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Miami Shores Village Building Department Q)E 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PLEASE PRINT DATE: 1` / o ' 6 TIME: NAME OF PERSON REQUESTING FILE: �AA �A PHONE #: �7Z YOUR ADDRESS: ADDRESS OF FILE REQUESTED: r d INFORMATION REQUESTED: I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: 1 FILE RETURNED TO: INITIAL MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No...A_ t —�f Date ... - -- 8-21-74 __._._.. . 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 4 Name and Address... Le'. o n G. Ca r e l la s 63 Street N. E. 103rd Registered Architect and /or Engineer ...- ....... . _ .._.... _.... .._ .. • ...._ Employing Plumber's Name$rooks .QD No,,..r,. 39....,.. Location and Legal Description Lot Block Subdivtdon .. _ Street and Number where work is to be performed —No. 63 street... N.E. •_103 P d _ State work to be performea and purpose of building (By Floors)_ New Building _.__..._...._... -.-. _- _...__ Remodeling .. — Addition..._....._.._.._..... Repairs__. - -_.. - ..--- _..... No. of Stories...... _ _...... Size Septic Tank _----- ---- -- Type of Tank .-- ..___.__ :...-__...Capacity Gals.._:: Feat of Drain Tile ___ �+�+_ Feet of Task or Drain Field from Well _. �_ _ .. __........_ Nature of Water Supply: City —Well. Well Size of Soakage Pit._ .. .. _.. ___.� _....._.. Amount of Permit $ 8.00 --- Plumbimg 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 5968, 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.-I 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 to be Mu der this permit, as are licensed by Miami Shores Village. Metter Plumber. STATE OF FLORIDA, j COUNTY OF DADE. 5 Before me, the undersigned authority, a notary public, duly audwrized 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 _- -------- ....__. of the above described construction, that he has carefully read the Foregoing application, and that he did sign the sam% 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 M& whm Sm& rewb is meds•aecemary by kwom notice for fusPectim or faultY materials and /or worinmanship. i i . i i CLOS Ra BATH TUSS NOWLRS LAVA • TORIES SINKS SLOP SINKS LAVNDRY TUss URINALS CATCH BASIN FLOOR DRAIN DRINKING FOVNT'NS TOTAL FIXTVRKS CONTR. LIST CHECK SPRKLR. SYSTEM SWIN'O POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAO9 PIT GRQASX TRAP SOLAR HEATER Dump WILL CONTR. x L LIST CHSCK Size Septic Tank _----- ---- -- Type of Tank .-- ..___.__ :...-__...Capacity Gals.._:: Feat of Drain Tile ___ �+�+_ Feet of Task or Drain Field from Well _. �_ _ .. __........_ Nature of Water Supply: City —Well. Well Size of Soakage Pit._ .. .. _.. ___.� _....._.. Amount of Permit $ 8.00 --- Plumbimg 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 5968, 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.-I 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 to be Mu der this permit, as are licensed by Miami Shores Village. Metter Plumber. STATE OF FLORIDA, j COUNTY OF DADE. 5 Before me, the undersigned authority, a notary public, duly audwrized 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 _- -------- ....__. of the above described construction, that he has carefully read the Foregoing application, and that he did sign the sam% 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 M& whm Sm& rewb is meds•aecemary by kwom notice for fusPectim or faultY materials and /or worinmanship. i i . i i � 3 i t J kr lit i • . �. _ «' /' . COQ w � + i ,�,,(.,/,�,'., .%.,' b ( � , 1/.55• 1 gat r f ��•.� G• � � c f � f ( 11 � � � 1 ' .. +�• ., fibre! ��'. -yr �;' ��Q.7i�. � t `i`�y' �e,� `�! fe 'i jj 9 t Jam. wi, (�) � ' ! • !' � � � t .. n. ,Iii �i { .....u.,,. IBM 1 ✓�I Jv �r /' � r w jj, tk MIAMI - SHORES VIL.L�; 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 bull& ing or other structure herein described. This application is made in compliance and conformity with the Build' Ordinance of Miami Shorts Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores ViLge and all rules � 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 at building during progress of the work. Date___ Owner's Name and Address - -- - _Q__,--------- -Q4`�� jQ____�_a�_- _ - - - -_ No..-- ,�_ - -- Street__F3,�G- + - -.__ j Registered Architect and /or Engineer ------- - _ _AR _Q-- __ - - - -- ------ _w_w�__ __ -__ -- Name and address of licensed contractor_____ &C �-- �- �- ___-- �- -� -. =- Location a legal description of lot to be built on q r , Lot-/,Y - 4.'- - �{ Block-- - - -/ ' -: - - - - - -- Street and Number where work is to be done - __-- ___.._�__ State work to be done and purpose of building (by floors)__- /7%1 -5� _�___�J�.2__ -._��- ►• E --- - - - - -- - - - -- --- - -- - - - -- - - -- - -- - -- -- - - - -- - --- - - - - -- - - - -- - - _ - - __ _ - - -- - - _and for no other purpose. New Building ----- --- '�- ----------- Remodeling -__ -__- -- - -__ :- 'tion_- ____________ -_ Repairs -_-- - ----- _ - - - -- No. of Stories-----*'—"----- To be constructed of_ �'�_ __'_ Kind - _s?_tlC1!ef___ ____ Roof Covering_rL? _ ... Estimated Total cost of impr /ovements __Amount of Permit Zone cubage required - _-- f- --f -Qfl _ Plan Cubage - - -- - r -- { - -� Distance to next nearest building _ -_ -_ __C�___z /' _______ -"size of Building Lot— .-- _�- _____f ��!__ _ -- _ -____- Maximum live load to be borne by each floor ----------- � f4? --- - - - - ----------------- - --------- - - - --- - -- -- ---- -- ---- -- -- -- - -- - - - I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to1�l / �.jQ�,�- - l Ql✓5 1e 4�5 12Lf--- - - - - -? r (`i�1% �'Y+l- �✓�ll��F__�GQ _ 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 Su t, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em oy 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 ublic notes or notices as are required by the Act. The undersigned agrees to employ only such s ctors, on work to perform under thik permit, as are licensed by Miami Shores Village.t Remarks - - - - -- --- - - - - -- --- - - - - -- -- ------------------ - --- - - - - -- --- - - - - -- -- (Signed) -- -------------------- -- - STATE OF FLORIDA, COUNTY OF DADS. ss. Before me, the undersigne ority, a notary public, authonzed t ad r oaths and take acknowledgments, personally, ap. ed - --- - - - --- - - ---- - -..�'- - - - _s_��_� -- - - -- -- -- - - =- - _ —_ _ pP�t' , ._1A--- y —`a — -- -- - - - - - -- ------ -- ---� --- -- — — — — — — — — _t0 me well, and o,, being by me first y sworn, upon oath deposes and says that he is the-------------- __ ___ ______ -__ ------ - __--------------- r___- - - - -__ - of above' described )n ctio that he has carefully read the foregoing application, and that he did sign the same, and that, all facts therein by him stated;are Pernut No. - -- - - - __ ___ Date_____/ _ -� ____v _____ Read, ubscrIbed before Disapproved --- - - - - -- - - - -- --- - - - - -- Date . Nom' f P Phc, S �to Y A (signed) ------ - -- - - -- -- -------------------------- - - - - -- ----------------- - -- - - -- - - -- r� - pBuilding Inspector My Commission , e t J uCtay c_ - -ai5i-, 1_ ... Y• �w PLANNING BOARD - - - - -- -------- - - - - -- Chairman - -- -- - - - - -- --- - - - - -- - - - -- - - - - - -- --- - - - - -- ----------- - - - - -- Member - - - --- - -- -- - - - -- - - -------------- Member - - - -- --- -- -- -- - - - -- --- - - - - -- - -- - - - - -- -- - - - -- -- ----------- - - Member - - - - - -- - --------- - - - - -__ Member - - - - -- -- -- - Member Council ApprovecL__.- - -__- /__ -- -_�'%► /emade __ -_- _- - - - - -- -Date Disapproved - - ____ -- ----------------- - - - - - -- - - - - - -- - -- ------ - Date NOTE: A charge of $1. will 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. elf 131 N.E. 42nd St, ° Miami, Florida, November 6. 1946. City Council, Miami Shores, Florida, Gentlemen: Reference is made to the decision regarding building , permit for the construction of my home because the plans failed to comply with a recent change in your city, ordinance pertaining to the location of the garage. I desire to make an appeal, and offer the following for your cnnsideration and approval: a. Plans were completed September 5, 1946, and submitted to F.H.A. for approval on September 171f 1946. F.H.A.'s approval of these plans reached me October 15, 1946.' b. Arrangements for financing have been completed and a veteran's guarantee secured. For any change in plans, this whole procedure must be repeated at a considerable loss of time and expense. e. I must vacate the apartment I now occupy by January let. d. I possess a veteran's priority to build, Very truly yours, Leon G. Carellas. i� ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPAN HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL. }EATING aISHKASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE T04'ORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS ► DUCT WORK FLOOR DRAIN SERVICE REPA•IRAUER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS MOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POTA COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 HP TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP -ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS n 1 a l A/C UNIT STRIP HEATER '1. I lC..N 1 FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORM UTILITY -SEWER SIGN TIME CLOCK( UTILITY -WATER FIXTLRES SEPTIC TANK ANNA RELAY TELEVISION OUTLETS DRAINFIELO, f TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN OISCHAR[X WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING `AWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) 3AS PIPING s DRIP LOOP TO DE 10' AFv KJAI N ) ��- � � � �.., • 1L1.�LK Llk r��,.�.. Conductor st¢e Pf. C ondut-t SM e_ tL . Condu2•t i3•'� 1 NBC' _•��� �cu. �ti 1 /Z cotx �' Thr'u r*aof YE; _)C NN0 Ground wlr-c 5b►4MP5 MAIN CIB PANEL • t 14E TER LWevatWnawa r+a rim r, PLASTIC i ewmu c �f `'r' ����tT.I c st - CLAMP *'dR1�11'l Me w4p M114 DISH, 144ECT Rntlnp .160 Asps Main Sub Breakers ' SO AmpgFa r Af c. u nf�- SUB FEEDER 1$UC � Tevae �t2 e�sti'� wi� r�e.w U)100, SUS yl PANEL Bohol Size. a tt i _ IN IDE PANEL Ratov - i _AtnP' 5 Bond Bass , .Wes Loca-tenn_ dQiGt�(R — PER S.F.R.C, 4505.2 (B) ',C0NTRUTO1;. j: SE. # ciS-7cj SIGNATURE 0 NOTARY _ RncroR SAL SEAL ' Dec. 9, 1996 HIM DEPTH ax qtm A 1 F> FR El E: D B Y ' - r-i r-�TnT r S DRIP LOOP TO BE 10' AFv (MIN) II I i r r, r iU:itk Ul< Mm%a I hic�gh-t �� If ' Conclue:or stxe f 0 I #]: -�CV. Conduct size_ conduct -t��- rL .' ► NtC' . - '` _•�3i# �cu• �ti 1 �iZ co rd roof YEs � ._._WO G.-cKjnd %i r-e s.:. a C O . -- MAIN CB . PANEL Z, loam4 MAIN aaa t CIE TE R �..� E CLAMP 44- G TFAR IfW CLAW F11-1ISHEI) GRADE "j _N r MAIN. DISSC.01,24ECT F lino -� � Amps Main � A ^As Sub Breakers 'JCS Ar►F►Y AiG MIA- SUB FEEDER 15,b 6Ae New--,' F&U u3ife SU3 CB Type k'i� s ze = •lZ 1 Sb_ ASP- 1c.0 . Y y. PANEL Bande;__� INSIDE PANEL liond Buss Lc<wtio n 60lfakk _ PER S.F.R.C. 4505.2(B) u ' ,CONTR/&TUR.L1.c • 5 f . # 15-79 SIGNATURE ,RACNORSEL RAPOSO M• omm stun expires, NOTARY '• *. tea +`' Comm. No. MIN DEPTH REMMQ�liN3 f `—� R \// E B F _. r-1 FC- TnTt^ A ! rrTI.: Tr`Tnr Sif YAeclriW Conlraclor, lnc. 5791 S. F Mllh XWB7 11I. ,, HOW 08155 MOW A66- 70,27 L-00D <Av-o 1. eho, +s� Po(Z G3 NE l b Lt N E fo(L K)aW A14 SgSTEI A &k3D 5�2 L ST. DenmLIs - lam sfa- S ict- 6400 vtt. S"ALLA-PPL 0-Int- -3000 Vet. L - LAONMY CYLL • l 5 Ov vq . et clod �p9(7'C��3v7� "1 �� DC ► D Lmv 5 S.vet _ _ _ ti '415 va . 5 000,rq. () •Pu"P .......... 80ovy C5� R �RI�� .. - _ 120 o vet (r,) Arc 9. o k W 8cbo vq . L I me 2g LA 15 A - N etnRAU ve'416NP 15"115 pry - :- 2�0 = to 5 m,4 PS ,SERI I(Ge SpEr, 15 ©eMP s�� edN p�S���c°ra�o• 5 taC � Io �M p ATwc G ) 4Icu 5rlz0 w i 2� C3� � Sud P� 2 OWD &,��pc -c.8 t m )tom -qoNS �1,� �1B6rC- .T Rec -31 �3 Nt&v * 5 L{ S� 35c.�o, 17-CC \5-7 15 %vt .. . .- BRA1leetriW Conlraetor, he 5791 S. F Xih ,Sffff dlAYI,1l0HPU 53155 AlIONT 666 -A927 S U b; OC-n" . L©6p <AV'O (.-Wn0+\� Fc(Z 63 NE l b s� rLA N E fog N M Ale- sgs✓N amp s� L p�rai�s - IQ,� s� � 3�tu• "CAL D ----= C3� DR-11 ER (4) -Puq P (5) RE PRIaeWtiZ (C) A IC g. o tcvJ L.Ime I..voD�flfa�ll�� 5400 va. -300o va• l 5 0-0 vQ . C , `IOC) 5 Ll 15 vci. � 000vq. .......... •. gooey '.8y 15 A- jCRV 1GE 5PE-K, tSoaMP Std fin; pISC- o,,GTcoti -1�• 150 tsM P OATiiq ' GG- w (ag (I-� 1/0 W • SINE (� - cu OEM 5E2� l NAG- s�a P W 2E (3) + Ic0• UNE 2IA 0 5 -AMPS kM1 Qu�� ���ca�rrs� RoBB�Eb� 98'� -3123 5 415* 5k�ovq• 35mA- IAA t 1° E MCG EN mQE ff4G, 9W. M93UM G QMBMMOv P.L P.O. BOX 430373 �� I, FL 33243-MM RESIDENCE REMODELING NEW A/C SYSTEM MIAMI, FL. "COOLING LOAD CALCULATION SUMMARY PER ACCA MANUAL "J" CONDITIONS: INSULATION: 91 FDB, 79 FWB, OUTSIDE WALLS R -0 76 FDB, 50 -60% RH, INSIDE ROOF R -19 TRANSMISSION: COOLING LOAD, BTUH SENSIBLE LATENT WALLS Q =AREA *U(THER. COEFF.) *TDeq Q= 833 *.29 *30 6570 Q= 204 *. 08 *44 718 DOORS Q= 40 *.55 *44 968 ROOF Q= 1710 *.05 *78 6498 SOLAR: (SINGLE CLEAR GLASS) GLASS Q= AREA *OSF *SH.COEFF. *O /H FACTOR N Q =99 *29 2297 E & W Q= 115 *85 7820 S Q =67 *44 2358 INTERNAL HEAT GAIN: DAYLIGHT PEOPLE Q= #PEOPLE *FACTOR r SEN. Q =4 *205 820 LAT. Q =4 *255 102.0 POWER Q =AREA *FACTOR (APPL.) Q =1710* . 8 1368 VENTILATION: Q= #PEOPLE *CFM *T.DIFF. *FACTOR SEN. Q= 4 *15 *15 *1.08 972 Q= #PEOPLE *CFM *HU.DIFF. *FACTOR LAT. Q= 4 *15 *50 *.68 2448 DUCT HEAT GAIN: Q= FACTOR(R- 6) *D.LG. /100 Q =1.4 *900 *40/100 504 TOTALS 24893 3468 GRAND TOTAL 28361 BTUH J HEATING LOAD CALCULATIONS- CONDITIONS: 70 FDB, INSIDE HEATING LOAD, KW 50 FDB, OUTSIDE i HEATING: TRANSMISSION: Q= AREA *U FACTOR *TEMP DIFF GLASS: Q =281 *1 .13 *20 6351 WALLS: Q= 833 *.29 *20 4831 Q= 204 *.08 *20 326 ROOF: Q= 1710 *.05 *20 1710' VENTILATION: Q= FACTOR *CFM *T.DIFF. /FACTOR - INTERNAL HEAT GAIN (L.P.A.) SENSIBLE: Q= 1.08 *1200 *.5 *20 - (3200) 9760 HUM LOAD Q= FACTOR *SHD *CFM r Q= .67 *10 *1200 *.5 4020 DUCT HEAT LOSS Q =1.4 *900 *40/100 504 TOTAL 26998 OR 8 KW EQUIPMENT SIZING: BASED ON THE COOLING AND HEATING LOAD CALCS. USE ONE 3 TON A/C UNIT (34,800 BTUH TOTAL /25,100 BTUH SEN.) WITH A STRIP HEATER OF 10•KW LORIDA ENERGY FICI NC "CO89mHtUILD�1�6sCONSTRUCTION FORM 600A -93 Res ilding Performance Method A PROJECT NAME: RESIDENCE REMODELINGIBUILDER: SN: 2321 SOUTH AND ADDRESS : 63 A9.12 . 1 ® 3 s%- 1 PERMITTING I CLIMATE MIAMI, FL. 1OFFICE: DADE COUNTY (ZONE: 71_1 SIX.1 91_1 OWNER: N LStO(- R"iV E-('P+ 1 PERMIT NO. I JURISDICTION NO.231000 CK 1. New construction or addition 2. Single family detached or Multifamily attached 3. If Multifamily-No. of units 4. If Multifamily, is this a worst case (yes /no) 5. Conditioned floor area (sq.ft.) 6. Predominant eave overhang (ft.) 7. Porch overhang length :(ft.) 8. Glass area and type: a. Clear Glass b. Tint, film or solar screen 9. Floor type'and` insulation: a. Slab on grade (R- value, perimeter) 10.Net Wall type area and insulation: a. Exterior: 1. Concrete (Insulation R- value) b. Adjacent: 2. Wood frame (Insulation R- value) 11.Ceiling type area and insulation: a. Under attic (Insulation R- value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Cooling system 14.Heating System: 16.Hot Water Credits: (HR -Heat Recovery, DHP- Dedicated Heat Pump) 17.Infiltration practice: 1, 2 or 3 18.HVAC Credits (CF- Ceiling Fan, CV -Cross vent, HF -Whole house fan, RB -Attic radiant barrier, MZ- Multizone) 19.EP.I (must not exceed 100 points) a.-Total As -Built points b. Total Base points 1. Addition 2. 3. 0 4. S. 1710.00 6. 1.00 7. 0.00 Single Pane 8a.281.Osgft 8b. O.Osgft Double Pane O.00sgft 0 OOsgft 9a.R= 0.00 174.00 ft 10a -1 R= 0.00, 833.00sgft 10b -2 R= 11.00, 204.00sgft lla.R =19.00 , 1710.00sgft 12a. R= 6.00 , uncond 13. Type: Central A/C SEER: 12.:00 14. Type: Strip Heat COP: 1.00 16. 17. 2 18. f 19. 98.00 19a. 21512.10 19b. 21951.34 ------------------------------------------------------------------------------- ------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I Hereby certify that the plans and specifications covered bylthis calcu- lation are in compliance with the Florida Energy Code. y PREPARED BY: DATE • 6 I hereby certify It' this building is in compliance with the Florida Energy Code. OWNER /AGENT: DATE • Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance in accordance with Section 553.908 F.S. BUILDING OFFICIAL: DATE: ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** saaxxasaasxsassaxssssa- aassaaaasassaassxssaa= xxxxsx= ssana _ aasxxasxsaxassxaas_cs COMPONENTS SECTION REQUIREMENTS -FOR EACH PRACTICE CHECK _ s.= xsaaaassaaxxaassssxsssasasaax__ sssaaxx_ ssxxassxaxxsss ..sssssxxxsx_assxxss_ax PRACTICE #1 606.1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. ------------------------------------------------------------------------------- Windows 606.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). ------------------------------------------------------------------------------- Exterior & 606.1 Maximum of 0.5 CFM per sq. ft.; of door area: solid / Adjacent Doors core, wood panel,insulated or .glass doors only. (/ ------------------------------------------------------------------------------- Exterior Joints 606.1 To be, caulked, gasketed, weather - stripped or other -� &,Cracks wise sealed. ----------------------------------------------------------------------------=-- PRACTICE 42 606.1 COMPLY WITH PRACTICE #1 AND THE FOLLOWING: ------------------------------------------------------------------------------- Exterior Walls 606.1 Top plate penetrations sealed. Infiltration barrier, & Floors iristatled. Sole plate /floor joint caulked or sealed.V -------------------'------------------------------------------------------------ Exterior Walls 606.1 Penetrations, joints and cracks on interior surface & Ceilings caulked, sealed or gasketed.' ---------------------_------------------------------- DuctWork ------------------------------------------------------------------------------- 606.1 ------------------ _- - - - - -> Ductwork in unconditioned space must be sealed Fireplaces 606.1 Equipped with outside combustion air, doors and flue dampers. 4 -----------------------------------------------------------------------------t- Exhaust Fans 606.1 Equipped with dampers. Combustion devices see ?