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Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FIL Phone: (305)795-2204 Fax: (305)766-8972 1 JUL 1 z a= Inspection Date: 07/12/2006 Permit Type: Residential Construction Inspector: Grande, Claudio Inspection Type: Final Owner: SANCHEZ, JULIE ANN Work Classification: Alteration Job Address: 54 103 Street NW Miami Shores Village, FL 33138- Phone Number (305)336-3189 Parcel Number 1131010180040 Project: <NONE> Block: Lot: Contractor: LES FAUNCE INC Phone: (305)606-1853 Buildina Department Comments Tuesday, July 11, 2006 Page 2 of 2 Passed Inspector Comments Failed sue° �� � Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . q( Tuesday, July 11, 2006 Page 2 of 2 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 7/10/2006 Expires: 01/06/2007 Permit Number: RC -7-06 -1808 Owner's Name: JULIE ANN SANCHEZ Phone: (305)336-3189 Permit Type. Residential Construction Parcel #: 1131010180040 Work Classification: Alteration Block: Lot: Job Address: 54 103 Street NW Section: PB: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor LES FAUNCE INC (305)606 -1853 Yes Comments: REPLACE KITCHEN CABINETS, & BATHROOM REMODELING Additional Information of the issuance to me of this nermi I anree to narfnrm the wnrk 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 PermitFee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.50 Work without Permit Fee $100.00 Total: $207.90 Building Department File Copy Applicant Signature Total Square Feet: E Total Valuation: $ 2,300.00 Slab Termite Letter Fill Cells Columns Tie Beam Window and Door Buck Window Door Attachment Framing Insulation Drywall Screw Calling Grid Final PE Certification Shutter Attachment Shutter Final Invoice Number Amt Due Amt Paid RC -7 -06 -25506 $207.90 Total: UK- 01 PAID Z l C. G 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. LG ENGINEERING SERVICES, INC. ' ' ' 1 ' Consulting Engineers Y. . 2020 Northwest 7th Street d Miami, Florida 33125 EEN -GHN SEER Tel: (305) 649 -6454 ten° h Fax: (305) 541 -3298 April 6, 2002 J and 9 Roofing 2013 Lee Street Hollywood, Florida Project: TILE UPLIFT TEST Residential Home 54 Northeast 103 Street Miami, Florida information provided by Client: 9 P Permit Number: Not Available 40 � 6 oa " 5 1 Date Completion: March 28., 2002 Roofing Contractor: Home Depot LG Engineering Services, Inc. Project Number: LG02 -0644 (Testing Laboratory Certificate #00- 0224.07) Dear Sirs; In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS, No. 106 — Standard procedure for field verification of the bonding of mortar. or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to lie Spanish S Roof Tile. This tile was reported to have been foamed in place with stripping of adhesive under the nose of the some tiles.: At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof file in the field area were tested. Initially the entire area of the roof was examine for. loose tile. More than W,% .c f the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. - ,8G Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. ad Sonny Safleh, P.E. Manager TILE UPIJFT TEST Residential Home 54 Northeast 103 Street Miami ; Florida Report of TILE UPLIFT TEST for Residential Home 54 Northeast 103 Street Miami , Florida Project Number: LG02-0644 Twit Number d: f Test Status 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass LG Engineering Services, Inc. — Tile Uplift Test Result — Project Number. LG02-0644, Page I Test:lTumber Tit I,:oad (ibfj Test Status 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass LG Engineering Services, Inc. — Tiled Uplift Test Result — Project Number. LG02 -0644, Page 2 Test N 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass LG Engineering Services; Inc. — Me Uplift Test Result — Project Number: LG02-0644, Page 3 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: n0 COUNTY OF DADE: 02R 137407 2002 MAR 06 15e59 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 2. Description of 3.Owner(s) name and Interest in property: Name and address of fee simple titleholder: 4. Contractor's name anri 5. Suretr(Payment Name and address: Amount of bond $ 6. L nder's name and address: by owner from contractor, if any) 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name dress: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. M a d address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of re cording unless a a d re t date is specified) r of Owner �//2-1� PriAt Owner's Name ,� : j f (i�•- U Prepared by S Sworn to and subscribed before me this to—day,pf�n������� �•�,PDT �1Si'^�i'LL�j • 61400 Print Notary's Name L My Commission Expires STATE OF FLORIDA, COUNTY OF DADE I HEpEt3Y CERTIFY that this is a true COPY of they of pn�InAl ed in thi office on _�v , AD 20 ,___,_7 WITNESS my hand and Offiaat Seat. HAR Y RUVI , Cpl I ircuit and County Courts By U �/ 1 D.C. nip APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Date 4� Job Address 54' N F— 1 03 ut ST Tax Folio N\- 3 a 0(0— C7 — I (p QQ M AM 1 5*AF5 5 te- I fl b P610 -70 Legal Description Historically Designated: Yes No C 1 N CS Master Permit # Owner's Address` N15 ��_ �. �/ 517bgES Phone S — % c)-) Contracting Co._1 D—��� Tt35Ti1U � `I'1(7�1�iA& Address I X 1001 Qualifier VC Q1 &A P1S SS# ! 0 — 6+3(OV1Phone 66 `a /.1—smcv /� 1 jeOc?�7"N Y� e? V State # C 0 S a Municipal # Competency # 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 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL f OOFIIN WORK DESCRIPTION: Q!'.._ ..tt —t1 a Q `s OF '1� V)/ , U " Square Ft. o o :519, r Estimated Cost (value) Is. 1 . e 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 contractoar to do the work stag DEPM AX l 1 COMNUSWON WfitEs ilk Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner Builder V Date My Commission Expires My Commission Expires FEES: PERMIT RADON C.C.F NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer if Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name:_HCMP h)sr Job Address: 5 7 HE 03 � Z7, MI4M I ROOFlNC4 ,,,/ ROOF CATEGORY L'� (Low Slope Application) ❑ (Nail -On Tile) U,, (Mortar- Adhesive Set Tile)_ ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal RoofslWood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof ®'Re-roofng ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft) , Sloped Roof Area (ft) Total (fix) © Master Permit No. Exposure category (per ASCE 7-88): C. Building Classification category (per ASCE 7 -88 table 1):= FL FL ROOF HEIGHT AND SYSTEM DETAILS ARE THERE (Draw detalb as needed) GAS VENT STACKS? YES ❑ NO MOP 1170 F TYPE- NATURAL ❑LPG% ❑ 5k �� ROOF PLAN Deck type: ti g :r X001 lL07E �Fastener Type: Rs. SPACING t. Field:_ Perimeter. Cp DETAIL 1 & 2 4. r Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION 4 30 A S-r tua exe ftdonz Fastener type & spacing: ,/ v KS 61 ( #' 01! ki Cap Sheet: Roof Covering* iz• L8008 SLOPL A, Drip age° x NWANMGHr D E T A I L 3 TILE CALCULATIONS (SH "S evlo 77i-E C e9- Coed -� -n ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pmaxl: 4 " 1 x X (Ano4samic Multiplier) :'aSq ) - M,: %j = MrI: 3,� 3 PCA: 39• 1 (Pmax2: 16, � x X (Aaodynamic Multiplier): a Mg: 5 - El = K2,: � dog PCA: -313 (Pmax3: 1 v;x ). (Aerodya W0 Multiplier): -a ) - Mg: 1V1'r3: k, L8 PCA: 3 O• Page -2 10 - .. .. r. wobla'rwt'ft?- I O ry ADDRESS / V ,; :i-7— PERMIT # 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. The owner's initial in the adjacent box indicates that the item has been explained. k 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of p viding that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part 1iof the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing,. the existing wood roof deck may have to be r nailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between ighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking viewed from below. The owner may wish to maintain the architectural appearance, therefore, *ooffirngg nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the o tion of maintaining this appearance. . Ponding Water: The current roof system and/or deck of the building may not drain well and y cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not erloaded 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 scupp in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the i erior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be uced. It may be beneficial to consider additional venting which can result in extending the service H e f the roof. 3 wner's/Agent's Signature D to ontrrcto s Signature ignature MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n 1� Permit No. Name.. Address Company Phone # , For Inspector: Approv Correction �.Koffm V Name ate C Re- Insp'n Fee ❑ M MIAMI SHORES v ILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date % 1Z Type Insp n Permit No. KI C 04—�3• Name -)or i C 1 rc . Address 5.4 ME- los S-� Company os(',i�IDL:::> Phone # 30 ` 077 `7 - Inspection Date (� Approved •, '� Correction ❑ Re- Insp'n Fee ❑ a� DUCT CONTROL NOTICE OF ACCEPTANCE I 35 user LlIenle LLC NW 20 St. Boca Raton FL 33431 1 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375 -2901. FAX (305) 375 -3908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375.2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2908 Your application for Product Approval of PRODUCT CONTROL DIVISION Monier Spanish "S'P High Profile- (305) 375 -2902 FAX (305) 372 -6339 under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance b the Miami-Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. arnl - This approval shall not be valid after the expiration date stated below. BCCO reserves the right to product or material at anytime from a jobsite or manufacturer's plant for quality control testing. secure this If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if i determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:- 99- 1012.04 (Revises No.: 97- 1121.18) Expires: 12/16/2002 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COLMIXITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 12/30 /1999 1 of 7 Internrr mwtl rancisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office - R DUCT CONTROL NOTICE OF ACCEPTANCE I 35 user LlIenle LLC NW 20 St. Boca Raton FL 33431 1 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375 -2901. FAX (305) 375 -3908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375.2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2908 Your application for Product Approval of PRODUCT CONTROL DIVISION Monier Spanish "S'P High Profile- (305) 375 -2902 FAX (305) 372 -6339 under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance b the Miami-Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. arnl - This approval shall not be valid after the expiration date stated below. BCCO reserves the right to product or material at anytime from a jobsite or manufacturer's plant for quality control testing. secure this If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if i determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:- 99- 1012.04 (Revises No.: 97- 1121.18) Expires: 12/16/2002 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COLMIXITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 12/30 /1999 1 of 7 Internrr mwtl rancisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date r, Time Type Insp'n d�- S Permit No. n� Name Q$ Address - Company Phone # For Inspector: l _ _ '9 _ Name & Approved Correction !s MIAMI SHORES VILLAGE BUILDING DEPARTMENT Q 305 - 795 -2204 r S ` Building Inspection Request Date _ Time Type Insp'n }� Permit No. Name Address Company Phone # For Inspector: ,� " �, � �� Nate Approv -_-� Correction ❑ Re- Insp'n Fee ❑ I CIL;, lea ��� % MONIER LIFETILE LLC - — ACCEPTANCE Ko.: 99- 1012.04 APPROVED :December 30, 1999 EXPIRES »December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1: SCOPE This revises a roofing system using Monier Lifetile Spanish `S' Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: High Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Product Description Monier Lifetile I = 18" PA 112 High profile, interlocking, one- piece,'S' Spanish'S' Tile w = 10 3 /8" shaped, high- pressure extruded concrete roof min. %" thick tile equipped with two nail holes. For direct deck nail -on, mortar set or adhesive set applications. Trim Pieces l = varies PA 112 Accessory trim, concrete roof pieces for use w = varies at hips, rakes, ridges and valley terminations. varying thickness Manufactured for each tile profile. 2.1 Components or products manufactured by others Test Product Product Dimensions Specifications Description Rainproof Il Ice and Water Shield Tile Nails 30" x 75' roll 36" x 75' roll or 60 "x75'ro II 36"x75'roll PA 104 Single ply, nail -on underlayment with 2" self. adhering top edge. Manufacturer Protect -O -Wrap, Inc. (with current NOA) PA 103 Self- adhering underlayment W.R. Grace Co. (with current NOA) Min. IOdx 3" PA 114 Corrosii Appendix E smooth Oa 4 iyIONWR LIFETILE LLC ACCEPTANCE Nn.: 99- 1012.04 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Product Product Dimensions Specifications Description Manufacturer Tile Screws #3x 2 %" long PA 114 Corrosion resistant, coated, generic 0.335" head Appendix E square drive, galvanized, dia. coarse thread wood screws 0.131" shank dia. 0.175" screw thread dia. Roof Tile Mortar N/A PA 123 Prepared mortar mix Bermuda Roof C'TileTiteTNt ") designed for mortar set roof Company, Inc. with tile applications. current PCA Roof Tile Mortar N/A PA 123 Prepared mortar mix Quikrete ( "Quikrete® Roof designed for mortar set roof Construction Tile Mortar # 1140 ") the applications. Products with Current PCA- Roof Tile Mortar N/A PA 12' ) Prepared mortar mix W. R. Bonsai Co. C'BONSALO Roof designed for mortar set roof with current PCA Tile Mortar Mix ") the applications. _ Roof Tile Adhesive N/A See PCA Two component Polyfoam Products, "Pow polyurethane adhesive Inc. AH 16 " designed for adhesive set roof tile applications. Roof Tile Adhesive Factory See PCA Single component Flexible Products TileBond premixed polyurethane foam roof tile (with current NOA) canisters adhesive Hurricane Clip & Clips Fasteners Min. ' /-_" width Min. 0.060" thick Clip Fasteners Min. Sd x 1 '/4" 3. LIMITATIONS PA 114 Corrosion resistant clips Generic Appendix E with corrosion resistant nails. 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set file applications, : all 'be performed in accordance with RAS 106. 'Fran oAga, RR eroduct :cu s yIONIER LIFETILE LLC _ — ACCEPTANCE No.: 99- 1012.0=1 APPROVED :December 30,1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 3.3 Applicant shall retain the services of a Miami -Dade County Certified ,Laboratory to perform quarterly test in accordance with PA 112, appendix W. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Monier Lifetile Spanish 'S' Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Aerodynamic Multipliers - X (ft') Tile Profile X (fe) Direct Deck Application Monier Lifetile Spanish 'S' Tile 0.259 Table 2: Restoring Moments due to Gravity - M (ft -lbf) Tile Profile 3 ":12" 4 ":12" 5':12" 6 ":12" 7:12" or greater Monier Lifetile Spanish 'S' Tile Battens Direct Deck Battens Direct I Deck Battens Direct Deck Battens Direct Deck Battens 1 Direct Deck N/A 8.51 N/A 1 8A4 N/A 8.27 N/A 8.07 N/A 7.87 Frank Zulcaga, RRC � vnnFnp P�odn^+ ^ ^�rrol F,xa�^ � ^er 4 0 " n LNIONIER- LiFFETILE LLC ACCEPTANCE NQ.: 99- 1012.04 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Table 3: Attachment Resistance Expressed as a Moment - Mt (ft -lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19132" plywood) Monier Lifetile Spanish 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 148 Screw 20.7 20.7 2 48 Screws 43.2 43.2 1 -10d Smooth or Screw Shank Nail (Feld Clip) 23.1 23.1 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 2 -10d Smooth or Screw Shank Nails (Feld Clip) 27.6 27.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 2 -10d Ring Shank Nails' 33.1 48.1 l Installation with a 4" tile headlap and fastemers are located a min. of 2%* from head of tile. Table 4: Attachment Resistance Expressed as a Moment Mf (ft -lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Monier Ufedle Spanish 'S' Tile Adhesive 29.33 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product Inc. Average weight per patty 8 grams. Table 4A: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Ufedle Spanish'S' Tile Polyfoam Pol ProTM Polyfoam PolyProTM :Sj 38. 4 Large paddy placement of 63 rams of Pal ProTM. 5 Medium paddy placement of 24grams of Pal Pro TM. Frank Zuloaga, RRC r., ,. . r-- ..,;,ter .• MONIER LIFETILE LLC ACCEPTANCE Np.: 99- 1012.04 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Table 48: Attachment Resistance Expressed as a Moment - Mt (ft -lbf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Monier Wetile Spanish 'S' Tile Mortar Set 24.5 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by-copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system ". UNE PROFILE DRAWINGS NAIL HOLES MONIER LIFETILE SPANISII `S' COYCRETE ROOF TILE V Frank Zuloaga, RRC 4 NIONIER LIFE-TILE LLC ACCEPTANCE Yo.: 99- 1012.0=1 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been •` filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. C. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. . a. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this o ffice. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. S. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages I through 6 and this last page 7. END OF THIS ACCEPTAN .i Frank Zuloaga, RRC Rr - n.oductC. r_v•, u 08/13/01 NON 09:08 FAX 934 378 1042 POT OA M PRODUCTS,INC. 121 002 MIAMI -DADE COUNTY, FLORIDA 1AM1, A METRO -DADB FLAG LEK BUILDING BUILDING CODE COMPLIANCE OMCE IvtOMO -DAflr; I�Ln ILEA BUILDING 140 WHST FLACLER SMIST. SUITE 1603 MIAMI. FLORIDA 33130-1563 Ar_rr PTANCE (3o5) 379 -2901 FAX (303) 37S �0I1 P AUC"I' CaL�ITRD UTICC Q rGL%MsAc OR I.iMNK1NO ytx-rlaN polyfo :lm Products, Inc. (301375 -2527 FAX (30S) 373 -USH 24M Spring- Stuebuer Road Spr }�,g,T�C 77383 -113 c: clvrta ,+.ct•ot�i�roxca :.«rrralvt::coN t3U3) 31S-479" FAX (305) 375 -2908 rtiOUL= CONTRO1. DIVISION go$) 373.2002 !'AX (365) 373 -6139 Your applieation for Notice of Acceptance (NOA) of: Ttvo Cotgponent Polyurethene Foam Adhesive under Chapter $ of the Code of Miami -Dade County governing tfie use oEAlterrlate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (SCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsita or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, 13CCO may revoke, rnodlfy, • or suspend the use of such product or material immediately. BCCO reserves the right to revolve this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: gZ1.0 EXPIRES: owtonaft Raul Rodriguez Ch id Product Contra) Division IS I§ THE COV R.SIIF. T. SEE A12121TIONAL PAGES FQR SPECIFIC AND GENE,RAL Ct)NDfflo s_ BUILDIIYG CODE A PRO_ EC'I' RF,V1F.W CAMhMEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth shove. APPROVED:( 6/1412bOt Fmncisco J. Quintana, R.A. Director Miami -Dude Comity Building Coda Compliance Oflia: �tso�900a 11pe1a0011can+ptace�nasiea aacape M& mvm- pasadoc Internet mail address: postmostar Qhuildingeodcontine.com Ia Hnmapage: hitp ;� /www.buiidingeadeantine.com /01 MON 09:08 FAX 954 578 1042 POLYFOAM PRODUCTS. INC. Q0003 Pnlyfotim-Producb, ASTM D 1621 Inc. ACCEPTANCE No.: t& ASTM D 1623 Water Absorption ROOFING ASSEMBLY APPROVAL cats : RooFnb Approval Date: June 14, zQQj s.ttl-Cntegorv' hoot 1'ilc Adhesive :t Expiration Date: iv[: IO 006 tariais: Patyurc:thanc I. SCOPE This approves Polypra* AH16o as manuluctured by Polyfoam Products, Inc, as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in canYpliance with Roofings Application Standard PAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro* AH 160. Where the attach-ment calculations are done as a moment bused systetn for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by Test .Product ALljolicaiIS Dimcnslans Sncciticatiens flcscr g0 in 1 Polyprog AM 160 N/A pq I0I 'Cwo component Foamprodl RTF'1000 NSA polyurethane Dispensing Equipment ProPack -0 30 & 100 N/A Dispensing Equipment • C uq pmcnt 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted 11,0017 'file Assembly having a current NOA which list uplilt resistance values ►viii► the use of Polypro Al 1160 roof file adliesivc. 2.2 Typlcai Physical Properties: Prnper Tomcat, Density ASTM D 1622 Compressive ASTM D 1621 Strength Tensile Strength ASTM D 1623 Water Absorption ASTM D 3127 Moisture Vitpor ASTM E 96 Tmnstnission Dimensional ASTM D 2126 Sfability J( Results 1.6 IbsJ1Lv 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.09 L' bsj t3 3.1 Parm f Inch 4 -0.07% Voiun►c Ch:um,ge @ -40a p., ; tvcc:ks +6.0% Voluma CI►an gc 1 a� I lun►idity. 2 ,tvac: -s Frank Zutoaga, RRC Product Control Examiner 08113/01 MON 09:09 FAX 934 378 1042 POLYFOAM PRODUCTS.INC. 004 PRIXEDAm Products, ACCEPTANCE No. Note: The physical properties listed above are presented as typical average values as determined by accepted ASTNT test methods and are subject to norn►al manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for lire rating. 3.2 PolyproV AH 160 shall solely be used with flat, low, &high rile prof`rlt's. Standard I AS I20. 3.3 Minimum underlaynnents shall be in compliance with the pooling Application 3.4 Roof Tile manufactures acquiring acceptance for the use of polyproo AH160 roof tile adhesive with their file assemblies shall test in accordance with PA 101. 3.5 hoof Tile manufactures acquiring acceptance for two paddy placement with the use of PolyprOO AH 160 roof tile adhesive with their the assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. F 'z) - w MS 4. YNSTALLAT] ON 4.1 Polypra® A.H160 may be used with any rooFtile assembly having a current MOA that lists uplift resistance values with the use of Polypro(& AH 160. 4.2 l?01yprO4D AH 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH 160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof the assembly NOA 4.3 Polyprog AH 160 roof the adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, [nc. P01ypro4D Al =1160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Quatilied Applicator' approved and licensed by Polyfoam Products, Inc. Poiyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.S Calibration of the Foampro4D dispensing equipment is required before application of My Adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense tinier shall be set to deliver 0.0175 to 0.1 S pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AH 160 shall be applied with Foampro RTF 1000 or PrOPEIMD 30 & 100 dispensing equipment only. 4.7 l olyproG AI-I I()0 shall not be exposed permanently to sunl� Frank- 2uloaga, RRC Product Control E.ramincr 08/15/01 MON 09:09 FAX 954 578 1042 ul f Products, Inc. POLYFOAM PRODUCTS. INC. 1@005 ACCEPTANCE No.: 91!-052 1.02 4.8 Tiles must be adhered in freshly applied adhesive, Tile must be set within 2 to 3 minutes after Polypro4D AH 160 has been dispensed. 4.9 Pelypro® AH 160 placement and minimum patty weight shall be in Accordance with the'Placemant Details' herein. Each generic the prortic requires the speciCs c placement noted herein. ume �: AptiCSive Placcalvat For Each Centric "rile Profile rdeProfde Placement Meown ght 7'wo Paddy Weirht Detail per paddy Min. Hi Profiles I rams N/A He (2 Piew Barrel) # I d NIA Flat, Low Hi Profles Jar ` # 2 Z4 I-NIA F la Low Hi Profiles #3 5. LABELING All Polyprog AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6 -1 As required by the Building QtFicial or applicable Building Code in order to properly evaluate the installation of this system. Frank Zuloaga, RRC Product Control Examiner 4 4 /13/01 MON 09:09 FAX 954 578 1042 POLYFOAM PRODUCTS.INC. P_. I�vfoani Produces Inc. ACCEPTANCE No. ADHESIVE PLACEMENT DE'T'AIL SINGLE PATTY PATTY rank- Zuloaga, RRC Product Control Ex4mincr S Qb 006 08/13/01 NON 09:10 FAX 934 578 1042 POLYFOAM PRODUCTS.M. Poixfoagn r uc ACCEPTANCE No. 01- 0:1;21.02 ADHESIVE P �MENTDETAIL 2 SINGLE 21.� ............... ............... Fmnk Zuloalm RRC Product Control eumincr 6 lib 007 I 08/13/01 MON 09:10 FAX 934 578 1042 POLYFOAM PRODUCTS.M. 0008 -polyroa-m. Products, inc . ACCEPTANCE No.: O1- 1.02 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY 14417 through plastic cement (between d1o) staglepa"undertffe • ft*layment Sh* paddy bobvee# the (underille) 2 11L X I 11h Medium go PMMY Q- single Fwdy 3 11L 03 kL undw Ills S3L single paddy an Z in 4 1& 4 In. single 2 IrL utder under. cmlae shy If an tap of tile Fs"th an top of die .-ATAT.m9dium bw WHOb* six P"My ave Eaft Wam Fade MM 04 "a* Frank Wanga, RRC Product Control F-xaniincr 7 08/12/01 MON 09:11 FAX 934 578 1042 POLYFOAN PRODUCTS.INC. of fo nj Products Inc ACCEPTANCE No.: 01-0521.02 1. Rcncwal of this Acceptance (approval) shall be considered ailar a rcne:eval application leas beam Filed 411d die original submitted documents, including tcstsupporting data, e:ngince�ring documents, an no older than eight (s) years. 2. Any and all approved products shall Lw; permmumtly labeled with tic manufacturta?s name, city, state:, and the following statement: "Miami -Darla County Product Control Approval ", or as specifically stated in cite specific conditions of this Acceptance. 3. Renewals of Acce:ptatice will not be considered if: a. These has bt= a change: in the South Florida Building Code atfexting the evaluation of this product and the product is not in compliance with the; code changes, b. Tlv-- product is no longer the same product (identical) as the ont. originally approved. c, If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product, d. Ilia engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the, materials. use, and/or manufacture of die product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested {through Clue Filing of a revision application with appropriate fee) ant! granted by this office. S. Any of die following shall also be grounds for removal of this Acceptance: a. UnsatisOtctoty performance of this product or proem. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. Ilia Notice: of Acceptance number prccedcd by the words Miami -Dade County, Florida, and folimcd by tic eepiration data rnlsy be displayed in advertising litcrmture. If any portion of the Notice: of Acceptance is displayed, than it shall be dons in its entirety. 7. A copy of this Acceptance as wcfl as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time:. Tic rngin= need trot rescal the copies. R. Failure to comply with any section of this Acceptance shall be cause for termination and remoe -al of Acceptance. 9. This Notice of Acceptance consists of pages I through 8. END OF THIS ACCEPTANCE Z2:D- Frank Zuloaga, RRC Product Control Examiner 8 Q 009 ®� NIIANII -DADS COUNTY. FLORIDA NIETRO -DADE FLAGLER BUILDING .•j� BUILDING CODE COJIPLIANCF, OFFICE METRO -DADE FLAMER BUILDI NG PRODUCT CONTROL NOTICE OF ACCEPTANCE 1•{t) WEST Ft.AGLER STREET. SUITE 1563 h11A.N1. FLORIDA J3173. -% 3 C.A.F. Materials Corporation (303) 37S -29p1 FAX (303) J7S .+,wa 1361 Alps Road CO- WUCTOR UCR.1VsI.vG st MO.,q (303) 373.23:7 FAX (303) 773.UU Wayne `'.1 07470 CONTRACTOR LvFOfte0jL%TSBCTIOX (303137S.24" FAX (303) 373 .• ift Your application for Product Approval ol: "UQO`3CO`•TRnLo(v(srog (303) 373-M! FAX (303) 373.633V GAF Ruberohl AL/o(/iftet/ Bituuu•11 Roof SYSAWIS Fur Wood Deck. under Chapter 8 of the Code Of Miami-Dade County governing the use ofAlternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami- -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material Fails to meet the requirements of the South Florida Buitdin Code. b The expense of such testing will be incurred by the manufacturer. Acceptance No.: 00-0331.08 Expires: 11/06/2003 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PACES FOR SPECIFIC AND CEP CONDITIONS BUILDING CODE & PRODUCT REVIEW COINI.NIITTEE This application for Product Approval has been reviewed by tiie BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the.conditions set forth above. Approved: 07/06/2000 I of 55 'ranclsco ulntana.IZ.A. Director. Miami -Dade County Building Code Compliance; 017ice .zrnet Mau addrea,: pu scmaster@buildingcodeonline.com EM HoMeP29!e:'hltD://www.huildinvendennfine.con'i CAF MATERIALS CORPORATION Acceptance No: ROOFIINC SYSTEM APPROVAL Ca CUM.: Rooting Sub-Catenory: SBS/APP. IVloditied Bitumen Approval Date: t I pl Dock Tv • Wood Expiration Date: November 06 200' Maximum np Sian Pressure -75 psf Fire CI siFcation• See General Limitation #I TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Dimens ions Test � I'ruduct Specification Description GAF Asphalt Concrete Primer 5, 55 gallonsr ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. . GAF Mineral Shield® Granules 60 lb. bags ASTM D l 863 Granules for of exposed b surfacing po ed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing �``• GAF WeatherCoate Emulsion 5 gallons g �� ASTM 1__7 applications only. Surface coating for smooth surfaced roofs. .. GAF Premium Fibered Aluminum 1.5 gallons ASTM D 2824 Fibered aluminum coating. Roof Coating GAF Jetblak All We Plastic I, 5 gallons ASTIVI D 3019 Refined asphalt blended with a mineral Cement ent ASTM D 3109 stabilizer and fibers. Permits adhesion to wet and dry surfaces. GAFGLAS #750 3 sq. roll 75 lb. roll ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. GAFGLAS 080 UltintaTm Base Sheet 2 Sq. Roll 70 lbslroll ASTM D4601 Asphalt impregnated and coated. fiberglass base sheet GAFGLAS Ply 60 5 sq. roll ASTM D 2178 Type VI asphalt impregnated P bnated felt 45 lb. roll glass with asphalt coating. GAFGLAS Flex PIyTa 6 5 sq. roll 45 lb. roll ASTM 62178 Type VI asphalt impregnated glass felt with asphalt coating. 