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Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)785 -2204 Fax: (305)756 -8872 Permit Permit Status: APPROVED Issue Date: 3/1 /2006 Expires: 0210312007 Permit Number: PL- 2- 06-303 Owner's Name: HELAINE HOOD one: 786)486 -1392 Permit Type: Plumbing - Residential Work Classification: Addition /Alteration Job Address: 278 103 Street NE Miami Shores Village, FL 33138 -2304 Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: REMOVE AND REPLACE BATHROOM TUB AND FUCETS Additional Information Type of Work: BATHROOM REMODELING Type of Piping: Additional Info: Bond Retum : Classification: Residential in wnsweraw n or me issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Additions /Alterations $130.00 Scanning Fee $3.00 Technology Fee $3.25 Total: $142.05 Building Department File Copy Applicant Signature Parcel #: Block: 1132060134860 Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 700.00 Underground Rough Water Main Top Out Main Drain Lavatory Water Service Re Pipe Heater Final Invoice Number Amt Due Amt Paid PL- 34)-23986 $142.05 Total: APR 14 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. .ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM- IF A MASTER PERMIT HAS B- OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL TEY ATH TUB UNIT FEE ITEM UNIT SWITCH OUTLETS FF.c ITEM SPACE HEATERS UNIT FEE LIGFIT OUTLETS CENTRAL HEATING IDET RECEPTACLES A/C (WIND) 1SHW4SHER ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN DUCT WORK REFRIGERATION PROCESS AND PRESS PIP DG { UNDERGROUND TANKS ABOVE GROX TAMS RINKING FUJNTAIN LOOK DRAIN REASE TRAP NTERCEPTCR .AVATORY ( { WATER HEATER MOTORS G 1 H? MOTORS OVER 1- 3 1-P MOTORS OVER 3- 5 H? MOTORS OVER s 8 If MOTORS OVER B- 10 H? MOTORS OVER 10- 25 If U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS � MECHANICAL VENTILATION � TRANSPORTING ASSEMBLIES ELEVdTORS/ESCALAT FIRE SPRINKLER SYSTEW I .AMY TRAY :LOTHES WASFER MOWER SINK, POT /3 COMP. 31NK, RESIDENCE 31 W, SLOP TEMDORARY WATER CLOSET URINAL MOTORS OVER 25 --100 If COOL INu TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES } A/C WINDOW I REI.NSP,ECTION I WATER SUPPLY TO: { AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS *TRANSFORMERS I k HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE I SWIMMING POOL OUTLETS CD ERCIAL WATER SERVICE SIGN TIDES SEWER CONNECTIONS } • SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UT I L I TY -WATER F I XT AES SEPTIC TANK ANTENRA { RELAY I TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. { VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECT ION SOAKAGE PIT CU. FT. I CATCH BASIN { DISCHARGE WELL OOM'.ESTIC WELL } AREA DRAIN ROOF INLET l I I SOLAR WATER HEATER, FIRE STAMP1PE POOL PIPIM I } { } ! } k I LAWN SPRINKLER SYSTEM: I } } { } I I k GAS RA%:- } 1 MTETER SET (GAS) k k I k I W_ ?I ?IN": I i VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER. BUILDER DISCLOSURE .STATEMENT I (tJ,,, ,e4,)o being the legal property owner, for the property Located at: 9P e ,"'Llf /0-r St ,� >9r� / 27 3 ��/ 3 d' Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),.gnd I have read and understand the following disclosure Statement, which entitles me t& 3rork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The .exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out-building. ! You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescnbed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk Tlie foregoing instrument ,Was,A,wkaiowlcdged before me this day of 1_t(iV 20�_ `B ,I(( �rha is personally known to me or who has y Produced as identification and who did take an oath.. t, Owner Notary pSAAYPG m _con el Va �x imisftn #D � as p ie.r Jn� D2319,w'� 5,,, 1 v r / »„r;( nod �;Co ZQc� Permit Receipt Permit Number: EL4-06 -961 Invoice Number: EI- 4-06 -24481 Applicant: HELAINE HOOD Company Name: Date Payment Type CheckNum Amount 04/14/2006 Check 1182 $111.30 Total Payment: $111.30 Friday, April 14, 2006 Page 1 of 1 - ®y " ®R$ ` Inspection Worksheet q Miami Shores Village -"" 10050 N.E. 2nd Avenue Miami Shores, FL �F'dTES IN C' �ZOR Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/2112007 Permit Type: Plumbing - Residential Inspector: Levrack, James Inspection Type: Final Owner: HOOD, HELAINE Work Classification: Addition /Alteration Job Address: 278103 Street NE Miami Shores Village, FL 33138 -2304 Phone Number (786)486 -1392 Parcel Number 1132060134860 Project: <NONE> Block: Lot: Contractor: HOME OWNER Buildina Department Comments REMOVE AND REPLACE BATHROOM TUB AND FUCETS FEB 2 2 2001 `f® I t Comments Passed Failed Correction Needed k Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, February 20, 2007 Page 1 of 1 Inspection Date: 09/08/2006 Permit Type: Plumbing - Residential Inspector: Levrack, James SEP 11 RV Inspection Type: Rough Owner: HOOD, IHELAINE Work Classification: Addition /Alteration Job Address: 278103 Street NE Project: Contractor: Miami Shores Village, FL 33138 -2304 <NONE> HOME OWNER - Comments Phone Number (786)486 -1392 Parcel Number 1132060134860 Block: Lot: Re- Inspection Fee ($75) . No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, September 7, 2006 Page 1 of 2 g�{'IR Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �EORraP Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 09/08/2006 Permit Type: Plumbing - Residential Inspector: Levrack, James SEP 11 RV Inspection Type: Rough Owner: HOOD, IHELAINE Work Classification: Addition /Alteration Job Address: 278103 Street NE Project: Contractor: Miami Shores Village, FL 33138 -2304 <NONE> HOME OWNER - Comments Phone Number (786)486 -1392 Parcel Number 1132060134860 Block: Lot: Re- Inspection Fee ($75) . No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, September 7, 2006 Page 1 of 2 'i 7 Inspection Date: 06/0712006 Inspector. Levrack, James Owner: HOOD, HELAINE Job Address: 278103 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: HOME OWNER Buildina Department Cemmentc Permit Type: Plumbing - Residential Inspection Type: Underground Rough Work Classification: Addition /Alteration Phone Number (786)486 -1392 Parcel Number 1132060134860 Block: Lot: Tuesday, June 6, 2006 Page 1 of 2 Passed Inspector Comments Failed E]_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, June 6, 2006 Page 1 of 2 Permit Receipt Permit Number: PL -2-06 -303 Invoice Number: PL -3 -06 -23986 Applicant: HELAINE HOOD Company Name: Date Payment Type CheckNum Amount 04/14/2006 Check 1182 $142.05 Total Payment: $142.05 Friday, April 14, 2006 Page 1 of 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 411412006 Expires: 02/0312007 Permit Number: EL -4 -06 -961 Owner's Name: HELAINE HOOD one: (786)486 -1392 Permit Type: Electrical - Residential Parcel #: 1132060134860 Work Classification: Addition /Alteration Block: Lot Job Address: 278 103 Street NE Section: PB: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME: OWNER YES Comments: CHANGE SWITCHES AND LAMPS IN EXISTING BATHROOM Additional Information Type of Work: BATHROOM RENOVATION Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work coverea nereunaer in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.30 Building Department File Copy Applicant Signature Total Square Feet 0 Total Valuation: $ 100.00 Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Invoice Number Amt Due Amt Paid EL -4-06 -24481 $111.30 Total: APR 14 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. °R$ Inspection Worksheet Miami Shores Village _ 10050 N.E. 2nd Avenue Miami Shores, FL or LF7arEe�, Oet °� Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/21/2007 Inspector: Devaney, Michael Owner: HOOD, HELAINE Job Address: 278 103 Street NF Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Miami Shores Village, FL 33138- Phone Number (786)486 -1392 Parcel Number 1132060134860 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Denartment Comments CHANGE SWITCHES AND LAMPS IN EXISTING BATHROOM FEB 2 2 2007 Passed El Inspector Comments Failed���� •e r Correction Needed �rz h ez V����� Re- Inspection Fee a ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, February 20, 2007 Page 1 of 1 s` • • ••• • • • ••• • • • • • • • • • • • • • o • • s • • • • • • • •• • • • • • • •• • i • •• ••• •• • ••• • • • • •• • Fora Wit- _ �Nt�A�eF . . ... . . ... . .. . . . . . Fora Wit- _ �Nt�A�eF set see . . . . . . . . . . . .. .. . . . .. .. 000 Gee 0 .. . . . . . . . . . . . . . . . . Permit Receipt Permit Number: RC- 2- 06-302 Invoice Number: RC -3-06 -23981 Applicant: HELAINE HOOD Company Name: Date Payment Type CheckNum Amount 04/14/2006 Check 1182 $215.90 Total Payment: $215.90 Friday, April 14, 2006 Page 1 of 1 Issue Date: 31112006 Owner's Name: HELAINE HOOD Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Type: Residential Construction : 02103/2007 Permit Status: APPROVED Permit Number: RC -2 -06 -302 Parcel #: 1132060134860 Work Classification: Alteration Block: Lot Job Address:. 278 103 Street Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: REMODELING BATHROOM TILES Additional Information Type of Construction: BATHROOM REMOD Occupancy: Single Family Stories: NA Exterior. NA Front Setback: NA Rear Setback: NA Left Setback: NA Right Setback: NA Bedrooms: NA Bathrooms: NA Plans Submitted: Yes Certificate Status: NA Certificate Date: 2/3/2006 Additional Info: NA to me of this permit, I agree to covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $1.80 Education Surcharge $0.60 Notary Fee $5.00 Permit Fee - Additions /Alterations $100.00 Scanning Fee $6.00 Technology Fee $2.50 Work without Permit Fee $100.00 Total: $215.90 Building Department File Copy Applicant Signature Total Square Feet 0 Total Valuation: $ 2,500.00 Slab Termite Letter Fill Cells Columns Tie Beam Window and Door Buck Window Door Attachment Framing Insulation Drywall Screw Ceiling Grid Final PE Certification Shutter Attachment Shutter Final Invoice Number Amt Due Amt Paid RC -3-06 -23981 $215.90 Total: 14 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Job Address: 278103 Street Miami Shores Village, FL et Project: <NONE> Contractor: HOME OWNER o..Hd:.... 11w.....4..,... -4 Phone Number (786)486 -1392 Parcel Number 1132060134860 Block: Lot: Thursday, March 15, 2007 Page 2 of 2 REMODELING BATHROOM TILES MAC 2 0 2001 L fl Inspector Comments Passed call 786- 222 -5590 Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re4nspection fee is paid. Thursday, March 15, 2007 Page 2 of 2 in%'. Inspection Date: 03/09/2007 Inspector: Devaney, Michael Owner: HOOD, HELAINE Job Address: 278103 Street NE Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Kod%_4301 Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village, FL 33138- Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)486 -1392 Parcel Number 1132060134860 Project: <NONE> Block: Lot: Contractor: HOME OWNER Buildina Denartment Cnmmpntc CHANGE SWITCHES AND LAMPS IN EXISTING BATHROOM PEAR 14 2007 Inspector Comments Passed Failed Correction Needed - Re- Inspection Fee �j �d - ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . / _r Monday, March 12, 2007 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F ka), tm Phone: (305)795 -2204 Fax: (305)756 -8972 Job Address: 278103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Buildina Deoartment Comments 1157k,; Phone Number (786)486 -1392 Parcel Number 1132060134860 Lot: CHANGE SWITCHES AND LAMPS IN EXISTING BATHROOM MpR 1 5 2001 Passed Inspector Comments Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, March 13, 2007 Page 1 of 2 &� � � inspection Worksheet / Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL R�tizH� Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/09/2007 Inspector: Devaney, Michael Owner: HOOD, HELAINE Job Address: 278103 Street NE Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration Miami Shores Village, FL 33138- Phone Number (786)486 -1392 Parcel Number 1132060134860 Project: <NONE> Block: Lot: Contractor: HOME OWNER Buildina Denartment Cnmmpntc CHANGE SWITCHES AND LAMPS IN EXISTING BATHROOM Passed Inspector Comments Failed ®des / �y�n eh, 0 Correction Needed s Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid . Thursday, March 8, 2007 Page 1 of 2 Permit Receipt Permit Number: BP2002 -162 Invoice Number: imp -1 -06 -23326 Applicant: None None Company Name: Date Payment Type CheckNum Amount 01/03/2006 Check 095469 $60.00 Total Payment: $60.00 Tuesday, January 3, 2006 Page 1 of 1 I Inspection Worksheet ((y) Miami Shores Village t Itt6i :Iiltm t 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 04Mn Permit Type: Residential Construction Inspector: Grande, Claudio Inspector Comments Passed Inspection Type: Re Occupancy Owner: HOOD, HELAINE Work Classification: Re- Occupancy Job Address: 278103 Street NE Miami Shores, FL 33138 -2431 Fee Phone Number (786 )486 -1392 Project: <NONE> Parcel Number 1132060134860 Block: Lot: Contractor: Building Department Comments f APR 0 6 2007 Inspector Comments Passed Failed a Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Monday, March 19, 2007 Page 2 of 2 RE- OCCUPANCY Da Contact Name Buyer Seller Property Address lvliaml Nnores village Building Department ti MAR 1 9 2007 jj Y: 10050 MEW Avenue Miami Shores, Florida. 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Loc ID , I '� Company Name. City Miami Shores State Fl Zip I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name Signature The IT- regoing instrument was acknowledged before me this day of -1 20 by ` who is personally known to me or who has produced x10 as identification and who did take an oath. OTARY PUBLIC: Sign: a� Re -Occ. $60.00 �) Print: �o 23`04 Notary $5.00 My Co ission Expires. :'��?`P ; C ;Njes $0.60 Total (6 Building Officials Approval: (Rev. 10102/03) oil 0 0 j I - ; 'A (> MIAMI SHORES VILLAGE Art BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is here ly 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 f 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. 0� Date...- ...... . .. . ........... Owner's Name and Ad ess.- No...?E ............. . ...... . ... 71 ... . ... . ... ................ . ......... zz.._ Street —p"jE ................. . .......... Registered Architect an /or Engineer ...... ............ ....... . . ...... . . . ...... ........... I " ..... * ------- * ------ * --- ----------------- *",-- — ----------------- - - --- -------------------- -- Name and address of licensed contractor ---- 4-11 -,PC ow"te J'A. 2 Location and legal description of lot to be built on: Lot- .-- __.__-.-_--_____......... 1------ -- Block------------- -- ----- ------- - - -. -- Subdivision-------- .----- - - -._- Street and Number where work is to be done_........_ — - - - -------- - -- State work to be done I purpose of building (by floors)--a-2, .......................... . .... . ........... . ... . .... . ........ . ... ----------- ___--and for no other purpose. New Buddtng_.___L-., .......... Remodeling ...................... Addition__ . . ................ Repairs ---------------- - -------- No. of Stories .......................... To be constructed of_ ASz_V4.'.a_ .... / ... i.-.. Kind of foundation .... . ... Amalc ................................. — Roof Covering.......... __.........._- ._........_..._._ V Estimated Total of improvements $- -_ -_.. -----_—Amount of Permit $-- - - -_._ . . . ....... . ..... ............. . ......... Zone cubage required.4 ......................... -------- ___ Plan ----_-----_-- Distance to next neareot —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 thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be �X under this permit; and will post or cause to be posted for inspection on the site of the work such public notice 11 z rf or notices as are rc uWj by the Act. The undersigned agrees to employ only such tractors oniymk to be performed under this rtl permit, as are licensed Miami Shores Village. Remarks ow�- _. �- (Signed) STATE OF FLORIDA ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized administer oaths and take acknowledgments, personally ap- peared me well known, and who, by me first duly worn, upon oath deposes and says that he is the . .......... ...................................... . .................. . .. . .. . of the above nl scribed 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- - ------- - ---- - ---- . ....... ... . ..... . . . roved Date--- Notary Public, State . of . Florida (Signed) Chairman Member Member ........... Council Approved_ NOTE: A charge the Planning B6ar'Idtr A re-imspection fe materials and/or works Inspector My Commission Expires. ....................... . . .......... . ........ . .... . .. . _ PLANNING BOARD ------- — ------- - - - - - ------ ----_....DATE Member-------- --------- - - . .. . .......................... . ........................ . .. Member.. . ............ . .... . ..... . ... . ....... . I ..._....._.--•--•------_._.....---------....-- _ Member . ............. . . ... . . .. Disapproved--- ---------- --- ----------------------- ------------------------------------- Date $1.00 will be made for making corrections or changes to this application after approval has been obtained from $1,00 will he charged when such re-inspection is madenecessary by improper notice for inspection or faulty Lip. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -662 Printed: 4/25/2003 Page 1 of 1 Applicant: ARTURO SALOW Owner: SALOW ARTURO JOB ADDRESS: 278 NE 103 ST Contractor Contractor's Address: Local Phone: Parcel # 1132060134860 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE Fees: Description Amount FEE2003 -2452 Building Permit Application Fee $60.00 Total Fees: $65.60 FEE2003 -2453 CCF $0.60 FEE2003 -2454 Notary Fee $5.00 Total Receipts: $0.00 Total Fees: $65.60 Permit Status: APPROVED Permit Expiration: 10/21/2003 Construction Value: $200.00 Work: INTERIOR DRYWALL (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 responisibility for all work done by either myself, my agent, servants or employes. 0 i Signed: e. r (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereb), 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 (hdinance 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 budding during piggress of the work. Date.r - ---------- - --- Owner's Name and Address.....PAM-AM FOUNDATION . . ................... . . Noy 1�250144_ Sbv@LN-_E.. 8TH AVENUE Registered Architect and Vor Engineer.—.... ................. . ... . ............ .... .......... ! .............. ............ ......... ........................... Name and address of licensed controctor ..... C E. SHEPPARD ROOFING INC. 41 N. W. » 20TH STREET MIA_ MI FLORIDA Location and legal description of lot to be built on: Lot—.....- . ................. Block.- '"*** ..... Subdivision.......- Street and Number where work b to ��'done 278 N. E. 103 STREET State work to be done and purpose of building (by — ----- UR PW ».. » «........... «. . .. ...... . .. . ................. » » « »». » ....« ... «.«.«.»» . « « ». «. ---and for no other purpose. New Building ........... .. .............. . Remodeling ..._.................._ Addition .......................... Repaid ... . ............... .. No. of Stories.—A...- To be constructed of ........................... Kind of foundation ..»..»..._-................ ............................... Roof Covering . . .... . ...................... . ...... . . .) Estimated Total 0,1 0 " cost of improvements $ ... . ....... 4,080.00 .Amount of Permit $ -�, . ...... . .............. Zone cubage required._......_ .... » .. ».__.__. ... __ »... _ .. __3Ian 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 buildini. All notices with reference to the building and its construction may be sent to ................... C. E. SHEPPARD ROOFING, INC. 41 N. W. 20TH STREET MIAMI, FLORIDA 33127 ._..- .-- -- •-............_...... ............. ........... . ........ ...... - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an el"P103•er of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ceneral 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 hi in the work to be performed under this permit; and will post or cause to be posted for inspecti the site of the work such ublic noti or notices as are required by the Act. The undersigned agrees to employ only such su ct on wor be perf under permit, as are licensed by Miami Shores Village. Remarks..__.___..._...._. (sign STATE OF FLORIDA, COUNTY OF DADE. I S& Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persottally ap- peared. . . . ............................. ............. me well known, and ho, being I by me first duly sworn, upon oath d I that be is the...R.Q.Qj agntgactox W deposes and says .. .. .. ..... ...... . .................. . . __ ». . ............. Of the above described construction, that he has caref)Wy read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. . . . ...... Date.— M 0 Permit Read, Sworn t d Subscribed before me. 'o a N Disappr�,, Date.— ...... 112�.. I ..... .. ... NO 4 lie, State of Florida (Signed) frobt -ate of flotih, jotgly 1c, 5f Building My Commission Exo,-,, Gott s a botm Apfff PLANNING BOARD . . . . .. . ....................__..» ...DA7Vnded Thru Troy fain -Insurances 11K Chairman .. . ...... ........ Member .Member Member Member .. ... .. ...•..•.... member — Council Approved-......- ---Date Disapproved NOTE: A charge of $1.00 will be made for nuking corrections or changes to this application after appro%ml has Iwo obtained from the Pl;knnir,_, Board. A re-inspection fee of 11.00 will be charged when such re-inspection is made necessary by Improper notice for inspection ar faulty- materials- and/or workmanship. �b �� 3C7 M 0 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is here made for the approval of the detailed statement of the plans and specifications herewith submitted far the build - img or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami 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. rte" k Date_---- ° _. i�. .� ...... ... .. ..... . ......... ,19. / _ .._ Owner's Name and Address ....1 t" . ®....._..._._._.....__:._ ....::..:t— ...--- ._.. „_.._._ No.__ ��_._._.._. Street.—A-'/ Registered Architect and /or Engineer ...... ..... - - - .__..� ..._� . ..................... .._..._._—__...-----__-. .--__-_ ................ ___................................. Name and address of licensed contractor._ -r A l ncxL -c o- — Pg .._ .. . ................._. .....,_........___............ 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 (by floors)�ll +� rt.lC_� ----------------- - - - - -- - - -- - _= - - _.._�_.. __ _ _.._._ ----- ---- _- -------- -- .... y.._..._..._.,------ - --- .... and for no other purpose. New Building__.__.:_.J ............. Remodeling .............. ....: .... . Addition .......................... Re P aifs...--- ..1 . No. of Stories .......................... To be constructed of_ .......... _ ........... ... Kind of foundation..__..._._.....---- _- .-- _----- _----- _._ ........ _. Roof Covering ........................................... _... Estimated Total cost of improvements $. _ 4 Amount of Permit $ ....... LL O !:a 4. Lam' ra j_..........._« Zone cubage required ----- -- -- ---- ___- ........... _. . _ __. plan Cubage - -_ -•. Distance to neat neare�t building __...........____�_..._. .._...._Size of Building Lot __. Maximum live load to be borne by each floor_..__.__ � - - -._ __ __ _ _ s__ - -- - -- _ .................... 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 a plicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Of labor under the Flor da Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement, and has complied with We rovisions 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 tl to of the work such Public notice or notices as are required by the Act. The undersigned agrees to employ only such sit ntracto� o work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ___ __ STATE OF FLORIDA, COUNTY ,l' ' COUNTY OF DADE. J so. (,� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared __ -- _ --tome well known, and who, ��� by me first duly sworn, upon oath deposes and says that he is the .._ .......... _ ....... _._.__._ .................. _. .......__ ............... _.._.._ of the above cTeseribed 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"1 Z ” __— ._.. Date. ®L _lL..._ Read, Sworn to and Subscribed before me. Disapproved Date _ (Signed) - ------------------------- - :..,.... - Building Inspector _---- ...... _ ............ .... ------ ----- ----- - ---------- - --- _ Notary Public, State of Florida My Commission Expires ___ ................... - .- .......... _ ... _. ._._ «. PLANNING BOARD. « -___.- _._ __ -_DATE Chairman._ — ._...___... . _«_ _. _ _ Member - - - - - -- _ .__ __-- ---- -- - ------- _ _- ...._ Member Member Member ._:.__. -- ___._ _ Member Council Approved. Date Disapproved - - -_- ---._- --- _--_--------------_ _- _- ---------------------------- Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is Hereby read the approval of the detailed statement of the plans and specifications herewith submitted for the building or;-other structure herein described 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 Flarld% all "dinancos 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 � � " ) :_. �_ _ .V ree _.._ Registered Architect and /or Engineer Employing plumber•. Nam ivo Location and, Legal Description Block Subdi Street and Number when � is to be performed—No- F ® Street.__ f 4� - State work to be performed) and pawn of building (BY Floors) __•- New.Budding __ _ Remodeling Addition______ -- Reps---- -___. -__. —_ No. of Stories_ -- ------ _ ........ _ - CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS UR�NALB CATCH, BASIN FLOOR . DRAIN DRINKING FOUNr,NS TOTAL.. FIXTURES LIST CHECK SEPTIC SEWER DRAIN. SOAKAGE GREASE• SOLAR DEEP SPRKLR. SWIM,G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL' CQWM. LIST CHECK Size Septic T Type of Tank — Fed __ __ _ _ . _ __Capacity Gals. _ _ �__. - - - - -• -- ___ -- 2ty—wa J a Feet Of Drain Tile Feet of Tank or Drain Field from Well �_ __. ___ _ ��__ _ .____. Nature of Water Supply:. I _ .__ _ _Size of Soakage Pit Amount of Permit $ (Signed)—_ _ - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ors as an employer of labor under the Florida Workmen's Compensation Act, being Section 8988, Compiled Canard Laws of Florida P t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em loyed by him in the work to be 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 by the AcL The signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are 'Hamad by Miang Shores ge. 4w Yu (I (signed) Master Plumber. STATE OF nD=A, COUNTY OF'DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and. take admowledgments, personally appeared to me well known, and who, being byme first duly sworn, upon'oathdep oses and.says that he is the of the above d construction, that he "hk i carefillly read the regoing application, and that he did sign the same, and that all facts therain by him stated are true. . iiy Ckwunisston Sspires Notary Public, State of Flmida NOTE: A re- inagectio0 fee of $1.00"w111 be made when a wk re- inspection is made•newmary by improper notice for inspection, or faulty materials and /or wodimanship. . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT is hereby made for the approyal of the detailed statement ment 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 e, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and f e Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of- approved regulations of plans and specifications must be kept all building during progress of the work. Date- -- ....... - - - - - - - - ------------ - ----- Owner's Name and Addross..._4k-___0 ----- - - 44 ------- o• - - -•. -------- ----- - --- Street-------------------- - - - - -- Registered - Architect and/ Or Engineer... --- --------- 0 L ------------ ---------_---------- — ----------------- Name and address of licensed Location and legal description of lot to be built on: Block------------ - - - - -- ------- Street and Number where work is to be done ------ - "o State work to be done and purpose of building (by floors) -------- for no other purpose. New Building----- -- ---- -- - - -- ........ Remodeling -----------_-----_------ Addition-- --- ------- - - ---- ------- Reps--- ---- - - - ---- ------ No. of Stories--- -•- -- --- -.......___... To be constructed of -----------_----- _ ------ Kind of founck#on ---- - ------- - ----- ------ ...... .... - .......... ............................ ? ---------------------- __ Roo Co�gnng... Estimated Total cost of improvements $ ------ - ----- Amount of Permit $ --------- - -- 4--� Zonecubage required------------------------------------------- - - - - -- -------- ----- - - - - -- --.Plan Cubage ------_-----------_ - - --------- _.. ----- - --- - - - --- - ---- ---------------- Distance to next nearest building ------- ___ --- - - - ------------ ---,-.---Size of Budding Lot -------- - — - - — - -------- - ----------------------- * -------------- Maximum live load to be borne by each floor -------- - -------- - - - - - — — - - -------------------- - -- - ---- - -- - -- I hereby Asu it all the palm an specific tions for said building. _All notices W4 reference jo thefiuflding and its construction may be sent to- ':P7 X0 The dersigned 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 SupTleinent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for insp ction on the site of t e work such )he notice or notices as are required by the Act. The undersigned agrees to employ only such subco actors, n v4prk t be !rfo r this permit, as are licensed by Miami Shores Village. (Signed)-- ...• . .. STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared— --- — ------------------------- __ - ------ - ----------- ------ ------- ------ - - - - -- ---- - ------- i — — — ---------- - ---------- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ------------ __ ........... — ------------------- - - - --- . .................. ------- of the vein construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him ed are true. ((- Permit No e, 4 7 -------- Date._ Read, Sworn to and Subscribed before me. Disapproved Date - -- - ---- - ------------ (Signed) ------- - ------ - ------ c io Building Ins;pecto, My Commission Expires ---------- -------------------------------- - --- - - ---- P I NING BOARD Chairman - - -_--------- dl . . ... . ..... . . . ........... Member — -------- - - ---------- ---------- - --- - - - ------- Member-- - - - --------------------- - ----- ----------- - - - - - - - - ---------- Member -- — ------- - --- - ----------- - ------_-_---- - ------- . ........... . . Member .-. -------- — - --------- Member Council Disapproved ------ - -- - ------ -------------------------------------- --------- .............. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date— Jan. 17 __`1962 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 Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Fladda, 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. ownes Name and Addreso— W. Q. Lanize No- 2r/El.--- Street—N-.&_.10.a- _.:_:- -_--_...... Registered Architect and/or Engineer Employing Plumber's Na.] Southeastern Natural Gas Q IWo--2&0-xftR-x— S 29 Ave, Liocation and- Legal Description T&t Block Subdivision Street and Number when work Is t6 be perforated —No -- State work to be perfmmell and purpose of budding (By Flom)— N ew Buddhw— Beroodeling Addition---.. Repairs_-- ..._.------- . -._- -- No. of Stories --- ------ - - ----- Size Septic Tank— 1.--Type of Tank—Iffli-prune —Capacity Gals. --.-- . .. . .. ... . ....... Fed of Drain 7116-1 - D red of Tank or Drain Field from Wen . . . . ......... Nature of Water Supply: City—Well. Sim of Soakage Pit ............... — �o Amount of Permit $ C The undersigned applicant for this budding permit does hereby certify that he understands and accepts q gations as an employer of labor - under the Florida Workmen's Compensation Act, being Section 59m, Compiled General Laws of Florida ent Supplement, and has cone pled with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him m 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 reqtoed by We Act. The jundersigned agrees to employ only such sub - contractors, on work to be peftmed under this permit, as are licensed by Wad Sham Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersisned authority, a notary public, d► authorized to administer oaths and take acknowledgments, personally appeared to of the above me well known, and who' being b described therein by him stated we true. first duly sworn, apart `o*& oses and-says that he is It he has carefully mad theftregoing applicatkm, and that he did sign the same, and that an 4acts; Notary Public, State of Florida NOTE: A mihspec pfee of 0.00 will be made witen such =-inspection is made•neoessarr by Improper notice for inspection, or faulty mate" and/or arorlmaa CLOSETS BATH T us$ SHOWERS LAVA, TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FouNrNe TOTAL FIXTURES CONTR. LIST CNxCK SEPTIC TANK SEWER CONN. DRAIN . FIELD .SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP SPRXLR. WELL SYSTEM SWIM•G POOL LIST - CHECK Size Septic Tank— 1.--Type of Tank—Iffli-prune —Capacity Gals. --.-- . .. . .. ... . ....... Fed of Drain 7116-1 - D red of Tank or Drain Field from Wen . . . . ......... Nature of Water Supply: City—Well. Sim of Soakage Pit ............... — �o Amount of Permit $ C The undersigned applicant for this budding permit does hereby certify that he understands and accepts q gations as an employer of labor - under the Florida Workmen's Compensation Act, being Section 59m, Compiled General Laws of Florida ent Supplement, and has cone pled with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him m 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 reqtoed by We Act. The jundersigned agrees to employ only such sub - contractors, on work to be peftmed under this permit, as are licensed by Wad Sham Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersisned authority, a notary public, d► authorized to administer oaths and take acknowledgments, personally appeared to of the above me well known, and who' being b described therein by him stated we true. first duly sworn, apart `o*& oses and-says that he is It he has carefully mad theftregoing applicatkm, and that he did sign the same, and that an 4acts; Notary Public, State of Florida NOTE: A mihspec pfee of 0.00 will be made witen such =-inspection is made•neoessarr by Improper notice for inspection, or faulty mate" and/or arorlmaa MIAMI SHORES VILLAGE l PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. _. Z J 3. Date.. Jf'_ / _... r /.779 Application is hereby made �or the approval of the detailed statement of the plans and specifications herewith subm tied for the building or other structure herein described. This application b made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Law of the State of Florida, all ordinances of Miami Shares Village and all rules and regulatiow of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spedfications must be kept at building during progress of work. Owners Name and Address.�_A -urn So-10 U'" _.._. No.�.L �r ! ..... Street.. _ registered Architect and /or Z mploying Plumbers Name Location and Legal Oesctiption Lot �/� 1kh" - Subdivtdon- _- .._-_.,-�.-.�..- Street and Number where work is to be performed —No.� 1—L I y 3 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 Feet of Drain Tile—.' Di Feet of Tank or Drain Field frown Nature of Water Supply: City—Well. _ _ -Size of Soakage Pit Amount of Permit 5 - -- (Sige►ed j _ -� -- -- f - _ _ . lumbins Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent lupylement, and bar con - plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed t him in 6e work co b® performed under this permitl and will post or cause to be posted for inspection on the site of the work such publi : notice notices as ay. required by the Act, The undersigned agrees to employ only such sub - contractors„ on k to be performed °::,:der d porrlmii, as ar licensed by Miami Shores Village. r. (Signed) _ - Ma... Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personalty cppeared', to me well known, and who, being by me first duly swarm, upon oath dpuses and says that he id the_ ___.---- _--- ___ -... _ _ _..�._......... . of the above described construction, that he has carefully read the foregoing application, a� that he did sign the same, and that all facts therein by him stated are trine. My Co Imisston Expires Notary Public. State of Flod& NOTE: A ro- inspectio4 fee of $1.00 will be made wham wmi► sB°Imspsottom d mada•oeoessaey by improper I. for inspection. or &ukty materials NJlor workmanship. CLOSETS BATH Tuns SHOWERS S LAVA TOXIC; SLOP SINKS LAUNDRY Tun URINAL/ CATCH BASIN FLOOR- DRAIN DRINKING FOUNT•N! TOTAL FIXTURES CONTR. LIMT CHECK SEPTIC SEWER DRAIN SOAKAGC GREASC SOLAR DEEP SPRKLR. SWIM'O TANK CONN. FIELD PIT TRAP NEATER WELL SYSTEM POOL I CONTR. LIST CHECK Size Septic Tank Type of Feet of Drain Tile—.' Di Feet of Tank or Drain Field frown Nature of Water Supply: City—Well. _ _ -Size of Soakage Pit Amount of Permit 5 - -- (Sige►ed j _ -� -- -- f - _ _ . lumbins Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent lupylement, and bar con - plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed t him in 6e work co b® performed under this permitl and will post or cause to be posted for inspection on the site of the work such publi : notice notices as ay. required by the Act, The undersigned agrees to employ only such sub - contractors„ on k to be performed °::,:der d porrlmii, as ar licensed by Miami Shores Village. r. (Signed) _ - Ma... Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personalty cppeared', to me well known, and who, being by me first duly swarm, upon oath dpuses and says that he id the_ ___.---- _--- ___ -... _ _ _..�._......... . of the above described construction, that he has carefully read the foregoing application, a� that he did sign the same, and that all facts therein by him stated are trine. My Co Imisston Expires Notary Public. State of Flod& NOTE: A ro- inspectio4 fee of $1.00 will be made wham wmi► sB°Imspsottom d mada•oeoessaey by improper I. for inspection. or &ukty materials NJlor workmanship. w ru�i .,%N DADE COUNTY, FLORIDA 1 I. •` ADE rAI Nk METRO -DADE CENTER B"M OF WM AND APPI3" STRUT told III N.YI� Ut TFtF.87' Bonn 4 VAMow MML RLORM = (M) 3764r88'1 Kfabm AMVA W JWW AAW rNWAeAL Mm* ZOWWO A. AwAri Ted bf& 08W DMa, .10" Cww &ado tmaa A DUAW AMU aWd� Awa L4%k Am lb d " sm u Z~ Am* . & jmw PAtMer maim Rau Aimanda � R$o A" P##wd .- A* SWAM ._ 8� coo► ( 305) 375 -•3630 Progressive Glass Technology/ Vinyl Tech, Inc. 155 Center Court Venice, F1. 34292. 4, Your application for Product Approval of series 3000 AIUMI u_ Sliding Glass Wor (rial under Sections 203 and 204 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by DTI, -14 9 6 O (inc 7 . F . F . R .) and d8ted October #,� 1 e 1191 has been. accepted by Product Control under the. Specific Conditions set forth on pages 2 -2a and the Standard Conditions on Page 3 J= Glazed products ACCEPTANCE No . a 92-1113.9 (91R_ G DiaMon , P.Z. APPROVED o March ), 1992 Product Control vision Supervisor EXPIRES 2 Oct. 11, 1995 This application for Product Approval has been accepted by the Metropolitan Dade County Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas of D de County undez the conditions set forth above. APPROVEDS March 16, 1992 C1 App. E. Deputy Secretary Metropolitan Dade County • �► Board of Rules and Appeals .11• . y''1 Series 2000 Aluminum Eliding class Door (XXO) APPROVED MWIRES ,1 r' f0. s . 9, 9'�1 11;3 : g' r 4'i'S "ta 944• . �• , ., L M, arrgh 16, 1492 AAMA 101 -88 SOD -.C50 Dade County Approval. 892 71113.9 (91)�R .Expiress October 11, 1995 Approved for installation up to 75. ft above grade. f dVERAt.L SISE a ' CATITIM Elevation must be reduced in 12, - 1" by 8' - 0" high the coastal construction zone rte. & fi-I ew_ Three, two moving, (XXO as viewed from the exterior); from the left 49 3/4" by 95" high] 48 1/4 by 95" high; 48 1/4° by 95" high. Double pile in each framer jamb, each top rail, each bottom rail and in female astragal stile. Single pile in each interlock stile. One 1 1/20 pile pad in frame head and sill, above and below the interlock and astragal stiles. 22BRU RS W TreNat a One adjustable metallic wheel in each end of each bottom rail. One flush mount metallic lock at each moving panel ,lack stile. One 3/16" diameter steel security lock pin through the interior interlock, stile, into the exterior stile, 68" from the bottom. 3/16" tempered glass. O Zi�itC� 1KETiiefle Channel glazed using a flexible channel vinyl glazing bead. �oT•g�l - --' -A 1/2" notch in each end of each track. Mtn None ttIeTNFAR !WWHTa One 1/4 » by 1 1/4 " and two 3/8 " by 1 1/4 " steel bars in female astragal stile. One 1/4" by 1 1/4" steel bar in each interlock stile. AOe1= - eReir!nrPnTONt A 2 1/2" high overall interior sill flange. Unit- tested--using heavy duty interlock stales and female astragal stile. Fixed paned anchored to frame jamb using four plastic anchor clips, each hooking -to�•- frame jamb and secured to stile w th one No. 8 by 1/2" Tek screw. One 7/$" by 9/16" by 4" by 1/8" a retainer angl. n • y M FiR ns A, ' Q�ft&Aj rjr'� it Diamon Pao d 4 Product Control Division TOM ` M@IM B R(oQe -x- . /Supervisor .v' „r .i.i•. .hr's;. 06 r r, pi /Aa/1993 14101 FROM AN�01�1rm►T+t�nAleNfv/ wwr�s�i VI! w. TO 8930867 r" ACCEPTANCE No.i _92-111A.9 (91I R APPROVED a " Marh 16. 1992 EXPIRES : su y 29 1995 -- exterior at midepan of fixed and right moving panel bottom rail and in frame sill on exterior of feaale.astragal stile. one 7/8" by 7/8" by 4" by 118* aluminum retainer angle on exterior at midapan of the left moving bottom rail, each angle secured to frame sill using four No. 10' by In shoot metal, screws. one 1 3j4 ".by 1 3/4" by 1 5/8" by 1/4" aluminum angle bracket at top and bottom of fixed interlock stile fabricated to fit framer head and sill, each secured with four No. 10 by 3/4" sheet metal screws into fume and two, plus the panel corner assembly screw into stile. one 1/2" by 7/8" by 4" by 1/8" aluminum ang]e In frame head at female astragal stile, secured to frame using four No. 10 by 1" sheet metal screws. An applied continuous aluminum hand rail, secured to the female astragal stile aAd secured to exterior of the female astragal stile with sixteen No. 10 by 3/4" screws, located 20 from each end with 6" centers. one 1" by 1 1/2" by 0.150° alumium closure fabricated to fit frame head at top of female astragal stile.' -f tA4::4 t 5 -:: •i TESTS: SORM ANn MEWOU OF 1%= AMMENT , INTERIOR WINDLOADs 76.0 p.s.f. SILL a D.R.,`9 - #10 x 1" PH SMS EXTBRIOR WINDLOADa 76.0 p.s.f. KEADER9 D.R., 9 - #10 x 1" Fri SMS WATER RSSISTANCR 1 9.10 p.s.f• JXUS a D.R., 5 - #10 x 1" PH SMS AIR INFILTRATION : 0.37 cfm /s.f. FORCED ENTRY. a WM 14960 (PER) N=1. 21ease sae Note s11=ae 3 &&PROVED MR zjj TTQNj UP TOO 75 ftet_ above e2gi st { ng arade This product must be re- +evaluated for structural adequacy when installed within the Coastal Construction Zone in accordance with Chapter 23 Sub - section 2309.2 (b) of the South Florida Building Code. ,• d,l U' ANC =fN�E��►NG- �F�LIC/I.�LF C+7'Nil_Y T 0 VltlYL TECH �.G.r. oa cTS // - ,f/. • Vil YiQM%#& %* # c . a.. Product Control. Division Supervisor 0'� 1. For multiple window Installations, approvod mullion drawings and calculations must be filed with Product Control. 2. This Acceptance will qu&1W smaller units of the same - design and as the unit tested, 3. Aenrw•°- hju er_ angrov_ etev. dgg ud date of ex�eir, Woe, 4, Extension of Acceptance may be considered after a new application has been filed and the supporting data, for ten reports leas than (bur (4) years old, has been re- evaluated, 5. Any revision or change in materials, use or manu(acturo of the product shall automatically be cause for termination, unless prior approval hs granted for revision or change, 6. Any unsatisfactory petforataace of" product or a change in Code provisions shall be grounds for re- ovahtatioa 7. This Acceptance shah! cot be used as an endorsement of any product sales or advertising purposes. B. Aluminum windows and sliding doors have been tested W accordance with ANSUAAMA 101 -88 or for wood window unit by ANSVNWWVA LS, 2.87 and sliding doors ANSW WWDA 1.9.3 -8 and swing doors ANSVNW'WDA I.S. 8.88. p. 10, Swinging doors shall be toned for positive and negative wind pressures as per Chapter 23 of the South Florida Building Dade. Hardware for all windows and doors shad o onform ter Security and Forced Entry Prevention, Chapter 36 of *e South Florida Building Code. The spacfog of fasteners shall be as tested or 24' whichever is less. __. wfirst. fWaner shall be located a aaaximum of 6" from each comer and imultion or stile, Minimum penetration of festaaer shell Was tested or 3/4" whichever is higher. No wood or plastha sWolds or ploy sh+dl be used. Unho othetwlse noted in the test report, Minimum size of scrows shall be No. 8 for first aid acaond floor installations and No. 10 for all other floors above the Bust and second Ooora. a,.+tF^ }/.!.�yt =1.... j1.,y`.11 � R�j ('}(.,�a��.(�(y/¢.�.7 � "`�}rc��( //.�► {y',1r.�.)j fN ti 'f :tit 1n ti�JIJL"J� tl o - 6.9 ( jj/-- V_ A A P&A �Pilm' P.S raduct Control Division Supervisor TOTAL P -05 T ,r t01/19/1995 14101 FROM ANOIE THOMPSON ., p>rogayssive class fachoolow TO 8930867 P.01 ACCLMUCS No -1 =2- 1113.09 (91) APPROM s 01/16/02 X01=8 NQTICE OF AG�CEPTA,�;i+CEs... ADlJglrlptArt This addendum converts this product's present Elevation Rating to the following corresponding ratings Design rwasswse Ratings 51.04 p$py in aoaosdamoe with 1►sCN 7.06. This product has not been subjected to the Impact Test Procedures per Protocol rA 201 -96, therefore, it must be installed with an approved Eurrioane Protection Device. PG�ODMC��3 6 � /16; O . Gil Diamond, P.E. supesvisor Product Contsol Division r-1 -010'19/1995 13154 FROM ANGIE THOMPSON TO 9950867 P.91 N'LTROPOLITAN OADI~ COUNTY, FLOA10A 143-01 MM METRO -DADEt CENTER ' 80AiW OF AULSS AND APPRM SUITE Iota 111 NW In STREET GAa�i.y■ M1AiW, FLOA1D+t 33128.1974 &rtrant JL Nfrrrlraw (UM 3M.4 1 1 W#2ab -= Ma l&srerer .Wanbm PAWN Aw Jame AOW amw &dbl rhadw X na Arid& Oscar affl m lola CalpW rardo cage► low ate !a 2"ft" X. CarbN Dddmr AMW 00UM e Dadd tA1WJ Jarw Lkdpmm Imm 1~ ,Oslo Mal w Sr Jana Amw A* hnmao et No 1 ttaereaea , =: r `..8°°td CQaftB swr Cl+art�+r Qa�er �1..ri7ara ....... a. ter....,.. ( 305) 375, -2610 Progressive Glass Technology/ Vinyl Tech, Inc. 155 Center Court Venice, Fl. 34292. Your application for Product Approval of Series 400 ColoniAl A 1 umi a= Awning Window A ;CID under Sections 203 and 204 of the South Florida building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by = -14801 (incl. F_E -R.) and dated April 10. 1991 has been accepted by Product Control Iind+er the Specific Conditions set forth on pages 2-2a and the Standard Conditions on Page 3 9= ACCEPTANCE No.% 92- 1113.3 (,91) R Kd . , • Gil Diamond, P.R. - APPROVED o March IS, , t Q --Q2 Product Control Divisior Supervisor EXPIRES a &Orfl 10- 1995 .. ° +► *PLEASE NQ�r•r� , This application for Product Approval has been accepted by th+ Netropolitan Dade County Board of Rules and Appeals to be use, in the Incorporated and Unincorporated areas of Dade County under the conditions net forth above. "PROVED: March_ 1,Q s 1292.. Charles Danger, .L*. '- De t;t Secrets �N�tNEI =RINf� I�PI�L_1�;- Af_�t_,L n V13`JYL Tf_�;H F.C. -T. PRODUCTS Metropolitan Dad County Hoard of Rules and Appeal: • pr��iY�s;..i�►�SLIagn Tachnala l./ ACCEPTANCE No a lurch 76. 1992 !