--------------- 606- 1- A---------------------------------------- r1� - Combustion - - - - -- -- 606.1 - - - - - -- Be in unconditioned space (except direct vent), draw Appliances air from unconditioned space, exhaust to outside. Cooking appliances shall be dampered and use intermittent ignition. q� ------------------------------------------------------------------------------r- ** OTHER. PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) ** ------------------------------------------------------------------------------- Water Heaters 612.1 Comply with efficiency.requirements in Table 6 -12. Switch or clearly marked circuit breaker (electric) j or cutoff (gas) must be provided. External or built -/ in heat trap required. V ------------------------------------------------------------------------------=- Swimming Pools 612.1 Spas and heated pools must have covers (except solar & Spas heated). Non - commercial pools must have.a pump timer. Gas spa & pool heaters must have a minimum thermal ------------------------------------------------------------------------------- efficiency of 78 percent. Ae Shower Heads 612.1 Water flow must be restricted to no more than 3 gal - ----- - - - - -- lons per minute at 80 PSIG. ---- ------- ------- ----- -------------------- - - - - -� HVAC Duct 610.1 All ducts, fittings, mechanical equipment and plenum Construction chambers shall be mechanically attached, sealed, ins - Insulation & ulated and installed in accordance with the criteria Installation of Section 610.1.ABC.2 & 610.1.ABC.3. Duct in attics must be insulated to a minimum of R -6. Air handlers shall not be installed in attics unless in mechanical closet. ------------------------------------------------------------------------------ HVAC Controls 607.1 Separate readily accessible manual or automatic . ------------------------------------------- thermostat for each system. - ----------------------------- - - - - -- 602.1 CBS R -3 both sides. Common ceiling & floors R -11. V --- ---------------------------------------------------------------------- - - - - -- * �rr�**', k�*** �a►+ t* w* �, rw�*** , t** , a * *�► * *,a,a�,► *�,w,►,r,r,r * *� *� x. t*, a* � * *.�.t * * * *�,�� *+. *wat�,��►,w� .0 SUMMER CALCULATIONS 4.20 *** �, r* �, w*.,►,rr ���, ��, t�,.* �, t« ����.* � *�� * *� *,�,�f # * *a.�,r * *�� * *�. ** *mot * *�� *at.. # *�,�,�,r * *��� *,r BASE __- I 204.0 =_= AS -BUILT 204.0 Ext Wood ILASS---------- - - - - -- 1 9.40 188.0 Adj Wood iRIEN AREA x BSPM = POINTS I TYPE SC ORIEN AREA x SPM x SOF POINTS ------------ ------------------------------------------------------------------- N 99.00 109.7 10860.3 1 SGL CLR N 45.0 64.5 .90 2615.5 1 SGL CLR N 54.0 64.5 .94 3265.3 E 65.00 :109.7 7130.5 I SGL CLR E 65.0 136.3 .9� 8121.2 S 67.00 '109.7 7349.9 1 SGL CLR S 67.0 135.6 .89 8106.0 W 50.00 109.7 5485.0 I SGL CLR W S0.0 136.3 .92' 6247.1 ----- - - - - -- -------------------------------- 15 x COND. FLOOR / TOTAL GLASS = ADJ.- x - - - - -- ------------------------- GLASS = ADJ GLASS I GLASS AREA 'AREA FACTOR POINTS POINTS I POINTS ------------------------------------------------------------------------------ I15 1,710.00; 281.00 .913 30.,825.70 28,138.05 1 28,355.10 ION GLASS------ - - - - -- I AREA x BSPM = POINTS I TYPE R -VALUE AREA x ;$PM = POINTS 1ALLS---------- - - - - -- I pxt 833.0 1.6 1332.8 1 Adj 204.0 1.0 204.0 1 . I )OORS---------- - - - - -- 1 rxt 20.0 6.4 128.0 1 idj 20.0 2.6 52.0 1 I :EILINGS ------ - ------ I IA 1710.0 .8 1368.0 1 1 'LOORS--------- - - - - -- I >lb 174.0 -20.0 - 3480.0 1 INFILTRATION--- - - - - -- I Ext NormWtBlock In .0 833.0 4.20 3498.6 Adj Wood Frame 11.0 204.0 1.00 204.0 Ext Wood 20.0 9.40 188.0 Adj Wood 20.0 3.80 76.0 Under Attic 19.0 1710.0 1.50 2565.0 Slab -on -Grade .0 174.0 -20.00 - 3480.0 1710.0 14.7 25137.0 1 Practice #2 1710.0 14.70 25137.0 DOTAL SUMMER POINTS 1 52,879.85 1 56,543.70 TOTAL x SYSTEM = COOLING I TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING 1:UM PTS MULT POINTS I COMPON RATIO MULT MULT MULT POINTS 52,879.85 .37 19,565.54 1 56,543.70 1.00 1.070 .280 1.000 _16,940.49 �aaa*' aaaaaaaaaaaaaaaaaaaaaaaa* aaaaaaaaaaaaa* aaaaaaaaaaaaa *aaaaaaaaaaaaaa *aaaaaa WINTER CALCULATIONS aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa* aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa BASE __= I __= AS -BUILT =_- a= a= s==== as==== s== a= a= aa==== s= a==== s=== ssas== a= s =aaa= a= =aasaaa= s= saaaa= aa_aa = == GLASS---------- - - - - -- I ORIEN AREA x BWPM = POINTS I TYPE SC ORIEN AREA x WPM x WOF = POINTS - - - - - -- ------------------------------------------------------------------------ N 99.00 -.4 -39.6 1 SGL CLR N 45.0 3.7 1.04 173.9 1 SGL CLR N 54.0 3.7 1.03 206.0 E 65.00 -.4 7 - 26.0'1 SGL CLR E 65.0 .1 2.85 18.5 S 67.00 -.4 -26.8 1 SGL CLR S 67.0 -2.0 .88 -118.4 W 50.00 -.4 -20.0 1 SGL CLR W 50.0 .1 2.85 14.2 ------------------------------------------------------------------------------- .15 x,COND: FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS L GLASS AREA AREA FACTOR POINTS POINTS I POINTS --------------------- ----------------------------------------------------------- .15 1,710.00 281.00= .913 - 112.40 - 102.60 1 294.23 NON-GLASS ------------ I AREA x BWPM = POINTS 1 TYPE R -VALUE :AREA x WPM = POINTS --------------------------------------------------------- I----- - - - - -- --- - - - - -- WALLS---------- - -- - -- I Ext 833.0 .3 249.9 1 Ext NormWtBlock In .0 833.0 1.90 1582.7 Adj 204.0 .5 102.0 1 Adj Wood Frame 11.0 204.0 .50 102.0 1 DOORS---------- - - - - -- t Ext 20.0 1.8 36.0 1 Ext Wood 20.0 2.80 56.0 Adj 20.0 1.3 26.0 1 Adj Wood 20.0 1.90 38.0 �I CEILINGS------- - - - --- I UA 1710.0 .1 171.0 1 Under Attic 19.0 1710.0 .30 513.0 I FLOORS--------- - - - - -- I Sib 174.0 -2.1 -365.4 1 Slab -on -Grade .0 174.0 -2.10 -365.4 INFILTiATION--- - - - - -- I 1710.0 1.2 2052.0 1 Practice #2 1710.0 1.20 2052.0 TOTAL WINTER POINTS f 2,168.90 1 4,272.53 TOTAL x SYSTEM = HEATING I TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS I COMPON RATIO .MULT MULT MULT POINTS ------------------------------------------------------------------------------- 2,168.90 1.10 2,385.79 1 4,272.53 1.00 1.070 1.000 1.000 4,571.61 WATER HEATING BASE ___ I __= AS -BUILT a=aasaa==aaaa===aao==aaaaaaa======acasaaasasaaa=aa=c===aaa=csaa=sn=a==oaaa===== NO HOT WATER SYSTEM WAS INCLUDED IN THIS ADDITION SUMMARY ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** BASE __= I =_= AS -BUILT COOLING HEATING HOT WATER TOTAL I COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS I POINTS + POINTS + POINTS POINTS ----------------------------------------------------------------_--------------- 19565.5 2385.8; .0 21,951.34 1 16940.5 4571.6' .0 21,512.10: * EPI 98.00 * * * * * * * * * * * * * * * ** For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for DCA Form 600A-93 or Form 60OB -93 ENERGY GUIDE EPI= 98.0 0 10 20 30 40 50 60 70 80 90 100 I-----------------=------------------ - - -X -1 The maximum allowable EPI is 100. The lower the EPI the more efficient the home RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE WINDOWS .....................Single Clear INSULATION .................. Ceilingi R- Value......... 19.0 Wall R- Value......... 0.0 Floor R- Value......... 0.0 AIR CONDITIONER ............. SEER ...................... 12.0 HEATING SYSTEM .............. Electric COP ............. 1.0 WATER HEATER................ Electric EF .............. 0.00 Gas EF .............. 0,.00 Solar EF .............. OTHER FEATURES .............. Low Efficiency High Efficiency SINGL CLR DBL TINT IX--------------- - - - - - I R -10 R -30 1--------- X------ - - - - -I R -0 R -7 IX--------------- - - - - - I R -0 R -19 IX--------------- - - - - - I 10.0 SEER 17.0 1 ----- X --------- -- - - - - -I i 2.50 COP 4.19 iX--------------- - - - - - I 0.88 I-------------- 0.96 --- 0.54 1---------------- - - - - -1 0.90 0.40 1---------------- - - - - -1 0.80 - - - - -I I certify that these energy saving features required for the Florida Energy Code have been installed in this house. Builder Address: Signature: Date: City /Zip Florida Energy Code for Building Construction - 1993 Florida Department of Community Affairs FL -EPL CARD93 Permit No._._.._. ---al Application is hereby made structure herein described. I and all provisions of the Las of Miami Shores Village shi building during progress of i Owner's Name and Registered Architect and /or. Employing Plumber's Name. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P MIT r the approval of the detailed statement of the plans and specifications herewith submitted for buil ding other s application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division bebc omplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at .—__.—. No. 3 h- Street_ Location and Legal DBsoript�on ® Blocir Subdivision...... _ Street and Number where work is to be performed—No. S State work to be performel a� purpose of building (By Floors)_ New.Buildiag ..__.,..- Remodeling Addition -. Repairs- - . ..... __.._ -- No. of Stories ... ...... _._ ..... _ -- Size Septic Tank — Type of Tanti _ ___ .___._.__Capacity Gals..._.__-._.__ „ .. __•_ -___. ecc Feet of Drain T �* Feet of Tank or Drain Field from Well__ Nature of Water Supply: Cl --Well. -Size of Soakage Pit-- Amount of Permit $ - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Wor)maen'� Compensation Act, being Section 59M, 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 postern' for inspection on the site of the wor ch public notice or notices as are required by the Act. The undersigned agrees to only such sub - contractors, on work to X err ormed under this permit. as. are lick by Miami Shares Village. (Signed) STATE OF FLORIDA, t as. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duty authorized oaths and take acknowledgments, peponally appeared to me well known, tared who, being by me first duly sworn, upon'oathdep poses and-says that he is the __ _ _� _�___ ....... of the above described ruction, 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 Bach rainspecom is made•necoom y by improper notice for inspection, or faulty materials and /or w0donans 9ATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIMB SINKB SINKB TUBE URINALS BASIN DRAIN FOUNT'NB FIXTURES CONTR. LIST CHECK SEPT16 SEWER ! DRAIN .SOAKAGE (GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank — Type of Tanti _ ___ .___._.__Capacity Gals..._.__-._.__ „ .. __•_ -___. ecc Feet of Drain T �* Feet of Tank or Drain Field from Well__ Nature of Water Supply: Cl --Well. -Size of Soakage Pit-- Amount of Permit $ - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Wor)maen'� Compensation Act, being Section 59M, 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 postern' for inspection on the site of the wor ch public notice or notices as are required by the Act. The undersigned agrees to only such sub - contractors, on work to X err ormed under this permit. as. are lick by Miami Shares Village. (Signed) STATE OF FLORIDA, t as. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duty authorized oaths and take acknowledgments, peponally appeared to me well known, tared who, being by me first duly sworn, upon'oathdep poses and-says that he is the __ _ _� _�___ ....... of the above described ruction, 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 Bach rainspecom is made•necoom y by improper notice for inspection, or faulty materials and /or w0donans r r r r i MIAMMI SWRES VILLAGE, FLA. 5753 r r c r 10B r r ADDRESS, INSPECTION r 1 TIME READY Aim 'a. r r r REMARKS: f r r r a r INSPECTOR LOY! -,.r DATE 2.2 Y• r r I mma SMOKS VI AJW ��s�119 Go0171so� A30.4 L n 6 hereby V* for s c adffcm to re- occupy the sine &mRy residence lma" as : (sddran) rg�L) Aluu-)- e srmvs, rte. Lqd l G Lot: Heock o4 L PB a PG: I hereby certify that I wdentod that the mWaS of the pr+aprrty is for *0*-W* mMwW use and rbat it is Ew mo.e than om fam* m redde thecae. I dso Wddastand that suy Cavficm ofR&O=qamcy that my 5e hawed byMm Mow Vlbm caffin ody that the aWOM retued property is bdg used for sisoglr pff poses and that such Ceftata doe ,sot constitute any rep ust atia , errerraaty or cadfadon as to the com don of the dwdft or otter structures oat such propaty. rat / Date Ov Print Name For purposes of conduc&S the boa regavd by Seciba 902 of tbye bfim Shores Land D"" mat ad Za=S Code; pkm MUM Buyer Betty _____,_ Compw Name AnAa tion Fee (S30) ps& Cash Ck* No. FRANK LuBIIIoT _X APRIL 13, 2000 PAGE I OF 2 f 3 L• 0 i7 • Tff 'Tum Oa bebalfofHami Shores Pillage, Florida, the undersigned certifies that the pmep M descnbed in the above application has bem inspected for purposes of rereCC mcy Pumma to Sections 901 and 902 Of the ,iVFiami Shores Land Deretopment and Zomag Code and tlu such PrOPMY may be rc- oceupied by the above applicaat for su,Sje -famgy resider W purposes. MIANU SHORES VIUAGE, FLORIDA r EY' _q rlOv Date of CerdSc&tien: AIL 13 , 2000 THIS CERTIFICATE YERwXS THAT TBE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VXLAGE AND HAS BEEN DE TO PRESS nY COMPLY WITH THE SCHEDULE OF REGULAZIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTADUNG SOLELY TO THE REQ T_qAT EACH ONE FA�MII.Y DWELLING IS USED AND 1NI NDTr I'O BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS.TO THE co\..v ?ION OF THE DWELLING OR OTBM STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDMON, AND INTERESTED PERSONS ARE AD4ISF.D AND ENCOURAGED TO MAKE THUR OWN INVEC17ON OF THE PREMISES IN ORDER TO D THE CONDTIION, THEREOF. PAGE 2 OF 2 DATEJIME FAX NO./NAME DURATION RESULT MODE TRANSMISSION VERIFICATION REPORT 04/13 11:34 93057542303 00:00:49 02 OK STANDARD EGM TIME : 04/13/21W 11:35 I i ado ��� I jai 76,01 I I th c u too � to o�,Gl � � I . . • �or�o � I � i PERMIT APPLICATION FOR MIAMI SHORES VILLAGE C% Date i 3 - `'Job Legal Description Owner Lessee / Owner's Address_ Contracting Co Address & 3 �,/ e I 0 3 C. es Qualifier f Awikomsj &niat sslp Phone 8 91 36 `16 # Ins.Co. _ Address Address Address DING MECHANICAL ROOFING! PAVI14G FENCE SIGN timated Cost(value) 0 O©• do E OF COMMENCEMENT AND YOUR FAILURE TO DO tOVEMENTS TO YOUR PROPERTY (IF YOU INTEND DER OR AN ATTORNEY` BEFORE RECORDING YOUR to work and installation aslindicated above, and ify that all work will be performed to meet the this jurisdiction. I understand that separate :NS, POOLS, ROOFING and MECHANICAL WORK. ig information is accurate and that all work will ulating construction and zoning. Furthermore, I ,.k stated. Signature of Contralet)or or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY TOTAL DUE f 5d Other J Electrical Engines ring i d h.- C'or �eflroewkS aNLy J This property described as: Lot 18 and the West } of Lot 19, i Block 123, Z• AN AMENDED PLAT OF SECTION NO. S OF MIAMI SHORES, according to the Plat 1 thereof, as recorded in Plat Book 10, Page 47 j of the Public Records of �T IDade County, Florida. pc.�Ner L4 .A (Nplfsi Dr' Zor5 4 i � �+Z,a � t fit -"""mow -- .,�....�+ -r Lot 18 &- z of 19, Block 123, Iiams Shoers Section 5 63 N.E. 103rd Street iEstimated Cost 810 000.00 j o Complete 1/1/47 *41' `6 o' G I Y6-xa A 17150* 'Ocoee /V A 0 x • /Zalo, 'a ell OF. SN 7� FJ MIAMI SHORES VILLAGE �3�%� D PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ z -%67�;, ._ 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 Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares 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 c /. EMP10ft Plmb@eg Location and Legal Description Lot------ vl�on. Street and Number where work is to be perfarmed— No - -- S State work to be performe8 and purpose of building (By Floors) New Building Remodeling Addition---. Reprlira_�._......_._..._ Ne. eF Statics CONTR. LIST CLOSETS TUSs SHOWERS TOR199 SINKS SLOP SINKS LAUNDRY URINAL/ CATCH FLOOR TURS BASIN DRAIN i�� DRINKING POYNT•NS TOTA L FIXTURES TOTA CHECK CONTR. LIST SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP SPRKLR. SWIN*Q WELL SYSTEM POOL CHECK Size Septic Teti Type of Tank __ --Capacity Cale.__. . Feet of Drain IS _._.Dist Feet of Tank or Drain Field from Well_ Nature of Water Supply: Soakage Pit_.._. Amount of Permit $ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a under the Florida Workmen's compensation accepts his obligations as an employer of labor pensation Act, being Section 8988, Compiled General Laws of Florida Permanent Supplement, and has com- plie4 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 required by the Acct. The undersigned agrees to employ only such sub -con public notice or notices as are licensed by Miami Shares Village, work 'to be armed t, as are STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath d9mies and-says that he is of the above described construction, that he has carefully read the foregoing application, and that he did sign e - therein by him stated are true. !in th 0. that all fads My Commission Expires Notary Public, State of Fk dda NOTE: A re- inspection fee of $1.00 will be made When! SO& r640speot = I@ made•asoeesary by improper notics for sp y or faulty materials and /or warlinanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 1� / ® 19� Owner's Name and Address ! �.� h l_ -G Ire /14 s No. 013 Stree& E l Z3 5-_ -_ Registered Architect and/or Engineer G W IV C– A Name and address of licensed contractor / ' ` 3 / T A, Lr Location and legal description of lot to be built on: Lot Block / �C Subdivisionne2 Street and Number where work is to be done_ State work tobe done and purpose of building (by %'_' to Q /'�BAw r NC j 0 )rs), state exterior colors (submit samples) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1b be constructed of Kind of foundation Roof Covering A—Estimated 1btal cost of improvements $ [ �� ' Amount of Permit $ '1�.fz— Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor Cubage of Building I hereby submit all 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 obligatons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and 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 ploy only�$uch eul}eo¢ tractors, on work to be performed under this permit, as are licensed by Miami Shores Village u„ �[ ��/ A Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. Iss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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, tthhjat he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true- on Permit No. V °` a4. / D 149 Read, Sworn to and Subsmbed before me. Disapproved Date (Signed) Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. POWER OF ATTORNEY Prepared by* LUIS R. SAIVURZ, xsq. This Power of Attorney is made on September 2, 1996, BETWEEN.