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MultipleInspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -91807 Permit Number: WS -8 -08 -1470 Scheduled Inspection Date: September 29, 2009 Permit Type: Windows /Shutters Inspector: Bruhn, Norman Inspection Type: Final Owner: HUMBLES, ROBERT Work Classification: Window /Door Replacement Job Address: 69 NE 103 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER comments change windows on front Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Phone Number Parcel Number 1121360130970 046 .,Q ,,,,,o For Inspections please call: (305)762 -4949 o„ „e ,r -*')7 a� Miami Shores Village 10050 N.E. 2nd Avenue '. Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 R Contractor(s) Phone Cell Phone CBJ CONSTRUCTION, INC. 561- 756 -4884 of Work: Exterior mal Info: fication: Commercial Approved Approved_ Valuation: $ 10,400.00 Total Sq Feet: p Code Comments: SHERWIN WILLIAMS - WALLS - N Color. Denied Fees Due Am nv 'e CCF P'T 9-09 Education Surcharge G2_30 Permit Fee Technology Fee of Total: $70.62 Total Amt Paid Amt Due $ 70.62 $ 70.62 $ 0.00 For Inspections please call: (306)762 -4949 Available Inspections: Inspection Type: Final 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 laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. September 23, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy September 23, 2009 1 e Miami Shores Village i {�" '° 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address ......... ...... _........ 69 NE 103 Street Miami Shores, FL 33138- Expiration: 12/01/2008 Parcel Number Applicant 1121360130970 ROBERT HUMBLES Block: Lot: mgt. lnf. 4[ R! a tiQR ........................................................... ddress................................................... ............................... Phone.................... ............................... Cell .............................. ROBERT HUMBLES 69 NE 103 Street MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone HOME OWNER Type of Work: Exterior Color: EXPEDITION KHAKI Additional Info: Classification: Residential Color: EXPEDITION KHAKI _Approved Color: EXPEDITION KHAKI_Approved_ ....................................................... ............................... Valuation: $ 1,000.00 Total Sq Feet: 0 Available Inspections: Inspection Type : Final Code Comments: BEHR - WALLS - EXPEDITION Color: EXPEDITION KHAKI Fees Due Amount CCF $0,60 Education Surcharge $0,20 Permit Fee $60.00 Technology Fee $1.50 Total: $62.30 Total Amt Paid Amt Due ................. $ o.00 $ o.o0 $ 0.00 ........ ...............:.. Payment Type: JU 0 6 2008 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 laws regulating construction and zoning . Futhermore , I authorize the above -named contractor to do the work stated . June 04, 2008 Authorized Signature: Owner 1 Applicant / Contractor / Agent Date Building Department Copy Wednesday, June 4, 2008 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 07/30/2008 Permit Type: Paint Inspector: Grande, Claudio Inspection Type- Final Owner: HUMBLES, ROBERT Work Classification: New Job Address: 69 103 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Phone Number Parcel Number 1121360130970 tt e6c k Lot: BEARH: WALLS: BEACHWALK340E-5 TRIMS: SWISS COFFEE 1812 DOORS: HIGHLAND RIDGE 300E-6 Inspector Comments Passed cc Failed Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid Tuesday, July 29, 2008 Page 1 of 2 Signature Owner or Agent The foregoing instrument was acknowledged before me this �3 day of 20 0f9 by who is pqrsonally known to me or who has produced As i on and who did take an oath. NOTARY P Sign: `�. Print: t t. My Commission Expires: v v' ° °, GiMa FbWa &i�r�4�rkW,aie *�ritr�r�ri�rt . j� �Z kpla►: WWWAAMNKMYXBM Miami Shores Village Building Department 10050 NE 24 Ave Miami, F133138 (305)795 -2204 (ph); (305)756 -8972 (fax) ATTENTION HOMEOWNERS YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION FROM THE BUILDING DEPARTMENT. This permit is valid for 180 days. If it is not finalized during this period of time, the permit will expire, and it will require payment of a renewal fee to reinstate it and to call final inspection. WHEN THE PAINTING IS COMPLETED,. PLEASE CALL THE BUILDING DEPARTMENT AT 305 - 795 -2204 TO SCHEDULE YOUR FINAL INSPECTION IN ORDER TO CLOSE YOUR PERMIT. Owner's signature Thank you for your cooperation MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Type Insp'n Insp'n Permit No. Namej Ad&es Company_ Time j Phone # For Inspector: Name& ate Approved Correction Re-Insp'n Fee 0 eo Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address 69 NE 103 Street Miami Shores Village, FL Owner Information ROBERT HUMBLES Permit NO. WS -5 -07 -897 Permit Type: Windows /Shutters Per rn' Work Classification. Window /Door Permit Status: APPROVED Issue Date: 51712007 1 Expiration: 11/03 /2007 Contractor(s) Phone Cell Phone HOME OWNER Type of Work: No of Openings: 4 Additional Info: Classification: Residential Fees Due Amount CCF $5.40 Education Surcharge $1.80 Permit Fee $140.00 Scanning Fee $9.00 Technology Fee $3.50 Total: $159.70 Valuation: $ 9,000.00 Total Sq Feet: 0 Available Inspections: Inspection Type: Window Door Attachment Final Shutters Total Amt Paid Amt Due $ 0.00 $ 0.00 $ 0.00 Payment Type: MAY ® 9 PAID {K to it 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 laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated May 07, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Monday, May 7, 2007 r .r Inspection Worksheet ,. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/14/2007 Permit Type: Windows/Shutters Inspector: Grande, Claudio Inspection Type: Final Owner: HUMBLES, ROBERT Work Classification: Window /Door Replacement Job Address: 69103 Street NE Miami Shores Village, FL Phone Number Parcel Number 1121360130970 Project: <NONE> Block: Lot: Contractor: HOME OWNER Buildina Denartment Comments CHANGE 2 WINDOWS AND2 DOORS AT BACK OF HOUSE LO SOO Inspector Comments Passed cc Failed E]_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Tuesday, November 13, 2007 Page 2 of 2 lj, v 0 Z t �aoe 1_. c p 5 .-A ., � s.'�•aoi 0 %oilniy r a 9- IAJ &a tip X03 s M.�- � Nl.s Stto�.�s .�3_► 3 �s V" 0 3 2007 9 w e• s • •0•. 0000 •• .. • ...0 • • • 0000. 0.000. • • •0000• 0.000• •+0000 • • sees** ••e. 0006 •. •. s••.6• r-� i t� C> so \Z oa M • • 6 r a 9- IAJ &a tip X03 s M.�- � Nl.s Stto�.�s .�3_► 3 �s V" 0 3 2007 9 w e• s • •0•. 0000 •• .. • ...0 • • • 0000. 0.000. • • •0000• 0.000• Miami Shores Building De artment Product Approval Schedule / Comparison Chart Address: L4 pe- l o -S c--f- Permit No. — Opening Descry Bon of Window Product Acceptance Product A proval O Design Rough Opening Shutter Required MW a Required Impact or oor or on Design re re es o es o es o (t) PSF ( ) PSF +) PSF %) PSF Teo® a 03 -06 Z5. e:yZ 96 Sd fra�o x -F5" N v ® E5. «,CZ- o -- obZS••o2 �S'� fSo 6' -0" N� a �S 3 u��w oae� ®5-Ea2 .0 60 (o 9-07v o N© yes .... ....... . ... . . ... r on BUILDOW CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE .. .. MIAMI MADE COUNTY, FLORIDA METRO -DADS FLAGLER BUILDING 190 WMT FI AGUER STREET, M= 1603 MIAMI, FLORIDA 33130 -1563 M375-2901 . PAX M 375 -29M 100 Famth Ave. North Bayport, MN SM SCOPE: This NOA is being issued under the applicable roles and mpladons governing tie use of won materials. The documentation submitted has been n wiewed by Miami Dade County Product Control Division and awepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other area where allowed by the Authority Having Jurisdiction (AEM. 