ;IA Phone Buyer Seller Realtor Company Name 'r'!.A 0APyri Or— rh ion! Property Address. N 1r 103 ST City Miami Shores State 4 Fl zip 311 J l 3zor,,-) c I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate. Applicant Name Signature VY - The foregoing instrument was acknowledged before me this 8 day ofl`l l�� , 20�© , b ids �Cd1�% 110who is personally known to me or who has produced Ld as identification and who did take an oath. NOTARY P LIC: NOTARY PUBLIC -STATE OF FLORIDA. Yorleny Hernandez Commission # DD476455 Sign: , 2009 Re -Occ. $60.00 Atl�sde ins Co., Ins. Print: Notary $5.007 My C&Wmission Expires: CCF $0.60 Total 4=E� t �O , Building Officials Approval: (Rev. 10/02/03) Inspection Date: 05/08/2006 Inspector: Grande, Claudio Owner: CHILDERS, PINSON Job Address: 142103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: Building Department Comments Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: <NONE> Phone Number Parcel Number 1132060131750 Lot: Friday, May 5, 2006 Page 2 of 2 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Friday, May 5, 2006 Page 2 of 2 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 here n described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, ant 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 p{oi gress of the work. y Dste. l� 2 L _._»._.__ ,19.F— Owners Name and Address.X12 �. ......... » _ NoJ ....... S�.. e .. .._. Registered Architect and /or Engineer....�� = is�f�:.�: �.... �a..��F°:1�..�4 cw �,,... ..................... ». .. •.•» tees••••- rm »ssr:neemceem,.m*es +emeev••••. Name and aa&w of licensed contactor...... a�1�. � '.1 ._T ................� '.1.ak a...f . w..! .» _ ........._..... Location and legal description of lot to be built on- Block . . ...... f � Street and Number where work is to be done._. -_.L. f- _.2_-..... » � '. G....._._ ......._. »._ »..» .. »»�... State work to be done and purpose of building (by New Building .............. ............... . Remodeling ........................ Addition for no other purpose. Repairs .................. ....... No. of Stories.._ ` To be constructed of.........: Kind of foundation _.--_ - ........ ........... Roof Covering .......... .................._.. «....__.._ '; ;Estimated Total cost of improvpments .`....--- »__-_.Amount of Permit S..« ..� r �' � -. «... _ «.. ". Zoae cubage required ._ ................ __ ........ — ..... _ ... --- .»._._««».... -- plan Cubage--- .. ................» ».. «. . ».........« .._« .««.__--«_ ..................... ..1 stance to next nearest building ................................... — __ — _Size of Building MaAMyrn live load to be borne by each floor ................ _.... •1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ...............................................•-------. .....- ••--- ••- •- •••••- •-- -..... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennxnent 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 blic notice or notices as are required by the Act. The undersigned agrees to employ only such su actr work be perfo under this permit, as are licensed byl Miami Shores Village, Remark (Signed)_ T �' 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 tree. 4 ® p Permit No. ./_3 .. Date._ Read, Sworn to and Subscribed before me. r Disapproved __ _ _` date._..._ _. I . _ . / :_. - �I ...... _• «.« ..................................... - f�' Ntary Public, State of Florida "r (Signed) .... .. ... .... .....tea:. »'_°...� -_-:° _ _ —« Buildin- nspector My Commission Expires..._._.._._. PLANK NG BOARD __«__._ ... . ....... .............. __.._.. -.. —DATE Chairman_.. ».....__------ ..... ----- --------- Member _- _---- ----------- -__.» .. .........»...... »..... »..._.. ._ «_..._ Merr bet --- __..._ _..._..__. «_ ____ _ «_._ » 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;q Board. A re- impec•tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. DADE COUNTY ZONING WCE Form #11 DIVISION OF PLUMBING INSPECTION Date: T herewith submit the following application for a permit co�erl of a Septic Tank Soakage Pit: News : Feet 11 of RelaySn s 4.Installed by. Address: Old: St or• : Addition: ' For a (Storer 'Garage Apt Hotel: ff, (Garage wash floor: Waste water from a: Building has s Stores; Offices; Apts. t_ Owner or Agent�WhA'T Address: i BLOCK 0. SUBDIVISION LOT N0. ¢� ® N Address of work. � No. of Plumbing Fixtures: Laundry.Tubs: Floor Nature of water supply: City: Well: Feet 'distant T e of tank installed: fa. Tank capaci . ind ga] Size of Soakage Pit: Purpose of same: Additional information: Ready for Inspection: Date: s APPROVED BY Remarks: Time: CONDEMNED BY: the installation n tile: smodeled: i Bldg: Res: ote� 1 Rms; 2- B_ edrm�.s om all wells3' as: Ptl 41 MIAMI SHORES VILIAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Permit No.__ 4 � � Date_No V. _14� a.re. _. 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 b 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 ordinance of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village sha4 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 'a Name and AddressAkill ! No. L S:,— _N- — Street. _ 1A3 .- '_..--- -'S+V" o ert Registered Architect and /or 1nguieer - __ - -.- Employing Plumber's Name-13j: k 2 -S r c� k ISr 0-0. No�__ ? a 0 &11. W. S S 44' � S t w 4 O. r Location and Legal Descrip�on Lot Block Subdivision Street and Number where w}�rk is to be performed -No 10, 1 /� . C Street--j-A--3 �� : _ -S ±*^! � � State work to be performed land purpose of building (By Floors) �h 3 ±A 11 e z .van._ l�►_In�SL� C ._- 53-. - -- New Building_ -- Remodeling Addition - - Repairs- ._-- -------- --- _- No. of Stories._ -.-.-_..-__.....-,.--. Size Septic Tank----- Type of Tm* _ __ _.____Capadty Gals.---------- -___.. - .._ - - - -__ Feet of Drain Tile — Feet of Tank or Drain Field from Well-_ _ Nature of Water Supply: C�ty Well. ? _ W'' t 1 -Size of Soakage Pit___ Z�S �3.Ya�� --r- — r —t---P _�._._.._. _ Amount of Permit (Sinned) The undersigned apph t for this building permit doe hereby certify that he understands and accepts his 46ligations as an employer of labor under the Florida Workmen a Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be poster)' for inspection on the site of the work such public notice or notices as are required by the Acct. The undersigned agrees to employ only such sub-con on work to be ormed under this permit, as are S by Miami Shores V91age. �Y3 ►- o o k s ktc r C.o. (Signed) -- ..— ____.._._______- _--------- ---- - ------ _ Master Plumber. STATE OF FLORIDA, 8 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well Imown, and who, being by me first duly sworn, upon oath deposes and.says that be is of the above described co#s"c Lion, 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 0"mmmission Expires Notary Public, State of Florida NOTE: A re-hapection fee of $1.00 will be made when snob re- inspection is made -necessary by improper notice for inspection, or faulty materials and /or wor p. CLOSETS BATH $NOWER6 LAVA SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TUBS TORIES SINKS TYeB BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank----- Type of Tm* _ __ _.____Capadty Gals.---------- -___.. - .._ - - - -__ Feet of Drain Tile — Feet of Tank or Drain Field from Well-_ _ Nature of Water Supply: C�ty Well. ? _ W'' t 1 -Size of Soakage Pit___ Z�S �3.Ya�� --r- — r —t---P _�._._.._. _ Amount of Permit (Sinned) The undersigned apph t for this building permit doe hereby certify that he understands and accepts his 46ligations as an employer of labor under the Florida Workmen a Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be poster)' for inspection on the site of the work such public notice or notices as are required by the Acct. The undersigned agrees to employ only such sub-con on work to be ormed under this permit, as are S by Miami Shores V91age. �Y3 ►- o o k s ktc r C.o. (Signed) -- ..— ____.._._______- _--------- ---- - ------ _ Master Plumber. STATE OF FLORIDA, 8 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well Imown, and who, being by me first duly sworn, upon oath deposes and.says that be is of the above described co#s"c Lion, 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 0"mmmission Expires Notary Public, State of Florida NOTE: A re-hapection fee of $1.00 will be made when snob re- inspection is made -necessary by improper notice for inspection, or faulty materials and /or wor p. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /Pav Permit No._' Date - a -`mot - - 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 DiAsion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address ,__ No. &tree -J _-. _ Registered Architect and /Or E;t�ineei arm - -°� t art r ,t -- �_�..___ __. ,.._,,,--_ —t:,, _,�._.._ Employing Plumbers Location and Legal Description Lot 41 Bloclr Subdivision Street and Number where work is to be performed—No Z/-/ �2 Streak_ / State work to be performeS and purpose of building (By Floors) _ ___ _ -- _.__._------ .-- ___..--- _-- _- __..__..... New.Budding .___ Remodeling Addition - -- Repairs __ --. No. of Stories._. ...... - ........ ____ Size Septic Tank.. — _� Type of Tank --- — - -__ -_- Capacity __ -_ - -- Feet of Drain Tile c._ _ Feet of Tank or Drain Field from We11_ -__._. _ __ _ _- _---- _- - - -___ _..__-__............_ Nature of Water Suppl : Ciy- -Well. -Size of Soakage Pit_ Amount of Permit (Signed Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatrorh as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanen"upplement, 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 mit, as are lid by Miami Shores Village. / + /1 /7 _ STATE OF FLORIDA, i i m COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ___.____ ____ _--- - - - - -. _---- - - - - -- ---- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Egp Notary Public, State of Florida NOTE: A re- 3aspectloo fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmans4lp. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD .SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Size Septic Tank.. — _� Type of Tank --- — - -__ -_- Capacity __ -_ - -- Feet of Drain Tile c._ _ Feet of Tank or Drain Field from We11_ -__._. _ __ _ _- _---- _- - - -___ _..__-__............_ Nature of Water Suppl : Ciy- -Well. -Size of Soakage Pit_ Amount of Permit (Signed Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatrorh as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanen"upplement, 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 mit, as are lid by Miami Shores Village. / + /1 /7 _ STATE OF FLORIDA, i i m COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ___.____ ____ _--- - - - - -. _---- - - - - -- ---- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Egp Notary Public, State of Florida NOTE: A re- 3aspectloo fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmans4lp. '-TAW /V r. j 41 r a a n,, t T y r. L T� FT__�_ --I �147l P'z 00, NOTE: 14 ML L E: cvATiCAS SHOWI,- M FEET REFER SFP, iJVFL XTUM 0,/V 2.54 7 77- 0 c l �1� �� ,' � �y r ,yam T- Accf-;rclmq,� to P?M Sook ...... age.. at the Fluhiic RecoroS Ot 09,1P COOri'vy. Fla. A I SURVEY" i"r PTJ CATil)"'I certify{ that Ve", of lo NC-�T' V/M—Irl %JNL.r-GS)- Or-AL ED 114C MIAW SHt'*Ei 3SM 749 - 0 l-,5 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 a building during progress of the work. Date -- - - - - -- -- •----- ----- --- -• -- -- G'.. 9. Owner's Name and Address._.. _.___.. • r` Registered Architect and /or Engineer. - -- - ------- _-••- --- ---- ._!.!J_ - _ -• - - =- ��3 �- �/�!Yh--- ---- -• -- -- :... - --•-- •----- --- -•----- ---- -•- - - -• -- Name and address of licensed contractor Location and le 1 cFiption of lot to be built on: Lot ---- - - - --- F--- - - -- -2 4 4lock--------- •-- 43_-- -- - - - --- Subdivision.0 .��.. ..:_ Street and Number where work is to be done ----------- t. . �-•kt_------- - - - - -- -----------------------------_ .......... - ...... •---------------• State work work to be done and purpose of building (by floors) ------- -------- _�K:4 ...._.__ ----- _------------------------------------------------------------- ----------------------------------------- --- -- ---------- - - - --- .... - ------------------------------ — ----- ------------------------------------------------- ----------------------------------- and for no other purpose. New Building -------------------------_--- Rernodeling.-_..._- __._.. - -. -------- Addition. --------- ;111,* -------- Repairs ---------- .--------------- No. of Stories. --- _ ------------------ . To be constructed of__•-- ..___- ._.___._.__.. Kind of foundation.._-- _.__- _. -__- __.__ _____________________- _._..____ f Covering - ....___ - -- ------------ Estimated Total cost of improvements $._.- __- 1- -eeO ............. .......Amount of Permit $_ _ Zone cubage required -------------------------------------------------------------------------------- Plan Cubage - - ---- Distance to next nearest building. - -- -••-------------------- -------- ----- ------- --- - - - --- --Size of Building Lot ---- --- •-- ---- -- ••- -- -- -- ................... .................................... Maximum live load to be bome by each floor --------- .