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of Of e 0 ee.s 519 23. ?' VS ��oo/ u�PC•� 1715" V M c ✓•b5' i /e 0 p Pr' /%i e eH i .484' �1'Ps ilo. 08s h0 7.74 o6S' � ` I h X68' � • is. .gol Ili ro /e Oar°es Z7 4/ - - - ??- 381 i /.. 49 • r x yoo <o; few? o W ' . r„y .�r ��•: /Pure ' c ✓•b5' i /e 0 p Pr' /%i e eH i .484' �1'Ps ilo. 08s h0 7.74 o6S' � ` I h X68' � • is. .gol Ili ro /e Oar°es Z7 4/ - - - ??- 381 i � ''1. .1 I 2'x j NURSERY a 2-78 S. F. l ,i D•p. OQ D.a. 1'. FLOOR - o r M �+ M~ 2 N OD co C f 1. ON%. oL '1 J_ . ✓ 2 . sr $ 0 (-- •, \ ' SW1rC Yt F L1T6 l \ \ L REMO a 33 cam]/ a. 3 T i N G,\ cc p ``.., DIN. \+ ` \ KIT(-Ht N PLAN SCALE %'= 1'0" E At 5.7 IN G Nlk w ' ADA,rioN T CRiCKET _. _ .. - -- --•-• — - - - °— f' 1 ! r 1'F 'i r ,'�'�' I I 't '%'1? '/mot 1 � Zf f -• ��. Tint TED GL*,.4S \ Is TUC. E7 AS T ELEVATION sc. ^Le A - - C -p' 15' � ExisT't � ExlsM1i`�►vG NOTICE OF COMMENCEMENT ` A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: TAX FOLIO NO. 0OR2343 70 2000 MAY 17 09:37 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: c.;S5 � /03 S 331 -6 X 2. Description of improvement: ?—e Gov f 3.Owner(s) name and address: :A Zi ard12 Q& S &> %- ivy -0+ Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: B CO..'- 5. Surety:(Payment bond required by owner from contractor, if any �� a�Eax , h� STATE OF FLORIDA, COUNTY OF GAGE Name and address: J pry. •a o I HEREBY ceKrrr r rnar this IS a true co y or me a original riled in this o ice on Amount of bond $ v • A o 20 c� 6. Lender's name and address: N i a- \ b_ )z)) WITNESS my hand and or -- Sear• 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: A2 ( 4 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) A A ire of Owner It Owners Name 3 k;. n N`:j� n r �U( Sworn to and subscribed before me this J O day of , 39 a_oo o Notary Public Print Notary's My rnmmicci. Prepared by: -C, eds i 5cn'1 a Cr Address: 16460 ,qW A97 &/Y �•Z 33/57 1"".50 tai Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Bob Hilson & Co Job Address: 283 NE 103 St ROOF CATEGORY (Low Slope Application) ❑ (Nail -On Tile) (Mortar ve Set Ti ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof Al Re- roofing ❑ (mew Roomwood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (fe) / Sloped Roof Area (fe) a 5 Total (ft) W6 0 -- Master Permit No. r ASC 7 -88 : G. Building Classification category r ASCE 7 -88 table 1 : t Exposure category (per ) g g ry (pe ) ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) 26ga Galy. 3" Eave Drip nail 4 "oc 1 Ply Mineral Surface Cap Sheet 2 Ply Fiberglass Ply IV 1 Ply #75 Glass Base I Ply Rosin Paper n/a Ft. , , I Deck Type: 1" Woodplank ATTACHMENT 10' l Ft. I Fastener Type:3 /4" R/S Nails with Tincaps SPACING r Field: 6110C Perimeter:6"OC Corner: DETAIL 1 & 2 123.01-78 9196 Page -1 ROOF PLAN r----- - - - - -- --------------------- - - - - -� ' I I ' - ----- ---^ ; ' -- ------ --------- -- - --- - - - -- --- -- - --- r----- - - - - -- ---- - - - - -- - - 1, , - ,- I I I 1; 1' 1 ___ ______ _ _ __ ----------- i ' - ------- - - - -- - - - --- I ; ---- ---- -- ----------- - - - --I 1 I I , 1 ,-- -- --------------------------- 1� - -- - - - - -- - , ------- XT- - - - --- - - -- 5-- - - - - -' - - -a - -- 123.01-78 9196 Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Bob Hilson & Co Job Address: 285 NE 103 St ❑ (Low Slope Application) ❑ . (Asphalt/Fiberglass Shingles) ❑ New Roof ❑ Re- roofing ROOF CATEGORY ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (W) Sloped Roof Area (fe) Total (" Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): 3' Ft. 10' 1 Ft. Term Bar 6" odtOOF HEIGHT AND SYSTEM DETAILS ' ' ; 1 1 Ply Modified Bitumen (Draw details as needed) ` - - - - - - - - - - - - - - - - I 1 ' 1 ly #75 Glass Base 1 Cant Strip --------------------- 1 Ply Mineral Surface Cap Sheet - - - - -' ' 1 2 Ply Fiberglass Ply IV ROOF PLAN DETAIL 1 .4c Z ' 1/2" High Density , --------------------------------- , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , + 11 ' 1 Iso Insulation --- ' 1 r -- -- - - - - --- - - - - - - - - ------------------ ' ' 1 ' 1 1 Ply #75 Glass Base ; ' ; ----------- ---- - - ---- L ; 1 Ply Rosin Paper ------ ---- -- ---- r — -- ------------------- -- I 1 ' r---------------- - - - - -- 1 1 ' ' I r------------- - -- - -- i 1 I 1 1 I I 1 , ' ........................ - - - - -- ' , 1 , ' , , ' r-- ---- ---- --- - -- , 1 1 1 1 1 Deck Type: 1" Woodplank 1 1 1 1 1 ------------ - - _ _ _- - ' ATTACHMENT 1 1 1 11 1 I 1 1 1 1 1 Fastener Type: 3/4" R/S Nails with Tincaps 1 I , SPACING Field: 6 "Oc Perimeter: 6 "Oc Corner: TOP: ' ' ; 1 ` - - - - - - - - - - - - - - - - I 1 ' 1 '----------------- - - - - -' --------------------- - - - - -' ' 1 ' ' DETAIL 1 .4c Z ' � ' + , --------------------------------- , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , + ' 1 '-------------------------------------- - - - - -' 123.01.78 9/96 Page -1 Ride YM atation? MEAN HUGM I2 Y Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION _T1 0 i Fastener type & spacing: H Cap Sheet: !� Roof f ROOF SLOPL D E T A I L 3 Ar- Drip r i It, eW 6'OG kp ,A 16 C -ftr .aoe --- �m,'3 TH,E CALCULATIONS ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) 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 (Pmaxl: '� X X (Aerodynamic Multiplier): Z4) - Mg: L' 3 = Mrt: )�_31 PCA: 38j (Pmax2: Ig S` X X (Aerodynamic Multiplier):O� ) - Mg:D'�� = Mr2: �9'�b PCA: ' (Pmax3:)QS'7 X X (Aerodynamic Multiplier): 0114 ) - Mg:54 = Mr3:1 9'10 PCA: 39'1 Page -2 I'. 5104 APPENDIX "F" APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix 7 ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. r1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of ong that the roofing system meets the wind rgsistance and water intrusion performance standards. I! Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be nailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between Ighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof - decking (Da�nbe viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. S. Ponding Water: The current roof system and/or deck of the building may not drain well and ay cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not verloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the (In!te�rio-rof the structural assembly (the building itself). The existing amount of attic ventilation shall not reduced. It may be beneficial to consider additional venting which can re life of the roof. T 4d Q (3,, ncr'sIAgnature �l -NIIA`iI -DADS COU..NTY. FLORIDA METRO•DADE FLAGLER BUILD[-NC. BUILDINC CODE COMPLIANCE OFFICE METRO•DADE FLACLER BUILDING '40 WEST FLACLER STREET. SUITE 1603 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305 IAMI. FLORIDA 3 130 -15563 Almar (USA), Inc. CONTRACTOR LICENSING SECTION 6645 NW 77 Ave. (30S) 375 -2527 FAX (305) 375.2559 Miami FL 33166 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 373 -2908 PP�" roduct Approval of: PRODUCT CONTROL DIVISION P pP (305) 375.2902 FAX (305) 372 -6339 (ins tus der e Code of Miami -Dade County governing the use of Alternate Materials and Types of , mpletely 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 manufacturers 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 R riguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL. CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMI'T'TEE 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. 1 of 8 ApFroved: 12/16 /1999 rancisco . Quintana. R.A. Director Miami -Dade County Building Code Compliancc OM Internet mail address: p6stmaster ®bu1ldiageodeooline.com (a Bemepage: http ;llwww.buildiogcodeon)ine.com rnn•a 7c[700Q0A0[ -1qt tRJJnc nnnvva nr. • cn WAId1 nn of _ •rutd _t ALLMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE EPT NCE: STANDARD CONDITIONS 1. SCOPE This revises a roofing system using Almw '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 PAS 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 t Ditr+� ensions SSnecifcations Descrintioa One Piece 'S' Tile 1= I8 W PA 112 High prorile clay roof tile. For direct deck or W- 10" batten nail -on, mortar set or adhesive set %1" thick nominal applications_ Trim Pieces 1 a 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 Test Product Product Dimensions Specifications Description Manufacturer n30 Felt N/A ASTM D 226 Saturated organic felt to generic type 11 be used as a nailed anchor sheet. #43 Coated Base N/A ASTM D 2626 Saturated and coated generic Sheet organic base sheet for single or double ply underla eta Frank Zuloaga. RRC Roofing Product Control Examiner 2 7An ' I TnTTnrnnnrT •"11 trT 11A0 AAMAM AL - nn WATA AA rT 'I VW � Y AL' (LISA), INC. ACCEPTANCE No.:-99-1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE F ACCEPTANCE: STALVDARD CONDITION Test Product Pr Dimensions Specifications gmrig►cion anufacturer Mineral Surface Cap Sheet NIA ASTM D 249 Mineral surfaced asphalt generic 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' roil Ice and Water 36"x 75' roil 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 or #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_ 1" x 4" for use with vertical battens or min. 1" x 2" for use alone Tile Flails Min. IOd x 3" PA 114 Corrosion resistant, generic Appendix E smooth, screw or annular 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" sctsew thread diameter Roof Tile Mortar NIA PA 123 Prepared mortar mix Bermuda Roof ( "TileTite m ") designed for mortar set Company, Inc. roof tile applications. (with current NOA) r Frank Zuloaga, RRC �" Roofm.a Product Control Examiner 3 AAA •I 1nTannannnT.""T In rInn nnnu.In ns.nn I61^f.n nn nT - I VI.r ALMAR (USA), INC. ACCEPTANCE No.: 99 -11 2. APPROVED :,December 16,1999 EXPIRES :December 16, 2002 NQUCE QEACCEPTANCE-. STANDARD CONDITIONS Product Dimensions Test Spe6 icatioos Product DMription anufacturer Quickcrete Roof N/A Tile Mortar PA 123 Prepared mortar mix Quickrete Mortar designed for mortar set (with current roof tile applications. NOA) He N/A Adhesive See PCA Two component Polyfoam ( "Polypro® polyurethane adhesive Products, Inc. AH160 ") designed for adhesive set (with current rooftile 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 pan of this acceptance. 12 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 333 :applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quaneriy 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. 3.6 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 Cade County Roofing Application Standard RAS 118. RAS 119. and RAS 120. Frank Zuloaga. RRC Roofing Product Control Examiner 4 &AA ' T TAT7AAAAAAT .nrTt rn r .e.. ..........,, ,. .,,� T.+�...� .... ... ....... I T AUVIAR (USA), INC. ACCEPTANCE No.: 99-1I0jU APPROVED ;December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4.2 Data For Attachment Calculations Table 1: Aerodynamic Multipliers - X ( ) Tile I (ft') x (ft') Profile Batten A piication Direct 'cation One Piece 'S' Tile Pr-a-Flauloaga. RRC Roofing Product Control Examiner S LIAA 'I 7CT7004CnCT -riv Tn1JnC AA(IVVQ T4. -on WA1.11 nn PT •►Vld I ALLIAR (USA), INC. ACCEPTANCE No. :_22: 02.0� r-. APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NO 'ICE OF ACCEPTANCE• STANDARD CONDCTIONS KPmW� able 4: Attachment Resistance Expressed as a Moment m, for Two Patty Adhesive Set Systems Tile Application Minimum Attachment piece's, Resistance Adhesive 29.3' actures component approval for inStaUatiOn r ducts Company 7 TleBond Average weight peproduct, Inc. AverB a wei ht per a qmm. Table 4A: Attachment Resistance Expressed as a Moment - AA, (ft -lbf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile nw is "able 48: Attachment Resistance Expressed as a Moment - M,(ft -Ibf) for Mortar Set Systems Tile Tile Attachment Profile ennG& =+1#%n S. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance_ 6.X.2 Any other dxurneats 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 6 AAA ' I +nT -nnn nnnT nn. — . .nn ,. .. ...... .. .. — /.,—. — ... ....., � c AL VIAR (USA). INC. ACCEPTANCE No. :_99- 1102.04 APPROVED :December 16, 1999 EXPIRES : December 16, 2003 NOTICE OF ACCEPTANCE- STANDARD CONDITIONS PROFILE DRAWWGS w4 i IO -f / 2" ONE PIECE `S' CLAY ROOFTILE i AA 'J 7nT7APGPAPT •n7t Frank Zuloaga. RRC Roofing Product Control Examiner 7 to t Inn nnnvnn +a. nn IVATA nn AT •t TIM ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. 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'putposes. 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 I through 7 and this last page 8. END OF THIS ACCEPTAXFZuloagga. g&RC Roofing Product Control Examiner nAn ' ( +AT +nnn^^^T .rtrtl 11 1 - nr 1 Nn -t . nn !• *n6rl nA AT - T IYW FEBAT -00 (TUE) 14 :23 BRADCO SUPPLY TEL :13058362152 P.001 O"r-40 -sao vs rvayrnam rrvvv��.ac anC_ 984 475 -1462 ='P.02 METROPOLITAN MWE COUNTY, FLORIDA METRO -DAOE FLAGL.ER BUILDING BUILDING CODE COMPLIAWE OFFICE METRO.OZE FLAGLER BUILDING " 140 WEST FI.AGLER STAEEY BUITE 1 so3 MIAMI. FLORIDA 39t3o -1563 : (30S) 375-2901 FAX (30S) 3y5.4908 PRODUCT CONTROL DIVISION PRODUCT CONTROL, NOTICE OF AC ,EP'Y ANCE (M) 375'2002 Pofyfoam Products, Inc. FAX (US) 372-6339 2400 Spring- Stucbner RW- Spring, TX. 77383 Your application for Product Approval of Polvfoam Producta'�PttlY»rn AN_t 611'• Raof'T`i1 s vc tinder Chapter 8 Of the Miami -Dade County Code governing the use of Altern Materials and Type, of ion. and completely described in the plans, speeifi a eulations as submitted by The Center for App r ,agineertng, tic, and Mifes Laboratories Polyt:lers givision has been recommended for acceptance by the Building Code Compliance 011ice to 3c used in Lade County, Florida under the specific conditions set forth Oil pages 2 -14 and the stundard conditions an page I.N. This approval shall not be valid after the expiration date stated below, The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or munufacwrer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Complr';,ncc Offtce may revoke. modify, or Suspend the use of such product or material immediately. The Ruildtng Code Compliance Office reserves the right to revoke this apprOvaf, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South irlorida Building Cade. The expense afsueh testing will ba incurred by the manufacturer. ACCEPTANCE NO.: 911- 11303.02 Reno vs: 9G4 0Z,02 EXPIR$S: 0411fiml ul Itodrigucz Product Control Supervisur IRIS IS THE COVFRSH)E L-1' SE A DITIONA1. PAGES FOR CT IC AND GrNERAI • CONDITIONS RUTi DING CODE COMMITTFF. This application for Product Approval has hct:n reviewed by the Miami -Dade County Building Cod": Compliance Office and approved by the Buildia5 CAWS Committee to be used in Dude County, Florida under the conditions set forth above. APPROvED• ltif9li Intomoi MVH address: PO $tmaaler@buildingeodeonllne.Cpm CharMa Danger. I' 1. Director Building Code Compliance Dept. Mi ;tmi -Dade County Homepttge: http :itwww.bulldingcodeonlfna.corn Apr -77 -98 01:18p Po3yfoal" Products Inc. POLYFOAM PRODUCTS, INC. 954 475 -1462 Produt:t Control No.: 98. 0303.02 PRODUCT CONTROL NOTICE OF ACCEPTANCE R00MG COMPONENT APPROVAI. ADDlica= Poly(oarn Produeta. Inc. Product Control No.: 98-0 03.02 2400 Spring - Stuebner Road Spring,Texas 77383-1132 Approval Date: Anril 16.1498 Category: Roofing Component Sub -Cate o Tastening/Adhesive Roof Tile Adhesive Su Two Component Pol System Description Expiration Date: April 1.6,2001 Polyfoam Products, Inc.. produces two- component axpanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polyprot A14160 is specially designed for application of concrete and clay roof tile over a variety of roof deck substrates and underlayment materials. r � P.03 Polyproo adheaivc is applied with proprietary Poampro$) RTF 1000 dispensing equipment. Approval of this product is specific to the two component mix and FoamproO RTF1000 dispensing equiptncnl. Alternative methods of dispensing will require a revision to this approval. Polyprot9 adhesive shall be applied only by'Quatitied Applicators', licensed by PolyFoam Products. Inc. Certificates and identification cards are issued to applicators upon successful completion of a application training program. Approval of this adhesive system is contingent upor, application by a 'Qualified Applicator. Contact: Pat Murray P.O. Box 1132 Spring. Texas 77383-1132 Phone: (713)350-3999 Fax-(713)288 -6450 1'agc 2 of Is Frank Zuloaga. FLKC Roofing Product Control Examiner rnn *,l 791MR90fl :131 A'1 AS ti;lOfM 0:91 W1100 ,ZZ -'893 FEB.-22''00(TUE) 14:24 BRADCO SUPPLY TEL:13058362152 P.002 • 7. -. 40a, an4a U04 4 /tj -1462 A 04 -- ... Y • -.. • POLYFOAM PRODUCTS. INC. , Product Coatral No.: 8- 0303.02 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED 6Y API- LICANT Tat Product pct signs .Mifications Ucsc ton !'Olypt� AfI 160 NIA PA i 0l �JI' Two component polyurethane FoamproO RTF1000 N/A Ste Detail Attached Dispensing Equipment 'ago 3 of I S rr'nk ?uloaga. RRC ROOfab Product Control Z(aminer FEB.- 22'00(TUE) 14:24 BRADCO SUPPLY TEL:13058362152 P.003 •.. _ _ _ _ _+�: v. r Y .�. vim... r YuYf.: trS l nc . 7134 475 -1462 • t", ••O5 POLYFOAM PRODUCTS. INC. Product Control Nil.. 98.0343 02 TRADE NAMES OF PRODUCTS MAtvUFACTURED BY OTHM Product ' Tcat Criteria Product Description Manufacturer, Underlaymcnt PA 120 All D;W., County Component Approved All Dade Products as dctailW in Dade County County Application Standard PA 120 Approved Products Roof Tile PA 101 All Approval roof tile: syyTWn having All Dade tested in compliance with Dade County County Protmol PA 101, as detailed in the systems Approved section of this Component Approval Products gf� �` I:r 7. Page 4 of 15 nk raloagk RRC; Rooftne Product Control EXamincr FEB.- 22400(TUE) 14:24 BRADCO SUPPLY TEL :13058362152 P.004 _ . w� r v •). v� -r r r wgJuQtx - 9 S4 47b -146 -P _ q6 ' M• - POLWOAM PIROIIUCTS, INC, Product Control W.-LO-0301.02 TM RBPoRTs Wb Ids Aeenev 04 Identifier - list aretdR�oo t ARM Center for Applied Engineering 494 -060 Miami Dade Protocol 04/08!94 j ' PA 101 Center for Applied 257818 -IPA Miami Dade Protocol J2/I6/96 Engineering PA 101 Center for Applied Engineering 25.7438 -3 SSTD 11 -93 10/1,5195 Center for Applied F.ngineerins a 25- 7438 -4 SS7'D 11 -93 10/25/95 Center for Applied Cngineering 25- 7438 -7 SSTD 11 -93 11/02195 Cen ter for Applied Engineering 25 -7492 SSTD 1!-93 1Z/12/95 Miles Laboratories Polymers Division NB -589 -631 ASTM n 1623 02/01/44 Ramtech Laboratories, Inc. %37 -92 ASTM E 108 0411 0/93 Southwest Research lrutitute 01- 6743 -011 ASTM E 108 l 1/lbl94 Southwest Research Institute 01- 6739- 062b[1] ASTM E 84 O1 /Ib /95 " 'i �inity Engineering 7050.02.96 -1 P A 1 i 4 03/14/96 Page 5 of 15 Frank Zvloaga- RRC Hoofing Product Control Examiner FEB.- 22'00(TUE) 14:24 BRADCO SUPPLY TEL:13058362152 P.005 a _ –• ....� ........ . ........� tis t rtc _ 984 47 `— 5 P.07 POLYIFOAK PRODUCTS, WC. Product Control No.: - 0303.0 Prop Density, Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability TYPICAL PHYSICAL PROPIERTLES Tot WC311115 ASTM D 1622 1.6 lWft,3 ASTM D 162 t 18 Psi pamilel to risc 12 PSI Perpendicular to rise ASTM D 1623 29 I'Sl Parallel to ri,.c ASTM D 2127 0.08 Lbs./Ft2 ASTM C 96 3.1 Pcrm /inch M ASTM D 2126 +0.073% Volume Clnangc a _qdo 1:.. 2 wtvks +6.0% Volume Chans @158oF.. Idumidity. 2 weeks Closed Cell ASTM D ?856 860/4 Content Note: The Physical properties listed above arc presented as typical average valves as determined accepted ASTM test methods and are subject 11) normal I manufacturing variation. Page 6 of I5 Frank Guloags. RRC Roofinb Product Control Examiner FEB.- 22100(TUE) 14:25 BRAOCO SUPPLY TEL :13058362152 P.006 .. �. ` 984 475 -1462 POLYFOAM PRODUCTS. INC. - Product Control No.---2&W0-IM- SYSTEMS w )Deck Type: Wood. Non- insulatede, New Con; truction/Reroof Deck peseriptioa: "/32" " or meatcr 32 1; ! ywood or wood plank. SYSTEM A.- Adhesive Set Application Slope Range: 2 ":12" to 7".12" s Undedsytment: Shall comply with Minm i -Uadc Roofing Application Standard PA 120 Roaring Tile: Any roof the assembly having a current shalt be applied in eompli tncc with the Component Application section and the corresponding Placement Details or this Notice of Acceptance. The adhesive attachment shall provide sutl3cient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Rooting Application Standards PA 115 or PA 127 The adhesive attachment data is noted in the roof tile assembly NOA. Comments: 1. All 'System i.imitatione noted in the tile Roof System Assembly Product Control Approval shall apply. PIIgc 7 of 15 Prank Zuioasa. RKC Roofing Product Control Examiner FEB.- 22'00(TUE) 14:25 BRADOO SUPPLY TEL:13058362152 P. 008 N - :-F -954 475 -1462 'E- P.Iq: • FOLYFOAK PRODUCTS, INC. Product Control No-: -M:030,1.02 - 0307.02 COMPONENT APPLICATION T M t 1. Polypro® A4160 the adhesive shalt only be applied over an ondcrlayment installed it, cvrrrpli:inzc with application instructions detailed in its NOA„ Underlayment may bt` any underlayments or underlaymcut systems listed Miami -Dade County Roofing Application Standard PA 120. 2. Adhesive application shall be in accordance with the in mtructians provided herein Trite . manufacturer they provide additional instructions subcegttcnt W this approval dace which may Poly it. Installation mu t be by a Factory 'frained `Qualified Applicator' approved and licensed by Polyfoam Products, Inc. 3. Calibration of the FoanI dispensing equipment is required before application of any adhesive. The mix ratio betwccn the "A" component and the 'B' component shall be maintained betwes -,t l_0- I.1 S (A) : 1.0 (B). The dispense timer shall be set to deliver 0.08 to 0. ! S pounds per d b as determined at calibration. No other settings shall be approved without revision of Per a. Adhesive shall be dispensed in a 17 in' to 23 in' pad at time Ofapplieation. The cured pad shall be approximately S' x 12 ". roam placement shall be in accordance with the'Piaecment Retails' herein. Each generic rile profile requires a spceiftc placement, as noted in Table (, below S- Adhere the directly in freshly applied adhesive. Tile must be sit within 2 to 3 minutes alter foam has been dispensed- Table 1: Adhesive 1111 It For Each Generic Tile Placeme Profile Detail Double I Profile \.Q --� Pace 9 of Is Frank T,uloaga. RRC 1100rrb Product Control Examiner FEB.- 22' "00(TUE) 14 :26 BRADCO SUPPLY TEL :13058362152 P.009 • . . e - r �. �— - � � .vim .. _ • r� y.•. POLYFOAM PRODUCTS, INC.. Product Control No.: 98- 0303.02 YSTVK LIMITATIOti5 .' 2. Polypra® Al 1160 adhesive shall be instarkd only by `Qualified Applicators' approved and licrosed by Polyfoum Products. lnc. 3. For adhesive set the applications. a field .ratio uplift test by a Miami -Dade County accredited . testing agency, in compliance with Miami -Dade County Roofing Application Standard PA 106, shall be required not less than 72 hours atler application to confirm file adhesion. 4. Refer to application drawings published by the National T>le Manufaerurers Association for penetrations and terminations. as well as thu'Placement Details' included with NOA. S. Refer to the Roof Tile Assembly Product Control NOA for system acceptance %rith this Component. 6. Refer to the Prepared Roof Tile Assembly for fire rating. 7. Polypro® A11160 shall not be expmscd perrttanently to sunlight_ 8. PolyprodO All] 60 shall be applied with Foampro IZIT1000 dispensing equipment only. 9. Polyfoam Products Inc. shall supply Building Official with a list of'Qualifed Applicators' approved and licensed by Folyfoatn Products. Inc. _T Pagc 10 of 15 Frank' Joag L RRC Roofing Product Control Examiner FEB.- 22'00(TUE) 14 :26 BRADCO SUPPLY TEL :13058362152 P.011 M - _ -- - ....�.. -._ . f..r......� ar��. �_- �J54 4d'b -1462 °- °=�-P.13 POIMFOAM PRODUCTS, INC PLACEIKENT DI TAJULS (CONTINUED) nu �� .emu........ Product Control No.: 98-0303, Placement Detail #2: =S= Shaped Tilc PrrnGle ad" Page 12 of is Frank Zuload;T. RRC Roofing Product Control Examiner FEB. - 22 "00(TUE) 14:28 BRADG0 SUPPLY TEL:13058362152 P. 014 YLtuCT.- 54 a nc.• = 9475- 1_462 POLYFoAM PRoDum, INC. Product C.otntro t No.: - 030).0 Pal 02M Products, Inc. - aCCE!1 ANC 102400 S rin gStuebaer Road &2303.02 Spring. TX 773 APPROVED #3 AP : Anril 16,199 MMES 8 :A il16ZPi MOME OF ACCEPTANCE SAN AR N iT • () 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been tiled and the Original submitted docnattaustion, including test supporting data, sagineerhtg documents. are Ito older Than eight () ors 2 Any and all approved products shall be parnattcntly labeled with the ntanufactorer's name, city stare, and the hollowing statement: "Miam"Ouda County Product Control Approved ", Or as specifically stated in the Ve ific conditions of this Acceptance. 3 Renewals orAcceptance will not be considered if. a) lucre has been a change in tilt Sontth Florida Ritirding Code atreeting the evaluation of this produce annd the ra oduct is tot in cOtttpliatiee with the code changes. b) The: product is no longer the same product (identical) as the am originally approved: c) irtlne Acceptance holder has not tornpliepd with alt the raw en of tills act:eptattte, including the carrot( installation of the pr ubw. d) 711t engineer who originally prepared, Sighed and sealed the required docum is no longer practicing the engineerin e4 red initially submitted, g profession, 4 Any revision or change in the materials, use, and/w mstnufacture of nhe product or tracers shalt aurontaticauy be cause for termination of this Acceptaace, unless prior written approval has been , filing of a revision applrcation with appropriate fec) and granted by this ofriee requested (through the S Any oCthe following shatl also be grounds for rcmOval of lltis Accept. anece: a) Unsuisractory performance orthis product or process; h) Misuse of this Acceptance as an cndor.wment or any product, for sates. advertisiar or any other purposes- 6 The Notice of Acceptance number preceded by the words e yliami -Dade County. Florida. and roltowed by the rcplration date may be displayed in advertising literature. rf any portion Or the Notice of Acceptance a displayed, then it shall be done in itS entirely. 7 A copy of this Acceptance as well as approved drawings had other documents. where it applies, shall be Provided to the user by the manenfacturer or its distributors and shall be availably for inspection at the job site or all tinter. The copies need not be resealed by thevngineer. 8 Failure to comply with any section Of this Acceprtnce shalt be cause for tcrmrttttinn and removal of Acceptance. 9 'INS Acceptance contains pager 1 through 13. END OF THUS ACCEPTANCE V Page IS of 15 I Frank Zuloaga, RRC Roofing Product rnnf.,,t METROPOLITAN 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 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL NOTICE OF ACCEPTANCE GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 CAF Conventional Built-Up Roof Systenisfor Wood Decks W Chapter 8 of the Metr000li 12ade -Eeo - Caae-- aowe —rnm�a the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Dynatech Engineering, Inc, Factory Mutual Research Corporation, and Underwriters Laboratories, Inc. 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 2-40 and the standard conditions on page 41. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the 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.: 97- 0804.21 Revises No.: 95- 1003.03 G/ Expires: 11/04/00 Aaul Rodriguez 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 Office and approved by the Building Code Committee to be used in Dade County, Flori under the conditions set forth above. Charles Danger, P.E. Director Building Code Compliance Dept. Approved: 11/04/97 Metropolitan Dade County Internet mail address: postmaster @buildingcodeonline.com AMIN Homepage: http ://www.buildingcodeonline.com N Product Control No: 97- 0804.21 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Category: Membrane Roofing System Sub-Cate go Built -up Roofing Type: Conventional / Sub -Type: Fiberglass Product Control No.: 97- 0804.21 Approval Date: November 4, 1997 Expiration Date: November 4, 2000 System Description GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years, produces a wide range of roof products for built -up and modified bitumen roofing systems. In addition, GAF offers two ply modified systems to meet the demands for multi -ply SBS modified specifications. GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the "GAFGLAS Built -Up Roofing Application and Specifications" manual published annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories and have been tested in compliance with all requirements of the South Florida Building Code. Specific classifications for assemblies are listed in the current U.L. Roofing Material Directory and the current Factory Mutual Approval Guide. GAF Materials Corporation products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. For more information on specific roof system constructions, contact the Technical Service Office, located in Wayne, New Jersey, at 1- 800 - ROOF -411. Contact: William J. Woodring Director of Technical Services (973)628-4134 Page 2 of 41 4mnuloaga, Roofing Product Control Examiner Product Control No: 97 -080411 Insulation Tvnes: Basalt Wool Perl ite Polyisocyanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Design Pressure Material Design Pressure Wood -75psf Maximum Fire Classification Material Classificat' Wood Class'A' Note: Fire classifications and maximum e ' essures do not reference all assemblies over all deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. a, Roofing Product Control Examiner Page 3 of 41 Product Control No: 97- 0804.21 "' TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Product Dimensions Specification Description GAF Asphalt 5, 55 gallons ASTM D 41 Asphalt concrete primer used to promote Concrete Primer adhesion of asphalt in built -up roofing. GAF Mineral Shield® 60 lb. bags ASTM D 1863 Granules for surfacing of exposed Granules asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. GAF WeatherCoat® 5 gallons ASTM 1227 Surface coating for smooth surfaced Emulsion roofs. GAF Premium 1, 5 gallons ASTM D 2824 Fibered aluminum coating. Fibered Aluminum Roof Coating GAF Jetblak All 1, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral Weather Plastic ASTM D 3409 stabilizer and fibers. Permits adhesion Cement to wet and dry surfaces. RUBEROIDO 5 gallons ASTM D 4586 Fiber reinforced, polymer modified Modified Bitumen Flashing cement Flashing Cement Jetblack Premium 5 gallons Flashin ent GAFGLAS8#75 3 sq. roll 75 lb. roll GAFGLAS #80 2 Sq. Roll Ultima Base Sheet 70 lbsJroll GAFGLAS Ply 60 5 sq. roll 45 lb. roll GAFGLAS Flex 5 sq. roll PIyTM 45 lb. roll GAFGLAS Ply 4® 5 sq. roll ASTM D 4586 Asphalt flashing Cement ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt • with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asp;oo oa + u mg Product Contra Page 4 of 41 GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENTO Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Nailable RUBEROID Modified Base Sheet GAFTEMP® Isotherm R Tapered GAFTEMP® Isotherm R GAFTEMP Isotherm RA Tapered GAFTEMP Isotherm RA GAFTEMP Isotherm RN Tapered GAFTEMP Isotherm RN GAFTEMP® Composite i (J--- Product Control No: 97 -0804.21 Test Product Dimensions Specification Description 76 lb. roll ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. 60 lb. roll ASTM D 4897 Fiber glass base sheet impregnated and various PA 110 Tapered Polyisocyanurate foam insulation various PA 110 Polyisocyanurate foam insulation various PA 110 Tapered Polyisocyanurate foam insulation various PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insul u Roofing Product Control am Page 5 of 41 D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. various Asphalt coated glass fiber mat flashing sheet available in three sizes. 69 lb. roll ASTM D 489 Fiber glass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. 3 sq. roll ASTM D4601, Premium glass fiber reinforced SBS- 67 lbs. Type I1, UL Type modified base sheet G2 BUR various PA 110 Polyisocyanurate foam insulation. various PA 110 Tapered Polyisocyanurate foam insulation various PA 110 Polyisocyanumte foam insulation various PA 110 Tapered Polyisocyanurate foam insulation various PA 110 Polyisocyanurate foam insulation various PA 110 Tapered Polyisocyanurate foam insulation various PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insul u Roofing Product Control am Page 5 of 41 Product Control No: 97- 0804.21 Test Product Product Dimensions Specification Description Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate foam Composite insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® various PA 110 Polyisocyanurate foam insulation with Composite A high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate foam Composite A insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® various PA 110 Polyisocyanurate foam insulation with Composite N high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate foam Composite N insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® various PA 110 Fiberboard insulation. Fiberboard GAFTEMP® various PA 110 Perlite insulation board. Permalite® GAFTEMP Recover 1/2" thick PA 110 Perlite recover board Board GAFTEMP® various PA 110 High density wood fiberboard High Density insulation. Fiberboard GAFTITE® # 12 PA 114 Insulation fastener for steel and plywood Standard decks. Roofing Fastener GAFTITE® # 14 PA 114 Insulation fastener for steel, wood and Heavy Duty concrete decks. Roofing Fastener GAFTITE ASAP PA 114 Pre - assembled GAFTITE Fasteners and metal and plastic plates. oofing Product ;Con;tro r Page 6 of 41 0 J Product Control No: 97 -0804.21 TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Product Dimensions Specification Description Pyrox ACFoam I ACFoam II various PA 110 Polyisocyanurate foam insulation various PA 110 Polyisocyanurate foam insulation various PA 110 Polyisocyanurate foam insulation Hy -Therm Nail -line various PA 110 Polyisocyanurate foam insulation Hy -Therm SP various PA 110 Polyisocyanurate foam insulation. Hy -Therm AP various Hy -Therm Stable R various Hy -Therm White Line Anchorbond Fastener Dekfast Fasteners #14 Dekfast Hex Plate various 2 7/8" x 3 1/4" PA 110 PA 110 PA 110 PA 114 PA 114 PA 114 Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Insulation fastening assembly Insulation fastener for steel and concrete decks Galvalume hex stress plate. Page 11 of 41 Manufacturer Apache Products Co. (with current PCA) Atlas Energy Products (with current PCA) Atlas Energy Products (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) , . Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) AEr Aga, Roofing Product Control Examiner... Product Control No: 97- 0804.21 Test Product Product Dimensions Specification Description Dekfast Lock Plate 3" x 3 1/4" PA 114 Polypropylene locking plate. Dekfast Fasteners PA 114 Insulation fasteners for # 14 concrete decks Dekfast Fasteners #12 ISO 95+ Composite Asphalt . Asphalt Primer EPS various High Density Wood arious Fiberboard Pelite /Urethane various Composite - Perlite Insulation various Polyethylene 4 mil min. Red Ro 'n various Roofing Nails Minimum # 12 PA 114 Insulation fastener for steel and wood decks. PA 110 Polyisocyanurate / perlite PA 110 Perlite / urethane composite board insulation PA 110 Perlite insulation board Vapor barrier / Air barrier rosin paper for barrier layer on wood decks PA 114 Corrosion resistant annular ring shank nails . ,. Page 12 of 41 . Manufacturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Firestone (with current PCA) generic generic generic generic generic generic generic generic generic .% Roofing Product Control Examiner ridged insulation ASTM D 312 Type III or IV Hot asphlat bitumin adhesive ASTM D 41 Asphalt Primer PA 110 Extruded polystyrene insulation PA 110 Wood fiber insulation board PA 110 Perlite / urethane composite board insulation PA 110 Perlite insulation board Vapor barrier / Air barrier rosin paper for barrier layer on wood decks PA 114 Corrosion resistant annular ring shank nails . ,. Page 12 of 41 . Manufacturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Firestone (with current PCA) generic generic generic generic generic generic generic generic generic .% Roofing Product Control Examiner DEC.