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MultipleInspection Date: 04/11/2007 Inspector: Levrack, James Owner: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Job Address: 133103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Permit Type: Plumbing - Residential Inspection Type: Landscaping Work Classification: Drainfield Phone Number Parcel Nuipbers, Lot: 1121360130820 Contractor: BOBS SEPTIC $ DRAIN INC Phone: 305 -558 -5818 Buildina Denartment Comments REPLACE TANK AND DRAINFIELD APR 1 o 2ou I ctor Comments Passed Failed Correction Needed Re- Inspection Fee ($73) No Additional Inspections can be scheduled until re- inspection fee is paid . Tuesday, April 10, 2007 Page 1 of 2 R Miami Shores Village �,. 10050 N.E. 2nd Avenue Miami Shores, FL 3313 8-0000 �Va Phone: (305)795 -2204 Permit NO Ih,F - -''-' Permit Type: Plumbing - Residential Per ' Work Classification.• Drainfield Permit Status APPROVED Issue date: 3/3012007 Expiration: 09/26/2007 Project Address Parcel Number Applicant 133 NE 103 Street 1121360130820 Miami Shores Village, FL 33138- Block: Lot RUTH V MACK, TR Owner_ Information.. _.._._........... _ Address........ ... ...... _ ............... ............_.._............... Phone ....._._......__............... .._......_...____...._...._Cell .._ ... RUTH V MACK, TR 133 NE 103 STREET MIAMI SHORES FL 33138 - 2328 Contractor(s) Phone Cell Phone BOBS SEPTIC & DRAIN INC 305 -558 -5818 Type of Work: PLUMBING Type of Piping: Additional Info: SEPTIC AND DRAINFIELD Bond Retum : Residential Fees Due Bond Type - Contractors Bond CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Valuation: $ 3,000.00 Total Sq Feet: 0 Amount Total Amt Paid Amt Due $ 300.00 ................... ............................... $1.80 $ 0.00 $ 0.00 $ 0.00 $0.80 $350.00 Payment Type: $3.00 $8.75 $664.15 Available Inspections: Inspection Type. Final Rough Landscaping �� gilt 3 0 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. March 30, 2007 Authorized Signature, Owner / Applicant / Contractor / Agent Date Building Department Copy Friday, March 30, 2007 1 Inspection Date: 04/06/2007 Inspector: Levrack, James Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: , Job Address: 133103 Street NE Miami Shores Village, FL 33138- Project: <NONE> _'M Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Drainfield Phone Number Parcel Number Lot: 1121360130820 Contractor: BOBS SEPTIC & DRAIN INC Phone: 305 -558 -5818 Buildina Department Comments REPLACE TANK AND DRAINFIELD APR 1 0 2007 or Comments Passed 5A Failed E] Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, April 5, 2007 Page 1 of 2 V x5;1 ousln� Adzil al and e sue. pay 0 and'. labor . 3thi g e ` A ptan#e ken ou (pp�. `may: ''(` �'� v���{ ����L WON % ,�w{�Oj� a:, fiidan�ra , The Ge Oig3 idi.ticvns of tjie Aj� flans r. bi mts Y to -this W, it lerein . ,full and cop of —tame ' 1406::ti- 041.:,. t� ha ix6hit�i,�#A; . Rigs 4:. the' 4 e'r r=esferves tjii� riot. to E! .diejeat- Airys bids 'at ;1: .- 'sub-- oontrajd.t " sub - c0 ntractore ' s�izf�i2 be .l31�bt8 aramiriE3ti.vn " T e` 'Cora ractor shall c4irei:`u1 1y, K3xS Of gr sties as -Uo, �alo*ance vi ll be roads ,lor: 1 14(ite of all e4ndi t orxs OX opt, i.xete�r3.nabl ®. L�y3x 'vu: The Contr�etarr, shall' assume rq�spon + Work ,)Astai:ne3d b owner du.e to i wr buljdi.n Vr lAyIn , out o ,thy, *Or► ir#dstorm . Thai Owner shall ­vff'eet nzad :w&j- hts3 as*631 as r. in:urncs cli' Dif`,Qative or Any work or, ,mat4rit�ls- not. `a4 ",v Im r per ,.i l rk must• b r+ ved by tae Conti isto ed materials ar v ©rk: wit aut ;;;extra 'Ordinanees' All ie(V IVOments of the Pedplr�;Ll: $c Regulati ou* a ;:aae l': ads all ibcr .lre iif3Tlt8 ' <3 1C C and .re�u3s.�tic ►s �e ��'tin to build2 by all a'+�ntx• ct r s.. �'Ormits Thy t e erg a:Qntrr'af.,t'Or shall.­ ,e �4 ` building periA3'ts: :�pec-31, p and. p�i� �' by,,thc, t ontrso_ tf?T'. t?�: c iaa ant�o Th"e c6jitra+at ®xti hsli' be z�a pQxaei iQ�d.'aia:€J'€st3t3 tb �'ai'1�.�'+:3:.i3`` -. whi;`COa' xsy; Rrl ie or be d s"Vered Culp l e t i. 6n .o �� a wQ rk anal - & R OZ V x5;1 ousln� Adzil al and e sue. pay 0 and'. labor . 3thi g e ` A ptan#e ken ou er ova l a The sx r 1 e rr :. ih 11 be out to era C r 1,81ent M4Z q mod. Earth depth to' '116,7 .for foundations, 01W, work and the ' ,,1nst�allatio �►f all '`othex' vripkrk to ' the best adT.a.nt*9#:� EXORMC O' n For soil, water iind shall be done by the respective trades.: . Grading of any surplus soil slsa.11 . b.� za6 �n#da,� 4d. on :tho 'drawings, as rac?ir up to ,the. -, walls of the -b4A , . ir&. Gontrdetor is to furni h a sy addi of l rg gaired for - terraces o r s3�cba; pn fill after soil from exe &vat'ions have been used u for tbet Fors Woad farms for -the concrete work `sha ll, be built �rtrong :q and rigid2�; td supl,art load Of ConGi'.pt�'" xtthput ,def1e4t1�aaal,�. -10 ©rr�s.hz�ll be built' t aim, ;true .rind.. to si. regurcfi, tind in every way shall con ,orm _ ith the requiremift -t �I � fiat alaas, Job. Ge text: r. Ali. veavent 'ahall be `fresh Ameri.caan Portlaa cement of statidard brand a ;roved 'by the Ar6hiteot. `axed afia .1 6032- �" 3-n every reApoc t tot requ.r4uejts of. th6 'dtand #r,4 apeeif c�tions of the rmerican Portlind C ea ' Kf'rs.Aean. Sand --©r All ehall be fresh water sand of firm .. texture, 'eve-illy'. Fine A ra-» 4r&died .from c- o"a:rse to fihe,: not lea's _tbacn �,ei its.. pez- y gate cent .silk's c.ot tart -. shall b free' from zticsa d �l ... etvtin no tr,ah 'or fora -.gn matter, 'aid: ''.not:moz'� gn ,- three percent total Sta .Or Cciarse ' age regea;te nay. be grave. or 'broken, C�a ae Aggre -� . Size tt� �a s s, tiirotigl a IZI /4" ring -Ondt 4 be retai'a�! te. ed on .�/r" mesh. I:u;�t be eves y �g frc a�oar sw, . to fine anal; mu. st contai no sore n3.r a,.. tr s a 4ac organic matter.: `e in G2`Ci tB' �Ieinforaln,8 steal fpr concrette-, shall- be -Ins- ediato steel grade confo iing to sj,ecifjaatiox�s o the Az6r, eax .. $pdiety for Testing aterliIs, t6€�.i shall b� pra�,+�r length and befit cold and deformed , barn arty shall . be V$ed; -no,.'re- rolled steed, allowed o - steep is to ".bps tisa�d :Thigh has gathered °a rnet saale� . t e1 shall' be �.31€�ceci in for*js "end. r �id;lj vrJ:) .ed aki place ar, of ier�t s op ort,ed' before - concrete':is �►.` ,ppur Bars Iu, slabs "car bct.ms shall be lifted or- c3radled so-- th it b�r� are Weil b ®dciac3 in goner te; . Genarete R iinforeed' ,egnorete shall be" in proportion �f one'pai`t. dent to, six tarts fine,. a.nd:,toarse aggregates. In proportioni & uteriuls, one bag: of cement w" : approxinna e y ��q s shale. be consider . cubic .foot._ f_ ._ C. , Ourter,;Hea 'th- Out � ffiar.slnta.l s t , ,�s" +A # f, r La s p� vosit . WI- th r1 Jam. apii *.�r.k 3a�d ; aegis will lao P Fireplace " Vlue t© Be Ourter,;Hea 'th- Out � ffiar.slnta.l s t , ,�s" +A # f, r La s p� vosit . WI- th r1 Jam. apii *.�r.k CAUENTRY General General Contractor sball zaint c pete nt caper ter e�nt: or foreman on t1as job from start ta; sh ll be 'resp; nsitij fear the 'detexmbAU* -,of 711me :,levels� ma2nt,3nln; strut burricK ;d sr .2antrrs,- sot`f'o ds, a.et.. necesr ry, for 'the safety of the ,end h Epugh Olock & Fram irg. 74�iber ' iha 11 be #2 eyr rette rt,< i e�af ° t uaro h,. Framing1umber ly se suiisd, .1l sswn to fixll -dimensloha free from , sags eke sO large and,, unsourxA; knot, �xi4 all ether de�feets IDIP4iring. its strongth , FlOpr jOf t. 0h2 31 Leif finp* Troatipg of All bucks plstdajp sills and all *ood' In oontaet '*1th Lumber lrzasonry ,s ail.. be treAted with two' �i $ . brush # -of e:ro sote„ 1 x 2 ' furr3 xag ,strips to be 'treated with,* Vents Vents under house - shell be screated Wi, i h' haav:r g 'v ;' ied , Sre, te; h ' 18:636h bronzes sire pf loon = td bei3i ,. 1 galy ax�i ec pipe or` sleeves t 0 e� or as Andioe.te�t� Framer; ` aeoess d.o`or shall` -ber, placed to att.ia axe a.poa I where indicated on 131sn. killwork Construet at the ZAII an&,fit neatly 3n p,�ate p .saaurel.y, all kitcl}efi eabine�t c;. es ,n 1,6.�.te�d Qn the dra.c�.x odr acrrA `c1�� sets shall , hsvea cane s: h 15rs ,; and .a ` eat polo br€�ee d ca re- indio� to . All bedro� mm oljpsets to' be provided . Itl�,`shoa r�ae�:s � �:nc�iraat�d. %ineli Closet to be fitted with five shelves, Closets where indidated shall.- be lined at all sides ` p-nd ;t© bottom Of shell WItJ t* 0 red ne ar, . Kitchen dressers shall be Cypress tt deta.Jl 4i.th: flush , an+sl Fir dbora►" Counter, tc71 s and ba 1, 61ks she Vie. ;t ,le , by. 4ers�, All exterior doors and millwork; to be of He art Cypj*as, , interior doors to be stud, one anel doorIa,�. -� TrIm., to 'be,` P4p1 .ar to detall �1b4'L12 g ' All Zia.zing. sh l be w t], .S,;8. glass s' t -th stc a In tf In glass door 3 'arid with glRzin e�tsttj�{fl1i17�i .i z 6,61 4rouudo �",4ter shah --set Oroun.ds vrher€; rergt ed*. Floors x21 floors exe spt. there indioate�d shs.�,1 .-bb S*Iect, _,R11iK "Oak filled aeked end vmxsd, gheath3r4 A. Sub - floors , shall.. be of 'I x 6 #2 Yell i in* lours to supports,, R6of Echo tlai chap e . ,_'�> l' *F laid V '?J' es to supports. stud Partit3:on9 Wood studs. in partitions tee be where, they adj U titerit� grails to be .secured to ':eazie; ens per requ43 a atA1, of V lli"go Olt ' X ami ' Shore s E► 11d ng codo.. 4 ` $ 3 the nn Ya t wamm fib a ll be' standard. Y +aver le i>r felt. 11 tic aver l Ye216v_.P',!ne 11oQr ; is- sele.oted by �i rror xll I.Ongth' Ia :0 Mass mmirror l ­b6" .plSd*d. sherd . �lost,., boor edo Vtri ror to be' "secured . in, placer b e Hardwire' }jj/nLfrii, 'iior, w:hSSall.., fN.rai-s 1 and instau 04 , is±rd",!are ,.0?i"R6i4S;. as boy _ts, a1aeh' a, straps f eto'„' 'finis} An, .All'wan-ee of Fift y i w50000) i1.t $ l 100- made fc Rardware f3ih hrdax". - 'Oa ul kin4 Caulk, ,o,.� k erlor p 4 `i3iP0eYis X11 a zterior doors shall knave .. a6z'eena of $8 �e� brErnse a4r a a. h �a s Shall btu -1/10. Main 14ntrsnze screen door, shall Vie_:� -2��� srid .shall be i�edis Txe3 �I�c itl�YlE3 agb'ihet, shall b La*aia '7`�� . 15 :x 24 °c��� C l�inet with, r ar.' blade aisj cos.a1 ialat.. Wij3d ow sills Window al Is shr1l be dated tiAe 0 rt. Q14:" ° 4 ' ter Ixiiiii 11 all fr in for aplor . heaters ` ba b_ Oild f� Solar heaters t' *, b' c� '' ed. �oh elrawi S. Insulatlon shall be, regra=la� �o�►k; Fc r h Ceiling -pt r he,s sh l�. be ui t ,d QyppeasA roln, h . with Mall gypr-e13 a g*zould at inter; *n f 'Wood. B1 s tc�r��riF ,, blinds: inc�s�s ;, :p��7'here - s�acps shsl3��b:Wy�ggayf� �rey�syit�{ +�v��►° tt pY���roc� �r�j{cy�( iJ �F Jr m {i]' � � wr � ♦ 6l K �.i GG 8 v3 T.r.N! $.1Fing'' iM MM14�w+s 17F'. .' to oporatej,. S.: `� ixk €� k . 11tr//ov�ijy do Inatu!. L in, garage a tru .'rase -* �'.F." : a� pan iiL�f+M;Y►4[CL W�i14 ` C+ ra a Dc vrs r e c ei or s sh�jj be of 13eart det e , egUippesd ° :Ath- 3tS_1 ,17 ��.;�rc�it���.R.gve�'b �d. 40;rl- ha war- e doix p e to . . + tk rate pax ter3,e r -di � i ;sh 11 i aye �i erl brew + inter t c irk thre'shq d with spring broA �. �q�x� e�� at .��ba.s heeda °� 1 eta V j '" % ' -rDU& n tail.ati©ris . nsj, tx1��r ���3C:'�OX��• . Na fini sh p1. �t t- t is '.3ug�li�d "` t Appl is t1 dxx .c►�' `f la ter ta. be im ` fairl, h, , and as 'ording. �l in, ba►th� �.l� � y « ta�ybyy�ugn Q�t /o }i�� let +�/�+ySy.Yb9 .L7. .i:J, Wi � e'o 4J40 "JVGii a♦ti 11f.1ie4'r W. as . Waij Le.lt l ' ithR11' by^; . ']r�vekp� -S tth as * nu�'�� IftAd �Q{� '.at!- ', }�✓!�� ��}tirl �yfM�4M ���± ii�`1w��I��.:'. stucco L xtetiqi walls to be stuccoed, ;not ; le:ia t 3"T 'rI' i k'Aers* ; tl 4 Garage Irst iar Uf ` a�a�,� shall be �7�.t3f�tS „ Vet& l th' All mli,'fF 'r,00 0 *6 the sl oevent tsr .:cis dy 01; ntan ". wil ` ! @, we � ;fie ecv'�rr4 7. 3 LA AND MA . `G aural : :`00 is t � .sh 11 b6 done tl bul e and until ` ! @, we � ;fie ecv'�rr4 7. 3 l { r Fen ral ' OLinter l' it t2� c tbor ng his nr� ana sh�a�.l r�r + +� 1,g r rk n ' Will' iv him: janaat3 sfact6r� re -t - , Indlo'stes - acooptanee of workv�P:�tf�er�� tuc$c T�i!aers 'will o, t vO 00a is of *aterl a ' wd OL p tit `p fe 1g $p LlV1� F7 .b`i . . , .S Fa eri qr oc d�ror c Frixi,6 RlL :,6xtv6r . a o d Ibrk ,end Qip ,q with'.slead ba'. oil* l[e t�l Ail exterior Wo- odwork and �eta1 gxce, t �apper ..tc� :bffi ��in#� .. Keith. t�vo :cs is cry" lead A coil in" i63% �+� prf. E :-coat M hi ch 'on- me. al shall be a1?�mi�tz�-- `a�ai��7� Ixite 3*t► Ix tsrior Ordodwor ' ixicludix�g.:bausei .. tiri ; : - t iq� e: t'i� . Woodwork of ca.bin,ets, ett* to be poi tsd, spat l load . t' a�.�.,, iii .txa.= addition to, ,pr IL ;g 6 oa t, of c�� ox s 4'1 sa � %�. ��� �t I bath ' and k!:tdh *n to be en 1. t '. t a ] s "betW0 woodwork a �ajster. Platter. inaster to reeldve one pri et- o"er a nd o chat flat p �3*t� , hol es rep s in Be4roc n o oksta shall V M :O% As. . ' R aoat.. of $ta . cglor s I ted� r StLa1*0's. In �i sn `tilas t to be' st had: i J, $ Frx , r �_- s WORK ts3eral _ tditipz�°' The 4 n�s.: tion apply- Are sd:oo a, off' ec2far �'9rxeb P. tr a 'or; i. sp�e a.. rew t t ,e tz iet be re nne��le, all r�quia�m+ei�t G�zor�;und;er, tork xis l ed " , y titx* sh T ajj, i, b 'and, hater a1 re d r�1'f$re�t trs 4 Zak tip ,: , tom= bui dixz as s2ic rA Q too plans ar4 as herein; �st j :f :j ncr�t.4, sods Ths' an�ere `f l uzld; r tip sh c��e f 2vr spa be .thm. lve►iat ss rqud b� >.. Fe►3x`atr u idor &Wther _ j Th , bru n clean and S e t,. to t} ,. p c t.1 r € p o c . `duo � Of �* .:�. � ' ��"�� a,1��' �b Odd , ii' enb Y� Q hold *ei , d" l " laid �cecrd wlth,:''the� 'e►,'�� fad 'tile" ciork sp$cit`e tits$ : 3ect�x�d edition Asst 3sti: Tile rr s v r �. , � . th t a r ., s <_ b 1et p lding ,lon. : rill V���' ski fi� it WC411WI.PArd *.d,V AS i7li1lV . e Walla Mb i �F,y` tap �IYFMit.. �iiM4M . /(j {�.Sh �+�,� #F pL X��M ]R��'.Yy{ 11Yy�ry y; GL S7 'q'.i'.fr�linlf.,.lf i �iitSX.R:' 14?V WI. .Ny �ii/•idp _ it r� 41 hm bl46,r TB 843, Soap" & :.Grab 0 ,Fa pct, Holder" 1 Fair #47 Towel, Bar p��t� Shall, C b$ buff r�n�e weed iC , tt:asli ' +5i ,beak Back 4k Bulln se Cap It" �rC3.�C .�rim, 60 68: pt , acci�i� , a whc.si i be; sic s.a on y:ORK General a Th4 eohiOlete electrical insta4ation 'shall a©nform with all, ^ th rules_ arm: Fegul.t t3on of N .tional Board of,, ire-, ` Underwriters file' c��+.;�` ed in the ateis�th ed�,ti:yan, d� tb� Cyae���y L yi it .l.. ��'a �l E" - -,i idw'ro i. ± ht .Co' ♦ lk 4+ ARi erg. Sell Telep- bone Co. and'requiremorits Of the ,In p4otpr -, * A.rchit ee t will furnish i,nf drmati,6n, regard l,,4 the locat2on , of the service able ,and note : tkat meter aAd service. lAsta.11al. t:ion shall conforr . with the rtotftt rezpliVements of the Iawer- C cam �:an a, tlerldis .Duplex ,receptae as end twitch outlets may be four 'iota.