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 AEU (m 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 manufactrrer 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 jmudictian. BORA reserves the right to revoke this acceptance, if it is determined by Miand Dade County Product Control Division that this %8&d of matedal fails to meet the requirements of the applicable building code. • we 0• • . ••• This product is approved as described herein, and has been designed to comply with the FRot eta $uildin j Cody, including theme Mgh Velocity Hurricane Zone. /v,� ,� /t , ,... ,.� 0 0 0 0 0 0 0 0 DESCRIPTION: Vinyl Cled wow LL Window ' 00000 0 0 0' ' 0000 APPROVAL DOCUMENT: Drawing No. W0146, titled "PerinwShield Vinyl Clad WD; CWemeq WQVt. ", sheets, I through 5 of 5, prepared by AL -Fwooq Corporation, dated 07123101, with revisioa'�C'' dated 10)29YO4, signed and sealed by Humayonn Fa vaq, Pa, bearing the Miami Dade County Product d o'ri I%Leviston s%amp with the Notice of Acceptance number and expiration date by the Miami Dade County Pr�dW tontrolr tA n. MISSILE IMPACT RATING: Large and Small Micelle Impact ' *0 0 so* . LABELING: Fdach unit shall bear a permanent label with the mangy s name or logo, city, state and • following statement "Miami-Dade County Product Control Approved ", unless otherwise noted herein. r RENEWAL of this NOA shall 1che considered after a renewal aWJcation has beech MW and there-4:pas been no change do the applicable building cede negatively affecting fire performance of this product TERMINATION of this NO'A will occur after the expiration date or if there has been a revision or change in the materials, use, and/or Marmficture of the product or process. Misuse of this NOA as an endorsement of troy product, for sales, advertising or any order purposes shall automatically W= =ft to this NOA: Fatima to Comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISKiT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expnadon date may be displayed in advertising literature. If any pardon 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 near by fine manufacturer or its distn'butors and shall be available for inspection at the job site at the request of the Building Off MAL This NOA revues NOA 4 03. 0919.43 and consists of this page 1 and evidence pages &1, S-2 and B-3, as well as approval document mentioned above The submitted doah on was reviewed by Hermhdo F. Gonzde4 PJZ., Di ecior, BCCO 'I Q NOA No 05-0202-01 " - ExidtitimiDdet Sq rim i' -; 111 ,3f Appmvd Date: April 21, %U�] 0000.. 0000.. 0000. 0000.. 0000.. 0000.. AndMen Corte radon A4 10 7 _V t i Y`� A. DRAWINGS 1. Manufacmrees die drawings and sections. 2. Drawing No W0146, titled "Parma - Shield Vinyl Clad WD. Casement WDW. ", sheets 1 through 5 of 5, prepared by AL -Famoq Corporation, del 07/23/01, with revision "C" dated 10(29/04, signed and sear by Humayoun Farooq, P.E. B. TESTS 1. Test reports on. l) Air Infiltration Test, per TAS 202 -94. 2) Uniform Load Static Air Pressure Tat, per FBC, TAS 202 -94. 3) Water Resistance Test, per FBC, TAS 202 -94. 4) Large h fissile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 241132.1 and TAS 202 -94 along with the manufac1xw&9 parts and section drawings marked up by • • • • • • Architectural Testing Inc. report No. AT1 2-45335.01 dated OV2lz23M3, sigW& and sealed . by Joseph A. Reed, P.E. . 6 66• 6 600.9 99 0 "Submitted underNOA # 03- 0919.03" 06094: , 0 2. Test reports on 1) Uniform Static Air Pressure Test, Loading per FSC, TAS 2 w94 2) Large Missile Impart Test per FBC, TAS 201-194 • • • 0 ... • 3) Cyclic Wind Pressure Loading per FBC. TAS 24790 ' • along with madred-up drawings and installation diagram of a vinyl chid wood • • • : csisenmant window, prepared by Architectural Testing, Inc., Test a No. 0%.:. 33449.01, dated 9110101, signed and sealed by Allen Reeves, P.E. 000000 "Submitted under NOA # 034919.03" • • *00* • 3. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94 • : 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per M3, TAS 202 -94 4) Large Missile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, FBC 241132.1 and TAS 202 -94 along with n dwd up drawings and installation diagram of a vinyl clad wood casement window, prepared by Archital Testing, Inc., Test Report No. 02- 330OL01, dated 211/01, signed and sealed by Allen Reeves, P.E. "Suboda d under NOA # 03- 0919.03" 4A AA#44 Hwub& F. God, PA Dk edwi Bail Code Compltnm Ofte NOA No 0540" Eghatim Dates Septmnber 19•2W7 Appm"d Daft Apra A 20e5 E -1 6666.. 6666.. 6666.. 6666. 6666. 6666.. 6666.. 0666... 4. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pmssure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Missile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 2411.32.1 and TAS 202 -94 along with up drawings and installation diagram of a vinyl clad wood casement window, prepared by Architectural Testing, Inc., Test Report No. 02- 33003.01, dated 2M1, signed and sealed by Allen Reeves, P.E. "Saft0ed under NOA #03- 0919.03" S. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Made Impact Test per FBC, TAS 201 -94 . • • • • . 5) Cyclic Wind Pmwre Loading per FBC, TAS $°0;44 . `... 6) Forced Entry Test, per FBC 2411.3.2.1 and TAS.2Q2 94 •..' ; along with marled -up drawings and installation diagram of a; vinyl•W wood casement window, prepared. by Architectural Testing. Inc., Test RAM 146. W • • • 31312A1, dated 3/9199, signed and sealed by Allen Reeves, P.E. 0090 0.00 .0000. . "Submitted under NOA #034919.03" ° •,• • • 0 • 6. Test reports on 1) Air Infiltration Test, per FBC. TAS 202-94 ...... . 2) Uniform Static Air Pressure Test, Loading pet FBC,' TAS =44 3) Water Resistance Test, per FBC, TAS 202 -9*. ° • . • • • • 4) Forced Entry Test, per FBC 2411.32.1 and TAB 202 -94 ° • • . ; 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 0 • 6) Forced Entry Test, per FBC 2411.3.2.1 and-TAS 202 -94 long with marked up drawing - and installation diagram of avinyl clad wood casement window, prepared by Architectural Testing, Inc., Test Report No. 508.01:201 -18, dated 05/05 -11104, signed and sealed, by Steven M. Urich, P.E. C. CAL_ CULATIONS 3. Complies with ASTM E1300 -98. "Submitted under NOA # 03-0919.03" 4. Anchor Calculations, ASTM B1300, and structural analysis, prepared by AL- Farooq Corporation, dated 11/08/04, signed and sealed by Humayoun Fuooq, P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). IIH�in#o F. Gam, P.E. , B Code Cie Otte NOA No 05402.01 Ram Date: September 19, 2W Approval Dates April 21, 2405 R -2 0000. 0000. 0000.. 0000.. 0000.. And s Comoration NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS L Notice of Acceptance No. 01- 1204.01 issued to EI Dupont DeNemours for "Sentry Glass ® Plus" dated 1/17/02, expiring on 01/14/07. 2. Notice of Acceptance No. 01-0205.02 issued to Solutia Inc. for "SaflexMzpsafe Maximum dated 05 /17101, expiring on 05/21 /06. F. STATEMENTS 1. Statement letter of conformance, dated 11/08/04, signed and sealed by Humayoun Farooq, P.E. 2. Statement letter of no financial interest, dated 1 1/08/04, signed and sealed by Humayoun Farooq, PR G. OTHER • I. Letter from the consultant stating that the is in c ompliantp wf$ the • • • • MAuct .... Florida Building Cale (F.B.C.). ....... .. . • ...... 2. Notice of Acceptance No 03-0919.03, issued to Andersen Corperation, for .. • Perma Shield Vinyl Clad WD. Casement'WDW., approved on 12MV and.::::. • - expiring on 09/19/07. •' • • 0*0 • • • • • . • • I, . 