- 16'91(TUE) 08 :38 BRADCO SUPPLY y Test Product Tin Caps MB aluminum roof coating Dens -Deck # 12 RooWp # 14 Roofgrip Gripdek Fastener Hexeel Fastener i Hextra Standard Plastic Plate ISO 95+ E'NRC'Y -2 , 1SORoc 1pawnstons Specification (with current PCA) Min. 32 ga. x Georgia Pacific (with current PCA) Insulation fastener for steel PA 121 various PA 110 Insulation fastener steel. PA 114 wood or concrete decks PA 114 Insulation fastener PA 114 PA 114 PA 114 3" round PA 114 various PA 110 various PA 110 various PA 110 Olympic Standard 3" round PA 114 TEL :13053186956 P. 001 Product Control No: 97-0804.21 Product Description Manufacturer Corrosion resistant circular generic discs_ Aluminum roof coating Grundy Industries (with current PCA) Gypsum insulation board. - Georgia Pacific (with current PCA) Insulation fastener for steel ITW Buildex or wood decks (with current PCA) Insulation fastener steel. ITW Buildex wood or concrete decks (with current PCA) Insulation fastener TIW Buildex (with current PCA) Insulation fastener Insulation fastener and metal or plastic plate Poiyolefrn plastic plate Polyisocyanwate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam fockwool composite insulation ITW Bulldex (with cutrmtt PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) Firestone (with current PCA) NRG Barrier's, Inc. (with current PCA) NRG Barriers, Inc. (with current PCA) 3" round galvalume Olympic AZ55 steel plate Manufacturing Group, Inc. (with current PCA) �M Rooft- Product Control Erratn Page 13 of4l Product Control No: 97- 0804.21 TEST REPORTS Test Name Report Date Agency /Identifier Factory Mutual Research Current Insulation FMRC 1996 01.01.96 Corporation Attachment Requirements Factory Mutual Research Wind Uplift J.I.OT4ALAM 08.26.92 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J.I. I V8A4.AM 06.28.93 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J.I. IRIA6.AM 11.15.91 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J.I.OTZQ4.AM 10.17.91 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J.1.OQ6A6.AM 07.16.91 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J.I.3X3A2.AM 08.02.94 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J.I.OY9Q5.AM 07.29.94 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift, FMRC J.1. 1 B9A8.AM Corp. 4470 - PA 114 Underwriters Fire Resistance R1306, 87NK11819 01.01.93 Laboratories, Inc. Classification UL 790 - PA 114 Dynatech Engineering Wind Uplift #3600.02.95 -1 02.02.95 Corporation PA 114 Dynatech Engineering Wind Uplift #4482.02.95 -1 02.02.95 Corporation PA 114 Page 17 of 41 a, Roofing Product Control Examiner Systems Deck Type 1I: Wood, Insulated, New Construction or Reroof Deck Description: 19/ „” or or wood Product Control No: 97- 0804.21 ' System Type A(1 Anchor sheet mechanically fastened, all layers of insulation adhered wi approved asphalt. All General and System Limitations shall apply. Insulation Fastener Fastening Fasteners Fastener Layer Type Detail No. Per Board Densi (see PA 117) One or more layers of any of the following insulations. Approved Type(s): ACFoa I, E'NRG'Y 2, G EMP® Isotherm R, E'NRG'Y 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm AFTEMP Composite, GAFTEMP Composite A, GAFTEMP Composite N Minimum: 1" x Y x 4' N/A N/A N/A N/A Approved Type(s): ISORoc, GAFTEMPc9 Tapered Minimum: 1" x 4'x 4' NIA N/A N/A NIA Approved Type( : High Density Wood Fiber, G 17TENIP6 High Density Wood Fiber, GAFTEMP RecoverBoard Minimum: %2" x 4' x 4' N/A N/A N/A NIA Approved Type(s): Wood Fiber, GAFTEMPO Fiberboard Minimum: %2" x 2'x 4' N/A N/A N/A N/A Approved Type(s): Paroc Minimum: 3/4" x 4'x 4' N/A N/A N/A N/A Approved Type(s): Perlite, GAFTEMP® Permalite®, Permalite Tapered Minimum: 3/4" x 2'x 4' N/A N/A N/A N/A Minimum (for Tapered) '/4': x 2' x4' N/A N/A N/A N/A Approved Type(s): Fiberglas Minimum: 15/16" x 4'x 4' N/A N/A N/A N/A Approved Type(s): Permalite Tapered Roof Insulation Minimum: '/4 " x 2'x 4' N/A N/A N/A N/A Approved Type(s): Tapered Isotherm R, Tapered Isotherm RA, Tapered IsothermRN, GAFTEMP Composite Tapered, GAFTEMP Composite A Tapered, GAFTEMP Composite N Tapered Minimum: '/4" x 4' x 4' NIA N/A N/A N/A Roofing Product Control Examiner Page 18 of 41 Product Control No: 97- 0804.21 Note: All insulation shall be adhered to the anchor sheet in full moppings of approved hot asphalt within the EVT range and at a rate of 20401bsJs Please refer to Metro -Dade County Roofing Application Standard PA 117 for insulation attachment. Insulations listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanu rate side facing down. GAF requires either a ply of GAFGLAS STRATAVENTO perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: GAFGLAS® Ply 40, Ply 60, GAFGLAS Flex PIyT" #75 Base Sheet GAFGLAS #80 UltimaT1 Base Sheet, STRATAVENTO ai a e, RUBEROID Modified Base Sheet or RUBEROID® 20 base sheet applied to the deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered in two rows 12" in the field. Base sheet shall serve as anchor sheet for attachment of insulation Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 UltimaT`" Ultra Base Sheet, GAFGLAS STRATAVENTO Perforated or RUBEROID Modified Base Sheet directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20 -40 IbsJsq; (see General Limitation #4). Ply Sheet: O e, tw , or three plie GAFGLAS PLY 4 ®, AFGLASO PLY 60 Ply or GAF AS Flex Ply 6 she mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq.. Cap Sheet (Optio l) One ply of GAFGLAS® Mineral Surfaced Cap Sheet hered in a full mopping o approve asp a t app ied within the range and at a rate of 20 -40 lbsJsq.. Surfacing: (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq with an application rate of 1.5 galJsq.; or GAF WEATHER COAT® Emulsion with an application rate of 3 galJsq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 galJsq.. 2. Asphalt flood coat at an application rate of 60 IbsJsq. t 20 %; plus gravel or slag with an application rate of 400 IbsJsq. & 300 IbsJsq., respectively. Maximum Design Pressure: C-45 f ee General Limitation #7) Maximum Fire Classification: 'A'. See General Limitation #2. Maximum Slope: 3 ":12 "; See General Limitation #3. Page 19 of 41 uloaga, Roofing Product Control Examiner Product Control No: 97 -0804.21 Specification No.: I- B -5 -M, I- 13- 5 -M/P6, I- B-5-G, I- B- 5 -G/P6, I- B- 5- C,1- 13- 5 -C /P6, 1- 0 -5 -M, I- 0- 5 -M/P6 I- 134-M, I- 134-M/P6, I- 0-4 -M, I- 04-M/P6, I- 134-G, I- B4-G /P6, 1- 0-4 -G, I- 04-G -/P6, I- 04-C, I- 04-C/P6, I- 134-C, I- B4-C/P6, I- 13-3 -M, I- B -3 -G, I- B- 3- C,1- 0-3 -M, I- 0 -3 -G, I- 0-3 -C, Roofing Product Control Examiner Page 20 of 41 Product Control No: 97- 0804.21 Deck Type 1: Wood, Non - insulated New Construction or Reroof Deck Description: 19/32" or greater plywood or wood plank decks System Type A(2)• axe sheet masten All Gen eral and System Limitations shall apply. Base Sheet: GAFGLAS ®# , GAFGLAS #80 Ultima Base Sheet, GAFGLAS® PLY 40, GAFGLAS® PLY 60, GAFGLAS FlexPly, GAFGLAS® STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROID® 20 applied to the deck with approved annular ring shank nails and minimum 1 s 8" tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered along the center line of the sheet in the field. 'Ply Sheet: Two r three plies o AFGLASO PLY 4 GAFGLAS F1exPly 6 or GAFGLAS® PLY 60 ply sheet adhered to a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bsJsq.. Cap Sheet: (Option AFGLAS® Mineral Surfaced Ca Sh t adhered in a full moppin applied within the EVT range and at a rate of 20 -40 1bsJsq.. Surfacing: (Required if no cap sheet is used) Install one of the following: LGAF WEATHER COAT® Emulsion with an application rate of 3 galJsq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 galJsq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. f 20 %; plus gravel or slag with an application rate of 400 IbsJsq. & 300 lbs. /sq., respectively. Maximum Design Pressure: -45 psf. ( ee General Limitation #7) Maximum Fire Classification: 'A'. See General Limitation #2. Maximum Slope: 6 ":12 "; See General Limitation U. Specification No.: N- 13-3 -10, N- 13-3 -C, N- 13-3 -M, N- 134-G, N- 134-G/P6, N- 134-M, N- 134-M/P6, N- 134-C, N- 134-C/P6, N- 13-5-C, N- B- 5 -C/PC, N- 13-5 -G, N- 13- 5 -G/P6, N- B -5 -M, N- 13- 5 -M/P6 Roofing Product Control Examiner Page 21 of 41 Maximum Design Pressure: -45 psf /Geeml eral Limitation #7) Maximum Fire Classification: 'A'. See Limitation #2. Maximum Slope: 3 ":12 "; S al Limitation #3. Specification No.: N -B-3A, N- B -3 -C, N- B -3 -M, N-114-G, N- B-4 -G/P6, N-134-M, N- B-4 -M/P6, N-134-C, N -B C/P6, N- 13-5 -C, N- B- 5- C/P.6, N- 13-5 -G, N- B- 5 -G/P6, N- 13-5 -M, N- 13- 5 -M/P6 Via, Roofing Product Control Examiner Page 22 of 41 Product Control No: 97 -0804.21 Deck Type 1: Wood, Non - Insulated, New Construction, Reroof Deck Description: 19/32" or greater plywood or wood plank System Type A(3): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: GAFGLAS® #75 Base Sheet, GAFGLAS #80 Ultima Bas Sheet, STRATAVENT® Nailable, or RUBEROID8 20 base sh t is applied to the deck with 2" side laps with GAFTITE #12 or # 14 Screws an 3" Plates 12" on center, in 3 rows. One row is in the 2" side lap. The other ro s are equally spaced approximately 12" OC in the field of the sheet. Ply Sheet: One, two, or three plies GAFGLAS PLY 40 GA LAS FlexPlyTM6, or GAFGLAS® PLY 60 Ply or GAFGLAS FlexP 6 sheet adhered in a full mopping of approved asphalt applied within EVT range and at a rate of 2040 lbsJsq.. Cap Sheet: (Optional) One ply of GAFGLAS® Min al Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied w' hin the EVT range and at a rate of 2040 lbsJsq.. Surfacing: (Required if no cap sheet is used) nstall one of the following: 1. GAF Special Roofing Bitu n with an application rate of 201bJsq.; or GAF WEATHER COAT® Emuls' n with an application rate of 3 galJsq.; or GAF Premium Fibered Alumin Roof Coating with an application rate of 1.5 galJsq.. 2. Asphalt flood coat t an application rate of 60 lbsJsq. f 20 %; plus gravel or slag with an applica on rate of 400 lbs. /sq. & 300 lbs. /sq., respectively. Maximum Design Pressure: -45 psf /Geeml eral Limitation #7) Maximum Fire Classification: 'A'. See Limitation #2. Maximum Slope: 3 ":12 "; S al Limitation #3. Specification No.: N -B-3A, N- B -3 -C, N- B -3 -M, N-114-G, N- B-4 -G/P6, N-134-M, N- B-4 -M/P6, N-134-C, N -B C/P6, N- 13-5 -C, N- B- 5- C/P.6, N- 13-5 -G, N- B- 5 -G/P6, N- 13-5 -M, N- 13- 5 -M/P6 Via, Roofing Product Control Examiner Page 22 of 41 Product Control No: 97 -0804.21 ood Deck System Limitations: 1. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F) of 95 lbf or greater as tested in compliance with Merto -Dade County Protocol PA 105. If F as tested is below 95 lbf, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from Merto-Dade County Protocol PA 105 and calculations incompliance with Metro -Dade Roofing Application Stanadrd PA 117. 2 All standard insulation panel sizes are acceptable for mechanical attachment. When panels are applied in hot asphalt, maximum panel size shall be 4'x 4'. a. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) of 275 Ibf, as tested in compliance with Merto -Dade County Protocol PA 105 & Roofing Application Standard PA 117. If the fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 3 A slip sheet is required with Ply 40 Flex P1yTM 6 and Ply 60 when used as a mechanically fastened base or anchor sheet. 4. '/z Type X gypsum board is acceptable to be installed directly over the wood deck.. oaga, Roofing Product Control Examiner Page 37 of 41 Product Control No: 97- 0804.21 GENERAL LIMITATIONS All asphalt shall comp with ASTM D 312 ty I or type IV requirements, and approved by applicant. 2 Fire ratings are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used, install one layer of GAFGLASS STRATAVENT Perforated, laid dry.A base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psE Where STRATAVENT Perforated is used over approved isocyanurate foam insulation, the maximum design pressure is limited to — 60psf. 5 All work shall be performed by a contractor licensed to do roofing work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer, and the requirements of the SFBC. 6 The submission of system specifications and details shall accompany the Section II Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. ran Zuloaga, Roofing Product Control Examiner Page 38 of 41 • ' ` . Product Control No: 97- 0804.21 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Metro -Dade County Roofing Application Standard PA 117. (When this limitation is specifically referred within this NOA, General Limitation #20 will not be applicable.) All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Metro -Dade County Roofing Application Standard PA 1 I 1 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturers standard details, and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit Application. All details shall comply with the provision of the South Florida Building Code. 10 Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force (F') value as tested in compliance with Metro-Dade County Protocol PA 105. If the fastener values as tested are below those listed in the System Limitations, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from a Metro - Dade County Protocol PA 105 test report and calculations that comply with the wind load requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard PA 117. 11 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 Ibf., as tested in compliance with PA 105. If the fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 12 Asphalt moppings shall be with applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 13 Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing-and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with provision of Roofing Application Standard PA 117. Z Roofing Product Control x Page 39 of 41 Product Control No: 97- 0804.21 ' ' ' 14 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 15 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro -Dade County Protocol PA 124 for uplift resistance. Test pressures shall be calculated in compliance with the wind load requirements of Chapter 23 of the South Florida Building Code to the design pressure of the roof. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Section 3401.10(m), (n) of the South Florida Building Code. 17 Roll good materials shall be stored on end and on a clean, flat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 19 Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with sections 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 20 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, comers). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners, and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) u oaga, Roofing Product Control Examiner Page 40 of 41 Product Control No: 97- 0804.21 GAF Materials Corporation ACCEPTANCE NO.: 97- 0804.21 1361 Alps Road APPROVED : November 4, 1997 Wayne, NJ 07470 EXPIRES : November 4, 2000 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Metro -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 Metro-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 thit Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance ihall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages I through 41 END OF THIS ACCEPTANCE Roofing Product Control Examiner Page 41 of 41 i ROOF COVERING MATERIALS (TEVi) ROOFING SYSTEMS (TGFU)— Continued the gypsum board and overlayment board are offset 6 in. with the joints in the deck. If polystyrene is part of the roof system, it must be placed below the overlayment board. Also, multiple plies of " GAFGLAS Ply 4" or "Ply 6" may be adhered to "Dens- Deck" in hot asphalt. " GAFGLAS Stratavent Nailable Base Sheet" may be mechanically attached or hot mopped over noncombustible decks and as a recover over existing roof systems. GAFGLAS Perlite Insulation may be utilized as a cover board over "EVERGUARD" I insulation in any of the following systems. j ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or " GAFGLAS #80 Premimum Base Sheet") is a suitable alternate for Type GI asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or " GAFGLAS Ply 6 ") in the Class A, B or C roof systems indicated below. The roof deck may first be covered with a Type G2 asphalt glass mat base sheet " GAFGLAS Stratavent (Vent -Ply) perforated" or " GAFGLAS Stratavent (Vent -Ply) for nailable decks ". Perforated to be mopped and nailable to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet", " GAFGLAS #80 Premium Base Sheet" or " GAFGLAS Stratavent (Vent -Ply) for nailable decks ") may be substituted for G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or " GAFGLAS Ply 6 ") as the nailed base ply in the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened. Unless otherwise indicated, all insulations may be hot mopped or mechanically I fastened. " GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A, B or C systems listed below. When "perlite" is referenced, this includes "GAFTEMP PERMALITE®" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A, I B or C systems listed. Structural cement fiber building units are considered suitable to be included j as a deck in the following Class A, B or C systems listed over C -15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of 112 in. min gypsum board is an acceptable alternate for insulation over C -15/32 decks. The use of polystyrene insulation board between min 3/4 in. perlite board and deck with rosin paper ,(perlite /rosin paper /polystyrene /perlite) is a suitable alternate for isocyanurate board in the following Class A, B or C systems. "GAFTEMP Isotherm RA ", "GAFTEMP Tapered Isotherm RA" and "GAFTEMP Composite A" may be substituted for any isocyanurate insulation in any of the following Classifications. Trumbull "Perms Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt". GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. Class A, B and C. Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. Class A 1. Deck: C -15/32 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet- Three or more Layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ", hot mopped. Surfacing: Gravel. 2. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more Layers Type G1 "GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Cap Sheet: One Layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet". 3. Deck: NC Incline: 2 Insulation (Optional): One or more Layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more layers Type Gl " GAFGLAS Ply 4" or " GAFGLAS Ply Ca S • ne layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet". 4. Deck: NC Incline: 1/2 Insulation: One or two Layers "Isotherm R ", 4 in. max, hot mopped. ROOF COVERING MATERIALS (TEVT) 133 ROOFING SYSTEMS (TGFU)— Continued Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. )?eck: C -15/32 Incline: 1 �SLipsh®e� (Optional): Reddrr si er, nailed to deck: ase She t: One layer o Ty�f pe G2 - AS #75 Base Sheet" (may be, ed). Ply Sheet: One or more layers of Type G1 " GAFGLAS Ply 4" or GAFGLAS PlL B"' Cap Sheet: One layer of Type G -3 " GAFGLAS Mineral Surfaced Cap Sheet". DetR--Rcr Incline: Base Sheet: One layer of Type G2 "GAFGLAS-#75 Base Sheet". Ply Sheet: One or more layers of Type G3 " GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 " GAFGLAS Mineral Surfaced Cap Sheet". Deck: C -15/32 Incline: 2 Insulation: One or more layers perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type G3, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type G1. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Class B Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Two or more layers of Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6" Cap Sheet: Type G3 " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Class C Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type G3 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 Lbs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ", hot mopped with coal tar bitumen. Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A Deck: NC Incline: 2 Insulation (Optional): One or more Layers perlite, wood fiber or glass fiber, 2 in. max. Ply Sheet: Three or more layers of Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing- Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal/sq. LOOK FOR MARK ON PRODUCT 4 � tR l' fv, BUILDING ELECTRICAL .�...._ WORK PLUMBING DONE REQUESTS WILL BE RE4 7 I The following is ready for Inspection: - Inspector's Roport: IM' NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Leg I de.�pription of property and street address: Emn 2� 2. Description of improvement: 3. Owner(s) name and Interest in property: C cam-= Name and address of fee simple titleholder: 4. Contractor's name and address: /c S. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ o. Lender's name and address: C1 S t 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: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) eSignatur f Own er ners Nam �' y Sworn to and subsc�d before nnthis *day of 19 . Notary Public - .- Print Notary's Name My Commission Expires: •• • 1• . is •l�OF FLORIDA, COUNTY OF DADE c�4 y *EREBY CERTIFY that this is a true COPY of the original jlled in this office on do of {� A D. 19 V ERNEO�Lounfy Courts G rs 100 Prepared by: 11 , Address: ;ter i� m LL; LL- .T ..a l� l� �i 4'� /* f X LAA if A Y .^ r9 •I. ITi ° t. 4Ij. \ I .rL� .i%lr ": (� � " `Y. i°" .�'���"r � �� � •�• � f�� � ,/ � r�'� �� t..l � if. I xk�, _-- is 5Kf.XW OF SURVEY OF LOT5 "I — ?2* 23-DLOCK 119 M14\M 1-5WOR-E5-5EG 5 AM Do ..- i .g - k , , M _ , ri: ►tag l # 4 9 Aly`" -fin"' :�7t _,. ?, .r� ° i 1.�1: .I''G.93.1��.e ,' _�1 ` ' r�`�• ' �.�f : ..� tJ .� = °?"f' �`i. , � /rte .�.% ..�. d:► . ri�w .a�•aw..w.�..11�.wlrtA.M.N�IM�► .. -- .. - .. F CWlEICATION: I rtareby'Certify that pavoy of tom+ prowly doont*d r {'1ilf1liDn Is true and correct to thsl t DR my knowleagq and belief as - 1 — - -- t 3here are no a Ch t sue of Flom e ,1 ,, y qr 1 i m f f X LAA if A Y .^ r9 •I. ITi ° t. 4Ij. \ I .rL� .i%lr ": (� � " `Y. i°" .�'���"r � �� � •�• � f�� � ,/ � r�'� �� t..l � if. I xk�, _-- is 5Kf.XW OF SURVEY OF LOT5 "I — ?2* 23-DLOCK 119 M14\M 1-5WOR-E5-5EG 5 AM Do ..- i .g - k , , M _ , ri: ►tag l # 4 9 Aly`" -fin"' :�7t _,. ?, .r� ° i 1.�1: .I''G.93.1��.e ,' _�1 ` ' r�`�• ' �.�f : ..� tJ .� = °?"f' �`i. , � /rte .�.% ..�. d:► . ri�w .a�•aw..w.�..11�.wlrtA.M.N�IM�► .. -- .. - .. F CWlEICATION: I rtareby'Certify that pavoy of tom+ prowly doont*d r {'1ilf1liDn Is true and correct to thsl t DR my knowleagq and belief as - 1 — - -- t 3here are no a Ch t sue of Flom e 1 J -�; of note 14 ' 0 1 0 a� s e g - - i 4S 4 S It }- u 4SAA oi- BEAt.l. 0'I' 2 H 6S- 6SW 6SA• -6SWA 6SAA 4SW 4SWA lil. ipFAIAI(TCN 6 CHAIR gAit M[MBERS ONLY tY 4SWAA COMPONENT MEMBERS AND COLUMN SCHEDULE (FEET AND INCHES) TYPE THICKNESS MAXIMUM CLEAR SPAN ` -.� 1.2 r) he _ a.. b f, is L 4'-0" 5' -0 6' -0 7' -0• 8'•0_ 9.0 0 =0 Foselo 1LAtSI }.. 1 .040 .040 • 8 OLIOAt16'rIIIW N-21u __ owe 7y 2i2iN reoMr ^ �1y ?S,2 §t•8 p.. ...... ...2 __ OSO 050 i0' -11« 'iC = i' 9' --f1' 9'� i» 8'- 8" 8 • 4' s'• 1 ` � _. /. NIq e{ 2s. _"x _S. - _ 2 050 050 l0' -1' 9'•S 8' -l0` 8 -0" 7' -T" •3 6-9 SM•g.' 35 -4 ! 2 •O:O .050 10' -9' 10' -U' 9'- 5" 8'- 11" 8'- 7" 8'- 3" 71- 11" \ 21h10X2 boom MGM _. _ " lofotci oa Idol 3 2 .040 .050 12 -_II i2' -_O` -11_ 4' iC' -_8 10 - -S 10- 2' 8'• 9° -1.2' IttOa2k'SMo 2q'ue 4 -C -4 -- -- .06L l' 68 IS'- 6' 14'- 6" 13'- 7' 12'- 9• 12' -4 Ilr•10' 11 p �\ 46 -0 4 2 .062 •C62 _ 19 -2' IT' -10" 16' -9' 15'•11" IS' -0' 14' -2" 13' -5' bx21t' loge IS24'Oc '4SA _4 1.25_ 2 _ .062 .062 .187 21' -06 19' -0' 17'- 9" 17'•0" 16'-0• 15'-0" '14'• 3' 1 49and of of Jordan 4SAA -7-4 1..5 t .0_62 .062 •187 22_ -0 21x0 2dw- Ifi •y iT _3 18 _� Ig • 8 4 5 W 4 _ 3.76 2 .0 62 .06: --- z67 9 19' - 8" 1 8'• 4' 1 T - 3' 16'- 5' 16'• 9' 16' - 3• DETAIL �I 4SV,A 4 3.76 1.25 .bG2 .tM2 .187 21 .4 19- 11 18 -9 I7 - 9 IT -0 16 - 4 15"_ l 2 .062 .140 28' a' 26' -a' 24' -7" 23'• 4" 22' -4" 211• 6" 20'- 8' 6 - 1.25 2 .062 .140 .187 29 -11' 270.9' 86'- 2` 24'- 9 2!' -9" 22'- 10 "'2i- 0 6SAA_ ,i 1.25 2 ,062 :140 .187 32`- 7' 30- 7' 28'- W 27'- f 8S' -W" 24'- 11' 23' -7 ` 6SW 6 5.64 2 .062 .140 32'• 6' 30' -6' 20'-5* 27' -O' 25.10" 24' -10' 23' -4 6b?rA 8 5.64 1.25 2 •062 .140 187 33-.6. ' 30'- 9" 29'- 3' 27'- 9 26'- Y 24' -10' 23'- T" ''32') Use 2 062 .ISO _ 34 7' "31'- 99 29'- q' 28'- 9 27'- 2 26'• 5' 25� 6' 2'2:YA'aap/0 MA _ 7 1.25 2 C62 .160 .187 36' -7' 34' -Cr. 32.'• 0' 30' -4" 29'• 0' 26-01 27'- I' tutor /2IlOxJ( t 156+1 7 1.25 2 .062 .150 J 87 38 -0 36 -O 33 -U 31 -10 30 -9 29 -9 28 - 9 / O+a32 uw3$MS �75W 1 '.44 2 .062 .1,o 39'-7' 36' -S` 34'•3' 32'. W. 31'.2' 30' -I" 28' -111 _/ ..••.1; lag T 6.04 1 -zs 7 5- 69 1 1.00 re 2' CABLE ....SCHEDULE en -u -ay -u 1 1.2 OET. I d DEL 2 .. t 4's a><m. 'Purkm. DEt. 3 P L A 14 I a. w _L FASTENING SCHEDULE D.CAbLES DESCRIPTIOII FASTFIIER X5..50 Rwne 'SZZw 0 at Boom 21r'I0X1f SJ4.$. . 2 - 2 to Corner column• - 2010 +5' sm.S. _.- 3 --- - -- --- .- 2 .char col to toiumn _... . _-.._... 2,r 1_0.114_` SMS• _ y j I sill plate to column_ -•i_ - Oo 2 �^ 1 to fascia _ _ i4 "x2Y2`rd•eQQre(ei24_�bt.�- _ 3 2 strut to I _ 2010044' S.M -S. _ 'Purkm. DEt. 3 P L A 14 I a. w _L 72iCAL LLEVAT10N MEN LOWN PIAVMM MEN WIND BRACING DETAILS a SCHEDULE ;7� 'I 1._ 1 7S-7 b b 7", t0 .SIAS 1'f" t eng @ V.. 2 each end of ' I Steel Strop X10 SYs Nit- , �Y} j• � �/ 7SA -7SWA 7366 jam`$ i i 032 • &eke metal TYWGAL COLUMN 8 RCekt. DETAIL - r2e2 Boom we 2X2 �2♦IOX1 Sid.& �Beom 2i ex�,'S e DETAIL Q DETAIL Q J %zVviesss w/ Vr Ii ne o 1 rer .ZaIt0r 4 010 a 2Ya 4Z rv/. itt'Iw>' utter eoch tit,V boom t 1. s 0 t ' c' o n• cJl , ., 1' 32'1 0 ' r - zxloR Y;1� 2p: r S.M.S. a .p0 It r O , "' NL I2 102) use . I .3 logs ALT. DETAILQI . --Bloom� DETAILQS ALT. DETAIL D T U2 WITH GUTTER 1 01 2.2 cal. eW"11IV nity4'sY4 _2x2 hollow 2-40W, 271,' Channel 2n 2:YB'anq. sets 4d4'__ 142 FoscPd tom t 6814,146, trig. w /ji^ 1EH55. Screws 141 IOIi 2rE't s W Studs old cep Russ 00 NOT : Cable ossemblr may be substituted • in Espandetw yx2 to(t eEl boulw or bio"V�pping serrated T-Joirdan t100 til0.flrand/n'di6,.04Ytiw �• U CLIP DETAIL COMPRESSION MEM. FASTENINGS Fo -flop (see Det1l) 2 ye ALT. Df TA I L Q5 1y - i-� -/O For spans over 32' use 3 010- X S.M.S. 010S,stS• Spans .tender 32' use 2 S.M.S. each side 2a 9L• pin eye bolts r2• baskA34Wx'hSMS Penmeta - Soam I- _�cS -••t i 9 1>, : 2t x2 - Ld"pmg sorrand tubes .04 W as cha 'Nicapre s sit"" . 1200411 A 18 -2 -6 TELESCOPIC ROOF BRACE x2'I" 0A P.m"'a dm 0036 & V* Mobs► CABLE DETAIL 2' a 040" 2 PERIMETER MEM, A PE R I METER�EM.'13• D! .040" H L °1M31 MISCELLANEOUS MEMBERS GENERAL NOTES. rlmaler mear. 1. De�gn loads wafts in and Out 13pst, tease up.m141 Ralf 7 ps!' Sotefy Factor, L5 Column 2. Screencolh opening%pIto 0e 60%ar greoteR 2,2 Chair 3- ttolerancebasapet Atha enum Asssoocc. Ca.s g'ttCt�ieilONteettoLtcb wea tdumn Rail 4. Aluminum chair rail, puthns,t•ollomrod,bouseto opp�J9/�0t cPrrier columns and top per imeter mein. shalt be O aan:a�th0a0-= vglh D E T A I L G no minus tolerance. S. All exposed. fasteners shall to aon•mogneut ~*so Meo al- alumni. except cable hardware fasteners Meb lbay be tot- ds+yed VaIv. steel. llon- exposed fasteners nor be magnets& stainless out 6. All masonry anchoring dlivlces shall be afROn• Corrosive. . metallic ronstcuct,on or matte of virgin P1/C. plaatrC a'nloiertel p1 op4•r4ven purob,Dtr. Beam 7. Bon rind s, ruu tuslemnos MO on open neeliali of gtebr.stbs Irate Perimeter Rhein. fusc,a or slob . ^Ust have a"Od diameter of V4' or vie- gfrsef111 of log- nln.d,n titter. . S. AS Cols shall be fastened to beams gr. struts tsdhtaotelters pow than Infector screws. 9. 6063 -T6 aluminum alloy beams will Oasrtmil f.Identdtfofto• 2X2 Col• mark sohmped one toot from each and d,Dplttit.Pilult4': 4 0IO Zx x10 ong approved marks: WN 606346, M•63 -T6. '�i EMS EA LEG. 10. In addlhon to beam beoung columns. clip Gavel! are esxluUedan As" Col. rims @ 18:0' Oc. Iron. ALT. DETAIL Q3 it. Slabs and footings by others unless oftiervinse rioted. 12. Laic he. on dons of doors of swxeming pose escissaw shadi'be 21t2 Pereaettrshom. 5= 6"nbove Iluesnold and Mail be self- Wchutgaid eelt- 44Ck4 slo8 13. Spsnaee Inarcoidance v..4h *design triterta W4142/ tot alummscree,l enclosures' rib upprovell,br 0dde Comb ida.`' Zoning Dept. doted April 5 *1985. rX2 b. Aluminum strops are 606946 atfoched to boom will ew- SMSe 24, 2# encri •end of strop. 2x2 15. Wood inserts 1500 p6c- no.2nD southern polo, or fliqu., 2.2 Choir Roil r 16. Steel strap has o fiber stress of 18.000 pst. . & 2 17. Rubber elecAnccal tape at asphalt dip to be'used'Ra dI#0 switirts Chan in contact valit aluminum. R14 • 18. Minimum length of shops and I�sBrniTt.►*o•t1111�IfM teas.sow and placed In center of span. ' Typ. all around 1,2.. 2".2:a %e'weg. 19. Components On this 1lhset are coveted bF US.R4AnoA.At$,Olfi. . d110x2Ye"HKSS.0 r /2•IOxs;WS.20. Perunetaw membet "A" to cddltsono*g3tened rir /2- IIOS.hRS• 24'" rr /41f "0•U. l� each panel. perimeter mein. B reQwres no Wthhbooll fostoMrb,. aiumrtrostet 21• Sectionsl,2H are alloy 6083 -T5 VS= 16ksi mein• ': I+rtOrja yyap t Alt other are allo 6063 -T6, YS= 25-ko!. Expaadet a Jadaih f00 Y' TYPICAL CORNER DETAIL Mtconneeters are aluminum alloy 202A•*4 -- W (3ee note$) or equd. DADE COUNTY APPROVED; INDUSTRIAL ENGINEERING SERVICES WM. M• MEYf.R3. R£. 187SS A e �� .�a,97RiEty 1t+IL. V4-A4 S�Tdg X5..50 Rwne 'SZZw 0 C o,umn - Cnda' ORAwittG NO. ,ET.4 I Char Rail DAY E. a.-?J -7e 1 J •DET,; 72iCAL LLEVAT10N MEN LOWN PIAVMM MEN WIND BRACING DETAILS a SCHEDULE ;7� 'I 1._ 1 7S-7 b b 7", t0 .SIAS 1'f" t eng @ V.. 2 each end of ' I Steel Strop X10 SYs Nit- , �Y} j• � �/ 7SA -7SWA 7366 jam`$ i i 032 • &eke metal TYWGAL COLUMN 8 RCekt. DETAIL - r2e2 Boom we 2X2 �2♦IOX1 Sid.& �Beom 2i ex�,'S e DETAIL Q DETAIL Q J %zVviesss w/ Vr Ii ne o 1 rer .ZaIt0r 4 010 a 2Ya 4Z rv/. itt'Iw>' utter eoch tit,V boom t 1. s 0 t ' c' o n• cJl , ., 1' 32'1 0 ' r - zxloR Y;1� 2p: r S.M.S. a .p0 It r O , "' NL I2 102) use . I .3 logs ALT. DETAILQI . --Bloom� DETAILQS ALT. DETAIL D T U2 WITH GUTTER 1 01 2.2 cal. eW"11IV nity4'sY4 _2x2 hollow 2-40W, 271,' Channel 2n 2:YB'anq. sets 4d4'__ 142 FoscPd tom t 6814,146, trig. w /ji^ 1EH55. Screws 141 IOIi 2rE't s W Studs old cep Russ 00 NOT : Cable ossemblr may be substituted • in Espandetw yx2 to(t eEl boulw or bio"V�pping serrated T-Joirdan t100 til0.flrand/n'di6,.04Ytiw �• U CLIP DETAIL COMPRESSION MEM. FASTENINGS Fo -flop (see Det1l) 2 ye ALT. Df TA I L Q5 1y - i-� -/O For spans over 32' use 3 010- X S.M.S. 010S,stS• Spans .tender 32' use 2 S.M.S. each side 2a 9L• pin eye bolts r2• baskA34Wx'hSMS Penmeta - Soam I- _�cS -••t i 9 1>, : 2t x2 - Ld"pmg sorrand tubes .04 W as cha 'Nicapre s sit"" . 1200411 A 18 -2 -6 TELESCOPIC ROOF BRACE x2'I" 0A P.m"'a dm 0036 & V* Mobs► CABLE DETAIL 2' a 040" 2 PERIMETER MEM, A PE R I METER�EM.'13• D! .040" H L °1M31 MISCELLANEOUS MEMBERS GENERAL NOTES. rlmaler mear. 1. De�gn loads wafts in and Out 13pst, tease up.m141 Ralf 7 ps!' Sotefy Factor, L5 Column 2. Screencolh opening%pIto 0e 60%ar greoteR 2,2 Chair 3- ttolerancebasapet Atha enum Asssoocc. Ca.s g'ttCt�ieilONteettoLtcb wea tdumn Rail 4. Aluminum chair rail, puthns,t•ollomrod,bouseto opp�J9/�0t cPrrier columns and top per imeter mein. shalt be O aan:a�th0a0-= vglh D E T A I L G no minus tolerance. S. All exposed. fasteners shall to aon•mogneut ~*so Meo al- alumni. except cable hardware fasteners Meb lbay be tot- ds+yed VaIv. steel. llon- exposed fasteners nor be magnets& stainless out 6. All masonry anchoring dlivlces shall be afROn• Corrosive. . metallic ronstcuct,on or matte of virgin P1/C. plaatrC a'nloiertel p1 op4•r4ven purob,Dtr. Beam 7. Bon rind s, ruu tuslemnos MO on open neeliali of gtebr.stbs Irate Perimeter Rhein. fusc,a or slob . ^Ust have a"Od diameter of V4' or vie- gfrsef111 of log- nln.d,n titter. . S. AS Cols shall be fastened to beams gr. struts tsdhtaotelters pow than Infector screws. 9. 6063 -T6 aluminum alloy beams will Oasrtmil f.Identdtfofto• 2X2 Col• mark sohmped one toot from each and d,Dplttit.Pilult4': 4 0IO Zx x10 ong approved marks: WN 606346, M•63 -T6. '�i EMS EA LEG. 10. In addlhon to beam beoung columns. clip Gavel! are esxluUedan As" Col. rims @ 18:0' Oc. Iron. ALT. DETAIL Q3 it. Slabs and footings by others unless oftiervinse rioted. 12. Laic he. on dons of doors of swxeming pose escissaw shadi'be 21t2 Pereaettrshom. 5= 6"nbove Iluesnold and Mail be self- Wchutgaid eelt- 44Ck4 slo8 13. Spsnaee Inarcoidance v..4h *design triterta W4142/ tot alummscree,l enclosures' rib upprovell,br 0dde Comb ida.`' Zoning Dept. doted April 5 *1985. rX2 b. Aluminum strops are 606946 atfoched to boom will ew- SMSe 24, 2# encri •end of strop. 2x2 15. Wood inserts 1500 p6c- no.2nD southern polo, or fliqu., 2.2 Choir Roil r 16. Steel strap has o fiber stress of 18.000 pst. . & 2 17. Rubber elecAnccal tape at asphalt dip to be'used'Ra dI#0 switirts Chan in contact valit aluminum. R14 • 18. Minimum length of shops and I�sBrniTt.►*o•t1111�IfM teas.sow and placed In center of span. ' Typ. all around 1,2.. 2".2:a %e'weg. 19. Components On this 1lhset are coveted bF US.R4AnoA.At$,Olfi. . d110x2Ye"HKSS.0 r /2•IOxs;WS.20. Perunetaw membet "A" to cddltsono*g3tened rir /2- IIOS.hRS• 24'" rr /41f "0•U. l� each panel. perimeter mein. B reQwres no Wthhbooll fostoMrb,. aiumrtrostet 21• Sectionsl,2H are alloy 6083 -T5 VS= 16ksi mein• ': I+rtOrja yyap t Alt other are allo 6063 -T6, YS= 25-ko!. Expaadet a Jadaih f00 Y' TYPICAL CORNER DETAIL Mtconneeters are aluminum alloy 202A•*4 -- W (3ee note$) or equd. DADE COUNTY APPROVED; INDUSTRIAL ENGINEERING SERVICES WM. M• MEYf.R3. R£. 187SS A e �� .�a,97RiEty 1t+IL. V4-A4 S�Tdg X5..50 Rwne 'SZZw 0 SCREEN ENCLOSURE STA00AW DEtlt,LS ORAwittG NO. YDhAWN 0Y: /.J "at NO. 2 Z f 74 DAY E. a.-?J -7e 1 vv/ Cr 1"Ak WITH s F14 %r�NrO off c `• rC hlallffl I qNjp 11111CHORT 0,4 SNoWN Q' • C� _ CON, A koclr, o r, I jomw D i�f cit I - DT Win I O ofil II 6 27 a Tt t. O ofil II 6 27 a Tt Eo r s+' �6 If I iJ -�_ lo34:!f�' -4 �'v In I ! 70-%- . EX. Ex Oa? SOL set 7't A L L 1> WAY PF'o ?as F 0 A M P T*tav Ar scatem Potew 'T y .15 - L 1-4 4 E Y16 44i, C. A L Plot A.. A L .. , - F }-:- SCALE:1 " =20' Old- a � w�oiio /fPors/�rQ�f- oa ra/ c J'res mo ?i.9o' fl j % a cats $ • �J — /oano/gr'lo. e I� 30' v. //Ay w. rray/ri 0�6 ! a 100 i o. �, /e� h 15Y CIO 4 11� I I w .Q,h Flo %rte •`i ara�i / s AW p� 4 All iPoo/ ollC,i' 77/5' r ` y,! s� /0t01f' '' i mrk� "s --- . • ?2 4/' a e6' Poth I' �• n i o. �, /e� h 15Y CIO 4 11� I I w .Q,h Flo %rte •`i ara�i / s AW p� 4 All Report of TILE UPLIFT TEST for Residential Home 285 Northeast 103 Street Miami, Florida Project Number: LG00 -1511 Test Number _ Test Load (lbf) _ _ .. Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass LG Engineering Services, Inc. — Tile Uplift Test ResuU —Project Number: LGO Page 1 Test :Number Test 'Load (Ibfj Test Status 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass LG Engineering Services, Inc. — Tile Uplift Test Result — Project Number. LG00 -1511, Page 2 Test Number Test Load (Ibfj Test Status 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass 73 35 Pass 74 35 Pass 75 35 Pass 76 35 Pass 77 35 Pass 78 35 Pass 79 35 Pass 80 35 Pass 81 35 Pass LG Engineering Services, Inc. — 771e Uplift Test Result — Project Number. LG00 Page 3 .....,,..... .,,..,,,.,..........,.,....,... ..., .. ..:. ......, .. .. :..er: L000- ISII...Pa..e.4 LG Engineering Services, Inc. —Tile Uplift Test Result — Project Numb g .. r Y �LG Engineering Services, Inc. - Tile Uplift Test Result — Project Number. LG00 -150% Page 3 e 2 44T .I' n , t i .f e LOT5:' - � J\ M 1"5 'POD m I E0 �5 i�`� A i tt 1 WAD Tea` 7T:�4. `� 011 ASS CA M I 9 f � � r a, k E ,t b � t td L L9,HI P�!1T g' �,t t a , z A 7i" 1a S 1 I 1y ,y41i4r ti a, k E ,t b � t td L L9,HI P�!1T �� a 'E l� I � •.( �+iA�tFfly�4 t'N #.�.�' � yJ'iL�r C,,.i" 1¢i,1t !� ��� sF • E t � � S 6o, o t— f k t , � (Fh � �I � 4 �. J + f � .• 1 — � r � dn� h� h�n q'I {. g' �,t MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, e�nnd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved Plans and specifications must be kept at building during progress of the work. Date. // _ ....______ ------- __ ........... 19 Owners Name and Address._ .- _�- �A�!�!- - ....... - -- --- - - - - - Registered Architect and /or Engineer. -- ...... .................... ............ .............. ............. ....................... .................. ...... ............... - Name and address of licensed contractor... .r`°� -'® "�.. -• �. ®= • - - - I .... ...._...... Location and legal description of lot to be built on: Lot_._.._. ._______ -___.._________ ----- __ Block _-- __-------- _ -, -_�- - -- Subdivision _------- _---- -__... _.._. _________________ ______ ............... _ ....... _. Street and Number wheI-e work is to be done___ !': °' ! ! .._�r;3 �� ._. _ State work to be done and purpose of building (by 4'� 4 A•� 64' � for no other purpose. New Building ..__.._ ...... _....... Remodeling ----- - -------------- --- Addition-------------------- - - - - -- Re Pairs---------�� ------�O. of Stones.__..- ................ To be constructed of ------------- - ------ ____ Kind of foundation ____.-______ --- -------------- - ------------ -_.. _-- Roof Coveringo"��9_°_4_=fe ��__������ 6P® Estimated Total cost of improvements $ ... . :. ...... _________________Amount of Permit $ ----- --- -------- - -__--- - -__.._.- ------ _ ----------- ----- --------- - ----- Zone cubage required -___ __.__- - - - -__. _ Plan Cubage ----------- _ ----- -._..._._.____----- ------ - ---- --- --- -_ ___ ______ ___________ - - -_ -. Distance to next nearest building _ - -_ -- ...___— _- - - -___ ___.___Size of Building Lot___.___ __ _ __ _.---______ ....................... - --------- Maximum live load to be borne by each floor..._.._._._ - T _� �- _ - - - - -- ____.___ _ — ----- —,_._..____ --- -.--_-_---_-- ---------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to-_•_._. _ ._ _ J _ _ _ _.._ _ _ . _ - - -_---- ----- - ----------------------------------------- - - The undersigned of labor under the F and has complied wil in the work to be pej or notices as are requ permit, as are license :ant for this building permit does hereby certify that he understands and accepts his obligations as an employer Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement, provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him 3 under this permit; and will post or cause to be posted for inspection on the site of the work such public notice e the Act. The undersigned agrees to employ only such subcontracgors one wo ;k to be performed under this Mami Shores Village. p - - - - - -__ _ _. _. _. _ _ (Signed)_. ' _._ STATE OF FLORIDA, I COUNTY OF DADE. 5' 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, bein by me first duly sworn, upon oath deposes and says that he is the- --_------•-_----_----------- -------- - ------- ________—____------_- --- _------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. / Permit No. Date_ .m � Read, Sworn to and Subscribed before me. Disapproved ___ Date_ ____ _ ---------- - -- ---- _ ................ �` s Notary Public, State of Florida ( Signed) .. _.__ .:. - -.- - f. B ding Inspector My Commission Expires --- _________________________.......... PLANNING Chairman._..._.._�_.._ �_____ _ _�_ _ Member ___ _------------ • --__----_____________________ ____________________________.._ Member __..._.__._._.�_ F_- __..._._.. __.... __ -. _ . Member ___ ......... ..--- .......... ---_-_- ---- - ---- - ........... -- .......... _ ...... - .... Member _.. ....... Member ------------ - - - -•- — - Council Approved-- ___.___---- ________ —__- -- _ ____Date Disapproved - - - •-__- --- - ------------------------ ----- _______-------- •- - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. -1 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application Florida, hereby made 0 roya ' the detailed statement of the plans and specifications herewith submitted for the build- ing is made in compliance and conformity with the Building Ckdinance of Miami is I of th ate f Florida, all ordinances of Miami Shores e and all rules and Ing or other 1p for the ap a r in described. S " T p Shores Vi 11 es d provisions f tj e Laws 114 e State =rV2M copy of approved an 4 L 5 regulations t 0 60 1 n i i f i J�S s i ns Building no an h i ge shall be complied with, whether herein specified V and specifications T pt ujl ng Shores V g progress ss of kept a b during e the work. Date_-- A . . . .......... . ........... Owner's Name and Address...... MeA AMA ..................... No.-! --- K__ Street_.,_Vf __/P3 --- Jr. Registered Architect and/or Engineer ----- - - ......................... W . . ...................................... - ---- - - - ---- Name and address of licensed contractor--- tm_s ............... ....................•- •--- • - - - -•. _..._..--- . .......... .. ............... Location and legal description of lot to be built on: LOLA_ -2 ........... Block. ./I I................... SbdiWW.__.V 3 - -- Street and Number where work is to be done State work to be done and purpose of building (by ------ --_---... ._...._..,_....•._......._. - - -- . ------ - - - ------ ---- - -------- and for no other purpose. New Building—R.C.PAC4n rodeling ......................... Addition ._......__..........._ .... Repairs._4,-.,-_-. . .......... No. of Stories...._...:_.._._ - . - ...... To be constructed of ...................... . ... Kind of foundation ---- - - — - ------------------------_----- - -------- - - Roof Covering....._ Estimated Total cost of improvements . ..... _.___._____._Amounf of Permit . ........... . ... . ..... . ................. - -------- Zone cubage Distance to next nearest building _ -_-_-----_-_ -----Size of Building Lot_. . . . .. . . .. . . . ...... . ........ . .......... . ...... Maximum live load to by home by each floor,.-.-- — -- — - --- - ---- - ---- - --- - ------------------------ I hereby submit all'the plans and specifications for said building. All notices with reference to the building and its construction may be sent to----. -------------------- - - - - -_ _ _ . - — - - ------ - -------------------_- - ------------------ The undersigned a0licant for this building permit does hereby certify that he understands and accepts his obligations as an employer pg of labor under e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, compliance has complied with the provisions thereof, and will require similar mpliance from all contractors or sub-contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed y Miami Shores Village. Remarks— STATE OF FLORIDA,'i COUNTY OF DADE. I as. 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, 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 Permit No. Date.-i,' Read, Sworn to and Subscribed before me. Disapproved ------ nof. No Public, State of Florida My Commission Exp Burl inspector ires ................ _.._.__....__.___.•- •--- ....... (Signed) ---- PLANNING Chairman Member — - - -------_------_ - ---- - - - - ---- - --- - ---- Member _ Member Member ... ..... Member Council Approved— --Date Disapproved — ---- - -------------------------------------------------------- Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. LG ENGINEERING SERVICES, INC. Consulting Engineers C - I - v - i - L North Office: South Office: 7370 N. W. 361" Street 13380 S.W 131 Street Suite 374 Suite 120 Miami, Florida 33166 Miami, Florida 33186 L Tel: (305) 994 -8128 Fax: (305) 994 -8135 Protocol Engineering August 15 , 2000 c/o Brito & Brito Accounting 407 Lincoln Road, Suite# 5 -B Miami Beach, Florida 33139 Project: TILE - UPLIFT EST Residential Home 285 Northeast 103 Street Miami, Florida ��1177 � Information provided by client: Permit Number: Not Available Date Completion: August 11, 2000 Roofing Contractor: Bob Hilson & Co., Inc. LG Engineering Services, Inc. Project Number: LG00 -1511 (Testing Laboratory Certificate #00- 0224.07) Dear Sirs; In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No. 106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 20 feet above ground surface. The type of tile used for this project was reported to be Altusa Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile located in the field area and more than 20 % of the roof tile at the roof perimeter and corner were physically examined. Based on our: test results; we. conclude that the installation :of the roof ' "4ii the. above : referenced project meets the test requirement outlined in the above mentioned protocol Attached please' end a: copy of our test report for your review. r LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. \Respectfully submitted; G Engineering Services, Inc. Mohaf A Senn - 'Saner, -P.Li. Pioj.ecf•Mger, ResiPII F i �yPsT o y' •� �� t 285 Northeast 103 Scree[ Miami, Florida • ' d � aiami J R 1 ore 'Yfffage R L O D A PLANNING BOARD AGENDA W67 ITEM NO. Nara of Owner /Appl i cant IAIM 1 L f N69 Phone No. w.' Address of Property, and /or Legal Description a 4Wx1 -' . A93-y-' Nature of Request /"f> Q j/AL D` L1A�l AJCC %-d Y6-&? t 1 I da Present Zoning R, Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances oni ng Change kWT }" 6AM6& 1S 4.SS %1�I� V %51 Tf�, 8�/ 1� 1U, a64TE - 57,WC.7z(R- . Council Action Required, Date of Applicant Notification Planning Board Action Council Action K..5 ArpR... )/91x, Ae m %/ Director of Building and Zoning PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) 2 �J Job Address , E, A0 3 St. /�/i'�p �dYf� ' Tax Folio �I %,,3 �� " ®`J Legal Descriptiont®Vg ei ). A , J 3 81k 11 M Q �F-A Master Permit #, J;gg& �1 � ��1ono AX) s oV IVO 8k° /O P- 7 Owner / essee / Tenant / [_ 1A) 6S a Owner's Address g�? AJ (' , /d r3 5`77 MliyM / aO" t phone e — Contracting Co.- 0J-A)4 (iF'R .. �j a�� %/� Address OFD) CF. - -M- 30 7 q Qualifier SS¢ - - State # Competency � Architect /Engineer Address Bonding Company Mortgagor. Permit Type (circle one): BIIILDING WORK DESCRIPTION Square Ft. Address Address ELECTRICAL Pk 1 Ja, phone Ins. Co. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, autho ze the a ve -named contractor to do thew stated. s � aidR Signature Ownex and /or Co do P sident Signature r Contractor-or—Own ` -Buf r_ Date: Date: Notary as to Owner and /or C �gtae� lod ft Notary as to Contractor er -{�u 7 er My Commission Expires: My Commission res�eh. Il094 ploferyr ,;A ,1jA x Flortdd * * B *ded thru PI *ARD Ins. Agency Comma sion *pines* Mg commission hti PWARD i s2AV PERMIT FEE: APPROVED: Fire Other <l Zoning Building �'� J�✓ Electrical • Mechanical Plumbing Engineering ♦ � a • of h SPECIFICATIONS FOR JOHN GERKEN RESIDENCE To be erected on Lots 22 -23 of B1k.119 Miami Shores SUB - CONTRACTORS: Each sub - contract ®r shall furnish all necessary scaffolding, hoist,planking,ete.,in connectifn with his particular work. In each ca ,he shall be responsible for thesafety and maintain - ance of same. Each sub - contractor shall provide all covers etc., where his material will bel in the public wad' and elsewhere, to protect the public from any injury whatsoever. Each sub - contractor shall provide -all necessary employee and public liability insurance and hold the.rnowner free from all damages, CLEANING: The general contractor shall keep premises clean at all times and remove rubbish when necessary. Building shall be left broom clean upon its completion. CONCRETE All concrete shall be 1 -2 -4 mix with Portland Cement and clean sharp sand,and water from city water supply. Pozolith shall be used in concrete in proportion reccomend.ed by the manufacturer. FOOTINGS Footings shall be 10f4x 20" for wep1ls of building. SLABA Driveway ribbons shall be-411 thick with #6 galy, roadmesh on fill: STEEL Reinforcing steel as shown on drawings. FALLS 8" concrete block laid in cement mortar for outside walls. THIS PLAN APPRQVED -1-0 Bz§ Mik PROPgRTI R By;.. .p.a....... .....u•..Y•..ca DE ................ 4 .... .....et4tY.t4Yb.b...• i �. ili. Y »5 & ° 6 G :,Vbase-And shoo mould* NOW ftish to be -Ponestra or equal, S 3. 16 1">h b- .: `: $, to be Mounted ft Vuelce ' 6: b .M {I'. ? F 043 tho ;k 1 of InstallAtIon,* U. ' OV to b r u 11 „ 01ex ` at 1 i Esc �r. �����IE :' pB�Y,... .............. ./�........%1;................. DA..........••.....�.N••�a yl.•s *... ............. PI U41, * . +� to �1 ws�I orlor g o a i:.:» a :. s .,g , Xxterior v ye. W i p t1G; ee *oats lead and Bath and kitobLon Falls arid. 60.11 Vm 1 coats 1044 and 0'x•10 1 - 'Doet onomel, ESS ER PPROPE YC� 4y... .......,.......... ......................... ' y: DA ....... .. ..i... .................. Window 81118 Oroughout $hall be sUse. t1lo aud spush la k1taben ., bo 4 z 4P sal u- ap amp ll t4 '.. 1a, • o th r .1 a1 V end 1 . hi *I% sa ' back fit .� the l n , ., : - Tile sbaU t :. Alz Plo"a blasIc the ' aor.*, audrd Piest er :acts �'�:; < : ,• BEDS MER PrROPgR c ^" By .. ............. .... jj CC�� ......... DAT ............. r —.1 . To be Installed as zl in plano..4, HIS By PLAN APRTVF'..Y' S ;DER PROP R .......... ... ADDENM #-1 'FOOD FLOORS: .Silect red oak flooring to be laidin romms so designated on plans* Food flooring shall be blind nailed ,filled, sanded, shellsced and THE FLOORS s Tile floors shall be laid in living -room,dining room,moster. bed room, and on. living poreh. Tle shall be as manufsetured by .Maule Industries,colors to be seleotea bye ovnera THIS PLAN APP BESSE Eft PROP '°"J•.�. ............. d .a.e.• �.a��ae��uss®NHCaaea DA! R • a: ADDENM #-1 'FOOD FLOORS: .Silect red oak flooring to be laidin romms so designated on plans* Food flooring shall be blind nailed ,filled, sanded, shellsced and THE FLOORS s Tile floors shall be laid in living -room,dining room,moster. bed room, and on. living poreh. Tle shall be as manufsetured by .Maule Industries,colors to be seleotea bye ovnera THIS PLAN APP BESSE Eft PROP '°"J•.�. ............. d .a.e.• �.a��ae��uss®NHCaaea DA! R L APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY �i t L ,_yv_6 S to re- occupy the single family residence known as : (address) hereby apply for a certificate 02..E N �- 10 3 :12E Lt- , Miami Shores, Florida. Legal Description: Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single -family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Mami Shores Village, certifies only that the referenced property is being used for single -fay purposes and that such Certificate does not constitute any representation, warranty or cgr�tification as to the condition of the dwelling or other structures on such crouerty. Applicant Date I/ O Print Name GUi I-Ofi M '/01 e,GJ1U [�S For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: 4 1 Contact Name: a)r 1�1 4n 166 far yS Telephon� fd Buyer Seller V_ Realtor Company Name Application Fee ($50) paid: Cash Check No. Inspected by. F. LUB I EN Approved % Denied Date 1119/98 Comments: PAGE l OF 2 _ t CERTIFICATE OF RE- OCCUPANCY On behalf of Mami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. MIAW. SHORES VII,LAGE, FLORIDA By: Date of Certification: 11 / 9 / 9 8 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCBEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAMING SOLELY TO THE REQUMMVIENT THAT EACH ONE FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE FAMILY DWELLING PURPOSE ONLY, HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE COMMON OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED SIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, I a 0 xf) PAGE 2 OF 2 c o' a's�o/io /�Paremer�I'�"0,7 s' .-e.s wall 9o' w /cgo 3oB� '90 2s zz5. a p Cas 0 CA jpidawr 5193 J V. v i \ MOS, le 1 Poo/ dec,4 / ' see, eo . ,r- o 7 Q/. Q � �. � fP���z• ,' ,s>ly ids ,4d4' ?7 38' � i4 0 /JrPS. /,v jl' 5 ' K 23 3 S' l .to rig P !) O v aelAaW F6 wr DI `4'11 1 t { -*o - — 1906. j� a a Is-'I Ni Tf VnAN TOP s _ cap m m - . N \9 �t ' .� . - b T-Y 14> VAIL A-LL Ali 0 .:. - -Top aer, Va- _o lctrxx .3 -•• -_ SPECIFICATIONS' d. WOOD.- • ° .... .- .; �` -t:_ :. _ „5.:..:..�_� • .� FENCE . TO 8 ALL-M , , . • ..t • ... : r ., - : - ..: � . -: • �..�... � ' � � .• °�' �•:: �� . ® W 000 - • POST : TO..BE -AT-. -NOT MORE' . THAN _fit -Q�' AR p - TNR•EE•''i�OWS .OF. 2� X 4' RAC.• . R:..•� - t: •c�•� < <:-�� ;��'. 8 6ARDS"• TO :8 E• I" X ,: :..... ..: _ . 6 X�'- f,� . 0 0(; EA1Y. OTC- :.W 0 OD.. ALL NAI : • ..:. : s. -. •� - L.S • •TO BE . GALVANIZED . .TYPE T INCLUDED AS A STANDARD FINISH , FENCE CAll s ' •'_ S±A.•NED AS ALTERNATE. MIAMI SHORES VILLAGE PLANNING & ZONING BOARD REGULAR MEETING January 9, 1992 A regular meeting of the YAami Shores Village Planning & Zoning Board was held on January 9, 1992, The meeting was called to order at 7 ;30 P,M,.. by Chairman, Mr, Fernandez, with the following members present, Richard M, Fernandez, Chairman Les Forney Thomas Laubentha. Larry T, McClure ? Cliff Walters Also present: Frank LuBien, Director of Building & Zoning 1. MINUTES - DECEMBER 12, 1991 The minutes of the meeting of December 12, 1991 were approved by a motion made by Mr. Laubenthal, seconded by Mr. McClure, and passed unanimously. Mr. Fernandez asked for an amendment to the agenda, Item 6A will be; Discussion - December 13, letter to Gail Macdonald from Robot R. 'Swarthout, Inc, BILLINGS, 285 N. E. 103rd Mr. LuBien explained, this item was_be oche Board before and a complete set of plans was requested. Mr. Billings was present. He stated he wants to connect the garage to the house with the proposed room addition. He has a very large lot and has lived in the house since 1986. He has done much to upgrade the property since that time. Members reviewed the large set of plans. There was much discussion con- cerning the 2/3 ft the garage encroaches in the rear. The original plans of the property were pulled by Mr. LuBien, and Members reviewed these. It was deter- mined the house was not built as drawn. Mr. Fernandez indicated a diligent search of the record was made. Mr. Walters moved to approve, the request for a variance, seconded by Air. Forney. In discussion Mr. Laubenthal made a suggestion concerning the roof line. Mr. McClure commented concerning the obvious addition to the non- conforming structure. Mr. LuBien read from Pg 1604, Sec 524, c. of the zoning code book. The question was called and the motion passed by a 4/1 vote. Mr. Fernandez voted No. It was explained to Mr. Billings, this item will go before Council at their meeting of January 21, 1992, and he must be present. 3. REQUEST FOR APPROVAL OF PLANS FOR GARAGE ENCLOSURE JAMES PRUETT, 138 N. E. 107th ST Mr. LuBien stated, these.plans had been before the Board about three times, A complete set of plans has been obtained. Most of the pertinent information is included in Members packet. The architect made a couple of changes to the elevation which Mr. LuBien suggested, which would give a truer representation. i In the previous drawings there was insufficient information on the porch section and the front elevation on the garage enclosure, Mr. Pruett was present but had no comment. Mr. Walters asked Mr. LuBien concerning elevation for flood purposes, Mr. LuBien replied the* floor is being lifted and ther is no problem, Mr. Walters moved to approve the request, seconded by Mr. McClure, and passed unanimously. MIAMI SHORES VILLAGE REGULAR COUNCIL MEETING FEBRUARY 4, 1992 The regular meeting of the Miami Shores Village Council was held on Tuesday, February 4, 1992, at the Miami Shores Village Hall commencing at 7:31 p.m. with the following members present: Mayor Johnson Herb Spahn Stephen Loffredo Robert Cook Also present: Tom Benton William F. Fann Absent: Henry T. Courtney Gail Macdonald ITEM *1 MINUTES Mr. Spahn moved approval of minutes from the Cable TV Workshop of 1/14/92. Mr. Loffredo seconded the motion and the vote was unanimous in favor. Mr. Loffredo moved approval of the minutes from the 1/21/91 Regular Council meeting. Mr. Spahn seconded the motion. Mayor Johnson requested that Item e2 In the minutes be amended to reflect that Mr. Donald Fann discussed the possibility of a de minimis group being formed to limit liability of parties In the EPA action, such as the Village, which had a nominal amount of waste oil Involved in that site. He also asked that Item e4 be amended to show that the problem with the tank was at Village Hall. Mr. Loffredo accepted the amendments and the vote was taken and was unanimous in favor. Mayor Johnson acknowledged receipt of the minutes from the following meetings: Fine Arts Commission 11/18/91, 12/16/91 Planning and Zoning Board 1/9/92, 1/22/92 ITEM e2 PLANNING AND ZONING ITEM: Request for approval of variance to permit a room addition attaching the garage and main building. located at 2StreeMr. Fernandez presente s fn that the addition was approved by the P &Z Board. He also stated that the garage is not In compliance with the code; however, the addition would bring the building more Into compliance. Mr. Fann stated that a variance Is not required because the use Is appropriate. He stated that the garage is not in compliance because there is no setback. He also stated that there is no showing of a hardship which is the basis for granting a variance. He suggested that the petition be granted without granting any variance. Mr. Cook moved to have the Council approve of the Item but Is not approving the variance. Mr. Spahn seconded the motion and the vote was unanimous in favor. ITEM e3 DISCUSSION AND POSSIBLE ACTION REGARDING ZONING CODE DEFINITION OF GASOLINE STATION. Mr. Spahn Introduced the Item and suggested directing the P &Z Board to look at Section 218 of the Code and suggested Section 218 should read: Any place that is used for the retail sale and direct G tsI/mc AAR6 T!L E loo F E x i 7 G RE J to Est! C C i se1.o �Coae DeoR NEW PSARREL T1Le� +GaJJI�r rl' S fu cc o yam: ovPR WD STvOr. NORTH E LC- VAT ION SCALe %1 D ` 1 '•' BARREL TILE 'ROOF 5/9 PLYWO SNEftTKING• co I _ - R tg r+ f� �'� ' v �►-- i� RY WA Lt. LOCK 5EAT 2 Ca ?`/ o.c. T.B. vrl /.{S 2' S 710p o F T-9.--, W=S IZ�r Gi e it • ii kL Exr3``JNl C -Pq R APt'T E,,` s ^•,RAG E � REPEAT NOTES MiT AL i WOOD STUDS METAL Tr• MIAMI SHORES VILLAGE !BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appm�•al of the detailed statement of the plans and specificattons herewith submitted for the build- Ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores rules and regulations of the Build$ng Davision of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved . . . _----- •--- .,19........ Owner's Name and Address...J %______ ----------- - ------- No.- .- .--- _....__..__. Street_. ----- .-- ..- --__.__.- • ............. Registered Architect and/or Engineer- -- - -- ---------- - - - --- ----- ------------------------- ------- ---- ........---------- •---- - - --_. Name and address of licensed contractor--- - - - - -- - -------------- __ I - - ---- - ---- --_------------------------- -------- Location and legal description of lot to be built on: S, ---- - --------- - Street and Number whie- --- wo-rk is to be ddiie ------ ------ - State work to be done and purpose of building (by floors . — .....and for no other purpose. New Building — - - - - - --_-------- Remodeling....._.._.... Addition ----- - ---------------- Repairs------------ _._.. ..... No. of Stories .......................... To be constructed of ----------- - -------- 'Kind of foundation__ - . .. . ......... . ........ •....• Roof Covering------------ --. ........ .......... Estimated Total cost oflinprpyements "$- - - - -_- ------- ----- -.-----.-Amount of Permit $...._.._ _-_.- - - ----- - ---- - ----- - - - - - ---- - ------------ Zone cubage required_____ Plan Cubage . . ....................... Distance to next nearest building--------.--- -Size of Building Lot_. ____------------.-------_---------------_---- Maximum live load to be home by each floor--- - - - -_. I hereby submit all1the plans and specifications for said building- All notices with reference to the building and its construction may besent to----- - - ------ — - - - ---- - - - ---- - --------- - --------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with e rovW-ons thereof, and will require similar compliance from all contractors or sub-contractors employed by him b th i in has Comp' be of under this permit; and will post or cause to be posted for inspection on the site of the work such public notice n the work to e In or permit, as are r4eN=qd by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this as are licensed by Miami Shores Village. Remarks ----------- ---------_ ....... (Signed) STATE OF FLORIDA, COUNTY OF DAVE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, personally ap- peared me well known, and who, being by me first duly sworn, yon oath deposes and says that he is the - ----------_----- .......... - ---------_----- - - - - ---- . ......... ............. . .. . of the above described construction that e has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. Date Disapproved Date— (Signed) --- - - - ---- - --_-------------- Building Inspector - ;___ Chairman Member Member Council j Read, Sworn to and Subscribed before me. — - - -------- - - ------ Notary Public, State of Florida My Commission Expi es - - ---------- - ----- - -- - - - - _-_ NOTE: A charge �f $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials /or worlanausbip. ...1 - .,.r+�l'._- f'.", -�.," „�s_"' .- !T:v��'r r- STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES .��. APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT M Authority. Chapter 381, FS Chapter 10D -6, FAC Date of Application Name of Owner Mailing Address of Owner Permit Application Number PART I - APPLICATION 0 Telephone Number Owner's Agent Builder Agent's Mailing Address . 42a Telephone No. Property Street Address Z� /'�' 10 - = Lot No. Block No. Subdivision Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDB DESCRIPTION This Application is for: New System Repair— Ty Ee of Sewage Flow Establishment (Gallons per day) y TOTAL FLOW = Type of No. Bedrooms Residential (each dwelling unit) Exact Directions to Property AUDIT CONTROL NO. / ?I g Applicant's Heated or Cooled Area (each dwelling unit) ft2 ft2 Existing System Sewage Flow Based On No. uw{ lling Sewage Flow (Gallons per day) e t % HRS-t1 Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (stock Number. 5744- 001 - 4015 -1) Page 1 of 3 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing ar other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shares Villagg, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village Man rules and regulations of the Building Division of Miami Shores Village shall be crnnpliec� with, whether herein specified q not. A copy of approved plans and specifications must be kept at building during progress of the work. 195 -6 ._.... ..,19. Date._ ._.._... +4 _...: .... - -- Owners Name and Address. - a`._ Harold GlilCBten _ _ -..._. No.2 35 _ _ S . E. 103rd . ..._._.__......_._....�-- - - - - -- tre._..--- •- •e---------- •------ •-- - - -... Registered Architect and /or Engineer.... -. Name and address of licensed contractor oonV=g, Y746 ,,N.- E. 71 Location and legal description of lot to be built on: -- --------- - -_....... Block ._. - -... . ....... 11P .............. . Subdivision ...... - ....... - - ...__ _ _._. ---• ....---•-••----- Street and Number where work is to be done...` �$ �__: �..:..�:x:.._�..��x'�- ._.._...� __...._. State work to be done and purpose of building (by floors) -- - _ --- - ------- _ ------- - -- Forte to les and for no other purpose. New Buil ' Remodeling .. Addition - ----- _------- _ - - -.- Repairs ....... .... ... ......... No. of Stories .......................... To be constructed of...._U!F% apt iris. Gonerete Kind of foundation:.__ _ -.------:=------- ------------------ •, -_ -__ Roof Covering_ -_ -- ...�i..1183------ ....:_.._ -- Estimated Total cost of improvements $ ... 4 2- 5.a.0 ----- - ------- -- .._. ----- Amount of Permit $......... .._ . ............... .....•. -_- Zone cubage .----Plan Cubage .... __ ... _..... Distance to next nearest building_._.. ___..___. _ ...____ _ ,__ _Size of Building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the bull" and fits construction may be sent to_- The undersiggnned applicant for this building permit does hereby certify that he understands and accepts his ;obligations as an employer Of labor under the Florida. Workmen's Compensation Act; being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require . similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted far ' on on the site of the work such public notice ar notices as are required by the Act. The undersigned agrees to employ only such su ntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. le . /1. %--41 9 Remarks.- _...._. _ _.— ( Sign STATE OF FLORIDA, t COUNTY OF DADE. J s ' 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, bean&g by me first duly sworn, upon oath deposes and says that he is the. - . ................... _ .... .._.............. .� L_._�. _.._. ..................__._.... of the above described construction, that ,e has carefully read the foregoing application, and that he did sign Y�° same, and that all facts therein by him stated are true. Permit No. Date.__ Disapproved _ _ ._._...---- __._._ Date._ ( Signed) - _---- •--- --- ------------------------------------- Building Inspector PLANNING Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires - -------------- �.__�- * -- • - - - -._ _ - - - - -. _ Chairman -_... _- __.._.__ Member . _ _ _.. _: ........ _ ...... .._.. -..... _ Member __.____._._._._.___.._ _ _. _ Member Member Member _ ._._ _ -------- Council Da t a Disapproved ._ - - -................. �.... ....-- •- •-- • ... .... ........ •• -• -- ...Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approtval 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 note ce for inspection or faulty materiels /or workmanship. MIAMI SHORES VILLAGE PUILDINq INSPECTION DEPARTMENT APPLICATION FOR 13UILDING PERMIT Application Is beret Za far the agroyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or &I structure 6 r a1wri ed his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, i md all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Buildi ig Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications nust be kept at building during progress of the work. . ........ . . . ........... Owner's Name and Address .... .... ......... ----------- - - - No --------------- Street.._._.:_. ......_.......__..._........... Registered Architect an /or Engineer ...... ........... ....... . ...... ---------- * ---------- 7 ,tr Name and address of licensed contractor ..... 20 . . • .....•• . ...- d r .....- . .. .... .......................... Location and legal description of lot to .. bebudt ow" Block .-- _-------- .--------- - - - - -. Subdivision.: ._.-_..._-.._... Street and Number wh-, ! 10 work is to be done..._........... ef - 0 State work to be dc Id purpose of building (by floors) - -- ------ 7 ...... . ................. ------- . ...... for no other purpose., New Building—4 ! ------------ Remodeling- ............ ......... Addition ......:.- ................ Repairs.---- -• - -•- ............. No. of Stories ......................_... To be constructed of._ � . .. . ........ __ Kind of foundation ... . . . . . . .................. . ......... -- ---------- - Roof Covering..._-_... .__.._......................... .... Estimated Total co L--provements d _.-._.Amount of Permit $ ........ — — -- — - ------ - ----- - - - ------- - ------------------ - --------- Zone cubage required___ Cubage ---- - -- - — ----- . .......................... Distance to next nearest building -.__ -------------- ----Size of Building Lot. ------- - . .... . . . .. . . . . . ................... . . .... . ......... Maximum live load to be borne by each floor-_._- . . ......... . . .. . .................. I hereby submit all .the plans and specifications for said budding. All notices with reference to the building and its construction may. besent to - - - - -- — ----- -- - -_- . ....... . .. . .... . ............. . ...... -- ... . .......... ....... ... :_- ..--- ..........•- - - - - -- • - - -- The undersice Florida applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under t e ri Worlonen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with previsions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be perfo ed under this permit; and will post or cause to be posted for inspection on the site of the work such public not*ce' or notices as are repair by the Act. The undersigned agrees to employ only such subcontr ctors, on work to be performed under permit, as are licensed Miami Shores! Village. Remarks— (Signed)--.-- STATE OF FLORMAJ I COUNTY OF DADE I as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, by of the qbc�v"edescri therein by him fttx Permit No. -65 Disapproved — (Signed) Chairman Member Member ......... Council Approve NOTE: A charge the Planning Bofird. A re- inspection ti on fe materials and/or worla ...... .--,to me well known, sworn, upon oath poses and says that he is the . .............. ------- - -- - . .................. __. . .......... . ....... . ........ an, that he has car Aly read the foreqpjpg application, and that he did sign the same, and that all facts Date- Read, Sworn to and Subscribed before me. Date.--------- --- ...... . .......... . ... ....... Pu - . . . blic, State of Florida Inspector My Commission PLANNING BOARD___..__.__ . .......... —.---__DATE Member . . . ........ Member Member _—_—Date Disapproved -- - _ - _-_- __ ....................... ..... .................. ........... $1.00 will be:niade for making corrections or changes to this application after approval has been obtained from $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty ADDENDUM TO BUILDING PERMIT APPLICATION (, '7 APPLICATION .OR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. O3TA , THE Owwws NOT ZED SIGNATURE NZ NOT BE PRESENT ON SUBSE QUENT APPLICATIONS.) w PLUMBING ELECTRICAL MECHANICAL all BICET ti .. • ia' �� Ilia" Y *. '_ .1 �_ UVATCRY UUM TRAY WrIES WASHER mms! sit, goo SINK. RBIMCE SINK. l 1' __ 1 1'i. i' 7' 1 -� 7 Q'�. is •, 1.•� �_ URINAL WATER aZET 11,01RECT WATER SIRY M: A/C UNIT FIRE SPRIMaa m Ita. ,. . ,. ,.M URN VRI?QMBt-WM sinmite mm -� i. ►r... a + -- �� WATER SERVICE see cmemim 7• TANK o.. ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUIDIT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITU VIII im t / / t• h �• 1 Mom- -omm 1 �..Iw, __ �' h 3..•1:' �_ by •• __ DRINKING FaWAIN FLOOR CRAIN LAVATMY LAMY MAY -_ _ I 3` �_ \• \13 �� Sim SINK, RESIDENCE '1 1' -� 1 /• 1 3' ! -_ 11.E 1;•� �_ WATER CLMIJ IWIRECT WASTES - /C UNIT FIRE SPRINLM WATSkqE'LAM SWOMING • 111 WATM SM ICE fl 1 la . 1,/ VI.- Y r / r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,APPLICATION FOR ELECTRICAL PERMIT Le 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. Owners Name and Address.... � �y ...... ......... _ ............ :.......................... No.... .....Street.Z, ................... RegisteredArchitect and /or Engineer........ 7. .................................................................................................................. ............................... Employing Electrician's Namne,C4W..s,.OT1.. ....... No.P�O�..'a Street... e2. ?. :. . ............... Location and Legal Description Lot ....... _ ........................................ _ ................. Block .......................................... Subdivision ................ ............................... Street and Number where work is to be performed— No ............................................ ............................... Street..................................... ............................... State work to be performed land purpose of budding (By Floors) ........................... _ .............. _ ............................................ »............................................... New Building ................................ Remodeling ............................... Addition .............................. Repairs ...................................... No. of Stories.................... erhead Z Service Und rground Sue Feeders ............. _.:... Conduit ............... Main Sw.. .............................Am .Main Fuses ...... .. .................... Amps Type of Installation—Conduit. ....................... Tubing ....................... BXL ......................... Metal Moulding ................................ ..»._................................ - ------------ -- - - - - -- - - - -- ......................... ..... Amountof Permit $........... . ... ` -......... I .............................. (Signed) ..... ... .-..-- -.-..................-- a- -..... A -. .._ ........... _.................. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ons as an employer of labor under the Florida Workmen's Compensation Act, being Sectipn 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i (Signed) ..... . ..j��........ ....................... Master Electrician. 