------------------------------------- _---------------------- _ _ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to-------------------------------------------------- --- -------- ------- ------ -- -- -- -- ---- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe 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. I Remarks----------------------- -------- ------------------------------- -- -- ----- --- --•--- -• - - --- -- -- (Signed) 1%A*0. g ) ------ --- -- - - ----- STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ --------- .--------------------------- ---------------------------------- _______._. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him st2?-?U,� Permit No --------- -- _.._____ -__ Date__f""_______ Read, Sworn to and Subscribed before me. Disapproved----•-••---- -- ---------- --- ------- - - - --- Date - - - -- ------------------------------------- (Signed) -- •- -- --- ------ -- --------- - - -- ------ Notary Public, State of Florida Building Inspector My Commission Expires ------------------- _-------------------------------------------- ____ PLANNING BOARD--- --- --- -- _-- - - - - -- - - -- -- ------- --- ----- -- - -- - -- -DATE Chairman-------------•------------------------------- •--- -------- --- •- --- ----- --- --- ---- - --- -- - -- - -- Member °.. - Member..... ....... - ................. -- --- - --_ -• •-- --- _------- -- - -_- -- ------ ---- -------- - - - --- Member -------------- Member.. . ------------------- - -------------------------------------------------- _---- ---------- - - - - -- Member ------------•-----------------•--------•-- Council Approved------------------------------------------- ------ ---------------- - - -- -- -Date Disapproved ----------------------------- - -- --- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.az�1?_f -- 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 heroin specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ...._._ -. P _ Childers — _ No, 142.—__ Stroet_._--__-_. N....E... _103-St Registered Architect and /or Engineer_— North Dade Septic Tan 800 NW 111 St >y tpWins P bob's N", No- 17A-- - -, Nor,... e.,.�.._.M...�....... itrMt.�..,....c.R, ... .....,,,_. I3i,oc d ana gJ ption Lot. - -- , �� 4 2 N.E. R - -- --_. Subdividon ,61�sr 103 St 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 ...... .XXX XX--- No. of Stories. ... _ Size Septic Tank - -- >'- -- — _Type of Tank__—._---- .----- •- •- •------------ -. - - -- _...Capacity Gals.------ - - - - -- - - - - -•- 200 sq.ft. Feet of Drain Tile. Feet of Tank a Drain Field from Well.-- -. -_ -- -------------- .- •-- - - - - -- . _ _..... - -._ -- Nature of Water Supply: City -Well ---- .______------ - -- __Size of Soakage Pit ...... ............._----- _---- _____ —_ 25.00 Amount of Permit ; -- - - - - -- — - -- (Signed L 6 -- Y- 1• - - - -- - -- — ._.. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and filar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the worA• to be performed under this permit; and will post or cause to be posted for inspection on the site o✓the work such public ce or notices as arr required by the Act The undersigned agrees to employ only such sub contractors, on wtxk to be pert and his per , Ks are licensed by Miami Shores Village. (Signed)-- -' - - - Master ber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is a --_ -- _ _ -_ .- - -•- -..- .......... of the above described construction, that he has carefully read the loregaing application, that did si the that all facts therein by him stated are true. My Commission Ezpina N Public. State of Florida NOTE: A re- inspection fee of $1.00 will be mad• whew nsoi m4aspectim Is and -aa, --) by Improper aotir for hwpectiom, or fad materials and /or worlmvanship. BATH CLOSSTS Tubs SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tun• URINALS CATCH BASIN FLOOR DRAIN DRINKING F OUNT .. 70�AL FIITURtS CONTII. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FILLD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'a POOL i CONTR. �- LIST .---- CHECK Size Septic Tank - -- >'- -- — _Type of Tank__—._---- .----- •- •- •------------ -. - - -- _...Capacity Gals.------ - - - - -- - - - - -•- 200 sq.ft. Feet of Drain Tile. Feet of Tank a Drain Field from Well.-- -. -_ -- -------------- .- •-- - - - - -- . _ _..... - -._ -- Nature of Water Supply: City -Well ---- .______------ - -- __Size of Soakage Pit ...... ............._----- _---- _____ —_ 25.00 Amount of Permit ; -- - - - - -- — - -- (Signed L 6 -- Y- 1• - - - -- - -- — ._.. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and filar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the worA• to be performed under this permit; and will post or cause to be posted for inspection on the site o✓the work such public ce or notices as arr required by the Act The undersigned agrees to employ only such sub contractors, on wtxk to be pert and his per , Ks are licensed by Miami Shores Village. (Signed)-- -' - - - Master ber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is a --_ -- _ _ -_ .- - -•- -..- .......... of the above described construction, that he has carefully read the loregaing application, that did si the that all facts therein by him stated are true. My Commission Ezpina N Public. State of Florida NOTE: A re- inspection fee of $1.00 will be mad• whew nsoi m4aspectim Is and -aa, --) by Improper aotir for hwpectiom, or fad materials and /or worlmvanship. BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA DATE L �. APPLICATION Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation liiith the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not. OWNER ARCHI LOT '*5PZ. * ♦Q BLK. I N E'r4 SUBDIVISIO ADDITION REPAIRS NUMBER OF STORIES ROOF TOTAL COST Z 14 o0 g to be used for - and no other use. I hereby submit all the plans and specifications for said building. Signed''%% STATE OF FLORIDA) COUNTY OF DADE ) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgment, personally appeared_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Read, S!,�rorn and Subscribed before me, My Commission expires Notary Public (Signed) Cubic Feet Cubic Feet required in this Block Li;.NNING BOARD Chairman; Member Member SecrEtary Building Inspector Permit No. Issued to x 4 G�•00__,-ftj ::37 F_ AqTllj& Electrical Permit No. Flu:nbing Permit No. LIST OF SUB- CONTRAC`IORS Painting Plastering; Lathing - Electrical Mason & Concrete Plumbing Roof ing Glazing Tile Miscellaneous Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. F W 3 WEST NORTH A SOUTH NORTH i 1 'i t fi = i i I i I Remarks: SOUTH m D Ul A_244 SM 5 -39 DIVISION OF PUBLIC INSPECTION DEPARTMENT OF PUBLIC SERVICE //t� 0-1 MIAMI, FLORIDA j 1L f 19 I herewith submit the following plan of plumbing for approval: >ying Plumber r- '� ' Work executed by�� Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank )d Existing bldg. drain ❑ To dry well ❑ CLOSETS BATH TUBS SHOWERS c New Old ❑ Story ❑ Addition ❑ Remodeled ❑ For a FLOOR DRAIN DRINKING FOUNT'NS Dwelling Store ❑ Garage p Apartment ❑ Hotel ❑ Office Bldg. ❑ Owner or Agent.,j Ja Address Builder or Contractor is Address Lot No. Block No. Subdivision "t" `` fi r Address Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank )d Existing bldg. drain ❑ To dry well ❑ CLOSETS BATH TUBS SHOWERS I LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES A charge of X1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date __4 . *2— ' C Date _ Date ROUGH -IN INSPECTION SEWER INSPECTION FINAL INSPECTION Ground Rough -In Rain Leader A.M. P.M. A.M. P.M. A.M. P.M. Approved by Approved by Approved by Condemned by Plan No REMARKS Condemned by Sewer Permit N REMARKS Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH A PERSPECTIVE SKETCH WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack PROVIDED THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the to correspond with the opening shown in floor plan or ground plan on opposite page. stack connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. �' 0 Permit No ......... /...Q .... Z.d. Application is hereby made structure herein described. and all provisions of the La, of Miami Shores Village sb building during progress of MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT kPPLICATION FOR ELECTRICAL PERMIT Date.... 7// ............... it the approval of the detailed statement of the plans and specifications herewith submitted for the building of other is application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiucida, 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 I Owners Name and Address.a..,....C.C.4 ..4_.e ....................................... .............No.......... ...................... Street ..... N)..!M _`� . .....1 L��.. .. a.. RegisteredArchitect and /orl Engineer ....................................................................................................... ............................... .......... ............................... Employing Electriciad's Nall�e`� �e tc� ' < ` `' .Street.... . .... `� °� Location and Legal Descn on Lot ....... .. ....... .. ................................................. Block ....... ......................... _ ........ Subdivision ...... ......................................... Street and Number where w rk is to be performed— No ..... ...........'............. .j....° ..I... ........................ Street ......... j.4.... � ��.. 5 .............. State work to be performed nd purpose of building (By Floors) ........ ..... ................. ........... _........................................................................................... . NewBuilding ........................ 4........ Remodeling ................................ Addition .............................. Repairs ......... .......--- ..................No. of Stories ................... & Service verheadund Size Feeders �/� _ ..... Conduit ... ........Main Sw ............................... Amps ........ .... ............... Main Fuses ...........................Amps Type of Installation— C.onIluit .... .I�............ Tubing ......... .............. B. X. L .........................Metal Moulding ......... ............................................................... ........» ....... ......... .I...................., ........... ............................... ...................................................................................................................... ............................... : ...... ...:.:... .......... ....... . ..... .. .. .. . ... ..... ..... Amount of Permit $ ... ... .. .......................... ...................... ..................I' ............_ :. ............ • Electri nape The undersigned appli t for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida W rkmen's Compensation Act. being Section 5966, Compiled General Laws of da Permanent Supplement, and has complied with the pro "lions thereof, and will require similar compliance from all contractors or subcontractors employed by Lhim in the work to be performed and r 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, work to be perform >dnder this permit, as are licensed by Miami Shores Mage. I (Signed) ... ... ..... ................................... ........_.............. Electrician. STATE OF FLORIDA, COUNTY OF DADE. 8° Before me, the and rsigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.......... .................... .......... .............................._.......................................................................................................... ..............................I to me well known, and w o, 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 re therein by him stated a e. _ .... .........:..................... l........ ......... ... - -.. ...... ......._....................... ....... ..... ............ ..... ... ..... ........ ..... ............................. Mymmission Expires Notary Public, State of Florida NOTE: A re•inspecti n fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. SWITCH LIGHT ' PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS ecwwT'S No. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEMP. P.M. 0-1 HP 1•8 HP TRANS. LIST CLIST A �4- / Q -� CHECK & Service verheadund Size Feeders �/� _ ..... Conduit ... ........Main Sw ............................... Amps ........ .... ............... Main Fuses ...........................Amps Type of Installation— C.onIluit .... .I�............ Tubing ......... .............. B. X. L .........................Metal Moulding ......... ............................................................... ........» ....... ......... .I...................., ........... ............................... ...................................................................................................................... ............................... : ...... ...:.:... .......... ....... . ..... .. .. .. . ... ..... ..... Amount of Permit $ ... ... .. .......................... ...................... ..................I' ............_ :. ............ • Electri nape The undersigned appli t for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida W rkmen's Compensation Act. being Section 5966, Compiled General Laws of da Permanent Supplement, and has complied with the pro "lions thereof, and will require similar compliance from all contractors or subcontractors employed by Lhim in the work to be performed and r 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, work to be perform >dnder this permit, as are licensed by Miami Shores Mage. I (Signed) ... ... ..... ................................... ........