4 A)e� T V Henn W9 F. Gonzalez, PJ. C NOA No 054202.01 RgAmdon Date: Septeinbor 19,.200'1 Approval Date: April 21, 2005 E -3 .. I C is -.I. - - 3 AMCM sm « FOR CAM 71 7/A' U" wINDO wI V 7132' MAIL 27 7/ffi' qAx i wm" 24' VA L 24' MAL ® AI 51 FE OL pL APRRD OF'1101IAL MEMKA mm vmm A 12 3/4' VAX 19 3 4' 19 3/4' PS CM ¢¢ I =j- O.L Cm D L 6 AT'JNIB /BiWVt it 3 AMCM sm « FOR CAM 71 7/A' U" ® ANCM CUPS MSHET3 FOR WANITM AT HFAD/SL FOR QUAKMU AT AG � AN01101! WJPB I V_ - 9(�D�O10NI1Rf 8A5N L9.B�8 TVPN .AI ELEyMINS FDRPER FIBAD b SL 101 UNn • hvN owMnFFB o NYBS �E tl1ARr stamuua'r� '1?)P.Rnu_l3RT[Ci.n' VINYL CLAD WO asalevt+nrr wmvnnv.�� wNMmws GLAZED VIM wlewm GLASS mm FOR NAM MISSILE W= I== ND 9MUTT M w wam Za 31/34"MA% 22 31/3291ANI. MEMKA mm vmm AT MD/SL 12 3/4' VAX 19 3 4' 19 3/4' PS LL Cm O.L Cm D L 6 AT'JNIB /BiWVt ID 10 I IJ II\ ® ANCM CUPS MSHET3 FOR WANITM AT HFAD/SL FOR QUAKMU AT AG � AN01101! WJPB I V_ - 9(�D�O10NI1Rf 8A5N L9.B�8 TVPN .AI ELEyMINS FDRPER FIBAD b SL 101 UNn • hvN owMnFFB o NYBS �E tl1ARr stamuua'r� '1?)P.Rnu_l3RT[Ci.n' VINYL CLAD WO asalevt+nrr wmvnnv.�� wNMmws GLAZED VIM wlewm GLASS mm FOR NAM MISSILE W= I== ND 9MUTT M APPRWL APKMI TO W40LL OW13LE AND TRH WINDOW IN ANY COMIRMAT10N OF VENTING OR STATIONARY UNI18 _......_ __ .... _ ..._ _ __ ._. _ .... ._ .. .... _........... . _ _ . _ .. _.. _ _ _. _ _.. _ _ _.._ ._.-.- - -•- --• --. .._... _ _ _ _ - _....... _ . _ .... Fell nl;l I �,] I Fo I m 10 PRODUCT NAS GM DESWM AND TEST®m CMMy W N THE OF THE mm mm = MIJIM HIM Van" sm gum SY ODIERB Oft W, GRADE 2 ". mm a ANmum PAY TO TRANER LOADS m 711E SIRUDNRE ANCFIOR.R SMALL BE A$ LNSYED SN11tC® AS >D•IOMM ON DETANLS ANCHOR MENT 10 843E` �1ATERDAL SMALL lma wALL DRE'68BN0 OR S1tlCC0. M CMIRIM OR L mma CONDinm NOT %mWN IN M.Ilm DETAILS ARE NOT PART OF DO APPROVAL A 333 INCOM 9I AU MM MM We I= IN 1110= OF ANpNDR6. ... .... .... • • • • • • • • •• • • 000 ••• • • • • ••• • • • ••••• • • • •• •• 400 • • • ••• • • . C3 I O l � I ,g 7;;W—. W01 -46 MEMKA m»N =sal APPRWL APKMI TO W40LL OW13LE AND TRH WINDOW IN ANY COMIRMAT10N OF VENTING OR STATIONARY UNI18 _......_ __ .... _ ..._ _ __ ._. _ .... ._ .. .... _........... . _ _ . _ .. _.. _ _ _. _ _.. _ _ _.._ ._.-.- - -•- --• --. .._... _ _ _ _ - _....... _ . _ .... Fell nl;l I �,] I Fo I m 10 PRODUCT NAS GM DESWM AND TEST®m CMMy W N THE OF THE mm mm = MIJIM HIM Van" sm gum SY ODIERB Oft W, GRADE 2 ". mm a ANmum PAY TO TRANER LOADS m 711E SIRUDNRE ANCFIOR.R SMALL BE A$ LNSYED SN11tC® AS >D•IOMM ON DETANLS ANCHOR MENT 10 843E` �1ATERDAL SMALL lma wALL DRE'68BN0 OR S1tlCC0. M CMIRIM OR L mma CONDinm NOT %mWN IN M.Ilm DETAILS ARE NOT PART OF DO APPROVAL A 333 INCOM 9I AU MM MM We I= IN 1110= OF ANpNDR6. ... .... .... • • • • • • • • •• • • 000 ••• • • • • ••• • • • ••••• • • • •• •• 400 • • • ••• • • . C3 I O l � I ,g 7;;W—. W01 -46 W C,M •*T WM,H UNR fir. vin (+ CR12 4912 Ct2 CN12' CX12 fr 20 -112• 24 -1/9- 28 -3 /ir 31 -f /r .24 -1/8. I 67.0 94.0 67.0 767.0' 6710 cRt25 49126 Cats CW125 CX126 tr .20 -1 /r 24 -1/8' 28 -3 /ir 31 -1 /r 2B-3 /e 8• 6710 674 67.0 07,0 67,0 Ct13 CNi3' C13 CW13 CC13 CCWT3 17, 20 -1/2" 24-1/6• 28 -3/8- 31 -112' 35-15/le 35- 13/16• 87.0 67,0 07.0 8710 67,0 67.0 . C RI35 CN135 01135 C:M%35 CX135 0=135 tr 20 -112- 24-1/6' 28 -3/8' 31 -11r 35- 15/16' 40- 13/18• 67.0 67.0 6710 07.0 67,0 67.0 C R14 CN14 C14 C1Y14 OX14 CXW14. tr 20 -1/2' •24 -t/B' 28-3/8- 31 -1/2' 35- 16 /1 a• 46" 67.0 67.0 g�,0 87.0 eo d eaA CR14a CN143 0145 CW148 CX145 C0145 17• 20 -1/2" 24-1/8' 26 -3/ir 31 -t /r 35- 18/16 - 32- 13/16' 674 474 67.0 67,0 ivu e04 Cads 0418 cis 17l 26 -1/2• 24-1/8` 7/r 674 84.0 64.0 CN16 C RISS . MISS. 0195 faBi� 28 -3/8' _ 1r 20-1/r 24 -1/B' 28 -3/B' 13/16' 6410 ou 8010 60D 60,0 CRIS CN1s (ta CWiB tr •o-1 /r 24 -1 /0` U-319- 71 -7/e' 61.8 + emu ' e.0 �p , 82- 13/16• ) 'A' OR 'R' DZ=MGN LgAD CAPACITY - PSF (Douro UNITE) CM ice, 1„ 1pU1Ili� ut6rlir CUSS TYPE 'A' Oit 'B' AARICNdR1f (0) , 0$, zo OR 00 '71A C34 71-7/6• 48• 17!23 CM C23 CN23 33 -3/4• �/4- 48" se-1/r 36- 15/16• 6710 71:0 iiv 6710 7110 -7/8- 6710 7110 6710. 82.0 67.0 71.0 67+0 620 MUS X37 0235 am 33 -3/4" � /a" 48• 6s -1 /r 40 -13/tr 1 6710 7110 e710 820 e710 7110 .674 620 4710 7110 6710' 62.0. 67.0 71.0 •6710 •82.0 ' OR'24 0924 .024 CW24 33 -3/4" 40 -3/4" 4B' 88 -1/2' 674 71.0 • • 6710 82 0 8710 71.0 6710 t 820.. 87.0 7110 6710 82.0 67.0 7110 6%.0 820 CR2* CNR45 0248 CB24e 33-3/4" 40 -3/4" 48' 56-11r 82- 13/16• 6710 7110 67.0 8210 6710' 7110 574 B20 674 7110 874 8210 674 714 6710 62.0 CR1a am cm CW25 33 -314" 40 -3/4" 48" 66-1/r -7 67.0 71.0 07.0 82.0 83.7 $75 0710 820 60.0 644 6710 •82.0 604 84.0 674 82.0 071266 0265 33-3/4 10 -3 /a' 48' 94- 13/18" 60.7 84.3 674 ai0 84.0 07.0 i s20 DR8IGN LOAD CAPACITY - P168' (TBIPLR 17NPP8) W0100W 6 UMT WM f1�1la Lwr HT. s GLASS TM 'A' OR 'B' ZO& OOB, XOG, 000 OR UK frn. ( +) W. c -) CM 71 -7/8' 3(-16 1s• 87.0 1 714 C335 7i -7)8' 40-13 18- 6710 '71A C34 71-7/6• 48• 80.0 84A C34a 1 71 -7/8• ENE 6010 aao 236 171 -7/8- 68 -7/e• BOA 6100 -.7 58.4 fammucruvow a" ae -1/2' no SZO y rr a2.o eRas 33 -3/4" seo et.s 620 • 07926 40 -3/4' 71 -7/8' 71.0 026 48' 6810 88,0 66.0 C7k28 3e-11r DOA 520 e210 aLo B24 Oa,O Mr MW 6IREN'0 MOSS .131• Alai •LASS.. _ _ - ...... . . Ma AM Pys xrgmAm 66.0 By T~ OR 'Smmw all'q�ONt' OA 'BOLUtU ' 714 �gi 10B2• f8J1T 86RN'D tEA86 � Wg .fat• ANN. OIASS 71.0 Bt BOW calw o Man K f° On OMM SLMM 7110 ]q % . . ET . O6Sa3 -y OR 7/10 G 0 • • e ' • • OF1�0 • •• •' • 71.0 • •• • • ^• • 7110 ••• •• • 70.8 .. ® vmm $PACIR ® 71 14NYL SPACER �. xmmmm 7110 A OAN �1, ,` • • • • � • 71.0 1 TYPE :A' i : : • : : 0 TOM ••'B' 85 B 6/92° TBICH 11O01IIW1L • . • • • • 9�B` 71= 610ISINAL • • • � T • • • • JAN 1 0 2005 ... . . . . ... . . . . . . . . . . . . • •• •• • • • •• •e ••• • • • ••• • • IF A: X101 -40 1 —I/2' x a• z mom* mm A+a�s � -1/2• x a' x ANCHOR mm 15m s X 1• Q ►® 9IDBI 2 PER CUP (2) AT 1Ir OC. TYPICAL Axal wow BUCKS NOT BY ANDFR4E 4 MUST SUSTAIN sas n�s+o se x V x 1 2 �1 am Lam &OWED BY GLAZMG SYSTEM AND TRANSFER W SC =F T THEM • 0 THE BUMING STRUCTURE I PER s ® _ ........ Q . PROVIDE ANCIM CUPS AT WA di 'kL AS SINGLE AND DOUBLE UNITS: (1) AT CENTER OF EACH SASH TRIPLE UNITS. (i) AT CENTER OF END SASH scm I 1 Y I �jj 5/8, P O (2) AT !ADDLE SAN4 SEE ELEV. I x e/e• i I (Z) P6t o 91: m TYPICAL ANOM I A- A sm C I INTO 28Y WOOD BUCKS OR wooD STRUCTURE I 1 -112' MIN. PENEMMON INTO WOOD ; B- aj/IB' d TAPCl1WC (By ELCO) OR 8 EQUNALENT CONCRETE ANCHOR THRU 1BY WOOD SUCKS INTO MASONRY-OR DUMMY INTO MASONRY 1 -1/4' MIN. MASONRY EMBED. �I I I ■ I LOCKING am-On: SURFACE MOUNTED LOCK WITH KEEPERS ON SASH BY AMEROCK CORP. Y (2) POINT LOCK FOR wMDOWS UPTO 40- 33%16° HEIGHTS• (3) PoMT LOCK FOR ALL BISM HEIGHTS, O81 a-mmucrawmw I g s r•1!•!y 3 • • •• i ffia TP 1: SCREW W �:. A C P � >F TAFPIO tip ": > 2 :fit: :�:J ::• //iyy ' � i ii � � 4.• Al i \i y� • r i r• �� '��IO 8 FMR IS.W • • • • • • • • • • i i i dr••htq fl•. + -I/2• x (1 z No worm 2 PBi ouP I -1/2• x Y x � s� • • a�P"'�"10i�• • • JAN 1 0 2Q05 ' W01 —46 (1) AT 16o worm W AT I•• O.e. ' •h•et of • • • • ••• • • • d� MCI an Kim r r IR= 1 -11r X r X Aar � ® 1YPIGL A1uumm MAX BEE am O LEFT im 2 PER CLIP 3 © O is x 1 �Bf'R n O 1/4' WK SNpI G c 1 AA 8 ��j jil! EXTERIOR O . .. ... .... • • ••• • • 7 :0 2ms .I` dm" �ro 1 WO1 -46 r� VMM CLAM= FRAME j WD/SILL 1$77 488 - u ties ADd 038 1.109 844 Au4 x444 VIML CL400M FRUM aw am I= .010 Lit .4oa L14f imn LtBB L2ea Lt� L989 .909 L ORENOON JAMB OVM /JAMB/ x VENT sw s" VENT STOP HBAD' 21 1#8 x 9/W' ntDtrtal but SORm1s Z11 30171 _ -POW mm"Wam"n 3 B a I ALL WOOD TO BE PONDE M J/r A191 vwswme tr,6a,_ cpim ma oAarNt► teen • ® a= • • • • • . . • • • . tam mw ('ORN17i am ® • ••• ' . mad �'-. - -, � O ° • . 