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, and he has carefully read the foregoing application, and that' he did sign the same, and that all facts therein by hire stated are true. ... .. ........... »..... .... .. .... .. ..... _ .... _ ... ... ............... .. ...... . . ...... . ................... .... ................................... ..... ........... .. ......... .... ... _ ........... .. ............. ..._........ My Commission Expires Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP 0/9 � TOTAL OUTLETS OUTLETS RECE•P•T•S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER !/ CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL, SW. CAB. TEMP. PERM. 0.1 HP 1.0 HP TRANS. CONTR. LIST ��� ^T•�'•�^^^•-^ a ---r- �- No CHECK erhead Z Service Und rground Sue Feeders ............. _.:... Conduit ............... Main Sw.. .............................Am .Main Fuses ...... .. .................... Amps Type of Installation—Conduit. ....................... Tubing ....................... BXL ......................... Metal Moulding ................................ ..»._................................ - ------------ -- - - - - -- - - - -- ......................... ..... Amountof Permit $........... . ... ` -......... I .............................. (Signed) ..... ... .-..-- -.-..................-- a- -..... A -. .._ ........... _.................. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ons as an employer of labor under the Florida Workmen's Compensation Act, being Sectipn 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i (Signed) ..... . ..j��........ ....................... Master Electrician. 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, and he has carefully read the foregoing application, and that' he did sign the same, and that all facts therein by hire 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 VILLAGEi� BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PER.IT 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. 11 Date 19 Owner's Name and Address of Ai J, 2 /,a 02 • l e✓/� J Na 5 -F, Street /03 Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: /I -C J (Q / j 'ep Y'°T APL / °' - 7 Lot ��i aZ a, d,3 Block —L/ Subdivision �) -q M J �,J UIP S � � l Street and Number where work is to be done .22S- M e 1,03 E66 F r ' State work to be done and purpose of building (by floors). state exterior colors (submit samples) Ale--.. 1 V c- _. - <2. :__ A ; ' <' -, --/, `t and for no other purpose. New Building Remodeling Addition Repairs Na of Stordas 1b be constructed of ' Kind of foundation Roof Covering Estimated lbtal cost of improvements $ ' / � mount of Permit $ J, �® Zone cubage required Cubage Distance to next nearest building Size :of Building Maximum live load to be borne by each floor 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 busby certify that he understands and accepts his obligatons as an employer of Labor under the Flordda lhorkmen's Compensation Act, being Section! 5966. Compiled General Laws of Florida, Permanent Supplement, and has compiled with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors on to be per under this permit, as are licensed by Miami Shores Village Remarks (Signed) 0 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 CJd � /t�4 3 9. a X of the above described construction, that he has carefully read the foregoing a licatdon, and that he did sign the same. and that all facts therein by him stated are true. Permit Na Date �/ �O Read. Sworn to and Subscribed before me. Disapproved I a q Date (Signed) Building Inspector Chairman Member Member Council Approved Notary Public. State f&da ry Public;', State of Flogd� MyCcrrimisstonExprra Feb. 261,x99 My Commission Expires Bnndin .r r rLFLINAIINU rnUArJJ unar. Member _ Member _ Member _ Disapproved Date NOTE: A charge of 625.00 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 merle necessary by improper notice for inspection or faulty materials and,or workmanship. AWNINGS CANOPIES TRAILER CANOPIES TARPAULINS LAWN UMBRELLAS LA-WN AND BEACH EQUIPM NT RECOVERED I TO BE HUNG_ TYPE OF AWNING NO. CURTAIN SHUTTER !?Oufuts CtWFtt*K5 Cowtastj rr28 `IpEaaa eanvaa. gx�zzUnee„ 746 N. E. 79TH ST. - MIAMI 38, FLA. PHONE 78 -2814 New HEAD ARMS _ OR FASTEN FASTEN W REC,OVID. I TO TO TERM VALANCE FRINGE PATTER A(® N 1. —No representation or afire (ment has been made by salesman other the n st d� 1/�� 2.—All agreements subject to (strikes, accidents, and other delays beyond th ndocontro 3. —Goods sold, manufartured,; and /or delivered to Purchaser named in this o er, shall remain the property of the Vendor, SOUTHERN AWNING CO., until the specified contract price has been paid in full; the said Vendor reserves the right to repossess the goods stipulated herein upon default of payment of any portion of this contract. 4.—Interest will, be charged at the rate of 6% on all balances, unless herein otherwise specified. 5 This material is especially manufactured and ordered for the Purchaser; this order is not subject to countermand unless by written agreement by the SOUTHERN AWNING CO. 6. —Where goods, after !deliveity, are destroyed by fire, theft or accident, or other causes, the Purchaser shall remain liable for any unpaid balance under this order; the Purchaser agre s to Insure the goods set forth in this order for the benefit of the Vendor as his interests may appear. 7.—This order shall not be biding upon SOUTHERN AWNING CO., until accepted by It' at Its office, 746 N. E. 79th Street, by its President, or other officer thereof. 8 It is understood and agreed, that, responsibility for corrections, and /or adjustments ceases with SOUTHERN AWNING CO., following 60 days after date of completion of ' its work. Accepted at 7461 N. E. 79th Street. F Th OUT WNING CO. SOUTHERN AWNING CO. gy _ SALESMAN By Order No AUTHORIZ �'1 OFFICER PURCHASER' ' ` I J ■m d r Mm MUMMA A(® N 1. —No representation or afire (ment has been made by salesman other the n st d� 1/�� 2.—All agreements subject to (strikes, accidents, and other delays beyond th ndocontro 3. —Goods sold, manufartured,; and /or delivered to Purchaser named in this o er, shall remain the property of the Vendor, SOUTHERN AWNING CO., until the specified contract price has been paid in full; the said Vendor reserves the right to repossess the goods stipulated herein upon default of payment of any portion of this contract. 4.—Interest will, be charged at the rate of 6% on all balances, unless herein otherwise specified. 5 This material is especially manufactured and ordered for the Purchaser; this order is not subject to countermand unless by written agreement by the SOUTHERN AWNING CO. 6. —Where goods, after !deliveity, are destroyed by fire, theft or accident, or other causes, the Purchaser shall remain liable for any unpaid balance under this order; the Purchaser agre s to Insure the goods set forth in this order for the benefit of the Vendor as his interests may appear. 7.—This order shall not be biding upon SOUTHERN AWNING CO., until accepted by It' at Its office, 746 N. E. 79th Street, by its President, or other officer thereof. 8 It is understood and agreed, that, responsibility for corrections, and /or adjustments ceases with SOUTHERN AWNING CO., following 60 days after date of completion of ' its work. Accepted at 7461 N. E. 79th Street. F Th OUT WNING CO. SOUTHERN AWNING CO. gy _ SALESMAN By Order No AUTHORIZ �'1 OFFICER PURCHASER' ' ` I J A(® N 1. —No representation or afire (ment has been made by salesman other the n st d� 1/�� 2.—All agreements subject to (strikes, accidents, and other delays beyond th ndocontro 3. —Goods sold, manufartured,; and /or delivered to Purchaser named in this o er, shall remain the property of the Vendor, SOUTHERN AWNING CO., until the specified contract price has been paid in full; the said Vendor reserves the right to repossess the goods stipulated herein upon default of payment of any portion of this contract. 4.—Interest will, be charged at the rate of 6% on all balances, unless herein otherwise specified. 5 This material is especially manufactured and ordered for the Purchaser; this order is not subject to countermand unless by written agreement by the SOUTHERN AWNING CO. 6. —Where goods, after !deliveity, are destroyed by fire, theft or accident, or other causes, the Purchaser shall remain liable for any unpaid balance under this order; the Purchaser agre s to Insure the goods set forth in this order for the benefit of the Vendor as his interests may appear. 7.—This order shall not be biding upon SOUTHERN AWNING CO., until accepted by It' at Its office, 746 N. E. 79th Street, by its President, or other officer thereof. 8 It is understood and agreed, that, responsibility for corrections, and /or adjustments ceases with SOUTHERN AWNING CO., following 60 days after date of completion of ' its work. Accepted at 7461 N. E. 79th Street. F Th OUT WNING CO. SOUTHERN AWNING CO. gy _ SALESMAN By Order No AUTHORIZ �'1 OFFICER PURCHASER' ' ` I i f MIAMI SI-�O ES BUILDING IN P TION VI LLAG E DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. Tiiis 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....... . r .......... ............................ , 19.- - - - - -- Owner's Name and Address._ -�- /, .4-- •--- IAI- .A.�CJA--- - -- - -. No.2A_ ....... Street Registered Architect and /or Engineer. ' J -.. ........... ------------ J - - Name and address of licensed contractor.... 1__- 4'r... ._.::. .,... -f ..lY -�.. _...- Location and legal description of lot to be built on: Lot-2 - - -- .. ......... . . .. Block ----- - �-- •- _---•- -• - - - -- Subdivision._.....i�. -�' L ' � p�------------------------- -- ------------------------------------------- --- - - -- -- Street and Number where work is to be done _........ Q•• � ..... ..,� �- - -0_. 3..._�i . ----_--------------------------------------------------------------------------- State work to be done and purpose of building (by floors) ........................ ..... .... ...................... .............................. ----- - - - - -- ------------------ •-------- - - - - -- ------- - - - - -- -- ...... i ..X_a: . -- --- •-- ---- -- - - -- - - - --- ----------------- -................... -................................................................................... and for no other purpose. New Building ---------- ._- --- --- -- -- - - - --. Remodeling -- ---- •- ----- -•-•- -_ - - -- Addition__ -------------- - - - -- Repairs .......................... No. of Stories - --- ---- - - - - -- - - - -- To be constructed of__- CRZ---------- Kind pf foundation.._ ..... .. ................._.____._ _ __ Roof Covering ................................... ............ Estimated Total cost of improvements $.._____- 3__.�_ - •_- -.P.- -____- _Amount of Permit $-- _- .___ :% �_____7 .___fit s5? _.____.._.__.--------- Zone cubage required - -- ) - QAL- ar, --------- 12-1-& -------------- Plan Cubage- - - - - -- - - - - - -- 8 E Distance to next nearest building ._-------------------- --- ---- ------- --------- -- - --•.-------- Size of Building Lot!�J_(a_- _- _�ve•7!Q- f..r----- �- .____._._. -.__- Maximum live load to be borne by each floor ---------------------------------------- - - - - --- ------------------- -- ------- ----- - - - - -- ••--------- -- - --- ---- •- • - - - - -_ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to------------------ --- -------- -------- --- - -- --- -------------------- ----------------------------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontracturs, on work to be performed under this permit, as are licensed by Miami Shores Village. V ' Jv � A ` r I / C / ,N Remarks------ -- --------------------- - - - - -- ---------------•--•--------- ---•--•- --------- -•---- -- --- - -- (Signed) ... - - -- - . - ------- ----- -------- ----- ---- -- - - - - -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --- ----- - - - - -- - ---------- -- --- --- ----- ---- - - - --- ------------------------------------------------------ ---- ----- -------------------------------------------------------------------------- _---- - -._.to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .. ------------------------------------- _----------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No_. ......................................... Date -------------- _.__.._._....... .............. Read, Sworn to and Subscribed before me. Disapproved- - -- Date.. ------------ ------- .................... --------------------------- --------------- ----•--- -................................. (Signed) -- ----- °--- -- •---- -- - - -- - -- -- -- - ------ -- -----•........ ........ .... ... ....:.......:... Notary Public, State of Florida Building Inspector My Commission Expires .................................................................... PLANNING BOARD ................. - - -------- ----- ---- -- - - - - -• ..DATE Chairman---------------------•-- -------- --- --- --- --- ---- - - - - - -- -- ---.._ . - Member Member-- ------- ••-- - -- ----------- ---------------- ................................................... Member ----------------------------•---------------------•---••--------•-•-------------------•----------- Member..... _ --- - - - - -- -•------------------------•------------•----•-------------------=- •........_. Member ---•-----------------------------------•-----••-----------•----•--•------------ •-- •--------- - - - - -- CouncilApproved --------- --- -- -_-_----- - - - - -- -- -_- -_- -- - - -- ----------_---------- Date Disapproved ------ ---- ------- --•-- ----- • -•---- ----------••--- •-- •- ---- ••- •-- ---- -- --- - - -- _.Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such -i pection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be ke'p't a building/ during progress � of the work. Date- •--- •- • - - - -- ---- .- �- yY, -s -"' L?. v..: :...........C`.--- .._._.._.. ,19-- - - -r•• ` Owner's Name and Address.._ ....v- •t-- __._.._..._.--- - - - - -- ...... No.Ae- .s7._4 ----- -_.. Street__/ ._1Ga�__...et-, Registered Architect and /or Engineer. -.__ .. -------------------------------------------- ------------------- Name and address of licensed contractor ...........:..................--•,-._...... ......____..._................. Location and legal description of lot to be built on: Lot -- - -- y Block.--- - - -1.1 ------------ Su 'vision-- -• - - -- � Ir Street and Number where work is to be done ........ z ..b_......._�.__1___s :?ems ;� J, State work to be done and purpose of building (by floors) - ..________ -- Ln_Q.G.% < .......... �-' S!- 6L-_k ...................................................... •------------------------------ -•------ -- -- ---••---•--- •-- ---- ...... - --------------------- • ...... -- ----- ................. - .......... ......... • ------------------------------ .-._.and for no other purpose. New Building --- ______ ___________ Remodeling .__._____.._..__-- - - - -__ Addition- -.____ �._.....__. Repairs .........-- -........_..... No. of Stories ------ ................... To be constructed of._ r C �.�_�� Kind of foundation.&' _!!�— �:____.Q!`r!��� =___ Roof Covering____._. /.11!.fti._.!!f �_______________ d Estimated Total cost of improvements $__ r�.. ' __-- _-------------- ............ Amount of Permit $ ---------------------------------------------------------------------------------- Zone cubage required---------------------- -- --- ------ --- -----------• Distance to next nearest building .____-_____.__---_-______- Maximum live load to be borne by each floor -------- -- --- •- -- --------- -- - - -- - -- --Plan Cubage ------------------------------------------------------------------------------------------------ of Building Lot ----- I hereby submit all,the_plan_s,annd specifications for said building. All notices with reference reference to ,the /b_uilding and its construction may IV- be sent to -- -'� _- �V--_� --t li - ��L_!__7-- -'e- =l -I !_T - - - --.. .... l X. 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 Sup1dm eent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe 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 bco tractors, on wor to be performed under this permit, as are licensed by Miami Shores Village., Remarks — (Signe - -- - ° - - --- s STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared--------------- •- --- ----- -- --- ------- ------- -- - - - -- --------------------- --------------------------------------------------- - - - - - --- ----------------------- - ----------------- -----------...._.-•- ..... ----- -------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ------------------------------------- .._--------------------------------------------------- of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. -- - - -- Date.-- -- r r - •�- `7 ? ••...... µ �, Permit No -------- -=--- --_-- � .... �-- •-- -- - -...- --- •- - - -- Disapproved---------- ------ ------- ---- -- ----- ------ ] date-------------------- -- ----- ---- ---- -- - - -- -- (Signed) - -t (��- - -- --------------------------------------- Buildii�I'nspector PLANNING BOARD_________ _______ Read, Sworn to and Subscribed before me. --- ---- -- --- - -- - - - - ------------------------------------•••- Notary Public, State of Florida My Commission Expires -------------------.--_------ --------- - -- - -- --------- -- ---- -DATE Chairman- -_ -- -- -- - --- -- -- -------------------------- --- -- ----- ---- -••-••----- - - ---- ---- -- ---•-•- Member Member---------------- --------- --- ------ ---- --- - - - --- --- -- --- - - - - --- - -_-- -------- ---- --- --•-- ...... Member Member -- ._ -- -- --- --- ---- ---- -- - - - - -- Member Council Approved. .... .------------------------------------ - ------------------------------- Date Disapproved ---- __--- .. --. - -- ----- .--- - --- - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. S �— Z Y2o�s a O iZ W Al r �,4� k-S r6W )eFTY WARREN REPRESENTING: McGRAW ELECTRIC CO. (BERSTED MFG. DIV.) ENTERPRISE ALUMINUM CO. TRI -STATE PLASTIC MOLDING CO. JEANNETTE GLASS CO. NATIONAL CAN CORPORATION ASSOCIATES: VERL GIESLER COMPANY 3944 CLUB DRIVE, N.E. ATLANTA, GEORGIA r V. MEACHAM AND ASSOCIATES MANUFACTURERS REPRESENTATIVES 285 N. E. 103RD STREET POST OFFICE BOX 5 MIAMI SHORES 53, FLORIDA iY Vk MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. -Date- ------- - - - - -- --- - - --- � --------------------- ---- - - - - -- 191 Owner's Name and Address__�CLeK.' No ----- - --------- - ------- Street------------------------------------------ Registered Architect and /or Engineer----------- - - --- -- - _-- /________- _ _---- __----- - - - - -_ -- Name and address of licensed contractor____________ 7- X- �i.r4-41-, Location and legal description of lot to be built on: Z Lot--------------- ---------------------- - - - - - -- Block---------------------------- - - - --- Subdivision-------------------------------- Street and Number where work is to be done ________________---- f —L--;: State work to be done and purpose of building (by floors)__ ----- - ---- _ __ -------------- - - --------------------------------------------------------------------------- ------ ------ - - - -- -- - 0------- 1 ---------------------------------- for no other purpose. New Building ------------ - - - - -- Remodeling------ ------------- - - - - -- Addition -------------------- - - - - -- Repairs-------------------- -- - - -- No. of Stories------------------- - - - - - -- To be constructed of ---- - - - - -- Kind of foundation ------ --------------------------------------------------------- Roof Covering------------------------------------------------ Estimated Total cost of improvements $__ _______________________________ U+ Amount of Permit $ -------------------------------------------------- Zone cubage required------------------------------------------------------------ - - - - -- -Plan Distance to next nearest building ------------------------------ - ------------ - ------------ -Size of Building Maximum live load to be borne by each floor ----------------------------------------------------------------- -_. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ------ --------- - - - - -- _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks--------------------------------------------------------------- --- ---- ----------------- - - - - -- ( Signed) ---------------------- ------------- - - - - -- -------------------- -- ------------- - -- - -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared----------------------------------------------- - - - - -- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_______________________________________________________________ _______________________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No .____- S�6_-✓ Date_____________ ____,__________________________ Read, Sworn to and Subscribed before me. Disapproved--------------------------- -- ---- - - - - -- Date--------------- ------------- ---------- - -- - -- -------------------------------------------------------------------- ( Signed) --------------- ------ - - - - - -- - - - -- Notary Public, State of Florida Building Inspector My Commission Expires __________________________ PLANNING BOARD----------- ---- -------------- - - - - -- --- ----- ----- - - - - -- -DATE Chairman----------------------------------------=------------- ---- -- -------- - - - - -- ------------ - - - - -- Member ----------------------------------------------------- ------------------------- - - - - -- - Member----------------------------------------------------------------------=------------ ---- - - - - -- - - -- Member -------------------------------------------------------------------------------------------------- Member----------------------------------- ------------ ----------- - - - - -- Member -------------- ------------ - - - - -- -------------------------------------------------------------------------------------------------- CouncilApproved------------------------------------------------------------------ - - - - -- -Date Disapproved -------------------------------------------------- ------------ ------------ - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or .changes to this application, after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 3 BU'I'LDING PERMIT RECOF,D P IA .'J SHOr�S VILLAd -E �.,..y....... - -r FLORIDA DA'I'S � `r .: ... ""''APPLICATION.. .. Application is hereby made for' the approval of the plans and specifications herewith submitted for the building or other structure herein described'' This application is made in com- pliance and conformation with the Buildiilg_Ordina.nce of the Miami Shores Village,'Florida,- and_ all . provisions of the Laws of the State of Florida, all I Ordinances of Miami. Shores Village, - and all rules and re -ulat pns.of the building Department of,Miami Shores Village, shall be complied with whether s cif.ieu or not OWNER �, . .. � ..- 1...�........ ARCHIT c -t-. `j.. CONTRACTOR; N- (,- . - • �^ � LOTa 1,1(11 -7 SUBDIVISIONS 1---- STREET'` d3 41y v� NEVI �ADDITIO ",i______- REPAIRS NUMBER OF STORI -,C ROOF COST (excluding Architect's fee, landscaping & garage)$:/ r. Building to be used for —and no other use. I hereby submit all the plans and specifications for said building, z STATE OF FLORIDA ) Signed COUNTY OF DADE Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgment, personally appeared to me well known, and who, being ,ay me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, My Commission expires Cubic F Chairma Member_ Member Secretary Notary Public (Signed) 440 Cubic feet this Block VWA Building Insrector Permit No. ' .t,2Issued t t f , �. .., ` Date Electrical Per4it No.� Plumbing Permit No. A-f — erv_s - -- 1 LIST OF SUB-CONTRACTORS Painting Plastering Lathing Electrical Mason & Concrete Plumbing Roofing Glazing Tile MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date -__ I __ f ___'__ ��__/'_,� 7 %-- - - - -, 19 -- Owner's Name and Address - - -I ---------------------- --- ----------------- - - - - -- N.Z / -Z -- Street[!---^ "-'lt_ Registered Architect and /or Engineer_______-- __ —�___„ _---- ----------- ------------- __,_____— __— _— ----------- Name and address of licensed Location and legal description of lot to be built on: Lot .��_%L ______ _______ Block_�L_ ____ - -___ Subdivision___,,1�!!... Street and Number where work is to be done - - -- ------------ __� �^ "_ __ ___ -------- State work to be done and purpose of building (by floors)- _______ �------ ---------- _ ---- ------------------------------------------------ - - - - -- -- -- - -- and for no other purpose. New Building ---- ------------- - - - - -- Remodeling------ -------- - --- -- Addition ------- rc"--------------- Repairs ---------------------------- No. of Stories------------ - - - - -- To be constructed of------- ---------- - - - - -- Kind of foundation---------------------------------------------------- - - - - -- -Roof Cove ring------------- --------------- -------- - - - - -- Estimated Total cost of improvements $ -------------- ___ ---------------- —_ -- ____Amount of Permit Zone cubage required-------------------- --------- ---- - - -- -- - - -- — -- _Plan Cubage ------------ Distance to next nearest building ----------------------------- _ --------------- — -------- Size of Building Lot Maximum live load to be borne by each floor ------------------------------------------ — ---------- —_---- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ------ -- --------------- -- -- - - - - -- (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared --------- ------------- ------- - - -- -- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ----------------------------------------- ____ ---------- - ------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No-1 _! -------- Date —_ Read, Sworn to and Subscribed before me. Disapproved ----------------------------- - - - - -- Date -- ------ ------ - - - - -- — -- — (Signed) ------------------------------------------------ — ---- ----------...... Notary Public, State of Florida Building Inspector My Commission Expires ----------------------- — ______ ------------- - ---------- PLANNING BOARD ------ ____ ----- — _____ f- Chairman ---------------------------- -- -- - - - - -- — — -- - - - - -- - -- Member Member ------------ - ---------- ------------ — — — - — - -_ — — Member Member -------------------- - — -- — -- - - -- — -- -- -- Member — TE Council Approved--------------------------------------- ------- ---- ----- -- - - - - -- -Date Disapproved ------------------------------------------- ------- ------ ---- -- - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. (ov er) r. LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk - heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � Permit No.-__1 j ^r _4 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 ____ ____ _ �_________ _______ No ------------ -------- Stree _ Registered Architect and /or Engineer ------------ __ — ----------- `° Employing Plumber's Name ------------ ,�-1f-_lll_ - -c} - - -- -- �!_1,!_I -Y i- �i�d>F -L !`! !- - - - -� Z7J%!W- �OStreet- - ------------------------------ Location and Legal Description Lot -------------------------- __ _,{j__ lock ------- J- P-y-I- ------------ - ------- Subdivisio _tiS___!__— __- __- ___________ Street and Number where work is to be performed—No --------- _+__ }__________ ______ Street-/-&3------ -- ______________- State work to be performed and purpose of building (By Floors) ---------------------- _ ------------ - -------------------------------------- ---------------------------- - - - - -- - - - - - -- New Building ______ Remodeling ---------------------------- Addition ---------- Re airs-- -_____ _ No. of Stories ----- /-------- Size Septic Tank------------ - - - --- -- ----- --- ------ - - - - -- Type of Tank .---- - -- - -- ----------------------- - - - - -- Capacity Feet of Drain Tile ----------------------------------- ---- Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City—Well ------------------------------------------------------- Size of Soakage Pit. LAO Amount of Permit $ - --- � -- �----------- -------------------- - ----------------- (Signed) IC + ~`•� -- Plumbing ------------ - - s, - 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 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 Y Notar 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 -f- CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank------------ - - - --- -- ----- --- ------ - - - - -- Type of Tank .---- - -- - -- ----------------------- - - - - -- Capacity Feet of Drain Tile ----------------------------------- ---- Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City—Well ------------------------------------------------------- Size of Soakage Pit. LAO Amount of Permit $ - --- � -- �----------- -------------------- - ----------------- (Signed) IC + ~`•� -- Plumbing ------------ - - s, - 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 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 Y Notar 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. JOB: AD:.- s BUILDING _ WORK • — DONE BY ELECTRICAL f RE(,UEST ` WILL BE READY PLUMBING The following is ready. for Inspection.: Inspector's Report: - n AD: U BUILDING WORK • DONE BY ELECTRICAL PLUMBING REQUESTED WILL BE READY, The following.is ready for Inspection: - Inspector's Report: - • 4 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby unnde for the approval of the detailed state ... enr or are plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. p C Ow -per's Dame an3 Address .. � .. 1 i/ t.. L�#..�'1 �J E;/Z (� .. ? No... ZrF., SC..._. RegisteredArchitect and /or Engineer .......... ....... .......................................................................................•.,.,,,-.,.,,,...,,-,,,,,-<,,,,, ,.............................. Name and address of licensed contrpctor...... ......... ............._._....__......_.......................... ......................_..•...__ Location and legal description of lot to be built on: Lot. ..j... 2 � .. .. ....... lllock........ _ . .. .... .............. Subdivision...A� Z. ._ . E? ..._�.. �� oZ � 3 % �� �� �-� _._....-- •... —. -,.,:;.1........._......__ Street and Number where work is to be done .................. _ ................ _ ..... .......... __- ........ _...... . .................. T-- State work to be one and purpose of building (by floors) ...... _..f s........,~�_....r?.._C.._.. .....••• - -• • - •- ............ . �t �..r....../2� .......... �__. ��� ..-... ......................._ ..-...._ ......... _ .................................. ......... _ ........................................._.................................... .....••-------._..--_................_.............. ............................._. ....and for no other purpose. New Buil ding ............................ Remodeling................ ........ Addition................ epairs .......................... No. of Stories ...... . .............. _ To be constructed of ......................... hind of foundation .................. ........................................... _. Roof Covering ............... ..... .. ........... ... _..__ Estimattd Total cost of improvements $.... c -. r ....................A,mount of Permit $,...... . ........ _ ............................ __ ................... _........ Zonecubage required. - -.. .....-• ................................. ...................... •-- - - -- -- -Plan Cubage..... ............................... Distance-to next nearest building ........................................... _ ........ _ ..... Size of Building Lot ...................... _ ..... _ .......... _.. .... ..... ............. _ ........ _ Maximumlive load to be bome by each floor ............................. ............................... ......•--........................----.. ............................... ...................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to .. ........ ............................... .... :............................................. .......................................................... The undersigned applicr.nt for this building permit does hereby certify that he understands and accepts his obligations as an employer of ',.%bur under the 'r londa Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent SrilTlenrent, anci has complied Stith the pjrovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be per:ormed under this permit; and will post or cause to be posted for-inspection o e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only., ttor erformed under this pennit, as are licensed by Miami Shores Village. Remarks...................•---_..........•••••-----------•-- •--- .- -- -- •---- •- ......-- --. - -- (Signe ... ...... _ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared......---•-•-•-•---- ------------ --- -•-- -.---- - --• -- -- ---..— --------- -- .._..-_---- --.- _- - -_.. .................... ••••--- ...................... 11 .. - - - - -- ...............•••-.....---•---------•--......----••.........._..---.. _.........._............_....._ _—.....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 Ire has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are -true.. p Permit No ................ Date_ewk � . ........... _._ Read, Sworn to and Subscribed before me. r Disappro ved ._..... ..._.._......— _._ .............. N otary . Pu ..... blic ...-..... State ....... of ..... Fl...o..ri ... d -- a -- •- --_...�_..._...__ , ( Signed) ........................... ... ............................................................ Building Inspector My Commission Expires ....... .................. _.............._..__._�. PLANNING BOARD ...................... ..................... _.._......DATE Chairman........ ....- .............. ................................ _.._......................... Member ....... _ ....................... _. ..... ............................ _....... Mernber................................ _ ............................... - -•— ..................... - ... Membcr ....... _ .......... ............ .................. _..._...... ..--- ---- . .................... _ Member.. .. ............................................... _. ..... - ...... .... - ._............. Member .... _ ................ __.._._ ------------- - --------- — Cot ncil Approved ... .............................................. __ ................... Date Disapproved ................ Date NOT F.: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannir.g Board. A rc•in•pe(tion fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept e building during progress of the work. Date ---------------------------------------------------- ----- !__- -1. , 19 . / Owner's Name and Address.... ______. _ „ /� N r ' --- - - - -- -- •-------- ----- -- ---- %'y- C,y-- C _/7' No.-- 2- 9 - - -- Street - -/�� - /-!P-J -- - t.� R RegisteredArchitect and /or Engineer. - - --- - ------ - - - - --- --- --- ------- -- - -- - -- - -- -- •-- --------- -- - -• - -- ---------------------------- -------------- ---- - - - - -- --------- - --- -- Name and address of licensed contractor - - - -- Q- LC/'z -% - - -- - - - - Location and legal description of lot to be built on: Block ------ � 7j__ ______ __ _ ___ __ Subdivision.__._ t_ - -�-t - - -- -- - --- -- I-- - - - -- - -- - - -/--� --------------- -- - -- Street and Number where work is to be done -f1f - n---- -- -- --- � -� -- -- �- /'-- `--- - - - - -- -------- ------------------------------------------------ State work to be done and purpose of building b floors _______- -�1 �'� A �� ^� P p g ( Y ) ----------- - - -- :J r -- --- - - ---- -----•--------------------------- Lx D6-4(_/YC_. 1 sri �G for no other purpose. New Building-- ----- ----- ---------- -- - - - - -. Remodeling ------- ..------- -- - - -- Addition ---- ------ --- ------ - - - - -- Repairs --------------------- . ---- No. of Stories - - -- -- ----- ---- --__ -- _ -- To be constructed of_______-- ___________.___ Kind f foundation-C6 _F �_____._____..____ Roof Covering__ B_t%t_L1_._._v.-- Estimated Total cost of improvements $____________�___- _____ ------------ Amount of Permit $____/ i-__:_____ r.___._______________.. ___________....._.____---------- Zone cubage required--- -- ---- ---- -- ----- - -- - -- - - - -- / --- --------- --- - -- - -- --Plan Cubage___o- +- - - -- -- - -- --------------___------------ Distance to next nearest building.__.____ --------------------- ---------- Size of Building Lot ----- .