� MIRES a ART.i1 10, 4 NQTTCX Mr ACCEPTANCL a 912=TFTC [!OMT'PTQN.Q flE3CAryVTON ©F uN2� c�NED - ACCVRTAMeE.3 SS Monrr. nESTMMTTOR AAMA 101 -88 A-00 .Dade County Approval 692- 1113.3 (91) R Series 400 Colonial Aluminum ExpUesa April: 10, 1995 Awning window A -C30 Approved for installation up to 15. ft above grade. OVERALL SIZE: . • MtiTTONt. Elevation must be reduced in 4' - 5 1/8" by 6' - 4 1/80 high the coastal construction zone No. ��zE 4F VENTSs Five, each 52 3/16" by 15 5/16" high. Double vinyl bulb in frame head,,Jambs and bottom' rail of the four top vents. Single vinyl bulb in frame sill and bottom vent, bottom rail. Rota operator. Automatic metallic hook lock in frame jamba at each side of each vent; a•3/16" by 1/2" lock pin in each Jamb rail of each vent, 8 3/4" from bottom corner of vents. WALUI',}, esn+WR T- 4 Double strength annealed. i Exterior glazed using silicone adhesive and rolled aluminum ,- glazing bead, - -:-.. : RCe_�M` None WDUM $,3. Four vertical muntins per vent; twenty five light colonial. NFORCEMENTs None Flange type frame /00 Y Lamad,Prt Control Div Supervisor 2- h i ACCEPTANCE No. 92 -1111 -1 APPROVED a _1K� a, its „15, 1992_ EXPIitSS s This product must be re- evaluated for structural .adequacy when installec within the 'Coastal Construction Zone in accordance with Chapter 23 Sub - section 2309.2•(b) of the South Florida Building Code. P0P MD ascend, F . E . uct Control D ivision Sprviaor a) ixmws 1 I up INTERIOR WINDLOADa 45.0 p.s.f. SILL s 3 #10 x 1 1/2” PH SMS, EXTERIOR WINDLOAD, 45.0 p.s.f. HEADERs 3 #10 x 11/2" FU SMS WATER RESISTANCE : 8.30 p.s.f. JAMBS a 3 #10 x 1 1/2" FH SMIs AIR INFILTRATION : 0.04 ctm/s.f. FORCED ENTRY i MM 14$01 '(F'ER) N=1 Please se�_Nat� �i 7 _ a:AMb i This product must be re- evaluated for structural .adequacy when installec within the 'Coastal Construction Zone in accordance with Chapter 23 Sub - section 2309.2•(b) of the South Florida Building Code. P0P MD ascend, F . E . uct Control D ivision Sprviaor a) ixmws 1 I up 01/19/1995 13155 FROM ANGIE THOMPSON PxVJ"&ssive Bias* Teamolow TO 8930867 RC xPTAVCR Ro.1 92- 1113.03 (01) "PROWD = 03/16/92 JWIRBS 104/10/95 P.02 KOT=CX OF #CCHPTANCX s ADDZU010K This addendum converts this product's present Blevation Rating to the following corresponding rating 064*9a pressure Ratings 30.00 p8p, is ae4osdaaee with MCM 7 -88. This product has not been subjected to the Impact Teat Procedures per Protocol PA 201 -94, therefore, it must be installed with an approved Hurricane Protection Device. 9 1 lam\ �:4. b,i 4 -� NJ+�1�.4 ®w..• 0 .1✓W�Y ��Y P�04� Gib, Diamond, P.B. Supervisor Product Control Division s" f 01/19/1995 13156 FROM ANGIE THOMPSON TO 8930867 1. For osultiplo window iastaUations, szpproved =Q= dmwwp and CWCWations must be filed vitb Product Control. 2. This Aocepum will qua* smaller ueits of the Snare design and as the unit tested. 3. 4. F.xteadon of Acceptance may be considered after a now application has berm filed and the supprdlq data, &C test reports lass than four (4) years old, has been re- evaluated. S. Any revision or grange in materials, use or manufi+cture of tha product shall automatically be cause for termination, unless prior approval is granted for revision or changer b. Any unsatisfactory pe&rmance of this product err a dump in Code provisions shall be grouads for re-evaluation. 7. , This Acceptance slid not be used as an endorsement of any product sales or advertisag purposes. S. Aluminum windows and sliding doors have ban tested In accordance with ANSVAAMA 101 -88 or for wood window unit by ANSUNWWDA I.S. 2.87 and sliding doom ANSUNWWDA LS. 3.8 and swing doors ANSUNWWDA I.S. 8-88. 9. Swk&g doors shall be tested for positive acrd negative wind pressurm as per Chapter 23 of the South Florida ceding code, 10. Hardware for all windows and doors shaft conform to Sec uhy and Forces! Entry Prevention, Cbapter 36 othhe South Florida Building Code. 11. The sparing of f iefters shall be as tested or 24" wbkbww 1s leas, $ The first fastener shat! be located a mp imum of 6' from each corner acrd m U*n or stile. Minimum penetration of teener sUll be as tested or 3/4' whichever is higher. No wood or-plastio $WOW or pins shag be used. Unim Od wise noted in the teat report, minimum in of strews shall be No. 8 for first and second Hoar installations and No. 10 for all other doors above the first and second WORM'�QI���C��e�a oil 2000, E=rl oduct Control Division Supervisor P.03 .�*' a.. �. .�•� b �a t � .�•� M MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Dole Application is hereby made for the approval of the detalled, statement of the plans and specifications herewith submitted for thebuildmg or other structure herein described. This application is made in compliance and conformity with the Budding Ordinance of Miami Sham Village, Florida, and all provisions of the Laws of the Stole of Florida, all ordinances of Miami Shores Village and all rules and regulations of th- 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 daring progress of work- owneell Nam and Address- � - 0 - No. 278 Street.N.E. 103 St. Registered Architect and/or.Enginm-. Employing Name Tropigas Inc. NO_ 40 ]�AL.29 Ave. Sbeet_ Location and Legal Description Lot-- Block- Street and Number when 278 work is to be performed —No, Street_ N E 103 St. State work to be peifbrtnea end purpose of budding (By ploors). Connect range_. Now Budding— Pdonodel a Addition-- Repairs. No. of Stories stse Septic Tank— - - - - -- - _Type of Tank— _Cavacitv t of Drain Tfle_-----4 ----DisL Feet of Tank or Drain Field from Well_ ------------ - - ------ ---- --- Nat= of Wow Supply- City— Well. Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as sin employer of labor under the Florida Workmen '0 Compensation Act, being Section 5988 Compiled General Laws of Florida Permanent Supplement, rind Lai CUM- 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 tD be posted for inspection on the site of the work such public notice or no- ices as are required by the Act. The ersigued agrees to employ only such sub-contractor4 on work to be perfo,, tied under this per mt, as an licensed by Mind Shores vlII___ a STATE OF FLORIDA, COUNTY OF DADE. I � 41184-C Master Plumber. Before me, the undatped authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall, ` appeared to me well known, and who, being by me Bid 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 -acts 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 r4& minspectfon is mode-ziecessary by improper notice for inspection, or faulty materials and/or worlitionship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING Fou"Ne Rang- TOTAL FoxTunze Comm' LIST . CHICK SEPTIC TANK SEWER CONN. DRAIN F= SOAKAGE PIT GREASE TRAP R BOLA HEATER DEEP SPRKLR. WELL SYSTEM SWIM*G POOL CONTR. Liar CHECK stse Septic Tank— - - - - -- - _Type of Tank— _Cavacitv t of Drain Tfle_-----4 ----DisL Feet of Tank or Drain Field from Well_ ------------ - - ------ ---- --- Nat= of Wow Supply- City— Well. Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as sin employer of labor under the Florida Workmen '0 Compensation Act, being Section 5988 Compiled General Laws of Florida Permanent Supplement, rind Lai CUM- 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 tD be posted for inspection on the site of the work such public notice or no- ices as are required by the Act. The ersigued agrees to employ only such sub-contractor4 on work to be perfo,, tied under this per mt, as an licensed by Mind Shores vlII___ a STATE OF FLORIDA, COUNTY OF DADE. I � 41184-C Master Plumber. Before me, the undatped authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall, ` appeared to me well known, and who, being by me Bid 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 -acts 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 r4& minspectfon is mode-ziecessary by improper notice for inspection, or faulty materials and/or worlitionship. s 16 - Appendix. "E" 'UNIFORM ROOFING PERMIT APPLICATION D Z I <' .�.. PROCESS No. , &7, Contractor's Name:( I t; �c� ` Job Address: E ROOF CATEGORY ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof ❑ Re- roofing ❑ (Nail -On Tile)., ❑ (Mortar- Adhesive Set Tile) Cl ( Metal Roofs\Wood Shingles & Shakes) - - Other) ROOF TYPE ❑ Recovering 2-Ri epair ❑ Maintenance Flat Roof Area (W) --- Sloped Roof Area (ft) Total (ft2) -- Master Permit No. Exposure category (per ASCE 7 -88): — Building Classification category (per ASCE 7 -88 table 1): ROOF H HEIGHT AND SYSTEM D DETAILS (Draw details as n needed) A ARE THERE GAS VENT STACKS? YES ❑ NO E �-- TYPE—NATURAL ❑ LPGX ❑ FL R -------------------------------------------- ROOF PLAN ' ----------------------- ' ' Deck t I 1 type: r-- --- ------ ------- -- ----- 1 , , 1 1 - - -- -_ -- - --- -- -- in, , , , , , ; ; 1 • , , , 1 1 1 OV ATTACHMENT Ft. 1 , , Fastener Type: 1 , , , , SPACING ... Field: Perimeter: C Corner: ; ' ' 1 1 1 ; • - - - - - - - - - - - - -' - 1 1 1 1' 1 1 _ 1 1 1 _ 123.01.,a 4M Page -1 5104 APPENDIX "F" APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix' F", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern 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. he owner's initial in the adjacent box indicates that the item has been explained. 4tL1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of ovlding that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as nhft of the agreement between the owner and the contractor. tnboring . Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be n accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually prior to removing the existing roof system) . Common Roofs: Common roofs are those which have no visible delineation between units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing c ntractor 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 c n e 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 o 1 f maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and a 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 Otil tlWoriginal 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 overloadedr 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 sc pp in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability vent natural airflow through the nteri r of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be benefi 'aI to consider additional venting which can result in extending the service life of the�roof. re D to Contractor's Signature Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 O� Phone: 305 -795 -2204 Buildin g Permit Permit Number: BP2002 -162 Printed: 1/28/2002 Applicant: ARTURO SALOW Owner: SALOW ARTURO Contractor QUALITY ROOFING CONTRACTOFss: 13800 NW 1 AVE * * ** Local Phone: Cellular: Page 1 of 1 Parcel IF 1132060134860 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE Job Address: 278 NE 103 ST J Fees: J ^°� Description Amount FEE2002 -481 Building Permit Application Fe$60.00 FEE2002 -482 CCF $0.60 Total Fees: $60.60 Permit Status: Approved Permit Expiration: 7/27/2002 Construction Value: $850.00 Work: REPAIR LEAK AT THE REAR VALLEY, REPAIR ON FRONT PORCH & PAINT ROOF u a e e u r i f y _P p" If there is no permit packa QUALITyROOFING CORTRACTOR, WC, fee is $50.00, which must be 1380oN.W. ISTAVENUE 9W, FZ 33.168 -4849 This Permit is granted to the contre ordinances pertaining thereto and wit and approved by the proper munic ips -1 authorization. A further condition upc ordinances and regulations pertaininf by his agents, servants or employee; Signed: In consideration of the issuance tc with the plans, drawings, statement 9 myself, my agent, servants or empb 1l Signed: PAY TO THE c �� ORDER OF.- ep ILIA Total Fees: $60.60 Total Receipts: $0.00 er for de DATE- Y—/) ,�Z BankofAmerica®� AcHwros3coozn /5-/ Ai E' t i:>'1'57- - FOR z ?�' " - 04 6n■ - _u ■OL ?09311 ■ � ;06300 : 005905 24 (Contractor or Suilder) B 17093 63 -4/6W FL 130 $ 4 (,.2.P -=9:6?LARS 61 ; Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: Printed :10/28/2005 Page 1 of 1 Applicant: ARTURO SALOW Owner: GONZALEZ GRACIELA JOB ADDRESS: 278 NE 103 ST Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE " * ** Local Phone: 305 - 751 -0382 Parcel # 1132060134860 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE Fees: Description Amount FEE2002 -481 Building Permit Application Fee $60.00 Total Fees: $120.60 FEE2002 482 CCF $0.60 FEE2005 -13886 Renewal/Extension Fee $60.00 Total Receipts: $60.60 Total Fees: $120.60 Permit Status: APPROVED Permit Expiration: 3/31/2006 Construction Value: $850.00 Work: REPAIR LEAK AT THE REAR VALLEY, REPAIR ON FRONT PORCH & PAINT ROOF Signed: (INSPECTOR) DCT 2 8 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. G01 102 152'1 001 031655 05 CHECK $60.00 Signed: (Contractor or Builder) BY: Miami bitiores v inage Building Department Pi- OCCUPANCY OCT Contest Name fY�')�I Uoar Buyer Seller Realtor Aadr"s 9-7 R h C- 10 WEE) 10WXRWAW= Miami Sham Fled& 33138 Ted: 005) 7"- %= pop 756.8M - - -- I Permit N& 2QC6 " 225 �m # il-75' SO L?" Cerny Name Ihrogexty Mi�m� shores state Fl ___�_�_ ZO 3/ 3 7" City warranty or cooffication, as to the condition of the dwelling or other structures on the property. OWNI ROS AFFIDAVIT: I certify that all the foregoing information iS ac m -ate. Applicant . slgnasure ThefixagoiAg by /' day of _, 20 U� , sign: Print: who has �, as identf$aation and who did take an oath. NOTARY PUBLIC: MM (1 DAKOTA W COMty WION # DD MW EXPIRES: O*W t, 20 SMXW Thw nay pug urWNft8 My comnitssion Expirm: 1 a 1,0-7 Budding Officials Approval: m 1 3) Re -Occ. $60.00_ .Notary $5.00 CCF $0-WZW0--L 0 Total REG C01 103105 0949 MC#01 031609 CHARGE $60.60 CCT ` b PAID 11 C `I V ,A�v6+9- T-- --Icam- q'INPeN 04ar-t. 1- --�,IlovV2 Y2If " YA.► V14 it l ., lrd - PAC 4 C MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Applicaiion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure h cin described. This application is made is compliance and coniormity with the Building Ordinance of Miami Shores Village, Florida, and all pros islons of the Laws cf the State: of Florid m, all o, d�nances of Mi,:;m Shores Village and all rules and regulations of the Building DivQoTi of Miami Shores grillage + •11 be ,-,ornplied with, whether herein specified or not. A copy of approved plans and spe?cificati,.,ns must be kep at building during progress of the work. Date _- _.- _.- _-- -------- 19 ------ Owner's Name and Ad ess- l" .;To nge _-------- ---- -- Registered Architect an /or Engineer---' -__ __ - J0s:ep".. + Name and address of licensed contractor.. ---- 3X (i i2 Tx r MON_ GQ-..- 1625A.Biscagrae . Blvd, . - - - -- - - -- -- -___ - - -- Location and legal description of lot to be built on: Lot -3- &-.;-,'_1Q Block. - ---- - -36_. -- -.— Subdivision Wi mi t horpG_ Rneti on Street and Number where work is to be done - - -..— 278 H. F,. 01rd S r r' -- .._.� -- State work to be done and purpose of building (by floors) Florida Room Additions _____ •__ __ _ _- � _ __ — __._._____... for no other purpose. New Building_ -- -- -_- __ Remodeling- _--- ..__... ____... Addition_ _ _%:_.:. ___ Repairs -- - _ -- No. of Stories_____.1:._ ..... To be constructed of B.�1_ . -- ------ .. Kind of foundation► Roof Covering_Biiilt -up?_ Estimated Tatal cost of improvements $x. .110__ _ -- _._._ ----- Amount of Permit $ . __ �► - _- _ _._ -. .:_ .__ _: -._-.. ._. . Zone cubage required_.- .- -- ---------- Cubage__..- Distance to next neares building_-- - - -,_! -- _. -..__. Size of Building Lot -Z_X - 115.._-- -__.- _- --- - - - - -- Maximum live load to b borne by each _ _ - -_ --- ---------•--__-- �: hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to_.:______.KNO CONSTBtIC_. _O ...-- . --._7. 62552 Biscayne- __Blvd...,.._.. - Worth Yd .BgA- ch..Z-A,. ..... - The undersigned ap' licant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Flori a Workmen's Compensation Act, being Section 5988, Cou-piled General Laws of Florida, Per„ manew Supplenient, and has complied with a provisions thereof, and will require similar compliance from all contractors or sub- contractors employed, by him in the work to be pa=rfo ed under this permit; and will post or cause to be posted for insp on on the site of the work suih vublic notice or notices as are require by the Act. The undersigned agrees to employ only such s :clots, oa worx t e perfo „ ern this permit, as are licensed y Miami Shores Village. Remarks - - - - -- - - - - — (Signed).- - STATE OF FLORIDA, COUNTY OF DADE. $ sa' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally op- peared - -- - - - -- -- - — - - - - -- — -------- - ------- — - .._ _. _to me well known, ofd w abov de by fnrst duly sworn, upon oath deposes and says that he is the -._. QAQX�,l_ QQAtMQkr_ -___ ___. _ being r construction, that he has carefully read the foregoing application, and that he did sign the same, anti that all facts ,therein by him stated are true. Permit Date-_____. - Read, to and Subscri ore me. Disapproved _ __ -. _. Date_ - - - -- __-__. - — - 4 -- • -.. --lb-0 Notary Public State of l i _ (Signed) _ -__ -- -_ - -.. -.- -- . - - - - -- - - -- M —.. _. Notary �u c, S e of�Ire at large. — - �- Building Inspector My Comrnissioa .Expires_ pAy comtillllgs(Str► �expirs9t fib. 153, PLANNING BOARD -_ DATE —_ _ ... Member ,. Chairman �.. _�- - - - - — - - �..._. _ _....,:_ _ - __........ - Member —. Memiber -: Member _. -._ -_ . _ —_ —_. Member Council Approved_. _ - -- .... - - -- .....___...Date Disapproved ------ . Date NOTE: A charge f $1.00 will be made for making directions 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 inspe:•tion or faR:lty materials and /or workmanship. MIAMI, VILLAGE -' BU1L171141 INSPECTION DEPARTMENT APPLICATION FOR _BUILDING PERMIT Application is hereby made for the appioval of the' detailed statement of the plans and specifications herewith submitted for the build- ing or other structure hi rein described. This pplioahon is made in compliance and con�orm,ty w:th the Buildingg Ordinance of Mianu Shores'Village, Florida, d all pro�#ions of the Laws cf the State of Florida. all o,dnances of Mi mi Shores Village and all rules and regulations of the Build' ig Divs. ion :of Miami Shores 5411age 41 1:e - otnpl:ed with, whether herein specified or not. A copy of approved plans and spe.cificatioms nust be kepi at building durinb progress of tl.e wcrk. • Date_��_______��li -__._ __._..___— x__..__.,19___ Owner's Name and- Add 1Vo Street. - - -_ - _-_-----_---_-: - -- Registered Architect and for Engineer__ _. ark_ i_:_. _ _ __ - -_ -_- -. -_ -- .- __ -_ -- - -• - --------- Name and address of lican,,eNd contractor.:_ Location and legal description of lot to be built on: Lot Blocky .. _ — _.._ _. Subdivision—_ +R - Street and Number where work is to be done - __ State work to be clone and purpose of building (by floors) ____- - - -___ --- _.- ,.. - -- -- _.-- ._ - - -- - - -- _and for no other purpose. New Building,- - - _ Remodeling_, Addition_._.___.J - Repairs_ _ No. of Stories.. To be constructed of_ _ _.: -- Kind of foundation --_ _- : ------ -. - _.. _. Roof Cov. ring_ -- - Estimated T -)tal cost of i provements $_ : _ ._. .__..Amount of Permit ...... ` • Zone cubage required_. -}•__ ------------ ._,.._.Plan Cubage__. -- Maximum live eload� nearest building_ .:_ _. ----Size of Building 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 ap'licant for thjs building permit does hereby-certify that he understands and accepts his Obligations as an employer of labor under the Fhori Workmen Compensation Act, being Section 5988, Comp +led Gen•,xal 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 perfo ed under this permit;. and will,.post or cause to be posted for ' on on the site of the work sq6h public notice or notices as are require by the Act. The undersigned agrees to employ only such s etors, -;on work 3be perfo � L er this (Signed)__ _ ..._.: permit, as are ceased b' Miami Shores Village., — STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally op- peared to me well -known, and who, being by me f�st duly sworn, upon oath deposes and says that he is the. — �� _ of the abov:, described , )nstruction. that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated ar0rie. Permit - -- -- Date - - -_ -__ -- Rea Wwto n d Ssori before" Disapproved _- - - - --- - - -- - -. Date_. Notary Public S ote of Florida at larg ®. (Signed) � ___ -� --- -__ -.- —_ _._ __. -_ _ Building Inspector — My Commission Expires_ .MY. C_?M_ n1981on- expires-F0N, 13, -1959 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 mane necessary by improper notice for inspection or fa,:Ity materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the royal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. 'Ris 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 i must be kept at bull during, Progress of the work. Date . .......... Owneis Name and Ad es A ......... ....... ------- ..................... . .. — No..� V ... tf-- Street - -/ . . . . . .............. RegisteredArchitect and/or Engineer...... ............. . .. . ......... . .............................................. . ..... . . . ............ . . . ............ . . ................... Name and address of licensed -- --------- Location and legal dfscription of lot to be buZiln: Lot- ..5-11 Block-5 . . . ... . ...... Subdivision Street and Number where work is to be done.=.r./-. State work to be done *94-pu"se of building Ay nooq)•,---- for no other purpose. Now Building.. --- - - Remodeling .._.- .................... Addition_...... .... ..... . . Repairs .......... .... . ........ No. of Stories........ / .............. To be constructed of ... ....................... Kind of ioundation.. �fK - - - ---- - R f Covering.... ._.................._..- ....... Estimated Total cost of improvements $ - - ------ ge2.. Z---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 all the plans and specifications for said building. All notices with reference to the building and its construction may besent to---- . . . ..... . . . .. . .... . ................. . . . . . .... . . . ..... . ...... . ....................... . .................. The undersigned al plicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Nor da Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with he provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be perfo med under this permit; and will post or cause to be posted fo - nspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only 511 bcontractors, rk to pTformect un this permit, as are licensed by Miami Shores Village. ?4T Remarks I_ (Signed)- STATE OF FLORIDA, 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, �Vny me iirst 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. 16>1 Date- If- Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) - ----- wilding I My Commission Expires ............................ . ............. . .. . NING BOARD. --- - - Chairman member . . .. . ........ Member Member Member - ------ Member Council Approved - -------- -----Date Disapproved -------- - - — ---------- - ----------------- - - ------------------------- Date NOTE: A charge ge f $100 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. �oof A re- inspection 1 .00 will be charged when such re-inspection is made 'necessary by improper notice for inspection or faulty materials and/or W"7 ausbip. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No .....» .......... Date.—A . . ................... . ........ Application is hereby made structure herein described. and all provisions of the Lai of Miami Shores Village ob building during progress of Owner's Name and Registered Architect ai Employing Electricians .'or the approval of the.detailed statement of the plans and specifications herewith submitted for the building or other his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. ; of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division U be complied with. whether herein specified or not A copy of approved plans and specifications must be kept at "I Location and Legal Description Lot ...... . ............................................... ;7 Street and Number where work is to be performed—No ...... ..2 ...........1, ....... State work to be performed and purpose of building (By Floors)........._ New Building .......... ....... Remodeling ................................ Additim F% of Stories. ................... Service Overhead eeders .. S'4' —.4-Conduit .............. Main Sw ............................... Amps .......................... Main Fuses... . ....................Amps Underground ........... Type of Installat ion —Con 'nit ....................... Tubing ........................ BXL .................... . ... . mew moulding .. . .......... . . . ........... . .. . . . ................ . ....... . ... . . ......... . ............ . ..... . ... . .......... . .... . ............... . ...... . .................... . ...... . ......... . ....... . ....... . ..... . .......... . . . . . . ... . . ... . ... . ... . ...... . .. . ................. Amountof Permit $A� ... .......... . ................................. . .. . ... . ...... . ........... (Signed) ................. . .............. . ... . . . .... . . . .......... . . . . . . ........ . ...... . ........... Electricid Inspector. The undersigned Appli t for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida W rkmen's Compensation Act, being Section $966, Compiled General Laws of Florida Permanent Supplement, and has complied with the pro, i ions 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 perlow4ga under this permit, as are licensed by Miami Shores 7 illage. (Signed . .... . ............... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. Before me, the and signed authority, a notary public, duly authorized• to administer oaths and take acknowledgments, personally ........ . .... *'***'*"*'*'*****-*** ........... - - - ------- - - - ---- - ------ - ------ - --------- - - - - --- - -------- - - - --------------- con me first duly sworn, upon oath deposes and says that he is .................... to me well known, and wh of the above desen con ction, 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. ............................. ... . .... 1m . i ss.ion . E res . ... ............................... ... .........................Notary . .. I .Pu. blic, State .o f . ....lo.r..d..a ... . ........................... NOTE: A re- inspects cti fee of $1.00 will be made when such reinspection is made necessary by,improper notice for inspection, or faulty materials and/or workman p. SWITCH LIGHT 1 PLUS FIXTURES REFRIG. IRON RANGE RANGE WATER W. NZAT. C a STRIP TOTAL OUTLETS 9sca zTe t r zcx,p,s No. L AMPS OUTLET OUTLET OUTLET CONN. HEATER com ic ft HEATER H CONTR. LIST CHECK ENT. DIET. SERVICE SERVICE MOTORS MOTORS TO] MOTORS NEON RADIO TOTAL, SW. CAD. TzNP. PERM. 0-1 HP if. Is H P TRANS. CONTR. --LIST CHECK Service Overhead eeders .. S'4' —.4-Conduit .............. Main Sw ............................... Amps .......................... Main Fuses... . ....................Amps Underground ........... Type of Installat ion —Con 'nit ....................... Tubing ........................ BXL .................... . ... . mew moulding .. . .......... . . . ........... . .. . . . ................ . ....... . ... . . ......... . ............ . ..... . ... . .......... . .... . ............... . ...... . .................... . ...... . ......... . ....... . ....... . ..... . .......... . . . . . . ... . . ... . ... . ... . ...... . .. . ................. Amountof Permit $A� ... .......... . ................................. . .. . ... . ...... . ........... (Signed) ................. . .............. . ... . . . .... . . . .......... . . . . . . ........ . ...... . ........... Electricid Inspector. The undersigned Appli t for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida W rkmen's Compensation Act, being Section $966, Compiled General Laws of Florida Permanent Supplement, and has complied with the pro, i ions 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 perlow4ga under this permit, as are licensed by Miami Shores 7 illage. (Signed . .... . ............... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. Before me, the and signed authority, a notary public, duly authorized• to administer oaths and take acknowledgments, personally ........ . .... *'***'*"*'*'*****-*** ........... - - - ------- - - - ---- - ------ - ------ - --------- - - - - --- - -------- - - - --------------- con me first duly sworn, upon oath deposes and says that he is .................... to me well known, and wh of the above desen con ction, 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. ............................. ... . .... 1m . i ss.ion . E res . ... ............................... ... .........................Notary . .. I .Pu. blic, State .o f . ....lo.r..d..a ... . ........................... NOTE: A re- inspects cti fee of $1.00 will be made when such reinspection is made necessary by,improper notice for inspection, or faulty materials and/or workman p. i It .v it I I IIII ' BUILDING � PERMIT. RECOfI i i .HOES I R iT LL�.CrE - ,. DA 'ice X-1 r A LzCATxaN It 'V ARPli'eation 18 - ereby madjl ,f-dr', the 'approual' of the plans I and specifications herewith su�iv mittec -for. thl building' or - other st.ructur. ®. herei ideser�.bed `Thlb, appilc ti�on 'is made in com- • - pilante "and .00n ormation. pj*th the Buildi'�_g Or, #nan.ce,'of the Miami,_ Shores -Vi- lag-,- Flor�tda, atil& alT p�rovisiions of the Laws of- -the-State -of - Florida) all Ordinances Shores Village t,and,al rules an atT-egulatfons off' -the building Department of M` ill 4MI Shoros�4-' age, ahal ; be bmp i.ed ith, wherth±�r. sped fi c<vr t OWNER': ,�E yr+ a •.^'ra° /' 4�� �y. .. 1 ARGHI'CTr , CTO 9~ =Njl LOT L'tf UBD 'ZSION . .i:RE't' -" NEW �.ADDITIO . REPAIR: II NUMBEP OF *C ,�,;.�,..,, STORI�.Q� ROOF,,.,,.. . COST excludin g � rchiteet fee, 3andsca�I ing & garage) Build 'ng to be u sed , for an no other u e s,, I hereby b e submit 1 l the plans and specifi building, cations for said � FLO RID Signed ned_k4- ,._i.- .'rte COUNTY OF DADE ,� �,' • it i Before me the andersi e�� n - g d authority, a,'!' notary public, duly authorized to adainister oaths and tak' a{e%nowledgment, perso 'ally appoa ed to me well known, and who,, ding by a first duly swlrn, upon Oath deposes and says that he is '.the builder o the above described construction th t he has road the forego ng application, and that he did sign the sajoe, and that f►cts stated by -him are true. ReadSworn and Subscribed before me; h Not r Y Public Si n �d) 1 f � My Commission ex Cubic Feet !Cubic feet re aired in his B ockfeO I, i NNxrr Bo RD .� Thal' Member a .I Memta' j�./✓J� Secretary Building it lnspect - Permit No. issued to— Date .. Electrical, Permlt no Pluffibing P r it 'No. y' it t m 'III' � t III - e II J�IT Ig Mt Illec tl"'idal r jj -� ��� .�,�' � � �,�itit3a � � ,� : 9` "1 �S`� 'v;"fK1 x � i3w a i. v =• 1'' ! r. bca#[ P, ,`j i• Ira �: 1� ��+► ' a4 � . '!" ST .�. �' ,I .� S•; } . � ?"lt .� � »� .".3t!i` + *l �f U ati? � !t � +, +r Tile Wl I i j � Itiil;,,,,+i - .,,.,�..;,.•.:,�+.... - "•a.....+.» `. pp a° Iii ,.. t; o ",,. 'y"`+ ' fKtl'i ��•v}eiR �iJ 1,,.1si .. a. I, i1I t.F d •# a`+ ,..,...,..,..;«.our . i ..., . .,ten.., .. �. ?-� +�� S ;et �.. }.z- �,•ix:�i� .�C' '�.f[.'�.t;•�'iia� .1.�s> .i ��:'vf{+,}+� "�''.�'x5S t a.'f.. °l. f f,l tf, �n,+{i r 1 �''tfyt 3 °,: "S L +f%•��.5 ,A x�o +i'Y fivr' =ram zo `'►- :iF3s`. -i ?541 +d t1 +,1 iita :Ui k`L�.a. t tlb -"if ii to ti mv}9II Ip.3B cryG9 J4, #. ,. br --MP-3 ({ � fi t °> T 4� �n;� ,t t !1 7me .` • a S. t r .., ,.,( `J °'. t'f t2. ���;r� L.s�`.Y,gp a :�,�°�..A. ��r'u'i r' P^ - iriJ:F,J 1e'r:..LA .f fi t . -J `a �'r'y4•J'�'` i va t\+r ',fi +�I LJ b.j Ll.a�n:.Y `'i MJ.4 Ap j 1 i -. SF �iaSF ♦.F -,J ,� l a ,yf �,,/��yy.•^,iA L• -��.i U3 ,i s4. t F I ( t SJ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /`��'! ---4- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other stmcture herein described. his 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 " be complied with, whether herein specified or not. A copy of approved Plans and specifications must be kept at .building during progress of work. 0. 15 Owner's Name and AddreWj._----- - Street-*- Registered Architect aud/ortngineeq : __ Employing Plumber's Name Location and Legal Denzi Street and Number where work is to be ped State work to be performed and purpose of building (By New Remodeling No. j — Ad&doj),--- WW= ....... _ No. of Stories------------ -------.__. I Sim Septic __-Type of Tank- CaPaCity C41S. - Feet of Drain Tile-__ .--DlsL Fed of Tank or Drain Field in= Well-__1 Nature of *aw Supply- C#YW0L— _Size Of Soakage Pit---- 0 0 Amount of Permit (Sigued) — ------ ------- Plumbing Inspector. The undersigned appli, ant 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 15988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions t�ereof, and will require similar compliance from all contractors or tub-contractors employed by him m. 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 110tim as are required by the Act. The undersigned avow to employ only such sub-contractors, on work to be Performed under this Permit, as an licensed by Miami Shores T9698. Master STATE OF FLORIDA, I I COUNTY OF DADE. �� 3L Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare — ----- ---- - to me well known, and wlic,' being by me first duly sworn, upon oath deposes and says that he is the-- & 74;�iiiw' -------- i�A- of the above described co utruction, that he has carefully read the foregoing application, � and that same, that all tus therein by him stated are tr ie. MY NOTE: A re, materials and/or m , —Ro—iii �Public� State of fee of $1.00 will be made when such re-inspection is made necessary by improper notice for Inspection, or Lul p. V/ CLOGS". ATM TUBE SHOW9119 LAVA- TORIES SINKS SLOP SINKS LAUNDity Tung URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL, FIXTURJU CO, .11. CHUCK Genic TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEW WELL SPRKLR. SYSTEM SWIM:Q POOL CONTR. LIST CHECK Sim Septic __-Type of Tank- CaPaCity C41S. - Feet of Drain Tile-__ .--DlsL Fed of Tank or Drain Field in= Well-__1 Nature of *aw Supply- C#YW0L— _Size Of Soakage Pit---- 0 0 Amount of Permit (Sigued) — ------ ------- Plumbing Inspector. The undersigned appli, ant 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 15988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions t�ereof, and will require similar compliance from all contractors or tub-contractors employed by him m. 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 110tim as are required by the Act. The undersigned avow to employ only such sub-contractors, on work to be Performed under this Permit, as an licensed by Miami Shores T9698. Master STATE OF FLORIDA, I I COUNTY OF DADE. �� 3L Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare — ----- ---- - to me well known, and wlic,' being by me first duly sworn, upon oath deposes and says that he is the-- & 74;�iiiw' -------- i�A- of the above described co utruction, that he has carefully read the foregoing application, � and that same, that all tus therein by him stated are tr ie. MY NOTE: A re, materials and/or m , —Ro—iii �Public� State of fee of $1.00 will be made when such re-inspection is made necessary by improper notice for Inspection, or Lul p. V/ A m CAMPBELL ELECTRIC, INC. ELECTRICAL CONTRACTORS COMMERCIAL AND HOUSE WIRING N.W. 101ST STREET - MIAMI, FLORIDA 33180 i O v PHONE 696 -6744 ?- /f`7Z t} et sp MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No..... ............... Date ...... -7 ................................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu 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. Owners Name and Address... " . W ............................ Z79 .. N,-Z . . ......... 1.6.3 ......... Street ....... .............................. .a_5. A. RegisteredArchitect and/or Engineer .................... ............................ ........... .......................................................................... ........... ............................... Employing Electriciafi's ...... ..... P..? . .................... Location and Legal Descrip�ion 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 Sire Feeders ............. . ..... Conduit M ............... ain Sw ............................... Amps .......................... Main Fuses .. ......................... Amps Underground Type of Installation— Conduit....... . .............. Tubing ......... .............. BXL .......................... Metal Moulding ........ ....... .................................. Z7 ................. S� . ............ I ...................... ................. wl .............. ........ ..................................... ......................... ................. ....... ................... ..................................... . .......... .... ............ ......... .... .. ..... ....... .. ... ......... . ... ... ................. . ................... ................. ...... ..... . .... ................... Amountof Permit $ .......... .................... . ..... ...... ....... ..... ................. (Signed) .. ................ ... ..... ............... .... . ........ ...... ................ Eleancal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and aceets his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 3966, Compiled General Laws 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 to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, (Signed). "4110crl;�74-& ........ * Electrician. COUNTY OF DADE. I 53. 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 C}.Ommiseion Expires Notary Public, State of Florida NOTE: A re-inspe on fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. SWITCH OUTLETS LIGHT OUTLETS I I ! PLUG AZCE•I�ls FIXTURES No. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER HEAT. CONN. ACE HEATER RIP HEATER TOTAL CONTR. LIST CHECK Z ENT. SW. DIST. CAB. 11 SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1.a HP NEON TRANS. RADIO TOTAL CONTR. LOST lax CHECK Service Overhead Sire Feeders ............. . ..... Conduit M ............... ain Sw ............................... Amps .......................... Main Fuses .. ......................... Amps Underground Type of Installation— Conduit....... . .............. Tubing ......... .............. BXL .......................... Metal Moulding ........ ....... .................................. Z7 ................. S� . ............ I ...................... ................. wl .............. ........ ..................................... ......................... ................. ....... ................... ..................................... . .......... .... ............ ......... .... .. ..... ....... .. ... ......... . ... ... ................. . ................... ................. ...... ..... . .... ................... Amountof Permit $ .......... .................... . ..... ...... ....... ..... ................. (Signed) .. ................ ... ..... ............... .... . ........ ...... ................ Eleancal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and aceets his obligations as an employer of labor under the Florida Workmen's Compensation Act. being Section 3966, Compiled General Laws 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 to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, (Signed). "4110crl;�74-& ........ * Electrician. COUNTY OF DADE. I 53. 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 C}.Ommiseion Expires Notary Public, State of Florida NOTE: A re-inspe on 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. Product Control No.: 94- 0323.43 Deck Type 1I: Wood, Insulated, New Construction Deck Descriptions L/32" or greater plywood or wood plank System Type B: Base layer of insulation mechanically fastened, optional top layer adhered wtih approved asphalt. All General Limitations shall apply. Insulation Fastener Base e 1ypg Approved Type(s): AC -Foam I Minimum: 1.3" x 3' x 4' DekFast S/P Minimum: 1.3" x 3' x 4' Olympic S/P Minimum: 1.3" x 3' x 4' Gripdek S/P Minimum: 1.3" x 3' x 4' Roofgrip S/P Minimum: 1.3" x 3' x 4' Anchorbond S/P Minimum: 1.3" x Y x 4' Olympic /G2 Approved Type(s): E'NRG'Y 2 Minimum: 1.4" x Y x 4. DekFast S Minimum: 1.4" x Y x 4' Tru -Fast S Minimum: 1.4" x Y x 4' Olympic S/P Minimum: 1.4" x 3' x 4' Gripdek S/P Minimum: 1.4" x Y x 4' Roofgrip S/P Minimum: 1.4" x Y x 4' Anchorbond S Minimum: 1.4" x Y x 4' Olympic /G2 Approved Type(s): ISORoc Minimum: 1.5" x 4'x 4' DekFast S ivlinimum: 1.5" x 4'x 4' Tru -Fast S Minimum: 1.5" x 4'x 4' Olympic S/P , Minimum: 1.5" x 4'x 4' Gripdek S/P Minimum: 1.5" x 4' x 4' Roofgrip S/P Minimum: 1.5" x 4' x 4' Anchorbond S Minimum: 1.5" x 4'x 4' Olympic /G2 Approved Type(s): E'L4RG'Y 2 Plus Minimum: 1.5" x Y x 4' DekFast S/P Nfinimum: 1.5" x Y x 4' Tru -Fast S N-finimum: 1.5" x Y x 4' Insulfixx S/P ivfinimum: 1.5" x Tx 4' Hextra SIP ii•finimum: 1.5" x Y x 4' Anchorbond S/P Minimum: 1.5" x 3' x 4' HD Insulfixx S/P Minimum: 1.5" x Y x 4' Olympic /G2 Minimum: 1.5" x Y x 4' Gripdek S/P Minimum: 1.5" x Tx 4' Roofgrip S/P Fastening Fasteners Fastener pet '1 ED Per Board Density [2] 4 1:3 ft2 [2] 4 1:3 ft2 [2] 4 1:3 ft2 (2] 4 1:3 ft2 [2] 4 1:3 ft2 [2] 4 1:3 ft2 (2] 4 1:3 ft= (2] 3 1:4 ft2 [2] 4 1:3 ft2 [2] 4 1:3 ft2 [2] 4 1:3 W [Z] 4 1:3 ft2 [2] 4 1:3 ft2 [3] 6 1:2.67 W [3] 6 1:2.67 ft2 (3] .6 1:2.67 ft2 (3) 6 1:2.67 ft2 (3] 6 1:2.67 ft2 [3] 6 1:2.67 ft2 [3] 6 1:2.67 ft2 [2] 3 1:4 ft2 [2] 3 1:4 ft2 (2] 3 1:4 ft2 [2] 3 1:4 ft2 [2] 3 1:4 ft2 [2] 3 1:4 W (2] 4 1:3. ft2 [2] 4 1:3 ft2 [2] 4 1:3 fF clil Diamond, P.E. 12 Product Control No.: 94- 0323.43 Insulation %" x 2'x 4' Fastener Fastening Fasteners Fastener Base Layer ' / +" x 2'x 4' Tvoe Detail Per Board Densi Approved Type(s): Multi -Max x 2' x 4' Gripdek S/P [1] Minimum: 1.5" x 4' x 8' DekFast S [41 11 1:2.9 ft2 Minimum: 1.5" x 4' x 8' Tru -Fast S [4] 11 1:2.9 ft2 Minimum: 1.5" x 4' x 8' Insulfixx S/P [4] 11 1:2.9 ft2 Minimum: 1.5" x 4' x 8' Olympic S [4] 11 1:2.9 ft2 Minimum: 1.5" x 4'x 8' Roofgrip S/P [4] 11 1:2.9 ft2 Minimum: 1.5" x 4'x 8' Anchorbond S [4] 11 1:2.9 ft2 Minimum: 1.5" x 4'x 8' HD Insulfixx S/P [4] 11 1:2.9 ft2 Minimum: 1.5" x 4' x 8' Hextra S/P [4] 11 1:2.9 ft2 Minimum: 1.5" x 4'x 8' Olympic /G2 [4] 11 1:2.9 ft2 Approved Type(s): Perlite Minimum: %" x 2'x 4' DekFast S [1] 4 1:2 ft2 Minimum: ' / +" x 2'x 4' Tru -Fast S [1] 4 1:2 ft2 Minimum: x 2' x 4' Gripdek S/P [1] 4 1:2 ft2 Minimum: ' /a" x 2'x 4' Roofgrip S/P [1] 4 1:2 ft2 Minimum: W x 2'x 4' Anchorbond S [1] 4 1:2 ft2 Minimum: %" x 2'x 4' Olympic /G2 [1] 4 1:2 ft2 Approved Type(s): Fiberglas Minimum: 15116' x 4'x 4' DekFast S/P [3] 6 1:2.67 ft2 Minimum: 15/16" x 4'x 4' Insulfixx S [3] 6 1:2.67 ft2 Minimum: 15/1611 x 4' x 4' Roofgrip S/P [3] 6 1:2.67 ft2 Minimum: 15 /1b" x 4' x 4' TruFast S [3] 6 1:2.67 ft2 Minimum: X5/16" x 4'x 4' Anchorbond S/P [3] 6 1:2.67 ft2 Minimum: 15/16" x 4'x 4' HD Insulfixx S [3] 6 1:2.67 ft2 Minimum: 15/16" x 4'x 4' Hextra S [3] 6 1:2.67 ft2 Minimum: 15/16" x 4' x 4' Olympic S/P [3] 6 1:2.67 ft2 ivlinimum: 15 /t6' x 4'x 4' Glasfast S/P [3] 6 1:2.67 ft2 Note: Base layer shall be mechanically attached with fasteners and density described above. Insulation panels listed are minimum sizes and dimensions; if larger panels are used the number of fasteners per board shall be increased maintaining the same fastener density (See Dade County Protocol PA 117 for fastener details). Insulation Fastener Fastening Fasteners Fastener Top aver Tvoe Detail No. Per Board Density Approved Type(s): Any of the insulations listen for Base Layer, above. Approved Type(s): High Density Wood Fiber Minimum: '/" x 4'x 4' N/A N/A N/A N/A Approved Type(s): Paroc Minimum: ' /." x 4'x 4' N/A N/A N/ Gil Diamond, P.E. 13 Product Control No.: 94- 0323.43 Apply optional top layer of insulation in a full mopping of any approved mopping asphalt at an application rate, for the appropriate slope, of 25 lbs. /sq. f 15 %. Please refer to Dade County Protocol PA 117 for insulation attachment requirements. Base Sheet: (Optional) Install one ply of All' Weather/Empire, Flex- I -Glas or G1asBase base sheet directly over the top layer of insulation. Adhere with any approved mopping asphalt at am application rate of 25 lbs. /sq. f 15 %. If base sheet is applied directly to polyisocyanurate insulation, only a spot or strip mopped application as detailed in this approval is approved; see General Limitation #4. Ply Sheet: Two, three, four or five plies of F1intGlas or #15 Asphalt Perforated Felt ply sheet adhered in a full mopping of approved asphalt at an application rate of 25 lbs. /sq. t 15 %. If ply sheet is applied directly to polyisocyanurate insulation, only a spot or strip mopped application as detailed in this approval is approved; see General Limitation #4. Cap Sheet: (Optional) One ply of FlintGlas Mineral Surface cap sheet adhered in a full mopping of approved asphalt at an application rate of 25 lbs. /sq. f 15 %. Surfacing: (Required if no cap sheet is used) Install one of the following: 1. A two part coating consisting of a base coat of Static Ashpalt Fibered Emulsion at rate of 3 gal. /sq. or Monoform compound; surfaced with I gal. /sq. Sta -Kool non - fibered aluminum coating or fibered APOC No. 212.. 2. Flood coat'of approved Type III asphalt with an application rate of 60 lbs. /sq.; plus gavel or slag at an application rate of 400 lbs. /sq. or 300 lbs. /sq. respectivly. Maximum Design Pressure: -45 psf tMaximum Fire Classification: 'A'. See General Limitatio : # 2. Maximum Slope: 3 ":12" See General Limitation # 3. Specification No.: AAA -2 -3, AAA -4 -3, AAA -8 -3, A- 2 -M -3, A4-M -3, A- 6 -M -3, EMS -2 -W, EMS -4 -W Gil Diamond, 14 o t '1 J � 1' " C•+r^ -.IT�rn -ems+_ L b (.' j is +.1 .�� •r i � l t 1 a t � t •t � r q �+ s r t ;.i t � t s �} �' *4 Tl tL:1 i a a l s �i •: t� c 0{ h ? �'� ��i, i .� s tit t� 1 � �i y • � �, �.►' i c ac�llf I�.UII � >:y1}T If fit. i� �T � `>Nrt' t e I -FA Awl ft t st • • � ,� ti �° , i _ a li f$ � fe; t yl tit tjrr . r f.� •���� �F rl�t tit .f 1..:.1 �t ,�f ;`� �,!}?�lr h` � }'p4 r f 1 �'� �, e•� 5 ni � i` A r,G)A. r%ra i>.} {.r 1..., $' 5 i. ��.� ` �� r' 4��yf�rt�rt {��FFX�•�n�t( °Chfi�. ;�r�ilji ONVE • j, �',+ #hs l 2 �Jj� '�, !!! j3` s t'' � a�f nt .�.�,�'ikCf�(�%� t f•' i' 1 ■� • y� ��fy �'st �M 4i �T f'LNS �� t r +_ ,��.�.. M �,3�t,fr'' "v' of � ! �•� �r� 4'4x`; � ti � j � n� �w C p•1 b 1�� U t � �. t t. � i.a � S' 1 :,�'} ''41r,��^�• z - � y�+ °(tif r' `t ��' +lt t� l i R � h��l���t'1r - .. .4r, t '�� r c• F e fi n. {tiq t{ �} Yt it�Jf� ,f`y: p9 {s C1r��t •) ^is1�1'k��rF�. �us1 �_t•�� 7 +�f N(E'��v. �'>'#,f rTM •r Alf �!�ra�rt�X �1�y i 1;r ( {!� f�. S�f a {r� rfr' �� � � S � iet�il� y:Tll�h tr�� r�a {�!1)�yi ,L !'>a lrt,� : r 2 {r'l,K�� ;•��<� �� tt'�Fa�' �" � �rTyrti � if }yltr. � f �� ^,~i i•R rt�T �rtlr ��1•X 11�. v �t'.7st�.� kvi. :��'� i ' +' 1���� �3ah ��� {• �t1 + ��`� lt.; ? >;fAt�,`;S �5���: �i� >♦�T�i.+�Ji�tiV.�.'�.�t` ?lb"`f� ry' 'r�,��3�x�t��{,� ft�iSs;l �i'�.i5� �1 • r _ � Jr'tyi .� t f�;;3.'' ikr�. ,.,. "t�t'��: „� iir�' 'i s,,; 6_ f: ( ►.v2,�i� '•ti9 tdaK ��fi �''t �� 11 • - A - • • MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 00 OWNER'S N : ArzT 5,4 PHONE: os b• ?757 ADDRESS: 278 1JE- 1993 ST7oeT ADDRESS OF SITE: '2I S N C I D IT- CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls Fascia WhI & Soffit 1 Roof Ldh ft Flower Bins / Shutters twl�e f Awnings Gslhl� Chimney Doors and door jams 1A1h K ® ® Garage Doors w i §g Railings i & Fences YVIA If Decorative Metal- dq edq& — 2 Mfluvcl S 0#1 All brick (simulated or regular) /V Stucco Banding kJ i Any other stucco features' Accessory Buildings X Other -.em ,,3 z� - o - - c o- x M Cn i. H H x C 3 M 0 M OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do tated h ermore , the paint colors will be as per the attached saMV • �- v j O � nC�''12 ignature er Date Signature of Contractor Date .•••• ! �i � f iy �t nl 2 0 P.e Y o � p i v� I LJ 64 iS. 5 9 7S CBS 44049E / ✓o. .278 { L, �t ,9 !"erti td fn► o Loo. .�ssoc: may` b/ Z A it l � ,4tneric `u 50al , ,< /Otf�4 • 0 0 4 - - And As�fur-o t� �� �� �- Gam. 5 - /^ •iyFf/�i�, � -� �., �lf�.E are. � ..�V/AjC• 1N � �---_ -._�: P Job Address: 27 hJ . F. 103 5'T. Contractor -, i%j Process No. APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II BUILT -UP APPLICATIONS AND MODIFIED BITUMEN SYSTEMS GENERAL: Type of Roof System Assembly to be Applied: L'bL ' Gss Manufacturer of Roof System Assembly: rS -uw Rbr3 '%_Pd'edL'Cts Product Control Approval Number: 9 q : 33a3 .3 System Number from Product Control Approval: E FA 5 - L4 - !,-) (Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System Guide Specification. ) ( Note: If a minimum roof system is to be applied, describe all components within the system and list the manufacturer of each component. DO NOT complete this section if system is Product Control Approved. ) Base Sheet: Fasteners: Ply Sheet(s): Cap Sheet: Asphalt: ( Note: No insulation system is acceptable under the minimum roof category. ) Complete the following for all Roof System Assemblies: Built -Up Applications and Modified Bitumen Systems Page -1 Job Address:23Y 103 ST Contractor Jv Process No._ a (Check one of the following) Recover Re -roof New Construction If a recover, is the existing Roof System Assembly to be used as a bonding substrate ?: Y N If YES, has an ASTM E907 test been carried out to confirm adhesion of the existing membrane to the substrate ?: Y N (If yes, attach ASTME907 test report.) Proposed Fastener: (Attach withdrawal resistance test report. ) Has the deck been examined for moisture ?: Y N (Provide data confirming compliance with Section 3401.9(c) . ) THE SYSTEM: All Roof System Assemblies in the Product Approval have a variety of options. Briefly describe the Roofing Components to be used in the Roof System Assembly and attach a copy of the manufacturer's published specification: Deck: (Briefly describe) Insulation: (Type, size and method ofattachinent, if applicable) ioc®a IX(� Base Sheet or Ply: (.� asletse (Type and method of attachment) Ply Sheet(s): --s'wc, Jt& (Type and method of attachment) Built -Up Applications and Modiflcd Bitumen Systems Page -2 �C: ft Base Sheet or Ply: (.