- the Principal, Werner Rivera whose address is 1063 A Sheridan Avenue Elizabeth, New Jersey 07202 individually referred to as '7" or 'sny'; AND: the Agent, Nestor Rivera Mercado and Mercedes Cruz Ortiz whose address is 63 N.E. 103rd Street, Miami Shores, Miami, Florida 33138, referred to as 'You': Grant of Authority. I appoint You to act as my Agent (called an attorney in fact) to do each and every act which I could personally do for the following uses and purposes: POWER TO PERFORM ACTS. To exercise, do, or perform any act, right, power, duty, or obligation whatsoever that I now have or may require the legal right, power, or capacity to exercise, do, or perform in connection with, arising out of, or relating to the maintenance, upkeep, repair and general well being of property known as 63 N.E'.103rd Street, Miami Shores, Miami, Florida 33138, including the absolute right to conduct any business regarding the above property, including also the right to apply for and receive building and/or construction permits. I grant to my said attorney in fact full power and authority to do and perform all and eveiv act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and powers herein granted, as filly to all intents and purposes as I might or could do if Personally present, hereby ratifying and confirming all that my said attorney in fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. REVOCATIONAND SUBS7I7U770N I retain the right to revoke this Power of Attorney. You may also revoke this Power of Attorney. You may also appoint a new Agent to take your place. I approve and confirm all that Your or your substitute may lawfully do on my behalf. DISABILITY Definition ofDisabilily- (1V.J.S.A. 46:2B -8b) A principal shall be under a disability if the principal is unable to manage his or her property and affairs effectively for reasons such as mental illness, mental deficiency, physical illness or disability, advanced age, chronic use of drugs, chronic intoxication, confinement, detention by a foreign power or disappearance. Taffies Effect Regardless ofDisability. This Power of Attorney is effective now and remains in effect even if I become disabled (as defined above). Signatures. By signing below, I acknowledge that I have received a copy of this Power of Attornev and that I understand its terms. Witnessed by. J. STATE OF NEW JERSEY, COUNTY OF UNION ssa az-p�� AII WERNER RIYERA -- I CERTIFY that on September 2 ,1996, WERNER RIPERA personally came before me and acknowledged under oath, to my satisfaction, that this persona (a) is named in and personally signed this document' and (b) signed, sealed and delivered this document at his or her act and deed. TANIA J SAN Notary Public of Ae State of New Jersey 1ML . M=MM0FN8NJW W LION EXPIRES WXH it.1998 AUG 1 `96 10:39 FROM YALE O,GRON MFG. TO HOUSEOFWPO PAGE.001 METROPOLr. ETgq- OAC�PLAG EA,BUILDIW METiRo DADE F AGLER tK"a 1a0 WEST FLr&Oa A STREET MIMA. FLORIDA W30-ISM SM PRODUCT CONTROL NOTICE OF AC�,PTANCE FAX 3-s, �4oe� tA1TE=A1'1 . mdmV10shwo«.nat Male Clgrod manufacturing Co. PRODUCT GoNTFK& SEC 671 West A Street (3m) V54m malesh FIB 33010 FAX 13061 a" Your application for Product Approval of: series 4060 - Aluminum Sliding Glass Door the me of Altematc Magerials and udder Chapter 8 of the Metropolitan Dade County Code governing do and completely described in the piano, ificatians artd calculations as submitted b?�^ Types of Construction, or Ias&g. me Section S ,g ppl.canl, along whin Drawing No• }F &12, Sheets 1 and Z of x. iF of this Notice ofAcceptance) approval shall not be valid after the expiration date stag below. The O� Code r•�P� f°'' This apps uct or material at anytime frmn a jobsttt tm' Code reserves the right to secure this prod , in the aped Winer, the quality control testing. If this product or o amend the � sad► t� immediaBm Compliance Office may revoke, modifp, to the South Florida applicant shall re- evaluate this product or material should any C� G�pliance 4$ite � Code he enacted affecting this product d material. The $wilding liame Office that this the right to revoke this approval, if it is determined by the Building COQ Comp 'al fails to meet the requirements of t� SOS Florida Building Code• The of product or material such testing will be incurred by the manufacturer. Acceptance No.:16- 0514,4 (Revises es Na.: 95-0515.10) 4arpmp Expires-..07/11/99 Product Control supervisw ET SEE ApDITIONAL PAGES FOR SP>ECMC AND GENMAL wi3tc tC THE CUVE�IiE i r.- ..._ :�, A A,_w __ WIWI 1 111.07 DULDING CODE COMMITTEE titan Dade County $trildisng � has been reviewed by the 1Wetrvpo This application for Product Appro approved the Building Code Conittee to be used iu Dade Code Compliance peep�nent and appro by County, Florida under the conditions set forth aboN ' f -l- Approved-.07111/96 Director Building Code CA=0120= Dept - Menopolitan Dade Cow AUG 1 095 10:40 FROM MALE OGRON MFG. , 0 TO HOUSEOFWDO PAGE.002 ACCr,rTANC>E NO-1 APPROVED : 1 +� 1 1996 EXPIRE -S Jt11. i i 1999 R - e i M 1. DESCRIPTION OF UNIT 1.i This approves an for sliding glass door designed and tested to comPly %nth the South FlorkLA Building Code, 1994 Edition for Dade County, far the locatiortc � +'here t� P�u� ��". � determined by ASCE 7 -88 "Minimum Dcsign Loads for Building and C)t� � tT"'�t�titrn � � �� t� Design Pressure Rating values in Section 7 and within the limitation on 1,2 MOdei D":1g rat1M- Series 4000 Aluminum Sliding Glass door 1.30y dL i . 15' 10 -5/8" wide by T 11 -314" high x 5 -1f2" deep- JA WIf gur f -MUL OXXO i.$ Ito. Size tafP�tneis_= Four on three tracks: Two center moving pals (sliding to the sa=ne sue) arc. 40 -3/4" by 94 -5116" high and 48 -9/16" by 94 -5/16" high: both end l;7 ed panels are 48 -3l4" by 9`� -�1d "• 2. MATERIAL CHARACTERISTICS 2A I and Door Panel Matet4a4 Aluminum alloy 6063 -TS. 2.2 GItzing 3/16" tempered glass - 2.2.1 Glazing lVlBLWAl: Full lire, tration usin a flexible del 2.2.2,.�2g' ethod: Charutel gland with 112' EInB penc 8 vinyl glazing bead. 2.2.3 AntaLnum Each lite appr0ei=1ely 45" wide by S9" high. 2.3 P'r�lstru+r� tion: 2.3.1 s A 1.187" face x 5.312 deep x 0.62" wall thickrtm extruded aluminum ? AUG 1 156 10:41 PROM YALE OGRON MFG. TO HOUSEOFWDO PAGE.003 Yale Og ron al g, Q. ACCEPTANCE No.: 90.0514.02 APPROVED EXPMW A 1 1 logo - • N0TICE OF ACCEEjA CE• SPECIFIC Ct ONiUt"C[ON'S 2.4.3 • Panel comets are butt joinod: tno +g paaael bottom comers at emeis i secured with one #10 x 7 /8" machine screw. each top panel Comet' and fixed panel b s secured with one #10 x I" PH SMS. 24 W-eathoo[Wpo '` Des-cidation Location 2.5.1 Single tow file with integral plastic On At each panel intorka stile. 2.5.2 Double row Pile with integral plastic fin At each fixed panel jamb stile. 2.5.5 Double mw Pile with integral plastic fin At each panel top. moving bottom rail std as lock stile. Quagft noldagon Locafts 2.5.1 Four Single adjusmble metallic wheel One at fatly end of each moving paid. in metallic housing. 2.6.2 One Surface mmttt =,Wlic hook lock At moving pad lock stile, 39" from I nd . 2.6.3 Eight Plastic guide. One at each end of raeh top rail. 2.6.4 Two 3/16" diameter stainless steel One at eah set of horlock stiles. at 93" from security pin bottom. WE = I. M - None 2.9 afarcement: Quanft 2.9.1 Two 3/4" x 1 -1/2" x 1/8" x 4" long In frame sill. am at exterior side of eacfi odt alum. retainer clip angle - ofpml interlock stilts. securw to ftaaae sill with three #i0 x 1 S -2a* .. . R .4< 2.7.1 Nine 1/2" x 1 /g" weep hole At+ kxiottmek. 18-1/r from ends and 21 -3W C-C-- 2.7.2 Nine 1/2" x 1/g" weep hole At uack, 2" f co ends and 21 -318" o c.- 2.7.3 Nine 112" x 1 /8" weep hole At Wtemwfiaft tracL 15.1/4" from ends MW 21 -3W o.c.. 2.7.4 Nine 2.7.4 1/2" x I/g" weep hole At interio t ttatk. l3 -1 /i" fiwn ends and 21 -3W ox- M - None 2.9 afarcement: Quanft 2.9.1 Two 3/4" x 1 -1/2" x 1/8" x 4" long In frame sill. am at exterior side of eacfi odt alum. retainer clip angle - ofpml interlock stilts. securw to ftaaae sill with three #i0 x 1 S -2a* .. . R .4< AUG 1 196 10:41 FROM YALE OGRON MFG. i(At Ogmn Mfg, Co. TO HOUSEOFWDO PAGE.004 ACCEPTANCE No.: 9-fin05a.tl'2 -- APPROVED : A 1 1 19% EXPIRES i 1 1, 1999 • )" W KU Ell 1 2.10 Sealants; • Each installation screw, perimeter oreach angle. fixed panel bottom rail to frame sill, rash frame corner and each panel corner semn am sealed with white or aluminum colored sealant_ S ►J"Uft — - gri tin_ Lmiku 2.10.1 Four 7/8" x 1 -1/2" adhesive back pile pad At trame head and sill. one above and orre below each set of interlock stiles, 3. LIMITA`1"IONS 3.1 This approval applies to single unit applications only, as sho < <ri in Section 10. 3.1 Other configurations allowed: OX, X70, OXO 1.314ead receptor is not allowed to be used in this installation - 3.4 For Design Pressure Rating vs. Door Size, sec Comparative Arrtigsis Tables in Section 9. 4. INSTALLATION 4A Strews and Method of Anne ment SILL Double Rows of 3116" Flat Head Topcons located 6" from comers. 6' on ea�eh tick Of each interlock centerline and the rest at 20'' o_c. tnax. Min. penetration shall be: 1.3/8'" in wood buck and 1 -1/4" into masonry. HEAD Same as above. JAMBS : Double Rows of 3/16" flat Head Tapcons located 6" from comers and the rest at 20"' o.c. mar. Min. penetration shalt be: 1 -3/8" in *ood buck xd 1.114" into masonry. lr ixtd Panels: Each fixed panel jamb stile is anchored to flame Jamb ,%%ith three 2" long extended alum. clips (Part #YE -340) located at 20" front top and bottom and one at midspan, each smur+ed to frame with one # 14 x 1 -114" SMS. Two t -1/8" x 2" x 118" x 3" long alum. angles ire frame sill (interior), one at midspan oreach fixed panel bottom rail, secured to sill with two 'N- 10 r 1' RH SMS and to rail with two 410 x i" FH SMS. One 1 -1/2" x 2" x 118" x 1" long alum. angle in frame 611 at bottom of fixed panel interlock stile, secured to frame with four 010 x I" SMS and to stile "v'rth one corner panel a"Mbly screw and one #10 x i" SMS. Two 3/4" x 2" x 1 /8" x 1" long alum. angle in f mire head. one at top of fixed panel Wuxiock and one at OXO stile, each secured to frame head using two A 10 x f " SMS and to stiks with one corner assembly screw and one #10 x i SMS. Two 2" x 2" x 1/8" x 1 -114" long alum- angle in frame sill. one at bottom of OXO stile and one on opposite side of OXO stile on interior. each seemed to frame and stile with two 0 10 x 1" SMS. One 2" x 2" x 118" x 1 -114" long alum. angle in frme head. at OXO stile on interkw. secured , to frame and stile with two #10 x 1' SMS. Note• Pleasesee nn #11 Pages Man Perez. P'.E Phm Product Control Division -2b- AUG 1 '96 10:42 FROM YALE OGRON MFG. • • W , Ii LL TO HOUSEOFWDO PAGE.005 ACCEPTANCE No.: %tQS 14.0' APPROVED - JUL, IJ I_. EXPIRES . A L I 1 1,!99. , 4.2 Limit shim space to a maximum of 1 14 ". 4.31 Attachments of sub -bucks shalt be designed by the Architect or Engir= of Records and must be in compliance with the South Florida Building Code. 4.4 Fasteners must have their own Notice of Acceptance and must be made of stainless steel or have adequate protection against corrosion, per DIN 50018. Aluminum contacting metals not conskk w compatible shall be properly protected- 5. 10ENTIFICATION 5.1 Each unit shall bear a permanent label with the manufacturer's rMne or logo, city. state and following statement: "Dade County Product Control Approved ". 6. USE 6.1 Application for building permit shall be accompanied by tv-v copies of iht foilouing: 6. 1.1 This Notice of Acceptance 6.1.2 Completely dimensioned drawing showing size and loation- including height aWve grade of opening to receive door, meant roof height, length and width of building. 6.2 The Building Official shall ensure the adequacy of door to meet the pressure mequiminent of ft opening in which it is to be installed. 6.3 JXo The installation of this unit will require a hurricane protective systese. 1. TkSTS PERFORMED RESULTS: R INFILTRATION @ 1.52 PSF 0.0 CFMMT; ---- -•-- -- '13C PA 202 -94 (0.34 CFM/F'C'-) M -139 3 41FORM STATIC PRESSURE DESIGN LOADS ?d5.3 PSF PSF VC PA 202 -94 POSITIVE 30 Seconds FTL-1393 FTL -1393 41FOKM STATIC PRESSURE DESIGN LOADS .05? PSI: -45.3 PSF 'OC PA 202 -94 NEGATIVE 30 Seconds FTL-139, FTL-1393 ATER RESISTANCE (PSF) +7.50 PSF +50.0 PSF sc PA 202 -94 M- 1393 F L -1393 41FORM STATIC PRESSURE FULL TEST LOAD 40.0 PSF +45.3 PSF '8C PA 202 -94 POSITIVE 30 Seconds FTL -1393 FTL -1393 41FORM STATIC PRESSURE FULL TEST LOAD -0.0 PSF .45 .3 PSF '8C PA 202 -94 NEGATIVE 30 Seconds FTL -1:43 rt"1•L -139 CED- ENTRY RESISTANCE (FUR) SATISFACTORY -• - - 'dt PA 202 -94 &. 3603.2(b)(5) M -1393 estgti Presadre Rating (Positive) t ejigh Pressure Rating (Negative) or Veslga+ Pressure Rating v& Window Size, see Table is Section 9 ^Conapsarativt Aoa1.1,1s" Maud Perez. P.E Plans Product Control Divi_si -2c- AUri 1 096 10:43 FROM YHLt VuF%vl" "' "• • ACCt;PTANCE No.: 9 Yale n fg CQ- - ' 1996 APPROVED xriRES at 1 1 1999 IQNS 8. EVIDENCE SUBMITTED 8'1 Tests, Air Infiltration Test, per PA 202 -94 8.1.1 Test reports on 1) PA ?p,_q.t 2} Uniform Static T�ur P 202-94 Loading per' 3) Water Resistance SFBC 3603.2 (b) and PA 202 -94. 4) Forced Entry Test, p� drawl of= sluminurn sliding glass door along with installation diagram and marked -up prepared by Fenestration Testing Laboratory, Inc. No. FTL-1393. da�t+d 1�,pril 19,19'96, SPed sealed by Gilbert Diamond, P.E. 8.2 Drawings: s and sections. aRt�d QXO 8.2.1 Manufacturer's die drawing 4000 4- Parcel T� As$M- blv for OX, XX of 8.2.2 Assembly drawing of tested unit. Series +Glass Xtorx•" certification, Drawing No. W96 -12, Yale Ogroa N1fg•. "��'�00ti Slidir►g 2• n Mfg., " Saia 4000 Sliding Glass Door ' w 'D'f �. 8.2.3 Drawing No. W9 12, Yale 04/15/95, signed i+ed by �Iu prepared by Al -Far�q r'P° dam X1)9. g,3 Calculations: anchor prepared by Al- Farooq Corp• - 8.3.1 Comparative analysis tar yoi F.1w + 1996, signed and scaled y E ANALYSIS: See "Panel Load Gorr on DwAing No. W96-11 Shut 1 of 2. 9. COMPARATIVE bearing the Dade County Product Control Vp rovai start+p• 2 oft - C1oR ELEVATION AND CROSS SECTIONS:Set Dr•a "ing No. V4�96 -12* 10. TYPICAL D rawin No. W9&12, Sheet 1 Of 2, !ng t* Dade Countlr � and for anchoring details, see U ZI Control approval stamp. -2d- M per, P.�• Product Control Aim► AUG 1 '96 10:43 FROM YALE OGRON MFG. TO HOUSEOFWDO PAGE.007 Me Ogren Mfg. Co. - ACCEPTANCE No.: , U, 5-4 -92 _ APPROVED EXP1RF..S J!LW CE OF ACCEPTAN F• S EC1Ej!C C HIV I] ON19 10.1 BILL OF MATERIAL: Item 'Role Ogron Description No. fart No. 1 YF -28 Frame Assembly Screw 08 x V SMS 2 YE -320 Frame Head 3 YH -4004 Weatherstripping - Schlegel Q 250 -187 4 YE -307 Panel Top Rail 5 YE -4007 Vinyl Gasket for 3116" Glass - Custom Plastic 026-$ 6 YE -306 Moving Panel Bottom Rail 7 YE -375 Frame Sill Track 8 YE -379 Fixed Panel Bottom Rail 9 YH -4031 Roller Assembly 10 YH -4005 Rolling Panel Sill Weatherstripping - Schlegel 0"64- 1004 -5101 11 YE -302 Fixed Panel Jamb Stile 12 YE -321 Frame Jamb 13 YH -4001 Top Slide Guide (Nylon) 14 YH -4017 Interior Pull Handle 15 YF -27 Lock Assembly Screw #10 -32 x 3/4" Ph. Head h1ach. Screw 16 YH -4003 Keeper - Southern Die - Cashing 17 YF -18 Keeper Scow #10 x 3/8" Truss SMS 18 YF -27A Bottom Rail Assembly Screw #10 -32 x 7/8" Ph. Head Mach. Screw 19 YF -31 Top Rail Assembly Screw 010 x l" PH SMS 20 YE -325 Panel Heavy Interlock Stile 21 YE -344 Panel Heavy Astragal Stile 22 YE -30I Panel Locking Stile 23 YE -340A Fixed Panel Clip ,5:24 YH -4010 Fixed End Stile Weatherstripping - Custorn Plastic 042 -1 25 YH4016 Exterior Pull Handle - Standard Lock 26 YH -4036 Rolling Panel - Anti -Gift Clip 27 Y14 -4037 Interior Load Moving Panel Sill Clip Man l Pere;. P.E. Plar►s r Product Control Division AUG 1 +96 10:44 FROM YALE OGRON MFG. TO HOUSEOFWDO PAGE.008 ACCEPTANCE No.: 2fi:Q 402 , APPROVIED EXPIRES all J ;r t r t, i . Renewal of this Acceptance (approval) shall be considered after a rent%vst application has been SW and the origi W submitted documentation, including test supporting data, engineering documents. are no older than eight (8) yeam- 2. Any and all approved products shall be permanently labeled with the manufacturer's name. city. Este. and the following statement: "Dade County Product Control Approved", or as specifically seated in the specific corAbiu=of this Acceptance_ 3. Renewals of Acceptance will not be considered ir- e) There has been a change in the South Fin & Widhhg Codc affecting tar irralantion or this paoduec and die product Is not in compliance with the code changer, b) The product is no longer the same product (Identical) as the one originally approved; c) If the Acceptance holder has not compiled with all the rcgnirtme ds of this acceptance, i mh div tine correct installation ofthe product: d) The engineer who originally prepared, signed and sealed the re"ked documentation initially wbiaialed . is no longer practicing the enghwering profession. 4. Any revision or change In the materials, use, anwor manutactu m orthe product or process shall awmawimilly be caw for termination of this Acceptance, unless prior written approval has betel mq ueged (titrongh the fling of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or pros. b) Misuse of this Acceptance as an endprstnnMt orany product, ror saksv. advertising or orgy atlhes I; of 6. The Notice of Acceptance number preceded by the words Dade County. F'krida. and rollowed by the aq i -"a P date may be displayed in advertising literature. if any portion of the Notice of Acceptance is displayed. tike t SW be done In its entirety. 7. A copy of this Acceptance as well as approved drawungs and odor docur. -" *. u hm is applies,, shall be prtri:ded to dw user by the manufacturer or its distributors and shall be available ror irnSpoCtipn at the job site at all tip The tvpks need not bt resealed by the engineer: 8. Failure to comply with any section of this Acceptance shall be cmm far tet:atb0iom and removal of Accepneioe. $. This Acceptance contains pages 1, 2.2(a) through 2(e) and this last page 3. Item 0 11 di 12 listed be_ It w g& up& to giaad prodrtets and doors 10. Unless specifically indicated in the Afteptanc a (approval)L this unit is appmved as a ft le unit insu 1ntiom. For multiple installation of this unit, a separate Acceptome for mullions is reviked from the Pradiue! 000101 semiea• 1. The spacing of fasteners at window sills shall be in hWkated in Section 4 ofthis Notice of Acoepeaaoe. The s miog of fasteners in all other parts of the firame, shall be as indv=wd in Section 4 orthis Notice of Ac ceptttrxae. but in rte CW `~ shall exceed 24" on center. 11m firms fastener shall be bated at an or 6- from each career amt wino or stilt. fastener shall fully penetrate the buck. which shall be the soon size as tic one tested with dx unit. W +rand of plastic shields or pins shall be used for anchming_ 12. Hardware for all windows and doors shall conform to Security and Forced Entry Pfevetntion. 36 sees Florida Building Code. Mlan Tes+eZ P2 F1oma Extana' Fee uct Control INVdieah F,ND Of THIS ACCEPTANCE -3- m m m w C'3 ¢ CL O A 3 LL O w U) Z) O S O I— a Mo MOM a�rn 6aim P iw Psu LL M:- z O c� w J } i O p. i _ • ¢ - . s: .•-. 71 R7b�M OF i AT M0. Son Qj �"+:�� MN•OOp BITES 011 1r- �j4'dW.drOONgr fswF7► CD PAW= I= s Ar vwR sun r+ue� wpm m AVRA x roft vroTrr DOOM MiNT nwil 3AW - Per Eur. 1w. 04 t� 110 an TMO on QU ou 'S%! tnt Din 914 4!6 IDA. "a ok su 4 ►.4 101 452 tray A ENDING MAO QnR 9 t1�lC d�t16 calmmaffm MM aw rn-uq u; 04.» -, ti to oa : tK up am • H4-i� x n- 14 (OIdGD} +aoo a�ac Trsr •fie1�, se o A 1�ltTrJt " �116t" Srxl � ( Mr -T TCM ants . 3/1 F, letb ft, AToriTvcm OMO 2D' m fit. NAM am Lr° m` LLL{OS YO; S9R w"4 MWO M DD MIND wua Tat SD911F aauan DDX QYSa " petimp r___4 3 91996 Ll Mo a� w I DID& "Olp lob EL (D CD OU 41 0 LL 0 LU 10 0 M: O 6 LL z Oi LLJ a: 0 0� LL Lr) m m CD cc lot wDfL*1P;k Pik k A,.Mbll 4jit MSM M ma'Alm %11K Iml mmid Duolm Colt lip Omm emu" all " bit. F%T'D. 4APIASM PLIL-,A"P,dM4D I=Mmct ED.