------------------------------------------------- Maximum live load to be borne by each floor---------- ---- --------------- ----- - - - - -- --- -- -- -- - -- ---------------------- -------- ------- -------- - -- --- ----------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to------------------------------------------------------------------------------------------------------------------------ ------- - ----- --------- ---- - - - - -- - - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec • n 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 ntr tors, on work to be performed under thi permit, as are licensed by Miami Shores Village. I% Remarks------------------------------------------------------------------------------------------------ (Signed) -- -- - - -- ` - - -- -- - - -- - ------- - -- - -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared- - -- -----------------------------------------_.._.------------------ ---------------- ----- -- - - - - - -- ------ ----- -- - --- ----------------------------------------------------------------------------------------------------------------------------------------------------- --- ---- ------- ------ --- -- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the- . .... .. -------------------------------- .---------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No -------- 1__ -> ----------------- Date ---- Lt=____ ____R_____--------------------- Read, Sworn to and Subscribed before me. Disapproved _________ __ , ------ -- D >e - r Notary Public, State of Florida -- - -- - -- --- - -- -- - - -- - -- - - - ------- -- - - -- -- -- -- ----- - - ---- - -- - -- - - - - -- ( Signed) --- _ ----------------------- �_Auii`ding Inspector My Commission Expires -------------------------- PLANNING BOARD-- --- --------- - - - - -- - ------ ------- --- ------- --- - - - - -- - DATE Chairman ---------- Member --------------- - - - --- Member _ .._ _ ----------- Member _____ ___ ____ ______ Member ------------------ Member ------------------ Council Approved _____________________________ ___pate Disapproved _. ---------------------------- ______.Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date - - - -2 -�)- t -t -� ----------------------------- , 19_ Owner's Name and Address. -. _ _C!� ��...._._.... - No. � f Street.ti _�.: I G 3 f✓ RegisteredArchitect and /or Engineer------ .............................. ----...----•-•-------•-------...-- ---------------------------------------------------------------------------------------------- Name and address of licensed contractor .... Location and legal description of lot to be built on: Block------- ----- ------------------- ... Subdivision .... --------------------------------------------------------------------------------------------- Street and Number where work is to be done ______________________________ - State work to be done and purpose of building (b) floors).._ __--Jl.'.__.ly'!._ 1 ?''�''?-� .- - - -- - -------------- ------------- L_... ---------------- -- •--------------- - - - --- ............ ................................... -....................... ------------------------------------------------ •-- •----- -. - - -- and for no other purpose. New BaikUtv ........ 4- �._........ Remodeling --------- ---- --..- - - - - -- Addition------------------- - - - - -- Repairs -------------------------- No. of Stories -------------------------- -r To be constructed of -_- Kind of foundation........ --. . ____-- _- ___.____- ____- __- - -____ Roof Covering ----------------------------------- --------- Estimated Total cost of mprovements ................ Amount of Permit $ ----------- .---------------------------------------------------------------------- Zonecubage required -------------------------------------------------------------------------------- Cubage---- --- --- ------ ---- --- --_- -- ----------------- •----- •---- ------- --- -•--- ---- ------ ---- - - -- - -- Distance to next nearest building ---------- Maximum live load to be home by each floor ofBuilding Lot - - - -- .............................................................. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to .......................................... --- -- _--------- •-- - - - - -- --- •-- •- -- -• -- --------------------------------- •- .............. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed tinder 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 subcontracts, on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks------ --- ---------------- -- ---- • - - - -- ----------•------------------------- ------- --- ---- - - - - - -- ( Signed) STATE OF FLORIDA, t 2 i COUNTY OF DADE. J ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared----------------------------------------------------------- ----------------------------------------------- ------------------------------------------------------------------------------------------ -------------- ----- -------------------------------------------------------- -- ----- ----------------- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the- . ------------------------------------------------------------------ ........................ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No______________ ____________________________ ___ Date -------------------------------------------- Read, Sworn to and Subscribed before me. Disapproved- -- Date------------ ----- -------- ------- -- •-- - - -- -- ----------------------------------------------------------------------------•-•--•-•-......---------•----•-- Notary Public, State of Florida (Signed) ----- -------------- - -- - -- ---...___ --------------------- ........................... Building Inspector My Commission Expires ..................................... ............................... PLANNING BOARD -------------------------------------------------------- DATE Chairman---- •- -._...---------- ---- - - -• -- Member -----. ------------------------------------------------------ .................................... Member............... ........................................................ .......................... Member -- ----------- _------ • - - -•- -•-----------•--------...........-•-•------ ••- -•--•-- ---- ----- -...... Member.. -- -- -- -- ----- - -• - -- - ----- -- - - - --- Member -----------•_----•-----------------------------•-----•----------••-------•-•-•----------------- Council Approved -------------------------------------------------------------------------- Date Disapproved - ---- --- - - - - -- -Date -------------------------------- ---- ----- ------ --- --- --- - - - - -- - NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. �' . l .J� � I,i :2 � t � 1 /� �- -. /� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address -------------------- -- -- -- -- ----- - - - - -- ---- -- - --- - --------------- -- Registered Architect and /or Engineer___________________ _______________________________ Name and address of licensed contractor --- — ---------- — ----- -- -___ —_ Location and legal description of lot to be built on: Lot - -- ------ --- -°- -------------- Block- -- - - - - -- ------ - - - - -- Subdivision - -- -- � — — - — Street and Number where work is to be done ------- _ ------------------------------- __________ -__ State work to be done and purpose of building (by floors) ----- — --------------------- —___ Date - -- `-- - - --- -- -- -- -- 19 - - - -- ----------- Nwf C_' A --------------------------------------------------------------------------------------------------------------------------------------------------- --- - - - - -- -and for no other purpose. New Building ------=-------- -------- - - - - -- Remodeling- ------ ------- - - - - -- Addition--------- -------- --- - - - - -- Repairs--- ------ ------------- - - - - -- No. of Stories------------ - - - - -- To be constructed of----------- --- - - - - -- Kind of foundat ion------------------------------------------------------ -- - - -- -Roof Covering ---------------------------- ____— ------ Estimated Total cost of improvements $__ - ------------------- _______________Amount of Permit $ ----- — ---------------- _ ------ —_— Zone cubage required----- ------- ------ - - - -- -- — -- — -- ------ ----- - - -- -- -Plan Cubage ------------- Distance to next nearest building ------------- _ --------------- _ ------------------------ Size of Building Lot Maximum live load to be borne by each floor ---------- — --- — ----- --------------------------- — ----- - ------ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to---------------- ------ - - - - -- - - - - -- — The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks----------------- — ------------------ -- ----- - -- - -- — -- - — -- ---- (Signed) ----------- --------------- ------ - - - - -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ------- ----------- -------------- - - - - -- -- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ----------------------- — ------------------ _-- ---------- - --------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ------- — -------- _------------------- Date_— __r— _— __— _— __ —__ Read, Sworn to and Subscribed before me. Disapproved------ --------- ----------- --- - - - -- -- Date-- ----- --------- --- -------- - - - - -- ------ --------- — ----------------------------------- — ------------- — ------ — ---- ----------- (Signed) --------------------------------------------------- Notary Public, State of Florida Building Inspector My Commission Expires ------------------- ___— ___— ___»_______ —_�___ PLANNING BOARD -------- — _____— _— ____________— __DATE Chairman------------------------------- -- - - -- -- — - - -- -- - - --- -- Member ---------------------------- Member ---------- ---- -- -------- -------- --- - -- -- — — — -- — Member --- --- ---------------------------- Member------------------------ ---------------- ------ -------- - -- --- Member - — ----------------------------- Council Approved-------------------------------- ---------- -- --- ------- -- - - -- -Date Disapproved ----------------- ---- - - - - -- — - - -- -- — -- - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. (ov er) LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE .1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15 Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY ( OWNER TO RETAIN COPY) ✓Date � /.;27 Job Address 103 Tax Foli Legal Des ription Master Permit 4�/ Lessee / Tenant L �, r Owner's Address ` �Jgm C Phone Contracting Co. Address Qualifier - �,�/A/F,(o , SS# - - Phone 17 / -SI W State# Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type (circle one): BUILDING WORK DESCRIPTION Address ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIG11- /1 �°'� 1 D GJi A JngAJ1.(X 9." -/-/©O Square Ft. 3 3 e' A Q)e Estimated Cost 15�� WARNING TO OWNER: YOU M ST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TC 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: rotary as to Owner and /or Condo President 4y Commission Expires: 'ERMIT FEE: APPROVED: Signature off Cont -r -actor or owns -r- Date: Fla o"Mm Tilly comml Notary as to Contractor or-6="r- My Commission Expires: Fire Other Zoning Building Electrical Mechanical Plumbing Engineering ilderl j�I Id, $fats of Florida Expire Feb. 26,19 'F .rj 9fc fit MIAMI SHO S VILLA13E BUILDING INSPE TION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during prpgress of the work. 1 % / Date....»...__..._....._ O%vnei s Name and Address .......� �' .rC._1.......... _ .. .r' { 1, �.......... _ No...z .` : .. Str�- (.t = ....1. . ....�":.» ( Registered — Aii4 /or E'ngincer. /- ... .,.71.... ^-..1... - ..tsJ .l.. ... 1 ....t�......,t�.�k.Sin : :a�' :•p, A4 ........... .....:e:::., .,..... ............................... Name and address of licensed contractor......... :_' :: v.:::,.•. x. �°...: ....................................... _._...__ ........ _... .......... .. .... ................ .............. _ ..__ Location and legal description of lot to be built on: ..... Subdivision...... r Lot�...r:�{. :_::.Y.:.1 :. �`. :— �. :. : -.._ Block.---- .... �...I....1 ........ !- }.l.t.*xrx,t..._....�.7...._ �.:: :,k.._ t 4 .%� ...... .e�i.... - Sweet and Number where work is to be done....iZ b' .. - :.... i. �..-...._...._ ...........___ 1......._.. _ .._... -...._ _ . State work to be done and purpose of building b floors � — .. -' PwP g ( y )...r .. ._..= .. :_ .�_ .............................................................. ...... _-_-_._................... ................. _ ... — ........ _ ......... _ .......................... __....— ....._ – . .......... ................... ............ .............................. ............... __ ... _.._ - - ................. _.................. ...................... and for no other purpose. ... ....... New Buil ding ............ ............ . .... Remodeling ................. ........ Addition .......................... Repairs_ -.... .......- No. of Stories..... ............... _ To be constructed of ........... . ............... Kind of foundation ............................................................. _. Roof Covering...................... ........ .......Amount of Permit 5 ... :�._. : : :... x.. L............... =lU.- Estimated Total cost of improvements 5..;#t.v..U..¢..! ............. ... .�_........_....._...___...____ Zonecubage required - - ---- ----------------------------------------- ----------------... -• - -- -....plan Cubage ..................... _ ........... _ ......................... --- ..._ ....................... _ Distance to next nearest building._.................... ...................._........__ ....Size of Building Lot..- twa?i..J%1 j. :... . f>. Z..r`.l�,�s.'3 Maximumlive load to be borne by each floor ------- --- ------- --- -- ----- ------- - - - - -- -----------------------------------------------..------.....------..........---------..........__....---......--- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.,_ -------- . d --- -------- ..l ... _i!5- .... //f [7.. ... ...... ............ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the previsions 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 onl clt s bcontractors on under this permit, as are licensed by Miami Shores Village.. -M '', e� Remarks- ___.._... STATE OF FLORIDA, COUNTY OF DADE. ss (Signed) 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..1.L'_... :.r... : : .......................................... .............._......__ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 7- Permit No._ - .----- -• - - -- _ ---- .- . -_ -_ -• - -___.. Date .......... ....................._......_._ yad,ern to and Subscri before me. Disapproved Date. S7 C Notary Pub ic, a of Florida ( Signed ) ................ L.. .. l.- – _ '`......- -... Building Inspector My Commission Expires.: »ti�q.pt}gih61 3*t�ofl6�tDLgRGE. rty Commission Expires January 29, 1977 PLANNINC BOARD .. .. .................. ..... .............. ._.._ ...... DATE Chairman ......... ................. Mernber-- ---- --- _--- --- -- -- -•--- - - -- Member ....... . .................. Member .................. . ..... - Member-- --- - ....................... --- ---- --- -- _----- --- - - ----- - - .- ------------- Member .... - ................ .._.-............_._..-...--•-----_--•-----•------_-- CouncilApproved - -- --------------------------------------------- - ...................... Date Disapproved ....... ..................... ....... ............................. ... ............ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning ]Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNo .......: ° .. .. ....................... Date....................................: . ............................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address...��....... .....................Street.. ......... / Registered Architect and /or Engineer.......:. ...................... ............................... . ....... Employing Electrician's Name ................ 6=. . ....................... ......... ........... ................... ... No ........................................... Street ........ ....: Location and Legal Description Lot ................................... .. .. ............................. Block .......................................... Subdivision .............. ........ Street and Number where work is to be performed— No .................... Street ........................ .:!...t........................ 'J/ ........... 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 Instal lation -- Conduit ........................ Tubing .................... .... B. X. L ......................... Metal Moulding............... ....................................................................................................................................................................................................................... ............................... ........ ... ....... . ..... ........... ............................... Amountof Permit $.....)....� .............................. ( Signed)....... ............................... 6....?..--.................... ............................... .............. ............................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and ac pts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws �of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village, (Signed). ........ ......................... ............................... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................:....................................................................................................................................................................... ."..:.......................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................................................................................. ............................... ................................................................................ ............................... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT i PLUG FIXTURES REFR10. IRON I RANGE RANGE WATER W. HEAT. ACE STRIP TOTAL OUTLETS ^� OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HAT[R HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. �I CAD. TEMP. PERM. 0.1 HP 1•5 HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders .................... Conduit................Main Sw ............................... Amps ...........................Main Fuses................,...... Amps Underground ••••• Type of Instal lation -- Conduit ........................ Tubing .................... .... B. X. L ......................... Metal Moulding............... ....................................................................................................................................................................................................................... ............................... ........ ... ....... . ..... ........... ............................... Amountof Permit $.....)....� .............................. ( Signed)....... ............................... 6....?..--.................... ............................... .............. ............................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and ac pts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws �of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village, (Signed). ........ ......................... ............................... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................:....................................................................................................................................................................... ."..:.......................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................................................................................. ............................... ................................................................................ ............................... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. l MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date --- - ------------- -,+ Owner's Name and Address ....._2�.__M'C!QCj _%_tT_ No.._•l'____ Registered Architect and /or Engineer..__._ -------------- - -------------------------- ---- -- ------ ---- - - - - -- -- - -- --------------------•-------------------•--------•-------------------------------------- Name and address of licensed contractor-------------------------------------- --- ----- ------- --- ----- - - - - - -- ------ ---------- -- ---- --- - -- - -- -- --- --- ---- - - -_ -- --- -- -------- _------- -- - --- - ...... Location and legal description of lot to be built on: Lot.. Z _....-- - . Street and Number where work is to be done ------- —2— Y ....... A: C__ ----- .- P_.3______d_K,------- ----------- State worlVP be done and pur,poose tof building (by floors) - / -`- � -�C ---- ------------- -- -- -- -- ------- -------- --- - -- - -- ---- --- -- - - - - -- ________-.. -.and for no other New Building -------- .__...____________ _ _ _ _. Remodeling ---------- ___ -------- Addition ---- ---------------------- Repairs_.. --------------------- No. of Stories ------ ------------------- To be constructed of--- - - - - -- - ----- -- --- - - - --. Kind of foundation---- ----- ----- ----- --------- - - - - -- ---- -- ---- ------ ------- - - - - -- Roof Covering-- --- --- --- ------ --------- - - - - -- -- --- -- - - - -- er„ Estimated Total cost of improvements $ ---- _.d L?_ 1.-------- -- -- - - -- ----_-_Amount of Permit $ ---------------------------------------------------------------------------------- Zone cubage required ------------------------------ ---------- -- --- ------ -- --- ------ - -- - - -- -flan Cubage ------ Distance to next nearest building ----------------------------------------------------------- Size of Building Maximum live load to be home by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to---- ------ --- --- ---------------------- ---------- -------- - - -- - -- - ---- -- -------------- -- - - -- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins ection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 111111r, , , Remarks------- ------------ --- --- -- ---- - - -- -- -------------------------- -- --------- ------ ----- -- -- - --- ( Signed �ti V • ' STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared---- ---- - -- - -- --- -- _- _...---- -- _------ - - -- - -- -- - -- -- ----- --- ---- ------ --- - - - - -- -- ------------ --------- --------------------------------------------------------------------------------------------------------- -- ----------------------------------------------------------- ----- -- ----------- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - ----------- ___ --- .-------------------------------------------------- ___ ____________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him s //tated are tyre. L_ Permit No.___ __?_ -. Date___ __._____ Read, Sworn to and Subscribed before me. Disapproved-- - -- -- --- Date - -- - - -- -- -- -- - --- - ----- --- _------ ----- ---- --------- --- --- - ----- ----- ----- -- - --- ---- ----- --- ---- ---- ----- --- - - -- -- - - - -• -- - --- --- - ---- Notary Public, State of Florida ( Signed) - - - - - - -- - - - - --- --- -- - - -- --------------- - -- - -- Building Inspecto My Commission Expires ______________________ _____ _____ ________ _______ ______ P NING BOARD-- ---- -- --- ---- - - - - -- - ----- ------------------ -- - - - - -- -DATE Chairman........... ..---- -------------------•----------------------- --- ------ -- ------- ---- --- - -- - -- Member ---------------------------------------------------- --------------------------------------------- Member------------------ ---- --- --------- --- -- - -- - __ - -------------------------------------------------- Member -------- ---- -------- - - -- --- ------ •--- -•-- ••- -• - - - -- ------------------------------------ Member. - -- ----------------------------------------------------------- ------- --------------- - --- -- Member ------------------------ ---- ------ ----- ---- • --- - -- ---------------------------------------- ------ Council Approved------------------------------------------------ --- ----- --------- - -- --- -Date Disapproved -- - - - - -- ------ --- -.Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby u)nde for the npproyal of the detailed state „tent or cne plans and specifications herewith submitted for the build ine or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid.%, 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 prpgress of the work. Date ... _........ O,wncr's Name and Address ... .. °..l%t �............0.. ....... '�» .... »`� r'...... S............ _ No .................... . Street _-_ ........... _ ...... _ ........... _. Registered Architect and/or E ngineer.... . .................................................................................. ..........................................-„,.... ............................... /� d,. ✓- 2t.�r /M/ X i- a?. 1.. si ».... »....!1!/�»wt............3 3y3V Name and address of licensed contactor.. �c1..::...:__.»..... �%.._.. ..,.i.t...7 .................... .....�✓r_.... .... Location and legal description of lot to be built on: Lot... ......................................... I11ock... ............................... Subdivision ...................... ................... » _ ...._ »»_....._._........ ..._ ................. _ ...... _.. Sweet and Number where work is to be 5 ........ _...... _. _._..__....._._.. .._._ ...... _ .................._ ._ State work to be done and purpose of building b floors ` r ............................................... .............. ..... ...................... . ........ _ ............................................. . ........ - - ..........................................................................................---.__._._................._.............. ............................ - -- ...................and for no other purpose. New Bui! ding ..... ...- -......... _....... Remodeling..... ........... ........ Addition .......................... Repairs.../................... No. of Stories.... /........ To be constructed of ....................... Kind of foundation.. ............................... - ... .......................�_.tRoof Covering....... -:. �.1... �� :....._..`l� Estimate Total cost of improvements Amount of Permit $.... » {._. ' Zone cubage required ..... ............... ............................... ...........................Plan Cubage................. Distance -to next nearest building .. ............... .......................... _ ........ _ ..... Size of Building Lot ...................... _ ..... _ .......... _ ...... ..... .............. _ ........ _ Maximum live load to be borne by each floor ............... ................................._................. ............................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to .. ..... ... ................................ ......................... ......................... The undersigncd applicant for this building permit does hereby certify that he understands and accepts his obligations as in employer of iabur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, anci has complied %kith the trovisions 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 ppubic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors on b e rformed der this pennit, as are licensed by Miami Shores Village. Reina rks ......................._......................_...•---- ..._............_......_ - - - - -- ( Signed :rkk” - .._.... -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared....... . ................. .......... .................................. ......................................................................................... _ _—....-_ ........ _ ..... .................. _... - - - - -- --------------------- ......_ .............. .....- ............... I ........ ........... ___ —_ -...................... .. ....... _ .......... - .................. . __.....to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ............................. .. of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that ail facts therein by him stated are true.. Permit No.-_. _� %k. 7 J.�'............ Date ...................... °.i..........._._ Read, Sworn to and Subscribed before me. Disapproved ....� .. ..... _....... Date .---------- ......... __.._ .......... . . .. ................ .............. .... ................................. --------- w »..._.._ i Notary Public, State of Florida �p �� Y ( Signed) ...................:... ...��'._..... - --- --........... ............................... Building Inspector My Commission Expires ....... _ ................. _ ...... ....... _.__ »_._. PLANNING BOARD ...................... ..................... _.._......DATE Chairman........ .................... _ _................_....... ..._........._....._........... Member ....... _ ....................... _._ .... _........................... Member....................... _......._ ............................... _. Member Member.. . . ............................................... . ..... ....... - ... _. Member .... _ ................ ----- ----------- -- ---------- ---. -. Council Approved ................................................. _.-- ................... Date Disapproved ...... ...................... ............. ..........Date .......................... NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannir.g Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials anti /or workmanship. r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date -------------- ------------- ---= ------ --- ----- �- --- - -- - -- Application is Hereby xnacie for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other strut lire 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 W ?Nyhe t her herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work.a rj r Owner's Name and Address -- .•L_-- - - - - -- No._- - - - - -= � ----- - - -.__ Street --------- 4 ---- `-= _------------_----_---- Registered Architect and/or - - N- �- � —a._ ) S =�Employing Plumber's Name , treet — 4!2 Location and Legal Description Lot -._ -. ------- -- _.. - -•- -- V ------- Block------ _._.__..- ---------- _-------- Subdivision--------------------------------------------- Street and Number where work is to be performed—No .- ----- _-_- . —_;�! . __�� - -- a. -_._ Street-- _. /�'.i --------- - ---------- - --- - --------- Sate work to be performedl and purpose of building (By Floors) ------------------------ _ --- __----------- New Building ------- •---- ___----- _- ... ----- .__ Remodeling ----- --- -- --- __-- ------ - --- Addition --- - --- - .- ------------- Repairs -------- No. of Stories -_ ...- .--------- -- - - -_.- SizeSeptic Tank- -- -- -------- ------- ---- -- --- ------ --- -- - - - - -- -Type of Tank------------------------------- ------ ---- -- ---------- -- - ----- ---Capacity Gals.--- -- -- --- - - -- -- --- •-- --- --- - -- - -- -- -- Feet of Drain Tile ----------- ic `_5 ..._ _Dist. Feet of Tank or Drain Field from Well ............ ------------ -------------------------------------------------------------------- Nature of Water Supply: City wall ---- ----- ---------------- - --- -- ----------- -- -- .Size of Soakage Pit - - --- ------ - - - - -- ----------------------------------------------------------•----------- t 40 - - -- — -- -- -------- -------------- ----------------- --------------- - Amount of Permit $ ------ (Signed) 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 regttiired by the Act. The undersigned agrees to employ only such sub - contractors, on -w6rk to be performed under this permit, as are licensed by Miami Shores Village. r �l1 ( Signed ),/ __ -�- ------ -• - - -- - - -- -- aster Plu STAY: OP' FLORIDA, COUN'T'Y 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 mata ials andfor workmanship. CI- O£P'TS iiI' BATH i TUB5 SHOW ERA LAVA- TORII5 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT , ISIS TOTAL FIXTURES LIST CHECK SEP71C SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL COWN. LIST CHECK SizeSeptic Tank- -- -- -------- ------- ---- -- --- ------ --- -- - - - - -- -Type of Tank------------------------------- ------ ---- -- ---------- -- - ----- ---Capacity Gals.--- -- -- --- - - -- -- --- •-- --- --- - -- - -- -- -- Feet of Drain Tile ----------- ic `_5 ..._ _Dist. Feet of Tank or Drain Field from Well ............ ------------ -------------------------------------------------------------------- Nature of Water Supply: City wall ---- ----- ---------------- - --- -- ----------- -- -- .Size of Soakage Pit - - --- ------ - - - - -- ----------------------------------------------------------•----------- t 40 - - -- — -- -- -------- -------------- ----------------- --------------- - Amount of Permit $ ------ (Signed) 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 regttiired by the Act. The undersigned agrees to employ only such sub - contractors, on -w6rk to be performed under this permit, as are licensed by Miami Shores Village. r �l1 ( Signed ),/ __ -�- ------ -• - - -- - - -- -- aster Plu STAY: OP' FLORIDA, COUN'T'Y 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 mata ials andfor workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date------- •--- ------- - - - --- Owner's Name and Address.- - - -- _ _ / _!C • L - N _ � Iq C N/�j f � NO - - -�J - -- Registered Architect and /or Engineer ---------- --- -- --- --------------------- _____------___--_----_-_--__------------------------- Name and address of licensed contractor --- - - - - -- ------------------- ------- --------- -- --- -- • - - - - -- - Location and legal description of lot to be built on: - --------- - - - - -- Block--- -- - - - - -- Street and Number where work is to be done__�_ff4__%V E / 0 work to be done and purpose of building (by r ' ` - - -- - -- -------------------------------------------- _. - - -- -and for no other purpose. -------------- •---- - --- -- New wilding- - - - - -- --- ---- --- - - - - -- Remodeling ---- --- --- •- - - -- -- -- - - -- Addition ----- -- --- ---------- - - - - -- Repairs-- -- ------ ------ --- - -- - --- No. of Stories. ----- ------------------- To be constructed of- -------------- ----- - - -- -- Kind of foundation- -- ----- --- --- ---------- ---- --- -- ---------- ---- - - -- - - - - -- Roof Covering----------------------- ----------- --------- Estimated Total cost of improvements $-- - -fd .. - --- ------------ ----- - - -- _Amount of Permit $-------------------------------------- ---- ----- ------ ----- -- --- - - - -- - Zonecubage required--------- -- ------ - - - --- ----------------------- • ------------------------------- Plan Cubage-------------------------------- -------- --- ------- - -- --- --•- - --- ---- - - - - -- Distance to next nearest building -------------------------------------- -------------------- Size of Building Lot ----------------- .----------- .---------------------------------------------------- Maximum live load to be borne by each floor---- ---- --- --------- ------- - - - - - -- ------------------------------------------------------ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to--------------- --- --- ------ -------- -- --- - - ---- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from 1 contractors or sub - contractors employed b him in the work to be performed under this permit; and will post or cause to be 4-- pection on the site of the work such pblic notice or notices as are required by the Act. The undersigned agrees to employ only ntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. `-�•� Y Remarks--------------------------------------------------------------- -- ------------ ---------- - - - --- ( Sig ----L - ----- �. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --- -------- ---------- ----- -- -- - -- - - ------------------ --------------------- ---- --- ---------- - - - - -- -------------------- ------------------ -- ----- - - - --- -------------------------------------------------------------- ---------------- -_to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _-_. -------- ___________ _______- ____.__________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tlryre: Permit No_______________ Date ---------------------- ..