The URL can be used to link to this page

Multiple.� Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 120920 Permit Number: RF -7 -09 -1122 Scheduled Inspection Date: August 05, 2009 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Up Lift Report Owner: ROSARIO, MARIA $ BRENDA Work Classification: Tile Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC comments Phone Number (305)867 -7094 Parcel Number 1121360130950 A4 AA ,,,,,o For Inspections please call: (305)762 -4949 0 0 —$44 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. A4 AA ,,,,,o For Inspections please call: (305)762 -4949 0 0 —$44 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 118720 Scheduled Inspection Date: August 05, 2009 Inspector: Bruhn, Norman Owner: ROSARIO, MARIA & BRENDA Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC comments Permit Number: RF -7 -09 -1122 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number (305)867 -7094 Parcel Number 1121360130950 „ „ „c� nA ')nno For Inspections please call: (305)762 -4949 0 „ „e A _f 44 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. „ „ „c� nA ')nno For Inspections please call: (305)762 -4949 0 „ „e A _f 44 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No..L R Date.» 2 - -�� 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 appheation Is made in compliance and conformity with the Building Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or noL A copy of approved plans and specifications mast be kept at building during progress of work. Owner's Name and Address. �.o �L7L_ :.. Q— Za&�, 020L No Zse: h E Street Zo 3 J T Registered Architect and /or Xw4loyhn Plumlter'al Nun Location and Legal Description IZt_ _... ENIDUR . _� Subdi Street and Number where work is to be performed —No �� b- ��d Street.- State work to be performe6 and purpose of buckling (By Floors) -- --.- » ... - ............... ....._ ...... . .... ---- Now Building—__ __ ».... _. Remodeling .._. Addition._.r... _. No. of Stories....... »._......... Size Septic ?anlc Type of Tank__ _ _._— _.Capadty Gals._ Feet of Drain Tile — Feet of Tank or Drain Field from Well_ . . Nature of Water Supply: City Wd size of Soakage PiL . _ . _ ._...... 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 SW 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 alts of the work such public notice or notices w are required by tale Act. The undersigned agrees to employ only such sub-contraetorsi on work to be performed under this permit, as are licensed by Miami Shore Villager »,� (Signed) ° I / Master Plumber._ .. _ STATE OF FLORIDA, COUNTY OF DADE. f Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take aclmowledgments, personally appeared to mere well known, and who, being by me first ddy sworn, upon oathd�s� and.ssys that he is of the above described consbuetiDn, that he has carefuDy read the regsieg applidtlon, and that he did slip the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A ne -ir>vx fee of $1A0 wdl be made whs warh sNnsp mdm b sBada'aaowss 3 by a 9 IF 0 SOW fW Or alb matssials and/or war CLOSM BATH Tues SHOWKRs LAVA- TORIKS SINK* SLOP SINKa LAuNORT Tuss URINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNTINS TOTAL FIKTURKS CON7R. LIST CNKCK SEPTIC TANK SKWKR CONN. DRAIN FIELD SOAKAGK PrT QRKASW TRAP SOLAR HEATKII DKKP WKLL SPRKI.R. STSTKN SWING POOL �J u p Z 14` �ry P CONTR. LIST CHUCK Size Septic ?anlc Type of Tank__ _ _._— _.Capadty Gals._ Feet of Drain Tile — Feet of Tank or Drain Field from Well_ . . Nature of Water Supply: City Wd size of Soakage PiL . _ . _ ._...... 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 SW 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 alts of the work such public notice or notices w are required by tale Act. The undersigned agrees to employ only such sub-contraetorsi on work to be performed under this permit, as are licensed by Miami Shore Villager »,� (Signed) ° I / Master Plumber._ .. _ STATE OF FLORIDA, COUNTY OF DADE. f Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take aclmowledgments, personally appeared to mere well known, and who, being by me first ddy sworn, upon oathd�s� and.ssys that he is of the above described consbuetiDn, that he has carefuDy read the regsieg applidtlon, and that he did slip the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A ne -ir>vx fee of $1A0 wdl be made whs warh sNnsp mdm b sBada'aaowss 3 by a 9 IF 0 SOW fW Or alb matssials and/or war MIAIVII SHORES VILLAGE • Paint Color Approval and Agreement DATE: OWNER'S NAME: A®A)ga R• gD PH0NE:3vr - Sal -�($c� ADDRESS: V A)u) 103 S;k A S 3 3 6 D ADDRESS OF SITE: q� A3Q 103 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls ,Fascia "Soffit t Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or Stucco Banding Any other stucco features Accessory Buildings Other 0 V z rn ' ro r H H x Z x m OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work s ated. Furthermore , the paint colors will be as per the attached sam es. ignature of Owner Date Signature of Contractor Date APPROVED: � -3 Building Offi al Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION APPLICATION FOR CERTIFICATE OF RE- OCCUPAINCY r 14 `/-) 2. . hereby apply for a certificate to re- occupy the single family residence known as : (address) 11Eami Shores, Florida. Legal Description: Lot: 1 " /a L 1 C� Block _ ) a3 PB & PG: p " I hereby certify that I understand that the zoning of the property is for sin . e- ared that it is unlawful for more than one family to reside therein. I also and final use Certificate of Re- Occupancy that may be issued b Miami Shores , referenced roe Y fie, certifies only � the property rty 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 e. Date_ `--�� Print Name lam, e r e [ LcL For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: le-2, I� 4 Telephone: 9 Buyer Seller Realtor C./� Company NamelYt Application Fee (S50) paid: Cash Check No. 0164� V Inspected b . ,Approved y 0 Comments: Denied Date ,1 -0 --1 PAGE 1 OF 2 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Yfiami Shores Land Development and Zoning Code and that such . property may be re- occupied by the above applicant for single- family residential purposes. SHORES MLAjvff •' D' By Date of Certific 1 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY 11ffAAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE 1v1IAMf SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE_FAMMy 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 PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, d 9A-) V 1 /U C' ,hereby apply fora certificate . to re= occupy the single .family residence known as:: (address) 45- A)6 /03 S Al /'-A J sh MIES Miami Shores, Florida. Legal Description: Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant V '�� Date (' Print Name d Aj For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: 0,,4 ' �,� 30.5' _ S_ 0I _6X, u'�t Contact Name: A-k A- MAX C h L 5 u LT Telephone: � �U � " 8 � 6 Buyer Seller -i% CERTIFICATE OF RE- OCCUPANCY On behalf of Miami 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 Miami. Shores Land Development and Zoning Code and that such.::. property maybe re- occupied by the above applicant for,single- family residential purposes MIAMI SHORES VILLAGE, FLORIDA By: ' Date of Certificati n: 2/15/01 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 PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 I, APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY c` t 42 eo L T R hereby apply for a certificate to re- occupy the single family residence known as : (address) U. E to 3 S � � alp ° ' �� S.,1Vliami Shores, Florida. Legal Description: Lot: k u 1 -�` t- E/ Block 113 PB & PG: t ° _ Cr 7-' I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant ` `"�' t < < Date 3 (3(10- Print Name ` c a o S K o n For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: Buyer Seller Realtor Application Fee ($50) paid: Cash Telephone: Company Name Check No. Inspected by: F . LUBIEN Approved % Denied Comments: PAGE 1 OF 2 Date 3/31/00 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami 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 Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. MIAMI SHORES VILLAGE, FLORIDA By: I Date of Certification: 3/31/00 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 PERSONS ARE ADVISED AND ENCOURAGED TO MADE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 MIAMI SHORES VILLAGE D=4RS O Paint Color tq nl Approval and Agreement ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls 20 Fascia 0 Drip Cap/Drip Ed WC, e o Soffit 107,- 0 Roof;A5 Flower Bins Shutters Awnings Chimney y Doors and door jams 0 x Z Garage Doors "�j x Railings z Fences Decorative Metal IL AL All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work st ted. Fu Zore , th paint colors will be as per the attached ig a re of Owner Date Vl Signature of Contractor Date APPROVED: Building Official Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION � ":�- PQI) 4/23/01 r. r MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: b, OWNER'S NAME: PHONE: ADDRESS: ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Elements on th Walls <� c Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings Chimney must be listed and indicate the color to be painted. Doors and door j ams ' Garage Doors f�x Railings Fences Decorative Metal _ All brick (simulated or re; Stucco Banding Any other stucco features Accessory Buildings Other 0 0 r 0 x ro r W En H H x Z 0 W N W OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sa Lsq. �I Sikalture of Owner Da a Signature of Contractor Date APPROVED: WHEN PAINTING IS FINISHED, G CALL FOR FINAL INSPECTION Building Official Date 4/23/01 6 cc, #- Optional Method Example: Size the service for the following dwelling. 1 7 - ° 0 square foot living area 5 hp single -phase 240v A/C load 10 kw electric space heating 240N, 14 kw range 2M 120v 4 - kw water heater 240v 5 ; kw clothes shyer 2401120v 1500 sq.ft. x 3va Small appliance 2 x 1500va Laundry 1 x 1500 14 kw range t4 5 kw water heater kw clothes dryer M-to- '0P- ctO U t! A. Table 220 -30 Demand Factor. First 10 kva other load @ 100% Remaining l 3e® va other load @ 40 %n A/C 5 hp 28a x 240v = 6720va -Omit heat 10kw x 65% = 6.5kw or 6500w, A/C is larger LINE f316 00 e 300 [500 j �talJ� 4 500 5000 CA a e3 it A- "3 `Z. 5 00 V A4 7-0 10000 �3doca q ,4 Lt,() td *'y qI4 Q va/240v =ta 5 - amps Note 3 Use /60 -amp service # / _ COPI) fin- `tHN There is no Optional Method for calculating the neutral, it would be calculated fr Method of calculation. ReS. ! dp%P'Tt A t- t7UtzIU 2 - MAaA-I, IAAfL_c4VSS4ULT y5 NF. l03 S-r )-A1A.M 1 T=L I ' I j • • i SIM- ... :==iiiiii�w_ Mnlvmw, = =MEN Is===rpm �= =Hsi 1 Stjr-,► M w Lug L 0019 Afc- w F-N u.o5 l�f"iN BReAVS iR (o ccpp E .6L t CLAP Z t' 41 r, oA471f ep N MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building rdinance 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. Owners Name and Address .h., Registered Architect and/or Engineer Name and address of licensed contras 1�r%inrd)val description of lot to be built on: ME- 44t_;� ----- Block --- �/043/ ------ Street and Miraber where work is to be done ..... I to be done and purpose of Date. X --- /A A - 10.� . ............ 19.. ---- ------------- - - - -__ No�_ -------------- Street_fic_��._2a �Ia 'a - - ------------- - - -- for no other purpose. New ........ Remodeling. _ -------_----------- Addition ------- - - - - -• .........• .. Repairs ............... - -------- No. of Stories ...................... _. To be constructed of- - - - -.. j .................... Kind of foundation_-------- ------------_--_--_---- ------------------- Roof Covering . .............................................. Estimated Total cost of improvements - - ------- - -- - - ----- Amount of Permit $ ........ -.1m C�� I ----------- ---- Zone cubage Distance to next nearest building- - - -.__ of Building Lot - ------ - — - — — - -------------------- - ------------------------- Maximum live load to be borne by each floor..__..... -_- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to------. — --------- - - - ---- The unde!wigned 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 neral Laws of 'da, Permanent Supplement, VIM and has complied with the provisions thereof, and will require similar compliance from all contractors orAb-cibntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the /site of the work such Public notice or notices as are required by the Act. The undersigned agrees to employ only such su n 2 on to be Perforrayd under this permit, as are licensed by Miami Shores Village. &ffl"( - STATE OF FLORIDA, I COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared __- - - - - -- •----- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ . . ........................... . ................... . ..................................... e - of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. 1�� 4, Date- f Read, Sworn to and Subscribed before ------------------ Disapproved Date Notary Public, State - of - Florida (Signed) ...... -- InspecQor Chairman Member ------ . ...... Member ........ - -------- Council My Commission Expires ................... Member — - — ---------- Member Member Disapproved------ - -------------------------------------------------- ----_-_-_- _ - - -- -- -.Date NOTE: A charge of 1$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. .n t' /V. ' /03 ST- If MIAMI - SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby rande for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure heroin 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 compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. Date. Feb i Owner's Name and Addrcss...A�Kit Uck"n. i x o.N ...... ....... . __ N*._M_._ Registered Architect and/or Engineer.......... . .. . ................... .......................... dame ma address of licensed controctor ..... jqmes Glico Bfg.,_..qA 1100 N. E. 200 Terr. N.M.B. Location and legal description of lot to be built on: Lot.... . . . . . . ................. . .... Block ............................... Subdivision__......_— Street and Number where work is to be done-- 45 N . E 103 St. State work to be done and purpose of building (by floors) reiroof ............................... . . . ............ . .......... _, .. . .. . ................... . . —_..and for no other purpose. New Building .............. ............... Remodeling ....._................. Addition .......................... Repairi_....X ............ . .. No. of Stories ...... .. To be constructed of....A ... q.qA.!t.. Kind of foundation .. . . ................................. ......... Roof Covering..._ ......................._....... Estimated Total cost of improvements $_671,00 ........Amount of Permit . ..... . . ..... ........ Zone cubage required........._...---._ .............. .... »........_.....»._._.»:»..» --Plan Cubage ....... ..... . ... Distance to next nearest building ..........._.- .- ...._....._. ___ . -Size of Building Lot.._..;_ . ........ ....... Maximum live load to be borne by each floor ................ . ... . . . .... . .... . . ........... . .... . ... . . . ... . .... . ..................................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ................ ................................................................... . . . ........... ........................................................................ . ......... ... ... ........ . .......... The undersigned applicant for this building pennit,does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this pennit; and will post or cause to be posted for inspection on the site of the work such ]public notice or notices as are required by the Act. The undersigned agrees to ernploy only such subcontractors, on woe h to be performed under this permit, as are licensed by Miami Shores Village. ?*- Remarks._._.-- ..._.-------- _._;._...._ ..._....._ . (Signed) d. STATE OF FLORIDA, COUNTY OF DADE. I ss- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared. . .. . ...... . . . ........ . . ........... . ...... .......... 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;jtt arejue. Permit No. . . . ...... Datell I Read, Sworn to and Subscribed before me. Disapprovedc Date— ... . . ............ . ................ . . ........ . ... . Notary Public, State of Florida (Signed) ----- ---- . ...... Building Inspector My Commission Expires..— PLANNING BOARD......._ ............. .............. . ----DATE dainnan . . ...... ........ 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 hem obtained'i'vorri the Pl;tnnir.-,, Board. I A re- inspection fee of 8I.