2 or55 k Zu1o. v �nlittg 1'ro,;uc, _ , ��I E;,rnut�r CAF MATERIALS CORPORATION Arc%:ptance Nu: Ma" p, Product Dime1)ime =�s Test Snerilirntion Product Description GAFGLAS Fly 440 S sq. roll ASTNI D 3178 Type IV asphalt impregnated glass relt with asphalt coating. GAFGLASO Mineral Surfaced 76 lb. roll ASTM D 3909 Asphalt coated. glass fiber mat cap sheet Cap Sheet surfaced with mineral granules. RUBEROIDO Modified Bitumen 5 gallons ASTM D 3019 Fiber reinforced, rubberized Adhesive Type III Adhesive ' GAFGLAS® STRATAVENTO 60 lb. roll ASTM D 4897 Fiber glass base sheet impregnated and Perforated D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic - coating with factory perforations. GAFGLAS® Flashing various Asphalt coated glass fiber mat flashing . sheet available in three sizes. GAFGLAS® STilable NT 69 lb. roll ASTM D 489.. Fiberglass. base. sheet impregnated and - Nailable D 3672 - ..:-coated on both sides with asphalt: Surfaced on the bottom side with mineral granules embedded in asphaltic coating. RUBEROID Modified Base Sheet 3 sq. roll ASTM D4601. Premium glass fiber reinforced S8S- 67 lbs. Type 11. UL Type modified base sheet G2 8UR GAFTEMPS Isotherm R various PA 110 Polyisocyanurate foam insulation. Tapered GAFTEMPO Isotherm R various PA 110 Tapered Polyisocyanurate roam insulation GAFTEMP Isotherm RA various PA 110 Polyisocyanurate roam insulation Tapered GAFTEMP Isotherm RA various PA 110 Tapered Polyisocyanurate roam insulation GAFTEMP Isotherm RN various PA 110 Polyisocyanurate foam insult tooll ' 3 of 35 Fn. r, r?r n .rl -, un(rol E. ;,, r 1 • a CAF MATERIALS CORPORATION Acceptance No: 10.11 � lyroduct Dimensions Test product teen •sttiun Descri ttiun Tapered GAFTEMP various PA 110 Tapered Polyisocyanurate luam Isotherm RN insulation GAFTEMPt® various PA 110 Polyisocyanurte foam insulation Willi Composite high density fiberboard or Pertmalite perlite insulation. Tapered GAFTEMPS) various PA 110 Tapered Poiyisoeyanurte loam Composite insulation With high density fiberboard or Permalite perlite insulation. GAFTEMPS various PA 110 Polyisocyanu Composite A rate foam insulation with high density fiberboard or Permalite Perlite insulation. Tapered GAFTEMPS � various PA 110 Tapered POlyisocyanurate foam Composite A insulation with high density fiberboard or Permalite polite insulation. GAFTEMPO various PA 110 Composite N POlyisocyanuratc roam insulation With high density fiberboard or Permalite perlite insulation. Tapered GAFTEIV1PS various Pry 110 Tapered POlyisocyanurate roam Composite N insulation Willi high density fiberboard or Permalite perlite insulation. GAFTEMPS various PA 110 Fiberboard insulation. Fiberboard GAFTEMPS various PA 110 Perlite insulation board. Pernialite GAFTEMP Recover 1/2" thick PA 110 Perlite recover board Board GAFTEMPS various PA 110 High density Wood fiberboard High Density Fiberboard insulation. GAFTITES 1113 PA 114 Standard Insulation fastener ror steel and decks. Rooring Fastener plywood 4 of Ss rr,nL- %UlOabil, �'n� R( "�.: Conte +30 M18 M ABC SLtF'PL.Y CAF NIATERIALS CORPORATION 385 P01i02 JAN 26 101 13:33 Aix*upWa%:v \V, U.1 n ' rC4 A Test Product 1)rr ICAMTE® 014 PA 114 Insulation fastatier ror steel. %,,VW and Heavy Duty concrete docks. Roofing Fastener GAFTITE ASAP PA 114 Pre- assembled GAITITE Fastcovrs and matal and plastic pla(gs. GAITITE® fuse PA 114 8:120 shout fastening ensemble. Sheet Fastener and Plate . Golvalume Plate 3" and 3'A" PA 114 Round galvalume stress plate, NTD Fasteners PA 114 Fastener fur use in gypsum. tactum and lightweight insulating concrete Hacks. Polypropylene Plates 3" and 3 Vi" PA 114 Round polypropylene stress plate. Ruberoid® 20 I .S sq. roil ASTM D S 147 SOS modified asphalt bane Sheol and interply Sheol reinforce with a glass fiber mat. Rubcrold® Mop : I sq. roll : - . ASTM D S 147 - ..Non woven polyester mat coated with Granule 103 lbs. polymer modified asphalt and surfaced wits mineral granules. RUBERO1D MOP 1 sq. roll ASTM D S 147 Nan -woven polyester mat coated with Smooth 87 lbs. polymer modified asphalt and Smooth surfaced. RUQEROID MOP 1 sq. roll ASTM D 5147 Non - woven polyster mat coated with PLUS 102 lbs. polymer modified asphalt and surfaced with mineral granules, RUBBROID MOP I sq. roll ASTIVI D S 147 Non -Woven polyester mat coated with 170FR 103 lbS, fire retardant polymer modified asphalt and surfaced with mineral Sm. nuias, RUSEROID MOP FR I sq. roll ASTM D S 147 Non-WOVen polyester mat coated with 105 lbs. fire retardant polymer niodiliud asphalt and surfaced with mineral granule. S or 5s 9q:;, Fronk Zuloap. RKC� Roaring Product Control Examinar d +3WM10" ABC SIPPLY 385 P02i02 JAN 26 '01 13:35 r•. Taft Product RUOEROID TORCH I sq. roll ASTM D $147 Heavy duty, polyester m;inlbragpd, Smooth 871bs. asphalt modified bitumot membrane. smooth surfasc:. RUDEROID TORCH I sq. roll ASTM D S 147 Heavy duty, polyester mint sm-ed. Granule 102 lbs. asphalt moditiew bitumen nembrane. granule surl'acv. RUISER010.01(CH Va $y, ruli ASTM D S 147 Heavy duty. polyester reinforced. PLUS 931bs. asphalt enudificd bitumen membrane. granule surface RUDEROID TORCH 'Ye sq. roll ASTM D S 147 Heavy duty, polyester reinforced, coated FR 90 ft with fits retardant asphalt modified , bitumen membrane, granule surface. RUQEROID 70 - 1 sq, roll ASTM 0 S 117 Non woven fiberglass mat coated with 91. lbs. polymer modified asphalt and.surfaced with mineral granules. RUDER010 30 FR i sq. roll ASTM D S f X17 Nan woven fiberglass mat coated with �• 92 lbs. fire retardant polymer modified asphalt and surfaced with mineral granules. °.Kent Stacks (metal : PA 100(A) --One way valve vent used to relieve and plastic) ASTM D 1939 built -up pressure within dig roofsystom. ASTM D 635 GAF Vent stacks are available In metal : or plastic. OAF Aluminum S gallons None Mineral colloidal bituminous emulsion Emulsion with retlectivo aluminum (lakes RUDL•ROID 109. Roll ASTM D S 117 Woven riberglass mat coated with ULTRACLAD SOS 101 lbs. Polymer moditled asphalt surfaced with aluminum. copper or stainless steel foil. OAF Aluminum Roof S gallons ASTM D2824, Non - fibered. aluminum pigmented. Paint Type 1 asphalt roof coating OAF Built -Up 100 lb. cartons. ASTM D313. Interply mopping and surfacing asphalt Rooling Asphalt bulk Types I. I1, 111 and IV - 6 or5s Frank zutoaro. RRC Routing Product Control Dantiner a CAF MATERIALS CORPORATION Acceptance Vu: 11•p 1!. Test Product Product nim-- eeo�ns S Test Drverint on RUDEROID MOD 60 lb. kegs SEDS modified asphalt Asphalt RUDEROID MOD 60 lb. kegs SEDS modified asphalt Asphalt L RUDEROID MOD 60 lb. kegs Asphalt P SEBS modified asphalt GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate Foam Isotherm R GAFTEMP Tapered Various r PA 110 Tapered polyisocyanurate roam Isotherm RA GAFTEMP Tapered Various Isotherm RN Tapered polyisocyanurate Foam GAFTEMP Various Cut perlite board GAFCANT*ae --.GAFTEMP Various , , , GAFEDGE'*a' Tape.nd perlite board .Tapered Edge Strip GAFTEMP Various PA 110 Tapered perlite board PERMALITE® Tapered Roof Insulation GAFTENiP Recover I/3" thick, PA 110 Perlite board Board Various sizes Shingle- MateTU 4 sq. roll Fiberglass reinforced shingle Underlaytnent 30 lbs. underlayment GAFTITEa9 ASAP 500 per box PA 114 Pre - assembled fastener and metal and plastic plates RUDEROIDV 5 gallons ASTNI D 3019 Fiber reinforced, rubberized Adhesive Modified Bitumen Type III Adhesive 7 orss n • Zu1, ?,, Product �; ,_ :, . ,«•r r— CAF MATERIALS CORPORATION TION Acceptance No: MU 1,11 ^, TRADE NAVIES OF PRODUCTS MANUFACTURED BY OTHERS: Product Dimensions Teat Pruduct Snecille:11141r1 lieSCrllltlf111 ►`InnuFacturer Pyrox various PA 110 Polyisocyanurate foam Apache Apache Products Cu. insulation current PCA) ACFoam 1 various PA 110 POlyi ocyanurate loans Atlas Ene.rs,� . insulation Products (with current PCA) ACFoanl 11 various PA 110 Polyismyanurate Foam . Atlas Energy insulation Products (with current I'CA) Hy -Therm Nail -line various PA 110 Polyisocyanurace roam Celotex Corp. insulation (with current PCA) Hy -Therm SP various PA 110 Polyisocyanurate Foam Celotex Co' orp. • insulation. (with current PCA) Hy -Therm AP :._ various . PA 110 POlyisocyanurate Foam Celot�� .x Corp. insulation (with current PCA) Hy -Therm Stable R various PA 110 Polyisocyanurate Fown Celotex insulation Corp. (with current PCA) Hy- Therm White Line various PA 110 l Polyisoc%anurate Foam Celotex Corp. insulation (with current PCA) Anchorbond Fastener PA 114 Insulation Fastening Cclotcx Corp. assembly Y (with current PCA) Deklast Fasteners 14 PA 114 Insulation Fastener For steel Construction and concrete decks Fasteners Inc. DekFast Hex Plate 2 7/3" x PA 114 Galvalume Ilex stress plate. current P (,viConstructioCA) 3 1/4" Fasteners Inc. (with current PCA) Dekl'ast Lock Plate 3" x 3 1/4" PA 114 Polypropylene lockin 8 Construction plate. Fasteners Inc. rent 8 o1'Ss Fra _. ^.00 119 Pr otic � ni ier CAF MATERIALS CORPORATION Product Deklast Fasteners #IS Dekrast Fasteners #12 ISO 95+ Composite Asphalt us t Dimensions Snrrilitutiot! PA 114 Asphalt Primer ` • EPS various PA 110 Perlite insulation board generic :-e High Density Wow ...various :. Fiberboard generic Polite/Urethane various Composite generic Perlite Insulation various Polyethylene 4 mil min. Red Rosin various Roofing Nails Minimum # 12 Tin Caps Min. 33 Ma. 'x 1` /" MO aluminum roof coatins Product Desrrintion insulation fasteners I'or concrete decks PA 114 Insulation fastener ror steel and wood decks. PA 110 Polyisocyanuratc / perlite ridged insulation ASTIWI D 312 Type I I I or I V Hot asphlat bitumin adhesive ASTM D 41 Asphalt Primer PA 110 Extruded.polystyrenc insulation PA I 10 . - Wood fiber insulation board t1"l:uhuracturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) firestone . (with current PCA) generic generic generic generic PA 110 Perlite / urethane composite board insulation generic PA 110 Perlite insulation board generic Vapor barrier/ Air barrier generic Rosin paper for barrier layer on wood decks generic PA 114 Corrosion resistant annular generic ring shank nails Corrosion resistant circular generic discs. PA 121 Aluminum roofcoating Grundy Industries Zvi til currL., • 9 orii f ;.pct Control,_ -`— CAF 61ATERIALS CORPORATION ' ��ccrptartre ,�u: 1!1!•1! I.p� '-ti . Product :.' ) t n�in Test Product t • • t • ttir n � Uwe- r— it --m Man ufs a!= Dens -Deck various PA 110 Gypsum insulation board. Georgia Pacilic # 12 Roofgrip PA 114 • • • Insulation tasts.tur fur stss,l (with current PCA) or wood decks ITW 13uilds.� (with current PCA) # 14 Roofgrip PA 114 Insulation fastener steel• . . wood or concrete decks (with current [ CA) Gripdek Fastener PA 114 Insulation fastener ITW Buildex ' (with current PCA) hlexcel Fastener PA 114 Insulation fastener I'fW t3uildctx (with current PCA) Wextra PA 114 Insulation fastener and ITW Builder metal or plastic plate (with current PCA) Standard Plastic Plate 3" round PA 114 P01y01eFn plastic plate ITW Buildex (with current PCA) ...- - IS095+ various PA 110 -Polyin) socyanumtefoa International insulation Pernialite (with current PCA) E'NRG'Y -2 various PA 110 Poly isocyanurate foam NRG Barriers. Inc. insulation (with current PCA) ISORoc various PA 110 Polyisocynnurate foam / NRG Barriers. Inc. . rockwool composite. (With current PCA) insulation Olympic Standard 3" round PA 114 3" round galvalumc AZ55 steel plate * * Olympic manuhtcturi n Olympic Fastener PA 114 Insulation fastens: #14 10 of 3S • � Group. Inc. (with current PCA) r Olympic Manufacturing Group, file. (will) current PCA) rrant• ?Moat'^ Rttr Koolii , crc,i Ex.uttiner CAF MATERIALS CORPORATION Acceptance No: 29:0211M M --•, Prnduc m �: i t Test Test Product 1)escrintion INl:tnuficturer Olympic Polypropylene 3.33" round PA 114 Polypropylene , Oly mpie plastic plate Manufacturing Group, Inc. (with current PCA) Olympic Fastener #12 PA 114 Insulation Fastener , Olympic. Manufacturing Group, lac. (with current PCA1 Olympic Fastener ASAP PA 114 Pre- assembled Insulation Olympic - fastener and plate Manufacturing Group. Inc. ` (with current PCA) Olympic CR Base • Felt Fastener and PA 114 Insulation fastener Olympic . Base.Sheet Disc assembly For Base Sheet .'fastening only Manufacturing Group Inc. (with current PCA) -! _ .,� GlasFast Fastener PA 114 - Insulation fastener Owens- Corning assembly with recessed Fiberglas Corp. plastic plate (with current PCA) Paroc Base Board various PA 110 Rockwool insulation Partek, Inc. (with current PCA) Paroc Cap Board various PA 110 Rock%vool insulation Partek, Inc. (with current PCA) UltraGard various PA 110 Polyisocyanurate foam Schuller insulation International Inc. (with current PCA) Insul -Fixx Fastener PA 114 Insulation fastener for steel SFS/Stadler and wood decks (with current PCA) Insul -Fixx P 3" round PA 114 3" round of ethylene P Y SFS /Stadler stress plate (with current PCA) • I I of ss •rnnsc 7nlvr��a RQr Roofing f, - CAF NIATt:i:tALS CORPORATIO ' Acceptance Su: HR—W3 U. ^� product l---�� Teat Product Snecilictttian —�--. cr' ttinn Manufitctttrer Rawl Fasteners ft 13 Pry 114 Insulation fastener for steel 'Ilse Rawl Iu p b and wood decks Company Inc. (with current PCA) Rawl Fasteners # 14 PA 114 Insulation fastener for use 11te Rawlplug in steel, wood or concrete Company Inc. (will) current PCA) Rawl 2" Plate 2" round PA 114 3" round galvalume AZ55 The Rawlplug membrane plate Company Inc. / (will) current PCA) Rawl 3" Plate 3" round ' PA 114 3" round galvalume AZ5S The Rawlplug steel plate Company Inc. (will) current PCA) ' Rawlite 3" Plate 3" round PA 11.4 3" round galvalutne AZ55 The Rawlplug steel plate for use with Company lute• Rawlite fasteners (with current PCA) 302 HS PA 131 .Roofcoating Therttto- Materials. Inc. (with current PCA) Super Prep 11 PA 121 Roof coating 0 Thermo- Matcrials, Inc. (will) current PCA) Tru -Fast DL PA 114 Insulation fastener for steel. or wood Tru -Fast (with current PCA) Tru -fast Plastic Plate 3.04" round PA 114 3.04" round polyethylene Tru -Fast plastic plate (with current PCA) Tru -Fast MP -3 3.23" round PA 114 3.23" round galvalutne 1'ru -Fast AZ50 steel plate (with current PCA) Tru -Fast 14D PA 114 Insulation fastener for use Tru -Fast iti wood. steel or concrete decks (with current PCA) �-' 12 of 33 rmnk zWf,.,,,•, ice �lir+ 'Ex. CAF irIATERIAL.S CORPORATION Test Product Dim�lls Sneci, li_at_ion Tru -Fast Ultra PA 114 Tru -Fast DP PA 114 Tru -Fast TP PA 114 Structodeck various PA 110 - _-EVIDENCE SUBMITTED: Test_ A�cncv . Test Identifier : 5 ~VE- FaetorYMutual Rezearch -Current Current Insulation y _ Corporation Attachment, (With current PCA) Requirements Factory Mutual Research Wind Uplift Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplirt Corporation FMRC 4470 - PA 114 Factot'y Mutual Research' Wind Uplirt Corporation FMRC 4470. PA 114 Factory Mutual Research Wind Uplirt Corporation FMRC 4470. PA 114 Factory Mutual Research Wind Uplirt Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift Corporation FMRC 4470. PA 114 Acceptance Nu: oo-o33 LOS Product Acscrintion i`lanuracturer Stainless Steel rastener for Tru -Fast use in steel, wood and (With current PCA) concrete decks Insulation fastener rur use Tru -Fast in steel or wood decks (with current PCA) Insulation Fastener rur use Tru -Fast in steel or wood decks (With eurrent PCA) High density wood fiber Wood Fiber Industries (with current PCA) Description Date FMRC 1996 01.01.96 J- I.OT4A I .AM 08.26.93 J -I. I V8A4.ANI 06.38.93 J.I. 1 R I A6.Aivl 11.15.91 J.I.OT2Q4.AM 10.17.9 l J- I.OQ6A6 -AM 07.16.91 J- 1.3X3A3.AM 08.03.94 u or55 RR - . CAF MATERIALS CORPORATION Test bag v nit (dentin Factory Mutual Rusearcll Wind Uplift Corporation FMRC 4470. PA 114 Factory Mutual Research Willd Uplift. FMRC Corp. 4470 - PA 114 Factory Mutual Rmarcll Wind Uplift. FMRC Corp. 4470 - PA 114 Trinity Engineering Wind Uplift PA 114 Underwriters Fire Resistance Laboratories, Inc. Classification UL 790 - PA 114 Dynatech Engineering Wind Uplift Corporation • PA 114 Dynatech Engineering •Wind Uplift Corporation PA 114 l c Irma J.I.OY9Q5.A,H J -1. 109A8.AM J.1.3D4Q3.AM 4483.04 97 -1 R 1306.87NK 1 1819 #3600.02.95 -1 #4482.02.95 -1 AccIptance Nu: Mu .Il. Raw 07.39.94 09.04.97 04.30.97 06.06.97 . 01.01.93 02.02.95 03.03.95 14 or 5s f r, RRC Ro a CAF NIATERIALS CORPORATION Acceptance `u: �, Membrane Type: SOS Duck Type 1:. Wood, Non insulated New-Construction or Reroof Deck Description: " /j:" or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened. All Cenernl and System Limitations shall apply. ase Sheet: G_ AFGLAS® 975 GAFGLAS #80 Ultimar" Base Sheet, GAFGLAS0 PLY 4 �� FGLASO PLY G®, GAFGLAS FlexPlyT" Base Sltcct,GAFGLAS9 STRATAVENTO Nailable, RUBEROID Modified Base Sheet or RUBEROIDt 20 applied to the deck with approved annular ring shank nails and minimum 1 `/ " tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggeredX along the center line of the sheet in the field. =Sheet-- (Optional One, two, or three plie GAFGLAS PLY 40. AFGLAS't PLY 6-V Ply or GAFGLAS Flex Ply G shoe ad sere to a full stopping ol'approred asphalt applied within the EVT range and at a rate or 2040 IbsJsq.. (00..Membrane: OtgQr moro.plies.of.RU�3ERO1D MOP Smooth Ruberoid�sl Mo �FR. Ruberoid®.Mop.Granule, �uberoid;lb Mop Plus Granule , Rulxroid�8 30 or ITiilieroid® 30 FR or Ruberoid4D Mop FR or RUBEROID UltraClacrmt SOS in adhered in a full mopping of approved asphalt applied within the EVT range at a rate of 2040 lbsJsq.. , and Or. One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule, RUBEROID® Mop 170 FR. RUBEROIDO Mop Plus Granule, RUBEROIDS 30. RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladTm SOS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 galJsq. Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: . 1. Gravel or slag applied at 400 IbJsq. and 300 lb./sq. respectively in a flood coat ofapproved asphalt at 60 IbJsq.. 2. GAFGLAS Mineral Surfaced Cap Sheet -iii an approved asphalt at an application rate of 25 lb./sq. ± 15 %. Maximum Design Pressure: -45 psf (See General Limitation #7) Maximum Fire Classification: See General Limitation # 1. Maximum Slope: See General Limitation # 1. Spc:ci I ication No.: 19 of 5s Luk.. , ��utg ProJUCt k-unuui L�anlinrr '6AF MATERIALS CORPORATION Acceptance Vu: 011 -IIJ I,tl?I WOOD DECK SYSTEM LcmITATIONS: A slip sheet is required with Ply 40D I.Iex 131y` G and Ply G!:. mien used ; ►, ;► n►eeltanieall� fastened base or anchor sheet. 2• % Type X gy'psun► board is acceptable to be installed directly over the % oud deck. GENERAL UmITATIONS: I Fire classification is not part of this acceptance. refer to a current Approved Rootin �aterials Directory ror lire ratings of this product. g 2 Insulation May be applied in multiple layers. The first layer shall be attached in compliance 'e' Product Control Approval guidelines. All other layers shall be adhered in :► 1:111 no ing al' approved asphalt applied within tite ENT range and at a rate of 20 -40 lbs./sq., or ntechallicaliv attached using the fastening pattern.of the top layer. 3 All standard panel sizes are acceptable for mechanical attachment. When applied in approve' asphalt, panel size shall be 4'x 4' maximum. 4 An overlay and /or recovery board insulation panel is required on all.applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved " , asphalt, 12 A diameter circles, 24 .o.c.; or strip mopped 9" ribbons in three- rows, one at each ,sidelap ,and. one ..down the center .of the shcwt allowing a continuous area:of,ventilation..Encircling of•the- strips is not acceptable, A 6" break Shall be placed eve 12' ry u each ribbon to allow cross ventilation: r-Asphalt-application of either' • .system shall. be at a minimum rate-or 12 IbsJsq. Note:::Spot,u.tthcbed systems•shs�ll be limitetl - tau .maximum design - pressure 01`-45 psf. 5 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force of 275 IbC, as tested in compliance with TAS 105. If the fastener value, as Iield -test dC value )b law 375 Ibf., insulation attachment shall not be acceptable. G Fastener spacing for mechanical attachment ofanchor /base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within the specific system. Should the fastener resistance be less than that required. as determined by the Building Official, a revised fastener spacing, prepared, signed and scaled by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize withdrawal .resistance value taken from Nfianti -Dade Protocol TAS 105 and ca culatiol stun in %%ith Miami -Dade Roofing Application Standard RAS 117. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building shall be increase for both insulation and base sheet as needed calculated noeompliance e d Insities Mianti -Dade Roofing Application Standard TAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8 All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Miami -Dade County Roofing Application Standard TAS I 1 I and the wind lu ;ul requirements of Chapter 23 of the South Florida Building Code. 9 The ntaxin►um designed pressure limitation listed shall be applicable to all roof pressure: zones (i.e. field, perimeters. corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners, and corners). limitation is specifically referred within this NOA, C;cneral Limi u n ` •, applicable.) a be 54 of S3 ko Pr, i:untrol E , t:Aa MATrti1AL, catsrotiATlo` Arcrplaucc `u: 1111- 11331.II8 NOTICE OF ACCEPTANCE STANDARD COIINDI IONS l Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions ofthis Acceptance. 3 Renewals of acceptance will not be considered it: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has hot complied with all the requirements or this acceptance, including the correct installation or tile product; d) The engineer whaoriginally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use,. and /or.manufacture>of:the product or process shall ;automatically. be cause for termination of•this•Acceptance, unless prior. written, approval fins been. requested (ihrough the filing of a revision application with-.appropri ate fee) and � granted. by this office. 5 : Any of the following shall also begrounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement orally product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date maybe displayed in advertising literature. If any portion ot'the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 3 Failure to comply with any section of this Acceptance shall be cause for termination and removal ol'Acceptance. 9 This Acceptance contains pages I through 55. END OF THIS ACCEPTANCE 55 of 55 r- - 1ga. RR ("itict Cunt nine 2001 ROOFING MATERIALS A SYSTEMS DIRECTORY 172 ROOF COVERING MATERIALS SIM Roofing Systems (TGFU)— Continued Surfacing (Optional): #11 ceramic coated roof granules, applied at 50 Ibs /sq. 23. Deck: NC Incline: 2 Foam: SWD Urethane Co. "SWD 52W',1 lit. min. Base Coat: One or two applications "Gacoflex Ure-Cap 6800" Series, applied at 1 -1/4 gal /sq /application (14-28 dry mils). Top Coat: "Gacoflex Urn -Cap 6800" Series, at 1 -1/4 gal/ sq. (14 dry mils). Surfacing (Optional): #11 ceramic coated roof granules, applied at 50 lb /sq (12 dry mils). 24. Deck NC Incline: 1/4 Foam: "Polyfoam 251" or "Polyfoam 303",1 in. min. Base Coat: One or two applications "Gacoflex UB -64 ", applied at 1.2 gal /sq /application (14.28 dry mils). Surfacing: "Gacoflex U-66", applied at 1 gal/ sq. (12 dry mils} 25. Deck NC Incline: 1/4 Foam: "Polyfoam 251" or "Polyfoam 303",1 fn min - Base Coat: One or two applications "Gacoflex UB- 7050", applied at 1 gal /sq /application (16-32 dry itrift Surfacing: "Gacoflex UA-W, applied at 1 gal/ sq. (12 dry mils} 26. Deck NC Incline: 1-1/2 Foam: "Polyfoam 251" or "Polyfoam 303 ",1 in. min. Base Coat: One or two applications "Gacoflex UB.6499", applied at 1.2 gal /sq /application (14-28 dry milsj. Surfacing: "Gacoflex A -55 T, applied at 1 -1/2 gal/ sq. (14 dry v ft 27. Deck NC Inclin 1/4 Foam: "Poly be or "Poly-Iso Special" with "Polyfoam 251" or "Poly- foam 303 ",1 in. min. Top Coat: Two Applications "Ure -Cap 6r Series coating (various colors), applied at 13/8 gallsq /application or three applications, applied 1 -1/4 gal /sq /application. Top Coat (OpNoaal): "Gacofim UA-65" Series (various colors), applied at 1 gal /sq or " Gaooflex UA-W, applied at 1 -1/4 gal /sq (12 dry mfls), 128. Deck NC Incline: 1/4 Foa= 'Poly -be or "Poly -Iso Special" with "Polyfoam 251" or "Poly- foam 303",1 in. min Base Coat: One or two applications "Gacoflex UB -64 ", 1 gal /sq/ application (12 -24 dry mrilsj. Surfacing: "Gacoflex UA-W Series 1 gal /sq or "Gacoflex UA-W, applied at 1 -1/4 gal /sq (12 dry mils). 1129. Deck NC Incliae:l /4 Foam: "Poly -Ise or "Po1y -Iso Spedal" with "Polyfoam 251" or "Poly- foam 303 ",1 in. min Base Coat One or two applications "Gacoflex UB- 7050", applied at 1 gal /sq /application or three applications, applied 1 -1/4 gal /sq/ application 16.32 dry Surfacing: "Gacoflex UA-W Series (various colors), applied 1 gal /sq (12 dry mils), )0. Deck NC Incline: 1/2 Foam: "Poly -Iso" or "Poly -Iso Special" with "Polyfoam 251" or "Poly- foam 303 ", 1 in min Base Coat One or two applications "Gacoflex UB- 7050", applied at 1 gal /sq /application or three applications, applied 1 -1/4 gal /sq/ application (16-32 dry mils] Surfacing: 'Gacoflex UA-W Series (various colors), applied 1 gal /sq ( I. Deck. NC �� Incline: 2 Foam: "Poly -Iso" or "Poly -Iso Special" with '!Polyfoam 251" or "Poly- foam 303 ", 1 in min. Base Coat "GacoSil S- 1000", applied at 1 gal /sq (10 dry mils), Surfacing: "Gacoflex S- 1000", applied at I gal /sq (10 dry mils), L Deck: NC Incline: I Foam: "Polyfoam 251" or "Polyfoam 303 ", any thickness. Surfacing: "Gacoflex Ure- Shield 700 ?', 40 dry mils. 1. Deck: NC lncllne: 2 Foam: "Polyfoam 275 ", any thickness, Base Coat "Gacoflex A- 6211 ", 1 -1/2 gal /sq (14 dry mils), Surfacing: " Cacoflex A- 62UtY' series (various colors), 1 -1/2 gal /sq (14 dry mils). Deck NC Incline: 2 Foam: Pelvhoam'Sl, "Polyfoam 27" "I 'Polyfo 1103" am• -t•irt • .,y. tit :,,ations , I au , u , mils). ROOF COVERING MATERIALS (TEVT) Roofing Systems ('TGFU)— Continued Surfacing: One application of "Gacoflex A -55 Series" (various colors, applied at 1 -1/2 gal /sq. (15 dry mils). 35. Deck: NC Incline: 1/4 Foam: "Polyfoam 251 ", "Polyfoam 275" or "Polyfoam 303", any t}„d,- ness. Base Coat: "Gacoflex UB -64," applied at 1 -1/2 gal /sq. (18 dry mils). Trowel Coat: 30/60 mesh crushed walnut shells mixed at a rate of 5 Ib /gal with "Gacoflex UB -64," applied at 1 -1 /2 gal /sq or "Gaco UB -64 ", applied at 1 -1/2 gal /sq (18 dry mils) followed by the broad application of 30/60 mesh crushed walnut shells applied at 7-816/ Surfacing: "Gacoflex U-66 ", applied at 1/2 gal /sq. (6 dry writs). 36. Deck NC Incline. 2 Foam: "Polyfoam 275", any thickness. Primer. "E -54" (not UL Classified), 0.67 gal /sq. Base/Top Coat: "U -62", 2.0 gal /sq. Base Coat: "Gacoflex UB -64;' applied at 1 -1/2 gal /sq. (18 dry mils). Mowel Coati 30/60 mesh crushed walnut shells mixed at a rate of 5 lb/gal with "Gacoflex UB -64," applied at 1 -1 /2 gal /sq or "Gacoflex UB-64", applied at 1 -1 /2 gal/sq (18 dry mils) followed by the broadcast application of 30/60 mesh crushed walnut shells applied at 7-8 lb /sq. 37. Deck NCB "Gacoflex U-66 ", applied at 1/2 gal /sq. (6 dry mils). Incline: 2. Foam: "Polyfoam 275 ", any thickness. Primer. "E -54" (not UL Classified), 0.67 gal /sq. Base/Cub "U-62",1.25 gal /sq. Base Coat: "U -62," 0.75 gal /sq. Base Coat (optional): "U -62," 0.75 gal /sq. Base Coat: "U -62," 0.75 gal /sq Surfacing {optional); walnut chips at 9 to 1111>s per sq. a a,saaaunla n 81306 1361 AIM R13,7AMYNEM 07470 "Ruberoid 20" or "Ruberoid Modified Base Sheet" may be utilized as an alternate to Type G2 base sheets in any of the following Classifications. Dens - thick (be) gypsum board or 1/4 in thick (min) G-P G may usedin any existing ale deck ClassiScahon. When dtfs is done, the resultin rooflngsystem is acceptable for use over combustible 15/32 in min) roof decks. The joints in the gypsum board and overlayment board are offset 6 in. with the joints in the deck If polystyrene is part of the roof system, it must be placed below the overlayment board. Also, multiple plies of "GAFGLAS Ply 4" or "Ply 6" may be adhered to GP G Derts-Deck® in hot asphalt. Stratavent Nailable Base Sheet" may be mechanically attached or hot mopped over noncombustible decks and as a recover over existing roof GAFGLAS Perlite Insulation may be utilized as a cover board over "EVER - GUARD" insulation in any of the following systems, Unless otherwise indicated, the roof insulation is mechanically fastened, adhered with hot mopping halt or urethane insulation adhesive. ASPHALT FELT SYSS WITH HOT ROOFING ASPHALT G2 halt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or "G LAS #SO Premimum Base Sheet" ) is a suitable alternate for T GI asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6" in the Class A, B or C roof systems indicated below. The roof deck may first be covered with a Type G2 asphalt glass mat base sheet "GAFGLAS Stratavent (Vent -Ply) perforated" or "GAFGLAS Stratavent (Vent -Ply) for nailable decks ". Perforated to be mopped and nailable to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet", '?'MGLAS #80 Premium Base Sheet" or "GAFGLAS Stratavent (Vent -Ply) for nailable decks" ) may be substituted for Gl asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6" ) as the nailed base ply in the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechani- cally fastened. Unless otherwise indicated, all insulations may be hot mopped or mechanr callyy fastened. "GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A, B or C systems listed below. When "perlite''is referenced, this includes "GAFTEMP PERMALITEor" or an other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A. B or C systems listed. Structural cement fiber building units are considered suitable to be included as a deck in the hollowing Class A, B or C systems listed liver C•I5/32 or NC The use rof tcvpsum bmrrd under,tnc• of the. following Claex A " - r systenn doe 11 r r car- or - 1 :rd Is at, :r• tux ire. .n uvr : dell, hnrru- r 1,uaru 4. T 4 6. ti. U to. s 2001 ROOFING MATERIALS & SYSTEMS DIRECTORY ROOF COVERING MATERIALS (TENT) Rooting Systems (TOFU)– Cuntinued Coating: Kamak No. 97, 1 -1/2 - 3 gal /sq. 3. Deck: NC Incline: 1/4 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, any thickness. Base Sheet (Optional): One or more layers Type Cl, G2 or G3. Membrane: One or more layers of "Ruberofd Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97,1-1/2 - 3 gal /sq. 4. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers perute glass fiber gocyenurate, ure- thane perlite/isocyanurate composite, perlite /un:thame composite phe- nolic, 1 -1/2 in. min thickness (offset from plywood joints 6 jr.). Base Sheet: One or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. Membrane One or more layers of "Rubaotd Torch" (Smacith or granuleb "Ruberoid Torch Plus" (g =Web "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (garde). Surfacing; Karnak No. 97,1 -1/2 - 3 gal /sq. S. Veda NC huline 1/2 Base Sheet (Optioaalk One or more layers of Type G3, G2 or Gi. Membrane One or more layers of "Rubmid Torch" (smooth or gcamde� "Ruberoid Torch Pied' (fin m&r Su didng (Optional): Karnak "No. 97" or "1W at 1-3 gal /sq or Grundy Ind. "20 F Emulsion" at 3 gal /sq. 6. Deck C-15/32 Incline 1/2 InsniatI m One or mare layers Perlite, glass !i* 3/4 in. min, isocya- mrrale urethane perlite/isocyanurate composdbe Pefilial/umthavei coar posite, phesrolk,1 -1/2 in. min, Bm Sheet ( O06 � layers of type G1, G2 or 0. Membrane: granuleb "Ruberoid Torch Phrsf "Rul:elvid Torch- (smooth or Mop Puts" `�ube<otd VW (smooth ar Surfacing: Gravel. 7. Dedc C -15/32 Incline 1/2 Insulation (Opdona& One or more layers perBte wood fib ahm mane � wood fiber /isocy�comp���e him / Base Sheet Two or more layers of Type C2 or G3. Ply Sheet (Optional): One or more layers of Type Cl. Membrane: one or hP layers "Rubenoid Torch Phrs Witnule d op " oRuberaid TO ((moth (smooth or or granule) or "Ruberoid Mop Plus" (gramnle� Surfacing; Karnak No. 97,1 -1/2 - 3 gal /sq or gravel. I. Deck NC Incline: 1/2 hmd&tlom One or more layers perlite, glass fiber. 3/4 in. min, isocya- nurate, urethane, perHte/wcyarnurate eompoclte, perite/uredrame corn posits, phenolic, 1 -1/2 in. min. Bane Sheet (Optional): One or more layers of Type G1, C2 or C3. Membrane One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), ,Ruberaid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gai /sq. Deck C -15/32 Incline 1/2 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, Wcyanurate, urethane perlite/isocyamurate composite polite/ useth?tne.somposite, phenolic, 1.1/2 in. min. Bue� Slr"h or of Type C2 "GAFCLAS +trlg Hale Sheet", n t— ped 1y yegeA in ply. PI Sh O& or more -of Tjgv G1 "GAFCLAS ply 4 ", hot mop m,$laae. "Ruberoid FR" (granule). a�5 ( red Aluminum Coating at 1 -1/2 gal /sq or CAF Weather Coat Emulsion at 3 Sall sq. Deck C-15/32 Incline 1/2 Insulation (Optional): One or more layers penile, glass fiber 3/4 in. min. isocyanurate. urethane, perute /isocyamrate composite, perute/ umthane can+pante, phenolic, 1 -1/2 in. min. ease Sheet One or mom layers of Type C2 "CAFGLAS #73 Baca C', but mopped or mechanically fastened in place. Ply Sheeh One or mom layers of Type Cl "GAFCLAS Ply 4", or °CAFCLAS Ply 6" hot mopped in place. Membrane. "Ruberoid Torch 170FR" (granule! - Ru86Roi] ROOF COVERING MATERIALS Mn 175 Roofing Systems (TCFU)– Continued Surfacing (Optional): CAF Fibered Aluminum Coating at 1 -1/2 gal /sq or CAF Weather Coat Emulsion at 3 gal /sq. IL Deck: C -15/32 nwwliw.. , M Insulation: lsocyanurate, 2 in. min., wood fiber, perlite or glass fiber any thickness, hot mopped or mechanically fastened in place. Joints ofleet 6 in Base Sheet: One or more layers of Type c2.17 AFGLAS fl4S Rase Sheet", hot mopped or mechanically fastened in place. Ply Sheet (Optional): One or more layers of Type Gl "GAFCLAS ply 4" or "Ply 6" hot mopped in place. Membrane "Ruberaid Torch 170FR" (granule). , SurfaSurfacing (Optionalk CAF Fibered Aluminum Coating at 1 -1/2 gal /sq cing GAF Weather Coat Emulsion at 3 gal /sq. 12. Deck: C -15/32 Incline 1/2 Insulation (Optional): an rate new, hot mopped or mechanically fastened ut placed, joints - Base Sheet: One or more layers of G2 "GAFGLASWS Base ,, hot mopped or medtanica* layers t Sheet One or more layers of Type G1p GAFGiAS Ply r or •�6" ho mopped in p�- Membrane "Ruberold Torch 170Fir (grannule} Surfacing (Optionalk GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gat /s4 13. Deck NC Incline: 1 /2 ythickness mopped ormechavicallyfistemed is place ja offset 6 In. r Base Sheet: One or more layers of Type C2 "GAFGLAS 63 Base Shed -, lot mopped in place Ply Sheet (Option& One or more layers of Type GI "GAFGLAS F1y4" or "Ply 6" hot mopped in place. Membrane "Ruberoid Torch 170M (granule} Surfacing (Optional). "GAF Fibered Ahm*mmr CDMfngw at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gel /sq. 14. Deck NC Incline 1/2 Insulation (Optional): IsocyanUmte, wood fiber board, pedbe, films fiber, any thidmess, hot mopped or mechaUk ally 6s0erted in place, joints offset 6 in. Base Sheet: One or more layers of "GAFGLAS 073 base Sheet", hot mopped in place. Ply Sheet (Optional): One or more layers of "GAF GLAS ply 4" or -ply 6" hot mopped in place. Membraae "Ruberoid Torch 170FR" (gramdej Surfacing (Optionalk GAF Weather Coat Emulsion applied at 3 gal /sq or GAF Fibemd Aluminum Coating at 1 -1/2 gal /sq. I5. Deck C -15/32 Incline 1/2 bsati�Optional). Perlite, fiber dasL isocyanurate, urethane perute/ anurate composite or phenolic. Base Sheet One or more layers Type C2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type Gl, hot place. mopped it Membrane "Ruberoid Mop FR" or "Ruberoid Mop.170 FR" (granule} 16. Deck. C -15/32 hw.Hne: 1/2 Insulation (Optional): Perlite, Hoer glass, isoryanurate, uretharne perlite/ isocyanurate composite or phenolic, onset 6 in, fnrnn jobft But Sheet One or more layers of Type C-2 or C-3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type C-1, hot mopped in place. Membrane. One layer of "Ruberoid Torch" or "Rubeloid Mop" (smooth). Membrane One layer of "Rubewid Torch t70FR" or "Rubercid Mop FR" (granule) 7. Deck NC Incline: 1 Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurapp urethane, perlite /isocyanurate composite or phenolic. Base Sheet One or more layers Type C2 or C3 base sheet, hot mopped or mechanically fastened. Ply Sheet (OPtionalh One or more layers Type Gl, hot mopped In place. Membrane: One layer of "Rubamid Mop FR" or "Ruberoid Mop 170 W (granule!. a neek. NC; I. V, k' AAK ON 10 4 03/11/02 16:28 FAX 5612721554 INST PROD -SO FLA Rol i 1325 MN 17' Avenue 6102 odra)r ft". FL 33"4 (561) 272.6561 Phone (561) V7 -1661 Fax J�C47�A T'M " & FMM Home Depot, Installed Products 3 a '7S1 I PIM am= CC." a Urg"t x rw nowsw ❑PIP" Comnmst x P1"m rs)y D M"" mod• 6F_—&0F Piz yo q R ?aMl T PC QqF 03/11/02 16:28 FAX 5612721554 INST PROD -SO FLA DATE: STORE JOB 4: A. 4- 0 Il ^SS S� Hama Deem i WIeed Roolmg LEAD #; f LV at. 4 PROPOSC'AND CONTRACT tiara Depot iea Wled Reafiq 207-0 KCWT Lane 'iMDN Haddo 7.1419 Cam omer Annaba Depth 1. 88 11.7=1 FL LW_KCrt:0.13736 902 PUF*4A6EA 8 NAME ,= . •�.� K.eCi'v�l c� S Home 7 e !Z f I 7 A �-aTM K: 3.3 t NEARE5a CpOS65rAEEC .IFWTEREM CITY STATE ap_ SALE ON TO GHEdt R iD . J ON 13N 80 AND SPECIFY ON PReDSAL W-A r_ CARP ENTRY METAL IA " P [3 VEWITA O [3 GUTTER WORK ., IMPEClrION REVEALS THE FOLLOWING PROBIL M AREA& ❑ Shingles )(Decking ❑ Chimney Flashing $&lakes. Tiles. Metal D Vent Pipe Flashing E3 Canter F1aI* tg ❑ Ventilation ❑ Guttering d Valley Rao" ❑ 8 Trim Q CanTmg LW HOME DEPOT agrees to arrange hsfeWon of the following• type of MO." material wk dlmlted mete al warranty by the Manufacturer: L. MaWWNGMS Years Color (area tultolbsd gty fa' dWWW Note: No wwm* Is given for /sales ennead by badarp Of MAL Maw: Blends show less varfad m in *ode due to light m7acdon than .sated aabra. Black no=* Has some shade vadatim Tb be I ftded on a I Story house. Rise —ia Per 12" ❑ Attached Gaage ❑ Fina- Standing Garage gkow -slope Other .1 0 NAIL OVER EXISTING SHINGLES (Go ovar . Apply over QXIQWg shingles. CAUTION: New materials will Conform to unevenness of existing deck and/or shingles, r INSTALL ❑ Wind/Wetta'/ICe Undadayment a _ U,FL FLASHING: Install or Rework: t] Donner/Wall Flashing ❑ Chimney Flashing Step Flashing ❑ Vent Flashing ❑ Other Flashing t VENTILATION TO BE INSTALLED: • Rtdge Vans ' ❑ Static Vents O Eave vents • Turbine Vents ❑ Power Vents ❑ Gable End Vents STACK COVEM Replace # Size• XDRIP EDGE TO BE INSTALL®: Install _ 3 / a „ LF CLEAN -UP AND REi iOVAU Job site will have a neat, Cleans I TYPE OF MaSTING ROOFt ❑ Shingles Q Gable O Hip D Mansard ❑ Shakes p Tile 0 Low -Slope ❑ slate ❑ Other Nat: Home Depot taloss no rasponsibiaty for I *Mcadon nor removal nor affsturbance of ex/sdng environmental problems or ha28rda Wit is dehwrr* ed that any of Tire material orlabsPo9s am an arwironrnerrta1 hazard, the pumhasar must anange (et purchasers sole addltloRel ezpenas) for removal, Haul -away dumping I and . mplaceme"t of acconding to ezlsdi,q,*W,• state and appearance after the Jtb is completed Note: Home D6ppot Is Rot responsible for any w sft masonry, wood Or o faer materials, nor arty items above the roof ilea. Any hiddbrl conditions which require additional work or any extras requested by purtdtaser Will be bfiled and purchaser agrees to pay for Via work so an wdm '� Initials Additional layers: It Is during ma oatow of ineta Uftn that "Iffana/ layers of medal o could Zhqlound. if af!d►aonal layers are ._focirid purl to pnfy S - per square per layer ar Fad" IkMW an 04% 11 initials. Watley type - g New _! _ �- Ft - MAIN ROOF has layers of f ADJACENT ROOF has layers of i REMOVE existing - =frog to the deck, cover with a new felt and than apply rooting matwia L DECK Plywood ' Thickness T & G - x Other: ROTTEN OR DETERIORATED DECIGNG: Home Depot will lestell approved sheathing where needed. Nb Charge or estimate has been made for replacing such rotten or deteriorated If such conditiorm are found, purchaser will Ile agrees to.oay for the wotk.aa an extra. ✓ knit 4V a - W inaOvedonx o GW�oUg.?