____________________ Read, Sworn to and Subscribed before me. Disapproved ---- - --- -- Date------------- -- ---- ----------- --- ----- -- ---- --------------- - -- (Signed) �KB Notary Public, State of Florida " ' _ _ - ------------------------------------------------- uilding Inspector My Commission Expires -------------------------------------------------------------------- PLANNING BOARD-- ------ -- - - -- - - - -- --------- -- ----- --- -- - - - ---- --DATE Chairman---------- ----------------------------------------------------- ------ ---- - ---- -- -------- --- - -- Member Member-------------------------- ------------------- •------------------- ----- ------ ------------- - - - - -- Member ------------------ - ---------------------------------------------- Member -- - -- -- ---- ---------- - - -- -- Member CouncilApproved-------- ---- -------------- --- - -- - -- ----- --------- ------ -- ---- ---- -- - - -- -Date Disapproved -- ---- ----- -- ------ --- - -- ---- - - - - -- ----------- ------- ------- ---- ------ - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No .... _� ....�..�.......... Date ................./ ....- ... .......... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. .G, . ... ................... , No............ ......Street.... RegisteredArchitect and /or Engineer . ........ ................ .. .............................................................. ............................... Employing Electrician's Name....... .. ...... tN. ............. ..........Street... w l -•••( ,••- ..................... . Location and Legal Description Lot ..................................... ............................... Block........... ............................... Subdivision................. ............................... Street and Number where work is to be performed—No .... __ .................................... ... ............................ Street ........................... State work to be performed and purpose of building (By Floors) .......................................................................................................... ............................... New Building ................................ Remodeling ....................... ......... Addition. ...................... Repairs ...................................... No. of Stories......... --- ........ Service Overhead Si Underground ze Feeders .................... Conduit ................ Main Sw .... .............. ............. Amps ........................... Main Fuses ............................ Amps Type of Installation — Conduit ........................ Tubing ........ __ ............ B. X. L ......................... Metal Moulding......................................... ............................... ............... ......................................................... . ...................................... I...................................................................................................................................... ....................................................................... ............................... ... / 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ..2 Master Electrician. STATE OF FLORIDA, �j i 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ...................................................................... ............................... ............................................................................... ............................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SCACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'5 NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST, SERVICE SERVICE �% `lh Y` .MOTORS MOTORS NEON RADIO TOTAL SW. I CAB. TEMP. PERM. N ,0.1 HP 1 -5 HP TRANS. CONTR. LIST 1�[(G4 CHECK Service Overhead Si Underground ze Feeders .................... Conduit ................ Main Sw .... .............. ............. Amps ........................... Main Fuses ............................ Amps Type of Installation — Conduit ........................ Tubing ........ __ ............ B. X. L ......................... Metal Moulding......................................... ............................... ............... ......................................................... . ...................................... I...................................................................................................................................... ....................................................................... ............................... ... / 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ..2 Master Electrician. STATE OF FLORIDA, �j i 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ...................................................................... ............................... ............................................................................... ............................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • Permit No.___= 7_, ---- -- -- -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT l,Tovember 17, 1 a64 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. lIAACHAA1 265 NE 10 51 Owner's Name and Address ----- - - -- - -- - - - -- - - - ------ - ----- - ----- -- -------- ---- No. -- - - - - Street ---- Registered Architect and /or Engineer-- - - - - -- -- -- - -- -- - - - - - -------- -- -- - - - --- - -- ------ ---- - - - ---,4 1Yve ------------------- --- --- -- ----- ----- ------- -- - - -- • DA.Df, GAS CO&TANY 8, 350 NrT% % Employing Plumber's Name--- -- - - - --- . =- - -- - - -- - -- - No. - --- - --- $ tract ------------------------ - ------------------------ Location and Legal Description Lot --- - --- --------- - --- -- ------ ___ - ______ Block -_--_. _- ------------ --------- --------- Subdivision -------------------- -- . ....... - __......... Street and Number where work is to be performed- No. -28� l�t'� 1 r S t • Street________ ________________________ _______ - - - -- - - State work to be performed and purpose of building (By Floors) ----------------- - ------ --- - ------------- - ------------------------------------------------------- --------------------------------- New Building------- -- ------- ----- - - - - -- -- --- --- Remodeling- -- ----- ------ -- --- ----- - - -- -- Addition------------------ - - - - -- Repairs--- -- ---- ---- - --- -- - - -- No. of Stories - - - -- - - - --- -------- Size Septic Tank_ ---- --------------- Type of Tank---------- ------ --- ------ rapac;ty Gals. - ---- ----- --- ---- -- ------ --- - - -- Feet of Drain Tile -------------------------------------------- -- -Dist. Feet of Tank or Drain Field from Well --------------------------------------- ___ -- Nature of Water Supply: City-Well ---------------------------- __---- ----------- --- ------- Size of Soakage P: ------ --- ------------- ---- -------------------------- ------ ---------- - --- - ------------- --------------------- ------------------- --------------- - - - -- -- ----------------------------------- � ----------------- ---- --- -•-- --- Amount of Permit $--- _2- s_��----------- _--- ___ - -- - - -- — - -- (Signed) _ - - - - v 't-- - - - - -- ------- - - - - -- -- 't�• Plu Bing 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 tlie 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. � - �...s� (Signed)---- �J-- or---- - - -- -- --- b-- `- 'f -�.... •--- --- - - - - -- -- Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------------------------------------ _ ._____ - __ _ _ __ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - -- - - -- - - -- - - - - - - -- — - - — -------------------------- - ----------- ------------ My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 -. .� y{ t,J 6.e._ 'I TOTAL FIXTURES CONTR. LIST CHECK I _- SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SW IM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. _ -_ - -- LIST CHECK Size Septic Tank_ ---- --------------- Type of Tank---------- ------ --- ------ rapac;ty Gals. - ---- ----- --- ---- -- ------ --- - - -- Feet of Drain Tile -------------------------------------------- -- -Dist. Feet of Tank or Drain Field from Well --------------------------------------- ___ -- Nature of Water Supply: City-Well ---------------------------- __---- ----------- --- ------- Size of Soakage P: ------ --- ------------- ---- -------------------------- ------ ---------- - --- - ------------- --------------------- ------------------- --------------- - - - -- -- ----------------------------------- � ----------------- ---- --- -•-- --- Amount of Permit $--- _2- s_��----------- _--- ___ - -- - - -- — - -- (Signed) _ - - - - v 't-- - - - - -- ------- - - - - -- -- 't�• Plu Bing 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 tlie 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. � - �...s� (Signed)---- �J-- or---- - - -- -- --- b-- `- 'f -�.... •--- --- - - - - -- -- Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------------------------------------ _ ._____ - __ _ _ __ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - -- - - -- - - -- - - - - - - -- — - - — -------------------------- - ----------- ------------ My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE �---� PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ------ _- �I q - - Date % oZ - -l• --jjC ---------------------- 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_M/1. y- L- -✓""!'! f1 - - - --- -- - - - - - -- No.O2-�� ----- --- ---- -- Street--/ L -------------------------------- � --- Registered Architect and /or - %----� ---------------- -- -- - - - -- Employing Plumber's Name -14 - — - - - - ---- - - - - -- m— - - -- ------ - -- - - - - -- Street - - - - 7-- -- -- Location and Legal Description Lot----- ----------------- ----- -- - --- - - -- - — - - - Subdivision ------- - ------------------------------------- Street and Number where work is to be performed -No.__ _ �/ �[ O �_(� _ _._.�._.,.� ..- Street------------------------------- - - - - -- - --------------------------------- State work to be performed and purpose of building (By Floors) '!_^ * - - - -- t-- - - - --- `=--- -- :- - - ---- . - ------------------------------- New Building ---- --- --- ---- -- ---------- -- - - -- -- Remodeling- -------- ----- -- ------- - - - - -- Addition----- ---- ---- ----- -- - - - -- Repairs-- - - ---- 7 -- - - -- -- No. of Stories- - --- -- -- - -- --- Size Septic Tank ---------------------------------------- - ------ - - - - T Ype of Tank-- ---------- -- --- -- - - -- - ---- --- - - - -rapacity Gals.----------- ------ - --- -- Feet of Drain Tile --------------------------------------- - --- - -Dist. Feet of Tank or Drain Field from Well -- ----------------------------------------------------------- Nature of Water Supply: City-Well ---- _ --- - ------- - ------- - ------ -- _- _- ---- - _ - - - -_ -Size of Soakage Pit- --------------- ------ -------- ---------- - - - - -- ---- -- - - -- --------------------------------- -------------- ------ --- ------------- - - ---- -- -- -- -- -- -•-- -- Amount of Permit $ D— — - - - -- - - - - - -- ( Signed) - - - v- ` - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce s 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, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -_---_•----_ _ _-------------------- -_.-__-------------- ... -.___ _ -__ -- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires ------------------------------------------------------------------------------------ Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH SHOWERS LAVA- SINKS SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL TUBS TORIES SINKS TUBS URINALS BASIN DRAIN FOUNT'NS 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 Size Septic Tank ---------------------------------------- - ------ - - - - T Ype of Tank-- ---------- -- --- -- - - -- - ---- --- - - - -rapacity Gals.----------- ------ - --- -- Feet of Drain Tile --------------------------------------- - --- - -Dist. Feet of Tank or Drain Field from Well -- ----------------------------------------------------------- Nature of Water Supply: City-Well ---- _ --- - ------- - ------- - ------ -- _- _- ---- - _ - - - -_ -Size of Soakage Pit- --------------- ------ -------- ---------- - - - - -- ---- -- - - -- --------------------------------- -------------- ------ --- ------------- - - ---- -- -- -- -- -- -•-- -- Amount of Permit $ D— — - - - -- - - - - - -- ( Signed) - - - v- ` - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce s 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, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -_---_•----_ _ _-------------------- -_.-__-------------- ... -.___ _ -__ -- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires ------------------------------------------------------------------------------------ Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. d'% MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date_. — _September 26th, - 1962------- - - - - -- 19-- - - - - -- Owner's Name and Address .. MrS.. --- W. V. Meacham ----------- --- ---- -- - - - -- No._ g$ -- - - -_ -_ Street---- N'_ -E' -- -103rd St. Registered Architect and /or Engineer..._._ _. ..- ------- _______-- ___•.- ______ __ Name and address of licensed contractor.= -- RE?!gf IIg_8t Tile Co., Inc., 430 NW 79th St. --- ••------ •-- - - - - -- - - -- - - - -- -- ---- •- - - -• -- Location and legal description of lot to be built on: Lot-------------------------------------------- Block ----------------------------------- Subdivision-... - ----------------•--- Street and Number where work is to be done _285___. -N. E. 103rd St., Miami Shores, Fla. ....---- ••-- •- •-......•- •- -- -- -•- - -- • - State work to be done and purpose of building (by floors).-------------------- ------ -- ----- --- -- ---- -- -- - - -- ------------------ -•- -•- ------- --- •-- ----- -- - - - -- -------------•-••------•---- _epa Mork _on1�- Tear out_ valley on front of house and replace with new. Relaee tile. _ p_ n •--------------------------- -------------------------------- ------------------------------------------------------------------------------------------------- - --------------- ................. and for no other purpose. New Building- - - - - - -- --- --- ------ -- - - -- -. Remodeling - - - - -- --- -- -- -- --- - --- - -- Addition ------- -------- --- - - - --- Repairs ....... --- -- ------ No. of Stories ----- -------••--------- To be constructed of__________ _____ __________ ___ Kind of foundation ---- - ---------------------------------------------------------- Roof Covering_ QP?nent _ sh; 1Pg1e _tile Estimated Total cost of improvements $ ------ ll© too _____ ___________Amount of Permit $ ------- 5. 00 Zonecubaglr e required - - -- -----•- -- -- ---- ------------- •-- -• ---- -------------------------------------- lan Cubage- ----- - - - --- ----•-------------------••----_-------------------•- -------- ---- -- •---- .--- •• - - - --- Distance to next nearest building .___________-------------------------------- - ------- - ----- Size of Building Lot ------- ,-------------------------------------- ------------------------------------ Maximum'live load to be borne by each floor-------------------------------------------------------- A__ __ _____ __ ________ _______ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to --------- - -------------------------------------- - ---------------------------------------------------------------------------------------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors 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 ubcontracto on work �tob—e�perfoedd under this permit, as are licensed by Miami Shores Village. Remarks------------------------- •--------- - - -• -- --------- - - - - -- --------- •- --------- - - - - -- - ( Signed) -- - - ------- - - - - -a - -• -- - STATE OF FLORIDA, ©se A . A artiriI V. P. COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ------------------•---------- --------------------------------------------------------•------------------------------------- - - - - -- -----------------------------------•-------------- -- --- ------ -- -- -- ---- ---- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ----------------------------------------- _---------- _ ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him statyd are true. Permit No.-- nS__-�- __ -_U— _- __________�_ Date_ _ 7 °1 Read, Sworn to and Subscribed before me. - / -- - Disapproved - ate- ---------- ------ ----- ----- ------ ---- -- ---------------------------------------------------------------------------------------------------------- - ----- --- --- - - Notary Public, State of Florida ( Signed) - -- - - - - - -- -- -- - -._ _... _ ... -- - - - - -- , - - -- -------------•--------------------- Bnildii Inspector My Commission Expires ------------------------------------ _------ -- ------- ------ -- -_ - - -- / PLANNING BOARD. -------------------- -.- --- -------- ---- -- ----- -_ ------ DATE Chairman.............. . - - - - - -- ----------------------------------- --- --- ----- --- - - - - -- Member ------ --- --- -- ----------- - -- - -- Member----------•---•--- •--------------------- - - - - -- - - - - -• - - - -- -- - - - - -- ------------------ - - - - -- Member -- - - - - -- ------- -• - - -- Member--------- ------------- - ------------------------------------------- ----- -- - - -- - - — Member ------------------------------------------------------------------------------------------------ Council Approved----------------------------------------- -------- ------- ------ ----- - - - -- -Date Disapproved ----------------------------- ----- - - - - -- ._...Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ,l C( t/ MIAMI SNORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of MMiami 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 ------- QGt. a---29, 1. 9� ----- --- -------- ---- -------- - -- - -- 19 -------- Owner's Name and Address ._..I - Meacham------------------- - --- _---- - -.. -- No. -_- Street--- ____N. -- -- --------- --- --- - -- - -- - -- 28~1 X.___ 1.0-3x1 --- St • RegisteredArchitect and /or Engineer - --- ------------- ---------- ------------- -- - - ---- ----------- -- ------------------------•-•------- ----- --- -- ------- -- ---- •- - - -- -- - - - - - - --- -- -- ---_ -- Narne and address of licensed contractor ._--- - -- --QT 23__ +�;X�@ &�j pig -- ,p-a�---Inea---- .- --196Q -N� -•--- 2"jtikl_. Y @_ai Location and legal description of lot to be built on: Lot------ --------------------------------- .... . Block ----------- ------- _-- --- - - - -- Subdivision-------------------------------------------------------------•--•---------•-- Street and Number where work is to be done------- - - - --2 5 N'-- _E.'. -e -_ 103rd-- St- a,-- M�7�j ----- ShoTes ---------- ---------------------------------------------- State work t,; be done and purpose of building (by floors)_____�1QI1_. en t --- �''- t1D1i ga t1, on --- Vikam e___1...to...2,__hours.......... ............ .......................... ----- - - - - -- ------ .----------- - - - - -- ----------- ...3(?#__.....---- - - - - -- -- ---- - - - - -- - .................................. -------- . -- -- - - - --- --- ------- - - -- -- ----------------------------------------------------------- ----- ---------- --------- - - - - -- ----- _- --- -•-- -- - - - -_. -. and for no other purpose. :ew Building -------- ..- _- _.---- ------------- Remodeling --------------- ._------- Addition ------------ ._ -------- ._. Repairs -------------------------- No. of Stories ------ . --- ----- •---- - ----- To be constructed of ----- .-_- ------ ------------ Kind of foundation -------------------------- ------------------------------- - ------ Roof Covering_ ------------ .------- ------------------------- Estimated Total cost of improvements $ ----------- 281,..00__- ___.-- --- ---- - ---- -Amount of Permit $ ---------------------------------------------------------------------------------- Zone cubage required - - --- -------- ---- -- ---- ..--- ---------- - - - --- -- -- ------- -- -- ---- ---- - - -- -Plan Cubage --------- 36tQQO ------- ------------------------------ - - - - -- - ---- ----- - - - - -- -- Distance to next nearest building. 0 Ft West - - - - -- -Size of Building Lot___________ _____- _______._________.__ -___. g - - - -- -- --- ------ - --- -- g - - Maximumlive load to be home by each floor -------------------------------------------------------------------------------------------------------------------------------- ---------------------- - - -- -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to--------------------------- - - - - -- - - - - -• -------------- --- --------- - - - --- ----- - - - - -- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such Vublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra ors, on work to be erforme under this permit, as are licensed by Miami Shores Village. Remarks--------------------------------------------- ------------------ ---------- -------- ----- -- -- - - -- (Signed)-- h,.� - •- -•/{-- ...... ... STATE OF FLORIDA, ` �J COUNTY OF DADE. ss '(1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgm ts, personally ap- peared----------------- .......... --- -------------- -------------- ---- - - -_ - -- ------ - - -- -- -- ---------------------- ------------------ - - - - - -- I --------------------------------------------------------------------------------------- --------- --- ----- ---- ---- -- - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. --------------------- ------------------------------------------------ ---------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._____s�__ ___- Date__ l r d__ ? Read, Sworn to and Subscribed before me. - 7- - - - - - -- r -, Disapproved.--- - -� -- -- -- - - -- Dat --- - - -- -- --- -------- --- --- - -- -- - -- ------- --- ----- -- - - -- -------------------------------------------- Notary Public, State of Florida (Signed) - -- ---------- --- - - - --- -- -- -. -- - -- -- - - - - -- --------------- -- ---- Building Insp r My Commission Expires_ ______________ _____ _________ - ANNING BOARD- --------- ------------ --------------------------------- DATE - - - Chairman -- ---- ----- - - - -_- - -- - - -- - -- --------- ---- ----- ------- -......-- •--- -- Member Member- --- ------- ------ - - - --- --- -- --- -- - - - - -- ---------------------- ------------------ --- - - - - -- Member ------------------------------------------------------------------•----------------------------•-- Member- - --- -- Member -------------------------------------------------------------------------------•------------- Council Approved----------------------------------------- ------- ------- ------- -- - - -- -- -Date Disapproved --- --- --- -- - - -- -Date NOTE: A charge of $1.00 will be niade for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hcrehy wade for the approval of the detailed statemt-rit or the plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarni Shores Village, hlorid.t, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Owner's Name and Address.........'.. .°!.. .......... .............._..l..r No .................... Registered Architect and /or Engineer .......... ............................... .......................� .....,,.,.......,,...,.,•,,., .............................. Name and address of licensed contractor.. 4' r .1 ...LT `1' f» ....).......... . 3.. 1...__._...._ ........ _ ................... ............................. - ------ _ -- Location and legal description of lot to be built on: Lot ............. ........... .................... Block... ............................... Subdiv Sion ...................... ................... _ —..__—...___....._._........ .._. ................. - ...... _.. Street and Number where work is to be done ................. :_ -•• -. —..1 :..�'_._. ?.....��:� .._ »7 , ........ .-- ._ ..... __.................. .-.__ State work to be done and purpose of building (by floors)...11. ._. �� %L _.....1.5_ ::._.., ..- -- __ _ ........................... ....-•`...................----..............................-•---•._._................._................... ......................--- -.. - -- ..............and for no other purpose. New Bui !ding ........... ........ ........ Remodeling..... ........... ........ Addition .......................... Repairs ......A.✓................ No. of Stories...... /-....: To be constructed of ........................ Find of foundation ............................................................. __ Roof Covering ....................... ........... ... _..-- Estimated Total cost of improvements $.......f ....... ..:...:........................... Amount of Permit OL.._ L......._............................ .._..................._........ Zone cubage required ..... ................. .................... .......Plan Cubage................... Distance -to next nearest buil ding.......................................... ......... _ ..... Size of Building Lot..... Maximum live load to be borne by each floor .............. I hereby submit all the plans and specifications for said building. All notices with reference to the building rd its construction may be sent to..( .c'..03 ��r.. �c'.4�E'.......... 7 // CL..` c` ... ".........,::��.��6k5...33/� 4........ �... /�i ! ......,_... .......... /......: ' ................. ..t'.r... ZS...t � Tine undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of !.%bur under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permxne•nt Snpftlement, anti has complied with the pruvmons 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 subcontractor , on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks...................... • . .............................. ...... • - -.— - -- ( Signed)— L....__.r._w _L!! ° STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared-----• ..................................-.._...-----------......-------.....-----•-----•--•--------------......-................ ..---- -- •-------- -------- ---• -- -- — •-- -------- - ---- - me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .............................................. ............................... of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. �( Permit No.._ :._L:_.!! . ............ Date..«! C_-t.q�........._._ Read, Sworn to and Subscribed before me. Disapproved ......�&.. ate..-....-- _._.........— .._ .............. ............................. ........_._.._....__......_..Notary Public, State of Florida ( Signed) ......................-•----.... __ ...............•............... Building Inspector My Commission Expires ....... .................. .. ......_......._.. PLANNING BOARD ...................... .... ................. - ..-.-....DATE Chairman........ .................... - ............................... _ ......... ------------------ Member ....... _ ....................... --- ---- _ --------------------------- — ....... ............... _ Mernber................................_ ............................... ---- --------------------- - --- Member .............................. .................. _.-._.--... --- .- ---- --- ..----------- - - -.._ Member..........- ..... ......... .. .............- - --• -. - ... - ..._.— ----- - ----- .- Member .... - ................ --.--.--....--....--__ --------- — ------------------------ — --- ----- Cotncil Approved ................... .............................. _ ...................... Date Disapproved ...... ...................... .............................. .... .. ............ Date NUTS: A charge of $1.00 will be made for making corrections or changes to this application after approval has horn obtained from the Nannir.g, Board. A rr- 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. W W'- a) r t k GATE 2 F S hI • 193 V STR i: r T- M l AM I &;"Qv,f EvIsIrlwS mat isdtC 1 v� PooL ' l i ' ♦ltEM►ort � - -- - ` 1 Z (At GALAS[ i CATe G as Ho�s� � Ii 140 , its N. E 3 " AvENUf i i E liT1Ms w,►LIL MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde for the approval of the detailed state ... eni us the plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Villap shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. C �/ j Date ... r si.!.. —..�= --- ....._._..._.. 19. Owner's Name and Address ...�. t�i..�• RZZ :L%!F.._.......Z . �� ! .�1�..'._._. No...ai._�:.�..... Street_!Y.�.. RegisteredArchitect and /or Engineer... ......................................................................,............,.,,.....,,.......• .............. .............. Name and address of licensed contractor......._ �+ 1� �..Z►�...'.�... jai .�,� ,%�f! °1,t� Location and legal description of lot to be built on: _ �y Lot.,&)..... rg..113....... Block ......... ....��.��..... ... Subdivision..... _gze'5......_...._ Street and Number where work is to be done......... .J ��...... :. .r_.. __ _s�.._..._.. � ,...._.— . - - - -- State work to be done and purpose of building (by floors) ....... ...... _..Ss . �it�%�� /..tai ..............� �2.. 71 . I_ ............. - ._ ............ _.._ _ _ ...................................................................................._...._..._.._._................._........................ ..................._....._..... ........and for no other purpose. New Bui! ding ............................ Remodeling................ ........ Addition.................... epafrs .......................... No. of Stories............... To be constructed of ........................ Kind of jjfoundation .................. ......... ................................. _. Roof Covering ............... ..... . .......... .... ..-- Estimated Total cost of improvements S ........... C �..........- ....................... ..... ._ ......... .......... - ........ Zonecubage required..... ................... .................................................... Cubage ................................................................ Distance -to next nearest building ............................... ............ ......... _ ..... Size of Building Lot ...................... _ ..... _ .......... _.. ... ...... ............. ......... _ Maximum live load to be borne by each floor .......... .............................................. ........................................................................... ........ ............. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to.. .... -_ .... ........................................................................ ................ ............... . The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of iabur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Prrnanunt Snp rlcunent, anci has complied ssith the plrovisions thereof, and will require similar compliance from all contractors or sub - contractors employe by him in the work to be performed under this pcnnit; and will post or cause to be posted for inspection on the site of the work such Public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks._._ ..............•---_................---••-------- -•-- •--- ••-- -•-- -•-- •---- - -- - -_ (Signed)...._ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared.................... ...... ....................... ---- •- ---- ........... -• ._............--••--------................-•-•--. .........._.................... ..... .- .......................... . ..................... I ... - ....................... . .......... --- - - ... - .... .................. .... ... -- •- ••-•••.. .................. . --.....to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . .................. .............. .................................... ............ _........ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are we.. q Permit No.___4�_ �� 3...._....,...... Date ... k j--l- 4:- .............. Read, Sworn to and Subscribed before me. Disapproved -A, . �....... Date --- ........ - ......... _.._ .............. ......... Notary Public, State of Florida (Sign . . ) .......................... Building Inspector My Commission Expires ....... _ ................. .. . ...... ....... _ .... _..._.r. PLANNING BOARD ...................... ..................... _..__...DATE Chairman........ .. .................. _ ............................... _ ......... .................. Member ....... _ ....................... _._...._......... \Icrr.bcr ................................ _ -------------------------------- .-- --------------------- - --- Member Member.. .. ...... ........................_...... ---•-•------ ...__..._._..._.._....._......_ Member Council Approved ............................ . .. •--......-- -....._..-- ---- .............Date Disapproved ........Dale NOTE: A charge of $1.00 will be ninde for making corrections or changes to this application after approval has been obtained from the I'lannir.g, Board. A rc- inspection fee of SI.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. °�`, ...... �..._... 1976 Owner's Name and Address...., Q.Pa.e.�!.......... .�.0 No,. ......._.._ �. ._. d�P- L�:.. � .............................. C �. ��. Street ......:.. . ...... ........... ........... _. Registered Axh+tret and /or Epsint er. 1N i 1, t,t J '.. k ' ft'1 . X. tk �G 1J .................... ..................._---.... �: tA4: �, A1�.:.... A� .- _......._..._.......-- -_..__ Location and legal description of lot to be built on: Lots... Z � -J• ....��...,� .... 111ock....10 .................... Subdivision...MiAM)...50_ : -_-. ................ - ...... Street and Number where work is to be done..... .Jr �' I Q 3_P- 5'�'� t T. y., _•. --•••-_o._....._. - - __........_..... . _ .... - _ .............. _..— . State work to be done and purpose of building (by floors) -.- 0- G ...... . ..... t. CL-0 i U ! ivS z� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No........' ............ I-Z_7i- 7 C� Date..................... ......................•........ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 Q Owner's Name and Address......�CQ r� ........ 1 .. ,�. Y. ,V`rC S V No..... . ................Street... Registered Architect and /or Engineer...h.....(`� t{1C� �!" '. .... 1' . ................. ................................. ............................... .... .... ............................... Employing Electriciafi's Name.... t ....... --- .. .............._.............No. ---- 1A'N r.............. Street ...... A. �!�:'` ........ Location and Legal Description Lot..©1i...�.a�. - t.L �. �� ......................... Block ..... \Y) .............. ... ..... :...Subdivision..i."�1. !�!�.1.............. Street and Number where work is to be performed— No .._.$ ....... ...... ............................. ........... Street ... W .E- .'....�.Q.v State work to be performed and purpose of building (By Floors) .............. New Building ..... ..................... ...... Remodeling ................................ Addition. ............................ Repairs - "---- ...G::- ..................No. of Stories ... ..1.......... Site Feeders...-V.0 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. A LIST J L CHECK ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. : "1 / f' [ {� MOTORS 0.1 HP MOTORS I•s HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Site Feeders...-V.0 �f Sw...... r'�r_ ©/ T� 5�� /.�.. Fuses Z40a ...... Amps .....Conduit.. Service Underground -,. ..Main . ps....� ...Main -. Type of Installation — Conduit ..... . ........... Tubing .... ...... ..............B.X.L. ........................Metal Moulding...- - ...... .. ...................................................... . ............. . ....... _.... ................. ..................................--"•--............................... ............;:................. ...................... -- °-- ............... Amount of Permit $ ................................ ... (Signed)..........t,' ...........:o,.........� Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations is an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work be performed under this permit, as are licensed by Miami Shores Village. ( Signed) .. ............................... •.... /.......... ..... ............... :............... Master Electrician. STATE OF FLORIDA, l SS. COUNTY OF DADE. Ij Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally appeared.................. ........ _............. -• ...........................- ---- _------- ....................................... ............................... -• ...... .. ... .................................... ..... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .......................