` or, Gem D. kr ovidC+ plaster, rings And bracket outlets tith no -bo' It f .xture ; ertuds, Cover an swi.tchplatos to, be white bakallt�, c ©vex p3�te�� s 9aitoi es' tb' be toggle type shd ,�a� switches whore 34 6 than ones , o ac u.r s , SerVrl'tse, Il ht end Power service steal' b8 -ovetrhe�ad' from nearest Notering ° pole. Duster switeh and distributing panel shall be flush mounted in a. treat tanner Provide meter loop and conduit c oinnedtlton :to. �n6 s and turniah one spare fas, t',Jp sand ccamplete 'Not of fitsea, Overhead service to b t twee re K1IQ 2 O Volt and° ,sire - shay ll be rubbar aove±red c�ibla. and., neatly tl y al.li cir oult�s , panel*',- r �Ltab»+sl yai,ea7l �aqt e� j went. 4Tr�- +,,�.J.a.6.1 Kam' E .3 - lr'rnil. .irop�.'rl ;pLoe(irdanoe. Y11,4th �CFquir ,sa-4Rs• : "diririg ;shall b. run in hot chip gal�Vani zE3d steel tu' ing, ,. . Under _ fill dr. outside 'shall be conduit e " Fixtures Fixtures, tea by set by this c*xitractor;. An all o nee not Uli(YO. s al. be race for purehE�s µ'tif1 same Radio Outlets lrovide radio outlet in LivIng, :toom wi.t_ ►, 100 ft0a��1' in attic and proper around.:46nn,:ctl6ns. Buzzer 8 11 . F'rO'vid6 buzzer and bell wha�e', iiadici a d: domple r=n�.th - . guar buttons 3e17 ri:re t4 , ru a iu steel tubes« t 10 LNG General ' Tlie, Flumblnr install stion sha11 be 1ri a' - 'Ordgnc� with. ;,.the re4ulremeuts of thy: In eetar all Cede ��" ;the �itT�e ` and certifJcate:3.of ap,'�roval shall b* g a3ner� ��. r, quired* aa.n ary sys ha 11 be oonne.ete+d .`� ka�. �epti,c� tank eupp�.� ed, by bis cvntraatar, 31 ae < of tank aril �ieId-, s,ho can 'p1Qt Milan. al PipinG for sanitary :s7htem �iithjn -the t quadtr " waus to lj�a c:4.st iron,' slot; and ' o4bjd water p pj.z►d• b IN= with ' alvauired a eel pips.. Thla"contraa- or -'hall run grater Sarv,ice to meter. Meter: and top 'lei .bJ* suppii d b E3�rner ,,. 3ax�itar r' The cams c3tjonj in cast Lmn sh�alj, b�. xr�d� up .with pic�k�ed uy piping .- o b„e� ,gr, ;tsey "�tp �wfaria �'le&ds,►1. csYtent, �dy![c A ji e` Cry ♦b�aM g`as ttr b ;traded not les.� Xia 1 %3' to; �' tr Lead bends' a.nd. gastcs shajl1 be, e(*er Od ronze 'scree spot soldered , 'Vents t1I'C?ugh roof tQ be, .f1af5hed .wit)i ,ead,r r, or equal >..€zd { t.. to be eel:e.ete� %fir pier. % Ri te.he3n Ki t che3n s ink . <to be --U ; x .3o' flat -r_tZ en. ` .41 rax� *ith, 3w11.1i spout' f Rueet. r 4 t • e , }`GILDING PERMTT .M Ori i; IAM1I SHORE -ss ..VILL.AGF :._..., AP PL I CATZQH Application is hereby made for_ ti,.,,e�pya�ryl of the Mans and slae�lficat s`gI� th °submitted for the building or other structure herein described. ThT,5_.;app .Jaat4-aft­ l&-at�ade in eom- pl' #grace '�c rifformatfon with the Building Ordinance . of the Miami Shores Village Florida, ..r�nd e13 pre�ri aions of- the Laws of the °S�tate°Df-Fjorff6, all Ordinances' of Miami Shores Village, and all rules and re-ul Department-,- of ��u1 1 shores Village, she I beeco P dedgwi,th., whether specified or not W OWNER . f ARCHITECT_ LOT BLI ,,�U3DI NEV ADDITIOP?_ _____.REPAIRC_ COST (excluding Architect's Building to be used for____ CTOR 6 VISION STRE'ETJL:j `� le 3 . NUMBER OF STORI1�ROOF &,.j�-V- fee) lancscaning & garage)$ r and no other use. I hereby submit all the plans and specifications for said building. STATE OF FLORIDA) COUNTY OF DADE ) Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tare acknowledgment, personally appeared to me well known, and who, being oy me_ first duly 817o.r;,., upon oath deposes and says that he is the builder of the above described construction, that he '^as .reap' the foregning ,voplication, and that he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, Notary Public (Signed) My Commission expires Cubic Feet " 11- Cubic feet required in this Block PLANNING BOARD Cha i rma ...�.___ Member,.: =.��� Imemb Secretary Building Inspector ra: Permit No. Issued tor.a�i' Electrical Permit No. Plumbing Permit No. r ► - 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 N W WEST NORTH SOUTH Remarks: NORTH SOUTH t9 y A -244 SM 9.98 DIVISION OF PLUMBING INSPECTION` DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA I herewith submit the following plan of plumbing for approval: Employing Plumber j ��ij' %21 �r�Z Work executed by For a 'S New DL--- ❑ Story [� Addition ❑ Remodeled ❑ Dwelling [� Store ❑ Garage ❑ Apartment ❑ Hotel ❑ Office Bldg. ❑ Owner or Agent �,r,e.►.V�OE % Address Builder or Contractor is Address Lot No./ i� / Block No. / 7- 'L-- Subdivision Address 0 3 J Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank ❑rte Existing bldg. drain f1 To dry well rl CLOSETS BATH TUBS SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES h cnarge of Nl.uu 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 � / Date Date ROUGH -IN INSPECTION SEWER INSPECTION FINAL INSPECTION Ground Rough -In Rain Leader A.M. P. M. A.M. P. M. A.M. Approved bySrS/ Approved by Approved by Condemned Condemned Plan Sewer Permit No. Condemned by REMARKS REMARKS M. 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 to correspond PROVIDED THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con - with the opening shown in floor plan or ground plan on opposite page. nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build - ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref - erence to same. a N M •1\ 'Z , .r. as j41t-'-4* Food Pcs t .1416* = 1 NISM Wood 2"icksts cod %4 to • 41-04' a-19h Or Less = 11-Oe • cx. 5 =-4'� i6zt t yeas 3'-0e 0. C. 04. ?ences • x'.2913.1 Flood fences, so Ice :teh on a prapert7 that by zantng r erulations they cannot be =ed : u a grail at a bu-414 {ar, shall z be cons t =ucte4 , 'to meet the fc12a7ring miaji= specifications. • (a) :en;es no v eaceedfng;�ifpr t. in 11sub t shall; 'be coastruc te-i to meet the fc1l oiri tr; . •. ariniz= requirements: . rcm noaiva1 4 inch by 4 i,nc� by 8 feet 0 l"-:h lone pasts s Faced 4 feet 0. "i=Ches vn Centers, haTLig a fib-Sr str=.l cf 1200y.s. is in bending, and shall be embedded 2 . feet 0 inches into a cones -eta fcayin 1 •toot 0 - �ches Ln d1 --m eter. sr.d 3= feet. 0 ;sches deep. Othe.- a=pona:ita.'shall "e designe•i tc comPIX + ,h the prurtaic= of tats .Cha 1* *zx and Ch: pies 23. _ • • (b) :paces ,Ia : e-.:--eedj::S j feet nd 4 s. � • ,.� feet in helzh t = aspec ti-re'T a bP cc:rst�c.e r =t Tl ded la 29 / 5.1'(;x)" hers±, e:.ce�. :I^..:: :ae spacing a: poa :a «T�: he inc to 5 fem t c tnchez r..d 6 feet Q Inches cat ten .•. rs :or these heights.. ' r cod %4 to • 41-04' a-19h Or Less = 11-Oe • cx. 5 =-4'� i6zt t yeas 3'-0e 0. C. 04. ?ences • x'.2913.1 Flood fences, so Ice :teh on a prapert7 that by zantng r erulations they cannot be =ed : u a grail at a bu-414 {ar, shall z be cons t =ucte4 , 'to meet the fc12a7ring miaji= specifications. • (a) :en;es no v eaceedfng;�ifpr t. in 11sub t shall; 'be coastruc te-i to meet the fc1l oiri tr; . •. ariniz= requirements: . rcm noaiva1 4 inch by 4 i,nc� by 8 feet 0 l"-:h lone pasts s Faced 4 feet 0. "i=Ches vn Centers, haTLig a fib-Sr str=.l cf 1200y.s. is in bending, and shall be embedded 2 . feet 0 inches into a cones -eta fcayin 1 •toot 0 - �ches Ln d1 --m eter. sr.d 3= feet. 0 ;sches deep. Othe.- a=pona:ita.'shall "e designe•i tc comPIX + ,h the prurtaic= of tats .Cha 1* *zx and Ch: pies 23. _ • • (b) :paces ,Ia : e-.:--eedj::S j feet nd 4 s. � • ,.� feet in helzh t = aspec ti-re'T a bP cc:rst�c.e r =t Tl ded la 29 / 5.1'(;x)" hers±, e:.ce�. :I^..:: :ae spacing a: poa :a «T�: he inc to 5 fem t c tnchez r..d 6 feet Q Inches cat ten .•. rs :or these heights.. ' 2. Stockade fence. Tear out existing fence, leaving existing 4x4 posts. Break up existing fence for removal. Install two 4x4 posts at east side of existing fence to property line (as marked by Ruth Mack). This will extend present fence line at east side, approximately three (3) feet east. Install approximately 7 or 8 sections of new stockade fence (rip cut to a height of five (5) feet as per Miami Shores) onto the former and e two new posts. Construct gate in position of former gate. Materials for this portion will include: 1)7 -8 eight sections of stockade fence, 2) 2- eight foot 4x4s, 3) 4 — 0 bags ready mix concrete, 4) box of 2" galvanized wopd screws. Wfte hardware. &GATeAl A. ®4D — �c Pte✓o . $250.00 ' 3. Roll fencing — install approximately 40 feet of wire roll fencing from Stockade fence to west side of property. Tie fencing off to existing palm -type Trees using tie wraps. Materials include one rll of fence and large bag of long tie wraps. I Al At y Y,4 � e— 7 ' 4X4 $50.00 a GENERAL NOTES I, ^T.11ft_t STR121CTURE IS OESIGNEO AS PER THE SOUTH FLOR10A eU'"IING CODE 1,394 EOMON FOR DADE COUNTY, AL,,,V FOR WMO LC .09 AS PER ASCE 7 -88 USING CORRESPONDS LOML 2. AKHORS'SHAL.L BE AS LISTED. SPACED AS ON DETAILS. A ,JCHOR EMBEDMENT TO BASE MATERIAL SMALL BE 8E110N0 WAIL DRESSING OR STUCCO. 3 ALL BOLTS. NUTS AND wASHERS SHALL BE ZINC PUATEO SON STEEL 4 ANC" .ORING OR LOADING CONDITIONS OTHER THAN THOSE SHOuNq IN THE-.E DETAILS ARE NOT PART Of THIS APPROVAL _ OPT*NAL STOP UOULDINC BY DOOR INSTALLER STEEL TRACK BRACKET FASTENED TO WOOD JAMS WI'tt, ONE 5/16' x LieU SCREW SDUTN£RN PINE C055 SG 13 G L STEEL TRACK BRACKE SEE SHEET 2 FOR SPACING 14 CA. GALV. 'TEFL TRACK FASTENED TO TRApP PLATES OUTSIDE 14 GA. GALV STEEL /0 �\ ENO ROLLER HINGE W/ (4) # 14 SUS `. O � I fr / LOCK 2/ ODOR \ STILE LOCK BAR GUIDES INSTALLED ON END STILE LOCK BAR ENGAGES IN TRACK ON EACH SIDE OF DOOR %M1ME KEYED - OCK LOCK W LOCKING SHOWN / 14 x 1/2" SUS 4 PER HINGE 7 X 7 GALV. AIRCRAFT TYPE CLE 3 CO -HESS S R w /OTOACT rENrER STILE 1 r- A SPRING LME:: SLICE 90L' I )CK (BC,!w aCESi v+ FASTENED 41 is t S5/8" VN. LO [C = NJ GAGEu' ::' _CNF-- RAS 'D LL.� SFBC 3603..' REGAIRDING :GE DOQRS 1/2' x 1 -3/4' X 1/16° VERT. ALUM TUBE GLUED TO PANEL AND SECURED TO ENO STILE WITH 3/16- POP RIVETS ® 12' O.C. x 2-5/8- x Is GA. S EEi I I 1� 4 I. r O W/ 1/4 -20 x 5/8- r.USS HU. �l -. SLOTTED U.S. do LOCK NUT �l 14 GA. GAI +. STEEL i 1 1 ON INSTALLED /16' RMNUT COW %4NGE ROLLER RING: J • flMi" SHAFT SECrON 8 -8 i =nit t. V --3 OPTIONAL VENT 14AX1L" OPENING AREA LA 80 S0. IN. MAT . DOOR WIDTH 9'-O" INSIDE EIEVi�;TtbN. RAISED PANEL EMBOSSM QOOR 3/4" x 2- t /2' Y 1s CA STEEL DAB D= MODEL 824 — v ENO srtLr MAX, WE 9•—T WIDE X HIGH �Z On- PRE5St» PAT= = + 53.0 PSF 40.: • I- —60.0PSF s �• • - 76-S amwING 6 PROPERTY OF Do DOORS tIUC, == CMMS'' CN# 199L ARK y2RO�TE C� elf. O ww I CO .......G.f �4 t S /1W HILTI SLEEVE ANCHORS 0 EOWIL PATENT PIENOWG 1-1/2' MIN. EMBED INTO wmw L4-1 7 1 PER BRACKET a�RGVED !8 Ct�S� 41aA 'ice s o s , Engr- DR. KUL AT0W FAROOO s1RV .. SERF lXtDE ti rL%. pc; M57 , �_Ran a - a RMT cm m. orf -l-t91 g (ma H0. 9 nc- �� 98—� 1 ' ' � I of 2 m • I Ia 11 tp I W u in. a� pn W U� .. o Z Lq o �ZtOno e r sm� N O f $ �m� o �' 26 '�� n a 6 I f � � Q c W � Q LRf Q W Z iota w W a 1 � o300 j Q T. 0 ' �Inoc _ 0 m obJ v 3/4" x 2- t /2' Y 1s CA STEEL DAB D= MODEL 824 — v ENO srtLr MAX, WE 9•—T WIDE X HIGH �Z On- PRE5St» PAT= = + 53.0 PSF 40.: • I- —60.0PSF s �• • - 76-S amwING 6 PROPERTY OF Do DOORS tIUC, == CMMS'' CN# 199L ARK y2RO�TE C� elf. O ww I CO .......G.f �4 t S /1W HILTI SLEEVE ANCHORS 0 EOWIL PATENT PIENOWG 1-1/2' MIN. EMBED INTO wmw L4-1 7 1 PER BRACKET a�RGVED !8 Ct�S� 41aA 'ice s o s , Engr- DR. KUL AT0W FAROOO s1RV .. SERF lXtDE ti rL%. pc; M57 , �_Ran a - a RMT cm m. orf -l-t91 g (ma H0. 9 nc- �� 98—� 1 ' ' � I of 2 : .sue- ' HORIZONTAL REINFORCEMENT 112" x 1 -3/4" X 1/16' ALUM TUBE GLUED TO PANEL AND FASTENED TO VERTICAL STILES WITH (2) 3/16" POP RIVETS HORIZONTAL REINFORCEMENT 1/2" X 1 -3/4" X 1/16" ALUM TUBE CUT TO MISS RIB GLUED TO PANEL AND FASTENED TO VERTICAL STILES WITH (2) 3/16" POP RIVETS 21" 14 ;A. CALV. STEEL •ADJUS' =8LE SLIDE FASTENED TO BRACKET V/ 5/18 - t g X 3/4" HEX -,EAO A. SCREWS & NUTS. 12 GA. GALV. STEEL TOP ROLLER BRACKET (DOUBLE) FASTENED W/ (6) y 14 x 5/8" S.M S. 18 GA. X 2 -1/4- X 2' GALV. STEEL U.BAR EINFORC., IG -OUSS 0 CE* 'ER OF 'OP SECTION TRUSS FASTS .E0 TO ALL . _RTICAL STILES — ^�--E- W/ TWO y 14 X 5/8" S.M.,. 7/16" DIA X 3 -3/4' ROLLER SHAFT DOOR - SECTION •r1CHTS BRACKE' 'LACE -YENTS HEIGHT 1ST-,- *1013• =714TH 15T'H 81 82 83 8a 85 96 87 88 6' -0" 19 "j 18" 1 E 18" N/A 11 1- 3/4­1 23" :4 4!" 56" V- 7-,;- 271te "ltE'121 "jN /A 1' 111-3/4 "{ 23" 34 45' S6" V' - -0" 21121" 2'' 21" N/A t" j11 -3/4" 23" 34 j 45" 56' 07' 78 -1/4' 7 -o- 13- 118 ";.1�. 18.. .118 1l1 -314" 23" 34 45" 56' 37' 78 -1/4" 18" .21" 1" 11- -` / ; °1 23" 34' 1 45" 56" 67" 78 -1/4" - 7LltIVry3 qKL rnumOLKCU 71AKIIIVI• N. •nC 7VIIVm FOR =OORS MORE 14AN 8 FT, r4IGH USE ADDITIONAL TOP BRACKETS AT 10" J.C. 5/16' X 1 -5/8" LAG SCREWS INTO WOOD OR 5/16° S_LE:- --- ANCI•1- -RS WITH 1- 1/4- EMBEC INTO MASOrJRY 3 PER BRACKET 24 GA. STEEL PANEL rL,APS BENT AVER PANEL OPTIONAL EPE- EXPANDED POLYSTYRENE iNSULAT10N BY APACHE MRODUCTS CO. DENSITY - 1.07 PCF N.O.A. # 98- 0404.04 14 GA. GALV. STEEL ROLLER HINGES FASTENED N/ (4) # 14 X 5/8' SMS 1/2- PUNCHED HOLE 0 4" 0.( MIN. 24 CA ROLL FORMED STEEL PANEL DRAWING OUALITY G -40 MIN. YIELD STRENGTH - 34 KSI WITH PRIMER AND BAKED -ON POLYSTER PAINTED TOP COAT APPLIED TO BOTH SIDES OF STEEL 18 GA. X 2-1/4" X 2' GALV. STEEL U -BAR REINFORCING TRUSS 0 BOTTOM OF BOTTOM SECTION TRUSS FASTENED TO ALL VERTICAL STILES W/ TWO 1 14 X 5/8" S.M.S. 12 GA. GALV. STEEL BOTTOM BRACKET FASTENED W/ (4) # 14 X 5/8' SMS 2--!/2- X 4 -1/4" .4 13 CA. STEEL PLATES WELrEL TO 1 -1/2" < 1 -1/2- X 14 GA. ANGLE t2j�—� 807TOM SEAL 7niS DRAWING IS PROPERTY OF DAB DOOR ?i IN .039 ALUM PLATE CCPYRIGHT 1998. TRADEMARK PROTECTED WITH (2) 1/8" X 1" S.M.S. OCI NOT REPRODUCE WITHOUT WRITTEN C014SENT. SECTION A —A AND RUBBER WEATHERSTRIPPING PATENT PEMO1NG I . 1 r S fi.J z1:: DO Lg m I _ ml in m .i ,D TRACK CONFIGURATION' CAST ALUM. CABLE DRUM HORIZ. TRACK SUPPORT 'RACK LENGTH a OPENING HEIGHT 14 GA. GALV. STEEL TRACK WOOD FRAME ULDIN STUD MALLS OR DOOR OPENING SHALL BE FRAMED SOLID BY NOT LESS THAN (3) 2X4 PRESSURE TREATED GRADE i OR BETTER WOOD STUDS. STUD WALLS TO BE COW. FROM FOOTING TO TTE BEAM. 4 TRACK SHALL BE SECURED UM TRACK BRACKETS TO PRESSURE TREATED 2X6 WOOD JAMBS WHICH SHALL BE ANCHORED TO GROUTED REINFORCED MASONRY BLOCK WALL OR CONC. COLUMN W/ 1/4' TAPCONS WITH 1 -3/4' EMBED AND A SPACING OF 10" O.C. OR 3 /3' OIL HILTI SLEEVE ANCHOM 1 -3/4' NIN. EMBED AND A SPACING OF 12' O.C. THE BLOCK WALL CELLS SHALL BE GROUT FILLED AND REINFORCED WH FOUR / 5 BARS EXTENDING INTO FOOTING AND INTO 71E BEAMS. ALL BARS SHALL BE CONTIWJOUS FROM TIE BEAMS TO FOOTING. 2' X 3-1/2' X 12 GA. TRACK BRACKETS 2 -3/1 S' HIGH CONNE =TED TO TRACK VRTH ONE 1/4- BOLTS & NUTS. • �. s1lzt�rAU;rsu. •,,. j i i ►,. •: rs' 1 ...�• + L �V Z C3 ON m Q D La N E'• <.) N �~ V C. a `, U _� ¢ �o » CBE > '�' m -jaQ I v Qr 03 G n Q a: W Z • •• 1, 3 d W - 2 r 0 T i W U u: W f �J Q h 1 S Q !J v ! z v rri . W Z Z 2 00 y LLA W �o3v�, O Z 4 17abWnE 0 4c v• N ^ 1 Sam.. JIMM BUiU V CODE o' � �Tr � � Z'L• ,g�j a °' 1 s gv pe. PROMfCT CWROL OiPSI>i y I $ u Bonn COLE CO:,R:i Mc W- 1 ACCEPTA=Ee NO. ' C—L01 • dnAvinQ t10. 