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials- and/or workmanship. Permit No.__ _ / _/..._ 4 Application is hereby made structure herein described. I and all provisions of the Lai of Miami Shores Village slu building during progress of 1 Owner's Name and Registered Architect and /or Employing Plumber's Name Location and Legal Descrip MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r°. '° IT Date.. -_. �r 5 r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other s application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at v Street ._ _ ._ _._ _ Street Subdivision..._. Street and Number where work is to be performed —No- M-�' 4' az, .: Z C2.. State work to be performeS and purpose of building (By Floors)— New Building __ ._ Remodeling Addition_._...�—_._ -.. Repairs—_____ No. of Stories ... ...... ._. - - -.. -- Before me, the to me well known, and w of the above described therein by him stated are authority, a notary public, duly authorized to administer oaths and take acknowledgments; personally appeared �s dtg l�th , that has f ij read the foregoing application, andtha he did sign the same, and that all facts Notary Public, State of Fld da i NOTE: Are- fee of $1.00 will be made when such roinspeolion Is made necessary by improper notice fox inspection, or faulty materials and /cat CLOSETS BATH TUBS HOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUes URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'HS TOTAL FIXTURES. CON in. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREAST SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FID. EL PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tanti ! _ _ .� T T �� c Feet of Drain Tile ! 6% orY Field from Well_ Nature of Water Supply: Cl W .Size of Soakage Pit...-._.-.._....__ cg Amount of Permit $ �`�°-° (Signed)— $lambing Inspector., I The undersigned applic�mt for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has coin. plied with the provisions the ed, 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 muse to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The fined agrees to employ only such sub - contractors, on work to be performed under this permit, as are lick by Miami Shores V Bag& . t (Signed) Harter Plumber. STATE OF FLORIDA, MUNTY M nAnE_ Before me, the to me well known, and w of the above described therein by him stated are authority, a notary public, duly authorized to administer oaths and take acknowledgments; personally appeared �s dtg l�th , that has f ij read the foregoing application, andtha he did sign the same, and that all facts Notary Public, State of Fld da i NOTE: Are- fee of $1.00 will be made when such roinspeolion Is made necessary by improper notice fox inspection, or faulty materials and /cat t i .. 4 VI =I 1 j; II MI MI Si ORKS VILLAGE -� 'T' � ELECTRICAL INSPECTION DEPARTMENT r APPLICATION FOR EL.ECTRICAL ERMIT ,! Permit NO ......... «.. Date .............. »....« : li «'�d ......... «.:... Application',is hereby mad for the approval of the detailed statement of the plans and specifications herewith submitted, = the building or ojtherl, structure herein described. This application' is made in compliance and conformity with the Building', Ordinance of Miami hores Village, Florida, and all provisions of the ws of the> State of Florida, all ordinances of Miami ;Shores Village and all fiules and regulations the Building. Division of Miami Shores Village siall be coitiplied with,, whether, herein specified O Or sot. A copy of „approved plans and specifi ations must be kept at building during progress of j work. J Owners Name and Address. ........ I .... _.. ?..... _. No;:_.._ «... `?� . . «... Street . «l I ..... .I Registered Architect and / Employing Electrician's Name....... r Engineer« » + _ ...r ........._ :.. .... :.:.:....'..... »...No.. .....«... _ . i ... ...........'i s ...... ........................ Location and Legal y)escription Lot..... Block .. » . Subdivision .......! .... _.... .. . ». _ I ............................... Street and umber where fN ork is to be rforme No... _ ... «.. «.... » » « «.... »...........h .................... ». �i' pe d— » .. .t=een. ........_. ..... .. ..._. j State work to be performed and purpose. of building (By Floors) ......... ...._...... . .................. « ...« . .............i. New Buildflng. .......... Remodeling:... ... :...Addition .,. ........................ Repairs . ......... f ...._.. ..No. of Stories. ............ SW OU B FTS LIGHT OUTLETS• PLUG RECE'P•T'S FIXTURES NO. LAMPS RLFRIG. OUTLET' IRON , OUTLET RANGE OUTL�1' RANGE- CONN: WA'1'BR` HEATER HEAT. NNJ SPACE HEATER S HE IP TER. OTA LIST CHECK I, �I it - ENT. SdY. ®1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP - MOTORS -1•5 HP NEON 1 BANS:,. OIO - TOTk4 CONTR. LIST CHECK Service Overhead Size Underground .. �Feedets.. Conduit» ....Main Sw . �.. .. ...Amps . ..�, ....� .: Main F a. « p Type • of I stallatioa- --Co duit ........ :Tpbing . ....................$. L r........ ...Metal Moulding.. .. ._........... .+ ... »...... «... ....... _ ..... . .. ... .. » ...... ... _..._. «. ».� ....... ........... ... . ..� ...... .. ». ...... ».... �I Amount of Permit $:L.'..a _... «........ «. »,.... « ...... ........ » »... ».« « .. .. ,...... , .. e.. 1. a............ »,:..,.. .......... «. » «..... (Signed). .. ... ......... .... ». «.... r .._.......-----•-- . Electrical Inspector. The undersigned app 'cant for 'this building permit does hereby certify that he understands and accepts his obligati ' ns as an emplogec o labor under the Florida orkmen's: Compensation Act, being Sectipn 5966, Compiled General Laws of Florida Perma�ient Supplement, ''Ian j ,has complied with: the pr work to be; performed un visions thereof, and will require similar compliance from all contractors._ or aub•contrac•tors employed r this permit; aCnd' will post or cause 'to be posted for inspection on the site of the work such by him in',j th ublic -notice or -as are required by the A The undersigned agrees to employ only such subcontractors, on world to b performed un er this permit, a� ar licensed by ! Miami Shores Willage. i, (Signed). « j .11 an Electria r, STATE O FLORID A, COX OF DADS: �.: Before me, tht un ersigned authority, a notary ,public, duly authorized to administer . oaths and fake actin ledgments, personally c appeared« «.. »... ................. .. ... «....: R.. �... ..» . .« .. .... , . ,,» } Ij « 'and .... » » ................... to me well ilknown,Nand w o, being by the first ',duly sworn, upon oath deposes says that he is the -.............. .t« ... » ................ 1'::...� of the abo a described co d struction, and he 'haw. rgfully read , the foregoing application, and tha� he did sign the salue. and that all faCN therein by him - stated are true. � G » .. . 1 My L_. «.�.. .. «.... «..... � ... .............. ... • -r+ - -• ' mmission Eapires� � «Nq�ry 1�ibhc,..State;of . _ ........ «..., orris NOTE: A re-iaspe on fee of $1.00 will be made when such re•inspection'is made necessary by improper aotice r inspection, or faultyj materials and /or workmanship. Issue Amount No. Houses _ Sln . F. f Lam o horei ailac�e - - N® - - 863 BUILDERS BOND SNOW ALL MEN BY T LE`Sk PRESENTS, at I �>Addres in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buiongs at the folio ' g addresses: do hereby deposit with Miami Shores Village, Florida, the sumo and I agree with said Village that, when such construction shag have been completed by me within the meaning of the ordinances -of said - Village, I will clear all - premises and repair any Village property damaged by me,- used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such constructi within the meaning of such ordinances, the Village may 'clear and repair the same and pay the costs of such clearance and repairs t of a aforesai and return the remainder to me and that, if T shall clear and repair said property immediately, as aforesaid, then -= said shall be returned to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, th- 4,96a.4 �- I" Village Building Inspector and obtain his approval, after which. Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE -BUILDING °INSPECTOR'S - APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commen g said construction. WHEN CLEARED AND REPAIRED BY THE :VILLAG Pa Cost of clearing and repairs done by Village . . $ Balance due Builder . . $ Cancelled— 19 By j JIM, S H ORES VILLAGE BUILDING INSPECTION DEPARTMENT 'R APPLICATION P FOR BUILDING PERMIT H Application is hereby made for the am oval of the detailed statement of the plans and specifications herewi submitted for the build img or other stru a herein described. This application is made in compliance and conformity with the Buil gg Ordinance of Miami Shores Village, F l nda, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Pillage and all (rules and j regulations of the wilding Division of Miami Shores Village shall be complied with, whether her specified or, not. A copy ol appioved plans and specifio tions must be kept at building during progress, of the work. , Date ,19 Owner's Name an Address' -' - No Str `z.61 Registered Ar , I and /or Engineer Name and addrem of licensed contracto Location and legal description of lot to b4 built one Lo B1 Sub_ .diviso - Street and Numbe where work is to be done— purpose State work to be one and of uilding (by floors) --�- -- �""We .. or ni purpose . i New Building Remod ling Addition__ ____= R pairs No. �f Stori To be constructed of d of fo RoofMovering ;(Estimated Total ci ist of improvements $ _-Amount of Permit $f Zone cubage req plan Cubage Distance to next i iearest building — _ Size of Building 'Maximum live load to he borne by eac floor I hereby sub 't all the plans I sl and ecifications for said building. All notices with reference to the building and its constrt on may -be sent to The undersigi under ' ed applicant for this uilding permit does hereby certify that he understands and is his o PP �3' accepts �hgations as ax employer of labor under th Florida Workmen's ompensation Act, being Section 5966, Compiled Ceneral Laws of.Florid* Permanent S lement, i and has complied th the rovisigns eof, and will require similar compliance from all contractors or sub -con actors em lot' by him '''in the work to be Perfo nne under this ermit and will post or cause to be posted for inspection on the site of thO work such p lic notice or notices as are r aired by the A undersigned agrees to employ only such subcontractors, on work to be performed imder this permit, as are' lice ed by Miami Shore, Village. Remarks ( Signed) _> STATE OF FLO A, COUNTY OFD E. Before me, the undersigned authori. , a notary public, duly authorited to administer oaths and take acknowledgments, per. Dually ap- ed i 6 to me w 11 known, and who, being b me T- duly sworn, u� loath deposes and says that he is the of the above des ecl 'construction, tha e s carefully read the f regoing application, and that he did sign th same, and t all faces !therein by him sta ed a1e true. Permit No. Ito' Read, Sworn to and Subscribed before me. IlDisaPProved C � I ate Notary Public, State of Florida (Signed) ' r Building ]nsp1 tort' My Commission Expires I P G BOARD DATE Chairman Member ,Member Member 'Member Member r Council Approve ate Disapproved 1 Date NOTE: A cb arge of $1.00 will be made for making corrections or changes to this application after approval hdVb3M ob ed from the Planning Board. A re-inspectic n fee of $1.00 will b charged when such re- inspection is made necessary by improper n otice, P materials and /or orkmanship. or faulty i r P 3 j wlL ' Y N t I V� C of 1F ji k , it , i mi '% 4 � . r r� I5 1 77' 7 ", t t. . i "y t I{ 40 AiO a Y 1 I 7F t( lr�k -1 �i z c. s G 1 ��- a des r �I I ij A I t 5 o rG e: r z 1 } 7 it '. MIA R E M L S ITI S VILLAGE' BUILDING INSPECTION DEPARTMENT ; APPLICATION FOR BUILDING PRMIT App cation is hereby, made for the approval: of the detailed statement of the plans and spec cations herewith sub tted for the build4 ing or o er structure herein described.. This application is made in compliance and conformity with the Buildingg O dinance of Miami Shores V ge, Florida, add'oll- provisions of the Laws of the State of Florida, all ordinances of (Miami Shores VL9, and all rules and regulationsof the Building Division of Miami Shores Village shall be complied with, whether heiein specified or not. Xcopy of approved platys an specifications :must be kept at building during progress of the work. Date —, Igo 11�'� Owner's !Name and Address No.— Street- ID- - Registered Architect anc� /or Engineer TY Name an� address of licensed. contractor _ Location �nd legal description of lot to be built on: j Lot� � Block Subdi Id on Street an4 Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling Addition Repairs — To be cot cted of Kind of foundaticm I Estimate Total cost of improvements $ _ �` `Amount of Permit Zone cub ge required _ plan Cubage Distance Into next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with _reference be sent J�ndersigned The ap licant for this building permit does hereby certify that he understands a of labor der the Florida Workmen's Compensation Act, being Section 5966, Compiled Genera and has complied with the rovisions thereof, and will require similar compliance from contra in the wgrk to be performed under this permit; and will post or cause to be posted for ' tion or notices as are required by the Act. The undersigned agrees to employ only such n permit, a are licensed by Miami Shores Village. Remarks � — (Signed) STATE bF FLORIDA, CO.0 OF DADE. ss. Befo a me, the (undersigned authority, a notary public, duly authorized to administer oaths a peared and who being by me first duly sworn, upon oath deposes and says that, he is the— of the abpve described construction, that he has carefully read the foregoing application, and tha therein b: r him slat are true. Permit b o. Date - Read, Sworn to and Sul 'f)isannrnbe.rl (Signed wilding Inspector V PLANNING Notary My Commission — - and fo no other purpose' No. of St rtes k building and iis construction; may d adepts Laws of I ;tors or su ,d take acknowledge he did sign the sat scribed before me. State of Florida Member - -- — - �I Member Member Member _ Member I Council, jIAPproved � Date Disapproved NO Efinspection A char a of 1.00 will be made for m corrections or es o this application l' erapproval the P g Boazd. g' $ along ecti ns Chang t aft has A r fee of _$1.00 will be charged when such re- materiaUl and /or workmanship. inspection is made necessary b3l improper notice for f ill as an ploy him a he notice h r this personally ap= me well known, and that all facts ;i obtained from ;lion or faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept a building during progress of the work. Date- -- _------ - - - - -- -------------------- --- -- ------------- -•-••- - °• -- -- 19- --- Owner's Name and Address_-_ - ------- - - - - - -• -- -- -------- - --•-- ._........... -- - -•- ........ - -- ----- - °-••- No --------------- - 46.- Street .......................................... Registered Architect and /or Engineer.... -- -- -- -- - --- - - - --- - -- - -- ....__ ----------- -----------•-•- •------- ----- ------ ---- •- - -• - -- •------------------•--•----- Name and address of licensed contractor - -- - ----- •- -- ••-- -•- -•--- -- - --- -------- -- - - ---- ----- • - --•-• ........ .......... ----------------- --•-- ---- •- •- --- --- - -- - -- - Location and legal description of lot to be built on: Lot---- -.......................... ------ - - - - -- Block .................... ._....... - --.. Subdivision. ---------------------------------------------•-----•-••--------•------------•-------------..._..-------- Street and Number where work is to be done. ...... .------------- .. ........... ----------------- •- •------- •--- ••• --- -• -------------- ------- State work to be done and purpose of building (by floors) - ---- ---•-------------•---•------ ---- •---- •--= ----- -- -- -- - - -- --------•----------------•----------•--- •------ •------ ...•........... °--- - -- - -- -- -- •------- --- -•-• -• ..................... - ----- --- - -_- --------------------------------- ---- -- - - --- - -- -- - --- ----------------------- -- ---- -------- -- - - - - -- -------------- for no other purpose. New Building-- --- - - - - --- - --_-- --- - --• -. Remodeling -- ----- -- - - - -_- -- - - - - -- Addition -- _-- --- -- --- --- - - - - --_ Repairs -------------------------- No. of Stories ... - ............. ...... To be constructed of - - -- ---- --- --- •- ---- - - - - -- Kind of foundation ...................... ----------------------------------------- Roof Covering ---- - r--------------------------- - -••- - -• - -- Estimated Total cost of improvements $ ------------------------------------ -............. Amount of Permit $-.