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............................................................................ ............................... ............................................................................... ............................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. I MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. '' j� / Date ... _......... Owner's Name and Address..... .�:. �.. ?t �......A.., X,5 .: f'� E .................._._. No...... ��� .. Street ..�! s �,..1�.�._: �.. .. Registered Architect and /or ;� gtaGerI' . .....+_�..Le.... /.. 15 .... —.1":. ..... ........... K. ...... -................. ............. Name and address of licensed contractor... e. Location and legal description of lot to be built on: Block .....L.l.` ................... Subdivision..._ Lot...: ........ l.'..lL �L:.' :.....,.. .. �.1s".:_ _ ..._..... ._.......... Street and Number where work is to be don . ..... . .L....... ...: .... %. r��._�.......5..... — .._.. _ �........... ----- .----- ....._..... State work to be done and purpose of building (by floors) .............._ ............... ............................... _.._ ............. _..._........_.._........_ ..... _ .......-•-.....-- --�_.�:.l.Yr.._._�'5�:..1...__. . ..._..... °----------•- --------- ............. --•.................. ....... .............................................. __..._.._._......_.........._........................................... _ .................... and for no other purpose. New Building . Remodelin ... Addition .......................... Repairs .......................... No. of Stories. ..... ................ _ To be constructed of .......................... Find of foundation ................................................................ Roof Covering ..................... .. ........... ... _.___ Estimated Total cost of improvements $ ......................... .........................Amount of Permit SL ............. ...._-.----.........-•--- ........ _... ................ _........ Zone cubage required....._----------------- -....................................................... Plan Cubage ................................................................ Distance to next nearest building.... ............... ................................. ------ Size of Building Lot ............................. —..... Maximum live load to be borne by each floor ........................................ - ............................................. ................. ........................... ..........---- -- - - -- - - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to_ . .......... •-----.. .............._................ .......................... .......... .._............... ............. •- --- -- --- - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement, anti has complied with the t�rovisions thereof, and will require similar compliance from all contractors or sub - contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on, work to be per fprmed under this permit, as are licensed by Miami Shores Village. `- Remarks. -•-- - — - _ (Signed).. STATE OF FLORIDA, � / ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --------------------------------------------------------------- ---•--- ---- ---- --- -- -- - -- - -- -................................ --- ........ - ......... -- --- -------- •----to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ------------------ ................ .......------ .................... - ............. _........ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.____.___--------- — --- ------------------- Date ....................................... .... Read, Sworn to and Subscribed before me. Disapproved-------- --- - -- --- Date .-- ........ ......... . -- ---- - -- --• -- - _--- - - - --- --------.......•--......._....-------••—.....__.-- Notary Public, State of Florida (Signed) -- ---- ----••-- --- -••--•---• - ---- ...... -.-- -•----•---• ..................................... Building Inspector My Commission Expires. ...... _ ................. .................... — ..w__. PLANNING BOARD .................... .. ... .................. -.._......DATE Chairman........• .... -----•-------••°-•-- -- --- ••• ..............._... - -•- -- -- ----- -•• - -- - -- Member....... ........................ _._ .... ............................ Member-- ---- --- - - -- ------•- - ---- -. •-----•....•---••--• •---- -- •--••- ..— ........- - --••. - Member ................... ........... ................... _ ... - ............ _._ ...... _ ............. - Member ..... . __ ...................... •- ----•.... - - --- - - - — - Member Council Approved --------- ........................ ...___.._._...._.............._ °_....Date Disapproved . ............ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Pl.innin , Board. A re- in�pcctlon fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the 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. Owner's Name and Registered Architect and/or Engineer Name and address of licensed contractor V4 rn J,(A)�� I� Date 3 // / 370 No. �1Ji St / _i .11o( Location and legal description of lot to be built on: �J Lot; Block Subdivision /LJ .Jj%'1 /J Oc I ✓ I ' -� O T Street and Number where work is to be done State work to be done and purpose of building (by floorsl, state exterior colors (submit samples) I-I CCU r, (I 4–F"191J S F I L and for no other purpose. New Building Remodeling Addition Repairs u No. of Stories To be constructed of Kind of foundation Roof Covering d-U Estimated Total cost of improvements $ .06 • Amount of Permit $ J Sp Zone cubage required L,6+ / Plan Cubage AY1 A Distance to next nearest building /V�/ �y Size of Building Lot A) 1 < Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to 114"r. &)Wf le 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 to employ only such subcontractors, on/,Iofk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 Permit No. %` "� c�_ Date // Read, Sworn to and Subscribed before me. Disapproved 1 1 / r Date — 1 a n , , Notary Public, State of Florida (Signed) Ct✓vv �/1 / Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved 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. Sketch position of building and lot lines in square (which represents an Itire city block), showing on which street the building and lot faces; also show exact location of "Y" in st eet and position of lateral or septic tank. Show sewer and any change in direction same may make. The purse of this plan is to have an accurate layout of all underground pipes for future references. ` op r F W 3 WEST NORTH SOUTH Remarks: NORTH SOUTH [r1 A -244 5 -35 5M DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA AzAg 19 I herewith submit t e following plan of plumbing for approval: Employing Plumber � i FF Work executed by W AA New _ Old ❑ Story ❑ / Addition ❑ Remodeled ❑ For a Dwelling l Store ❑ Garage ❑ Apartment ❑ Hotel ❑ Office Bldg. ❑ Owner or Agent 10 NN GJER Kf/Y Address Z 9 S /V, , � . 10 3 �T. Builder or Contractor is v--- Address 4—" Lot No.2 2 %l .,Z 3 Block No. Subdivision M L fl M -S Address Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank X Existing bldg. drain ❑ To dry well ❑ - CLOSETS BATH SHOWERS LAVA. SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TUBS TORIES SINKS TUBS BASIN DRAIN FOUNTAINS FIXTURES A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date / 1"D 4 'a ROUGH -IN INSPECTION Ground Rom ugh_In_ Rain Leader —! 1 —A. M. P. M. Approved by— VC►'��i' {,�,t�V�IY°�E Condemned by. REMARKS r. Plan No. _— Date — SEWER INSPECTION A. M. Approved by— Condemned by REMARKS Sewer Permit N Date FINAL INSPECTION M. A. M. P. M. Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH In alterations to existing .work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. i. A PERSPECTIVE SKETCH WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH PROVIDED THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. '1 14 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__ Date --- - ---- ?z--hh - 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. m No._--------- .-- __----------- ---- -- Street - -- ivh 103 St. Owner's Name and Address - - - ---- W. 14eaeha `_- -_ —__w _ ____------_--_- - -- Registered Architect and /or Engineer.------- - - - - -_ _ - _----- - - -- -- - ------------------- ------------------_- Employing Plumber's Name ------- Jl- ;SE GAS CO3PATI?Y `�0 i` �d 7 AtJenUe. — - - - No - — — Street_.___ . d • . -------- --- - - --- - -- -- - - -- Location and Legal Description Lot--------------- _--- -- --- _--- -- --_��_— Block__---------- __----- ____ -- Subdivision._..._:____ -- Street and Number where work is to be performed—No ----- __ -8 _—___ - -__ _— Street..... DIE __103 _ St • State work to be performed and purpose of building (By Floors)_____ ... N u1�_i �i_1 __ %Y_- _''RESE vT_ q&1 IiJSTALT,. T_L New Building ---------- ----------- ----- - - - - - -- Remodeling ----- ------------------------- Addition --------------- Repairs -- ----------- - ------ - ._ No. of Stories_ .......- ,.__.- - - -. .U0 BATH - r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__ Date --- - ---- ?z--hh - 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. m No._--------- .-- __----------- ---- -- Street - -- ivh 103 St. Owner's Name and Address - - - ---- W. 14eaeha `_- -_ —__w _ ____------_--_- - -- Registered Architect and /or Engineer.------- - - - - -_ _ - _----- - - -- -- - ------------------- ------------------_- Employing Plumber's Name ------- Jl- ;SE GAS CO3PATI?Y `�0 i` �d 7 AtJenUe. — - - - No - — — Street_.___ . d • . -------- --- - - --- - -- -- - - -- Location and Legal Description Lot--------------- _--- -- --- _--- -- --_��_— Block__---------- __----- ____ -- Subdivision._..._:____ -- Street and Number where work is to be performed—No ----- __ -8 _—___ - -__ _— Street..... DIE __103 _ St • State work to be performed and purpose of building (By Floors)_____ ... N u1�_i �i_1 __ %Y_- _''RESE vT_ q&1 IiJSTALT,. T_L New Building ---------- ----------- ----- - - - - - -- Remodeling ----- ------------------------- Addition --------------- Repairs -- ----------- - ------ - ._ No. of Stories_ .......- ,.__.- - - -. SizeSeptic Tank--------------- ------------------- ----- - - - - - -- -Type of Tank ------------------------------------- Feet of Drain Tile --------------------------- __ ----- _ ------ ___Dist. Feet of Tank or Drain Field from W Nature of Water Supply: CRY—Well -------- — ---------------- - ------ _ ----------- ___ ------- Size of Soakage __ ___ Capacity Gals. --- --- --- ------- -- - -- - -- I - - - - - -- 4--- -- - - -- - -- --------- -- j (Signed) - ------- - - - - - -- --- ---- ---- - - - - - -- = ---------------- - -- --------- Amount of Permit $------- - - - - -- - ----- ---------- - -_ —__ _.--- �-___ -- (Si ed Plu ing 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 perform under this permit, as are licensed by Miami Shores Village. ti — Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . ________ __ -------- ------ _ . ------ ---------- -------- ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUes URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK I __ SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL SE.' TO GA " - -- - -- C . SizeSeptic Tank--------------- ------------------- ----- - - - - - -- -Type of Tank ------------------------------------- Feet of Drain Tile --------------------------- __ ----- _ ------ ___Dist. Feet of Tank or Drain Field from W Nature of Water Supply: CRY—Well -------- — ---------------- - ------ _ ----------- ___ ------- Size of Soakage __ ___ Capacity Gals. --- --- --- ------- -- - -- - -- I - - - - - -- 4--- -- - - -- - -- --------- -- j (Signed) - ------- - - - - - -- --- ---- ---- - - - - - -- = ---------------- - -- --------- Amount of Permit $------- - - - - -- - ----- ---------- - -_ —__ _.--- �-___ -- (Si ed Plu ing 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 perform under this permit, as are licensed by Miami Shores Village. ti — Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . ________ __ -------- ------ _ . ------ ---------- -------- ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. aiami Aores=Y loge F L O A I D A PLUMBING PERMIT N° 867 Date Issued to OWNER I LOT I BLOCK I SUBDIVISION I I to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story building at Fixturesb Fixtures $ ter Sewer ` Septic Tank $ Total $ .M x ¢ Village Plumbing Inspect or_ Y T Jf Received Payment bey y , MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Q ,/ Date - - --� - -- _ _ - 19 Owner's Name and Address ---- L!1.�, rd_'V____ __ _�®_ _ _ No._..--_ --------------- Street---------- -------------- -- --- - - - - -- - -- RegisteredArchitect and /or Engineer_ - - -- -- --- - _ - - - - -- -- ------ _---- ------ - -- ----------- -- - - - -- ----- n- -- -- -- -- -- -------- ------- ----- ------- --- -- -- - - -- - - - -- _---- --- - -- - -- Name and address of licensed contractor___ •__.-- ezx- e ------ �✓�_ Location and legal description of lot to be built on: Lo: _ - -- ---------- - - -- - -- - ---- -- - --- Block - - - - -- - - - - - -- .----- ---- -- -- - --- Subdi * - on--------- ---- --- --- --- --- ------ --- -- ---- ---- ---------- --- - -- --- - - ------------,----------------- C ✓ -s► !)w 9 Street and Number where work is to be done ------ 74 - _OT1�____-- 17,- A-7- ___ State work to be done and purpose of building (by floors)_____ _ ...... -�' ° - °'--- - - - - -- 4/v------- 4n - - -- __7.X x.]11--' ` _v'G✓1r1 _ _______ems`-- �.-. -/ ____ ---- - ---- - --------- and for no other purpose. New Building ---- ------ __.._._--- ---- - - -_ -- Remodeling ----- - -- - -- --- .-- - - - - -- Addition _- -- -- .. ------------------ . Repairs -------------------------- No. of Stories ..... -------------------- To be constructed of-------------------- - - - - -- Kind of foundation------ ----------- - - - - -- - ---- ---------- -------- - - - - -- - -- -- Roof Covering-------------------------------------------•--- Estimated Total cost of improvements $ ------- 5V .d Amount of Permit $ ---------------- _-- __ -_____ Zonecubage required------ ----- -------- -- - -- - - -- -----------------------------------------------_._Plan Cubage ------------------------------------------------------------------------------------- --- -- - -- -- Distance to next nearest building ------------------------------------------- - --- ----- — ___Size of Building Lot__ _____________ Maximum live load to be home by each floor -------- - -------------- ---- ---------- ---- -- - - -- ----------- -- ---------- ---- --- -- _--- --- ----- ___ -_- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to- -- ------- -- ------ ------ ----- --- - - - - -- - - - - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit f the ork such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, to performed under this permit, as are licensed by Miami Shores Village. Remarks------- ------------ - - - - -- (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared---------------------------- ------------------- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ --------------------------------------------------- _---------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hi ted ar true. Permit No.- �_� ________- --------- Date_ - _. ------ Read, Sworn to and Subscribed before me. Disapproved- - - - - -- --------------------- Date-- -- -- - - -- -- ---- -- - - - - - -- --- - ----- -- - ---- -- -- ----------- -- ------- -- -- - -- - ------ ------ --- - -- - -- ----- -- ----- --- ---------- - - - - -- Notary Public, State of Florida (Signed) --- -- - -__ Bui ing Inspector My Commission Expires - -- - -- --- ----- -- - -- - -- --------------------------------------- PLANNI BOARD------- ____ - -- -- _ - -- - --_. - __------ - - - --- -DATE Chairman _ __- - - --- -- ---- ------ - - - - -° ... - -- - - - - - -- Member - -- - -- Member- - - - - -- - - - - -- Member - -- ---------- ----- ---------- -------- -• - - -- -- ------------------------------------------------ Member - ----- ------ - - -- -- -- --- --------- Member Council Approved - - -- -- - - ---- -- - --- --- ____ ----------------- __-- - - ---- -Date Disapproved _ _ _ . - -- --------- - --- -- — - Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAU SHORES VILLAGE, FLA. N9 6312 JOB{ ADDRESS — AL 7- f IATLO INSPECTION- '�^�'; TIME READY ; ; REMARKS: J INSPECTOR MIAMI SHORES VILLAGE, FLA. JOB ADD s.i DATE N° 5239 INSPECTION TIME READY REMARKS: n, INSPECTOR DATE 11- 1 0� �i x! Permit No -------- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT March 1, 1966. Date--- - --- - -- - - -- - ------ ----------- -- - - -- - -- - -- --- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _______________W'- __ cHAM No --- - ------ 285 - - - - -- - Street -NE 103 St, Registered Architect and /or Engineer ----- ----- --- ------ - ------- -- ----- ,------ ----------- _- ---- -- --------------- _--------- Dade Gas Company 8350 N.W. 7 Avenue. Employing Plumber's Name ------- -- --- --- --- --- ---- ---- --- p- - --- -- ---- -- - - - - ----------- No. - — - - -- Street- ---- - - - - -- ----------------------- Location and Legal Description Lot ----- ------------- -- -- - -- ---- -- - -- - -- -- — Block--------- ------ ----- ------- --- -- ---- -- Subdivision -- --- ------ ---- - ----- -------- -- - - ---- ....... Street and Number where work is to be performed-No -------- - -285 - _- __----------- Street ---------- 103 St. -- - -- -------------------------------- SET WATER HEATER TO EXISTING GAS INSTALLATION State work to be performed and purpose of building (By Floors)- __________ New Building- - -- - -- --------- ------ ---- - - ---- Remodeling-------- --- ---------- --- - - ---- Addition---- ----- ---- ------ - - - - -- Repairs--- - -- - - -- ------- - -- --- No. of Stories- - --- ------ -- - - - -- Size Septic Tank-------------------------------------------- - -- -Type of Tank----------------------------------- -- -- ---------- ------- - - - - -- Capacity Gals ---------------------------------- - Feet of Drain Tile ------------------------------------ - - - --- - _Dist. Feet of Tank or Drain Field from Well ----------------- ---------------------------------------------------------------------- -... -- Nature of Water Supply: City-Well --------- - ----------------- - ------ - ----------- -- - - - ---- Size of Soakage Pit- ------ - - ---------------------------- - ---- - ----- - ------------------------------- Amount of Permit $------------ ----- - - - - - -- -- -- — -- - - -- Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 01an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppfement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b� 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) -- --- -- --- - -- Zjj2SW II. M_. _ ffarr C; Master Plum er. STATE OF FLORIDA, as. 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. 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 WA may._. TOTAL FIXTURES CONTR. LIST CHECK 2.00 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. - - - -- LIST CHECK Size Septic Tank-------------------------------------------- - -- -Type of Tank----------------------------------- -- -- ---------- ------- - - - - -- Capacity Gals ---------------------------------- - Feet of Drain Tile ------------------------------------ - - - --- - _Dist. Feet of Tank or Drain Field from Well ----------------- ---------------------------------------------------------------------- -... -- Nature of Water Supply: City-Well --------- - ----------------- - ------ - ----------- -- - - - ---- Size of Soakage Pit- ------ - - ---------------------------- - ---- - ----- - ------------------------------- Amount of Permit $------------ ----- - - - - - -- -- -- — -- - - -- Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 01an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppfement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b� 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) -- --- -- --- - -- Zjj2SW II. M_. _ ffarr C; Master Plum er. STATE OF FLORIDA, as. 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. 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. may, MIAMI SHORES VILLAGE, FLA. JOB ADD] INSR N° 5155 TIME READY REMARKS:-... INSPECTOR Date Issued to OWNER DATE aiami Jbores'7i11age F L O R I D A PLUMBING PERMIT N° LOT BLOCK SUBDIVISION UIR to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. it Fora story building at ... Fixtures t� Fixtures $ ?� . Sewer $ � v Septic Tank Total g Inspector Village Plumbin I ector g P Received Payment by -- — Writ SLth,v�►h b *S �' Stock agprtsis kiteban aabinots '* th -pia OWNER'S NAME Warren Meacham _ JOB LOCATION (ST. OR AVE.) 285 N. E. 103rd St. GENERAL CONTRACTOR Vick'Polk Poole 4570 ZONE PEG DRAWINGS, SPECIFICATIONS. REST NEW CONSTRUCTION REPAIRS ALTERATION ADDITION SUBMITTED TO PLANNING BOARD i RE- SUBMITTED TO PLANNING BOAR PRESENT ADDRESS 285 N. E. 103rd St. LOT BLOCK 21 -22 -23 119 ADDRESS 6388 South Dixie Hwy. —56 PERMIT FEE 5+.00 TYPE ISTORIES ITax Value 1725 BY: C. H. Markel ROOF CONSTRUCTION DESCRIPTION DESCRiPTIC APPROVED I REJECTED PREFERRED TO COUNCIL LICENSE NO. PHONE NO. SUBDIVISION M. S. Sec. #5 PHONE NO. ( LICENSE d� NO. BUILDER'S BOND 1-HEMAKtKS DATE 11 -2 -56 INTERIOR CONSTRUCTION CERTIFICATE OF OCCUPANCY NO. ' ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE REASUNS BUILDING INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE-INSPECT BY FOUNDATION �'` - -- TEMPORARY SERVICE$ $ SEPTIC TANK BEAMS & LINTELS - °- - - $ SOLAR HE FRAMING $ GAS _. $ INSPECTIONS DATE BY RE- INSPECT INSPECTIONS DATE BY FINAL BY - - - - -- ROUGHING CLEAN-UP GAS PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS _I PERMIT NO.- DATE FEE TEMPORARY SERVICE$ $ SEPTIC TANK i SEWER $ SOLAR HE $ GAS _. $ INSPECTIONS DATE BY RE- INSPECT INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL FIXTURES i ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR ' �, X ! - ?'�_ PHONE PERMIT NO. DATE ; FEE S NEW BLDG. I ALTERATION I ADDITION I REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING PERMIT Owner of Building Architect . Contractor or Builder MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida,_ * °` , 19 PROPOSED LOCAT i I0 r 267 No. STREET PART OF LOT LOT BLOCK SUBDIVISION BUILDING TO BE USED FOR ROOF yy PERMIT FEE 56K DESCRIPTION OF BUILDING FRONT I DEPTH HEIGHT STORIES TYPE OF CON>a't'RUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE 56K Frame, 1 e oncrete Stucco Residence, Apts. Stores Hotel C J """" This permit is issued to f' f� To X the building above described, as pe plicatwn, Plaris and Sp cations heretofore filed in this office. This permit is granted upon the' express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time up4 the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized 12Y e building inspector. NG INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the buildir�g departme t of Miami Shores Village. Dated —, 19 / a' (SEAL) 4-1 L. -Ik 7 CD Lo B1 k SubdV!is.l..on Number Street *ne Me. :LiQ, .No. Address or Phone Address or Phone General No. Zone Roq. u:..Y- :..... __ Cub. Cont. Ny Plat Restriction C hXd.._. —B.Y .._. .._.._..•.____.... To Planning Board roved Rejected Re- Submitted to P.B. Approved_ Rejected Plan & Spec.' Checked $y_ yDate To Council Approved Rejected Bldg. Permit No. /J -J- -. Date //-2 i -ybFee Cost Typa Sto.ri.es . Roof New Const. ....._Ai'mr.a.tions Repairs Plumbing Permit Date4y F e Septic Tank Sewer New Const. A1ae.ration Repairs Electrical Permit'No. Date Fixtures. H . e e Heater �r •. Mot,orsW �.., New � 1 C o n A t _ rslag 'Ins p;' , %A.L a • Via, e uy --- ``""fie nsb ��r Re nsp.$V Foundatibn . Beams & Lintels Final Final Clean -Up Plumbing Insp. Date Roughing / r�; _ By., Re -Insp. Bar : :Re- Insp Fixtures Sewer _______ _ Septic. Tank ; Solar Heater -- ---- -- — Final Cert. - --- Electrical In sp . �te ------- -- Rough .:y Re-Insp. By e -Insp . Fixtures _ Final Service to .Power o. ' „ LOCATION 285 IT. E. 103rd Street r� ,� /1 , {� r1�. r, GARBAGE TAX RECORD l - /.: PAID BY t' nU YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER i ? %C- a 1940 o t/! �� op 1941 1942 _ 1943 /0-oto /" �• b 11 i L - z 1944 1945 / 1'- �� �- sy 1946 N 4A 1947 Y W 11 1948 1949 1950 285 N. E. 103rd St. by Wm. V. Sullivan year annual tax period used amount paid � � 4 date paid receipt ; ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building kCgdkactor or Electrician aiarni Aores"Tillage F L O R 1 D A OFFICE OF ELECTRICAL DEPARTMENT / N° .498 Miami Shores Village, Fla., " 19 LOCATION DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters NO. STREET, , , PART OF LOT LOT BL'K SUBDIVISLONf DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code Miami Shores Village and the rules and regulations of the Electrical Department of Miami bores Village. This Permit may be revoked at any time on the violation of any provisions of said laws, ordinances, or rules and regulations,✓ •. up c any change in the plans and specifications unauthorized by s Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the e of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of a Electrical Department of Miami res Village./ Dated eal) ELECTRICAL PERMIT aiami AorescNi.11age N. B. —This Permit must be on display on the premises during F L o a 1 D A th t e cons ruction. OFFICE OF ELECTRICAL DEPARTMENT .. _ N. 0 452 Owner of BuildiL / Miami Shores Village, Fla., e 19�LQ .— Cctor or Electrician ; LOCATION NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus c3 Permit Fee DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and ecifications unauthorized by this partment. -- " , ,Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the propos, the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all State of Florida, all the Electrical Ordinances and Codes of '.Miami Shores Village, and all rules and regulations Shores Village. Dated 19 � ` ;" s- a construction in strict conformity with provisions of all Electrical Laws of the of the Electrical Department of Miami (Seal) r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ------ _ 7_713-S- --rte _,ate! _ Date - -� ---- -- 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 - e� - - -- ' - -- - -` - - - -f - -- - -- --- --- -- - --- No.-- - - - --- — �� / -- - - - -- Street - G'f---_" `--= (a'� Registered Architect and /or Eng' eer ----------------- - - - -- --- ---- ------- - - ----- - - -- - - -- -- --- -- - -, Employing P r s N - -- - - - --- - ,/ � -Z� --"- - ----------- � J --`- - --- - - --- Street---// / Location and Legal Description Lot ------------------------------------- _------------------------ Block ---------------------------------------------- Subdivision_______ Street and Number where work is to be performed—No ---------------------- - ______________ Street_______________________ _______ State work to be performed and purpose of building (By Floors)-- - - - --- — =�= d�' - -- - - -- ---- - - - - -- New Building ____________ _____ Remodeling -------------------------------- Addit ion -------------------------- Repairs ----------- -No, of SizeSeptic Tank -------------------------------------------------------- Type of Tank---------------------------------- ------------------------ -- - - -- Capacity Feet of Drain Tile ----------- 14_�_ -- ____`-- "__ ------------------- Dist. Feet of Tank or Drain Field from Well ---------------------------------- Nature of Water Supply: City —W of Soakage ------ - - - - -- �� Pt n U —f� Cif - �------------------------------------------ ----- - - - - -- --------- - - - - -- (Signed) - -- - -- -- -- Amount of Permit $ ---------- �I --- --------- -------------------------------- -------------- ------- --- - -- -� . Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his obli ns 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, Jon work td- b� performed under this permit, as are licensed by Miami Shores Village. (' \ Z 119 STATE OF FLORIDA, I ss. COUNTY OF DADE. "V 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. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING T CLOSETS TUBS SHOWERS TORIES SINKS $INKS TUBS URINALS BASIN DRAIN FOUNT'NS Fix CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK 'CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. 10 LIST i CHECK j SizeSeptic Tank -------------------------------------------------------- Type of Tank---------------------------------- ------------------------ -- - - -- Capacity Feet of Drain Tile ----------- 14_�_ -- ____`-- "__ ------------------- Dist. Feet of Tank or Drain Field from Well ---------------------------------- Nature of Water Supply: City —W of Soakage ------ - - - - -- �� Pt n U —f� Cif - �------------------------------------------ ----- - - - - -- --------- - - - - -- (Signed) - -- - -- -- -- Amount of Permit $ ---------- �I --- --------- -------------------------------- -------------- ------- --- - -- -� . Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his obli ns 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, Jon work td- b� performed under this permit, as are licensed by Miami Shores Village. (' \ Z 119 STATE OF FLORIDA, I ss. COUNTY OF DADE. "V 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 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT PermitNo.. - - - -- ----------------- ---- - -- - -- Date----------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - - -- --- --------- — -- -- - --- No.--------- -- ------------- --------- - - - - -. street-- t ------------------------------------------- Registered Architect and /or Engineer - --- ------------------ - - - - -- --- ------- - - - - - -- ----------------------------------------------------------------------------- ---------------------------- EmployingPlumber's Name ---------------------------------------------- -- ------ -------- - - - - -- -- 4No.--------- ------------- -------- - - - - - -- Street---------------------------------------------- Location and Legal Description Lot ----- --------- - - - - -- — ✓ te- - Block — Subdivision ------------ — — -- ------------ Street and Number where work is to be performed—No. ____ ---------- - - - - -- -- --------- - - - --- Street--------------=-"=----------------------------------- State work to be performed and purpose of building (By Floors) -------------------------------------------- --------------------------------------------------------- New Building ---------------------------------- Remodeling ---------------------------- Addition_ ----------- 7__ Repairs -------------------------------- No. of Stories ---------------- Size Septic Tank-------------------------------------------- - - - - -- Type of Tank -------------------- ------------------------ - - - - -- -Capacity Gals. Feet of Drain Tile ---------------------------------------- Dist. Feet of Tank or Drain Field from Well -------- ------------------------------- Nature of Water Supply: City —W of Soakage 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 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 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 materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank-------------------------------------------- - - - - -- Type of Tank -------------------- ------------------------ - - - - -- -Capacity Gals. Feet of Drain Tile ---------------------------------------- Dist. Feet of Tank or Drain Field from Well -------- ------------------------------- Nature of Water Supply: City —W of Soakage 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 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 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 materials and /or workmanship. t�-J� 0 3oB• AD; r- BUILDING . : ELECTRICAL PLUL BING / WORK DONE BY:`'� REQUESTED WILL BE READY The following is ready for Inspection: Inspector's Report: -- �d aAA^ / / Te MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT i 2 , 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. s Owner's Name and Address --- ----------- -__ Street_- --- -- - - -- -------------- ------- --- --- ---- ---- - - - - -- No - -- - - - - -- ------------- ----- - -- - -. - - - - --- -- -- - - - - -- ---• h� Registered Architect and /or Enneer -- - -- - -• - - -- -==----------- - - - - -- - -------------------- --- ---- ------- -- ----- -- Employing Plumber's Name ------------------------ Location and Legal Description Lot --- ------------------------ - ---------- --------------- Block ------------------------------------------ Subdivision --------------------- - ------------------- Street and Number where work is to be performed— No.------ - -------------------------- --- ----- -------------- --- -- - - -- Street ----------------------- - ----------------------------------- State work to be performed and purpose of building (By Floors) _-- -_ - - -_ New Building ----------------- ----------------- Remodeling--- ------------------- -- - --- Addition--- --- -------------- - - - - -- Repairs --- ------------- ----- - -- --- No. of Stories----- -- --- -- - - -- Size Septic Tank-------------------------------- ---- --- - --- -- Type of Tank ----------------------- --------- -- ------------ - - - - -- Capacity Gals --------- - ------ — �— Feet of Drain Tile ---- - ----- - ----------------- — ______ Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City—Well ------------ - --------------------- _- ----------------- Size of Soakage Pit. r ------------ �- �- ,=:i= -q - -- '-- L-L-' -4 ------------ - - - - -- Amount of Permit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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 Plumber. STATE OF FLORIDA, r� 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH FLOOR BASIN DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank-------------------------------- ---- --- - --- -- Type of Tank ----------------------- --------- -- ------------ - - - - -- Capacity Gals --------- - ------ — �— Feet of Drain Tile ---- - ----- - ----------------- — ______ Dist. Feet of Tank or Drain Field from W Nature of Water Supply: City—Well ------------ - --------------------- _- ----------------- Size of Soakage Pit. r ------------ �- �- ,=:i= -q - -- '-- L-L-' -4 ------------ - - - - -- Amount of Permit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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 Plumber. STATE OF FLORIDA, r� 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � ---- Permit No. - �- D' te_'---�----------- - - - - -• 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 wi , er herein specified or not. A copy of approved plans and specifications must be kept at. building during progress of wo 03 .� Owner's Name and Address -- j'i! >�. '� -_.`� � v � �' _- No.-------- --------- -------- ---- -- - --- Street -- - - -� -- Registered Architect and /or E sneer ________ '' - - ti j Employing Plumber's Name - = No.__-}�___-- ______ ___________ _ _ _ ___ Street ! = - -_- 7Z- Location and Legal Description Lot------------ ------ ------ - -- Block---------------------------------- .------- Subdivisi, Q�_--- ----- - --- -- _---- ---.------- - - - - -- Street and Number where work is to be performed—No ---------------- _ ............... _............ Street_ ,___ /__C________ State work to be performed and purpose of building (By Floors) New Building------ ----------- ---- --- - - - - -- Remodeling--------------------- - - - - - -- Addition---------- ---- ------ - - - - -- Repairs___- v_____--------- - - - - -- No. of Stories ---------------- SizeSeptic Tank---- --- --- -------- --- -- --- - - - ---- -- _ Type of Tank ----------------------------------------------------- Capacity Gals. Feet of Drain Tile ------------------------------- - _______ ist. Feet of Tank or Drain Field from Well________ Nature of Water Supply: City—Well.- _ _______-------- - ----------------- Size of Soakage Pit ____ ------------- --- -- ----- ------ ----- - - - - - -- - - - - - Amount of Permit $ - -J --- -, ------------------------------------ ----------- -- - - -- (Signed) — I_ - /- -i- -------- - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contracted on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed] - ---- - - - - -- ------------------------------------------------------------------- ivastez Plumber. STATE OF FLORIDA, I j .. 