_.............. Electrician. STATE OF FLORIDA, COUNTY OF DADE. 8° Before me, the and rsigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.......... .................... .......... .............................._.......................................................................................................... ..............................I to me well known, and w o, 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 re therein by him stated a e. _ .... .........:..................... l........ ......... ... - -.. ...... ......._....................... ....... ..... ............ ..... ... ..... ........ ..... ............................. Mymmission Expires Notary Public, State of Florida NOTE: A re•inspecti n fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. i v � A -634 APOL�IC TION NO. or G �l I Q DAT 1 w V 193 * INCCAP ' ^-MD ~ ELECTRICAL D PARTMENT OF THE CI B� OF MIAMI Desiring your certificate o ,Appiloval, application is hereby made fdr an inspection of the electric installation in the pre isesi stated below, for which undersigned agrees to correct L'O.,FLO¢ any infractions of the Nation �l ,Rleot: r cal Code and the City Ordinan�e pointed out by In- spector. OCA'xjON AVOID DELAY BY GIVING FULL AND ACCURATE IN WILL ORMpp ON. ALL SPACES MUST BE FILED OR APPLICATION BE RETURNED. LOT NUMBER i "� BLOCK NUMBER__,_EMd9D1VISVON, p L STREET AND NUM•BE f 2- ✓ � SIDI �1 � OWNE UPANT OCCUPIED- As h . BUILDLNG- -NEW OR OLD :(UNDERLINE WHICH) I, I V, *ORK•- AIDDITIONAL, NEW, ALTERATIOIy OR.REP*IR Snq FICATIONS H. P. OF EACH MOTOR VOL 9_ -i TOTAL AMPS NASE CEILING BRACKETS RECEPTAc"s - SWITCHES STOVES I WATER: HEATERS SIGNS OTHER APPARATUR i\w ® I " I .. ® • I .I �I. KIND OF INSTALLATION OPEN OR CONCEALED KNOB. RX., SX., MLDG.. CONDUIT, METALLIC TUBIND FLOORS FIXTURES ONLY NUMB_ ER OF TOTAL SIZE OR SIZE SERVICE No. LIGHTS CEILING BRACKETS dUTLET$ MAIN BUBB BRANCHES coNDUlr CIRCUITS -- * ---..� -,_ BASEMENT FIRST SECOND THIRD __ --- -_--T— — t G FOURTH * _- 1W1`MARKB Is I I E MASTER ELECTRICIAN ts __iDDREB$ SPACE BELOW FOR INSPECTOR'S USE ONLY RECEIVED BY INSPECTOI> INSPECTED PROGRESS REMARKffi 1 WILL INSPECT AGAIN ROUGH WIRING FINAL NO. CORRECTED TEMPORARY DAYS. DATE ISSUED 1 BUT LDINO PEWIT ,RECORD "w MIAMI SPORE6:- VILLAGE . .. �j. ......: ..,.. .. iii ,ji DATE,4/2-/ /J _ APPLICATION Application, is, hereby made for the. dpproval of the plans and spegIfteations herewith submitted fq1' the*bidlding or other structure'herein. described.. This application is made in com- pliance and conformation with tie B ilding Ordinance of the Miami Shores Village, Florida, and 411 provisions of the Laws of the State of Florida; all Or4in ces of Miami Shores Village, _ and all rules and regul'atns of the building. Department- of Miami Shores Village, shall be complied with, whether s7eelfied or not. OWNS A� tai J �' / jl /yam A s t r., °ice - :9 .. AR�s EC 1 ; ss e 7 ,J 1 6r 1dtilNil�LCTOR � X0 04" LOT ., c- HLK. SUBDIVISION ,% NEVWll)D TION REPAIRS INU�I ER OF S'�ORIE6 ROOF, � TOTAL COST ' F III j, i Buildingo be used for IL /I �' �� d" _ , and no other use. I hereby submit all the plans, and splecifications for said building. Si gne r, - g STATE OF FLORIDA COUNTY OF COUN DADS t , . ,-- i � Bo are me, the undersigned au or�ty, a notary public, duly ►- -__ - -- authorized to administ the nd tske cknowledgment, personally appeared . to me well known, and who, being y mal it t 1 y sworn, upon oa h deposes and says that he is thVVbul der.of the above described consitruction, that he has readhe oregoing application, -and that hp did sign the samei and that facts stated by him ar ,ribd before me, e tr a �, R , . worn . and Subs Notary!Tublic (Signe Notary Pu�'ilic St to of Florida at Large My Commission exp es fly Coml fission xpires Feb. 20, 1940 Cub III Feet i,c Cubic ed in this Block _- Feet';reair 1 PLANNINO BOARD Chair Member Bi4ilding''Inspector Permit Nq. Issued to t I��Date � Electrica : Permit No. I Plumbing Permit No. I MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLIcATibN FORAUMIDINB PERMIT R Application is hereby made for the approyal of the detailed statem,,qqf4g%Ians 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 peas of the work. Date. .3Rri 1 6 4 1976 Owners Name and Address ....... Th.QM4A...QW"- #1826 Street.. IV 03 4Mf ......... 11 ..... . . _ N0.4142 Registered Architect and r lo Enoinver ...... ....... .......... i ............. ..••••• ^•- •••••- ••••......••- Name atia address of licensed controctor ..... Catheti Construction (XAYO ROOFING COMPANY) ..... . ....... .. . ........ . ....... Location and legal description of lot to be built on: P.O. Box 911 Biscayne Annex Miami, Fla. 33152 . ..... . . ....... . ......... Block.. ............... Subdivision..... Street and Number where'work- is to be done-142 State work to be done and purpose of building (by floors). Gravel Roofing— Z. S07arpsq . .................. . . . . . . . ............ . .... ...._»..... ............_._.---- --...._.... . ..............._.. ».._. _._... »_.. ». »_...... »» ». »........._ .......and for no other purpose. New Building ............................. Remodeling ..._.................... Addition ....... X ............... Repairs :........................ No. of Stories ...... ....... To be constructed of........... ............. Kind of foundation......._........... .. - Roof Covering ....Gravel ........................... . ...... 5.00 Estimated Total cost of iniprovements $-350-00 L ----- ----....Amount of Permit . . .. . ... . ...... . . .............. Zone cubage required.--.. J.........— —plan Cubage-.-.. . ................. Distance to next nearest building . ................_.__....._.__»_ . _ _ . __._Size of Budding Lot.. Maximum live load to be borne by each floor_-------- - ----_ . . .... . .... . .......... . ....... . ... . .. . . . ... . .... ... ............ ............................ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ... ........................ - - - ----------------------------------- - - ------------ - ---------- ------------------------------ - - - ---------- - ----- - - ------------------------ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral Laws of Florida, 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 per.lori-q'cd 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 sir actors, on work t7 be performed under this permit, as are licensed by, Miami Shores Village. 4, C Remarks.- (Signed)_..... UVIL41 .1,11 STATE OF FLORIDA, !I COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perwitally ap- peared ....... to MC Well known. and who, being by me first duly sworn, upon oath deposes and says that he is the ........................ ..... ...................._ ».._. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state# are Permit No-4 ------------- Date..--- Read, Sworn to and Subscribed before me. Disapproved (Sign ) Chainnan Mernber . .......... ........ ....... ......................... ........................ »._.... Notary Public, State of Florida My Commission Expires. ...... ........... ---DAIM 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 he" obtained from the Plannin.- 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 h y made for the apppro��al of the detailed statement of the plans and specifications herewith submitted for the build- ing or other steucture stein described. T1iIs application is made in compliance and conformity with the Buildl Village of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores V ge and all rules and regulations of the Buil g Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved pleas and apecificatton� must be kept at building during progress of the work. Date_ _Z'_.T� ... % . . . ........... Owner's Name and Address ....... Wf ...... S. A -z -L r .. __ ................. ...... EP . ....... Registered Architect and/or Engineer ........... . . .... - •._._.__ .................. . ............ . ..... . ........ ......................... Name and address of licensed contractor..-- VW Location and legal description of lot to be built on: ...•• .• .. Block._ ............. ....._.... . Subdivision. •-- - - - - -• . . ... . ...... ..... . ..... . ... Street and Number whom work is to be done_& State work to be done and purpose of building (by floors) for no other purpose. Now Remodeling ._._ ............ . . — Addition.......___............. No. of Stories__®. ................ . To be constructed Kind of foundation_.._.___.._._......._._ ._ ..... . ................. — Roof ..... . n4jc ................. Estimated Total cost of improvements $..._... tt —Amount of Permit $ .... . . .... . . ..... . ................. . .. . .... Zone cubage ----------- ---Plan Cubage.--- . . . ....................... Distance to nod nearest building _-- .._.._.__.._.........__.. — —._.__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 may be ant to-- . .. . ......... . . . ..... ............ . ...... . ......... ................ I .............. The undersigned a, .2cano.f Workmen's building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Fla 's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Su ulement, 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 ed under this permit; and will post or cause to be posted for the site of the work such public notice by or notices as are nq=rd the Act. The undersigned agrees to employ only such on work to be performed under this , by permit as are licensed by Miami Shores Village. Remarks .. ....................... .............. (Signed) STATE OF FLORIDA COUNTY OF DADE. i Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared me well known, and who, by me first duly sworn, upon path deposes and says that he is the_. _ . ............... . . . . . ............. . ... . . __ of the above described construction, that fe has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - '0 1 Permit Z te Read, Sworn to and Subscribed before me. Disapproved Notary Public, State of Florida .. . .. .. . . . . ... ...... ... (Signed) .. Building Inspector My Commission Expires-- _- _- - - - - -- PLANNING B0ARD__._.____._DATE Chairman member Member member Member Member Council Approved ---- —Date Disapproved __-------------- - - --------------_----------- Date NOTE: A of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning 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 worlaaanship. I ; Permit -140.... Application is hereby made structure herein described. and all provisions of the La, of Miami Shores Village st building during progress of Owner's Name and Addres MIAMI .SHORES VILLAGE ELECTRICAL 114SPECTIOIN -DEPARTMENT PLICATION FOR ELECTRICAL PERMIT or 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 irk. 'y XT_ 3 Registered Architect and/or Engineer ......... ............. ................................. . ................................. ........................... ..................... ..... . . ..... Employing Electrician's Nairo..W.'YA47.......4 . 1 1 v ...... ............................. No.....:. J.Z.Yt ........ . ......... Street_.!:. t: ... !!711...:'` .... 'Location and Legal Description ...................... 1-3. Lot ...... T ......... ...................:Block. ........... subdivision ................................... .......... .... 10 .................. ck Street and N ber where wc�k is to be performed—No.. .14.1 ........................... . .......... . .... . ....... Street.. *5 103 ........ . ........•...... State work to be performed and purpose of building (By Floors) ....................... .... . ...................... . ............. . . I .............. . .... 4 .......... .... . ... .......................... New Building :.. . . ... .......... . ..... Remodeling ........ * ......................:Addition.... . .... 10e# ......... .Repaim ........ ............................No. �-,f Stories.......)........ . SWITCH LIGHT PLUS FIXTURES REPRIG IRON RANGE RANGE WATER HEAT. SPACE STRIP TOTAL OUTLETS 9UTLzTs'[RF.;z,P,T,os No. LAms-a OUTLET OUTLET OUTLET CONN, HEATER CONN., HEATER HEATER CONTR. LIST VVV CHECK ENT. DIST. ERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL, SW. CAD. TEmp, 0-t HP 1•8 HP TRANS. cc NTR* LIST LPERM. O P CHECK " gverh ,On ?ea' Service 1, n ou, ound Size . ..... Main Fuses, ----- - ------- - - .......... AMPS F eder&.*1_.1..._:.C..duitj.. n SW ............................ AAMPS.-.... . . ......... .... k Type� of Installation--CondA .......1°"` Tubing ... ................ BX.L.— ..................... Metal Moulding ........... .. . ... . ........ ..... . ................................. .... . .................................. ....... ..................... . ..... . . ..... ;� ......... ....... . .............. . . .................... . ......... . .... . ......... . ... . ................................... . .......... . ...... . ..... ............ 12�, . . ... .............. ......... . ..... 11 ...... ...... . .................. . ......... . .... ....................... ...................... .Amount of Permic ............. . .. ................................... . ....... (Signed) ........ ........ ....... .............. . .... . ... . ................... . .............................. 