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MultipleInspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: RAYMOND, MAXI Work Classification: Miscellaneous Job Address: 126103 Street NE Miami Shores Village, FL 33138- U0000 Phone Number (305)759 -1170 Parcel Number 1132060131760 Project: <NONE> Block: Lot: Contractor: HOME OWNER Buildina Department Cemmenta EXTERIOR PAINTING Inspector Comments Passed cc per, Failed Correction,tirt Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, March 12, 2008 Page 1 of 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 4/10/2006 Expires: 04/03/2007 Permit Number: PT- 4- 06-843 Owner's Name: MAXI RAYMOND one: (305)759 -1170 Permit Type: Paint Work Classification: Miscellaneous Job Address: 126 103 Street NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINTING Additional Information Type of Work: Exterior Color. BEIGE Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work coverea nereunaer 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. Fees Due Amount CCF $1.20 Education Surcharge $0.40 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $68.10 Building Department File Copy Applican Signature Parcel #: 1132060131760 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 2,000.00 Final PT- 406-24334 $68.10 Total: APR 19 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 2/29/2008 Tel: (305)795 -2204 • Fax; (305)756 -8972 To: Current Owner 126 NE 103 Street Miami Shores Village, FL 33138- Permit: PT- 4- 06-843 Address: 126 NE 103 Street Miami Shores Village FL33138- Date Expired: Type: Date of Last Inspection: Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.. Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, JElaudio Grande CBO Building Director MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No i 9 ».».........».».... Date.... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi*d structure herein descnbed. This application is made in compliance and conformity with the Building Ordbuma of Mialt and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and. regulstioI" of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and sped building during progress of work Owner's Name and ............ ........... NO ....... / »°".. & » ».... »..»....Street.... ».. RegisteredArchitect and /or Engineer» ... ... ............................. » ». ». ....a »..... . »...... ».. ». »......_.... ® ».,.» Employing Electrician's Location and Legal option Lot ...... »,.... » .... . ...... ...... .... . ................ Block.»..»...» ............. ». »...... »...Subdfi Street and Number when work is to be performed— No._Z.;K.1rV ... ...Sheet. ... State work to be performed and purpose of building (By Floors) ........ .:... »... ...�...:. New Budding-,_.. ­__...—Remodeling ....................».. _..Addition.........alE .... ..Repairs. »»...»....:..... ». ».. for d4 building or other i Shores Village, Florida, of the Budding Division fieations must be ,kept at Z" / of Stories................... Service Overhead Sue Feeder ' LConduit. ».» . »Main Type of Sw .. %..». »........:. ». Amps.....i . ... »...........IwlaiA Fnees ..»....1.........Ampa B.X.L » .................. » ... Metal Mouldia ............ ».. »........... »»..._.... ....» ..... .......... » ......... .. ... .................................... ... ...... ...... »_ »....... »-- » ....�...�.....:» ......... Amount of Permit i....».. ».. ............. . »....... »... ». »...... ».. » ».... The undersigned applicant for this building permit does hereby certify that he understands auto am" labor under the Florida Workmen's Compensation Act, being Sectipn $966, Compiled General Laws of Flo has complied with the provisions thereof, and will require similar compliance from all antracWrsi or wtroo work to be performed under this 'permit; and will post or cause to be posted for inspection on the-site of the work as are required by the Act.' The undersigned agrees to employ only such sub-cm on work' to perfprml licensed by Miami Shored Village. STATE OF FLORIDA. COUNTY OF DAM,: Before me, the undersigned authority, a notary public, duly authorized to administer osthd and take to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is die.»»..».....»....., of the above described construction, and he has carefully read the foregoing application, and that he did sign therein by him stated are erne. k*s as an employer of anent Supplement, and mployod by him in the 4�He -notice or notices '' this permit, as are personally acne. and that all facts i ... » ...................... My Commission Expires . »... »........ ».....»....,.. ... ».....»...» ........'Notary Publk, of Florida. ............. ».» NOTE: A re-inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for .fpy4ction, or faulty materials and /or workmanship. i $WITCH LIGHT FLU FIXTURES REFRIO. IRON RANOn RANOB WATER W. 14"V. ACS 8" TOTAL OUTLETS OUTLETS RECCP'TS NO. LAMPS OUTLET OUTLET OUTLET COHN. HEATER CONK. H VE11j "IrATER CLISSTT CHECK BUT. Dior. SERVICE OMMICE MOTORS MOTO" NItO1I RAOIO TOTAL SW. CAR. TEMP. PERM. 0.1 Hp 1.0 NP CONTR. UST CHECK Service Overhead Sue Feeder ' LConduit. ».» . »Main Type of Sw .. %..». »........:. ». Amps.....i . ... »...........IwlaiA Fnees ..»....1.........Ampa B.X.L » .................. » ... Metal Mouldia ............ ».. »........... »»..._.... ....» ..... .......... » ......... .. ... .................................... ... ...... ...... »_ »....... »-- » ....�...�.....:» ......... Amount of Permit i....».. ».. ............. . »....... »... ». »...... ».. » ».... The undersigned applicant for this building permit does hereby certify that he understands auto am" labor under the Florida Workmen's Compensation Act, being Sectipn $966, Compiled General Laws of Flo has complied with the provisions thereof, and will require similar compliance from all antracWrsi or wtroo work to be performed under this 'permit; and will post or cause to be posted for inspection on the-site of the work as are required by the Act.' The undersigned agrees to employ only such sub-cm on work' to perfprml licensed by Miami Shored Village. STATE OF FLORIDA. COUNTY OF DAM,: Before me, the undersigned authority, a notary public, duly authorized to administer osthd and take to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is die.»»..».....»....., of the above described construction, and he has carefully read the foregoing application, and that he did sign therein by him stated are erne. k*s as an employer of anent Supplement, and mployod by him in the 4�He -notice or notices '' this permit, as are personally acne. and that all facts i ... » ...................... My Commission Expires . »... »........ ».....»....,.. ... ».....»...» ........'Notary Publk, of Florida. ............. ».» NOTE: A re-inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for .fpy4ction, or faulty materials and /or workmanship. i — , ._� W, .3 YIN MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approN,al of the detailed statement of site plans and specifications herewith submitted for the build . in describcd. , This application is made in compliance and conformity with. the Building Ordinance of Miami g or other structure bt 'Shores Village, Florida ifithnit provisions of the Laws of,the State of Florida all ordinances of Miami Shored Village and all rules and regulations of the BuilJibl; Division of'Miatni Shores"Villap shall be complied with, whether herein specified or M. A copy of approved plans and specifications must be kept it'building during progress of the work. Dat -0te'm 1ptj.q=, 19.6LI Owner's Name and ....._............. ».»..».«.._. Registered Architect and/or Engineer .... . ............. .........••..•••••••..••••••••• Name and address of licensed Location and legal description of lot to be built on: Lot. .......... ............................... Block . ................ Subdivision_. Street and Number where work is to be done—_116 n . F_ t State work to be done and purpose of building (by floors). lLe pa . ...... 1 Q) I «....._......«.».»... ................. «»....._.....» . ... .................. . .......... . .. ...... ............. .............. . «.. ».. .»...... »....«.............. «.. «. »......and for no other purpose. New Building ............................. Remodefing ........... / .. ......... Addition ......................... Repairi ......................... No. of Stories...... ....... To-be constructed of ......................... * Kind of foundation..__.. . . ............................... . ........... . Roof Covering. »....... ................. »....»........ Estimated Total cost of improvementi of Permit ...................._.. «.». Zone cubage required ....................... 7 . ....._..........«..... —­.Plan Cubage ................... Distance -to next nearest building......._ ............. . ...... ------- —.----Size of Building Lot...... ....«_ ......................._.. ». »._ Maximum live load to be borne by each floor ........................ . . . ..... . ................................. »» ........« »....... . «....:.. «.... t ................ I .................. ... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to.; ......... ................................ .... Z ................................ ............ .................................................................................. .......... The undersigned applicant for this building permit does hereby certify that he understands and accepts h, obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral Laws of Florida. Permanent Stippiruient, and has complied with the )rovisions thereof, and will require similar compliance Fro all contractors or sub-rntractors employed by him .0 t ,*n the work to be perforincl tinder this permit; and will post or cause to be posted rfl, inspection on the site -the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such bcori on work to be Performed- "der this permit, as are licensed by Miami Shores Village. Remarks..._ .................._...:........ ».r«.. STATE OF FLORIDA C,QUNTY OF DADE. . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared. .......... . . . ................ . ....... ..............«.. .».»» —to me wen Imown. 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 this sun% and that all facts therein by him stated are true.. - Permit No. 4 1 Read. Sjw9rn to and Subscribed before me. Disapprov ......... Date---. ....... �­--� Notary Public. State of Florida Building Inspector My Commission PLANNING BOARD...... ......................... «_.... THRU GENERAL INS JNMWRITM Chairman...... .. ...................._ « «...... ».... Member Member ....... ............ » Member Member .. .. . ............. Member CouncilApproved .....».._......» .... ............... . .... . . Disapproved ............ . . . . ............... ! . ................. ..... ... ......... N079•: A -charge of $1.00 will be made for making corrections or changes to this application after apprm-al has been aWained from live Plannin.-Board. A re•inspection fee of $1.00 will be charged when such re-inspection is made necessary by Improper notice for inspecting or faulty materials and/or workmanship. -- I MIAMI SHORES V LLAGE 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-------- ---- - - - -- - , Owner's Name and Address' I -�f t,-- %5.:.. -.- - -- ---- - - - - -- No ' ----- •-- --- -- ---- -- - ---- - - — -- --- ----- - - - - -- Street-- ---- ------------------ •'---- i�-- -( --`r�- . Registered Architect and /or Engineer._ - .. �p;._f� 1 ------------------------------------------------ - - ---- ---- ------- - -- - -- --- - - --- -- - Name and address of licensed contractor. - - --- -- -- -%,- -- = - - --- - -- -=--- -- +_-= --- - - - -- --- =-- - -_ ,,r Location and legal description of lot to be built on: - Block- - - -- -- 3 ... .............. Subdivision..- -- - - -- - t f - - - -4 / - - - - -- } ----------------------- Street and Number where work is to be done___ ,2_6- _------------- -- - -- - --- -- -- - - -- ---- --------------------- - - - - -- ------------------------------------------------------------------------- State work to be done and purpose of building (by floors) ___- ---- :..:.. :_ -_ :_- :___c_____- __':.:.!_ _ '_ - -- ---- -- -- ---------- "------ -- -- -- -- -- ........ - - - -- -- ---- ----- ------ -- - - --- -- ­---­------------- ---------------------------- ------------------------------_-_-.------ --- -- -- ---------- -------- - - - - -- -- - - ------- --•--- •-- --•--•- ------•- - - -- - - -- - -- - •-- - - - - -- - ----- ---- -- - - - - -- -- --•- --- -------------- - ------------------------------------------------------------------------------------ and for no other purpose. New Building ____.. Addition__._- _______._ g-- -- -- ----- --- ---- --- - ----- . Remodeling.-- - - -- -- •---- - "�� ---- ---- Repairs -------------------------- No. of Stories - - - -- r--- --- - - - - -- - -To be constructed of---- --- -------------- - - - --- Kind of foundation --------------------------------------------------------- -- ---- Roof Covering--- --- ------ ---- -- - --- ----------- ------------ Estimated Total cost of improvements $ ....... -------_------ Amount of Permit $ ------- �G.. t__. �:________.___-_____ ______.___________________.____ Zone cubage required ---------------- -•-_-- -- - - - -•- ----- - -•• -- • - - - -- ---------- - - - - -- -Plan Cubage_ C `fL-- --- -------_--- ... Distance to next nearest building _----------------------------------------------------------- Size of Building Lot ----- .------------------------------------------------------------- Maximumlive load to be borne by each floor--•-------- •-- •--- ------ ----- ----- -- -• -- ----•------------------•-------------------- -- -•-- •-- -- ---- -------- - - - --. ----------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the- building and its construction may be sent to-- ''{ - -- ----- - - - - -- ---- - -- - -- ' ...... --- - =- - - -• - -•-•• _.; -- - -- The undersigned applicant for this building pennit 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 pennit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. .9 Remarks------------------------------------------------------- ---- • - - - -- ---- ---- -- --- -- -- - - - - -- (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -------------------------------------------- - ----------------------- ---- -- ----- ------- - - - --- ------------------------------------- --------- ----------- ----- - -- -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ___________----------------------- ___ ------ _------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are truer.- Permit No_____________________ _______________ Date___ _ -------- Read, Sworn to and Subscribed before me. Disapproved -- - - - --- Dat - ---- -- - - ----------------------------- ( Signed) . -- - �" - - ----- ---------------------------••-•-- Bui ding Inspector PLANNING BOARD___________ __ ___ Chairman---------------------•-------- ---- ------- --- ---- -- ----- - -• - -- ---- -. - - -- Member-------------- - - - - -- ---- • - - - -- ........................ -------------- - - - - -_ --------------- - - -- Member_ __ _ -------------•-----------------------------••-------------- CouncilApproved-----------------------------------•------------ ---- ----- --------- - - - - -- -Date - -- -- - - -- -- -•- -------------------------------------------------------------------------------------- Notary Public, State of Florida My Commission Expires ------------------- ----------- -------------------------------•---- - - - - - -- -DATE Member------------------------------------------------------------- Member---------------------------------------------------------------•-•------------------------•------- Member----------------•--------------------------------------------------------------- Disapproved- ------- ---- --- -- -- --- - - ---- - --- - - - - -- ---- --- - ---- ------- - ------ -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1 } q /� �. . a , x , N& t a § � W ° V X62" CAP 17" xI Slit- s 'i '�5 +_ "t° }�' iS i N. ^fiilt i! > TWi4' .F rt ';k♦yy�Sl{ J h iti7 ,ti .�'l t�.�e,', t ; isJ i i Y ry Ch til 1 } q /� a , a § � W ° V X62" CAP 17" xI Slit- 'i '�5 +_ "t° }�' iS i N. ^fiilt i! > TWi4' .F rt ';k♦yy�Sl{ J h iti7 ,ti .�'l t�.�e,', t ; isJ i i Y ry Ch til t # e �YT;+�XV t k hid � � 't� .'144 � ti/�VF ���1I ��� � `T� � •4 ` V ' O a4/r�v D 3. it Atj}y{1yly�y �/IR '.xMY14.� �fy�Y�r y�r#}{j Mi r k ST F 13 Gina �v. Cps , rt .KaYI t Mr V ipli B"M�F� as 1 } q /� Zak MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATICIN 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. » ,1, Date... �� ..L...:..- ..�.._Z ._...._..._....._.... Owner's Name and Address ...... ,e` (L _... » ... �1?! . ...............--- ............. » Registered Architect and /or Engineer................... .. .............. 11 ....... _ Name and address of licensed contractor.... 1f C % ......... C-0......... ». Location and legal description of lot to be built on: Bl ock... ............................... Street and Number where work is to be done ...... 1.�;2_ ,! State work to be done and purpose of building (by _ _ .._.. ...............- ...... ---------------- - - - - -- - -- - New Building ................... ........... Remodeling .......................... Addition .......................... To be constructed of ............................ Kind of foundation.. ............................... Estimated Total cost of improvements $ .......... .::?. ... 1....E_^ ..................Amount for no other purpose. rs ....... 1/ ............. No. of Stories............. _ ...._ ...._. Roof Covering .................`.%1 —�..__ ._ ofPermit $ � ........ _ ........ ..... ................. _ ...... __ ................ ..___ . Zone cubage required ................................................................... _._.. ...... Plan Cubage ..................... _ .... _ ... _ ................... _.... Distance to next nearest building ........................................... _ ..... __ _ ..... Size of Building Lot ........ _ ............ .. ..... _.... ....._......................... Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ................................................. - ------------------------------------------ - -------------- - - - - -- ----- ------ - - - -- -- ............ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su act s, on work to be performed under this permit, as are licensed by Miami Shores Village. ��" Remarks ... _....--- ...... _-_._ .................. ....._.._._.. ._..... _ _.�. (Signed)-..-. �'P rt-. STATE OF FLORIDA, ss ! . COUNTY OF DADE. j Before me, the undersigned authority, a nota.0 public, duly authorized to administer oaths and take acknowledgments, personally ap- peared .. — — - -- - .—__._ ------- - -------------- - ----- --- --- ------ - --------- - - - - -- _ —_— •--- - - - - -- ... - ....... » ........ -_._ ....... _ ... __ _ -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . ............ ....................... .. ...... _ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. c-i I:.Z ! . Permit No. ` _ __! `- ___-- - - - -_- Date....... �. —? Read, Sworn to and Subscribed before me. Disapprove (Signed) Chairman .......... ........ ....... Member.---- ....................... ................ .•-- ---------- Notary Public, State of Florida 'MY Commission Expires ....... .. ................. _ ------- •- - - -• -- _. ....DATE 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 app has heat obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT * I APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of die Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date.— Owner's Name and Address-In .. . ............... . . ,Name and address of licensed contractor... 6)w __ /-; Ld nh_,_J_�4 - Location and legal description of lot to be built on: Block._J..3.? ......... . .. SubdivisioaA/&4_M..LL !a: - 1,-, 7, 0 ;6 Street and Number where work is to be done_j. k --- 1!Z_ To be constructed of ............................ Kind of fo ndation ... . . . . .............................................. - Roof Covering ... . ..... Estimated Total cost of improvements $ ......... t-__.._.___..__Arnount of Permit $ ......... . ..... Zone cubage required .........................- ............_...-- -- •-- - -•- -- ------- __-Plan Cubage ................... Distance to next nearest building. ..................... . ........ . ......... . .-.------Size of Building Lot_....._._ . ...... . Maximum live load to be borne by each floor_._- , . - . - - ............ . . ............... ..................... ...... ....... ------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to - --- ----- ----- ---- - --- -------- - - - .... . ..... .... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 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 aU facts therein by him stated are true. Permit No. Date..--- Read, Sworn to and Subscribed before me. Disapproved.................................................................... Notary Public, State of Florida (Signed) ........ .... . ...... . ..... . ....... Building _Inspector My Commission Expires....-­­­­— PLANNING BOARD...._ ...... ... . . .... __._.__._-..._DATE Chainnan - - ---------------- ----- - ---- . .......... 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 ni,aterials and/or workmanship. ris —wFQ jj do -it --h PIE-= Or�Z i P j e p 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............ 1. 1-- 17-............................................... -19 -3.9 Owner's Name and Address .... .... JPzi'!1eS _M! I' WI.1 26 N.2108 qJ -.reel ---- - -.... -- - - - -- --- • -• - -- ----------- ----- •-- - - - - -- Street -------------------------------- Registered Architect and /or Engineer. -- . --..----•-------•----• ..... .............. •-- ...--- ........ --------------------------------------------------- ---------------------------------- Name and address of licensed contractor ---- Id,QA1.... Me. t f 1__.w_0 'kE__..,I. TIC. a ._ - -. - _ ..... ... ... ........_.. Location and legal description of lot to be built on: 261 N e' E . 73 Street Miami Lot-------------------------------------------- Block ------ - - - - -- ..................... Subdivision._.... ------------------------------------------------------------------------------------------------------------------ Street and Number where work is to be done .... .............. .._ S —t-reel e t ................ -............................................................. State work to be done and purpose of building (by floors) ...................................................................................................................................... - •- •-- - - - - -- -••• - -• -- 1 -304 -TC - 2 15 #.. MQP €� s phalt..__ i1d � �a�re 1 � 1 _eta -me t � 1 ----------------------------------------------------------- --- •-- ••- -•-••• ---------------------------------•----.:•......-•-----•----------....-•-•--....-- -•--- ------ --- -- ••----- - --••- .....and for no other purpose. New Building ............................... Remodeling. .------------------------ Addition ---------- R------------- Repairs_----------- ._.--- - - - - -. No. of Stories --------- 1 .............. To be constructed of--- _- --- - - --- -- - --- - - - - -- Kind of foundation ----------------------------------------- -•-- •- --- - - - - -- - -- - -- Roof Covering ........ KOD- d ----- - - -- - -- ------------ Estimated Total cost of improvements $_._. .198.RQQ.__..._• ............... ..Amount of Permit $ ----------- 5_1L.6 sqs Zone cubage required -------------------------------- ------- •- _---- •-- ---- - -- - -- --- - - - - -- - - - -- -Plan Cubage ----------------- -- Distance to next nearest building .. ............................... ...........................Size of Building Lot ............ .------------------------------------------------------ Maximum live load to be borne by each floor ................................................................................... -------------------- _------------------------------------------ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ---------------------------------------------------------------------------------------------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, PennarxVnt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act-. The undersigned agrees to employ only such subcontractors, on work :to be perfo d under this permit, as are licensed by Miami Shores Village. -° Remarks----------------------------- -------- -------- --- -- -- - -- - -- --------- ------- --------- ----- -- - - -- (Signed) --------- - - - -- STATE OF FLORIDA, 1 COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared me well known, and who, bein 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 ----- J�L .3.- 4/._.._.•- _•- ___________- Date........__.�_4.__ = __��__•._..._._._. Read, Sworn to and Subscribed before me. ` E ----------------- _____________ .___- ______._- ..___....__. -. _._______- ________ _ _ ______ ______----___-__-_- _- ___- ...__......_.._._........ Disapproved ______..____ ------------ Dom.:. Notary Public, State of Florida ( Signed) ---- - - - - -- Building Insp 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 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 .................... ....................... -- ...... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ............................................................... : ........... ....... ........ No ... ........................................ Street ............................... ... ................ .. Registered Architect and /or Engineer ............ .. .......... .... ................................................... .._................................................................................. EmployingElectrician's Name. ........................................... I ................. 