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. CLOSETS TUBS SHOWERS TORIE S SINKS SLOP I SINKS (LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM,G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK SizeSeptic Tank---- --- --- -------- --- -- --- - - - ---- -- _ Type of Tank ----------------------------------------------------- Capacity Gals. Feet of Drain Tile ------------------------------- - _______ ist. Feet of Tank or Drain Field from Well________ Nature of Water Supply: City—Well.- _ _______-------- - ----------------- Size of Soakage Pit ____ ------------- --- -- ----- ------ ----- - - - - - -- - - - - - Amount of Permit $ - -J --- -, ------------------------------------ ----------- -- - - -- (Signed) — I_ - /- -i- -------- - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contracted on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed] - ---- - - - - -- ------------------------------------------------------------------- ivastez Plumber. STATE OF FLORIDA, I j .. 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. MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N° 1626 Contractor's License No._ PLUMBING Work to be performed under this Permit Owner o Building Architect Contract or Builde Legal Descripti 194 f or r Subdi- Lot I BI vision on of Value of I Amt. of — Project Permit Address Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the pp herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance h any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may evoked 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 n which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and he assumes responsibility for work done by his agents, servants or employees. Signed By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores ;e. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. MV BY AUTHORITY Address Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the pp herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance h any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may evoked 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 n which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and he assumes responsibility for work done by his agents, servants or employees. Signed By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores ;e. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. MV BY AUTHORITY Value of Amt. o Address of r. Building a Project Permif '� t� This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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' ip,,on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of e ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and t he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula. ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores llage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA FUILDING DATE LECTRICAL -194-P4 PERMIT NO 3463 Contractor's *, License NO. PLUMBING Work to be performed under this Permit Owner of V tfN4}. This onstruction may be In violatto^ Building s..c4ivikr o..a _- c*oneral I imitt`(I ;-a'sg iou are cautioned to consult your War P10 u L. Architect- -71.4 l oh Contractor - - - -- this permit. or Builder Legal Lot II gl Subdi. Descrintion vision Value of Amt. o Address of r. Building a Project Permif '� t� This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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' ip,,on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of e ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and t he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula. ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores llage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194_ ELECTRICAL PERMIT N° 4216 Contractor's PLUMBING License No. Work to be performed under this Permit Owner of Building Architect — Contractor or Builder Legal Lot Bl. Subdi- 'Description vision Address of Value of T1_1 A; _ ,r Project Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to, install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed:— — — By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR Olt BU1LL)hA BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA UILDING f DATE 194— LECTRICAL PERMIT N° 5462 Contractor's License No. .. LUMBING Work to be performed under this Permit owner of wilding L rchitect ' ontractor r Builder egal Lot Bl. iescription ddress of uildintr i Subdi- vision Value of Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ility for work done by his agents, servants or employees. Signed: _ By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 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 DATE ELECTRICAL PERMIT N° 2394 Contractor's PLUMBING License No.— Work to be performed under this Permit _ Owner of Building Architect Contract o or Builde Legal Descripti 194_ Address Of Value of Amt. of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and ;hat he assumes responsibility for work done by his agents, servants or employees. Signed: _By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Image. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. C:UN'1KAC:'1UK UK 13ULLUCK BY AUTHORITY F_ r r Lot on B1. Subdi- vision _ Project Permit Address Of Value of Amt. of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and ;hat he assumes responsibility for work done by his agents, servants or employees. Signed: _By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Image. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. C:UN'1KAC:'1UK UK 13ULLUCK BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N° 1587 Contractor's PLUMBING License No.— Work to be performed under this Permit Owner o Building Architect Contract( or Builde Legal Descripti i11sZ f r r — Lot Bl. Subdi- on vision — -- Project Permit Address Of Value of Amt. of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee,. , CONTRACTOR OR BUILDER BY AUTHORITYF Address Of Value of Amt. of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee,. , CONTRACTOR OR BUILDER BY AUTHORITYF BUILDING PERMIT Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, , 19 PROPOSED LOCATION A uA--)- N9 604 No. STREET PART OF LOT LOT BLOCK SUBDIVISION ROOF COST OF BUILDING PERMIT FEE DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame Tile Concrete Stucco Residence Apts.. Stores, Hotel This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. 19 (SEAL) BUILDING PERMIT Owner of Building Architect Contractor or Builder Miami Shores Village, Florid PROPOSED LOCATION MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR No. I STREET I PART of LOT I LOT I BLOCK I SUBDIVISION DESCRIPTION OF BUILDING 19 NO. 267 FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame, Tile Concrete Stucco Residence Apts.. Stores Hotel This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all previsions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated (SEAL) MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater Power: Connected load H. P. Space Heaters Other Apparatus watts watts ELECTRICAL INSPECTOR. aiami Jhores7llage F L O A I D A PLUMBING PERMIT ?Assue'�d to t" .,� 44 P, r"t, 805 OWNER LOTIj� SUBDIVISION {�'+�' iI t �1wI► !BLOCK to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures_ — Sewer tic Tank Total Village Plumbing Inspector_ Received Payment by � � �� �-� �_ �-- � a ,91iami Jbores=N11age F L O R 1 D A PLUMBING PERMIT Date / /-'^ lied to N° 86'7 OWNER LOT BLOCK SUBDIVISION Sewer $ Septic Tank $ to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story Fixtures building at Fixtures $ Sewer $ Septic Tank $ • Total $ Village Plumbing Inspector Received Payment by BUILDING v ELECTRICAL PLOT BING MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 5462 Contractor's Work to be performed under this , ) License No._ r Permit— --k Owner of _ - II ( y Building �r Architect Contractor or Builder Legal Lot " I I Bl. Description Address of Subdi- vision 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 thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans rawinp -or in the statements or specifications =4d that he assumes respon- sibility for work done by his agents, servants or employees. By _ INS CTOR In consideration of the issuance to me of this permit pertaining thereto and in strict conformity with the plans, In accepting this permit I assume responsibility for all work CONTRACTOR OR BUIL R I agree to perform the work covered hereunder in compliance with allgr,4inances and rVul tiops drawings, statements or specifications submitted to the proper authorities f Miami Shorel; Village. done by either myself, my agent, servant or employee. BY AUTHORITY B LILDING ELECTRICAL r PLUMBING Owner of Building _ Architect Contractor or Builder-- - Legal Lot Description MIAMI SHORES VILLAGE FLORIDA tq-FPERMIT N° 3463 Work to be performed under this Permit. M Subdi- vision } 3 v DATE . 1944 Contractor's ,d 1 License No. This ftstry6tiQnj may be in violate YOU are cautioned to consult your War Prod__ .. this permit. Address of '` '` Value of Amt. of Building t` d Project Permit % This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device/ described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f Signed:_ ,^i' ---By INS ECTOR Y In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or, specifications submitted to the proper a sties of Mia S !'D Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. MS AUTHORITY A BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE �� %" r,.s+ '.�� � 194' � PERMIT N? 7733 Work to be performed under this Owner of Building rr f + Architect Contractor's License No Permit— Contractor or Builder., c.�rr -' Legal Lot ` II Bl. Description Address of Subdi- vision o 0 Amt. of y� Permit..' e 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 '. -;. M .. ' :.. s r� By t INSPECTOR ,. In consideration of the issuance to me of this permit I agree to periQrm the' work covered hereunder in compliance wi 1 or Inane anal r tiohis pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aunties Of Miami S llag €. In accepting is permit I assume responsibility for all work done by eith Or myself, MY Sg "t, servaut;or employee. CONTRACTOR OR BUILDER BY - AUTHORITY c MIAMI SHORES VILLAGE BUILDING PERMIT OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, , 19 Owner of Building — • Architect N° 604 Contractor or Builder PROPOSED LOCATION NO. STREET PART OF LOT I LOT I BLOCK SUBDIVISION DESCRIPTION OF BUILDING FRONT I DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT F,EE Frame Tile Concrete Stucco Residence A ts. Stores Hotel This permit is issued to 1. lo' the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance W d compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and ulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said s, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR , In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated <. -! , 19 r (SEAL) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 2g S Tax Folio Legal Description Historically Designated: Yes No - `) Owner/Lessee / Tenants A X �( �i . (i\ �_ Master Permit # Owner's Address '�2 i� � \ 1- Phone J -S Y Contracting Co. C v- Address 7 ,� �5 ? ( ' Qualifier State # Architect/Engineer Bonding Company Mortgagor Municipal # Phone � U �-' ) 7 q - S� _�) I Competency # Address Address Address Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION % t i (e ('F 100 r 1 I bed ,-bo e"t -� Pcr cC ') , k e --t i 1 E V, itCt, e n CQUV\Tcr %Z sn m i`t 6r On I Aft rl a n' --NW a Square Ft. 2-50C Estimated Cost (value) (n 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 Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT f ( �, RADON Date Signa#ure of Contractor or Owner- Builder Date Notary a Da e My Co An LLU6LOJ u3ewnN N0155I7l10r 13uNon VINVO s �9nd �udti lV3S AaV10N 1VtOl�:o C.C.F. j NOTARY BOND TOTAL DUES APPROVED: Zoning Buildin ' ' Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address o a I p3 S�, Tax Folio Legal Description Historically Designated: Yes two Owner/Lessee /Tenant Master Permit # �� �� X14 0 A/0 Owner's Address agr 6 la ti l ab bar Phone 3c"!!i Contracting Co. _6A, ",N t o r, .4 Co 14-\C- Address 104 (e o 6L.;) M-1 fy,. fr Qualifier �_&a(lc. A. Phone 301- Q'68--7(A19 State # CC, Cc) tk t 3 44 Municipal # Architect/Engineer N Bonding Company N t Mortgagor Competency # Ins. Co. Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION T- Square Ft. Estimated Cost (value) Sa�050.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and tha all laws regulating construction and zoning. Furthermore, I authorize the above- named�oAle lro Signature of owner and/or Cond6 resident Date �I�YY/1O'd "S• /� • vv Notary as ko Owner and/or Condo President Date My Commission Expires: CYNTHIA L. EDWARDS ` MY COMMISSION # CC 688473 a •a EXPIRES: December 1, 2001 / FEES: PERMIT O� 7 d• RADO APPROVED: Zoning Mechanical _ Of in compliance with all applicable Date Notlry as to Contractor or Owner- Builder Date My Commission Expires: ill L. EDWARDS i�?tia1Y.Pl &s : «: •,: MY 1,OMMlSS10N # CC 668473 .a= EXPIRES: December 1, 201 ''• F oe. Bonded Thm Notary Public Underwriters TOTAL DUE J O I y ;ctrical Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Z_ I i Address ]` —�1,E , 1 () � �� - Tax Folio Legal D cscription Historically Designated: Yes No Owner/Lessee /Tenant , .� C'L Master Permit # Owner's Address •L2 E l v . Q Z, Phone Cj - -7 L S Contracting Co. 0. N, Qualifier L'1"r;� rr�� i�7; fir. �' SS # -S_- Phone /,' State # „t \- (,v (,' c15 9S- el Municipal # Architect/Engineer Bonding Company Competency # Address Address Ins. Co. Mortgagor - ------ \Address Permit Type (circle one): BUILDING ELECTRICA PLMB MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) �/�✓, D 3 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Signta,,,c wn er and/or Condo President Date Not as to Owne7NOTARY SEAL e OF My Commission E DY'S] YL AR CSTATE OF FLMDA ION NO . CC714103 ION E)( MAR l f (�0 FEES: PERMIT 6 . RADON FIVIJ SI %a6i Zoning Mechanical Signa e of ntractoi- or wner- Builder Date 2 -eb -g f4otary as to Contractor Date My Commission Expir GLADYS} V:RY NQTARY PUBLIC STA COMMISSION NMY COMMMI ON E C.C.F. NOTARY } BOND Building A Electrical Plumbing Engineering liv �� TOTAL DUE w. , - PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address d(36 6 /`'g Tax Folio Legal Description Historically Designated: Yes �jNo Owner/Lessee / Tenant �C l� A� 11 F Master Permit # l / Y `� n /T�- . Owner's Address _02e&5 /Q F— 103 54 - Phone 2� — 5E �l Contracting Co. 14 �C S C / 2 -d' �/ �,o �%�( Address Phon State # Municipal # Competency # 95_Z0tW V Ins. Co. Yzii66L.L _✓l eirce.i?G2 I Architect/Engineer /� Address rJ A_ Bonding Company 1 6r" Address 41,+. Mortgagor Address Permit Type (circle one): BUILDING JLECTRICAL >PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1n0V r Square Ft. Estimated Cost (value) �1560 d 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. ign tur of and/or Cond sident Date ti� -20 Notary rent Date My Co I`1Cs7sicon a -,I � fA Cti MMUAT1 7vRpRIDA p FEES: PERMIT W411 0,0' RADON APPROVED: Zoning Building of /J / 7 Date Notary as to Contractor or Owner- Builder Date My Commiss ices: a CC797277 OFF OHO My CCOI� MSSJO 2002 EXPIRES C.C.F. �0 p NOTARY , BOND ,, G ',�. TOTAL DUE Electrical Mechanical Plumbing Engineering FiMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY ( OWNER TO RETAIN COPY) Job Address E ( 3 4f'` Tax Folio Legal Description %1 O� / /I a7 [�/.7 Master Permit # j7I6ry Owner )Lessee / Tenant Owner's Address 2,9s, me In -51 phone Contracting Co. 12 6 D Address l % i N0 zq ded"I 1k I Qualifier + phone foZ( 0 State #;t 738- D1 �`7 /Competency# /L, In's. Co. % Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION Square Ft. Estimated Cost SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. 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 tha all the foregoing information is accurate and that all work 1 will be done in complian� wit all applicable laws regulating construction and zoning. .1 Furthefrmo e, autho -elthe a -named contractor to do the work ated. // Signature f Owner and/or C Date: Notary as to Owner and /or C My Commission Expires: myCom6 * * * Bon d PERMIT FEE: APPROVED: SIC. dil President Contractor or Owner- Bui..lder DAte,: o o ?"resident Notary as to Contractor ubIIc, state of Florida My Commission Expires: My Commission Expires Feb: 26,1994 Ission Expires Fe�14�.� 26, 1944 Bonded thru PICHARD Ins. Agency th* PICHARD ids Agency Fire Other Zoning Building _ Electrical_ Mechanical Cumbin Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address c J N' 163:5? -" Tax Folio //J -(O7 yy 1J1%7,e*PeD FCA7T 0/-- SOLT70k) /V0_ 3 Legal Description L0/__2-1 /,) o?, a 3 F&OCICW 1 V /-,,wI I1,l / Pf4G,l--' 4-1-7 Owner / Lessee / Tenant LjJZ_ LMm 2 L L,I�ve~- Master Permit # Owner's Address r295_X/, /09 57-, Phone 7a-o264� Contracting Co. PALM A-I e 14IC• Address 66 /D 16116U. /5-3 ST-, Qualifier4/?d -r A-Pod o-(Y `% Phone '73X' State �C036 %S3 Municipal # Competency # Ins.Co. � /�Y �L'� E�QS' Li Architect /Engineer Addres Bonding Company Addres Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 0 V-1_ rXIJT /.0 G- r61U26 ZSIX26L [,%iy;! 52�� 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 a applicable laws regulating construction and zoning. Furthermore, I authorize the about-named tractor to do the work stated.- )&7 ve ignatur of owner and /or Condo President Signature o Contr c r or Owner- Builder Date: ( /�yy l� /....._._ .. _� Date:f /S�/, Notary as to Owne (ai d /oe <Con Rf gMt Notary as to ra�k� ' ti3 °'9wtl f�+�B �d r My Commission Expe 2 COMMISSION NUMBER Commission Commission sco3 w DAVIS N t * y f- COMMISSION NUMBER Q CC =55237 h CC255237 �T ' My COMiv WiON =XP. N . � _ OF F Oc F c fly f l 7 a'lis ` iON EXP. FEES: PERMIT [ RADON C.C.F. _ NOTARY TOTAL DUE — Lir7 APPROVED: Fire Other Zoninit Building Electrical Mechanical Plumbing_ Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE f r Date �31� ' � Job Address ZJ F l Q Tax Folio ` ` 36 0/3 0 0 Legal escription a as 2 3 ✓s?14%ni F.6 Owner / Lessee / Tenant Master Permit 4 - - -�F Owner's Address C2 i- /, ' E - z d 3 i f , 0 Phone zf 4' 2 (o o �. Contracting Co. ��{ 11 (C� f9; Address Qualifier SS# - - Phon State # Municipal # Competency # Ins.Co Architect /Engineer. Bonding Company, Mortgagor. Addres Addr Addres Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION l) ' Ft.� Q.�` gj < 6 0. 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 h allr`pplicable laws regulating construction and zoning. Furthermore, I authorize t e above I - Tom- „%�V actor to do the work stated. Signatur of own4r z Date: _?0 aryl as to Owner, a Commission Expire S. D7resident 8 {�•t MEMNE CMURCN �' fy Pi�htir St�-� No. CCla75ft Signature of Contractor or Owner- Builder Date: 4n134, 1 Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * * ** -.0 A - FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE • APPROVED: Other Electrica Mechanical Plumbing Engineer PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 1 Job Address_ d 96 /V C. 103 c' Tax Folio °� w Legal Description2,Z Owner / Lessee / Tenant � LL % 1�� / .S'v✓ Master, Permit 1ttlorl � Owner's Address /V E /123 SYk aj Phone 3099 Phone ?,fin D IL Contracting Co._ OWN 6_9 Address Qualifier. SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company. Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL' WORK DESCRIPTION ,�9VR ,/ M/9�e�iN (/ 619 2tf L `l 16 pJ PAVING FENCE SIGN Square Ft. j) . Oti1 ,�^ Estimated Cost(value) 02 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, anc 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 laws r_ egulating construction and zoning. Furthermore, I authorize the above -named c'' ;- ��•pH�k state . ( .,Ngwy Public, State of Florida y Commission fxp. April 30 Signature o owner and /or Cond �� Si ature of Contractor or Owner-Builder Date: �v��5�,, c ar¢ as to Owner and /d'ftsz Commission Expires: Type type or stamp name of Norary Public r,nrz Pmdticcd LDS Notary as to Contractor or Owner- Builder My Commission Expires: DID cake an oath, or %DID NOT take an oath. FEES: PERMIT-lo' 4�9p RADON C.C.F. NOTARY J <' G' TOTAL DU��� APPROVED: Fire Other Zoning Buildin kt 9/ Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date Job Address -;2 TL /1/i�5 403 $ T Tax Folio Legal Description_ jl:�, Owner / Lessee / Tenant_ l /L` /adz A, 11,/JGyS Master Permit Owner's Address /�� /Q S �'- Phone Contracting Co. lt/L l' aG%,Gt -t�ZeW Address 29l()/�U"% 3 2 '�S Qualifier A14 e Phone - 3 G G- e9 State # 1000 VI/ Municipal # Competency # JW 5 /Z V4GIns.Co. 4 15 L'� Architect /Engineer Address Bonding Company, Mortgagor. Address Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION _ 2 S',1-9 / C ej � Square Ft Estimated Cost(value) �u!L�i 0r© 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, an,-4 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 an be done in compliance with all applicable laws regulating constructio authorize the above -named contractor to do the work stated. 11 Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Signa Date I that all work will ermore, I sOS c:iiNE ! HURCH o a Fublic, State of Flonda mission E,p. Apnl 30, 1996 or int tN pe or stamp name of Notary Public c-s c known []OR Produced LD.ss� N ary as to Contra tororjOwner- Builder 2 My Commission Expiis,fD ra`� ke an oath, or p DID NOT take an oath, FEES: PERMIT ,, %/el RADON C.C.F. NOTARY, l� TOTAL DUE D APPROVED: Fire Zonini _ Building_ �Electrical�U►r '� i ~1 I Mechanical Plumbing Engineering MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N? 3'714 Contractor's License No. ROOFING ❑ Q Work to be performed under this Permit_ Owner of Building . Architect Contractor g or Builder Legal Lot I Description — ' fl BL Address of -- — I Value of I Amount of (Building ! r --,Z'` . Project $ -' f Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: _ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for a4 work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ _ ❑ Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT 11TH' 2503 Contractor's License No. Work to be performed under this 195 Legal Lot Subdi- Description — ( Bl. vision Address of Value of 11 Amount of Building — Project $ — Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ MIAMI SHORES VILLAGE, FLORIDA PERMIT N09 460t`01 Owner of Building L-2 ZZ/ ,` 1 Architect Contractor or Builder Work to be performed under this DATE 195 Contractor's License No. Legal Lot ( Subdi- Description — r Bl. vision Address of Value of Amount of Building rt, _ Project �' Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village, In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE. - ELECTRICAL � PLUMBING ❑ PERMIT ` j p 7188 Contractor's ROOFING License No. ❑ ❑ Work to be performed under this Permit — ___ Owner of Building . Architect Contractor or Builder Legal Lot Description __. __ _ I I B1. Subdi- vision 19 Address of Value of Amount of Building Project $ — Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: -- INSPECTOR ` In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Aoeor ' MIAMI SHORES VILLAGE, FLORIDA BUILNG F-1 ELECT RICAL El 195 PLUMBING ❑ PERMIT N0 8899 Contractor's s License No. ROOFING ❑ ❑ Work to be performed under this Owner of Building __ Architect , ontractor or Builder Legal Lot Descrintinn Bl. Subdi- vision Sq. Ft. Address of Value of Amt, of Building Project $ - Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building . Architect _ Contractor or Builder _ Legal Description Lot 1 ■ ■ ■ MIAMI SHORES VILLAGE, FLORIDA /111' DATE_ 19 -- PERMITN9 5908 Contractor's License No. Work to be performed under this Permit- I Subdi- vision Address of Value of Amount of Building 11 Project $— Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: _ _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances cred regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY OT MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ PER o MIT PLUMBING El N . 918 4 ROOFING ❑ Work to be performed under this Owner of I) Rnilrlinn Architect - ontractor or Builder Legal Lot (I Bl. Description Subdi- vision Sq. Ft.— DATE 195 Contractor's License No. _ Address of Value of Amt. of Building Project $ Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ R010FINCT ❑ d Owner of Building Architect MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 4570 Work to Contractorx or Builder Legal Description Lot 1,; "� i Bl. Subdi- vision DATE 195 Contractor's License No.- ` Address of Value of -- Amount of Building — ^''r — Project $ Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings - -cr. in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f r? Signed: *f r .? r °,a' �'" l BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6x sx BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING Owner of Architect - ontractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DA PERMIT No 9149 Contractor's License No. r r Bl. Work to be performed under this Subdi- vision Scq. Ft._ Address of I Value of Amt, of Building Project $ Permit $ 95 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: ; BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ES PLUMBING ❑ ROOFING ❑ Owner of Building Architect - ontractor Dr Builder ® DATE 195 ® ERIN 1 i N? 5717 Contractor's License No. Work to be performed under this Permit Legal Lot Subdi- Description Bl. -- — vision — ddress of Value of Amount of wilding Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A furthor condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. Signed: S BY: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY s ��yU MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL PLUMBING ❑ PERMIT ❑ ROOFING ❑ EJ4 Owner of Building Architect Contractor or Builder � T DATF. 195 1�, _ p 4637 Contractor's License No. Work to be performed under this Permit_ _ Legal Lot j I Subdi- Description — ! I BL L { vision w Address of Value of ( Amount of Building Project $ _ + Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 specificatioris and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR�-' In consideration of the issuance to me of this permit I agree to perform the work covered,Kereunder in compliance wftfi all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all wgrk done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY B a MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE_- ELECTRICAL PLUMBING ❑ PERMIT N o 5759 Contractor's License No. — ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building - Architect - Contractor or Builder Legal Lot I Subdi_ Description Bl. vision Address of Value of I Amount of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: __ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores "Tfllage. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY — - -_ AUTHORITY A 0a 'mow BUILDING ELECTRICAL j PLUMBING ROOFING Owner of Building — Architect MIAMI SHORES VILLAGE, FLORIDA I'-*-" Date / _ 19 N? 8014 Work to be performed under this Permit Contractor's License No. . Contractor or Builder - -- Legal Lot Subdi- Description — _ I Bl. vision r. Sq. Ft. r 3 Address of Value of Amount of .� Building _ Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with anc 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. a Signed • — (INSPECTOR) BY - -_- _ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY ;r Contractor or Builder - -- Legal Lot Subdi- Description — _ I Bl. vision r. Sq. Ft. r 3 Address of Value of Amount of .� Building _ Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with anc 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. a Signed • — (INSPECTOR) BY - -_- _ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ MIAMI SHORES VILLAGE, FLORIDA �T DATE— PERMIT ■ l� 9 7275 Contractor's License No. 19 ❑ Work to be performed under this Permit_— Owner of Building -- Architect Contractor or Builder Legal Lot I Subdf- Description — Bl. vision Address of Value of Amount of Building Project_ _ — Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 0T CAL PERMIT must be on display on the premises during the construction. Electrician aia►ni Jbores"Tillage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 LOCATION STREET PART OF LOT LOT BL'K SUBDIVISION DESCRIPTION OF WORK NUMBER OF otors Receptacles Generators I Stoves Water Heaters I Signs Billboards Other Apparatus zoo UPW 0 453 Permit Fee granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with inidubmitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time ovisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by Electrical Inspector. rf the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the 'Llectrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami 19 _ (Seal) ELECTRICAL PERMIT J. B. —This Permit must be on display on the premises during the construction. Jwner of Building contractor or Electrician aiami Aores"Tillage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, LOCATION NO. STREET PART OF LOT LOT BL'K SUBDIVISION N° 498. DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with ie plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code 'Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time I n the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by 's Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the e of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami es Village. Dated , 19 (Seal) ICAL PERMIT > Permit must be on display on the premises during z the construction. 4 of aiami Jhoresi11age F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 Contractor or Electrician LOCATION NO. STREET PART OF LOT LOT BL'K SUBDIVISION N? 452 DESCRIPTION OF WORK NUMBER OF Outlets Motors I Receptacles I Generators Stoves Water Heaters I Signs I Billboards Other Apparatus ( II Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated . 19 (Seal) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No........!.. .. ®.�-- ....._.. Date ...d...!.... .. ....'�... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address....Ll!t`...... � . i%..!. �.".. .............. No._ �...... �/.. .._..................Street__................. ..t . _.. .. - Registered Architect and /or Engineer., ............. .. Employing Electrician's Name....../ ......!' ...41 :": ...... C.:_r— No.. . �4 .................... Street -_. _f... s ..�. ��..T..... . Locationand Legal Description Lot .................................................................... Block--•-•--••--•••.....•••••-................. Subdivisiop._............. ......-- .............._.......- �j a � to 5 i. Street and Number where work is to be performed—No ........... .C..... +C__..�� ..... ...................................... Street ... k�[._..---.- .... ./........ .�...._..........._........._.. State work to be performed and purpose of building (By Floors) ..... W_..!ri.MSL.f!% {........... ?# t- !q. L--.. r+ ......................... ............................... New Building . .............•........... ---. Remodeling-- •- --................_......... Addition ..........._._..........•.... Repairs.._..... _..-- °---- ....-- ---.........No. of Stories .......... ......... Service Overhead Siz Underground e Feeders .................... Conduit ................ Main Sw ............................... Amps ........................... Main Fuses......................... ... Amps Type of Installation— Conduit ........................ Tubing ........................ B. X. L ......................... Metal Moulding ..................................................................... ... ....................................................................................................................................................................................................................... ............................... _ ...................................//.... __._............._........--•-- - - - - -- .. Amount of Permit $-., ......... ......................................................... (Signed) ....... .._t:.��r ............ Electrical In r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblf�ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .......... ....1................ ......... .._. ..2--as-te.r.-Eectrician. ... .._.._...--- ............ STATE OF FLORIDA, t ss. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared...........................................................................•- --...................._....... _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...................................................... ..............----- of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ...................................................... ....................................................... .......................................................... ................................................... My Commission Expires Notary Public, State of Florida NOTE: A re• inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST — CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.5 HP TRANS. CONTR. LIST d CHECK Service Overhead Siz Underground e Feeders .................... Conduit ................ Main Sw ............................... Amps ........................... Main Fuses......................... ... Amps Type of Installation— Conduit ........................ Tubing ........................ B. X. L ......................... Metal Moulding ..................................................................... ... ....................................................................................................................................................................................................................... ............................... _ ...................................//.... __._............._........--•-- - - - - -- .. Amount of Permit $-., ......... ......................................................... (Signed) ....... .._t:.��r ............ Electrical In r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblf�ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .......... ....1................ ......... .._. ..2--as-te.r.-Eectrician. ... .._.._...--- ............ STATE OF FLORIDA, t ss. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared...........................................................................•- --...................._....... _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...................................................... ..............----- of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ...................................................... ....................................................... .......................................................... ................................................... My Commission Expires Notary Public, State of Florida NOTE: A re• inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ai = ' ' iami bores illage F L O R I D A • APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation s described below, and for inspection of same after installation: n Date � Z G 193_ Owner _ 1 ArlrlrP,,c It a Building Contractors `_:m! ' Electrical Contractor d5 Location of proposed work: Lot - A'3 Block Subdivision i Building: Old or new Number of stories__— Used as Description of proposed work ►,,[ "_ a Details of proposed work: Number of Motors H. P. Volts Amps. Phase OUTLETS MOTORS EC TACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS GEN. MAIN SUB BRANCH Basement First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors _ Additional Information Signature of Applicant CAI-t• -.– Address (if other than owner or contractor) -3 S �'� `� `��r 01 (SPACE BELOW FOR INSPECTOR'S USE ONLY) j Work begun Inspected1� Work finished Final inspection Inspector aiami Jhores'�!__illage F L O R I D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation -as described below, and for inspection of same after installation: Date 1A 193 �c Owner Address Building Contractor Electrical Contractor Location of proposed work: Lot __`_Block _Subdivision Building: Old or new Number of stories_ Used Description of proposed work,,d� k Details of proposed work: Number of Motors H. P. Volts Amps. Phase OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB BRANCH Basement First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors Additional Information E Signature of Applicant Address (if other than owner or contractor) (SPACE BELOW FOR INSPECTOR'S USE ONLY) Work begun Inspected Work finished Final inspection Inspector