% M&I K. kv 20 to f. 9 i 20 20 A ;a& tD itl PhOlksol► 4►1— 00 161LOW F*.W swiss "D Pheir—TES1 AMMLIF ®r, Aka Sim elm" FRM tD itl PhOlksol► 4►1— 00 161LOW F*.W swiss "D Pheir—TES1 AMMLIF V 4 Tl L t o t4 v4 z rt L ��4 qhJ r GL1 s, rdo T�tle .Company, g Alw f v b� u fia ,0 r f �� rdli �� 1 � ♦ �� k 0 J i Ft�a � ppp JJJ �[y yy � a t Y pg A mm in L. A : U 1 9111 11,17 FIRIPIRM IIIIIIIII'M MR&I ME= i Peso wORt6,� , .. . NTE'TA L ITCH., INC. W.M7 Weatherwall Division Manufacturers of Window Enclosure Systems, Insulated Roof and Wall Systems SHUTTER PRODUCT APPROVAL AUTHORIZATION FORM (BUILDING DEPARTMENT) DEAR We are the Dade County Notice of Acceptance Holder for iYL�. IUiYI IMPACT 24GA STEEL ACCEPTANCE NO. 98- 0304.03 lL-0a IUiYI VVIPACT .050 ALUM. ACCEPTANCE NO. 98- 0728.04 This letter authorizes C /���IJ° c x to use our above named product at (CONTRACTOR / diMM B=ER ) the following job site. A4 ( JOB OwNEWS NAME) & ( JOB ADDRESS) (=, STATE& ZIP ) Iff 7635 West Second Court /Hlaleah, Rodda 330144334 USA - - Phone: (305) 823- 2323/Toll Free: (800) 432- 5180 /FAX: (800) 4321685 CORPORATESEAL , tMl ADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305) 375 -2901 FAX (305) 375 -2908 MetalTech, Inc. 7635 West 2nd Court Hialeah FL 33014 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION. Your application for Product Approval of (305) 375 -2902 FAX (305) 372 -6339 24 ga. Storm Panel Maximum Impact under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Applicant, along with drawings prepared by Robert S. Monsour, P.E., and test reports prepared by Construction Testing Corporation and Certified Testing Laboratories has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 98-0304.03 Expires: 10/01/01 Raul Rod 'guez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 10 /01/98 -1- s Danger, Director Building Code Compliance Dept. Metropolitan Dade County Internet mail address: postmaster @buildingcodeonline.com Am QW Homepage: bttp :J /www.buildiagcodeoaline.com MetalTech. Inc. ACCEPTANCE No.: 98- 0304.03 APPROVED : OCT 0 1 1998 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE This approves a 24 ga. steel storm panel type shutter, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami - Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION The 24 ga. steel storm panel type shutter and its components shall be constructed in strict compliance with the following documents: Drawing No. 98001, titled "24 ga. maximum impact storm panel", prepared by Ramms Engineering, Inc., dated January 10, 1998, last revised on August 14, 1998, sheets 1 through 7 of 7, bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. MUTATIONS All permanent set components, included but not limited to embedded anchor bolts, threaded cones, metal shields, headers and sills, must be protected against corrosion, contamination and damage at all times. 4. INSTALLATION The 24 ga. steel storm panel type shutter and its components shall be installed in strict compliance with the approved drawings. 5. LABELING Each panel shall bear a permanent label with the manufacturer's name or logo, city, state and the following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERAM REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. 9L/�W� 14A'1*1�� Helmy APMakar, P.E. - Product Control Examiner Product Control Division -2- MetalTech. Inc. ACCEPTANCE No.: 98- 0304.03 APPROVED OCT 0 1 1998 EXPIRES OCT 0 12001 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test- supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if. a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. C. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPTANCE iJ=a A Adt� Hehny A. Wakai, P.E. - Product Control Examiner Product Control Division -3- 2 x 1 f0 m \ H2B " � N FIAT BAR FLAT BAR N 7/t6" rrm t'u .093 �1 29/32'1, 2 3/8' N m N .093 .r O N m N m N .093 O VARIOUS TYPES OF F -TRACK NOT SHOWN a L2H I 8: MIN. 2' 2' 7/8' 1 3/32' 3 7/32' 1.3/3 ?' VARIES CORNER PAN O - LJH .00 kw ® . 1 8' MIN 3' SPECIAL NET PANEL SECTION IAfoumyYG HOLES 12 1/2' GLG CROSS SECTIONS COMPLIES WITH: 24 9a.1 S.A.B.C. 1994 EDITION FOR DADE COUNTY, SOUTH FLORIDA BUILDING CODE II 2314.5 FATIGUE LOAD TESTING AND 2315 IMPACT IZ373 DESIGN CRITERIA: WIND LOADS PER CHAPTER 23 OF SF.B.C. PRESSURE REQUIREMENT CALCULA7701VS MUST BE PERFORMED PER ASCE 7 -88 MINIMUM DESIGN LOADS FOR BUILDING AND OTHER STRUCTURES' GENERAL NOTES: L18- IN. ALL ALUMINUM EXTRUVONS TO BE ALLOY 6063 -T6 OR EQUAL Q " STORM PANELS .SHALL BE: 24 GAUGE STEEL- AS7M A653 SO GRADE E MIN Fy - 80 1C..£L MINIMUM VALUE HOT DIP COATED. WITH A NOMINAL WIDTH OF 12 112' THE STORM PANEL SHUTTER MAY BE INSTALLED VERTICALLY OR HORIZONTALLY, I/V ACCORDANCE TO THE DETAILED SPECIFICA77ONS HEREIN. PANELS MAY BE NOTCHED OR MITERED TO ACCOMMODATE AN OWMUC77ON ANCHORAGE OF THE SHUTTER SYSTEM TO CONCRETE OR MASONRY SHALL CONSIST OF THE FOLLOWING OR EQUAL WITH MINIMUM UL77M4TE LOAD VALUES SHOWN 114' DA. R4WL LOK /BOLT ANCHOR ( SLEEVED DRIVE ANCHOR ) MIN. TENSILE 1190 - MIN. SHEAR 1520 - 1 118' MIN. EMBED IN CONCRETE MIN. TENSILE 1200 - MIN. SHEAR 1270 - 1 1 18' MIN. SWBED. IN MASONRY 114 -20 RAW% • CALK -IN ANCHOR ( MACHINE SCREW ANCHOR ). WITH 114 -20 BOLTS MIN. TENSILE 1870 - MIN. SHEAR 1730 - 718' MIN. EMBED. IN CONCRETE MIN. TENSILE 880 - MIN. SHEAR 1,340 - 718' MIN. EMBED. IN MASONRY 1/4' PERMA -SEAL TAPPET? BY BAWL ( MASONRY SCREWS VARIOUS HEAD TYPES ) MIN. TENSILE 1520 -MIN. SHEAR 1980 - 1 112' MEN. EINBED IN CONCRETE MIN. TENSILE 880 - MIN. SHEAR 1270 - 1 114' MIN. EMBED. IN MASONRY 114' ZAMAC AWL.I/V BY RAWL ( 2 A(AC HAMMER DRIVES ) MIN. TENSILE 980 - MIN. SHEAR 1400 - 1 3/8' MIN. EMBED. IN CONCRETE MIN. TENSILE 730 - MIN. SHEAR 1320 - 1 114' MIN. EMBED. IN MASONRY ANCHORAGE TO WOOD COAMMUCT10N SHALL BE 114' STEEL LAGS OR LARGER WITH 1' MIN. THREAD PENETRATION, 114 -20 BRASS WOOD BUSHINGS OR 114' ELCO PANEL MATES WITH 1 718' MIN. 7HREAD PENE7X4770N. REFER 7n SHEETS 5.6 & 7 OF 7 FOR ANCHOR SPACING AND MINIMUM EMBEDMEN73 IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY TIME SOONONESS OF TIME STRUCTURE TO WTHSTAND THE ADDITIONAL La40S AND. INSURE PROPER ANCHORAGE: EACH PANEL SHALL BEAR A PERMANENT LABEL OR STAMP SHOWING ' MEMLTECH. INC. HIALEAH. FL ' ' DADE COUNTY PRODUCT CONTROL APPROVED WARNING TO OWNER OR 7FNANT LOCATED /N EACH HEADER OR ONE PANEL OF EACH OPENING. STA77NG ' STORM PANELS WLL NOT OFFER HURPJCANE PROTECTION UNLESS ALL RMNFORCING STRAPS OR BOLTS ARE PROPERLY INSTALLED, WHEN REOURED ' PERMANENT FASTENER COMPONENTS. EMBEDDED ANCHOR BOLM THREADED CONES OR AoETAL SHIELDS, NOT LN USE: MUST BE PROTECTED AGAINST CORROSION. CONTAMINATION AND DAMAGE AT ALL TIME: ALL SRW 3/8' ( 1rR ) � 9VCt SM MWO Tf DONLY TYPJC4L L1N� 1/4-20 X 3/4 18-8 STAWLESS STEEL 1094a ED SNQS 12 1/2' O.G PAW? W AFFLXi41JAW ON SNAW 2 &,J ANCHOR MOUNnNo HOLES LOC4IED ON E11HER HORIZONTAL OR MM7=4L LEG. STUDDED ANGLE DETAIL Rva+a+a�a u. aravawvvs►� a a, 1/8' x 1 112' FIAT STUDDED STRAP MAY BE USED IN PLACE OF ANGLE EB- 0 0 06 024 mm oarimInc. rtc jr•- 11 APPROVED AS dDIAPLYING WITH THE SOUM FLORMAKBUILDING 6t0DE D4TEV I BY PRODUCT CO ' . L DIY ►.S-'ON BUILDING .CODE COMPLIANCE OFFICE ACCEPTANCE NO. 9,19 -6S OLA •A�3 J W Z IL 2M Ii 0 rL U v /L) W 7- �G Z o W 0 fo °o o m r v o z' r.a J x� LJ g W= a� <c 2 w 0 �3 0 0 ARM =3 4' VARIOUS DEGREE m VASES CORNER PAN m RETURN L3H .o .100 \ O cq en to ® `�• .100 f 8' MIN. ® .. 060 MINT. .060 MIN. 2 1 4' T1 Q 1 v2' - - ____ BLOCKING 7/8' 1 3/32' 3 7/32' 1.3/3 ?' VARIES CORNER PAN O - LJH .00 kw ® . 1 8' MIN 3' SPECIAL NET PANEL SECTION IAfoumyYG HOLES 12 1/2' GLG CROSS SECTIONS COMPLIES WITH: 24 9a.1 S.A.B.C. 1994 EDITION FOR DADE COUNTY, SOUTH FLORIDA BUILDING CODE II 2314.5 FATIGUE LOAD TESTING AND 2315 IMPACT IZ373 DESIGN CRITERIA: WIND LOADS PER CHAPTER 23 OF SF.B.C. PRESSURE REQUIREMENT CALCULA7701VS MUST BE PERFORMED PER ASCE 7 -88 MINIMUM DESIGN LOADS FOR BUILDING AND OTHER STRUCTURES' GENERAL NOTES: L18- IN. ALL ALUMINUM EXTRUVONS TO BE ALLOY 6063 -T6 OR EQUAL Q " STORM PANELS .SHALL BE: 24 GAUGE STEEL- AS7M A653 SO GRADE E MIN Fy - 80 1C..£L MINIMUM VALUE HOT DIP COATED. WITH A NOMINAL WIDTH OF 12 112' THE STORM PANEL SHUTTER MAY BE INSTALLED VERTICALLY OR HORIZONTALLY, I/V ACCORDANCE TO THE DETAILED SPECIFICA77ONS HEREIN. PANELS MAY BE NOTCHED OR MITERED TO ACCOMMODATE AN OWMUC77ON ANCHORAGE OF THE SHUTTER SYSTEM TO CONCRETE OR MASONRY SHALL CONSIST OF THE FOLLOWING OR EQUAL WITH MINIMUM UL77M4TE LOAD VALUES SHOWN 114' DA. R4WL LOK /BOLT ANCHOR ( SLEEVED DRIVE ANCHOR ) MIN. TENSILE 1190 - MIN. SHEAR 1520 - 1 118' MIN. EMBED IN CONCRETE MIN. TENSILE 1200 - MIN. SHEAR 1270 - 1 1 18' MIN. SWBED. IN MASONRY 114 -20 RAW% • CALK -IN ANCHOR ( MACHINE SCREW ANCHOR ). WITH 114 -20 BOLTS MIN. TENSILE 1870 - MIN. SHEAR 1730 - 718' MIN. EMBED. IN CONCRETE MIN. TENSILE 880 - MIN. SHEAR 1,340 - 718' MIN. EMBED. IN MASONRY 1/4' PERMA -SEAL TAPPET? BY BAWL ( MASONRY SCREWS VARIOUS HEAD TYPES ) MIN. TENSILE 1520 -MIN. SHEAR 1980 - 1 112' MEN. EINBED IN CONCRETE MIN. TENSILE 880 - MIN. SHEAR 1270 - 1 114' MIN. EMBED. IN MASONRY 114' ZAMAC AWL.I/V BY RAWL ( 2 A(AC HAMMER DRIVES ) MIN. TENSILE 980 - MIN. SHEAR 1400 - 1 3/8' MIN. EMBED. IN CONCRETE MIN. TENSILE 730 - MIN. SHEAR 1320 - 1 114' MIN. EMBED. IN MASONRY ANCHORAGE TO WOOD COAMMUCT10N SHALL BE 114' STEEL LAGS OR LARGER WITH 1' MIN. THREAD PENETRATION, 114 -20 BRASS WOOD BUSHINGS OR 114' ELCO PANEL MATES WITH 1 718' MIN. 7HREAD PENE7X4770N. REFER 7n SHEETS 5.6 & 7 OF 7 FOR ANCHOR SPACING AND MINIMUM EMBEDMEN73 IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY TIME SOONONESS OF TIME STRUCTURE TO WTHSTAND THE ADDITIONAL La40S AND. INSURE PROPER ANCHORAGE: EACH PANEL SHALL BEAR A PERMANENT LABEL OR STAMP SHOWING ' MEMLTECH. INC. HIALEAH. FL ' ' DADE COUNTY PRODUCT CONTROL APPROVED WARNING TO OWNER OR 7FNANT LOCATED /N EACH HEADER OR ONE PANEL OF EACH OPENING. STA77NG ' STORM PANELS WLL NOT OFFER HURPJCANE PROTECTION UNLESS ALL RMNFORCING STRAPS OR BOLTS ARE PROPERLY INSTALLED, WHEN REOURED ' PERMANENT FASTENER COMPONENTS. EMBEDDED ANCHOR BOLM THREADED CONES OR AoETAL SHIELDS, NOT LN USE: MUST BE PROTECTED AGAINST CORROSION. CONTAMINATION AND DAMAGE AT ALL TIME: ALL SRW 3/8' ( 1rR ) � 9VCt SM MWO Tf DONLY TYPJC4L L1N� 1/4-20 X 3/4 18-8 STAWLESS STEEL 1094a ED SNQS 12 1/2' O.G PAW? W AFFLXi41JAW ON SNAW 2 &,J ANCHOR MOUNnNo HOLES LOC4IED ON E11HER HORIZONTAL OR MM7=4L LEG. STUDDED ANGLE DETAIL Rva+a+a�a u. aravawvvs►� a a, 1/8' x 1 112' FIAT STUDDED STRAP MAY BE USED IN PLACE OF ANGLE EB- 0 0 06 024 mm oarimInc. rtc jr•- 11 APPROVED AS dDIAPLYING WITH THE SOUM FLORMAKBUILDING 6t0DE D4TEV I BY PRODUCT CO ' . L DIY ►.S-'ON BUILDING .CODE COMPLIANCE OFFICE ACCEPTANCE NO. 9,19 -6S OLA •A�3 J W Z IL 2M Ii 0 rL U v /L) W 7- �G Z o W 0 fo °o o m r v o z' r.a J x� LJ g W= a� <c 2 w 0 �3 0 0 ARM SEE ANCHOR SCHEDULE No'FE: > CONNECTION TYPE "B" 2 HEADER or SILL DETAIL 1 ED SEE ANCHOR SCHEDULE CONNECTION TYPE "D" f q a. E.D.. 1 • NOTE SEE ANCHOR SCHEDULE CONNECTION TYPE "C' —HEADER or SU DETAIL 2 NOTEt'*:� .® w © HEADER or SILL SEE ANCHOR SCHEDULE CONNECTION 'TYPE "A" DETAIL 3 D OR @RAAGE MAY BE REVERSED MAY BE WTAULED IN REVERSE DIRECTION is @CONTINUOUS BLOCKING J116 ANGLE —?14-20 THRU BOLT BOUID TOGETHER W1H W/ LOCK NUT 12' O.0 d 114 -20 7HRU BOLT W/ LOCK NUT 6' QG • 4 USED AS HEADER OR SILL .J ®O ®ORO ; E; D. I' AM d.. HEADER or SILL NOTE: * SEE ANCHOR SCHEDULE CONNECTION TYPE "E° DETAIL 5 SEE ANCHOR SCHEDULE CONNECTION TYPE "8" - OOR OTHER HEADER or SILL REFER TO 7HAT APPUCATTON FOR PROPER CONNECTION TYPE CONTINUOUS BLOCKNG 2 PIECES FASTEN TOGETHER W/1N 164 RNE75 OR 18 TECK SCREWS 12- O.C. DETAIL 9 FLOOR PLUG AMO MACiW SCREW AMCHM f2' O.Gt nu smw PAM (1),p) RETURN P^ AMr & TURF OR MW MUST BE USED ON All B" OUT 61DNDITTONS TO CLOSE OFF 0W Rf7UIMM PAM -@ Immumunams sus ! X f /2 FLAT aW w1d iM1MGM1R5 B SPECK PANEL CONFIGURATION MAY BE NEEDED FOR TRAPPED W MM PANELS MAY 86 W3p, WITH A Au7G" ADD-ON OF 33 FASTENED TO 3 1 � OF as POP RIWTS R7F/ U BOL75 16 OR A cc rwR. C DETAIL 6 HEADER or SILL @ ®or® HEADER or SU :'•� 1 MIAL a•e•i SEE -AAICHOR SCHEDWE CofAwftt ON TYPE "C" DETAIL 4 SEE ANCHOR SCHEDULE • p CONNECTION TYPE "A" y KUP4 AN DWACr STORM PANEL %/ -.r,. HORIZONTAL INSTALLATION VERTICAL INSTALLATION ELEVATION ELEVATION 'v ~• ` yI OR OTHER HEADER or SILL Nom* 1\ REFER TO THAT APPUCAAON FOR PROPER CONNE=ON TYPE ' CONTINUOUS WOOD BLOCKING VARIOUS SIZES DETAIL 7 r, Di• ' : '� E0 NOTE* SEE ANCHOR SCHEDULE CONNECTION TYPE "B" DETAIL 8 OROHEADER or Sul N�—�E.D. E.D �� AWAY BE INSTALLED IN REVERSE DIRECTION SEE ANCHOR SCHEDULE AS iN DETAIL 6 Eo M1nO0w i .. d CONNECTION TYPE °D" OR®CON77NLIOUS BLOCKING OPnvoYG 3116 ANGLE BOLTED TOGETHER KM 2 314 • `AX OR ® CONTINUOUS BLOCKING 114 -20 7HRU BOLT iW1 LOCK NUT 6' O.G USED AS HEADER OR SILL BOLTED TOGETHER M77H • • � .. 9' . • • 114 -20 THRU BOLT W1 LOCK NUT 72' O.C. • ' CONTINUOUS BLOCKING NQfiE* 16 ®3 f6 ANGLE NOTE' @OR ® CONTINUOUS BLOCKNG 7 5/8' Aux 114-20 M4SHUNE SCREW ANCHOR WITH SIDEWALK BOLT OR 114- MASONRY SCREW 3- Q-a 114 -ZO x 314 KNURLED STUDS 3" MIN. EDGE OLSTANCE WITH WASHERED WINGNUTS 12 112- O.C. (TYP.) m PNF' NNA)I�M!>fYl .:FQ ' 6. -P CONCRETE ONLY PAAEL MAr BE MouM70 vERncALLY MA)mm PANE. INBL$17 !Id° '. ' : ' ,• • : •• . OR Ha�avrALLY DETAIL 10 NOTE- •* DETAIL 11 OP7VM4L L6E OF 1/g AJM<:LE FOR PURAWSE OF EXTDMDDMG WAfl SILL :sir . R." PLUG AMD A 4MME _ s • •: SCREW ANCHOR fr as :. . D -5W= A/OLOa MC KAE MAY BE (SM W CSWER' WS? OF PANEL 7W. FOR ALL HEADER ON TOP SPECAL PAN APPM -47M M SLL ON 6OTIOM MAXIMUM GAP BETWEEN STRDAI PANEL AND D.L.O. SHALL NOT EXCEED 114" 1/4 --10 x 3/4 IOMr3 Srtms AS VIEWED FROM FRONT VIEW 1 M7TN WASHE77ED M?JIR.71IUlS (1YPa PLAN VIEWS DETAIL 12 A. B. C & D ANSIDE CLOSER PAN AMMUSLYZ 1 14-a .-- 11 CLOSER Pm HANDLE OW EAW sty O PANG ACTS AT Wr= M PASS OVER STUD AND WIAlGNUT AV SILL mlov swo IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF THE STRUCTURE TO WITH STAND THE ADDI)TONAL. LOADS AND INSURE PROPER ANCHORAGE SHUTTER SYSTEM MAY BE INTSALL INTO WOOD, CONCRETE, MASONRY. WHEN ANCHORING TO WOOD, THE WOOD MUST BE A MINIMUM 2 X 4 EQUAL TO 12 SOUTHERN PINE WITH 0,55 SPECIRC GRAVITY AND STRUCTURALLY PART OF THE FRAMING STRUCTURE OR SUCURELY ATTACHED TO MAMING STRUCTURE .. APPRr, -vU AS Cia -P _YNG ,N'TH THE SQuT;1 FLOR;W 8I1.1-DIING CODE (' Lo i 9 J' By PRODUCT CO ,ROL DiV S 0.4 BUILDING CODE CO;btPL :AitiCE OFFICE ROBERT MONSOUR, PE ACGEPTA1ICENOgB•D3DLF•03 EB= 006024 U Z V V Z g c.� a m °o c m W r L7 a M M J .tL xi U� W= au C z W �3 °n 0 n �1 - /idUN► 114 -20 FLOOR PLUG WITH • MACHINE SCREW ANCHOR HEADER OR SILL CONCRETE OR MASONRY. 4.,: CONNECTION TYPE'_ " / 4E:f ~' .. 4' REFER TOO DEFECTION am STORM PANEL NOTE• THE METALTECH STORM PANEL MAY BE INSTALLED N9THOUT' THE USE OF AN EXTRUDED HE40ER OR SILL THE SFIUrrER MAY BE ANCHORED DIRECTLY TO THE STRUCTURE WITH THE USE OF ONE OR A COMBIM477ON OF DETAIL 13 NOTE-* \ PF,-rAl[-, 13 114 -20 FLOOD PLUG WITH 114-20 BRASS WOOD BUSHING HEADER OR SILL INTO W000 Q. NOTE:'- : : • : HEADER or SILL 2-314' MIX 1 114' MAX SEE ANCHOR SCHEMAE CONNECTION TYPE "B" DETAIL 15 THRU WINDOW STORM PANEL 318" TFIRUBOLTS 9 1/2" ac. WITH 2X3X.125 ANGLE ON BOTTOM WIND PRESSURE 71.5 P.S.F. MAX. MAXIMUM PANEL LENGTH 48" 1 114" MAXIMUM - WOOD COUNTER 1 114' MAX. THICKNESS COUNTER MAY BE MADE OF OTHER MATERIAL .E ANCHOR SCEDULE FOR ANCHOR TYPES r,L. l ANCHORS 12' O.C. DETAIL 19 !11 114' PANEL MATE SCREW WITH 14 -20 STUD HEAD aW/TH WASHERED WINGNUT HEADER OR SILL WOOA CONCRETE OR MASONRY i L/• CONNECTION TYPE "A" REFER TO DCEON TE A 7.R = STORM PANEL TYPE "A" 114 ' PANEL MATE I WITH MACHINE SCREW HEAD WITH 14 -20 SIDEWALK BOLT HEADER OR SILL WOOD, CONCRETE OR MASONRY l�':�• : � ��li '1 X11_ — HEADER or - L DETAIL 16 _ 8 or HEADER or SLL NOTE* . a• FA _ SEF. ANCHOR SCHEDULE •` .• CONNECTION TYPE "A" DETAIL 17 �v ®or®IlfAO£R or su `- SCREWED OR BOLDED TOGETHER WITH 114-20 ?.%M BOLT W/ LOCK NUT lY aC CON7WWLIS SLOCIONG 114' ANME ;. 114-20 MASH /NE SCREW ANCHOR _ • •' WITH SIDEWALK BOLT a e�, _ w '• ,' OR 114w MASONRY SCREW 4- O.C. r MIN. EDGE DISTANCE POURED CONCRETE ONLY 59A PSE MA7WtM • / PAWL HEIGHT 1W NAXIId M DETAIL 20 ADJUSTABLE HEADER OR SILL n .r_1 �� CxXiMEGTION TYPE "A" PANEL SECURED WITH WASHERED WINGNUTS STUCCO RN1SH --/ REFER TO DON - CHART STORY FANEX .Nb7E� ©O 8 CONNECTIONI TYPE "A" p W-5TUCCO INSTALLATION DETAIL 14 HEADER or SILL " .♦ a. aai a•e•: SEE ANCHOR SCHEDULE CONINECTNDN TYPE "C" DETAIL 18 NOTE: IT SHALL BE THE RESPONSIBILITY OF THE CONIWCTOR TO VERIFY THE SOUNDNESS OF THE STRUCTURE TO WITH STAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHOR.4GE: SHUTTER SYSTEM MAY BE INTSALL INTO WOOD, CONCRETE, MASONRY. WHEN ANCHORING TO WOOD, THE WOOD MUST BE A M/MMUM 2 X 4 EQUAL TO 12 SOUTHERN PINE WITH 0.55 SPECIFIC GRAVITY AND STRUCTURALLY PART OF THE FRAMING STRUCTURE OR SUCURELY ATTACHED TO FROI /gi ; .FRt�T�1 ., LYING YI,TH THE SOL71-1 'LO VDA BUILDING CODE QQ DfiT ELL Z IR BY PRODUCT COI L DfY'S ON BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO. S S- 004.0- ROBERT S. MONSOUR, PE EB- 0006024 ws enc;lr%x turo, we W a CL a Ix O U) S V v Z a S c.• N C m C m W Y L3 O Xn n x� Li W= a d° Z �o w� b n a c. ;.N, THE METALTECH STORM PANELS MAY BE INSTALLED WITH OR WITHOUT THE HORIZONTAL BRACE STRAP. REFER TO PANEL DEFLECTION CHARTS. Q y N $ FRONT VIEW SIDE VIEW 24 ga. STEEL DESIGN PRESSURE PANEL SPAN 44.40 124" 47.81 123 51.23 119" 58.06 112 61.47 109" 66.85 104" 71.46 100" 75.30 95 " 81.45 88" 86.83 82 " 91.44 78" 3r s• a Cl 124" MAX. PANEL HEIGHT NO PANEL STRAP IS REQUIRED PANEL DFFLECn(W CHART WITHOUT HORIZONTAL STRAP PANEL HEIGHT O =90' 90 -124' WALL MOUNT 2 518' 3 1/2" INSIDE MOUNT 2 518" 3 1/2" BUILD OUT 2 518" 1 3 314" MINIMUM DISTANCE BETWEEN GLASS AND PANEL HORIZONTAL BRACE STRAP 114 -20 STUD WITH WINGNUT 3/8' (TYP ) f2 f /2' 0. C. —]>� I (" 1/8' X 314` FLAT ALUMINUM BAR SIDE NEW FRONT VIEW DETAIL "E" MAXIMUM CAP BETWEEN PANEL AND HEADER IS 114' (n?.) DETAIL "F" ONE HIM FASTENER MUST BE IN NORROW PORTION OF KEY HOLE MOUNTING HOLE MAY ALSO BE A 9116' D/A. CIRCLE DETAIL "G" 4° crym er DETAIL 13 ON SHEET 3 Ir v �O W j 2W �N y y DETAIL 13 ON SHEET 3 WALL MOUNT ANCHORING PANFL TOP & Bonm NO HM OR SXL EITHER HORIZONTALLY OF VERTICALLY HEADER AND SILL EXPLODED ASSEMBL Y 24 GAUGE M AXNV4 IMPACT- STEEL STORM PANEL �C loll IIEA r N� o IR FRONT VIEW SIDE VIEW DETAIL 3,4, & 8 ON SHEET 2 r v AO� W 1Vy V � h� � W j �4 2W N 4 h DE7A2 3.4, & if ON SHEET 2 124' MAX. PANEL HEIGHT ONE PANEL STROP LOCATED MIDSPAN PAAIM DEfLEC77ON CHART WITH HOWONTAL STRAP PANEL HEIGHT 0 =104" 104 = f24" WALL MOUNT 2" 2 114 INSIDE MOUNT 2" 2 1/4" BUILD OUT 1 2" 1 2 114" MINIMUM DISTANCE BETWEEN GLASS AND PANEL HFADER AND SILL TYPE MAY VARY, DEPENDING ON APPLIC477ON WALL MOUNT ANCHORING PANEL mm STUDDED HDR/SJIL DETAIL 1 ON SHEET 2 DETAIL 15 ON SHEET 3 HEADER aASSI�x y 22 s D � c �1 S/1.L DETAILS 3,4 AND 8 ON SHEET 2 WALL MOUNT WIH HDIL MID SILL DETAILS 5.7,9. 10 AND 11 ON SHEET 2 �F O �W j cd d DETAILS 5,7,9, 10 AND 11 ON SHEET 2 BUILD OUT WIJH HM AND Set TYPICAL SECTION VIEWS J ROBERT . MONSOUR, PE EB- 0006024 QHI'MS ENGIfiEiER119G. B'IC — DETAIL 2 ON SHEET 2 DETAIL 16 ON SHEET 3 r �Z 100 it 2 2N 4 W a N SILL DETAIL 4-- ON SHEET 2 INSIDE MOUNT WNAM AND SU APPROjED AS CONIFLYING 'PATH THE SOUTH FLORIDA BU!LDING CODE DAT C.�c t91_ 198 BY PRODUCT CON "OL DIY.so BI BUlLDihG CODE COMPLIANCE OFFICE 40CE?TANCE NO. U Z v L� •'� n o C� 0 o° m w r O n 0 4 x� W= au Qz z �o u W� m n m r �1 e� r A N C H O R S C H E D U L E SPANS AND LOADS SHOWN IN THIS SCHEDULE ARE FOR DE1 UIIINING ANCHOR SPACING ONLY. FOR ALLOWABLE SPANS VS. DESIGN LOADS REFER TO SHEET 4. MINIMUM ENBEDMENT AND EDGE DISTANCE EXCLUDES STUCCO AND /OR WALL FINISHES, SHADED AREAS REPRESENT ANCHOR CONDITIONS THAT ARE NOT ACCEPTABLE. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF THE STRUCTURE TO WITH STAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHORAGE SHUTTER SYSTEM MAY BE INTSALL INTO WOOD, CONCRETE OR MASONRY. ' 1 , ROBERT MONSOUR, PE EB- 0006024 alms a1cln�eamc, a1c APP - iEC AS CO).9?LY1NG :',74 THE St;l TM .IDA BUILDING CODE d DTC 01 _1 D C ?:ti. �tOL Ill 014 SUILG,NG CODE COMPL ANCE OFFICE ACCEPTANCE NO. As ^03o v1 -a3 U Z v � SC W S C� r 0 W U o 4 n n M �4 x� Lis W= au d0z �o �o r 3 °n 0 n ANCHOR SPACING vs DESIGN PRESSURE AND CONNECTION TYPE UP TO 59.6 PSF UP TO 71.5 PSF POW= CO CoNCRM8L= PouR wcoil E wNmIlem = ivm commelm TrPE CClmE CnDIV TYPE rmE ANCHOR TYPE PANEL ED. A B I C I D E A 8 C D E A B 1 C D E A 1 8 C D E U4" RAWL LOKBOLT (SLEEVE ANCHOR) 1 1/8" MIN. EMBEDMENT 68'SPAN 3" :` `• .16.....:..13..:...11. 16...:._13.....:....9.. 16 13 7 13 13 16 13 13 13 13 _ ............. >...._.....:............ . ....... .......__ . 13 13 116 13 10 13 13 ... .,.._..... x..__......_... _ ....... 13 13 16 1 13 8 13 13 16 13 9 € 13 .....................: . _ 16 13 7 ..,. 13......- 16 - 13 6 s 13 13 13. ....t.._1s........i3_..:......9 13 116 16 ':. 13 13 s 11 _......13_........'3... 7 13 13 € 13 ' -13 � 2" 1114' 88" SPAN 3" _16_._:....13... 8...'...13. ....:._.13...4.._16..:....13.. .1a. ....13 : 13......16... 16 . ._13...:.....7....__13 ... 13.....r. 16 13.....x.. 8 ....._.._13.....4. 13 16 13 i 5 13 13 16 13 6 13 13 . 8 7 12 13 16 9 8 `...12 16 ... 8 _....6 .... ..:....10.........12....=....16 .........8.....:......7 ...... .11...........12..... .15 _._. 7 5 .....,.... 9 .........10....4_..15 ...,.....7...... 5 ......:... - 9......_....11__.. 13 r 11/4' 3• 11/4" _ 16.....:_.. 9. ...... >.....7........._1?_..... �3... .. <.._16- .......9....:.... 15 7 5 10 11 15 7 -8... 5 12 13 10 11 15 5 6 7, 6 12 4 4 6 5 15 s 12 5 .... 4 4 -fi _.. ,.....5..... 3• 15.....:...5....:._6 7......_6.....:...15.........5 6 124* span 14 5 5 6 5 14 .....7 5 ..:....7 6 6 . 5 r 11/4' 12 4 4 6 5 12 4 .............. 4 ........... 6 5 88' SPAN 3" 16 16 16 13„ 13.....:....7 13 10 6 13 13 13 13 16 13. ... 15 13 14 13 13 13 8 7 6 13 13 13 13 13 ..... 13 16 •16.....13. 15 13 13 8 7.......13....: 6 13 13 13 '. - 13.........13... 13 i 14 12 13 13....:...6. 12 7 5 13 13........13 12 13 ... 12 r 8e" SPAN 16...._13....:.....8.... ._13. ....__.13...:.._13...,....10.. 6 13 13 .16... _12....:....6..........13... _13.. :...12 ..... 9. 5 12 12 15 7 6 10 11 11 5 5 7 13 6 5 9... _...10 10 ........5....,.....4..... .5 ... 8 _.....7 ..... r 1114* 114 RAWL ZAMAC NAIUN DRIVE 14 11 5 13 13 11 ? 8 4 11 11 12 6 ......... 4 ............ 8 9 9 4 ............... 4 6 6 105 - span 3" � 2" _1�`... ........7.....:..._6...,..._10. _13.....:.._6.....; .. .5....;....9........1°...:...10 _..11......:..11..... 5.... :... 5 5 ....... . .4 7 .......... 7.... 8 .....7........11......_.....4.. 13 4 ......4 6 6: .......5....._....4... 5 ,.....8.... 9 _ 3 ... .3......... 4_...........4......,.....3 4 4 3 ... (HAMMER DRIVE) 1 3V MIN. EMBEDMENT IN CONCRETE 1w 1 11W MIN. EMBEDMENT IN BLOCK 12 6 4' 8 9 9 4 4 6 ........ 7 .... 10 : ........... 4 _ ...... ........ 4 _.. .... :................ 5 4 4 7 3 3 ........................ 4 3 ' 3" 13 4......_5.......... 6. 5 3 4 4 3 { r 124- span 11_ 4 4 5 .:.. . .. _9....._ 4 8 3 4 4 3 1 114" 10 4 4 5 4 7 ... 3 3 _..... 4 3 VARIOUS HEAD TYPES fall = � Sr sa"sPAN I 3" r .16.....:...13.........13. .16.........1.3....:_ 16 ?3::..;_._13......:....16.. 12...:....13.....113- 13 : 10 13 `....16 13 16 .13........_9.........13 ..._13. ...... 13 �.........13 6 ..:....13.......16. ......13........16......16 13 13 ....16......13.....:...13.....: 16 ... ......x........13 16 8 , .......13....:....15.......13. 13 13 ....... .............. 13 1 -16 ;...13 14 .... ....s.....7......;....1g....._° ...:.....6.........13........15 13 5 ..... 14 16 .. , ........... ... 14 �� }► }I}►�}��� �' SPAN r 16.....>._ 13... .....12........13._......?3..._ .._76........1 � ..:............ ...16.....:...13........ - 10....._...13...... ................ 13...... ...13......16....._._11.......- 13 13 -13 16 10 .!.........3.......13.. 8 13 ; .;....13.....:....6.......:..._ : 6 6............_9......:...10._.. ? 6 9 (MASONRY SCREWS) 11/4' 16 13 8 13 13 •`. 13 10 : 5 13 13 16 - 9 - -- 7 12 ..13......x..12 13 11 5 4..........7..._.,....,8 105' span 3" r 1 _ 16„ _ 1_6 _ 16 11 10 13 13 13„ 6 6 9 10 ......... _.. ......:..__ .................r.. _..... _......_... _...._.. .... .10...... ...8......._...13. _13 .... 12.... .x...6.........._5......:..._ ....... .............. 9€ 7 12 13 1 11 5 4 7 8 16 7 _ .....__ ...._.. _._. _............__._...,... 16 6 8 s _.....:._._ 5 9 .. 7 7 _._.c....- 6 11 ....... 9 4 .......__._._.:...._.. 3 5 3 - -� 5 .__ 4......�... 4 3- 1/4 RAWL PERMASEAI_ TAPPER 1/4 ELCO PANEL MATES 11/7 MIN. EMBEDMENT IN CONCRETE 3" - 16.._:..._7...._.;... $ .......:.....9.....:.... 7. 1 1/4 MIN. EMBEDMENT IN BLOCK 124 span r 11/4' _....11.....?. . ....... ............................... 16 6 7 8 6 10 € 4 4; __.._..........._......._...._......._.... ._........_._......,........... _ .................. _ 16 5 6 7 6 9 3 3 16._; 13..._. 13..._x..13 _13 ......_16....x...13...`._9_.., 16„ 13 13 � 13 € 13 � 16 13 8 _ . _.......w...__.....__._ .._ _3._.. �. 16 13 11 13 13 •• 16 i 13 6 4..........3 5 13 ' 13 13 _. 4 _ _13 13 13 Sr SPAN 3" 25" 2" 16 13 13 s 13 13 1��6_ 13 y 8 €._13 13 16 13 11 13 13 '•. 16 13 6 13 _ 16 13 9 13 13 ! 14 13 5 �' 13 13 M 1313 1/4- 20x7/8',12'DIA RAWL CALK-IN (MACHINE SCREW ANCHOR) MIN. EMBEDMENT g"SPAN 3" 16 1 13 i 13 1 13 13 „I 16 12 7 1:4_.j.. 13 - 16 F 13 =_ 11 13 1:L..! 13 6 6 9 10 25' r 16 13 11 s 13 13 14 ; 11 [ 6 s 13 13 16 € 13 8 13 13 1 13 10 5 13 s 13 „ 16 12 I 9 13 W 13 [ 12 I 6j 5 8 16 11 7 - 13 13 11 5 ':. 4 7 --- 9 8 1� � 3" 2V 16 13 .. _ 11 13 13 _ .1 .13_.__. s......<. 6.._.. _ 9 10 16 1 12 _ 9 _ 13 _ 13 1 12 _ _6 5 8 € 9 16 11 € 7 13 13 1 11 5 4 •: 7- 8 7 10 8 ` 10 I 4 4 5 € 616:: 9 11 s 9 i 11:4 5 ? 6 9 7 !� 3 3 i 4 47/8' 4 3 16 8 9_ 11 9 i_ 11 4 5 5 4 124 span IV ..._____........_..�.._ r 16 8 :• 16 T _^ 7 10 8 1 -10 _ __...___.._... _......._ 8 9 7 9 4_ :.... 3 4 ._.. _. 3 5 ._.,.._... 4 4 _ 3 SPANS AND LOADS SHOWN IN THIS SCHEDULE ARE FOR DE1 UIIINING ANCHOR SPACING ONLY. FOR ALLOWABLE SPANS VS. DESIGN LOADS REFER TO SHEET 4. MINIMUM ENBEDMENT AND EDGE DISTANCE EXCLUDES STUCCO AND /OR WALL FINISHES, SHADED AREAS REPRESENT ANCHOR CONDITIONS THAT ARE NOT ACCEPTABLE. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF THE STRUCTURE TO WITH STAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHORAGE SHUTTER SYSTEM MAY BE INTSALL INTO WOOD, CONCRETE OR MASONRY. ' 1 , ROBERT MONSOUR, PE EB- 0006024 alms a1cln�eamc, a1c APP - iEC AS CO).9?LY1NG :',74 THE St;l TM .IDA BUILDING CODE d DTC 01 _1 D C ?:ti. �tOL Ill 014 SUILG,NG CODE COMPL ANCE OFFICE ACCEPTANCE NO. As ^03o v1 -a3 U Z v � SC W S C� r 0 W U o 4 n n M �4 x� Lis W= au d0z �o �o r 3 °n 0 n REVISIONS BY 03/20/98 SP' 06/12/98 sP 08/14/98 sP . THREAD � • m.'.P.�.., r'v.raS ^s�`' r�.�.' �.'n : ''; ::.) Y ' �:r \ :>.:.;. :� ?� := x;:✓; �M�' r•. . ..r i ro;:'w �.n �".ta',u- ��,..x s .. ?��.:...�$<;>.,..t� ,):: . ',:z�, .a a y:.>c:;.i</ru:a%:,:...✓z:�',t.<yzC ; ": L yC. ° . G`,:, .:, xl� s� ;�.i;: s�3.cSit;:�,1..s `,"<. . s��:?.:.`. '�`-'t..:.':,v ::,�.\c : h\.'.;:;:`,",:..,�,,\,." ,: x ;� `,.`::\ :�c.\�:s'r).,,:: .. NoTES: SPANS AND LOADS SHOWN N TM SCHEDME ARE FOR DETERIYNNG ANCHOR SPACNG OWX FOR ALLOWABLE SPANS YS, DENGN LOAM REFER TO %MT 4. WHEN ANCHORING TO WOOD, THE WOOD MUST BE A. MINNUM 2 X 4 EQUAL TO 12 SOUTHERN PINE 0.55 SPECIFIC GRAVITY AND STRUCTURALLY PART OF THE FRAMING STRUCTURE OR SUCURELY ATTACHED TO FRAMING STRUCTURE SHADED AREAS REPRESENT ANCHOR CONDITIONS THAT ARE NOT ACCEPTABLE IT SHALL BE THE RESPONSI H" OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF- WE STRUCTURE TO WITH STAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHORAGE SHUTTER SYSTEM MAY BE INTSALL INTO WOOD. CONCRETE OR MASONRY• ;a s " ROBERT " 'mo�T OUR PE .EB- 0006024 QA'm EPl61meamG, m APPROVED AS COMPLYING WITH THE SOUTH FL Q IDA BUILDING CODE DAT BY PRODUCT CO Of DIV SON BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE N0. qc6- b3eq. -63 U Z v s V ^ 3 °o N Q m f..i m W yvy ° n R ti 'J U W 646 d° Z H° ca 0 n 0 e WOOD APPUCATIONS • • U UP TO 71.5 • • 81.5 PSF UP TO 91.4 PSF ANCHOR - � �� Q QQQQ © ©Q�QQ © ©�QQQ © ©QQQQ� BRASS 1"MIN. PENETRATION : 1 13 1 1 1 1 1 1 11 8 :: . ., o:�^;= �`: s> � \� c\ ® X , ,a � X>� a YN�4:� `•, . :\` . .s:�.. c zti1 ', ., A>.:. C w,v .w,\ \� . �iU;::�..J:: :A2' " " z: <�;i � r✓��,�:V < � �� w \ \ \\\�: ,. \� ,,: ,.\,,\, W �\ \ \\\ \ \ � \.. a \\ � �� �\ \ ,� , ' \ �\ \ \ \ � '` � < < \ti\\ \, \�\, , \ \ . , � �,�\♦ \�. �� o� \ 1 ,x:,\ : �\ \ ® t 1 . 10 4 4 4 4 : 5 :.\ ��„`, TREAD 1 " �\v r�> \ . \ \ � m f ,cS, 13....: w / / \� r , . ,; - - 1 PENETRATION LATION \ r , , NO- , • •\ . ..,g.. \ \., \\ "ova " " ® , WOOD LAGS 1 ' :':" -•� 1 c' ,mow.... •oc ^ ® - - �.,�+' & <3?<.�`, \C�:. . ^,a ... ,,,L; .. G T- a a G'�`. PANEL ' I OWN • 1 1 ' - ' ' ' . 1 `r... i.ry Y Y .Y°",,'��/i z zas ``'` \ \`Mss'`. . ., .HN � �Jc✓e;�,`4x•<,;, _ _. _ _ ✓ . ... ..Y" ` NoTES: SPANS AND LOADS SHOWN N TM SCHEDME ARE FOR DETERIYNNG ANCHOR SPACNG OWX FOR ALLOWABLE SPANS YS, DENGN LOAM REFER TO %MT 4. WHEN ANCHORING TO WOOD, THE WOOD MUST BE A. MINNUM 2 X 4 EQUAL TO 12 SOUTHERN PINE 0.55 SPECIFIC GRAVITY AND STRUCTURALLY PART OF THE FRAMING STRUCTURE OR SUCURELY ATTACHED TO FRAMING STRUCTURE SHADED AREAS REPRESENT ANCHOR CONDITIONS THAT ARE NOT ACCEPTABLE IT SHALL BE THE RESPONSI H" OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF- WE STRUCTURE TO WITH STAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHORAGE SHUTTER SYSTEM MAY BE INTSALL INTO WOOD. CONCRETE OR MASONRY• ;a s " ROBERT " 'mo�T OUR PE .EB- 0006024 QA'm EPl61meamG, m APPROVED AS COMPLYING WITH THE SOUTH FL Q IDA BUILDING CODE DAT BY PRODUCT CO Of DIV SON BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE N0. qc6- b3eq. -63 U Z v s V ^ 3 °o N Q m f..i m W yvy ° n R ti 'J U W 646 d° Z H° ca 0 n 0 e U.S. SOUTH Project Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 a Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 -------------------------------------------------------------------------------------------------------------------- SITE SPECIFIC INFORMATION Owner's Name: Z O E- 9-A Job Address: /03 k-A i✓ i® ?, I ' i M I '�' I Roofing Contractor: (Q(9 &. t I -® ®G I RJ Type of Tile: 0 I !�2 1 Date Installed: Approximate Roof Height: I -2–feet Roof Pitch: — Type of Access to Roof: Scaffolds ✓ Ladder Approximate Square Footage of Roof: 'Z� 01 ft' Required Testi Date Tested: - Testing Equipment: Chatillion 100 TEST RESULTS P = PASS, F = FAIL 7!-�) - la. Other N °_ 1464 07 Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 26 T- 51 76 2 27 52 3 28 53 4 29 54 74 5 30 55 80 6 31 56 7 32 57 8 33 58 R3 9 34 84 10 35 11 36 12 37 q61 13 38 88 14 39 15 40 65 16 41 66 17 42 67 92 18 43 68 9 19 44 69 20 45 70 95 21 46 71 22 47 72 1 97 1 23 48 73 1 98 24 25 49 50 1 74 75 1 1 99 1 100 ---------------------------------------------------------------------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT B E BY: f1® / ®1 Civil Engineer, Lab Certification # 98 -0608.04 State of FL Certificate Authorization # 4100 6 NOTES: JOB (C3 SHEET NO. CONTRACTOR CHEMD BY D/JE® SKETCH OF ROOF SCALE I E STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT REPAIR CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ X ]Repair. [ ]Abandonment [ ]Temporary CENTRAX #:.13 -SG -10046 DATE PAID• 20 0% FEE PAID : $ 'A'S y RECEIPT : OSTDSNBR : 01 -2632- -R ] Innovative Other APPLICANT: Rivera, Werner AGENT: SEPTIC CO, Solomon Teresa PROPERTY STREET ADDRESS: 63 NE 103 St Miami Shores FL 33138 LOT: 18 BLOCK: 123 SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 2136 - 013 -0960 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPYCIFICATIONS x:s-k = —Y T [ 900 ] Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 D R A I N F I E L D MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] ] GALLONS @ [ 0 )DOSES PER 24 .HRS # PUMPS[ 0 ] [, Z„® 0 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ 0 ]SQUARE FEET SYSTEM TYPE SYSTEM: -]STANDARD [ N ]FILLED CONFIGURATION: [ N JTRENCH [ y I BED [ N ]MOUND [ N ] [ N ] LOCATION TO BENCHMARK: Finished Floor of E/R 13.01 NGVD ELEVATION OF PROPOSED SYSTEM SITE [ 2.3 ] [ FEET ] [ BELOW] BENCHMARK /REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [ 3.8 ] [ FEET ] [ BELOW] BENCHMARK /REFERENCE POINT FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ 18.0 ] INCHES OTHER REMARKS: ^ • This permit is not for addition (s). *Install 200 sq.ft. of drainfield. *Bottom elevation to be no less than 9.21 NGVD. THIS PERMIT 12 HOT FOR P DN(�� *Invert elevation to be no less than 9.7' NGVD. DIVERT ELEVATION-q-1 The septic tank shall be pumped and a deflection ®�® ®� �Q([�� [��(]9�T0�9� device installed on the outlet tee. 702 3 "10 il5k`94g 0 ;'A I EEC �D➢ �� �E,� � 9Q WLECTICE3 Bola Icau lEa co TB9C UUMU iii SPECIFICATIONS BY: CI TITLE: APPROVED BY: Icaza, Carlos TITLE: Engineer I DATE ISSUED: 8/21/01 EXPIRATION DH 4016, 03/97 (obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016 -0) (ostds —cons 4016 -1j Dade CHD DATE: 11/19/01 Page 1 of 2 NCITICE OF COMMENCEMENT ' A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. Y q3 c�// TAX FOLIO NO. % / ?-r -3 6 6713 d STATE OF FLORIDA: COUNTY OF DADE: 0 1 Fa344 48 2001 JUL 02 10 -114 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in acicordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. i n 1. Legal description of property and street. address: 63 N.E. 103 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to a new Tile roof. 3.Owner(s) name and address: Wtrner Rivera 63 N.E. 103 Street Miami Shores Florida 33138 Interest in property: Owner Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quality Roofing Contractor, Inc. 13800 N.W. 1st Avenue Miami, Florida 33168 S. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 00 6. Lender's name and address: N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A S. In addition to- himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 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) / L, Signature of Owner Print Owner's Name el-e e-Y' ' ✓Grti.. Sworn to and subscribed before rpe this 2 Q day of , 20 U Or Notary Public % Y ( ! Print Notary's Name _ My Commission Expires Prepared by Carlos Arocho Quality Roofing Contractc Address: 13 8 0 0 N. W. 1 Avenue Miami, Florida 33168 EVIFES: Oftw 10, 2001 y STATE OF FLORIDA, COUNTY OF DADE �p COIlpj I HEREBY CERTIFY that this Is a e c . of the J��� CLARK or/gmat til in th office on Ad�ay of a AD 20[� WITNESS 4y y hand nd Official Seal. y 2, w rsroo wt rinq HARVEY RU IN R ofCir i and ounty Courts pA�f COQ By a D.C. Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: 0U 04,1,d )D4 ca , n q Cot, Job Address: 3 M, F7, 10 3 S4,e J— ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) 2 (Mortar �e Set Tiles ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof � Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (W) Sloped Roof Area (W) ',21 ij Total (W) XA s , Master Permit No. Exposure category (per ASCE 7 -88): c- Building Classifica ion category (per ASCE 7 -88 table 1): -P ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) ARE THERE GAS VENT ST'AC YES ❑ NO TYPE—NATURAL ❑ LPGX ROOF PLAN - - - - - - - - - - ' ; r- --- - ---- --� ' ti 1 ' '----------------------- - - - - -' ' -- - - - - - - - - - - - - - - - - - - - - - - - - -- , ' -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ' '----------------- - - - - -- ----- - - - - -- ' 123.01-76 area Page -1 Rid V MEAN 1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION 9 � ring: 6 c C C C0 01 irk ti A- Drip edge: ,Q) i \ "),o a109a- Le0va l; Z--el— eaucar -e. ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS B'' 1 (Pmaxl: q �, 1 X X ( Aemdynamie Multiplier):)t.l �) - Mg 53 5 = Mel: 9.10 PCA: 1, J,,. 0 1 XI (Pmax2: 9U X 7. (Aerodynamic Multiplier):'kIr • 05) - Mg: '53 S = Mr2:U.') 0 PCA: L..,20 (Pmaz3: X X (Aerodynamic Multiplier): 2-(.p - M8:5-23S_ = MrA. W PCA: t&jEO Page -2 N*,'d f- /1 J1„"" % /tom I,q-rw APPENDIX "I'll REQUIRED O.WiNERS NOTIFICATION FOR ROOFING CO\SIDERATIONS 'AS it perinins to'rhis Appcnclix "F ", it is the responsibility of the rooting contractor to provide the owner \ itli the required roofing permit, to provide the owner with this appendix and to explain to the owner the cont.nt of this Fort.►. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern requirements and standards of the industry for roofing systen► insinllntion Additionally. Additio ally. the all follo,-ill- itcn►s should be addressed as part of the agreement between the owner and the contrutor. The owner's initial in't ?t- rdjacent box indicates that tl►e itcaa has been explained. Acstl►ctics- N%'orkn►nnsliip: The workmanship provisions of Chapter 34 are for the p tr ose of providing that the roofing; system meets tl►e wind resistance and water intrusion perforniar►ceMr— dards. Aesthetics (appearance) issues are not n consideration with respect to workmanship provisions. Aesthetic iss::cs such as color or architectural appearance, that are not part of n zoning code, should be addressed as part of tit- agreentenc between the owner and the contractor. fi'`'t• 2. Renniling Wood Decks: When replacing roofing, tl►e exisjhw wood roofdeck may have to be renni ?ed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing tl►e existing roof system) 3. Common Roofs.: Common roofs are those which have no visible delineation between n6ul hboria, units (i.e. townhouses, condominiums, etc.). In buildings with common roofs• the roofing contractor end /o; owner should notify tl►e occupants of adjacent units of roofing \vo.rk to be perforated. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof deckim, can be viewed From below. The owner inay wish to maintain the architectural appearance, therefore, roofnn, nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintainine this appearance. S. Pondino Wnter: The current roof system and /or deck of the building, may not drain well and may cause water to pond (aceuntulatc) in low- lying'areas of the roof. fonding can be an indication of structural distress and may require the review of n professional structural cn;ineer. fondin, ntav shorten the Ilfe expectancy and performance of the new roofing system. fonding conditions may not be evident until the ori;ina! roofial, system is removed. Ponding conditions should be corrected. - kG. Overflow Scuppers (wnll outlets): It is required that rainwater now off so that tic roof is no'. overloaded from n build tip of water. Perimeter /edge walls or other roof extensions may bloc this overflow scuppers (wall outlets) arc not provided. It may be nccessnry to instnll overflow scuppersii to .cord; n:c With Chnptcr 23 of tl►e SFBC. M, ♦y CAI. %t. a. Vcntilntion: A•lost roof structures should have sortie nbilit to vcnt natural airno.w 7•- of tl►c structural assembly (the building rise( The cxistin�, y tl►ro:n`h rite net >' be bcncticial to consider additional vcntin;-, which can resvlt inictme ndting• the slrviocc lirelof►tl, be oJ;d : :ccd. I: -14-,O'/L S. The owner may contact the Nlian►i -Dade County Consumer Scrviccs Department for ferrite; inforn►ation reenrding the above. olync r s/, ocni s ►onalurc U:►ic Contructor's Sicnature r MIAMI-0ADE MIAMI -DADS COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE -METRO -DADE FLAGLER BUILDING 1.10 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130.1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305) 375.2901 FAX (305) 375.2908 Almar (USA), Inc. CONTRACTOR LICENSING SECTION 6645 NW 77 Ave. (305).375 -2527 FAX (305) 375 -2558 Miami FL 33166 CONTRACTOR ENFORCEMENT SECTION • (305)375.2966 FAX (305) 375-2908 PRODUCT CONTROL DIVISION Your application for Product Approval of- (305) 375 -2902 FAX (305) 372.6339 Altura "S" Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 99-1102.04 (Revises No.: 97- 0918.02) Expires: 12 /16/2002 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. ranclsco J. Quintana, R.A. ' Director I of 8 Miami -Dade County Approved: 12 /16/1999 Building Code Compliance Oftik ALNIAR (USA), INC. 1i ACCEPTANCE No.: 99- 1102.03 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF' ACCEPTANCE• STANDARD CONDITIONS L SCOPE This revises a roofing system using Almar `One Piece S' Clay Roof Tile, as manufactured Almar (USA), Inc. described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: High Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Test Product licant Dimensions Specifications Description One Piece `S' Ti,a 1- 18 %" PA 112 High profile clay roof tile. For direct deck or W= 10" batten nail -on, mortar set or adhesive set %s" thick nominal applications. Trim Pieces I = varies PA 112 Accessory trim, clay roof pieces for use at hips, w = varies rakes, ridges and valley terminations. varying thickness Manufactured for each tile profile. 2.1 Components or products manufactured by others Product #30 Felt #43 Coated Base Sheet Test Product Dimensions Specifications Description Manufacturer N/A ASTM D 226 Saturated organic felt to generic type It be used as a nailed anchor sheet. N/A ASTM D 2626 Saturated and coated 3eneric organic base sheet for single or double ply underlav eu _.-- Frank Zuloaga, RRC Roofing Product Control Examiner 2 AMMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Product Produc Dimensions Specifications Description Manufacturer Mineral Surface N/A ASTM D 249 Mineral surfaced asphalt generic Cap Sheet roll roofing for use as a top ply in a double ply underlayment system. Rainproof II 30" x 75' roll . PA 104 Single ply, nail -on Protect -O -Wrap, 36" x 75' roll underlayment with 2" Inc. or self - adhering top edge. with current NOA 60" x 75' roll Ice and Water 36" x 75' roll PA 103 Self - adhering W.R. Grace Co. Shield underlayment for use as with current NOA ' a top ply in a two ply underlayment system with Approved #30 dr #43 as the base layer. Wood Battens vertical Wood Preservers Salt pressure treated or generic min. I" x 4" Institute LP - 2 decay resistant lumber horizontal battens min. V x 4" for use with vertical battens or min. 1" x 2" for use alone Tile Nails Min. IOd x 3" PA 114 Corrosion resistant, generic Appendix E smooth, screw or annular .L L ring shank nail. Tile Screws #8 x 2 K" long PA 114 Corrosion resistand coated, generic 0.335" head dia. Appendix E square drive, galvanized, 0.131" shank dia. coarse thread wood screw 0.175" sctrew thread diameter Roof Tile Mortar N/A PA 123 Prepared mortar mix Bermuda Roof ( "TileTiteTM ") designed for mortar set Company, Inc. roof tile applications. (with current NOA) Frahk faoaga, RRC Roofing Product Control Examiner 3 ' ALMAR (USA), INC. ACCEPTANCE No.: 99_ 1102.04 . APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS roduc • Dim Test Product Specifications Description - Manufacturer Quickcrete Roof Tile Mortar N/A • PA 123 Prepared mortar mix Quickrete Mortar designed for mortar set (with current roof tile applications. NOA) Roof Tile Adhesive N/A See PCA Two component Pol foam Poly foam polyurethane adhesive Products, Inc. AH160") designed for adhesive set (with current roof tile applications. NOA) Tile -Bond Factory premixed See PCA Single component Flexible Products canisters polyurethane foam roof (with current tile adhesive NOA) 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile 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 112, appendix W. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3. This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119; and RAS 120. Frank Zuloaga, RRC Roofing Product Control Examiner ALINIAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4.2 Data For Attachment Calculations Table 1: Aerodynamic Multipliers - X (Fe) Tile Profile X ( ) Batten Application X (ft) Direct Deck Application One Piece 'S' Tile 0.253 0.274 Table 2: Restoring Moments due to Gravi - M ft -Ibf Tile Profile 3 ":12" or less 4 ":12" 5 ":12" 6 ":12" 7 "A2" or greater One Piece'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens I Direct Deck Battens I Direct Deck 4.47 5.35 4.40 5.27 1 4.31 5.16 4.20 5.03 4.08 4.89 Table 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Nall -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 99132" plywood) Battens One Piece 'S' Tile 4 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 148 Screw 28.7 28.7 N/A 218 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nail Field Clip) 23.1 23.1 19.0*.. 1 -10d Smooth or Screw Shank Nail Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 2 -10d Ring Shank Nails' 33.1 48.1 45.2 I Installation with a-4* Ole headlap and fasteners are located a min. of 2% :" from head of tile. Frank Zuloaga, RRC Roofing Product Control Examiner AVIIAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANrr. �.... �.... _ _ Table 4: Attachment Resistance Expressed as a Moment M for Two Pa Adhesive Set Systems r (ft-Ibf) Tile Tile Application Profile Minimum Attachment Une Plece,s, Resistance Tile Adhesive 2 See manufactures com onent approval for installation requirements. 29 3 3 Flexible Producs Company %legond Average weight per patty 10.7 grams. POI oam Product, Inc. Avera a wei ht per patty 8 crams_ 6. -1 ''" A"J U\ VI All files shall bear the imprint or identifiable marking of the manufacturer's name or logo, + g, or following statement: "Miami -Dade County Product Control Approved ". BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the followin : 6.1.1 This Notice of Acceptance. g 6.1.2 Any' other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Frank Zuloaga, RRC Roofing Product Control Examiner � � s ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.0.1 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWINGS DovE tAU, Lom ; j 10-1/2 a ONE PIECE `S' CLAY ROOFTILE Frank Zuloaga, RRC Roofing Product Control Examiner S 0 ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 TICE OF AC EPTAN E: STANDARD CONDITIONS L. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city , state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this. Acceptance. 3. Renewals of Acceptance will not be considered if: a• There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. C. If the Acceptance holder has not complied with all- the requirements of this acceptance, including the correct installation of the product. d• The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. �• Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6• The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. ' Failure to comply' with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9• This Notice of Acceptance'consists of pages 1 through 7 and this last page 8. END OF THIS ACCEPTANC . Fran Zuloaga, RRC Roofing Product Control Examiner s N Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 3/1212002 Applicant: WERNER Owner: RIVERA Building Permit Permit Number: BP2002 -520 RIVERA WERNER Page 1 of 1 Contractor ULTRA FENCE CO Address: 10801 NW 27 AVE B2 Local Phone: (305)696 -2031 Cellular: Parcel # 1121360130960 Legal Description: 36 52 41 3152 42 MIAMI SHORES SEC 5 PB 10-47 LOT 18 8 W1/2 LOT 19 BLK 123 Job Address: 63 NE 103 ST P Total Fees: �. O 0 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 9/8/2002 Construction Value: $480.00 4 Work: REPLACE SECTION OF REAR YARD CHAIN LINK FENCE W /ROLLER TYPE CHAIN LINK FENCE L� ., If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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• 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 1 assume respontsibility for all work done by either myself, my agent, servants or employes. Signed ' A (Contractor or Builder) BY . 6 i7 & 340K,11174w, lllq-T�Iflt i W4 . vy - Vlov ArD A , W This property described. as:' Lot 18 and the 'West -1 of Lot-19, f7 -•f Block 123, AN AMENDED PLAT OF SECTION NO, 5 Or., MIAMI, SHORES, ''1 accordin g to the Plat thereof, as recorded in Plat Book 10, Page 47 of .the Public Rec ords of Dade County, Florida. :;Fto .09 Zkw 17 Note: Underground encroachments and utilities,* if any, not located. Fence ownership by visual means only, legal ownership .not determined. FLOOD ZONE :,X FLOOD' INFORMATION: Community No.: 120�652 ,:, "M Panel ''Ito 9 OV* Suffix: 4 Date: of TFIRK:: �-I Z 4 BaS6 jkreiva&16 n • Not�'Availab16 42 Y -Compan Certified 'To: -Gdlfstream Title dA ruet and.i- Rivera i; mortaace'*In6: its successors ."akiid/br-4issig ns.- •'t !t �� .c k'•'..y�f w� ¢�.�� A�� "� J �"`h � � a,ra�, ?t c: g; Si � t � � �., ,�,. � va.��r�{ {������ ����p 24' jlaih d r 0 f7 -•f ''1 jlaih d r 0 i iuvni l AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) Nei Vial The undersigned Affiant, e'yww A° i `L'.�r- - does hereby attest that the (property owner) attached survey, Performed by (name of company) performed on ® 6- qq is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the Property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. erc CpV Witness(sign and print) Affiantipro owner Am510rg-,--�'era-' Witness(sign and print) SWORN TO AND SUBSCRIBED before me this�day of A$ant is personally known to m roduced�' � � � � ®° � �� ` as identification. e State The S14YIShi 00-11 � � .o MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby ade for the npproyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure here n described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, 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 p�gress of the work. Date.... .r ._._..r..».... ,19 �.... Owneis Name and Address....Alfl:.. 0. 3 x/ f- : �'. " d.� Registered Architect and /or Engineer...... ............„............ ......... ............. „�. :._,., m :x,xat�s :.x,mxsxr.,...... ;� . :. ».. . Vane attd address of licensed conugctor.... !� ��.- - .. -... ��` •`• =•-t4 6 Location and legal description of lot to be built on: ..... ..... .... ........ _......... Block ................ Subdivision ._........._,....._.» ........._.......... - .......... Street and Number where work is to be done........�?..�..-..-.-K_E ..........�..®--- .3....M. ».»._ .......� .».- State work to be done and purpose of building (by floors ).-._..» -. —.- ••» .- .... -- --.-•- .. -• ---.= , »-- - - - =»— _..... ........... .. ... ..:.» .... ........................ . . ».........._......._ _._ .....».� ............w ...» ........and for no other , purpose. New Building ......... Remodeling .... _ - ................. .. Addition .......................... Repairs: ... ............ .: ... .. No. of Stories ...... ....o._. To be constructed of ....... ................ Kind of foundation ...».....-».. .................................. ......... Roof C�ving.�? Estimated Total cost of improvements ._L. 2. _� ... .....Atmount of Permit f3,... . ».. ....... ......�.... :.......... .. . Zonecubage required ------------- _ --- - _ _ _ _ . _ _ _.... __.plan Cubage.. ....... _..... __. _.........» .. _. ..................... Distance to next nearest building ................. .. ................ _ ... __. . __Size of Building Let ...... ...............-..»..._.... .... »_ ...... ................... ....... Maximumlive load to be born6 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 .............. ............ ................ _ ..... .. ............... -........... 11 ............... ....---......_.........-----... ......................._....... ....... ........ . ............ 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 5998, 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 employer 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 uI lie notice or notices as are required by the Act. The undersigned agrees to employ only such su pFrform under this permit, as are licensed by Miami Shores Village. Remarks .__ ....... _ ....... _ ( Signed )...... STATE OF FLORIDA, COUNTY OF DADE. ss'I 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. r Q' 2 / % Z Read Sworn to and Subscribed before me. Permit No. �-r _._ __.. Date._ �! w _.._ __�._ _ . .... ..................... ».._......_ �. Notary Public, State of Florida. My Commission Expires._ ... PLAMNING BOARD__ . ...... .... ........ — ...DATE Chairman .................. _._. _ .. _.._ _ .. __ Member ..»....... ._ » ....._ .. �... ....� ..__._.. Merrber....___ ... _ .... _ ..... _ ....._ _ .... 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 hem obtained from the Plannin.- Board. I' A re- inspection fee ;of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspec -tion a faulty materials and /or workmanship. I! i! i►�44vmoks DATE R3N fu & LINT£LS 1� ". N -UP PLUMB1 Cl;!tfTRACT R � .` PE MIT NO + / ��i�� LOING INSPECTIONS BY RE- INSPECT BY RE- INSPECT : BY •I 1 GLo �. I i 3 +PERMITS & INSPECTIONS Ti PHONE IIw :2Z DATE "BLDG. r ALTERATION ADDITION REPAIRS ;y$PECIAL PERMITS PERMIT NO. -DATE FEE TEM RAF2Y SERVICE $ i r !^aEPTtC TANK • d $ +•� AMR H ATE.R.. $ $ $. id@`sCaTIQN -6 DATE BY RE- INSPECT BY RE- INSPECT BY *SANK � fi NCS IR A7Pt PIXY R ( �• Ii%J y T % T Jf�+S ' j GTRICAL PERMITS & INSPECTIONS y G PHONE 441 = T DATE FEE $A �,�' #�1 4/ ALTERATION ADDITION REPAIRS S Ai 9CIALPERMITS PERMIT NO. / DATE / FEE RARY RVICE N. W- HZATERCONN. BY REINSPECT BY RE- INSPECT BY !I MTN r OWNER'S NAME I 41�� -S P�SX T ADp`SS•s� A� I LICENSE N�� rpHONE NO. JOB LOCATION IST. OR AVE. LOT BLOCK SUBDIVISION `GENERAL CONTRACTOR /T /I+IT!/�✓ (/�/:�f���li% %�� i.lJr I ADDRESS s { ��1A C./7/LF7�LE/%i�L� Jl� ✓ %DiL� �JPHONE NNO./ I /�Yr/(I�+/ LICENSE NO. ( l ✓G%� Wyly �!! D % OG BUILDER'S BOND I BUILDING PERMIT NO. DATE ` PERMIT FEE $ NO. DATE ZONE e, REQUIREMENTS /742w CU. Fi T. 9 P jODD EST. COST $ /O '� DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND / / CUBE CHECKED BY: (, i Z' (i I TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCT N 'NEW .I / I ` 0 CONSTRUCTION ✓ // / /��7�F` %IyEiQ+s W60' DESCRIIPTION - I REPIRS / ( I��f/ /JY•/V�(��YILIa✓r7'rLlT�y ^ rir �i� -�.VA %ISIS ^ [���/i(�F ALTERATION DESCRIPTION ADDITION APPROVED REJECTED REFERRED TO COUNCIL REASONS / 4 SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD I I REMARKS SUBMITTED TO VILLAGE COUNCIL / Jul ` 1 FBYL EM w/ //�'' ®` /, coo"p e CERTIFICATE OF OCCUPANCY NO. ISSUED " 10 TO '(,Ed/� S BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE ce;�T,41�4 118 &Wj19B1k123, see 05 ADDRESS V63 ATE 103rd St LEGAL RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX ERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Leon Carellas 1947 9 mos. 9.00 4 -7 -47 ♦�07� r� W4 YX JA -Vgr x . �°i' f r a t F s .Issued 1 , t M Y :c' t. ra ' a ount �+ t o Flt, s 4 KNfJW ALL MW BY � that I `.,� Address" ' in consideration of the isauan o xn¢ ° $%► € 111age, Floridra, of a, permit or permits to constructor repair,a building or buildings at =t6 folioWi'ng addreqae�: do hereby deposit with Miami S ores Village, Florida, the sum of an agree with said Village that, when such construction shall have been oorgeted by me within the meaning of the ordinances of4aid0011laW, I will clear all premises and repair any Village property damaged by me,, used for the d&sit of material- or equipment in the construction or repair and that, if I do not so clear and repair such premises imrneaiatelq upon the completion of such constructi© w t e meaning of such ordinances, the Village may clear and repair the same and pay-the casts of such clearance ariii repair' e. of,, e said ,and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said shall be re r MY .HAND- and Seal at Miami Shores Village, Florida, this day of 7A AC: It (Seal) INS'T'RUCTIONS TO BUILDER - -.When above mentioned construction is completed and the premises are cleared and repaired take this &Mrto the Village Building Init)gctor and obtain his approval; after which Miami Shores Village will refund your money in accordance with the above"agreemaen VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the`construction contennplated under this Bond, has been completed and the- builder thereof has caused the surrounding premises to be cleared and repaired in.as good condition as they w bef re c sing said construction. WHEN CLEARED AND REPAIRED BY THE VILLAGE Am<*I t of Bocci ¢ . . . . . . $ 10 i ildi Inspe I iamihtss Vi lam- Cost of clearing and repairs done by Village Balance dt* Builder $ "' Cancelled ts_ By .i�.. �'� . 7�4� "l./ 'ti�N`!t' N 7L'+�.�+f`. •� y� .!�!�1��. ,j� �k.�i...� ii► MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N? 5188 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner c Building Architec Contrac or Build Legal Descrip 194_ if ;t for er Lot B Bl. S Subdi- Address of Value of Amt. of Building r ,," fl This permit is granted to the.contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance tome of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N° 4882 PLUMBING Work to be performed under this Permi Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Riiilrlino DATE Subdi- vision v 1 � vision Y Value of Contractor's License No.- C) Amt. of Permit 194 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 tbgrough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the s atements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By • 199PECT OR 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 AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N° 4883 PLUMBING Work to be performed under this Owner of Building Architect Contractor J ,'+ , k or Builder Legal Lot J ` ij, R I Bl. Description .' Address of R»ilr�inar , Subdi- vision Value of DATE 194— 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfo}med in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant, or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES BUILDING VILLAGE, FLORIDA ELECTRICAL PERMIT N" 4870 PLUMBING Work to be performed under this Owner of Building - Architect Contractor kr, or Builder _ Legal Description OAT 194_ Contractor's -+ License No. w nit - y spyM1 Lot all Bl. %� Subdi- /v 4,00� �J 1 j 'sion e • Address of .