98-01 sheet 2 of 2 ` , �C'.'FPT� \('F \'(1 • 9S- !1901.10 " ✓;'Lam uaiv. ? APPROVED OCT . 2 ta�� EXPIRES :08/140101— :`iOTICE OF ACCEPTAIN STAt \rDaRD CONDITIOVS 1. Reaewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the ori_ -inaI submitted documentation, including test supporting data, engineering documents, are no older than eight (S) ye—"-s- 2. Any and ail approved products shall be permanently labeled with the manufacturer's name, city. state, and the following statement: "Miami -Dade County product Control Approved ", or as specifically stated in•thz: specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: g he- evaluation of this product and the product a) There has been a change in the South Florida Building Code af%aing-t is not in compliance with the code changes:idu�) originally approved: b) line product is no longer the same product (� of this acceptance, including the cot z ect C) If the Acceptance holder has not compiled with all the cm p installation of the product; documentation initially submitted is no longer d) The engineer who originally prepared signed and sealed practicing the engineering profession. Of the product or process shall automatically be -t. Am revision or change in fire materials. use, unless prior tr%� approval � � requested (through the filing of a cause for termination of this Accep=nce, unless prior w-rittea appro 4 revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process• for sales, advertising or any other purpose. b) Misuse of this Acceptance as an endorsement of any product, and followed 6. The Notice of Acceptance number preceded by the words ttifiami -Dad on of the. ntice Florida. Acceptance b is displayed. �irntion date may be displayed in advertising i'iteraMM If am, pant then it shall be done in its entirety. 7. A copy of this Acceptance as welf as approved drawings and other documents. where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection a : :he job site at all time. The engineer need not reseal the copies. S. failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. Candido Font. PE. Sr. Product Controi Exam -ner Product Control Division END OFTHIS ACCEFTANCE -3- i • . a - - .. . , 339 N.E. STREET MIAMI-(305) 751 -4113 �irVO�C� IYQ. MB4?�II, FLORWA 0138 FAX-- (3Q'ri} 757 -4115 �ir��QRQ• f .GI►RAC�E'DOQIRS ; � �� [ UNE - {954) 523 -5311 701 RVT_ MAX r` `3 -7_`9- -_'939 sow � 33 � � �► �()�'� .. SHIP TO TO , ORDER DATE TE 4MS: C.D.D. C[151: ORDER I(O:. ' SAI ESMMICtd - DATE f` 1��n` `,.,``' c6mmisolow COPY ON V-OV oL 9 Pte' ��ir YM%`ve .'1�'e� -• ..- � ; � .•�`�.i11.� �yi `� L? i �r loA r'� �' �i��t°S �� �n`FF�'1 AMW h D,,,, j `,.,``' c6mmisolow COPY ON V-OV oL MIAMMAD NUNII --DADE COUNTY. FLORIDA m mo -DADE FLAG"R BUILDING BUU.DLNG L-UUL t;UaIPL t,4nO-r. UMCE METRO -DADE FLAGLER BUILDING 140 We I FLAGLER STR Er. SUITE 1603 1 MIAMI. FLORIDA 33130.1563 PRODUCT CONTROL N JTICE OF ACCEPTANCE (305) 375.2901 FAX 01373.2908 DAB Door Company, Inc. CONTRACTOR LICENLING SECTION 12195 WV 98th Avenue (30S) 375 -25_7 FAX (3051375.2558 Hialeah Gardens FL 33016 CONTRACTOR ENFORCEMENT SECTION (303) 373 -3966 FAX (305) 375.29011 -r r PRODUCT CONTROL DIVISION Your application for Product Approval of (3-5) 375.290_ FAX (305) 3712-6339 Sectional Residential Garage Door under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: has been recommended for acceptancc by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages '27 eL seq. and the Standard Conditions on pace 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality contro l tend e. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicimt shall re- evaluate this product or material should any ammendments to the South Flor.- : 3uilding Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the runt to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. cite expense of such testing will be incurred by the ntamufaataer. Acceptance No.: 98-0901.10 (Re;ises No.: 98- 0409.03) Expires:08 /14/01 Raul Rodiguez - Product Control Supervisor THIS IS THE COVERSHEEL SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approti-ai has beers revie%ved by the Metropolitan Dade County Buildin; Code Compliance Degartmer.:.►r:d moved by the Building Code Committee to be used in Dade C=ity, Florida under the conditions set forth above.: gu, .�? t t � A narle s anger. -c . . Director Building Cod-- Compliancc Dept. App roved: 102?!98 _s_ %4rt nnn1it:m Dade Count -v internet mail adaress: nestmaster@b ` Humenaze: attn: iiwww.nuildtn -zenaeonsssse.r+ltn 17A R t?nnrromnam-. Inc. ACCEPTANCE NO: 9R- 11901.10 _ APRROVED OCT 2 2 19 ° t^ EXPIRES : _OS114101_ NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This revises the Notice of Acceptance No. 9S- 0409.03 which was issued on OVI-N9S. It appro� es a Sectional Steel Door 9 ft wide as described in Section 2 of this Notice of Acceptance. and it is design L_ to coo. I w ith the South Florida Building Code. 1994 Edition for iMiatni -Dade Coan.V CC) for the Ioca:ions where the pressure requirements, as determined by SFBC Chapter 33. do not exceed the design pressure rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The DAB Sectional Door and its components shall be constructed in strict compliance with :he follo«'in_; documents: Drawing No. 98 -01, titled "Sectional Residential Garage Dom' Prepared by Al- Fa:ooq Corporanan. dated 01f3019S with latest revision on OS�Z4l98. Sheer t m 2— the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by Miami -Dade Product, Control Division. These documents shall hereinafter be referred to as tke approved drawings. 3. LIti11 TATIONS 3.1 Units with dimensions equal to or smaller that those shown on the approved drawings shall ct:ali f} uncle: this approval 3.2 This approval requires the manufacum to do testing ofail coils used to fabricate door panels uncle : :fiis Notice of Acceptance. A minimum of 2 specimens shall be ant from each coil cad tensile tested ac :ordin_g, to AST%I E- 3 by a Dade County Approved Laboratory selected and paid by the manufacturer. Even- 3 months. » times a year the manufacturer shall mail to this office a copy of the Test Reports with confirmation the: the spe =rn = "s were selected from coils at the manufactures s production facilities. And a notarized statcmen: from the manufacturer that only coils with a yield strength of34,000 PSI or more shall be used to make door panels for Dade County under this Notice of Acceptance_ 4. WSTALIC.ATION 4.1 The Sectional Door and its components shall be consa'acted in strict compliance with the approved drawings- 4.2 The installation of this door does not require a Hurricane Protection Sys= 5. LABELING 5.1 Each door shall bear a permanent label with the manu6cturer's name or logo. city, state and rite ;olloti� ing statement: "Miami -Dade County Product Control Approved 6. BUILDING PER:INIIT 6.1 Building Permit shall be accompanied by copies ofthe following: 6.1.1 This Notice of Acceptance. including two copies of the approved drawings as identi <<cd in Section Z. 6.1.2 Any other document required by the Building Official or the SFBC in order to proper, }' cti aiLa:e the installation of this system. Candido Font, PE. Sr. Product Control Exatni: cr Product Control Division 'STATE OF FLORIDA CENTRAX #: 13 -SG -32447 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID $ .�� CONSTRUCTION PERMIT RECEIPT we OSTDSNBR 07- 00981 -R CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other [ X ] Repair [ ]Abandonment [ ]Temporary [ NA ] APPLICANT: Mack Ruth AGENT: BOB'S SEP, BOB'S SEPTIC Robert PROPERTY STREET ADDRESS: 133 NE 103 St Miami Shores FL 33138 LOT: 18 BLOCK: 122 SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 2136 - 013 -0820 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] Gallons SEPTIC TANK MULTI - CHAMBERED /IN SERIES: [Y ] A [ 0 ]Gallons MULTI - CHAMBERED /IN SERIES: [Y ] N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] D [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ Y ]STANDARD [ N ]FILLED [ N ]MOUND [ N ] I CONFIGURATION: [ N ]TRENCH [ Y ]BED [ N ] N F LOCATION TO BENCHMARK: IT%: 12.9' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 24.0 ] [ INCHES ] [ BELOW]BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 54.0 ] [ INCHES ] [ BELOW]BENCHMARK /REFERENCE POINT L D FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES OTHER REMARKS: 1.- Install 900 gal. category -3 septic tank equipped with an approved filter. 2. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f), FAC. 3.- Install 200 sf of drainfield in bed configuration. 4.- Perimeter of excavation area shall be at least 2 ft. wider and longer than the proposed absorption bed. 5.- Invert elevation of drainfield to be no less than 8.90' NGVD. 6.- Bottom of drainfield elevation to be no less than 8.40' NGVD * * * * ** *THIS PERM . IT IS NOT FOR ADDITION(s) * * * * * ** � F. �G011 V SPECIFICATIONS BY:EDWARDS, ASTRID TITLE: Fk, C, iz Ie APPROVED BY: Edwards, Astrid + TITLE: DATE ISSUED: 3/27/07 DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [ostds_cons_4016 -1] Dade CHD EXPIRATION DATE: 6/25/07 Page 1 of 2 M 1\ ,MRR-16 -00 12:24 PM TOLLIE ALIIAIZ (USA), INC. 14073244421 P. 06 i ii SI � ACCEPTANCE No.:�,,9 -�, APPROVED :December 16,190 EXPIRES :December 16,20:2 •i o f nt, �� `CCrrnNCr: _ S-t -kND:�IZn C N tc 4.2 Data For Attachment Calculations f' I Table 1: Asrodynatnic M- ultipliers - {ft') Tile - (n) Profile (ft') :� 1 One Piece- _ Batten Ap ljcatioti Direct Deck Applicat- 5' Tile 0.253 ^0.274 ; Table -2: Restoring Ivfomcrits duo to 9ravitlr - jYIQ {ft_ft�f Tiie 3 ":12" 4 ":12" 5 ":12" S " :12" 1 71 ' or I t Profilo _ or less great or One Piece 'S' Battens Direct Battens Direct Battens Direct Battens Direct So- atens Dire Tile Deck Deck Deck _ Deck Dec 4.47 ^5,35 4.4i} 5.27 4.31 5.16 " 4.20 °v "03 4.08 4,89 TabTt 3: Attachment Resistance Expressed as a Motti MRR -16 -00 12:23 FM TOLLIE Al;1IAR (USA), INC. 14073244421 P.07 ACCEPTANCE No.: 99 -,1,10 .0 APPROVED :December 16,199! EXI'MS :December 16,200 , NCY.It'1CK OF ACCEPTANCE: STANDARD CONDITIONS — i �i Table 4: Attachment Resistance Expressed as a Moment MM, (ft -ibf)� for Two Patty Adhesive Set Systems Tile Tile Application (Minimum Attachmerl,t Profile Resistance _ _ One Piece 'S' - Adhesive 29 ;: l Tile 2 See manufactures component aEEroval for installation requirements. r ^ 3 Flexible Products Company Tiieaond Average weight per patty 10.7 grams. Poi foam Product, Inc. Average weight per p3q 8 rarns. i Table 4A: Attachment Resistance Expressed as a- IVloiitent • M, (ft -lbt) for Sin le Patty Adhesive Sot S_ ystems ' 4 Tile Tile Application _ Minimum"Attaclirneif Profile Resistance Une Piece 'S' Tilc!- - Poi foY am PolyProlm ��� T 66,5' Polyfoam PolyProym 38.7 a Large ad . placem ent of t3jLeq s oPT: ....,.... , .......,....... 5 Medium paddy placement of 24grants of PolXPro'm Table 48: Attachment Resistance Expressed as a Moment - Mr(ft -lbf) i for Mortar Set Systems Tile" Tile Attachment Profile Application Resistance i One Piece 'S' file Mortar Set 24,50 i 11 t. LABELING i All ,Hiles shall bear the imprint or identifiable marking of the manufacturer's name or loge, or following statement: "Miami -Dade; County Product Control Approved ", ; l BUILDING PERM1'T REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1,1 This Notice of Acceptance! 6.1.2 Arty other documents required by the Building Official or the South Flott Building Code (SFBC) in order to properly evaluate the installation of this system. Frank Zuloaga, RRC Roofne Product Control Examiner �E `i - - - - -- - - - - - - - - - - - 4 ALMAR (USA), INC. ACCEPTANCE No. 29-1122.0 APPROVED :December 16 1994 EXPIRE S :December 16:2004; ,017 ACCI!',VIANCE; NVITIONS TAND RO COI -J PROME DRAWINGS '� 10-1/ 2" OINE PIECE. `S' CLAv Ruor TILL* I 4 Frank 7uloaga, &RC Roofing Prodoct Control Examiner • NfETRO -DADE METROPOLITAN DAOE- COUNTY, FLORIDA - . METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLEA STREET, SUITE 1.603 MIAMI. FLORIDA 33130.1463 (305)375.2901 FAX (305) 3i'5.290e PRODUCT CONTROL DIVISION PRODUCT CONTROL NOTICE OF ACCEPTAN (305) 375.290.x, FAX (305) 372.6339 Polyfoarin Products, Inc. 2400 Spring- Stuebner Road Spring, TX. 77383 Your application for Product Approval of: I'ol�, vfoagn Products "Polvn)ro AH -160" ibiof Tilg Adhesive under Chapter 8 of the Miami -Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: The Center for Applied Engineering, Inc. and hliles Laboratories Polymers Division has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -14 and the standard conditions on page 15. This approval shall not be valid after the expiration date stated below. The Budding Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or, suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer.. ACCEPTANCE NO.: 98- 0303.02 Rcncws: 96-0402.OZ EXPIRES: 04/16/01 /01 a Rodrigucz Product Control Supervisor THIS IS THE COVERSHETT. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compiiance Office and approved by the Building Code Committee to be used In Dade County, Florida under the conditions set forth above. APPROVED: 04/16/98 6z,�L. Charles Danacr, P.E. Director Building Code Compliance Dept. Miami -Dade County Internet mail address: postmaster @bulldingcodeonline.com 0 Homepag *: htip://www.buildlngcodoo-illoo- ­'m POLYFOAM PRODUCTS, INC. Product Control No.: 98- 030 #.02 . PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING COMPONENT APPROVAL Applicant: Polyfoam Products, Inc. Product Control No.: 98- 0303.02 2400 Spring - Stuebner Road Spring, Texas 77383 -1132 Approval Date: April 16-1998 Expiration Date: April 16, 2001 Category; Roofing Component Sub- Catetorv: Fastening/Adhesive Tv°e: Roof Tile Adhesive Sub-Type: Two Component Polyurethane System Description Polyfoam Products, Inc., produces two- component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polyprog AH160 is specially designed for application of concrete and clay roof tile over a variety of roof deck substrates and underlayment materials. Polypro® adhesive is applied with proprietary Foamprog RTF1000 dispensing equipment. Approval of this product is specific to the two component mix and FoamproQ RTF1000 dispensing equipment. Alternative methods of dispensing will require a revision to this approval. PolyprolD adhesive shall be applied only by'Qualified Applicators', licensed by Polyfoam Products, Inc. Certificates and identification cards are issued to applicators upon successful completion of a application training program. Approval of this adhesive system is contingent upon application by a 'Qualified Applicator. Contact: Pat Murray P.O. Box 1132 Spring, Texas 77383 -1132 Phone: (713)350 -8888 Fax: (713)288-6450 _.v Page 2 of Is Frank Zuloaga, RRC Roofing Product Control Examiner POLYFOA4*vt PRODUCTS, INC. Product Control Rio.. 98T„ 0_ 303.02 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Product Dimensions Specifications De�crintioe Polyproly AH160 N/A PA 101 Two component polyurethane FoamproO RTF1000 N/A See Detail Attached - Dispensing Equipment U 2 ^ "1 Page 3 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner POLYFOAM PRODUCTS. INC. Product Control No.: 98. 