11 ........... I ........... No ............ ............. ................ Street .................................. Location and Legal Description Lot ..................................... ............................... Block......-------- ............................ Subdivision................ ............................... Street and Number where work is to be performed— No ............................................ ............................... Street.......------........................ ............................... State work to be performed and purpose of building (By Floors) ............... New Building ................................. Remodeling .................... .. .......... Addition .............................. Repairs ...................................... No. of Stories ......... .......... Service Overhead Size Feeders .................... Conduit ................ Main Sw .... ........................... Amps ........... ................ Main Fuses ............................ Amps Underground Type of Installation— Conduit .................... .... Tubing ........................ B. X. L ......................... Metal Moulding ............................. ............ ............................... ....................................................................................................................................................................................................................... ............................... ............ . ............................... Amount of Permit ...... �+ ,..r -' :......................... ............................... (Signed)..... �iL Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ........................................................................... ............................... Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. Ij SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................................................................................................................. ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the, ......................................................................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ...................................................................... ............................... ............................................................................... ............................... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE I RANGE WATER W. HEAT. ACE HATER STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1•3 HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders .................... Conduit ................ Main Sw .... ........................... Amps ........... ................ Main Fuses ............................ Amps Underground Type of Installation— Conduit .................... .... Tubing ........................ B. X. L ......................... Metal Moulding ............................. ............ ............................... ....................................................................................................................................................................................................................... ............................... ............ . ............................... Amount of Permit ...... �+ ,..r -' :......................... ............................... (Signed)..... �iL Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ........................................................................... ............................... Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. Ij SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................................................................................................................. ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the, ......................................................................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ...................................................................... ............................... ............................................................................... ............................... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 46 0,1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date -------------------------------- ----------------------- 19. f Owner's Name and Address. ". < <.!?- -- No. 1-JA 4� 1 b ?n. sJ'r - --- Registered Architect and /or Engineer. - - - -- -•- • - - - -. v,�u?..Y- - - - - -- � . �` 'r ` . .. .. .............. - - - - - -- Name and address of licensed contractor.__ 199_ ILtS _____�aa• >- �.!!'�l';(s. -..._9 a- ±_.- _.__.._�.7_f �!" t.._!_.!_..^:._.1.7 - --------- Location and legal description of lot to be built on: t / Lot -- /- /--- - - - - -- AP -------- Block ........ _1--.3 . .. - - -. Subdivision ---- ...1�'� �_ C1 ?l ,✓ 4? t --------------------------- ?' l- -- -- • ----- - - - - -- Street and Number where work is to be done .._..___.- "�-- {.� - - -_ !__ ....._ _Q._�•- D.._ -S_.?` -------------------------- ...... -----•-------------- - - - - -- State work to be done and purpose of building (by floors)------------- -• -• -- ------------------•-----•••---------------•-•---•---------•------------•------------------------- • - - - - -- ...... --------------- - - - -- - - -- • -- ----•-•-•----------------•------------------------------•--•----------------------------------- - - - - -- ------------------------------------------ TT .!..L-EV.-_w ....... /...... -- - - -• ----- ---- -- ------- ------ - - - - -- and for no other purpose. New Building --------------------------- .- Remodeling ------------ - ------------ Addition ------------- ._.......... Repairs ---- -- .•- ----- ----- . ------ No. of Stories_ -- -- ------------------- To be constructed of__ -------------- ---------- . Kind of foundation.___. -------------------------------------------------- ------ Roof 4 opnring ------- ..----------------- Estimated Total cost of improvements $ ... _ `` Z ..�. -- !__ A - Amount of Permit $----------------- ---------------------------------------------------------------- Zonecubage required -------------------------------------------------------------------------------- Plan Cubage -------------------------------------------------------------------------------------------- ---- Distance to next nearest building ----------------------------------------------------------- Size of Building Lot ---------------------------------------------------------------------------------- Maximum live load to be borne by each floor________________________________________ ____ ____________ ____ _______ _ _ __ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ------------------------------------------------------ ------------------•--------------- ---------- ------------------------ -•------------ -------- ---- - - - - - -- -------------------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup deent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe m by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. -. ,Rema(Signed) --- ` � = . rks--- ------ -- ------ ------- •-- ------ ------ --- -- --- ---•--- -- --- --- -- -_- ------ --- -- - - -- t- - - -- -- ---- 7 ..4........... -------------••-----•------------- 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 ----------- "`" �.......p- :.___..__. Date ------ z =A.0 f! 1; __... Read, Sworn to and Subscribed before me. Disapproved - - --- ------ -- e = - - -- - - -- - - -• -----------------------------•-------------------------------------- `A� Notary Public, State of Florida (Signed) -v = " " -- ----- - - - --- - - - -- Building In eetor My Commission Expires -------------------------- ____ _____________.__________.------ PLANNING BOAR D-- ------------- • - - - - -• -------------------------- - - - - -- -DATE Chairman------------------------ - - - - -- Member ------------------------------------------------- Member---------------------- •-- ••--------- •---------- -• - - -- ----------------------------------- - - - - -- Member Member -- -- -- -- -•---- •------ --------- - -- - - -- Member ------------------------ Council Approved. ----------------------------------- .-------- .._,..._.- •___ _________ ___ _Date Disapproved - --- ------ - --- ---- ----•- - -- - -- ---- ---- --- ------ - --- -- -- -- - -- -- --- ---- --.Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the haws 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- e' �� f-- --- -- - --- ----- - - - - -- — I J1�J - Owner's Name and Address - --- ------- t r .. -------------------_------- - •------- - - - - -- - -- - - - - - - - -_ : No./.6;- - -- Registered Architect and /or Engineer --------------------------------------- .. . ....... ............... ... -... _- ___... -..._ .__ { v) r c % r �= Name and address of licensed contractor„/_ c._�:- �,,�-- �.„--- �yl'h - -i �" - - - -•- ..--__ r,Gi:- ,c------ --------- �- - - -... /`....!_.---- -1..-- ....✓�...�- 1.�_:!�!,� -,%" .. Location and legal description of lot to b p4uilt on: f LotBlock ........ .... Subdivision�-------------------.•------------------------------------------------------------- -------- ---- -- ---- --•--• - - - -- Street and Number where work is to be done ....... ._ .. x _, ---------------- ----------------------------- ...... -----__.__- .__..... State work to be done and purpose of building (by floors) .............. . ------ - - - - -- ------------------------------------- .. ------- ------ ---------------- --- - -------------------------- ----------------------------------------------------------------- -------------------------------------------- - - - - --- - - - - - --- ----------------------------------------------------------- ------ ------------ ---- -- ---- ------------------ --- ------- ------ - - - - -- and for no other purpose. New Building --- _-------------- - _.--------- Remodeling ... . ..... ............... Addition --------------------- .---- Repairs_ ----------------------- No. of Stories.. -------- I .... .. --------- To be constructed of----- ---- ---- --- ------ - - ---- Kind of. foundation ---------------------------------- --------------- .------ . ------ Roof Covering -------- -----_------ Art t Estimated Total cost of improvements $ --------------- � .a_..._..__._.___..____._Amount of Permit $____ � __ s._.... .._____----------- .------- .__._ . - ----------------------------- Zonecubage required -------------------------- - •----- - - - - -- ---- -- --•-•- --- - -- ------- -- - -- -- ----_Plan Cubage ------------------------------------------------------------------------------------------------ Distance to next nearest building ----------------------------------------------------------- Size of Building tot -----.------•_.. -------- _---------------------- ----_---------------- ------------ Maximum. live load to be borne by each floor --------------------------------------------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to--------------------------------------------•-•----------------------------- - - - - -- ---------------------------------- - - - - -- ----•-------------------------------------------------•------------ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup Element, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subgontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �,�� Remarks-- _-- --------- - - ---- ------------------------------ -- -- ------- ----- ----- •- - -- - --- ----- - - - - -- ( Signed) +'� - -fir- �i - _ /! /_� :.!'� f � L... .... - ---- -- ---- - - - - -- STATE OF FLORIDA, I COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - - - -- --- •- ------------- •-- - - - - -- -------•-----------..-.------------------- •--------------------- - - - - -- --- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ --------- ---------------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ...... ----------------------------- . Date -------------------------------------------- Read, Sworn to and Subscribed before me. Disapproved- - -- ......... Date--- -- -- -- -- -- ------ -- • - - - --- ---- ----------------------------- -- ---- --- -- ------ ------ -- -- - - -- -- - - -- �" Notary Public State of Florida ( Signed) - _ -------- --- - - - - -- - -- - - -- ­_­­11 - - - - - -- -------------------------- 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. "7 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date----------------- ---- ---- --- ---- ----- ---- -- - - - -- - , 19 Owner's Name and Address --- --- - --._- - _,L_� -------------------------- No. - - - -/ ------- Street ----- � - - -` Registered Architect and /or Engineer...__ ------------- Name and address of licensed contractor_______________ 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 )__ _________ _____________ _ - - 1<� �c �^ -- - -- - -- 11el" --5.- - -' ' tt ..... -- t- - - - -- - ----- --------- • --- -- - ---- -- •------ ---- -- -- -------- --------- ------- -- - - -- -------- -- -- -- --------------------------------•-------------------------------------------------------------------------------------------------------•---------------------- -•- ----- -- --------- -- - - -- -.and for no other purpose. New Building-- ---------------- ---- -- -- -. Remodeling -------------------------- Addition__- - -- _____.._. Repairs ,- _---- _--------- -- - - -- No. of Stories. --------- ---------------- To be constructed of_ ----- -- _________ Kind of foundation ---- C, ______C_ .:_ Roof Covering__... -_L_.._ ----------- Estimated Total cost of improvements $--_, j -------------------------- Amount of Permit $--------------•---------------------••------------------------ Zone cubage required --------------------------- -- --------------------------------------------------- Plan Cubage ------------------------------------------------ Distance to next nearest building ---- .------------------------------------------------------- Size of Building Lot ---- .------------- -_._------------- Maximum live load to be borne by each floor --------------------------------------------------------------------------------------------------------------- - ---- °---- - -- - -- - - - - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to----------------------------------------------------------------------------------------------•--------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup m deent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks--------------------------------------------------------------- --- -- ---- ---- ------------ - - - - -- (Signed) .... W- STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared---------------------------------------------------- ------------------------------------------------- ---------------------------------------- - - - - -- --------------------------- - - - - -- -- ---- ------- ---- --- - --- ----------------------------------------------------- --- ------------ ------- - - -- -- ------------------- --- ---- --------- ------- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _____________________________________________________________ _________ ___ ___________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sttaat`ed are true. Permit No.__ ____- _D__�_______________ ______ Date ----------- ,[__��____02__ 'r4 -___ 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 andlor workmanship. �u 1, N s ! tl 1 _ a AID a� w STA E OF FLORIDA DEPARTMENT OF HEALTi•1 AND REFIABILITATiVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Building Permit #: Authority: Chapter 301, F.S. & Chapter 10D -G, F.A.C. Application /Permit Number Application Is For: New System: Tank Abandonment: Date Application Received Q Fee Amount Paid Repair: Existing System: Experimental System (Temporary): Receipt Holding Tank: Other (Specify): Date Paid NOTE: PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUANCE AND ARE NOT RENEWABLE. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM DATE OF ISSUANCE. APPROVAL OF A SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE! FOn +ANY SPECIFIC PERIOD OF TIME. TO BE COIVIPLL7ED BY APPLICANT: GENERAL INFORMATION ` Owner: a ay, r Telephone: (Work) (Home) 7� Owner's Mailing Address:_ , City: State: Zip:'t � a Owner's Ac ent: , Tele hone• S7(c"(VN) (H) (; � A i Agent's Mailing Address: E-333 N (u i l S-7-city: ► /11 t I+m ( State: Zip; I'l, ;I— Property Street Address: Exact Directions to Property: N Lot ;' i3fock Subdivision: Unit: Date Subdivided: j"! )3i Section: Township: Range: Parcel NUiTlbor: Zoning Designat on: Property size: Square Feot /Acres Water Supply: Private: Public: Limited Usk "'' "'' .' ;r. Is Sanitary Sewer Available: Yes No It No, approximate the distance to the sewer line closest to your property- Is Public Water Available: Yesj No If No, approximate the distance to the water line closest to your property: BUILDING INFORMATION Typo of t it Oi Units ° Building Aron (Square Fool) Ir Of Persons Commerc' /flosldonl rclo ono) & Nu bar of Dodroorri T R Of Seats Hours of Operatio, r - yfr ; I; +'•A••'f�jy Plumbing Fixtures: Garbage Grinders /Disposals: Spas /Hot Tubs: FIQor /Equipment Drains:: i Ultra -low volume Flush Toilets: Other: au1LDlllc PLANS MUST BE ACHED SIIOWING OFFICES, BEDROOMS, TOTAL BUILDING AREA, AND ANY PERTINENT FEATURES nEQUIRE{J.BY CIIAPTER 1013-G, F.A.C. DITION, A DETAILED SITE PLAN AND /On SURVEY, DRAWN TO SCALE,MUST BE ATTACHED SNOWING i�Ft01'EtyiTY DIMENSIONS, BUILDING ' IONS, AND PERTINENT FEATURES nEQUInED TO BE SUBMITTED PER CiIAPTER 10D- 8.048, F.A.C. r j Applicant's Signatur Dale:/ �� / a,L� - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P" ,mA MIT Permit No �=---- ____ -` � _ Date ........ -- ____ -. .. _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confonruty 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. 1 Owner's Name and Address - — , ------` ----- --------- -- -_ - - -- 1Vo.- - — �. � �� -- - _Street /�!' _ Registered Architect and /or Engineer ----- � ----- - ------ - ---------------- _- --- - -- -- --- ------ - --- --- -- � r Employing Plumber's Name.- - %^ � �--- - ----------- _ZCC -- - - -- -- Street - - - - -- ---------- 4 Location and Legal Description Subdivision------------------------------------- - - - - -- Street and Number where work is to be performed— No.__ -__.__ ___.— _ __ -- _--- _-- -. - - -- Street ------------------ - ---------------------------------------------------- State work to be performed and purpose of building (By Floors) - ------ - - - - --- .C____ — _ — ._- _- ---- - -__`. - ----- L-.G__L ----- ...'__ - -- -- _ New Building----- ---- ---------- -- ------ -- - - -- Remodeling ----- — ----------- - ---- ____ Addition-- ----- ----------- --- - -- Repairs --------- k. _­ - -- - - -- -- No. of Stories- - - - - - -- -- -- - - --- Size Septic Type of Tank---------- - - -- -- Feet of Drain Tile ---------- - ------------------------ - ------ -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: CRY—Well ---------------------------- - ------ _ ----------- - - -_ - ---- Size of Soakage R M Amount of Permit (Signed) - -- Capacity Gals .-- --- -- ----- -- --------------- _. -. ig 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 befit €yfbrmed under this permit, as are licensed by Miami Shores Village. �� � I (Signed) STATE OF FLORIDA, 1 �. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ------------------------------------------- __ __ _ _ _ __ _ _ _ _ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein 1:y birn stated are true. _ -- _ -- — - - — -- — — — -- ----- - - -- -- ---------------------------------------- __- ----------- — ------ My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS Tues URINALS BASIN DRAIN FOUNT'NS I FIXTURES CoNT3t. CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST - I CHECK Size Septic Type of Tank---------- - - -- -- Feet of Drain Tile ---------- - ------------------------ - ------ -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: CRY—Well ---------------------------- - ------ _ ----------- - - -_ - ---- Size of Soakage R M Amount of Permit (Signed) - -- Capacity Gals .-- --- -- ----- -- --------------- _. -. ig 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 befit €yfbrmed under this permit, as are licensed by Miami Shores Village. �� � I (Signed) STATE OF FLORIDA, 1 �. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ------------------------------------------- __ __ _ _ _ __ _ _ _ _ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein 1:y birn 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. • DADE COUNTY ZONING DICE Form yell DIVISION OF PLUMBING INSPECTION Date : ✓ I herewith submit the following application for a permit covering the installation of a Septic Tank Soakage Pit: la in : New: Feet of drain tile: I staled by: , �° Address: ' y I (NEVI: 1/ Old: Story: Addition: Remodeled: For a (Store; Garage; Apt.: Hotel: Office Bldg: Res: (Garage wash floor: Waste water from a: Building has: Stores; Offices; Apts.; Hotel Rms;-3 Bedrms Owner or Agent Address: LOT NO. `, `` C' BLOCK NO. / .` SUBDIVISION --, -. c -.� .� Address of work: No. of Plumbing Fixtures: Laundry Tubs: - Floor Drains: Nature of ,rater supply: Cr; i%uell: Feet distant from all wells : Type of tank installeda l..,. -- Tank capacity in gallons Size of Soakage Pit: Pur ose of same: Additional information: Ready for Inspection: Date:'' V Time: APPROVED BY — CONDEMTD BY: Remarks: PERMIT NO. JOHN F. GAFFNY CO. PLUMBING AND HEATING CONTRACTORS 7715 N. E. 2ND AVENUE MIAMI, FLA. Tr w r Al � do e J '.. ... n , Y i t L 7 a 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. N W 3 NORTH A W EST EAST SOUTH Remarks: NORTH SOUTH M v W -i A.244 SM 5.39 DIVISION OF PUBLIC INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA I herewith submit e following plan of pl ing for approval: Employing Plumber Work executed by Cc New Old ❑ Story Addition [j Remodeled ❑ For a Dwelling Store ❑ G age ❑ Apartment E] Hotel ❑ Office Bldg. E] je Owner or Agent '�� Address Builder or Contractor is Address Lot No.11 1eP1%1,) Block No. 161 Subdivision �? Address Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank 4--'. Existing bldg. drain ❑ To dry well ❑ A charge of x;1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date "" � Date _ Date ROUGH -IN INSPECTION SEWER INSPECTION FINAL INSPECTION Ground Rough -In Rain Leader A.M. —P.M. A.M. X, P.M. Q.M. P.M. , ` A pp roved by b� A pp roved b y Condemned by REMARKS Condemned by. f REMARKS Plan No.—I-2 Sewer Permit No. -v Condemned by REMARKS r ,jv BATH LAVA- I SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SOWERS H I TORIES SINKS SINKS TUBS URINALS BASIN I DRAIN FOUNT'NS FIXTURES A charge of x;1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date "" � Date _ Date ROUGH -IN INSPECTION SEWER INSPECTION FINAL INSPECTION Ground Rough -In Rain Leader A.M. —P.M. A.M. X, P.M. Q.M. P.M. , ` A pp roved by b� A pp roved b y Condemned by REMARKS Condemned by. f REMARKS Plan No.—I-2 Sewer Permit No. -v Condemned by REMARKS r ,jv THIS SPACE FOR ELEVATION SKETCH A PERSPECTIVE SKETCH WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack PROVIDED THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the to correspond with the opening shown in floor plan or ground plan on opposite page. stack connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. 0 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- '_ Owner's Name and Address.' ,.t i` --- -- - - -- --- _ - -- -z- - L_ �p No. y - Street _� d . Registered Architect and /or Engineer --------------------------- - - - - -- - --- - - - -- _____.______._____ Name and address of licensed contractor Location and legal description of lot to be built gym: Lot---------------------- ----- --------- - - - --- Block ----------- Subdivision--------------- - - - - -- ------- - - - - -- ------------------ ---- -- --- - - - - - -- - Street and Number where work is to be done-A-461 `, State work to be done and purpose of building (by floors) ---------------------------- . 7_..-------- -------- _ - ------ - - --r- - --------------- --- - ----------- - - - ------- •-------- -- -- ---------------- ---- - - - - -- -------------------------------------------- --- ----------- ----------- - - - - -- -------------------------------------- ------------- - - - - - -- and for no other purpose. New Building --- --- - ----- ---- -- - - -- Remodeling .------- - - - - -- - -- - - -- Addition -- --- -- - - - -- ---- - - - - -- Repairs - -- -- ------------- - - -- -. No. of Stories ---- - - - - -- To be constructed of-- -------- -- ----- ---- - - - --- Kind of foundation. ------------------- --- .--- ------------------------------------ Roof Covering --------------------- Estimated Total cost of improvements $ -- ----------------------- -- - -- __Amount of Permit $ - - - -- - - -r ; --------------------- -- ---- --------------- --- - - - - - -- Zonecubage required---------------------------------------------- ------- --- ---- ---------- - - - --- -Plan Cubage ------------------------------------------------------------------------------------------------ Distance to next nearest building. - -- -- -------- _-- - - - -- - - -- - - -- -Size of Building Lot ------------------------------- ----------------------------------------------- Maximum live load to be home by each fl oor--------------------------------------------------- ----------------------- - - - - -- -_ -- - - - - --- ---------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to - - - -- - - - - - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks----------------------------------------------------------------- ----- -------- -- -------- -- - -- -- ( Signed)--- ------ -- --- - - - --- -----• _ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - - ----- ----------------------------------------------------- --- --------- --- -- ----- - - - - -- ------------ - -------- ----- ------------------------ --------------•---------------- --- ---- ----------- ----- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ __. ---------------------------------------------------------- .