--.--------.--.---.-----------.---------------••------------------•------------- Zonecubage required ----------------------------- ----- ----- ---•-- -- -•--- -- - - - - -- ---- - - - --- --Plan Cubage ------------------------------------------------------------------------------------------------ Distance to next nearest building .............. .... ....... .... .......... . . . . .. ...............Size of Building Lot ------------------------- ......................................................... Maximumlive load to be borne by each floor- --- -- - --- ------------- -- •--- ---- - - - --- ---•-------------------------------•------------------ ------ --------- -- ---- ---- -- ---- -- ----- - - -•-- ----------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to-----------------------------------------------•----•---------------------------------•------------------- -------------------- --- - - - - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks------------------------------------------------------ -------------- -- -- -- -- -------- -- - - -- ( Signed)------------------------------ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared---- - - - - -- ----- •------- - - - - -- ---------- - - - - ---------------------- -----•----_----- -- •--- -- ------ ------ -- --- - -- -- --- -•-- - - - - -- - ----- -- -- - ---- --- -• - - -- - - ---- ----------•-------°---------------- -- ---- ------ ---------- _.- - -- --• -- -•- --- -- -• -_ - -- - ------------ --- ---- -- ---- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . -------------------------------------- . - - -- -_- _ . _ - -_ - .. ... - - - -. _ - of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. PermitNo-------------------- ---- ----------- ---- - - - --- Date----- - Disapproved ------------ -- ---- ------ ----- --- -- - --- Date -- ---- ( Signed) --- ----- --- ---- -- _-- -- --- - - -- ------------ ----------- - Building Inspector Read, Sworn to and Subscribed before me ----------------------I------------------------------------ Notary Public, State of Florida My Commission Expires_____ ___ ________ _ __ PLANNING BOARD ................... __ ... ----- ----- ._- -- ..__... - - - - -- -DATE Chairman--- --- --- - - - --- ------------------------ -- -------- --------- -- -- -- - -- -- -- -- ---- --- - - -- -- Member ------------------------------------- -- ------ ------ ----- -- ---- - - -- -- -------------------------- Member---------------------------------------------------------------------- ----- -- -- --- -------- - -- - -- Member ------------------------------------------------------------------------------------------•------- Member... ----- ----------------------------------------------------------------------------------------- Member ------------------------------------------------------------------------------------------------- CouncilApproved----------------------------°-------------- --- -- --- --- ---- ---- ---- -- - --- -Date Disapproved - ------- ------- --- --- -- - - - --- ---------- --- ---- ---- ------- -- -- - - -- --- ------------ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby ainde for the approyal of the detailed Statessient us me plans and specifications herewith submitted for the build . inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and nil 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 Villa;e shall be complied with, whether herein specified or no. A copy of approved plans and specifications must be kept at building during progress of the work. Date a W = .........................».... Z Owner's Name and Address ...... . . No._ 44 Z/.;�trftL_La.3_5:Z .. ..... . . Registered Architect and/or Engineer..... Fame and address of licensed contactor.. Location and legal description of lot to be built OA: .......... Lot ........... ............................... Block ..................... . ...... Subdivision_._.....--- Street and Number where work is to be done.— -,dzkp— ip :4 - -5 —7'*--,*— Sta;o work to be done and purpqse of building (by floors). .......... ..... ».... »..................._ .. . ........... . ........... . .. . ......... . ................... . .. . •--- - -------- ----....and for no other purpose. New Building ............................. Remodeling ................. ...... - Addition../, .................. Repairi ......................... No. of Stories ...... .. To -be constructed of ......................... Kind &f foundation...._.._....».............. ..............................— . Roof Coverin ....................... ........... ... g ........... 7 Estimated Total cost of improvements ....------_....Amount of Permit . ......... ........................ »_ » ». ». Zone cubage required ............. ............................... Cubage— ...... . . . ............... . ..... . Distance-to next nearest building .............................. -...__-----Size of Building Lot._ Maximum live load to be borne by each floor ........................... . ......................................... . ....... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to .. ......... ...... . ........................ .... ............................................. ........................................................................ . ........ ............ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida. Permanent Supplement, and has Complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work- to be performed under this permit; and will post or cause to be posted for inspection an the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed- under this permit, as are licensed by Miami Shores Village. Remarks .................................... — (Signed) - STATE OF FLORIDA, COUNTY OF DADE . -Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap. peared... ._»...»........_............_._..........._ ....... . ............. . ................. . ..... . ... ........ --to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . .................. ........ . ......................... . .... . ............. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him Stat-A 06&_W� %e41K e. ... ......... Permit No_ Date .. Read, Sworn to and Subscribed before mm Disapproved . ..... ............... .t . ........ . .a..t.e ... o...oNoay Public, St f Fl..r..d..a (Signed) . .............. . ........... .. . - Building Inspector My Commission Expires_— PLANNING BOARD......._ . . ........ ............ . . . 4--.-DATE Chairman................ ............_.._....» ».. » ».. ».» . » .. »._.» ............ Member Member ................................. Member Member .. .. . ............. Member CouncilApproved .....-».» ... ............................... » ........_........._..._Date Disapproved . . . ................................... .... ... ............ Date NUTS: A -charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin.- Board. A re- inspection fee of $1.00 will be charged when such re-inspection is made necessary by Improper notice for inspection at faulty materials and/or workmanship. MIAMI BHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 9- (1 APPLICATION FOR ELECTRICAL PERMIT Permit NO ... kjo)..1........... Date i..... .....- .. -..- Application is hereby made, for the approval of the detailed statement of the plans and specifications her ubmitte d for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fludda, 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. /-� (�'iJ�: i-L .` No.........1.... ._ . ��: Street Name and Address ............................. Registered Architect and /or Engineer....... ........... ...............,,.............. ,............................... ..--•• ....... .......Y ��................. ...................... ................_ Employing ElectriciaA's Name .Ali s /A s...� .%�. �-. . .... � ........................ Street.. �... .:................ ............. Locationand 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 Fl oors) .......................... _ .............. _............................................................................................. NewBuilding . ............................... Remodeling ............................... Addition .............................. Repairs ...................................... No. of Stories.................... Service Overhead Site Feeders ............. ...... Conduit.._.............Main Sw....................... .......Amps .......................... Main Fuaes........._........ Underground .... Amps Type of Installation— Conduit........ ................ Tubing........................ B. X. L.........................Metal Moulding ............... ................... .................................... ........ ................................................ ............................... ........................................ ......................... . . . ... _ .. ............................... .. - .......................... _ 4 ...r... .............l.........: Amount of Permit :......... • • • (Signed) • ................ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 noti or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to pe orn d under this PS s are licensed by Miami Shores Village. (Signed ... . ` .. ` .............................. Electrician........ STATE OF FLORIDA, ( COUNTY OF DARE. es Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared..................... .................................... ............ .... .... _ ....... . .... .. ..................... ...................... .. ....................... ............ ..... ..... _ ......................... . .... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are teas. ..........» M ..................... ................. »N. c . »... »....... �, State of Florida y ommiesica i z Aire .» ..... »... 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 RaPRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE•P•T,s NO. LAMPS OUTLET OUTLET OUTLET CONN. NEATER CONN. HEATER HEATER CONTK. LIST CHUCK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RAo,o TOTA1. SW. CAB. TEMP. PERM. 0.1 HP 1•5 HP TRANS. CONTR• LIST CHECK Service Overhead Site Feeders ............. ...... Conduit.._.............Main Sw....................... .......Amps .......................... Main Fuaes........._........ Underground .... Amps Type of Installation— Conduit........ ................ Tubing........................ B. X. L.........................Metal Moulding ............... ................... .................................... ........ ................................................ ............................... ........................................ ......................... . . . ... _ .. ............................... .. - .......................... _ 4 ...r... .............l.........: Amount of Permit :......... • • • (Signed) • ................ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 noti or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to pe orn d under this PS s are licensed by Miami Shores Village. (Signed ... . ` .. ` .............................. Electrician........ STATE OF FLORIDA, ( COUNTY OF DARE. es Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared..................... .................................... ............ .... .... _ ....... . .... .. ..................... ...................... .. ....................... ............ ..... ..... _ ......................... . .... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ......................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are teas. ..........» M ..................... ................. »N. c . »... »....... �, State of Florida y ommiesica i z Aire .» ..... »... 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. FIGURE 1.1 5 ) PIPE (4.5' O.D.) ) IN 'HOLE GROUND LEVEL -CONCRETE FILL GRAVEL FILL 7� •. L � e e Yd #•iS � t '��' _�, �� fir: �� / F tux t t � �� w ° "t 1,•�' ,�` � - " {k�{ 0 s P t C � A . FIGURE 1.1 5 ) PIPE (4.5' O.D.) ) IN 'HOLE GROUND LEVEL -CONCRETE FILL GRAVEL FILL If REPORT 0 RE: MYDX Satellite Antenna Wind Load Test December 20, 1984 Project #84 -535 Wind load test was performed at the Raydx Satellite Systems, LTD. plant located on 9 Oak Drive, - Silver .Springs Shores, 'Flgrida A 10.5 foot diameter Raydx antenna was tested - constructed of a "Alumax" 6105, T6 ring with 18 - "Alumax" 6105,. T -6 aluminum extrusion, parabolic ribs which attached between an 1/8" and 3/8" thick center plates. The plates 'attached to the declination bracket..with 3/4 " -10 hex-.bolt (refer to assembly and installation manual). For the test, the antenna was-securely-fastened by its assembly to a'4" schedule 40 steel.mounting.post as directed by the assembly manual. The post was also securely embedded in the ground. The antenna was pointing in the vertical position. Then 50 pound bags of soil were placed symmetrically one -by -one over the antenna mesh and ribs-starting on.the center plate.and moving outward until the antenna,was covered . with bags (1 bag deep). A total of 56 bags were placed on the antenna surface giving a total load of 2.8 kips. This load was left.in place for approximately 5 minutes then removed in the same fashion as they were placed.. No permanent damage or 8eflection was observed (note -no deflection gages were employed in this test). (See calculations = ;:;under different .document). a G oe Paternitti, Eng.• Infern C MOORHEAD ENGINEERING COMPANY December -20, 1984. -I- 1rr, ..,. y �, • �4 V Y'T�, I �� . �'�y r, t �,,•� % G1�,- 11t I REPORT RE: RAYDX Satellite Systems, Ltd. Wind Loading Calculations December 27, 1984 Project No. 84 -535 Dead Load (DL.) DL = Weight + Foundation 130 + (3x3x2) 150 2830 lbs. t Shape Factors.(S.F.)* ^ 1.4 (Flat Surface) X0:8 (For 60% Open Surface) SF 00 Wind Load Requirements 020 mph). (Up to 30 feet aboveground). a) Southern Building Code Congress 29 psf x 1.4 x (0.8 -: 1.3 ) 25 psf b) South Florida Building Code (Broward County) 27 psf x 1.4 x(0.8 1.4) = 21.6 psf c) A.S.A. Standard (Grand Bahamas) .44 psf x 0.6 = 26.4 psf 4 Controls Wind Loading Curved Surface Area = 99:614 sq. ft.. .Total Load Requirements (ASAS) = 99.614 x 26.4 = 2629,.8 lbs, Applied Test 'Load 50 lb /Bag x 56 Bags = 2800 lbs. oe a erne i ng. Intern MODRHEAD-ENGINEERING COMPANY December 27, 1984 _2_ T.L.R. (SBCC) = 99.614 (25) = 2490.4 lbs. T.L.A. (SFBC) = 99.614 (21.6) 2151.7 lbs. *Shape factor based on M 60% open vertiral.surface (% open value obtained from J. Wetz Manufacturer) ,.o. r.. t {1 1� c �� •Sksa�. SATELLITE SYSTEMS, LTD. 1 February, 11, 1985 y Mr: Bob Dominix Satellite Supply x .2075 N.E. 154th Street North Miami.Beach, -FL 33162 Gentlement It's -been a long time.coming, but we have good news. The Raydx 102' antenna has been certified for winds up to 120 miles a hour, up to_ 30 feet above the ground. The antenna exceeds the requirements of the South'e'rn Building Code, the South Florida Building Code (Browar.d County), and the A.S.A. Standard (Grand Bahamas) based on dead load testing. The antenna was dead loaded with 50 pound sand bags distributed from the center to the rim, to a total.of 2,800 pounds. Not only did the -antenna not fail, we are using that specific antenna as our laboratory antenna. Even after the test it's performance is excellent and unchanged. We have - enclosed a copy of the test results which you may reproduce or we 'will:' °provide more copies if you need them. Sincerely, 6 James E. Wetz Vice .President JW:kb Enclosure ` 1 ,jb ADDRESS 45 N. R. 103rd 5t, LEGALLots E11b -17 Blk.123:M 5 RECORD GARBAGE TAX ,�+ 1.1 -1 9 PAID BY G�+1.OL'i+.J.l 10- 9 YEAR ANNUAL TAX - PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Richard L. Spaulding o 1949 'of/s- 4.0 s a -.,- �, � -S/ ° .<i - ; � .i" B 4 f-rA Aw _ �J, � r may... � er i 4 MIAMI SHORES VILLAS "WPI, 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 �Flbrida, 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 bdilcaing '.- during `progress of the work. Da -- / > 19_ Owner's Name and Address - -- _ ------------- - - --------- - - - - - - -- - - - No. ----- - - -- -- Street ---- l__ 3 Registered Architect and /or Engineer___ !