8fAT1ONARW' sw CUP A0. SABµ REBiRORCINO BAR • • • ' 44c im @!S • • �• • %LT. A emoR w V. BIQI 30► BI: BiBO all •.• . • • e ..• • • • • • • • • • • • • • •• •• • • • •• •• �ra �n .0m - y y I I � ME - 0FMWL am WOOD ANEFM 3=39 f POST MUUX t WOOD AxOH15191 0 30080 1 Ct9pp tW6lRlN - - .0 ' - - -. 7 ' 30013 4/ WO 8119Y1 RAB,/9162 WOOD Atli a - 2/ Mm. WOOD Kamm 0 301b /48 1/ WOM V9M BOP WAD WOOD lmmwm 10 20813/48 t/ I=. -VW OMP BILL WON 11 30184 AS RM OIAZM WD pV0 I 12 308W/f2 1/ Wm 'ROfO a1+maTa1 BR®. AND= CORP. � 13 30 O 1/ at911 >BR FR AW1OM - 1 #a X I 81M1�P8 Sf e - AT 1 -1 PROM an a 1SP O.C. I 18 917mmm am up O+tW. BRm1 - 1 10 13014 SR/ B�1 HM ASEMMY AT TOP a 90T11A1 OF BSI BIM AMOM 0W. n - As tmoo. tocx WT/ tm�®m as 9AV1 area Armeoox DaWP. 18 30213 AB RCS tlDgt1�81PoP sfae VENT STOP HBAD' 21 1#8 x 9/W' ntDtrtal but SORm1s Z11 30171 _ -POW mm"Wam"n 3 B a I ALL WOOD TO BE PONDE M J/r A191 vwswme tr,6a,_ cpim ma oAarNt► teen • ® a= • • • • • . . • • • . tam mw ('ORN17i am ® • ••• ' . mad �'-. - -, � O ° • . 8fAT1ONARW' sw CUP A0. SABµ REBiRORCINO BAR • • • ' 44c im @!S • • �• • %LT. A emoR w V. BIQI 30► BI: BiBO all •.• . • • e ..• • • • • • • • • • • • • • •• •• • • • •• •• �ra �n .0m - y y I I � ME I r DING CODE COMPUAMM 0MCE (BCCO) PRODUCT CONTROL DIMON NOTICE OF ACCEPTANCE (NOA) Andersen Corporation 100 Fourth Ave North Bayport, MN'SSM10% O - DAVE COUNTY, FLORIDA MMO -DADSR AGLERBWmTI\G 14 pXS RAGLZK , 166 MIAMI, FLORIDA 33134.1563 =375-2901 PAX M 375.29M SCOP$: TWs NOA is being issued under the applicable rates and regulations governing ft use of unction materials. The documentation subs has been reviewed by Miami Dade County Product Conitrol Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas when allowed by the Authority Having Joisdictwn (AH.t). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Cmftd Division (m Miami Dade County) and/or the AM. (in areas other than Miami Dade County) reserve the Agin to have tbis product or uenal tested for gwdty assurance purposes. N this product or material fails tc m¢orm in the accepted manner, the maunfacturer will incur the expense of such testing and the AW may `rely . 0 0 0 0. revoke, modify, or suspend the use of such product or material within th* judsdictiosn. BdPA reserves Al As right . • to revoke this accepmee, if it is determuted. by Miami-Dade County Product Control DMsprtbat thin or 0 0.0 :. 0000.. material Jade to most tie rests of the applicable building code. 0000.. 0000 0000 . . This product is approved as d=Abed herein, and has been designed to comply with the JRgh 4elocki Hwicane Zone of the Florida Building Code. * 0:0 0: - ` y�,,� •� -_J • • • •' t ••• 1[t�IIYLWI •..•:. I31�BCRIPTION: Sorter wOOd DOIIMe "AP/PA" Ou�iYtO$ �PlO, • APPROVAL DOCUMUiP. Drawing No. DADE-FWO -AP Impact, titled ` wnchwvo 'Ok wing 0WO) ..... Patio Door Unit - Impact AP 2 -panel", sheds I dwongh 4 of 4y prepared by mm&ctmq, ". S/18/b0rvd& revision 8118/83, bearing the Mumni Dade County Product Control Revision stamp with the Notice, ofiA ; • • • • number and expiation date, by the Miami -Dade Comity Product Cmad Division.' • • MISSILE IMPACT RATING: Large and SMA MkAe ImpWt LMELING: Each unit shall bear a pemfianent label with the manufacturers nadir or logo, city, state and following s "Miiami -Dade County Product Comrol Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considaud after a renewal application has been filed and there has ben no change in the applicable bWldhag code negadv* affecting the peaksmance of this product. TkRKWATION of this NOA will occur after tine expiration date or N these has been a revision or change in tine uerials, use, and/or manufacture, of the product or process. Misuse of this NOA. as an endorsement of any product, for sates, adverdsing or any other perposos shall automatically terminate this NOA. Failure to comply with any section of this NOA shall 'be cause for termination and removal of NOA. ADVER T: The NOA number preceded by the words Mim Dade County, Florida, and Mewed by the expiation date may be displayed in advertising fiteaahae. N any portion of the NOA is displayed, then it shall be done in its endMy. INSPECTION: A copy of this en*e NOA shall be ruvided to the user by tie manufachm or its didalOw and shall be available for inspection at tie job site at the request of the Building Official, This NOA revises NOA # 03041,5.15 and consists of this page 1 as well as approval dome neat mender above. The submitted docamentadm was reviewed by Manuel Perez, P.E. ldffllkL NOA No 034.02 ® Hon Date: October 3, 2008 Approval Date: 5att ngW 11, 2003 Par ' Andeasa, Cor�no KQHCE OF ACCEPTANCE: EVIIIENCE SI]B (For File ONLY. Not part of NOA) A. DRAWINGS L MmWhct�s die drawings and sections. 2. Drawing No. DADE-FWO- AP- Impact, titled'Trenchwood Outswmg: (FWO) Patio Door Unit — Impact AP 2-Panel", sheets 1 through 4 of 4, dated 8/18103 with revision E dated. 8/18103, prepared by manufacturm. B. TESTS L Test reports on 1) Air Infiltration Tats Per FBC, TAS 202 -94' 2) Uniform Static Air Pressure Test, Loading per FBC,TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per PBC, TAS 203-94 6) Forced Entry Test, per FBC 24113.2.1 and TAS 202-94 along with marked up drawings and installation diagram of outswing woody door, prepared by Architectural Testing, Inc., Test Report No ATI Og-MM.01, •" • ' ."' 5/1/03, signed and sealed by Steven Urlch, P.E. . 2. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94 ... ; .. • • • 2) Uniform Static Air Pressure Test, Loading paJMC,TAS 2M-A4 3) Water Resistance Test, per FBC, TAS 202-94.... ' ....' 4) Large Missile Impact Test per FBC, TAS 20-9,40 •; .' . 5) Cyclic Wind Pt�aesm Loading per PBC, TAS 207-94 •' •. 6) Forced Entry Test, per FBC 24113.2.1 and T°A%* 94 ..l. along with markedup drawings and installation diagram of out�wing ww&A4 door, prepared by Architectural Testing, Inc., Test Report No. ATt Q7.4M6.01,A ted. 51 1/03, signed and sealed by Steven Urich, P.E. (Subnbd tender NOA MOL160.04) 3. Test c+eports on 1) Large Missile Impact Test per FBC, TAS 201 -94 2) Cynic Wind Pftmm Loading peg FBC, TAS 203 -94 along with marked-up drawing of a wood French Glom, prepared by Architc=d Testing, Inc. Test Report No: ATI402320b2.01, dated 05/05/00 along with revised marked up drawings, signed and sealed by Allen N. Reeves, P.E. (gulmu2ted under NOA #00.0605. ©1) 4. Test reports on. l) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Tat, Loading per FBC,TAS 202-94 3) Water Resistance Te94 per FBC, TAS 202-94 4) Large Missile Impact Tat per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Fm=d Entry Test, per FBC 24113.2.1 and TAS 202-94 along with installation diagram, of door prepared by Architeetural Testing Inc., Report No. 0231994.01, dated 01125100, tested on 01104100, signed and by Allen Reeves, PR Maenad .T. Prodad Centi+ol NOA No _ _ Appaoval Datesl>s September 11, 20 03 �OTICI� OF AC ANCE: EVIDENG.E SUB _ (For Pile ONLY. Not part of NOA) B. CALCULATIONS Submtited under NOA X03- 0¢15.15 1. Anchor calculations and structural analysis dated April 9, 2003. Submided under NOA #W1011.04 2. Anchor calculations and structural analysis prepared by Richard Boyette, P.E. for Anderson Corporation, dated April 24, 2000, signed and sealed by Richard Boyette, P.E. C. MATERIAL CE MFICATIONS Subm&sd wider NOA#98d1608.21 L Notice of Acceptance No. 01- 1204.01 rued to El DuPont DeNemours for "Sentry Glass Plus" dated 01117/02, expiring on 01/14107. 