� asletse (Type and method of attachment) Ply Sheet(s): --s'wc, Jt& (Type and method of attachment) Built -Up Applications and Modiflcd Bitumen Systems Page -2 DA MIAMI- SHORES VILLAGE Paint Color Approval and Agreement B;0,2a,9 98� 6 - .,) 4L-� OWNER'S NAME: ADDRESS 77 ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls Fascia GrJh Drip Cap/Drip Edge_—" o Soffit h Roof eo; h : 7-4 U 'E .L Flower Bins do 14_!� Z,,-,; A 7` ign � 83��71 " G t• 50 Shutters a) Awnings M)1 Chimney e >��. ,' T x Doors and door jams c�i�� .`� • Garage Doors &),4 % 7— \ Railings 7Z- Fences _)�7 d Decorative Metal a 2 °yys�'3os All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Others L OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as .per the attached ysam les . ati�re of Owner Date Signature of Contractor Date 'k 'k APPROVED: Building Official Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/6/2003 Applicant: ARTUR&- Owner: GONZALEZ JOB ADDRESS: 278 Contractor Local Phone: Parcel # 1132060134860 Fees: FEE2003 -3339 FEE2003 -3340 FEE2003 -3341 NE 103 Building Permit Permit Number: BP2003 -889 - -SA6GW GRACIELA ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE Description Amount Building Fee $60.00 Total Fees: $65.60 Notary Fee $5.00 CCF $0.60 Total Receipts: $0.00 Total Fees: Permit Status: APPROVED Permit Expiration: 1112912003 Construction Value: $500.00 Work: EXTERIOR PAINTING AND ROOF PAINTING` Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/9/2005 Applicant: GRACIELA Owner: GONZALEZ JOB ADDRESS: 278 NE 103 Contractor MANNY WELL DRILLING Local Phone: 305/827 -9648 Parcel # 1132060134860 Plumbing Permit Permit Number: PL2005 -78 Page 1 of 1 CeP► rA-3 III GRACIELA ST Contractor's Address: 16755 NW 18 AVE Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE Fees: Description Amount FEE2005 -3085 Building Fee $150.00 Total Fees: $104.55 FEE2005 -3086 Training and Education Fee $0.20 Total Receipts: $0.00 FEE2005 -3087 CCF $0.60 FEE2005 -3088 Technology Fee $3.75 FEE2005 -3089 Submittal Fee ($50.00) Total Fees: $104.55 Permit Status: APPROVED Permit Expiration: 8/31/2005 Construction Value: $350.00 Work: LAWN IRRIGATION 1� 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 accepting this permit 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: Ir (Contractor or Builder) BY: MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No..... Q 2 ' ........ ........... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fivada, 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...._..�-:4 0.................................................... No..9`� ....................... .. Street ......................................... .......... . RegisteredArchitect and /or Engineer ............................. ......................................................................... ............................... -- ....... ............................... Employing Electrician's Name.&AIR AI- Z0`/- A....M .......No. .,0 ......:........... Location and Legal Description Lot ..................................... ............p .. .................. B lock ................................ _ ........ Subdivision ............................................... a. Street and Number where work is to be performed— No... ,2.3... • H.: .......1- P- 3...... S7.—Street ..................................... ............................... State work to be performed and purpose of building (By Fl oors) ....................................................................................................... ............................... . New Buildine ..................... .Remodeling.............. ......... Addition .............................. Repairs ............................. ...No. of Stories.................... Service Overhead Sine Feeders ............._..... Conduit,...............Main Sw ..................... .... Am Main Fuses...................... Amps Underground Amps .......................... Type of Installation -- Conduit ....................... Tubing....................... B. X. L.........................Metal Moulding.................................... ............................... ... ............................... mod.:..... ...... ... / ''�jj (Signed) l Amountof Permit 5 ........... .c%.� ............... ............................... ................. ...........�........ °.......... ........s, �° The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations "an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permancrif 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 perfomled under this permit, as are licensed by Miami Shores Village. (Signed)..... ...x ....... ...................................... Master Electrician. STATE OF FLORIDA, l 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 whoa 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 he made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS Rzcz,P'T's NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. / LIST / e f�J CHECK ENT. Dist. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEMP. - PERM. 0.1 HP I.S HP TRANS. CONTR. LIST CHECK Service Overhead Sine Feeders ............._..... Conduit,...............Main Sw ..................... .... Am Main Fuses...................... Amps Underground Amps .......................... Type of Installation -- Conduit ....................... Tubing....................... B. X. L.........................Metal Moulding.................................... ............................... ... ............................... mod.:..... ...... ... / ''�jj (Signed) l Amountof Permit 5 ........... .c%.� ............... ............................... ................. ...........�........ °.......... ........s, �° The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations "an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permancrif 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 perfomled under this permit, as are licensed by Miami Shores Village. (Signed)..... ...x ....... ...................................... Master Electrician. STATE OF FLORIDA, l 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 whoa 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 he made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. N Y2 -x s}� W9 hEGK, - zmwR�E i t �azT�a, E�e,�AnorJ i � I �nop bflaRi7s P.'j, � ��crceTE r4 7,5&-878 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUIIDING 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 Shares Village, Florida, and all provisions of the Laws of the State of Florida; all ordinances of Miami Shares Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and/or Engineer T nT co C' i �"� Date • I —1 No 2 22 Street• 19 O fl 4 f `k'V y kj Name and address of licensed contractor Location and legal description of lot to be built on: l� Jol I.ot 45,4wr s. Block * Subdivision Street and Number where work is to be ldJ iI State work to be done and purpose of building (by floors), state exterior colors (submit samples) t�7 V' .�� and for no other purpose. New yy�ldingg- Remodeling Addition Repairs No. of Stories To be constructed of 1t -�aoD Kind of foundation GQNCstcm % f /Covering Estimated lbtal cost of improvements $ �� Amount of Permit $ L ° ' 0y Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor Cubage of Building I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 entice 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. ee 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 f �fa/pplication, 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) Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved late 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. Job Address: AJ,Ei. Lp�T, Contractoi0j j 6 d v Process No Top Ply: �( (Type and method of attachment) Surfacing: (Type, if applicable ) Flashing Materials: (Type and method of attachment) s Built -Up Applications and Modified Bitumen Systems Page -3 Job Address: ,g_j,�, 1013 &_r, Contractor +_ Process No. FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND INSULATION LAYER(S). (Where Roofing Component not used in Roof System Assembly, fill in with "NIA".) (S;!�a ;Zlk Appucaud) Top Ply- Bonding Material: oJ T� PlyShccqs): PtA 6ACLS Bonding Material: Fastener. (ifbwe Sheet mseTs duaciledj - - — Base Sheet: LAc 5 6c, sew- Bond M4e (if bas�fe�= Ja; Fastener: T_ ech. attached) Top Insulation Layer. Ila inches (O w;k) DZ nding Material: w1=01- Fastener I Wit, r) _S6, Ac- mch. attached) inches < Insulation: Bonding Material: ((finsulation bonded) Vapor Retarder �} l ................................................................... ....... .............. ...................................... 0&e&940.49*0e. *&** .......... .............. Primer: DECK: inches Type: Cage or Thickness: Density, ifconcrete deck: Built-Up Applications and Modified Bitumen Systems Pagc4 Job Address: �--7 � N . E . 03 JT• Contractor " � Process No. Coping Cap Gage: Fastener Spacing: _ o.c. Clip Type: Clip Gage. PEMN ETER DETAIL #1: Parapet Wall Detail Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Parapet Walls. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. 0 K Sketch Roofing Components which make up Roof System Assembly at Perimeter Areas to be Flashed. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. Deck Type: PERIMETER DETAIL #2: Flashing Detail Built -Up Applications and Modified Bitumen Systems Page-5 Job Address: 22 � M F- . jQ3 ST GontractorOLA 1 Process No. PERIMETER DETAIL. #3: Gravel Stop or Drip Edge Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gravel Stop or Drip Edge. Insert leaders indicating Roofing Components names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Gutter Type: 01P Gravel Edge �g e Gage'; Fastener Spacing: o.c. ii Clip Type: Deck Type: Clip Gage: Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gutters. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. Gutter Type: Gutter Gage: Fastener Spacing: ii Deck Type: PERIMETER DETAIL #4: Gutter Detail Built -Up Applications and Modified Bitumen Systems Page-6 Job Address: ? . E . I®3 ; � Contractor ; K ? -) - L Process No. PERIMETER DETAIL ##5: 'Other' Detail Sketch Roofing Components which make up Roof System Assembly at any'othee Perimeter Condition which may exisit. Insert leaders indicating Roofing Component names, dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment. Sketch Roofing Components which make up Roof System Assembly at any other' Perimeter Condition which may exisit. Insert leaden indicating Roofing Component names, dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment PERIMETER DETAIL W6: 'Other' Detail Built -Up Applications and Modified Bitumen Systems Page -7 Job Address: 27T N. F _ lU ST Contractor w, I;} c t Process No. Insert Building and Parapet Heights. (If no Parapet exists, Insert W /A °) Also insert applicable information pertaining to the building below. (See ASCE 7 -88 Fact Sheet Attached) Exposure Category: Classification Category: At Hurricane Oceanline7: Y Basic Wind Speed at Building Location: 110 mph Building Condition based on 11 % of Openings: A 1 (yG C'd GROUND LEVEL BUILDING INFORMATION #1 Built- Up.Applications and Modified Bitumen Systems Pagc -3 Job Address: 1-7? AJ. e. 103 T, Contractor QUO I ` W Sketch Roof Plan indicating all dimensions, any slopes, roof drains, crickets, or roof top equipment. Also insert variable labeled "a" which indicates perimeter and corner dimensions per Chapter 23 of the South Florida Building Code. (SeeASCE 7- 88Fact SheetAttachedl v Process No. BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Built -Up Applications and Modifier! Bitumen Systems Page -9 z * Job Address: Contractor Process No. -- FOR PLAN EXAMINER USE ONLY -- Roof System Assembly Product Control Approved: Y N If N0, note any deficiencies: Design Pressure Requirements: Field: psf Perimeter Areas: psf Corner Areas: _ Note any limitations: _ Reviewed Details ?: Notes: psf Y N Built -Up Applications and Modified Bitumen Systems Page -10 a Job Address: , Contractor Process No. Reviewed Field Test Data ?: Y N Notes: Additional Notes: Plan Examiner Built -Up Applications and Modified Bitumen Systems Page -11 S METRO•DADE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING .. _ BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO•DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130.1563 ROT� (305) 375.2901 PRODUCT CONT NOTICE OF CCEPTANCE FAX (305) 375.2906 GS Roofing Products Company, Inc. 5525 MacArthur Blvd, Suite 900 Irving, TX 75038 a Your application for Product Approval of GS Built-go Roofing Products under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and types of Construction, and completely described in the plans, specifications and calculations as submitted by Applied Research Laboratories, Factory Mutual Research Corporation and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth herein. The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the right to secure a product or material at any time for a jobsite or manufacturer plant for quality control testing. If product or material fail to perform in the approved manner, the Code Compliance Department may revoke, modify or suspend the use of such product or material immediately. The Building Code Compliance Department reserves the right to require testing of this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. The_expense of such testing will be incurred by the Manufacturer. PRODUCT No.: ACCEPTANCE NO.: EXPIRES: 4- 23.4 JUN O 61997 kGilD iamo nd, P.E. uct Control Division Supervisor - PLEASE NOTE - THIS IS THE COYERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. BUILDING CODE COMiY1ITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Flori the conditions set forth above. da under APPROVED: - JUN 0 6 199 4 Charles Danger, P.E., Direct Building , Code Compliance Department tvletropolitan Dade County <r' R 1. Extensions of Acceptance may be considered after a new application has been filed and the supporting data, test reports no older than ten (10) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials,, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. >. The Notice of Acceptance number preceded by the words 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. 6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the manufacturer or his distributors unless othenvise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval. n 1 Diamond, P.E. roduct Control Division Sunervisnr Product Control Notice of Acceptance 9 Roofing System Approval Applicant: GS Roofing Products Company, Inc. 5525 MacArthur Blvd. Suite 900 Irving, TX 75038 Category: Membrane Roofing System Sub - Category: Built -Up Roofing Type: Conventional Sub -Type: Fiberglass /Asphalt Product Control No.: 94- 0323.43 Approval Date: .6 j ij y Expiration Date: JUN 0 6 1997 GS Roofing Products Company, Inc. manufactures and markets nationally a complete line of residential, commercial BUR and modified bitumen products. GS Roofing Products Company, Inc. markets these products through local distribution in the South Florida jurisdiction. , GS Roofing Products and systems are the result of years of manufacturing experience and product development and have been proven by years of experience in the construction field. GS offers a variety of approved insulated and non - insulated roofing systems. For detailed system constructions, refer to the following publications: "Commercial Roof System Specification Manual" and "Flintlastic Roof System Catalog." GS products and systems have been tested in compliance with all provisions of the South Florida Building Code as well as Underwriters Laboratories, Inc., and Factory Mutual Research Corporation for fire and wind uplift resistance. GS provides technical service and warranty information through regional offices. For the South Florida Metro -Dade area, call 1 -800- 777 -2563. Pat Neuhaus Commercial District Manager 2900 Bird St. Charleston Heights SC 29405 803 744 -7451 L iI Diamond, P.E. Trade Names of Products Manufactured by Others Product Control No.: 94- 0333.43 Product Product Dimensions Test Specifications Description Manufacturer Pyrox various PA 110 ° Polyisocyanurate foam Apache Products Co. insulation. ACFoam -II various PA 110 Polyisocyanurate foam Atlas Energy Products insulation. Hy -Therm AP various PA 110- Polyisocyanurate foam Celotex Corporation insulation. Hy -Therm Nail -Line various PA 110 Polyisocyanurate foam Celotex Corporation insulation with nailing surface. Anchorbond Fastener PA 114 Insulation fastening Construction Fasteners assembly with plastic and steel stress plate. DekFasE Fastener RA 114 Insulation fastening Construction Fasteners ` assembly with plastic and steel stress plate. RYI 30, FM 60, FM 90 PA 114 Base ply fastening system ES Products, Inc. Fasteners (for lightweight insulating concrete only). Nail -Tice Type A PA 114 Base sheet fastening ES Products, Inc. Fastener assembly for reroofing. Nail -Tite Type R PA 114 Base sheet fastening ES Products, Inc. Fastener assembly for reroofing. Gripdek Fastener PA 114 Insulation fastening ITW Buildex assembly with plastic and steel stress plate. Hextra Fastener PA 114 Insulation fastening IT\V Buildex L bly with p 'c , d Gil Diamond, P. . Roofgrip Fastener _ _ ISO 95+ E'NRGY'2 ISORoc Con•Tite Fastener Olympic Fastener GlasFast Fastener various various various Paroc various IMulti•Max various ESI Fastening Systems Insult'txx Fastener Rl%%-[ Drive /Spike Product Control No.: 94- 0323.43 steel stress plate. PA 114 Insulation fastening ITW Buildex assembly with plastic and steel stress plate. PA 110 Poly isocyanurate foam International Permalite insulation PA 110. Polyisocyanurate foam NRG Barriers, Inc. insulation. PA 110 Polyisocyanurate foam and NRG Barriers, Inc. rockwool composite insulation. PA 114 Insulation fastening Olympic Fasteners assembly with plastic and steel stress plate. PA 114 Insulation fastening Olympic Fasteners assembly with plastic and steel stress plate. PA 114 Insulation fastening Owens- Corning assembly with plastic and steel stress plate. PA 110 ' Rockwool mat insulation. Partek, Inc. PA 110 Poly isocyanurate foam RMAX insulation. PA 114 Insulation fastening SFS /Stadler assembly with plastic and steel stress plate. PA 114 Insulation fastening SFS /Stadler assembly with plastic and steel stress plate. PA 114 Insulation fastening The Rawlplug assembly with plastic and Company, Inc. steel stress plate. Y 1 Gil Diamond, P. . steel stress plate. 4 +J3 i rain ; �" �c 2 1! nabs flange; <<AS'I r1 A 525 ;2b ga. -corrosion resists gt generic $ ti s . tal. edge meta- for system tcrimnation " ASTINd 1 AS'I'M D 312 Bitumen genet:: uc!nr�st'e. KSaftult Print= " ASDA , •} 1 Asphalt based roof printer. generi.: .1100C tibcrgiass ASTM ; 1227 Roof Coating. generic ` e:nertston . d i", T rgis pA I Io Fiber glass roof insulation generic ASTM ::: ;586 or Atrowel- grade, cutback. generic ` ASTCh1 :.i 2822 bitumen cement mixture including inorganic fibers and mineral stabilizers. s3; gh ©e�slty Wood- various PA 110 Wood fiberboard generic u bcarc_ insulation, �,• ?ry es t1J 1` \.t ,19 t .t Type Y... r: Plastic Plastic Roof' ASTivI !) :1586 Flashing cement. ges►err. ' -type I ,� Lcrcu" 'ASIm . : =s,e z1 IZuof Coating. rrnerir L: �turti 1" all 0 c lit SPA Ilu 1?erllie insulation bo enerir _ , A k - tom Gil Diamond, P. --r - hrodo ( k,E:: ` `lT} 1- { ti . . ' r ° �istt Frs,krtlrs P PA 11' � �, r r' as u us�crrib!y with plastic rind C Comrj,::y fnc steel stress date. ° ° ��`' Rawlplugl~astcster ; ;PA I1 <: I Insulation fastening ' 'Ih�Ra«lpiug , rJ,4 assembly with plastic and C , r 4. steel stress plate. t . "'.t Fast Fastener P PA 1.14 I Insulation fastening T Tru -Fast assembly with p plastic a Trade Names of Prod4cts Manufactured or Labeled by Applicant Product Control No.: 94- 0323.43 y' Product Dimensions Test Specifications Product Description All Weather/Empire Base 36" x 72% Roll ASTM D 2626 Organic asphalt coated felt. Sheet weight: 86 lbs. Black Diamond Base 36" x 75'; Roll ASTM D 1970 Inorganic glass fiber SBS asphalt Sheet weight: 75 lbs. impregnated and coated with fine black mineral particle surface. FlintOlas® Mineral 36" x 36'; Roll ASTNI D 3909 Asphalt impregnated and coated inorganic Surfaced Cap Sheet weight: 78 lbs. glass fiber surfaced with mineral granules used as the top ply in conventional built -up roof membranes. FlintGlas® Premium Ply 36" x 180'; Roll ASTMM D 2178 Inorganic glass fiber asphalt impregnated Sheet Type IV or VI weight: 40/55 lbs. Type IV or VI ply sheet. Flintglas GTS 39 -3/8" x 24'9 "; Roll ASTM D 5147 Torch applied, granule surface SBS weight: 92 lbs. modified polyester membrane for BUR flashing. Flintlastic FR -P 39 -3/8" x 34'2 "; Roll ASTM D 5147 Asphalt adhered, granule surfaced SBS FR weight: 105 lbs. modified polyester membrane for BUR flashing. Flintlastic GMS 39 -3/8" x 34'2"-. ASTM D 5147 Asphalt adhered, granule surfaced SBS Roll weight: 100 modified polyester membrane for BUR lbs. flashing. Flintlastic GTA 39 -3/8" x 33'3": ASTM D 5147 Torch applied, granule surfaced APP Roll weight: 105 modified polyester membrane for BUR lbs. flashing. Flintlastic STA 39 -3/8" x 33'; Roll AST1A D 5147 Torch applied smooth surface APP weight: 90 lbs. modified polyester membrane for BUR flashing. GlasBaseT`' Base Sheet 36" x 108'; Roll As,rivl D 4601 Type 11 asphalt impregnated and coated weight: 69 lbs. glass fiber base sheet for use in conventional and modified bitumen built -up roofing. No. 15 Perforated Felt 36" x 144'; Roll ASTM D 226 Organic a alt saturated felt. Gil Diamond, P.E. I a L t L t { t J 1112 NP WATER Pty+ RMARC T#MER COWRY; �R Mtn CLIK PM Gomm SMEMS El -ECTWC VALW S -RAIN POP -UP ROTOR • K -RAIN 4" POP -UP 15H IAS GM MAPS lk K -RAIN 4" FOP -U P 15H 0&I GPlS WJft P M 8 -RAW 4- POP -UP 15F SD GPM W= PFA e K -RAM 4"` POP -UP IOH 0. ?1 lGPM WrA PSI. Q V.-RAIN 4' POP -UP 109 0A0 GPM MA P S`I D K -RAW 4" POP -UP 0Q 0.S4 GPM WfJ0 PST t-'*% K -RAW 4" POP -UP OR 0.50 GPM WI30 PSI [] S -RAIN 4- POP -UP EXT. 4 x 15 0AS GPM WAM PAI K -RAIN 4" POP -UP SST. 4 x W IDBU GPM W= PM SIZE #OF ZONI-: i 4 ' ..., ... _. WV 2m� 12• � ISO ALL PIPE FROM WATER NETER TO SOLENOID VALVE TO BE MR40 ALL Silt TO BE SCH. 40 2 SEES LMMR THAN PIPE MW SUMVEO NMI PEE BRAWN OUMM CIF PAOFM Y LM 6 MW FOR EASE OF FFADM ALL MATERIALS ARE TO BE KEFT N PROPERTY. • ALL WM'_WACTL&RES PRIG IS SUMMM SMAL MATS XS OF OTHER NMUFACROOIS MAY BE USED • U MATON OF MATERIALS ON PLAN MAY BE ALTERED ACOMONG TO ACTUAL CONDITIONS ON PAY• "ELECTRICAL BY OTC * WA?EiR METER LOCATm IS AN APpFcamTE• ema LOCAT m TO j IB: OEiEPWNM AT STE. r � aoovro. er wra- 8 dpe�yw erm • .K WOati[.�.c © r+e sa o act ae oL 0 POP -UP SPRAY SPRINKLER MW %mom 0 I' an r-•ta t00EL f.•.Q • �6 for 4 4L •tC taw •a "M CL . . ©K umua •+t a �r rK SO- 40 at ROTOR POP- UP SPRINKLER M GATION DETAIL KT.& • ram -par. u -'ni L � YET Trpi �� CIiTOW." 0 PRESSURE VACUUW_8BREAK' ER "Won MGM .,. d ' �.eae s- ttL • .t4!- titbbaae oe wLa. . a � ao� MGM ""'r 0.rts •poR >rC >a b tu. •• anioow tQa • t� 0 ae y t rtC Tww+4 M: sip"" ii 3 r f6 a T p Re an CLL �AC w 4 •&[•awns ®AC I,NlJJ4L .V4 . �0 0 REMOTE CONTROL VALVE' U HYSR}Q'CONTROLLER d ' • .aa� 1. .O.Oa t• GiS sW • • • - WwotPd��jOppgWLlj�wotwa�c c O F _ UL s '• • Sk VAOU •� OL R iL ma THRUST • ALL ItdSTALLAT�t TO BE IN A W� OAC E COUNTY 0ROMANIM , {• -$m IRFmATm DETAIL ON MATERlALATTAG'F O. MKSfiRWAUr0WAMW WAqW i C*tLAan+sra0bt0�aMQridteA��.m -lit I ugloaftAft . aparmoti tw• Y et iv •aey wtadaad*an r ,.a ., . �.. p� h b it ' r a i n " :► fri r N i X77 ZAP Vi i�f 5' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/4/2005 Applicant: GRACIELA Owner: GONZALEZ JOB ADDRESS: 278 NE 103 Electrical Permit Permit Number: EL2005 -107 GONZALEZ GRACIELA ST Contractor CARIBE ELECTRICAL CONTRACTOR INC Contractor's Address: 261 W. 27TH ST. Local Phone: 786- 412 -0067 Parcel # 1132060134860 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE Fees: Description Amount FEE2005 -4216 Building Fee $100.00 Total Fees: $111.30 FEE2005 -4218 CCF $0.60 Total Receipts: $0.00 FEE2005 -4223 Training and Education Fee $0.20 FEE2005 -4236 Notary Fee $5.00 FEE2005 -4237 Scanning Fee $3.00 FEE2005 -4238 Technology Fee $2.50 Total Fees: $111.30 Permit Status: APPROVED Permit Expiration: 9125/2005 Construction Value: $180.00 Work: ELECTRICAL WORK WATER PUMP HOOK UP Signed: (INSPECTOR) APR 15 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 2--Z Z. I IVA MIAMI SHORES VILLAGE fQ� BUILDING DEPARTMENT v 305- 795 -2204 Building Inspection Request Date 0 -4 / /05 Type Insp'n Tf n C, Permit No. E L-05 10- _ Name (A Y-u(: e IQ G-:f�or -iZU Address 2.33 N• r-- . 