_cy �<'r�FL._ .SCR'd --- Name and address of licensed contractor________________ 4 40 Al eA - Location and legal description of lot to be built on; i - - - -- Block c__- /_?: ,5 _ Subdivi 'o - - t'Z --------- - - - - -- -- - - - --- -- Street and Number where work is to be done___ ____ __ __ ___ __ -art - ________ --- --- - - - - -- -- State work to be done and purpose of building (by floors) __1 `__-- -_ --- --� ` _ - -- ------- - ---- — - - -- -F -------------------------------- ---------- - - - - -- f ----- - - - - -- -and for no other purpose. New Building - -_ 710C____7 _ Remodeling__ _ ____ ✓___ __ _ Addition _�:_ _ _ Repairs__ __ _ _- _ ------- No. of Stories -____ / ___ %j _ -------------------------------------------- Roof CyQverin L To be constructe ___ __s ______ Kind of foundation_______�*'� -44..�r g _ ____ _ _ Estimated Total cost of improvements $_ � P_� - ® o Amount of Permit $_____1 _'--s_____________ __ Zone cubage required__ _l� �,, Q - -- - 41 ------ - - - -- - - lan Cubage-- - - - - -- 1r } - - - - - -- -- ------- - - - - -- - - - -- - -- Distance to next-nearest building___ '- S- Size of Building Lot ------ x f z i - ---- -------------------------------- Maximum live load to be home by each floor__ ____ _______ _____________________ ______ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ----- '�F� 8 �1 -e`x— -------- - -------------- - - - -- - -- - - - - -- - -- - - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act: The undersigned agrees to employ only suchntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks----------------------- - - ------------------ - --- - - - - - -- --------------- - --- - -- (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 ap- peared----------------------------------------------------------------=--------------------------------------------------------------------- ---------- --- --- - - - - -- - -- ------------------------------------------------------------------- - - - -to me well known and who, being by first duly sworn, upon oath deposes and says that he is the --- __ _- ----------------------------------------- _ ________________ of the above describ construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts Permity tote a true. No o.____ S: t_ _ : ?_: Date__d_1- . /- _- - -------- Read, Sworn to and Subscribed before me. ` Disapproved - - ate - - - - -- S -- -- ---- - ------- ----- -- - - -- -- ---------------- Notary Public, tate of - Florid-a ( Signed) -- ----- - -- -- - -- - - - - - -- - - - - -- - -- - - -- - -- --------------- Inspector My Commission Expires e------------------------------------------------------------------ PLANNINGBOAR ------------------------------------------------- - - - - -- -DATE Chairman----------------------- - - -- - -- -- --- - - - - -- - - - -- - -- --------- - -- - -- Member -------------------------- 77 ------ - --- - - - --- - -- -- - -- - -- --------------------- Member- - - -- - - - -- - - - -- - - -- --- - - - - -- - - - -- - -- -- - - -- - -- -------- - - - - -- Member -- -------------------------- - ----- - -- -------------------------------- Member-------- - - - - -- - - -- - - - -- - - -- ------ - - - - -- - - -- - - -- ---- - - - - -- --- - - - - -- Member -- - - - - -- - - - - -- ------ - - - - -- ----------------------------- - - - - -- - -- - - - - - -- - -- Council Approved -------------------------------------------------- - - - -- -- - - - -- -Date Disapproved - - - -- - - - -- - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • -' r. OWNER'S NAME PRESENT ADDRESS ENSE NO. PHONE NO. LONBARDO, ANTHONY 598�N. J. 77th Street JOB LOCATION (ST.ORAVE.) LOT BLOCK SUBDIVISION 45 N. E. 103rd Street I 17 & E j 16 123 llvliami shares GENERAL CONTRACTOR ADDRESS j PHONE ONE NO. M LICENSE NO. Owner ( 598 N. W. 77th Street i I 3318 O -B BUILDER'S BONDS BUILDING PERMIT NO. 816 ( DATE 22 PERMIT FEE $ OO ,, NO, DATE 8f22IIi9 863 ZONE REOUIREMENTS 179.500 CU. FT. PLAN CUBE 199599 CU. FT. EST. COST $ 10,000.00 DATE 8! /22/49 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY; TYPE STORIES ROOF. CONSTRUCTION INTERIOR CONSTRUCTION X I CBS I 1 Tile 4k Floors - Plaster 'falls NEW CONSTRUCTION DESCRIPTION . REPAIRS I Liv Rm- DinRm- KitQJal. Preh -2 Bed Rms -1 Bath- 1 car attached garage DESCRIPTION ALTERATIONS I ADDITION APPROVED REJECTED (REFERRED TO COUNCIL I REASONS SUBMITTED TO PLANNING BOARD I I RE- SUBMITTED TO PLANNING BOARD I I I REMARKS SUBMITTED TO VILLAGE COUN Cl L CERTIFICATE OF OCCUPANCY NO. ISSUED BV ( TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE BUILDING INSPECTIONS INSPECTIONS DATE BBYL7�7 RE- INSPECT BY RE- INSPECT BY FOUNDATION , PERMIT NO. MH FEE TEMPORARY SERVICE DATE FEE BEAMS & LINTELS L 16 $ SEWER H. W. HEATER CONN. FRAMING Q 3n JS $ $ GAS $ $ ,MOTORS $ ' FINAL -Ill/.10/41 DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP $ ' PLUMBING PERMITS & INSPECTIONS CONTRACTOR Woods Plumbin Co. PHONE T C �p PERMIT NO. 8 DATE 9/2Z49 FEE $ mo NEW BLDG. X ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE DATE FEE $ SEPTIC TANK $ SEWER H. W. HEATER CONN. $ SOLAR HEATER $ $ GAS $ $ ,MOTORS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING $ ' GAS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT SEWER TEMP. SERVICE 8/ 2[ JTDH SEPTIC TANK ROUGHING 26 FG SOLAR HEATER H. W. HEATER CONN FIXTURES _11/10/491 JDH ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR &f % T C d• Inc* PHONE pry PERMIT NO. 826 DATE 26 FEE Q $ ,80 NEW BLDG. = I ALTERATION I ADDITION R PAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H& Q 818 pp LJ 2 s1.00 H. W. HEATER CONN. $ RANGE CONN. $ ,MOTORS $ FIXTURES $ ' $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 8/ 2[ JTDH ROUGHING 26 FG H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 11/4/49 Tn JDH APPROVAL TO POWER CO. FOR SERVICE DATE 11 10 li/ BY JDH AFFIDAVIT STATE OF FLORIDA) SS COMM OF DADE ) of the Village of Miami Shores, C y of Dadof and State of Florida, being duly shorn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 10,48, amend- ing paragraph (d) of Section B -368 of Ordinance 11o. 97` e B °lding Code of Miami Shores Village, he desires to build a .__�.... on Loth, / [Block ...��? M y. ofy. J_...,Subdivison, tha he is owner of said property, and will be the owner of sci.d _.__- that he will do the work personally, arxi that 1 Iii ll, at such times as are required by the Zoning and Building Director:- 1. File plans axed specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 1, 6., File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social i Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shoares.Village for any part or portion of the work. 9. Not set himself up as a "contractors' 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 3.1. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner - builder permit each 2 years, and where an evner- builder has once exereirsed the privilege herein conferred no seciond application for owner- builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: R SUBSC IB ,D AND SWORN TO B:700 10 this 19 G' i JEROME J. DUNN Notary Public, State of Florida at large. My commission expires Sept. 29, 1949. . D., ax>l r3W a 1 N! 8 t9Q.D4 { •`� ', �- F? Z;46- 1468 cc h3 I i _ z d 1 _ a A: ©" Q 1 12.9.0 7 �t q j i4a G .� o.5a io Ftso t V _1 Fwg dug s.; calstruation Qr 040 ssui, ;I a M14 rozidowil as 45 NA Eo 103rd ft. May u�r� '� ��i9 t i d+�►ts f Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Prr, j 6, K �A yt c.� r. O'l , Job Address: `f'$� /� F, /93 ST- ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof ❑ Re- roofing ROOF CATEGORY ❑ (Nail -On Tile) 1 (Mortar -Set Tile) ❑ (MeW RoofslWood Shingles & Shakes) ❑ (Od►er) ROOF TYPE ❑ Recovering repair ❑Maintenance Flat Roof Area (fe) �J Sloped Roof Area (fl) 1 XP Total (fe) I 2-P Master Permit No. Exposure dory (per ASCE 7-88): < Building Classification category (per ASCE 7-88 table 1): _Z ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Fastener Type: I Field: Perimeter: '- '" ' DETAIL 1 & 2 Page -1 ROOF PLAN -------------------------------------------- 1 i - - - - - - - - - - - - - - - - - - - - - - - - --------- 1 t - = ------------------ , f 1 ------------------ - - - - - - - - - - - 1 I r---- ------------- - - - - -- , t ! •-- - - - - -- - - - - - - - 1 t - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 = -i 1 t 1 1 = 1 ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' 1 ' 1 ffilf I � Appendix "E" UNIFORM ROOFING PERAM APPLICATION r `` VA. W v 9 ym" 4S" "7o 0 `A- PROS No. 1 L� F�,0 Fastener type &spa ' L,/ ,� 14 - P. A d • �� S Cap Sim I a e T h d 9e Covering• gE a 4%r& � Ito rJ aooc+sWee / v I� Dnp rvd -.�i �� t�f�y ss.»e j4,4- c Wl M �o T1-- tye s fr,a 2 /0 y7dA f8 yt 10 �►0 .ir. ar7w� DETAIL 3 ATTACHi11;EWTS REQULRED 1) Fire Oicectory Listing Page 2) Dade County Product Control Notice of mince -Cover Sheet a) Specific System Description b) Specific System Unkaiion c) General Limitations d) Applicable Detail DraWings 31' Municipal Permit Applicalion 4) Other Component Approvals f TILT CALCULATIONS (Pmar1 • x %, (Aerodynamic M dtipi CW. ) - M : = Mrt= PCA: (Pmar2• x l (Aeaodym mic Multiplier)• ) - Mi: = Mi2: PCA: (Pmcer3• x 2, (Aerodynamic MWtipW: ) - Mr: =Mrs: PCA: Page -2 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. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part f the agreement between the owner and the contractor. Z. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be en fled in accordance with the current provisions of Chapter 24 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 neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing 7be torand/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, roofittg nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the ;My—cause, of maintaining this appearance. 5. Ponding Water. The current roof system andlor deck of the building may not drain well and 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 un . 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 goof is not o erloaded from a build up of water. Perimetededge walls or.other roof extensions. may block this discharge if overflow scuppers (wall outlets) are not provided It may be necessary to'install overflow sc �pers in accordance with Chapter 23 of the SFBC. t 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the rn rior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It ma beneficial to consider additional venting which can result in extending the service life o e roof. f c-w---- - . �. ®® Gwfi'er""ent's ianature Date _nnrraetnrJa Signature _�17 Signature ROOF PROBLEMS ? - UPLIFT TEST EXPERTS Owner's Name: Job Address Roofing Con Type of Tile: A -1 CONSULTING ENGINEERS, INC ROOF STRUCTURES CONSULTING ON SITE CONCENTRATED UPLIFT LOAD TESTING ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE TAS No. 106 SITE SPECIFIC INFORMATION Permit #: if-" 7�`7� /n z- Approximate Roof Height: / /; feet Roof Pitch: 3-/�.- Type of Access to Roof: Scaffolds Ladder Approximate Square Footage of Roof: ft 2 Required Testing Force: 35 lbs. Testing Equipment: F.G.E. 100 Date Tested: ZZ01�y Other IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STAT4C UPLIFT QUALITY COW TROL TEST. THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. THIS REPORT SUBMITTED BY: Emilio Castro P.E. # 41592 A -1 CONSULTING ENGINEERS, INC. Lab. Certification # 07- 0306.03 Renews: 01- 1224.05 4383 S.W. 70th Ct, Miami, Florida 33155 - Telephone (305)740 -9550 - Fax (305) 740 -9550 ENGLISH: Cell (305) 609 -6388 - SPANISH: Cell (305) 498 -9804 k A -1 CONSULTING ENGINEERS, INC SrRtklVM CONSULTING UP UFT TES I EKPERTS owmftNwm ------- � �== ...■..■rrrw■wn...�r�a jobAddmM 45 no i3 Al- . �■+fI .r■�r.ri..r.rr.rrrrww i i�■rrr■r�i r .� Rooms Sit .Monona° TypeatTlk lk dm blo roll _ Dals APPMM 11 RodHW ..r.12r...1 Roof PIIdC 3112 'Typo otso�ss b Root • ,.,�,,,_..._ 8c�01d !.._r l�rlder: o1w APP =ckr ft F , COMP of Root R2 Roquhd"rdIft Fmtm + r f7rbiT+�s�sd OZ M-1 12009 ■... Nv Am ofTiM_, .�. SKETCH OF ROOF 4 F] 7 6 8 10 8 11 13 12 4386 &W. -0 court • MAK Pi 0,331M IRMAX 16 1 17 18 18 40 43 44 46 37 3 ar►� �3 23 26 28 33 22 25 30 34 47 ---L45 46 46 4386 &W. -0 court • MAK Pi 0,331M IRMAX 16 1 17 18 18 40 43 44 46 37 3 ar►� �3 .° Miami Shores Village CCF 10050 N.E. 2nd Avenue di¢ 3 4 ve Permit Fee - New Roof Miami Shores, FL 33138 -0000 Scanning Fee pivR Phone: (305)795 -2204 •, pExpiration: 0'111201 Project Address a i Pamel Number Applicant 45 103 Street 1121360130950 } Miami Shores, FL 33138 -2126 Block: Lot: MARIA & BRENDA ROSARIO i Owner Information Address Phone Cell MARIA & BRENDA ROSARIO 45 103 Street (305)867 -7094 Miami Shores FL 33026 -2326 w! Contractor(s) Phone Cell Phone CITY ROOFING AND CONSTRUCTION of Work: Re Roof ional Info: Reroof tile ;ification: Residential Fees Due A]$275.00 CCF Education Surcharge Permit Fee - New Roof Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: $3 Valuation: $ 16,000.00, Total Sq Feet: 2000 For Inspections please call: (306)762 -4949 Invoice # Total Amt Paid Amt Due RF 7 -09 -35314 $ 303.67 $ 50.00 RF -7 -09 -35314 $ 303.67 $ 303.67 $ 0.00 Avauaoie Inspection Type: Up Lift Report 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, 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 taws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. July 17, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy July 17, 2009 1 9 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO TAX FOLIO NO -f STATE OF FLORIDA: COUNTY OF MIAMI -DADE: �r nummm�mmiiimnnuivamnui 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. OR Sk 26y30 Ps 03901 QPS ) RECORDED 07/07/2009 15:04:14 HARVEY RUVINP CLERK OF COURT MIAMI -DAME COUNTYP FLORIDA LAST PAGE 1. Legal description of property and street/address: 44 5 N f ()'3 �C(i o lTe- -f- 2. Description of improvement: 12 -C rwf 3.Owner(s) name and address: Interest in L* Name and address of fee simple titleholder. 4. Contractor's name and address: ck-r S da - 1CX) st v " c-I C-( F'Yl i CLM i r=( uI-7C 5. Surety. (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: _ ATATC ^P- 7. Persons within the state of Florida designated provided by Section. 713.13(1)(a)7., Florida Statui Name and address:__ 8. in addition to himself, Owners designates the foilowln� person(s) in Section 713.13(1)(b), Florida Statutes. Name and address: as a copy of the Uenor's Notice as provided 9. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a different date iVanacifiedl Print Owner Namehbro-)Cu ftW ITO Prepared by Swom to and subscribed before me this day of n - , 20 9 Notary Print N( My con 123-1 -52 PAGE4 SM o M. (2. cwt Address: tz706 su) i � .1 �fdMi Q)- t � � ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Ed! High Velocity Hurricane Zone Uniform Perm) Master Permit No. Pr u Contractor's Name Job Address �-- a • Low Slope ❑ Mechanically Fastened Tile • Asphaltic ❑ Metal Panel/Shingles Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Vmortar/Adhesive Set Tile ❑ Wood Shingles/Shakes ❑ Repair ❑ Maintenance Low Slope Roof Area (SF) Steep Sloped Roof Area (SFj Total (SF) Spt•tien B (Rno f Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 4. FLORIDA BUILDING CODE — BUILDING PERMIT #: Miami Shores Village - APPROVED BY DATE tioi i2MIRG DEPT tApj 16&ff8tf 1 ECT TO COMPLIANCE WITH AL'_ = EDERAL STATE AND COUNTY RULES AN-- _ = _ - -`'ONS NO - oce u Contractor's Name Job Address �-- a • Low Slope ❑ Mechanically Fastened Tile • Asphaltic ❑ Metal Panel/Shingles Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Vmortar/Adhesive Set Tile ❑ Wood Shingles/Shakes ❑ Repair ❑ Maintenance Low Slope Roof Area (SF) Steep Sloped Roof Area (SFj Total (SF) Spt•tien B (Rno f Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 4. FLORIDA BUILDING CODE — BUILDING f • 1 Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form Sectlon D Steep Sloped Roof System) Roof System Manufacturer: eu, P g4,ske- i26S�,i ?A" Notice of Acceptance Number: ®b - a4-2� Minimum Design Win Pressures, If Applicable � (From RAS 127 or Calculations): Pmaxi : L Pmax2: Pmax3: e • Maximum Design Pressure �— (From the NOA Specific System): r Method of Tile Attachment: Roof Slope: 3 :12 Ridge Ventilation? Na Mean Roof Height: 16' Sloped System Description Type: I Tongue & Groove 1x8 Type Underlayment: I ASTM D226 30# felt Na Barrier: I Na Type & Spacing: 5/8° Tin Cap & 1.25° RS Type: I Na e Cap Sheet: q+fe- tAL'T' —rt(e�wq oofing Covering: Type & Size Drip Qr ,bu 6,Ue vol dge: 3x3 Galvanized Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment -based the systems, choose either Method 1 or 2. Compared the values for Mr with the values from Mr If the Mf values are greater than or equal to the Mr values for each area of the roof, then the the attachment method Is acceptable. Method 1 "Moment -Based Tile Calculations Per RAS 127" (p�: 45 x ; .282 = 12.69 ) - Mg; 6.65 = Mr, 6 NOA Mr 45.5 (p2; 95.1 x k .282 = 26.82 ) _ Mg: 6.65 = M 20.17 NOA Mr 45.5 (p3 4*-U x A .282 = 26 Std' ) _ Mg: 6.65 = Mr3 Iot>< NOA Mr 45.5 Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (M) From Table Below 32.2 NOA Mr 45.5 Mr Required Moment Resistance* Mean Roof Height Roof Slope 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment -based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based the systems use Method 3. Compared the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values for each area of the roof, then the tile attachment method Is acceptable. Method 3 "Uplift-Based Tile Calculations Per RAS 127" (P1:_ xl: _ =_xw:= _)- W:_xcos 8: =F „: NOA F1 (P2:_ xl: _ =_xw:= _)- W:_xcos 8: =F2: NOA F1 (P3:_ xl: _ =_xw:= _)- W:_xcos 0: =Fr3: NOA F Where to Obtain Information Description Symbol Where to find Design Pressure Pi or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 9 Job Site Aerodynamic Multiplier d NOA Restoring Moment due to Gravity M NOA . Attachment Resistance M NOA Required Moment Resistance M Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance F Calculated Average Tile Weight W NOA Tile Dimensions 1= length w = width NOA AD calculations must be submitted to the Building Official at the time of permit application. SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the o er and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) ar for the purpose of providing that the roofing system meets the wind resistance and water intrusion 6e ormance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship rovisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed Tr-dance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be d from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. r ! 