=Uvee 1 1►� C �11_a L. .. - . ___ . .. . z > 0 L All rn X)IJ j-- - - 14'7 7,7-4ki �v la v XAP 1 Miami Shores Villa a .fir APPROVED By Id 4044 'ONING DEPT h. } k ILDG DEPT 'a UI3,IFCT TO COMPLIA{ .E I A I E* AND COUNTY RULES AND REGUl.ATKM 3 rn x •• ••• • • ••i • • • •• � m O x � •• i •i i i i i i i i i•i i• •• m :. • .. O 47 G W O 4C) ••• • i•• ••• i•• • A X '1 or • • • • • • • i p V O CJ Oti �.i • •• • •• • • • • • ••• •• •• • • ; z 3 O ,� ••• 7,7-4ki �v la v XAP 1 Miami Shores Villa a .fir APPROVED By Id 4044 'ONING DEPT h. } k ILDG DEPT 'a UI3,IFCT TO COMPLIA{ .E I A I E* AND COUNTY RULES AND REGUl.ATKM 3 C) Q 7i m �s T Q C a rn a D rn O C U7 CO Clz v a a z 0 n A C^n A C �v -- �- -7A�.4a 1� f� C K lie S/4 r7r' m •4 • •• • • . • • t� !RO X x �, • 9 •• • • • • •�• '• 3 Q � � •.' ••i '•i •.• � i •• x !D OX3 Cr -�1 i ••• i ••• 'J k •'� •�• •° • • •° • • • • • • r. tOtC j �� O • •• •• • • • • • • • • O 4 p 3p •• i• ' e• • i • : •• 1� f� C K 2 > C Q � D a v m v x 0 c 'i 0 Z n O O 0 0 0 x 3 ns .i 3 M — 0/0 \ / \ go: 0 Soo z Z a O • • • . C3 D x x • • m O m m � O y © — D x --TI N o m O x c! x to Es;wW (gOOW -i f1 O In lfl Q C7 O p D x• X Q n O O 0 0 0 x 3 ns .i 3 M — 0/0 \ / \ g Q V go: Soo .00 a . • • • . so • • o • • • • • • • 00 ••• • • • • ••• • • , g Q V , . i 1E: Kitchen 'Wil7i Julie A Samhoz 54 NW 103 Sum Miami Shores, FL 33150 Den Julie: I have used cabinets and a Cotiau counter top that I have take off another job site. ' hey we iu pmt condition and a cats o'er these to YDu i stalWl at a groat priCe based cm our business r+aMonstup. 1 will mwork the couneo t tap and cabiuW to get them to fit in the kitchen. TM cost for the cabkld3 Including the top and the insWlatiou will be $900.00 Lot me know and i will get statued immediately. Sergio J& S Cogxm6on $91 SW 69 Avanue marni, FL 33144 0000 • 0000 0000.. • .. • • 0000.. .. .. 0000.4 • 000.0. 0000.. *goo . . • • • 0000 0 000. .0....000 . ... . ..... 6 . . .. 0000.. 0000 ..00.. 0000 .0000. •0000• • . . • 000 I& Case Number: RC -7 -06 -1808 Address: 54 NW 103 Street VIOLATION: 6 -4 7/6/2006 DESCRIPTION: Permit Required LOCATION: 54 NW103 Street ORDINANCE DESCRIPTION: Village of Miami Shores Code of Ordinances, Section 64 Permit Required VIOLATION: 105.1 7/6/2006 DESCRIPTION: FBC Permit Required LOCATION: 54 NW 103 Street ORDINANCE DESCRIPTION: Florida Building Code Section 105.1- Permits Required NARRATIVE: Permit required for: Interior Remodeling, Kitchen cabinets, Bathroom Remodeling, Exterior Doors, Electrical and Plumbing. PLEASE OBTAIN REQUIRED PERMIT(S), AND ALL SUBSEQUENT REQUIRED INSPECTIONS, BY CONTACTING THE BUILDING DEPARTMENT @ 305- 795 -2204. - Mianai -Dade My Nome My Home r t ® Text only [; Property Appraiser Tax Estimator Summary Details: Pronartv Information: 11- 3101 -018 -0040 NW 103 ST r JULIE ANN SANCHEZ FAMILY hs: NW 103 ST MIAMI Ka SHORES FL its:1 33150 - Pronartv Information: Sale Information: ale O/R: 3859-0723 le Date: /2005 ale Amount: 320,000 eccpcarnent Information_ ear. SINGLE FAMILY ESIDENCE $186,714 1 RESIDENTIAL- SINGLE Buildi Value: FAMILY hs: /2 Ka 1 its:1 $259,151 1,875 : axable Value: 11,500 SO FT lt: 1930 INAVARRO SUB PB 12 -59 OTS 7 THRU 10 & N7.5 FT Legal TS 20 &21 BLK 1 LOT Description: E 100.000 X 115 OR L31859-0723 736-1500 0797 1 COC 09 2005 1 Sale Information: ale O/R: 3859-0723 le Date: /2005 ale Amount: 320,000 eccpcarnent Information_ ear. 2005 nd Value: $186,714 Buildi Value: $72,437 arket Value'. $259,151 M19761 ssessed Value: $259,151 [Total Exemptions: $0 axable Value: $259,151 4k q 4 a 4, n Digital Orthophotography - 2005 0 111 ft _: We appreciate your feedback, please take a minute to complete our survey. My Home 1 Property Information 1 Property so 1 My feighborhood 1 PropWAppralser Home 1 Using_Our Site 1 About 1 Phone lirecmy I Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, please click here to let us know. E -mail your comments, questions and suggestions to Webmaster Web Site © 2002 Miami -Dade County. All rights reserved. Page 1 of 2 Legend Property Boundary Selected Property street OV Highway Miami -Dac County Water N W E S. http: / /gisims2. miamidade .gov /myhome /Propmap.asp 7/6/2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Inspection Date: 07/11/2006 VhM*1%W0W Inspector: Levrack, James AL 12 ED Owner: SANCHEZ, JULIE ANN Job Address: 54103 Street NW Miami Shores Village, FL 33150- Project: <NONE> Contractor: EDDIE ROJAS PLUMBING INC Building Denartment Comments Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)336 -3189 Parcel Number 1131010180040 Block: Lot: Phone: 305 - 944 -6788 PLASE CALL LIANA AT (305) 336 -3189 BEF RE 0 INPECTION Ins ct m is Passed 7nm Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Monday, July 10, 2006 Page 1 of 2 r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL > Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 07/11/2006 Inspector: Levrack, James Owner: SANCHEZ, JULIE ANN Job Address: 54103 Street NW Miami Shores Village, FL 33150- Project: <NONE> Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)336 -3189 Parcel Number 1131010180040 Block: Lot: Contractor: EDDIE ROJAS PLUMBING INC Phone: 305 - 944 -6788 Buildina Denartment Comments PLASE CALL LIANA AT (305) 336 -3189 BEFORE DO INPECTION Passed C m�ents Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Monday, July 10, 2006 Page 2 of 2 ADDENDUM TO BUILDING PERMIT APPLICATION �4 (AN A£PLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TI.B BIDET UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING UNIT FEE BIS.RAM RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/WETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROIX TANKS LAVATORY OVEN ABOVE GROW TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS D- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 2`x100 If COOLING TOWERS WATER CLOSET MOTORS OVER - 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECT ON WATER SUPPLY TO: YQ - AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I 'HEATER -NEW )INST. GENERATORS' TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COWEXIAL WATER SERVICE SIGN TUBES SEWER CONNECT IONS w S IGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLJRES SEPTIC TANK ANTENNA RELAY TE)_EVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER I FIRE STANDPIPE POOL PIN % C I LAWN SPRINKLER SYSTEM F I I GAS RANGE 1 METER, SET (GAS) GAS P IP ur t ! 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: 7/10/2006 Expires: 01/06/2007 Permit Number: PL -7-06 -1825 Owner's Name: JULIE ANN SANCHEZ hone: (305)336 -3189 Permit Type: Plumbing - Residential Work Classification: Addition /Alteration Job Address: 54 103 Street NW Miami Shores Village, FL 33150- Contractor(s) Phone Primary Contractor EDDIE ROJAS PLUMBING INC 305- 944 -6788 Yes Comments: INSTALL NEW TOILETS, BATHROOM SINK, KITCHEN SINK AND REFRIGERATION WATER LINE Additional Information Type of Work: FIXTURES REPLACEMENT Type of Piping: Additional Info: Bond Return: Classification: Residential to me of this Dermit I aaree to Derform 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 $1.20 Education Surcharge $0.40 Permit Fee - Additions /Alterations $180.00 Scanning Fee $3.00 Technology Fee $4.50 Total: $189.10 Building Department File Copy Applicant Signature Parcel #: 1131010180040 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 2,000.00 Underground Rough Water Main Top Out Main Drain Lavatory Water Service Re Pipe Heater Final Invoice Number Amt Due Amt Paid PL -7 -06 -25504 $189.10 Total: "JUL 01 PAM 2 ( 9 Cc 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. I I Inspector: Devaney, Michael Owner: SANCHEZ, JULIE ANN Job Address: 54103 Street NW Miami Shores Village, FL 33150- Project: <NONE> Contractor: BENNETT ELECTRIC SERVICES CO Ruildinn npnartmpnt Comments Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)336 -3189 Parcel Number 1131010180040 Block: Lot: Phone: 3061759 -1665 PLASE CALL LIANA AT (305) 336 -3189 BEFORE DO INSPECTION Inspector Comments Passed ' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Monday, July 10, 2006 Page 1 of 2 w AN ArPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. 6BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT' APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE MTH TLB 3IDET 31SHWASHER TISPOSAL ]RINKING•FOUNTAIN SWITCH OUTLETS LIG ff OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SPACE HEATERS CENTRAL. HEATING A/C (WIND) A/C (CENTRAL) DUCT WORK LOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET SERVICE REPAIRA ETER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MJTCRS D- 1 NP MJTORS OVER 1- 3 W MJTORS OVER 3- 5 NP MJTCRS OVER 5- 8'FP MJTORS OVER 8- 10 w M]TORS OVER 10- 25 W REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS I HOT WATER BOILERS MECHANICAL VENTILATION I ! TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE 'SPRINKLER SYSTEMtS URINAL MOTORS OVER 25-100 NP COOLING TOWERS WATER CLOSET MJTORS OVER 100 Hp VIOLATION VIOLATION ON I I INDIRECT WASTES WATER SkPPLY TO: A/C W I NDOW AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER . 'HEATER-NEW INST. GENERATORS TRANSFORMERS GENERATORS ' TRANISFMMERS HEATER - REPLACE LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SPECIAL PURPOSE SWIW ING POOL OUTLETS COMMERCIAL WATER. SERVICE SEWER CONNECTIONS 1TILTTY -SEWER IT I L 1 TY -WATER SEPTIC TANK ;FLAY RAINFIELD, 4' TILE/RES. UP & ABANDON SEPTIC TANK OAKAGE PIT CU. FT. SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK F I XTI RES ANTENNA TELEVISION OUTLETS VIOLATION RE I NSPECT I ON ATCH BASIN ISCHARGE WELL OMESTIC WELL REA DRAIN 90F INLET I I 7LAR WATER HEATER I IRF STAN�IPE I I JUL PIPfru I I I I I AWN SPR I NrXI.ER SYSTEM I I ! • S RANUE I 'TER SET (GAS) ! ! ! I I - S PIPIT T I �i •.': 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 7/10/2006 Expires: 01/06/2007 Permit Number: EL -7-06 -1824 Owner's Name: JULIE ANN SANCHEZ one: (305)336 -3189 Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 54103 Street NW Miami Shores Village, FL 33150- Contractors) Phone Primary Contractor BENNETT ELECTRIC SERVICES CC 305/759 -1665 Yes Comments: ELECTRICAL FOR REMODELING ALREADY DONE Additional Information Type of Work: KITCHE CABINETS Additional Info: Classification: Residential 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 Parcel #: 1131010180040 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 2,000.00 Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Fees Due Amount Invoice Number Amt Due CCF $1.20 EL -7 -06 -25505 $158.35 Education Surcharge $0.40 Total: PermitFee - Additions /Alterations $150.00 ®lid �nr, Scanning Fee $3.00 Technology Fee $3.75 Total: $158.35 ( Iq C.- Building Department File Copy 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. Applicant Signature Inspection Date: 07/12/2006 Inspector: Grande, Claudio Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: SANCHEZ, JULIE ANN Job Address: 54103 Street NW Miami Shores Village, FL 33150- .'JUL 12 Permit Type: Windows /Shutters Inspection Type: Final Work Classification: Door Replacement Phone Number (305)336 -3189 Parcel Number 1131010180040 Project: <NONE> Block: Lot: Contractor: HOME OWNER Buildina Denartment Comments Tuesday, July 11, 2006 Page 2 of 2 If Inspector Comments Passed n Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Tuesday, July 11, 2006 Page 2 of 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 7/10/2006 Expires: 01/01/2999 Permit Number: WS -7-06 -1829 Owner's Name: JULIE ANN SANCHEZ hone: (305)336 -3189 Permit Type: Windows/Shutters Work Classification: Door Replacement Job Address: 54103 Street NW Miami Shores Village, FL 33150- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: 1) SLIDING GLASS DOOR AND (1) ENTRY DOOR Additional Information Type of Work: DOORS Additional Info: In consideration of the issuance to me No of Openings: 2 Classification: Residential perms, i agree 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. Building Department File Copy Applicant Signature Parcel #: 1131010180040 Block: Section: 1JUL 01 PAID ZL Q G Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 $254.80 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. Fees Due Amount Invoic CCF $0.60 WS -7- Education Surcharge $0.20 Total: Notary Fee $5.00 Permit Fee $120.00 Scanning Fee $6.00 Technology Fee $3.00 Work without Permit Fee $120.00 Total: $254.80 Building Department File Copy Applicant Signature Parcel #: 1131010180040 Block: Section: 1JUL 01 PAID ZL Q G Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 $254.80 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. Traco security windows & Doors, Inc. // 1] 1 71 Progress Avenue U Cranberry Township, PA 16166 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHD). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves. the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series 113000" Aluminum Sliding Glass Door APPROVAL DOCUMENT: Drawing No.04- 113 -0006, titled "Series 3000 Aluminum Sliding Glass Door", sheets 1 through 6 of 6, prepared by Frank L. Bernardo, P.E. Consulting Engineer, dated 06/03/03 with revision "A" on 08111/04, signed and sealed by Frank L. Bernardo, P.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTLON.,i oppy if thispendrre oNOA shall be provided to the user by the manufacturer or its distributors and shall be• avail +li + �ns�q -*s aq the job site at the request of the Building Official. This NOkxedV%N0.4 #Q3- 0J50f.0AAnd, consists of this page 1 and evidence pages E -1 and E -2, as well as approval document mentioned above. The submitted documentation was reviewed by Herminio F. Gonzalez, P.E., Director, BCCO NOA No 040817.01 a • • :.. • . • • :. • • . • Expiration Date: June 5, 2008 Approval Date: September 16, 2004 S' , Page 1 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Traco Security Windows & Doors. Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No.04- 113 -0006, titled "Series 3000 Aluminum Sliding Glass Door", sheets 1 through 6 of 6, prepared by Frank L. Bennardo, P.E. Consulting Engineer, dated 06/03/03 with revision "A" on 08/11/04, signed and sealed by Frank L. Bennardo, P.E. B. TESTS 1. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Forced Entry Test, per FBC 24113.2.1 and TAS 202 -94 along with installation diagram and marked -up drawings of an aluminum sliding glass door prepared by Fenestration Testing Laboratory, Inc. No. FTL -1303, dated May 9, 1996, signed and sealed by Gilbert Diamond, P.E. "Submitted under NOA # 03- 0606.01" 2. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Forced Entry Test, per FBC 24113.2.1 and TAS 202 -94 along with installation diagram and marked -up drawings of an aluminum sliding glass door prepared by Farabaugh Engineering and Testing, Inc., No. FET- 04005, dated June 23, 2004, signed and sealed by Daniel G. Farabaugh, P.E. B. CALCULATIONS 1. Anchor Calculations, dated 6/4/03, prepared, signed and sealed by Frank L. Bennardo, P.E. "Submitted under NOA# # 03- 0606.01" 2. Comparative analysis and anchor calculations, prepared by Al- Farooq Corp., dated 8/5/96, signed and sealed by Humayoun Farooq, P.E. "Submitted under NOA# # 03- 0606.01" 3. Anchor Calculations, ASTM- E1300, and structural analysis, prepared by Frank L. Bennardo, P.E., Consulting Engineers, dated 08 /03 /04,signed and sealed by Frank L. Bennardo, P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). . • ... . . . • . .. • •• • • • • •.• • .. •.• •• • • • •• H o F. GonxWez, P.E. . . 90* . . . Director, Building Code Compliance Office . . . . . .. . . NOA No 040817.01 ..... . ... . . . .. • • . • :.. • . • :.. • . • Expiration Date: Jww,S, 2008 Approval Date: September 16, 2004 E -1 .... ....... . . • • . . . . . • . . . . ... . . . ... . . Traco Security Windows & Doors, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBNIITTED E. MATERIAL CERTIFICATIONS 1. None F. STATEMENTS 1. Statement letter of no financial interest, dated 6/3/03, signed by Frank L. Bennardo, P.E. "Submitted under NOA# # 03-0606.01" 2. Statement letter of conformance, dated 6/3/03, signed by Frank L. Bennardo, P.E. "Submitted under NOA# # 03-0606.01 " 3. Statement letter of conformance and no financial interest, dated 08/13/04, signed and sealed Frank L. Bennardo, P.E. G. OTHER 1. Notice of Acceptance No. 03- 0606.01, issued to Traco Security Windows & Doors, Inc., Series 3000 Aluminum Sliding Glass Door, approved on 08/14/03 and expiring on 06/05108. 2. Letter from consultant stating that the product is in compliance with the Florida Building Code (FBQ. ....... . .. .. . ...•.• • . • .. . .. • . goo 00 000 00 . . . . . . . . go: . . . . . . . . ..... . ... . .. 00 • . . . . . . • 0:0 . . . . . . . . . . . . . ...... . .... ... . . . ... . . He 'o F. Gonzalez, P.E. Director, Building Code Compliance Office NOA No 04- 0817.01 Expiration Date: June 5, 2008 Approval Date: September 16, 2004 E -2 ... . . . . o� • • • • • • • E SERIES 3000 ALUMINUM SLIDING GLASS DOOR: goes 6' MAX TYR • • • DOOR MOTH • • • • • 24' MAX • • HEAD/BUl DOOR Dtlm HEAD ILL CORERS • • • ZTH 04 100 216 600 EMA 0 Ir 000009 600 • • 3/6 60.0 Ion m 5/0 ••1• D E F• B/0 600 921b 2/6 600 51A 3/0 600 85.1 3/6 600 11S 4/0 : • • i OR 5/e NBUL.ATED GABS 4l6 60.0 586 1y 60.0 66) 2/6 600 85.4 9 • •• 600 14A 3/6 600 �- 4/0 6B 600 620 416 887 P') Pf 559 589 ere 600 666 3/0 B39 533 3/6 52.9 B29 4/0 0/0 467 u d/6 53 1/I6' MAX 447 B/0 98* MAX 50' MAX. DJ.. ova PANEL UlIlTH 58 5/e' MAX 98 V8' MAX PANEL, =TH TYPICAL ELEVATION TESTED TAUT E 4// OX>O( (SHOW oxx IBHOIW) OX (SHOWO o)ot0 oxo XO xxx xx ALLOWABLE PANEL COt FIGURATIONS DESIGN LOAD CAPACITY (PBF) DOOR Dtlm 311' TEMP. "A85 ZTH HEIGHT 216 600 EMA 3/0 600 W.2 3/6 60.0 Ion 4/0 5/0 600 WA 4/6 600 939 B/0 600 921b 2/6 600 51A 3/0 600 85.1 3/6 600 11S 4/0 6/0 600 123 4l6 60.0 586 5/0 60.0 66) 2/6 600 85.4 3/0 600 14A 3/6 600 611 4/0 6B 600 620 416 887 582 5/0 559 589 ere 600 666 3/0 B39 533 3/6 52.9 B29 4/0 0/0 467 4B1 d/6 44-1 447 B/0 411 41,7 GENERAL NOTES: L THE ALUMIMIM SLIDING GLASS DOOR SYSTEM DESCRIBED HEREIN HAS BEEN DESIC.NED AND TESTED IN COMPLIANCE WITH THE FLORIDA BUILDING CODE 2001, HIGH VELOCITY HURRICANE ZONES, AND MIAMI -DADE COUNTY PROTOCOLS TAS 202. 2. A 33 -1/3% INCREASE M ALLOWABLE STRESS HAS BEEN USED M THE DESIGN OF T14I8 DOOR SYSTEM. 3. POSITIVE AND NEGATIVE DESIGN PRESSURES CALCULATED FOR USE WITH T1416 DOOR SYSTEM SHALL BE DETERMINED BY OTHERS ON A JOB - SPECIFIC BASIS IN ACCORDANCE WTH THE GOVERN CODE. WHEN ASCE 1 -90 I8 USED TO DETERMINE DESIGN PRESSURES, A DIRECTIONALITY FACTOR Kdal IS REQUIRED. 4. THE DOOR SYSTEM DETAILED HEREIN 18 GENERIC AND DOES NOT PROVIDE INFORMATION FOR A SPECIFIC SITE FOR SITE CONDITIONS DIFFERENT FROM THE C011DITIONS DETAILED HEREIN, A LICENSED 04WNIFER OR REGISTERED ARCHITECT SHALL PREPARE SITE SPECIFIC DOCUMENTS FOR USE IN CONJUNCTION WITFI T14I8 DOCUMENT. 5 PERMIT HOLDER SHALL VERIFY THE ADEQUACY OF THE EXISTING STRUCTURE TO WITHSTAND SUPERIMPOSED LOADS. WOOD BUCKS INSTALLED BY OTHERS SHALL BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE EXISTING STRUCTUFZE 6. DOORS PANELS GLAZED WTH 3/A6' TEMPEIRED CLAW OR 5/8' R491A ATED GASS SHALL BE PROTECTED WITH MIAMI -OADE COUNTY APPROVED IMPACT RESISTANT SHUTTER. "oftcrREVI" 1. ALL STEEL IN CONTACT WITH ALUMTHNUM SHALL SD P1fD BE PANTED OR PLATED. d- DI S Aeaq it Q Q{ Q m W w xz� 9 o� F- b a if 0 0 A �¢ SHEET: 1 OF 6 EXISTING STMICTURE CCacRam, HOLLOW (0240 I BTRUCTUf� per' 7� C BLOC!( FR WOOD • iWOOD G1OP • O • • 30ECURIIA STEEL LOCATED AT O O O • • • • • • PANEL .TH N- IS' FROM BOTTOM rx •+ • •• • • • •• �.... ° Ro`°o • INTERIOR OWE • TwN ••• as CTO WOOD/BUCIV • • • I 76 W X ill �- - - -- �y • • . • • • B II II 25 4 .L — ---- m • 14 I O 7 Wyl •• • • • • T aU • Ib I N PAIRS CSEE ELEV. 0.000 I FOR SPACM; I � F-:_ - - -- — — — — — — — — — 4 73 a T — L - - - -J L----- - - - - -- aFs; v 26 � (O� 70 — — scREEN OPT. CA r — 22 n - F C 24 0 CIO ° cln� EXTERIOR PANEL wDTN� DOOR wDTH c/)� TYPICAL ANCHORS: SEE TYPICAL ELEV. (SHEET U FOR SPACMG SEALANTS: INTO 25Y WOOD BUCKS OR WOOD STIQ=TURB: 10 SMS, 1 -9e' MIN. WOOD PENETRATION ALL FRAME AND PANEL CORNERS ALUM AND INSTALLATIONS v"f ft GLASS aAV[004 8CREW8 SEALS WITH WHITE/ALUMWWt C.OLORED'BUPER THRU IWOD BUCKS MTO CONCRETE/MASONRY OR DIRECTLY INTO CONCRETEMASONRY: BEAT. SEAT. 3/16' TAPGONS, I "V MIN CONCREM41ASONW EMBED aAp (TAPCONS BY ' REFERENCE ANCHOR NOTES ON ELCO' OR 'ITU, OR EQUIV. CONC. ANCHOR HOLDIWS CURRENT NOA) SHEET 3 OF THESE DRAuNaa hmdw SHEET: 2 of 6 TYPICAL ANCHORS: SEE TYPICAL ELEv. !SHEET V FOR SPACING SEALANTS: INTO 25Y WOOD BUCKS OR WOOD STRUCTUREr ALL FRAME AND PANEL CORNERS AND INSTALLATIONS •10 SMS, 1 -Na' MIN, WOOD PENETRATION SCREWS SEALS WITH WHITE /ALUMINUM COLORED 'SUPER THRU WOOD BUCKS INTO CONCRETE/MASONRY OR DIRECTLY INTO CONCRETE /MASONRY: SEAL' SEALANT. 3/16' TAPCONS, 1 -I44' MIN CONCRETE/MASONRY EMBED (TAPCONS BY ' REFERENCE ANCHOR NOTES ON ELCO' OR 'ITW', OR EQUIV. CONC. ANCHOR HOLDING CURRENT NOA) SHEET 3 OF THESE DRAWINGS a7/,Sri►`9 � �,�m om4 j� j1 J e a U I� O nUF � ^ 0 W rA O A �¢ o� c� EXISTM STRGTUIS 1 ••• 1 1 goo ••• • • • OR ax. •C • • • • • O 3/16' DIA. B IN L TY 16' PIN BOTTOM ®ygTNO BtwlclYl� H • • • L W PTH 1 • • • fiI NG. � � � .O INTERIOR (TO cDOR�BI.ociv .. TI • • • I aO PEAETRATION (INTO W)OD/BUGU F— —� a Ii • • 6 • • • s • • • • • • • I4 • • 64� TYPIG,4L ANCHORS W I°AIRS (SEE ELEV • ''0000* • • • i FOR SPACW.) T C I —� —� —� — 4 23 J a6 - - -- ` 3 a0 Ell as zz EXTERIOR PANEL 91�r" POOR WDTH ..... .. TYPICAL ANCHORS: SEE TYPICAL ELEv. !SHEET V FOR SPACING SEALANTS: INTO 25Y WOOD BUCKS OR WOOD STRUCTUREr ALL FRAME AND PANEL CORNERS AND INSTALLATIONS •10 SMS, 1 -Na' MIN, WOOD PENETRATION SCREWS SEALS WITH WHITE /ALUMINUM COLORED 'SUPER THRU WOOD BUCKS INTO CONCRETE/MASONRY OR DIRECTLY INTO CONCRETE /MASONRY: SEAL' SEALANT. 3/16' TAPCONS, 1 -I44' MIN CONCRETE/MASONRY EMBED (TAPCONS BY ' REFERENCE ANCHOR NOTES ON ELCO' OR 'ITW', OR EQUIV. CONC. ANCHOR HOLDING CURRENT NOA) SHEET 3 OF THESE DRAWINGS a7/,Sri►`9 � �,�m om4 j� j1 J e a U I� O nUF � ^ 0 W rA O A �¢ o� c� ' EXIBTM STRxn2z rom4clTE, WOLLOW BLOCK OR UUOD PRAMWGD r •� • r • 1 • 1 • g� 8 ° 4 c EXISTING UR (CONCRETE. WOLLOW BLOCK I TYP..ANGHDR W PAID SEE ELEV. FOR SPACING TYR ANCHORS IN PAIRS SEE ELEV. FOR SPACk4 b1 OR 2. WOOD BUCK °g Q 4< WEEP NOTCH AT EACH END MATERIALS LIST fTEM NO. PART NW'BHR (iLONTiTY DEBCRIPf10N MATERIAL MANP/BIO- PLER/COM EM 1 080 - 00-100 1 FRAME HEAD 6069 -TB 2 080.00 -420 1 BILL TRACK 6083 -16 MILL FWBH 3 030.00.437 2 FRAM JAMB 6063 -T6 4 001 -00 -384 AS FEOD. LLGK STILE 6063 -76 B 001 - 00.804 4 INTERLOCK 6063 -TB 6 051. 00.386 AS FW=. JAMB STILE 6063 -T6 1 081 - 00.442 1 MEETING STILE 6063 -T6 B 031.00.383 2/ PANEL TOP 4 BOTTOM RAIL 6063 -T6 9 1 SILL RIDER 6063 -76 10 047- 00.014 WOOLPILE - 11 046. 00.021 AS REQD. ERA J3 WBTRIPPQ.G VINYL 12 046 -00.01D AS FM®. FLAP MWR1A'd6 (TOP RAL) VINYL 8 046.00.030 AS FMOD. FLAP W'STFJFn -M (JAMB) VINYL K 050.00 -000 AS FEW. CLOSED CELL FOAM PAD 1.8/8' X 1.3147 AT TOP AN BOTTOM OP INT@RI.00IC • - 2/ CORNER FRAME ASSEMBLY SOi®U .0 X r PHPH e" 6 j 02.00 -1150 V C 5MR PANEL ASSM-MILT SCREW W x r pwm ws n 037.00 -08 ! PANEL WHEEL A88EI'BLY 1.im'I.00TOUTE' 1835 BERM • 046 -00 -082 AS F✓E(JD. US' GLAZING CWANNHL VINYL B 3/ PANEL FB(ED PANEL CLIP ALUIX3M W/ % X 112' TM .8CIW0 20 1 X 3/4 X 9/IC X B L6 ANGLE 21 V PANEL. 3/4 x 3/4 X VS' Sa TIRE ALU-24 M 22 AS IS=. MDWD CELL FOAM PAD I -V89 X 2'J AT TOP AND BOTTOM OF JAMB 23 007 - 00.000 LM INTERIOR FULL W/ KY.W LATCH 24 0O'I- OO.0Oy RM EXTERIOR ALL W/ LOCK KNOCX= 28 001 -00 -033 KEEPER 26 02.00.80 10lTdRICaNE ANGLE ANCHOR SCFSZW 10 X Y SMB OR 9/16' TAPCCPB 27 046 -16 -021 AS �.(�. GLAZING+ CHANNEL VINYL 28 O3O.2I5 A0 Fi(JD. GLAXM ADAPTER 6063 -Ts 3116' MONOLITHIC GLAZING DETAIL N.TA TYPICAL ANCHORS: SEE TYPICAL ELev. (SWEE a FOR SPACW6 INTO 20Y WOOD BUCKS OR WOOD STr =JREI 90 EMS, I -43' MR WOOD PENETRATION THIO2 WOOD BUCKS INTO CONCRETEMABORRY OR DIRECTLY INTO COxcpilm /MIASONRY: 9/16' TAPCONS, 1 -14' MIN CONCFMTE/MASONNRY EMBED (TAPCONS BY m 'OR 4W, OR EaJIV. CCt= ANCHOR HOLOW. C1IRRENT NOAJ WALANTS: ALL FRAME AND PAWL COWERS AND INSTALLATIONS BCREWB SEALS WITH WHITE/ALIWMINIIM COLORED 'SUPER SEAL' SEALANT. ANCHOR NOTESI I ANCHORS SMALL BE INSTALLED IN ACCORDANCE UM MANIFACTUFBRO F$CO9MUNDATIONB. ARMID Mlfi� 2. ANCHOR EMBEDML'NT SHALL BE IN BASS MATERIAL E)C41DING STUCCO OR WALL PINION. 3. ANCHOIBB SMALL 06 AS LIST®, SPACED AS BROWN IN TYPICAL ELEVATION ON SHEET L Br A 1 i-M 4. WOOD BLCK8 (BY OTHERS) MEET BE ANCHORED = -TID"' `•""°+��III PAY TO TRANSFER LOADS TO STRUOTLLRE, AND TO �R�! BIIBTAd LOADS PAD BY GLAZWG SYSTEM. MR ► \0 neaainbwmme2 !fuOWM L m I� Ul Z� zq 4 b a 0. 6Ffi Ci o r i-I A V c.(D d 4 of h r • r • • 1 ii•• 1 • 1 • • •••• EXtSTMG STRICTLLM TYPICAL ANCHORS: BEE TYPICAL. ELEv. (CONGR?TE. HOLLOW BLOCK OR WOOD PRA IJW _ x (SWEET a FOR SPALNG isLL, • • { NTO 7BY LUCOD BUCKS OR WOOD STRUC M, ANCHOR NOTES: R.W �0 8M8, I -V MN. WOW PENETRATION L ANCHORS SHALL BE NSTALLED IN ACCORDANCE WITH MAMPACTLL� Z 7 en — =� to THRU WOOD BACKS INTO C ONCRETE)MASOINRY OR DIRECTLY INTO C[A OKQY: RECOMMENDATIONS. Q W a -0I 9A6' TAPCONQ )-"y' MIN 2. ANCHOR EMBEDMENT SHALL BE N Z Z W Jf W X Z " W EMBED (TAPCONS BY 'ELCO' OR TIV. OR EQUIP. OR RAW MATERIAL F b2WDNG STUCCO •• Q O X z Q •• • Z 9. ANCHORS SHALL BE AS LISTED. SEALANTS: SPACED AS SHOUN N TYPICAL ELEVATION ON SHEET L Y� Qri • ALL FRAME AND PANEL C:ORNERB MID N O I � I X ut TYP. ANCHOR N PAIRS SEE ELEV. FOR SPACC Ki 5/5° INSULATED GLAZING DETAIL N.TS. I n i u SHEET: 5 OF 6 TYPICAL ANCHORS: BEE TYPICAL. ELEv. _ x (SWEET a FOR SPALNG isLL, } , • { NTO 7BY LUCOD BUCKS OR WOOD STRUC M, ANCHOR NOTES: R.W �0 8M8, I -V MN. WOW PENETRATION L ANCHORS SHALL BE NSTALLED IN ACCORDANCE WITH MAMPACTLL� Z 7 en — =� to THRU WOOD BACKS INTO C ONCRETE)MASOINRY OR DIRECTLY INTO C[A OKQY: RECOMMENDATIONS. Q W a -0I 9A6' TAPCONQ )-"y' MIN 2. ANCHOR EMBEDMENT SHALL BE N Z Z W Jf W X Z " W EMBED (TAPCONS BY 'ELCO' OR TIV. OR EQUIP. OR RAW MATERIAL F b2WDNG STUCCO W w Q O X z Q CONC. ANC14OR WOLDNG CVRREM NOA) Z 9. ANCHORS SHALL BE AS LISTED. SEALANTS: SPACED AS SHOUN N TYPICAL ELEVATION ON SHEET L Y� Qri ALL FRAME AND PANEL C:ORNERB MID 4. WOOD BUCKS (BY OTHERS) MOT BE ANCHORED PROPERLY TO TRANSFER 3 $ NSTAL.LATIONS SCREWS SEALS WITH LOADS TO STRUCTURE, AND TO SUSTAN V 3 (p tjA4MWALLIINLM COLORED 'SUPER SEAL' SEALANT. LOADS trOSED BY GLAZING SYSTEM a O V4 AIR °J/b' 7E1$+ SPACE ySy. Tlr� O p1TBOAFO LRe NdOARD LITS PPP::: n F 1"�1 o ^ SPACER A �� V o� 5/5° INSULATED GLAZING DETAIL N.TS. I n i u SHEET: 5 OF 6 • ,ID6a 0061 F:o.T.O elm m . •: O • •..: -� 04-0. e,s • • Fwu� t1EAo • m.,om ••••.• mass • • *0 .•• • • ••�{ .0.000 • • 1914 • • 14m6 0 0400 ••.• 1me6 %4&1.... 0000 •• ••.•.. . • •0• . •• • . 0976 0000 . •. LSD • 0 . . . TOP/BOTfOH RAIL 6010 • . • 1� 0, 0316 L 0.m67 m061 6 1.,66 -II 5 W7ERLOGK �. p 06983 09610 J �I 0b060 s e J V6LaswN,; cuuw�eL a AI,AZWG aoaPrr =,¢ 1 011.E TR4GK L 1,68 -14— m,61 0 mill 11 k *h>OA 0"04 i 1� ..4 i�q i li� if, 761�4i 6LLJ �Z X z �' zam u Hill 0. O A o� 0� 6 of 6 me,® me4, CD0 1'Bm LET 1900 J_ m0'IB 1 011.E TR4GK L 1,68 -14— m,61 0 mill 11 k *h>OA 0"04 i 1� ..4 i�q i li� if, 761�4i 6LLJ �Z X z �' zam u Hill 0. O A o� 0� 6 of 6 M IDAdE BUILDING CODE COMPLL LNCE OFFICE PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE i Jeld -Wen, Inc. 31725 Highway 97 North Chiloquin. OR 97624 NIIAMIFA.&E 0UUTXa FLORIDA METRO -DADE FLAGLER BUILDM 140. WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 VNIIAA S ---- o6 42,q SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their.jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Jeld -Wen "Gladiator" & "Energy Saver" O/S Glazed WE Residential Ins. Steel Door APPROVAL DOCUMENT: Drawing No. S -2004, titled "Jeld -Wen Steel Outswing Woodedge Door Double and Single Unit", sheets 1 through 7 of 7, prepared by R.W. Building Consultants Inc, dated 12101 /99 with revision on 11/08/02, bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy gktbA fntjr eNOA shall be provided to the user by the manufacturer or its distributors and shall be available fof inspeof oii jq t4e ".side It 'le ie request of the Building Official. This NOA revises and re1aws`jC9&;t V*00'7;0184d, consists of this page 1 as well as approval document mentioned above. .. •.• •• • • • •• The submitted documentation was reviewed by Jaime M. Eisen, P.E. . . .... .. . ... • • • • • • • • NOA No 02- 1211.10 • • • 00 • • • • Expiration Date: July 17, 2008 .. . 000 . :. • . Approval Date: January 23, 2003 Page 1 . •• •• . . . •• •• Jeld -Wen, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA) A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. S -2004, titled "Jeld -Wen Steel Outswing Woodedge Door Double and Single Unit", sheets 1 through 7 of 7, prepared by R.W. Building Consultants Inc, dated 12/01 /99 with revision on 11/08/02. B. TESTS 1. Test reports on 1) Air Infiltration Test, per PA 202 -94 2) Uniform Static Air Pressure Test, Loading per PA 202 -94 3) Water Resistance Test, per PA 202 -94 4) Forced Entry Test, per SFBC 3603.2 (b) and PA 202 -94 along with marked -up drawings and installation diagram of pairs of outswing glazed residential insulated steel doors with sidelites, prepared by Certified Testing Laboratories, Test Report No. CTLA456W (Addendum), dated May 23, 2000, signed and sealed by Ramesh Patel, P.E. 2. Test reports on 1) Air Infiltration Test, per PA 202 -94 2) Uniform Static Air Pressure Test, Loading per PA 202 -94 3) Water Resistance Test, per PA 202 -94 4) Large Missile Impact Test per SFBC, PA 201 -94, 5) Cyclic Wind Pressure Loading per SFBC, PA 203 -94 6) Forced Entry Test, per SFBC 3603.2 (b) and PA 202 -94 along with marked -up drawings. and installation diagram of pairs of outswing residential insulated steel doors with sidelites, prepared by Certified Testing Laboratories, Test Report No. CTLA456W, dated October 19, 1999, signed and sealed by Ramesh Patel, P.E. C. CALCULATIONS 1. Anchor Calculations, dated October 2, 1999, with addendum dated March 20, 2000, prepared, signed and sealed by Mark Fetherman, P.E. D. MATERIAL CERTIFICATIONS 1. Tensile Test prepared by Certified Testing Laboratories, Test Report No. CTLA456W, dated September 30, 1999, for steel samples, tested per ASTM E8- 93a, signed and sealed by signed and sealed by Ramesh Patel, P.E. ....... . .. .. • .• • . . • .•• • .. ..• .• . • . .• .... . . . .... . • • • • • • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • I v!A_q*M Y Jaime M. Eisen, P.E. Product Control Examiner NOA No. 02- 1211.10 Expiration Date: July 17, 2008 Approval Date: January 23, 2003 Jeld -Wen, be. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA) 2. Test Report No. ITS- J99006660 -001, prepared by Intertek Testing Services NA, Inc., issued to Jeld -Wen Research and Development, dated April 8, 1999, for samples of foam, tested per ASTM E 8494 "Standard Test Methods for Surface Burning Characteristics of Building Materials" and ASTM D 1929 -91A "Standard Test Method for Ignition Properties of Plastics "; signed and sealed by Douglas Keith Tucker, P.E. 3. Test report No. 114884 -1 issued by SGS U.S. Testing Co. Inc., dated November 24, 1998 issued to ODL for Filled Polypropylene Lite Frame material per ASTM D 635-97 "Standard Test Method for Rate of Burning and Time of Burning of Self - Supporting Plastics in a Horizontal Position" signed and sealed by Joseph G. Cappetta, P.E. 4. est report No. 114884 -2 issued by SGS U.S. Testing Co. Inc., dated November 24, 1998 issued to ODL for Filled Polypropylene Lite Frame material per ASTM D 1929 -96 "Standard Method of Test for Ignition Properties of Plastics" signed and sealed by Joseph G. Cappetta, P.E. 5. Test for outdoor exposure in South Florida at 45 degrees for 5 years at Atlas Material Testing Solutions, Miami, Florida, Test Report # ODLI -2, dated November 12, 1998 issued to ODL for their Filled Polypropylene lite frame material. 6. Test Report No.MTS- 520490 issued by Celotex Corporation Testing Services, dated December 8, 1999 issued to ODL per ASTM D638 -96a "Standard Test Method for Tensile Properties of Plastics ", corresponding to the 12 months old samples of ODL Filled Polypropylene lite frame material. E. STATEMENTS 1. Statement letter of no change, dated 12/4/02, signed by Steve Strawn. E. OTHER 1. Notice of Acceptance No. 99- 1007.01, issued to Jeld -Wen, Inc., for their DoorCraft "Gladiator" & "Energy Saver" O/S Glazed W/E Residential ins. Steel Door, approved on 7/17/00 and expiring on 7/17/03. ....... . .. .. • .• . . • . ••. . •• ••• •• • • • •• • • 000 Soo : •• • • • • • • • • • • •• • ••• • ••• • ••• • • • • ••• • • • • • • • • • • • • •• •• • • • •• •• ••• • • • • •• • • • Jaime M. Eisen, P.E. Product Control Examiner NOA No. 02- 1211.10 Expiration Date: July 17, 2008 Approval Date: January 23, 2003 • • • .••• 1 . • • • • 00 GENERAL NOTES O.L. • 1. THIS PRODUCT 18% DB6IGNFD TO MEET THE SOUTH FLORIDA eQC&M } . CODE 1994 EDRION FOR MIAMI —DADE COUNTY. 2. Q0.I0CKS BY•OTHERB• MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO 4THE STRUCTURE. 