10'3 :�)T Company Co r I J�:5C E-- jCC-H'/ Co Phone # (3CE>As4 -ZD 5i Inspection Date C)4 k:)6 l Approved ; Correction ❑JC/� }��� Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/16/2005 Applicant: GRACIELA Owner: GONZALEZ JOB ADDRESS: 278 NE 103 Plumbing Permit Permit Number: PL2005 -82 GONZALEZ GRACIELA ST Page 1 of 1 Contractor UNLIMITED LAWN IRRIGATION Contractor's Address: 17690 NW 67 AVE Local Phone: Parcel # 1132060134860 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE Fees: Description Amount FEE2005 -3443 Building Fee $150.00 Total Fees: $167.15 FEE2005 -3445 CCF $1.80 Total Receipts: $0.00 FEE2005 -3448 Notary Fee $5.00 FEE2005 -3449 Training and Education Fee $0.60 FEE2005 -3450 Technology Fee $3.75 FEE2005 -3451 Scanning Fee $6.00 Total Fees: $167.15 Permit Status: APPLIED Permit Expiration: 9/4/2005 Construction Value: $2,100.00 MAR 2 3 pAID Work: LAWN SPRINKLERS 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: zz 91 ' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp' n r IV CA I p(p&(S Permit No. P IM r Name ` x- -n ?o WZ— Address 2-72� NE J 10 Company ' F7 ICE),� Phone # t F I "PC Inspection Date_ Approved Correction ❑ Re -Insp' n Fee ❑ ��U����U ������� MIAMI ��" "��" BUILDING |NSPEC ��KU U ������ "�~�� � " ����"-��� �~ lCJy4 DEPARTMENT APPLICATION FOR 13UILDUNG PERMIT Application is hereby wade for the npproyal of the detailed statement of the plans and specifications herewith submitted for the 6o/ld- herein described. This and conformity with the Building Oidinance of Miami Shores Village, Florida, J all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all m|~, and nnu\^uons of the u"`lJ/"x o,°/woo of Miami Shores Villap shall 6v complied with, whether herein specified wr not. A copy o6approved plans and specifications must be kept at building during pr9gress of the work. Date �� � . Owner's Name and ,{ Registered Architect and/or Engineer ... ....... ................................ Name and address of licensed e�� Location and legal description of lot m6o built on: Block .......... m�. '.----' �o6��vidmn .� /J�'��� ' ^�C Street and Number where work is to be done ............ a. �~�3__- ........ __-_' ..... ........... ---___ State - work to be done and ._~- building -` `-^ floors -.-'__'-__-'--_-'- -_........ -------__-__' - . '--- -..~� 2LI-- _/ ...-_-' . �� ��up�6�nu��' 5�vao� [� Remodeling —-----� --- Addition ---------- Repairs ---------. - of -- ------ Kind of foundation .................. ............................................. Roof Covering ....................... ........... ... -_- .�� ' E,�out^d Total cost of imp,v",mon�o$ �'/L<� Amount o� 9cnn�� � ' ^. ---._.-------. .................. ............................ ................... -........ " �Zone cu6u»o required ...... .......................................................................... Plan Cu6uXc ................................................................ ... -........................ 'Distance to next oe^zo,t 6uU6/ug -------- ---- - --------- --------------- ......... ..... Size of Building Lot ...................... ..... - .......... ..... ................... ------ - Maximum live load to be borne by each Goo .... --- ............................ ......................................................................................... ... ................. .... - I hereby submit all the plans and specifications for said building. All notices with reference to the building and its ommmmion may The undersigned applicant for this building perinit 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, Perinan nt St flement, and has complied v. ith the Xrovisions thereof, and will require similar compliance from all contractors or sub-contractors employel� by him . tl work to be performe under this permit; and will post or cause to be posted for inspection on the site of the work such sublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe under this permit, as are licensed by 'vliami Shores Village. STATE OF FLORIDA, � ss. COUNTY OF DADE . Before me, the undersigned authority, unotaxypublic, duly authorized to administer oaths and take acknowledgments, persoriallyup. me well known, and who, being by me first ' ________ of the above uo*,u,u coostmcuon, that uc has carefully read the y,,egpioo xmpuc"uon, and that he did usu the mao* and that all facts therein by him stated are true. }`.' Permit Nv' . _- .. Cm**- Bru6. Swom tv and Subscribed before me. Duuonm.^ -- .-�'-__ - -_ --_-------'----.. � -T-- 0o�un'���\ic.8�u��������.------'—'------- (Signed) .-L^����_�_- �v� � - '-'_'—___-___ 8ui&og Ioon*do, uxr Commission Expires ....... .................. ............. _._-_-__- PLANNING BOARD ...................... ..................... _ ...... DATE Chmnvxo......... '___- ------------------- ...................... .................. Member ....... ....... ................ _ .... - ........................... - ....... .............. - Muube, ................. _ ......... - ------------------------------- __ --------------------- -_ Member .................. ........ .................. ... .............. ..................... - Member'- ----------------------------------------------- _ ..... - ...... ... _.............. mom6o _ --- ............ -__ ................ ......... _ ........................ _-_----- {o^"u| Approved. ------------------------------------------------- Disapproved ...... ............... .... ...... ....... --............................... Date xoTc. x charge of $1.00 will be mxJv for making corrections or changes to this application after approval has 6°vn obtained from the pl"oo/n: uoxrd. ^ 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. O�35D At MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date CAS Type Insp'n -F1 r---,(:D ) Permit No. F->LC)s _ f Name `_"t r-ocj -e - jQ Address Z'�� E /C),- S% n r, well br ► (< Company Phone # V — S 4 Inspection Date Approved Correction Re- Insp'n Fee SSos o CI 5 MIAMI SHORES VILLAGE �v ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 1G��''. 7 .f 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, 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. Owner's t s Name and Address... ...:�./?.4.. .......................... .............................No .f ..y . �= .........Str®et G., 7..... s,.1. RegisteredArchitect and /or Engineer .........................................................................................-----.................................-----........---.....--- ............................... Employing Electrician's Name. r4." : . . ' .._:. 5 .......... .......I....................... t:.-.......... No............ ............................... Street--------............- ---•- ---- ...................... Location and Legal Description Lot... .................................. .. ....... ...................... Block.......... ......................_........ Subdivision................ ............................. -- E 1 ) Street and Number where work is to be performed— No..K' ' L;?.../. g. r-- .1..�.;?....:7..... ............. Street..........--........ .....................- .- ....... State work to be performed and purpose of building (By Floors) ..................................................•---......................---...............---......... ............................... New Buildin g ..... .......... Remodeling ................... ....... ......Additiun................. Repairs...... `...._� No. of Stories. ....... Service Overhead SUnderground ize Feeders ................ ....Conduit.. ..............Main Sw.. .............................Am s....... .................... Main Fuses .. ......................... Amps Type of Installation— Conduit ....... .................. Tubing........................ B.X.L ................ ...... ...Metal Moulding ..................................................... ................... ........................................................... ............................... ...........--•--....................................................................................... ............................... ........ ...................... ......... ................... ..,......__. .... ...... . .............. ........ ................ . Amount of Permit $---- .....---•-- � -.... 1. ( 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 sub contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) •• ''.f' '. 5 ............................................... Master Electrician. STATE OF FLORIDA, l j COUNTY OF DADE. Ij ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........ ......................................................... ................. =•-----•-.. ....... ..................... ............................ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .......................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................... ............................ .•- ..............-•---........ ............................... ......... ................... . .............................................................................. ... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. RANGE RANGE WATER W. HEAT. SPACE STRIP OUTLETS OUTLET S RECE'P'T•s No. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER t�� �� TOTAL CONTR. _Y_X.__/.SCL LIST CHECK '�- �i, ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1•5 HP TRANS. CONTR. J i� LIST CHECK Service Overhead SUnderground ize Feeders ................ ....Conduit.. ..............Main Sw.. .............................Am s....... .................... Main Fuses .. ......................... Amps Type of Installation— Conduit ....... .................. Tubing........................ B.X.L ................ ...... ...Metal Moulding ..................................................... ................... ........................................................... ............................... ...........--•--....................................................................................... ............................... ........ ...................... ......... ................... ..,......__. .... ...... . .............. ........ ................ . Amount of Permit $---- .....---•-- � -.... 1. ( 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 sub contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) •• ''.f' '. 5 ............................................... Master Electrician. STATE OF FLORIDA, l j COUNTY OF DADE. Ij ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........ ......................................................... ................. =•-----•-.. ....... ..................... ............................ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .......................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................... ............................ .•- ..............-•---........ ............................... ......... ................... . .............................................................................. ... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. N t No. .197676 DATE / //, RECEIVED FROM wDOLLARS u0 FOR RENT c;, GFOA zo ACCOUNT PAYMENT BAL. DUE UCW& FROM 0 CHECK 0 MONEY ORDER BY CSC Village of Miami Shores N? 4822 JOB le ADDRESS Lj� - TT\TqPF.r.TTON .-r r t TIME READY REMARKS I IJ (4 INSPECTOR DATE pillage of �l/l iaml Shores N° 4628 TIME READY + ► " 7 REMARKS �` ' INSPECTOR MIAMI SHORES VILLAGE, FLA. JOB ADD] INSP] DATE 7 N° 5033 TIME READY F _ REMARKS: C:("- INSPECTOR _ _ DATE MIAMI SNORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT f APPLICATION FOR ELECTRICAL PERMIT qC, WPermit No............. ,... --/ .................. Date................................:...`, y ............................... 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 .............. a. ng i•..........-----.............................. ...................No.....278.. .F.................. Street------... .1o3........................... RegisteredArchitect and /or Engineer ...................................................................................................................................................... ............................... Employing Electrician's Name .... Sun. - Sta te.. FtlC. CaZ: 3.. Cy... Ime. ....... _ .... ... No... .......97.09 ... N..Wa ........... Street. ... 27..Av e .. ............................. Location and Legal Description Lot ..................................... ............................... Block........... ............................... Subdivision................. ............................... Street and Number where work is to be pe rformed— No ...................... .................................................... Street .......................................... ............. ......... .. State work to be performed and purpose of building (By Floors) .......................................................... ............................... New Building ................................ Remodeling ................................ Addition .............................. Repairs ...................................... No. of Stories.................... Service Overhead Size Feeders .................... Conduit ................ Main Sw .. ............................. Amps ........................... Main Fuses ............................ Amps Underground Type of Installation— Conduit ........................ Tubing ........................ B. X. L ......................... Metal Moulding......................................... ............................... Amountof 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 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 undS:....thiI, ermit, as are licensed by Miami Shores Village. (Signed).. .......: aster Electrician. STATE OF FLORIDA, COUNTY OF DADE. 88' 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. 1 I� SWITCH LIGHT PLUG FIXTURES REFRIO. IRON RANGE RANGE WATER W. HEAT. ACE HATER STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1 -5 HP TRANS. CONTR. p 2Hr LIST CHECK Service Overhead Size Feeders .................... Conduit ................ Main Sw .. ............................. Amps ........................... Main Fuses ............................ Amps Underground Type of Installation— Conduit ........................ Tubing ........................ B. X. L ......................... Metal Moulding......................................... ............................... Amountof 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 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 undS:....thiI, ermit, as are licensed by Miami Shores Village. (Signed).. .......: aster Electrician. STATE OF FLORIDA, COUNTY OF DADE. 88' 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. 1 I� u BUILDING & ZONING - ADMINISTRATION PLOT PLAN A Lute." �L �L /L NORTH Akk(o1% �u �`1 N IT C0 3 CT ERR., AVE., CT., PL. NO SCALE Legal: Lot No. Block No. _ i Subdivision SEC. TIC P. RGE. Or Metes & Bounds I k� 06 oft I .S N 0 4% s MI .-.MI -'HORES VILLAGE, FLA. N9 5096 JOB LA tj 6 �'5- __ ADDRESS:;'tf .. F. / 4 .3 i�-/ . INSPECTION A- C- n TIME READY REMARKS: _ INSPECTOR - /" _ DATE /o -/° ' Village of Miami Shores N° 4866 JOB 1'4 ,✓4 , ADDRESS 2-7 Y A)- c . /0 3 INSPECTION _I i kr4w. Ik TIME READY REMARKS INSPECTOR DATE 9-2T- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for live approval of the detailed state.sienr us site 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 Mtaml Shores Village, I�lorid.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 spacifaed or ant. A copy of approved plans and specifications must be kept at building during progress of the work. v Date.— OA-ncis lame and Address ....... _R-IN •!'.1�'�......._ —.._._ Registered Alihtteet and /Or )wgttl4'er. ... ... ......�........ ........ ..... ......-. 5. � .................R a«--..,..-,... ql+ rnrlrwr!• �r. RRI iR!., ............................... tame and address of licensed contractor .............. v t% i �............... -C t _ G • Location and legal scription of lot to be bui on. Lot_ ............. �.. Block........ T ...._........... Subdivision_ ... � � * E 4 Street and Dumber where work is to be done ... _ ...... ..'. - State work to be done and pu of building (by floors)... ='S._.._...... ..- .------- __. «__ _........... . L..�. 1.t. ... ..... ' N ............ T < T ... < .. N. _..... - ......................... _ ... _ ....... .._ ................._....- ..._«_...—.—_ ...... _ ................................ _.. «.._..._ —__ __.... and for no other purpose. New Bui !ding ......... ....... .... Remodeling ............... ........ Addition .......................... Repairs .......................... No. of Stories..... To be constructed of ............ _.......... Kind of foundation ............. _-_. .......... .................... ............ _. Roof Covering ............................. ..._.. -- Estimated Total cost of improvements 5........ . -. .Q ............... ........ Amount of Permit =...�.� 4 6 ..._ .................... 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.. . .. ................. ...... ..... ..... ............................... Tne un(icrsigncd aprlicant for this building permit does hereby crrtify that he understands and accepts his obligations as an employer of ltbur under the Florida Workmen's Comlicttsatiun Act, being Section 5966, Compiled Ceneral Laws of Florida, Permanent Sttp {)lement, and has crnnphcd with the ixuvtsion. thereof, and will require similar compliance from all i ors or sub•co actors employed by him in the work to be performed under this permit; and will post or cause to be posted for i i on the site o w such Public notice or notices as arc required by the Act. The undersigned agrees to employ only such su tr wor formed under thus permit, as are licensed by Miami Shores Village. Remarks..._ ................... ............... .-- .._- ._--- _ - - - -- - - _ -- — -- ( Signed) _ ... STATE OF FLORIDA, COUNTY OF DADE. ss' r! 7 t3/ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, penoXally ap- peared ... .•.. . ......................... ___ --------------------------------------- _ --- - ---- —.......... ....................... _.__. »......» •- ......... .__.....--- _ ...... _ .............. - - -•- ----- « ....... - .......... - �....ta me well ka WT4 and who, being by me first duly sworn, upon oath deposes and says that he is the . ......... ........ ........ ................................ ........ of the above described construction, that Ile 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 nw. Disapproved _ ».. .. �. Date.--.- - — - - — - ._.. . .... .............................•• . ... _._ _ �..._. _. r N ot a y Public, State of Fkxida (Silard) ..- . .........t -.. .. _..___......_..... »___.___.........- ......_ » «.. Building Inspector My Commission Expires._ . .._- __._. «_ PLANNING BOARD. ...... _.._.. ....... .............._ — ._.._.._._DATE Chairman _ Member ....... _ ......... _._._.» ._-- --.•- Sfcrr,bcr ............. ............._.... _.. «....- .._..__. »......_..-- -• _ --- Member Member . — ---- - ----- - Member .... _ ....... _ Council A PP roved ....._._ .... ........... ...........••- ---- •- •...... _ «__._.Date Disapproved ............. ._ ... .... ........................... .. .............Date NUT 1;: A ch.trge of $1.00 will be made for making corrections or changes to this application after approval has horn obtained from the Planning; Iivard. A n- in.pectiun fee of 51.00 will be charged when such re4nspection is mach nacessary by improper notice for inspection or faulty ntateriala anti/or workmanship. A 44tiA Nov p i 005 Cr MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 0 3 C F-5 Type Insp' Permit No. Nam Address Z--1c'=-- Company > _I r Phone #S Inspection Date 1 Approved l bS Correction Re- Insp'n Fee 71 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 - - - -- January-- .Both---------- - - - - -- ,19.67 Owner's Name and Address. Mr ------ W. 0 Lange N,278- Stree &T E 103rd Street Registered Architect and /or Engineer. __ _ __ - -_ --------- _ -- - - -- .__- -- - - - - - -- -- - - - - -- - - -- - - --- --•-• -------- ---- Name and address of licensed contractor_ Pang Roofing_& Tile Co., Inc. 773 N. W. 71st Streets Miami Fla. Location and legal description of lot to be built on: Lo- - - - - -- -- -------- --- -- - - - - - -- Block--- ----- - - - --- ----------------- Subdivision - -- - --- ------ -- - - -- -- ---------- - ------ - -------- --- ------------ ------- - - - - -- - Street and Number where work is to be done____.27g__N_e__ -N • 103rd Street_ - State work to be done and purpose of building (by floors) -_._ ------------- - -_ _ __ - -_ ._ -_- _ _____ ----------------- ----------_-------•--------------------------------------------------------- Tear off old roofing and replace with. white shingle - _tile_ on tile section, 4 ply built -up gravel on flat section. or no purpose. - - -- - -- - - - - -- -- - - - - -- - - - --- -- - - ---- ------- - - - --- -- - - - ----------- - -- - - - - -- -- - - - - -- - -- -- - - - - - - --- - --- - - - --- -.and f other p . New Building ----------- ________- ______- Remodeling -------- ------- -------- Addition____. -------- __ --- _--- Repairs__F(e- l'oQf---- No. of Stories.- J_____.._______.__ To be constructed of ---------------------------- Kind of foundation_______ ___ __ -_ Roof Covering— Tile --- & Gravel Estimated Total cost of improvements $- 1100.00 - - -_ _ ------ Amount of Permit $_.5_.00 . _ 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 sue ubcontractors, york_ to be performed and r this permit, as are licensed by Miami Shores Village. Remarks--------- ---------------- - - - - -- -- - - - - -- ------ ------- ----------- - - - --- (Si red - - g ) - -- --- - -- - -- - - 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sWtted are true. Permit No.______(! ____�.. ___ ____..____ Date ------ ---------- Read, Sworn to and Subscribed before me. Disapproved - --- - -- - - - te------ -- ---- -- - - --- - -- - ----- - - - - -- ----------------------------- ---------------------------------------------- (Signed) _ Notary Public, State of Florida Building Inspector y Commission Expires_____ ------------------------------------------ PLANNINGRD ------- ---- - -- --- - ---- _ ------ .-----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 $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 44 't NOV 0 12005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date [D 28 C7J Type Inspn-471 1--� Permit No. e>po2 — qMlp Name Address Z-7 (S 1fl3 Ste' Compan Ll- -r-ry �-�t 1`l� Phone # C�) `J�`-'t-' — Z� Inspection Date Approved ❑ Correction X ltd � G��� Re- Insp'n Fee ❑ -4 L GIs t CD/\i T;Er--- (c)ti. CD c:::k --tizz 3 "*k3o NOV 012; MIAMI SHORES VILLAGE / BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 10 131 CE, Type Insp'n 2E — aC YIPA NC V Permit No. ZO Z.OQE-i, — 2-2-!S; Name A-t lAt3E E.UG)P—A Address Z18 NE. Company 0" KFEE7E Phone # (3CS) 4-19 - 5118 Inspection Date I I o r Approved ` Correction ❑ Re -Insp' n Fee ❑ AV IC 11 Apr � Q t "7.s . F 0•�j �Q:' / �.: ji re ell o _ � Co /i�O�i7�Ca Fe J T•� - o L oo.o .�s� o c F -•r`st ,4rnC r 0^ G.I.5 ; ° ,�,r,�Z70,&. Pl y � � ABM A l L F .Y TOE tM1fzi�,:- 1`s�'c In�y�� 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 / Buildi g Inspection Request co Date Type Insp'n Permit No. YL- Name Address Company � Phone # �S Inspection Date Approved Correction ❑ Re- Insp'n Fee ❑ 4'�r aye � er r * , ,a# �v+. Yak .�y.,r.^rf.y SYgw . � , ✓,.`:'` �H.f tfri!> xY r.,3 i ,'`�,4 y'' <M1 , ' >. ... iY �r� yy ++..rr`y��y��_,..a'_ :.Qy `a Mf 'fr't�l'Y�f}? q ♦S Y�'F (�f�"ya. .i • T �, <F yR�J x t A � �u- t �%�< m�`".Y.Lk�p_�� by�y � iJ`� }��iy ' .. irriA! ;ay"' "��'t"a�V" r•N ���(�� °*j�'� }fir'$'" ���'� � +�`4" .,� � z r +y +bra t�;?�•���.t���!'��9��'�. +yt f t f r•rty 44 rob? As ill ! i Yx 1 •t • 1 �, •� n * 1 � \� \ \�.jjj�� ri� ",yFxy # 1�' A yti•� � 3 x f . < �+ C 1 iu :1 ^� f (~'ijkl• "C�t tl .1f'4 .i4.i3j, r f k • ti <J`�� t Ya Y N ax ��J�%17 '�'3'gy�jlTy�i, � f `•ry.4 ��"CX'.x I^ G � f.�ire I� sure%Y1s e° ��irrrov,7R� . � � y� � , d � �,��'• �� � � � , �" "' Tm ty Ir n t` a vy �I PM row-: x � � < +� ,• "kit Spl'x1YOR:R "'sy <.. '�' aq+7� .vim �,� •� •� d j ,L, � LYL t�Y� �ay�j u� �,�,�,' { � �t�7 .