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural diotr ss 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 r ft g 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 ovoaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if rfl ow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the ctural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be ben cial to consider additional venting which can result in extending the service life of the Owner's /Agent's Signature Date -Contractor's Signature 45 ic,a Property Address Permit Number Wam I '5r)0ft& R Revr120/Z005, Computer Sen4ces, Building Department MIAMI •DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 -2930 MIAMI -DADS COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 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 the BCCO and accepted by the Building Code and Product Review Committee 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 Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: MLT TileSeal 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 of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 3. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 08- 0107.02 Expiration Date: 07/31/12 DIRE !APPROVED Approval Date: 05/15/08 Page I of 3 ROOFING ASSEMBLY APPROVAL Ca o : Sub- Cgftory Material: Roofing Underlayment SBS TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Dimensions MLT TileSeal 36" x 33.3' rolls 36" x 66.7' rolls EVIDENCE SUBIVIIT m Test Product Specification Descriation TAS 103 SBS self - adhering asphalt sheet material with a white glass re- enforced polyester surfacing fabric; for use as an underlayment in sloped roof assemblies. Test Aaencv Test Identifier Test Name/Report Date Underwriters Laboratories, Inc. R14610 Follow up Service 03/28/02 IRT- Arcon, Inc. • 02 -012 TAS 103 02/28/02 PRI Asphalt Technologies, Inc. NEI- 006 -02 -01 TAS 103 04/01/02 PRI Asphalt Technologies, Inc. NEI- 008 -02 -01 TAS 114 (H) 07/30/02 PRI Construction Materials NEI- 045 -02 -01 ASTM D 4798 & ASTM G 155 08/08107 Technologies, LLC. NEI- 053 -02 -01 ASTM D 4798 & ASTM G 155 05/01/08 APPROVED ASSEMBLIES: Deck Type 1: Wood, non - insulated, new construction Deck Description: 15/32" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened deck, membrane adhered. Base Sheet: One or more plies of ASTM D 266 Type 11 or ASTM 1.7 2626 with a minimum 4" side lap and a 6" end lap mechanically fastened to deck with approval nails and tin caps 6" o.c. at the laps and two staggered rows 12" o.c. the field of the roll. Membrane: One or more plies of MLT TileSeal Underlayment with a minimum 4" side lap and 6" end lap. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the roof with MLT TileSeal Underlayment is acceptable. Surfacing: Approved for Approved Adhesive Set Roof Tile Systems, Mechanically Fastened Roof Tile, Metal Roofing, Wood Shake & Shingles, and Asphaltic Shingle assemblies. NOA No.: 08- 0107.02 Egpiral3on Date: 07/31/12 M1pMl�daoe Approval Date: 05/15/08 C Page 2 of 3 LEWrATIONS: 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. MLT TileSeal underlayment shall be installed in strict compliance with applicable Building Code. 3. MLT TileSeal underlayment shall be applied to a smooth, clean and dry surface with deck free of irregularities. 4. MLT TileSeal underlayment shall not be applied over an existing roof membrane as a recover, but may be applied over a roofing Base /Anchor sheet underlayment. 5. MLT TileSeal underlayment shall not be left exposed as a temporary roof for longer than 90 days of application. 6. The standard maximum roof pitch for MLT TileSeal underlayment shall be 6:12 when tiles are loaded directly to the MLT TileSeal underlayment; loading boards or battens are required on roof pitches greater than 6:12 ". 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 8. Tiles shall be stored on battens on roof pitches greater than 6:12 ". 9. MLT TileSeal underlayment may be used with any approved roof covering Notice of Acceptance listing MLT TileSeal underlayment as a component part of an assembly in the Notice of Acceptance. If MLT TileSeal underlayment is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 11. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. For ridge applications, center the membrane and roll from the center outward in both directions. 12. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 14. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of MLT TileSeal underlayment shall be applied over the underlayment. 15. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 16. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIAMbDADE COUNTY END OF THIS ACCEPTANCE NOA No.: 08- 0107.02 Expiration Date: 07/31/12 e cou Z I A Approval Date: 05/15/08 ` P ' Page 3 of 3 MM I�DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION MIANH DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 NUANII, FLORIDA 33136 -1563 (305) 375 -2901 FAX NOTICE OF ACCEPTANCE (NOA) (305) 375 -2908 Eagle Roofing Products LLC 1575 East C.R. 470 Sumterville, FL 33585 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 Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Malibu Concrete Tile 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, the expiration date may be displayed in advertising iterature. If an �'and followed by g � y portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Alex Ti era NOA No.: 06- 0526.09 Expiration Date: 10105111 Approval Date: 10/05/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Ca o : Roofing Snb-Cateaory: 07320 Roofing Tiles Maw: Concrete I. SCOPE This approves a system using Burlingame Industries Malibu Concrete Roof Tile, as manufactured by Eagle Roofing Products LLC in Sumterville. FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained 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. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Sp� ecifi_cations Description Malibu Concrete Tile 1 =17" TAS 112 Low profile, interlocking, high pressure w = 12'/2" extruded concrete roof tile equipped with Y2" thick three nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Trim Pieces l = varies TAS 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 SUMMED EVIDENCE: —Test Test Identifier Test Name/ReDort Date PRI Construction Materials PR106178 TAS 112 08/23/06 Technologies Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & TAS 102(A) Redland Technologies 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix 11 TAS 108 (Nail -On) Redland Technologies P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails The Center for Applied 94 -060B Static Uplift Testing March, 1994 Engineering, Inc. TAS 101 (Adhesive Set) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) Redland Technologies P0631 -01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) Y NOA No.: 06- 0526.09 Expiration Date: 10 /05/11 Approval Date: 10 /05/06 Page 2 of 7 Test Arency Test Identifiier Test Name/Reuort Date Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108 (Nail -On) Professional Service 224 -47099 Physical Properties Sept. 1994 Industries, Inc. TAS 112 The Center for Applied 25- 7094 -1 Static Uplift Testing Oct. 1994 Engineering, Inc. TAS 102 (4" Headlap, Nails, Direct Deck, New Construction) 0 The Center for Applied 25- 7094 -7 Static Uplift Testing Oct. 1994 Engineering, Inc. TAS 102 (4" Headlap, Nails, Battens) The Center for Applied 25- 7094 -4 Static Uplift Testing Oct. 1994 Engineering, Inc. TAS 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) The Center for Applied Project No. 307025 Wind Driven Rain Oct. 1994 Engineering, Inc. Test #MDC -760 TAS 100 The Center for Applied 25- 7183 -1 Static Uplift Testing Feb. 1995 Engineering, Inc. TAS 102 (2 Quik -Drive Screws, Direct Deck) The Center for Applied 25- 7183 -2 Static Uplift Testing Feb. 1995 Engineering, Inc. TAS 102 (2 Quik -Drive Screws, Battens) The Center for Applied 25- 7214 -2 Static Uplift Testing March, 1995 Engineering, Inc. 25- 7214 -6 TAS 102 (1 Quik -Drive Screw, Direct Deck) (1 Quik -Drive Screw, Battens) Celotex Corporation 528454 -2 -1 Static Uplift Testing Sep. 1998 Testing Services 520109 -2 TAS 101 Dec. 1998 Walker Engineering, Inc. Evaluation Calculations Two Patty Adhesive Set System April 1999 Walker Engineering, Inc. Evaluation Calculations 25 -7183 March 1995 Walker Engineering, Inc. Evaluation Calculations 25 -7094 February 1996 Walker Engineering, Inc. Evaluation Calculations 25 -7496 April 1996 Walker Engineering, Inc. Evaluation Calculations 25 -7584 December 25- 7804b -8 1996 25- 7804 -4 & 5 25- 7848 -6 Walker Engineering, Inc. Calculations Aerodynamic Multiplier Sep. 2006 Walker Engineering, Inc. Calculations Restoring Moment Due to Gravity Sep. 2006 © NOA No.: 06- 0526.09 Expiration Date: 10 /05/11 Approval Date: 10 105106 Page 3 of 7 3. LD41TATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment 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 applicable building code. 4. INSTALLATION 4.1 Eagle Roofing Products LLC Malibu Concrete Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (VI) and Dimensions (I x w) Tile Profile Weight -W (lbf) Length -1(ft) Width -w (ft) Malibu Tile 9.5 1.417 1.04 Table 2: Aerodynamic Multipliers - Tile Profile I (ft) I (ft) Batten Application Direct De lication Malibu Tile 0.305 0282 Table 3: Restoring Moments due to Grav lty - M ft-lb Tile Profile 3 ":12" 4 ":12" 5 11:12" 6 11:12" 7 ":12" or rester Malibu Tile Batte Dec Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 6.30 6.65 1 16.21 6.54 6.08 6.41 5.93 6.25 5.77 6.08 0 NOA No.: 06- 0526.09 Y Expiration Date: 10105 111 Approval Date: 10 105106 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Nall -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Malibu Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nail Feld Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails Feld Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 43.0 67.5 [----50.9 1 Installation with a 40 tie headlap and fastemers are located a min. of 21/2" from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft -lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Malibu Tile Adhesive 26.1 2 See manufactures component approval for installation requirements. 3 Flexible Products Company nieBond Average weight per patty 11.4 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Malibu The Polyloam Pol ProTm 86.61 Polyfoam Pol Pro rm 45.5 4 Lame paddy placement of 54grams of Pol ProTm. 5 Medium paddy placement of 24grams of PolyProTm. NOA No.: 06- 0526.09 ° { Expiration Date: 10 /05/11 Approval( Date: 10 /05/06 Page 5 of 7 Table 5B: Attachment Resistance Expressed as a Moment - Mf (ft -lbfl for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Malibu Tile Mortar Set 20.60 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved ". tAG��' FLORIDA MALIBU CONCRETE ROOF Tli.E LABEL, SUMTERvn LE. PLANT (LOCATED ON UNDERSIDE OF TILE) 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 applicable building code in order to properly evaluate the installation of this system. NOA No.: 06- 0526.09 Expiration Date: 10105111 Approval Date: 10 105106 Page 6 of 7 PROFILE DRAWING MALIBII CONCRETE ROOF TILE END OF TffiS ACCEPTANCE NOA No.: 06- 0526.09 ° Expiration Date: 10 /05/11 Approval Date: 10 105106 Page 7 of 7 M I A M NDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam .Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 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 the BCCO and accepted by the Building Code and Product Review Committee 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 BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO 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: Polypro® AH16o 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 of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by J rge L. Acebo. NOA No.: 06-0201.02 Expiration Date: 05/10/11 :�- Approval Date: 114/13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro® AH160 as manufactured 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 compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Polypro® AH160 N/A Foampro® RTF1000 N/A ProPackg 30 & 100 N/A Test Product Description Specifications TAS 101 Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Test Density ASTM D 1622 Compressive Strength ASTM D 1621 Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor Transmission ASTM E 96 Dimensional Stability ASTM D 2126 Closed Cell Content ASTM D 2856 Results 1.61bs. /ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Fe 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F.,100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 06- 0201.02 Expiration Date: 05 /10/11 Approval Date: 04/13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier _Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -IPA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438-4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739 -062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer-to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F W �2 MS O NOA No.: 06- 0201.02 Expiration Date: 05/10/11 `� Approval Date: 04/13/06 Page 3 of 7 INSTALLATION: 1. Polypro® AH160 may be used with any roof the assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 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 tile assembly NOA 3. PolyproO AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AHI60 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any 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 timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 g LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. _ a NOA No.: 06- 0201.02 " Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Nditwo plait mmd Ulrebrlappatnl i 10 fn. Eamfmuea Fascla Emcmuc* EaaeCtaaea hcma doles Nab WeWh plastic Ua \ 1 tN PaWBWATOO r NOA No.: 06. 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 5 of 7 A AM r NOA No.: 06. 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 5 of 7 , ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Naa Nuogh plastic c of PB* MONA rnel Nail through plastic court pay jBe►�eaUi Tqe} • e \F 1 ThL 2h .. ° Tr in, 1 EstreCoiase e 0 fascia fascia Weephole EM coo�se Em cimn EaeeCloswe "edp NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nag through plastic cement pty Nail through plastic cement (between Me) thdartaYme"t ° (under tie) \ ON 3In, SINIspaddY }�in.x3In. S x3in. under Engle paddy I Engle paddy on 2In. 4 In. 4 tn. � Engle ,� in. Under ° pay on nt under o S�) Single Eeve course on top of the Single Ply on top of toe l in. X T la. medium size paddy a bra C Fascia ' course only Mail through ur cement oil )'P-13 In-x 3 in. In. Engle paddy END OF THIS ACCEPTANCE Engle paddy under th Single paddy between go 2lo x 7 to medium size paddy save Faso Weems Eave closure ' Drip edge C? NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 7 of 7 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 113787 Permit Number: RF -4 -09 -564 Scheduled Inspection Date: August 05, 2009 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Final Roof Owner: ROSARIO, MARIA & BRENDA Work Classification: Flat Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC Building Department Comments RE ROOF FLAT ROOF Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Phone Number (305)867 -7094 Parcel Number 1121360130950 Inspector Comments CREATED AS REINSPECTION FOR INSP - 110759. FINISH SEALING FLASHING ON EAST SIDE JR 05/07/09 ok-./, A..n..e4 AA ')Ann For Inspections please call: (305)762 -4949 o„_e .2 _s ,, /� Inspection Worksheet t Miami Shores Village 10050 N.E. 2nd Avg. ue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 : ��... �. ��I�: I€ tl•• I��,:.: ��.. ��!