0303.02 TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Product Test Criteria Product Description Manufacturer. Underlayment PA 120 All Dade County Component Approved All Dade products as detailed in Dade County County Application Standard PA 120 Approved Products Roof Tile PA 101 All Approved roof the systems having All Dade tested in compliance with Dade County County Protocol PA 101, as detailed in the systems Approved section of this Component Approval Products a Page 4 of 15 Prank Zuloaga, RRC Roofing Product Control Examiner POLYFOAM PRODUCTS, INC. Test Agency Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Southwest Research Institute Trinity Engineering Product Control No.: 98- 0303.02 TEST REPORTS Test Identifier Test Name/Report Dute #94 -060 Miami Dade Protocol 04/08/94 PA 101 257818 -1 PA Miami Dade Protocol 12/16/96 PA 101 25- 7438 -3 SSTD 11.93 10/25/95 25- 7438 -4 SSTD 11 -93 10/25/95 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12i'95 NB- 589 -63.1 ASTM D 1623 02/01/94 9637 -92 ASTM E 108 04/30/93 01-6743-011 ASTM E 108 11/16/94 01. 6739 -062b( I ] ASTM E 84 01/16/93 7050.02.96 -1 PA 114 03/14196 n Page 5 of IS Frank Zuloaga, RRC Roofing Product Control Examiner POLYFOAM PRODUCTS, INC. Product Control No.: 98. 0303.02 TYPICAL PHYSICAL PROPERTIES Property Test Results Density ASTM D 1622 1.6 Ibs /ft.' Compressi,.e ASTNJI D 1621 18 PSI Parallel to rise Strength 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 LbsJFt2 Moisture Vapor ASTM E 96 3.1 Perm/ Inch Transmission Dimensional ASTM D 2126 +0.07% Volume Change Q -400 F., 2 Stability weeks +6.0% Volume Change r@it I580F., 100% Humidity, 2 weeks Closed Cell ASTM D 2856 S6% Content Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. Pane 6 of 15 Frank 7uloaga, RRC Roofing Product Control Exarr.l.-X. POILYFOAM PRODUCTS, irC. Product Control No.: 9898 SYSTEMS Deck Type: Wood, Non- insulated, New Construction /Reroof A Deck Description: 15/32'. or greater, plywood or wood plank. SYSTEM A: Adhesive Set Application Slope Range: 2 ":l2" to 7 ".12" Underlayment: Shall comply with Miami -Dade Roofing Application Standard PA 120 Roofing Tile: Any roof the assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance '%vith Miami -Dade County Roofing Application Standards PA 115 or PA 127. The adhesive attachment data is noted in the roof the assembly NOA. Comments: 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval shall apply. i Page 7 of 15 Prank Zuloaga, RRC Roofing Product Control Exam incr POLYFOAM PRODUCTS, INC. SYSTEMS ('CONTINUED) Deck Type: Concrete. New ron%trllction /Reroof Deck Description: New construction SYSTEM B: Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Product Control No.: 98- 0303.02 Underlayment / Install Approved underlayment system of one of the following: Waterproofing: Underlayment: (30/90 Hot Mop) fully adhered in a full mopping of ASTM D 312 type IV asphalt applied within the EVT range. Back nailing and laps shall be in compliance with Roofing Application Standard PA 12-0. Any liquid applied roofing system having a current NOA for its use as a tile underlayment system. Roofing Tile: Any roof tile assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Roofing Appiication Standards PA 11 S or PA 127. The adhesive attachment data is noted in the roof the assembly NOA. Comments: 1. All 'System Limitations' noted in the the Roof System Assembly Product Control Approval or waterproofing component Roofing Component Product Control.Approval shall apply, as applicable. Page 8ofIS Frank Zuloagn, RRC Roofing Product Control Examiner POLYFOAivt PRODUCTS, INC. Product Control No.: 98- 0303.0 COMPONENT APPLICATION I . Polypro2O AH 160 tile adhesive shall only be applied over an underlayment installed in compliance with application instructions detailed in its NOA.. Underlayment may be any underlayments or underlayment systems listed Miami -Dade County Roofing Application Standard PA 120. 2. Adhesive application shall be in accordance with the instructions provided herein. Tthe manufacturer may provide additional instructions subsequent to this approval date which may prevail. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. 3. Calibration of the Foampro(& dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component anti the "B" component shall be maintained between 1.0- 1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.08 to 0.15 pounds per the as determined at calibration. No other settings shall be approved without revision of NOA. 4. Adhesive shall be dispensed in a 17 in' to 23 in2 pad at time of application. The cured pad ;hall he approximately S" x 12 ". Foam placement shall be in accordance with the'Placement Details' herein. Each generic the profile requires a specific placement, as noted in Table 1, below S. Adhere tile directly in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam has been dispensed. Table 1: Adhesive Placement For Each Generic '1('ile Profile Tile Profile Placement Detail Two -Piece Barrel #1 S' Shaped #2 Double Roll 03 Flat #4 Page 9 of Is Frank Zuloaga, RRC Roofing Product Control Examiner POLYFOAh1 PRODUCTS, INC. SYSTEM LIMITATIONS Product Control No.. 98- 0303.02 2. PolyproZ AH160 adhesive shall be installed only by'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. For adhesive set tile applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance withMiamt -Dade County Roofing Application Standard PA 106, shall be required not less than 72 hours after application to confirm tile adhesion. 4. Refer to application drawings published by the National Tile Manufacturers Association for penetrations and terminations, as well as the'Piacement Details' included with NOA. 5. Refer to the Roof Tile Assembly Product Control NOA for system acceptance with this Component. 6. Refer to the Prepared Roof Tile Assembly for fire rating. Polyprod& AH160 shall not be exposed permanently to sunlight. Polyprog AH160 shall be applied with Foampro RTF1000 dispensing equipment only. 9. Polyfoam Products Inc. shall supply Building Official with a list of'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. Pagc 10 of 15 xq:: ? Frank Zulonga, RRC Roofing Product Control Examiner FOLYFOAiM PRODUCTS, LNC. 2) Turn Covers .uv&We down. Ofoas A40—I.. trr t. ,- fro.n th. o..t.1d. o! of Cover tile. Two" install tit.. 1) ►Isle onow h adivowvo to sohiaw 17 to 23 sq. makes In eawtaat with the - aa. /11— Remove too rodlon of tlue save Course tile. 01.t to aoQWW cow** of flan Moe. Ensure save o" of Pan end Cover tiles ere "moth K save line. core Cle.ut. (uw.rter sh" Product Control No: 98- 0303.02 PLACEMENT DETAILS Nall thro"k plastic t�wtent optional air6 for floM Feasts Owr./ Placement Detail #I: Two -Piece Barrel Profile Page I I of 15 Frank Zuloagat RRC Roofing Product Control Exam POLYI~OAyt PRODUCTS, INC. PLACEMENT DETAILS (CONTINUED) Nail j%muasb Nastle aowwon! Product Control No.: 98- 0303.02 Placement Detail 0: 'S' Shaped Tile Profile 000 ad" Page 12 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner POLYFOAM PRODUCTS, INC. PLACEMENT DETAILS (CONTINUED) Product Control No.: 98- 0303.02 eeie.we arp.eWowts" I' w from oewAdes. Placement Detail #3: Double Roll Profile Page 13 of 15 Frank Zuloagn, RRC Roofing Product Control Examiner POLYFOA I PRODUCTS, I C. N.11 through plaa.lo o.,want (-k.a r.pultod by Coda) PLACEMENT DETAILS (CONTINUED) Save sewn only. Keep sdhsslve aM anknotlN d' we from wsephess Placement Detail Nd: Flat Profile Product Control No.: 98- 0303.02 •VOY one.-sh adAwlva ti sehLwo 17.27 swro lashes to "A"Ot Mth tM tile. Page 14 of IS r n c uloaga. RRC Roofing Product Control Examiner POLYFOANI PRODUCTS, fNC, Product Control No.: 9t3- 0303.02 Polyfoam Products, Inc. ACCEPTANCE NO: 98 -0_ 30, 02 2400 Spring- Stuebner Road APPROVED Arril I6, 1998 Spring,'fX 77333 EXPIRES April 16,2001 NOTICE OF ACCEPTANCE STANDARD CONDITIQNS I Renewal of this Acceptance (approval) iAall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. Renewals of Acceptance will not be considered if. a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the some product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the tiling of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes 6 The Notice or Acceptance number preceded by the %rords Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. S Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 this Acceptance comains paves I through 15. END OF THIS ACCEPTANCE Page 15 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner : Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Rid Ventilation? MFAN MGIIT V l SLOPED SYSTEM DESCRIPTION Insulation.I I" -­ Fastener type & 12^ ROOF SLOPE D E T A I L 3 S' (21' r, ce ,','4 (1,T uCA- ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS (PMOXI: X X (Aerodynamic Multiplier•): ) - Mg: = MrI: PCA: (Pmax2: X X (Aerodynamic Multiplier): ) - Mg: = K7: PCA: (Pmax3: X % (Aerodynamic Multiplier): ) - Mg: = Mr3: PCA: Page -2 APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the minimum requirements and standards of the indus- try for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. .1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof- ing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. d�/ 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system.) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town- houses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the under- side of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roof- ing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 444- Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structur- al assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider venting which can result in extending the service life for the roof. The owner may contact the Miami -Dade County Consumer Services Department for further information regarding the above. Owner's/Agenes Signature Date V Contractor's Signature 123.01 -12 PAGE 2 7/99 MAR - 16 -00 12:21 PM TOLL I E 14073244421 P.01 MIAMI -DADS COUNTY. METH0•DADE FLAGLER I BUILDIN'CJ CODE COMPLIANC 4FFK METRO DARE r•LACLER U1LW 1.40 WEST FLAOLtR STREET. S tTE 161 MIAMI; MORIDA 130•l3! PRODUCI' CON'I ROL NOTICE OF ACCEPTANCE t3osl 373,_901 PAX taus 37S•2% Alma►- (USA), I,Ir. CONTRACTOR LIMSING 'ECTIU 6645 NNN' 77 Avc. (305) .175-2517 FAX (305. 373 -21 Miami FL 33166 CONTRACTOR ENFORCEMENT ECTIO (305)375 -2966 FAX (30,5'375.204 PRQDUCT C(3NTKOL Your application for Product Approval of: (305) 373•:902 FAX (305 �llluxtt ''S "Tile . under Chapter 8 of the Code of Miatni -Dade County governing the use of Al tcrnate'Materials an Construction, and completely descril_icd herein, has been recommended for acceptance by the Mia County Building Code Compliance Office (13CCO) under the conditions specified herein. This approval shall not be valid after the expiration (late stated below. 14CCO rt:servgs the right to product or material at anytime from a jobsite or manufacturer's plant for gUality conti-ol testing.. If this product or material fails to perforin in the approved nlaluler, BCCO may revo�c, modify, or the use ofsuch product or materiuI immediately. BCCO reserves tile right tv revoke this approval, determined BCCO that this product or material tails to meet the requirements of the South Florida Code. 'rite expense of such testing will be incurred by the manufacturer. Accrhtanee No.: 99-1102.04 - (Ruvises No.: 97- 0918.02) Expires;12 /1612002 haul Rgdriaucz i Chief Product Co RSI•IEET SCE ADWTIONAL PAGcs FOit SITC1IrIC AND GE THIS I:; THE GUVF � � , SEE BUILDING' CODE & I'RODUC'I' ItI:VIENN' COi li lIT'I'I?I ure fit is,, 3uildi • I• I, Divisi4o This application for i?roduct Approval has been reviewed by the BCCO and approved by the Buii �ng Co C and ProductAevicw Committee to be used in Dade' Coutlty, Florida under the conditions set forth above. ; P Approved; 12 /16/1999 1 of 3 ra tic iS4(? . 1lintan:l^ .A. Director Miami -Dadc Count,., 'II f Building, Codc Con;pi'ant c (7iic I� 'MAR -16 -00 12:22 PM TOLLIE ALMAR (USA), INC. 14073244421 P.02 is I ACCEPTANCE No,: 99-1102.9 APPROVED :i }emubvr 16,199 EXPIRES :Deccesibcr I6, 200U 1. NOTICE OF ACC I'ANCE: S] Ai,;,,UAtl0 CVNt)ITIONi 1. Renewal of this Acceptance (approval) shall be considered after n renewal application has b cn filed and the original sabrnitte:d docutttenis, including test supporting data, engineering docurneixs, are no older than eight (R) years. 1: 2. Any and all .approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County product Control Approval ", or has specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: l a. There has hccn a change in the Stxth Florida Building Code affecting the evaluation of t is product and the product is not in compliance with the code changes. b. The product is no longer the santc product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptant e, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initin ly submitted, is no longer practicing the engineering profession. 4, Any revision cue change in the materials, use, and/or manufacture of the producf or process shlifl automatically be cause for termination of this Acceptance, unless prior written approval has be ii requested (through the filing of a revision application with appropriate fee) an4 granted by tt fis off ice. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Llosatisfuctury performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or a `3 other purposes. 6. The Notice of Acceptunce number preceded by the words Miami -Dade County, Florida, at Id followed by the expiration date may be d'isp'layed in advertising literature. if ah), portion of t le Notre of Acceptance is displayed, theft it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it appli �. shall be provided to the user by the manufacturer or its distributors and shall be available f i inspection at the job site tit all time. The engineer need not reseal the copies. j S. Failure to comply with any section, of this Acceptance shall be cause for termination and remok. 