�, 1 4 Y �.,y�'Y*, �,}� lk -o-.h 6,11 s�'i` i�y� <r i'jLnV7e4T+i�. =i` ,. , "� t '`z ,M1' ; „ ",xs .'.!`�"�+,•' r Y � is try• • {.Yi'3� {peY�tv«t,.�t $ �%SL�xt�'�i � , F �+., {�' „� �^��}�� .,.x �t.y !1!. f• "3 i ` ;t �y, 'y,s I'S'dz+,� ,Y�,t{ `� ./ i/, ;, r, r�'� -�^ . 'C } t �74 1��� ` � �y� i,�yra� J �• r ",f3� ,' Ai "'t11 C j° c •. ..', . + i ly.;K,'! i"Tt �s�<t�i �fy(�,• � :. x.. r '` a � _ ��C',l+' `• A p ir "•"S�+Cy ,, lam., � y �,4r � . i -• r '� µ.+ f 8 C%rl.fx� N�P43 �:! i «"4'e��' %J� r-� .,lV,�eQ�,,t', .. d t' �, i!S"i;.�. ... 7 r Y,. axY N< ji"• k a� �,riy�,�•av,�,_ xl � ,. r` --,.. . ....• - t y: f t '� } % %% 1. _ �1}�' Lam*'' -t�, 'r'. •YS.N �r� Y.i�i MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date t2 5103 Time Type Insp' n `� t �� L/-Y,', 1 Permit No. (� P Name 1�" ' ` Y-0 $� Addre,,�- Z7 In 3 "0 Company Phone # [}� n For Inspector: �/ t 0� Name & Date Approved Correction Re- Insp'n Fee "M ME MIAMI SHORES VILLAGE BUILDING DEPARTMID 305- 795 -2204 Building Inspection Requ t _ Time C Type Insp'n Permit No.- Name- Address `= Company = Phone # For l) Inspector: l� Name & Date -� , . o.0 Approve2tO Correction Re- Insp'n Fee ❑ ,aAW02 J V e- Product Control No.: 94- 0323.43 Insulation Types: Wood fiber Fibrous glass - Perlite Polyisocyanurate Composite Board Rockwool Maximum Design Pressure Material Design Pressure Wood -60 psf Steel -55 psf Concrete -75 psf Lightweight Concrete -45 psf Poured Gypsum Concrete -45 psi Cementitious Wood Fiber -45 ,psf Maximum Fire Classification Material Classification Wood Class'A' Steel Class'A' Concrete Class'A' Lightweight Concrete Class'A' Cementitious Wood Fiber Class'A' Poured Gypsum Concrete Class'A' Note: Fire classifications and maximum design pressures 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. Gil Diamond, P,E 9 Type: -, Permi Name MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305 - 795 -2204 Building Inspection Request Address Company (2 Phone # For Inspector: Name & Date Approved 5 Correction ❑ Re -Insp' n Fee ❑ Test wis Test Identifier A -:d 21 0 13 F.111KC 1991, R Gil Diamond, P Product Control No.: 94-03,23.4-3 Test Name!Report D;av Physical properties 06 /x)' Current Insulation I io lFC Approval Guitiv !993 1:,z ClaS5111CH(lull L)7/; 1'.4"i C0,111pli,U)CC Gil Diamond, P aiami Jbores'�Tillage F L O R I D A PLUMBING PERMIT NOW 826 Issued to — OWNER LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story building at- Fixtures Fixtures $ 4+ Sewer $ � 1 Septic Tank $ { Total $ Village Plumbing Inspector Received Payment by Product Control No.: 94. 0323.43 ASTNI D 4601 Inorganic glass Fiber SBS asphalt impregnated and coated base sheet. ASTM D 4601 Inorganic glass fiber SBS asphalt impregnated and coated base sheet. ASTM D 249 Organic asphalt coated felt with granule surface. Gil Diamond, P.E •.:'cMit: 55 lbs. Premium Flex- l- Glas"m 36" x 72'; Roll Base Snect - - weight: 90 lbs. Ultra Flcx- I- GlasT`l 39 -3/8" x 50'; Roll weight: 90 lbs. Yosemite Mineral Surface 36" x 36'; Roll Cap Sheet weight: 69 lbs. Product Control No.: 94. 0323.43 ASTNI D 4601 Inorganic glass Fiber SBS asphalt impregnated and coated base sheet. ASTM D 4601 Inorganic glass fiber SBS asphalt impregnated and coated base sheet. ASTM D 249 Organic asphalt coated felt with granule surface. Gil Diamond, P.E E Issued to aiami Jbores7illage F L O R I D A PLUMBING PERMIT N° 811 OWNER I LOT I BLOCK I SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story building Fixtures Fixtures Sewer Septic Tank Total Village Plumbing Inspector Received Payment by Roofing Nails min. .134" x 11/4" PA 114 Product Control No.: 94- 0323.43 Corrosion resistant generic deformed roof nails. Static Asphalt Fibered ASTM D 1227 Roof Coating. generic Emulsion Tin Caps min 32 ga. x 1 Min. 32 ga, x 15/8"-2" generic 5/8" - 2.0" corrosion resistant circular discs. Valley Metal min. 26 ga. 12" ASTIvl D 525 galy, metal valley flashings generic wide galy. metal valley flashings ley Gil Diamond, P.E Miami =fhores=YiIlage F L O R I D A PLUMBING PERMIT N1.1 811 � ' T' to '� I" ' 3 4" Issued to OWNER LOT BLOCK SUBDIVISION I to install the following described plumbing, in accordance with the laws, statutes and and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing drainage work done in Miami Shores Village, Florida. Fora story ! .J building at Fixtures Fixtures Sewer SAntic Tank Total $ 61 Village Plumbing Inspector Received Payment by -- 9% 6 LOCATION ��s� r,T_ _ ,n ?r,a i- rc�cs4- � �;: <.��; �� / ,�� GARBAGE TAX RECORD PAID BY At YEAR 'ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER + 1940 4 1941 / Qv O 0 o G �i 19,42 a / 943 /L /O -4 Q Q � `1` .SOS 1944 1945 - 'k1144 �Ql 1946 G • d % It 1947 tt K j 1948 19 ` 1949 00 A „.,,.,o, �,�a /;. _%l. �S° 77•E. /050 .�• ta�wr_� 1.) Y/3-5a /9 Su /3. ua 278 N. E. 103rd St. by year annual 1ta,c period used amount paid date paid receipt w W. 0. Lange /07 oO / A &4 ._ 4 � -s f / 5 s 4 1 — '° MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector � CERTIFICATE OF INSPE MN THIS CERTIFIES THAT the wiring and apparatus installed ' by L ewis "s Address for 6, . J " M& O e owner, and occu ed as i has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service L' Number of Lighting CircuitsR' Range * e4 a &re �'� watts. Water Heater watts Power: Connected load H. P. Space Heaters watts Other Apparatus YOUN[@]IOK]D CO. I0O. II00 N.�. 36th St. Phone 825616 Miami, Fla.— '2P 1953 Owne-ri; Name A,40, Address- eel Phones Home ___ Office Salesman Fage Charged Work Completed by Date -r OWNER'S NAME N' T 123—St. GENERAL CONTRACTOR Construction Co'. FRMIT NO 410/ ZONE REQUIREM TYPE CBS REPAI 1 278 N. E. 103 St. LOT I BLOCK 3 &E4 36 ADDRESS 1;,250 Biscayne Blvd. � i Y6 �'-�� PERMIT FEE $ 7.0 0 CU. FT. PLAN CUBE • 6 C CUBE CHECKED BY: Markel STORIES ROOF CONSTRUCTION 1 Biilt Up DESCR IPTION DESCRIPTION y to rids Room Addition APPROVED I REJECTED IREFERRED TO COU I SU I RE- SUBMITTED TO PLANNI ;nr NO. I PHONE NO. SUBDIVISION i�`ia;ni Shares �`l PHONE NO. I LICENSE NC 1154 BUILDER'S BOND NO. 2004 DATE 8,11,z 56 ,c, Q 2,300.00 REMARKS IOR CONSTRUCTION CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE EASONS .Jk Co At 'p v$ BUILDING INSPECTIANS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION DATE w TEMPORARY SERVICE FEE TEMPORARY SERVICE $ BEAMS & LINTEL'S - ZF-�� °°",,,// Wg4 y�LL SEWER $ RANGE CONN. FRAMING SOLAR HEATER $ MOTORS $ GAS $ FIXTURES $ $ INSPECTIONS FINAL BY RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP TEMP. SERVICE GAS PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG, ALTERATION ADDITION F EPAIRS SPECIAL PERMITS PERMIT NO, DATE FEE TEMPORARY SERVICE FEE TEMPORARY SERVICE $ SEPTIC TANK $ H. W. HEATER CONN. $ SEWER $ RANGE CONN. $ SOLAR HEATER $ MOTORS $ GAS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING BY TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN. SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL �J _ 7 -7 ELECTRICAL PERMITS & INSPEC_TIANC CONTRACTOR -1D L r - L -- PHONE PERMIT NO. y DATE FEE $ Z-f NEW BLDG. I ALTERATION s-_ I AD ITION 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 �J _ 7 -7 APPROVAL TO POWER CO. FOR SERVICE DATE BY UILDING ❑ LECTRICAL 0 LUMBING ❑ ,OOFING ❑ lwner of wilding Z rchitect ontractor Builder MIAMI SHORES VILLAGE, FLORIDA DATE '' - I 1 PERMIT N? 4356 Contractor License No.' Work to be performed under this Permit ig8 ,gal Lot j Subdi- escription �` ! Bl. _ vision ddress of Value of Amount of h1ding 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 refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revol e if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which thi nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibili n 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 ordiri.n s and ing thereto and in strict conformity with the plans, drawings, statements or specifications submitted 'to the proper authorities of Miami Shores Vill F 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 UILDING p �r LECTRICAL DATE ` � 195 LUMPING p PERMIT N° _ 435.6 Congo {s :OOFING [] License No.� W** to be pwk=wd u A tr This Permit_ ►caner of dtl Or Z.# AJ as a x r, n, «» wilding �► '� =.�. rchitect ontractor. Builder egal Lot I Subdi- ,, ascription °� ! Bl. vision �' ddress of f� _ � Value of Amount of *� ulding -7 ' Z a ? Protect -(k (+ Permit 1. 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 irefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, swings, statements or specifications that may have: been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any Is 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining to the work covered hereby whether shown on the plans or drawings 9x4n the stateme or specifications 8"ili rhw- gasumes responsibility for Work Y ants or employees. ne b his agents, servants INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered here (in compliance with all o h' n and regulations rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted o proper authorities of Miami Shores Village. In ac- pting this permit I assume responsibility for all work done by either, myself, my agent, t or employee. CONTRACTOR OR BUILDER BY AUTHORITY s WILDING M+CMICAL ILUMBING ❑ 100FING )vmer of , uilding architect ;ontractor r Builder MIAMI SHORES PERMIT N° Work to be perbnned under ,egal Ldp ! I Subdi- description �.- 1 � '' ate— BL - - -� vision ,� address of —* Value of Amount of uilding -- .� Project $- Permit $---- This pe it is granted to the contractor or builder named above to construct the building or to Install the equipment or device described in th " on erefor in s compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with .'plans, ravings, ements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be x4*pked at any me if ork is not done m compliance with such ordinances or if the plans are changed without authorization. A further condition upon which" ` permit is rant `ihe understanding that *e contractor or builder named above assumes the responsibility for a thorough knowledge of th4 ordinances an gulationa ertafn g to the work covered Eby whether shown on the plans or dretwin 4 or in the statements or speci and that he assumes responsibility for work ane by his agents, servants Wj;= loyees. Signed K 'BY SPE , 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 artaininq *reto and in strict conformity with a plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- 'pt ng permit I responsib fo work done by ei " r, y my agent, servant or employee. Cibmt! CTCR BUILDER B AUTHORITY e BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Subdi- vision ❑ Owner of Building_ Architect Contractor or Builder Legal Descriptic Address c Building MIAMI SHORES VILLAGE, FLORIDA 111 PERMIT N° 9714 Contractor's License No. Work to be performed under this 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 I 17 r Lot I� n 131. Subdi- vision if Sq. Ft. Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY I 17 BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N? 15109 Contractor's PLUMBING ❑ License No.— ROOFING ❑ Work to be performed under this Permit __ -- — Owner of II Rnilrlinrr Architect Contractor or Builder_ Legal Lot II BI, Subdi- Description. _ vision 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 F1 ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ El Owner of Building Architect Contractor or Builder _ Legal Description Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6720 Work to be performed under this 01 Subdi- vision DATE— Contractor's License No. 195 Address of II 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 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 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 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194— ELECTRICAL PERMIT N° 3833 Contractor's PLUMBING License No. Owner of Building _ Architect Contractor or Builder. Legal Lot Work to be performed under this Permit U1 This Consrrc War Pr�r, Trion msY he i, yf0l3 OF# f)t a� 2to c$� `i . Lirr,itatr();ls G; Jpr t dI �ned to consult ya;,r aka. c. Subdi- �qyS D�t7rtlt, vision tits Address Of Value of Amt. 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect — Contractor or Builder _ Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE r _ . 19 PERMIT N�' 4068 Work to be performed under this 11-31 Subdi- vision Contractor's License No. — 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 axd 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 ecnor - BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date- - f PERMIT �T PLUMBING ❑ lr :D 8361 Contractor's ROOFING ❑ License No. ❑ Work to be performed under this Permit-- Owner of Building Architect _ Contractor or Builder .'- Legal Lot I Subdi- Description I Bl. vision — - -- Sq. Ft. - Address of Value of Amount of Building _ Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed:- (INSPECTOR) BY -- In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE — ELECTRICAL ❑ PERMIT PLUMBING ❑ N Y 4047 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building . Architect I /i Contractor or Builder II Legal Lot I Subdi- 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 asd 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 1 assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ARSOT BUILDING PERMIT Owner of Building Contractor or Builder Miami Shores Village, PROPOSED LOCATION MIAMI SHORES VILLAGE OFFICE OF BUILDING IpISPECTOR X N9 269 A. DESCRIPTION OF BUILDING PART OF LOT LOT BLOCK SUBDIVISION _. NO. STREET PERMIT FEE / ZZ DEPTH HEIGHT STORIES , f DESCRIPTION OF BUILDING This permit is issued to t t To the building above described, as per application, Pl s 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 UP94 the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unaut rje b e+ 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 (SEAL) TYPE OF CON.ST CTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE FF/RONT DEPTH HEIGHT STORIES �- 011 Frame I e Concrete Stucco e Resi a ce Apta. Stores Hotel This permit is issued to t t To the building above described, as per application, Pl s 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 UP94 the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unaut rje b e+ 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 (SEAL) BUILDING PERMIT Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida,-, 19 N9 269 PROPOSED LOCATION NO. I STREET I PART OF LOT I LOT I BLOCK I SUBDIVISION DESCRIPTION OF BUILDING This permit is issued to 10 the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and 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. Dated - ! _ `,� �. , 19 (SEAL) TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE FRONT DEPTH HEIGHT STORIES Frame Tile Concrete Stucco Residence Apts. , Stores, Hotel This permit is issued to 10 the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and 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. Dated - ! _ `,� �. , 19 (SEAL) ELECTRICAL PERMIT aiami Jhores7illage N. B. —This Permit must be on display on the premises during F L o s i n A the construction. OFFI OF ELECTRICAL DEPARTMENT Owner of Buildin ' ' ,�! .• N° 453 g i'ami Shores Village, Fla., v 19.p 1 C *ctor or Electr ia LOCATION NO. STREET ,' PART OF LOT LOT BL'K SUBDIVISION t7 %� V Other Apparatus .1 , DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs $rlftsdFds V Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. •60 f �` +- , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agre(Vo 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 11 rules and regulations of the Electrical Department of Miami Shores Village. Tlycn� Dated r% r 19 %0 (Seal) Master Permit No. _ Subsidiary Permit No. PERMIT APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the 11liami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: 16) 3 '=S � S ,/ J Address Apt. City State Zip Folio Number Lot Description of Work ��� Block `i�"� Subdivision PB PG Current Use of Property ^® G Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Name Electrical Address Mechanical Home Telephon Plumbing Business TelephoG / LPGX Alteration Interior Roofing Demolish Fence Relocation of Structure Other Shell Only ARCHITECT Name License No. Address Telephone Fax Zoning Linear Feet Square Feet Units Floors Value of Work If " " lc;' C' Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev, PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension PROPERTY OWNER (✓ ) Name Address Home Telephon Business TelephoG / Fax Alteration Interior TYPE OF MANAGEMENT (✓ ) New Construction I Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'] Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name .. _ License No. Address Telephone°—jp /� r f/� _o ax� _ "3 Qualifier N�amoeC '7�' *' __�y Page 2 PERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 5:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. DAVIT - Please rear Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, I' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE gnature of Own zr:� 4er_i Print Name Sworn to and subscribed before me this day of Signature of Nc�,aryPublic - AS 'a' c SEAL: * MY COMMISSION # DD 296450 EXPIRES: March 5, 2008 T of F`pc OP Bonded Thru Budget Notary Services Personally known OR, Produce Identification Type of Identification Produced: STA O ORIDA, COUNT MIAMI -DADE Signature of C ctor / Qualifier Print Name Sworn toped, bsc -rib before me this / day of slalpnvapun oggnd ,UeloN njgl papuog L00d'91.A1nr S3aidx3 o%D9WtkS3HaN1/ SEAL: Personally known t OR, Produced Identification Type of Identification Produced: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING `-' ' _ Permit No. IQS' �- PERMIT APPLICATIO `� Z 9 non Master Permit No. FBC 2001 Permit Type (circle): Building Clectrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 6_ �4 v_> Phone Owner's Address �P 7 S�'- ,CJ e= 103 � City i / eAZ State Zip 3 / Tenant/Lessee Name Phone # Job Address (where the work is being done) 0 7 C 4_,� E /D - 3 �/— City Miami Shores Village County Miami -Dade Zip 3 3 Is Building Historically Designated YES NO ,✓ Contractor's Company Name �. /zi b za Z A-1 C Phone #__4� t,/ V z L Contractor's Address ;2 6 / 6c2e S 7 off- `7 S 1' City �1 State Qualifier' State Certificate or Registration No. Architect /Engineer's Name (if applicable) Zip Certificate of Competency No. Phone # $ Value of Work For this Permit JIA9, CI Square Footage Of Work: Type of Work: ❑Addition ❑Alteration []New ❑ Repair /Replace ❑ Demolition Describe Work: 1 y� S Y ' �� % s .✓'y ! n �.¢ �/o- Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ * * * *� * * * * * *� * * * *� * * * * * * * * * ** Fees* * * * * *x *�� * * *� * * * * * *,� *� *,� * * * ** Permit Fee $ I ev r e Training /Education Fee $ — Radon $ Zoning (Continued on opposite side) Structural Plan Review. $ CCF $ Technology Fee $ Bond $ CO /CC Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY, chc 05/13/03 Plans Examiner Engineer Zoning i JL.i w.AL J. JLl h.l JLJL dl'JL % " T JL AJL N•b Oi✓ Building Department U %1j# 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �� Tel: (305) 795.2204 Fax: (305) 756.8972 RUILDING Permit No.777= I-"E MIT APPLICATION Master Permit No. 1,a BC- 12()()1 hei,mit: Type (circle): Building r Electrical Plumbing Mechanical Mooring Owner's Name (Fee Simple Titleholder) /7 /2Ar— i r �j9 C� »zA Phone # pS) Y::y4 OwnersAddress 01V Zip —:33 13e TenanULessee Name Phone # Job Address (where the work is being done) „�'7 S7 City _ _ Miami Shores Village County Miami -Dade Zip 0 3 % 3 e Is building "istorically Designated YES NO Cmil rnlo►.'s Company Name d i` Hi 7 1 Arson �hone #- 7 � Conlm or's Address —1'76'9 Q ,(.) tt� ,;% Ci(V__r�L`,� State- ;---z� State Certificate or Registration No. Arebitect/Ingineer's Name (if applicable) Value of Work For this Pernxit �°��,� &V Certificate of Competency No. 01 PC) 00 S V S Phone # Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: w ti`/' r �A Submittal Fee $ Notar} $ Permit Fee S� Training /Education Fee: Radon S Code E►eforcement S Total Fee Now Due S (Contimmed oil opposite side) CCF , D�-' _ CO /CC Technology Fee 3- Zoning Mond S Structural Plan Review. Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR' IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Ole COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building perrnit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of cornrnencenzent and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of cornrnencenrent must be pasted at the job site for the first inspection which occurs seven (7) days after the building perrnit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection, fee will be charged Signature Signature ,_ v __- ------ _.__ -_ -- T --6 ,ner or Agent Contractor The foregoing iT�t-Innent was acknowledged before me this The foregone instrument was acknowledged before we this d of 20 G b l 5 Y ? _ y _ i� �:;�r io 6-0 ,, 74 /a z day of 1. ��•� 20 by � �!� - -- - who is p onally known to me or who has produced ,�t -/' who is personally know o me or who has produced - -- - 4� As identification and who did take oath. s i entifucatiomand who did take an oath. ,_ _. _ _- NOT RY P LIC '- ~-- y .NOTARY PUBLIC. Mt >h tfg1IS Sign: _ Sign: misicin1231+ fl./'/ �-i Print: � Y� i Print: My Commission Expires: - =� Q My Commission Expires: AINSWORTH SMITH ** ��* �****** �: t** ��*: t����*** �* k* k *:t�� *� * *���; *��;,����:t:e�:t* MY COMMISSION # DD 296450 N EXPIRES: March 5, 2008 APPLICATION APPROVED BY: Che 05/13/03 Plans Examiner Engineer Zoning PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date �1_7 Job Address ;2% �(1y� ,- Tax Folio Legal Description_3c� 3 `% ���, ' / i7 /t /'y Master Permit Owner / Lessee / Tenant _ j �L0/� Owner's Address -7 2 / � A1% /o-.21 Phone Contracting COCC ,° / "62 Address /27?0_ F /);F- �-A A Qualifier �s7t/; Phone /A 4? State # Competency #,�% L Ins. Co. 019 �,. vii Architect /Engineer Address Bonding Company Mortgagor Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION %, _Az AjL�� Square Ft. Estimated Cosh Q C6 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. O',TIER'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. Signatz; of Owner and /or Condo President �4 �c Not y to Owner and /or Condo President My C;,mmis'sion Expires: /f 116/ll PERMIT FEE: APPROVED: Fire C� Signature of Contractor or Owe - Bui_'der Date: tar as to Contractor or Owner - Builder Commission Expires: l4 9 �It �k i1t * // I � t Zoning Building—cl a .�a Mechanical �� 14q Plumbing Electrical Engineering 1 I J4- - 6il<L A,11 N-1 1 A V 1 %e " ♦ 111. 6..{. {®.,. `,J Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 331.38 Tel: (305) 795.2204 Fax: (305) 756.8972 `Jt n Pf( fi - g0f,&.S v; )kie, M A I Ubt c— 70 _a < m PERM I�' APPLICATIOI" �� "� � FIX1 zoos Peumit Type (circle): Building Owner's Name (Fee Supple Titleholder) Owum's Address �- Tenanl /t_.essee Name Phone # Permit No. Master Permit No. Electrical Plutnbilig Mechanical Roofing Photle .lob Address (where the work is being done) � L-�) 7 E 10, °�' L5 7- City �Miatni Shores Village County Miami -Dade Zip �j J Is Building 1listoricaily Designated YES NO ,� t Contractor's Company Nitrite m � J (, i� Phone i# �% �� – r V6- C'oulractbr's Address _ 2,!a" C'ii5, / - - - -- Slate — Zrh 3 3 — QoaliCler Slate Certificate or Registration No.___ 7 Certificate of Competency No.__ Architect /Euguieer's Nance (if applicable) Phone # (3 Value or Work For this Permit Type or Work: ❑Addition R116teration []New Describe Work: Square Footage or Work: ❑ Repair/Replace ❑ Demolition Submittal Fee + Permit Fee CCF Co /CC 1Votary $_ Training /Education Fee $ Technology Fee $ Scanning $— _ Ratlou S Zoning Bond Code Ettrorcentent $ Stnrctural Plan Review. S Total Fee Now Due S (Confined ou opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City _ State — Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS; WELLS, POOLS, FURNACES, BOMERS, HEATERS, TANKS and AM CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR ' IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit nvith an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien Caw brochure will be delivered it) the person whose properly is subject to attachment. Also, a certified copy of the recorded notice of cornmenceinent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issuecl In the absence, of such posted notice, the inspection will not be o�proved and a reinspection fee will be charged Signature Owner or The forego-14 instnlment was acknowledged before day of 20 d�by &04�ZA who is perso ally known to me or who has produced r .. Signature this The fore lh �� day of A _ s identification and who id take an oath. NOTARY PUBLIC _ Sign: Print: My Commission % r• �� %k��r�:� %�i���:%k *�::r�:�i� *a: %k *a %�i *� ** APPLICATION APPROVED B 28.2007 instrument was acknow A —, 204gj,by j NOTARY PUBLIC: or who has produced vice�?Qj' My Commission E) ifB _ %k "- *� i�%1%%k '* �>k%k>k% iii,% k> k: k*% k�#> k% K*% k% K�F* i��k�F�l:* �I:> k* �% k�Fi�i; �k% ki��F�F*% i% k�i��% k%k>k>k *%K%I<�fia:%I�:Y•:k�k:f:R Plans Examiner Engineer Zoning Clic 05/13/03 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 -795 -2204 • Fax: 305 -7 Date Job Address a. Tax Folio Legal Description Historically Designated: Yes COU L — Owner /Lessee /Tenet ''F / % '.