`::.::.:':.'`.' ��. ��..:.::.::.>:.:> ::.::.::.::.::.::.::.::.:::<::::::<::::::<::<:<::<:><:::::::::::::>:«<::«:<:::::::::>::>::>:<:::::::>:: g' �:�tl'il�€'rl€:•::::..::::..::: �.:::.� ...::::::: Scheduled Inspection Date: May 07, 2009 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: ROSARIO, MARIA & BRENDA Work Classification: Flat Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Phone Number (305)867 -7094 Parcel Number 1121360130950 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC Building Department Comments Inspector Comments Passed TI"X) c r+ rr,4�_4Go Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 06, 2009 Page 6 of 25 t Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspectiion) Number: INSP -111 1585 Permit Number: RF -4 -OS -564 Scheduled Inspection Date: April 16, 2009 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Roof in Progress Owner: ROSARIO, MARIA 8: BRENDA Work Classification: Flat Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Phone Number (305)867 -7094 Parcel Number 1121360130950 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC comments Passed ARI Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. ma Inspector Comments CREATED AS REINSPECTION FOR INSPA 10758. �o9 -D�2Z �02z� v Inspection Worksheet Miami Shores Village p 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756-8972 Inspection Number: INSP- 111581 Permit 14 tuber RF -4 -09 -564 Scheduled Inspection Date: April 16, 2009 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Tin Cap Owner: ROSARIO, MARIA& BRENDA Work Classification: Flat Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC Phone Number (305)867 -7094 Parcel Number 1121360130950 Building Department Comments Infraction Passed Comments TIN CAP SPACEING False .__.. I .... ^___ nn -lA Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 110757. Failed El Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. .__.. I .... ^___ nn -lA 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: April 15, 2009 Inspector: Rodriguez, Jorge Owner: ROSARIO, MARIA & BRENDA Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC Building Department Comments Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 14, 2009 Permit Type: Roof Inspection Type: Roof in Progress Work Classification: Flat Phone Number (305)867 -7094 Parcel Number 1121360130950 Page 19 of 27 . Inspection Worksheet Permit Type: Roof Inspection Type: Tin Cap Miami Shores Village eqy a%y 10054 N.E. 2nd Avenue Miami Shores, FL Job Address: 45 NE 103 Street Phone:, (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: April 15, 2009 Inspector: Rodriguez, Jorge Permit Type: Roof Inspection Type: Tin Cap Owner: ROSARIO, MARIA & BRENDA Work Classification: Flat Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Phone Number (305)867 -7094 Project: <NONE> Parcel Number 1121360130950 Contractor: CITY ROOFING AND CONSTRUCTION INC Building Department Comments Infraction Passed Cormnents TIN CAP SPACEING True Inspector Comments Passed E:1 Failed f4L Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 14, 2009 Page 18 of 27 Inspection Worksheet • Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 119782 Permit Number: RF -4 -09 -564 Scheduled Inspection Date: July 22, 2009 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Roof in Progress Owner: ROSARIO, MARIA & BRENDA Work Classification: Flat Job Address: 45 NE 103 Street Miami Shores, FL 33138 -2126 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC esuuamg uepartment comments RE ROOF FLAT ROOF Phone Number (305)867 -7094 Parcel Number 1121360130950 July 21, 2009 For Inspections please call: (305)7624949 Page 5 of 12 Inspector Comments Passed '114110J_CTPk1 Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 21, 2009 For Inspections please call: (305)7624949 Page 5 of 12 OWNER'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village 10050 NE 2" d AVE Miami Shores, Fl 33138 Re: Owner's Name 6 at a v,-b Property Address al 1-f- M �k Roofing Permit Number V)F -9 " 'D ° 1 [2°� Dear Building Official: I &^C� 9"Vio certify that I am not required to retrofit the roof to wall connections of my building because: ' XWThe just valuation for the structure for purposes of ad valorem taxation in less than $300,000.00. U The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of the 1994 edition of the South Florida Building Code (1994 SFBC). STATE OF FLORIDA COUNTY OF MIAMI-DADS Sworn to an,4,,,,cribe e(W is B'^ ya P �� day of �_ °� MnaissioN Do81 - 20_E1 (SEA or Produced Identification When the just valuation of the structure for purposes of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed in compliance with the FBC nor with 1994 SFBC, and affidavit of Roof to Wall Connection Hurricane Mitigation Retrofit must be provided. C:- and SM%*U1Wy Da�ntnl4tetialiosOrepin_2Vi.oRvg plyxlevit Cotnplianm -9 26 07FiIlaW -&c AFFIDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT AND SECONDARY WATER BARRIER HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village 10050 NE Rnd AVE Miami 12short-, F133138 Re: Owner's Name • Gera Off' d io Property Address M LD3 s� Roofing Permit Number tL r(�— - 11,1-2, Dear Building Official: I 1 & certify that the roof decking attachment and fasteners have been strengthened and corrected and a secondary water barrier has been provided as required by the "Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Structures" adopted by the Florida Building Commission by Rule 913-3.047 F.A.C. Qualifying A e Signature o Quali gent Print Name !A;ix PO °�� Daniel Gato 1 STATE OF F0 ( QJr8AW,,_DADE P1 Sworn to and • Ro orArt:�, day 2 (SEAL) .� Personally known or Produced Identification C:1Dowaamu On' S"--"My Dommgaie mphv_Nirofv� Afrt&%[ Com&= -976 07 &Wmd. Miami-Dade My Home My Home V Show Me: l3rope rty In"16D Search RE EO s e Item I .1 ... I - AND 7 2009 ZZ P.L.- - Summary Details- Page I of 2 FolioNo.: 1000 SINGLE FAMILY Property: 45 NE 103 ST Mailing BRENDA ROSARIO & MARY Address: STUART Beds/Baths: MARIA M ROSARIO Floors: 45 NE 103 ST MIAMI SHORE Livina Units I Adj Sq Footage: P138-2326 Lot Size: 9,225 SQ FT Year Built: ................. MIAMI SHORES SEC 5 PB 10-47 LOT 17 & E1/2 Legal LOT 16 BLIK 123 LOT Description: SIZE 75.000 X 123 OR 19968 -1866 10 20011 014 C 22456-3697 06 1 IF a Legend FolioNo.: 1000 SINGLE FAMILY Property: 45 NE 103 ST Mailing BRENDA ROSARIO & MARY Address: STUART Beds/Baths: MARIA M ROSARIO Floors: 45 NE 103 ST MIAMI SHORE Livina Units I Adj Sq Footage: P138-2326 Pmnartv Infhrmatinn- Primary Zone: 1000 SINGLE FAMILY Sale Date: ,ESIDENCE LUC: 1 RESIDENTIAL- _2008 $�N66,06 1 INGLE FAMILY Beds/Baths: I Floors: 1 1 Livina Units I Adj Sq Footage: 1,1769 Lot Size: 9,225 SQ FT Year Built: 1949 MIAMI SHORES SEC 5 PB 10-47 LOT 17 & E1/2 Legal LOT 16 BLIK 123 LOT Description: SIZE 75.000 X 123 OR 19968 -1866 10 20011 014 C 22456-3697 06 1 Sale Information- [Sale OIR: 122456-3697 Sale Date: 16/2004 ISale Amount IS270,000 Assessment Infnrmafinn- T e a . ' 2008 Land Value: $216,176 8 B ui ldin(Value: E _2008 $�N66,06 140,127 a r k.tValue: 12007 $382,243 ,345 sassed Value: $382,243 06,345 Taxable V21tip [nfnrmatinn- Year: 2008 2007 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $0!$382,243 $0/$406,375 County: /$382,243 ' 345 rity: 3,1111 11—W$3.2 243 /$406 345 ISchoot Board: I$0/S382,243I$0/$40M 6,345 Additional Information: h- t'.) se-_,!moc in`- jr--aflcn kw this .................................. . . .. ,ommu;ity Development District �ommunity Redevelopment Area Empowerment Zone Enterprise Zone -and Use Urban Development Boundary oning Digital Orthophotography - 2007 0 — 112 ft M W I I Er—omm.immk I10; d: Our Sit., I ft!S?:KPNK zfimas�y. I 9s� .m .............. ti you experience technical difficulties with the Property Information application, or wish to send Us your comments, questions or suggestions please email us at Webrne �ft r. ............ . Web Site C 2002 Miami-Dade County. All rights reserved. N W+1 3 http://gisims2.miamidade.gov/myhome/t)ropmap.asp 4/7/2009 Property Boundary Selected Property Street Highway Miami -Dade County Water N W+1 3 http://gisims2.miamidade.gov/myhome/t)ropmap.asp 4/7/2009 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NOT�_ O�� TAX FOLIO NO. OR Bk 26817 Ps 45331 ties} RECORDED 04106/2009 14:10:02 HARVEY RUVINr CLERK. OF COURT HIAHI -DARE COUNTYe FLORIDA LAST PAGE STATE OF FLORIDA: COUNTY OF MIAMI -DADE: RECEIVED THE UNDERSIGNED herby gives notice that improvements will be made to certain real 0 20,09 property, and in accordance with Chapter 713, Florida Statutes, the following information Is provided In this Notice of Commencement. 1. Legal description of property and street/address: u� tom St '3313 2. Description of improvement: ' Y0 6k 3.Owner(s) name and address: 31 Interest In property: 0- Name and address of fee simple titleholder: )zYtu tdt t03 v 4. Contractor's name and address: iyN 2 0D sip U°`j f iL(.tarmt I tL 1-133l 22 Surety: (Payment bond required by owner from contractor, If any) Y of the Name and address: FLOft�OPat this Is a a Amount of bond $ INS ° AD �''coU�`�� Lender's name and address: a tN'e e SS 'XPersons within the state of Florida designated by Owner upoew!'�nr o documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, 9y Name and address: In addition to himself, Owners designates the following person(s) to receive a copy of the Lienoes Notice as provided In ection 713.13(1)(b), Florida Statutes. Name and address: `�'_icpiration date of this Notice of Commencement: (the expiration differe date If specified) Si ature f Owner nt er's Name 8yulL 1, 'S 1 t o s Sworn to and subscribed before me Notary Public�� Print Notary My commission expires: 123AI -52 PAGE 4 SM date is 1 year from the date of recording unless a WA Prepared by L) Address: a2 Bt.) li—A [a nn , , ,_ 1-d. 7V -mm. prAmpol I loomma 0, P k .4 YO'4 Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form Section ; (Low Sloped Roof System_.) Fill In Specific Roof Assembly Components and Identify Manufacturer (if a component is not used, identify as "NA ") System Manufacturer: GAF Materials Corp NOA No.: 07- 1219.09 Design Wind Pressures, From RAS 128 or Calculations: Pmax1: -49..2 Pmax2: -82.6 Pmax3:" 124.3 Max. Design Pressure, From the Specific NOA System: -52.5 Deck: Type: Tongue & Groove Gauge/Thickness: 5/8" Slope: 1:12 Anchor/Base Sheet & No. of Ply(s): Anchor/Base Sheet Fastener/Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply($): 75 GAF Glass Base Sheet Fastener/Bonding Material: 1.25" RS & 5/8" Tin Cap Ply Sheet(s) & No. of Ply(s): 2 Ply IV Ply Sheet Fastener/Bonding Material: HOT MOP Top Ply: Mineral Surface Cap Sheet Top Ply Fastener/Bonding Material: HOT MOP Surfacing: Fastener Spacing for Anchor/Base Sheet Attachment Field: 9 " oc @ Lap, # Rows 2 ® 9 ft oc Perimeter: 6 " oc @ Lap, # Rows 4 @ 6 " oc Corner: 6 "oc @ Lap, # Rows 4 @ 6 "oc Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. yin$ S� FT �I I ✓ Parapet Height '3ti 3 > 7- 1 F FTA T - rV - (I Mean Roof CtSS Height SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the o er and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) a r the purpose of providing that the roofing system meets the wind resistance and water intrusion p rt ance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. J2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed inrdance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building he roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner otify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be rom below. The owner may wish to maintain the architectural appearance, therefore, roofing nail ons of the underside of the decking may not be acceptable. The Florida Building Code provides the op 'o of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural d ttr 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 Toveow ystem is remov ed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not ed from a build up of water. Perimetededge walls or other roof extensions may block this discharge if scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. th a7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of u ctural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. nature Date Contractor's 1gnature I . 1-e `01' W 5111- Property Address Permit Number Rev. 1/202005, Computer Services, Building Department MIA BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION MIAMI -DADE COUNTY, FLORIDA METRO -DARE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 395 -2408 NOTICE OF ACCEPTANCE NOA GAF Material Corporation, 1361 Alps Road Wayne, NJ 07470 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 the BCCO and accepted by the Building Code and Product Review Committee 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 Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built-Up Roof System for Wood Decks. LABELING: Each unit shalt 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 steal I 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 of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 03-0501.05 and consists of pages 1 through 19. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 07- 1219.09 I" .Wane Expiration Date: 11/04/13 "' • Approval Date: 03/20/08 Page I of 19 Deck Type 1: Wood, Non- insulated Deck Description: 19132" or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOufrm Fire Barrier Coating, VersaShieldeNon- Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM, Base sheet: GAFGLASe #80 ULTiMATM Base Sheet, STRATAVENTO EliminatorTM Nailable, RUBEROIDe Modified Base Sheet, RUBEROV 20, RUBEROV Heat- WeldTM Smooth or RUBEROID® Heat- WeldTM 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS40 Ply 4, GAFGLASO Flex PlyTM 6, GAFGLASe #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -45 psf, See General Limitation #7) GAFGLASO Ply 4, GAFGLASe•Flex PIym 6, GAFGLASm #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrmc Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -dS psf, See General Limitation #7) GAFGLASe Flex PlyTm 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" 0.0. in the field. (Maximum Design Pressure 52.5 psf, See General Limitation #7) GAFGLASe #80ULTIMATM, RUBEROIDe20, RUBEROIDeMop Smooth, base sheet attached to deck with approved 1 %a" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure -60 psf, See General Limitation #7) GAFGLASe #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and:3" inverted Drill -TecTM insulation plates at a fastener spacing of 9" o.c. at the 4" Iap staggered in two rows 9" in the field. (Maximum Design Pressure -60 psf, See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11/04/13 JAPPROVEDI Approval Date: 03120/08 Page 17 of 19 GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -TWN #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Mwdmum Design Pressure — 75 Psf, See General Limitation #7) Ply Sheet: One or more plies of GAFGLAS® PLY 4, #80 ULTIMA, RUBEROID® MOP Smooth or RUBEROID* 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bsJsq. Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet or GAFGLAS® EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bs. /sq. Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID® 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 4001bs. /sq. and 300 lbsJsq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal. /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. 3. Leak BusterTm MatrixTM 303 Premium Fibered Aluminum Roof Coating,.at 1.5 gal. /sq. 4. Leak BusterTM Matrhat4 715, Leak BusterTM MatrixTM 322, TOPCOAT MB +, TOPCOAT* Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal. /sq. 5. Leak BusterTM MatrixTM 602 MB Xtfa. Elastomeric Roofing Membrane, EnergyCote D roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT' Surface Seal, TOPCOAT Fireshield® SB Solvent based Elastomeric Roofing Membrane applied at Ito- 1.5 gal. /sq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes, Nkxlmum Design Pressure: See Fastening Above NOA No.: 07- 1219.09 Expiration Date: 11/04/13 M o• Approval Date: 03120/08 Page 18 of 19 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex P1yTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum V4" Dens DeckTM or Y2" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: I . Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 121bsJsq. Note: Spot attached systems shall be limited to a maximum design pressure of 48 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 lb£ insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (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 Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10.. All products lusted herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code, END OF THIS ACCEPTANCE NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 19 of 19 ...W. "tuttae.ur.WrdUnr91- 0IillAY vitemplate /LISEXT /1FRAME/show.. ONLINE CERTIFICATIONS DIRECTORY TGFU.R1306 Roofing Systems Roofing Systems DAP MATERIALS CORP 1361 ALPS RD WAYNE, NJ 07470 USA R1306 "Ruberokl 20" or "Ruberoid Modified Base Sheet" may be utilized as an altemate to Type G2 base sheets In any of the following Classifications Vi -In. thick (minimum) gypsum board or Vo -In. thick (min) G -P Gypsum Corp. "DensDeck ® Roofboard," "DensDeck Prime® Roofboard" or "DensDeck DuraGuard TM Roofboard" may be used In any existing noncombustible deck Classftatlon. When this is done, the resulting roofing system is acceptable for use over combustible (15/32 -In. minimum) roof decks. However, the butt joints in the gypsum board and G -P Gypsum Corp. "DensDeck ® Roofboard," "DensDeck Prime® Roofboard" or "DensDeck DuraGuard TM Roofboard" are to offset a minimum of 6 -In. with the butt joints In the roof deck. If polystyrene is part of the roof system, it must be placed below the overlayment board. Multiple plies of "GAFGLAS Ply 4" or "Tri -Ply Ply 4 ", or "Ply 6" may be adhered, to G -P Gypsum Corp. "DensDeck ® Roofboard," "DensDeck Prime® Roofboard" or "DensDeck DuraGuard TM Roofboard" in hot roofing asphalt. "EnergyGuard Ultra" is an acceptable alternate to "EnergyGuard" In any applicable Classification. "GAF Stratavent Eliminator Venting Base Sheet (Nallable)" may be mechanically attached or hot mopped over noncombustible decks and as a recover over existing roof systems. "GAFGLAS Perilte Insulation" may be utfted as a cover board over "EverGuard" insulation in any of the following systems. Unless otherwise Indicted, the roof Insulation is mechanically fastened, adhered with hot mopping asphalt or urethane Insulation adhesive. Polystyrene reference in any of the foDowbV Classficatlons Include "EnergyGuard EPS Insulation ". References to glass fiber Insulation kftde "EnergyGuard Fiberglass Insulation ". ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or "Tri -Ply #75 Base Sheet ", or "GAFGLAS #80 ULTIMA ") is a suitable alternate for Type G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "Tri -Py, 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 one ply Type G2 asphalt saturated glass mat base sheet "GAF Stratevent Elimnator Venting Base Sheet (Perforated)" or "GAF Stratevent Eliminator Venting Base Sheet (Nallable)." Perforated to be loose laid or mopped and nallable to be mechanically attached granule side down. As an option Type G2 asphalt gloss mat base sheet ( "GAFGLAS #75 Base Sheet" or "Tri -Ply #75 Base Sheet" or "GAFGLAS #80 ULTI MA" or "GAF Stratavent Eliminator Venting Base Sheet (Nallable)" may be substituted for Type G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "Tri -Ply Ply 4" or "GAFGLAS Ply 6 ") as the nailed base ply In the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened. Unless otherwise indicated, all Insulations may be hot mopped or mechanically fastened. "GAFGLAS Flashing" or "Ruberokd" may be used for fleshing In any of the Class A, B or C systems listed below. When "pertte" is referenced, this Includes "GAFTEMP PERMALrrE ®" or any other UL Classified perllte 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 following Class A, B or C systems listed over C -15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of +h -In. minimum gypsum board Is an acceptable alternate for insulation over C -15/32 decks. The use of polystyrene insulation board between minimum 3A -In. thick perite board and deck with rosIn paper (perRe/rosin paper /polystyrene /perilte) is a suitable alternate for poylsocyanurate board In the following Class A, B or C systems. "EnergyGuard RA" or "Tapered EnergyGuard RA" or "EnergyGuard Composite RA" may be substituted for any Atlas Polyisocyanurate insulation In any of the following Classifications. Trumbull "Perms Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt". "GAFGLAS #80 Premium Base Sheet" may be used In any of the following systems. "GAFGLAS Flex Ply 6" and'Trt -Ply Ultra - Flexible Ply 6" are suitable alternates to "GAFGLAS Ply 6 ". "GAFTEMP Pennatte Recover Board" may be used in lieu of any perilte insulation In any of the following NC Classifications. Unless otherwise indicted, any of the "Asphalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "Fireshield MB" at 21h to 3- gaV100 -R2. Class A, B and C Hot roofing asphalt, for use with organs and glass felts or modified bitumen membranes. "Ruberold Heat Weld" SBS roofing membrane may be used in Deu of "Ruberoil Mop" SBS products In any applicable Classification. Class A 1. Deals C -15/32 Indbre:3 )f 33 4/5/2009 10:15 PM TGFU.R1306 - Roofing Systems of 33 http:// database .ul.com /cgi- bin/XYV /templ ate/USEXT/ 1 FRAME/show... Insulation (Optional): — One or more layers perte or wood fiber or glass fiber or poyisocyanurate or urethane or peri to /poyisocyanurate composite or perlte /urethane composite or wood fiber /poyisocyanurate composite or phenolic, any thickness. Ply Sheet: — Three or more plies Type GI or "GAFGLAS Ply 4" or "Tri -Ply Ply 4" or "GAFGLAS Ply 6" hot mopped. Surfacing: — Gravel. 2. Deck: C -15/32 Incline, 2 Insulation (Optional): — One or more layers perte or wood fiber or glass fiber or polyfsocyanurate or urethane or periite /poybocyanurete composite or perlte/urethane composite or wood fiber /poyisocyanurate composite or phenolic, any thickness. Ply Sheet: — Three or more plies Type Gl or "GAFGLAS Ply 4" or "Tri -Py Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: — One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Tri -Ply Mineral Surfaced Cap Sheet'. 3. Dedu NC Indine: 2 Insulation (Optional): — One or more layers perte, wood fiber, glass fiber, polylsocyanurate, urethane, perlte/poyisocyanurate composite, perte /urethane composite, wood fiber /poybocyanurate composite, phenolic, 2 -1n. maximum. Ply Sheet: — Two or more plies Type GS "GAFGLAS Ply 4" or "Tri -Ply Ply 41, "GAFGLAS Ply 6 ", Cap Street: — One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Tri -Py Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulations — One or two layers "Isotherm R ", any thickness, hot mopped. Ply Shoots — Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. W 5. Deft: C -15/32 Incline: I SHP Sheet (OptbnaQ: — Red rosin paper, nailed to deck. Base Street: — One ply Type G2 "GAFGLAS #75 Base Sheet" or "Tri -Ply #75 Base Sheet" (may be nailed). P Sheet: 0 e ply Type Plies "GAFGLAS Mineral Surfaced Cap Sheet or "Tri -Ply Mineral Surfaced Cap Sheet ". 6. NC InclIne:3 Base Sheets — One ply Type G2 "GAFGLAS *75 Base Sheet" or "Trl -Ply #75 Base Sheet". Ply Sheet: — One or more piles Type G1 "GAFGLAS Ply 4" or "Trt-Ply Ply 4" or "GAFGLAS Ply 6 ". P Sheet: — One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or'Trl-Ply Mineral Surfaced Cap Sheet ". 7. -15/32 Incline: Insulation: — One or more layers peste, glass fiber, polylaocyanurete, urethane, perlte /poyisocyanurate composite, perte /urethane composite, phenak, 1.0 tn. min (offset a minimum of 6 -in. from plywood deck joints). Base Sheet: — One or more plies Type G1 or Type G2 or Type G3. Membrane: — One or more piles "Ruberold Torch Smooth" or "Ruberold Torch Granule" or "Ruberold Torch Granule Plus" or "Ruberoid Mop Smooth" or "Ruberoid Mop Granule" or "Ruberold Mop Plus Granule" or "RoofMatch SBS Modified Granular" or "Tri -Ply SBS Modified Bitumen Membrane" or "RoofMatch APP Modified Granular" or "Tri -Ply TP -4G" or'Trl -Ply TP -4% Cap Sheets — Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Trl -Ply Mineral Surfaced Cap Sheet" hot mopped. 8. Deck: C -15/32 Indb:e: 2 Insulafn (Optional): — One or more layers perlae or wood fiber or glass fiber or poybocyanurate or urethane or petite /polyaocyanurate composite or per to /uretiwe composite or wood fiber /poylsocyanurate composite or phenolic, any thickness. Base Sheett — Two or more plies Type G2 or Type G3. Ply Sheet (Optional): — One or more piles Type GI. Membrane: — One or more piles "Ruberoid Torch Smooth" or "Ruberold Torch Granule" or "Ruberokl Torch Granule Pius" or "Ruberold Mop Smooth" or "Ruberoid Mop Granule" or "Ruberokf Mop Plus Granule" or "RoofMatch SBS Modified Granular" or "Tri -Ply SBS Mollified Bitumen Membrane" or "RoofMatch APP Modified Granular" or "Trl -Ply TP -4G" or "Tri -Ply TP -4 ". Cap Sheets — Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Trt -Pty Mineral Surfaced Cap Sheet" hot mopped. 9. Deis NC Intltste: 2 Insulation (Optional): — Periite or glass fiber or poytsocyanurate or wood fiber or mechanically fastened, any thickness. Base Sheet: — One or more piles Type G2, "QAFGLASS #75 Base Sheet" or "Tri -Ply #75 Base Sheet ". Ply Sheet: — One or more plies Type GI "GAFGLAS Ply 4" or "Tri -Ply Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet- — Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Tri -Pty Mineral Surfaced Cap Sheet" hot mopped. Susiecirw — "Ftreshield MB" applied at 21/i to 3.0 -gal. /100 -ft2. 10. Decks C -15132 Incline: 1 Insulation (OptbnaQs — One or more layers perte or wood fiber or glass fiber or poylsocyanurate or urethane or peNfte /poyisocyanurate composite or perfte / urethane composite or wood fiber /poyisocyanurate composite or phenolic, any thickness. Ply Street: — Three or more piles Type G1 "GAFGLAS Ply 4" or "Tri -Ply Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet; — "EnergyCap Mineral Surfaced Cap Sheet ". 11. Deck: NC Incibre: 1 Insulation (OptbnaQ: — One or more layers perlite or wood fiber or glass fiber or poylsocyanurate or urethane or perlite /poyMcyanurate composite or perlite /urethane composite or wood fiber /poytsocyanurate composite or phenolic, 2 -tn. maximum. Ply Sheet: — Two or more piles Type GI "GAFGLAS Ply 4" or "Tri -Py Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: — "EnergyCap Mineral Surfaced Cap Sheet. 12. Decks NC Incline: 2 Base Sheets — One ply Type G2 "GAFGLAS #75 Base Sheet" or "Tri-Ply #75 Base Sheet ". Ply Sheet: — One or more plies Type G1 "GAFGLAS Ply 4" or "Trl -Ply Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: — "EnergyCap Mineral Surfaced Cap Sheet ". 13. Decks C -15/32 Indbte: 1 Insulation: — One or more layers perate or glass fiber or POlyisocyanurete or urethane or perllte /poytsocyanurate composite or perlite /urethane composite or Phenolic, 1-1n. minimum (insulation joists offset a minimum of 6 -in. from plywood deck joints). Base Sheet: — One or more piles Type G3 "GAFGLAS Ply 4" or "Tri -Pty Ply 4" or "GAFGLAS Ply 6" or Type G2 "GAFGLAS #7S Base Sheet" or "Trl-Ply #75 Base Sheet" or Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Trf -Ply Mineral Surfaced Cap Sheet ". Membrane: — One or more plies "Ruberold Torch Smooth" or "Ruberold Torch Granule" or "Ruberold Torch Granule Plus" or "Ruberold Mop Smooth" or "Ruberold Mop Granule" or "Ruberold Mop Plus Granule" or "RoofMatch SBS Modified Granular" or "Tri -Ply SBS Modified Bitumen Membrane" or "RoofMatch APP 4/5/2009 10:15 PM t MIAMI SHORES VPL°LAGE BUILDING DEPARTMENT 305- 795 -2204 B ' ilding Inspection Request Date h T7 Time TypeInsp'n (� �( �(Yj Permit No. V I Q . Name NW J Address Company Phone # For Inspector: I l Name &Date Approved Correction ❑ Re- Insp'n Fee > ❑ 5! MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ilding Inspection Request Date It I Time Type Insp'n Permit No. V Name A t(, } Address 45 t\ w Company Phone # For Inspector: I I Name & Date Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N° 8736 PLUMBING Work to be performed under this Permi Owner of Building — Architect Contractor or Builder Legal Lot Bl. Description Address of Rnildinsr - DATE 194' Contractor's License No. t P_ Subdi- vision Amt. of Permit This permit is granted to the contractor or builder na,ned 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 / ; 95 ELECTRICAL ❑ PERMIT W? 13057 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner Buildin Archite - ontrac or Builc Legal DescriT Addres Buildin of ctF :tor ler Lot II Bl. Suhdi- tion vision s of Value of s �}� Amt. of x fi Permit Project $ 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. 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 the eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepti is permit I assume responsibility for all work done by eioi' er, mysel my agent servant or employee. 10 Z R OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder - t Legal Lot Description — i MIAMI SHORES VILLAGE, FLORIDA DATE. 19__(:L3 N® 3962 Work to be performed under this Permit Contractors - .. License No. j J Subdi- vision Address of Value of Amount of Building ''` Project $— Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all, ordinances 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 ABBOT PRINT BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ C7 Owner of Building Architect Contractor or Builder Legal Lot Description — J�1`� N° '7126 Work to be performed under this 1 Bl. DATE 'P'' °'' ` 195 Contractor's License No. S Subdi- Vis.ion Address of _ `' Value of -- Amount of Building Project $ Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: _.. BY: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 :u BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE f L / y 194 /PERMIT N° 4859 Contractor's j x/ License No. Work to be performed under this Permit Owner of Building 7 %A''i� - T / Architect Contractor or Builder r Legal Lot i Bl• Description Address of Ru11dInt, Subdi- vision Value of Amt. of L 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 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 Lions pertaining to the work covered hereby whether shown on the plans or dMwings4u in-t ae4tatemier - ef.4ipecifications 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. OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT PLUMBING ❑ ROOFING ❑ Owner of Building t Architect Contractor or Builder u DATE 195 NO2_ '7 01 Contractor's License No. Work to be performed under this Legal Lot Bl. ! I I Subdi- Description — vision Address of II Value of Amount of Building Project Permit $_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: _ _ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e'w MIAMI SHORES VILLAGE, FLORIDA L BUILDING ❑ ELECTRICAL ❑ DATE 195 P PERMIT No 819 8 PLUMBING Contractor's License No. — ROOFING ❑ ❑ Work to be performed under this Permit--- Owner of Architect - ontractor or Builder _ Legal Lot (� BI. Subdi- Description vision Sq. Ft. Address of Value of Amt. of Building Project $ Permit $ tr 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 b* assumes responsibility for work done by his agents, servants or employees. ;pR Signed: —. " BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 BUILDING ELECTRICAL PLUMBING Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA, 194 PERMIT N? 8165 Contractor's Work to be pepformed under this Contractor . or Builder Legal Bl. /. Description ! �^ Address of+�'` Rr,ilrlino a1 cense No. Permit Subdi- vision -01`� Value of* ,.� ..� II Amt. ' j� �' Proiect �T �r 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 draw' gs or,,m thelstatements or specifications nd: at he assumes respon- sibility for work done by his agents, servants or employees. r`�'^,. v ;" Signed: By INSPECTOR t { In consideration of the issuance to me of this permit I agree to perfo a work covered hereunder in compliance with rdina*es anr�d rr,,�,g �Q ns y perta' ' g thereto and in strict formity with the plans, drawings, stateme is or specifications submitted to the proper autho s of ?Aiami Shof`As• 11 ge ,4 In c tin -I ass iM responsibility fo 11 work done by either myself, my agent, servant or employee. 1 CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N° PLUMBING Owner of DATE---- ! 194... 8193 Contractor's Work to be performed under this Architect Contractor or Builder 4''� r Legal Lot Bl. Description 11 ;/, Address of % n / License No. Permit „4, �f-.