0000 2. Notice of Acceptance No. 01- 0205.02 issued to Solutia Inc. forJhdr; `Ssnen.... • meepsafe Maximum" dated U5 /17/01, expiring on 05 /21/06. ' • •' : 0 0 :.: 0000.. .. . 0000.. D. STATEMENTS • • • • • • Statement letter of no financial intact, dated 4/1103, signed byr.0 younI", • f 0000.. 1. 0 0 Pa 000:0. Statement letter of confornaance, dated 4/UO3, signed by HumaWI nFsrooQ -%—. .. :..' 2. 3. Laboratory compliance letter• for Test Report no. An 02-4437701:8; An 02-. 44376.01, issued by Architectural Testing, Inc., dated 5!2/03, signed and s*Wby • • • • • • .. Stmen Urich, P$. • • • • • 0000.. F. ' OTHER 1. Nome of Acceptance No. 03-0415.15, issued tn. Andersen Corpomition, Series "Fmnchwood Hinged APIPA" Outswing Wood French Door, approved on 5/22/03 and expiring on 10 15/08. Maaud Product Control NOA No 034625M Eqftfim Date: Odeber S, 2000 Approval Dais: September 11, 2003 N -2 ,oD� Lear A ,00�•. 10 MAx 3ssxs MAX Taow MAX f- / \ MAX ! / \ MAX Jr VAX O.C. MAX B I B % \\ B or \ / \ 4'&• I A$37• \ MA L we _ / \ ACIIVL PANM. PA*0- 8PANEL I xM�c(ligm \\ AC11VE PANEL 0 / eaWrt f*SNE P W / PASSNE PANEL. I JI 17.000. O.C. , am sm MAX. lye \ / 80TM SME3 B.OIIM' ' 1 + \ I 7000• M 11 \ IM%. 1 1 + \\ / 1f MAX 33-M MAX PMRL MAN A �j A .... WOii 31780 MAIL PAM W M A A r -at +` - 71 JM MAX aar T07M - • - . �• '1 OE9. .73Pan 710 MAX. MAx. uwT MLD:M NaIEY VJEWW FROM EXTERIOR VIEWED FROM EXTMOR 1. RWALL(O.Ci MERAW - S6L• slt 6 SET ri 41Hi01IE BACK MID OKE t /4' TAFiWI rA8TDI807. ALxxfl —Y fWR 1/4' FASO 1FRWIWI 7% LOCK QfiCE m WO THE RASmxm iKAR yFAn 18 Slculsn wllx 7WeEE 1 /4• TAP®V S:I�MS OlIO MtSONRY t10 SMS ao0 MOOD AT t0• FRaM EACH FJW MID OPOi AT MMPAK, ACOMW MLY SX 1/P TA IM SCAEMO DAOIM{i Till I= RED mm 7ME SOSRnIL .MHO JAIM A M SmL m OSRO , 4• TlP1x1M SaiTIS silo hummm an t10 so RIO M000. FASTENERS AM SvCFD Ar r FROM EM AND tr MAX O.C. MR OS Gil AND MM 1XXM AND VAGD AT 4• FROM FM08 A11D le MAX O.C. FOR 00 00574. _ j� K KNOW. 7KPCg1 SPA= S _K AS MOOD SCREW VACM Am VM TK LWM UIOJffi 3/8• TKW( LAMP MED MASS FAQ x7D COMPMD Or 3M0 KaM97AL 8132• HFAT-SIRFMHOW SWE�S WNH 0.09OP OR4MEIR MRA LATER VAV0ACrjM BY DOW 04 SOWA. ANKPA180: as LWS UMM 17/3x• (.831) NMO K yj= LVMK4 b WAS$ PAH SWED AND CW7 OM Of 73'0 NOMR AL 713x• WQAj tYaM MWt•A -0io•:8 ;w /R Of1E1P4Fa7s7 y1YER MtlOiFALRniSD 8Y OIWOhT OR SOLUiw aGAaIVO ME7HOOt • • • • • • • • • m S SQ FROM 1W WERI N /6i W A WR OR 11M CO WMW BED OF SLWZ A TOO COHP W SL BACIO7LL W ✓A4 ld%&Ommvd • • • • • • oiE PtlaoIL K WIN MOW stops ammo OK In WtElaOR SECLOW MLIN 1" SMFS WAMD &OW oe. IAMFSS UMON 14" OF CMWK DAN 4AW os. FRENCHWOOD OUTSWING (FWO) PATIO DOOR UNIT - IMPACT 1 810 A REMB - D OF PWFM =R PDR 1M81 PN3RJDED EIQ, OR CLL7DIOi SeOt 8EL COt� OF AN ALUMINUM AFS PVC ABSENBLY. WOW tIEfS CO'80. 8UI7FD AND FXS%X MIM FM CU AP 2-PANEL Im x 1-1/2' a SCREIIB °EER ILEILO ADW M76p1 /Itl x x-,11' LWW 5CRM3 P!R SEl .'p@I CORRR. xW MEIrE 1xiN �AK9M. THE +KIcWOIe �q,R810Ep CtJu�OMn COHj�J6 SERE M'DER M AT 'off e'8'IIC. A YHIID MIIH CORNER KcY MID 1M0 t0 x 0.0x8• SCRfi1I8. SEA= •1H 9ucm me OOPFd AT 111E M.L • • • • • • • • • • • 1 AI1d�gp Corporation 4' PA1M1. COBIIRMIMxR • • • i • • • • • as PANEL RAgS ODNB•IW OQ PONCEROOA ."M Mmt me sm.LS wm AN IML LK71O708AE x70 =amo IK IMD x= W,- AKC -TpWN1 aWRI� Ab l!D(p CiIdVCR R 1Ctbp1 • • • • " n0_ AND FWIR t10 K D. 000' SCRflE$ MW "M TOP AIM DO— SMA/RA8 J=M A PI MAW OW VW WA0 USW ON 14 BOTION OF EACH Was ••• •• • • a • • 4 !r- ASA,AGAU A MIRI M ASIRAOK WAR 9EC10B0 TO THE EKIMM OF THE AWNE PAWA MWIN0 MU WIN SILK9tlE NO SX t1D 1 - */1• s7�LEM IOWA P®f%CK MMU • • 1 eabsv.ee'®. saavAVar .•A ram® wesm A Awa gAels � iM11d 1•A1Rv11811 sM. i G DADE - CWO -AP IMPACT• ME RWI OF 8x7IOPpIE OIx.B AT THE PflSp;fER OR TS FANFL • • • • • • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 0 � � MEW _ 1 3-Fm &OCK Local IO Eri v I� M•.A� !0!K t�OCCON X r scv •°w M= Ix1h'NIOR SECTION A-4 o°o w° j-7 /3i ammo 7/3Y ANVfAli9 +� 17/34' A'•BAIED W 000aA Et) � CA�6IR 3/9' HEU simmim" LNDWM CLASS CONSFRUMON .. .. .4", • rxe�xe • • • . � "100° � IYp. saxxxu' OiA7 ' _ f9A1. F7 LL ILllOn1 OF ML o°o w° j-7 /3i ammo 7/3Y ANVfAli9 +� 17/34' A'•BAIED W 000aA Et) � CA�6IR 3/9' HEU simmim" LNDWM CLASS CONSFRUMON mm OMMA o ,.,�- a FL ,i•• WOL �-Smffi SPAM axes #2 MW SM SEMO N B-B lip • • • • s mu FRLNCIiWWD OUTSWMIG (FWO) PATIO DOOR UNITS .MPACT AP 2 —PANEL Andersen Corporation .'a o Fm A W wler/4 Omm "'W ' ,•r. 4 m 4 DARE - -F'WO A°• IMPACT IAMI SHORES MAY U 3 OWNER BUILDE ' , DISCLOSURE STATEMENT` BY:__C/r1_�A_ _, rsa NAME: _&M-r z f- DATE: VILLAGE OF M ADDRESS: (0 q IAMI SHORES MAY U 3 OWNER BUILDE ' , DISCLOSURE STATEMENT` BY:__C/r1_�A_ _, rsa NAME: _&M-r z f- DATE: ADDRESS: (0 q /J E 1®1:) , C4- t. L Do hereby petition the Village of Miami Shores to-act as my own contradtor pursuant to the laws of the State of Florida,. F.S 489.103(7). And I have.read and understood the following disclosure stdtement, which entitles me to work as my owl ootttractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property , to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one;fatriily or twafamily residence. You may also build or improve a commercial building at a cost.of $25,000.00 or less. The building must be for yotlr town use and occupancy. It may not be built for sale or ld'ase. If you sell or lease a building you have built yourself within one year after the.construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed ttiust work under your Supervision and must be employed by you, which means that you trust deduct F.I.C.A and with - holdings tax and Provide workers' compensation for that emplgyee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initial 2. I understand that as ari owner- builder I must abide by all zoning ordinances and building regulations in effect at-the time of permit application Initi al'`-�'� -� 3. 1 have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code -- only if the structure meets the minimum-code. Initial t-" k IV, 5. I understand that as an owner- builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial /"-J1 6.. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If-for, any reason they do -not posses a business license I will be responsible and liable for any wrong doing from this unlicensed dtimpany-or person. Initial 7. - I- understand that if any person gets injured on my construction project —they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctorand related cost which could include loss of wages during recovery from injury. Initial /,C . 8. I understand that under stata and local laws I, can not do any Electrical, Plumbing, Heating, Air & Roof work on my-property with out first obtaining the proper permits by licensed eontractors. Initial vt`" "�_ Was acknowledged before me this 3 day of Ys 20 Q� BY �-1 w�,�jt+Q ivha was personally known to me or who has Produced there License or as identification. i .OWNER o,.