3. PRODUCT ANCHOR Wf BE AS LISTED AND SPACED AS AOWN ON DETAILS •AAC�IOR EMBEDMENT TO BASE MATER WQ� P� BEY T ;,�.L DRESSING OR STUCCO. 4. 1M CT RESISTANT SH S REQUIRED. 5. D Abb PRESSWA? WWG SHALL BE AS FOLLOWS: —S&' DESIGN PRE"LW RATING TABLE SHEET ONE. 6. SIDSLITES ARE AM 4 WW" AND CAN BE IN A ,WTIGLE OR DOUW 4.0 QUI IGURATION. 7. 4HIS SYSTEM DOES MEET THE WATER REQUIREMENTS IN MMI' - -DADE COU&M • RESIDENTWL INSU TED STEED DOQR ((Common To all frame con itions Door Leaf Construction: Face shpdo: 24 go. (0.021') minimum thickness, 25 ga 0 018' minimum thickness a vanized steel A— $5 commercial quality — AKQQ per ASTM 620 with yield strength Fy(ave.) =24,600 psi. -Core design: Expanded polystyrene with jj 0 to 1.25 Ibs density. Steel face sheets glued to expanded �o ene �EPS), with w�od rolls nd 1 n[ ted e esrd lum er stiles an Tod wood Sock Bloc reinforcement. Lan: The head lambs and sidq jambs gnger o� a pi a measuring 4 56 5° x 1.25 . fi abd �e side T-mbs are mortise butted and Jo�ned using (3) 7/8" x 2" wire staples. The threshold used is an aluminum outswing bumpface measuring 4.625° 1 ". TABLE OF CONTENTS SHEET # DESCRIPTION 1 COMMON GENERAL NOTES, TYPICAL ELEVATION 2 VERTICAL CROSS SECTIONS 3 HORIZONTAL CROSS SECTIONS 1/3, 2/3 & 3 3 4 HORIZONTAL CROSS SECTIONS 1/4, 2/4 & 3 4 5 ANCHORING LOCATIONS 6 ANCHORING LOCATIONS & DOOR MODELS 7 BILL OF MATERIALS & GLAZING DETAILS N m 0 " w io a n tl io 105.25° MAX. OVERALL WIDTH 21.8175" 14" MAX. 15.5° FRAME MAX. D.LO. PANEL WIDTH + 50.0 PSF NEGATIVE — 46.0 PSF !� 1i` tf if 04 04 1 04 o 0 H 00 f$ 4 0 04 k4 s� co v DESIGN PRESSURE RATING WHERE WATER INFILTRATION REQUIREMENT IS NEEDED POSITIVE + 50.0 PSF NEGATIVE — 46.0 PSF MX. VID7H 19.625" MAX. Af gimg UQO.o Z$ON 9 oC ONO 0, so 613.864.3631 PAOD6CPRBVOW ° //. w9i��IM sr m N.T.S. AespOmr 02- 21 O - DM W. TJH cm as RW DFAWN1 rw: S -2004 *W 1 of 7 • • • • • • • • • • • • • 31 • I. • 30 • IIXEW EXTERIOR -T e \ 3 5 (n • SEE SHT. 7 ,010- MIN. SKIN •0 ••• —7_ fo 0 • .759 GLASS cl C' THK. i7 I .5" MIN. GLASS THK. SEE NOTE #1 SHT. 7 -T X 30 * d -1 d Go is 28 rc Lo 00 1 11 1"010 1 W 9 Z � m -T X 30 * d -1 d Go is 28 02SKIN 0* MIN. a 0 7.75 .. P� w W THK. .5" MAX. C-4 GLASS THK. 00 1 11 1"010 1 r2"1 VERTICAL CROSS— SECTION R211111 AWN/W-1/1 NWN=ItEvmw nm pbft•ftdw§ww ftiftcom -1211.10 17'ri-tyl-d— * me"W*10- C- INC 813.684.3831 Byl TJH BY.. RW NO NOJ S-2004 2 of 7 •0601 • 6•••1 • • •6601 •0• ••• • 0000 • •666 • • • u L L\ -\\, 1• Y 0000 • • • • • 30 • • • 9 N Y NTERIOR n �W7 • • SEE NOTE • • • • a • f1• S1 jT' 7 • • • *see • • • • HORIZONTAL CROSS SECTION • • • • • • • • • 3 AT ASTRAGAL. TYP. • • • .25" MAX. i • • • cuua 15° MIN. COUNTERSINK 1.15° MIN. EMB. wurvirmalfyn j r HORIZONTAL CROSS SECTION AT HINGE JAMB TO BUCK, TYP. PRODUCT. �j�j/ rvowC[RsVm= affe 12101199 JELD -WEN, INC. OUTSWING OODESTEEL DOOR Rvv Btl ~w 112" = 1 31725 HIGHWAY 97 NORTH DOUBLE & SINGLE UNIT e�nLOwa �0ip0s0i c� O TJH 2 11 08 02 GENERAL R IS MN mac an RW CHILOQUIN, OR. 97624 1 s 2s oo GENERAL REVISION TJ PART OR ASSEMBLY: CONSULT"" PH. 541.783.2057 NO DATE BY HORIZONTAL CROSSE TIONS INC. 4 o�waID r2 R SIONS 1� 213 & 313 a13.684.3931 5 -2004 wimr 3 ov 7 • s • • • • • •••• • 'a • •i.4 • i i . n • •'. 'a - ••4 •• • 4. •4 ••• •• • ••• • •••• 25" MAXO• i • 0 0 0 SHIM THK. a d a EXTERIOR r 2Y h i\ •: SEE NOTE ... SHT. 4 ►. IS�.`a.\ � INTEBIQB SEE NOTE #1 SHT. 7 Y i11 HORIZONTAL CRO S S ECT ON 4 AT SIDELffE TO BUCK. TYP. a HORIZONTAL CROSS SECTION U 4 AT SIDEL.D'E TO HINGE JAMB. TYP. .15" MIN. COUNTERSINK JELD -WEN, INC. 31725 HIGHWAY 97 NORTH CHILOQUIN, OR. 97624 PH. 541.783.2057 SEE NOTE #1 SHT. 4 INTERIOR 9 30 SEE NOTE L- #1 SHT. 7 15" MIN. COUNTERSINK AT SIDELITE TO LATCH JAMB, TYP. NOTES: 1. SPACING FOR ITEM #33, WHEN USED TO ATTACH THE SIDELITE TO THE SIDEL ITE JAMB IS AS FOLLOWS, FROM THE TOP DOWN 6" & 30 ". THE SPACING FROM THE B07TOM UP IS THE SAME D 30 SEE NOTE 1 SHT. 7 PRODUCT: DWG. Br: TJH JELD —WEN STEEL T OUTSWING WOODEDGE DOOR Ub DOUBLE & SINGLE UNIT BUILDING CONSULTANTS. PART OR ASSEMBLY: IND. HOR110NTA2VR, SECTIONS 4. 613.884.3831 P�DUCI' p.sp�SidSOePIMIi DAM 7L U7 U, StnIFS1�Q° v DWG. Br: TJH Br: RW DRAWING N0.: 5 -2004 maEr 4 of 7 9999, 9999, 9999, • • • • • 6" --1 L * O O O —I s• f-- � —1 a• F— SINGLE DOOR ANCHORING LOCATIONS 0 t� DETAIL "F" ATTACH ASTRAGAL THROW BOLT STRIKE PLATE TO FRAME AS SHOWN. a� e 1 ko 00 rC 4'--1 r 1-H f---3° F I l 11 1 ! lO 1 ll 1 l TIP. 1-- 6" TYR C A A B • 9 IT I 11 t TI 0 I T 9999.. • •• .. .. . . • �, • 9000•• • • ' 0990 • 9000 • , 1• •• 000000 • kI �• E ♦! I• 6" --1 L * O O O —I s• f-- � —1 a• F— SINGLE DOOR ANCHORING LOCATIONS 0 t� DETAIL "F" ATTACH ASTRAGAL THROW BOLT STRIKE PLATE TO FRAME AS SHOWN. a� e 1 ko 00 rC 4'--1 r 1-H f---3° F I l 11 1 ! lO 1 ll 1 l TIP. TYR C A A B I I 9 IT I 11 t TI 0 I T e• 8" I-1- 4° 4° DOUBLE DOOR W /S1DEL M ANCHORING LOCATIONS r4.5625"1 DETAIL "G" HINGE DETAIL 4 mwomagvlm ��witiNqejLr16 Ae�aNa 2- 2 ,la �hOr Z¢�N Ln 9 -co a $� z 0 2 m o U '"TN s1JILDNO )NSULTAN79, if 813.884.3831 et TJH es RW No M0.: S -2004 5_ of 7 4"---1 f` J-� h— 6" 1 6" —I i-4 --1 F— 4" L • l l • • TYR 3" 3" 4" LO TYR 4" SINGLE DOOR W /SIDELDESANCHORING o- M C E F • • un, • • a 5 cq TYR •.w• • ! •• • • ! I f — •.•.!• — �d ! f ego. i ! ,•• • ! •• •w,• — o 97*lr-�at.2141 • , •. .... MODELS Costrd SIDEUTE ••,••. • • • • • �_ a 414100 � O i i= P' i i 1 1 —11 A DOUBLE DOOR ANCHORING LOCATIONS 4"---1 f` J-� h— 6" 1 6" —I i-4 --1 F— 4" L l ® I l l �i TYR o T= O5 4" LO TYR 4" SINGLE DOOR W /SIDELDESANCHORING o- M C E F B 15.25" MAX. PANEL WIDTH 36.0" MAX. PANEL WIDTH x ! ! ! ! ! ! ! 0 0 0 .00 0 ! ! a o f o ! 0 0 1 l f f go 0 w L GLAZED DOOR MODELS I! l ® I l l TYR S. O5 4" 5 TYR 4" SINGLE DOOR W /SIDELDESANCHORING TYR C E F B 15.25" MAX. PANEL WIDTH m 1r w S2 ��J� czi4 o� o� 0$.� 813.684.3831 61F TJH er. RW a S -2004 6 of 7 4" --1 h� S. I-- 4" 4" SINGLE DOOR W /SIDELDESANCHORING F--4 � 4" LAYOUT 15.25" MAX. PANEL WIDTH N ! ! z f �d ! f ego. i ! a l:=wxbftBVAWWff ! 97*lr-�at.2141 co MODELS Costrd SIDEUTE w S2 ��J� czi4 o� o� 0$.� 813.684.3831 61F TJH er. RW a S -2004 6 of 7 • • • • • • • • • EXTERIOR INTERIOR .5" GLASS SITE z� 30 .5" STEEL SEE NOTE #2 SPACER � GLAZING DETAIL VENT LITE .25" AIR SPACE .125" INSULATED TEMPERED GLASS .125" INSULATED TEMPERED GLASS .5" AIR SPACE .125" INSULATED TEMPERED GLASS 8 BUMPER THRESHOLD 1 1 4x4 5 8x5 8 ALUMINUM 9 COMPRESSION WEATHERSTRIP O —LON ODS -650 1. SPACING FOR ITEM #30 (j#8 x 1 112" TEK SCREW) 10 EXTRUDED ASTRAGAL IMPERIAL ANH ALUMINUM 11 9 x 1 PHILLIPS FLATHEAD WOOD SCREW L 12 FACE SHEET 24CA GALVANIZED .021 MIN. FACE SHEET 25GA. GALVANIZED .018" MIN. GALV. S EL 13 TOP RAIL 1.67° x 1.042 WOO 14 BOTTOM RAIL 1.67° x 1.065 WOOD f5 SIDE STILE 1.067 1.065 WOOD 16 ASTRAGAL THROW BOLT 0.31 x 19.25 L. STEEL 17 #8 x 112" L. TYPE AB PANHEAD SMS E L 18 ASTRAGAL REINFORCEMENT PLATE LOCATED TOP & BOTTOM OF ASTRAGAL ATTACHED WOOD 18A 8-16 X 1" PHILLIPS FLATHEAD WOOD SCREW STEEL 19 KWIKSET TITAN SERIES LOCK 20 KWIKSET TITAN SERIES DEADBOL7 21 LATCH SCREWS SEE LOCK INSTRUCTIONS El- 22 MASONRY WALL CON 23 2x WOOD BUCK WOOD 24 DYLITE EXPANDED POLYSTYRENE 1.0 TO 1.25 lbs. cu. ft. MIN. DENSITY r�isrf6 A=Vemoraftg 25 I 4— MAX. SHIMS WOOD 26 WOOD LOCK REINFORCEMENT WOOD 27 FULL LITE & SIDELITE FRAME ODL POLY PROPOLENE ailL er: RW 28 1 2 OVERALL INSULATED TEMPERED GLASS GLASS 29 LATCH JAMB 1 1 4 x 4 T 12 WOOD 30 8 x 1 112- TEK SCREW LITE FRAME STEEL 31 VENT UTE FRAME ODL POLY PROPOLENE steer 7 of 7 32 3 4 OVERALL MWATED TEMPERED GLASS LITE PANAS GLASS 33 IjL8 x 2 PHILLIPS FLATHEAD WOOD SCREW ST EL 34 i •••• i••i•• .25" STEEL SPACER •••• •••• SEE NOTE #i • GLAZING DETAIL • • • • • • • • FULL LITE & SIDELITE EXTERIOR INTERIOR .5" GLASS SITE z� 30 .5" STEEL SEE NOTE #2 SPACER � GLAZING DETAIL VENT LITE .25" AIR SPACE .125" INSULATED TEMPERED GLASS .125" INSULATED TEMPERED GLASS .5" AIR SPACE .125" INSULATED TEMPERED GLASS 8 BUMPER THRESHOLD 1 1 4x4 5 8x5 8 ALUMINUM 9 COMPRESSION WEATHERSTRIP O —LON ODS -650 1. SPACING FOR ITEM #30 (j#8 x 1 112" TEK SCREW) 10 EXTRUDED ASTRAGAL IMPERIAL ANH ALUMINUM 11 9 x 1 PHILLIPS FLATHEAD WOOD SCREW L 12 FACE SHEET 24CA GALVANIZED .021 MIN. FACE SHEET 25GA. GALVANIZED .018" MIN. GALV. S EL 13 TOP RAIL 1.67° x 1.042 WOO 14 BOTTOM RAIL 1.67° x 1.065 WOOD f5 SIDE STILE 1.067 1.065 WOOD 16 ASTRAGAL THROW BOLT 0.31 x 19.25 L. STEEL 17 #8 x 112" L. TYPE AB PANHEAD SMS E L 18 ASTRAGAL REINFORCEMENT PLATE LOCATED TOP & BOTTOM OF ASTRAGAL ATTACHED WOOD 18A 8-16 X 1" PHILLIPS FLATHEAD WOOD SCREW STEEL 19 KWIKSET TITAN SERIES LOCK 20 KWIKSET TITAN SERIES DEADBOL7 21 LATCH SCREWS SEE LOCK INSTRUCTIONS El- 22 MASONRY WALL CON 23 2x WOOD BUCK WOOD 24 DYLITE EXPANDED POLYSTYRENE 1.0 TO 1.25 lbs. cu. ft. MIN. DENSITY r�isrf6 A=Vemoraftg 25 I 4— MAX. SHIMS WOOD 26 WOOD LOCK REINFORCEMENT WOOD 27 FULL LITE & SIDELITE FRAME ODL POLY PROPOLENE ailL er: RW 28 1 2 OVERALL INSULATED TEMPERED GLASS GLASS 29 LATCH JAMB 1 1 4 x 4 T 12 WOOD 30 8 x 1 112- TEK SCREW LITE FRAME STEEL 31 VENT UTE FRAME ODL POLY PROPOLENE steer 7 of 7 32 3 4 OVERALL MWATED TEMPERED GLASS LITE PANAS GLASS 33 IjL8 x 2 PHILLIPS FLATHEAD WOOD SCREW ST EL 34 1 BLANK JAMB 1 114- x 4 1112-) WOOD Qa Z_�9N z�F o Nn dMU�4 (n (n cKt Ho O� rr �� ° my1 NOTES: 1. SPACING FOR ITEM #30 (j#8 x 1 112" TEK SCREW) 00 IS AS FOLLOWS FOR SIDELITES & FULL LITES: TOP & BOTTOM. SIDELITE (2) SCREWS 2" IN FROM EACH oo k CORNER. FULL LITES (3) SCREWS 3- IN FROM EACH Nc CORNER, & (1) IN THE CENTER. SIDES FOR BOTH, (6) ^o SCREWS 3.257, 13.757, 26.5 ", 39.375. a c ` 52.0" AND 62.625 ". 2. SPACING FOR ITEM 130 (18 x 1 112" TEK SCREW) IS AS FOLLOWS FOR THE VENT LITE. TOP & BOTTOM 2.5° IN FROM THE CORNERS & (1) IN THE CENTER. El- SIDES: 3.25° FROM TOP CORNER & (3) MORE AT 10.375 . PwnvcrRevam ML- 12/01/95 r�isrf6 A=Vemoraftg sca.E: N.T.S. Oft W. TJH ailL er: RW omwm nw S -2004 steer 7 of 7 x. ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL =MECHANICAL ITEM 3ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING / 31DdT498 RECEPTACLES I A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 3 0 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAIETER DiANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEE'TOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS O- 1 HP I STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SIN(, POT/3 COMP. SINK. RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET UR 1 NAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: MOTORS OVER 3- 5 HP MOTORS OVER 5- S HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS MECHANICAL VENTILATION'S TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS I FIRE SPRINKLER SYSTEMS COOL I NG TOWERS VIOLATION REINSPECTION A/C UNIT FIRE SPRINKLER STRIP HEATER GENERATORS TRANSFORMERS HEATER -IOW INST. HEATER- REPLACE LAWN SPRINKLER -WELL GENERATORS TRANSF GENERATORS TRANSFORM SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SEWER CCTIONS UTILITY-SEWER UTILITY -WATER SEPTIC TANK RELAY SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTURES ANTENNA TELEVISION OUTLETS ORAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL REINSPECTION AREA DRAIN ROOF INLET BAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM ' GAS RANGE IkTER SET GAS • GAS PIPING Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4130/2004 Applicant: JARICLIA Owner: REANOS JOB ADDRESS: 54 NE 103 Contractor AFFORDABLE AIR & HEAT Local Phone: 305 - 940 -0777 Parcel # 1132060131600 Mechanical Permit Permit Number: MC2004 -53 Page 1 of 1 RECINOS MARIO ST Contractor's Address: 515 N. E. 190 St. Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 6 & 7 Fees: Description Amount FEE2004 -4333 Building Fee $106.00 FEE2004 -4335 CCF $1.80 FEE2004 -4336 Training and Education Fee $0.60 FEE2004 -4337 Technology Fee $2.65 Total Fees: $111.05 Permit Status: APPROVED Permit Expiration: 10/13/2004 Construction Value: $2,400.00 Work: WIRE A 3 TON A/C W 8 KW HEAT 90 OUTLETS Signed: (INSPECTOR) BLK 12 LOT SIZE 100.000 Total Fees: $111.05 cro Total Receipts -$0.00 MAY Q 3 On 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: Ita/o Racino Res. HVAC Load Calculations for Affordable Air & Heat Inc. 515 NO 90th St. Miami FI,33179 j L 7: ILL r%_ Prepared By: Steve Taylor Smt Design Estimating Inc. 5335 W. Hillsborro Blvd. Cocnut Creek, Fl. 33073 CELL#1- 954 -829 -7920 Wednesday, April 14, 2004 ,vac - Resi i &WtCow rra'rdal MAC, AC oads ` erg bevelo0writ lac. Sit ►sati►m tats halo Raatro Res. c : 3�0 Page 2 Prof ®et Report General Protect Information Orninf -f Haan ,mw c-xElitelRhvacw\Proiectsiitalo racinos res..rhv Project Tide: Designed By: Project Date: Client Name: Client Address. Client City. Client Phone: Client Fax Company Name: Company Representative: Company Address: Company City. Company Phone: Company Fax ED .._, it Italo Racino Res. Steve Taylor Wednesday, April 14, 2004 Affordable Air & Heat Inc. 515 Ne.190th St. Miami FI,33179 1- 305 - 940 -0777 1- 305 - 6548152 Smt Design Estimating Inc. Steve Taylor 5335 W. Hillsborro Blvd. Cocnut Creek, Fl. 33073 CELL# 1 -954- 829 -7920 1- 954571 -9565 Daily Temperature Range: LOW Latitude: 25 Degrees Elevation: 7 ft. Altitude Factor: 1.000 Elevation Sensible Adj. Factor. 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Dry Bulb Wet Bul Rel.Hu Winter: 47 0 0 Summer. 90 77 50 Indoor Grains Dry Bulb Difference 72 0 75 55 Ch�k Figi�r�s ,i - a Total Building Supply CFM: 1,382 CFM Per Square ft: 1.056 Square ft. of Room Area: 1,309 Square ft. Per Ton: 388 Volume (fe) of Cond. Space: 10,472 Air Turnover Rate (per hour): 7.9 Ituilding L' i Total Heating Required With Outside Air: 25,434 Btuh 25.434 MBH Total Sensible Gam: 30,393 Btuh 81 % Total Latent Gain: 7,019 Btuh 19 % Total Cooling Required With Outside Air: 37,412 Btuh 3.12 Tons (Based On Sensible + Latent) 3.38 Tons (Based On 75% Sensible Capacity) [Notes t 1 Calculations are based on 8th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Load Preview Report 7,019 37,412 9;;& . 1 ' -- -- em .._ _ 1,308 30,393 7,019 37,412 25,434 330 1,382 1,382 Zone 1 1,309 30,393 7,019 37,412 25,434 330 1,382 1,382 1 -Bath 1 25 937 228 1,165 766 10 43 43 0 -0* 2- Bdrm -1 120 4,787 1,207 5,994 3,769 49 218 218 0 -0* 3- Ktchen 100 2,305 30 2,335 426 6 105 105 0-0* 4- Dining 120 2,300 566 2,866 2,225 29 105 105 0 -0* 5- Family Rm 160 1,181 48 1,229 681 9 54 54 0 -0* 6- Urving Rm 210 6,532 990 7,522 5,568 72 297 297 0 -0* 7 -Hall 96 618 29 647 408 5 28 28 0 -0* 8 -Bath-2 36 396 11 407 154 2 18 18 0 -0* 9 -Bath-3 28 1,309 317 1,626 1,057 14 60 60 0-0* 10- Bedrm -3 234 5,480 2,103 7,583 5,582 73 249 249 0 -0* 11- Bdrm -2 180 4,549 1,490 6,039 4,798 62 207 207 0 -0* 1�huac l��cide t & L iet tt fi+orn ia1 HV�kG Loads Elite ao#wwo Deveropmen , Inc SM'1i � 6sgrr�tin9 .lnc � halo l�ac:ino Ree Car.Cr FL 33073 ;E. Pa System 7 Room Load Summary Sensible/Latent Sensible Late t Total Wit, i it�uh. Type: P, ,,t 41 7; 30,393 dun' CIS l TRANE fir Room AreaSens 15.0 Nom Duct duct � : Sens' � La Nom Sys N .erne 33,900 Btuh Stuh CFM ' 7,019 Btuh "Vol Muir Btu , CFM OFM -Zone 1-- 1 Bath 1 25 766 10 0-0 0 937 228 43 43 2 Bdrm -1 120 3,769 49 0-0 0 4,787 1,207 218 218 3 Kitchen 100 426 6 0 -0 0 2,305 30 105 105 4 Dining 120 2,225 29 0-0 0 2,300 566 105 105 5 Family Rm 160 681 9 0 -0 0 1,181 48 54 54 6 Living Rm 210 5,568 72 0-0 0 6,532 990 297 297 7 Hall 96 408 5 0 -0 0 618 29 28 28 8 Bath-2 36 154 2 0 -0 0 396 11 18 18 9 Bath -3 28 1,057 14 0-0 0 1,309 317 60 60 10 Bedrm -3 234 5,582 73 0-0 0 5,480 2,103 249 249 11 Bdrm -2 180 4,798 62 0-0 0 4,549 1,490 207 207 System 1 total 1,309 25,434 330 30,393 7,019 1,382 1,382 Coorina Syst®m'Sulnniary Cooling ;, Sensible/Latent Sensible Late t Total Wit, St�ul� it�uh. Type: Net Required: 3.12 81%/19% 30,393 7,019 37,412 ,.1 . Recommended: Actual: 3.38 tow/0 i zo% 3.41 83%/17% Ju,3y3 1u, 1,0 1 'tV,JG•T 33,900 7,019 40,919 Equipment E?ata' Heatina System Cooling System Type: ELEC- HTR -8KW SPLIT -DX Model: AH- TWE49E13FB CU- 2TTX4042A1 OOOA Brand: TRANE TRANE Efficiency: 15.0 Sound: Capacity: 46000 Sensible Capacity: n/a 33,900 Btuh Latent Capacity: n/a 7,019 Btuh I. S�oR�s 1 INC. lc: Gr`t YIiR .N•� Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 NOTICE OF VIOLATION Current Owner and/or Julie Ann Sanchez 54 NW 103 Street Miami Shores Village FL RE: 7/6/2006 Case No: RC -7 -06 -1808 Mail No: 7003- 0500 - 0005 -5013 -1507 Location: 54 NW 103 Street. Pursuant to the Florida Building Code Section 105.1 and Section 64 of The Code of Ordinances of The Village of Miami Shores, you are hereby notified a violation has been identified on the above property. SEE FOLLOWING PAGE FOR VIOLATION TEXT Failure to correct the violation within 15 day(s) upon receipt of this Notice, or failure to maintain compliance, may result in a Notice of Hearing before The Code Enforcement Board in and for The Miami Shores Village. IF YOU CORRECT THE VIOLATION IN THE TIME FRAME ALLOTED, PLEASE CONTACT THE BUILDING DEPARTMENT TO DOCUMENT COMPLIANCE AT 305- 795 -2204. COOPERATIVE COMPLIANCE IS OUR OBJECTIVE. IF YOU HAVE ANY QUESTIONS, PLEASE CALL. Claudio Grande CBO Building Director 174- 0 u7 r-q m a Ln Ln 0 O G] 0 GI Ln 0 m I GI 0 M1 U.S. Postal Service,. CERTIFIED MAILTM RECEIPT (D&nestic Mail Only; No Insurance Coverage Provided) For delivery inf.,mn - .> -, _ _ ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM 3ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING 31SHAASHM RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMIMARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAVIR CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP tMERGR= TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS r A/C UNIT STRIP HEATER / FIRE SPRINKLER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS HEATER -NEW INST. HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE OUTLETS COMMERCIAL SWIMMING POOL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTES RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM ' GAS RANGE METER SET (GAS) GAS PIPING MIAMI SHQ`'�.ES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 B ilding Inspection Reque t Date Type Insp' n 6a 7 mu l Permit No. '61 00— 1 o2 Name S, Address "1 V7 1` acv - Company �- Phone # Inspection Date �� J Approved LJ Correction ❑ �� ��4�' �'� Re -Insp' n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/19/2004 Applicant: MARIO Owner: REANOS JOB ADDRESS: 54 NE 103 Electrical Permit Permit Number: EL2004 -102 REANOS MARIO ST Contractor AFFORDABLE ELECTRICAL CONTRACTORC@Mactoes Address: 515 NE 190 ST Local Phone: 305 - 940 -0777 Parcel # 1132060131600 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 6 & 7 BLK 12 LOT SIZE 100.000 Fees: Description Amount FEE2004 -4039 Building Fee $100.00 FEE2004 -4040 CCF $0.60 FEE2004 -4041 Training and Education Fee $0.20 FEE2004 -4042 Technology Fee $2.50 Total Fees: $103.30 Permit Status: APPROVED Permit Expiration: 10/13/2004 Construction Value: Work: WIRE A 3 TON A/C W 8KWHAET 90 OUTLETS Signed: (INSPECTOR) Total Fees: $101.30 Total Receipts: $6IF L d c � • ' In consideration of the issuance to me of this permit, 1 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: a 6-j--0 CERTMCATE OF RE- OCCUPAYCY On behalf of brriami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to. Sections 901.and 902 of the Maori Shores Land DeveIopment-and Zoning Code and that such property maybe re- occupied by the above applicant for single - family residential purposes. • MfAW SHORES VILLAGE. FLORIDA'....• By. Date of Certification: THIS CERTIFICATE VERIFIES THAT THE RIUERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE FAtiIILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON T_ PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADtiZSED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN .ORDER TO DETERMINE THE CONDITION, . THEREOF. PAGE 2 OF It Ural-4 IL Y G-- V1 ti C 0 u1 N �2!� At, d 1b6 W) I- -2- hereb y.apply for a certificate to re- occupy the single farrn'Iy residence.known as : (address) 3 S T Miami Shores, Florida. • Legal Description: . Lot- Block • �--8 �--- PB & PG: I hereby certify that I understand that the zoning of the property is for single- farmRi 'residential use and that it is unlawful for more thaA- line family to reside therein. I also understand that any Certificate of Re-'Occupancy that may be issued by Mani Shores Village, certifies only that the referenced property is being used for single - Earth purposes and that such Certificate does not constitute any represe tation, warranty or cerducation as to the condition of the dwelling n other structures on�h Vpercy. . Applicant Date ! U� Print Namev For purposes of conducting the inspection required by Section 902 of the Miami Shorps Land Development and Zoning Code, please contact- c" ,a P t lb 22 Y T- "y IL/J 1� fA�l�-S� vr- p o — y . - I _ cry" Contact Name: L Telephone. Buyer Seller er Realtor x,31-7 6 Cy el z- ,N Y--4 -mac Application Fee (S50) paid: Cash Check No. Inspected by. Approved Denied Date. Comments: PAGE I OF . ••. APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, TExl f,� //© L &0, /-t hereby apply for a certificate to re- occupy the single family residence known as: (address) Miami Shores, Florida. Legal description: Lot: — r4 -qE U lock: .PB&PG: I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, Florida, 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 such property. Applicant: Date: ,Ze 9 Print Name: T /7 2 4'11,2,1 oeze For the purposes of conducting the inspection required by Section 902 of the Miami Shores Development and Zoning Code, contact: Contact Name: JO' Al k le-oA g Telephone: Buyer:_,_, Seller - X Realtor.____ Company Name: Application Fee ($50) Paid: Cash: i/ Cherk:_ Number, Inspection: By. Approved: Denied _Date: Comments: CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the applicant for single -famdy residential purposes. MIAMI SHORES GE, FLORIDA By: 17 1�7 Date of Certification: Z X, - 7—/ THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR 'WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. 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 V ge and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or riot. A copy of approved plans and specifications must be kept at building during progress of the work. Coleen Fix Owner's Name and Address._ -- ________________ _____ ____ _ __ November 14. ......... -......... ,19 --- � 7 .Date ------- - - - - - -- - -�-+ ... - - -- _ _ No -----% NE ... street .31°a -4 Z' ®t RegisteredArchitect and /or Engineer-- _ -------------------------------- — ------------ .----------------------------------------------------------------------------- - -------------------------------------- Name and address of licensed contractor_ ..SP G__'.! QQ �'- - -'Q.s B�� -- ..� - - -�g9.. �� ..� - - -I. ... 3 Location 4nd legal description of lot to be built on: I � - -- -_. Subdivision - - -- ' .__._ ... .. .......... 4 ------- - ------------ -.---------------- Lot — Block Street and Number where work is to be done --- 54--- 3.y.-. Ore as �_....._._ -. Residential. Reroof -� ®anon -�P mite _�h.agle State work to be done and purpose of building (by tile roof 13'x' to apply 2" galy. eaves drip flash return lay- white- - cement -shit 1& nt$,tU p%&sporter. New Building ----- ------- -- _- _- --- - - -. Remodeling.-.. ----_--------------- Addition-- ---- --- -- -_ -- ......... Repairs -------------_---------- No. of Stories ........................ _. To be constructed of-------------------- - - - - -- Kind of foundation _------------- _--------- - -_ - -- ------------ __ - --- _ -, Roof Covering_... .................................... ---- - - - - -- Estimated Total cost of improvements $... J# Q QQ.s- QQ---- ---- ---- --- -•- Amount of Permit $ ----- 12..1 Q--------------------_----.---.--.-----------------.---- Zone cubage Cubage ----------- - ----- - — - _.._ - — .. .......... ........................ Distance to next nearest building ........ _ ---- --------------- _-- _-------- - - - - -- -Size of Building Lot ........ __._-----_--..... _ ......... r---------------------------------------- Maximum live load to be borne by each I hereby submit all the plans and specifications for said building. All notices with reference to the building And its construction may be sent The undersigned applicant for this building permit does hereby certify that he of labor under the Florida Workmen's Compensation Act, being Section 5966, Co and has complied with the provisions thereof, and will require similar compliance in the work to be performed under this permit; and will post or cause to be poster or notices as are required by the Act. The undersigned agrees to employ only sucl permit, as are licensed by Miami Shores Village. ( Signed ) STATE OF FLORIDA, COUNTY OF DADE. I ss d accepts his o tions as an employer Laws of Florid nnanen upplement, 0 or #pertfOmed ors a loyed by him e to orks h public notice m under this Before me, the undersigned authority, a notary public, duly authorized to administer oaths and geared 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 therein by him stated are true. Permit No. Date--'/— � � � __ ______ Read, Sworn to and Subs iS�L'`3.�'e�T�' • ter. ow16dgments, personally ap- o me well known, - - - - - -- ---- - - - - -- - - -- - - - - -- --•--- - - --•- l sign th same, and that all facts before me. Disapproved _/- _ - - - - -- ate _ _�- _ - -- - - °Notary Public, State of Florida -- - - - (Signed) - Building ector - My Commission Expires----- --- --- ----- -- - - -- -------------- --- --.._._-- ------ --. PLANNING BOARD __.__ --- _ -------- ---- -------- __ - - - - -- -_DATE Chairman Member ------- --_--_-------- ---- ------ ------------ Member— - - _ - ___._-- ------------ - — _- -- - - — Member -- - - - - -- --- -_ - - -- - ---------- - - - - -- --- - --------- -- ------ - --- ------------ Member ----------- - - -- — — - — — - - - _— __ — -- - -- Council Approved - -- - -- - -- __ -__- -- — Date Disapproved ------ -------- •----- -• - - -_ ---- - ----- .......1 --- --------- _-------- - - -_ -- -.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. 4 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 su -tted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building dinance of Miami Shores Village, Florida, and all proAsions of the Laws of the Stata of Florida, all ordinances of Miami Shores Villa a and all rules and regulations of the Building Division of Miami Shores Village shall be complied wish, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date - -__ -- 19 4___ c - - - - -- -- Owner's Name and Address---- L_____ --- -• - - -_ No.__ - - -_ Street - - -- - Jv� _ __ - - - - _. - -� -- - --- ----- - - - - -- Registered Architect and/or Engineer----- ---- -- ----- -------------- - - - - -- _ _ -- .- _ -- ._ -._ _- _ -__._ _ Name and address of licensed contractor -_- ttn, _ __ Location and legal description of lot to be built on: Lot -- - --- -- - _ Block. -- - - - - - -- -- -- - - - - -- - - - - -- Subdi Street and Number where work is to be done-----.---- State work to be done and purpose of building (by floors) -------- - - - - -. __ - - -_- -__ - - r . -. and fOr no other purpose. New Building -- - - - - -- - - - - -- _ Remodeling ---- -------- --- __ Addition ------- - - -_ -------- --- Repairs_ - - -- _ ---------- - - ---- No. of Stories ------ --- - - -- To be constructed of --- ------ ---------------- Sind of foundation d ___ -- _ _ -- _. -- Roof F*ering------- - - - - -- -- - - - - -- - Estimated T' tal cost of improvements $ ------ -' __ -- Amount e£ Permit $--- ___ -_- Zone cubage required---- - - - - -- --------- - - - - -- --- -- - -._ -Plan Cubage - - -- -- ----------- - - - - -- - - - -- - - -•- - - -- - - - - -- --------------- - - -- Distance to next nearest building ------- _ ____ -_ -Size of Building Lot ---------- --- _____.__.-- ---- --- -- - - -- - ---- - .......... -_ .......... - -. Maximum live load to be borne by each floor. ------- - ---- ---------- -- _---- ..___ .......... .. - -__ -_ __ - 1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. - -- - - ---- - -- - - -- -- - - - - -- -- - — - - - - - - - -- I The undersigned applicant for this building permit does hereby certify 'hat he understands and accepts his obligations as an employer 1 of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pei manent Supplement, and has complied with the provisions thereof, and will require similar comniiance from all contractors or sub-contractors employed by him in the work to be perfu<rmed under this permit; and will post or cause to be posted for inspection on the site of the wok such public notice or notices as are required by the Act. The undersigned agrees to employ only such -subeontracto work to be ?1elformed under this permit, as are licensed by Miami Shores Village. Remarks-- - - - --- -- - - - - - - - -- - - -- - (Signed) ____ - V-W -- ----------- STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledg ents, personally ap- ed ----------- - - - - -- - - --------- - - - - -- -- - - -- - - - - _ - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ --- ---- of tLt abov, described construction, that he has carefully read the foregoing a d - - ------ -__- .._.___•----__. , and ___ - l ----__ therein by him stated are true. g g ppneation, and that he did sign the same, and that all facts Permit No.-----!' � _____________ Date____ 60__° a_ ��� Read, Sworn to and Subscribed before me. Disapproved _ ___- _ -- ate_ - - - -- - - -- -- ------ --- --------- ----- Notary Public, State of Florida ( Signed) - - --------- - - - - -- - - =- -- - - Building LWActor My Commission Expires -- -------- --- - -- --------------------- __---- _------ -.___ -_. PLANNING BOARD _--- ____..- _._____._.- -_ -DATE Chairman----- - - - - ------- ----- --------- — -- - - - _ Member __ ::.. - ---- - -• - -- -------- _ - ---- - - - - -• -- - - -- --------------- - Member _ _____ -_ -_ -_ _---------------------- - - - - Member ---------- -- -- - - -- - - -- -- - ------ -- Member - - -- - - - --- - - Member -------- - - - - -- ------------------ - - - - -- ------ - - - - -- - - - Council Approved_ - ---. _ ------ __ -- .. - -- - _ --_ -- __Date Disapproved _______ - Date NOTE: A charge of $1.60 will he made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is mule necessary by improper notice for inspection or faulty materials and /or workmanship. i i t CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Comp, 9-15-67 N? 1743 11 -9 -67 i - Miami Shores Village, Florida i i Owner, Agent or oof f 1 J. F. Morgan Lot 7 -8 -9 -10 & NBlock 1 Subdivision Navarro Street Addreca 54 N W 103 Street Approved use by occupancy Convert garage to bedroom -car port add,. Remarks. 8677 t This Certificate of Occupancy is issued to the above named Owner for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Plan Cube 3732 i UII DING DIVISION l MIAMI SHORES VILLAGE, Fi A. 11jQ 6590 JOB L� ADDRESS �`� �� 0 INSPECTION TIME READY' INSPECTOR - -- - -- - DATE'" MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit -No . . .... ... ....... Date ............. »v Application is hereby m de for the approval of the detailed statement of the plans and specifications herewith 56141 structure herein described. This application is made in compliance and conformity .with the Building Ordinance of and all provisions of the Laws of the State of Florida• all ordinances of Miami Shores Village and all rules and regu] of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and building during progress of work. I for the building or other I Shores Village, Florida, of the Building. Division ications must be kept at ApsrOwner's Name and Address »e.. J, X ............. No ...... 17 .... 7 . ........... r .......... .................. Registered Architect and/or Engineer ................. .......................... ..... . ................................ ................ . ... . . . .... . .. .................. EmployingElectrician's Name ........... . ............................................................ ............. No ....... ...................... . ........... Street .. ........•......:.: :...:.......................... Locationand Legal Description Lot.... .... .......... . .......... * ... . ............................. Block.......................... .. . ........Subdivision ........... ................ ..... . ........... Street and Number where work is to be performed No.:_ .. j ... .......... State work to be performed and purpose- of building (By Floors) ° . . ........... ...................... . ....,....... ».:. :..:: .................... New Building. __... . . .................. Remodeling ..................... . ........ Addition.._�7= ........... iepairs. ............................ . ....... No. of Stories ... / ........... Overhead Service UndergSize Feeders .............. ....Conduit ...............Main Main Sw ............ ................... Amps ........................... Main ..... round . ....... ....:.........Amps 4 Type of Installation— Conduit ... ................... Tubing ........................ BXL ......................... Metal Moulding ........ . . . . .... . .. . . . . .... . ...... . .... . ..... . ... ......... . . ............... ........................... . .... . ......... . .... . .................................................... . .................................................. ............ I—_ . .... . . .... . ..................... . ... . . ... . .. . ......... . ...... . ...... ..... . ..... . ......... . .......... . ........... . .................... . ....... . .................. . . . .... . ..... . ............................ . . ...... ». » ........................... 0 Amountof Permit 5....:.. W ..... ..... ».: »..: »...........» ................. . ..... (Signed) ........ ........................... I ..... ..... 6 ... . ............. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he *understands and accepts his ob4gations as an employer of labor under the Florida Workmen's Compensation Act, being Sectipa 5966, Compiled General Laws of Florida P. rmanent Supplement, and has complied with the provisions thereof, and 'will require r similar compliance f ' roin 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 -inspe6tion on the site of the .work spch public notice or notices. as are required by the Act. The .undersigned agrees to employ only such sub-contractors, on work to be performed! under this permit as are licensed by Miami Shores Village. (Signed) .............. an. . STATE OF FLORIDA. COUNTY OF DADE. Before me, the .undersigned authority, a notary public, duly authorized to administer. oaths and take nowIedgmen . ts, personally appeared........... .............._... ».........» ..Tv ......................... »...... »...... »........... »... »........... . .............. _...1. » ».. to me well known, and who, being by me first* duly sworn, upon oath deposes and says that he is the ..... ... **!"