� Value of `�i ��t �! Amt. of / "'I Building Project ` Perm' , This permit is granted to the contractor or builder named above to construct the building or to install the equipment or evice 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 statenil-=*M-Specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By INVOLIMOR 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 ail work done by either myself, my agent, servant or employee. , CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT N° 5120 �. DATE 2-7- f 195 Contractor's / W License No. io ,ROOFING ❑ - ❑ Work to be performed under this Permit —._. Owner of Building } = k, t,. t.- = .` 1.1 F. # 1"J Architect Contractor T" or Builder ". Legal Lot Subdi- Description Bl. vision Address of !� Value of Amount of W. .. Building Proiect $ 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 knowle ge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings_, or in the state is or specificatio7 nd at he assumes responsibility for work done by his agents, servants or employees. 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 specificat%ns submitted to the proper authorities of Miami Shores Village. In ac- cepting tl's. permit I ;assume responsibility for all work done by either, myWlf, my, agerit, servant or employee. CONTRACTOR OR BUILDER BY AITfHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N° 4977 Contractor's License No._ PLUMBING Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot' , BI. Description t Address of Building ` I - / Iti -i Subdi- vision Value of 194 I -. 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 he assumes respon- sibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by ei r self, my a t, servant or employee. CONTRACTOR OR BUILDER AUTHORITY r, BUILDING ELECTRICAL PLUMBING t Ei Owner of Building Architect _ Contractor or Builder _ Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N' 5188 Work to be performed under this Permi Subdi- vision DATE `""� �.... 194 Contractor's '- License No. fZ Z Address of / % l �� � t E Va Jue of I Amt. of .�' '' Building (� / f ' �' I Pral ect Permit .. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: BY �"�... ,t• e ... 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 -y r/ AUTHORITY E • E _. MIAMI SHORES VILLAGE, FLORIDA DAT 194 BI�ILpING ELECTRICAL ',v PERMIT N° 4883 Contractor's �� e License No. PLUMBING Work to be erformed under this Permit �r Owner of Building Architect , Contractor or Builder Legal Lot A y. I Bl. Subdi- Description vision Address of ',R �f" t b Value of I Aent. of Building l` i Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or evice described in the 4ppli- ca5on herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perf rmed 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 arvehang� without-Tuthorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the ponsibMty f a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the s s ecifications and that he assumes respon- sibility for work done by his agents, servants or employees. A Signed:+ — By IN ORS, d+' In consideration of the issuance to me of this permit I agree to perform the work covere ereunder in compliance with all ordinances an regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificati ns submitted to the proper authoFi s of Miami Shares 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 MIAMI SHORES VILLAGE, FLORIDA / DATE_ �'" '' 194U•— PERMIT N° 4977 Contractor's License No. I- b f d der this Permit Wor to a per or— un Owner of Building e'),1 Architect / Contractor or Builder: Legal Lot Description BI i�/ / �' { Subdi- vision J/ Address Of Valject ue of II Permit Amt. of 44 Building Pro ,�' r / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or Aevice described in the appli- cwtion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: — By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining t1wreto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepofWtfiis permit I assume responsibilit .for all work done by.11thex myself my agent, servant or employee. CONTRACTOR OR BUILDER AUTHORITY t BUILDING . ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE ' 194 fu PERMIT Nn 4859 contractor's License No. Work to be performed under this Permit Architect Contractor or Builder Legal Lot�a Bl.P Description Address of `T a Al / G Rnilrlinsr / !'y► vision Amt. of� 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 hanged witho t authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above a s thy+"!' pons• , lity a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or ecifications and h t he assumes respon- sibility for work done by his agents, servants or employees. R Signed: — BY 40"', nPECTQ In consideration of the issuance to me of this permit I agree to perform the work cov ed hereunder in compliance with rdinances an ` lations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori ' of Miami Shores �illage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER t v— BY AUTHORITY W. . • MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE / , 194 ELECTRICAL PERMIT N° 4882 Contractor's License No. PLUMBING ' Work to be performed under this Permit E Owner of Building Architect Contractor or Builder Legal Description Lot - j'" y C 11 Bl. y Subdi- vision Address of t, ?j � s , / ) 1) Rnrl ilino Value of 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�ehan e�d�vithou#Aauthorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as s the r honsibiIity for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements "or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: BY . CTOR In consideration of the issuance to me of this permit I agree to perform the work covere hereunder in compliance wit la ja l ordinances )regulations pertaining. theretp and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami SPiores Village. In aeeepting thi "s'permit, I assume resgpnsib� for all work done by either myself, my agent, servant or employee. s.. CONTRACTOR OR BUILDER 13Y AUTHORITY r BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORID DATE 194, PERMIT N° 4870 Contractor's License ,No._ Work to be performed under this Owner of Building Architect — — Contractor or Builder Legal Lot Yt�l j f j f Bl. f ° Description Address of (- Subdi- Value of 1�bc ,'1WA This permit is granted to the contractor or builder namedtabove to construct the building or to install the equipment car Qevice 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 unicipal 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 hanger witho Aut orization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass s the r� `onsiy' ` y or a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or pecifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By In consideration of the issuance to me of this permit I agree to perform the work coveredafiereunde in compliance with �l Tdinances d regulations pertaining thereto nand in strict conformity wiwitth the plans, drawing, sta ements or specifications submitted tothe proper authol4�ltiie99 of Miami or s `Vilhage. In app / /¢I tm t . s er it I assume res s all work done b er agent, servant or employee. CONTRACTOR OR BUILDER / y BY AUTHORITY ,W ��19- l / _Qr STATE OF FLORIDA PERMIT I DEPARTMENT OF HEALTH a� ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS I WE APPLICANT:' p :x Ya, AGENT: ,r. t LOT: I 14 ) :: - BLOCK: p. SUBDIVISION: 40 'h PROPERTY ID #: � { .„ -o' C4 [Section /Township /Range /Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [] YES [ j NO NET USABLE AREA AVAILABLE: .2,1 ACRES TOTAL ESTIMATED SEWAGE FLOW: 4 " t GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] AUTHORIZED SEWAGE FLOW: aj,t GALLONS PER DAY 11500 GPD /ACRE OR 2500 GPD /ACRE] UNOBSTRUCTED AREA AVAILABLE: <.t? °; SQFT UNOBSTRUCTED AREA REQUIREDt + +-C_i SQFT BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS (INCHES/t [ABOVE / -BOW] BENCHMARK /RFZA`EREbT POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: AA FT DITCHES /SWALES: % FT NORMALLY WET? [ ] YES Lei] NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: N� A FT NON - POTABLE: ' FT BUILDING FOUNDATIONS: ,., FT PROPERTY LINES: FT POTABLE WATER LINES:'! FT SITE SUBJECT TO FREQUENT FLOODING: 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 [ YES t,njj NO FT MSL /NGVD Munsel Color Texture Depth to'— )r1 e to ) to to to t0 to t0 to USDA SOIL SERIES: 10 YEAR FLOODING? [ ] YES [ ] NO SITE ELEVATION: FT MSL /NGVD SOIL PROF %LE INFORMATION SITE 2 Munsell # /Color Texture Depth to } Avv 7 to to to to to to to to USDA SOIL SERIES: OBSERVED WATER TABLE: INCHES [ABOVE / -"LOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ ABOVE / 8=0k)] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ j YES F -4] NO MOTTLING: [ ] YES [k] NO' DEPTH: ' INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ "r °] BED [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: ALL, w SITE EVALUATED BY: (' �;..,G•.,' �# s` DH 4015, 10196 (Replaces HRS -H Form 4015 [Page 31 which may be used) (Stock Number: 5744 -003 - 4015 -1) DATE: Page 3 of 3 INSTRUCTIONS: PERMIT NUMBER: APPLICANT: AGENT: LOT, BLOCK, SUBDIVISION: PROPERTY ID NUMBER: PROPERTY SIZE: Permit tracking number by County Health Department. Property owner's full name. Property owner's legally authorized representative. Lot, block, and subdivision for lot. 27 character number for property (property appraiser ID number or section /township /range /parcel number). Check if property at site conforms to submitted site plan. Record net usable area available - lot area exclusive of all paved areas and prepared road beds within public rights -of -way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. SEWAGE FLOW: Record the estimated sewage flow for the establishment from Table 1 (residence) or Table 2 (non - residential), Chapter IOD -6, FAC. Record the authorized sewage flow for the lot based on net usable area and water supply (1500 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). If authorized sewage flow does not equal or exceed the estimated sewage flow, the application must be denied. UNOBSTRUCTED AREA: Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at least 2 times as large as the drainfield absorption area and at least 75 percent of the unobstructed area must meet minimum setbacks in Chapter IOD -6, FAC. The unobstructed area must be contiguous to the drainfield. BENCHMARK INFORMATION: Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. MINIMUM SETBACKS: Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for nonapplicable features. Features on site plan or within 75 feet of the applicant lot must be measured. The location of any public drinking well within 200 feet of the applicant's lot must also be verified. FLOOD INFORMATION: Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation for site and actual site elevation. SOIL PROFILE INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsell colors and USDA soil textures). Refusals must be clearly documented. Provide USDA soil series if available, record "UNK" if the series cannot be determined. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling is present and depth. SOIL TEXTURE. Record soil texture or loading rate for system sizing. DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION: Check drainfield configuration required. If other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE EVALUATED BY: Signature of evaluator, title, and date of evaluation. Professional engineers must seal all documents submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCHMARK SITE 1 SITE 2 SITE 3 [ + J SHOT H.I. H.I. H.I. H.I. [ - J SHOT [ - J SHOT [ J SHOT STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PER Permit Application Number cM- -------------------- - - - - -- -PART II - SITEPLAN --------------------------- Scale: Each block represents 10 feet and 1 inch = 40 feet. Site Plan submitte y: `-X�4 Plan App r v Not Approved By /01 County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10/96 (Replaces HRS -H Form 4015 which may be used) (Stock Number: 5744 - 002 - 4015 -6) Page 2 of 4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6-20-01 Job Address 63 N. E. 103 Street j R i /I v 0 Legal Description Historically Designated: Yes No Owner/L.essee / Tenant Wkrne r Rivera Master Permit # `7' �� C;2 1 Owner's Address 63 N.E. 103 Street Miami Shores Phone 756 -9364 ContractingCo.Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue QuaUe Carlos Arocho SS# Phone 751-0382 State# RC0058627 Architect/Engineer Bonding Company Municipal # Competency # 17889 VSKMT7 Mortgagor Address Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to �,7ood deck, replace rotted wood, tin cap 301b. ASTM f , all galvanized cave ; -rip and valley metals where required, mop on w' h De II Dhalt one-laver of 901b ASTM felt install Spanish S Clay Ble d c lorthru.tiT with polyfoad adhesive setting. Sq Ft Estimated Cost (value) $ 81900.00 WARNING'TA.0.WNE1L_YD0'fKUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOL PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDF 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 we will be performed to meet the standards of all laws regulating construction irr this jurisdiction. I understand that separate permits are required for ELECTRICA 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 regulati construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Copdo President Date Notary as to Owner and/or C My Commission Expires: F-4 MY COMMISSION # CC 680474 Q;E EXPIRES: October 10, 2001 o ;F; °•' Bw&d Thru Notary Public u,&, "t.. __2 C'/0 f Signature of Contractor or Owner - Builder Date Notary as to C6fitractor or My Commission Expires: Date MY COMMISSION # CC 660474 EXPIRES: October 10, 2001 Bonded Thru Notary N* Und Mftrs e - — FEES: PERMIT ��6 RADON C.C.F. NOTARY � BOND "3 �o 7® APPROVED: TOTAL DUE,,,_ /. " zoning Building Electrical Mechanical Plumbing Structural Engineer, PERMIT APPLICATION Master Permit No. Subsidiary Permit No. oZ,c cd " oZd 1 , , ,• , „ Step 1. Complete the attached permit application which must be signed ed by the property owner and qualifier. Both signatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: t/e 3 /Aj � �Q ��' f . �i� �� 'A 0 V e- C' -C °3-3/.39 Folio Number Address Apt. City State Zip Aescription of Work Ocer1kc E O � /d Yw-e ya4 C1-4%A.f Lot Block jMK �'e>Jcc' W, h Yeile:.Y Subdivision PB PG Zoning Linear Feet Current Use of Property �e ' w Square Feet Units Floors Proposed Use of Property CValue of Work yg�' 00 Bldg Value Tenant Information Tax Assessed/Appraised Value PERMIT TYPE ( ✓ Buildin Electrical Mechanical Plumbin LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Ch g. Contractor Renewal Revision Extension Supylement Reinspection PROPERTY OWNER Name t.p, e_-< Address /,73 tC /0 3"d Y r 3 3 0 TYPE OF MANAGEMENT ( ✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'1 Detachment Other ENGINEER Name License No. Address Telephone Fax CO me NTRACTOR yewC� L Na �— y+ License No. Address � � �(' ;�L%A ,/( Telephon/C Qualifier Same 1. Page 2 PERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the streettsidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. DAVIT - Please rear Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, I" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. / ^X \/ STATE OF FLORIDA, COUNTY OF`MIAMI -DADE kiinature of Owner 1 , Print Name Sw to and subscribed before me this da 4Ad'ontractorrQualiger FLORIDA Y OF MIAMI -DADE j " at Print Name n Sw= to and subscribed before me this dayj of �� , '1° -..: \ t S�afure of N*ry Public\.,State of F t ignature Notary b is - fate o Florida ei f, s �p�iY pUd Ge A SEAL: rJ ��(i s ��ta €:� SEAL, x � y44� q) Personally known ''R Produced Identification known � ��, Olt Pr uced Identification Type of Identification Producefl �$ k t1 -J'QVP0 -S ®� (� Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE QTY. Minimum Fee TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE QTY. Service Repair A/C Central 1 -3 Ton A/C Warn. Tons Fan Dryer Vents, Number of Paint Booth Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Periodic Inspections Fire Pump Barbecue Outlet, Switch Signs Bath Fan - Vented, # A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Ibbs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violati(,as Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. TYPE QTY. TYPE QTY. TYPE QTY. Minimum Fee Condensate Drain Generator Refrigeration, Tons A/C Central, Tons QTY. Cooling Tower Heating Strips, each QTY. Vent Hood, Cost Bath Tub A/C Warn. Tons Drinking Fountain Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Filter Replace Barbecue Fire Sprinkler System Process/Pressure Piping Sprinkler Repair Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Fountain PLUMBING TYPE QTY. A/C Condensate TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Q111Y. Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility -Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY DATE: Page 4 , PERMIT APPLICATION OFFICE USE ONLY ❑ OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS / DERM APPROVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic / Sewer) multi- family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify & Attach) (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village $ Bond $ r Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ Zoning Review $ REVIEWED AND PREPARED BY SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official ` (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) TOTAL $ DATE: Revised July 2001 10050 N.E. 2N) AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com y PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date P,17-?-10) Job Address (03 O E (gyp 3 Tax Folio )) - 213 i- 013' 0 9 6 0 Legal Description I 1 k. I23 M 56y ,P1' S'� Historically Designated: Yes No Ownea,essee / Tenant U) R 1 �Aer q Master Permit Owner's Address =��12) Aie. � OeJ Y'T Phone � D -1 �J �r 98 r 4 Contracting Co. Se-O i c 1--ne Address 1r--6 e)ox cs vfvod, r &3 { Qualifier I C lac cY`a_oJ IDN ss# Thane 661- 33 State # <'`(?9 RO 7 9 Municipal # competency # Ins. Co. N a'ch1 a U 3 Architect/Engineer Address Bonding Company Address Mortgagor N P� Address Permit Type (circle one): BUILDING ELECTRIC UM MECHANICAL ROOFING PAVING FENCE . SIGN WORK DESCRIPTION 1 N Yr kt, C) (J tU --t Square Ft. 2tao Estimated Cost (value) 4 1300, of WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 14AY RESULT IN YOUR PAYING TWICE FOR DWROVEMENTS 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. X Z u) 2L Signature of owner and/or Condo President Date Signs Con Owner - Builder Date v �� QV4�1.v � -,?,I q 11� Nh2aL' tary as Owner and/ Da No* as to Contractor or Ow , My pMON My Commission Expires: . R #„l. 60 GLAZi1 I VIAM gip. MISSION * cc 854606 NOtAR'1f pWUCSTAT8fF WIRES; Jul 16, 2003 CONOASSION Nc).,CCn4103 F Naxv serv+ce & eor "CO• P. eoosrpTU+Y 1 20 ✓ FEES: PEIMT RADON C.C.F. NOTAR_, BOND Z,o APPROVED: TOTAL DUE 1=1 Mechanical Building Electrical Plum ' Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE �ate�,,� r�/ -g/ Job Address C 3 C �Q 3 W _Ta�c Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant _E�Z= AVCA -4 Master Permit # �o Owner's Address 75 6:7 /05 Phone Contracting Co. /L A C Address 3 C) Z E5 4( i ' ' YX L -+ Qualifier v /f.