`ew�Bd� MCMWWM #M27 5 . _AC OEC. 2�T © f va Ass NOTARY Miami Jhores=iBage R L O R 1 O A PLANNING BOARD AGENDA OF 0��/L 07j /9ZZ ITEM NO. Nacre of Owner /Appl i cant ,&82L e% r,�� Phone No. Address of Property, and /or Legal Description eR IV 4!!E- 103S7- Nature of Request Present Zoning / — Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances oning Change Council Action Required I/41 Date of Applicant Notification Planning Board Action Council Action T-tj I> "r%� t4v:) u JM)9z ku&*v Director of Building and Zoning o v �Y� PHONE 963 -1161 LOU ANNINQ ARCHITECTURAL DRAFTSMAN House Plans 3613 E. Shore Rd. Additions Remodeling Miramar, Fla. 33023 MIA HO IS VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date TypeInsp'n in 11 r Permit No. ir)- l Name %Vkk6 Address t- ' � Company ' �s 1G -T60ts p� t , t Phone # � ►ti1( U Inspection Date —At �0% Approved Correction Re- Insp'n Fee Z7 - ;jC TAMK Q o le lu P: �0 LP w e LO S IT5- FL-MA '( z. 20'- n'l L07 2 0 ARD V457 IAZ OF LOT 19 MbG K - 12 Mgt OD PL -&T of 1596TI ONJ Na ;. MIA I ttlS VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date e111 Type Insp'n Permit No. Name Address � � '�- �01 iT Companyg�� Phone# Inspection Date B Approved ❑ Correction Re- Insp'n Fee 15 MIAMI SHO S VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date l 3d OS Type Insp'n PL--AC:) t-- {?1 p) Permit No. p� --�rJ -Z--7-7 Name Address \ 6� �� o a `ST Company Phone # �/ ` OC) C:)o Inspection Date f 4 , Approved Correction ❑ Re- Insp'n Fee ❑ NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. LJ 5 I"61 TAX FOLIO NO. �• ' 24 !-.b'd t 3 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. OR I?k 25600 Ps 3267; tips) RECORDED 05/0812007 12 :47 =57 HARVEY RUVINt CLERK OF COURT MIAMI-DADE COUNTya FLORIDA LAST PAGE 1. Legal description of property and street/address: 10—f 20 L4-�.r 1G�k 2 C7r L 1 c L 1 Z j°! itt&,^ % SLIT+r s. Se Lb w-, J �f y+ (� 2ace- i 7l 6 f ®`3 SE e"-p- i- , AA I �,�-1 S� � -� c � t L 2. Description of improvement: LI-i ,- 1ckto•..s 1 dkepo 3. Owner(s) name and address: Qr tz,xe r�t�/�n•�t33i r,- S j 0 ; M,'s, D. #-A.1 !�' Vt ri L *i__� Interest in property: 0W,A.�W_ Name and address of fee simple titleholder: 4. Contractor's name and address: �� •4 '' ti . 2 w•�. L X 5 6`i �-D'E 1 v 3 '�NT t -&46v- t r*01raa N4--r4aMTV � 31. �_- -- 5. Surety: (Payment bond required by owner from contract6#4,4f'hfl0CERTf,cYthat this is- a true y of the ��' csaax Name and address: �^ -original fit is office on ® day AD ao Amount of bond $ W /7fYES5 my hand and trc+aAt seat. 6. Lender's name and address: /�F HARV�f-9UWIU!PCLFR - a6�Imrrilandrru,nsvrn...cc 7. Persons within the state of Florida designated by Owner upon whom notices or other�'oz rtants may be served provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the- Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a is specified) Signature of Owner Print Owner's Name Sworn to and subsc Notary Public Print Notary's Name My commission expires: Prepared by 20 n-7 Address: 1 'd 123.01 -52 PAGE 4 W02 � O °G � V - / _?: :Q Commission #DD273065 t •'':;;;;o...e °,� WWWWWU AARO 07, VNOTARY.com fa #towwfl IROW GATE RAltre 3 LAe� 6W D, AD .Arr 1040 t. , F wl V coot. r.�LoGK �'j'c3000 �ih1tSL1 IN7$•I� {Oi?. L(v —loc e 'Dt�MOLITIOr� p IM4oVF- �416TW(o STDFA.Gl= CLOLE7 AND 'POWU1rR RC --K)VI I- ARTITIONy . R a MO vE •P LU M b i W4 F IXTO Wrr-'! *.W t> t-* 5,& K 5 idta FOK WEB/ gA'cllRcar-'M R0060 P•S R( C-0 —t. or •gym .1W6TAL ! aPN'U 6TO 0�'fvl+ I 1 $� VO&K -00T WAA-L AS REQ''D To . � �Z a-rw' rs+�c.• >7u�t 2 -Z"� Ay 1h '�:. �:,�. 8.5 _ . t { :91 f �wv L'A t* oKoo X 'Dt�MOLITIOr� p IM4oVF- �416TW(o STDFA.Gl= CLOLE7 AND 'POWU1rR RC --K)VI I- ARTITIONy . R a MO vE •P LU M b i W4 F IXTO Wrr-'! *.W t> t-* 5,& K 5 idta FOK WEB/ gA'cllRcar-'M R0060 P•S R( C-0 —t. or •gym .1W6TAL ! aPN'U 6TO 0�'fvl+ I r� or< YICx:>f rx%s;-,T114 G, r-t-CA., K - U V-) '1"«) 14 Nw eA-ra,.,AD%/ &XIII COW(-- T5. W/ iwTo WK16PT -r-lb 04. owo 7� 4, Iq PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY ( OWNER TO RETAIN COPY) Date J 'L 9� Address (9 NIE 10 S S 1 �* Tax Folio_ Legal Description LoT 20 4 TAE F-QST '/2 of lvt 19 Master Permit MEIJD,EtL7 ixpT SCG, ,aS MIA 513 Owner / Lessee / Tenant Trlt_t7_T `T1 AiYl� F.1/ Owner's Address_ �!�' ^i (� S�T iZE�� Phone %S�Q --�j 22 Contracting Co. Address �3C) N� 2� Aq:6 • M_ Qualifier Ml�� (_�►ZE(T!� ss# Phone State# C$c 00203 S Competency# Ins. Co. jdla!I�.L Architect/Engineer_ Address Bonding Company. Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION e N G LCD SE G �1 M4' e -FOM `b'C_-D rZe pM 4-7, tQ-r4 Square Ft. _ Estimated Cost WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 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, PLUMING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of roper �vner -or 'Condo - Pres.- - Date: '3/� ffoTARY PUBLIC STATE OF FLORIDA My CON4ISSION EXP SEPT.24,1993 60-'MED THRU GENERAL. INS. UND. Notary a to Owner and /or Condo President My Commission Expires: PERMIT FEE: APPROVED: 0 Fire Signaturf 'o o ptitor or Owner- Builder Date: 3/� NOTARY PUBLIC STATE OF FLORI 14Y COMISSION EXP SEPT.24,19` SMD THRU GENERAL INS. UND. Notary as 4 Contractor of -Owner-Builder My Commission Expires: Other Zoning Building Electrical Mechanical Plumbing Engineering CLIMATE.ZONES 7 8 9 TABLE 10B, Prescriptive Requirements for Small Additions (600 Sq.K and Less) end for Renovations to Existing Buildings. COMPONENT MINIMUM INSULATION INSULATION INSTALLED . GLASS TYPE, Concrete Wood Ira=. 2' x 4' R-5 R-11 ALLOWED UP TO i991 1992 UP TO Wood trams. 2' x 6' R -19 Central +AIC SEER Commas. Wood frarme' R•11 EER is 8.5 8. ER COMM. Masoruy` R•3 ` ANY Sin le Under atilt R.30 c w SBA assembly R -19 •"' p Common. Wood Irame' R-11 '.COP N. o Slab-on-grade Raised wood iaised concrete No Minim R -11 R-5 4;; -1.0 - 3° +;.90 Cannon. Wood frame' R•11 1' -..88 oIn unconditioned space In condiNoned.s ace 1991 1992 R-4.2 R-e I No Minimum ' 2' ; �86 Ehx tc Resistance EQUIPMENT MINIMUM INSTALLED GLASS TYPE, EFFICIENCY EFFICIENCY ALLOWED UP TO i991 1992 UP TO SEER a 9.0 10.0 UP TO Central +AIC SEER 50% °. Floom vnk or PTAC EER is 8.5 8. ER Double Efeatric Reat" -; ` ANY Sin le Heat Pump ' . r' . S HSPF •t,6.4 ke HSPF ' ., w Room unit or. PTHP COP •,2 8 HSPF/ •, Z• p + ;.0 HSOF . 81 8.1 '.COP N. Gals, natural or propane AFUE m .70 .78 AFUE 4;; -1.0 - 3° +;.90 0' -.66 - 1' -..88 Fuel Olt AFUE @'.76 .78 AFUE m 2' ; �86 Ehx tc Resistance EF = ' .88 EF 01-165 Gas, natural or propane . EF e , .54 EF H „Y1D15p' Fuel 011 EF a .54 EF .' 'Common components are dross whdth separate two conditioned hving writs In a naui{ifa * loft, TABLE 10C. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY (Renovations see 3 below) Maximum lxocenlap glass to How area allowed Is selected by type,;uvateng ienptit,;and slrat6rp mueftdmud. � t o GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REOURED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO W/o UP TO 400/9 UP TO 50% °. Single Double Single Double Sit le Doable Sin le Double OH -.SL- OH - SC OH -,SC OH - SC : OH - SC . OH - SC OH SC OH - SC 0' - .90 2' -1.0, 1' .90 ?: 3'.! 1.0 .. 21-190 4;; -1.0 - 3° +;.90 0' -.66 1' -..88 0'-.70 2' • .88 It `< .70 2' ; �86 2' -.;f0 , 01-165 1' • .e5 _ 0'.- it x..,.45, „Y1D15p' SI>adrmp coedisiwts (SC)y be.talned learn fhe aduro die gl shadingtideres era le pry?r SC'- 1.0, dear SC .