*"- . *****"'11-1*11*11***-I ...... 4 ............. ».. »... 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. ............ . ... . .... . .... ............ I . . ........ . ... ..... . ......... ' W_Z� for inspection, or faulty NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper no ce materials and/or workmanship. y. SWITCH - LIGHT PLUS. FixTuRgs REFRia. IRON RANGIi RANGE WATER W. HE-AT. SPACE STRIP TOTAL OUTLETS OUTLETS' REcE,P•rs No. LAMPS OUTLET OUTLET OUTLET -CONNi HEATER CONN. HEATER HEATER CL ONT R. I ET CHECK ENT. DIST. SERVICE 'SERVICE MOTORS MOTORS NEON RA0 '10 TOTAL SW, CAD. TEMP. PERM. 0-1 HP To HP TRANS. . CONTR. LIST CHECK Overhead Service UndergSize Feeders .............. ....Conduit ...............Main Main Sw ............ ................... Amps ........................... Main ..... round . ....... ....:.........Amps 4 Type of Installation— Conduit ... ................... Tubing ........................ BXL ......................... Metal Moulding ........ . . . . .... . .. . . . . .... . ...... . .... . ..... . ... ......... . . ............... ........................... . .... . ......... . .... . .................................................... . .................................................. ............ I—_ . .... . . .... . ..................... . ... . . ... . .. . ......... . ...... . ...... ..... . ..... . ......... . .......... . ........... . .................... . ....... . .................. . . . .... . ..... . ............................ . . ...... ». » ........................... 0 Amountof Permit 5....:.. W ..... ..... ».: »..: »...........» ................. . ..... (Signed) ........ ........................... I ..... ..... 6 ... . ............. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he *understands and accepts his ob4gations as an employer of labor under the Florida Workmen's Compensation Act, being Sectipa 5966, Compiled General Laws of Florida P. rmanent Supplement, and has complied with the provisions thereof, and 'will require r similar compliance f ' roin 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 -inspe6tion on the site of the .work spch public notice or notices. as are required by the Act. The .undersigned agrees to employ only such sub-contractors, on work to be performed! under this permit as are licensed by Miami Shores Village. (Signed) .............. an. . STATE OF FLORIDA. COUNTY OF DADE. Before me, the .undersigned authority, a notary public, duly authorized to administer. oaths and take nowIedgmen . ts, personally appeared........... .............._... ».........» ..Tv ......................... »...... »...... »........... »... »........... . .............. _...1. » ».. to me well known, and who, being by me first* duly sworn, upon oath deposes and says that he is the ..... ... **!"*"- . *****"'11-1*11*11***-I ...... 4 ............. ».. »... 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. ............ . ... . .... . .... ............ I . . ........ . ... ..... . ......... ' W_Z� for inspection, or faulty NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper no ce materials and/or workmanship. y. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ` APPLICATI ®N FOR BUILDING PERMIT Application is hereby -made for the approval of the detailed statement of the plans and specifications herewith su mitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building dinance of Miami Shores Village, Florida, and all provisions of the Laws of the State: of Florida, all ordinances of Miami Shores Villa a and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, w er herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date_- - - - - - - - ,19_J Owner's Name and Address___ tl,/�cr_ _5..�!r_.___-- - -__ —_ N - - -_ Street -- - -- _U - - - - -- - Registered Architect and /or Engineer - -- - - -- - — - - -- - - -- - - - - - -- - - - -- ------- - - - - -- - - - i - /� � Name and address of licensed contractor___ _. _ ____ -._y. -tea -sY Location and legal description of lot to be built on: Lot__._— - -___ -- - - - -- Block . - -- - - -_ -- -- :--- -...-- - - -__ Subdivissio��n,,_____ Street and Number where work is to be done__- - - -___ Ck,� __ Stat work to be done and purposseofof building (by floors)_ -_,4Q. X 1111 --- - - -{ _ __ ��- ___ - _�- � - - --- __ - -_ __-- -. ____- - - -__- - -.and for no other purpose. New Building-- _____-------- - - - - -- --. Remodeling------- ____ -- ___.Addition - -- _ - - -- -_ - - -- R - ___- _._.____!___._ . - - -- No. of To be constructed of- .- _---- _-- _---- _ - - - -.- _ -- lhtnd of foundatton_ R�Covering____ -:_ -• Estimated Taal cost of improvements $_------___ ____________---- _._._ -__ Amount cf Permit $ Zone cubage required-- -_-._.---- _--- - - -__— .__�_--- __ -__ --. - - -- --Plan Cubage__.__ - -.— _.._.�- _.. - -__.- Distance to neat nearest building-- - - -_ -` __ _�._ —_ -- -Size of Building Lot_— -_ - -- ....:._ ,__, Maximum live load to be borne by each floor..---- -- ------------- _.------- - - -_ -- -------- - - - - -- _ —_ __ t - - -�_ _ .�------ - -__ -_ l hereby submit all the plans and specifications for said building. All notices with reference to the building an be sent to. -- - - — - - - -- -- - - - - — - - -- - -- - - The undersigned applicant for this building permit does hereby certify That he understands and accepts his obli of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, and has complied with the provisions thereof, and will require similar compliancefrom all contractors or sub - contra in the wok to be p =•rforme under this pernut; and will post or cause to be posted for inspection on the site o£ the or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be permit, as are licensed by Miami Shores Village. Remarks__ _...--------__—_-.---_----- _----------------------- -.____ (Signed)__f �2?� STATE OF FLORIDA, COUNTY OF DADE. as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take peared- - - -- - — -- - -- - - -- -- -- - - -- — -� - -_ - -- -- r its construction may Lions as an employer •manent Supplement, Prs employed by him rk such ublic notice erform (I under this rents, personally ap- - - - - -- - = -- - -- ------------------------ - - - - -- - - - -- -- ... -- - -to me well known, and who, being by me first duly sworn, upon oath depot' and says thaat hee ppucation, and that -- — _-------- - - - - -- ' __ -- _ - -- -- - -__. -- - of th- above de kAbed construction, tl:at he has carefull read the r oin a e did sign the s e and that all facts therein b him stag aze � e• - Date____ ®_ !_ � �� __.— Read, Sworn to and Subsen Y Permit No._____— _ � ._ _ _ __ _._ _ ibed before me. Disapproved — — ate- _ _ _— - - — -- - — - -- --- - -I - Notary Public, State of Florida (Signed) — - - - . - -- --- -- - - - - -- ------ - - -- -- —_ — - - g Inspector My Commission Expires_ -_ -- _ PLANNING BOARD _.- _------- - - -�_� - _DATE Chairman-- - - - - -- ----------- - - - - -_ ------- - - - - -- - -- - - - - -- Member - _�,. —_ -- --- - - - - -- - - ---- - - - - -- -- -- - - -- ---- - - - - -- ------- - - - - -- Member - - -- - - - -__ -- --- - - - - -- — Member' - - - - -- - -- _ - _ - ----- ------ - - - - -- - - - - -- - -- - - Member- - - - -- -------- - - - - -- -- - - - - -- -- -- - — - - _ Member ----------------------------------------- - - - - -- - - Council Approved -_ _ _----- .._______ - -- , _.__ •. -- : ,_ - - -- ---- -.-- . -__ -.. - -Date Disapproved Date NOTE: A charge of $1.00 willybe made for making corrections or changes to this application after approval 1� s been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is mvale necessary by improper notice f r inspection or faulty materials and /or workmanship. - I L__ 1 R 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 mad® in cgmpiianee and c onoxmity 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 Shares 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 JUne 28 - -- I,66_ owner's Name and Address —_ Jft L Chri8tie -- - - - - -- No.___ _ 54 Registered Architect and /or Engineer___ - - - - - - -- -- ------ - - - - -- - - - - - -- Name and address of lics need contractor MULY NOLEN, INC. - 600 N. W AVenne , Miami, Location and legal description of lot to be built on: Fla. Lot Block —_ _______ Subdivision - --------------- - Street and Number where work is to be done - 54 N. E. 103 Street State work to be done and purpose of building (by floors) E]Migat iO 3_ USiU9 Ylkane � gS with ati __ - aFpr-axi to 20 hogs eXpqg1rg , Nylon tent,.. _ -- -_ _-- -- -- - for no other purpose. New Building ----- - - -- -- Remodeling _fib No.', of Stories---------- ---------- - - - - -- To be constructed of__ - Sind of foundation B S —_ ------ Roof Covering__:_ ________ -_______ ----------- -_ Estimated Total cost of improvements $ Amount of Permit $ -5.00 _ -- ------ _ —__ -- Zone cubage requhv& -- plan Cubage 23.800 _ - -------------------- Distance to neat nearest building- ®V- r 10 Ft Si p of Building - Maximum live load to be by each floor— _ - - - - -_ —_ -- I hereby submit all the plans and spectfic;i0ons for mod building. All notices with referouce to the buildingi and its construction may be sent to The undersi ed 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 Compensatiou Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ 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 pu - otice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on performed unde this permit, as are licensed by Miami Shores Village. e- r—) /1 / Remarks j STATE OF FLORIDA, COUNTY OF DADE.. I M 0M Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, prsonaly ap- peared -- - __-- _------ - - - - -_ ___ — - -- - - -- - - - -- -------to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_--.-- ----- _- _--- _____ _______ ------- - --------------- __ -_ -_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are e. Permit No-1-4P _ Date - Read, Sworn to and Subscribed before me. Disapproved (steed) — Date 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 connections or changes to this application after approvjal 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 r..atice for inspection or faulty materials and /or workmanship. MIAMi-'SHORES VILLAGE, FLA. No 5518 JOB 4 'ADDRESS �!� c 'NSPECrION ME READY MARKS: n ,TOR DATE fr MIAMI SNORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING rNUAIT Permit No.--- ��� Date___ e Application is hereby made fir 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 La of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miand 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 k. Owner's Name and Address No. S _ ....:.. Registered Architect and/ Employing Plumber's N No 7e. 91, Street et . -- Location and Legal t cn Lot Block Subdivision..._. Street and Number where w4wk is to be performed—No Street.._._._. State work to be performeS II and purpose of building (By Floors) -_-_-..... New Building - __ _ . Remodeling Addition___. Repairs _ __..___.__..__ No. of St cries ... ...... _...... -_ CLOBaTSl BATH MOWERS LAVA SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TUBS TORIES SINKS TUBE BASIN DRAIN FOUNT'NS FIXTURES CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CHECK I Size Septic Tank- Type of Tank __ ......_Capacity Gals. Feet of Drain Tile Feet of Tank or Drain Field from Well__ Nature of Water Supply: City W6L .Size of Serge Pit Amount of Permit The undersigned app for this building permit does hereby certify that he understands and accepts his obligation`s as an employer of labor under the Florida WorEen' Compensation Act, being Section 6988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions th , and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under .this permi and will post or cause to be poster]' for inspection on the site of the work such public notice or notices as are required by the Acct. The fined agrees to employ only such an",( work work to rmed under this permit, as are licensed by Miami Shores e. (Si STATE OF FLORMA, t COUNTY OF DADE. j Before me, the and authority, a notary public, duly anihorized to administer oaths and take ackwwledgments, personally appeared to knodwn ho, being ffih duly sworn, upon'oeth ores and.says that he is the----- _ e has carefiilly read the fonguing application, and that he did sign the same, and that all facts therein by hint stated are My Coiamisdon Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when snob re-inspecdcm is made necessary by improper notice for Inspection, or faulty materials and /or wodi mns . Application is ing or other struct Shores Village, Flc regulations of the plans and specifics Owners Name and A Registered Architect e Name and address of Location and legal des Street and Number wh State work to be done New Building--.,_----..- To be constructed of- Estimated Total cost c Zone cubage required Distance to next near Maximum live load to I hereby submit a be sent to - - - -� The undersigned of labor under the Fl- and has complied witl in the work to be pert or notices as are requi; permit, as are licensee MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 'y y made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build m described. This . application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and pg Division of Miami Shores Village shall be complied with, whe ified or not. A copy of approved . knust be kept at building during progress of the work. Date- - - r.,19....... T ' 9 ress... — - - - ------ •--- •--------- - - - - -- No. - .S eet..._ -_.'- J_ jor. Engineer... ..: ......... ............ _........ _._. ... ........ • -- .:. ............................... ..__ .:.------ •--- • ...... - ---------- ------ ption of lot to be built on: - - - -- l - - -- - -- Subdivsi - - -•- -_ .... ..... _...... .-e work iis o be done _ ...... -- • -• -_. -- _. --- nd purpose of building (by floors) -. - , _ ..-- ------- - - - - -- -- - -•- - __ ._. - _. ... _ - -• - - -- and for no other purpose. Remodeling....._._ _._._ Addition_:.._. ......... ....... Repairs ....... ><.__ No. of Stories ....... -.................. Kindof fo dation .._._.- ............. . °....... •------- ....... • - -- R f Cov�ving ... _ ..... _. ...................... ............. improvements $_ -_ o •-__Amount of Permit $ --------- __._....___-----_-..._----•----•-•-_-- _. Cubage•_•_-- ----------- -- -- ._...._...__...- ._.,.__._.,_------ ._._.- ....... t building .- ._..__. ....... _._..... Size of Building Lot - ...... _ _ ._._-_________ .......... _ .............. .__................... a borne by each floor___ __ the plans and specifications for said building. All notices with reference to the building and its construction may it for this building permit does hereby certify that he understands and accepts his obligations as an employer 'orkmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement, ovisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him under this permit; and will post or cause to be posted for inspection on the site the work such public notice he Act. The undersigned agrees to employ only such ntracto on work t be performed uncle this ami Shores Village. (} 1 ti _ I1 STATE OF FLORID COUNTY OF DARE. ,• Before me, the peered and who, bein y me 'first di of the above d bei'constr therein by him ted 'e true. Permit No.- Disapproved (Signed) --- authority, a notary public, duly authorized to administer oaths and take acknowledgments, _ .. ....... _ .... ___ _ _ __ __ ___.. - -- ..._..__. ..... to me well known, on, the upon oath deposes and says that he is the . ............. _ ....... -_._- _ .............. .. __.---..._................_. swona, po t he kfuUyad the fo going application, and that he did sign the saw, and that all facts Jon _- Date - d, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ......... ........................ ®° I PLANNING Chairman ._ _ �.._.__ _ r _ .__. _ Member --- _:__------- _. Member_._ ._ ___ __.. _ member .. _ ----------- ._, - -- ------- _.._--- _,:.-_._....._.. .... Member .... _.... _. _ _ __ _ _._ _ Member Council Approved _ _ ._. .. .�_._.�, _..- r..�_ - ..:,_.Date Disapproved -• - -- ---- _. ................. ............ Date NOTE: A charg of $1.80 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 work auship. I i/" MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPAE3T LENT APPLICATION FOR ELECTRICAL PERMIT Permit No... .. �........ Date....! Application is hereby made fpr 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 La of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village sh be complied with, whether herein' a ified or not. A copy of approved plans and specifications must be kept at building during progress of � rk. Owner's Name and Addresa..� ... ......1 . No ....... _. -- •- - _ ..... ........ Street........ ..... . RegisteredArchitect and /or Engineer... . ........................ ............................. ........ ..g ............ Employing Electrician's N e.... .. ...`, .....:�_ 6��._.N. ........ � ..... Street ).Zx-- ...�!..� . .............I Location and Legal Descrip n Lot ........ ... ............ I ....................... ...... ...........Block............... �� �// ......... Su�dimalo .. ........... Street and Number where work is to be performed —No ..................................... .........:� ..:.J... » ....... Street.. ... �.� .....� �............ Statework to be performed d purpose of building (By Floors)........_... ..»..» .............._............................»............................ ............................... New Building ............ _..... ...... Remodeling ..................... .» ....... Addition ... .......................... . Repairs. ............ .:.._ .......... .. ... »..No. of Stories ....... I ........ ... '7 / Service Underground Size F' �yType of Installation --Co 1 7 Amount of Permit The undersigned EPA labor under the Florida W has complied with the pro work to be performed unde as are requirkd by the Act. licensed by 11fiami Shores STATE OF FLORIDA, .......Main Sw .. ..... ............... Amps... .. ...Main Fuses ....................... ................ .B.X L....d.............:..Metal Moulding . ...... ..... ». ............. ... .... ..... .. ... ..... ........... ..... ca�inapestor. nt for this building permit does hereby certify that he understands and a hie obligations as an employer of ,kmeii s Compensation Act, being Sectign 5966, Compiled General Laws o Florida Permanent Supplement, and lions thereof, and will require similar compliance from all contractors or sub'eontractors employed by him in the this permit= and will post or cause to be posted for inspection on the site of the work such public notice.or notices The undersigned agrees to employ only such subcontractors, on work to be mrfomed under this permit, as are Ilage. (Si ned ...... g ) tta.� -- -.. .�--- ---.. ............................... Master Eleetridan. COUNTY OF DADE. 8L Before me, the unde igtied 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 cow ction, . and he has carefully read the foregoing application, and that he did sign the : esaine, and that all facts therein by-him stated are i ......................».................................................... ............................... ... .. .............................. .. .................. .. ...... ... ....... .. ................ _................. My amissioa Expires Notary Public, State of Florida NOTE: A re•inspectae fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workman V. SWITCH WANT PLUG FIXTURES REPRI®. IRON RANGE RANGE WATER W. NEAT. Sg@ACE STRIP TOTAL OUTLETS OUTLETS R C6'P T'B No. LAMPS OUT LET OUTLET CONN. HEATER CONN. HZkTM HEATER CONTR. LIST del C CHECK ns ENT. - 01ST. OERVICZ SERVICti MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1, HP 1•5 HP TRANS. CONTR. LIST CHECK '7 / Service Underground Size F' �yType of Installation --Co 1 7 Amount of Permit The undersigned EPA labor under the Florida W has complied with the pro work to be performed unde as are requirkd by the Act. licensed by 11fiami Shores STATE OF FLORIDA, .......Main Sw .. ..... ............... Amps... .. ...Main Fuses ....................... ................ .B.X L....d.............:..Metal Moulding . ...... ..... ». ............. ... .... ..... .. ... ..... ........... ..... ca�inapestor. nt for this building permit does hereby certify that he understands and a hie obligations as an employer of ,kmeii s Compensation Act, being Sectign 5966, Compiled General Laws o Florida Permanent Supplement, and lions thereof, and will require similar compliance from all contractors or sub'eontractors employed by him in the this permit= and will post or cause to be posted for inspection on the site of the work such public notice.or notices The undersigned agrees to employ only such subcontractors, on work to be mrfomed under this permit, as are Ilage. (Si ned ...... g ) tta.� -- -.. .�--- ---.. ............................... Master Eleetridan. COUNTY OF DADE. 8L Before me, the unde igtied 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 cow ction, . and he has carefully read the foregoing application, and that he did sign the : esaine, and that all facts therein by-him stated are i ......................».................................................... ............................... ... .. .............................. .. .................. .. ...... ... ....... .. ................ _................. My amissioa Expires Notary Public, State of Florida NOTE: A re•inspectae fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workman V. MIAMI SHORES VILLAGE VY ELECTRICAL INSPECTION DEPARTMENT APPLICATION* FOR ELECTRICAL PERMIT Permit No..... ©..!°:.. ... ' '�_ 7 ..r........ Date........ ...� .......................... .._........ Application is hereby made f , r the approval of the detailed statement of the plans and speci fications 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 La of the State of Florida, all ordinances of Miami Shores Village $nd .all rules and regulations of the Building Division of Miami Shores Viltage-shalt be complied with, whether herein specified or not. A copy of approved ,plans and specifications must be kept at building during progress of rk. Owner's Name and Address.. .. �.. : .. ........ „ .............. No.... ,..: ....Street. ..: .... „ . „.. Registered Architect and/or Engineer :. .No....�„ ........ »...Street .... .'�'. .......... »........... z6... ...... ... ......... . ................Employing Electrician's Name .......... Location and Legal Descrip on Lot ..... »..... >... » ...:.......... »..:.......... Black _ . ....... ..,..Subdivision. ........ Street and Number where w A is to be performed -No.» ..... .5 - y......... .... „.... ».... ». ». „ ................... State work to be .performed and purpose of building. (By. Floors) ..................... .. . ............. :. „... „............ „. .....». ............................... New Building .............. ......... „ ......Remodeling........ .; ;..:.........Addition... ............. .........Repairs............. :; .: :..:...;....No.'• of Stories.................... SWITCH LIGHT PLUA RIxTuRas' Ret+R10. IRON RANGE RANGE ' WATER W. NEAT.' BIAOa STRtP TOTAL OUTLETS .OUTLETS R owwre No. LAWS OUTLET OUTL ET OUTLET CONN. HEATER CO�� pµUIN HEATER CONTR. LIST - - CHECK EN1. titiT. ERV1Cg $ERYICa w►oTORS IAOTORS NEON RADIO TOTAL, SyY. - CAS, TEMP. PENN. „ __ O,1 N/ 1.0 Nr . TRANS. . . CON"* IS7 CHECK Service Overhead . Size ra.: ......„ „...Conduit ................ I” Sw............... ..... in.„ ........ ..Mn, .iFuses...... ........ —. Underground � »......: Amps Typeof Installation (7o..... »........... Tubing„ ............ ........ ..B.X.L » .................. „ ... Metal Moulding. ».. ... » „. „...... „... „. . „ ....... „................ ..................... ....... ............................... ..... „......1.........., ................... Amountof Permit 5.:.....„ ................ ....... .....:....... ».......:. „ »..... (Signed) :. , ... . ». ......... ....„... .: ..„ ............... �Electried Inspector. The undersigned applic wt for this budding permit , does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida NY 'rkmen's Compensation Act, being Section $966, Compiled General Laws of . Florida Permanent Supplement, and has complied with the proi Isions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed undei this permit; and will. post or cause to be 'posted for inspection on” the site of the work such public notice or notices as ar@ required by the Act. The undersigned agrees to employ only such sub - contractors, on rk to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) .. ..... ...„.... „.... » ............... ........ „Master �Electrieian. STATE OF FLORIDA, ` COUNTY OF DADE. Before me, the under' #jgne& authority, a notary public, : duly authorized to administer oaths and take acknowledgments, personally .. ..:.i... „. .. .......... .. „ .... .. ............ ..„................ ...._...... . „ ........... .................. being by me first duly sworn, upon oath deposes and says that he is the....... „:..,..:..........:.:..» ,...... : ...................... truction, and he has carefully read the foregoing application, and that he did sign the name, and that all facts le. „. „................. Notarq Pu�licmState F fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty 3p. to me well known, and a of the above described p therein by him stated are NOTE: A materials and /or Application is hereby made structure . herein described. I and all provisions of the IA,% of Miami Shores Village slu budding during progress of i OwnWe Name and Registered Architect and/or Employing Plumber's Name Imation. and Legal Descrip MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date r the approval Of the detailed statement of the Plans and specifications herewith submitted for the building or other I application is made in c0mPhance 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 Divinon be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at IvIZ7- /0 ,3,S/ Street. No. Tklnf& - Subdivision -____ _,, Street and Number when work b to be performed—No. Street. State work to be performed stud purpose of building (By Floors)__ AAA1#4. Rm.ei,m VA -F / L She Septic TOMIL-- - Of To&— - - __ . -- ----- - ----- -------- - ... .... Feet.of Drain Tfle- - -------DlsL Fed of Tank or Drain Field from, - ------ ---- Nature of Water Supply: C�i Well .._,. Size of Soakage Pit_- Amount of Permit Plumbing In,,wctm- 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 Ad, being Section 5988 Compiled General laws of Florida Permanent Supplement, and has com- plied with the provisions th Z and will require simile compliance from all contractors or sub-contractor; employed by him in the work to be performed under this = i will post or cause to be posted for inspection on the site of the 'work such public notice or noices as are required by the A& The undersigned agrees to employ only such sub - contractors, on performed tmdw thisipermt, as are licensed by Non! Shares Vl�lase. (Signed)_ Mader Plumber. STATE OF FLORIDA, COUNTY OF DADE.. Before me, the u authority, a notary public, duly authorized to administer oaths and take acknowledgments, pmwmll,, 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 con0truction, that he has carefully read the foregoing application, and that he M sign the same, and that all -acts therein by him Stated are true. Notary ftbli% State of Florida NOTE: A re-bqwtioulfee of $1.00 will be made when such re-inspection, is made-necessary by improper notice for fiisp , or faulty materials and/or worlimansWo. A 1-h CLOSETS B AT" T U BS HOWERO LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FoumT,Ns 6TAL FMTUR86 CONTR. j CHECK CONM LIST SEPTIC TANK SEWER CONN. DRAIN VIEW � SOAKAGE PIT GREASE TRAP SOLAR HEATr.R DEEP SPRKLR. WELL SYSTEM SWIM*G POOL .CHICK She Septic TOMIL-- - Of To&— - - __ . -- ----- - ----- -------- - ... .... Feet.of Drain Tfle- - -------DlsL Fed of Tank or Drain Field from, - ------ ---- Nature of Water Supply: C�i Well .._,. Size of Soakage Pit_- Amount of Permit Plumbing In,,wctm- 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 Ad, being Section 5988 Compiled General laws of Florida Permanent Supplement, and has com- plied with the provisions th Z and will require simile compliance from all contractors or sub-contractor; employed by him in the work to be performed under this = i will post or cause to be posted for inspection on the site of the 'work such public notice or noices as are required by the A& The undersigned agrees to employ only such sub - contractors, on performed tmdw thisipermt, as are licensed by Non! Shares Vl�lase. (Signed)_ Mader Plumber. STATE OF FLORIDA, COUNTY OF DADE.. Before me, the u authority, a notary public, duly authorized to administer oaths and take acknowledgments, pmwmll,, 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 con0truction, that he has carefully read the foregoing application, and that he M sign the same, and that all -acts therein by him Stated are true. Notary ftbli% State of Florida NOTE: A re-bqwtioulfee of $1.00 will be made when such re-inspection, is made-necessary by improper notice for fiisp , or faulty materials and/or worlimansWo. V L2 or Permit No..... ...� . ? MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date..... / »..... » ....i(............ 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 Law's 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. 4 Owner's Name and Address .................. � r / �. ........................................................... No................ T .. ................... Street ............. . ----------------- ....►........ RegisteredArchitect and /ot Engin er .................................................................................................................................................... ............................... Employing Electriciaik's Name ........... ®1 ..Fr,�:! _..... 1.. .�7�� l.. L............N.......N-Li ...... ...................Street....! ..L/'.2.7 .4 -t.... Locationand Legal Description Lot ....... » ........................................................... Block.......... ......................_........ Subdivision................. ............................... Street and Number where work is to be performed— No if N. C_ /& 3 S.�° ...................... Street ............................................ _ .......... :.......... ................. Statework to be performed and purpose of building (By Floors) ..........................................».............................................................. ............................... New Building ................................ Remodeling ................................ Addition ........ . C ............... Repairs ...................................... No. of Stories. ..... I........... Service Overhead d Sine Feeders..."1,�!?�t Conduit...' /k...Mai. Sw .. .............................Am ......Main Fuses.. Amps Typeof Installation,— Conduit ........................ Tubing........................ B. X. L.........................Metal Moulding....................................... ............................... » ...... _..» ............................... .. .... » .... . ............. ................. ........ »........................................... •-------------- - - - - -- Amountof Permit 5...... ......................... .............................. ...........`Signed)..................................... ... ..... EL cal Insp The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli eons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)........... T... »..�»`:......'° .......- .- •.• .................. Master Electrician. STATE OF FLORIDA, t COUNTY OF DADE. j 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 constriction, and he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him seated are true. .... ............ ......... ........lu1y IEommiaeion.Fsp ire s._.......» ..... ».............. ». ........ »...... » ».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 REFRIO. IRON RANGE RANGE WATER W. NEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECQE'P'T•S NO. LAMPS OUTLET OUTLET OUTLET CONN. NEATER CONN. NEATER NEATER CONTR. IST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEMP. PERM. 0.1 NP 1•5 HP TRANS. CONTR CHECK Service Overhead d Sine Feeders..."1,�!?�t Conduit...' /k...Mai. Sw .. .............................Am ......Main Fuses.. Amps Typeof Installation,— Conduit ........................ Tubing........................ B. X. L.........................Metal Moulding....................................... ............................... » ...... _..» ............................... .. .... » .... . ............. ................. ........ »........................................... •-------------- - - - - -- Amountof Permit 5...... ......................... .............................. ...........`Signed)..................................... ... ..... EL cal Insp The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli eons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)........... T... »..�»`:......'° .......- .- •.• .................. Master Electrician. STATE OF FLORIDA, t COUNTY OF DADE. j 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 constriction, and he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him seated are true. .... ............ ......... ........lu1y IEommiaeion.Fsp ire s._.......» ..... ».............. ». ........ »...... » ».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. A x Y,_,, AM: � I � � \�� (� �� � � \ hj N-4 .� °\ \, � ©� � <d� \ � \. . \� mm!�41F N-4 .