7:3 Electticisl inspector. The undersigned applicant for this *building permit does hereby certify that he'underitands and accepts his obligations as an employer of 1-1. .1 1L 111--.3- #*'i-- — a_,. L a-4— otafot fN___J1.J f%- —I T — '-f T71-4A. 1). C„ - 1&m- - 1 has complied with the provisions thereof, and* will require similar compliance from all contractors or subcontractors employed by him in the work to. be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sob•contractors, on work to be performed under this permit, as are licensed by Miami Shores Wage. (Signed).2_2219 ................ . ........... Master Electrician. STATE. OF FLORIDA, COUNTY OF DADE. 68. Before me, the underi igned authority, a notary public, . duly authorized to administer oaths and take acknowledgments, personally appeared ..... . ..... . ..... .. . .......... ...... .. ......... 7"" ------------------ --- »... -- - . ».... - ---- — - - - . .... .............. . . 7 . � ......».... 7 ........................ 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 an facts therein by him stated are tru .« .... . ...................... . .... . ............................................................. »»........ ..... . ............ . .. I ........... ......... . .............................................. My Commission'Expires, Notary. Public, State of Florida NOTE: A rwinspection, fee of $1.00 will be made when such reinspectitin is made necessary by improper notice for inspection, or faulty materials and,/or — a, Application Is ing or other struct Shores Village, Flc regulations of the plans and specifics Owner's Name and A Registered Architect s Name and address of Location and legal des Street and Number State v v* to be d New Building ---- _... ---- To be constructed of -- Estimated Total cost c Zone cubage required MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ►y made for 'the approval of the detailed statement of the plans and specifications herewith submitted for the build - erein described. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and ing Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved must be kept at building during progress of the work. , G Date... _._ _._ ........... .. �.. � No. %��_.._ Sireet..�!'�.��'�� %�' , l/or Engineer. -- iption of lot to be built on: --- - - - - -- Block_-_ ................ ,re work is to be done _ ..... . (by floors) -- - -- ------- _------- ---- -_ for no other purpose. . .... - _..... Remodeling--. ................... — Addition ....... __.............. Repairs ............... - ........ No. of Stories...... ..................... Kind of foundation-----.------.._ ....... . .... ,........................ R AC vering- _------------ •-- •- • - - - -_ e / improvements ..... Amount of Permit ..-- ..._ .................... Cubage--•------..-.....-_. .... .. .... --- ............ _ ............... - ........................... Distance to next near building -._. -. .-.......... _ _..._...Size of Building Lot ....... _-_----.-_.-..__ ....... _.,. ............... I...................... Maximum live load to borne by each floor -_._....-_.- --- ...- ---- _ ------- ----------.•--..---- I hereby submit the plans and specifications for said building. All notices with reference to the building and its construction may be sent The undersigned of labor under the F and has complied wit in the work to be pe, or notices as are requ permit, as are licse ant for this building permit does hereby certify that he understands and accepts his obligations as an employer Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, provisions thereof, and will require similar compliance from all contractors or mub�ntractors employed by him 3 under this permit; and will post or cause to be posted for inspection on the site':of the ork,sueh blic notice,/ r the Act. The undersigned agrees to employ only such tra , rs can ei two i er t rd'' - diami Shores Village. F ° '. ' (Signed) _..... K`' 16 `°'_l� : c STATE OF FLORID I � COUNTY OF DADE. ' Before me, the uu ersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared- - ............. . ...... _ ._.__.._ _.__.___....__.. ___._. _ - ...._- .- _.^..._ ............ ....... _. ....... ...... __ - ._...._..._. —. -to me well known, g first duly sworn,_�t on oath deposes and says that he is the_ .._ ......... _ ....... _ ...... _ ................ _.......... --_..--,._..._._..- ......- and who, being by me pp of the above escri oonstru on, that he has carefully read the for going application, and that he did sign the same, and that all facts therein by him stated 'e e Permit No. _ ._.. Date 7' _. Rqg Sworn to and Subscribed before me. Disapproved_ �.__. Date - - ..... - ..... . .... - ........ ...._.........• - -•• ... _.. ........ . . _ ._ - tary Public, State of Florida (Signed) ..__.._. V-- .... ................... -_. _.__ -•- • - -- _.... . Buildine Insn for mmission Tres --- - ------ �---- - - --_- Chairman ............... Member ----- _.__ - -- Member .......... _..._ Council Approved - NOTE: A char the Planning Board. A re- inspection materials and /or wa: PLANNING Member ...... Member Member �. Disapproved ---- __--__------------------------------------------- ............... Date of $1.00 will be made for making corrections or changes to this application after approval has been obtained from $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty MLWI SHORB'S VILUGE, FLA. PLTCATIa FOH', Si3P'IC TANK PERM IT &VISION .COIF PbMBIHG INSPISION Date: I herewith submit the followi �g , application for a permit ebvering: the installation of-a Septic ank_ e Soakage Pit: Feet of drain Installed by: (NEW: Far -a {Stare tile: Old: Story:l Addition. RemOdele8: Garage: �Apt,: Hotel: Officei ' Bldg► (Res: Garage was Building has: Stories; Bedrums l r Owner or Agent-,U Lot No /�e�/ Address of work: Z Fixtures: . : Laundry Tubs Floor' Drains Block h �loor: Waste mater -from! a:�` it !, lof f Iz:es;' ;Lpts; kIotel Rms; I Address: - E SUBDIVISION s m ' NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE:- :. 94R5 7 O064 1994 DEC 12 12:57 THE UNDERSIGNED tiefeby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Comm, eenncement. 1. Legal description of propery and street address: � �y �c 6 3 /'Y�( , ( c�l� tn%/2 7.386 2. E*Scn'p 1p n of improvement: interest in property: Name and address of fee simple titleholder. Ali w. 4. Contractor's. name' and address: C : Rlt)A; COUNT' 5. Surety:(Payment bond required by owner from contractor, it"If, aF Name and address: �b, trr•" Amount of bohd $' h nd and owdol Sg°I. 6. Lender's=Rafne and address: AA Main, RUVIN•I�SK' rsons within the State of Florida designated by Owner upon whom notices or other doe z/ ectiofa� 71.3.13(1)(a)7„ Florida Statutes, • '- /v' Name and address: A.1 tgAA Y iAkg 9 11 b C A Lt, i of the �dav of ��d C0 Gountr c x a ay be served as provided u,z ��4oJL�s .zk ,7713' S. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: kl,4,4,1 Sao A4 73I3Ir 1. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) sipnatureofOwner �� "tt t— Print Owners Name S6 , Ij err v Prepared by: h i CA VSU Sworn to and subscribed before me this s-day of e C ,19�. Address: 10 S I All 14 q Notary Public - + 1 Tt{U1AA51MM 8 cc Print Notary's Name G-' BOWN u No" PWAk �2an+� mna My Commission Exoires: lfa a ., C4 - COUNTY. FLORIDA Ltt:Tnvt: not: METROPOLITAN DADS COU J ® METRO•DADE FLAGI -En BUILDING BUILDING CODE COMPLIANCE DEPARTMENT Built 1603 METRO•DADE FLAGLE11 BUILD040 140 WEST FLAGLER STREET MIAMI, FLOAIOA j3130.1553 PRODUC? CONTRnU NInt11^.F nF ACCEPTANCE FAX 13051 373.2901 I ifctile 2t10 Story Road Lake Wales. FL 33959 ti'our application for Product Approval of the Capri Double Roll the ptonle tinder Chapter 9 of the Metropolitan I1ade County Code governing use of Alternate Materials and types of Construction, and completely described in the plans. specifications and calculations as submitted has been recommended for acceptance by the Building Code compliance Department to be used in Dade County, Florida under the Standard Conditions attached provided the tale ..•stems are approved in strict compliance with Protocols PA I 18, 119, 120. lids apptoval supersedes all sections of ptevioustile approvals which reference Chapter 34, Appendix X. Systems 1.3. Appendix X has been redesignated PA 116, 119 and 120of the South Florida Building Code. This apptoval -Mail remain valid until Implementation of the 1994 revision of the South Florida Building Code. the tuilding Code Compliance Department reserves the tight to secure a product or material at any time from a job site or manufacturing plant for quality ennttol testing. If product or material fail to perform in the approved manner, the Code Compliance Department may revoke, modify, or suspend the use of such product or material immediately. the Building Code Compliance Department reserves the right to require retesting of this product should any amendments to the South Florida Building Code be enacted affecting this product. I he expense of such testing shall be incurred by the manufacturer. Acceptance No.: 94- 0323.32 Gil Diamond, P.E. Product Control Division Supervisor -PLEASE NOTE- MIS application fer product Approval has been reviewed by the Metropolitan Dade rawty Building Code t'ornpliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the canditions,set forth above. , Approved MAR 2 5 1994 Charles Danger, P.E., Dor Building Code Compliance Department Metropolitan Dade County I r Test Reports P►ndnct ( -»»trill Nu � X1.1.111_ 1 12 Test Agency Test Identifier Test Name /Report Date Atlanta Testing do Engineering N8456 Material Properties Test 01/20/92 (Water Absorption and Breaking Strength) Construction Research Laboratory, Inc. N5749 Wind Driven Rain 03/03/93 Infiltration Resistance 05750 Wind Driven Rain 02/26/93 r Infiltration Resistance #5615 Wind Driven Rain 03/11/92 Infiltration Resistance N5615 Uplift Approvals; Static 01/20/92 Pressure Structural Uplift % Resistance 05613 Infiltration Resistance 011/01/91 International Conference of lluilding Officials 02656P Roof Covering and Roof 01 /01 /14 Deck Construction Ptnfessional Service Industries, Inc. #386 - 70117 -42 Naterial Properties Test 03/15/19 (Water Absorption and Breaking Strength) Vote: Test 05613 is npplien hie to nil National Tile Rooting Rtantrractorers Assoclatlonmcullwfl. , Please see Boral Concrete Products letter dated March 18, 1994. Z a 1 Mond4FE I I ME1 n0DUE METROPOLITAN DAVE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT suite 1603 METRO -DADF f AQLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130.1583 (3031 VII-2901 FAX 1303) VS -2908 PRODUCT CONTROL NOTICE OF ACCEPTANCE Lifetile 200 Story Road Lake Wales, FL 33839 Your application for Product Approval of Lifelile under Chapter 8 of Metropolitan Dade County Code governing the use of Allernnte Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by Construction Research Laboratory, Inc., Atlanta Testing and Engineering, Professional Service Industries, Inc. International Council of Building Officials and Ned Shah, P.L., has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the Specific Conditions set forth in pages 2 et seq. and In the Standard Conditions detailed on page 3. The approval shall be valid for a period of three years. The Office of Code Compliance reserves the tight to require retesting of this system within the first two years of the npprova should any amendments to the South Florida Building Code be enacted aRctints co /vInwor toot sss!em./i ACCEPTANCE Not 94- 0106.03 EXPIRES: FEB 14 1991 "PLEASE NOTE " all Diamond, P.L. Product Control Division Supervisor THIS IS THE COVEIL911EETs SEE ADDITIONAL PACES FOR SPECIFIC AND GENERAL CONDITIONS. This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Co Iltee to be I in Dade County, Florida under the conditions set forth above. C miles Danger Building Code Compliance Department APPROVED: FEB 1 4 1994 Metropolitan Dade County THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT .� CONTROL APPROVALS 990- 0626.03, 090- 0719.02119 092- 1230.04 &' #91- 0702.01 I , ' i Product Control Notice of Acceptance Roofing System Approval A pl -p icant: Lifetile Product Control No.: 9-4. -0g 106.03 _ 200 Story Road Approval Date: Lake Wales, FL 33859 Expiration Date: —ftu 1 4 NUT Category: Prepared Roofing Sub - Category: Tile Type: Nail -on Sub -Type: Concrete _System Description Lifetile, a member of the Beral Group, is a national producer of extruded concrete tile in California. Texas, and Florida. Tile is available in a variety of colors and profiles: low profile Capri, Espana, Mission, and Colonial Slate. Tile is extruded under high pressure in Individual molds. The exposed surface of the tie is finished with a cementitious material colored with synthetic oxide additives. The the is "cured" prior to shipping to achieve full strength. Lifetile is sold through local roofing wholesale distribution. The product offering includes matching trim pieces manufactured for all profiles. Tile accessories including vents, flashing, birdstop for system application are also - available from the manufacturer. These accessories form an integral part of this product approval. Lifedle products have been approval for nail -on applications and may be applied at a minimum slope of 2 ":12" Lifetile concrete roof the has been tested In compliance with all South Florida Building Code requirements for nail -on applications. Contact: Dave Faulkner 200 Story Road Lake, Wales, FL 33839 (813) 676 -9403 � , • . System trade Names Esparta 'S' Capri Colonial Slate Maximum Design Velocity Pressure Material Design Velocily Pressure Wood, Non - insulated psf (See Comments and Limitations) Maximum Fire Classification , Material Classification Wood, Nail -on Class A S� Product t..unuul 14u.. 94.UIUG.U! 1AMIllel� l'tvduU Lunuul Nu., y4- UIU6.U! System Trade Names Espafla'S' Capri Colonial Slate Maximum Design Velocity Pres ure Material design Velocity Pressure ' Wood, Non- insulated psf (See Comments and Limitations) Maximum Fire Classification Material Classification Wood, Nail -on Class A Al r 0 , . . Trade Names of Products Manufactured or Labeled by Applicant Product Control No.: 94 -0106.01 Product Dimensions Test Specifications Product Description EspaAa'S' 17" x 121/2" PA 112 Interlocking, high pressure emended concrete tile; fbr direct nail -in applications; has two (2) 7/72" east -in nail holes. Capri 17" x 12'/8" PA 112 interlocking, high pressure e."mded concrete tile; for direct naihn applications; has two (2) 7172' cast -in nail holes. Colonial Slate 17" x 121/" PA 112 Interlocking, high'pressure extmded concrete tile; rot direct nail -on ;• applications; has two (2) 7132' cast .,In nail holes. _ Oil Diamond, P.E. Y �� 51 Trade Names of Products Manufactured by Others Product Dimensions Test Specifications 430 Felt ASTM D 226, type II 043 Base Sheet ASTM D 2626 Mineral Surface Cap ASTM D 249 Sheet Asphalt Primer ASTM D 41 Mopping Asphalt ASTM D 312, type M of type IV Flashing Cement ASTM D 4386 Valley Flashing Min. 26 ga. x 16" ASTM A 323 Drip Edge Min. 26 ga., 2" x ASTM A 52.E 2" Wood Battens Min. V x 2" fbr LP - 2 horizontal, 1" x 4" for vertical Rooting Nails Min. 12 ga. x 1" ' ASTM A 641 Product Control No.: 94 .0 10ft 0 ) Product Description Manuractwer Saturated organic felt to be Benefit used as a nailed anchor sheet. Saturated and coated genetic . organic base sheet rot single ply underlayment. , Mineral surfaced asphalt genetic roll roofing. Cut back, asphalt based genetic coating used to racilitate adhesion or dissimilar materials. _ Asphalt rot bonding the genetic mineral surface cap sheet to the base sheet. Cut back, asphalt based, genetic Tibet- teinforced trowel grade cement for flashing and repair applications. Galvanized steel valley genetic flashing. 9�OtA Mzed steel drip edge. genetic Pressure treated wood genetic battens. Corrosion resistant roofing Be tic nails. �f Test Reports Test Agency Test Identifier Construction Research #5749 Laboratory, Inc. #5750 #5615 #5615 Atlanta Testing dt #8456 Engineering Professional Service 1386 - 7011742 Industries, Inc. International Conference of 42656P Building Officials (i C Product Control No.: 94 -0106.03 Test Natne/Report i Date Wind Driven Rain 03/03/93 Infiltration Resistance Wind Driven Rain OW6193 Infiltration Resistance Wind Driven Rain 0311x192 Infiltration Resistance Uplift Approvals; Static 01/20192 Pressure Structural Uplift Resistance Material Properties Test 01/20/92 - (Water Absorption and Breaking Strength) Material Properties Test 03113189 (Wnter Absorption and Breaking Strength) Roof Covering and Roof 01101/84 Deck Construction Tin Caps Tile Nails liurticane Clip Tile Adhesive ,o Product Control No.; 94- UIU (I.oj Min. 32 ga. x Corrosion resistant circular generic 1 -518" discs. Min, 11 ga. ASTM A 641 Corrosion resistant nails. generic Nail heads shall exceed the size of nail holes in tile. PA 114 t3alvanized , bronze, generic aluminum, plastic, or stainless steel attachment clip for high wind areas. ASTM D 3499 Structural bonding Ohio Sealants, Inc adhesive for roof tile. , Systems Deck Type I: Wood. non - insulated Product Control No.: 94. 0106.03 Deck Description: New construction, 19/32' or greater plywood or wood plank. Slope Range: 2':12" to <4 ":12" System A. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 20, side laps shall be minimum 6 ". Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Membrane: Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Vertical Battens: Vertical battens shall be installed on roof slopes of 2 ":12" to <4 " :12". Min. I" x 4" pressure treated lumber. Battens shall be set in a max. 118" thick continuous bed of compatible flashing cement and secured through the sheathing into the top cord of the truss with approved fasteners. \ Horizontal Battens: Horizontal battens shall be Installed on roof slopes of 2 ":12" to <4' :12'. ` Horizontal battens shall be installed over the vertical battens. Battens shall. be spaced to allow fbr a 3" minimum head lap, unless an approved headlap configuration which has been tested for water Infiltration is used. Batten size shall be nominal 2" x 2' of 1" x 40 . All battens shall be pressure treated or decay resistant lumber and shall be installed In strict compliance with the manufacturer's application instructions and the Metro -Dade Model Nail -on Tile specificadon. Roofing Tile: The file system shall be installed in compliance the Metro Dade County Model Nail -on Tile Specification (Appendix'X of the South Florida Building Code). utiliring the components listed the 'Products Listings' set forth In this Product Approval. • Applications, as detailed In the test reports, are consistent with the application methods stated in the execution section of said model specification. Maximum To be completed by May 30, 1994. Refer to Limitation No. 6. Aerodynamic ' Overtuning Moment: Comments: For to -roof applications. 13132" plywood is an acceptable substrate. I fits I rouuc.t LU11UU1 No.; 94.010b w Deck Type 1: - Wood. non - insulated ' Deck Description: New construcdon,19 /32" or greater plywood or wood plank. Slope Range: 2 " :12" to <4 11:12" System B. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2% side laps shall be minimum 6 ". Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6 "o.c. at laps. Membrane: Any self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, Installed In strict compliance with the Product Control Approval. Vertical Battens: Vertical battens shall be installed on roof slopes of 2 ":12" to <4 ":12 ". ; Min. 1" x 4" pressure treated lumber. Battens shall be set in a max. 1 /9" thick continuous bed of compatible flashing cement and secured through the sheathing into the top cord of the truss with approved fasteners. •' Horizontal Battens: Horizontal battens shall be installed on roof slopes of 2 ":12" to <4 ":12 ". Horizontal battens shall be installed over the vertical battens. Battens shall be spaced to allow for a 3" minimum head lap, unless an approved headlap configuration which has been tested for water infiltration Is used. Batten size shalt be nominal 2" x 2" or 1" x 4 ". All battens shall be pressure treated or decay resistant lumber and shall be installed In strict compliance with the manufacturer's application instructions and the Metrabade Model Nail -on Tile speciiication. o Roofing Tile: The the system shall 6 installed In compliance the Metto Dade County Model Nall -in Tile Specification (Appen&'X of the South Florida Building Code), utilizing the components listed the Troducts Listings' set forth in this Product Approval. Applications, as detailed In the test reports, are consistent with the application methods stated In the execution section of said model specification. Maximum To be completed by May 30, 1994. Refer to Limitation No. 6. Aerodynamic Overtuning Moment: Comments: For re -roof applications, 15/32" plywood Is an acceptable substrate. 6 Product Control No.: 94- 0 106.ol Deck Type W Wood, non - insulated Deck Descriptions New construction, 19/32" or greater plywood or wood plank. Slope Range: 4 11:12" to 7 ":12" System A. Vertical battens are optional for roof slopes of 4 ":12" to 7 ":12" Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2", Roofing Tile: side laps shall be minimum 6 ", Fastening: Nails and On caps, two (2) tows staggered 12" grid, 6" o.c, at the laps. Membrane: Any approved mineral surfaced rolled rooting applied in hot asphalt or cold process cement (See Model Tile Specifications). Head laps shall be minimum 20, side laps shall be minimum 6 ". Vertical Battens: Vertical battens an optional fbr roof slopes of 4 ":12" to 7 ":12" Horizontal Battens: Horizontal battens are optional for roof slopes of 4 " :12" to 7 ":12" ' Rooting Tile: The tile system shall be Installed In compliance the Metro Dade County Model Nail-on Comments: Tile Specification (Appendix 'R' of the South Florida Building Code), utilizJng ft components listed the Troducts Listings' set forth in this Product Approval. Applications, as detailed in the test reports, are consistent with the application methoth stated in the execution section of said model specification. Maximum To be completed by May 30, 1994. Refer to Limitation No. 6. Aerodynamic Overtuning Moment: Comments: For te-roof app lications 13/32 " plywood is an acceptable substrate. Deck Type 1A: Wood, non - insulated Deck Description: New construction, 19/32" or greater plywood or wood plank. Slope Range: 4 11:12" to 7 ":12" System B. Undetlayment: Any approved No. 30 or No. 43 organic anchor sheet. !lead laps shall be minimum 2 ", side laps shall be minimum 61. Fastening: Nails and On caps, two (2) rows staggered 12" grid, 6 "o.c. at laps. Membrane: Any self - adhered single -ply undetlayment approved by the Chief Product Control Compliance Officer, installed In strict compliance with the Product Control Approval, Vertical Battens: Vertical battens are optional for roof slopes of 4 ":12" to 7 ":12" Horizontal Battens: Horizontal battens are optional for roof slopes of 4 ":12" to 7 0:12" Roofing Tile: The file system shall be installed In compliance the Metro Dade County Model Nail -on Tile Specification (Appendix W of the South Florida Building Code), utilizing the components listed the Troducts Listings' set forth in this Product Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. Maximum To be completed by May 30, 1994. Refer to Limitation No. 6. Aerodynamic , Overtuning Moment: ' Comments: For to -roof applications, 13/32" plywood is an acceptable substrate. Acceptance Number: 944)IU6.1J3 Approved: Expires: Limitations: 1. This roof system assembly may be applied to roof slopes no less than 2 " :12 ". 2. Vertical and horizontal battens shall be used on all file applications on slopes of 2" :12" to 4 " :12 ". 3. Horizontal battens shall be used on all the applications on slopes of >7 ":12" 4. Nails for attachment of file shall have heads larger than the pre - formed nail holes in the tile. 5. All nails shall be corrosion resistant. Exposed nails shall be hot dipped galvanized, stainless steel, or copper only. 6. Allowable height above ground shall not exceed a maximum height of 45' for non - coastal, 30' in Coastal Arcs I and 2, and only by job approval from the Chief Product Control Compliance Otiicer in Coastal Area J. 7. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 8. All tiles +shall bear the imprint of the manufacturer's name or logo, as noted attached, to permit identification, in the field. N 9. The manufacturer shall retain the services of an independent testing laboratory to maintstin quality control. Testing shall be performed on a minimum of five (5) tiles every three (3) months, for strength according to Section 3404 of the South Florida Building Code, and for moistare absorption according to PA 112. Test samples shall be selected by a laboratory according to ASTM D- 3665 -82. Results shall be forwarded to Dade County Product Control Section. Test reports shall beat a description of the the by material and color, i.e. cement, grey. 10. All domestic distributors of foreign man ilbOured We shall have a completed distribution agreement filed pith the Metro Dade County Office of Code Compliance confirming the distributor's agreement to adhere to the conditions of this report. 11. Ufetile products shall be installed in strict compliance wilb the aPV0 tr,.n inctrLCtlnne 7retO hnfin as ivell as the mamtfacturer's and Metro -bade County specifications and application Instructions. The Metro bade County• Model Tile Specification shall take precbdence. 12. The use of all pre - formed trim and specialty the tested is required as it forms an intricate part of these product, control npptmd tests. =13. Applications for rooting permits must be accompanied by Section Il of the Uniform Building Permit, clearly Indicating the extent of the work to be petlbrmed, along with current manufacturer's specifications and details. In addition, a copy of this approval shall be attached io the permit application. Reference shall be made to all appropriate data for the required fire rating. M D A Product Control No.: 94 -0106.11) Deck Type 113: Wood, non- insulated Deck Descriptions New construction, 19/32" or greater plywood or wood plank. Slope Range: >1 99:12" System A. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Fastening: Nails and On caps, two (2) rows staggered 12" grid. 6" o.c. at the laps. Membrane: Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head laps shall be minimum 2", side laps shall 1•c minimum 6 ". Vertical Battens: Vertical battens are optional ft roof slopes >7 ":12 ". Horizontal Battens: Horizontal battens shall be installed on roof slopes >7 ":12" Horizontal battens shall be minimum 1" x 2" treated lumber shall be installed directly to the deck in a maximum 118" thick bed of flashing cement and secured through the sheathing into the top truss cord with approved fasteners at a madmum rate of 24" o.e.. Spacing shall be in compliance with the Metto -Dade County Model Nail -on Tile Specifications and the manufacturer's recommendations. The Metro•Dode Specification shall take precedence. Roofing Tile: The tile system shall be installed in compliance the Metro Dade County Model Nail -an Tile Specification (Appendix'X' of the South Florida Building Code), utilizing the components listed the Troducts Listings' set forth in this Product Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. Maximum To be completed by May 30, 1994. Refer to Limitation No. 6. Aerodynamic Overturning Moment: Comments: For to -roof applications, 15131* plywood Is an acceptable substrate. . Il Acceptance Number: 94- 01V6.03 Approved: Expires: 14. The folloning documents were submitted with the application: Installation Instructions and Specifications - Espana, Capri, and Colonial Shake and Slate Tiles Installation Recommendations - Espana, Colonial Shake and Slate Tiles Installation Details - Shingle style tiles Specifications - Colonial Slate Tile Flashing Details - Espana Mission Tile Installation Details - Espana Mission Tile Flashing Details - Flat Tiles Batten and Underlayment Installation for Pitches under 4 ":12" General information - Roof Layout and Loading Sweets Product Brochures /"-? Z�� Oil Diamond MetropolitA Dade County OMce of Code Compliance \ h1C 1`10 METROPOLITAN DADE COUNTY, FLORIDA ii METRO.DADE FLAOLER BUILDING BUILDING CODE COMPUA"CB DEPAMINEIit METRO-DADE FUKILER BIUILDIN(I 140 WEST FLAOLER 8TIIEET MIAMI. FLORIDA 39130.1963 130SI 3?5-1901 FAX (3051 375.1906 NO'TiCE OF ACCEPTANCE: STANDARD CONDIIIONS I. Extension or Acceptance may be considered alter a new application has been filed and the supporting data. test reports no older than ten (10) years, have been re- evalunled. All reports or re- lesdrig shall beat Ilse seal, signature and date of an engineer registered in the State or Florida. Z. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 1. Any unsalisraclory performance or this product or process or n change in Code provisions $hall be $founds rot re- evaluation. • N 4. This acceptance shall not be used noon endorsement or any product for sales or advertisin g ptriposes ` . S. The'Notice or Acceptance number preceded by the words Dade County, Florida, and roilowed by the expiration date maybe displayed In advertising literature. If any portion or the Notice of Acceptance is displayed, then it shall be done In its entirely. 6. Product npproval drawings, where required for permit applications, shall be provided to the applicant by the mnnrrfacturer or his distributors; unless otherwise noted in lire Notice or Acceptance. The prints need not be re- sealed by an engineer. 7. An annual certificate conrirrning listing with Factory Mutual Research and Underwriters labotalodes or such other listing agency approved by the Office or Code Compliance shall be submitted on or around the fiat of April annually. , 8. Failure 10 comply with Standard Conditions shalt because for termination or Approval. I sill Diamond. P.E. Product Control Division Supervisor, or Lifetilc Coraoralion NOTICE OC ACCEPTANCE: SI'ECICIC CONDITIONS 4. Tiles shall conform to the following dimensions. 11' I'IELU IILE hdmin��lnq Oe Channel CAPRI 11' CAPM UIIIVF -"qAL T ri11A 1 ILE S. •Ounlity Control: The permittee shall retain the services of an independent testing laboratory to maintain quality control. Testing shall be performed on a minimum of rive (S) tiles. 'tiles shall be selected by ASTNI D- 1665 -D. Selection shall be made from each shipment of imported tile, or selection shall be made periodically from domestic tile. 'flee We shall be tested for strength according to Section 3404 of the South Florida Building Coda and for moisture absorption according to ASTNI C -4. The test reports shall identify the tile by a description of the the as well as the Notice of Acceptance number. Test reports shall be submitted to the Dade County Product Control Section every ninety (90) days. If no test reports are received within a one hundred twenty (120) day period, the Notice of Acceptance will be considered as being abandoned and th approval will be cancelled without notice to the permittee. Reinstatem A ill require a new application and full fee. Gil Diamond, P. E. - Product Control Division d 4 . NOTICE OF A _nFpt+�Nrr; r�ECiF � r �• . ti�[�DI't'IO R 4• PhvS LCa Spectf{ca ions: • Colonist Mate F1A� , www..y e...0 UMVEplAI "ARE IlEg (I -2by �' •w. l��i+omro macs tRt .. S;Damon , p,g;� prdduct Control Division Supervisor _ L.ifet; � e - orporat� on a. NOTICE OF' ACCEPTANCE! SpprIrTr rntmt'rTn��e Egoana S -style was w UMVIRlAI TRIM TILE Ma.1ref wo .w V. ,r 1LG1 b amon , Q. Product Control Division Supervisor Job Address; ' " Contractor. APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION H MORTAR OR ADHESIVE SET TILE SYSTEMS 1. FR 3. General The information provided in this Section is required to confirm Product Control Approval of the proposed tile system assembly; confirm compliance with the wind load requirements of Chapter 23 of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. 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. Project Information Check one of the following: Process No. Is the deck solid sheathed? (circle 'yes' or 'no) yes no Deck Type (check one of the following): ❑ Nominal'/:" Plywood (for re-roof only) ❑ Nominal $ /e" Plywood ❑ Wood Plank " / f J a - Other (fill in) / X 6 Roof Pitch (fill in): " : 12" Note: Mortar or adhesive set tile systems shall not be installed at a pitch greater than 7 % ":12 ". Mortar or adhesive set tile applied at a pitch greater than 5 ":12" and Iess 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 ' /," which is mechanically attached to the sheathing with not less than one nail per 2 W Circle'ves' or 'no' for each of the following: Have you attached two copies of the tile system manufacturer's Product Control �A��roval for the proposed tile system? 0 no Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and o4wqiterature ( yes% no ❑ New Construction Is the proposed underlayment approved for use with this tile Re-Roof system assembly no Note. Mortar or adhesive set tile systems are not acceptable as recover applications. Mortar or Adhesive Set Tile Systems Page - I - B D .s� J `I , �� :� G �' �� `' L Process No. Contractor: Job Address: 4. Proiect Information (continued): If the proposed underlayment is self- adhered, have You c co (d)ied with the venting requirements of Section 2913.3 (b), (c) a the South Florida Building Code? yes no N/A 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 ring shank, corrossion reWstant nails)? yes no The Tile system Assembly: The WJ wing information is required to confirm compliance with Subsections 3403.5(a) and (c) and Section 3404 of the South Florida Building Code. �-� Note: Title blame: lwlarsefacturer: Cl)1 40 h t.. • . TiitMaterial: 11 Clay Am- Concrete 0 other Pro&a Control Approval Number. Mortar or Adhesive: 0 Mortar: Manufacturer: Mixing Ratio: a i Adhesive: Type: ' Manufacturer: ti ' Tile Fasteners (for first three courses if roof Ditch exceeds 5":12" and is less than or eoual to T:12 "1: 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: Minimum 12 ga. galvanized roofing nail: Length: �« 0 Other. Type: Length: « 0 N/A All tiles shall be installed in compliance with the provisions set forth in the file 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 'V, whichever is less. Underlavment: The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Cho& one of the following which apply to the proposed tile anent for use with the proposed tile system assembly: Mortar or Adhesive Set Tile Systems Page - 2 T Job Address: C 1 L'"� Contractor: Underlayment (continued): Check all of the following which apply to the proposed underlayment for use with the proposed the system assembly: �d ASTM #30 asphalt saturated felt with: 0 19" overlap 6" overlap r� 0 4" overlap Manufacturer: �O � f ❑ ASTM #15 asphalt saturated felt with: 0 19" overlap 0 6" overlap 0 4" overlap Manufacturer: Mineral Surfaced Roll Roofing with: 0 19" overlap 6" overlap `g, �,h `� _ 0 4" overlap Manufacturer. j� ❑ Other. Type: Manufacturer: Underlayment Fasteners (if applicable): V. N 1 � x r) !, . i Process No. Spacing (per tilt system assembly Product Control Approval): Field: G " O.C. Laps: o.c. 5. Related Accessories: Edge Metal (refer to Section 3408.2 of the South Florida Building Code) Type: G��"►^"' Dimensions: Gauge or Thickness: Finish: _ 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. Check one of the following which apply to the proposed underlayment attachment: YLI Minimum 12 ga. electro- galvanized roofing nail with minim 32i ga. x 1' /," tin cap Let i . Manufacturer: ❑ Other. Type: Length: " Manufacturer. Adhesives (check one of the following): ❑ Cold Adhesive: Type: Manufacturer: )III!Whing Cement: Mortar or Adhesive Set Tile Systems Page - 3 Type: Manufacturer. ��Pin.r�r7ic, Job Address: I "l 1 " - Contractor: `I' N r�� (.: Process No. Adhesives (continued): Additional Notes: 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. O Ridge: Type in' n Size Soffit: Type `L.t S I it? Note: If underlayment is comprised of a self - adhered membrane, both soft 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 rued for application of the specified Tile System Assembly oniv. Any change to the specified Tile System Assembly shall require submission of a. revised SECTION II with a copy of SECTION 1, noting the permit number issued Mortar or Adhesive Set Tile Systems Page - 4 Job Address: Contractor: Process No. Deck- r.. TQ- j�; J Underlayment k 3 0 Undedaymeal Fastener r•. Ridge Veati r04PP6990/ 3 , Roof Pitch tr FILL IN APPLICABLE ROOFING COMPONENTS W1IiCll MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN ON THIS PAGE. ( Where Roofing Component not used in Tile System Assembly, fill in with 'N /A'. ) DETAIL #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 5 Head LAP Dimension: r0sNh•= rrikaad"rwi.,,I.�vmr a m. elk mew arsmw4P0*Aod Caw&W Mae1■D - Mortar /Adhesive: Tile: �-1 r,G J k6 Tile Fastens: Edge Metal or Gutter 1�� Fastener .I� Bird Stop: rvo,��ki rchm e. o 3x3a r Gutter. E)dsting or Proposed soffit Vey Job Address: l I 1 'r (i., —� Contractor. V N %� Process 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: rl.ssification Category: Ilurricance Occanlinc?: Y N W'nd S BUILDING INFORMATION #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 6 aC t peed at wilding Location: 110 moh Iding Condition based an of openings: ee Tabhe 9 gWCE 7-88) Ground Level [ . a Job Address:J" Contractor: V • 1� Process No. Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment Also insert variable labeled "a` which represents perimeter and comer di ions per Chapter 23 of the South Florida Building Code. (See ASCE 7-88 Fact Sheet Attached) \'V J_ BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 7 t Contractor: Job Address: ,• 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 , V % I.LG rwi Yj G who. being first duly sworn, deposes and says that all information submitted herein is true and correct. Licensed Contractor / Owner Signature �S rn to and subscribed I9 My commission expires: Mortar or Adhesive Set Tile Systems Page - 3 Process No. Ej pr Miami Shores Village :. Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PLEASE PRINT DATE: ! TIME: NAME OF PERSON REQUESTING FILE: 0 4 •r(� CA-LC4 = PHONE #: 5 0:? �� t YOUR ADDRESS ADDRESS OF FILE REQUESTED: *"C INFORMATION REQUESTED: a 3 (o dJ L f n=, sr- I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL WL;� WIN. 4'. :r� 10:1• �,. it ' Ilk .� ��.... ry r.� y'1. WE WE WE t, so R r [ Ao Ali PLANNING BOARD AGENDA OF Name of Owner /Applicant .9 [iami rJ � 1 i�G L. O R 1 D • MAY 26, 1994 ITEM NO. 5 PINSON M. CHILDERS JR. phone No. 751 -5909 Address of Property, and /or Legal Description 142 n. e. 107 ST. Nature of Request APPROVAL OF PLANS FOR PREFABRICATED UTILITY SHED Present Zoning R - 15 Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided OK Variances /Zoning Change NO CODE PROVIDES FOR -METAL UTILITY SHEDS. PLANS. FOR PROPOSED UTILITY SHED INDICATE METAL SIDi AND METAL ROOF COVERING, BUT THE SUPPORTING STRUCTURE IS WOOD. Council Action Required No Date of Applicant Notification Planning Board Action �ti� �1 Council Action 4� "�W - - Director of Building and Zoning ATTENTION PLANS PROCESSORS! THESE PLANS ARE STATE APPROVED WITH A LISTING AGENCY DESIGNATION AND LETTER FROM THE STATE OF FLORIDA. THIS PRODUCT DOES NOT NEED COUNTY PRODUCT APPROVAL! STATE APPROVAL SUPERSEDES DADE COUNTY PRODUCT APPROVAL, IF YOU NEED TO-CONFIRM THIS CALL DADE COUNTY,MR.QUINTANA AT 375 -1583 OR SHEDS AMERICA AT 822 -7433 OR THE STATE OF FLORIDA "LARRY JORDAN" AT (904) 487 -18228- PERMIT ITEMS WENDED: Y PROCEDURE TAX R E C E 2 PT F O L S O NUMB E R 2 COPSES OF CL7�RRENT SURVEY 2 C O P S E S O F B LU E P R S NT S 1 B U 2 L D 2 NG P E RM I T APP L =CAT 2 ON WH E R E V E R AP P L S CAT S O N CALL S F O R• CONTRACTOR , S N S E R T TH E W O R D S P E C S F Y ON APP L 2 CAT 2 ON S TAT E APPROVED S H ED . TAKE A L L- PAP E R W O R K T O Y O U R BUSLD2NG St ZONING DEPARTMENT . = F Y O U RUN 2 NT O A P R O B L EM AT THE BU S LD I NG D E PA RTM ENT CAL L us AT S 2 2- ? 4 3 3 T O T RY AND S O LV E S T WH 2 L E Y O U AR E THERE. SHED S AME R S C A F EB . 1.9 9 3 STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS 2 7 4 0 C E N T E R V I E W D R I V E e T A L L A H A S S E E , F L O R I DA 3 2 3 9 9. 