� and N tnl SC a .88. Form 100010 may be used to wMly the fdks bV of c=Wcliort: f s SMALL ADDITIONS TO EXISTING RESIDENCE& Adftiewfthave600scluals lWorlestidmililledanmay ywilhUte EwgyCodeuslng ftfili .TfrepwaoW iremnedsinTatt�10k108WIOCV *ordy1tift mponeniediheaddillmnottothe0111atl9buikd4W Aheatktg. c ;oNutg.aratrvWtuu0" ttsel bemletordywheneopmaoisb* dedspeftalfyto fheadd 'ifimrorbbebtgkotdodincm*ftwMbadd cptu t.0 ffi.separatbtg tart conciftionedepwand meet the prescribed mfnimtnn b miatat let++els , , t ' . f ' RENOVATIONS. Residential buildings wdergdng wotations casting mcne than 36 of the assessed value of tte bulldog, deist win* With Ote Emtagy Code using-06 lam. The prescripdvp ni,#enents to Tables 10A wW.108 ap*.ony 19,11w cmWwb aW eqW eni being matova" or 1111111111mcf. , GENERAL DIRECTIONS: I. OnthetalisidedTable1OBinIlecoliumttfed "INSULATIONINSTALLED".i ic* theR- valuedtheketmlalmbebtgaddedtoeachmpoent. OntiedghtsidedTable108btdicatettre. efficiency levielsolthe equilimeritbeirgbetalled6tthewhimpl ed- EFFICIENCY IVALLW AM Wwifueilancl �inshdledtiaetni�tor tlemii taamtvak p in the 10009ding cdurm for chat co npaed. Carte aril equ1pmed nehher being added nor wood may be tell Wvk , 2. ADDITIONS ONLY DeWmbtebperceMapdnewglissto lit b*araabitheadgmeo s. ToWthoarmdaligiasswhi aws.sUtggimdonoWgim sin: doaewhich are mots Otan!Ad tle areal the loo lhtlble the anof all =werft mod glass slid aWft to ft p0lous tdal,W70 gless Ind eideftwails is being now dor ericlosed byftadd'dlon, anamrtomd equal tone ldal aread this gless maybe subbacted Ironthe toW glassarme. Dftddete aOWedgknautWbyftcmMmWIlwareadft, e0imMukiplyby100toPtthepercenLFha! thel argestglasspercerhgecoderWhichyourcatwWedpercentagefallsofTabletOC ,Forsmmple.29%ginswouk q*fwb°Upto ' cdimm. Pacr�timaregivenbyrthetypedttklss( bgleaDolble pan) and howheng(OH)pelteci tiaslaftcmeM d(8%Anypakwfthhtthes lub ` ^` pl ale.Faag3mg1sw ypearxloatwig, the rrmemraurt axeFf�iede�wedIssiwitied.kr lic &bcdegoykdowhfchltepwilagelftnI rebaocai� top°' InfheveldColurm MW "InO W.. inclicale fieeel colatedperesrifagedgiasskm9eaddillol. Adialgku *dmwddooapretilolslyismthesulcior of Ote hose old being meirisblHstj in the addition, do ro have to txuI* Willi theaved>artg aril dialing welliderill mat Table IOC. AA new glass In the mWi im no meet ft . uhf br are d the Integlass pelvelage cw"yol hilt;sle 1. TW ftliang (OH) disleinmisneest ad perpodkwlatfy ftc R Iswdf)aeg toa d r under the outermost edge of 9ie orehartg. 3. RENOVATIONS ONLY Ordyglsesareeswhiclin being m oscedaspeddter a slimneecibnesttiedl%ft gtasslypeerul timaybo forglassa nwFdchamewWwatfeasta two toot oertiar�andwhoseWW� doss rid dhailerihot8hetkormtleov ary eatbekgremrovatedthatdositrfedtmb criteria mrwsi be dilist' � tktted, dotble- pareutear, adze tdmxl. ' . 4. Complete ge Wo nattat equested as to top hd of page L 5. Read `h fa0n Regldr is br Smat Addittae and Renbvatfais °, "Table 1l)A at page 1. argil c*k to It dicale your Inisi t to on* with ail applicable demo; 6. Fe&dm 60kd date the "OmisnAgent"drrtiffcdm siatsrend on page 1. 2 FLORIDA ENERGY EFFICIENCY CODE FORM 1000 -C -91 FOR BUILDING CONSTRUCTION SMALL ADDITIONS Section 10 — Residential Prescriptive Compliance Method Climate Zones AND RENOVATIONS Department of CommunliW Affairs SOUTH 7 8 9 COMPLWa VATH SECTION *OF THE R.OPWA ENEFOY EFFICIENCY CODE MAYBE DEMONBt WED BY USE OF FORM100"FOR ADDIT1040F 600IIQUAIE FEETOR LEIS, AND FOOMM .TO SINGLE AND MULTIFAMILY FESIDENCE8. ALTERNATIVE MEMN ARE Pi>4ViDED' FOR ADDITIONS BY USE OF Fes! 1000A-1H or OWA-01 TABLE 10A MtNRAUM RE IREMENTS % .. � iii REQUIREMENTS CH WINDOWS 904.1 Minimum of 0.34 CFM ' r linear tool of operable sash crack includes slift glass doors . 904.1 Maximum of 0.6 CFM per sq. IL of door area: solid core, wood panel. insulated or glass doors only. EXTERIOR JOINTS & CRACKS 904.1 To be caulked, gasketed, weatheretripped or otherwise sealed. SOLE & TOP PLATES 003.2 Sole plates and penetrations through top plates of exterior walls must be seated. INFILTRATION BARRIER 903.2 Infiltration baffler must be Installed In exterior walls &,raised wood Boots. INTERIOR /CRACKS 903.2 Ali openings In Interior surf of ceilings and exterior walls must be sealed TABLE 10A MtNRAUM RE IREMENTS OR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CH WINDOWS 904.1 Minimum of 0.34 CFM ' r linear tool of operable sash crack includes slift glass doors EXTERIOR & ADJACENT DOORS 904.1 Maximum of 0.6 CFM per sq. IL of door area: solid core, wood panel. insulated or glass doors only. EXTERIOR JOINTS & CRACKS 904.1 To be caulked, gasketed, weatheretripped or otherwise sealed. SOLE & TOP PLATES 003.2 Sole plates and penetrations through top plates of exterior walls must be seated. INFILTRATION BARRIER 903.2 Infiltration baffler must be Installed In exterior walls &,raised wood Boots. INTERIOR /CRACKS 903.2 Ali openings In Interior surf of ceilings and exterior walls must be sealed FIREPLACES 903.2 Fireplaces; must have flue dampers, glass doors and outside combustion air intakes. XPE EXHAUST FANS 903.2 Exhaust tens vented to InIconditlorted spacq shall have dampers, except for combustion Comply with efficiency requirements In Tate 9.7A. Switch or clearly marked circuit breaker Spas & heated pools must have covers (except solar heated). Non- commercial pools must have a u Borer. Gas & heaters minimum thermal etfld of 78°x. WATER HEATERS 904.21 SWMAMING POOLS & SPAS 804,3: HOT WATER PIPES 904,4, I insulation Is required only*w redroula" systems. h�oluding heat recovery units. "In such piping heat loss shalt be limited .lo a maximum of 17,6 STUN per Dam foqt of ' ' SHOWER HEADS 904.6 Water flaw must be restricted to no more than 3 minute at 80 PSIG. , ; HVAC DUCT CONSTRUCTION, INSULATION & INSTALLATION 904.8 All ducts, Wings, mechanical equipment and plenum chambers shag be mechanically attached, sealed, insulated and InstaUecl In- accordance with the criteria of Section 904.6. Ducts In unconditioned space and air handlers located In atlics must be iruulated to a n*"m R-A.2 (R-8 aft 1!1/82) W4L),. HVAC CONTRO, L7 Separate readily acxesetbie manual or automatic thermostat for each system. RENOVATIONS ONLY GLASS 1003.0 Meats the requirements of sec. 103.0. Sse. stop 3 of page 2 of this form. •1- CUMATE ZONES 7 8 9 TABLE 10B, Prescriptive Requirements for Small Additions (600 Sq.Ft- and Less) and for Renovations to Existing Buildings. COMPONENT MINIMUM INSULATION INSULATION INSTALLED 3 Comcrele Wood frame. 2' x 4' Wood Imme. 2' x 6' Comm. Wood Irarf' Cflmmon. Masonry' R -11 R -19 R -11 ALLOWED UP TO 1991 1992 UP TO SEER= 9.0 10.0 UP TO v Under alllc Single assembly Common. Wood Irame' R -30 R -19 R-11 •� EER . 8,5 8. ER e ale ,q R0 Siabongrade Raised wood Raised concrete Comm, Wood frame' �: No Minimum R-11 'W5 R-ii ' oI In uncondit toned space In conditioned space 1991 1992 R-4.2 R -6 , No Minimum OH - SC OKI •; - EQUIPMENT MINIMUM INSTALLED GLASS TYPE, EFFICIENCY EFFICIENCY ALLOWED UP TO 1991 1992 UP TO SEER= 9.0 10.0 UP TO Roornm entral A/C SEER . 501116 nit or PTAC EER . 8,5 8. ER e ale Eliectrfo Reais tang b . ANY Single F ;. Heat Puinp HSpF'd ,8 4 .8 H8PF r OH - SC Room unit or. PTHP COP HSPF/ : 02 IT w 1'- 0' -.86 HSOF - 61, &1 COP 1' -.90 0' -.70 LL_ Gm, natural or propane AFUE - .70 .78 AFUE �. • 2' -.70, 1b0 t Hriai Oil AFUE m .76 .78 AFUE m Eleairia Resistance EF • ' .88 EF VAI $ Gas, natural or propane EF a .84 EF .. , Fuel Oil EF ® .64 EF a' 'Cornnn componenla are the which separate two oonnored units Ina mldtiamily building. , TABLE 10C. Prescriptive Requirements for Qlass Areas in ADDITIONS ONLY (Renovations see 3 below) f drat n percentage glass to floor area allowed is seWed by type,.overfsmg Im".and shading coddent. So bekNL % install GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 2V% UP TO 30% UP TO 40% UP TO 501116 Single Double Single ale Single Double Single Double. OH - ON - SC OH -, SO OH - SC ' ` OH - SC OH - SC OH - SC OH - SC 1'- 0' -.86 0 -.10 2' -1.0 1' -16" 01-.65 it 1' -.90 0' -.70 LL_ 3' -.1.0. 