1 of Acceptance. i. : 9. This Notice of Acceptance consists of pages l through 7 and this last page 8, s END OF THIS ACC>EPTANC . r Pcarilc Zuioaga, RRC Roofing Product Contro) Exan4iter MAR -16 -00 12:22 PM TOLLIE • AUNIAR (USA), INC. 14073244421 P.03 ACCEPTANCE No.: APPROVED ;December 16,196 E\1'1RLS : December 16,20 l NO'I'I<,E QF A►_ CCEP AhCL: S•rANDA,RU C(LIN D V V iVi\'S 1. SCOPE This revises a roofing syste -m using Altnm-'One Piece S' Clay Roof Tile, as manufactu Almar (USA), Inc. described in Section 2 of this Notice of Acceptwice, designed to cone witlt the South Florida Building Code, 1994 Edition for Miami -Drdc: County, For locations where the pressure requireme�zts, as determined by SFBC Chapter 23, do exceed the design pressure values obtain by calculations in compliance with RAS I using the values listed in section 4 herein. The attacluiient calculations shell be done n moment based System. Category: Prepared Roofing Sub Category; High Profile Tilc. 2. PRODUCT DESCRIIPTION Rfankrracturcd i Test Product AItliticstn him ;nsions reci(icat'u�rs Descriptioi1 One Piece 'S' Tile I = 18 1/2" PA 112 High profile clay roof tile. For direct deck or W �. 10" batten nail-on, mortar scat or adhesive set '' /s" thick nominal applications. Trint Picces 1 - varies PA 112 Accessory trim, clay roofl)ieces for use at hii W In varies rakes, ridges and valley terminations. varying thickness Manufactured for each tilt prof tic. 2.1. Components or, products manufactured by others a Test Product I'ru uct nirtlCtiigns ,5reciftcatio"; Deseri,jttion 11'Istnufastetr 430 Fclt r N/A ASTM D 226 Saturated organic felt to generic ty ?e 11 be used as a nailed anchor sheet. 443 Conted Base N/A ASTM D 2626 Saturated and coated generic i ct organic base sheet for single or double ply underlavi Frank Zuloagi, PRC Roofing Product Control Examiner �i f Sed i s sly i the � �bc � 2) 7 i t�a i I� I; • i' i I l' • i� i MAR-16-'00 12:23 PM TOLLIE AL,NIAR (LISA), INC. 14073244421 P.04 If ACCI:I'`I'ANCE IN . APPRON'C, j) -Decetr><l,er 16, I , EXPIRE, S *December 16, 201102 •i IC S' A P "n1v� S'I'AN11,t, Cory 1'r P � Prudu t Test Product s . —_.�. 1)igtcrts�ior�s eci tc -Won S s 1)c�scrl rti n iia fartur R9111cral Surfacc Cap Slrcct Rainproof Ii Ice and Water Shield Wood Battens Tile Nails Tile Screws Roof Tile Mortar (" 7•i I cTi teTr" ") N/A 30".x 75' roll 36" a IS' roll or 60" x 75' roll 36" x 75' roll vettica min. I "x 4" horvuntal min. I" x 4" for use with vertical battens or rain. I" x 2" for use alone Min. 10d x 3" 08 x 2 '/," long 0.335" head din, 0.131" shank dia. 0.175" Sctrov thread diameter NIA t• AS'I.11•i D 249 Mineral surfaced asphaft generic I roll 100 n fur use as a top ply in a double ply underlayment system, Protect - O -«'ra; , Inc. with current NQI1 i PA 10.1 Single ply, nail -ori underlayment with 2" self-adhering top edge PA 103 Self - adhering underlayment for use as a top ply in a two ply underlayment system with Approved #30 or #43 as the (case layer. Wood Preservers Salt pressure treated or Institute LP - 2 decay resistant lumber battens PA 111 Corrosion resistant, Appendix F smooth, screw or annular rina shank nail. PA 1 1 4 Corrosion resistand coated, Appendix E square drive, galvanized, coarse thread wood screw PA 123 Prepared mortar mix designed for moriar set roof tilt applications. W.R. Grace Col Willi current No � I generic I' ji I ' generic {{ ' generic i! . f' Bermuda Roof , Company, 111c. 1C (with current, NOA) Frank Zuloagn, RRC Rooiing Product Control EXaminer i J •MAR -16 -00 12:24 PM TOLLIE ALAIAR (USA), INC, 14073244421 P.05 ACCEPTANCE No.:_n9.-_l 102,04 i r APPROVED :December 16, 1999. EXPIRE, S :neccuiber 1G, 200;: NO T[ ff' ACCiLPTANCE. STANDARD CONDI.;I:i�N� ' Test Product Ploeluct llirnensiorts sireciricalions Descrint.Igm 1 }litufsteturet'.''�' : Quickcrete Roof N/A PA 123 Prepared mortar mix Quickrete Nforta�, ; Tile Mortar designed for mortar set Ovith current roof the applications. NOA) ! ' Roof Zile N/A See PCA Two component I. I Adhesive polyurethane adhesive Products, file. ( "Polypro'A designed for adhesive set Ovith current A11) 60 "} roof tilt applications. NOA) l 'file - !(.hind Factory premixed See 11CA Single component Flc ,\iblc Product' canisters polyuretitaric foarn.roof (with current 'I tilt adhesive NOA) i. 3. LIMITATIONS �I 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive sct the applications, a static field uplift test sliali perforined in accordance with RAS 106. `I 3.3 Applicant shall retain the services of a Miami -Dade County C'crtificci Laboratory' to perform quarterly test in accordance with PA 112, appendix W. Such testill'� . shall be subtilitted to tiie Suilding Code Compliance Office for review. i! 3.4 Minimum underlaymcnts shall be in compliance with the applicable: Itoofiti`'�'. Applications Standards listed section 4.1 herein. ' 3.5 30/90 hot mopped underlaynient applications may be installed perpendicular t''� j the roof slope unless stated otherwise by the undcrlaynlcn t: t material manufacture ptiblislied literature. a „i 16 40 'Phis acceptance is for wood deck applications. Minimum deck requirements sho 1 be in compliance with chapter 29 of the SFBC. rt!' 3.7 May be itzstallcd on stopcs 7 ;12 and greater. `s,! r 4. INSTALLATION 4.1 Alrnar `One Piece S' Clay Roof 'rile and its components shall be installed in strigk, compliance with Miami Dade County Roofing; Application Standard RAS i IS. RA$, 119, and IUS 120. .I A Frank Zuloaga, RRC� t Roaring Product Control Examiner Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: AA t°, . Job Address: 13 10 3 ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof (e - roofing ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft) Sloped Roof Area (ft2) Total (ft2) C 3 Master Permit No. °-- Exposure category (per ASCE 7 -88): Building Classifica 'on category (per ASC 7 -88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Ft. ROOF PLAN ------------------------------------------- I ------------------------------ I I I' r-------- -------------- -- - - -- .�� Deck type• ' I ' i ' r------------------- - - - - -- • `" I I I I I I I 1 I I I 1 I I I 1 I 1 � I ' ---- - - - - -- — ---- - - - - -- 1 I I 1 I ATTACHMENT V Lea r �• . Fastener Type: 1 I l �' Q t� 6 SPACING Field: Perimeter: Corner: ' 1 I --r 1 1 1 ------ - - I I I 1 DETAIL 1 & 2 J`, - -- -- ; 1 ' IAA 3LI - -- - ------------------------ 1 ,1 - ------------------------ '------------ — -- -------------------- - - - - -' 123.01-78 apse Page -1 Permit # Tax Folio A 2134 O/.3 0P2-0 NOTICE OF COMMENCEMENT i 0IR3$t301015 2000 AUG 07 12=37 State of Florida 0 County of Bid P.4 0 &- The undersigned hereby give notice that improvement will be made to certain real property, and In accordance with Section 713.13 F.S., the following Information is provided In this Notice of Commencement: r Legal Description of Property: Lot r0'- 19 Block / ISpou Maw this be nwrwd la recorflirq o11ia uw.! far 'Mach legal deariPtion) Subdivision ����� J rf!1liiLCd' SiZc Street Address: 1 U wallable I General Description of Improvement: RE -ROOF r Property Owner Name /�� :%7 /V,44- Willing Address /-q,3 s and Interest In Property r S,I /s,re.P Name and Mailing Address of Fee Simple Titleholder (if other than owner) Contractor Name & Address AAA OUALITY ROOFING CO Of any) 1690 WEEPING WILLOW WAY / HOLLYWOOD. FL 33019 It Surety Bond. Name and Address of Surety and Bond Amount t $ ( copy of bond must be attached to this Notice at time of recording ) Lander Name and Address (1t anyl Persons within the State of Florida (names and addresses) designated by property owner upon whom Nr ,icos or othor documents may be served as provided by Section 713.13 (1) (A) 7., Florida Statutes: M in addition to himself, Owner designates of to receive a copy of the Llenor's 'Notice as provided in Section 713.130 0), Florida Statutes. Expiration Date of this Notice: (expires 1 year from date r corded unless s dolvarent oats 1s specilleal owner Signature: o►inted Name: u MAC-I< owner Signature: 3rinted Name; SWORN TQ AND SUBSCRIBED .L/ ✓Gr.v r � Signature of Notary: Mined Name. _ affix seal) A�� "% me this z day of 2 , ig 2000 RICHM /t? C' •-7a ti Eck IY�? ti&— a a.�fw fa.e.rrr.rrr ,:: f0 1.0 /C! w L✓.� (Spec• ebow 1MS brio is reserved for rocordrno afire use-1 P U.S. SOUTH Project Engineering & Testing Lab., Inc. 1065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 -------------------------------------------------------------------------------------------------------------- SITE SPECIFIC INFORMATION N2 000247 Owner's Name: ?'0-r L4 b6 �s Permit #: 7 3 15; Job Address: 13� 2,J 1� E 1 ®3 ST. , W Roofing Contractor: A A, ct -c v �a ®� I_hacq Type of Tile: t - r -O4A.� ' ® �:® ALA SST Date Installed: 0 °25; ' ®D Approximate Roof Height: Il feet Roof Pitch: '5 I-. Type of Access to Roof: Scaffolds °� Ladder Approximate Square Footage of Roof: I 10 #0 ft' Required Testing Force:: 35 lbs. Testing Equipment:.Chatillion 100 Date Tested: 0 TEST RESULTS P = PASS, F = FAIL Other Test Location Uplift Pull Test ' (P or Uplift Pull (P or •. -------------------------------------------------------------------------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. P.E. Civil Engineer: ZI 8_ � Lab Certification # 98- 0608.04 State of FL Certificate Authorization # 4100 l® 4- SHEET NO. OF 7, CONTRACTOR CHEMD BY DATE SKETCH OF ROOF sca�E NOTES: wt ArY. Ott pove� Ile O,tr IA, Tj nF I A I I OT' E S IFLOIZV� 4 5104 APPENDEK "F" APPENDIX "F "REQMZED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. A, 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (11e'roof deck is usually concealed prior to removing the existing roof system) . lF.1[A.3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. -N,A.4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. A 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. . 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions May block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the Interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in.extending the service life of the roof. ; O er's /Agent's Signature Date ntractor's Signature Signature . r s B) Installation of any new concrete beams and or new rebars. C) Any added work will be performed at an added cost to the homeowner. Total contract cost is Two Thousand Three Hundred (2'300.00) dollars to be paid as follows, 45% upon approval of the contract with the balance to be paid upon substantial completion. Owner Signature: 4��k- O�� Contractor Si g nature: (� Y Y 7ABEr (���illlllll ilmill VIII BU ■■ ^,D S INC ORC057067 NEW CONSTRUCTION • ADDITIONS AND REMODELING We Give Our Customers A Touch Of Class Ruth Mack 133 NE 103st Miami Shores, fla 33138 Date: Ref: Repairing of concrete spalding in the garage. Scope of work will be as follow A) Zabet Builders promise to do the required repairs as were pointed out mainly towards the inside of the west wall reaching toward the hot water heater an on the outside in that general location on the same wall. ' B) We also promise to do the. required fixing over the garage door. C) All of the spalding in the aforementioned location will be chip so the rebars can be exposed and steeled brush, coat with a rust resitance paint and the area will be re- grouted with the appropriate cement. (HYDRAULIC TYPE CEMENT). D) All of the new work area and the areas adjacent to them will be painted with the appropriate colours, to be blended to the best of our ability. We expect the project to last one week. PLEASE NOTE THAT THE FOLLOWING ARE EXCULDED FROM OUR CONTRACT. A) Any and all building permits along with plans should that be required 166 N.W. 52 STREET, MIAMI, FLORIDA 33127.OFFICE: (305) 754 -0806 • FAX: (305) 754 -3030 ARM To CQNTIRACT NO. AMOUNT PAID DATE Pie%OO 0 SAIESMAN � 5U�;� - F l 0 8 t 0 A LACK HOE $ lt. 40% 1 no/, ..._ NOTES: s v d MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit NO.—. le ..................... . . Date........... Application is hereby made ifor 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 th-P Budding Division of Miami Shores Village shall be complied with, whether herein specs ied or not. A copy of approved plans and specifications must be kept at building during rogress of woi, . j� �� Owner's Name and Address.. -Alki ./ .4 * ... _....... , ....No ® ..... _ ......Street... /.f!� ,G..• /4. ... ........... Registered Architect and /or Engineer. . .............................. .............. Employing Electrician's Name.IrXI&t* k. A° ®s_,.. _ .. Location and Legal Descriptiot,. Mot,.... -• -- -:. ------- __ . Block. _ ...... Subdivision ....._ ........... ....... . ° ...................... Street and Number where work is to be performed—No.- Street. State work to be performed and purpose of building (By New Building ............ . .. -- Remodeling ....... ...._............... Addition..- ----- _-- •- •---- --- - - - - -- Repairs.....------ --•-- ---- ---- - - - - -- - -- Nn .,f Atn4.. Service Overhead Size FIeders. . ...Conduit_............Main Sw.._... ..Main ' "uses .... .................... ..Amps Underground ......_.. ... . ............ ...... gro --... .. .Amps.- --•• - - -•- •- - Type of Installation --- Conduit.. _ .Tabing... .B.X L... .. _. _....._.Metal Moulding...... _ .... ............................... i .......... _. _ .. ..... . Amount of Permit $ _ .. _ .......... ( Signed ) ........................... _ ................... .._ .... ......... ...... ......... Electri Inspector. The und=rsigned applicant for 0+ building permit does hereby certify that he understands and accepts his obligation an employer of iabo unde=r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Perna nt Supplement, and has omplied with the provi',sions 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 oz cause to be posted for inspection on the site of the work sucii public notice or notices as are required by the Act, The undersigned agrees to -aploy only such sub contractors, on work to be Perforated der this permit, as are licensed by Miami Shores Village (Signed)........ ... .,..,e � 1....................... STATE OF FLORIDA, r Electrician. 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 butt stated are true. .............. ..................... .... ...... ................... .......... .... ................ ............................... ............. ..... ............................................ ............. My Commission Expires Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLE�'S PLUG AEC"" °P•T'S FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT, SPACE STRIP NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER TOTAL CONTR. -- - -- LIST CHECK ENT. DIST. CAB. SERVY:E TEMP. SE"VICP PERM MOTORS OTORS MI-5 Nrom R�aDtO TOTAL, O -I HP HP TRANS. T CON- CHE =X Service Overhead Size FIeders. . ...Conduit_............Main Sw.._... ..Main ' "uses .... .................... ..Amps Underground ......_.. ... . ............ ...... gro --... .. .Amps.