2 1 00 LAWTON CHILES LINDA LOOMIS SHELLEY C.UVMW May 21, 1993 W. Froary Mr. Lewis Hartley Robin Builders, Inc. Post Office Box 1067 Lake Wales, FL 33853 Re: 1993 -94 Annual Renewal Based on the 1991 -SEC's Manufacturers I.D. No.: RBI- I8 -LS, Min. width 4' Min. length 60, Max. width 141, Max. length 40' This Approval Expires June 30, 1994 Dear Mr. Hartley: It is my pleasure to inform you that the Department of Community Affairs has renewed Robin's approval to manufacture residential utility lawn buildings for installation throughout the State of Florida except Monroe County. This approval is granted pursuant to inspection of your submitted plans which were found by this department and your inspection /plans review agency to be in compliance with the applicable codes. Provisions for resistance to up lift and overturning are approved so long as the unit is on an adequate foundation and tied down in accordance with the approved plans and specifications. A copy of this letter must be attached to the approved plans when making application for local building permits. Sincerely, r wrenc.e ll ordan Planning Manager Manufactured Buildings Program LHJ /jf Cc: FSC EMERGENCY MANAGEMENT • HOUSING AND COMMUNITY DEVELOPMENT • RESOURCE PLANNING AND MANAGEMENT 07 g IJ f. 2c; C-i v 0 40im Ilk NOTE: ALL L.E-- ft - 4 t — a T�4 rip. DM i L { 1 X 4 M Ply► it VAtiU 6' TG 4(f HOE 2 X 4 SMS 24' O.C. MAk SIDE `v'Ir tilll NOTE: DOOR CAN b£ W END W 'vv t1 PK-B%%q lkf D mum 2 1/2 3 Ea1Al SPAN _ i (� '' ON SK STUD ME •- -- ! ;� } �! t 24' QG MAX. SPAMG i t X 4 PI RUN DAD= INTO STUDS VAF4ES 47 TO 14' t.iTQ�VIEW aiami =fhores7i11age F L O & 3 D A PLUMBING PERMIT T_% Issued to N ° 981 OWNER LOT BLOCK SUBDIVISION t to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story _ — building at f Fixtures Fixtures $ 44 0 Sewer $ 9 vic Tank $ Total $ J _ Village Plumbing Inspector— Received Payment by MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. CERTIFICATE OF INSPECTION r. THIS CERTIFIES THAT the wiring and apparatus installed at by ` Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H. P. Space Heaters watts Other Apparatus /'X'/" 'y ` f'- , { ELECTRICAL INSPECTOR. .J },� Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/30/2003 Applicant: BILLIE Owner: CHILDERS JOB ADDRESS: 142 Contractor Local Phone: Parcel# 1132060131750 NE 103 Building Permit Permit Number: BP2003 -881 CHILDERS BILLIE ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 9 & E1/2 LOT 10 BLK 13 LOT SIZE PINSON MARSH CHILDERS, JR. 12 -99 3661 BILLIE CHILDERS PH. 305 - 751 -5909 142 N.E. 103RD ST. Date d13 63- 27/631 FL MIAMI SHORES, FL 33138 -2329 9 1,N Pay to the W� order of , /( ' $ �Gl Dollars Banko America. ACH Rrr063100277 For _. - -- 1:0G31002771: 003GGG3285G30 366L Total Fees: $65.60 Total Receipts: $0.00 compliance with all ordinances and regulations pertaining thereto and in strict ami Shores Village. In accepting this permit I assume responisibility for all work BY: Fees: Description Amount FEE2003 -3302 Building Permit Application Fee $60.00 FEE2003 -3303 CCF $0.60 FEE2003 -3305 Notary Fee $5.00 ^o Total Fees: $65.60 Permit Status: APPROVED Permit Expiration: 11/26/2003 Construction Value: $500.00 Work: EXTERIOR PAINTING PINSON MARSH CHILDERS, JR. 12 -99 3661 BILLIE CHILDERS PH. 305 - 751 -5909 142 N.E. 103RD ST. Date d13 63- 27/631 FL MIAMI SHORES, FL 33138 -2329 9 1,N Pay to the W� order of , /( ' $ �Gl Dollars Banko America. ACH Rrr063100277 For _. - -- 1:0G31002771: 003GGG3285G30 366L Total Fees: $65.60 Total Receipts: $0.00 compliance with all ordinances and regulations pertaining thereto and in strict ami Shores Village. In accepting this permit I assume responisibility for all work BY: MIAMI SHORES VILLAGE, FLA. No , 191 1 JOB ADDRESS ` ! Al C lU INSPECTION�� =t-�' TIME READY 19 ' REMARKS: f 3� INSPECTOR ` �� DATE LIVE and SHOP in BEAUTIFUL Village MIAMI SHORES Village Office: 754 -7541 MIAMI MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: - 3 C)M OWNER'S N ADDRESS: ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls 6'c Fascia 0 Drip Cap/Drip Edge o Soffit Roof �S.ZL ie Flower Bins Shutters ti Awnings Chimney y Doors and door jams x Garage Doors z 3 Railings Fences n Decorative Metal All brick (simulated or regular) \ Stucco Banding Any other stucco features Accessory Buildings Other OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached samples. Signature of Owner Date Signature of Contractor Date APPROVED: �Z Building Off cia Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Miami Jbores7Wllage F L O A I D A MEING PERMIT Issued to 1 \ O 1153 OWN LOT BLOCK I SUBDIVIS k a1 �N r ./to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a.-/—story `P a building at Fixtures Fixtures Sewer . itic Tank Total Village Plumbing Received Payment $ 1 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 185 Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot Block Subdivision^ Street Address... �, �� X.I Approved use by occupancy Remarks: — -P- This Certificate of Occupancy is issued to the abov named — for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. •r � , ' ILDING DIVISION MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: a/ _ OWNER'S AME: n/ _ PHONE(( ADDRESS: ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Eleme7*/ n the site must be listed and indicate the color to be painted. Walls Fascia 11a Drip Cap/Drip ��e Soffit —Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 0 0 r 0 W Cn ro r M co z H H x z c 3 r� OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached \ samp es. 'gnature of Owner Dat Signature of Contractor Date APPROVED: Building Official Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 9 D a � tYiC!, t or 1 � i The Suns4ine State UWOE�Jwci -39'-o C436-673-30 CliLDERS A -W. plt4wmwsl4 02HE 103 ST ''x{738 -2329 StORES MMI SEX Wx-, � REST EN SE BIRTM DXM M rjio AS 10.31-30 M)pLCATE ISSUED =j s 60 jo-10-00 SAFE DR%FER OJOG25i consel't, .1 W_ty best -q.,-d by '@* -W'bWt5s nabo<veh of a Miami Jhores: Tllage F L O R I D A e -r Issued tow'�t^�+ Nn 1218 OWNER LOT BLOCK SUBDIVISION AA I W i to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a__4story r' - building at Fixtures Fixtures $ Sewer $ -)tic Tank $ ; Total i. Village Plumbing Inspector �aV -:.l ayment by -' - Rem',ved Pay.:. 111AIJ, Miami Jhores7llage F L O R I D A PLUMBING PERMIT NQ 1019 Issued to OWNER LOT BLOCK SUBDIVISION AA I W i to install the following` described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora sto ry ` buildin F g at t ' Fixtures Fixtures _ _ $ Sewer _ $ optic Tank $i Total $' Village Plumbing Inspector_ t- I Received Payment by ! ki's, Mx of rwu W/30 i Ful AND ra-4aAz wcds 26 CAM Qkv. NEE-- AdWiW FASM IRUSS 2 X 4 PLA R S FOR Al U(U1S UCEFT aAk%. NS " S 'WJC Mft ALLWNjid SOPITI, FRAkLIG L XTAk WAY VARY FROM WOOL M voX USNC STUD M FASCA r% MAX. I HAS NO CrA.RH.k4Q OR F T-11; LR 518 ijt.�o Jtfj o' STU= (IMKt4G ON ?if WOE } c CACE GkV. KAII T(PICt""kL I X 4 fltj';N STUD X 4 BC rTc" tf! Alf .--I X 4 1 A G I ti 1 PINSON M. CHILDERS Christian Environmentalist 142 N.E. 103 Street Tel: (305) 751 -5909 Miami Shores, FL 33138 Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33 38 • Phone: 305- 795 -2204 • e — Job Address ! ax Folio Fax: 305- 756 -8972 Legal Description Historically Designated: Yes No Xowner /Lessee/Tenet /% Master Permit # r (/ � � Owner's Address C / Phone ( f2 ' Q!a / _Z39 9 / Contracting Co Qualifier State # Municipal # Address SS# Competency # Phone Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTR "L PLUMBING MECHANICAL ROOFING i _ /FORK DESCRIPTION: Square Ft. Estimated Cost Do ,00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Si nature of owner and/or Condo President _Date `gam Notary as i Owner or Co do resident Date My Commission Expires d ANft M Becker W ow.. "On DDISOUS Signature of Contractor or Owner Builder Date Notary as to Contractor or Owner Builder Date My Commission Expires fj r 15, 2008 7� FEES: PERMIT �w RADON C.C.F °' CQC� NOTARY ,w BOND APPROVED: TOTAL DUE Zoning Building �,� Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address I 2, ✓ Tax Folio Legal Description Owner / Lessee / Tenant Master Permit # Owner's Address ,1f 3- �Vll l y 3 Phone ; ?P/ v � Contracting Co, ✓ �� / Address !2`.d C7 OklA ;4 10 � G�� 1� 1✓G��i !` Qualifier ��L G 4 CAAVS1 SS# Phone 6P-7d VJ State # Gc-C') Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address .Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVING FENCE SIGN WORK DESCRIPTION ` �, �� 61z) Rog �� Estimated Cost(value) !J\ Square Ft. 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 zon' g. Furthermore, I authorize the above-�amed co ractor'to do the work stated. A4 e y - Z:� 41 Signature of owner and /or ondo President Signature of Contractor or er- Builder Dater /� ` Date: /� / ,x,- /! -' _ . L-111 , i � /_ , /i , , t� /.0 - / / . I'7: _ n� _ s . c l--1 A k ! / Notary as to Owner - o A e (} 14tGEAL Notary as to Go 0"L 4 My Commission Expir St� e!i BARBARA ANN FUGAZZI i-� BARBARA ANN' foo-1 : My Commission E �� * COMMISSION Nuaatk 2 r n COIY1MtSS10N NUMBER CC360199 CC360191 O MY COMMISSION EXP. F � MY SW9�'�X�, ** * * * pF P`bo * MAF 29 198 * * * * ® t FEES: PERMIT RADON _ C.C.F. NOTARY TOTAL DUET APPROVED: Fire Other Zoning Buildin Electrical Mechanical Plumbing Engineering LOCATION Iap Tj Ir,,Z_A ,Lqlf " ",-e '(. =3 -�.J,r GARBAGE TAX RECORD PA! BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 0--o '/ - Y 4 S ODD 1941 1942 �' �� 20 3J a ` 1943 1944 f '� 1945 1946 - r 1947 1948 /1- C/o - / - /0,3 � y 194 / If- 01.11 �� " 1950 " /� -.3/- 5� ' /- / 5'0 /5(0y-9 142 N. E. 103rd St. by year annual tax period used amount paid dale paid receipt # W. t. Scott -- — _ 12-31-ses Ix 6� - `FJ OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO.- _ William E. Scott I JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 1L,2 P1. ". 103rd St. 9 & E 10 13 I. M, S. Sec. GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. Owner I I I BUILDER'S BOND 1555 ! - 11-55 5 00 5 Dan didn't require one BUILDING PERMIT NO. DATE PERMIT FEE . NO, DATE 924 t.CU. 1,000.00 ZONE REQUIREMENTS CU. FT. PLAN CUBE CU• 1 FT. EST. COSTS ✓00.00 DATE DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: TYPE STORIES I ROOF CONSTRUCTION INTERIOR CONSTRUCTION NEW CONSTRUCTION ( DESCRIPTION REPAIRS xI ALTERATION extending parch DESCRIPTION IADDITION APPROVED REJECTED REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL I CERTIFICATE OF OCCUPANCY NO, ISSUED BY TO BUILDING PERMIT AND INSPECyON RECORD -MIAMI SHORES VILLAGE BUILDING INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FO ATION SS FEE TEMPORARY SERVICE TEMPORARY SERVICE $ BEAM, S &LINTELS H. W. HEATER CONN. $ SEWER RANGE CONN. FRAMING SOLAR HEATER MOTORS $ GAS FIXTURES $ $ INSPECTIONS F� NAL.. CLEAN -UP I(�. C f RE- INSPECT BY RE- INSPECT BY ROUGHING PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE $ SEPTIC TANK H. W. HEATER CONN. $ SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE // PERMIT NO. � C� DATE 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 APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING MIAMI SHORES VILLAGE, FLORIDA ❑ ELECTRICAL ❑ DATE / 195 PLUMBING ❑ PERMIT N® 4639 Contractor s License No. ` - ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect _ Contractor R„ r or Builder ► „ ... A F Legal Lot I Subdi- Description Bl. vision Address of Value of I Amount of Building I ' Project $_ I Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 4' 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e, MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N? 5761 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description Bl. Subdi- vision 194 Address of Value of II Amt. of Building Project Permit ti 4 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device describ in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: — By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING El ❑ MIAMI SHORES VILLAGE, FLORIDA Q 1 Q Date—. — PERMIT lr �T p 816 9 Contractor's License No. Work to be performed under this Permit 19 Owner of Building _ -- - – - -- -- - - - - -- - - - -- - -- - Architect Contractor or Builder - -- Legal Lot Subdi- Description Bl. Vision Sq. Ft. Address of Value of Amount of Building I Project $ Permit $ '' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 i MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N° 5761 PLUMBING Work to be performed under this Permi Owner of Buffding« Architect Contractor or Builder Legal Lot I Bl. Description Address of , Subdi- vision Value of DATE 194- Contractor's License No. Amt. of `z ' Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 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 dinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritie�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 F-1 ". - DATE ! - �L � Y �: � ' 195 ELECTRICAL ff PERMIT W? 13721 contractor's PLUMBING ❑ License No ROOFMG ❑ Work to be performed under this Per Owner Buildinc Architec Contras or Build Legal Descripi Address Buildinc �f f a 4-'_...x. ". for er.l�* Lot II Bl, Subdi- .ion. vision Value of I Amt. of { Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. t I 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 PERMIT r Miami Shores Village, Florid Owner of Building Architect • Contractor or Builder PROPOSED LOCATION MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR N° 499 NO. STREET PART OF LOT LOT BLOCK SUBDIVISION ROOF dP COST OF BUILDING PERMIT FEE ( DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF CON UC!ION BUILDING TO BE USED FOR ROOF dP COST OF BUILDING PERMIT FEE ( Frame, Tile Concrete Stucco Reaidemce A to Stores, Hotel This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws" of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. 