� °\ \, \ \� d N-4 or other strt Village, Floc tions of the and specific Owner's Nat Registered A Name and a4 Location and Lot 4g f Street and N State work t New Buildu To be const Estimated T Zone cubage Distance to Maximum b I heret be sent to_ The ui of labor un and has con in the work or notices as permit, as a Remarks STATE Oi COUNTY, Before appeared ._ and who, be of the above therein by h Permit No.. Disapproved (Signed) �IAMI SHORES V1 LLAG BUILDING INSPECTION DEPARTMENT �`'APOLICATION FOR BUILDING PERMIT m is hereby made fof, the approval of the detailed statement of the plans and specificati�ns herewith submitted for the building ire herein des nbed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores t, and all provisions .of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- ailding Division of Miami Shores Village shall be complied with, whether herein i Aed or not. A copy of approved plans as must be kept at rgbuilding during progress of the work. and A % ° Street litect °and/or Engin�i¢err. tee of li contr�cto d gal descrlptio of lot ',,to be b ilt on: Block ' Sisi aber where lark is to', be done be done and ;purpose of building (by floors) Reiodeling ted of ° '`3` 'S Wind of_ foundation— cost of as P r _ .and for no other purpose. rion_ Repairs— No. of Stories ,,v - Amount of Permit $ Plan Cubage.. �.y' _ ott nearest biilldw. g Sim of Building Lot load to be b�rne by each floor submit all the plans 91fspecifiotions, for d butldm$otices with referenP to fersigned applicant for this building permit does hereby certify that he understands and x the Florida Workmen's Compeasa�ion Act, being Section 5966, Compiled General L lied with. the provisions thereof, and will require similar compliance from a1l�ntractc o be performed udder this permit; and will post or Ouse to be posted for inspectioa or ire requited b the Act. The undersigned agrees to employ only such au datractors, c licensed by,Iliami Shores Village. (Signed)' FLORIDA, F DADE.' i% the undersigned authority, a notary ' public, duly authorized to administer oaths by me first duly, sworn, upon oath and says that he is scribed co ruction, that he has ca ly read the foregoing appltcattap, and that stated are Da Sw to a Notary Pub Building Inspector My Commiesi Chairman E - Member Member , "'' - Member G' Member Member Council Apt roved Disapproved N A charge o$ $1.00 will be made for making corrections or changes to this applica the Plannin Board. Axe tion fee of $1.00 will be charged when such re- inspection is made necessary by materials an or workmansbip. i i I� the building and its construction may iccepts his obligations as an employer Me of Florida, Permanent Supplement, s or sub - contractors employed by him the site of the work such public notice i work to be performed under this take acknowledgments, personally after approval has been obtained from ropes notice for inspection or faulty T j IAMI SHORES VILLAGE e. BUILDING INSPECTION DEPARTMENT f APP (CATION FQR SUILDING.PERMIT Application is hereby made for th approval of the detailed statement of the plans and specifications herewith submitted fo the build ing or other structure herein describ This application is made in compliance and conformity with the Buil ' g Oraman of Miami Shores Village, Florida,- and all provia ns of the Laws of the State of Florida all ordinances of Miami Shores Village and rules and regul#tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified not. 'A copy If approved plans'' and specifications must be kept i t building' during progress of the work. Date 19____ Owner's Name and Address V, ` �+ l . �' �p is No. Stre_4 Registered Architect and /or Engineer Name and address of licensed contra r' Location and legal description of lot to I m built on: Lot Bl Subdivisio - Street and Number where work is to t a done State work to be done and purpose of uilding (by floors) and for no er purpose. New Building Re eking �ddition Repairs _ Nqf of ,S �,_•. � � of founds on• To be constructed of d ti _ f Covering Estimated Total cost of improvements Amount of Permit tv Zone cubage requir plan Gubage li Distance to next nearest building Side of Building Lot Maximum live load to be borne by ea¢ h floor i hereby submit-all the plans and pecifications for said building. All notices with reference to the huildin and its const on ma be sent to The undersigned applicant for thi building permit does hereby certify that he understands and accepts his ligations as an employer, of labor under the Florida Workmen' Compensation. Act, being Section 5966, Compiled General Laws of Flori ,Permanent upplement, and has complied with the provisions hereof, and will require similar compliance from all contractors or sub - contractors em yed a him in the work to be performed under permit; and will post or cause to be posted for inspection on the site of tube work such ublic notice or notices as are required by the Act. a undersigned agrees to employ only such subcontractors, on work to be performe under this permit, as are licensed by Miami Shor Village. 4 Remarks (,Signed) � � ' . Qa_ �' ,I' i i h STATE OF FLORIDA, COUNTY OF DADS. S& f r Before me, the undersigned autho 'ty, a notary public, duly authorized to administer oat hs ;and take acknowledgments, p sonally ap- peared , tome* ell (mown, and who, be' by me first duly swo ,upon oath deposes an `says that he is the of the above described construction, the has carefully rea -the foregoing application, ,and that he did sign the same, and 1hat all facts therein by lam stated are true. t` P&,nit No. Date Read, vo to Subscribed before e. Iisapproved - Date .. Notary Pu State of Flout a ro = w r --- {Signed) � Building Th, pector My, C on I yytsfdC�v 73r r�if Jl'IG air ±. ,;V _3., .✓i4. F ,; CANNING BOARD DATE Chairman,- — ° Member Member Member , Member Member Council Approved,�� _ Date Disapproved ate NOTE: A charge of $1.00 will lie made for making corrections or changes to this application after appro al has been o tained from the Planning Board. A re -in ection. fee of $1.00 wilt be charged when such re- inspection is made necessary by improper notice £or ' n or faulty materials and/or workmanship. n fr 1 �I IF 117(1 r,l g3I1 - }I I ' ,v y ry Ci 'I STATE OF FLORID )SS COUNTY OF FADE .. ) of the" V i l l e ,of , Iii i- Sho r s I, County ,of Dade nd State, of Florida being duly sworn: Idvth de ose t ; and -say, that ,u der � the'' proves' ' one. of Sect:ion IB- 368,' S � b- ��evt,ibn ;�(d) ` of 'the Builds ng , ode of Mjan Shores villa he 1A,esire to d. -. Lost Block of subd.visio , that e: i Is the .owner of Y sand proper y,, and will ,fie. the owner o t _ said !: 1 i r A t th�it he wild do the, work persona ly, and that he w��, , at such tines as �zre `r�quIr'6d by the zoning. I nd ., Buildi:rig Direct, r:, . 'i :Y e- p ans sand; ,spe"cifications sand, obtain. appr 1val of l I. VIIlag Planning Board,` and of the 'Building, %n pector.li 2. Apply or and, secure a' permit. Fay "th r'equired fpesr f`or 1toen.se and for p:e ffiit. 40 ExBCUt. the work Ia. acCVrdance with .the -priovi ions of the lo, ing, Buildlhg, 1'lumbing� -and 191ee ri 1 Oo`des' a Miami shores Village.. 5:; Apple o inspec,tians. ,9 6, File w th th@ Building inspector certif' sates that o- vision .has been made' td carry th @. ne�essar�y rkman ` Co en Jnsura anon, Public Li bili�y and Property T) mega f File w tee, th';the Building lbep'eetdr a' the ,;jib pi o;�ress` s eertif ca�tss- showing the payment, recuired by )i F'edera 'or, Social Seeuri /ty Act to the�Stac of'FI �rida,{ r , the United Statas Of','Amerioa... s 8,� .' assume the rbspon's bility :nf not-,employing other' the r p roper y l icensed c antractors by Miami Shored . V1 116S for,-an ' part " of portion of :the worX� ;. 9 Not se h mself :up,' -as .e # "C'ontracto'r ". I'r 7C}w, Execut 'Builders :Bond,;,. And fur e t h this, s D e vn�e "t a p n e s �n 0 t. y I , , :a 1 SUBSCRIBED AND MORN TO BE PRE � thie:� d of A'.D. 1. Signature o Applicant ; ! � S. Si,.gnature >.© Officer..admi�nistering oath. _ Application is here ing or o, & r s trueture I Shores Village, Flor :da, regulafiioms of the .Build plans and specificati, w Owner'. Name and A Registered Architect i Name =:nd address of Location and legal des tot_ Street and l Number State wo; to bee8`on, f M IAM 1 SHORES VILLAGE BUILDING INSPECTION DEPARTMENT, APPLICATION FOR BUILDING PERMIT 3 r made for the approval of the dete -filed statemen, of the plans and specifications herewith submitted for the build- r, r., described. This :�pplicatima is made in compliance and con•onr►-ty w,th the Building Ordinance of Miami nd all pro, isions of the Laws cf the State of Florid., all o dmances of Mi mi Shores Village and all rules and g Div:.,wa of ' °iiam� Shwi ' illage f• -'1':e roripLed with, whether herein specified or not. A copy of approved trust be kei .. at building durint progress of ti.e work.. Date_ _ ��� -.. ._._ __._ ._ __._.,195 ess ---.� No. —_ Street_ or Engineer_. - -_sassed contractor. - tion of lot to be built on: __. - Block- 6 work is to be done_ d purpose of bulb, (by floors ). "I wo 7 r 0 0 -and for no other purpo New Building_. ___ _ _ - - Remodeling- - . _. _ Addition_. - -__.- _.: _.- Repairs- _ No. of Stories. ;._ , To be constructed of- provements Kind of f -_ -. Roof Covering_ Estimated'T3tal cost of �'�" Amount of Permit _ ----- Zone cubage required — �_ __ . ._ Plan Cubage - -- _ _ ... _ ...... ._. Distance to next nearest ,budding- - . , - _ : -Size of Building Lot —._.— Maximum live load to b home by each floor_. -----------_-•-- ? 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 under signed ap li_-ant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 1. bor under he Flori 's Comppensation Act being Scrtion 5968, Col pled Gen -al Laws of Florida. P r anon. Stipple Went, and has complied with t e,provisions thereof, and will require similar compliance from all contractors or'sub•contractors emplo -ed by him in the work to be pirf, i ed under this perniit: and fir, ill post or cause to be posted for inspection on the site of the work su::h public' noti• •e or r oti -es as are requir- 'by the Act. The u; drr >igned agrees to employ only such . u ntr. ctors on work to- be perforn, d ., der this permit, as are licensed b Miami Shores Village. >+�.� Remarks_ _..__._ _.__._. _ _ _ _ ...- (Signed) L'�• � STATE OF FLORIDA, / / COUNTY OF DADE. ss• i Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally op. peared - - _ -=-' - --- — -- - - -- - -- — - - _ - .to m e o ..._ well In was, and who, beajg by me f fist duly sworn, upon oath deposes and says that he is the _.._ .. �. _ .. _ __ .. ..�_..... -_:... -. --------- - of th, abov:• de,cdbed • ins truction. t;, r h� has carefully read the foregoing application, and that he did sign the same, and that all facts therein by huu stated are tree. Permit No.N...— . -•_ -- _ _ ------ •._ - -.. -_ Date -. -- _ _ ._ .._ . —_. — Read, Sworn to and Subscribed before me. Disapproved Date -. Notary Public State of Florida (Sire) - - - -- - - - -_ _._ .-.__ _. _ ...-. �........_. - Building Inspector My Commission Expires_. PIANNING BOARD a' ., DAT Chairman_..''- �— — _ . . Member u - - _ - �.� ..... ........ Member - 61-16 Member Member Member:_ Council Approved - .-Date Disapproved _ -. n Date NOTE: A charge f $1.00 will be made for making corrections or changes to this application after approval his been obtained from the Planring Board. A re -ins ection fee bf $1.00 will be charged when such re- inspection is mete necessary by improper notice for inspe:�t�on or: fa, rty' materials and/or workm ship. 7. t k r i v.. - II S (I ! t A ill1�. 1 tT I I � it Q Qkjnq aat A AS, BE a ally t tt .r , t to y>_A 6 1� VII Y a 1l- �r I } }6 ` l +r } lrrF lII _ a �a� ' '1j I + _Y 1 , ^� 1�`I oil SAM r f f x 4 1 1 1t t�qry�� a y T 1 t9 i i a 1 I �l f y WIT�h r uq d 1 awl, B"”, r F Jh> b d 11 1 C J' ``� I c Nn Riggs NOW t 1 t t I PAN oil- f I f , �r f 1 I yy� � 1 f I X } �� r� ti •`� 1 d a �•: as i i a if j f {I S kass typo J I 1 , a'r l.�, a p,4 It �r i s} �' f ! af�l "' { 1r' +lt; , 1 �I r Y14 r �s s {{1 k � �� %t MAW , x A � IPvI I J' +. c, ' 1 it Q Qkjnq aat A AS, BE a ally t tt .r , t to y>_A 6 1� VII Y a 1l- �r I } }6 ` l +r } lrrF lII _ a �a� ' '1j I + _Y 1 , ^� 1�`I oil SAM r f f x 4 1 1t a „� i 1 a „ i a 1 I x > > WIT�h r uq d 1 awl, B"”, 141 FEW Ao mi , It X14 I tl I: \ J5; ttf 141 FEW ::.. ilk F. G ,r r �I z ~DONE B"`f C Ir x ito� ins e � ©a�.� ati dC�(f r . F`J III i S fly a { d t�� w }� r: j T TWO F a, -. . ,. - 1111��olgl ImErcl; tll�_*' SON, - si . Rpmr� A 4;:: v,- y a� �f 77 L AA t= y a� � s� {� - -, p,, s i1' +t- " .yt 7 t(� Ut II } � �� �iL * � a�f� A I fi ,r'k )' d� � ir� y off A. % � w.am , , : ,fit :� °twr`'.E .. '.E rest ..r, �,p',, �1 , °'M a l - � . off 7, . i ,� i ;' 76. ..: -1,, ltaia 4vron tray or 'AusI.larp, 1952' ana kno,Vledge and beller. l 'true, and correct to t120 beat-of-our r yR r PISCAM E44INEE4UNG COMP By r so ly enne Registered Engineer ,45 Registered Surveyor At Ord"!r No. 50473 For: John V. Chri sti.e F, 13. No. 1624 -45' WE HEREBY this 18th CERTIFY': That day 'August, the atlached Sketch of* 'Survey has been revised -knowledge of' and belief. 1.972, and, is :true and correct to the best.of;,our 41SCAYNE ENGINEERING' COMPANY BY Pres. BENNETT R gi stered• Engineer 1`145 Registered Surveyor x,46 STATE OF FLORIDA . I • I { . ,4 ail,/ , I 3� i 3 � +x5 A � J l�. p k S 9 t y i r yR r � l pz ,i�.Ta'k N �x 3 �. ,Z dp�£,� ;�.. R "s'{� r1 a i ^:k. "i 31 11'^ i � V• � l n, l" � ' R, � ... � . rant. ,Nx�^'�+ «ra�.PeYit'�`b:.k�yh 1 T /-7 2- 9 14 ,. `` • I • .. (:., • � � is 50. 0 i • (%0- f. ��� ��, .� M1.5 16'• •� / ?.' .�8 /9` 20 "� 2/• 2� .j z3.�� - `� � e IN t ' 10�' "° ST hF i SKETCH OF �UliVLY ' Lots E and 7, `B1ock 12, b:IA; .T. SHOIRFS, section; No. 1, Amended, aecc+ra- F ., ir�T to Plat Book .10, a t Pare• 70,i of the Public RPaord;- of lade.cour2ty, } 'i .Florida. � , •. For �. H.. Dj 1 e Miller, Jr, Shirley ; J.• I a c e 0.1 or Order It7460 Civil. F:n�;inecrra Fe ,' -'In1v ��. B• �f5'�►,:'6 Mlaml: Florida Scvlea shown t } ifE HEI i1:BY C Z h T IFY:.. That the 'Iattached "SK1�'.TCii- OF SUJ VL'Y" of the' :">bove 3csCriY)ec1 proporty is ti•ue ord correct to the be-It of our And kitali6`t' au Surveyed t,t'Is 7th Oay of J,obra,aar;•, 1911.21 Ona p.1I t'tt-cl F', 1 under our direction.; that* thera are no encroncl- ime,tm. f ,M i F31 ;CA IPJLaA'xti?'N. CGr�P.giVa'" �`u� + B u-... v e G Y qr i r1e .3tered E ngineer F ,, ,Istered 5u,rvo��or #46 r STATE UF' k'LOIiIDA z 40��� F-I 14 . 5 b T'Y rd ... >. ?�.i, -a' , : .a .m: i'�'.'.te,i �.x ; :.:...] .i a�, -.�r ^; 0c�',"a v.t�,�{+F# a .•��: T ;<aa'e `ddi.�'� "k�"'g-x�: r- ... , a .. . >..-.o i. ..'x.• -.- .t�,. L'�, . yr �t,� y'`.'.,�? 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 oaf 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 pNgress of the work. W Date _. ... »...19.. 7 Owner's Name and Address ... li al r�'. �a. d...... .��-— .... ... ......... »._ »...._. No........— Street........_.. ».»...... . Registered Architept and/or k;rlSint'ei...Cl. wag,. i,+....».G.»... 4:ir :t:frriE: :� »P..,- ,,..,,•1.? revue .• .:5'i: re :..g Name and address of licensed controctor.. Q_VA I!AN *.P... ....... 1�.� ... ._ .r ...... » .... ».._»..... Location and legal description of lot to be built on: Lot-6!L7 ..._ ....... _......... Block ....... E2 ............ _ Subdivision.- P....%&P I S.yAB ,gE�c s� _._.5 ._.......» ......... _ ... Street and Number where work is to be ��+�.. ..»»» ._... ».. ». »....._»_ State work to be done and purpose of building (by floors). C & :S_ . _CA ..» T _SS6 .lx.C_ N - ..�CJY. I Tn O W _ ......................»» ».._ .»...._ F.... _ ....................... » »_.. ............. . ..» .. »» . ».. ».» .».»...»»... —_..and for no other purpose. New Building .............. .............. . Remodeling ... _.. .......... ...... . AddItion...... :_ . Repairs................ .... _.. No. of Stories...... To be constructed of... ......... Kind of foundation.... ........................... .......... .... RoofCovering._T/�!4.. r► � RAVEL .. ®o Estimated Total cost of improvements $y9 0..._.....__.....__ »_.....Amount of Permit $,.__� � »..... Zone cubage required.- ........_...... ......... ....... _ .... ___- -._— .Plan Cubage.._ .... _ _.._... »_ . » ............._ _._ Distance to next nearest building ................................... _ ..._. ...... __..Size of Building Lot.... - P-A... LI-S........_».. ......................._......_ :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... Al. CS...V. A...... CONS .`1....C.p4.@P._ ........ I 44W'�.. ................... ........ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent Supplenient, 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, k to be performed under this permit, as are licensed by Miami Shores Village. Remarks .... ... .... .......... _.. - -- ( Signed) STATE OF FLORIDA, �. !f V COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared.._._—.__ ------ --- -------- -- ----------- _- . . ---------- - - - - -- _ _ _... .__ -_ _. ___-__-..... __.. ............. _...... _ _.._.._ _ _. ---.—to we well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ .._ ............... _ ....... .--- .............. ...... ___ ...._....._..._.._._ of the above described, construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ' Date. Read, Sworn to and Subscribed before me. Disapproved Date ..... . _. _ ... ---- --- ........_.._ ................ B' / Notary Public, State of Florida ( Signed) — —_.... S .. .... . .... � ........ — Building Inspec My Commission Expires. .�..»..... LANNING 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 hero obtained from the Plannin; Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notices for inspic-tion or faulty materials and /or workmanship. e� R� j)Y /®" A 'qti o �► Z 7$° to q ®,St x (o � �a t , MIAMI SHORES VILLA13E BuiLDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application e ad a he de statement of the plans and specifications herewith submitted for the build- ing ado in compliance and conformity with the Budding Ordinance of Miami State te 0 t s of is 7m Laws S f Florida all ordinances of Miami Shores Village and all rules and ; I cat' the '�s e h be comphea with, whether herein specified or not. A copy of approved is h 0' f another oin ,1pr; application tl ap r m for e e de T p a Florida, F Hda and a, of p �10 provisions e 0 Shares V. B D Shores regulations ng i i m f the I Division of Miami p bo must pt t building g d ng pro ss of and ca ns kept a t n during e the work. Owner's Name and Ad�lress ..... Date____��Lcl,31 20th .. . . . ........... 19.57- gyn q-Dj _LQ3 g..§s p L . . . ... . .... . .. . .......• .•. ................ . . No.-.-5!k - -.2.,street ..... 2 ........................... Registered Architect and/or Engineer.-JIJ.Heredia .......... I --------- - ---------- - --------- . . . .. . ............................................... Name and address of licensed contractor ------ heridian Construct i on- Co ...... .'�me _._ 1,T! ami Location and legal desc 1ption of lot to be built on: ------- - --- - ---- Blo&.____J 2-------- - - - - -- Subdivision.-Miami Shores Villaao - - --- - - - - --------------_------- - -- Street and Number whexe work is to be done---- ___1.L ..!_T . E. ... . ...... . ..... State work to be done and purpose of building (by floors).—.13as..-Sinli. =Irig ... . .. . . . .. . .................. for no other purpose. New Building ___- __A_J ... ......... Remodehug. ......................... Addition .......................... Repairs ............._.........__. No. of Stories ....._._........_..._..._. To * be constructed of .... �aucrateKinO of foundation_.._.--.- .............. .- . ........__...___....._..... -. Roof Covering ................................................ Estimated Total cost'of, improvements $.24.9Q_Q..Q0_._______Amount of Permit $ ......... — - - - - ------------ - --------- - . .................. . ........ Zone cubage requiredL�.__________.__ __----_Plaa Cubage________...___ . . . .. . . .. . ........... . .. . ... . .. . . .............. ............ Distance to next nearest building ------- _._-_-Size:of Building Lot__] r 'la ... Z__115 . ___._......... »_._...---- -•• -.- Maximum live load to he borne by each floor I hereby submit the plans and specifications for said building,.. AR -notices -with reference to the building -and its construction may be sent to—Keridian Construction Qojp _.p " 11 b W i. .......................................... The undersigned a1pplicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Flofida 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 actors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the siMstuelthp, k such Public notice or notices as are required by the Act. The undersigned agrees to employ only such bco on wi performed under this permit, as are licensed by Miami Shores Village. SU405acto'rs, 91 Remarks (Signed) ze—0 �45a�� STATE OF FLORIDA, COUNTY OF DADE,1 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, !�nj; by m duly sworn, upon oath deposes and says that he is the - - - ----_-------- ___ . ........ . ... --- - - - ---- . .................. ....... C e by first of the above construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated ae true. Permit No. Date Read, Sworn to and Subscribed before me. Disapproved Date ---. _ Notary Public, State of Florida (Signed) . . . .................... _.__ ............- -- -- __......_...--- -- - - -• -- Building Inspector My Commission Expires ......................._...._- .. »...- ......._..._..._..... -• PLANNING -BOARD—__ ------ ----DATE Chairman- - - - - --------- - - -------------- Member _ ._ _._...._._._. -._ __...__-_._.-.......» ........__......._.____...___.. Member Member - - -- - - - - - ----------- - ---- Member .. ........ Member Council Approved—, --Date Disapproved ---------_--- ------- - ---- --------_-------------- Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board A re-inspection f of 1$1.00 will be charged when such re-inspection is made neces sary by improper notice for inspection or faulty anshi materials and/or or ip. I MIAMI SHORES VILLAGE, BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plate and specifications herewith submitted for the building or other structure herein described. -This application is matte 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 heauin specified or not. A copy 0 approved plans and specifications must be kept at building during progress of the work. Date eJJ 4 !� Owner's Name and Address CD / / e_ e_ n `-1 ,X Nam Street W.C. , V 1 0 3 "S$1'76-ee_� Registered Architect andlor Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Btor Subdivision C. f Street and Number where work Is to be State work to be done and purpose of building (by floors), state exterior colors (submit 1a� ep Tb be constructed of Estimated Total cost of improvements 5 Kind of foundation Roof Covering 6 m Ue O 0 4 k el'a Amount of Permit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Maximum live load to be borne by each floor / I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to 51 The undersigned applicant for this building permit does hereby cntify that he understands and accepts his obligatans as an employer of Labor under the Florida VForkmen'-- Compensation Act. being Section 5966. Compiled General Laws of Florida, permanent Supplan -a. 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 ass required by the Act. The agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village,,C q �, ; Ramarks i Al' / c ' 't 4 rex % 4 Signed) �I € 1• l STATE OF FLORIDA COUNTY OF DADE. as' Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. ley ,apleared to me well known. and who. being by me rust 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 as= and that all facts therein by him Mated arkrue. Permit No. C��oc f® Dated` Read. SwariLto and Sub .b Disapproved Date p �P, Nom' v99Y (Si gned) 8 THRU GENM4' '""'. UND, Building My Commission Expires DOW PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 625.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- dnspectiou is made necessary by improper notice for inspection or faulty materials andlor workmanship. X54 S reef l�1:a hors C�3 138 October 28, 1983 Ms. Betty Jensen Miami Shores.Village Council 10050 N. E. 2nd Avenue Miami Shores, FL 33138 Dear Ms. Jensen: Although my recent experience with the Building and Zoning Committee and the Village Council was abysmal, your support at the council meeting was deeply appreciated. As an eleven year resident of Miami Shores, I feel committed to the area, but am shaken at the approach of the Building and Zoning Committee in particular, and with the lack of good judgement on the part of some council members. I have not chosen to take my particular zoning issue to court, although I have been advised by many to do so. I am asking that you replace persons. on the'Building and Zoning Committee so that that committee does not penalize.its own residents. It seems to me that the underlying reason for a code is to assure beauty, function and the upward movement of property values in our community. My request would lead to the improvement on all three counts, as well as to help insure safety and acces- sibility to my own home. When a Building and Zoning Committee is as narrow in perspective.as this one, eliminating common sense as in my case and another which was heard at the same meeting, it no way protects its residents. Upon my leaving the council meeting, several residents came to me and asked that I contact them if I requested reconsideration. I had similar requests from groups of handicapped individuals who are deeply concerned about the Village's attitude toward access to one's own home of persons who are handicapped. .I am frankly embarrassed about the mentality of our own Building and Zoning Committee and wish to minimize publicity so that our problems are not county and /or statewide. I can assure you that those many persons visiting ray home are initially horrified and later amused at the Miami Shores mentality. I found you to be fair at the council meeting, not only to me but to the representa- tives and Mr. Grosser. Without you, the representatives of the gas station and the grocery store would not have been heard. Please let me know if you are interested in re- election in the future. I will be most happy to work.for you and to encourage residents to get to know you and your views which I support. Again, thank you. I look forward to. working with you in the future. Sincerely, Colleen Fix CF /scc cc: Bob Stobs / .r . -,ft� Miami Jbores'Yi lage F L O R I D A PLANNING BOARD AGENDA OF �O Vrr ,� ��� � ITEM NO. 104i%'6Wz .d Name of Owner/Applicant CA1. -1-�St4 Phone No. 11+ ► Z W-M 44 Address of Property, and /or Legal Description` Nature of Request KPP Roy - ®'- PAYS A5;% -r P1 A AS Present Zoning lk— 5 ,5,5 Area of Present Buildin Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition_ Setbacks as per Code 10 1 ro5P'f. Setbacks Provided t, i1 Variances /E N PAftA104'i r--NCP0W1V--9 131570 "�UIUD Oft SOTIMM (SW *0% * ®T VIAO4A- r10,49) Council Action Required 16-S Date of Applicant Notification Planning Board Council Action ov�a� Director of Building and Zoning r OL a , to ;) E R 1S5`J. `�E tiS1E� 1Ca "RE�AAS�'4. # ' i •f� +C�.�' �� 41 I�R� '�CEI AC10 ti4iS Y Ee ��St�UtNf, t0�J. ' C PLIEDCibi�f. we �r = SUS?�rs iA.t±rl1 b: C:'�t�t -1- ,i CHARLES C. MITCH L , CONSULTING ENGINEER i�- •�"• .:_ _. .. 187-1 N.E.1571h ST. NORTH MI ��1 t O�,,� �7L. 11 1181n r� PAP "EACH, FLA. � � � TEL. 925 -0202 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address NI-44 �/l Ezx No. SY StreetAlE /0-3 Registered Architect andior Engineer �° Name and address of licensed contractor ogM / bRt MT Location and legal description of lot to be built on: / g q &4ce/ / Lot A Block! � ,sS�ub�d-iiv vision ®�/ CI P% %�/ // I J IG ed Street and Number where work is to be done 10.3 .5 r �4 D State work to be done and purpose of building (by floors), state exterior colors (submit samples) —0 �X�'�n� ®/0k— and for no other purpose. New Building Remodeling Addition Repairs No. of Stories — 7b be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ /,706.'22' / v v Amount of Permit $ 13 d "' Zone cubage required Distance to nest nearest building Maximum live load to be borne by each floor Cubage of Building I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) ed) STATE OF FLORIDA COUNTY OF DADE. } as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. �° oo' Date °�` ® Read, Sworn to and Subscribed before me. Disapproved_ Date c� � Notary Public, State of Florida (Signed) �1 Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been. obtained from the Planning Board. A re- inspection fee of $26.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. IWO", 4 w , I IRW Boom V ,. 191im & ;ate 0 R Lot t lam' . At : 0 R Lot t �77 low 40 A31 A3 r 4 im jo; too *AU & f Imo► WIN powao ru►a �a s a. &• 3d:t t Rmwilta A& 'Pogo 41 LOCATION 54 N.T. 103rd 3'tx'edt Z 7- R D : PAID BY YEAR ANNUAL TAX . PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 1941 ci 1942 • �o nl — 3 D .9 710 " d 1944 1945 s d• 1946 CI til h 1947 ; O ® / - Q 1946 ..O G �! it i. 1949 rr rr rr 1950 r�^ /�'.��' r`�_ l% rr �" �Q !� 1411 O Ivzsl�n "� Subd- �icre Street -:- No.'''. Edda or Phorrle ( eri8 a. Qggt .., i am. Phone nequa _ Flit 4estric n Checked- by r TO Planniri _Board' .�,. ... i• :� �: A.pproVed a ec ed Ubmit pr Ted Re�eet�d Sp Od Checked by Y •+` Q; V V ®;. r.+s+°✓� �' _ C E i,�T, p ` gr�ry�+� ..r r(y�7 &�:,. � s��� ./� J,/fy�/� �,.�j�Z�^'�}tIy''.}�.� 9•�' Bg0Q1 "•. -:bi arr� li: ~ F!•-.�ri+_Bt� .B 7�p��y �w /,,/�.,r - /�/^'� • • VvF'1��}p�i/,y•(yi3 aui�. �,/ ee t� Roaf `«'�}.�}_'',�S�sA ""v'9Y� W YI { �.�Pb""F�'w.i+,�'.��+R�'i' Ct �� l7fd�k7' ,at:. �`� � ��• ',� �f^!-_�- .,y � _ ��jj'��V''Li+� ' S e t 1 c-Tank ri s (0-1 N < - . y� SAT .. i - �1..�. .. ♦ Y .. s � -a _ ._ tea• - .._..,l, fi .. r e' .W�� . ��t - e-. a+te ..,.y.. 'p .. ap : 1 a 7 q y�'[ EIecti r• . �' d, .d .... �.e.......� $ x� •' .-a .rr d _ _ . 7- tt p'd. ' `L � J >! � • .a.a.e�vrw.r. iiotor 0 _ � d'O�I�'i.c�+.�r...r�u�+itR� -. � _ _- -- � . -- — —s. "q OK ^97� 1'"7 iew looxrstructioSi u�im l. . R.-� 0- Tnspa &, r 3; Pit al- I @any�� Pluting` Trisp'ects ;Dad y R =Tnsp Bye e I p� By. Zotght?:ng Fixtures. - -. aaw ®r Solar Heata iUal..,Gertlfzcate �l eetrl cal - Inspee � � i3a t i� w By Roughing FF s affixttur. A. _ _ V i" \/ •l V •v V' K to F w"6r ,y •sYR � i ' .. 'dT :. ^".'w�..Wa. nie, - � "�� p to "101% / ` OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. 1. PAY%L-SAEH __ 54 N.E. 103rd Street JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 54 N.E. 103rd Street ) 667, I X12 M nm7. Shores Sec hr i GENERAL CONTRACTOR ADDRESS PHONE NO. LICEIySE NO. CRIDIAN CONSTRUCTION COOP. I 10600 N.W. 27th ',_ve -- -- BUILDER'S BOND 5962 8-22 -5 O d `" -22-57 BUILDING PERMIT NO. PMT FEry . DATE Geg -T tAd liXLUf �1� 56 ZONE REQUIREMENTS CU. FT. PLAN CUBE. CU. FT. 700 EST. COST S 29900 DATE T DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C. H. MAML I TYPE I STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION NEW CONSTRUCTION - - s DESCRIPTION REPAIRS. SWM4ING POOL ADDITION DESCRIPTION ALTERATION ADDITION APPROVED REJECTED REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING HOARD � RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL ~� I 10T7 CERTIFICATE OF OCCUPANCY NO. 1SSUEl BY T( BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE BUILDING INSPECTIONS 1N11PECTIONS D DATE B BY R RE- INSPECT B BY R RE- INSPECT B BY OUNDATI'ON rBEAMS & LINTELS FRAMING I ING N r PLUMBING PF!PMITA Re tIV4PF["YtnPetC CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG, ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR _ �1 • � G�i ��"a SA.JC PC—* ( — -, 44ON9 ERMIT NO. (10 0 DATE o '�—O— FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. / $ MOTORS L.. A 4jnv Pay FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY i TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR _ �1 • � G�i ��"a SA.JC PC—* ( — -, 44ON9 ERMIT NO. (10 0 DATE o '�—O— FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. / $ MOTORS L.. A 4jnv Pay FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY i TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY APPROVAL TO POWER CO. FOR SERVICE DATE BY TOs THE PLANTING, ZONINGA BUILDING DEPARTMW: Miami. Shores Till.ageq Florida eI hereby agree that the pool being constructed on.mW property at will not bey filled with water until the proper and legal enclosure has been erected around such pools and final inspection made and pool and enclosure approved# and said enclosure will be erected simultaneously with and prior to completion to the pools and in accordance with the plans and specifications submitted.0 PROMS NO* Owner BUILDING [I ELECTRICAL ❑ PLUMBING ❑ 300FING ❑ EJ Dwner of 3uilding MIAMI WHORES VILLAGE, FLORIDA 6 1?J DATE 195 PERMIT N? 5962 Contractor's License No Work to be performed under this Permit 0 + _ architect} lontractor )r Builder ,egal Lot Description Bl. t . Subdi- vision kddress of I Value of Amount of uilding ' Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge, of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he'tesst},nes responsibility for work one by his agents, servants or employees.., Signed: BY: — - -- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 BUILDING ❑ ELECTRICAL PLUMBING ROOFING r MIAMI SHORES VILLAGE, FLORIDA 6092 DATE 195 PERMIT 111 �T ? 