- --•• - - -•- •- - Type of Installation --- Conduit.. _ .Tabing... .B.X L... .. _. _....._.Metal Moulding...... _ .... ............................... i .......... _. _ .. ..... . Amount of Permit $ _ .. _ .......... ( Signed ) ........................... _ ................... .._ .... ......... ...... ......... Electri Inspector. The und=rsigned applicant for 0+ building permit does hereby certify that he understands and accepts his obligation an employer of iabo unde=r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Perna nt Supplement, and has omplied with the provi',sions 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 oz cause to be posted for inspection on the site of the work sucii public notice or notices as are required by the Act, The undersigned agrees to -aploy only such sub contractors, on work to be Perforated der this permit, as are licensed by Miami Shores Village (Signed)........ ... .,..,e � 1....................... STATE OF FLORIDA, r Electrician. 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 butt stated are true. .............. ..................... .... ...... ................... .......... .... ................ ............................... ............. ..... ............................................ ............. My Commission Expires Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT App a e the build- ing of Miami rules and made in compliance detailed � is f of Flo "cat' is hereby the I State i all Shores �41 with, plans approved or P application 0 h y for �f other Florida, B g fMiami regulations 6 - 0 mmp�� Shores and Building g d g progress of P d m kept at b 6, work. Date—_ OW*' s Name and Address--- No.113. ___ — Street,&Zi Regiaered Architect and/or Engineer- — ----- Name and address of licensed contractor.. ve Location and legal description of lot to be built on: Lot- Block—_.. ­ ___ - . Subdivision-______ Street and Number where work is to be done—_- . _ State work to be done and purpose of building (by floors)- —_and for no other purpose. New Remodeling--- _..._ -- Addition_------- - - - - -- ----- -- Repairs -_---------- No. of Stories ....• _ - --- - --- ------ To be constructed Kind of foundation-_ Roo 'I �gering__ _ -- ---------- - - ------ Estimated Total cost of improvements -----Amount of Permit $-.-- — _­__ Zone cubage required-------- _____.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 foi said building. All notices with reference to the building and its construction may be sent to--.- The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer e Of labor under e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Su zlenient, and has complied with the Provisions thereof, and will require similar compliance from all contractors or sub-contractors employ by him in the work to be performed under this permit; and will post or cause to be 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 pert rmecd, rider this permit, as are licensed by Miami Shores Village. Remarks- (Signed) . . . . . . . I STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,* personally ap- peared - - ---- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the- ._ - - - - -- - --- ---------- - - _ - ------ ------------------- - -- - -- - of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit Read, Sworn to and Subscribed before Disapproved Date (Signed) Not ary Public, State of Florida B 'Zing for My Commission Expires--..-. PLANNING BOARD- --.-.---DATE Chairman Member Member Member — ----- ---- Member Member Council Approved-- --Date Disapproved ------ - __- --- --,Date NOTE: A charge of $1.00 will he 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 rilk MIT Permit No.- Date.._ 7, 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 coufmi with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the La I f the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village :3 L coemi with, whether herein d building during progress of 4�; �7 Mx=vot. A copy of approved plans and specifications must be kept at work. Name and Registered Architect and/or Employing Plumber's Name NO Location and Legal Description Lot Bkrck Subdivision-_ Street and Number where work b to be performed —Nol 1/3 "51 � je State work to be performea and purpose of building (BY Floors) 7 New 8,,a iling --- -- ! __ Remodeling____ Addition_ ____. No. Of Size Septic Tank— i Type of Tank- ----- -------- —_—Capacity Gals. _ Feet of Drain Tfie_-- Feet of Tank or Drain Field from Well-- Nature of Water supply: City _WeL___Size of Soakage Pit---- Amount of Permit $___ i I ------ T-- , Aumbing Inspector. The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worknisan's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the proviisiomns 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 i ed agrees to employ only such sub-contractors, on work to be performed under this permit, as are B censed by Miami Sham V96a- (Signed) .............. STATE OF FLORIDA, ML COUlfff OF DARE. I Before me, the undenU ned authority, a notary public, duly authwIzed to administer oaths and take sclinowledgments, personally appeared to m® Well known, and who, being by me first duly sworn, ulxm*oa* 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 some, and that all facts therein by aim stated are hue. My commiasion Expires, Notary Public, State of Florida, NOTE: A re-hapecticat fee of $1.00 wffl be made when such minspectIon is made-necessary by improper notice for inspection, or faulty materials and/or w0ainandi BATH LAVA- S1.0p LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS; TUBS SHOW1100 TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK Sri-Tic SEW= DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM*G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL LIST CHECK Size Septic Tank— i Type of Tank- ----- -------- —_—Capacity Gals. _ Feet of Drain Tfie_-- Feet of Tank or Drain Field from Well-- Nature of Water supply: City _WeL___Size of Soakage Pit---- Amount of Permit $___ i I ------ T-- , Aumbing Inspector. The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worknisan's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the proviisiomns 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 i ed agrees to employ only such sub-contractors, on work to be performed under this permit, as are B censed by Miami Sham V96a- (Signed) .............. STATE OF FLORIDA, ML COUlfff OF DARE. I Before me, the undenU ned authority, a notary public, duly authwIzed to administer oaths and take sclinowledgments, personally appeared to m® Well known, and who, being by me first duly sworn, ulxm*oa* 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 some, and that all facts therein by aim stated are hue. My commiasion Expires, Notary Public, State of Florida, NOTE: A re-hapecticat fee of $1.00 wffl be made when such minspectIon is made-necessary by improper notice for inspection, or faulty materials and/or w0ainandi Al MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the awroyal of the detailed statement of the plans -and specifications herewith submitted for the build. ing or other structure herein described. T is application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and ----- - - - - -- ------ No.- Registered Architect and/or Engineer----------- - - - - -- Name and address of licensed contractor_. 4%'_'0 U6 ----------- ........ - -- - -------------- - -- - ------ Location and legal description of lot to be built on: Lot_ - - - -- Block - - - - -_ - - - -- Subdivision------------------------- - - - - -- Street and Number where work is to be 3 _Sr ------ State work to be done and purpose of building (by Rom)--- - -------- oo-"- A, Idle 4s" $, ------ Al- -:ni%r no Cother purpose. New Building---.-.-----.. Remodeling-------- .----- _-- - - - - -- Addition----------------- - - - - - -- Repairs---------- _-- _____ - - - - -- No. of Stories..- .__.......- ...._. . . To be constructed Kind of foundation - — ------ - ----------------- - -- ----------- - ---- --------- Roof Covering-------.------- .___-..__---- _---- - - - - -_ Estimated Total cost of improvements --- - --- ----Amount of Permit $--- _-------- --- - - - -__ -- - ------ ___ -- — ---- - -------- Zone cubage requiredL___ Cubage — ------- - ----- — — - — -- - — -----_------------ . . .................... . Distance to next nearest of Building Lot-- - - - - -_ ------- . . ... . . ...... Maximum live load to be borne by each floor--- - - - - -- -- — -- - ------- . .... . ........... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to-- zl?'aj,"C o d7e J, /I" e, -- ---- / e ;�' --,,e eJ 0 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 co tractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for on on site of e work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such actors work to perfgrn nder permit, as are licensed by Miami Shores Village. Remarks— -------- - - - --- -------- (Signed) - ------ - - STATE OF FLORIDA, COUNTY OF DADE. I ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,- personally ap- peared----- - -- ----- - — ---- — - --------------- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the- - - ----- ---- - ---------- - — -------- --------- - — - — - --------------- - of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. C;­�' Permit No. 0 2 Date---- Read, Sworn to and Subscribed before me. X L Disapproved - ----- -- ----------- - - ------ — - - - ---------- - --------- -Z-'( ---------- ------- Notary Public, State of Florida Building Ins_kw Commission Expires -- - --- --------------------- - PLANNJ06�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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.. �, � / ............. Date...... ..:.... 7 - .. 6. 2 ............................... Application is hereby made for the approval of the detailed statement of the plan 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 Budding 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 worker n jV Owners Name and Address...... t. .tip 5 ............................. : ......................... No ...... �_. _ .3..... Street.. ! :........... �.. ..: .. ..:.. Registered Architect and /or Engineer --- .... E ` t P� ► p �2 , Employing Electrician's Name.�21.. ............................................. ........._.NG........ i ......... ..............Street..... .` s .F ° ..................... Location and Legal Description Lot ....... _ ........................................................... Block .......................................... Subdivision ...............- -- ................ ............ " c Street and Number where work is to be performed - No ............ ........................ Street .... --- -...:.............%...................................... 3 L, State work to be performed and purpose of building (By Floors) 4�/!. ��:.... " :/, c ct2 s Qtr „� 6_ F �� } �;: F ... - -•- ...... New Building ...............Remodeling ................................ Addition .............................. Repairs .......... ...._...................... No. of Stories ...... ............ Service Overhead Sue Feeders ................... Conduit..............IvWn Sw.._.........._ Amps . ...................... Main Fuses ....._.............._....Am p -Amps Underground Type of Installation— Conduit ....................... Tubing ....................... - B. X. L ......................... Metal Moulding............................---------------- ............................ .. ...... _ .... ..... .. ........................ .. .......... _ ........ . .................. ............... .. .................................................................................................... ... _ .... _ ............ _............... ... Amount of Permit � $ ............... .......... (Signed) .. .................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligation as an employer of labor under the Florida Workmen's Compensation Act, being Sectign 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contracto on wor to b this permit, as are licensed by Miami Shores Village. / (Signed) . .:... 4 ..... .... .......... Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................................... .. .... .. .................. .... h .................................. ................................................................. ...... .... .. .... _............................. 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 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 'ROTORS NEON SW. CAB. TEMP. PERM. 0.1 HP 1.8 HP TRANS. RADIO TOTAL, CONTR. LIST CHECK Service Overhead Sue Feeders ................... Conduit..............IvWn Sw.._.........._ Amps . ...................... Main Fuses ....._.............._....Am p -Amps Underground Type of Installation— Conduit ....................... Tubing ....................... - B. X. L ......................... Metal Moulding............................---------------- ............................ .. ...... _ .... ..... .. ........................ .. .......... _ ........ . .................. ............... .. .................................................................................................... ... _ .... _ ............ _............... ... Amount of Permit � $ ............... .......... (Signed) .. .................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligation as an employer of labor under the Florida Workmen's Compensation Act, being Sectign 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contracto on wor to b this permit, as are licensed by Miami Shores Village. / (Signed) . .:... 4 ..... .... .......... Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................................... .. .... .. .................. .... h .................................. ................................................................. ...... .... .. .... _............................. 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. F U M I G A T I O N T+ 0 T I F I C A T I 0 N ----- - - -�-- ------ - - - - -- ECONO -WAY DMERMINATING CO, 1400 E. 4th AVENUE HIALEAH, FLA. $3010 ompany Address Date and Approximate time of Release Aug'+.ast, 16. 1468 12 noon Location of Structure: 131 X. F. 103 St. 141p=m1.Shores Owners s Name and Address fled W. Hager seine Type of Structure: 1 story C13S Approx, No, Cu. Ft. 20 s 000 Name and Quantity of Fumigant: fume -I -Gate 10 'go -11ons Length of Fumigation Period: 24 hours Distance to Nearest Building: East 15 feet Certified (or Special ID.) Fumigator in Charge: Name: JOSEPH P. ISENN Telephone: 888 -9749 822 -474 Day Night FUMIGATION SHALL BE PERFOFNED IN STRICT AD "RENCE TO THE FUMIGAPfftS P'�EGISTERED LABEL AND FLORIDA STATE BOARD OF HEALTH RULES 1701 -20 .NOTIFICATION TO BE RECEIVED NOT LATER THAN THE DA": PRIOR TO RELEASE OF THE FUMIGANT BY: 0- County Health Dept, 0- Fire Dept. O -Other I MIAMI SHORES _VILLAGE, FLA. N® 576 � a INSPECTION TIME READY'/ REMARKS: INSPECTOR DATE I MIAMI SHORES- VILLAGE, FLA. N® 5734 I JOB 0 9 I ADDRESS -� I TIME REMARKS: I i I I I I I I I � I I INSPECTOR, DATE I I I MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date---- A!4ERSq -1 - 19__.68 Owner's Name and Address__F'_eA_*.. W.