� f �/ Subdi- vision Value of Amt. of ' Permit - , / r 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. y i t In consideration of the issuance to me of this permit I agree to per fining thereto in s ict conformit with the plans, drawings, I c ting thi a s s ume, respo" ibility for all work done by CONTRACTOR OR BUILDER" Signed: - ..�.� .._ By �• ' INSPECTOR perform a :work covered hereunder in compliance with all ordi ar} es and regulatiws Pry statements or specifications submitted to the proper authorit i Shore'sWfa either myself, my agent, servant or employee. AUTHORITY MIAMI SHORES VILLAGE, FLORIDA _W o" BUILDING DATE -- - 7� .1 ` 194 's 7 ELECTRICAL `PERMIT N. O 0155 Contract' License No. PLUMBING Work to be p rformed under this Permit - -^ "`� Owner of / Building y' t' •a Architect Contractor or Builder ,. `-7 „ Legal Description Address of Lot Bl. .�r Subdi- vision Value of Amt. of Permit "' � This pe ini t is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the apph- 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.e rawings or in the tatements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. /f Signed?s�.or ,u� - _ s . By IN SPECTOR In consideration of the issuance to me of this permit I agree to perform ork covered hereunder in compliance with all r a es and r��eegu t s riff pertaining thereto and in strict conformity with the plans, drawings, stateme specifications submitted to the proper authori es f iami Shorl e. `.In accepting thi permit I assume responsibility for all work done by either m my agent, servant or employee. ACTOR OR BUILDER BY AUTHORITY Miami Shores Village Building Department OCT O 8 2003 BUILDING --------- PERMIT APPLICATION 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing 4 "',9 Owner's Name (Fee Simple Titleholder) c c Phone #� Owner's Address '/ 5 &) w l i) .; 54,- d Ci State Zip ? 3 f� Tenant/Ussee Name Phone # Job Address (where the work is being done) ti �% .3 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City Qualifier Phone #. State Zip Architect/Engineer's Name (if applicable) . Phone #, Architect/Engineer's Address $ Value of Work For this Permit �30 C9 ` Square Footage Of Work: "-1 Number of. Bays Stories t Families Bedrooms Baths Type of Work: ❑Addition ❑Alteration ❑New Describe Work: 0AA. n`{�1^ � "�� ' `�4 h ❑ Repair/Replace ❑ Demolition County Escrow Fee $ , Q O Permit Fee $ (20.00 Notary $L 5 -CO Education/Training Fee $. Tech $ Scanning $ Radon $ Code Enforcement $ r -Bond $ StrucL $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) �(- Au. Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this C. day of , 20 _, by A l61r1bU L fend d t 1G. who is personally known to me or who has producedVMJ.A— NOT Sign: The foregoing instrument was acknowledged before me this day of . 20 _, by who is personally known to me or who has produced ULUJ'?\ As identification pm,, c$take , who Fvp , path. as identification and who did take an oath. 9 t Print: V Comm . #DDS 1 9 *JOTARY PUBLIC: � ° -.113,201)? 7fl�eea Sign: r� ICI 20 0 \-Cy/ri l-, aaarnic Bonding co., inc. My Commission Expires: Print: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: /o 5 Chc10 /02/03 OCT — 9 2003 Plans Examiner Engineer Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date l? Job Address q6 A)9-10,3 S 1- kt*H, ,)t/met9t Tax Folio Legal Description y� ® SV . ¢LeHistorirall� Designated: Yes No 4 ,5"P$ � at of 1!v 3 �o S/2&'�rs`, ,t P3 Ovvner/I,essee /Tenant t(*-ien �r,f -,ec�, &-�rf A-,rcjc Master Permit # Owner's Address 4/S' AJa- / 03 4 Phone As osi �►'b C.yti Contracting Co. 0 L_n—,_P 19 1'L R u �r- LC L ci Address to Ll 13 A% IG P " C\A t\ 12 A-- #' B /.P1 Qualifier TQ -S 0 �F. 1210AJU State # G 2 ao % _ Municipal # 1 -Lo o Competency # S'C 2 D ® Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAi. PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION _ A o c l C Square Ft. MoD Estimated Cost (value) 1500 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT:. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructiop and zoning., Furthermore, I authorize the above -named contractor to do the work stated. and/or President' Da Signatut of ontractor or Owner - Builder Date 41-/'7 - a Notar}6as-to OCv oMY COMMISSIO TYLER NotaryAs to CorNOTARY r off__ S ' Date My Commission _ N # CC 414564 My Commissio cB' GI.ADYS ] ��`R -",? °? Bonded EXPIRES: ApdI 5, 2003 MBLtCSTATE OF ammAp, f,;k, otary Puwic underwmers ION NO. CC714103 COMMIES -_ n ♦� Ai2 1 7 FEES: RADON C.C.F. NOTARY. BOND APPROVED: TOTAL DUE Zoning Building Electrical; Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date A 7 X9 Job Address �_T , ,�— I O 3 Tax Folio Legal Descri 'on Historically Designated: Yes No�'' Owner/Lessee / Tenant (1 Master Permit #� a Owner's Address `s Q°�) t,9--1 g (,( Phone -AaieR�� Contracting Co. lap to Address Qualifier SS# - - Phone State # Architect/Engineer Bonding Company Mortgagor Municipal # _ Competency # Address Address Address Ins. Co. Permit Type (circle one): UILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK /`COO,_ t, /1 t � r, '71- o (-Oh i tom- a s Square Ft Estimated Cost (value),�'-K C ,vy I WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction d zo ' Furthermore, I authorize the above - named contractor to do the work stated. S- Signature owner and/or Condo President of Cont ractor or Owner - Builder - /� T• % Notary as to Owner and/or Condo President Date My Commission Expires: as to Contract OwitdF- IF, V AR Date nmission Exp'y PUBLICSrATE OF FLORIDA COMMISSION NO. CC7t4103 Mil MIutMISSION EXP. MAR 2,2{)02 FEES: PERMIT RADON C.C.F. NOTARY BOND APPROVED: TOTAL DUE Zoning Building (� 24t /- ! 'z Electrical Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. _-4.1.7 ` --- - - - - -- Dat Application is hereby made for the. approval of the detailed statement of the plans and specifications herewith sutGed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,; Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. - ° - - -- - ------------------ ' No. Registered Architect and /or En eer ___ -------------------- ----- -- Employing Plumber's Name ' ltr" %%� — • -- -1 -- - - - -- No. t-_� L �C -L VN!' __ Street � � . 1 )RR�� Location and Legal Description Lot--- -- - -_ - -- - - -. __ --_ -_ B�ioc�k_ - -_LI - _ - --- _- _ Subdivisi. �i j�- ' Street and Number where work is to be performed —No . _ _.__I_r__(„ —.__ - _- - - - -._ Street - -_ State work to be performed and purpose of building ; _: - - --__ - - -- - -- --- ----- New Building - - - -- - - - -- -------- ----- -- Remodeling -- -------- �_________ -- Addition__ - -- ------- - Repairs -- - ------------ -- - - - - -- No. of CHECK Size Septic Tank—A-49 - -- -------- - — ---- -_Type of Tank — — - ----------- - - - - - -- ---.----------Capacity Gals.— - —7 Feet of Drain Tile ----------- - - ------------ - -- -- - - - ---- Dist. Feet of Tank or Drain Field from Nature of Water Supply: City— Well.----- -.. — -- - ---- - - -.w_ _a--- - - ---- -Size of Soakage Pit _ - -- -_ - -- - --- -- --- - ----- -_ --- - - - - -- _----- - - - - -- ---- - — Amount of Permit : - - - — — _._ ___ .T.__ —_�_. (Signedj° - - t Plumes In ector. The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 15966, 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. t ( Sign a STATE OF FLORIDA, r 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. - - - -- ----------- - - - - -y ----------------- - -- — M Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. BATH '. LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING � TOTAL CLOSETS TUBS SHOWERS TORIES SINKS` SINKS TUBS URINALS BASIN DRAIN FOUNT'NS"i FIXTURES °CONTR. , LIST CHECK .SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SW:IM'G- TANK CONN. . FIELD PIT TRAP. HEATER WELL SYSTEM POOL <. - CONTR, LIST CHECK Size Septic Tank—A-49 - -- -------- - — ---- -_Type of Tank — — - ----------- - - - - - -- ---.----------Capacity Gals.— - —7 Feet of Drain Tile ----------- - - ------------ - -- -- - - - ---- Dist. Feet of Tank or Drain Field from Nature of Water Supply: City— Well.----- -.. — -- - ---- - - -.w_ _a--- - - ---- -Size of Soakage Pit _ - -- -_ - -- - --- -- --- - ----- -_ --- - - - - -- _----- - - - - -- ---- - — Amount of Permit : - - - — — _._ ___ .T.__ —_�_. (Signedj° - - t Plumes In ector. The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 15966, 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. t ( Sign a STATE OF FLORIDA, r 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. - - - -- ----------- - - - - -y ----------------- - -- — M Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date _ ld•- �Jhob Address V5 hJ . C / 413 -V • 7— Tax Folio Legal Description Historically Designated: Yes No OwnerAmsee / Tenant d a 4 Master Permit # Owner's Address 4�-i J S Phone X� Contracting Co. i 9079 Address -,?/ f 9 ✓�T % �J. V Qualifier r� a se. ��I� I o SS# Phone r3as- ) 9Z,2 State.# 4,-C40 5-7 Municipal # Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Address Permit Type (circle one): BUILD G ELECTRICAL PLUMBING MECHANICAL ROOFING AVING FENCE SIGN -ew WORK DESCRIPTION �c�. AW, 4.�1 0 '-/es . ✓:1� Square Ft. I jfv 1"'04 "'6 y - ) Estimated Cost Y �'/JD & s 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 OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I construction and zoning. , that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating more, I authorize the above -named contractor to do the work stated. �A - ignaoi owner and/or i President Date .. as to Owner andfor t Date y Commission Expires: MISSt4Ti9 0 cc eme r; D� JA ES: ALvwu t9, FEES: PERNU RADON C.C.F. APPROVED: Zoning Mechanical a'' My Commission TOTAL DUE 1 Building _ 7 ' Electrical Plumbing Structural Engineer Miami Shores Village r, Building Department JUN 3 0 2009 xY g p 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No , PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Roorin n ,� Owner's Name (Fee Simple Titleholder) Armen dad VWSO t ' O Phone # ZO 5— _IQ I — 0 ()LP(P Owner's Address I `-t I o -I I `S+ t City U 1 a-M1 &Q C t - )State Zip -33 Li I n p Tenant/Lessee Name V_c rf h � i ( S Phone # _1 b U _ LLi � [_ 9 ( L 8. Job Address (where the work is being done) NE- l Ua rd ay-cC City Miami Shores Village County Miami -Dade Zip '92613b. FOLIO / PARCEL # I 1 a 1 '�bu Q l (,6 dci5o . Is Building Historically Designated YES NO f Contractor's Company Name C FN P_oofino Phone # 305 2A6 y2 i 1944 Contractor's Address RD7100 .5LO 1-12- tt City (a in 1 State F) Zip 3-?) r-7 D Qualifier Name _ Mono fb mad a _ Phone # State Certificate or Registration No. C C C 16 9 -7 V 1b) Certificate of Competency No Architect/Engineer's Name (if applicable) Phone # /6, aoa Ards' Value of Work For this Permit $ t Square / Linear Footage Of Work: Type of Work: QAddition ❑Alteration ❑New Qj Repair/Replace ❑ Demolition Describe Work: Pit: rr)(p - C V- 's t no, W� On d C K? I Ci L 73-& * *** * ****** ** * * * * ** * * * ** *** * * *** x ** ***Fees * *�� Submittal Fee $ Permit Fee 2 CCF f'' Notary $ Training/Education Fee $ Technology Fee $ ' Scanning $ Radon $ DPBR $ Zoning $ Bond Structural Review. $ Code Enforcement Double Fee $ Total Fee Now Due $ 00 'Ul� See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State 1Vloxtg�g� Lander Shame (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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence h posted notice, the inspection will not be approved an reinsp,,$ction fee will be charged. Signature Z",11 ` Signature Owner or Agent Contra The foregoing instrument was acknowledged before me this day of !U —,.20. by L6 f &--0 0 201 Q � Q who is Cersonally known to - r who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: The foregoing instrument was acknowledged before me this 3 y day of , 20 C51, by ry-a e10 FGU n a 6t k who is Cersonally known to or who has produced NOTARY Sign: Print: and who did take an oath. h 9.7� otz� r n �.F� ? tAPIREEVAR. 30, 201,3 My Commission Expire „°,;,;;o` yyyyW, R©NNOTARV.com 1VI Commission ESC rest' ” Y i� WINW.AARONNorAR::;;:„ APPLICATION APPROVED BY:� Plans Examiner Engineer Zoning (Revised 07/10/07) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATI FBC 2004 Permit Type (circle): Building urTi EC N Permit No.� �� Master Permit No. Owner's Name (Fee Simple Titleholder) 17 *,u Gs" 0' b Phone # Nd oo&b Owner's Address 1 `t 10 � ( s City Mtet nl t &A tk State rL Zip 1 Li Tenant/Lessee Name lcf t f -I hone # 13&- 91S- M11 r'a Job Address (where the work is being done) Ll �- n t 1o3 s City Miami Shores Village County Miami -Dade Zip 33 t3 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name C (' c Contractor's Address _ �-p01) 1 ) �- c City Qua Phone # -gyr 24% - 33i ?c State Certificate or Registration No., (',CC tM 73 � 1 Certificate of Competency Architect/Engineer's Name (if applicable) y Phone # Value of Work For this Permit $ r t%b Square / Linear Footage Of Work: ❑Alteration ❑New Xf � Demolition I l * * * ** x�x * * ** *Fees * *** ** **��x� *�x *� *�x�� ,./ h Submittal Fee � $ ?ermit Fee $ �J CCF $ CdTC'�- Notary $ Training/Education Fee $mac, " Technology Fee $ Scanning Bond $ Radon $ DPBR $ Zoning $ Code Enforcement $ Double Fee $ Structural Review. $ _ Total Fee Now Due $ lJ See Reverse side 4 , Bonding Compa 's Name (if applicable) _ Bonding Company Address City State Mortgage Lender's Name Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature IJI Ow er or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by Signature Con or The foregoing instrument was acknowledged before me this day of 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. APPLICATION APPROVED BY: (Revised 07/10/07) identification and who did take an oath. NrTARY P� LIC: j Print: My Commission Ex :NMa/ �►M Plans Examiner Engineer Zoning f PERMIT APPLICATION OR MIAMI SHORES VILLAGE Date Job A �� Tax Folio on Legal Description Historically Designated: Yes QNo Owner/Lessee / Tenant Master Permit # 4 % //;; b 1 / 7' Owner's Address Phone%( Contracting Q Qualifier State # Municipal # Architect/Engineer Bonding Company SS# - Phone Competency # I7M Address Ins. Co. Mortgagor Address Permit Type (circle one k. 4UELD11N E ECTRICAI` PL BING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. A n L AL) n C 1.. 4&A t iILIi Estimated Cost (value) 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 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 fated. c Signature of owner and/or Condo President Date or Notary as to Owner and/or Condo President - Date Notary as to Contractor o gil GIAI7Y'S J VII.i to My Commission Expires: My Commission Expires: IJC STATE OF MOMA COMMr,SION NO. CC714103 MX C0MMiSfr1,0N EXF MAR IgM FEES: PERMIT RADON C.C.F. ° I NOTARY S BOND _ APPROVED: TOTAL DUE —L ,� Zoning �� Building Electrical Mechanical Plumbing Structural Engineer_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT �r APPLICATION FOR ELECTRICAL PERMIT Permit No.__ Date._ —_! - �" 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otter 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 Registered Architect and /or Employing Electrician's Nair OOV Location and Legal Description Lot_1_.<<__- �R ----- _ ----- -------- Block --- %__L 3______ -- - - ---------- --- Subdivision ------ — ------ -- --- ___ -_ -- Street and Number where work is to be performed— No.- _- ___--- _- _ 'Y._51 ------- __- _._._ ----------- State work to be performed and purpose of building (By Floors) --------------------------- ---- -- ---- ----- --------- - _ - -_ -- New — ---------- --- - - - -- Repairs-- -------- --- --------- No. of Stories_--- __�____._ Service Underground Size Feeders_. _W 1 ----- __ Conduit_ — - -_ -Main Fuses_ -- —_ —Amps Type of Installation—Conduit ---------- -- -- Tubing --- ------ v_B.X.L._____________Metal — --------- Amount of Permit Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. tt ( Signed) -- Master Electrician. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- -- ----------- ____ W ________— --- __-- ---- - ---------- of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE,P,T,s NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CO1NN, HEATER HEATER UST / 7 CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP, PERM. 0.1 HP 1 -5 HP TRANS. CONTR. LIST CHECK Service Underground Size Feeders_. _W 1 ----- __ Conduit_ — - -_ -Main Fuses_ -- —_ —Amps Type of Installation—Conduit ---------- -- -- Tubing --- ------ v_B.X.L._____________Metal — --------- Amount of Permit Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. tt ( Signed) -- Master Electrician. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- -- ----------- ____ W ________— --- __-- ---- - ---------- of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.