6 r. Dated -,'. , 19 f, (SEAL) MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE �T ELECTRICAL PERMIT .LEI O 2462 Contractor's License No._ PLUMBING Work to be performed under this Permit Owner o Building Architect Contract o or Builde Legal Descripti 194_ f r r Lot I 131. Subdi- on vision Of Value of Amt. of Project Permit Address Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 regula- tions 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 Address Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 regula- tions 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 PERMIT Owner of Building Architect • Contractor or Builder MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, __ PROPOSED LOCATION A/' 19 51'7 NO. STREET PART OF LOTTI; LOT BLOCK SUBDIVISION ROOF COST OF BUILDING PERMIT FEE / fj - - Frame, Tile Concrete, St c Residence Apts.. Stores Hotel DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TY7F0,F, CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE t Frame, Tile Concrete, St c Residence Apts.. Stores Hotel This permit is issued to' " "'x 1= To_ -rte the building above described, as per application, Plans and Speci cation h retofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and ulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said s, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the uilding department of Miami Shores Village. Dated C� (SEAL) �P y ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician =9l.iami Aores"'Tillage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fl LOCATION NO. STREET PART OF LOT LOT BL'K SUBDIVISION DESCRIPTION OF WORK N° 717 NUMBER OF Outlets ( Motors I Receptacles I Generators I Stoves Water Heaters I Signs Billboards I Other Apparatus I II Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. 19 (Seal) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction, j Owner of Building::. Coatractor or Electrician l aiami Jbores7llage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., ` 19 LOCATION N° '71'7 NO. STREET it PART OF LOT LOT BL'K SUB VISION Signs Billboards Other Apparatus Permit Fee DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. - _. _ , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. t. Dated MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.'___v__Y________ P Date - - -- _°9----- ___�C__7___7___4 ----- - - - - -- 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 _ _ ' Street �j /�__ ��— '� --4___ ---------------- - -- - - -- No. ,.--4-------------------------- �rl - Registered Architect and /or Engineer ----- — — - - — ------------------ ------ - - - - -- - ------- --------- --- ------ - - - ---- -- -- --- - - -- -- — - -- — — - Employing Plumber's Name __ �------------------------------------------ No. - - -l��--------------------------- Street__�_2 —�- Location and Legal Description Lot_________ ---- — --------------- — ---- Block ---------- I ---- - ----------------------- SubdivisionG�__ Street and Number where work is to be performed— No.___ k_ t_ ----------- — -------- — ---------- __ /_- --------- Street____, State work to be performed and purpose of building (By Floors Y �r . - - - - -- C New Building_ _____ ____ __________ Remodeling ----------------------------- Addition -------------------------- Repairs ------------------------------- No. of Stories - Size Septic Tank----------------------- --------- ------ -- ------ - - - --- Type of Tank _- a-C__ 1% !1/ ---------------------------- Capacity Gals. Feet of Drain Tile__________ ____ ______________________ ____ Dist. Feet of Tank or Drain Field from N Nature of Water Supply: City—Well --------- S',_ t__ ------------------------------ .Size of Soakage O �' Amount of Permit $ -- —LZ- - - - -------- ---------------- - - - - -- -(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 - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �.f t O L _______ (Signed) - - - - - -- - •--- •�'�-------- --- - - - - -- -- - - ----------------------- ` Master Plumber. STATE OF FLORIDA, t`` COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duty authorized to administer oaths and take acknowledgments, personally appeared--- ----------- - - - - - -- ----- - -- - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________ ________________________ ___ ___________ _______ ___ ______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------------ ---- ------ --- --- ---- -- -- -- -- --------------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank----------------------- --------- ------ -- ------ - - - --- Type of Tank _- a-C__ 1% !1/ ---------------------------- Capacity Gals. Feet of Drain Tile__________ ____ ______________________ ____ Dist. Feet of Tank or Drain Field from N Nature of Water Supply: City—Well --------- S',_ t__ ------------------------------ .Size of Soakage O �' Amount of Permit $ -- —LZ- - - - -------- ---------------- - - - - -- -(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 - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �.f t O L _______ (Signed) - - - - - -- - •--- •�'�-------- --- - - - - -- -- - - ----------------------- ` Master Plumber. STATE OF FLORIDA, t`` COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duty authorized to administer oaths and take acknowledgments, personally appeared--- ----------- - - - - - -- ----- - -- - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________ ________________________ ___ ___________ _______ ___ ______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------------ ---- ------ --- --- ---- -- -- -- -- --------------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VI LLA13 E ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ja ` f°l Date- Application Permit No.__`!_ ___._ 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 wor . Owner's Name and Address ___. ______________ ____ No_ J___ v ________________. Street---y______ 11 Registered Architect and /or Employing Electrician's Nam Location and Legal Descripi Street and Number where work is to be performed— No.___ -__ Q /W'- ____— _ ---- Street-- ------ --- - - - - -- -- - - - — -------------- - State work to be performed and purpose of building (By Floors) --------------- _ ---- — __-__--- -------- --- ------------- , --------------------- - ------------- -__ New Building----- ------------- ---- ----- - - - - -- Remodeling------- -- ------ ------- -- - - -- Addition ..-- ----- --- -- ------ - - - - -- Repairs --- ----- -- - - -- -- No. of Stories.--- ---- --- - - - - -- - - Underground - - -- - - - -- -------- -- - - -- - -- -- .- .. Type of Installation--Conduit ---------------- Tubing ---------- -- B.X.L ----------------- Metal Amount of Permit (Signe - -- - - -_ - -_____ _ d) -----------------------__----------------------------------- EIectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work be perjormed under this permit, as are licensed by Miami Shores Village. `� / (Signed) - - -- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. � Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- _ ----- - ---- -_-- _ ------- — ----- — ___----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that 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. 1 SWITCH LIGHT PLUG FIXTURES PEFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP OUTLETS OUTLETS RECE'P*T's NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER TOTAL CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON SW. CAB. TEMP. PERM. 0-1 HP 1 -5 HP TRANS. RADIO CONTR. LIST CHECK _ Overhead c_-- r -' -- -' .' -' .• -'- - - Underground - - -- - - - -- -------- -- - - -- - -- -- .- .. Type of Installation--Conduit ---------------- Tubing ---------- -- B.X.L ----------------- Metal Amount of Permit (Signe - -- - - -_ - -_____ _ d) -----------------------__----------------------------------- EIectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work be perjormed under this permit, as are licensed by Miami Shores Village. `� / (Signed) - - -- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. � Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- _ ----- - ---- -_-- _ ------- — ----- — ___----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that 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. 1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNo ......................................... Date....... .............. ............................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �p 7, Owner's Name and Address......: � �."'...._. �._:._.h , S.`w.. Q-..��.........N.......... , . .. "' -• -- .... Street � �.f .:: :. ".__ . ..... ......... ..... Registered Architect and /or Engineer .............. ................................ .. ...... ........ .. .... Employing Electrician's Nam 4✓ .r ... - - No._.......... Street - ---- .. ........... Location and Legal Description Lot ................................ .. ....... .................--------- Block .......................................... Subdivision ............................... ......---------- Street and Number where work is to be performed— No ....... .... .. ... I/............................ ............... Street ........ �r !./...... .... .. / �f _._... State work to be performed and purpose of building (By Floors) ... l�s%.4r !' ......pov ... l4.4....�' :. .'�!�'0..�f °.. .!L,'. R .....`.•.... New Building ......................... ...... Remodeling ...... ......................... Addition .............................. Repairs ...................................... No. of Stories.................... Service Overhead Underground Feeders .................... Conduit ................ Main Sw ............................... Amps ....... Type of Installation — Conduit ........................ Tubing ........................ B. X. L ......................... Metal Mould V / ........Main Fuses ......... ...................Amps _.. _. .................. ......... .. a............................. :............................ ....................... Amountof Permit $ ......................................................... ............................... ( Signed) .......... i�"-..... U..................................._............ ....._........_................ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ..................... ............. ........................................... I .... I ....... ........ Master Electrician, STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ............... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............................................................................... ............................... ..........................-----.........-•-•--.................-•-•--•-•---.. ............................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CO NN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. D 1 ST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1 -5 HP TRANS. CONTR. LIST CHECK Service Overhead Underground Feeders .................... Conduit ................ Main Sw ............................... Amps ....... Type of Installation — Conduit ........................ Tubing ........................ B. X. L ......................... Metal Mould V / ........Main Fuses ......... ...................Amps _.. _. .................. ......... .. a............................. :............................ ....................... Amountof Permit $ ......................................................... ............................... ( Signed) .......... i�"-..... U..................................._............ ....._........_................ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ..................... ............. ........................................... I .... I ....... ........ Master Electrician, STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7/0'1_7�U Job Address oC N.E. % p3 _%7- - P: Legal Description D U70 L 1 10- 1 lio 11 3 Zo(P 13 1160 3 Owner / Lessee / Tenant M-.41- Mr S . (? /�- r L Ay►E_S.S Master Permit # Owner's Address_ N N • E. S? Phone 7s"l - �'1" © g � j Contracting Co. ...._19ffN CWEER i<ocSi w!_ Address �43i N• W ��5� Qualifier :J"'A FI 0 (l)LCr- 1f Phone �a a2 L- /777 -A State # Municipal # Competency #_LL29T #_L Ins.Co. Architect /Engineer, Bonding Company, Mortgagor. Addres Addres Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFINGG PAVING FENCE SIGN WORK DESCRIPTION I�.EPAiy- EAK (AJ 'T 1,PT A yE7 l 1<0O"P 14P -Cu L L' v i Square Ft. --' n Estimated Cost(value) 07 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -na ed contractor to do the work stated. Signature f owner and /or Condo President Signatur of ontractor or Owner-Builder Date: %tau/ y , / Date: 7 �X7� `1'3 lary a7s to Owner and Commission Expires: Fie JOSEPHINE CHt1A'CH Fdtt WftOilQi o; t ]F# , . #R6. Apra 3o, No. CC197545 FEES: PERMIT RADON C. C. F. APPROVED: F r i 11!"�pHINE CHURCH ta6 as to fCtf'r c¢oo rt$x &* Na. CC9�M Commission NOTARY U TOTAL DU &_ 6 r6 v Othe Electrica Mechanical Plumbing v Engineering