--- Hirer- -- - - ----------------- N -.E• No._-133 ------------ Street.-J.0-3--------------------------- Registered Architect and /or Engineer.____ 91gse_pP. I seen -- - -- Name and address of licensed contractor --- Ee0 Q__Wa T__EXtt.--- _C%O._ -- 140© E. 4th AVe. Hlh• Location and legal description of lot to be built on: Lot----------------- ---------------- ---- -- - - -- Block------ ------ --------- --- --- - - - -- -- Subdivision--------------------------------------------------------------- -- ---- --- ----- ------ - - -- --- ------------------------ Street and Number where work is to be done________ l33___N_e_Fi ----- 1 3-- -5t State work to be done and purpose of building (by floors )______________-- ________ ------------------------ -- ------ ------ Nylon_Tant - Fumigation -- --------------------- •------------------------------------ ------ ------------ - - - - -- ---------- - - -- -- ------------------- --- ---------- _. ------------------ -- -------------------------------------------------- and for no other purpose. New Building ____________________________ Remodelin g --- - - - - -- - - - _______ Addition ________________________ Repairs No. of Stories-- - - -- 1 ------------------ To be constructed of----- ------- --- -- ----- - -- --- Kind of foundation---------------------------------------- ----- --------- -- ---- -- -- Roof Covering------ -- ---- --- ----- ---- -- --- - - - - -- • ---------- Estimated Total cost of improvements $ ---------------- ------------- --- - - -- -- Amount of Permit $- ----- - -__ 5.10-0 -----------__--------_----- ____---- _--- -- -- -- •----•- - - - - -- Zonecubage required----------------------- ----------- - - - - -- ------- - - - - --- - - ----- - - - - -- -plan Cubage ------- -------------------------------------------- ------------------------------------------- Distance to next nearest building -------- ERBt__1 -5 ---- feet-_ ---------- size of Building Lot -------------------------------------------------- ---_--____---------__ .......... Maximum live load to be home by each floor - -- - - _ - ----------- - ----- ---- -- -- -- -- -------------------------- ------- --- --- -- ---- - - - - -- - ---- ---- - -- - -- --- - - - ---- --- - - ---- - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ------ - - ----------- ----------- -------- --- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe under this permit, as are licensed by Miami Shores Village. Remarks------ ---------- ---- - - - - -- -- - - -- - -- - --- ------- ------- --- --- --- - - -- -- ----- - - - - -. ( Signed) - -- - - - - -- -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _ ________ ______ --- _---- _----------------------------------------------- _ --------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No_________ _____ __ _____________ ------------ Date ----- _-------- _ --------- 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. Issued to OWNER aiami Aore"Yalage F L O R I D A PLUMBING PERMIT N9 iois SUBDIVISION 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 story building at Fixtures Fixtures $ Sewer $_ Septic Tank $_ Total $ Date Issued to Village Plumbing Inspector Received Payment by 21iami Jbores'illage F L O R I D A PLUMBING PERMIT N° s®i OWNER LOT BLOCK SUBDIVISION 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 Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by -- - -- wt ArY. Ott pove� Ile O,tr IA, Tj nF I A I I OT' E S IFLOIZV� t� MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. CERTIFICATE OF INSPECTION F,.=. THIS CERTIFIES THAT the wiring and apparatus installed at by Address for. owner, and occupied has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range Power: Connected Other Apparatus watts. Water Heater .watts P. Space Heaters watts ELECTRICAL INSPECTOR. MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194_ ELECTRICAL PERMIT N" 6270 Contractor's PLUMBING V10 License No. Work to be performed under this Permit Owner of Building Architect F Contractor or Builder Legal W Lot Bl. Description Address of / .? Building Subdi- vision Amt. of Permit This pe i is granted fdthc 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 tborough 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 AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10625 Contractor's ROOFING ❑ License No. ❑ Work to be performed under this Permit-----.—_ Owner of Building Architect Contractor or Builder 19—_. Legal Lot Subdi- Description Bl. vision -- Sq. Ft. Address of Value of Amount of s ' Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed:— (INSPECTOR) BY— In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ ❑ MIAMI SHORES VILLAGE, FLORIDA ?_ Date PERMIT N? 10348 Work to be performed under this Owner of t `V- C .J. r Building Architect Contractor or Builder to ' ' ` -- Contractor's er License No. if .p ti Legal Lot Subdi- Description B1. vision Sq. Ft. Address of - Value of Amount of Building _ Project, $ CIL:, 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 MIAMI SHORES VILLAGEy FLORIDA BUILDING ❑ 19 ELECTRICAL ❑ PLUMBING ❑ PERMIT N 10529 Contractor's License No. ROOFING ❑ -- ❑ Work to be performed under this Permit _ Owner of 1 . e Building ; "� - - =- Architect — - -- --- - - - - -- Contractor or Builder Legal Lot Subdi- Description II Bl. vision Sq. Ft. ' Address of Value of Amount of e -- Building _ Project $ �t7 _ M 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 BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ El Owner of Building MIAMI SHORES VILLAGE, FLORIDA Date— - -- — 19 -. -` PERMIT N °• 8379 Contractor's License No. Work to be performed under this Permit Architect -- Contractor or Builder — Legal Lot Description BI Address of Building Subdi- vision _ - -- Sq. Ft. Value of Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 covere8 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. "7 CONTRACTOR or BUILDER BY &JTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of i Building ,f Architect _ Contractor I Builder MIAMI SHORES VILLAGE, FLORIDA, �? Date PERMIT N? 8382 Work to be performed under this Permi Contractor's License No. 6 Legal Lot` Subdi- Description II Bl, vision -- Sq. Ft. Address of Value of Amount of Building - — Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed:- (INSPECTOR) 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 BL74.DR.R BY AUTHORITY BUILllING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building - MIAMI SHORES VILLAGE, FLORIDA' DATE— 19 PERMIT N° 5031 Contractor's License No. Work to be performed under this Permit,,; A rrh i fanf I Contractor or Builder Legal Lot Description II Bl. Subdi- vision Address of Value of Amount of Building Project — -- ( Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: M INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ail 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 roaor ELECTRICAL PERMIT N. B. —This Permit must be display on the premises the couction. Owner of aiami Aores7illage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 Contractor or Electrician Q>ZA 4!n ` Wr" /%.JL#` too LOCATION N° 590 NO. STREET PART OF LOT LOT BL'K SUBDIVISION DESCRIPTION OF WORK NUMBER OF Outleis, I Motors I Receptacles I Generators Stoves Water Heaters I Signs Billboards ,4)t4r Appiiratuj_...- 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 Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the ate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami e kores Village. Dated _, 19 (Seal) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building or Electrician aiami Jhores"Tillage F L O R 1 D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 LOCATION N° 590 • O• STREET PART OF LOT LOT BL'K SUBDIVISION i DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles I Generators Stoves I Water Heaters Signs I Billboards I Other Apparatus 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 ans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code imi Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by lepartment. t , Electrical Insper. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with plication and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami L- T.11 --- 19 (Seal) BUILDING PERMIT Owner of Building IS Contractor or Builder MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, , 19 PROPOSED LOCATION N° 393 NO. 1 STREET I PART OF LOT I LOT. -I. BLOCK I SUBDIVISION DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame Tile Concrete Stucco Residence Apts. Stores Hotel O �� This permit is issued 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 previsions 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. Dated -'19 .. �t (SEAL) BUILDING PERMIT L� Owner of Building Architect MIAMILSS VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, 40z —, 19 Contractor or Builder R W PROPOSED LOCATION N° 359 No. STREET PART of LOT LOT BLOCK °k SUBDIVISION DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE 7 1 Frame Tile Concrete Stucco Residence A ts. 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 d 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 it,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 ilding department of Miami Shores Village. Dated i : 19 (SEAL) 133 N. E. 103rd St. by year annual tax period used amount,paid date paid receipt # E. L. Adams s/ / � LOCATION i ?,? -9- R. I (}; �rc3 7,-GARBAGE TAX RECORD PAID BY Y R { . AN UAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 40 6WFA07 1941 - . &—kill / i, ✓IcS O O 1 1942 Y d % � r ti . 1943 Q • �� � 1944 . iG4 r) 1945 - T.r �-! • 1946 y 1� N 1947 ten: a �. cc1 �2- - -2 J O U _ 3 _ 3 1948 Dpi p -d 1_` (( // 1949 (( — d 1950 -,3 j C' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 1 % 3 `� Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant T ✓ t h Master Permit # So Owner's Address Phone , °3 f ail o� 3 T y � 7 w Contracting Co. Y' u ► ? 1 �'i 1''�T bil V^ C' *1 �/ �Gf Address 3 39 A) - Queer F��V� 1 � J J � SS# Phone '-7.5x7_ Y, %%3 State # /� Municipal # 30 Competency # f " OOI °Ins. Co. —? � Architect/Engineer /l) �+ Address Bonding Company i1J Mortgagor Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. 611, Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFlDAVrr :. I certify that all the foregoing information is accurate and that all w be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the ed. Si of owner and/or Condo President I Date �j 19'gnature of Contractor or Owner - Builder Date //In 1 AnM /�`�� ` / / \-,'v Notary as to Owner or S Date My Commission Exp s: GLADYS 3 VI11 AR NOMY PLBLIC STATE OF FLORIDA f'v.rSSlt)N NO. CC7141M Mv:, " +s5ilON ESP. A�t� AP,1,2PC2 FEES: PERMrr -O RADON APPROVED: Zoning 4, Notary as to My Commiss JENNIFER JOHNSON MYCOMMISSICN#CCM127 EXniRES:J.ie,2004 1- 800- 3-NOOTARY Fie. Notery Service & BorKing Go. C.C.F.. I NOTARY BOND TOTAL DUE r Date A Building Vim' 9 Electrical Mechanical Plumbing Structural Engineer STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number - - - -- PART II - SITE PLAN--------- - - - - -- - -- Scale: Each block represents 5 feet and 1 inch = 50 feet. Notes: j Site Plan submitted by: "TKl- t Signature ° t - -� Titre Plan Approved Not Approved Date Z"- By -' County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT OH 1015. 10198 (RW*m HASH Foam 1015 which may be wed) (sba Nuff6w:5744-oa 401 W Page 2 of 3 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name( Owner' ddress CityC imple Titleho &IW6 44 AR :)?K(,t Permit No-9 MAR 2�0 Master Permit No. Y: ------------ State -\ Zip Tenant /Lessee Name E -MAIL: Job Address (where the work is being done) City Miami S ores Villa e FOLIO / PARCEL # , Is Building Historically Designated YES Co t i Phone # Phone # Zip Contractor's Company. Name {- 1 J i i _ Phone # Contractor's Addres M City State Zip__ Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit e Type of Work: ❑Addition ❑Alteration Describe Work: ---"'� Square / Linear Footage Of Work: [-]New KRepair/Reptace ❑ Demolition �xxxx*+ ��* � *��xxxxx�xxx�xx� *�x�r��/�'xxx* Fees"* xn* xxxx�r* xxx��x�xx��rx� :xxxxxxxxxx�xxxxxfx Submittal Fee $ Permit Fee $ J �` 36-b CCF $ CO /CC Notary $ Training /Education Fee $ ((40 Technology Fee $ 8.7 Scanning $5 Radon $ DPBR $ Zoning $ a Bond $ Code Enforcement S Double Fee $ Structural Review. $ Total Fee Now Due $ �Q See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: l certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site .for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature L� . / 1 _ �£, 't Signature 1 Owner or Agent Contractor The foregoin instrument was acknowledged before me this day of �, 20C by Rok > who s personally known to e or who has produced As identification and who did take an oath NOTARY PUBLIC: Sign: ,(. ear ` ",. M,ft " ateo(F �iss� DD 1 The forr�egymg instrument was acknowle ged b fore e this day J4 , 20M by wh Ci�speer onally known to me or who has produc,' 4�Q���`�� as identification and wh 1114 NOTARY IC: t ?: Sign: � 4- Print: on 5 05&1 " LIM n,,,, Print: My Commission Expires: 1 �i My Com is ion Expires: `J APPLICATION APPROVED BY: � � M II WtO I Plans Examiner Engineer Zoning (Revised 02/08/06) STATE OF FLORIDA PERMIT NO.` DEPARTMENT OF HEALTH DATE PAID; ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM. FEE PAID; CONSTRUCTION INSPECTION AND FINAL APPROVAL RECEIPT #: WE APPLICANT: AGENT: FILLED / MOUND SYSTEM [ ] [10] AREA [II ' L [2]'" SQFT [ ] [36] DRAINFIELD COVER [ ] [11] DISTRIBUTION BOX HEADER [ ] [37] SHOULDERS [ 1 [121 NUMBER OF DRAINLINES [ 1 [381 SLOPES [ ] [13] DRAINLINE SEPARATION j' STABILIZATION [ 1 [141 DRAINLINE SLOPE PROPERTY ADDRESS: s" [ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION 1 [16] ELEVATION [ABOVE/BELOW] BM [ ] [401 UNOBSTRUCTED AREA [ 1 [17] SYSTEM LOCATION [ ] [41] LOT:' BLOCK„ SUBDIVISION: ALARMS PROPERTY ID #: [ 1 (431 MAINTENANCE AGREEMENT CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. LOCATION CONFORMS WITH SITE PLAN TANK INSTALLATION .