�% /- • �:J Z- SS# 1- 4 t'j' .r- /T State # Municipal # Competency # cq! 'O09/ 3 Ins. Co.6144,11A� Co, Architect /Engineer /E6 L-� T Address a'14 N) Z" Bonding Company Mortgagor Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 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 a attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this unZdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL ORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and laws regulating construction and zoning. Furthermore, I authorize the above - named r Con o President 7Pate Si n Notdy' as to Owner G t - llat( M Commission E ires: My Nlo ARY P N tC7VU63 p(P. MY C r FEES: PERMIT RADON with all applicable )r or 0 uilder � �,� Date d Notary as to Contractor or Owner - Builder v Date My sion Expires: - - o� Cormnis Fb Lb d00 -4 C.C.F. /` 2 0 NOTARY J BOND TOTAL DUE_ APPROVED: t ay Zoning Building Mechanical Plumbing Electrical Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE i Date �S ept . p_2 /q_'�ob Address N.R. 1 C 3 S t , a m } Tax Folio ' Bores Legal Description Historically Designated: Yes No�%- Owner/Lessee / Tenant ..::�Xexm cr R i Arora Master Permit # ► �� v Owner's Address 63 N.E. 103 St.Miami Shores F1 .33138 Phone 756-9364 ContractingCo.4n & C Painting Contractor _Address 411 N.W.105 St. Miami P1. 160 Qualifier SS# Phone (Beeper 3305) 707$276 State # Architect/Engineer Bonding Company Mortgagor Municipal # Competency # ",T� alzV Ins. Co. Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /� Square Ft Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY, RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date My Commission Expires: " Notary as to Contractor or Owner - Builder My Commission Expires: FEES: PERMIT 492 RADON C.C.F. l� NOTARY BOND TOTAL DUE APPROVED: Zoning Building 12g7-7 Electrical Mechanical Plumbing Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ' 1- J Job Address 6 3 N E ID 3 '21� Tax Folio Legal Description 40+ /$¢ .� @ 19 ,QJock 1Z3 Sec 5 Owne / Lessee / Tenant W #R /V Rj31 V2R r4 Master Permit # Owner's Address 63 /0-3 Phone ,C6 - 9��T Contracting Co. C• seR✓/C Address A) �� ! i4 Qualifier -r er4c.� SS# Phone 0 7� •�D�� 0- jFSC State # OS--70&9 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Mortgagor Address Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION h,4 /, -J .C.iNK - PiuCP i 3. 0 •Sq +:are 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 akth.0rizethe abo named contractor to do the work .stated. Ll - P� --�-� Signature of owner and /or Condo President Signature of Contry6ct rj or Owner- Builder Date: TONY E, Cl' Dater MY �►• Notary a o $.. President Notary as to Contractor or Owner - Builder` My Commis p 3 My Commission Expires: aua n FEES: PERMIT i RADON C.C.F. NOTARY TOTAL DUE�e APPROVED: Fire Other Zoning_ Buildin Electrical Mechanical Plumbing Engineering_ y ► PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date tp(514196 Job Address (V C ! Q _� E -� Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 1, ( � I F 6P- 4- Master Permit # Owner's Address 6 3 fv , E. 103 S4, Phone Contracting Co. Q 4 C (La t, c� Address I L{ 9 2 3_.S • W • &E I-E t r - Qualifier C +b P�Cr) x 1'(A SS# Phone 9c)5, ) x$%-01 '0_ 1 State # CACO!�n & a Municipal # — Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Ins. Co., Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION _r N S *Ig (.c a_+ f Kui Square Ft. ! 102 Estimated Cost (value) 3 01, (-( , o 0 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 of Contractor or Owner- Builder Date �7 Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder My Commission Expires: My Comrtussion Expires. SEAL FEES: PERMIT �OCRADON C.C.F. .. j NOTARY` 'S f~ BOND APPROVED: Zoning Burldmg Mechanical lU Plumbing Electrical Engineering TOTAL DUE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address Co 3 )V ` l � 3 .S 7' Tax Folio ? /? 1 Legal Description Historically Designated: Yes No X Owner/Lessee /Tenant gtt �wf s W".�J Rl vmk . Master Permit # �-��% Owner's Address �, 3 N E t'9_3!5-r- Phone Contracting Co. f3 2 %% euc�g ►A c comp C"Ji 2 I ti C_ • Address 57 9 1 S -•t 3q sT Gl.- 331 Z_ * cc*.fMc -T *4 4390 31 z3 8 Qualifier F�t,B1✓2T0 3' (3fL1TZ� Ss# _ Phone (o (b ?fl2i State # Municipal # competency # 00d0olk5? g Ins. Co. Architect/Engineer NA- Address Bonding Company Address Mortgagor N Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION mu'RAi. -r- l,_'0 ArA-P5 eyncA f -mtNe V)s��nfic-c�� Square Ft. 0 0 Estimated Cost (value) t OCR 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. Furthermlo� ,, I authorize above -named contrac r to do the work stated. V C/ / "4/C / AO"(-- vc1Yi Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date M. "* j *on ExptWICIAL SEAL MARISEL RAPOSO MY Commission Expires `rt #; Dec. 9, 1996 Comm. No. CC 245455 FEES: PERMIT fo'3 ' G'�' RADON- APPROVED: Building Signature of Notary as to Qp actor or-Owner- Builder " Date My ComnA,U- ffit** es: OFFICIAL SEAL MARISEL RAPOSO MY Commission Expires Dec. 9, 1996 � *oF�`Comm. No. CC 245455 C.C.F. h, NOTARY BOND &60 TOTAL DUE Electrical >1' Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 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_ hat all the foregoing information is accurate and that all work will be done in compliance wi al applicable laws regulating co tructio and zoning. Furthermore, I author' th above -na ntractor to do the work stated Signatur f owner and /or Condo President Signatur o Contractor or Owner- Builder Date: Date: r ` Notary s to Owner and/ _ My Co fission Expires: tPpy.'e' JOSE N• ALFONSO cti Ys'- ti1Y COMMlsSiOtd # CC 21503E EXPIRES: Juhi 12,199E F of F W Bonded Thru Notary Pubic Underwrbrs el r Notarft as to Contractor or Owner - Builder My C mnission E -� JOSE N. AI fONSO .; MY COMMISSION# CC 21403E P EXPIRES: July 12, 199E �8onded Thnft PUbic�nde _ ft, tery FEES: PERMIT �" RADON C.C.F. %.fir NOTARY TOTAL DUE APPROVED: Fire Other {R Zoning Buildin / Electrical Mechanical Plumbing Engineering Date ` ,? f / � r, Job Address Tax Folio ti Legal Description ''" " T +�� !�' j` '`�l nF - - �� Owner / Lessee / Tenant ��/ ex / //�?�,E%- Master Permit Owner's Address L�l.. l �� ^- �� � �'t' a Phone Contracting Co.( " '1'�_ Qualifier vt k l� % ° SS4� - - Phone 1 State #F_16t Municipal irk 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 �' Gl' ✓�� f? %` f 4 f}x / S *L4 Square Ft. %�CJ Estimated Cost(value) C; J W 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_ hat all the foregoing information is accurate and that all work will be done in compliance wi al applicable laws regulating co tructio and zoning. Furthermore, I author' th above -na ntractor to do the work stated Signatur f owner and /or Condo President Signatur o Contractor or Owner- Builder Date: Date: r ` Notary s to Owner and/ _ My Co fission Expires: tPpy.'e' JOSE N• ALFONSO cti Ys'- ti1Y COMMlsSiOtd # CC 21503E EXPIRES: Juhi 12,199E F of F W Bonded Thru Notary Pubic Underwrbrs el r Notarft as to Contractor or Owner - Builder My C mnission E -� JOSE N. AI fONSO .; MY COMMISSION# CC 21403E P EXPIRES: July 12, 199E �8onded Thnft PUbic�nde _ ft, tery FEES: PERMIT �" RADON C.C.F. %.fir NOTARY TOTAL DUE APPROVED: Fire Other {R Zoning Buildin / Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date *a Job Address !�j A1,5F A00 .57- Tax Folie Legal Description p % /�j ,rs (.�/ j Z Dl�/ g Historically Designated: Yes No Owner/Lessee / Tenant Master Permit # '103 �J S Owner's Address 3 '� Phone 75�, - 13 Contracting Co. 41L �y, aX)5r Z?LK- Address !gaol 5t4- 6 ;T'; / 1 ;97- Qualifier P'000%m /'! 40go- SS# Phone d - 10,j State # G 61-Q�f 7 3Q� Municipal # Competency # Ins. Co. Architect/Engineer �'&Address Bonding Company �� /4� Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1i v %o QIrC'4 /X" e6w, �� t)d6iF" G�x //C• 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 it all work will b o in compliance with all applicable laws regulating construction and zoning Furthermore, I authorize the above -named co actor to do e wo k tated. ignature of owner and/or Condo President Date Signature of Contractor or Owner- u' d Date ox / Nom t�as to Owner and/or Condo President Date MynnC; Bcprr., C> <'F- r r. z, FEES: PERMIT 1 — RADON APPROVED: Zoning Notary as to Contractor or O er Buver My Commission Expires:-5] y �7 a D A. Rz?NEY rsOrARY y Comm Exp, 504/97 '+ PUBLIC /o Bonded By Serke Ins N CC2828`�3 l �r &4wn H l C.C.F. '1 NOTARY -6- TOTAL DUE E y Building t Electrical r — Mechanical Plumbing Engineering Nd' °U J(Q q(,t� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT , APPLICATION FOR PLUMBING PERMIT �1 { I, , l Permit No.___7___-- - _-- -- - - -- Date------- "A11__ *_4____---- - - - -__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - - -4 &0_,0V-------- -- 5?_ - - - -- No-------------- - - - - -- .5- - - - - -- Street ---- Nl- _jC ---- 1®-3 ---- `r-77i RegisteredArchitect and /or Engineer ---------------- ------------ -----------------------------------------------------------------/------------------------------------------------,- �-- �-------------------------- -------- - - ---- Employing Plumber's Name ----- A?4 �- �'-rT - - - - - -- - No. SCs �Y !�' /.S ST A7 --------- - - -- -- Street --- -� 1 d'' !'1 i Location and Legal Description Lot/e. g_ - _4.0A_Ga T___1Y___ Block___ -_____ _✓� _______________________ Subdivision ____SE_e 7/ O-Jy_______s__ Street and Number where work is to be performed—No ---------------- s_________________ Street__W!_lE ----- / Q_ __________7c___________________ State work to be performed and purpose of building B Floors - jL-_ L V 'CJ. / Al New Building ---------- y e- -`r---- - - - - -- Remodeling -------------------------------- Addition--- - - - - -- - - -- - - - - =- - - -- Repairs------- - - -- -` "" °` - - - - -- No. of Stories --------- -------------- Size Septic Type of Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City— Well ------------ (_1.7`__ -------------------------------- of Soakage Amount of Permit (Signed) Capacity Gals. _______ 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) --------- --- ----- ------------ - - - - -- - = - = - -- Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_____________ ___________________________ ____ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty inaterials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES 2— 7 LIST a=-- ! DEEP SPRKLR. SWIM'G CHECK DRAIN SOAKAGE GREASE SOLAR SEPTIC TANK SEWER CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST L- CHECK Size Septic Type of Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City— Well ------------ (_1.7`__ -------------------------------- of Soakage Amount of Permit (Signed) Capacity Gals. _______ 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) --------- --- ----- ------------ - - - - -- - = - = - -- Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_____________ ___________________________ ____ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty inaterials and /or workmanship. w • 72, 0 ' MIAMI SHORES VILLAGE ' PLUMBING INSPECTION DEPARTMENT ` A A APPLICATION FOR PLUMBING PERMIT Permit No.____ _____ ..r / -- ----- - - - - -- 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 con lied with, whether hereinspecified 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 Employing Plumber's Name -------------------- . b1/. V Location and Legal Description Lot ------ - /___ yaf ! J 7- Block ------------------- +-Subdivision____ __a' a'K► .'� Street and Number where work is to be performed—No _______________f L?2------------------------------------------ Street______ !] ___'___ 1�n__-__ -1__Q___e3__---- _30 ------------- State work to be performed and purpose of building (By Floors) ---------------------- ------------------------ - - - - -- -------------------------------------------- - - - - -- --------------- - - - - -- - - -_ New Building ---------------------- Remodeling ___ Addition_ ________________________ Repairs --------------------- - - -- No. of Stories -------------------------- I ----- --- ------ -- -- - - - -- Capacity Gals.- - - - - -- - ty Size Septic Tank ------------ Type of Tank - - Feet of Drain Tile ------- ----- 7477� -------------------- Dist. Feet of Tank or Drain Field from Well ------------------------------------------------------------------------ Nature of Water Supply: City —W of Soakage vv - I' v Amountof 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 SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SW IM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK CHECK I ----- --- ------ -- -- - - - -- Capacity Gals.- - - - - -- - ty Size Septic Tank ------------ Type of Tank - - Feet of Drain Tile ------- ----- 7477� -------------------- Dist. Feet of Tank or Drain Field from Well ------------------------------------------------------------------------ Nature of Water Supply: City —W of Soakage vv - I' v Amountof 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. 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. �/y►y / s/ r Owner's Name and Address _ , - - ""_^- ------ ---- ----- -------- - - - - -- No.- - -- - -- - -� �•_ ! ------ Street - - - -.� Registered Architect and /or Engineer ----------------- ____ ----- - __ ---- _------ _ _---------- — ------ —_ _— _— __�__. _ -- Employing Electrician's Name �_ 0 No ?"! _ Street___ t 3� Location and Legal Description Lot___________ ! �/____J�__ _Block_____ f �t!��—_— ___— ________ ______ 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 ------ — ----- -- ----- —______-------- ------ --------------- ----------- -- - - -- ---- --------------------- -------------------------------------------------- ---- -------------- - - - - -' Y — - - - 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 licensed by Miami Shores Village. (Signed) Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------ -- ------ ------ ------ ----- - ----- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the --- —__—__— ------ — --- — ---------------------- — _-- ------- of the above described construction, 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. SW TCH 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. DIET. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. T— mP PERM. - O -1 HP 1 -S HP TRANS. CONTR. LIST —I CHECK � Service Overhead Size Feeders. --------------- Conduit.____________ Main Sw ------------ Amps. _— ------- _------- Main Fuses ------------------------ Amps. Underground Type of Installation— Conduit------- --- - - - --- Tubing--- ---- -- -- - - -- B.X.L ----------------- Metal Moulding ------ — ----- -- ----- —______-------- ------ --------------- ----------- -- - - -- ---- --------------------- -------------------------------------------------- ---- -------------- - - - - -' Y — - - - 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 licensed by Miami Shores Village. (Signed) Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------ -- ------ ------ ------ ----- - ----- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the --- —__—__— ------ — --- — ---------------------- — _-- ------- of the above described construction, 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. • 4 A MIAMI SHORES VI LLAG E ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT I—) ,� �� e� Permit No�! _____� _ Date_W.___.�._� r_ �_ 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 Registered Architect and /or No, __ - - - - -- 6 — � __---- --- --- - - -_ Street__ `! - �r ____,l�l� a2 Employing Electrician's Name Location and Legal Descripti Street and Number where work is to be performed—No ---------- LC__ a --------------------- — __— __— ___------ 0— Subdivision____ - -v9 rt'D r, 7 /-�— State work to be performed and purpose of building (By Floors) ----------------------------- — --- — --------------- _ New Building----- ----- - -- -If , ---- - - - --- Remodeling-- ------------- ----- --- - -- -- Addition ..----------- ----- --- - -- - -- Repairs - -- ----- — No. of ories --- f --- - - - --- Overhead �` Service �d Size Feeders --_ �, -- Conduit -___`. ! �'_" Main Sw.___� -&0__ Amps. Type of Installation— Conduit______________ __ Tubing - -__ ---- --____ B.Y.L ----------------- Metal Moulding Main Fuses____,z �f -------- Amps. t 1 (r / y °""rte —V v Amount of Permit $ - - — - — — ----------- ---____ - -- (Signed) ----------- - ---- - - - - -- -- t' lec al pector -- The undersigned applicant for this building permit does hereby certify that he understands and ac obli ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo d 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 perfo med under this permit, as are licensed by Miami Shores Village. (Signed) -- - — — -- -- — - ----------------------------- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------------------------------------ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _________----------------- — ---------------------- _----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be rade when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship, SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's No.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST 09 CHECK ENT. DIET. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL Sw. CAB. T::MP. PERM. I 0-1 HP 1 -5 HP TRANS. CONTR. LIST CHECK Overhead �` Service �d Size Feeders --_ �, -- Conduit -___`. ! �'_" Main Sw.___� -&0__ Amps. Type of Installation— Conduit______________ __ Tubing - -__ ---- --____ B.Y.L ----------------- Metal Moulding Main Fuses____,z �f -------- Amps. t 1 (r / y °""rte —V v Amount of Permit $ - - — - — — ----------- ---____ - -- (Signed) ----------- - ---- - - - - -- -- t' lec al pector -- The undersigned applicant for this building permit does hereby certify that he understands and ac obli ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo d 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 perfo med under this permit, as are licensed by Miami Shores Village. (Signed) -- - — — -- -- — - ----------------------------- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------------------------------------ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _________----------------- — ---------------------- _----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be rade when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship, t � � i �D r &wd f r r I salazar - rodri g uez & aSSOC. architects - planners 111.01 Truly yours. SALAZAR- RODRIGUEZ'S ASSOC. Fulton J. Salazar Arch. uoen �aiw�- 03 t�c 1 s y- 702 hialeah drive, hialeah, f I. 33010 (305) 888-5682 salazar- rodri g uez & aSSOC. architects - planners sts&O F"4- TO N W. wr *leq I #- IF V* T' . TNR,, b FiLLW AAB tt 6� �/ Etoxr L'f Pars dry. �0000 ro PI sl� tj -1-T Truly yours. SALAZAR- ROnRIGUEZ*b AS.SOC. Fulton J. Salazar Arch. 702 hialeah drive, hialeah, f I. 33010 (305) 888-5682