2 Contractor's License No. Work to be performed under this Permit _. Owner. of Building Architect Contractor or Builder Legal Lot I Subdi- Description I Bl. —- vision Address of Value of I Amount of Building Project $ I) Permit $ ' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kgowledge 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. .n r i Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194— ELECTRICAL PERMIT NQ 3596 Contractor's PLUMBING License No. , Work to be performed under this Permit Owner o Building Architect Contract, or Build( Legal Descripti Address 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 iplication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance ;.th any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may it, oked 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 which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and e 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- )ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. °t F 1.0 O r CONTRACTOR OR BUILDER BY AUTHORITY WARNMG: This Construetioa may be in viola ►i(m of WS; — -- - - Production Bada &eneral Bad ;qnt at:ons 0 -fser i. You are cauttowd to consult your War t'roruciiotl - duard o" ore starting IM work suthoriied ip )r IslrAlii. r Lot BI. Subdi- �n vision ) f -- Value of Amt. of Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the iplication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance ;.th any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may it, oked 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 which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and e 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- )ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. °t F 1.0 O r CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT Nn 4789 PLUMBING 4i Work to be performed under this Permit_ Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Riiildino Subdi- vision DATE a, 1 194 Contractor's S License No. :4 t r: 1 00 Value of II Amt. of � i � Project I Permit r This permit is .granted to the contractor or builder named above to construct the building or to install the equipment or devise described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: — By INSPYC R In consideration of the issuance to me of this permit I agree to perform the work covered here der 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 permi I a nine `responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY L AUTHORITY BUILDING ELECTRICAL PLUMBING _ f f Owner of � ,� Building v MIAMI SHORES VILLAGE, FLORIDA PERMIT N" 4924 Work to be performed under this Permi Architect Contractor / or Builder Legal Lot Bl. Description r:. Address of "` " 1 ' Value of Amt. of ":....�..+' i 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plus 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. orrspecifications and that he assumes respon- sibility for work done by his agents, servants or employees. !+ a Signed: • By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with,a ordinances and egplaPons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami She 69"Viflage. In accepting this permit I assuftie responsibility for all work done by either myself, my agent, servant or employee. Subdi- vision 07-1 Contractor's License No. t 194 CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA NG DATE 194—' A PERMIT N. 4999 EL TRICAL Contractor's License No. PLUMBING Work to be performed under this Permit�1�+L -� Owner of Building Architect -4, Contractor or Builder Legal Lot Bl. Description Subdi- vision Value of I Amt. of 0 Project Permit This permit is granted to the contractor ol builder named above to construct the building or to install the equipment or device des rib in the appli- herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and :ions pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- 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 ling thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities'of Miami Shores Village. epting 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" 4952 Contractor's PLUMBING License No. _ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of I Amt. oY ` Building L ` ' • "'r t y Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment on device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER �/ I� BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194— ELECTRICAL PERMIT N? 3058 Contractor's PLUMBING License No. Work to be performed under this Permit Owner of Building -- Contractor or Builder _ Legal Lot II BI. Subdi- vision Address of II 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 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 AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT NO, 3069 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner o Building Architect Contract( or Builde Legal Descripti 194 f r r Lot Bl. Subdi- vision on _ Value of Amt. of Project Permit Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT NQ 3086 Contractor's PLUMBING License No._. sT Work to be performed under this Permit Z/ Owner of Building Architect Contract( or Builde Legal Descripti 194 .. e Address of i`� Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employe 'es., ,,/ Signed:. By— t,' 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 �r r r, on j Lot I Bl. Subdi- vision ,..: h Value of Project Amt. of Permit � Address of i`� Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employe 'es., ,,/ Signed:. By— t,' 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 Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 4789 Contractor's License No._ 4 Work to be performed under this Permit Contractor or Builder Legal Lot II Bl. Description Address of Subdi- vision 194_ Amt. of Permit i ,.•� "� This permit is granted to the contractor or builder named above to construct the building or to install the equipment or deviee described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: — By INSPECTpR 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 194'-- ELECTRICAL PERM]"-[-' NY 3088 Contractor's License No. PLUMBING,P J i Work to be performed under this Permit -+ Owner of Building Architect Contract( or Builde Legal Descripti Address Building This permit is granted to the contractor or builder named above to construct the building or application herefor in strict compliance with all ordinances pertaining thereto and with the underst with any plans, drawings, statements or specifications that may have been submitted to and approved be revoked at any time if the work is not done in compliance with such ordinances or if the plans a upon which this permit is granted is the understanding that the contractor or builder named above re the ordinances and regulations pertaining to the work covered hereby whether shown on the plans that he assumes responsibility for work done by his agents, servants or employees. . `Y to install the equipment or device described in the anding that the work will be performed in compliance by the proper municipal authorities. This Permit may changed without authorization. A further condition umes the responsibility for a thorough knowledge of ��ings or in the statements or specifications and oignea: z r n 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 AUTHOR TY )r r Lot on Bl. Subdi- vision r� Of Value of Project Amt. of Permit to install the equipment or device described in the anding that the work will be performed in compliance by the proper municipal authorities. This Permit may changed without authorization. A further condition umes the responsibility for a thorough knowledge of ��ings or in the statements or specifications and oignea: z r n 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 AUTHOR TY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 19,4 ` ELECTRICAL PERMIT N° 3095 Contractor's`a r' PLUMBING License No. Work to be performed under this Permit Owner of Building 0 or Builder , ",!' Legal Lot s Bl I� Subdi- Y vision Address of f f s , Value of Amt. t yl !`` Project Permit Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. . z Signed: eE °r r 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 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194 ELECTRICAL PERMIT N° 3448 Contractor's PLUMBING License No. Work to be performed under this Permit Owner Building Architec Contract or Build Legal Descript of WARNING- War Production Board General limitations Order L•41 t v_.. are Cauti W11 D. 4 � .�vi-- r:lsF —ri d�?Q or Board office before siart;,;g it a wo. i; a.1t:!o z er this pennit. Lot Bl. Subdi- vision ion of Value of Amt. of Project Permit Address Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 Address Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 Architect , ontractor or Builder - Legal Lot MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ❑ PERMIT N? 15609 Contractor's ❑ License No.- F-1 Work to be performed under this Permit B1. Subdi- vision Address of Value of Amt. of s,' Building Project $ Permit $ "I 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. 195— Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect - ontractor or Builder Legal Lot � MIAMI SHORES VILLAGE, FLORIDA N F I DATE E PERMIT NO 10743 Contractor's ❑ License No- Work to be performed under this Bl. Subdi- vision 95 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 AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUWING ❑ DATE ELECTRICAL ❑ PERMIT W 12032 Contractor's PLUMBING ❑ License No— ROOFING ❑ Work to be performed under this Permit Owner ( Buildinc Architec - ontrac or Build Legal Descripl Address Buildinc 95 �f r £ for er Lot I) Bl, Subdi- :ion . vision of Value of II Amt, of A, I 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. �t_ 3 yx TT 3 A.. ,`�#1arcyi.n'..rwryi�llypW�,. 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 ALMi )Rri7 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N° 3130 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner o Building Architect Contract( or Builde Legal Descripti i&-z f r r Lot on Bl. Subdi- Project Permit Address Of Value of Amt. of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the pplication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance ith any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may e 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 pon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of he ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and hat he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- 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 BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Dwner of 3uilding krchitect :,ontractcr x Builder Legal Lot Description G ■ MIAMI SHORES VILLAGE. FLORIDA DATE 195 PERMIT N? 6065 Contractor's License No. _ Work to be performed under this Permit ter°" �r Subdi- vision Address of Value of Amount of 3uilding _ Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed In compliance with any plans 3rawings, 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 3one 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 ordindrftiLs and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications subrrylted to the proper authorities of Miami Sh Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servantdbr employee. CONTRACTOR OR BUILDER BY AUTHORITY s 1,k MIAMI SHORES VILLAGE, FLORIDA BUILDING ' DATE 194_ ELECTRICAL PERMIT N° 4999 Contractor's License No. PLUMBING Work to be performed under this Permit Owner of Building I Architect Contractor or Builder Legal Lot II 131. Description Subdi- vision Address of Value of Amt. of Building a Project Permit f This permit is granted to the contractor o builder named above to construct the building or to install the equipment or def7ce des ib in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comiance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the- responsibility for a thorough knowledge of the ordinances and regulations pertaining-to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: — By:, INSPECTOR i 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 ELECTRICAL PLUMBING Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA PERMIT N" 4924 Work to be performed under this Permi Contractor or Builder Legal Lot Bl. Description Subdi- vision DAT Contractor's License No._ 194_ Address of - _ /' r Value of II 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. - M- 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 oy.employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N? 4952 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner of Building -- Architect Contractor or Builder _ Legal Description Address of Lot Bl. Subdi- vision Value of - 194_ Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: — By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the►.work*covered° hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA ,..., BUILDING DATE 194 ELECTRICAL PERMIT N° 3596 Contractor's PLUMBING License No.. Work to be performed under this Permit Owner of WRNING: T "is Construelion may be in violation a# Building Waf Ploductlot, Aai(i I «ItEra +?�itatrQnS O .cr i. YOU are i.at�l!4r.,:d to consoit your War prot:JGti9# Architect Contractor ar ores Wort starting ti s wodt authorized In � or Builder Legal Lot Bl. I vision Descrintion vision Address of II 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 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 44 1 e l • 1 •� Work to be performed under this DATF. 195 Contractor's License No. 1 Legal Lot I Subdi- Description Bl. vision Address of Value of Amount of � 'Building _ Project _— JJ Permit a 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 sta�pments or specif tatitins 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 heretinder 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. ��wimn x lvm�D nn ni ili nni�! T�tl A TTTV/1D TTV a BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, PERMIT N°- 7685 FLORIDA DATE-,. 19 Work to be performed under this A rAi tart i Contractor or Builder Legal Lot Description —_ _ I B1. Subdi- vision Contractor's License No. Address of Value of:. �I Amount of--� Building Projects I Permit $ ~�~ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: __ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 50T a PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenge • Miami Shores, Florida 33138.305- 795 - 2(2,,,04 Date +%� Job Address � I l S 1 Tax Folio _ 3 `� - -�s — i (oO N 041 5* 5 I A-r T Cp i o -9r0 Legal Description Historically Designated: Yes No Lk 'f-1 H . A Master Permit # A Owner's Address I�lr ��a �(�K1� Phone Contracting Co. 3-3t POT _T% -,—, itJ &OF—t Address I Qualifier / t SS# State # C i — C 0! Vag Municipal # Competency # _° `TS G -7 —JX11 A- ev hnne,�Jl.��� lrJ'i IV0f — "J Ins. Co. ?`7'� iV S, IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL OOFIN WORK DESCRIPTION: C i rrm � 3 "Ilx 1 PAii (s H t S G�► L -rim SQ t S OF 1; m ob in lS F"Lq;T rcyo-F FLA- h � " Square Ft. 1 O'D -s Estimated Cost (value) /s, 0S 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 stag XPiRESJVL 11 2005 90" eokr Notary as to Owner andh My Commission Expires FEES: PERMIT 3 i RADON APPROVED Zoning Votary as to Contractor or Owner Builder My Commission Expires Date C.C.F " :r NOTARY ( BOND t J TOTAL DUE-Jr' I (,, 1- fi Building / Electrical Mechanical Plumbing Structural Engineer Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Bnildin Electrical 2006 JUL 0 B Y.O. �► Permit No. P—C®(� 1 Master Permit No. Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 7✓c-t G A- SA_j C. HiE z Phone # , Owner's Address 5-g /Ow I 0.3 S r City t!!jcA,n.� ' Sho State FL Zip 331 v Tenant/Lessee Name I Phone # Job Address (where the work is being done) Sy Ntj City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 11 _31-,01 -- 610 00 y i Is Building Historically Designated YES NO oS 336 3/ ?'S d;515-0 Contractor's Company Name t- S J Cf--- Phone # 30 5 '7y f3 2 Contractor's Address 3 /J E -72- City :41% J C State Zip 33 3 6 Qualifier Name Phone # 36S 60 6 i %9 �53 State Certificate or Registration No. 4n L4 s 7 0 Certificate of Competency No. 21 ( S'2 °-5 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition ;[Alteration Describe Work: ° t?LA cC' k -r C-H A, Q0 - 6'.4 k- Phone # Square / Linear Footage Of Work: -� 7 s_f 6, ❑New X Repair /Replace CAoo1.jG --r S% Q_nLALE gp,-r4 Q ❑ Demolition TIC., , Tu, 0 l�e,t2rrilT ��ee is IOD �� B�— •�aodn, g k��cN __ Submittal Fee $ Permit Fee $ `Do D?i CCF $ t - 80 • CO/CC Notary $ Training/Education Fee $ c:),- (L)0 Technology Fee $ Scanning $ 3- C Radon $ DPBR $ ZOO $ Bond $ Code Enforcement $ Double Fee $ L ®V -0-- Structural Review. $ Total Fee Now Due $ 2C�17 - 9 C) )w Ue f;ee . See Reverse side -a 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 Age t The foregoing instrument was acknowledged before me this day of,., 4., , 20��, by�l°F who i ersonal y known o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoin instrument was acknowledged before me this -T day of , 20 6 by who is personally known to me or who has produced kofa ( as identification and who did take an oath. NOTARY PUBLIC: Zoning I' Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 JUL 0 712006 !7,;��)� ---------- Permit No. �� !06 Master Permit No. � A -C 'r- lie ev Permit Type (circle): Building Electrical Plumbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) �,)ug_ A- SOU C-0 &Z_ Phone # 365 33 6 3 tax Owner's Address Sy N i.J /o3 S- City t State Fc- Tenant/Lessee Name zip 33 1sy Phone # Job Address (where the work is being done) Sy NW /OS 5"T d-t?--T City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 11 -.-1 of- of ? -00`io Is Building Historically Designated YES NO 33 ( fo Contractor's Company Name . Er e r2Q j,p f �/� f /�'j �' Phone #� g S- Contractor's Address 2" Q! Q l r �-- r Cih State t~ ( Zip 3 3 f 6 Qualifier Name Phone # State Certificate or Registration No. C C, ' O Y 9 14.31 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ S- A _ Square / Linear Footage Of Work: Type of Work: ❑Addition Alteration [-]New ❑ Repair/Replace El Demolition Describe Work: T JS T�*CL I- NE k1 Toi t; zs �MNn r0o.n S, .i t� K t Tc (� c -t SP -r t Submittal Fee $ Permit Fee $/% CCF $ CO /CC Notary $ Training/Education Fee $ G , 47�� Technology Fee $ `"C"' . so Scanning $ S, � Radon $ Bond $ Structural Review. $ Code Enforcement DPBR $ Zoning $. Double Fee $ Total Fee Now Due $ (�q See Reverse side -> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip, Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: 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 coml4ncement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. �e �nc? s uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowl l dged before me this day of 20, by �AU-\ who i personall kno to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature_ A C--1 &/actor✓ The forego g ins /ent was acknowledged before me this—)- day of � 20C k,> by — who N' ersonal y known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Lf Sign: Print: Print: My Com Oon Expires: / My Commission Expires: MY l APPLICATION APPROVED (Revised 02/08/06) gio $SION I p0 Engineer Zoning R _ Miami Shores Village D Building Department JUL o 7 2006 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Y. Tel: (305) 795.2204 Fax: (305) 756.8972 _ - - -- BUILDING Permit No. PERMIT APPLICATION Master Permit No.960G "'{8ckt FBC 2004 Permit Type (circle): Building Electrica Plumbing . Mechanical Roofing Owner's Name (Fee Simple Titleholder) J-J L i s A- S A•J c H E Z Phone # 3aS 3 3 6 3 189 Owner's Address 5-q /0 3 ST City State Tenant/Lessee Name -FL Zip 33/y o Job Address (where the work is being done) 5`4 ^j e.J 10 S 6'T Phone # City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 1 i" 31 - 01-0100- - po 4 o Is Building Historically Designated YES NO Contractor's Company Name_ ,�,Y•�� C Phone # Contractor's Address `l 0_-) &.j I- L+ 3.31 S o City jt! State_ l Zip 3 -51 Qualifier Name Phone #_ State Certificate or Registration No. C ®o ®A Certificate of Competency No._ Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit !r 1,0 -0 `'"'� Square / Linear Footage Of Work: Type of Work: ❑Addition Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: �?v 1 ��� i. 6 •r ,'i * * * ** * ** * * * ** * * * ** * * * * ** * ** Fees************** * * * * Submittal Fee $ Permit Fee $ CCF $ 1.2-0 CO /CC Notary $ Training/Education Fee $ Ci . °' Technology Fee $ Scanning $j.0:�i' Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -a 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 [-A 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The forregoo g instrument was acknowledge efore me this day owl , 20, b C. who i person lly known me or who has produced As identification and who did take an oath. Signature 21 �f Contractor `" The foregoing instrument was acknowledged before me this ,7- day ofl-0 ��, , 20 041 by � A ll r , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI JUAN CARLo$ FiODRIGUEZ w: MY COMMISSION N OD 355174 Sign: g r` Sign: ��` �Q ,�V` " • EXPIIES:OMOW23,200f1 @nndOd Th N01a P i Print: Print: My Commission Expires: EE�RpW1T2 t 34 My Com ssion Expires: gX # DD EXPIRESMec"ae�""nare i uj• BedThN APPLICATION APPROVED BY 7,%/ ns Examiner Engineer Zoning (Revised 02/08/06) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel 756.8972 BUILDING JUL ® 7 006 Permit No.�� � _ 16 PERMIT APPLICATION BY. _ --- _ ________ Master Permit No. FBC 2004 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) TQ 11'e Phone # a,)s ' 33(o Vim"{ Owner's Address City State Zip Tenant/Lessee Name phone it Job Address (where the work is being done) '= A ' y V k j Lin S+ City Miami Shores Villaee County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name LES & j \� f �C Phone #" -7 Z L. Contracto 's CM �"} j A- NE 772— IeY-r. , ,�� City � C 1 1 � State i"— I Zip :Eta Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 1 Type of Work: ❑Addition QAlteration Describe Work: DOCDOIS Phone # Certificate of Competency No. Phone # Square / Linear Footage Of Work: [-]New XRepair/Replace ❑ Demolition -e 14T12 -(4 0ge- .2 Submittal Fee $ Permit Fee $ 20 00 CCF $ © CO /CC Notary $ Training/Education Fee $ 0• ZC' Technology Fee $ 3. C Scanning $ G5-�, . Ci (::: ' Radon $ Bond $ Code Enforcement Structural Review. $ DPBR $ Zoning $ Double Fee $ I Zn 0 Total Fee Now Due $ See Reverse side —� T)ooke C—'e-e 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 approvId and a reinspection fee will be charged. Signature. Owner or The foregoing instrument was day of , 20 ___, by ledged before me this 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: //0 ° Plans Examiner Engineer Zoning (Revised 02/08/06) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical gE® AP 1 F 2004 Permit No. k402) 4-S3 Master Permit Ni Plumbing ecTa Roofing Owner's Name (Fee Simple Titleholder) 17)Qi/ [7 P60h05 Phone # Owner's Address ti 1 City /A S �t" � State Z- Zip :?> -�3 � Tenant(Lessee Name "^ Phone # Job Address (where the work is being done) 5* K )no 6-y-1 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address s`i'c City 1 Qualifier. State Q,Y7 Architect/Engineer's Name (if applicable) 0 $ Value of Work For this Permit Type of Work: ❑Addition 44?lAlteration []New Describe Work: Phone #��" g a7-77 / Square Footage Of Work: ❑ Repair/Replace ❑ / 1 Submittal Fee $_ Permit Fee $ CCF $ '' CO /CC Notary $ Training/Education Fee $ G Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ I f Total Fee Now Due $ Uf (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 52500, 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 4ich occurs seven (7) days after the building permit is issued. In the absence of such posted notit�e, the inspection will not be a roved and a reinspecp6jn fee wily charged. i Signature or Agent The foregoing instrument was acknowledged before me this / 4® day of A�� 20 oy "/-/0 RcQnQJ , w s personally known to me or who has produced As identification and who did take an oath. NOTAR o;zk /�e�oN �e6p�9 na41 rapuiig s Sign. Print: - -� l (PI, Al My Commission Expires: Signature Contractor The foregoing instrment was acknowledged before me this / day of a&-, 20 by w who has produced as identification and who did take an oath. NOTARY PUJ& ao Ned ng iu.� Gapuo ,�; a� °a1d Sign: ,�y,, ,�, Print: ', '/ �I ✓ ee My Commission Expires: (Certificate of Competency Holder) State. Certificate or Registration No. C� �'% Certificate of Competency No. APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Chc 12/15/03 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit No. %AC°WO 4'Slf Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical /' Roofing Owner's Name (Fee Sim le Titleholder) /il ��' �� Phone # � /�6 Owner's Address City► ► I%-A State Z- Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address 5) `. City Phone # +�74 0077? / / Qualifier. Architect/Engineer's Name (if applicable) Phone #, $ Value of Work For this Permit 0 • 00 Type of Work: []Addition CKAlteration j ❑New Describe Work: W ) re —3 r 4) Square Footage Of Work: V ❑ Repair/Replace ❑ Demolition /1 �,(,�& -a— SubmittallFee $ f50 ,W— Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ S C1 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Total Fee Now Due $ .._ J • —� 6 (Continued on opposite side) 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 .4 . 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 ap oved and a r nspecti fee will be barged. Signature r'I Signature Ow er or Agent Contractor The fore ping instrument Aas acknowledged before me this The forego' instrument was acknowledged b ore me this day of 2 by 6 �/� _> day of 2 by who is per on or who has produced who is erso ally known to.ane or who has produced ''{ old As identifisati- e s o did take an oath. as iden V �1 and who did take an oath. P1 NOTARY PUB : �a6Q °�.� ii NOT PU4a9,r Sign: yg Print: 4 L \` �% P�iii iL ia\5 YJ� V16 W5)&M My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY.O Examiner Engineer Zoning Chc 12/15/03 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date--------- --- ----- •-- -- - - --- V)O" 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 plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work _ L + 4. Owner's Name and Address —� No. –v/4� - Street - – – – – Registered Architect and /or Engineer Employing Plumber's Name ------ - - - - -. Location and Legal Description Street and Number where work is to be performed—No ----------------- State work to be performed and purpose of building (By Floors) ND.____v -Ll_I/ �_` _____ -- Subdivision------------------- ------ -------- - - - - -- New Building-------------- ---- ---- ------ - - - - -- Remodeling-------- ---- ---------- - - - --- Addition --- -- ---- ----- ----- - - - --- Repairs ---- -- - - - - -- --- ------ - - - - -- No. of Stories----- -- ---- -- - -- Size Septic Feet of Drain Type of Tank Dist. Feet of Tank or Drain Field from Capacity Gals------- ---------- --- -------- -- - --- -- Nature of Water Supply: City—Well ------------ – ----------------------------------------- Size of Soakage Pit ------------ – ------------- – ------- – --------------------- -- --- – ---- - ------- Amount of Permit $ -- --------------------------------- --- --------------- ---- -- - - - -- (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contrtjQrns, A o be per ed �tnder t peryare licensed by Miami Shores Village.�rG / (Signed- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared---------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.- - - - - -- ------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRYI TUBS I URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST -{I CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT ,. TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Feet of Drain Type of Tank Dist. Feet of Tank or Drain Field from Capacity Gals------- ---------- --- -------- -- - --- -- Nature of Water Supply: City—Well ------------ – ----------------------------------------- Size of Soakage Pit ------------ – ------------- – ------- – --------------------- -- --- – ---- - ------- Amount of Permit $ -- --------------------------------- --- --------------- ---- -- - - - -- (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contrtjQrns, A o be per ed �tnder t peryare licensed by Miami Shores Village.�rG / (Signed- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared---------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.- - - - - -- ------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT Permit No - - -- Date-- - - - - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___� /– _: rC�+;�►�/ No ------ _ X'_77 _ —. Registered Architect and /or Engineer ----- --- —___— ---- _ ---------------- _ ------ ---- Employing Electrician's Name c_L - - - - - -- No.______ 3 S�!- _______ Street_! __ ___21✓.62_� Location and Legal Description Lot ------------ – ------------------------------- — -------- Block -------------- – -------- -- -------- - ---- Subdivision ------___— ---- --- --- – ------- --- Street and Number where work is to be performed—No ----------- __ ___ Street ---- .l!F =�____ State work to be performed and purpose of building (By Floors) — ---- – ----------- _ --- – ---------------- - ------------------------ New Building---------- ------------------ - - - - -- Remodeling------------------- --- - - -- -- Addition .._--- ___- _- _.._______ - - - - -- Repairs ----------------------- No. of Stories Service Overhead Size Feeders ----------------- Conduit- ____— _------ Main Sw ------------ Amps. —____ Main Fuses ----- _ --- – _____ ----- Amps. Underground Type of Installation -- Conduit---------- - - - - -- Tubing---------- - - - - -- B.X.L ----------------- Metal Moulding ----- ----- – --------- ---- ---------------- – ---- -- --------- - --- Amount of Permit b________ __ (Signed) _– ------- — --------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ____ = - - <_ •"''� r-- = -- -'- ------- ------- - - -- -– _ Master Elcctrtca'a. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------------------------------------ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ________.._________– ------------------------------- - ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Size Feeders ----------------- Conduit- ____— _------ Main Sw ------------ Amps. —____ Main Fuses ----- _ --- – _____ ----- Amps. Underground Type of Installation -- Conduit---------- - - - - -- Tubing---------- - - - - -- B.X.L ----------------- Metal Moulding ----- ----- – --------- ---- ---------------- – ---- -- --------- - --- Amount of Permit b________ __ (Signed) _– ------- — --------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ____ = - - <_ •"''� r-- = -- -'- ------- ------- - - -- -– _ Master Elcctrtca'a. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------------------------------------ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ________.._________– ------------------------------- - ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VI LLA13 E ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT Permit No.___________ Date -------- –_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ff Owner's Name and Address -___ ___ ___ ______� _ 9_-_ No.___- ___--- __,Jt---------------- Street____'!_'____$ ' r Registered Architect and /or Engineer ------- ---------- _ --- -- - -- ------------ ------------------------------- �w__- .-- ______ -� �– *'-- Fes / i C.. :L --- . - Employing Electrician's Name �' __ _ �!`7? __�______� �.6,._____4r__ �____ No.______ _:_�_________ {___________ Street__ -'� __ Location and Legal Description Lot ----------------------- _ -------- ----------- – --------- B lock ------------------------------------------ Subdivision ---- __– --- �____�__ ----- - - - - --- Street and Number where work is to be performed—No. __________ t"' =_ ____ Street____1'<____-___1_� - -- -- - - ---- _ -- – 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. Underground Type of Installation — Conduit________________ Tubing ---------------- B.X.L ----------------- I*tal Moulding Amount of Permit $_______ 4 - Main Fuses ----- _ ----- __ – ------ Amps. The undersigned applicant for this building permit does hereby certi at he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, CoFmpiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will "require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. � (Signed) – F' Master tfectricalfi. �e Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared-------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------------------ _-_ --- _ ----------------------- _----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP OUTLETS OUTLETS RECE'P'T's NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER TOTAL CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. O -I HP 1 -5 HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders ---- __------- Conduit -------- –_ ---- Main Sw --------- Amps. Underground Type of Installation — Conduit________________ Tubing ---------------- B.X.L ----------------- I*tal Moulding Amount of Permit $_______ 4 - Main Fuses ----- _ ----- __ – ------ Amps. The undersigned applicant for this building permit does hereby certi at he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, CoFmpiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will "require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. � (Signed) – F' Master tfectricalfi. �e Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared-------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------------------ _-_ --- _ ----------------------- _----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. - - 3 6y(o -— - Date---- -- - - - - _�--_— - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted—or the bu" (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 work. r' Owner's Name and Address ______ No ------- Street_________ __ Registered Architect and /or Engineer fI - Employing Electrician's Name ----- -- - - - - -- -- _) No._4— _--------=-- _ - - - -- Street__- -_- -------------- Location and Legal Description Lot________ —__ -?Z _— --- — _— --- — ------------- 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 -------------------- I -- - - -- Re modeling---------------------- - - - - -- Addition ---------- - - - - -- --- - -- - -- Repairs------------------ - - - --- No. of Stories..