- °•. [ ] [461 SETBACKS FILL / EXCAVATION MATERIAL [ ] [t)11 TANK SIZE [11 [21 [ 1 [27] SURFACE WATER FT [ ] [02] TANK MATERIAL,! [ ] [24] EXCAVATION DEPTH ] [251 AREA REPLACED [ 1 [28] DITCHES FT [ ] [03] OUTLET DEVICE [ 1 [291 PRIVATE WELLS FT [ 1 [04] MULTI - CHAMBERED [Y / N ] [ 1 [30] PUBLIC WELLS FT [ 1 (051 OUTLET FILTER y' [ 1 [311 IRRIGATION WELLS _ FT [ ] [06] LEGEND [ ] [321 POTABLE WATER LINES FT [ 1 [071 WATERTIGHT - [ 1 [331 BUILDING FOUNDATION -° • ' FT [ ] [081 LEVEL [ ] [34] PROPERTY LINES FT [ ] [09] DEPTH TO LID - [ ] 1351 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ ] [10] AREA [II ' L [2]'" SQFT [ ] [36] DRAINFIELD COVER [ ] [11] DISTRIBUTION BOX HEADER [ ] [37] SHOULDERS [ 1 [121 NUMBER OF DRAINLINES [ 1 [381 SLOPES [ ] [13] DRAINLINE SEPARATION [ ] [391 STABILIZATION [ 1 [141 DRAINLINE SLOPE [ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION 1 [16] ELEVATION [ABOVE/BELOW] BM [ ] [401 UNOBSTRUCTED AREA [ 1 [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF [ 1 [181 DOSING PUMPS [ ] [42] ALARMS [ ] [19] AGGREGATE SIZE [ 1 (431 MAINTENANCE AGREEMENT ( 1 [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA [ 1 [211 AGGREGATE DEPTH , , [ ] [451 LOCATION CONFORMS WITH SITE PLAN [ ] [461 FINAL SITE GRADING FILL / EXCAVATION MATERIAL [ ] [47] CONTRACTOR -' [ 1 [221 FILL AMOUNT �' [ ] [481 OTHER [ 1 [23] FILL TEXTURE [ ] [24] EXCAVATION DEPTH ] [251 AREA REPLACED ABANDONMENT i [ 1 [49] TANK PUMPED [ ] [26] REPLACEMENT MATERIAL [ 1 [501 TANK CRUSHED & FILLED _ �T EXPLANATION OF VIOLATIONS / REMARKS: [ 1 f ] [ l CONSTRUCTION [APPROVED /DISAPPROVED]: ., y' CHD DATE: FINAL SYSTEM [APPROVEO/DISAPPROVED]: CHD DATE: DH 4016 (Page 2), 10/97 (Previous Editions May Be Used) Page 2 of 3 Stock Number: 5744- 002 - 4016 -4 PT 1: Applicant PT 2: Installer /Contractor PT 3: Building Department PT 4. Health Department PERMIT NUMBER: Permit tracking number assigned by CHD. APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. Box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION Lot, Block and Subdivision for lot or PROPERTY ID #: 27 character number for property. (property appraiser ID # or GIS location) COUNTY HEALTH DEPARTMENT CHECKS [X] ITEMS NOT IN COMPLIANCE WITH CONSTRUCTION PERMIT AND STATUTE OR RULE. INFORMATION IS COMPLETED BY CHD ON FOLLOWING ITEMS: TANK SIZE (gallons) TANK MATERIAL (concrete, fiberglass, etc) OUTLET FILTER (manufacturer, make, model) LEGEND (manufacturer code) DRAINFIELD AREA (square feet) DISTRIBUTION BOX / HEADER (check box) NUMBER OF DRAINLINES (number installed) SYSTEM ELEVATION (in relation to BM) DOSING PUMPS (number installed) SETBACKS (record actual setbacks in ft) SETBACKS OTHER (as required) STABILIZATION (date stabilized) CONTRACTOR (contractor installing system) ADDITIONAL INFORMATION (as required) ABANDONMENT TANK PUMPED (date) TANK CRUSHED AND FILLED (date) AS BUILT INSTALLATION SKETCH EXPLANATION OF VIOLATIONS: Record item number, explanation of violation, and required CONSTRUCTION APPROVAL: Circle approved or disapproved, CHD signature and date. FINAL APPROVAL: Circle approved or disapproved. CHD signature and date of approval. Final approval shall not be granted until the CHD has confirmed that building construction and lot grading are in substantial compliance with plans and specifications submitted with the permit application. ELEVATION WORKSHEET ELEVATION OF BENCHMARK OR REFERENCE POINT: [ +] SHOT H.I. ELEVATION EXISTING GROUND TOP OF AGGREGATE H.I. H.I. [ -] SHOT [ -] SHOT H.I. [ -] SHOT 4L PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ew/ ­ 4U 0 Job Address Tax Folio 2-1 -3,14 —01-3 Legal Description Za 1,P - 41storically Designated: Yes No—'.,-' Owner/Lessee / Tenant /'rl // 1 i AIA C,Ir; Master Permit # Owner's Address �.�� R' �a 3 a'> Phone Contracting Co. .4 1A 7'y Address '116 ic-:' Qualifier_ /�;�: ✓��✓'J SS# -� Phone 3� S ^� State # Municipal # Competency # Ins. Co Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFING AVING FENCE SIGN WORK DESCRIPTION /t �= _ l.,C -�� /f L Z Cep C.�� pct ✓me s� 14 C31 Square Ft. 1 T Estimated Cost (value)�� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. i a e of owner an or Condo President , Date Sign a of Contractor or Owner - Builder Date e 03 -� Notary or Condo President 6ate Notary as to Contractor or Owner- Builder Date My C fission Expires: My Commission Expires: P EWCHARLES RICHARD • p5A / JOHANNE MARCOTTI_ �+ : COMMISSIONS # CC628897 "M APIt . EXPIRES APR 27 2001 p� p �44 � 80ND1� THROUGH FEES: PERMIT RADON C.C.F. NOTARY BONDD TOTAL DUEL APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE a Date- f-4 Job Address 13 3 /U 16� d Jam. Tax Folio c Legal Description 40 1 ` 7f�c�"T z o e- Historically Designated: Yes No y Owner:4.essee�t;axt U /� 4` - / ` l t G`� Master Permit # ' Owner's Address / 3 3 / 1/, �C-/0_3 i�'�.� T Phone Contracting Co. /� (� �' . Address Qualifier - SS# - - Phone State # Architect/Engineer Bonding Company Mortgagor Municipal # Competency # Address Address _ Address Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN FENC Aa„r 2.e t ice. df WORK DESCRIPTION Estimated Cost (value) SIGN A4e4na,ar, 400=Z-" 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 Zre ng construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. owner and/or Condo President Date Signature of Contractor or Owner - Builder Date I 3 Y;o- � Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: i--16 -9� My Commission Expires: FEES: PERMIT RADON C.C.F. NOTARY 9- BOND �p TOTAL DUE APPROVED: ewwe�_6�1 Zoning Building ' 10,17 Electrical 'Mechanical Plumbing Engineering --1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 a 1 Job Address 133 b]. JE, / O 3 s Tax Folio Legal Description Historically Designated: Yes No -K Owner/I.essee / Tenant —M r3. ) )) R C. Master Permit # �6-9 % 9 Owner's Address 13 ? N • E 1 E> 3 a-r Phone 3 OX _ -7 J5'q — cl :13 1 Contracting Co. _ TD K L3 tk) E F_ Q Tm o4't L p s Address AIJ-4 / N • t�J . 1'7!) s Qualifier So 14 i, CL) 6-E-R SS #,, Phone 3oa-- 4-24 — 1—I-7a State # Architect/Engimr Bonding Company Mortgagor Municipal # Competency # i 194 Ins. Co. '&j rL i Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL oqOiR PAVING FENCE SIGN WORK DESCRIPTION 9F A., r. I C o c �' LE A k 1►U —r. 1,,, Square Ft. i °-0 Estimated Cost (value) -7 C' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR Il"ROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY. BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVfr: _ 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)pature of o ' and/or Notary as Owner (d/or I My Comfiiission Expires: President Date Signature ff Contractor or Owner - Builder Date i YS J VILI.ARPRie ARY PUBLICSTATE OF FLORIDA COMMISSION NO. CC714103 FEES: PERMIT 0 � RADON APPROVED: Zoning C.C.F. -JO NOTARY BOND TOTAL DUE Buil ' Electrical Mechanical Plumbing Structural Engineer Notary as to Con for or Owner - Builder Date My Commiss On i& . of CIAO NOTARY SEAL pti ` 6� 8 MARGARITA MONTREL 00MMISE10N NUMBER 9 . �F CC797277 g MY COWA8SRON EXPIRES l� DEC. 17,2002 C.C.F. -JO NOTARY BOND TOTAL DUE Buil ' Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5- 2 Job Address l 3� n% E %d 3 5 r Tax Folio Legal Description Owner/Lessee / Tenant kLL T- H Owner's Address" �I Sea Olt C Contracting Co. L n State # C.R L 65-7067 Mun Amhitect/Engineer Bonding Company ,r -/.AAA icipal # Historically Designated: Yes �1 No C Master Permit #� rS �-/&U Phone OS^ % q 5_2 3 c Aadress / 6 6 �-v w �-Z ST 7r,1-09" SS# (3,69, ) Competency # Ins. Co. Address Address Mortgagor Address Permit Type (circle one): WORK DESCRIPTION � C u' 'c PLUMBING M CAL,ffRROOFING sp lvq aRe" PAVING FENCE SIGN Cr�M-i 'P Z 4 25k Ss 1 � 2'S 6-0 Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. r ature of owner and/or Condo President Date rgnature of Contractor Owner - Builder Date otary as to Ow&4 and/or Condo President Date My Commi n E -irr�r OFi 1CIAL NOTARY SEAL O­Q,9'Y pt' <9 R MARGARITA MONTIEL 0 CGMAASgON NUMBER CC797277 CC 1JSVON EXPIRES OF FLT` 17,2002 FEES: PERMIT RADON C.C.F Notary as to Co actor or Owner - Builder Date My Commission Ex ..:¢L NOTARYN*" L ,.,V',SSION NUMBER CC797277 -y w CCNI iSSION EXPIRES c OF } 17,2002 r-- /' NOTARY '�- BOND Roo, � TOTAL DUE APPROVED: Zoning Electrical Mechanical Plumbing / Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address t 'S" a® �, C? Tax Folio Legal Description Historically Designated: Yes No Owners /Tenant ' + Master Permit # % 14b Owner's Address i --:>- Q� O ea v Phone ' J f) D iZ -JT Contacting Co. \ST! �--c C4- �Q -CC-71 C�T- 1 i..th. , —Addre0'017A Qualifier` c ►`�! t SS# �1 ° 1�� a - State # Municipal # Competency # Ins. Co. Architemaginwr Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ft"-Z�,V -k Qq-A \J -Q%4XX _ CA Square Ft. /06) Estimated Cost (vat J � � 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 f AVIT: I certify that all the foregoing information is accurate and that all w k 'll be done in compliance with all applicable laws re ating traction and zoning. Furthermore, I authorize the above -nam tractor the work stated. r Signa ure „o(owner and/or Condo res' ent ate Si of Co tractor Owner- Builder a Notary is to Owner and/or Co o ent D to Notary s to Contractor or Owner -Buil ate My Co 'ssion Ex ,,_,,,r My Commission Exp' es°a" JUSE N AIFONSO J68ilm, . tSt! COMMMM MY CCMMISS6)N # CC 566387 -• r W � CG 565387 o = WIRES: J* 12, woo �` � mss: day 1Z MW �' •i „Yx`E' Bonded MN Nowy Pd* thidauv to BaXbd Thm tbtmy R+bk Wftwft g FEES: PERMIT RADON C.C.F. NOTARY BOND ?. TOTAL DUI! � APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / Job Address_ /�I T/ Tax Folio Legal Description Cer `/ Lessee / Tenant /� (//� O'! ;�/L Master Permit it 3_3 ,z Owner's Address Z` / it & . 2 (� <...� 1J T Phone_,? Contracting Co.. lG�� 1/�(�r Address j� ��d i.i/. Qualifier Z)A/lD o,, ff ,Zf4SS#��' - ��� Phone State # Municipal �� Competency # �<->� -�� ins. Co. Architect /Engineer. Bonding Company. Mortgagor Permit Type(circle one): BUILDING WORK DESCRIPTI Square Ft. Address Address Address ELECTRICA PLUMBING MECHANICAL Estimated Cost(value) ROOFING PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR 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 regulatin %struc 'on and zo g. Furthermore, I authorize the above -named contractor to do the work aSignature of owner and /or Condo President Sf ntrac r or Owner - Builder Date: Date'P 1-4>5V Notary as to Owner and /or Condo President Notary as to My Commission Expires: My Commissio u CC255237 MY commis ION @XP. OF fc? 4,1 "5 D 1997 Ir FEES: PERMIT RADON C.C.F. �� NOTARY ®� TOTAL DUET APPROVED: Fire Other Zoning Buildin Electrical Mechanical Plumbing�i Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE X33 Date --) ?Job Address_L n /iJ � c�? Tax Folio Legal Descripti - -§m-e Lessee / Tenant /`-'[ /t a Master Permit # oo 7 Owner's Address Phone � Contracting Co.c ! Address, ` ft f Qualifiers Yr ,,tiC' ; ` SS# `�' UUL State &C� (, Municipal # Competency # Ins.Co.�T TX- Architect /Engineer , Address r Bonding Company \ Address Mortgagor P �i i Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL FI PAVING FENCE SIGN WORK DESCRIPTION C�,—', iaa -Tlcl Q ---dc Pce - ) Square Ft. 16-6 0 t!"- Estimated Cost(value)_T 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 constr ' n and zon u hermore, I auth ize the above -named contractor to do the work stated. Sij6iure of owner and /or Condo President of C6ntrac er-Builder Date: Date: - -- (Z Notary ad to Owner and )(or ndo President Not r •4/ er- Builder My Commission agNOTARY Dyad . CONWAY My i+e� � My Comm Exp. 4/1998 �� rueuc � ed y service Ins Bonded B Service Ins of f No• CC365605 No. C�365F01 v-e \,.! Li t TP► r w"r `-►) onw t n FEES: PERMIT AO RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire A Other Zoning Buildin � Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date _ Y Job Address ; 'L- Tax Folio Legal Description Owner= / Lessee / 'emaintU% f_��}C� Master Permit Owner's Address z13 577 Phone �7 Contracting Co. -It Address Qualifier SS# - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address `Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICALL ROOFING PAVING FENCE SIGN "WORK DESCRIPTION 1 � fIC,E _ L, o v,47; . `�'' 1 Square Ft. /Z < Estimated Cost(valuel 00..�- WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT I certify that all the. foregoing 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 sta ed Signature of owner and /or Condo President Signature Owner-Builder Date: . Date' cow N j .•, ° Notary as to Owner and /or Condo President tar as to - My Commission Expires: My Commission ftccwm ' GC NOTARY ' FEES: PERMIT RADON C.C.F. `� N TAR Y TOTAL DUE APPROVED: Fire Other Zoning Electrical onin g g Mechanical Plumbing Engineering_ 55L f r MIAMI SHORES VILLAGE PLUMBING,JNSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.— Application is hereby made for the approval of the detailed statement of the plans and specifications herewitVsu fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __L� - cT \ = L4 — 1�' +_� No. / .� —� �1 - ` - - - -- Street - -- �G . I _ ----- r - ------------- ----- - -- - -- Registered Architect and /or Engineer Employing Plumber's N Location and Legal Description Street and Number where work is to be State work to be performed and purpose of building (By Floors) New Building- -- --- ------------- - - - --- Remodeling -------------------------------- Addition--------- ----------- - - - - -- Repairs - - - - -x ------------ No. of Stories---/ -- ----- ------ -+ - - -- Size Septic Tank --------- - - - - - -- -------- - - - - -- -Type of Tank____4___ L" Feet of Drain Tile __________L - - c____ ------- _Dist. Feet of Tank 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 TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Size Septic Tank --------- - - - - - -- -------- - - - - -- -Type of Tank____4___ L" Feet of Drain Tile __________L - - c____ ------- _Dist. Feet of Tank Capacity or Drain Field from Well___________________ ____________. Nature of Water Supply: Ci — 1M ------------------------------------------------------------- Size of Soakage Pit ------------------------------- Amount of Permit $____l____________ (Signed)* Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed)______Z!___ STATE OF FLORIDA, ss. COUNTY OF DADE. -- -----------------•------------ Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ai tami bores illagA &Fe F L O R I D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installati n as described below, and for_ inspection of same after installation: 1 Date__: 193 OwnerjAddress /3,�5 IV E /0 Building Contractor " Electrical Contractor Location of proposed work: Lot f y °� f Block Z Z Subdivision Building: Old or new Number of stories Used Description of proposed work Details of proposed work: Number of Motors H. P. Volts Amps. OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB BRANCH Basement C First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors Additional Information Signature of Address (if other than owner or contractor) (SPACE BELOW FOR INSPECTOR'S USE Work begun ` �` g Inspecte i Work finished Final inspe &ion, Inspector