___- .______ _ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. / Permit No ------- _�- _ ?_�?' /- ---- ..--- .---- Date.__`f__!2_..'____.___ Read, Sworn to and Subscribed before me. Disapproved Dat ------------ -------- -------- ---- ----- ------ - ----------------------------------------- /� Notary Public, State of Florida ( Signed) ----- ___ -__ G �L. - - --------------- - - -- Building Inspector My Commission Expires ------------------- _----------------------------------------------- PLANNING BOARD_________________ --------------------------------- DATE Chairman- --- --- --- ---------------------------------------------------- ----- -------- ------- - - - - -- Member ------------------------------- Member----------------- ----- -- -- ------------- --- - - - - -- -------------------- ------- --- -- -- -------- - - - - -- Member ------------------------------ Member _ - - -- --- ---- -- ----- ------- ---- - - -- --- Member - - -- CouncilApproved---- ------- --- - - - - -- --------------------- -- --- -------- --- -- -- ---- - - - - -- -Date Disapproved ----------------------------- ------ ---------------- --- - - - - - -- - ----- - - - - -. -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ELECTRICAL PERMIT aiami J12ores d Illage N. B. —This Permit must be on display on the premises during F L o R t D A the construction. OFFICE OF ELECTRICAL DEPARTMENT NQ 766 Owner of Building "x g Miami Shores Village, Fla., 19� ractor or Electrician' -'�' LOCATION NO. STREET PART OF LOT LOT I BL'K SUBDIVISION Signs Billboards Other Apparat s Permit Fee DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparat s Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , 19 A/ , (Seal) c n - iami Shore ViU ge ; { APPLICATION, FOR FINAL h4SPECTIOT Prior to a final inspection this application must be filled out,; if sub c' failed to take out permits the general contractor shall be responsible fo' fee. A final inspection must be made priorito the release to F�orida Power and the issueance of a certificate of occupancy, OWNER 3. M. 15t2o w yJ JOB ADDRESS tv fo P.E. 10-6 LOT 1 l '1v i o BLOCK 3 SUB. M• 5. Am t BUILDER CI PLAMT SILK CD AP.M DAY LABOR CON`S ACT DATE ntractors have the permit and and Light Co. T. ITEMS SUB CONT CTpARSDDRESS SUPPLIERS &� AMOUNT 1. Arc tectural Fee lane r� , AB ha t wa s, dr ve3 etc. M A AJA.S P441 N — VA) Am 1 . Cabinets - Bath Vanity 4. Cabinets - Kltchen 5. ab ets Red icMe 6. Cabinets - Unit Closet 7, Cleanks ° 8. Clearing Site 9, Concrete - Foundation labs Beams vJ LK- 10„ Concrete - alks drives etc. l.7-, Contractors Fee 12, Electric Fixtures 13. Electric Wirin g &cm R.bG• 0-41 km i 14, Equipment Rental 15. Excavat An �- 16, Fill f or. lab 17, Floors Finish wood & kitchen t 18,.F100rs - Terrazzo ; 18 Gera a Doors 20 Glass §1141ag Doors �- 1, Hardware - Finish 22*:' Hardware__ --Rou _ -- 23. Heatin 4, Insurance • Liabili c . -bond 5. Labor - Pa oll 60 or Contract 79 or - Contract .r - 28, Candace in Fill Grading 290 Lath Plaster. Stucco -- 30, u>aber All LmRwA0 &.5mw4r7Z Re ;0 31, Masonry 32. Ma so ter als Block — 33. Millwork .34. Miscellaneous 35, Ornamental Iron Work -� 36, Oven & Plate - Built -in 37. Overhead 38, ainting 390 Permits. Tempoom rower 40, Piling (Foundation) 410 Plumbing C omplete 42 0 Pool 43, Roofing & Sheet Metal Work RaaF pi 440 Roof Trusses - re -fab. 45. Screen Enclosures 46 ep tic ank or Sewera a �-- 47, bower or Tub Enclosures 48. Steel. - Reinforcing & strl. psc' Cow! sow r 49. Supervision 50. Surve a 51. Tile & Marble 2. Water Public N " I •° 53. Water - Well & Pum , 54, indows - Glazing & Screens 55, Window-Frames - concrete '6 VIII SIGNER �� o..._ ..R CONTRACTOR r ii r V t �I 1j h j TOTAL !I I jig MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT pp" the buffi- Of Miami jj0V4Xa Application rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of d approved 19�' Owners Name and Address Registered Architect and/or Engineer----.--- .- . - - - -- -- -------- — - - — -- ------------- -------_-------- A. -r P4 Go v ir X_Un _ c D A2 Name and address of licensed contractor- Location and legal description of lot to be built on: i,ot ------ Block----------- Subdivision.__1W14,U_j�"_e1: . . ........ . . . .. . ...... . . Street and Number where work is to be done - -__ -_ - State work to be don�pd purpose of building (by ) 41� New Building--___ Remodeling- - - - - -- To be constructed Kind of foundation-- Estimated Total cost of improvements Zone cubage required__ - --- - -- - --- - ----------- - --- - - ---- - -- (lib Distance to next nearest ------------Size o Maximum live load to be home by each for no other purpose. Repairs-------------- --- - - - - -- No. of Stories - - - - -- - ----- - - - -----_-- overing - ---------------- ....• .. ............ — Permit $ ----- - 6 - I - --- -- ------- - ------ - - - - - - - - ----------------- - ----- Lot- ------- — --------- I hereby submit all the plans and specifications for said building. All -noticek'Lith-reference to the building and its construction may be sent to-- -- — - — — - -- - -- -- - ---- -- The ZdersifneFdIg tit building permit does hereby certify that he understands and accepts his obligations as an employer der e Florida labor Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Su and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors e uleinent, in the work to be performed under this permit; and will post or cause to be posted * i �=p site y blk�nU notice for ti u rs. 0 on sut;Fn n or notices as are required by the Act. The undersigned agrees to employ only such FcZ 4e under this permit, as are licensed by Miami Shores Village. Remarks_-- - — - --------- - - - STATE OF FLORIDA, COUNTY OF DADE. I ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ---------- . - - -to me well known, and who, being by me first duly sworn, on 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 -ce -s-a-m- --- e_,a_n_d_­t_ha_t__a1_1 --- facts -ts therein by him stated are_b*. -a C Permit No._S?12-4' Date______ ____ /e lead, Sworn to and Subscribed before Me. Disapproved Date — ---- ---- - ----- — ----- — -- ---------- -- Notary Public, State of Florida (Signed) Building Inspectoj/1 My Commission Expires---------------------------- - - - - -- Chairman ------_---------- Member Member Council Member — -- - ----------- - ----- Member Member Approved----------- — ---------- 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. e a � a �2� ®v MIAMI S H ORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No......... ......�....� ............. �-3 F6 Date........` D-..... ° .............................. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specification must be kept at building during progress of work Owners Name and Address ....... Zl C&.::. &0.J AI. �Y ....:... .......................N....... ......................... Street ...�lV4 ... a ........ Registered Architect and /or Engineer .. .................•---......................_.................................................... ............................... Employing Electrician's Name.. .�I , 'Y 11�G -�'''j .. �/� --- ....No..., 2 / �i'� /G.. ................... . . . . .. Street. /.14 ...,1.�.�. t.............. Location and Legal Description Lot .................•--•----...........-- .............................. Block._....._... ...........-- -- ................ Subdivision ............................................... Street and Number where work is to be performed—No ........ 1.,2- la ............................ _ ....... ,-- _- _- -. - -. - -. Street -_ /i/ ...r . ....... State work to be performed and purpose of building (By Floors) .......................................... _ .................................. _.......................................................... New Building Remodeling ._.. .............. ............ Addition ............ ............... :.. Repairs......... ....- •---- .....- •- -•- •-- ....No. of Stories......... -- -.... - - -- Service a Overhead Size Feeders ................ Underground SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACEI STRIP OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. 'HEATER CONN. HEATER HEATER TOTAL CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON SW. CAB. TE07P. PERM. 0.1 HP 1.5 HP. TRANS. RADIO TOTAL, LIST _T CHECK Service a Overhead Size Feeders ................ Underground ....Conduit_. ..............Main Sw.. .............._..............Am ps•-- ••-•--- •-- ......- -• - -.. Main Fuses... ........................Amps Type of Installation--Conduit ....................... ... ...... .. ............................................................................ Tubing..._... ............. -..B.X.L ........ - ............... . ... ..... .------------ ..-..-"-...-..---------------------------------------------------------------------- Metal Moulding.... .................................. - ......................................... . ....................................---... .- •- ...........---- ............ Amountof Permit $ ......................................................... ............................... (Sign .......... ............................... 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, Section 5966, Compiled General Laws of Florid �'ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•co4ract¢rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perform e4 under this permit, as are licensed by Miami Shores Village. Si ned Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally aplieared....... (1,... :. ��/ ..._ .......................................................... _.................... ............................... .....'I.. ......... ............................... . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is. the_ L�7 _ .. 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. ..._ ....................icy. f;�e. ,: �:,,:i :.cie;�t �ac+...d3 >.T96 .................... pMH:I �OI1AtAig6lAFkeFfiRLrBaly Co, NOTE: A re-inspection fee of $1.00 will be made when such materials and /or workmanship. .�°. Notary Public,,. te�o...!�-- ......:� .........._........ re- inspection is made necessary by improper notice for inspection, or faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT the build_ Miami rules and Application approved ; regulations Village, Owner's Name and Address______ Registered Architect and/or Engineer---- - - ---- -------- — — -- ------ ---- - ------------- - ----------- -- ---- --- ------------ --------------------- Name and address of licensed contractor_ - --------- Location and legal description of lot to be built on: Lot---------------------- - - - - -- ------- Block---------------------- - - - - -- Subdivision--------- - - - - -- Street and Number where work is to be done_J__'AJ�'!__ lf*j -_ C_ - I e> -3 State work to be done and purpose of building (by floors) -------------------- - --- — --- - ---------- - ----- - - - - --- - --------- - --------------------- - — -- - ----- for no other purpose. Now Building — - — ------ - ------- Remodeling --- - — -------- -- — ---- Addition - ----- — -------------_ Repairs ..... - -------- — ----- — No. of Stories....._—___. To be constructed of----------------- - - - - -. Kind of foundation---__—_._._.----------------------------- - - -.__ Roof Covering_-------------- -------- --- ------- -- Estimated Total cost of improvements $ -------- ","*-.----------Amount of Permit $ — - -------------- - Zone cubage Plan Cubage — - ----- . . . . .. . ............ . Distance to next nearest building-------.-- — - - - ----------- --------Size of Budding 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 dersi the applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Of labor under Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent i Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be Performed under this permit, as are licensed by Miami Shores Village. Remarks - - - - - - - ---------------- - ------ STATE OF FLORIDA, ss. J/1 04 1A 07-1 fa-/_0 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ----- - -------------- ---------- me well known, and who, !�Vnj 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 Itated are true. Permit Date______- '_C"--�ead, Sworn to and Subscribed before me. Disapproved ------ Dat - -------- (Signed) W Florida ---------- -------- - ----- -- -- - ------- ------- - - - Buil ecto MY Commission Expires --- — -- - ------------- - ---- - - PLA ING BOARD--.--- Chairman ------------ — ------------- - - - Member — - - ------ - ----- - --- - — --- — ------------- . ....... Member Member --- -------- — - - - - -- Member ---------- - ---- - - - ------- - ----------- Member Council Approved—_------ _---- _- _----------- -- --- - -- -__ Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 7 f JOHN A. MAYO nn general l�onfractor LICENSED AND INSURED 480 NORTHEAST 131ST STREET NOIRTH MIAMI. FLORIDA 33181 TELEPHONE 758 -2947 November 21, 1966 Miami Shores Village Building and Zoning Department 10050 N. E. 2nd Avenue Miami- Shores, Florida Oemtlemens Enclosed please find check in the Amount of #5.00 for a permit on the following roofing jobs Brown residence 126- N. E. 103rd St. It is approximately a 200 square foot addition and. estimated at #50.00/ Sincerely, Mayo Roofing Co , _J JAX /c eno. '<r Z J PTIM IF—"1 M 1R1 4;4;X-T1t � ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ...... . ... .@` ....... ........ Date.. ® » ...... � ._° . ....._........ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Misking Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulati.na of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and cifications must be kept at building during progress of work. Owner's Name and Registered Architect and /or Employing Electrician's Nam, c.ri.*7 Location and Legal Description Lot .......................... .................I............. Street and Number . where work is to be performed— No ........................... ®OaA-vt/ State work to be performed and purpose of bulding . f oors) .................... New Building .... .................. ....Remodeling.......... . »........Addition..... ..°................. R_.e..p. .a.i_r.s............ . .»................................. ».. .................................. }..N6. of _.. ............................... of Stories ................... ServiceUnderground Size Feeders, ................... Conduit ................ Main Sw ........................ _ ...... Amps . » ....................... Main Fuses. .... ». .............. » ... Amps Type of Installation— Conduit ........................ Tubing....................... B.X.L.................... »...Metal Moulding................... ........... » »............................. Amount of Permit $ ............. ._.. ..................... ............................... (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his o l ' ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermaaent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcentra rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perfor under this permit, as are licensed by Miami Shores Village. r -el 141 /, / i b / Electrician. STATE OF FLORIDA, COUNTY OF DADE. 8s. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ' acknowledgments, personally used ................. .......... ».................... --._..................................».......... ............................... »... ». »....... »..............» „.,........» -------- ....... __.._........... 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 tie same, and that all facts therein by him stated are true. ... . ................. _ ... ... ... ..... ...................... . ........ . ...... . ........................ . My Commission Expires y Public, Stagof 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. ggACB'. STRIP TOTAL OUTLETS OUTLETS RBCE•P'T'S No. LAMPS OUTLET OUTLET OUTLET Comm. HEATER' Comm. HLpi.►TER; HEATER LIST / eJ CHECK ENT. GIST. - SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEMP. PERM. 0.1 HP /.S HP TRANS. CONTR. LIST CHECK - ServiceUnderground Size Feeders, ................... Conduit ................ Main Sw ........................ _ ...... Amps . » ....................... Main Fuses. .... ». .............. » ... Amps Type of Installation— Conduit ........................ Tubing....................... B.X.L.................... »...Metal Moulding................... ........... » »............................. Amount of Permit $ ............. ._.. ..................... ............................... (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his o l ' ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermaaent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcentra rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perfor under this permit, as are licensed by Miami Shores Village. r -el 141 /, / i b / Electrician. STATE OF FLORIDA, COUNTY OF DADE. 8s. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ' acknowledgments, personally used ................. .......... ».................... --._..................................».......... ............................... »... ». »....... »..............» „.,........» -------- ....... __.._........... 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 tie same, and that all facts therein by him stated are true. ... . ................. _ ... ... ... ..... ...................... . ........ . ...... . ........................ . My Commission Expires y Public, Stagof Florida... .... ». NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement or the plans and specifications herewith submitted for the build • ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida; all ordinances of Miami Shores IVillage and all rules and regulations of the Building Division of Miami Shores Villa$c 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. Rla,y_1$t Owners Name and Address .... jAM...M BROWN 2Z6_N. '........1Q3 No -a &=9 (_. Street» .. » » ».......... »._ ........... _. RegisteredArchitect and /or Engineer........... ........................... .. »... „........................ .......rxetee •• rse• •tttetrttmrst»rt•mtetttrx••.................................. Name and address of licensed contrActor ..... Cit.. ». Location and legal description of lot to be built on: Miami, Fla. 33138 Lot_ ........... ............................... Block ..................... . ......... _ Subdivision.............. ..._ ».» ..... _....» .»......» . . »...... ».....»..» .. . Street and Number where work is to be done..._.1.261..R..._E.._ 303 _e.''�eTe£ . ».........» ...» ...; ._._...»»».. „.......... » »._... State work to be done and purpose of building (by floors)..$ mo_ve__ e.. -.rQo ..... �. .. �3» . felt-„�,•,mo� on lm tg.O# ... z1ate. ,- »then ... omer.. ..this... .. ,9h n91.Q..1ile_x._alq©...remove. „g-raeal rea ... over ... carport ... over_ for no other purpose. New Bui!ding ... fO't1r..p17. Remodeling..,gra.'ila1.... Addition....X00f......... Repair s .......................... No. of Stories ...... ....... : „ ...... _ To be constructed of ......................... land of foundation .... _-. .......................................... . ......... ... Roof Covering....................... Estimated Total cost of improvements $. .- _}r- j6.6Q.00- ------- „ » -------- Amount of Permit $,....2£0..10 .... „.........23 ._ IVA Zonecubage required ........... ............................... __...__._ . » ».Plan Cubage ................... _..... „.... „_.................... Distance to next nearest building ................................... _ ...... _._._.....Size of Building Lot ........ __ ...... „...__._.._...... Maximum live load to be borne by each floor ........................... „......................................................... ....„„...................................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to .. ........................................................................................................................ ............................... The undersigned applicant for this building permit does hereby certify that he understands and accepts his ppbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floridia. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such Public notice os -notices as are required by the Act. The undersigned agrees to employ only such tra�on A this permit, as are licensed by Miami Shores Village. • • Remarks..._ .................. . ............... _ ... „.._. »..»»»».. ». (Signed)». » � STATE OF FLORIDA, ` PRES' COUNTY OF DADE. j ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally ap- peared.--.---„ ..............................- ------------------------- - ----------------- .- --- .- ----- — ---------------------------------------- ---------- -„� .................. _„ ._. ........ .....» ...... »..._. .. 1_._.....to me well knows, and who, being by me first duly sworn, upon oath deposes and says that he is the . .................. ......................................... ..„ .... .............. _....... of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No..„u� ......... Date.... Read, Sworn to and Subscribed before,me. Disapproved .._...._. �. Dale._ __„ . _ :..... . ................ .... ..... f _._.. .„„ .... „. Notary Public, State o Florida ( Signed) .................. ........ ... ............. - ................ _ .............. Building Inspector My Commission Expires.............„ ,„........ PLANNING BOARD ... „.. .............. .............. „ „....... ». „. „DATE Chairman...... .. .................... _.._....„ _......„ ..... „...__ »......... „. „._.. „.. Member ..... „.... .............. „. „.. ...„. .. ». »............_.... ...... „.. Member................................ .„ ............. ..... . ...... __ „ --------- .»_...._ „ Member ....... „ .... ..-..»............ .............. ..»...._». ....... „__ ................. _.._ :Member .. ........................ ............... _.. _.r...__..._.„.. .... „ ..... _ Member .... _............ �.„ »..» . _.».....» „. „..... „..... „......_ „ :„ Council Approved ......... . .................................. _..- „_..._... -__. -- ._.Date Disapproved .. „.. ........ ......Date NOT E: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Fl.mnin;,, llo.trd. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspectioni or faulty materials anti /or workmanship. l3 r-7 1�J - %� � a � ► i MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: OWNER'S NAME: / PHONE: -3" /r2e ADDRESS, •�`/1!/�`35�: /1s�s/�e5. ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable))T COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to 'Walls Fascia Soffit Roof Wh fe > ire'T sW Flower Bins Shutters Awnings Chimney Ohl -4 Doors and door jams ,-, rs anC9/���,, Garage Doors�� Railings Fences ft� /sue Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings�i52 Other be painted. 0 •r m ro tA H H x Z c z s M OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sam s. —D0 Signature of er( Date Signature of Contractor Date APPROVED: Building Official Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/16/2003 Applicant: MARIE Owner: SAINTIL JOB ADDRESS: 126 NE 103 Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132060131760 Building Permit Permit Number: BP2003 -975 Page 1 of 1 SAINTIL MARIE ST Contractor's Address: 485 N. E. 90 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70W1/2 LOT 10 & LOT 11 BLK Fees: Description Amount FEE2003 -3637 Building Fee $187.50 Total Fees: $510.40 FEE2003 -3638 Builders Bond $300.00 Total Receipt: $0.00 FEE2003 -3639 CCF $5.40 FEE2003 -3640 Notary Fee $5.00 FEE2003 -3641 Inpector State Educational Fund $12.50 Total Fees: $510.40 Permit Status: Approved Permit Expiration: 12/13/2003 Construction Value: $8,500.00 Work: RE- ROOFING SANTA FE SPANISH "S" CLAY TILE COLOR THRU AND BUILT UP ROOF SYSTEMS Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work conformity with the s, drawings, statements or specifications submitted to the I done by either my6elf, my gent, j+ervants or employes. (Contractor o PAUL R. KAWALEK ROOFING & PAINTING 485 N.E. 92ND STREET PH. 305- 754 -0191 MIAMI SHORES, FL 3313 &2586 0 t0;,'!!;* 'I # , �� s '1111/ , A� ,t. (' �. _iI 3489 f,, Q 83-27/831 FL Date v O O eto I $ N —� Dollars 8 B4hkof America. �I'' ACH 083100277 � l n -6. toy For ,!nr, :L Lnn ?? 7i: 003660110191411' 3489 -'� OR Bk 21330 Pas 0359 - 360; (2a9 s ) RECORDED 06/13/2003 15:23:11 - - HARVEY RUVINP CLERK OF COURT MIAMI-DADE COUN-TY? FLORIDA CLERK MY DOCUMENT COVER PAGE v IN (space above fib lino reie"W forraordiog office ose) DOCUME14TT TITLE: C� P6.,,4 rnla n � EXECUTED BY: 0 TO: NOTICE OF COMMENCEMENT %A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: OR BK 21330 F °G ti;36f-a COUNTY OF DADE: 11 A S-1- PAGE, THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of om..Lmencement. 1. Legal description of property and street. address: 6 �a 3 rd-6—F, , �slas 2. Description of improvement: 3.Owner(s) name and address: Interest in property: ® W Y1 �� Name and address of fee simple titleholder: 4. Contractor's name and address: K�WO, q6� r 0 �4 M kk i 1 5. Surety:(Payment bond required by owner from contractor, if any) end address: Name STATE OF FLORIDA, COUNTY OF DADE 0 HERE- that this rs a tr c of the Amount of bond $ originsl filed "I f /so ffice On_ da! 6. Lender's name and address: , AD 20 I rcra eat. HARVEY RUUIru_ Ci FRr jO 7. Persons within the State of Florida designated by Owner upon whom no I nts m provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. in addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is specified) Signature of Owner Print Owner's Name Prepared by Kmoj�) Sworn to and subscribed before me this j O day o , 20A23—. ��� �® Ange;e M Beck — - -- Address: Notary Public m Z Print Notary's Name - mbw "5, 2008 My Commission Expires :•• NC • 9 f ...,.:' ..