--------- -- - - -- Service Overhead Size Feeders__________ ______ Conduit -------- _ -- -_ Main Sw ------------ Amps. — ------ - ------- Main Fuses ---------------- — ----- Amps. Underground Type of Installation -- Conduit---- ------ - - - - -- Tubing ----- _,--------- B.X.L ----------------- Metal Moulding -- --- — -------------------- — ---------------------- — _____ -_ Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) --- - --- -�/- --- 77-�-- ---- - - - --- --------------- - Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _________---------- — --- — ------------------ _ --- - ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ---------------------------- -- --- ---------------- --- - ----- --------------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG 'FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP � OUTLETS OUTLETS RECE*P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER TOTAL CLIST R --,i -- i_. � 7 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Size Feeders__________ ______ Conduit -------- _ -- -_ Main Sw ------------ Amps. — ------ - ------- Main Fuses ---------------- — ----- Amps. Underground Type of Installation -- Conduit---- ------ - - - - -- Tubing ----- _,--------- B.X.L ----------------- Metal Moulding -- --- — -------------------- — ---------------------- — _____ -_ Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) --- - --- -�/- --- 77-�-- ---- - - - --- --------------- - Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _________---------- — --- — ------------------ _ --- - ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ---------------------------- -- --- ---------------- --- - ----- --------------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1-� _c Permit No.------- - -- Date - -- - - - - -- Application is hereby ade 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 4erein specified or not. A copy of approved plans and specifications must be kept at building during progress of w .\ Owner's Name and Address - -_ - - -'- _ -- -------------- ------ - - - - -- No -- - - - -�w _____� - -�--- Street ------ - Registered Architect and /or Employing Plumber's Name ----- jl No. - - - -- P4 - -- Q ---- %VA -I Location and Legal Description Lot------------------------------------- ----------------- - - -- -- Block--------------------- --------------- ---- - - - - -- Subdivision--------------------------------------------- Street and Number where work is to be performed— No------------------------------------------------ ---------- --- - - - - -- Street------------------------------------------------------------------------ State work to be performed and purpose of building (By Floors) ----------------------------------------------------- ------------ -_--- ___- __ -_ - -__ - ___-- ___________- ____ -_ _- New Building ------------------------ __- ------- Remodeling ------------------ --------------- Addition - -_ - _ - - --- Repairs -- -_ -- - - -_ -. ------------ No. of Stories-_1 -------------------- Size Septic Tank------------------------------------ ------------ - - - - -- -Type of Tank - -- ------- -------------- - - - - -- Capacity Gals._ Feet of Drain Tile ------------------------------------------ - -- -Dist. Feet of Tank or Drain Field from Well --------------------------------------------------------------------------------------------- Nature of Water Supply: City —W of Soakage - - - - - -- "`� ------ - ----- (Signed) Amount of Permit $- -- g - Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor, on work to be performecL.:�ader this permit, as are licensed by Miami Shores Village. (Signed) •�� ...... ��. -�rz .� Master Plumber. STATE OF FLORIDA, ss. I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the---- --- - --- -- __ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - -- - - - -- - -- ---- - - - - -- - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST - CHECK CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Size Septic Tank------------------------------------ ------------ - - - - -- -Type of Tank - -- ------- -------------- - - - - -- Capacity Gals._ Feet of Drain Tile ------------------------------------------ - -- -Dist. Feet of Tank or Drain Field from Well --------------------------------------------------------------------------------------------- Nature of Water Supply: City —W of Soakage - - - - - -- "`� ------ - ----- (Signed) Amount of Permit $- -- g - Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor, on work to be performecL.:�ader this permit, as are licensed by Miami Shores Village. (Signed) •�� ...... ��. -�rz .� Master Plumber. STATE OF FLORIDA, ss. I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the---- --- - --- -- __ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - -- - - - -- - -- ---- - - - - -- - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ••,, •� �f" ;�� �. �`� ��� ,..—, i��� ! ' • '�� �� A , �` f �Otb'$rWF11 �` ' � .,...., +. t, � ���,� ` \� F r MIAMI H O RES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. - -�- 0- -C1_ - -- --- Date- - -� - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __�f_ � _l ( Street i j d ------- ----- -- - - - - -- No.--------- -'A-- -- = �= - - -- - -- - --------- ------------ - ----- Registered Architect and /or Engineer ------------ ___ -------------------------------------------------- _______________________ --- —_ }l 3 Employing Plumber's Name --- - -- - -- -r_ -` -` --------------------------- -r-'-'-� ---- No Pi -1-- 0- -- - - - -- r Street - -- t. ` Location and Legal Description Lot -- - - -_ —" -------------------- Block-- --------------------------------- I- Subdivision— �"�?_ ___ ------- ------------ Street and Number where work is to be performed--- No_________il------ _1___ ___ ______________________________ Street___ ____ ,____ ___ ------ _---- State work to be performed and purpose of building (By Floors) _ __.____ New Building----- ---- ------------ --- ----- - - - - -. Remodeling-------- -- ------------ - - - - -- Addition------------ --- ----- - - - - -- Repairs---------- ----- ----- --- - - - - - -- No. of Stories-------- - - - - -- Size Septic Tank------------ ------- --- ------ --- ----- - - - - -- Type of Tank ------------------------- ------ ---------------- - - ---- Capacity Gals. Feet of Drain Tile ---- _ ----- — ----------------- — __---- Dist. Feet of Tank or Drain Field from Well ------------ — ----- _ -------- - -------- Nature of Water Supply: City—Well of Soakage Pit. ------- --- ----- --- -- -- -- - - -- -- ------------------------------- Amount of Permit $ ----- �-- ---- -- =------------------ ---------- ----- ---- --- - - - - -- -__ -- (Signed) /,/� -cwt -- - - - - -- -- ,Plumbing Inspector. The undersigned applicant for this building permit does hereby certify thatt a understands and accepts his obligati s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Villalze. - � t (Signed) -- - - ---------------- -- - - - - -- - -- - - - - -- -- -- -- --------- - - - - -� -- Llaster Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared----------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says, that he is the _______ .________________________ _____ _____ __ __________ ________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TU13S SHOWERS LAVA- TORIES I SINKS V SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank------------ ------- --- ------ --- ----- - - - - -- Type of Tank ------------------------- ------ ---------------- - - ---- Capacity Gals. Feet of Drain Tile ---- _ ----- — ----------------- — __---- Dist. Feet of Tank or Drain Field from Well ------------ — ----- _ -------- - -------- Nature of Water Supply: City—Well of Soakage Pit. ------- --- ----- --- -- -- -- - - -- -- ------------------------------- Amount of Permit $ ----- �-- ---- -- =------------------ ---------- ----- ---- --- - - - - -- -__ -- (Signed) /,/� -cwt -- - - - - -- -- ,Plumbing Inspector. The undersigned applicant for this building permit does hereby certify thatt a understands and accepts his obligati s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Villalze. - � t (Signed) -- - - ---------------- -- - - - - -- - -- - - - - -- -- -- -- --------- - - - - -� -- Llaster Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared----------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says, that he is the _______ .________________________ _____ _____ __ __________ ________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT -.- PPLICATION FOR PLUMBING PERMIT 7 Permit No. - -- • - --- Date-- - - -- --r7 -- -- – 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 Add . _ _ _ `" _________________ No.✓_✓ "_' Street___ Registered Architect Employing Plumber's Name _ '�''�� �"°'"� - -_l_ -' �- ------ No ------ -- �'----------------- Street- _ /1_- _____= _---- -- L- f.�" - - - - -= ? -- Location and Legal Descp�p 'on Lot- ________ __Block___ '"" "_______ __________________ Subdivision___ - - ----- - ---- --- -------------- Street and Number where work is to be performed— No._– D ------- _f__________y_'___ ____ -------------- Street ____,,...!_0— _ ------- _------ State work to be erformed and purpose of buildin g ( B Y Floors ) ---- --- ------------------------------------------------ New Building - ----- %--- ------ --- -- -- -- -- Remodeling--- ---- ----- --- ---- --- - - - - -- Addition - Repairs ----- --- -------- ------ - - - - -- No. of Stories Size Septic 'I Feet of Drain C0 Nature of Water Supply: City —W `-- - - - - -- Type of Tank id'""' '�`^ ' - r. c.,. t'Ca acit Gals.—_ s?� - -_ Dist. Feet of Tank or Drain Field from Well -------- j_ ?_' "'------ ___ ---- --------- – ----- – --- �___�_____. --------------------------- .Size of - SRakage Pit. __1`_ 3e'�!' _ I ----- -- ---- ------ -- - -- -- — - - - -- -- d – – --- - - - - -- - - -- -- Amountof Permit $-- ---------------------------------------------------------- -------- - --- -- (Sig n$) -- -------- - -•- -- – --- -- -- -- - - -- - - - --- bing Inspector. The undersigned applicant for this building permit does hereby certify t at he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) – -- - - ---- ll�€aster ride STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------- .___________------------------------------------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST LIS CHECK Size Septic 'I Feet of Drain C0 Nature of Water Supply: City —W `-- - - - - -- Type of Tank id'""' '�`^ ' - r. c.,. t'Ca acit Gals.—_ s?� - -_ Dist. Feet of Tank or Drain Field from Well -------- j_ ?_' "'------ ___ ---- --------- – ----- – --- �___�_____. --------------------------- .Size of - SRakage Pit. __1`_ 3e'�!' _ I ----- -- ---- ------ -- - -- -- — - - - -- -- d – – --- - - - - -- - - -- -- Amountof Permit $-- ---------------------------------------------------------- -------- - --- -- (Sig n$) -- -------- - -•- -- – --- -- -- -- - - -- - - - --- bing Inspector. The undersigned applicant for this building permit does hereby certify t at he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) – -- - - ---- ll�€aster ride STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------- .___________------------------------------------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,�64PPLICATION FOR ELECTRICAL PERMIT Permit No ------ — -- - — — Date-- - - -- -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work�,J''� J -z Owner's Name and Address ___- _!jt_,C Street ------- !__ Registered Architect and /or Engineer ----- — --------- ---- -------- ------- -- ---- — - - -- - -- -- — — — — - - -- L��-�-�_��%%- - — Employing Electrician's Name - "�"'�y- No•� —'- - — - Street - __ / ^3z_ _/11 -------------------------- Location and Legal Description Lot_____ _ _________________ _____ _ __ __ Block__- ______ /___1W, — -------------- 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 ..--------- - - - - -- 91--- -- - -- Service Overhead Size Feeders ------- Conduit - Main Sw.__�_ Amps. Underground — Type of Installation -- Conduit -------- —_ ---- Tubing-- -- ____ B.X.L ----------------- Metal Moulding Amount of Permit (Signed) Main Fuses ------ — ---- -- -------- Amps. 14 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. .,�r�'� �,,.� (Signed) - -- -----— �i"`_M,.' 14I ----- -- ---- -__ aster ectrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared---------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the --- --- —__—_---_-- ------------------ — --- - ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspectior_ 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 FIXT RES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE•P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST ,a p -s -`[-- CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0-1 HP 1 -5 HP TRANS. CONTR. L1ST CHECK Service Overhead Size Feeders ------- Conduit - Main Sw.__�_ Amps. Underground — Type of Installation -- Conduit -------- —_ ---- Tubing-- -- ____ B.X.L ----------------- Metal Moulding Amount of Permit (Signed) Main Fuses ------ — ---- -- -------- Amps. 14 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. .,�r�'� �,,.� (Signed) - -- -----— �i"`_M,.' 14I ----- -- ---- -__ aster ectrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared---------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the --- --- —__—_---_-- ------------------ — --- - ----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspectior_ fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VI LLA13 E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 Permit No..._ -- -------- - - - --- Date-- - - - -Z ----- - -- - -- / , 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 __ -!/ __ �___� % 6 Z– I! !� _ �_---- ------ ---------- - -- - --- No------ ---------------- – --- __. Street-- 1_- – ----- -L__ Registered Architect and /or Engineer __ —_ ___�_�___ Employing Plumber's Name �L%0 t 4.= <) - - - --- No. - - - – Street-- /W -------- ------- - - -- -- Location and Legal Description Lot _____ --- _ ------------------------- — __– --- _ ---- Block ---------------- �_____�____________ Subdivision _----- - __ Street and Number where work is to be performed—No ------ – _– S_I____ __ ___________ Street__ L, / ..0 _ _ _.____ 77—. State work to be performed and purpose of building (By Floors) ------- __:__" 1__________________________________________ _______________________________ New Building-------------- ------- --- --- - - --- -- Remodeling------------ --- ---- -- -- ----- Addition-- -------- --------- - - -- -- Repairs------ -- ---- ---------- - - - --- No. of Stories- ---- --- -- - - - - -- Size Septic Tank - , r – – -- -- -- Type of Tank ------------------------------------ --- ---- -- -Capacity Gals .--- ----- ------------ Feet of Drain Tile______?_____ Dist. Feet of Tank or Drain Field from Well ___ ---- - -_ ----------------- –_______ _____.____________�__�___��____ Nature of Water Supply City Well ------------ – ----------------------------------------- Size of Soakage Pit ------------------ – ---------------- – ---- ----- – -------- -- --- ----- - ----- Amount of Permit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ----- ----- - - - - -- ---------------------- i Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ------- ------------ ------------------------------------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ...-----°-------------------------------------------------- --- ---------- -- ---------------- --------------------------------------------------------------- My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH 'PUBS SHOWERS LAVA- TORIES I SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST -II CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank - , r – – -- -- -- Type of Tank ------------------------------------ --- ---- -- -Capacity Gals .--- ----- ------------ Feet of Drain Tile______?_____ Dist. Feet of Tank or Drain Field from Well ___ ---- - -_ ----------------- –_______ _____.____________�__�___��____ Nature of Water Supply City Well ------------ – ----------------------------------------- Size of Soakage Pit ------------------ – ---------------- – ---- ----- – -------- -- --- ----- - ----- Amount of Permit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ----- ----- - - - - -- ---------------------- i Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ------- ------------ ------------------------------------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ...-----°-------------------------------------------------- --- ---------- -- ---------------- --------------------------------------------------------------- My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit Date -------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ` ,1 .1 Owner's Name and Address - - -- -- - - - -- Y -------- - - - - -- No. - - - -- �-7--- ------------- - - ---- Street -_-- --- fm--- 49__ Registered Architect and /or Employing Plumber's Name ,�+ - `'2 -� rL�7l`^------ -- ---- No. Street -� Location and Legal Description Lot - Block Su divis' n - ------ ------- -- ---- ------ - - - 41 - - --- Street ----- - - - - -- Street and Number where work is to be performed ----- _ _____________ _______________________________ ---- _Z - - -- State work to be performed and purpose of building (By Floors)------------------------------------------------------------------------------------------------------------I-------------------------- New Building------------------- - - - - -- --------- Remodeling--------------- ----------- - - - - -- Addition------ --- ---------- - - - - -- Repairs-------------------- - - - - -- No. of Stories - - - - -- ------------ - - - - -- SizeSeptic Tank---------------------- -- -- ------------- ------ - - - - -- -Type of Tank------------------- ----------------------- -- - - - - -- Capacity Feet of Drain Tile --- ---- - - - - -5 of Tank or Drain Field from Well ---------------------------------- Nature of Water Supply: City —W Amount of Permit of Soakage -------------------------------- ---- -- ------------- --- - - -- -- 74,; - - - - -- ----------------------- ( Signed)-------------------------------- - - - - -- -= - ' =i - - P10t bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ (Signed) - -- - - -- -- - - - - -- Master Plumber. STATE OF FLORIDA, 1 J ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__________________________ _______________________________ ____ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS $INKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK SizeSeptic Tank---------------------- -- -- ------------- ------ - - - - -- -Type of Tank------------------- ----------------------- -- - - - - -- Capacity Feet of Drain Tile --- ---- - - - - -5 of Tank or Drain Field from Well ---------------------------------- Nature of Water Supply: City —W Amount of Permit of Soakage -------------------------------- ---- -- ------------- --- - - -- -- 74,; - - - - -- ----------------------- ( Signed)-------------------------------- - - - - -- -= - ' =i - - P10t bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ (Signed) - -- - - -- -- - - - - -- Master Plumber. STATE OF FLORIDA, 1 J ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__________________________ _______________________________ ____ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /9 Permit No "� :f - + - - -- Date - - - - -- -------- - --- -- --�- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. ibis application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address af-'G r 1 ------------------------------- No. -- � Street - - -/ Registered Architect and /or Employing Electrician's Name – --- --- --- x..`:.13 - No 4— 2 (__� 7 k%>0 Street – - = -4' — � - ---- - -- - -- Location and Legal Descript' Lot__________ ___________ --, -- —_ -- -- -- --- Block---------------- – ---- __- -------------- Subdivision ------ --- {{-- ---------- _-____ -_ Street and Number where work is to be performed— No.____S q_________— __ _— ------------ - -------------- Street ------- _= -------------- ___ .:i___--------------- ----------- State work to be performed and purpose of building ($y` loo __– ________ _________ _ –__ ___._. –___ ___ ______ __ - ____ -_ _____ ____________________ New Building--------- --:--- -------------- - - - - -- Remodeling- --- ----------- ---- --- - - - --- Adlition--- - - - - -- 4ff::: -- - - - - -- Repairs ------------- ------ -- - - - --- No. of Stories----- --- - - - ---- Service Overhead Size Feeders ----------------- Conduit_____– _ –_ –___ Main Sw.___________— ______ Amps _— _______________ Main Fuses Type of Installation — Conduit________________ Tubing____ _— B.X.L ----------------- Metal Moulding _ .? Amount of Permit $___ _ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ' - -------------------- (Signed) – Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- -- ---- – --------------------------- - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________—___—_________________–__–_________– of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------------------------------------------ -- ----------......--.--- -- - ---- ------------------------------------------------------------ ............................... My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP OUTLETS OUTLETS RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER TOTAL CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON SW. CAB. TEMP. PERM. O -I HP 1 -3 HP TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Size Feeders ----------------- Conduit_____– _ –_ –___ Main Sw.___________— ______ Amps _— _______________ Main Fuses Type of Installation — Conduit________________ Tubing____ _— B.X.L ----------------- Metal Moulding _ .? Amount of Permit $___ _ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ' - -------------------- (Signed) – Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- -- ---- – --------------------------- - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________—___—_________________–__–_________– of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------------------------------------------ -- ----------......--.--- -- - ---- ------------------------------------------------------------ ............................... My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. yam- � � � �- < � �' N ,`a a /Z 7� ya MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit_�"_S4k _ - - ---- --- - -- - -- Date----------- - -------------- - - - -__. - -_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work _ N Owner's Name and Address &J-4 -------------- - -------- No - °' - =� - - Street - -- - -------- - - - - -- Registered Architect and /or Engineer Employing Plumber's Name - - '----------------- No ----- -I -/ I f I t -J Location and Legal Description Lot ------ -- -------- - ------------ ------- - --------------- Block ------------------------- ---------------- Subdivision--------- ----------- ---- ------- - - - - - -- Street and Number where work is to be performed—No ------------------- — Street State work to be performed and purpose of building (By Floors)__i -- ___ ___`__'__s _____ r --------------- New Building------------- -------- ------- - - - - -- Remodeling-------------- ------ - - - ---- Addition-- --------------- -- -- - - -- Repairs-- ----------- -------- ----- - -- No. of Stories-- ------ --- -- - -- Size Septic Tank------ ---- ---- ----- --- --------- - - - --- - --- -- Type of Tank .------------ ---- ------------ -- ------- - - ---- --- - -- -Capacity Gals. Feet of Drain Tile ---- - __- _- ----------------- - ------- Dist. Feet of Tank or Drain Field from Well -------- - _- -------------------------- Nature of Water Supply: City —Well. Pit. `T Amount of Permit $ -- --- ---- ------- --- ----------- - - - - -- - (Si ned) - -- ------------------------ ----------------------- -------------------------------------------- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contra s, on work „to be performed under It permk" -s"xe licensed by Miami Shores Village.M.�...,.,} (Signed ,r' ) - - -- - -- - - - -�----- --- -- -- ---- ---- -- - - - -- -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------- ._______-___------------------------------------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. --------------------------- ------ --- -- ---- ------ -- -- -- -- -- --------------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP Si NKS `LAUNDRY TUBS CATCH URINALS BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank------ ---- ---- ----- --- --------- - - - --- - --- -- Type of Tank .------------ ---- ------------ -- ------- - - ---- --- - -- -Capacity Gals. Feet of Drain Tile ---- - __- _- ----------------- - ------- Dist. Feet of Tank or Drain Field from Well -------- - _- -------------------------- Nature of Water Supply: City —Well. Pit. `T Amount of Permit $ -- --- ---- ------- --- ----------- - - - - -- - (Si ned) - -- ------------------------ ----------------------- -------------------------------------------- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contra s, on work „to be performed under It permk" -s"xe licensed by Miami Shores Village.M.�...,.,} (Signed ,r' ) - - -- - -- - - - -�----- --- -- -- ---- ---- -- - - - -- -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------- ._______-___------------------------------------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. --------------------------- ------ --- -- ---- ------ -- -- -- -- -- --------------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. IAR IAM I SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT,. Permit No.- _,.cr!_-- - 0 -- �-- _�__ Date-- -=------- -- ---- � - - - -- - �---- --- -- -- -- - - -- -__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work.d { Owner's Name and Address __�/7_�- — �s-- j A . `� - / //�� �' -- ---- ------ -- - - -- No.---------- �-- '�- __�.� = - - -. Street - - --- --- �. J_- �- ---- ----- -- --------- - ° - - -- Registered Architect and /or Engin ___ __ _____ ____ ___ ______– ____!-- ________ — ---------- - - -- - — - Employing Plumber's Name y No. – -�a --S t� Street - -„i -�,�` ----------------------------- - - -- Location and Legal Description Lot_____ `k__'_�______ _________-- ___________- _Block________– -, ____________- Subdivision -13 - -- - ------------------ !r - Street and Number where work is to be performed —No. a_4e -d- - -� --- - Street -1 �2 -------------------- State work to be performed and purpose of building (By Floors) ----------------------------------- Building------ -- ------------- ------- - - - --- Remodeling ---------------------------- Addition -------------------------- Repairs-------- -------- -- ----- -- -- -- No. of Stories------- ---- - -- Size Septic Tank---------------- --- ------- ---- ------- - - - - -- Type of Tank .--------------------- --------------- ------- – ------ Capacity Gals------------------------------------ Feet of Drain Tile_____ ____ ______________ _______ Dist. Feet of Tank or Drain Field from Well -------- –_– ----------------------------------------- – ----- -- __– --- - ------ Nature of Water Supply: City—Well ._____ ______– ----------------------------------------- Size of Soakage _____ ______ _______— _______________ ---------------- —__- ---- -- ----- ______.- - - -__. __— _____?understands 9 __ AL Amount of Permit $_ -- _ -------- ---- ---- -- --(Signe -__ __ ____ ._____ ___________ —_ F__ __ ____ _____ _ ____ ____ —_ - -_! __ -__ ______ ____________ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify tha and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ----- --------- - - - - -- -- -- ----------- - - - - -- ------------------- Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- ._______________________ _________________ ______________ of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH SHOWERS LAVA - I SINKS SLOP LAUNDRY URINALS I CATCH FLOOR DRINKING TOTAL TUBS TORIES ! I SINKS •SUES BASIN DRAIN FU UNT'NS FIXTURES CONTR. LIST CHECK � SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank---------------- --- ------- ---- ------- - - - - -- Type of Tank .--------------------- --------------- ------- – ------ Capacity Gals------------------------------------ Feet of Drain Tile_____ ____ ______________ _______ Dist. Feet of Tank or Drain Field from Well -------- –_– ----------------------------------------- – ----- -- __– --- - ------ Nature of Water Supply: City—Well ._____ ______– ----------------------------------------- Size of Soakage _____ ______ _______— _______________ ---------------- —__- ---- -- ----- ______.- - - -__. __— _____?understands 9 __ AL Amount of Permit $_ -- _ -------- ---- ---- -- --(Signe -__ __ ____ ._____ ___________ —_ F__ __ ____ _____ _ ____ ____ —_ - -_! __ -__ ______ ____________ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify tha and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ----- --------- - - - - -- -- -- ----------- - - - - -- ------------------- Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- ._______________________ _________________ ______________ of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. F�I� M 1AM I SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATI ®N FOR PLUMBING PERMIT Permit No --�----- - - - - - - - - -- - -- Date-- ---- -,- t�+ -- 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. r Owner's Name and Ad(or _ --------------- No.__ __ _ ______- Street___ _______ Registered Architect and Eng' eer ------------ ---- -- -- -- ----------------------- ------ ----- ---------- - - - - -- _______________ Street Employing Plumber's N - �----- - - - - -_ �� > T ----------------------------- -- `t -- No. �-L� �F--- g Description Lot__ G?_ ___ __- Block___1__�— ----- —_ ______ Subdivision _— !_X______ —_--_—_—_______-_- Street and Number where r Location an Legal sc h work is to be performed —No. 4 A------ -- ----- -- ---- - -- - -- Street------ - 40-- � ------- — ------ — --- - ------------ State work to be performed and purpose of building (By Floors) __.. - ____ ______ ______ _ __ ____ _:;- ____ l cl�° I�----------__------ _-------- _------------- _- - - - - -_ New Building------- X- ----- ------- - - - - -- Remodeling ------------ --------- -- - - - -- Addition----- --- --- ------- - - - - -- Repairs------------ ------ ---- - - - --- No. of Stones------- --- --- --- Size Septic Tank ------ r— 490 -- Type of Tank ----------------------- ---- ---- --------------- - - - --- -Capacity Gals. - - - -- ` — - -- - ------ - - - - -- Feet of Drain Tile__- _.!__51 _r __ ___ Dist. Feet of Tank or Drain Field from Well____________ ___ __ __:_ _ - Nature of Water Supply: City—Well ------------------------------------------------------- Size of Soakage Pit --------------------------------- — -------- - - - -_— -- - -- - - -- — — — - — - --- — -- — — — �- - — — - - Amount of Permit $----- --- ------ -- - -- - --- --------- -------- -- ------ --- ----- -- - - -- -(Signed) — - - -- — — — — - -- -- lulnbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - — F #— L z ; `— ----------------- ' Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared----------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _______ ________________________ ________ _______________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- SINKS INKn SLOP SINKS LAUNDRY 'a UBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS I TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR.�• LIST CHECK Size Septic Tank ------ r— 490 -- Type of Tank ----------------------- ---- ---- --------------- - - - --- -Capacity Gals. - - - -- ` — - -- - ------ - - - - -- Feet of Drain Tile__- _.!__51 _r __ ___ Dist. Feet of Tank or Drain Field from Well____________ ___ __ __:_ _ - Nature of Water Supply: City—Well ------------------------------------------------------- Size of Soakage Pit --------------------------------- — -------- - - - -_— -- - -- - - -- — — — - — - --- — -- — — — �- - — — - - Amount of Permit $----- --- ------ -- - -- - --- --------- -------- -- ------ --- ----- -- - - -- -(Signed) — - - -- — — — — - -- -- lulnbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - — F #— L z ; `— ----------------- ' Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared----------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _______ ________________________ ________ _______________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. - ____.l� .� a � 2� PERMIT APPLICATION FOR MIAMI SHORES VILLAGE (� j tc p 8/0-70 Date ob Address � 1 ii ' ! 6 3 VY\ i � i S �a FOlio Legal Description (� (f' t ^^ �t"^�'C 1" C� +`mot Historically Designated: Yes Owner/Lessee / Tenant F I) W " Master Permit # Owner's Address `7 /V %�i ' Phone 7 �5 Contracting Co. OD V t y e C' u) • . PfI State # Municipal # Architect/Engineer Bonding Company Mortgagor Address SS# - _ Competency # _ Address Address Address Phone Ins. Co. No Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION O L t;" AW IV ` L-a_(�4 y S t,eJ �t < < L C D �` (� � ' fit✓ . Square Ft. '2 S % Estimated ostC (value) D D WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated 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 FFIDAVJT: I c rtify t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws reQUl g Mans crion omng. Furthermgre, I authorize the above -named contractor to do the work stated. f owner and/ r and re ident D to ignature of Contractor or Owner- Builder �v',S' and/ /7001��2 i C,J-7= as to Owner and/ nt Date Im n R Vli'IAK I pR1DA STpT"e ►4103 ASCITAFY P� Cpd,AN[LSS10N �XP. "n t FEES: PERMIT RADON APPROVED: Zoning Notary as to Contractor or Owner- Builder My Commission Expires: Date Date C.C.F.. NOTARY r BOND TOTAL DUE_ Building J Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H. P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION comp. 9 -15 -67 N° 1743 11 -9 -67 Miami Shores Village, Florida, Owner, Agent or Tenant of Building 7 F. Morgan Lot-l---&-9-10 & lock o 120 , 21 Subdivision Navarro Street Address 54 N W 103 —_— Approved use by occupancy Convert�aar- gQ_e . to ber'room car_ earl aa�- Remarks: 8 b 7 7 — This Certificate of Occupancy is issued to the above named Owne r for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Plan Cube 3732�U 1 1'BUILDING DIVISION t MIAMI SHORES VILLAGE, FLA. ]v0 6724 JOB S "q ADDRESS INSPECTION TIME READY 1 j'L1 — l a' 3 Y7 REMARKS: INSPECTOR MIAMI SHORES VILLAGE, FLA. JOB � P P a DATE NQ 6'719 ADDRESS S V I'l ° Q INSPECTION J7=, .. ,� o .� �� , .L ,,. cam_ TIME READY REMARKS: INSPECTOR DATE r 4 6 M'• . jHORES VILLAGE, FLA. NO 6656 JOB ADDRESS l 0 INSPECTION Pip �9 C U C� TIME READY REMARKS: INSPECTOR —.AAkA —_ DATE ct'Za'� MIAMI SHORES VILLAGE, FLA. N9 6691 JOB ADDRESS NJ' c O 3 ws INSPECTION. f TIME READY r� 4 t REMARKS: z INSPECTOR _ DATE CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 637 10 3/57 ' Miami Shores Village, Florida, Owner, Agent or Tenant of Building H. Payne Saph Lot 6 do 7 — Block 12 Subdivision lyTiami Shores 1 _ Street Address 54 YE 103rd St. Approved use by occupancy-4 wimming Pool Add'n Remarks: This Certificate of Occupancy is issued to the above named —_ Own er for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Tax Value - 1,450 BUILDING DIVISION