� �' %t �`� l7 g ,d ?,4 Af 2_. /4Gt1d Master Permit Owner's Address Phone, -ye Contracting Qualifier State # Municipal # Address SS# Competency # Phone Ins. Co IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one) BUILDING ELECTRICAL PLUMBINGG MECHANICAL ROOFING WORK DESCRIPTION:' s<'?L.' "� 0 Square Ft. Estimated Cost ( WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires FEES. PERMIT �' ;- RADON APPROVED: Zoning Mechanical Building Plumbing Date Date '/ Signature of ContraElirr or Owner Builder Date �Y.pu, OF RCIALNOTARYSEAL Notary as t i `t' @r Owner Builder Date vC%v1MISSION NUMBER My Commi o e4 DD091094 -7- �l ,iy COMMISSION EXPIRES OF F�_ MAR 1,2006 } C.C.F NOTARY<_�, . G BOND 7 3 TOTAL DUE' o U Electrical Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date., "3 Job Address 1U6_ 1,03 S 7- Tax Folio Legal Descripti Owner / Lessee / Tenant 5fL_0 t,) Master Permit, #( 3 nl a 37 Owner's Address )- ff WE /0-3 S7- Phone Contracting Co. TAm,,a FZa2 Bc Address 3 *31 &F1'-t,6-� Qualifier 7117;;-r es ge�L.F ,tom SS4t Phonk 900 State # EC.Qo ®i ;L Municipal # Competency # Ins Co. Architect /Engineer Address Bonding Company 104 Address Mortgagor Address Permit Type(circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION a o,kiF Square Ft. q400 Estimated Cost(value) 0.3 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 14 Signature of owner and /or ndo President S' nature of contractor or Owner- Builder Date: L/16te: -7__? ' Notary as to Owner ,A nd My Commission Expires: or Condo President Notary as to Contractor or Owner - Builder My Commission Expires: p O ©' /' FEES: PERMIT RADON C.C.F. NOTARY' TOTAL DUE APPROVED: Fire Other 3/YDjz Zoning Building Electric Mechanical Plumbing Engineering STATE OF FLORIDA -- DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Kt�`L91 5k L CLO PERMIT AGENT:N C LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 4 [Section /Township /Range /Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.... - - -- ------------------ - - - - -- - PROPERTY SIZE CONFORMS TO SITE PLAN: [ YES [ ] NO NET US LEz ACRES TOTAL ESTIMATED SEWAGE FLOW: ® GALLONS PER DAY - 1 / OTHER -TABLE 2] AUTHORIZED SEWAGE FLOW: OC? GALLONS PER DAY [;1500 <GPD /A UNOBSTRUCTED AREA AVAILABLE: 115 ou SQFT UNOBSTRUCTED AREA REQUIRED: —__qC) (7 SQFT BENCHMARK /REFERENCE POINT LOCATION: CS.-JA" Cis i- ELEVATION OF PROPOSED SYSTEM SITE IS 2s. [INCHES /FT] [ q, POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PR (jpOSED SYSTEM TO THE FOLLOWING FEATS: SURFACE WATER: �,fl FT DITCHES OS ALES: FT N RMALLY WET? [ ] YES, NO,, WELLS: PUBLIC: Q- FT LIMITED USE: # FT PRIVATE: FT NON- POTABLE: FT BUILDING FOUNDATIONS: i' FT PROPEY LINES: FT POTABLE WATER LINES:'t FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ NQ - -- 10 YEAR FLOODING? [ ],YES [NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSLLNGVD SITE ELEVATION: 'FT MSL /NGVD SOIL PROFILE INFORMATION SITE 1 -SOIL PROFILE INFORMATION SITE 2 Muns ll Color Texture Depth [ to to to to t to to to to USDA SOIL SERIES: OBSERVED WATER TABLE: 15 INCHES [ABOVE ESTIMATED WET SEASON WATER TABLE ELEVATION• HIGH WATER TABLE VEGETATION: [ ] YES O SOIL TEXTURE /LOADING RATE FOR SYSTEM: SIZING:, DRAINFIELD CONFIGURATION: [ ] TRENCH REMARKS /ADDITIONAL CRITERIA: , SITE EVALUATED BY: HRS-H Form 4015, Mar 92 (0bsoletes grevious editions which may (Stock Number: 5744- 003-4015 -1) . Mun ell blor " e ct re De th , — to to to to' to 0 t to to USDA SOIL SERIES: EXISTING GRADE. TYP - RCHEi / APPARENT / ELOW , J EXISTING. . '�TLING: [ ] YES NO DEPTH: INCHES :,-DEPTH OF EXCAVATION :)% INCHES [ ] OTHER(SPECIFY) - - —DATE: 7� �( us �� Page 3 . of 3 lNSTR U ='C'j "', 13: F�rnit tracking nu,ii'O r :;'R,'HFF Ell . l ION OF P)71�,-,IMAPK RrT7REN'-CE IXCA'Fl BEN C[ R, SUE Sj—i E 2 SUE SHOT" ILI HJ. ILL ILL F-I SHOT SHOT SHOT STATE OF FLORIDA DEPARTMENT'OF HEALTH AND REHABILITATIVE SERVICES ,N APPLICATION FOR ONSITE SEWAGEDISPOSAL SYSTEM CONSTRUCTj�1�I Permit Application Number ------- - - - - -- `------------ - - - - -- ---- ..--------------- - - - - -- -- - - - - -- -PART 11 - SITE PLAN------------- - - - - -- --------------- - - - - -- ---------------- -. - - -- - - - -- Scale: Each block represents 5 feet and 1 inch = 50 feet.' " _; _ _ _ E f a_ . gym! i _ ! .mil .,�? . _.. ..1.�_� W��� � �� � ._ . > i _ _ ! Notes: Site Plan submitted b — TITLE �. IGNATURE Plan Approved., Not Approved Date .� By ...,..,� - County Put`lic Unit 9,: ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT HRS -H form 4015, Feb 85 (Obsoletes previous editions which may not be used) Page 2 of '3 (Stock Number. 5744 -002- 4015 -6) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 -23 -95 Job Address 278 N.E. 103 Street Tax Folio Legal Description Owner / Lessee / Tenant Katie Salow Master Permit #� �%7 Owner's Address 278 N.E. 103 Street Phone 756 -8789 Contracting Co. QUALITY ROOFING CONTRACTOR, INC. Address 251 N.W. 99th STREET Qualifier CARLOS AROCHO SS# phone ( 305 ) 751 -0382 State #RC0058627 Municipal #2078269 Competency # 17889 Ins.Co. Architect /Engineer Address Bonding Company _ Address Mortgagor Address Permit Type(eircle one): BUILDING ELECTRICAL PLUMBING 'MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off flat roof to wood deck, install 1/2" insulation board, tiri cap 301b. ASTM felt, mop on with hot asphalt 2 plies fiberglass and will paint roof with a uniform coating of aluminm paint, will install metal eave drip. Square Ft. 700 sq. Estimated Cost(value) $ 1,700.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I author'ze the ab named contractor to do the worm stated. Signature of owner and /or Condo President Signature of Contractor or Owner - Builder Date: 2- 9 '1�7 , Date: ' P "9--,� /, i/ Notary as t Owner a Notary as Co •tor or Owner -Bui er My Commission Expire ' ��X My C�lM1SSi0N N CC 3ta212 My Commission g YLOU y� �at= EXPIE9:3: O�toh�►10 1997 * ` CQMMISSI�+! N CC 421 ftrftd 2 T1n Nfty PW* I/utlera en EXPI 10.1997 ED r7n d C'3. FEES: PERMIT �• RADON C.C.F. I. NOTARY TOTAL DUE�3� APPROVED: Fire Other Zoning BuildingZ Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2- 21 kr Job Address 2 7-Z /03 Tax Folio Legal Description O / Lessee / Tenant L-/M a, Master Permit # 3� a Owner's Address �� IJ � �8� .?'r Phone Contracting Co. Q Address _I& A >A) 2et d-V Qualifier SS4te!- Phone 82177 State Municipal # Competency # Ins.Co. Architect ,,Bonding Company, Address Address Address Permit Type(circle one): BUILDING ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION '� F 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 informat . n is accurate ana that work will be done in compliance with all applicable laws regulating ns ruc io nd "zon' Furthe re, I authorize the above named contractor to do the work stat /- JA i (ZW-. � r XZ A Signature of owner and /or Condo President Sig nat a of ractor r Owner- Builder Date: Q Date: RIV 110A-' Nota ,�gRVt�, ®0�}o�Ag �,# President. Nota y �av $ �cL r- Builder My C nEDes At b My C . �' ExamEI. COMMISSION NUMBER COMMISBER CC40'1261 5 � CCMY COMMI16A1 •EXP PTO M COEXP. OF *�:O * �r �U tG6* * ** *A.UC. 1iJ 996 FEES: PERMIT Id RADON C.C.F. NOTARY � TOTAL DUE APPROVED: Fire Other Zoninst Buildin Electrical Mechanical Plumbin Engineering_ a STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, FS S,Chapter 1OD -6, FAC PERMIT # V� DATE PAID FEE PAID $ RECEIPT APPLICATION FOR: Y�y [ )`New System [ ] Existing System [- ] Holding Tank [ ] Temporary /Experimental [ ]] Repair , Other(Specify) APPL I CANT : _ , - _ 1 TELEPHONE: '] - G z 7?' AGENT: MAILING ADDRESS: TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO- SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 1OD -6, FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION O�t�pF/ LOT: BLOCK: SUBDIVISION: DATE OF� SUBDIVISION: PROPERTY ID #: [Section /Township /Range /Parcel No.] ZONING: PROPERTY SIZE: ` ��( ACRES [Sgft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE [']'°PUBLIC PROPERTY STREET ;ADDRESS: 7 ��1 a DIRECTIONS TO PROPERTY: (Stock Number: 5744- 001 - 4015 -1) t BUILDING INFORMATION [ VXRESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building # Persons Business Activity No Establishment Bedrooms Area Sgft Served For Commercial Only i 2 3 4 [ ] Garbage Grinders /Disposals [ ] Spas /Hot Tubs [ ] Floor /Equipment Drains [ ] Ultra -low Volume Flush Toilets [ ] Other (Specify) APPLICANT'S SIGNATURE: DATE: -7 HRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used) Page 1 of 3 (Stock Number: 5744- 001 - 4015 -1) - STATE OF FLORIDA PERMIT # DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT RECEIPT # G Chapter 381, FS & Chapter 1OD -6, FAC CO TRUCTION PERMIT F � {] New System [ f Existing System [f� J< Holding Tank [Iii'] Temporary /Experimental Repair Abandonment [f] Other(Specify) APPLICANT: I�� AGENT: PROPERTY STREET ADDRESS: 7 / 16,,: LOT: BLOCK: SUBDIVISION: PROPERTY ID #: [ SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER IOD -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. -HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE, NULL. AND VOID., SYSTEM DESIGN AND ,!� D ..� SPE FICATIONS T vV J(ALLOIj,S'/ PD SEPTIC TAAEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES :[ ] A [ ] [GALLONS -/ GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: MO GALLONS] K [ ] GALLONS PER DOSE DOSING, TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS:[ J D [ SQUARE `P PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] -MOUND [ } I CONFIGURATION: [ } TRENCH [ ] BED N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE -[ ] [INCHES /FT] [ ABOVE / BELOW] BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ J [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: ( } INCHES ' Oar -- - -� - T SPECIFICATIONS BY: TITLE: APPROVED BY: '"_. ,r TITLE: 7 CPHU DATE ISSUED:" f EXPIRATION DATE:(: �J gq�p 1, BE, PUMPED AND A SOLII) HRS -H form 4016, Mar 92 (Obsoletes previous editions which mayDBpk0j)fA , yj%E]mb�T�a GO TFE OUTLET TEE Page l of 2 (Stock Number: 5744-001 - 4016-0) I APPLICANT ;r INSTRUCTI ' NS PERMIT ` by CP"'J" PLICAT,TO!, Fr ""� " °'y tvpc in blank, FATEi "Si. St;` 1 1 . L ' -'it .. :ti3 12t ,G'EN prof —, y appraiser ,D # or se,tinn %toun4hi� -renge /parcel r anbcr`, .<,:rt Ct ..1 ter IC�D-b. FAC. Cluj ter ipD -6, FAC. Cul=t✓ U':;. _....r I c� i.i,iF pc.ui., requirements, low - volume flush toilets, variance provisos. rLCIP A. P 'AN.` Fy' specifications. If designed by a registered engineer mustbe sealed APPRO I D u? ": C iunly F t'ii 11 .a11i Ziait (CPIIU) personnel reviewing and approving permit. DATE ISSUED: Dat =� pcmnit is ,sutsA by CPHU. EXPIRATION DATE: On: }e r r-oln dm,"'-= issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date O� ;77 - qLb Job Address �7� F ��% s;,r Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee / Tenant Ar MTL)YLo -�5A L. a)I J Master Permit # 1-171 3 4( ►'� 1 �'-i � +ran � —7 Owner's Address rL'7 s� jJ E { S 3?i 13 $ Phone Contracting Co. %1J c'YL Address�� Qualifier SS# _ _ Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. 'Z - f Estimated Cost (value) Z52> I 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 wi a done in c pli ce with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named con to do work stated. Signature of owner and/or Condo President Date Signature of C ctor or Owner - Builder Date a Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My Co -ims - C�PIiV P(1Q OFFICIAL NOTARY SEAL li SANDRA M MONTIEL r * COMMISSION NUMBER < CC401261 �a DIY COMMISSION •EXP. fir„ PLC AUG. 1i 1998 FEES: PERMIT RADON C.C.F. NOTARY S BOND TOTAL DUE APPROVED: Ada ?ding Building 1 Electrical Mechanical Plumbing Engineering ,. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address X 2-7t � E l 05 4 T Tax Folio Legal Description Historically Designated: Yes No V Owner/Lessee /Tenant � ArR-r v 12 o D J A Lo Owner's Address 27 ja i E lo-3 c -r H Contracting Co. � C>C— Al '"1z_ Address Qualifier SS# - State # Municipal # Competency # Architect/Engineer - Address Bonding Company A--- Address _ Mortgagor _ t J A Address _ Master Permit # 412 a ,/ Phone o$ 7 F2 7 S, / Phone _ Ins. Co. Permit Type (circle one): IBUILDM ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIONS `. �(�''Ai n Ti hI C., t7r 4T-V 56 Square Ft. Estimated Cost (value)) 150 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RMILT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WFM V6M 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the workoAted. f Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: My Commission Expires: FEES: PERMIT RADON C.C.F. O NOTARY —5ft D0 APPROVED. Zoning Buil ' iG Electrical with all applicable laws regulating Date ANGELA M BECKER COMM1900n NUMBER CC786697 MY COMMISSM EXPIRES NOV � 5 5,2002 BOND TOTAL DUE Mechanical Plumbing Structural Engineer, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE J6 Date VJ Job Address a75 4vi� r�� �t'. Tax Folio Legal Description_ Lorr 1J 'i % � �2 GCr 4 ", Cam[ 11 Owner Lessee / TenantA'n� .�3Z.L� Master Permit # 7 7. � Owner's Address_ _ �27� © c Phone Contracting Co. C9Wt� 6re Address Qualifier � SS# - - Phone State # Municipal # Competency # Ins.Co. Architect Engineer 6 Address 'X_116 Ou L be;, Bonding Company U11A Address or Permit Type(circle one) BUILDING i'A,Nzi-A Address ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. 45117� Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO 'DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN 'ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthe e, I_ authorize-the above -named contractor to do the work stated. Signature f owner and /or Condo President Si nature of ctor or Owrter-Builder Dater Dated ., 46�wOtw Notary as to Owner and/& Condo President My Commission Expires: goy p&a ELIZABETH A. SALOW COMMISSION O CC 379859 EXPIRESJUNR JQQA r My Commission Expires: bi lder Q BONDED THRU OF V AT6ANTIC BIDING CO,,, INC. * * * * * * wt9t FEES : PERMIT (P6'/ RADON 51W C.C.F. '�! NOTARY "`� TOTAL EVE S•IA.. /� APPROVED: Fire Zoning Building Electrical . Mechanical Plumbing t PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ) - a J - O a Job Address � 'r) 'l i 03 Tax Folio / � � D LJ 1 3 U t Legal Description Iiistorically Designated: Yes No Owner/Lessee / Tenant t c � Master Permit # ) J w Owner's Address n N [. I Q3 5- e&t R -.W". 5 �,: -_s Phone Contracting Co. Ouj't +�j E oJLI�, �e r~t sr. c or t _ Address 13 6 6 U IJ , J , 1 S' . y n w.e. Qualifier �AosocLe SS #( Phone 751 - -D-?8.;t State # iZ C Municipal # — Competency # 1 k Ins. Co. Architect/EngineeIr Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROO� PAVING FENCE SIGN WORK DESCRIPTION_nc `r CA CP,r Jc�ukr Led— Inc, tr ^o-J 42 or-cil Square Ft. 211 , kcz Estimated Cost (value) A RS-0-00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR EVIPROVEMEN'TS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITS YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS A/f constru ' zo V, Siinaturelof ownerlan&al i Notary as to Owrfer and/or My Commission Expires: 11 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating I ayth6 ze the above -named contractor to do the work stated. / President Da Y Py' •, MARAOU HERNANDEZ .,� MY COMMISSION # DD 060579 P.' EXPIRES: October 10, 2005 Bonded Thru Notary Public Underwriters Signature of Contractor or Notary as to Conhractor or, My Commission Expires: r —1)- "a Date MARYLOU HERItWEZ MY COMMISSION # DD :2o05 79 EXPIRES: October 10, Bonded Thru Notary pubk ers FEES: PERMIT y RADON C.C.F. 0 NOTARY �- BOND APPROVED: TOTAL DUE -IfG —= Zoning Building Electrical Mechanical Plumbing Structural Engineer, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 Job Address 27� N �� Tax Folio Legal escription /A Owner /Lessee /Tenant 4e7%,7<0 � c�� -Lo� Master Permit � �f� Owner's Address 2 7 zf:-17 /V C-7, 1C) ST Phone Z5e e- 7 -� g -- -- -- Contracting Co. Address Qualifier SS# - Phone State # Municipal # Competency # ,4ns.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING WORK DESCRIPTION Aoar-- ELECTRICAL PLUMBING MECHANI 11� ROOFING' PAVING FENCE SIGN Square Ft. b S r Estimated Cost(value)_�� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construe ion in Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Signature f ntract or Own 4r-Builder Date: Date: Notary as to Owner and /or Condo President My Commission Expires: FEES: PERMIT >W RADON C.C.F. APPROVED: F Zoning Mechanical Plumbi 'W&M4.Uo Notary as to ntractor or Owner- Builder My Commission Ex 6; ELIZABETH A. SALOW COMMISSION O CC 379859 EXPIRES JUN 6,1998 * * i N Y TOTAL DUE, G Other Electrical Engineering III����I�I�UIIaNII !��IIla�l�llll�l MIAMI SHORES IabII�IIIIN��I��bII�IrV11611�III�n�nR� ADDRESS III III 1111111111111111111 MIAMI SHORES ICI ICI IIN I�III IQI IIG �N ENI I�dl AEI U la ADDRESS Miami Shores Village 2 t moo, Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 4 14 j o . i c , r--4 AM Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING R VVE® Permit NJZ(10 0'3 PERMIT APPLICATION FES 0 3 20 6 Ma ter Permit No. FBC 2001 ra� Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple r /1 /L !J ,� ticgf%�,Q,L Phone # (:L, -- Owner's Address .2 7,F y-- City State Zip Z � Tenant/Lessee Name Phone # Job Address (where the work is being done) 1__9 7e IV 1:1�' / ©3 �T City Miami Shores Village _ County Miami -Dade Zip Is Building IDst , ' Designated YES NO 0 Contractor's Company Name J" Contractor's Address /s A_,�, 'a Qualifier N/ c' State Certificate or Registration No. Architect/Engineer's Name (if applicable) " Sfizv� «s Phone #aJ - " y $ Value of Work For this „�S't� 0 fife+ Zip of Competency No. Phone # Square Footage Of Work: Type of Work: E]Addition f4Alteration QNew Repair/Replace ❑Demolition Describe Work: 0?_jFM_a X / ,,- S Z- "y /x� 2!, ;i o .4/ a ,oc= Submittal Fee $ Permit Fee $ *2/M CCF $ l© CO /CC Notary $ �S _00 Training/Education Fee $ 0. � Technology Fee $ Scanning $ b U— Radon $ Code Enforcement $ Total Fee Now Due $ a 115 q (7 Zoning Bond $ Structural Plan Review. $ (Continued on opposite side) )0U�� WR 14 PAID Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip _ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature / > g ...�, I'llf Signature Owner or Agent 2 Contractor The foregoing instrument was acknowledged before me this ' 1 J The foregoing instrument was acknowledged before me this day of, 3 20 0y g< ydo tAO� (('f ay of , 20 by , who is personally knout f me or who has produced MO who is personally known to me or who has produced As dentification and who did take an oath. as identification and who did take an oath. NOTARY PU IC: NOTARY PUBLIC: Sign: Sign: Print: dS Print: �� CommissionI(l1).?I'?' My Commis n Expires: - l My Commission Expires: Expli-es- Jul 13, <_(W +tl nflcFiOhdingCo, lilt- APPLICATION APPROVED BY: Plans Examiner Engineer chc 05!13103 Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795 2t204 Fa�(3,Q�� 972 BUILDING APR 1 3 2006 Permit No. PERMIT APPLICATION aster Permit No. FBC 2001 _ Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) / � ma c% j� /� ,v,c Phone # 7 Jr G - *1,cY6 -lam ? Owner's Address % e ,z of �-- City State d _ Zip .3.,/ & A9 Tenant/Lessee Name Phone # Job Address (where the work is being done) 21-1 C-5 N r—,- 1 C)3 ST City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name 1710101ef 0 fir/ i? Phone # PXG -- �,S2G — 13 e4;� Contractor's Address -- -- - City Qualifier State Certificate or Registration No. Architect/Engineer's Name (if applicable) State Zip Certificate of Competency No. v� $ Value of Work For this Permit ®o 7 Type of Work: DAddition ❑Alteration QNew Describe Work: Phone # Square Footage Of Work: R� Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ Notary $5 - (30 Training/Education Fee $ Cam. Z� Scanning $ 3 - G-C) Radon $ CCF $ © —ecD CO /CC Technology Fee $ Z . Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due 14 PAID (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was eki wledged before me this The foregoing instrument was acknowledged before me this_ day of >7 1,.20 06y 4--1( 0Q) � . I )\JL -P-.AjZ — 120 by who is personally known to me or who has produced who is personally known to me or who has produced t Q As identification and who did take an oath. as identification and who did take an oath. NOTARY Sign: Print: NOTARY PUBLIC: Sign: Print: My Com issio Expires: -10 ires: S My Commission Expires: Atlantic Bonding Co., Inc. APPLICATION APPROVED BY:/%%% -*"�.-'-'2/'%Z e-' Plans Examiner Engineer chc 05/13/03 Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICA Id fl 3 210 , Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) � Ca/La 7 �- ?a c. � „ Phone # 7 k( - 9- T Owner's Address o2 7' 4/. �� ! O 3 City Af, °eavrj. cS' v, Les State.. Zip ?3 Tenant/Lessee Name Phone # Job Address (where the work is being done) A/ i �7 3 ST2 c e TL City Miami Shores Village County Miami -Dade Zip Is Buildin&Uistoxiplly Designated YES NO — Contractor's Co Contractor's Address City Qualifier State Certificate or Registration No. Architect/Engineer's Name (if applicable) Phone # State Zip Certificate of Competency No._ Phone # Value of W it ` Square Footage Of Work: Type of Work: ❑Addition Alteration QNew , Repair/Replace ❑ Demolition Describe Work: R F /s7 o y A Aoo, �'t ' P,9 C e, v —13 k u Cfr S Submittal Fee $ Permit Fee $ CCF $IC CO /CC Notary $-5 - 0D Training/Education Fee/ Technology Fee $ J �� Scanning $_ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 14 2 k✓- - pR I N PO p (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was apknowledged before me s The foregoing instrument was acknowledged before me this day of —#- ' 20 �by C1�! �CV this 20 b who is NOTARY known to me or who has produced As identification and who did take an oath. Sign: Print: / My Commission Expires. who is personally known to me or who has produced t rpUe<, A/label Vdf dSNOTARY PUBLIC: Commission I/ r ,� Sign: ?' Print: ``�ndinp co Ina. APPLICATION APPROVED BY: as identification and who did take an oath. My Commission Expires: & Plans Examiner Engineer chc 05/13/03 Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE RECEIVE 10050 N.V2n venue •Mi ami Shores Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 56-8 2003 Date J05 A Folio Legal Description Historically Designated: Yes No Owner /Lessee /Tenet 7.a?� 9 %'a Z/�1 Z--702'z'41&2' Master Permit # 2'0— � X Owner's Address _2 % la 3 S i Ph Contracting Co Qualifier State # Municipal # Address SS# Competency # Phone Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Tvne (circle one): RITILDING FI F.CTRICAI. PLUXTRING MECHANICAL ROOFING Square Ft. E t ted Cost (value) �r: �0 " 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. -/ _03 /.-O= of own�1ir►d/or Condo President Date as to �r vela M Becker ?aa r MY Comrnossioo DD150048 °e Expires Nov ember 15, 2006 FEES: PERMIT, RADON APPROVED: Zoning Building Signature of Contractor or Owner Builder Date Notary as to Contractor or Owner Builder Date My Commission Expires C.C.F NOTARY BOND TOTAL DUE i (� =� 0' Electrical Mechanical Plumbing Structural Engineer =9liami Jhores"'_i11age L F L O A 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 - /101f 193— Owner ' - Address F , Building Contractor. M r Electrical Contractor ..••mss 1 '� '`' 1 ` %z `` , Location of proposed work: Lot -3. 6�,4 Bloc - Subdivision Building: Old or new Number of stories Used Description of proposed work Details of proposed work: Number of Motors H. P. Volts Amps. Phase OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER 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 Signature of Address (if other than owner or contractor) SPACE BELOW FOR INSPECTOR'SJUSE ONLY) Work begun Inspected_ Work finished Final inspection Inspector