•... :1..y.. - :',n.. wr..nw.ieuarm...l..: ., - I_.. -.� 7,. ._ .S•Iv� �,�1'4 "4^:`t•. �j I . ••• �� YCWI» +imcaneGone r:UU2 r+ Uniform permit Section C GCagon F °M,. - Low Slo ed Roof S stem Fill In Specific Roof Assembly Components Fastener and Identify Manufacturer Spacing (If a component is not Attachmeni for Anch °r�B � . kien as •p;A7 ase Sheet System Manufacturer; Field: q • • _`— oc @ Lap. # Rows e. @ NOA No.: �..0 0 8 � Perimeter –h- cc � oc @ L8P. # Rows —40 @ 6 • oc Design Wind Pressures, From RAS 128 or Calculations: Corner. (f �' ! @ Lap, # Rows L @ L cc PmaY1: ' PmMztl•_ t9 7#3 Pmaz301 / Ll Number of Fasteners Per Insulation Max. Design ur From Board Syste m: -- the Specific NOA % Field �+ Deck: --- Perimeter _Comer Type' 'A/008- Illustrate Components 5 i Details as;A p ni: Noted and GaugefTh;ckness: 1 pplicabie: Woodblocking, Gutter, Ed Slope: Q -Stripping, Flashing. Edge Termination, Strip, Base s Continuous Cleat, Cant Anchor/Base Sheet & No. of Ply(s): 1 Co • Flashing, Counter- Flashing, I, Etc. Indicate: r a d' M 9 Mean Roof Height, Parapet Height, q h�r,,Fasten rial :Hei ht of Base Flashing, Material.. Thickness, Fastener T Went Material, Insulation Base Layer: opacing' or Submit Manufacturers 6etails tener at Comply with RAS 111 and Chapter 16. Base Insulation Size and Thickness: •Q� �` M Base Insulation Fastener/Bonding Material: 1 \� MC " 4 t ed ra Mtne � Top Insulation Layer: Top Insulation Size and ss: Thickne x3 �`- var l p W Top Insulation Fastener/Bonding n r 9 Material: �/ (� { � �•� n Base Sheens) $ No. of Fly(s): ��—�,► I)(.p D��a Base Sheet Fastener /Bonding Material: aa.(s) & vi'..;y(,)• { b _ _ V .Jr� I►�'�' PIY Meet Faste !Bonding Material: R. Top Ply: P to d_ ipilt4, To PI F t r � • ass en ! Bonding Material: ILL' ,.•: ;� ��,`�- ;y:;���' Surfacing: ` �' �L�i'` • :: ; t `� Parapet Height I Mean r F vc; r Height j h s � Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof System Manufacturer: Notice of Acceptance Number:__ "�1�• �(� Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): PI: qil b P2• I ®D at P3. j ®t l i b Maximum Design Pressure `� From the NOA Specific System)- Method of tale attachment:_. Steep Sloped Roof System Description Deck Type: �ype unaeriayment: ___) X y V1_� Roof Slope: 12 Ridge Ventilation? v/pE � Mean Roof Height: Type S Spacing: ` J Val Cap Sheet: Covering: i Type & Size Drip Edge: ?� 13 4 'fj^�4 'r'tti?'ap b r �X'�: ' Y"•e "3 :.c Yt^:e q ::' . _ ri..._,{,r :t.:e rka.a� ash;. r��wrd�s .,:»'f°�s*x�ss?bES"�`k•h8 d'..e'"t^'°i°"�'"n �r.. N, h 1 4 JS Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Appkgtion Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for Mrwith the values from M P If the Mr values are greater than of equal to the Mr values, for each area of the roof, then the the attachment method is acceptable. I i�i I_ Me 1 K nt Ba a Calc s Per RAS 127" (P 1:. `i 17g A i 1 _ Mg; ° n�r1 1 d NOA 11� Cl � (Py: l 7l — I = r NOA 11 c (P3: I �, _ Mg: NOA A* Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (PQ From Table Below NOA Nk M, Required Moment Resistance* Mean Roof HoUt — Roof Slope 15' 20' 25' 30' 40' 2:12 34A 36.5 38.2 .7 422 3:12 32.2 34A 0 3 AA 39 4:2 30A 322 33.8 35.1 37 5.12 28A 30. 31.6 32.8 us 8.1 26A 28.0 29A 30.5 32A 7:12 24FA 25.9 27.1 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift. based tile systems use Method 3. Compared the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the We attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (Pl : a 1: = a w: = _ J — W: a cos B: = Fr,: NOA F` (Pa : X 1: X w: = _) — W: a cos 9: = Fry: NOA F, ' (P3 : a 1: = a w: _ _) — W: a cos 9: = Fr3: NOA F', Where to Obtain Information Description Symbol I Where to find DWanPmsomb I P1 orMcrP3 I RA3127Table 1 orbv anenekwdnK anal9aisvrmwdby PEbasedonAsM +: .• , _. F�'�'.',o��a�,� ,,.`���.'� '� t �� -.�5� --mot s^�r �.�'z�k'Va"�,..�� ,<•.: .. � "� I-,, SECTION 1524 r HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR 1tOOFING CONSIDERATIONS 1524.1 As'it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions'of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent „box indicates that the item has been explained. , M�1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. -ML2. Renalling Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (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. 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. �4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. Ml1°� 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 the Florida Building Code, Plumbing. ��. 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. 1W_J ia__ --W-- ? -1 O�vner's/Agent's ignature Date Contractor's Signature C- ZOCI'�It-PA"%LOCALS -I%Te- p 4CCTION 1334-d” Rep_ 04/24/2003 12:18 r 99/28/2381 tt :28 ma 9544914489 3859888888 ABC ii130 -TILE SANTAFE TILE COW PISS ►b C7' CC)NTR N ' f CCU 'X'ANCE Satlt: Be Tile Cornoration 19 :-*W: N -W, South Rh-er Drive, Bay #16 Mrdl ey ,ft 33178 PACE 81 MiAIVU-DADF, COUNTY. PLORIOA METRO -DADS FLAGLER F.U!LDft sv,t.ol'VC Coot.COWLIANCeo ct ME"O -DAVE FLAGLgR o tao wWT FLAGLER STREEr. � 3 M1A1161t. FLORMA 33130.,,, (305) 375 -2901 FAX (30 i) 375." ft COIY77ACruR UCEMIN•s st:rno� (705) 375 -W7 ! AX (I nI375 -2SS� COttNTRAC TOR � CtAtEV"DhIS1Ov ft) 37S -2%6 FAX (3.)S) 3.35-290$ Yoler tpplication for Notice oi' Acceptance (NOA) of: PRObUCrCQ'M 'ROt, V",ON SPAn sit "S.. Clay Tile (�OS) 373 -2902 FAX (3.ts) )rj.6339 under Chapter S of the Code of Miami -Dade County goveming the use of alternate Materials Corst •action, and completely descrihd herein, has been recommended for aeeeptan a b and Co,LntyBuildin r YPesoi g ..ode Compliance Ofiiee (BCCO) under the conditions specified herein. the M,anl, -pie Thi a' 10A shall riot be valid after the expiration date stated below_ pro•iu :t or material at any time from a jobsite or manufacturer's pint fo0r quai'tygco trotesting e.ure this � pro�tu ;t or material fails to perform in the approved manner, HCCO may revoke, modify, use o :' such product or material immediately. r Sus xnd the detvrr Lined by i3CC0 that this y' Bill reserves the right to revolve this approve , if it is Bui !di ng Code. Product or material fails to meet the requirements of. the Soutt Florida The e..pense of such testing wi It be incurred by the m.-mu facturer. A • -'('EPTANCE mo.: 00- i 2.06 EXPIRES: �-p Raul Rodriguez Chief Product Control Division THIS tg TNF QQ- WRSHEI~T 8 EF AnDrTtONAL P R !FC D .F ERA c INC OD1E S PRODUCT REVIEW COAL g , This .pplication for ?r3duct Approval has been reviewed by the BCCO and approved by the iluilding Code and Produce Review Committee to be used in Miami-Dade County, Florida under the condt•iurls set •ornh .hove. API'IROYED: augyaaI %-045 IN I V�200tllttarnptate�MeL�c� ate'jFjj'PT&V cj' . PORWd0[ 94 V 4 - �_i" k. Francisco 1. Quintana. R.A Director Mulmi -mcic County .Building Code Compliance OlTlee _a I.+ce n• t m•ril address; post •*astergbui,dln`codeonline.cont HOnrepaxe! http- /Arww.bu lid ingcode nllae cam 04/24/2003 12:18 89/211/­001 11:20 '3544914489 3058880050 T -'00n (G ASSEMIBX.Y APPROVat Roofing 5 ukCat— 'e 0 07320 Roofing Tiles A [ate Is I wklmm Clay Roof Tiles Wood ABC< 4130 -TILE S Pte,, 02 AFE TILE cow 82 ACCEPTANCE No. s - 2 2. , Approval pate: Fc r ary� 1 W Expiration Date: lFab�r„ Z,�� 1. SCOPE T lis renews a roofing system using Santa Fe "Sputa fe •S" clay roofing tile, manufactured by Santafe Tile Corporation described in Section 2 ofthis Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County . For locations Where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in herein. The attachment calculations shall be done as a momenr based system. 2. PRODUCT DESCRIP'T'ION Kctured by Ilcant ime a i fat Product Description S tntafe `S' Clay . - Ig^ PA 1121 R )of Tile One piece high profile clay roof the %v = 11.E thick cquippcd with two nail holes. For rail -on. mortar set and adhesive set applications. T im Pieces varies P � A I I . Accessory tr,rn, clay roof pieces for use at w Q varies hips, rakes, ridges and valley terminations varying Manufaclured For each the profile. thickness I• COMPONEN I'S OR PRODUCTS MANUFACTURED BY OTHERS P act Test product rte- Dlmeesions ' tcations iiescriotion Manufacturer rii : Screws 03.x 2 -'/2^ long PA 114 Stainless Stec! generic 0.130" shank dig. Appendi% E 0.178 flute dia. LIMITATIONS 3 1 Fire elassiCeztion is not part of this acceptance. 3.2 17017 mortar or adhesive 5el tilt applications, a static field uplift test shall be performed in accordance with RAS 106. ' 3.3 Applicant shall retain the services of a Miami -Dade County Certified laboratory to Perform quarterly test in accordance with PA 2:T7 ll ;x submitted to the Building Code Compliance Ot Rooliag Product Control Examiner 2 04/24/2003 12:18 9544914489 19 /20/ %Bel 11:20 3058eateSo 4. 3.5 36 ABC ii130 -TILE SAM'AFE TILE COW PACE PA( ' e3 ACMPTANCF, No.: —QR7 22. 30/40 ltot trtopped urtdertayment slope uW"s stated otherwise bypthe underlay lW nwnuf ulat to the rspF literature. Yrracnt rnatfaial manuiactstrcrs published 'Dais accepter is for wood dock ,applications comp Lance "A applicable building code. Minimum deck regaaimments shall be in INSTA)(I A77ON Sanita',c 'S' ark its c County 'S' aW Application stw11 be installed in strict compliac,ce vrith Miami p do 4.1.2 Data For A� Roofing pplCaUan Stactdstrd RpS 11$, RAS 119, and RAS 120. chmort Calculations Table 1: Aerod manic Mctiti I era- 7l fl` The s Profile (ft ) �Mafe'S' Batten liCatlon 7l {R ) plrect Deck 0.274 o.Z87 able 2: Restorin Moments due to ore Tile " ft 2 :12" 3••:12" 4 ":1Z" S...t2" Pro flle -Ib ��; 6 12" 7" :12" or 9ottenx Direct 9sttena Direct Battens Direct 8 Deck Deck ettens Direct rr�$ter Battens Direct Battens Dire S drtttife 'S' 5.93 390 S.8S 5.82 5.73 564 S.S6 t Deck 5.32 Dec t1�c 29 5.01 f Table 3: Attacn"wnt Resistance Expressed as a Moment- Mf (ft -!bf) lte Profile Tile' - - For Nail -On S stem Application r Two Nails One Scmw Two Scn�wa One Scrrrw Two Screw. IF antafe S Direct Dec, 21 $ 29.18 w! Clc w,/ Clio Batt�•„� 38.26 57.31 s7 Rn 1 Ayptoved ucrcv►e as noted � -- - - —�� —� 'product manufactured by others' ---- Table 4. Attachment Resistance Expressed as a Moment - M, (ft•Ibl) for Mortar or Adhesive Set Systems _ Tile Tile Attachment Profile ;antafe 'S' Application Resistance Mortar Set - 23.15 rank ZuloaM RRC Roofing Product Control Examiner 3 04/24/2003 12:18 9544914489 99/211/0, eft 11:28 3050890050 ABC #130 -TILE ILE PAGE SANTAFE TILE t PAW 84 ACCEPTANCE No. S. LABELING S-1 All tiles 2h.11 bear the "'T"I'l or kkatifable muiemg of the manufacturces name or Iola. ojr following SWamd: "Miami-Dade County Product Control Approved". 6. 13U]CLDING ]PERMIT REQUIREMtNTS 6.1 Application ibr building Ptnn't "I be a 6.1.1 This Notice ofAcceptance_ ccompanied by Copies Of the following: 6.1.2 Any atl= documents required by the Building Official or applicable Building C in order to properly mlu&tc the installation a& orths system. PROFILE DRAWING SA,NTAF*- "SANTAFE S" CLAY ROOF TILE Fiank ZuloW. RRC Roofing Product Control r-umw_t 4 t a ,a UETROM SM own NELSON BERTHIN TELECOMMUNICATIONS ENGINEER METROPOLITAN BADE COUNTY 5680 S. OFFICE OF COMpU-rER SERVICES W- 87 AVE. INFORMATION SYSTEMS SEEM AND MIAMI' FL. 33173 PHONE: 596-8898 04/24/2003 12:18 9544914489 w ~_ '89/ 2i/ !881 11:20 38588a"ase • M AFE TIL11 COYtPORA'r'rON A13C #130 —TILE - -�� PAC- - SANIAf =E TILE t](2p PA+$ 95 ACCEPTANCE No.:-Op, fi TAND ONS Renewal of this Acceptawc (approval) shall be considered after a original submitted documentation• ineluding test Ste engi appltgiron has 6cc�r filed And tl e eight M )ears. Supporting data, crtginceriag documenut ere older tba It Any and sdl approved Products shall be Penmattently lobe led with the manufacturer• the (olknving statement: 'Miami -Dade County Product Control A s ��, ��', tltrte, and sPeciIIc conditiars of this Aceepta�. Approved'. or AS speeifecally stated in the Rentwrals of Acceptance will not be considered if- a) Thctr. has been a drat in tare South Florida Building Code affe and tM product is nol in eompUa4ee with the code elsangas; cting the evaluatlort at this p utt b) The product is ao tang" the tamp product ( ) as the one originally approved; c) IfCorrect f the Accepitnce i Elado holder � not complied with all the acquirements of this ac�eptattce, including the d) The engineer who onginal ��� The c i'n is no longer ptactip prepared. srgaed and sealed the tt quired documefrMlioo imtrally g �incering trorkWort c Any MAWon or ctiange in the mwter;ats, use, "&Or manufacture of th9 product or process shall automatrc�lly be cause for termination of this Acceptance, unless (through the filing of a revision P written approval has ban, requested application wiW approprialc fix) and granted by this 0Sicx. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory perfor nimce of this product or process: b) Misuse of this Acceptance as an endorsement of any product for pales• advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by expiration date MaY be displayed In advertising literature. If Any portion of the Notice of Acceptarrec is the d:.splayed, drove it shalt be done in its entirety. 7 A copy of phis Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributori and Shall be available for inspection at the Job site at all antes. The copies neec! not be revealed by the engineer, g Failnn to damply with any Section of this Acceptance shall be cause fbr termination and removal of Acceptarroe. 9 Thla Aceerunce contains pages I through 5 gND OF THIS ACCEPTANCE 3rankuloagp• -- Reefitrg Product CAet rol Eta.., /2t,102 8:18 PM FROM: Fax TO: 305751857% PAGE: 001 OF 021 MIAMI -DADS COUNT IV. FLORJDA w MIAMI METRO -DADS FLAGI.F.R BUILDING 811I.DrNc. CODE COMPLIANCE OFFICE (RCCO) 140 Nt'EST FLAGLF:R STRF.F:T. Yt I ri•: 1603 PRODI' T CONTROL DIViSIO\ MIAMI. FLORIDA 331311 - 1:963 ] (305) 375 -2001 I A\ 4U)51 37"42-)Re NOTICE OF ACCEPTANCE OA) GAF Material Corporation 1361 :tips Road NJ 07470 1 SCOPE: Z7:is NO-k is being issued under the applicable rules and regulations governing the use of construction materials. ,rlic documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Re-, iew Committee to be used in N-liami Dade County and other areas where allowed by the Authority i Iaving Jurisdiction (AHJ). This No A shall not be valid after the expiration date stated below. The Miami -Dade County Product Control 1:ivision (In Miami Dade County) and/or the AHJ (in areas other than Miami'Dade County) rescme the right to ha-,`r this product or material tested for quality assurance purposes. If this product or material fails to perti�rm is thv :'_cptcd manner. the manufacturer will incur the expense of such testing and the AIIJ may it.u. ediately t ;, ol,..:ncxlify. or suspend the use of such product or material within their jurisdiction. BC)RA reserve -s the right t r;•%'ok:: this acceptance. if it is determined by ltiiami -Dade County Product Control Division that this product o :• .,:it I-ial fails to meet the requirements of the applicable building code. ,P6-. is approved as described herein. and has been designed to comply with the Iligh Velocii; I hi ri:an.. Code. — �- '.'_ - -- D1•:ti('RUY1'10: Conventional Built- Ysti'em-I'or «oad -Deck. LAIII-A IN(;: Each unit shall bear a permanent label with the manufacturc es name or logo. city. state and !i•11 .wing %tat::ment: - Iiimi-)adc County Product Control Approved ". unless otherwise noted herein. lr RUN : AL of this `t )a sliall hc: considered after a rene% +al application has been tiled and there ha-. ! -e,n tits �s in tit.: applicable building code negatively affecting the performance of this product. TERNIIN MON of this NO.-k will occur after the expiration date or if there has been a revision or change in the ir:it :r:al�_ ::tee. and or manuf::cturC of the product or process.'\iisuge of this :vOA as an endorsement ei'a:� ••r •�'.� _t, t �r �alew. advertising, or any other purposes shall automatically terminate this NOA. Failure to �tnnpl% �.� it!, in-..!, -:tion of this '.`OA shall No cause for termination and removal of NO:t. AW% l :wrISKMENT: The NO.1 number preceded by the words Miami -Dade County. Florida, and followed by 014- elate may be displayed in advertising literature. If any portion of the N(-.)A is displa:. ed- tlr." aril! Inc done in its entircty. 1 \44r :cTION :.t copy of this entire NOA shall be provided to the user by the manufacture:• cr it% cli -tr'! III -*•• •;;e1 : ,:�_' available for inspection at the job site at the request of the Building Official. !:i-c N: • ::isnsists of pages 1 through 21. ibmitt.d documentation was rcvicw�d b. Prank 7.uloaga. RRC' \Oct \o- 02 -0. 408.09 Expiration 1)nt -L tit _a /113 » Appn :d rate: u::2311i'2 P::xr / •�r it "`O syi. VH 'lrll` l Irax TOS 30S7S1 @579 PAtiE: 00 . 8:40 PM FROM: Fax TO: 3057518579 PAGEt 001 OF 021 5/23/200- -, 8:29 PM FROM: Fax TO: 3057518579 PAGE: OOi OF 021 ^tea /2t,102 8:18 PM FROM: Fax TO: 305751857% PAGE: 001 OF 021 MIAMI -DADS COUNT IV. FLORJDA w MIAMI METRO -DADS FLAGI.F.R BUILDING 811I.DrNc. CODE COMPLIANCE OFFICE (RCCO) 140 Nt'EST FLAGLF:R STRF.F:T. Yt I ri•: 1603 PRODI' T CONTROL DIViSIO\ MIAMI. FLORIDA 331311 - 1:963 ] (305) 375 -2001 I A\ 4U)51 37"42-)Re NOTICE OF ACCEPTANCE OA) GAF Material Corporation 1361 :tips Road NJ 07470 1 SCOPE: Z7:is NO-k is being issued under the applicable rules and regulations governing the use of construction materials. ,rlic documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Re-, iew Committee to be used in N-liami Dade County and other areas where allowed by the Authority i Iaving Jurisdiction (AHJ). This No A shall not be valid after the expiration date stated below. The Miami -Dade County Product Control 1:ivision (In Miami Dade County) and/or the AHJ (in areas other than Miami'Dade County) rescme the right to ha-,`r this product or material tested for quality assurance purposes. If this product or material fails to perti�rm is thv :'_cptcd manner. the manufacturer will incur the expense of such testing and the AIIJ may it.u. ediately t ;, ol,..:ncxlify. or suspend the use of such product or material within their jurisdiction. BC)RA reserve -s the right t r;•%'ok:: this acceptance. if it is determined by ltiiami -Dade County Product Control Division that this product o :• .,:it I-ial fails to meet the requirements of the applicable building code. ,P6-. is approved as described herein. and has been designed to comply with the Iligh Velocii; I hi ri:an.. Code. — �- '.'_ - -- D1•:ti('RUY1'10: Conventional Built- Ysti'em-I'or «oad -Deck. LAIII-A IN(;: Each unit shall bear a permanent label with the manufacturc es name or logo. city. state and !i•11 .wing %tat::ment: - Iiimi-)adc County Product Control Approved ". unless otherwise noted herein. lr RUN : AL of this `t )a sliall hc: considered after a rene% +al application has been tiled and there ha-. ! -e,n tits �s in tit.: applicable building code negatively affecting the performance of this product. TERNIIN MON of this NO.-k will occur after the expiration date or if there has been a revision or change in the ir:it :r:al�_ ::tee. and or manuf::cturC of the product or process.'\iisuge of this :vOA as an endorsement ei'a:� ••r •�'.� _t, t �r �alew. advertising, or any other purposes shall automatically terminate this NOA. Failure to �tnnpl% �.� it!, in-..!, -:tion of this '.`OA shall No cause for termination and removal of NO:t. AW% l :wrISKMENT: The NO.1 number preceded by the words Miami -Dade County. Florida, and followed by 014- elate may be displayed in advertising literature. If any portion of the N(-.)A is displa:. ed- tlr." aril! Inc done in its entircty. 1 \44r :cTION :.t copy of this entire NOA shall be provided to the user by the manufacture:• cr it% cli -tr'! III -*•• •;;e1 : ,:�_' available for inspection at the job site at the request of the Building Official. !:i-c N: • ::isnsists of pages 1 through 21. ibmitt.d documentation was rcvicw�d b. Prank 7.uloaga. RRC' \Oct \o- 02 -0. 408.09 Expiration 1)nt -L tit _a /113 » Appn :d rate: u::2311i'2 P::xr / •�r it i ♦ T ROOFING SYSTEM APPROVAL Cateeory Sub - Category Deck Tyne: Maximum Desian Pressure Fire Classification: Roofing BUR Wood -75 psf See General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specification Description GAF Asphalt Concrete 5, 55 gallons ASTM D 41 Asphalt concrete primer used to promote Primer (MatrixTm 307 adhesion of asphalt in built -up roofing. Primer) GAF Mineral Shield® 60 lb. bags ASTM D 1863 Granules for surfacing of exposed asphalt, Granules cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. GAF WeatherCoat® 5 gallons ASTM 1227 Surface coating for smooth surfaced roofs Emulsion (MatrixTM Fibered 305 Emulsion) GAF Premium Fibered 1, 5 gallons ASTM D 2824 Fibered aluminum coating. Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All 1, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral Weather Plastic Cement ASTM D 3409 stabilizer and fibers. Permits adhesion to (MatrixTM Standard wet and dry surfaces. Wet/Dry Roof Cement 204) RUBEROIDO Modified 5 gallons ASTM D 4586 Fiber reinforced, polymer modified Flashing Bitumen Flashing cement Cement Jetblack Premium 5 gallons ASTM D 4586 Asphalt flashing Cement Flashing Cement GAFGLAS® #75 39.37" (1 meter) ASTM D 4601 Asphalt impregnated and coated glass mat wide base sheet. GAFGLAS #80 Ultima 39.37" (1 meter) ASTM D4601 Asphalt impregnated and coated, fiberglass Base Sheet wide base sheet GAFGLAS Flex P1yTM 6 39.37" (1 meter) ASTM D 2178 Type VI asphalt impregnated .glass felt with wide asphalt coating. NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 2 of 21 Test Product Product Dimensions Specification Description GAFGLAS Ply 49) 39.37" (1 meter) ASTM D 2178 Type IV asphalt impregnated glass felt with wide asphalt coating. GAFGLAS® Mineral 39.37' (1 meter) ASTM D 3909 Asphalt coated, glass fiber mat cap sheet Surfaced Cap Sheet wide surfaced with mineral granules. GAFGLAS® STRATAVENTO Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Eliminator Perforated Nailable RUBEROID® SBS Heat - We1dTM Smooth 39.37' (1 meter) wide Various 39.37' (1 meter) wide 1 meter (39.37') wide RUBEROID® SBS Heat- 1 meter (39.37') WeldTM Granule wide RUBEROID® SBS Heat- 1 meter (39.37') WeldTM 170 FR wide RUBEROID® SBS Heat- 1 meter (39.37') WeldTM PLUS wide RUBEROH)O SBS Heat- 1 meter (39.37') Weld PLUS FR wide RUBEROIDO SBS Heat- -1 meter (39.37') WeldTM 25 wide RUBEROID Modified Base Sheet Ruberoid® 20 39.37' (1 meter) wide ASTM D 4897 Fiberglass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. ASTM D 4897 Fiberglass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D -6164 Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. ASTM D -6164 Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D -6164 Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D -6164 Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D -6164 Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D -6164 Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. ASTM D4601, Premium glass fiber reinforced SBS - Type II, UL modified base sheet Type G2 BUR 39.37' (1 meter) ASTM D 6163 SBS modified asphalt base sheet and wide ASTM D 5147 interply sheet reinforce with a glass fiber mat. Ruberoid® Mop Granule 39.37' (1 meter) ASTM D 6222 Non -woven polyester mat coated with wide ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. _ NOA No: 02- 0408.09 " Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 3 of 21 l A ' o� s ' Test Product Product Dimensions Specification Description Ruberoid® Mop Plus 39.37" (1 meter) ASTM D 6222 Non -woven polyester mat coated with (Granule) wide ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. RUBEROID MOP 39.37' (1 meter) ASTM D 6164 Non -woven polyester mat coated with Smooth wide ASTM D 5147 polymer- modified asphalt and smooth surfaced. RUBEROID® MOP 39.37" (1 meter) ASTM D 6164 Non -Woven polyester mat coated with fire 170FR wide ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. RUBEROIDID MOP FR 39.37' (1 meter) ASTM D 6164 Non -Woven polyester mat coated with fire wide ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID® TORCH 39.37' (1 meter) ASTM D 5147 Heavy duty, polyester reinforced, asphalt Smooth wide modified bitumen membrane, smooth surface. RUBEROIDO TORCH 39.37" (1 meter) ASTM D 5147 Asphalt impregnated, coated felt, surfaced Granule wide with mineral granule. RUBEROIDO TORCH 39.37" (1 meter) ASTM D 6222 Heavy duty, polyester reinforced, asphalt PLUS (Granule) wide ASTM D 5147 modified bitumen membrane, granule surface RUBEROID® TORCH 39.37' (1 meter) ASTM D 6222 Heavy duty, polyester reinforced, coated FR wide ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. RUBEROID 170FR 39.37' (1 meter) ASTM D 6222 Heavy duty, polyester reinforced, coated TORCH Wide ASTM D 5147 with fire retardant asphalt modified bitumen ' membrane, granule surface. RUBEROID® 30 39.37' (1 meter) ASTM D 6163 Non -woven fiberglass mat coated with wide ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. RUBEROID® 30 FR 39.37" (1 meter) ASTM D 6163 Non -woven fiberglass mat coated with fire wide ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID 39.37" (1 meter) ASTM D 6298 Woven fiberglass mat coated with Polymer ULTRACLADO SBS wide ASTM D 5147 modified asphalt and surfaced with aluminum, copper or stainless steel foil. RUBEROID® Dual FR 39.37" (1 meter) ASTM D 6164 Non -woven polyester and fiberglass mat Wide ASTM D 5147 coated with file retardant, polymer modified asphalt and surfaced with mineral granules. _ NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 4 of 21 Product Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (Matrix® System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Tile -Mate Base Sheet Tile -Mate Cap Sheet Shingle- MateTM Underlayment TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAF WeatherCote® MB+(Matrix 715 MB Coating) TopCoat MB+(Matrix 715 MB Coating) WeatherCoteTM (Matrix 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive (Ruberoid ®MB) Matrix 201 System Pro SBS Flashing (Ruberoid ®MB) Matrix 102 Select SBS Adhesive �J�T CAL O , vLrl�o 9 Test Product Dimensions Specification Description PA 100(A) One way valve vent used to relieve built -up ASTM D 1929 pressure within the roof system. GAF Vent ASTM D 635 Stacks are available in metal or plastic. 5 gallons None Mineral colloidal bituminous emulsion with reflective aluminum flakes 5 gallons ASTM D2824, Non - fibered aluminum pigmented, asphalt Type I roof coating 100 lb. cartons, ASTM D312, Interply mopping and surfacing asphalt bulk Types I, II, III and IV 60 lb. kegs SEBS modified asphalt 39.37' (1 meter) ASTM D4601 Asphalt impregnated and coated, fiberglass wide base sheet 39.37' (1 meter) ASTM D 3909 Asphalt coated, glass fiber mat cap sheet wide surfaced with mineral granules. 4 sq. roll Fiberglass reinforced shingle underlayment 30 lbs. 5 gallons Surface coating for smooth surfaced and mineral surfaced roofs. 5 gallons Surface coating for smooth surfaced and mineral surfaced roofs. 5 gallons Surface coating for smooth surfaced and mineral surfaced roofs. 5 gallons Surface coating for smooth surfaced and mineral surfaced roofs. 5 gallons Surface coating for smooth surfaced and mineral surfaced roofs. 5 gallons ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive 5 gallons ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. 5 gallons ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive. NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 5 of 21 a� s Product (Ruberoid ®MB) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibered Aluminum Matrix 304 Select Non - Fibered RUBEROID® Modified Bitumen Adhesive Test , Product Dimensions Specification Description 5 gallons ASTM D4586 Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement Caulk Grade. 5 gallons ASTM D3019 Cold Applied Asphalt Adhesive. 5 gallons ASTM D 2824 Fibered aluminum coating. 5 gallons ASTM D2824, Non - fibered aluminum pigmented, asphalt Type I roof coating. 5 gallons ASTM D 3019 Fiber reinforced, rubberized Adhesive Type III APPROVED INSULATIONS: TABLE 2 Product Name Product Description Manufacturer (With Current NOA) GAFTEMP Isotherm R, RA, RN & Polyisocyanurate foam insulation GAF Materials Corp. Composite, EnergyGuard RA GAFTEMPO Composite A & N Polyisocyanurate foam insulation with GAF Materials Corp. high density fiberboard or Permalite perlite insulation. . (BMCA)GAFTEMP® Fiberboard Fiberboard insulation. GAF Materials Corp. GAFTEMPO Permalite Perlite insulation board. GAF Materials Corp. GAFTEMP GAFCANTm Cut perlite board GAF Materials Corp. GAFTEMP Permalite Recover Board Perlite recover board GAF Materials Corp. GAFTEMP GAFEDGETM Tapered Tapered perlite board GAF Materials Corp. Edge Strip (BMCA) GAFTEMPO High Density High density wood fiberboard insulation. GAF Materials Corp. Fiberboard BMCA EnergyGuard, RA Polyisocynurate foam insulation BMCA BMCA Composite EnergyGuard, RA Polyisocynurate /wood fiberboard BMCA composite PYROX Polyisocyanurate foam insulation Apache Products Co. White Line Polyisocyanurate foam insulation Apache Products Co. d NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 6 of 21 � � r APPROVED INSULATIONS: Product Name ACFoam I, II & Composite ISO 95+ ISO 95+ Composite Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck ENRG'Y -2 & ENRG'Y -2 PLUS, UltraGard Gold FiberGlass Roof Insulation Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board TABLE 2 Product Description Manufacturer TABLE 3 (With Current NOA) Polyisocyanurate foam insulation Atlas Energy Products Polyisocyanurate foam insulation Firestone Building Description Products, Inc. Polyisocyanurate /perlite ridged Firestone Building insulation Products, Inc. Wood fiber insulation board generic Wood fiber insulation board generic Perlite insulation board generic Water resistant gypsum board G -P Gypsum Corp. Polyisocyanurate foam insulation Johns Manville Glass fiber/Mineral fiber insulation Johns Manville Wood fiber insulation board Masonite. Polyisocyanurate roof insulation RMax, Inc. Rockwool insulation Partek, Inc. APPROVED FASTENERS: TABLE 3 Fastener Product Product Number Name Description 1. GAFTITE® (Drill -Tec®) Insulation fastener for # 12 Standard & # 14 Heavy steel, wood & concrete Duty Roofing Fastener decks. 2. GAFTITE® (Drill -Tec @) Pre- assembled GAFTITE ASAP Fasteners and metal and plastic plates. 3. GAFTITEO (Drill -Tee ®) Base sheet fastening Base Sheet Fastener and assembly. Plate 4. Galvalume Plates (Drill- Round galvalume stress Tec® Metal) plates. 5. Polypropylene Plates Round polypropylene (Drill -Tec® Plastic) stress plates. 6. Dekfast Fasteners # 12, # 14 Insulation fastener for &#15 wood, steel and concrete decks Co�� �A, Manufacturer Dimensions (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3 %z" GAF Materials Corp. 3" and 3 Y2" GAF Materials Corp. Construction Fasteners Inc. NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 7 of 21 r , APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 7. Dekfast. Hex Plate Galvalume hex stress 2 7/8" x Construction Fasteners plate. 31/411 Inc. 8. Dekfast Lock Plate Polypropylene locking 3" x 3 '/4" Construction Fasteners plate. Inc. 9. #12 Roofgrip Fasteners Insulation fastener for ITW Buildex Corp. wood and steel. 10. Metal Plate Galvalume stress plate. 3" round ITW Buildex Corp. 3" square 11. Gearlok Plastic Plate Polypropylene round plate 3.2" ITW Buildex Corp. 12. Glasfast Fastener Insulation fastener Johns Manville assembly with recessed plastic plate 13. Olympic Fastener #12 & Insulation fastener Olympic Manufacturing #14 Group, Inc. 14. Olympic Fastener ASAP Pre - assembled Insulation Olympic Manufacturing fastener and plate Group, Inc. 15. Olympic Polypropylene Polypropylene plastic 3.25" round Olympic Manufacturing plate Group, Inc. 16. Olympic G -2 3.5" round galvalume 3.5" round Olympic Manufacturing AZ55 steel plate . Group, Inc. 17. Olympic Standard 3" round galvalume AZ50 3" round Olympic Manufacturing steel plate Group, Inc. 18. Insul -Fixx Fastener Insulation fastener for SFS /Stadler steel and wood decks 19. Insul-Fixx S Plate 3" round galvalume AZ50 3" round SFS /Stadler steel plate 20. Insul -Fixx P Plate 3" round polyethylene 3" round SFS /Stadler stress plate 21. Tru -Fast Insulation fastener for The Tru -Fast Corp. steel and wood decks 22. Tru -Fast Plates 3" round galvalume AZ55 3" round The Tru -Fast Corp. steel plate 23. Tru-Fast Plates Polyethylene plastic plate 3" round The Tru -Fast Corp. NOA No: 02- 0408.09 a 9 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 8 of 21 EVIDENCE SUBMITTED: Test Aaency. Test Identifier Description Date Factory Mutual Research FMRC 1996 Current Insulation 01.01.96 Corporation Attachment Requirements Factory Mutual Research J.I.2B8A4.AM Wind Uplift 07.02.97 Corporation J.I.3B9QI.AM FMRC 44704 01.08.98 J.I.ODOA8.AM 07.09.99 Factory Mutual Research J.I.ODIA8.AM Wind Uplift 07.29.94 Corporation J.I.OY9Q5.AM FMRC 4470 - PA 114 04.01.98 Factory Mutual Research J.I.3X3A2.AM Wind Uplift 08.02.94 Corporation FMRC 4470 - PA 114 Factory Mutual Research J.I.OY9Q5.AM Wind Uplift 07.29.94 Corporation FMRC 4470 - PA 114 Dynatech Engineering #3600.02.95 -1 Wind Uplift 02.02.95 Corporation PA 114 Dynatech Engineering #4482.02.95 -1 Wind Uplift 02.02.95 Corporation PA 114 PRI Asphalt GAF- 012 -02 -02 Physical Properties 11.06.01 Technologies, Inc. PRI Asphalt GAF- 020 -02 -01 ASTM D 4977 02.01.02 Technologies, Inc. IRT of S. Fl. 02 -005 TAS 114 01.18.02 IRT of S. Fl. 02 -014 TAS 114 03.22.02 a NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 9 of 21 . . .r7J2 . �t�•�:. :fl Ftd FP.OMt Fax Tot 3057516,79 Fi ON: Fa+t T•): ?057 513 57 9 F[:n14: Fax TO: 30575,13579 PAGEt 012 OF 021 ""t 018 OF 021 PAGE: 018 OF 021 Ff•.rJX: Fax TG: ?057:18573 PAGE: 013 of 031 Deck Type 1: Wood. Non - insulated New Construction or Reroof Deck Description: / or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened. All General and System Limitations shall apply. Base .heel: (;:1FGLAS 980 LltimaT-t Base Sheet, STRATAVEN I'.1k. Eliminator PcrforatvJ Nailable, RUBEROID NxIodified Base Sheet, RUREROID•A, 20, RUBER(1T1) SBS I1eat- %'eldT%1 Smooth or RL - BEROID SBS Heat -%Veld 25 base sheet mechanically fastened to deck as described below; hastening Options: Ply Shut: Cap Sheet R6�1_1 Ci.XF(;LAS ft Ply 44,. GAFGL:_S Flex P1vTm 6, GAFGLAS 475 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank- nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two ro-,t--s 12" o.c. in the field. (.11aximrm Design Pressure —4S psf; See General Limitation #7) GAFGLAS :k Ply 4 -R. GAFGLAS Ilex PIyT`t 6, GAFGIAS 475 Base Sheet car any of above Base sheets attached to deck with Drill -Tex (GAF"11TE) k 12 or x.14 Screws and Plates, 12"" o.c. in a rows. One ro-.r is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (.Maximum Design Pressure —45 psf. See General Limitation #7) (ITA GLAS Flex PlvT`i 6, GAFOLAS 475 Base Sheet or any of above I33se sheets attached to deck with approved annular ring shank nails and tin caps at a listener spacing of 9" o.c. at the 4" lap staggered and in two rocs 9" O.C. in the field. (Alaxinusnt Design Pressure —.52.; psf See General Limitation #7) (3AFGLAS '475 Base Sheet or any of above Base sheets attached to deck u ith Drill -Tee MvAr -TITE) u 12 or =1 d Sere:ws and 3-Plates. 12 " o.c. in 4 rocs. t )nu ro-.t is in the 2"• side lap. The other roecs are equally spaced approximate) 9"" o.c. in the Feld of the sheet. (.Maxinurm Design Pressure —60 psf. See General Linutatit)n #7) Any of above Base sheets attached to deck approved annular ring shank nails and inverted Drill -Tee (GAFTITE) insulation plates at a fastener spacing OI* 9" o.c. at the 4 lap staggered in two rows 9" in the field. (.Maximum Design Pressure —60 psf. See General Limitation #7) CrAFGLAS =75 Base Sheet or any of above Base sheets attached to deck. kith Drill -Tee (GAFTI'I•F.) ii 12 or z 14 Screws and : Plates, 8" o.c. in 4 rn:es. 0m: row is in the 2" side lap. The other roetis are equally spaced approxi- natuh• 9" o.c. in the field of the sheet. (. ►la_ -rimum Design Pressure —7,i psf. See General Linsitation #7) One or more plies ofGAFGLAS R PLN' 41i, GAFGLA.S,8 PLY 64 ply sheet. '-'SO I'ltima. RL.•REROID MOP Smooth or RUBEROID 20 adher_d in a till'. mopping of approved asphalt applied within the EVT range and at a rate .•f"2O- -40 lbs. 'sq. (Optional) One ply ofGAFCYLASit Mineral Surfaced Cap Sheet aelher.:cl in a full mopping ofapproved asphalt applied within the EVT range and at a rite of 20 --40 lbs. N. 8 MA \O: 912-114(M.019 Expiration i)ate: it. 04!1)3 Approval Date. 05:23.'02 i'ugi in or 21 7 � •�r s WX S S 9- VA=t 1� .Stir? FM FPAMS Ssc Surfacing: (Required if no cap sheet is used) Install one of the following: I. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq With an application rate of 1.5 gal. /sq.; or GAF WEATHER COATI, Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 or GAF or G AF Premium Fibered Aluminum Roof Coating (Matrix System pro Aluminum Roof Coating Fibered 301) %idth an application rate of 1.5 gaUsq. 2. 1lsphalt flood coat at an application rate of 60 lbs. /sq• w 20 ?0; plus gravel or 3. slag with an application rate of 400 lbs. /sq. & 300 lbs.'sq., respectively. Top Coat Surface Seal SB (:Matrix 602 SB Coating), Top Coat AdR Plus (Matrix 715 '4IB Coating). GAF WeatherCote or lieatherCote applied at rate of 1 -1.5 gal•'sq. 1[a�imum Deign Prevsure: See fastening Above \OA `o: 02- 0408.00 F Xpinttlon Date: 11 ;'04103 Apprm-al Dule: 04.13!112 rage 1 g nr 21 c- 3 t' 'a;c WX S S 9- VA=t 1� .Stir? FM FPAMS Ssc TC1s 3057 818 57 9 PACES 619 OF 021• - -. W:L'1/200 3-:29 PH FROM Fax TO: 3057519579 PAGE: 019 Off 021 r, .:..: • n , ./:.3 _7... •,.10 PH MOM: Fax TO: 3057678579 PAGES 019 OS 021 Surfacing: (Required if no cap sheet is used) Install one of the following: I. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq With an application rate of 1.5 gal. /sq.; or GAF WEATHER COATI, Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 or GAF or G AF Premium Fibered Aluminum Roof Coating (Matrix System pro Aluminum Roof Coating Fibered 301) %idth an application rate of 1.5 gaUsq. 2. 1lsphalt flood coat at an application rate of 60 lbs. /sq• w 20 ?0; plus gravel or 3. slag with an application rate of 400 lbs. /sq. & 300 lbs.'sq., respectively. Top Coat Surface Seal SB (:Matrix 602 SB Coating), Top Coat AdR Plus (Matrix 715 '4IB Coating). GAF WeatherCote or lieatherCote applied at rate of 1 -1.5 gal•'sq. 1[a�imum Deign Prevsure: See fastening Above \OA `o: 02- 0408.00 F Xpinttlon Date: 11 ;'04103 Apprm-al Dule: 04.13!112 rage 1 g nr 21 WOOD DECK SYSTE.NI LIMITATIONS: 1 A slip sheet is required vmdth Ply 4 and Flex Ply G when used as a mechanically fastened base or anchor sheet. Minimum '.t" Dens Deck or Type 1 gy wood deck. psum board is acceptable to be installed directly cn cr tile GI•:�h:It.�t. Lf�IIT.1'1'i0 \s: 1. Dire classification is not part of this acceptance. refer to a current Approved Roofing �tat:riah Directory for fire ratings of this product. ` 2. Insulation maybe installed in multiple layers. The first layer shall be attached in compliance m ith Product Control Approval guidelines. All other layers shall be adhered in a full mopping of a„proved asphalt applied within the EVT range and at a rate of 20 -40 Ibs.'sq., or mechanicalk. attached using the fastening pattern of the top later All standard panel sizes are acceptable for mechanical attachment. '%X-hen applied in approved asphalt. panel size shall be 4'x 4' maximum. 4. An overlay and `or recovery board insulation panel is required on all applications over closed e.al foam insulations when the base sheet is fully mopped. If no recover- board is used the base sheet shall be applied using spot mopping with approved asphalt. 12" diameter circles. 24" o.c.: or strip mopped 4" ribbons in three one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A ti" break shall he placed every 12' in each ribbon to allow cross ventilation. asphalt application of either system shall he at a minimum rate of 12 lbs.'sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. �. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value: of 275 lhl:, as tested in compliance with Testing Application Standard TAS 105. If the fastener value. a-4 l:.:l;l -t. ate:el. are bolo-.%' 275 lbf insulation attachment shall not be acceptable. t'aa.:n,_r %pacing for mcchanicaI attachment of anchor'base sheet or membrane attachment i'4 bared on a minimum lastcmer resistance value in conjunction %,,ith the maximum design vaheu listed %eaten a slxcifie system. Should the fastener resistance be less than that required. as determined by the I .uilding Qflicial. a revised fastener spacing, prepared, signed and scaled by a Florida Registered I'nginecr. architect. or Registered Roof Consultant may be submitted. Said rvvised fastener spacing, .hall utilize the withdrawal resistance value taken from Testing Application Standards TAS ?05 and cActilations in compliance with Roofing Application Standard RAS 117. l'..rimvter and corner areas shall comply with the enhanced uplift pressure requirement. I ?F 01c.c ar_a-;. Fastener &nsitic% shall be increased for both insulation and base sheet as cal,:ulat :d in : ompliance with Roofing application Standard RAS 117. (When this limitation is sp(• :ifirall% referred within this NOA. General Limitation #9 will not be applicable.) x. All attachment and sizing of perimeter nailers. metal profile, and "or flashing termination desianr ,hall conform with Roo ing Application Standard RAS 1 11 and applicable wind load require:msnt.. `. The maximum designed pressure limitation listed shall be applicable to all roof pressure zo!,e, (i.v Ii_kl. perimeters. and corners). `either rational analysis. nor extrapolation shall be ps rmittect f:1r =ihanced fastening at enhanced pressure zones (i.e. perimeters. extended corners and :omen). (AN -hen this limitation is specifically referred within this NOA, General i. imitation 97 will not he applicable.) END OF THIS ACCEPTANCE \0.1% No: (12.0..1118 un Expiration Date: i 1.•(14:03 Approval Date: (tc;2102 1'se$c ?1 a r 2 1 • ".i' _.!:••.; .•- "l £M F•P.OMt Fax Tot 3,157511571+ PAGE 021 OF 831 • N • •� • ' '. :1�? £M MC41: FW -: T:,: ?357578':. ?? Fre;E: 731 OF 1121 :24 £M FSl'1N.: FXe, Ti:. !105 ?51;.,V74 PA•3E: X21 or O::l • �;' . :13 r•M FROM.' FaX TO: ^•.r ?57;18577 PAGE: 1121 or o ^_1 WOOD DECK SYSTE.NI LIMITATIONS: 1 A slip sheet is required vmdth Ply 4 and Flex Ply G when used as a mechanically fastened base or anchor sheet. Minimum '.t" Dens Deck or Type 1 gy wood deck. psum board is acceptable to be installed directly cn cr tile GI•:�h:It.�t. Lf�IIT.1'1'i0 \s: 1. Dire classification is not part of this acceptance. refer to a current Approved Roofing �tat:riah Directory for fire ratings of this product. ` 2. Insulation maybe installed in multiple layers. The first layer shall be attached in compliance m ith Product Control Approval guidelines. All other layers shall be adhered in a full mopping of a„proved asphalt applied within the EVT range and at a rate of 20 -40 Ibs.'sq., or mechanicalk. attached using the fastening pattern of the top later All standard panel sizes are acceptable for mechanical attachment. '%X-hen applied in approved asphalt. panel size shall be 4'x 4' maximum. 4. An overlay and `or recovery board insulation panel is required on all applications over closed e.al foam insulations when the base sheet is fully mopped. If no recover- board is used the base sheet shall be applied using spot mopping with approved asphalt. 12" diameter circles. 24" o.c.: or strip mopped 4" ribbons in three one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A ti" break shall he placed every 12' in each ribbon to allow cross ventilation. asphalt application of either system shall he at a minimum rate of 12 lbs.'sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. �. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value: of 275 lhl:, as tested in compliance with Testing Application Standard TAS 105. If the fastener value. a-4 l:.:l;l -t. ate:el. are bolo-.%' 275 lbf insulation attachment shall not be acceptable. t'aa.:n,_r %pacing for mcchanicaI attachment of anchor'base sheet or membrane attachment i'4 bared on a minimum lastcmer resistance value in conjunction %,,ith the maximum design vaheu listed %eaten a slxcifie system. Should the fastener resistance be less than that required. as determined by the I .uilding Qflicial. a revised fastener spacing, prepared, signed and scaled by a Florida Registered I'nginecr. architect. or Registered Roof Consultant may be submitted. Said rvvised fastener spacing, .hall utilize the withdrawal resistance value taken from Testing Application Standards TAS ?05 and cActilations in compliance with Roofing Application Standard RAS 117. l'..rimvter and corner areas shall comply with the enhanced uplift pressure requirement. I ?F 01c.c ar_a-;. Fastener &nsitic% shall be increased for both insulation and base sheet as cal,:ulat :d in : ompliance with Roofing application Standard RAS 117. (When this limitation is sp(• :ifirall% referred within this NOA. General Limitation #9 will not be applicable.) x. All attachment and sizing of perimeter nailers. metal profile, and "or flashing termination desianr ,hall conform with Roo ing Application Standard RAS 1 11 and applicable wind load require:msnt.. `. The maximum designed pressure limitation listed shall be applicable to all roof pressure zo!,e, (i.v Ii_kl. perimeters. and corners). `either rational analysis. nor extrapolation shall be ps rmittect f:1r =ihanced fastening at enhanced pressure zones (i.e. perimeters. extended corners and :omen). (AN -hen this limitation is specifically referred within this NOA, General i. imitation 97 will not he applicable.) END OF THIS ACCEPTANCE \0.1% No: (12.0..1118 un Expiration Date: i 1.•(14:03 Approval Date: (tc;2102 1'se$c ?1 a r 2 1 • .. rc1 _ _ {' R,OOF COVERING IIIAYLVALS (Igyy) Roofing Systems (TGFU)- Continued FGLAS IPSO Premium Base Sheet may be used in any of the following 1Fglas Flex Ply 6" Is a suitable alternate to "GAFglas Ply 6 ". MEW Permalite Recover Board"� may be used in lieu of any perlite tion in any of the following NC Csssifications. Class A, B and C roofing asphalt for use with organic and glass felts or modified bitumen cranes. beroid Heat Weld" SBS roofing membranes may be used in lieu of roil Mop" SBS products in any applicable Classification Class A eck: C -15/32 Incline: 3 nsulation (Optional). One or more layers perlite, wood fiber, glass :bec isocyanurate, urethane, perlite! isocyanurate composite, perlite/ methane composite, wood fiber /isocyanurate composite, phenolic, any sickness. ly Sheet Three or more layers Type GI "GAFGLAS Ply 4" or :AFGLAS Ply 6 ", hot mopped. arfacinz: Gravel Isolation (Optional): One or mo, wood fiber, glass rear isocyanurate, ur ethane, perlite/' anurate composite, perlite/ ethane composite, wood fiber/isocyanurate composite, phenolic, any ickness. Y Sheet Three or more layers Type GI "GAFGLAS Ply 4" or .AFGLAS Ply 6 ". p Sheet One layer Type G3 ,GAFGLAS Mineral Surfaced Cap k NC Indine: 2 'ulation (Optional): One or more layers perlite, wood fibe4 glass ar, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ -thane composite, wood fiber /lsocyanurate composite, phenolic, 2 in. x. Sheet AS Ply 6 " Two or more layers Type GI "GAFGLAS Ply 4" or "GAF - . r Sheet One layer Type G3 "GApGLAS Mineral Surfaced Cap et ". c NC Incline: 1/2 elation: One or two layers "Isotherm R ", 4 in. max, hot mopped. Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber : C -15/32 Incline: l Sheet (Optional): Red rosin paper, nalled to deck. : Sheet One layer of Type G2 "GAFGLAS #75 Base Sheet" (may be :d} Sheet One or more layers of Type Gl "GAFGLAS ply 4" or ;GLAS Ply 6'. Sheet One layer of Type G3 "GAFGLAS Mineral Surfaced Cap V. NC Incline: 3 Sheet One layer of Type G2 "GAFGLAS #75 Base Sheet". SGIAS e• or more layers of Type GI "GAFGLAS Ply 4" or Sheet One layer of Y Type G3 -GAFGLAS Mineral Surfaced Cap C-15/32 Incline: 2 ation: One or more layers perlite. • perBte/isocyanurate composite, perlite/urethane ��ur ure- 1.0 in. min (o �fromyperlywood �1.s 6 (n� P°� phe- Sheet: One or 7j�pe bran!: One G1, hone layers of beroid Torch" ilea "Ruberoid Torch Phu* l - Ruberoid k- Mop (} MCP" (smooth or G15/32 s Sheet", hot mopped.. ttimt6ocyu(n�m� Pte/ P wood ldre>; 430. woodfiber /��0�aie °°mp°aite'P�m�� r . °°mPosiiA any rte( n �Of ZiPeGtorC;3, ,.6?.. e=W Moir'] bf GL-. e) �Wsr�w'ie•�, "Rubes MW. (smooth o (Srrtulel: . TbOK FON 1 4 1. 1. I. Deck NC Incline: 2 Insulation (Optional): -One or more layers perlite, wood fiber or glass fiber, 2 in. max. Ply Sheet Three or more layers of Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: Grundy Industries "al MB Aluminum Roof Coating' at 1 -1/2 gal /sq. 2. Deck NC Incline: I Insulation (Optional): One or more layers perlite, wood fibers SIM fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ thicknessurethane Composite, wood fber /isocyanuiate composite, phenolic, any Ply Sheet Three or more layers of Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: "Weather Coat Emulsion" at 3 gal /sq. . 3. Deck NC Incline:) /2• Insulation: One or two layers "Isotherm Jr, 4 in., hot mat S eeetII1' D Any UL Classified gravel surfaced Class A aspl glass tibei 4. � NC htdine: 2 j Insulation (Optional): Isocyanuraie, perlite. �yi �/� ��{ Base fiber O� � any 'riJ°"' - ply 1ype GI or ar medtanfcs� fastened or hot One or; * nW plies Type GI ct GZ adhered with hot roofing Im" 'm R°°d•Coatiw•. I- & 8a GAF we g �/s1' Dlla NC PerUg1� ' w�� any ROOF 173 Roofing Systems (TGFU) - Continued Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Deck G15/32 Class B Insulation (Optional). Incline: : 3.1/2 OP One or more layers perlite, wood fiber, glass fi* isoganurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Two or more layers of Type Cl "GAFGLAS Ply 4" or "GAFGLAS Ply 6" Cap Sheet Type G3 "GAFGLAS Mineral Surfaced Cap Sheer, hot Decmopped. 5/32 Incline: 3.1/2 Insulation (Optional): One or more layers perlite, wood fiber; glass fiber, isayanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Deck C -15/32 Class C Insulation (Optional): One or more I yers pe lite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ oanurate composite, phenolic, any Ply Sheet Three or more layers of Type Gl ,GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 lbs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Deck C -15/32 Class A Indine. 1/2 Insulation (Optional): One or more layers perlite, wood fiber; glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ uretne ha composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers of Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped with coal tar bitumen. Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A f r C r• r- • •• ^.m:WA rota ..o • l0ii POLt'FDAtr � f Paootl�'s. Ilrc. AA %0002 MIAMI -BADE COL4frV M QDAOE FLAGLER FLORIDA OUIL.DIrVC CObC Col"41ANCE OFFICE a PRO MC-DA t•toX a FIAOLLK tip wtrl• -r AG .. iIPrl% xtOITL I (u, t•ull u:tm Product3j, Inc. XO4 TA E MrA ''aU0 Spring Stucbncr Ito,,) puS �� Spring,TX 773e7.t t32 rcwuar.2ypt F1� lOS) J7S.,,k) LICI:vvae: a : . FAX()AlJ)7n =u>< �)N f2t.�( -r01i L.Yr"CER1khr 'r'u :relic at;o;► for Notice of isosl37S•rseer,�XUns) 3is 2Ws Com o flcch:ptancc (h'pA) o, raoouc7 co,n•KO,.ily pent rolyurcihcnc n:l,m AtJticYivh• rrlox Chapter 8 oi'tlu C:'o - -- -F�a oi;r) )72.6j).: Constn,ction. ► -nd completcc o i r� III - Ad-c Count J :Y described herein, y Sovemin the t Couray uuilditlg Code Cortip:ia..ce r has been ree fi s, ot'Alttrlilte h'fa(trials Ot:ICh_ (BCCO otllnl0ncled for Gecert3rce by tl :t ?Kid Tyr c of. )under the conditions spccitied herein. 't"itis '�'OA sl:a1l no: be valid after the ex,niratioit %:oLrrct or tr. errs at an da;c s.atc ^rul:1�ict or material tails S' Brie frorl a;obsite or cl below. HCCO resrry ,,, to �erfarrn in the .� rov�tlanuracturer's plaltt f'or rs talc right !o s, c� ',tse of s',11h product cr material in'mrdiZt -1pp d planner quality control testing, t C atis e:tte:t't;irted b Y• QCCO ` 13CCO may revoke Ir this a; -`din do IICCO that this product or malcrial fa ; reserves mccl e n hr tO ' this y, or suspend Lh,. to '� r = °..e• 8 revowc this a r the rcgaircments of [h� So tll•r" ir it is oridl 1*": CXP:nsc ot'such t,atin b �+'iil he incurred by :etc ,�''ur3eturcr. FXPIHE : of haul Rodriguez 1 I: 11r CoYF14SIIr'r: r SF Ch ;cf Prcduha Centro p:risinn D! YA1, t' C S FO It SI %FCIF Y 1 11Ir1 t)fNt` Div -�Ir NC YIa2A� CT 11F,V FW COtti11►rt•rtF� 1!iCn 1Qr , r .+•. ..r•dc a'rd r n c....ct Appro,,,j h . Product Rcvie %v Co ;lttll;ttc: to be b �d i �1111d by tl:c DCC t�cvc:. O and z Dade Count F= `hproved by the guildins Yj crida under the condit ?ons sit 1'r;nmcisco 1. Quirl(nn3, R.A. ItVyFn ch_�!t� :21tA1 Director � 'I:ami -Dade: Cahill)• building Code Coetrpliim« Qfry '`a +koohyc,o^ U&,W3C.L..cr' «.P.M. eo.v :ntcrreet moil v Ne•eo� 44ress; pact pf,hldlnEcoJeonrine.eOm : 1101aepass» help; / /riM� bNlwr ' SION 13: on Fa; iSS S7a 1047 ucts 0, `.• 11009INC AssL+jttty gppROVnr. �C�� tiu t a Root7ng A•G,tednl.; l'o tyur: d1anc POLI•FOA:X 12obt'CTS.INC. ACCC- pTANCE Mc.: -[I__,__aU.-LZ Approval D.IIe: I �4 pan[ ENDinw.,rl UaiC: a SCOPr u This ilPprovrs !'ulyprua r[cscribotj ;n Section 2 , ! [ I GU :a ntanurs�tUrccl b press;tre rc ^t:i.uttett,s, o� t,tt, do ►ice of Y l'ulyfuam J7 ro���y. lac. as Jeierrtincd h Cccpt�CC' or (lit: loc;stiont %v Stan 11 Pr�s,urc v11ue, Y �pnlicable building code, he' -r design Stan 11 RAS I? obtai,i�•�! b the dc,; . 7• ror use will, aY Proved in compliance %v i does rot exCz�,4 tic Poivprotl� All 160. W PP t.at, low it.t RooFn !'or sin It•rc t };� ar ;oCh,nt:nt ca;culations d ltt�h proti!c raorulgs�Plicati0n E:� p.,ttY pl :ccmer•t, :tad as an u I; p. It b arc done :ls 3 m0ment bakd s mac, ttscd system for double Ystent �• 131zo D Ll(--TDESCR 1prlo., " Jr systems """ur,tctured by °IYP•�i` /1H 1 GO n• rirtn_e Text N/A tscirjC -111 , Product 1'33mPro* RTl'1000 PA 101 D r e till Two tOmponent P�of'acl�i jr S: ;CO Poryurethaue DaP:ns;ng N/A C-�uipntrctt 2.1 r��sr�CaaiCB �Qt:;(,ntc•tt Cot►tPoncnts r, A,ty W' ;--" t;.0;,d` r products ntanuf:tcturc %�'rt►wlt IiS; uplift r`s,•S,� Ilv l'roduC! Cctrtro1 ti by gtl,erN; tc: vi,vcs with 'tic ^c�rrced Roor't'il, nY. 2.� YiniCal T useorPor�ProAf llGOrvo�fl,�'�a,�ct8ac:,rrcn1, 0A 1iYsic:tl Pro �� rsir:. I'rn erl Dersity COtnl�r�c� ire Slrc•tgtlt T�rt3ia S:r,rt�llt i:c: AL•s.)r Norstt.rC Vap;,• T►�rt3• »iSSr ^r1 �rll�IttlY r pert,t:s: e4 ASI•%I 0 16-)-j AST1,1 f) IG?I ASTv1 ASTm c) -7 AS,rtit r: 9(, AST\j 1) 26 I.G IbsJ1t.1 fzmw i a PSi f'antitel to rise 12 PSI Perpendicular to r' 18 PSI P.IWICI !o rise 3e 0.08 L�sJP1_ 1.1 I'crrt /lath •7.Q7y, yc+i;ntt� Chat c frl . Zi ✓ J "r � >.tliy V�1ilt,1 + Chan n c itrilY. grant► z+,loa a I'1uct Co„m RRC 4'0l Evntitter . • 17 A-dd; 4000'. o�it�iol troy 13:09 FAX SSa see sosz POL1T0 � PRODUCTS.I.VC. Poly ohm tic. • ACCEPTANCe Yv.: Note: Tltc phrsicnt pru�c,•tics !;sled nbovc arc r netepted AS rM test methods a�td "re subject as l lect tan rpitnt Average vnlucs at Icterinhicd by 3• LIMI'1;AT1OhS orntAl nu,nufaclur•ii,g yar;alion 3.1 fire cllssIfic:t: ;ory is nc, Part e, th; Assembly For r : P, . s ncccplancc. Rrfcr t0 ;}S; Prepared r Y ire riling 3.2 PolyprOV A1.1160 sI:a11 sv'cly be used with 11it1, low, ra cd !Zoo; Tile 3.3 :�tinirn ►trn underllynte�.s s,t..;l be;!' con R h:S , t; :r prof its. Standard RAS 120. tPllance with the !top;;.; ,• 3.4 Roof Talc rrar:ut;�ctt +res ac. u;r;r. APP1ica�on t::c adltcsiYe w;:il ; tc;- the asst 51ies I all tt:stoia taccordance �f Po! 3.5 Roof Tile mar,;,;}c:ures acqu;rin With PA 101' EO roof g acceptance for two padc y l PA ! 01 :.':c ofPolypro2 gt�160 roof rile adhesive wit., their tilt, y placement rs:t!; the accOtdai:cc wi;i PA l0i And wi h � t section 10.4 as modified here:.,. shall '-1 tlr' 4. I YSTA LLATI O h 4-1 PoJya -o& Ali; 5Q r^av be used with an lists upli:l res;stznce values will, the t.se of Potile assembly a current's 4•2 PolynrOO AH I !t ►, YprodD AH 1 Gu. OA t`tat 5'7 s,s ..e aI PNcd in cprnpliattce will the Cot-, sect;o�t and t!•c cor•espondine! Placement Details noted lterei^ T`te i pent t Appl;cat;on dS:Cn:b1y'S �dI;CS:vc a;:; C:t: -:cr,t with th f00ft►.e a use of PolypraQ A)� 160 h . ; resi;ta ^cc, expresser: as an u !; s a.l provide :1:c up!:R.res s;ancc detcrm:ncd in eotttp;;,zrcc w:;IFMi baste- a�c'w� County App;ica'lon Stai,dards ,_ �e ' ., to mcc: cr c�cccd R.�S { r. The adhesive at:ac!u„cnt Casa is oted Rat; enroof Ile asse�tb,y ti0A 4.3 ?c1ypro0 AN 160 •col .:)c adhesive and ;ts co., accordance •.�r;t;t Rpofns Aaplicaiion Standard sha:: Sc ;nstallcd in Polypro19 AH:60 Opera:;n •andard ZA$ 120, a*tc pol .f^ a ^ 4.4 lnstal:ltion ^lust be by a Tactonry T at:re and 7 "a`'' Prc:,:..ts. Inc. Maintenance Bo�c' of , by PC;yfcar., PrOd;.cts. Inc. Polylbant Products f c sltapltsup li r aap:icators :o the a;,t! Crity ;tavin approved trd ;icerueu+ 4.5 Ca;::,17.;or cf,� e S1u.tsdiction. Y a "St o, app-oved ..ampr V dispersi7 equip ally -idi:Mye ;:c r^,c •itio ,•etw .8 n cat is -eq;tire_ r ecn ,I,e A tom OnCtll and •� c'.. a applic :•t on of be n i;. ^.;,: ;cQ 0- ..1 S (,1) ; I 0 F c •� calnporent shat C'e!ivc; 0.0 V. 75 :c C 15 pc,,.tds per the ,•, iA). The dispense ::rrer shall Et: set to shay: yC .1D?rcvcd. S dC,Cr:!lincd it cnliir �;io.t `o other �ttgs 4•6 polyprot$ A1-1 iC0 sits;, self. .�: o. Y��p;�iicd wit!, Foarn ro it'1'F I C00 0: p,_0paCkIV 30 & 100 tlispcitsit:5 cq;;il;�.•,. p 4.7 113lyproA All 160 s!t;t :1 rot t:c crVosed retmanciuly to suni >+m n+: 2ulop2-a-. Rae Praduc: Control Examinee v S7i 1O1Y w , . P 1 A Prod � "town. Inc. 5 G. d uct nc. 4.8 •Tiles ACCEP'r-r"Ce No.: 01- 0521.02 • must be adhered in fresh) minutes n�cr Y applied ad 4.9 Polypro® rOlYPro ®AH IGO ltd been dispensed "tile must be ser within 2 to 3 the , AN 1 GO pldccmcnt an pensed. Placcment pctaila l�crcin. Each noted herein Patty weight 3)11111 be in accorcancc Scncric the Promo requires the s Walt pccilic pl ;cmcq; 711ct'rol'Ic ^dlresive t'1 "ccmc,it . r flat. Loiv, t-li �h Prot',Ics N,bh PrOlIIC (2 P*t;- d3• r rVI) rl Lo% H . ProFlcs Lo,V, High Protics 'Uctail Centric Thitt c nt cuc_ sFuMurn Clc t'uddy tiycir Min. I! I I 3 3 1) /side on p and az 34�/ an �►3 Z� wo P"dd W� Ii>: ►qtr paddy Min- N/A LA 23 ELING NSA All Polyp -oS) All 16p 8 cont s� IZ U ILD isc Z P ,n,f comrlY with the A,tiiIT I2EQUTAE. Standard Conditions listed hcrcir, 6-1 As rcqu;red BENTS Proper. by ,e I3ui'di,1b ot?•.. Y evaluate the installation -"l or s Plicablc Building Code in order to System. r'�"k ZUlm.. RAC , t'roduct CGIZ E 4 'Q+niner ' Ly96SEc;�c •„N Xyj r ffil, �1Tdd1�S ., �:tt ° . .. w.. �' A.! . LA, �� . Y..' ..�! '.. � ..�.�, • 1111 '. �' } ��.Tr^•^.nrq^ewM.............. _ . lions V10.4.9fuA - -- 'v e ; 7 i - � r, , : .1.�.,..".*""--,,,,,.�-�"""iAL,'L - :�?" i T • 13:09 FAX *34 S7 1042 PoLl"" Pikol)UCTS. I tic. Po v ro-3 ni . ro it S file. cow" Is, "WIL 4 k. ADjjCSjvjE 13 LACEMENT ACCErTANCr So SINCLE PATTV DETAIL I --r of Id, all 9&%, oft r now., or ivot. hol ,:Tgems a" suffah" i% Ifft aft$ NAwd"L%& 6^6,6"w din IM Aft 00 — b"Sodiftwelme &,"A# all to., art P" Now OCAN I win 4 ;rmw r jauu zu:11, ilro,juct 0,.Czm JtRC cur ..... . ..,. ,� _ «asrml�..�;;.:. ,... _ . ., . _:..:i:.. -..+.x �.::� ' a uF;x_�_5`�' ,.°va�L ",. ... ;.. �`�'� >4 j y . ` �"� k�i'�+, *., � ��y�i'��• � � �+a ��`ii�'�4> �• 1:10 p 4 Ost Spa loa4 poLvro" • raft UC,s. INC. P I �oZm ACCEpTANCE: 'No. AD14ESIVE ALACE(yFN.Z.D SUNCLE PATrY ETAIL 2 -0N 71y� Z � RRC Prod"o. C a! E � � 'G111iort .. i • .. �. ....... ,.. ,..._... ...• �.; �-. ..,....... , . »- mrf�-..:c+ .^,3ivie`_kS.oL' - §�rv. :aye � fu lay • of MON 13: 10 fi " 95 4 $78 1042 POL1'Pp Pal Mr Pitobticrs, r uc . ' o Product ®oo Map ta.ovp Wa, R Of Sayll dj t 7 In. under Y Show P+ddr or 2 modal' Uri-+/nt a fi "!�• glQdr 01 lop of lilt by 'y v 0% ACCEPTANCE No. :,01.0521 02 AUrrESIVt I'L,kCEM V�UltL p ENT DC�':-T,tll, 3 E AT,-y rle4 - Iparw/yn tlt,l /(undo, 11;') z: /YRI sirs P/Odl aa,a �uc4 clung ask rrau;; z:arasa.ltltC Product Concro! E � `wltliller.: sh���g �r IoM ►a W 1kzfkifta i 4" pwr Nao �u oNp Of �lJipS IIION 1:10 FA �. -� i si3� 376 1o12 Of foxm Pr is tnc. POL00" tPROOUrrs.2.iC. �aott, • ' ACCEPTA.NC E !110.:01 -0 1.02 1 Itcr:a,- is - this gcccNtarcc (approval) sl,zll aid t.,il oriSinll subnl:ttcd docunlelItS. inc! be considered olds: ti,,„ c : ;iot (tl) ).cars udin Z lest- supllortin5 data - ;-n �• ^11 I'm btxrl 2 Any a:1d 111 a �in� dacti,..lctlts. arc ao Approved p.,�!uets shall yc star ::r0 llle roli0 +vin+ Pertnt+lcntly labulcd t tik g st- Vement • " s.iCcaily slatcd in the .- M1lttti•Dadc Coulit = m+Cact, ;rur's I;antc spcci.,c condition Y !'rod,;:. - �'L•�l ^ c1:3 - 3. 1? erc,.- s of this Accepcalice. pprovat't rIS of %�CCI`I)[alit�.t.• %.* ,1 . Of :1S T!terc h; b``n .1 not be CO,uidcred if. a ,to,, tic( and dic t''`' South Florida Quildin The Product prodJct is not in cont Ilan S Cool: 1 :- r 1 t iS 110 •Onocr tllc S.Ltte r p .CC ailh t11C COdd C111,Ir,; ' ` cvaivation Cr.;:* c I: I ta,1- r (d:nti t AcceF .c h�lc+er h. Product , 6 01 l ' � the 1 ti• F d. '•' „ corr:a ,nstallatior Comp tcd ►vitlt all h '.`�"' ap rw d. T.le .,,g:,,ecr �� , of cite r (lie r at..:. _.. l e Cr; c; product �s of this zcrt pta.:; c sJS ; ^i :tcd, d` -1 : :Y pfeparcd . signed and .s no :e, -g:r prartici.- scaled the rcc:; tl,c g r:vis10" or Chz -Ibc tl cn ,nccring prof�ssiort• dacumcnsticn initi:. ly b c mat:r.als, use or )' c cIt;% fo: t¢nni ;t,:ion Of ""� n'�ufacture c- rccJcs:cd (t5rp;,gh cite f',n this Acceptance. unless pr:; . mdt.ct Or proms `�: °f on a 1; �� •or C li a revision p P ca.ton %via, :pprcp...:: , aPP• be= 0 t} C .Cllo,t ;rd 51:1;1 a' 1' :h:s �•r. .so be grounds rcr tiii,3t;Se. °ftor) Aerfor,ttsncc Cfthis Product Cr a1 of this Accept scs. Ae.r tz.lce as an enoorseme P OrLany produe: ` .r t,urpns�s. C, ;',. •c` ^w � `= adcr\dice o„f tc: p l 4 ' r i :lie t;x� :r::lor1 •;..er preceded b%• the „ d _ Cat: ti:s)• be cl or s Miai,ti -D spa �, -c:r• r c: Cisp:y)•cd, t,,::; �` n advert,s;1lg litcralur-• •r __::: -' =l Or; a. and fcilo, . s:1a11 be done '' � - •..., c� ' A "�':� OrUrs Ill IIS l•11iirU\ •ion Of 1150 NoI�C: c f AC;c a: r: :;:dco io 4'k: p:]:�;c is ;rc:; as approved dr a !' =;ov sac ,• -t!'c ntanefacturcr or its dlstr bt,ted otilc- dcc:r:•_-,;:, `rc it a ! t:nb.nccr,tce sand s:tz. t:'- _ pp ies, d rc, resral :QC Copies. ``� a1J1: fcr i;,Spcclio- _• C�:il P1Y 1�,t', Ac it'once °r) scctiOr. of this Acccpta,tcc 1. s1,, be cOu;; :cn and rcn%o%z: -f c..•• Of A:ccpr .,,•-::or.sists cf 11a$ s 1 c • roug,t 6. E.VD OF TIi1S ACCEPT,%NCE ' W"P. RRC 1= �"� Caatral Exanti,k . v _ —. .. .._ i ��D ��- JA_,.•�'i .,.'.'::Ya�^��C?1.1.�•.M.. _ ..�__ _ gym..._ � '� •v� _ �� _ a•+: ud rw^ No* *To 1042 ICI i A POLVIF04 PRODtjftS, tFCC t N -11CC OF q to.am Arodocts, Inc. 24UO Spring Stucbner !tout) S rip • p �, ,TX 77383.1132 W002 MIAMI -BADE COUNTY. FLORIDA M6TRO -DADS FLAGLER BUILDING IlUILDINC Coon Cor"PLIANCE OFFICE Ian 1'4I :rR0 -0At3C FI,AGLU oV11,DINo wL•'ct•- r•1,AG;..a . MIAMI. t i tRRrr,i 3Ji aijfi (]ns) 773 -2901 FAX O(W 373.1yp� tryr+nttar. i'Ox I.ICI:N4INC. '?X-110N t 005071-2327 FAX (3(11)37,_2!,(4 cnN•r'tuc: rox I- yF�itCt:111kKr IIIVIxItn t3os137S -res I�A � t�nss rs•iwts �'uar appticatio:) for 1 once ol'Acceptancc (TvOA) of Twa Component Polyurctht:nc Fnam Adhesive raocuct coxrxor• urvlytox t]u71 775.' -at:2 FAN ()(15) on: a Chapter 8 of the r=ode of,vliami_DAdc: County Sovcn:ins the lisc of Constnlction, ..nt co►rtplete,y described Herein, has been recol1imond Alttrltttte Cot:rty Building Code Cojnp;iance off- B Materials and Tyres or ( CCO) under the conditions spec t �d herein, t! a lal��l -Dade finis '`OA shall no be valid after the expiration date sated below. H :oi:uct o; r- +a;e „c( at any time Fronts CCO reserves l5C right to S,,. C.; t,s or material tails to nerfo , ,obsitt or tttlnuracturcr's plant tot l ��sc of S',1 Product in the approved manner, BCCO may revoke control testing. jr this product er material immrdiattay, RCCO rt!serves the right to revo' c:etc`r:r,ined by HGCO that this product or material fails to meet tits ' modify, or suspend Lhc au"ding C'oac t.e this approval, if it is re of Ilu Soul!( Florida '1*-',:: e`tpense of-Stich t.atinb v►•ill he incurred by the I-1;1nulaelurer. EXPIRES: 05110_ /2 Haul Rodriguez 1 S Tlli Cf3VF.tiSI1t T'T St' C1iierProductControl Divisir,n j..____ I7t NAl, Fnit S1•F. tF '�(? YI;r2Aj,, 11111-- �rLCnnF rPl_IT t F,Y F�V CON[i�il •1`'5 ar:ol6ci! ion for ('rcd::ct A and 111i1oval h s bcclt rwicwt;d by tl :c DCCO and � Product Review Co;ttlttitt�� to be used ill Mial1ti_Dad� Cou�tY, F'arid ��cve. + f7proved by the Building a under the conditions set t� l�rancisco I. Quintana. R.A. APPROVED: ttG /1.(:1(101 Director -- tiliami -Dad!: Caunl�• luilding CnJa Contpliant:o UlTic:u "134 woo ttttci000►1ca �t�tny+enc• aca.¢tsnc� co.a• Nt�.doa : ++tcrnta ntuil atlJress: pottntastcr (�putldGt�coJcontinc.com , ®'10M A IrOmcp��c: Attp : / /w�.�..bplWitl .. ;i' : yC . ^C �ceJaonllnc coot ..__ .- .`-'•, -• .... �EE 07 /¢3/01 MON 13:08 FAI 934 378 10.12 I100FUYC ASSLy111ILY APPROVAL, QUI-C :.gr-vZ. -, Su t -Gt Rool7n� RourTile AdirrSiv, M tcd !,: t'pfyurrat.rnc POL1' " PRODI,CTS, INC. ACCEPTANCE 140,: -�t --- uL:Q? MPrw1l Datc:.tuit�t_ 1 `(r0i 1'sxrtirtttiun p,(c: May n oou 1. Scow - 1'1'IS !'nlyprulD AI1160 a. manulicturetl b described in Section 2 ot't"is Notice of Pressure regt.,iretttettts, as drlermincd b y 1'alyfiloc rroducts, Inc. as Acce.ptancc. For the: loc:otions t�hc; C the design design prossurc vllues obtailiet! by cal ulat olns l'nlcontl�in code, Standard RAS 127. PolyproGt b d °cS not cxcra! ale 7. for use will' approved 11,1E, low P nce %vitlt Roofing !t AN 160. Whew it' APP cation It.ach,nent ca +culatiorts arctdlon r;u s .�10 Stites •� !or sinE:u patty PI ;ct ntert, and :1s an u i; ' s}. tcm using P It based system 1'or double ent based systeltt pal, systcr,•,s Z• 1'RODiJCT DESCRIPTI0. -4anuractured i,v Arrr,li e:LIU Test PolyrrOdDAHI60 F) .rinnc NIA trciriclr(Innit Product AA I 0 { D � � r'^ � I�ozntprot RT(1000 Two component �/A polyurt:lltauc `/A P�ol'acl.� 3G 5: ;CO Disr:ns:ng Cruipnl`nt !�altc,tsir.8 Egt:ipntctt 2.1 Cnntponcnts ttr Itroducts manuFacturc Ally MiZttti- i�;tdc Cnt;nty I'r0d „ct d 11y rttlter�: ��''lich list uplift resistlau: v 1 Cttr.irol Accepted Roof'f ilr Ay.�•at I i ucs with the use of P01WO Al 1160 rou f U l�•.tav;116 n currunt `OA 2.2 1-) Itic 11 Pl sd! csi,,.. I rn crl lystcal Propertit:s: Dcnshy c' Contpres,i,,e ASTV101622 Stre:tCtlt ASTNJ n 1621 T't,;rl3ia: {t �•a•c.' S:rCtp t ASTNI D 1623 A;icp(i Lorst.rc Volt ASTm D2?7 r Tr; lrlt r +s•ttiss AS'ftit E 9 T�int�n�iC,ta� �t•1h111ty AST M l) 2'26 e =r V I 'vnK Xvj 1•G Ibslft.� ' 8 PSI Piratlal to rise 12 PSI Pcrpcndicuiar to r'Se 28 PSI Parallel to rise 0.08 I. I I'crin / laa:h - 7.t)7 "/• 1/t,lUtllc C"a"ttle rLl -4C- Weeks >.tiiy V01111111: =Z2,u..4ja—,4 RProduct Control Euntiner 4180?. X-i 14 003 07/i3' /01 VON 13:09 F41 934 378 1042 POLYFpAY f PROD1tCTS . I C. Poly 6!t Product ACCEPTANCE No.: 0 - '21.0 NOtC: The Physicnl prape. -tics listed Above arc r Accepted ASTM test mctlfods and Are sub• esented as 1rPital Rv,r.r alucs leterminerl by acct to normal n►nnuracturinr variation. 3. �1:vll-r,�TlorYs 3.1 Circ classific t!,O, is not part o1'this Asscrnbly for fire rat;nb ncccplancc. R�rcr to 'I-- Pre 3.2 Volyprol) AI•I160 shall so'cl be pared ltoo; Tilc 3.3 MiniMLItr underlaynien;s " I beuscd will' 11x1, iow, R h, • i , Standard RAS 120 contpliirrce with the Itoo:i^ Application 3.4 Roof T;Ic mar:ul:Ictt+res Icqu;rirg acCeP17nce for the Applica.,on RW'o oof fMil adhesive wi:it titcir the assemblies sllall test in accords -. poly"O AI-llt:0 roar 3.5 Roof Tile man:,flc;ures acquirin g acceptance for two paddy with PA 101. u:c of Polypro� AH 160 .0 of file Idhcsive will' their tilt placement %it% the accorda, :ce witi PA 101 and with, section 10.4 as n'odified herein assemblies shall test in •-1 . ks 4. IYSTALL ATIOh 4.1 PolyP'O® Ali-, GQ may be used with an lists t:plia res;stcnce values with the use fpo! eassembly hay:, 4.2 i5olyf)rOO AH 160 s!!all b, applied in corn fiance � e a current INOA that ypro® AR ! G�.. section aid tl•e cor•esponding P wi•11 the Cdr-, assembly's idl;cs;yc a:, ; : ^ 1 lacement Details noted ltcreir,. The fo Appecation •� c . crfl with 'he use Of Polyproo A1•t 160 h ; s:al:c :cn: a :tai! :rr resi;ta� tl:c uF!iR resistance detcrmined,in ocnpcarcc wi �P1M� bmscC s a !provide Application Standards -, s?st2"", to nice: or cxcccd R.�S 1-7 The adhesive atilt!u "cnlDay3's Doted Rot en o0 the assc:nbly tiOA I'3 ?Ol }Prod` AN 160 'coFt;lc adhesive and r accordance .v;;;ti Rcoim d its comPoreWs shat' be ;nstalled in Application Standard RAS 120 and PolyproQ AH: GO Opera!in • ocyfcam Prcducts. Inc. 4.4 lnstal;ation must be b a ractonstT 4'101 8nd Maintenance Bock!,:. by Pc :}foarn pro,'LCts. Inc. Po y Dam prod cis'fc� Appiicatar, d adp :icators :o the aut!�crity Ravin approved and ;iccnsed shad supc;y = st ofapp -Dyed 4-5 Ci :i!;r7lion ;�: ` BJu.tsdiction. of e oampro® dispers,n aft �dllCS;vc, ?', :c ratio ;;etween tile •4u,pn-ent is - egaire; t;e ►`;•e applic f;on of Y� be ma:ntair,cd :;::wccn : 0 -. A component and :he de!ivcr 0.0' ?5 :o G 15 15 (A) ' I 0 (p) rl'e dis case ;: 3 Co"1porent shat! pct..'ds per tilt ,is dcter,•r'incd at ca1iL-ocr shall be set to 51 :.1:: be ap,�rCved. t No other settings 4•6 Pclyl)ro(t A1.1 i G0 sila!I be app;icd with r0acn ro lt'rl' 1000 or PrOPac1: ®30 100 dispcct5il:S cgt;il:r.•c.j; on;y P 't 1 oly;lroQs1 Al' 1160 s1i�;I cot Lc exposed ,rcrntancnlly to suni Fradi6 7ulagSa. RRC Contrul Fx.'tmint:r• �0 y rM w ®004 '(• 'd Pws s`s� OU I2a 1o�j POLF \ oDUCTS, INC. Poll toanr Product inc. ACCEPT,%NCE No.: 0101 -0 02 4•8 Tilcs must minutes a be adhered in freshly applied 9 Rer Pot r adhesive. Tile roust be set within Z to 3 Palypro ®q YP o ®AH IGO has been dispensed. flit' H 160 placcmcnt and hiirrinlum placcmcnt Details' licrcin. Each patty Weight shall be in accoraancc will, noted Itcrein, generic tilt prolilc requires tlic spccilic placement TnLlc l: Adtr`,tSicc cnt f m 1'ilcl'rofilc or Enclr Ccncric Tile Pro -Ile 1'ruccrncnt Si"Clc Poddr ric Ti t Detail i• 1'110 Puddy Weir Flit, Low, Fli l Min• (grnms) h ProGlc, J)cr pnddy Min. i-tj '1;h Profilc (2 Piccc B- Irr�1) N t ( rums IF---- ra 1 3 S I 17 /side on N/A Flat Lou H p and h Pr az 34/ an N/A 1-13L Lo— v. -iell Profiles 2� A3 N/A 5 LA13ELI G t3 All polyP'o�E) A.li160 containers shnil tom 1 6 ulALDIsG PLR, P y with the Standard Conditions listed hcreir, MIT REQUIREYICNTS 6.1 As required by ,},e l3uiy proper,y eva,ua;c "19 31 or ippl- the install;1(i orthis system ie Building Code in order to f^nk 2ulco8at, RAC Product Control F- 10miner 4 ��9b5�c:9c UN Xvd ' :i�.dCM X? t�ddf?S CEb t' Qoos i i CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVl'SIpiv o Miami Shores Village, Florida, 12-17-66 Owner, Agent or Tenant of Building Mr. & Mrs. J. M. Brown Lot 10& 11 13 Block Subdivision M. S. Sect. #1 Street Address 126 N. E. 103 St Approved use by occupancy Co___nyert garage into Florida room Remarks: 8 048 This Certificate of Occupancy P Y is issued to the above named 4-w for building at above named location only upon the ex p ress abide by and comply with all conditions of OrdinancesNos. 92, 93, 94 that and t97, known as he applicant wi Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Cube - 1200 n BU i DIVISION MON 17:00 FAX /` !S4 Sze 1042 POLYFOAII PRODI LC2'S, INC. 1'o vrO:,R1 rode S 11, C- ACCEPTANCE , c : 0 -0521.02 AUlicsivE PLACEMENT DETAIL 1 SINGLE PATTY U.r•,yr. , ha1 w*"#, I•.�k ; I [bbl �1 :14r1 r I tai wR�h iynk trti / /nt I II� it 79:A •w\ I 4•�.tra w����..,1 ''M MI yyy� MEMO uy rn.�a. tir.� nr 1a.1 l•.4 Y* � ! � ❑ y Inn wp�ol.i 7+r iy I 1' �� M°�h •A��w i• -A vi 17 j f Own i.qr� e•yap •IN Ir w r• �� /d 4 iL f T�.•. � 1h• II•. v� • 4C:1 i/ PaW of 104 un INN — -- wtiu.. L59b55c;g5 CN Xd 5 *slow r. MP � �.i ..mu r ��•.�wo r.a r w• Ma ��" u•rr� t' M'M►ACY ��•I I•k� r 111 Y � Fr-u4 Zuic r RRC ' 1'rocJucc =:.tai Exxninc:r. 9100, MIAMI SHORES VILLAGE V\ BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n Permit 3 Name [� / Address Company l 1f Phone # For Inspecto) /'n D'ame & Date Approved Correction ❑ _ Re- Insp'n Fee ❑ Type ] Permi Name Addre Comp Phone For In Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE__, BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request UIrA.Vivt ■UY 13:10 F" $54 378 1042 t'oi�fonnr produ rc r UMtttirnrr� \ � rfw ia" ,u � � Ca►u� POLYPOAN pRODUCTS.INC. 4CCEF'TANCE ,,Nc. Ot -OS 02 AD14ESIVE PLACEMF_NT DETAIL 2 SINGLE PATTY Frs„k Z. Mzjgj, a.RC Product = r-cml Exairiwa .; G L _i:, _?,- , - - ON Xb � �;.IxCV A- ,,���rs ® 007 �2 �g S� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date-y—-o � Time Type Insp' n Permit No. Name / f Address Company Phone # ,, A For Inspector: 7.x5 �a3 Name &Date Approved Correction ❑ Re- Insp'n Fee ❑ u MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 ilding Inspection Request Date 7- qw 0? Time Type Insp' n ,,�? �! 46,vt� Permit No. /D�2 Name Address 0a Company Phone # For Inspector: ra� Name & Date Approved Correction ❑ Re- Insp'n Fee ❑ c7 *'23.'01 NUN 13:10 PAX 254 578 1012 rsw-oau Product Tnc. SHpla Paddy or � x s P01-1•Fo". PRODLtcrS , 1 Nc . � DOa 'P�CCEPTANCE No, ; 011521.0? AUIIESIVE PL,ICEMENT I)CTtIL 3 DOUBLE PATI•Y 7 E#w :,.Glut Fascia I+rO► uw owts DAIY Frsu.; zofoaga. PJ(C Product C011trol E`um;ncr; --I vnpw 141 SI„ 14 Paddy a•tr,ba w I in. z7kffma" 41LIt play y� c VrlI G* MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Budding Inspection Request Date ► NU25 Time a Type Inrn'n X AS A, I k-A XA��— Permit No. C7 d - Name Address ' Company l� Phone For Inspector l (� te & Date Approved ❑ Correction ❑ Re- Insp'n Fee ❑ F MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 ilding Inspection Request Date `% Time Type Insp'n Permit No. Name, Address Company 2A A Phone # For Inspector ( U 3 `� Name & Date Approved ❑ Correction ❑ Re- Insp'n Fee ❑ 07/2Ji01 Y0� 13:10 FAI g34 576 1042 P01Yfo Im Prodr,��s�jttc ..,..:�_.. ... a..� ..... .•:.. .: e.a� •war _.. ,... POLIPOAM PRODUCTS,INC. �oo>o ACCEPTANCF- No. 01 -0 1.02 1 Itcr,��ai of this Accc}ttarc: (approval and Cie orTitlal subnt:(tcd docullicnts,)iSCludbt,consrducd aRrra rentl�- Older titan Cinitt (K)) rlrs Z rest- supl)ortinS data, ;n,tcs►.. ^,1 1, s lx�r1 �.'in� dcee�..tctlts, art ao 2 Any a:tj 111 APPro%, d prf d%ICIS slt:►11 be the foltotvin Pernl1ncntly lobeicd t%.itlt lire e st -Cemcm Mi ull' nAde Cotntt �raGh;rcr's name, ci: sp�ciC;ly shied in ►he 5pcei:ic Conditions of this /1ee�ptattee Prod, c, 3. !?ct c�.a{5 of Acccl)tat,Cc 1,•i11 trot be considered if. Thl :rt has b�cn a . ra;;be its U"; South Fl rt rro�uct and talc r o dA Building Cool: a:- -'Ind is not In eompllancc with die coda ett a� ° ' t` evaluation of .I:Z L 1;' product ;s no 'cnocr the sAme product Od�:m* 1) as the o,:e c I` AcccptArtcc holc'cr hAS trot com '-r=•h approrcd. Plicd with all the r the correct ;nstallAtiort of the d. T.te crt :Weer he a product. - — tit* s acc�pta.'.:.c, S " crtg'ciA iY Prepared• signed rind waled the tee_. 5,5 ^littcd is no ;ct,b�r prartiCi ^� rite s:n mCCrin doCumCn:sticn 3 g profession. d n.;; r: Vision or cltant;c ti•e m;tt;:r. ucer;;a;;eall) als, use, ytic'✓or manufaeturt e' be Cause; for ter, mill t:ott of this Aeee t = *aducc or ro r�5ucs;ca (t`lrot, h t11c pt�ncc. un,us r ; P ccss S—:!, cf; cc S nd of a rcvtsion a lica;ton 1YlU1 aPPMo -J hm brit PP ,pprcp, *- ri 6 s..a;l a•sc 5;; grounds fcr rrn,o%'al of this Acccpt--,� i.rSa S.acfOr) p�r�p,•,111nC' Cf this Product Cr process. - o %Vrscsc rp s, :S iieecrta.tce As an endorsement of Any produ r•_ �:c_, a. v ,- cthc: uurposcs. - J crt'�ing or a :y Ncliec of Ace t, ep ,r,c_ "wltbcr ` -y J +c ,o Cate preceded b�• the t�•ords ,1_ ^ tray' be Cisp;a)•cd rr• '.4 `' - lorida, and fcilo�•.c:.: is disP:a)'cd. `rj'SiIIg literature. a �-: e ' wall oe done ,n Its clItiruv ton of the Notre:. f J ; rc:,CCO to tale , - e As appro%cd draet;ngs And other dc_a: _�:.;, %\•here it LS:.' „1• tiie rmanuFacturer or ILS distribi to sand si'1; . -- =•= ,1131, fcr in . eng,nccr need r.c; res� I,- al :etc copies. �C'`crc to comply scc:ior. cf this Accr•tancc ' ._ . p.anee r srtAlf be eau,. and mnl,,%at ; r :s Nct::.^ ofAcccp'3r' =. corsists cfpAscs 1 �'trougll 8. END OF THIS ACCEPTA, -qCG ::s4oaga. RRC Ca4111`01 Examiner 8 MIAMI SHORES VIL _GE BUILDING DEPART EN 305- 795 -2204 Building Inspection Req st (� Date -% ,�q Time Type Insp'n Permit No. 4/" Name Address /0:152� Company Phone# For Inspector: «��.,ioT Name & Date Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT Building Inspection RequesN (' Date Time Type Insp'ri 0-, l , - - - Permit No. Name �. Address Company Phone # / For Inspector: Approved Correction ❑ Re- Insp'n Fee ❑ Name & Date V 0 Miami clhores""YIlaye F L O R 1 Q A g, PLANNING BOARD AGENDA OF O Cy0M 1*901 1W1 ITEM NO. Name of Owner /Appl i cant WA01 %"*V V4H Phone No. T6Q - \1Qq Address of Property, and /or Legal Description - Nature of Request ARMOVAt► OT ?L* ft AtAN-C R9 RP 010 MIT" W Pi Present Zoning Area of Present Buildin Area with Proposed Addition Parking Spades Provided. Parking Spaces Required with Addition, Setbacks as per Code, Setbacks Provided Variances /Exceptions /Zoning Change Council Action Required Y %S Date of Applicant Notification Planning Board Action Council Actic App t► 0 *t"jk Director of Building and Zoning LWiami Jhores9lIlage F L O R 1 O A APPENDIX A —ZONING § 506 Section 506. [Chimneys, church spires, transmission tow ers, etc.] The :height limitations of this ordinance shall not apply to: (a) Chimneys, church spires, standpipes, water towers, flag- poles or monuments; (b) Transmission towers and eables approved by appropriate public authority; (c) Radio or television antennae or towers that conform to all the following requirements: (1) Are approved by the Civil Aeronautics Administra- tion of the United States Department of Commerce, (2) Are located only in a rear yard, (3) Do not exceed a height equal to the least distance from such structure to any line of the plot on which it is located, and j . (4) Are approved by the village council. i i Ir _ - i /%fl , �IA _// ,a,*1rZ-7vA, -4 /- c r 7-7P Drud"Amfou— Tribander Beam Mail 11010 0`001 gauge pre - formed element e w th Quad-Band mast brackets and thick wal, swaged aluminum tubing. A Opff®n BN-86 balun is included and Beta Match provides DC A unique Para - Sleeve concept ground to reduce lightning hazard and static. Rugged, optimizes edge- to-edge bandwidth on 20,15 and 10 o assembled and s pique w meters. Solid state transceivers applied for a pate load to full output with VSWR ORDER NO. 395F below, 2:1 so no antenna tuner is Shipping Wt: 50 lbs. (22.7 k( needed. Handles maximum UPS Shippable continuous legal power with a Quad Band Option respectable safety margin. The Add a fourth band, either 3C revolutionary compact design 40 meters to the Explorer V requires only 17'3" (5.3 m) the OK710 kit. Kit attaches t turning radius and the entire driven element and is easily assembly fits on roof tripod, mast adjusted for either 30 meter or medium duty tower. Truly (WARC) or 40 meters at mir competitive performance against cost. giant tribanders at half the cost. ORDER NO. 396S Superior construction includes UPS Shippable 3- Element Triband Beam Hy- Gain's Thunderbird Junior offers top performance with a compact design that makes it ideal where space is a limiting factor. Featuring separate and matched air dielectric Hy-0 traps for each band, it feeds with 52 ohm coax, delivers maximum FIB ratio without compromise. The TH3JRS has a VSWR of less than 1.5:1 at resonance on all bands. All hardware and clamps are stainless steel. Maximum power, 300 watts CW and 610 watts PEP output. Hy -Gain ferrite balun BN -86 is recommended for use with the TH3JRS. ORDER NO. 221 S -1 Shipping Wt: 20 lbs. (9 kg) UPS Shippable l T�o . The TH5 is now a BROADBAND TRIBANDI The TH5Mk2 offers.an outstanding 9.0 dB gain. Separate air dielectric Hy-0 traps on each band allow the TH5Mk2 to be set on a' FIB ratio of 27 dB with a minimum beam width. It features five elements on a 191(5.8 m) boom with four active elements on 10, 15 and 20 meters. Also standard on the TH5Mk2 is Hy- Gain's exclusive Beta Match, and stainless steel hardware and compression clamps. A BN -86 ferrite balun is supplied. ORDER NO. 393S Shipping Wt: 77 lbs. (35 kg) UPS Shippable %z11� 0r o&1,r,2 ivw.C7 7a ZE IMS74 c.c &r-b 1 T�o . The TH5 is now a BROADBAND TRIBANDI The TH5Mk2 offers.an outstanding 9.0 dB gain. Separate air dielectric Hy-0 traps on each band allow the TH5Mk2 to be set on a' FIB ratio of 27 dB with a minimum beam width. It features five elements on a 191(5.8 m) boom with four active elements on 10, 15 and 20 meters. Also standard on the TH5Mk2 is Hy- Gain's exclusive Beta Match, and stainless steel hardware and compression clamps. A BN -86 ferrite balun is supplied. ORDER NO. 393S Shipping Wt: 77 lbs. (35 kg) UPS Shippable %z11� 0r o&1,r,2 ivw.C7 7a ZE IMS74 c.c &r-b 1 SPECIFIC PURPOSE.SURVEY GAGE LOAN PURPOSES ONLY AND N. TO BE USED FOR BUILDING PtRMITS. OR CONSTRUCTION OF ANY KIND. LOCATION MAP - N.T.S. 1� DESCRIPTION FURNISHED BY CITICORP - PERSON TO PERSON NO SEARCH OF THE PUBLIC RECORDS MADE FOR ERRORS OR OMISSIONS OF SAID DESCRIPTION. EASEMENTS OF RECORD NOT SHOWN UNLESS FURNISHED. SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL. dvow /.004 h /o ' GRASS AiPEf/ d0 7S' MORTGAGE SURVEY FOR: Nelson It. & Maria L. Berthi MIAMI , FLA. LEGAL DESCRIPTION W h OF LOT 10 , & LOT . oovE �o AT to °' 11 , BLOCK 13 , AMENDED •8' ��. // b srE�P ,tc# ^ PLAT OF MIAMI SHORES A01 3 • SECTION NO. 1 , ACCORDING TO THE 'PLAIT THEREOF , AS 0,41E SYOR RECORDED IN PLAT BOOK 10 , W GBS• iQES, g PAGE 70 , PUBLIC RECORDS OF . j' ,°Z " DADE COUNTY , FLA. Ole • CERTIFY TO s tim c s,�Nc v 7. � ELEd° /7 (j 4"" CITICORP & INDEPENDENCE V TITLE . v GAR PORT ` 9" z ° —� —� L011EST FLOOR ELEVATION : 7 FINISH FLOOR ELEV. 12.63 1 h S' ip ,Q� ~04 4OC47VAJ As y�,c> pc l?orelgs� 77,;Oa w r pAl AL L THE e 4 FACE AlfoRelfry .111kEs •/� �lACLE f/ . .��8�ip!/ /•t/G 1. '" . i HEREBY CERTIFY THAT THE PLAT SHOWN HEREON IS A TRUE ROBERT A. AND CORRECT REPRESENTATION OF A SURVEY OF THE PROPERTY DESCRIBED IN THE CAPTION THEREOF, MADE J11T UNDER MY DIRECTION, AND IS ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND THAT THERE ARE NO lNC. APPARENT ENCROACHMENTS, UNLESS NOTED. SURVEY MEETS MINIMUM STAND SET FORTH IN RULE 21HH -6, .AND $ URVEYORS EXCEPT AS NOTED. 225 NORTH "J" STREET LAKE WORTH, FLORIDA 33460 FLORIDA CERTIFICATE NO. 0 PHONE (305) 565 -1695 JOB NO.XfPA7p10 DATE: /Z /�c7¢ SCALE: ��= 20 JDWN 8Y: QfG DWG. NO. iQO /O o LOCATION MAP - N.T.S. 1� DESCRIPTION FURNISHED BY CITICORP - PERSON TO PERSON NO SEARCH OF THE PUBLIC RECORDS MADE FOR ERRORS OR OMISSIONS OF SAID DESCRIPTION. EASEMENTS OF RECORD NOT SHOWN UNLESS FURNISHED. SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL. dvow /.004 h /o ' GRASS AiPEf/ d0 7S' MORTGAGE SURVEY FOR: Nelson It. & Maria L. Berthi MIAMI , FLA. LEGAL DESCRIPTION W h OF LOT 10 , & LOT . oovE �o AT to °' 11 , BLOCK 13 , AMENDED •8' ��. // b srE�P ,tc# ^ PLAT OF MIAMI SHORES A01 3 • SECTION NO. 1 , ACCORDING TO THE 'PLAIT THEREOF , AS 0,41E SYOR RECORDED IN PLAT BOOK 10 , W GBS• iQES, g PAGE 70 , PUBLIC RECORDS OF . j' ,°Z " DADE COUNTY , FLA. Ole • CERTIFY TO s tim c s,�Nc v 7. � ELEd° /7 (j 4"" CITICORP & INDEPENDENCE V TITLE . v GAR PORT ` 9" z ° —� —� L011EST FLOOR ELEVATION : 7 FINISH FLOOR ELEV. 12.63 1 h S' ip ,Q� ~04 4OC47VAJ As y�,c> pc l?orelgs� 77,;Oa w r pAl AL L THE e 4 FACE AlfoRelfry .111kEs •/� �lACLE f/ . .��8�ip!/ /•t/G 1. '" . i HEREBY CERTIFY THAT THE PLAT SHOWN HEREON IS A TRUE ROBERT A. AND CORRECT REPRESENTATION OF A SURVEY OF THE PROPERTY DESCRIBED IN THE CAPTION THEREOF, MADE J11T UNDER MY DIRECTION, AND IS ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND THAT THERE ARE NO lNC. APPARENT ENCROACHMENTS, UNLESS NOTED. SURVEY MEETS MINIMUM STAND SET FORTH IN RULE 21HH -6, .AND $ URVEYORS EXCEPT AS NOTED. 225 NORTH "J" STREET LAKE WORTH, FLORIDA 33460 FLORIDA CERTIFICATE NO. 0 PHONE (305) 565 -1695 JOB NO.XfPA7p10 DATE: /Z /�c7¢ SCALE: ��= 20 JDWN 8Y: QfG DWG. NO. iQO /O aiami Jhores"Tillage F L O R I D A w" PLUMBING PERMIT N° 121'7 T' le Issued to 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 $ S --tic Tank $ Total Village Plumbing Inspector —___ Received Payment by - - -- - - -- CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 102 Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot Block Subdivision Street Address _,_ Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named —. for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. .�� _. BUILDING DIVISION CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 2 s 5! • - Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks: ` This Certificate of Occupancy is issued to the above named - -�T) 4 WA'_ for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. 4. -T&A \ / BUILDING DIVISION aiami Jhores�llage F L O A I D A LUMBING PERMIT No 1227 ie Issued to $` OWNE ­, 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 iam' Shores Village, Florida. ' For a / story building at / � / Fixtures Fixtures Sewer __ 1 tic Tank Total Village Plumbing In: Received Payment by- RD MUSTI- ES VII I D V 1L.1.J1h1 V Yard Spaces Fen Framing PLUMBING dough Fixtures 7 a►rte`frce 7:30 A. M. 111'o Bight Work. ,r Tie Beam Slab tf . Top Out and Tub[ Septic Tank ELECTRICAL Temporary Service — Rough Fixtures Final Service SPECIAL fool -Floor Sidewalks and Clean- U► Walls r Notice to Buider o #ect This Card and Return To Building Went For Certificate of Occupancy F f BROWER PRESS 30 LOCATION /,i6 ,7 2p;. 1�• / I �I- Vlf Yv /n- i,% - AA C' GARBAGE TAX RECORD PAID BY YEAR .- ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 ti 1941 t AzO. t.'% O d egg °-= 1942 194a Q 1948 T� d� 1944 1945 Id 0 1946 D // - (O - 6 k 1947 4 1948 Q lZ• 3 /' �i /- p r� t Z 1946 Al �t 1950 t� 1�- 3/' r' �'�3- 5 U 126 N. E. 103rd St. bv- year ,5p�Sl annual tax ia. Cv period used amount paid. /a. date paid 3 -G -s/ receipt i annual tax ia. Cv period used amount paid. /a. date paid 3 -G -s/ receipt OWNER'S NAME PRESENT ADDRESS LICENSE NO' I PHONE NO. '.H. C"allies I I JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION !26 N.E. 103rd Street I GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. )caner I I BOND 8 ©O � j ��_�_54 1 I �B7UILDER'S 1 26 BUILDING PERMIT-NO. ,00 DATE PERMIT FEE S NO. DATE 2927 1400 ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST S DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: f TYPE STORIES ( ROOF CONSTRUCTION I INTERIOR CONSTRUCTION NEW CONSTRUCTION DESCR IPTION addn. Fla. room (rear) REPAIRS DESCRIPTION ALTERATION -- ADDITION APPROVED REJECTED REFERRED TO COUNCIL � REASONS SUBMITTED TO PLANNING BOARD I I RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL r� CERTIFICATE OF OCCUPANCY NO.' O J� ISSUED �s rJR ``^� \ BY &,t3 FTO r%..rl BUILDING PERMIT AND INSPfECTION RECORD —MIAMI SHORES VILLAGE RUILnING INSPFCTI[YNG INSPECTIONS DATE B,(Y' RE- INSPECT BY RE- INSPECT BY FOUNDATION TEMPORARY SERVICE $ SEPTIC TANK BEAMS & LINTELS $ SEWER $ SOLAR HEATER FRAMING $ GAS $ INSPECTIONS DATE BY FINAL BY g BY ROUGHING CLEAN -UP 8 1 t( GAS PLUMBING PERMITS & INSPECTIONS CONTRACTOR PERMIT NO. DATE FEE $ NEW BLDG, ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER H. 1 */. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES & FINAL __�fqFIXTURES LECTRICAL PERMITS & INSPECTIONS CONTRACTOR a`'_ ounnw PERMIT NO. / . DATE FEES Z NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY REINSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. 1 */. HEATER CONN RANGE CONN. & FINAL __�fqFIXTURES APPROVAL TO POWER CO. FOR SERVICE PATE BY d x- t i —C- co OWNER' NAME PRESENT ADDRESS ' LICENSE NO.'r PHONE NO. 408 LOCATION (ST. OR AVE.) LOT BLOCK ' SUBDIVISION GENERAL. CONTRACTOR ADDRESS PHONE NO. LICENSE NO. �y� BUILDER'S BOND C. BUILDING IT NO. O c� P /G> - j -� PERMITFZ8fi s -- NO. DATE ZONE REQUIREM E TS CU. FT. PLAN CUBE / 7-at=, CU. FT. ciao EST. COST $ DATE DRAWINGS. SPECIFICATION . RESTRICTION AND CUBE CHECKED BY: G� • • •®sO�A -�. NEW CONSTRUCTIO TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION DESCRIPTION REP RS A— I �7A 6 A T TION - DESCRIPTION #f �e T/ oAIS A. _ n T I APPROVED rREJECTED REFERRED TO COUNCIL REASON SUBMITTED TO PLANNING B ARD RE- SUBMITTED TO PLANNIN 130ARD I i, REMARKS SUBMITTED X2 VILLASE COUNCIL �r % /Z �"V �O ) �. C RTIFICA OF OCCUPANCY NO.' ,W II i ISSUED 8Y TO 13 ��LDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLACiE BUILDING INSPECTIONS INSPECTIONS DATE BY FOUNDATPON i BEAMS &'LINTELS I INSPECTIONS DATE ROOF POOL BY FRAM;NG I I AIR COND. SEPTIC TANK -I $ FINAL I CLEAN UP SOLAR HEATER $ SLAB I $ TUB &TOP OUT c SLAB Is FIXTURES J PLUMBING PERMITS & INSPECTIONS PERMIT NO. - I DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIALS PERMITS PERMIT NO. I DATE I FEE TEMPORARY SERVICE ( I $ SEPTIC TANK -I $ SEWER I $ SOLAR HEATER $ GAS $ TUB &TOP OUT c INSPECTIONS DATE I BY RE-INSPECTI BY RE- INSPECT BY ROUGHING I $ RANGE CONN. ROUGHING I TUB &TOP OUT Is FIXTURES J _ SEWER RANGE CONN. ( SEPTIC TANK �I ' SOLAR HEATER FIXTURES GAS I PERMIT NO. NF \A/ RI nr_ I AT TFDATI()N I Ar"InITI()N I DF.AIDC SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECTI BY $ H. W. HEATER CONN. I $ RANGE CONN. ROUGHING I $ MOTORS Is FIXTURES I Is RANGE CONN. INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECTI BY TEMP. SERVICE ROUGHING H. W. HF.ATFR CONN RANGE CONN. FIXTURES & FINAL �I ' APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING MIAMI SHORES VILLAGE, FLORIDA ; ❑ 'f ELECTRICAL ❑ DATE > 195 PLUMBING ❑ PERMIT No 9652 Contractor s License No._ _ ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building I Architect - ontractor or Builder Legal Lot I gl Subdi- Description vision Sq. Ft. Address of Value of Amt. of Building Project $ I Permit $ This permit is granted to the contractor or builder- named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ P E IR M I U N. PLUMBING ❑ 9689 ROOFING ❑ El Work to be performed under this Owner of Riiilrlinrr Architect - ontractor or Builder_ Legal Lot (I Bl Subdi- vision Sq. Ft. Address of Value of o� I Amt. of C> a Building Project $ b `— I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: f, 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. fn accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 DATE 195 Contractor's License No. MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT U PLUMBING ❑ N? 7 7 81 ROOFING ❑ El Work to be performed under this Owner of (I Buildina Architect - ontractor or Builder - Legal Lot Bl. Subdi- vision 84. Ft._ Address of Value of Amt, of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: _ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER DATE 195 Contractor's License No— _ BY AUTHORITY ,17 BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Architect _ - ontractor or Builder_ Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9534 Bl. Work to be performed under this Subdi- vision Sq. Ft. Value of Project $ DATE 195 Contractor's License No. Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Architect - ontractor or Builder 'Legal Lot Description Address of MIAMI SHORES VILLAGE, FLORIDA DATE 195 PERMIT N° 9 519 Contractor's License No._ Work to be performed under this Subdi- vision Scq. Ft. Value of Amt, of Project $ I Permit $j. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ing thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY :.97 BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING ❑ Subdi- vision El Owner of Building_ Architect �ontracto: or Builder Legal Descriptic Address c Building MIAMI SHORES VILLAGE. FLORIDA DA PERMIT No 9746 Contractor s License No._ Work to be performed under this Permit_— ___ -_ —_ 95 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY r Lot II n. Bl. Subdi- vision f Scl. Ft. Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA 3UILDING ELECTRICAL ❑ P E 1:1Vi I T o DyA XCorifra 195 ?LUMBING ❑ 9 5 0 is .ice is 0.--- 300FING ❑ ❑ Work to be performed under this Permit_ _- owner of 3uilding krchitect r ; ontractor .egal Lot O gl. Subdi- )escription vision Sq. Ft.— address of Value of Amt. of 3uilding Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, Irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work lone by his agents, servants or employees. Signed: f 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for "r`Thorough knowledge of the d�dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in, statements o€ specifications and that he ass}rm responsibility for work done by his agents, servants or employees. Signed: FN , t w �"R!w°'� -, B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in pertaining thereto and in strict., nformity with the plans, drawings, statements or specifications submitted to the cepting this permit J, assumPy✓ p6spouAlb ' ' y for all work done by either, myself, my agent, servant or employe. CONTFACTOR OR BUILDS BY iance with all ordinances and regul'N authorities of Miami Shores Villagp. In AUTHORITY, 6 ^ ` MIAMI SHORES VILLAGE, FLORIDA UILDING ❑ J LECTRICAL ❑ DATE ° r' 195 LUMBING PERMIT N? 6560 Contractor's License No. OOFING ❑ ❑ Work to be performed under this Perini Owner of � Building Architect Contractor or Builder ,` + s s t' .r Legal Lot Subdi- Description Bl. — -- vision Address of Value of Amount of Building Project $ f. Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for "r`Thorough knowledge of the d�dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in, statements o€ specifications and that he ass}rm responsibility for work done by his agents, servants or employees. Signed: FN , t w �"R!w°'� -, B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in pertaining thereto and in strict., nformity with the plans, drawings, statements or specifications submitted to the cepting this permit J, assumPy✓ p6spouAlb ' ' y for all work done by either, myself, my agent, servant or employe. CONTFACTOR OR BUILDS BY iance with all ordinances and regul'N authorities of Miami Shores Villagp. In AUTHORITY, 6 ^ ` BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DA PERMIT N9 7530 Contractor's License No. Work to be performed under this Permit_ - -� - -_ 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: _ — INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances acrd 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 . ■80T &- f BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date- ___ j PLUMBING ❑ PERMIT 1r ^�� 8048 :D Contractor's ROOFING ❑ license No. { ® Work to be performed under this Permit_ Owner of Building Architect Contractor or Builder t 19__. Legal Lot , _ Subdi- vision f Description X' � � �� � � Bl. 1 � — - -- - - -_J -- 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 BUILDE BY AUTHORITY MIAMI SHORES VILLAGEp FLORIDA r BUILDING ❑ r r, ELECTRICAL ❑ Date—._ — PLUMBING ❑ PERMIT N? 8130 Contractors ROOFING El j License No. � -7 '7 ❑ Work to be performed under this Permit --_— — Owner of Building Architect _ __- -___ -- Contractor - s or Builder Legal Lot Subdi- Description ( Bl. vision — —_ Sq. Ft. Address of f 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. .�,- �..�..�..._., mss..,. CONTRACTOR or BUILDER BY AUTHORITY I BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING El El Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA Date —' _ 19-- . PERMIT Np 8167 Work to be performed under this Contractor's /'ems., License No. Contractor / or Builder —s -- - - - - -- — — -- — 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 BUILDER BY AUTHORITY MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wirin g and apparatus installed t `� PP by Address x for — owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits ``" • Water Heater Range � � �' � -' �' watts. W watts Power: Connected load Y H. P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE _ ' 1941 ELECTRICAL PERMIT N° 5593 Contractor's l4,., License No. PLUMBING Work to be performed under this Permit �( j -.' _;e ;•: Owner of r II Building l ;.t, L4_AA d'ri- Architect Contractor or Builder Leggy Lot II Bl. Description Address of r Subdi- vision Value of II Amt. of Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or,*awings or in the statements or specifications I that hXassumes respon- sibility for work done by his agents, servants or employees. y` Signed: �.r'� ' x'+ .1 By INSPECT R In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with�aWordinances anciregsuldtions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorit s of Miami Shores Village. In acceptiqg this pe it I assumq responsibility for all work done by either myself, my a en serva or employee. . CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA: BUILDING DATE '1 17 PI 194_ ELECTRICAL PERMIT N° 5 2 6'7 Contractor's �! / j ,( License No. / y PLUMBING ,, Work to be performed under this Permit .�N /LETC 1../sGS %/ Owner of Building ✓ ,,:4 AV2°7r %r/0 �' ' " y Architect i Contractor or Builder Legal of c Bl. Description + Address of Subdi- vision Amt. of �{ Q L) Permit ) /- 1 t This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans ar changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above asses 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 gr specifications apd that ssumes respon- sibility for work done by his agents, servants or employees. °T L 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 13UILDER BY AUTHORITY \} BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA .,'` ! PE Work to Owner of Building rNI a DATE -2 1 `7 1 194 R M l T N: 5270 Contractor's� L/ �icense No. T be performed under this Permit � -0•Y .•+r.• Architect ti Contractor `4- or Builder Legal Lot �- I Bl. Description Addrss Builldinyof 1-7 1`5 l c5 '� y Subdi- vision Value of Amt. of �'. Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named 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 tb4,he as�xrfes 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 orrdinances 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, servaDA or employee. 0 CONTRACTOR DER i' B AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE '" 1947- ELECTRICAL PERMIT No 5586 Contractor's PLUMBING c..- License ,No. Work to be performed under this Permi���SA✓Y,) Owner of / _ Building Architect ^w. Contractor or Builder Lcgal Lot �r I Bl. Description Address of Buildingz Subdi- vision Value of Amt. V- C� Permit t :Y / l This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with anv 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 Awings or in the statements or specifications and that heyanumes 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 ac�CONTRACTOthis permit I assume r sponsibility for all work done by either myself, my agent, servant or employee. R BUIL DER BY AUTHORITY li U 1LIAIN U YLKIVII 1 Owner of Building Architect 0 Contractor or Builder OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, , 19 PROPOSED LOCATION N° 558 NO. STREET PART OF LOT LOT BLOCK SUBDIVISION / COST OF BUILDING PERMIT FEE FRONT DEPTH HEIGHT DESCRIPTION OF BUILDING This permit is issued to 10 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 # lations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said ws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. z Dated '19, t (SEAL) t�1iy /�I TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE FRONT DEPTH HEIGHT STORIES Frame Tile Concrete Stucco Residence Ags. Stores Hotel "�' This permit is issued to 10 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 # lations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said ws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. z Dated '19, t (SEAL) t�1iy /�I BUILDING PERMIT • C W MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, Z' Zr —1 e5 , 19 Contractor or Builder (6Jt PROPOSED LOCATION N° 519 NO. STREET PART OF LOT LOT BLOCK SUBDIVISION ROOF COST OF BUILDING PERMIT FEE t Frame, i1e'fConctete Stucco Residdnce Apta. `Stores Hotel DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE t Frame, i1e'fConctete Stucco Residdnce Apta. `Stores Hotel This permit is issued to t ! fry To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is grantees 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 gulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said � ws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. UILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shpres Village. MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194 ELECTRICAL P.E R M I T N° 52-70 Contractor's f PLUMBING License No. ,t � � � - - Work to be performed under this Permit z. .. Owner of Building s �� Architect Contractor or Builder Legal Lot II Bl. Description Address of Buildinv 7 Subdi- vision Value of Amt. of 47 e � r Permit /0 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assuOs 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 OF17UMDER BY -- AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N° 5267 Contractor's License No Work to be performed under this Permit I Architect Contractor or Builder Legal I�ot - I Bl. • Description Address of tt s Building t Subdi- vision Value of Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named 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 hsumes respon- sibility for work done by his agents, servants or employees. Signed: By Ka _ .- - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the _plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA WILDING 1ECTRICAL PERMIT N° 5593 'LUMBING Work to be performed under this Permi )weer of 3uilding - — L Lrchitect ,pntractor it Builder ,egal Lot I) Bl. )escription Subdi- vision DA Contractor's License No._ 194— address of Value of Amt. of 3uilding .+ j Project Permit This permit is granted to the contractor or builder named above to construct he building or to install the equipment or device described in the appli- :ation herefor in strict compliance with all ordinances pertaining thereto and with t e understanding that the work will be performed in compliance with any clans, drawings, statements or specifications that may have been submitted to and approved by the proper„ municipal authorities. This Permit may be revoked .t 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 >ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kgowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility 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 iertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this pe.7it I ass�uir sponsibil, for all work done by a ♦ither myself, my agent ervank or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA WILDING DATE 194_ :LECTRICAL PERMIT N? 5586 Contractor's 'LUMBING License No. - - Work to be performed under this Permit owner of 3uilding architect , ontractor >r Builder egal Lot I Bl. description address of A` Subdi- vision Value of Amt. of 4,! e Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ;ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any clans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked .t 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 egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility 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 ertaining thereto and in strict conformity with the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting his permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR BUILDER r BY AUTHORITY NAM l ¢Ill�ob. lO:o9- PM BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 M 'OM " "" AR 0 2006 Permit No. PERMIT APPLICATION FBC 2004 Master Permit No. BY:_ _ Permit Type (circle)- Building Electrical Plumbing Mechanical Owner's Name (Fee Simp eh i�X� % ) Phone # Roofing Owner's Address « ,,o(l j_�= ( �j G.`t -f i%J`�" lT G �' City State �� Zip �5�7_ Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 3_312,? FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 'tw ry� Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ZC)CC3 . Type of Work: ❑Addition ❑Alteration Describe Work: Square / Linear Footage Of Work: ❑New ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ llL� PEI-- CCF $ 1 . ZCO CO /CC Notary $ r.J. CO Training/Education Fee $ o Technology Fee $ —A _ Scanning $ Bond $ Structural Review. $ Radon $ Code Enforcement $ DPBR $ Zoning $ Double Fee $ Total Fee Now Due $ (=,Cs . [ C See Reverse side APR 19 PAID AI" 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 r Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the. job site for the first inspection which 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 r .nspect*on fee will be charged. Signature r " Signature Owner kr Agent Contractor The foregoing .�instrument was acknowledged before me this 3 The foregoing instrument was acknowledged before me this day o �, � I( , 2( gby� 9 L rA i of , 20 ----I by who is personally known to me or who has produced (r_:>y As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Conimission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) who is personally known to me or who has produced. as identification and who did take an oath. NOTARY PUBLIC: Sign: -, 1w UJ)ires; EP 27, Tlelt Atlantic Bo-n 1 c My Commission Expires: L, Plans Examiner Engineer l Zoning .y Miami Shores Village ' Paint Color Approval and Agreement Date * -, Owner's Name /�� %%�� C� Phone # g Owner's Address l c- 0 //V City ��, �� —`—=� State Zip Job Address (where the work is being done) /1�� IV" IZ� City M Shores Village County Miarni -Dade Zip f� iami Is Building Historically Designated YES C t tar's Company Name (if applicable) NO Phone # on rac All elements on the site must be listed and indicate the color to be painted Walls _ / Fascia it Drip Cap /drip Edge Soffit Roof Flower bins Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done incompliance with all applicable laws regulating construction and zoning. r�, Date Signature L Owner or Agent APPLICATION APPROVED BY: — Date P Z Official chc 6/18/03 PERMIT APPLICATION FOR MIAMI SHORES O X100050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Date Job Address _ I � b NZ C 12y y + Tax Folio Legal Description Historically Designated: Yes LWIM JUN 1 0 2003 DneLessee /Tenet 1 "` 4 I R Nv M0 n CL Master Permit # 2 ,,C� Owner's Address lab � IF )0 _�r_ 8 1§+1 Phone Contracting Co. � �� n Address 'Pry , �.I�� 30's rsq -oml Qualifier SS# '"� ((�� (� 'Phone State # Municipal # Competency # �JikJ t� Ins. Co.� Le er IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION: ROOFING WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. r Signature of owner and/ Condo esident ` Datd ti /VM 0i i-4oeary as t�vo aer►ine�rresiaen[ My Comrmssio$ rr�e�v►y Commission DD150048 *V.11 "lop* Expires November 15,200 FEES: PERMIT (1 RADON Sign 7e of Contract`o,or I wrier d Date r -Notary as to f ontractor Ar.Uwne tiu 1 per n� �nge�a r8ecker My Commission Expireiu- A My commission DD150048 ,� O,,,dg Expires November 15, 2006 C.C.F f NOTARY BOND) C 0 APPROVED: °� `� `)r^� — % TOTAL DUE 1 < Zoning Building �'" - ' Electrical t� Mechanical Plumbing Structural Engineer � . -•� # � ° .may ,; . yr rAwl 5 , tr It #e.. ' F' -�. a •fb# ,, -� #..; 9. yY ;p,6 � .4 � : ��.� r ,: r:•i ,�` n g � S r.� �. � �. s "`• e,..';�i.. ii 4 R+ i.d /• d 1 ;d5� "t: 11 i? 4`. Mrc'; 1 i', 5'. i �p �i a i .i•+ 3'.4 s' S �hYeMNFY F' t PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date — — Job Address 12 (? I"-(E 1 O 3 ST2E Tax Folio Legal Description 11tj % L� A J17 f !a Historically Designated: Yes No k Owner/Lessee / Tenant &d Ll k YZI6 J� ( /� Master Permit # Vl L l (P f Owner's Address /�1 /�� l7 t`1t.4v d> S L / PhoneL�S- Contracting Co. yLJ/. { r Address Queer SS# - State # Municipal # Competency # Architect/Engineer Address Bonding Company Mortgagor Address Address Phone Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ` WORK DESCRIPTION Pa4;x4A- �� G!/ rl 1, / -�, 7Ld i i i Square Ft. Estimated Cost (value) /..5 Qe, 6"3 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. OWNERS AFFIDAVIT: _ I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. r j f ?tom Signature of own or Condo President Date Vignature of Contractor or Owner - Builder Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT L/V RADON C.C.F. ',% APPROVED: Notary as to Contrac%r or Owner - Builder Date My Commission Ora NOTARY seAL 01 6- 7277 'OF 1.a @a WtiLC, 1i20U 02 NOTARY BOND TOTAL DUE 4"'J 4� Zoning Building Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / Job Address /2 g; -`J1_5_ / : / Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant :Master Permit # Owner's Address % a. G N / =�/0? _57— Phone Contracting Co. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION t vS _E X` -T-ee- t O 6_F te_.� (!n /'J (�'J 4 (4e 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. Signature of owner and/or Condo President Date Signature o ontractor or wner -Buil r Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission ��P�Y pJ,9 OFFICIAL NOTARY SEAL 2 l n SCOTT W DAVIS COMMISSION NUMBER CC255237 MY COMMISSION EXP. � � OF 2r 1997 FEES: PERMIT RADON C.C.F. + r0 NOTARY S TOTAL DUE• APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering s` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.�. ! d'.... _._ _ 1►te- .�.�..�., Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the b or odm structure herein described. This application is made is compliance and conformity- with the Building Ordinance of Miami, Sham 'ail ;' Fle►ra, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iR%an 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 :x�J���C. ' -- No.- 16 ,& .._ Street........,.... , Registered' Architect and /or Engineer Employing Electrician's Nam ._ �Q�id!.�- Qp•No.__.Q.LGZ.__..��_ _ . Street ^ *�"'• Location and Legal Description Lot_ _ ._ _ _ --.------Block ------- -_ Subdivision .-- --.- Street and Number where work is to be performed —No.__ Z 2_a - ----- State work to be performed and purpose of building (By Floors) r New Building_- - -- Remodeling -_ _ ----------- Addition - - --- ----- - -- RaotS. --m.N � No. of Series__ e, , Service Overhead nnd Size Feeders- ___._- _ —_.__ Conduit..- ________- Main Sw._______ -_____ —. Amp., Type of Installation— Conduit ----- -r� Tubing B.X.L ----------------- Metal' Moulding Amount of Permit t� _ -(Signed) MA Eiectricsi The undersigned applicant for this building permit does hereby certify that he understands and accepts his obiigat as-an of labor under the Florida Workmen's Compensation Act, being Seetion 5966, Compiled General Laws of Florida. Permanent S p eat, and,lm com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in tire, work to br , performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or = .` ors required by the Act. The under signed agrees to employ only such sub-contractors. on work to be performed under this permit, ss ,sre licensed by Miami Shores Village. V (Signed) ................ 1 5. maw STATE OF FLORIDA, COUNTY OF FADE.. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and %take aeknotxts, . y appeared -,-------•------•-•--- to me well known, and who, being by me first duly sworn, upon oath deposes and�saps that he is ths,_..._.. -... of the above described construe ' n, that he has carefully read the foregoing application, and that he did sign the `same, aad..that :all faa , therein by him stated are tree. .. /-Iftspectwn mission Expires �.._.�.... . Notary Public. State of Florida v f Nolim e of S1. ©0 will be m ade when such re- inspection is made ry by improper notice for � . , or faulty materials sad /o SWITCH LIGHT PLUG. ' FIXTURES. REPRIO. IRON RANGE RANGE TITER W. NEAT. SPACE 4TRIP OUTLETS OUTLET8 RECE'P'T'8 Nb.LAMPS OUTLET OUTLET OUTLET CONN. $ATER CONNr NEATER HEATER ; CONTR. LIST C14RCIt. ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON .. ,R�AWO SW. CAB. TEMP. PERM, 0-1 HP 1 -5 HP TRANS. ?. CONTR. LIST .'CHECK e, , Service Overhead nnd Size Feeders- ___._- _ —_.__ Conduit..- ________- Main Sw._______ -_____ —. Amp., Type of Installation— Conduit ----- -r� Tubing B.X.L ----------------- Metal' Moulding Amount of Permit t� _ -(Signed) MA Eiectricsi The undersigned applicant for this building permit does hereby certify that he understands and accepts his obiigat as-an of labor under the Florida Workmen's Compensation Act, being Seetion 5966, Compiled General Laws of Florida. Permanent S p eat, and,lm com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in tire, work to br , performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or = .` ors required by the Act. The under signed agrees to employ only such sub-contractors. on work to be performed under this permit, ss ,sre licensed by Miami Shores Village. V (Signed) ................ 1 5. maw STATE OF FLORIDA, COUNTY OF FADE.. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and %take aeknotxts, . y appeared -,-------•------•-•--- to me well known, and who, being by me first duly sworn, upon oath deposes and�saps that he is ths,_..._.. -... of the above described construe ' n, that he has carefully read the foregoing application, and that he did sign the `same, aad..that :all faa , therein by him stated are tree. .. /-Iftspectwn mission Expires �.._.�.... . Notary Public. State of Florida v f Nolim e of S1. ©0 will be m ade when such re- inspection is made ry by improper notice for � . , or faulty materials sad /o PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 194 N• 6' 10 3 S I— Legal Descriptionkl% � Owner / Lessee / Tenant Owner's Address__' aW N i5 103 S WFolio /Z I :ZPV Master Permit phone % J 7"Qy'J Contracting Co. �i- -Cow /xk i Address 0 3 /� � ,S % 2 o Qualifier 40ul j /of vex& SS# Phone 5 76- rdo State #— CA-) Fl(- Competency # - - -- `1 �� �0 /® Ins . Co. 6N Architect /Engineer Address Bonding Company Address Mortgagor Permit Type (circle one): WORK DESCRIPTION V �ti F o Square Ft. 3O 0 BUILDING ELECTRICAL Address MECHANICAL PAVING FENCE SIGN Estimated Cost l �f�D 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. 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 Sig a e Owner and /or Condo President No , as to Owner OW Condo Condo President M 'Commission Expire ^ nA. a. ly RSA PERMIT FEE: • K APPROVED: Zoning Mechanical 4 Sign of Contractor or Owner - Builder Nnt''ary as to Co'frtractor Owner - Builder My Commission Expires Fire y� BuildingJ/ Plumbin Other Electrical Engineering f PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dater` Cf p Job Address /-16 2% I�F z b 6 ST Tax Folio // 1 0 6 ©13 0 LO i} Legal Description �© Owner / Lessee / Tenant /V/ f ,/) RiELIAI & Master Permit Owner's Address p ! z�? S Phone Contracting Co-122r7 :7:rAT --1 �2" Address �L Qualif a AKAO��- mt Phone State 4pCfiC O Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL (ROOFING) PAVING FENCE SIGN WORK DESCRIPTION 7'/n rf P ct oW&onee. 4.&�e eY �F} �o aavhd /T su7vYuTed tieS� Shy T OT e P u. , Fdi-rT e7►T're deck WITh aspA4i'r 6asea F/5 4A, rYrv'W P41vy'r Square Ft. 906 Estimated Cost(value) 01D Da 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 con truction and zoning. Fu thermore, I aut rize the o d contractor to do the work stated. e oil Signature o °r a d ter, Co o..-= President Signat o or er- Builder Date: Date' O .� i � V P;LI M E %P • 31 1% Nota as t and /qr' o President No ids t��Q ca to or Owner-Builder My ssion ',. �� .� pn _E :h FEES: PERMIT O�D _ RADON C.C.F. I' ©D NOTARY TOTAL APPROVED: Fire Other Zoning Buildin Electrical Mechanical Plumbing Engineering 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date J� Job Address Tax Folio//a Legal Description "Owner / Lessee / Tenant Master Permit # er's Address G 3 A S,0/0 Phone 6 3 3 Contracting Co.�,��}r/ Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one) • UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION PI;I AI rJA1(r' OR ?�E' hlD u S C 0 Z l LEE 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. Signature of owner and /or Condo President Signature of Owner- Builder" Date: Dater /%; j c �',. 106Bi m Nom! Notary as to Owner and /or Condo President to as to Co My Commission Expires: My Commission E 1 Mt1g1M� seism FEES: PERMITS 0 RADON C.C.F. NOTARY TOTAL DUE I� APPROVED: Fire __ Other Zoning Buildin Electrical Mechanical Plumbing Engineering • Miami Aores=Y loge F L O R I D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Date . `— % 193 Owner Address e� ..•ts �l Building Contractor Electrical Contractor n Location of proposed work: Lot/L•,4, Block / Subdivision Building: Old or new Number of stories Used Description of proposed work Details of proposed work: Number of Motors H. P. Volts Amps. Phase OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATTUUSS MAIN SUB BRANCH Basement 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 Applicant Address (if other than owner or contractor) (SPACE BELOW FOR INSPECTOR'S US LY ) r 'J Work begun Inspected Work finished Final inspection ,c 7 ,Inspector d� „z - 'BUILDING PERMIT RECORD i MIAMI SHORES VILLAGE FLORIDA • DA.TS o� APPLICATION r_ Application Is .hereby made for the approval of the playas. -:and. ape d1f"lcdti "orb-- hsY6*1 —t'h .du'ftl*tted" for'the building or” other structure herein described. This application is made in com- plianca' and - -WI the Building Ordinance of the Miami Shores Village, Florida, and all provisions of the Laws of the _St1&n# - -0T ?1otift -- d1l' Ordinances of Miami _Shares Village, and all rules and regulations of the building Depar1t!h6h`t— 6f i "D iree`V page, shall ' be complied with, whether specified or not. OWNER. ARCHITECT f k �: CONTRACTOR • • +�LOT.4 �Il #.►x.f suB zVZSZON sTR T # A �' , 4.ADDITION REPAIRS NUMBER OF STOP, IES_, / ROOF TOTAL COST ► ®C% Building to be used fare and no other use. I hereby submit all the plans and speeifi,cations for said building. Signed1_. STATE OF FLORIDA COUNTY OF DADS ) Before me, the undersigned authority a notary public, duly authorized to administer oat#r}d e ac ledgment,; personally appeared Vj�d p< to me well known, and who, being By me first duly ,sworn, upon as h deposes and says that he is the builder of the above described Construction, that he has read the foregoing application,, and that he id sign the saute, and that facts stated by him are tru e S rn and Subscribed before me, Notary Public (Signed) �• pletaty P,16161 Star, yi • My ir 0 ��Sld'h,��8xpes Cubic Feet Cubic Feet required in this Bloekj��eq ,Li,NN IN G BOARD Chaff f .. 6 Member Building Inspector Permit NO." Issued to t Date t Electrical Pgprmit No. ¢Plumbing Permit No: , { LIST OF 13"U13- CONTRACTORS __Pai nt i;g I Plastering Lathing. Electrical Mason & Concrete Plumbing Roofing Glazing Tile Miscellaneous ' � 1 • MIAMI SHORES VILLAGE' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT y- Permit No.___----- _-- _- _� - - - -- Date_-- _ - -�__. _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 11 �_- - - -- No .- ---- -----—( Street--�--- � -- . Registered Architect and /or Engineer ^---- .--- ------ — --- — //— ------------------- — ------------------ -- q-- ----- ---- - - - - -- Employing Electrician's Name _____ � -------- Street 0 Location and Legal Description Lot ------------ —_ �_ �_ IWI ----- Z-a_ ------- Block ------------ Z_3 ------- _-------------- Subdivision__- _____!s C -- _ —__ -- Street and Number where work is to be performed—No ----------------- ZZJ6------------------ Street --------- State work to be performed and purpose of building (By Floors) New Building--- ------- ----- ------------ - - - --- Remodeling ------- ------- ---- --- - - - - -- Addition ..-- - - - - -- ems- ------------ Repairs-- ----- --------------- - - - - -- No. of Stories..- --- ----- -- - --- Service Overhead Size Feeders. ---------------- Conduit. ----- - ------ Main Sw ------------ ------ Amps. _— ______________ Main 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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are '.icensed by Miami Shores Village. (Signed) ---- - ------- -- - - - -- Master Electrican. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared-------------------------------------------------------------------------------------------- -- -- ---------- -- -------- -- - - -- - -- — - — _ - -_ — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_________________— ---- ------------------------------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ---------- -- -- -- --- --- --- -- ---- --- -- - --•-- -- ---- ------ --------------------------------------------------------------- My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r - 144L SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S No.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. / LIST CHECK -- ENT. SW, DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL C ONTR. LIST CH'ECK Service Overhead Size Feeders. ---------------- Conduit. ----- - ------ Main Sw ------------ ------ Amps. _— ______________ Main 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 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are '.icensed by Miami Shores Village. (Signed) ---- - ------- -- - - - -- Master Electrican. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared-------------------------------------------------------------------------------------------- -- -- ---------- -- -------- -- - - -- - -- — - — _ - -_ — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_________________— ---- ------------------------------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ---------- -- -- -- --- --- --- -- ---- --- -- - --•-- -- ---- ------ --------------------------------------------------------------- My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r - 144L r C MIAMI, SHORES VILLAGE. o ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No----- ------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ------------- J___- - — L --------- - - - - -- No.----- - - - - - -- ----- ----- - - - - -. Street -- - ---- N Registered Architect and /or Engineer — - — - ----------------------- --- -------- ---- ------ -- - - - - -- — - -- - — - — --------- - - - ---- — - — —_— Employing Electrician's Name ____ -___ — --- _____ _ No ------------ _ --------------- - --------- Street ------------------------- Location and Legal Description Street and Number where work is to be performed—No ------------ State work to be performed and purpose of building (By Floors) Subdi New Building ----------------- _--------------- Remodeling--------------- -- ----- - - - - -- Addition ---------------------------- Repairs ------------------- - -_____ No. of Stories..---- --- -- - - -- -- Service Overhead Size Feeders_ _______________ Conduit ----- ___------ Main Sw --------- __ —____ Amps. Underground p _______ Main Fuses____ ------ __ ------ Amps. Type of Installation--Conduit ---------------- Tubing________________ B.X.L ---------------- .Metal Moulding _—_—___—_______— _— ------- _ ------------ _ Amount of Permit $_ L ---- — ------- ---- ------------------ _--- --------- ------- (Signed)Y___S� - _�� -- - -_- --� _ _ -- Electrical Inspector.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ------------------------------------------------- Master Electrican. 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 appeared----------------------------------------------------- ---- ------- --- ----------- - - ---- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -_ --------------- __ --- — ----- _ ---------- _ --- _ --------- _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------------- ------- -------- ------ - - - - -- -------------------------------------- ---- ----------- - ----- ----- - -- - --- ---- °• - - --- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES No.LAMPS REFRIG. OUTLET IRON OUTLET RANGE RANGE OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0-1 HP 1 -5 HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders_ _______________ Conduit ----- ___------ Main Sw --------- __ —____ Amps. Underground p _______ Main Fuses____ ------ __ ------ Amps. Type of Installation--Conduit ---------------- Tubing________________ B.X.L ---------------- .Metal Moulding _—_—___—_______— _— ------- _ ------------ _ Amount of Permit $_ L ---- — ------- ---- ------------------ _--- --------- ------- (Signed)Y___S� - _�� -- - -_- --� _ _ -- Electrical Inspector.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ------------------------------------------------- Master Electrican. 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 appeared----------------------------------------------------- ---- ------- --- ----------- - - ---- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -_ --------------- __ --- — ----- _ ---------- _ --- _ --------- _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------------- ------- -------- ------ - - - - -- -------------------------------------- ---- ----------- - ----- ----- - -- - --- ---- °• - - --- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F PLUMBING PERMIT 41 . `'/ Perms No ------ -- y Date - ,� --------------- - Application is hereby ma a for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - -- �"!Al! /` 1- �:Y!I -!' "t'f4' --------- - - - - -- No.-------- ------- -- ---------------- - - - - -- Street--------------------------- ------------- --- -- - -- - --- Registered Architect and /or Engi r--------- -- --------- - - - - -\ Employing Plumber's Name ---- - Location and Legal Description Lot _________ _______ ___ --------- Street and Number where work is to be performed —N State work to be performed and purpose of building ( New Building ------------------------------------ Remodeling -------------------------------- Addition ------ ----------- Repairs -------------------------- No. of Stories ------------------------ SizeSeptic Tank- ----------- - -- - -- ----------------------- - - - - -- -Type of Tank--------------------------------------------------------- - - - - -- Capacity Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ---------------------------- _ ------------------------------- Size of Soakage Amount of Permit ( Signed 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) STATE OF FLORIDA, i ss. COUNTY OF DADE. j ----------------- - - - - -- 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK DRAIN FIELD -- (SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL SEPTIC TANK CONTR.- LIST CHECK SEWER CONN. SizeSeptic Tank- ----------- - -- - -- ----------------------- - - - - -- -Type of Tank--------------------------------------------------------- - - - - -- Capacity Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ---------------------------- _ ------------------------------- Size of Soakage Amount of Permit ( Signed 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) STATE OF FLORIDA, i ss. COUNTY OF DADE. j ----------------- - - - - -- 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. MIAMI SHORES VILLAGEj- PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.----- `� ---5-- - - - - -- Date ----------- - - - --- - -- -- - - -- - - - - -- - -Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub tted for a building or other structure herein described. This appliedtion is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - - ------------------------ , - - - -- ------------------------------------------ No. '---------- Registered Architect and /or Engineer---------------------------------------------------------------------------------------------------- I Employing Plumber's Name-------------------- / ---- - - - - -- No ---------- Location and Legal Description Lot----------------------------- ----------- -- -- ---------- - - - - -- Block -------------------------------- Street and Number where work is to be performed—No --------------------------------------------------------------------- State work to be performed and purpose of building (By Floors)- New Building ------------------------------------ Remodeling------------- ------------ - - - - -- Street- -,f1 _ -{ --- --- -- - - - - -- --- - - -- -- Subdivision--------------- ---------------- -------- - - - - -- Repairs ..- ___- __- ____----- No. of Stories -------------------------- Size Septic Tank ------ Typeof Tank---------------------------------------------------- -------- - - - - -- Capacity Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from W Nature of Water Supply City Well----------------------------------- _-- _------------ - - - - -- -Size of Soakage r Amount of Permit ( Signed ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ------ - - -. STATE OF FLORIDA, ss. COUNTY OF DADE. ------------ --------------- - - - - -- - - -- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ----_--------------------__-___------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FoUNT'NS TOTAL FIXTURES CONTR. LIST CHECK DEEP SPRKLR. SWIM'G WELL SYSTEM POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER CONTR. LIST - CHECK Size Septic Tank ------ Typeof Tank---------------------------------------------------- -------- - - - - -- Capacity Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from W Nature of Water Supply City Well----------------------------------- _-- _------------ - - - - -- -Size of Soakage r Amount of Permit ( Signed ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ------ - - -. STATE OF FLORIDA, ss. COUNTY OF DADE. ------------ --------------- - - - - -- - - -- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ----_--------------------__-___------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.