2' -.86' 10' - '� . ' 2. -.M 1`-.70 0' - .b0> ' , ? 411.0 3F -.66 .;.45• .. 0. 2' -.70, 1b0 t Shading coddents (SC) !nay Ire.ohtahred from the rmudadwer d the glass. 'typical suing coddeitsisms sln gle -paned dear . SC'm 1.0 doublempank! dear SC .90 and single - Ord SC .88. a: Form 100013 may be used to comply Ure Idbwing lyre of c triaorh: SMALL ADDITIONS TO EXISTING RESIDENCES. i ddil ianswfthave0squaiefdstork, mofwWlmedammaycm* wkhftEnergyCodeuskVtWsb rm.ThePrescriptive quiremeratriTables LOA ,t08andIOCapOyordyrbtocm"nerdsdtheadd knraftctire .Spacefuft,a)*g,wdwaWhea n gWpraalteffit�rayfa &tU be met only when equipment is Installed specifically to serve the addilion orla being Malted to conk lid with the addition cMuMm,C wrilsseparaftuncandilloned spaces fan cmdkioned spaces must meet the prescrlbed minimum Ins ulatim 106, RENOVATIONS. Residential trAings undergo re roan coaling mom than 30% of the assessed value of; the btu must c orrtply'w(th fire Energy Code ,usdng thb form. The prescriptive requirements In Tables ICA and, 108 ap*,o* to Ilre cartponents afld equipm ent.beft reritivatad or replaced. - GENERAL DIRECTIONS: 1. On the left sideof Table 108Inihecolu rmtitled" INSULATION INSTALLED ", indicate the R- valueof 0leklsulallonireingaddedtoeachcomponenG OntherightrddeoITable108bidicateft. ftlency leveled theequ ntbedinst aRedInthecolumnlitiad' URCOVINSTALLED °;ABR-valrssandefficlermiesfrrs admoatmeelorsucceed the minlr umvaluesprescribed in the preceding column for that component. C.o11pmnls and equipment naft being added nor reroyaled maybe bit biar 2. ADDITIONS ONLY Determine the percentage ofnegglasstoconditiarredWareakm the addition aefollows. Tcfattheareaddgiasewk*m,sfpgla do= andglesepardbin,, doors which are more talt'hdthearead the door.6&d* theareadalln ticai root glass and addit tote previous W Whin glass in orderlywaffle Is bed rer f tx enclosed by the addition, anamouunt equal to the total and this glass maybe siftected from thetotalglass are. Divide the a*tsted glass are MW by the Wand ft:, acbitton. Multplyby100togettrelorcod ,f=ailthole►geol0koporcertage wMlourmbjkedpercodagelatsonTsbleIOC. Formmmple ,29%gkmwwWqualtyrtortita"Upto 3D%' lm. Prescriptivmamolvmhbythetypedglass (OngleorD )and treoverhang (OH)paked with ashading coefficient (SCj Any pairwftftsetacW"Upb calegorAacceptable. Foraghaenglass type andoverhaM ,ttnmakwInshadingcoefficiohtal isspecified.hdIcatetihecaie Uttowitcht epercentagetallainthebae thetop IftW* *quo%= ".InfheredcolwraloW* Instated; InstCatethecWmMe dpercormtagedgWsmtheaWmAd Wglaeswir�maWftm raAou*inbat uk olth a house end i elt jtemstall d in theaddition, do riot have bcomplywithIlieovedreng and shading coefficient miulremenleonTable 10C. Atcrew glassin t eaddUbnmustmedthe requIvernenle for one of the opWra In the glass percentage Category y ou.indicated. The overhang (OH) distance is mead perper ulady ttre faced tie glass to a poN under the outfit edge of the aged". 3. RENOVATIONS ONLY Oniyglassamiswhkdnambeing replaced aspartdtorenmionsrtedtomeetthe following r erfrenta. Anyglasstypeandshaftcoellick "maybeused brglassareaswhichare under at less! atwofool oa hengandwtoselowestedgedoesroteftidhother tharill bet from.theas". Glass area being renovated thaldond meet ft crhwia must to eMw site -pan tWed, dmubte -polo ebw or dmM.p r►e tlatad. 4. Complete this information requested on the top hall of page L 5. Read 'Mir v% Requirements for Sff dl Wilota and ftaataca", Table 1OA on page 1, and dna�k to indicate your Irdentlor to c rhply with all aP able ftff& , , 6 . Red+ sowd date the "OwnedAgwd" cortNuolbn stalred our page 1. a FLORIDA ENERGY EFFICIENCY CODE FORM 1000 -C -91 FOR BUILDING CONSTRUCTION SMALL ADDITIONS : Section 10 — Residential Proscriptive Compliance Method Climate Zones AND RENOVATIONS Department of Communiljy. Affairs SOUTH 7 8,9 COMPLIANCE MTN SECTION 100E THE FLORIDA ENERGY EFFICIENCY OWE MAYBE DEMONSTRATED BY USE OF FORM100010-91FOl ADDITIONSOF 600 SUM FEET OR LESS, AND RENO MONS ,TO SINGLE AND MULTIFAMILY RESIDENCES. ALTERNATIVE METHODS ARE PRO1ttDED' FOR ADDITIONS BY USE OF FORM 1000A-91 or 9001 -91 TAIILE 10A MINIMUM RE IREMENTS OR ALL PACKAGES COMPONENTS SECTION -REQUIREMENTS CH K WINDOWS 904.1 Minimum of 0.34 CFM Oer linear fool of operable sash crack includes slid pig glass doors J. EXTERIOR & ADJACENT DOORS 904.1 Maximum of 0.5 CFM per sq. IL of door area, solid core, wood panel, Insulated or glass doors only. ' EXTERIOR JOINTS & CRACKS 904.1 To be caulked, gaskeled, weatherstripped or otherwise sealed. _ SOLE & TOP PLATES 903.2 Sole plates and penetratlons, through top plates of exterior wails must be sealed, ,, INFILTRATION BARRIER 903.2 Infl tratlon,barder must be Installed in exterior ;walls & raised wood floors. INTERIOR /CRACKS 903.2 All ope"s In interior surfaces of cellings.and exterior walls must be,sealed FIREPLACES 903.2 Fire aces must have flue dampers, glass doors and outside combustion air intakes. EXHAUST FANS 903.2 Exhaust fans vented 10 unconditioned space shah have dampers, exospt for combustion -dodoes with Intatiti-exhaust ductwork.. Comply with effldency- requlremants M Table 9.7A. Switch or dearly marked circuit breaker (electric) or am (91W must be- pmxft- I Falemalar built-in heat I= wQWjW, Spas & heated pools must love covers (except solar heated). Non- commerdal pools must have a pump timer. Gas spaA Pool heaters must have minimum thermal !Toter WATER HEATERS 904.2, 9. SWIMMING POOLS & SPAS 904.3 '. HOT WATER PIPES 904.4' Insulation Is required onlyfor recirculating systems, Including heat recovery unh.'' M such oases, p1pina treat Ions shall be. !b to -a maximum of 17.5 BTUH Knew font of SHOWER HEADS 904.b Water flow must be restricted to no more an. th 3.9a" per minute at 60 PSIG."T, ` ", yr; HVAC DUCT CONSTRUCTION, INSULATION & INSTALLATION 904.8 All duds, fi{tlrgs, medmuftetl equipment and plenum chambers shall be mechanically attached, sealed, Insulated and Installed In-accordance with the criteria of Section 804.8. Ducts in unconditioned space and air handlers located In attics must be Insulated to,a minimum R,4.2 •8 after 1/.1!92) �` R & w` w 6 ij:IJb'] HVAC CONTROLS 904.7 ate ready accessible manual or automatic thermostat for each RENOVATIONS ONLY GLASS 1003.0 I Meets the requirements of sec. 1003.0..,fte,step 3 of page 2 of this form. I ^t , CLIMATE ZONES 7 8 9 TABLE IOB. Prescriptive Requirements for Small Additions (600 Sq.Ft: and Less) and for Renovations to Existing Buildings. COMPONENT MINIMUM INSULATION INSULATION INSTALLED GLASS TYPE, Concrete R-5 s • �' SEER. 9.0 Wood frame. 2' x 4' R -11 EER . UP TO Room unit, or PTAC Woad Isme. 2' x 6' R -19 Single Electric. Reelstanoe • y Comm. Wool Imme" R-11 Shale Heat Pump ' Cannon. Masan a R -3 OH --W o Under attic y. Single R -30 .• a E s A assembly 1149 1'- U Cannon. Wood irame" R -11 3'•1.0 Fuel Oil AFUE II .76 .78 Slab•o Vade No Minimum F�ctric Realatance o Raised wood Raised caxrete R -11 .11-5 Goa, rnatural or propane . EF . Comm. Wood frame" R -11 ' ,.54 ` In unconditioned space 1991 1992` .. EF .54 EF • R-4.2 R-6 Incondidonedemce No Minimum EQUIPMENT MINIMUM INSTALLED EFFICIENCY EFFICIENCY GLASS TYPE, OVERHANG, AND SHADING COEFRC ENT 1991 1992 ALLOWED SEER. 9.0 20% Central A/C EER . UP TO Room unit, or PTAC EER .. 8.5 A�ER 50% Single Electric. Reelstanoe • y AMY . Double Shale Heat Pump ' .SPF .' 8 4 HSPF ' . OH --W Room unit or PTHP , , CO .2.6 HSPF / •, Z • w V a E s A HSP , F m 6.1 i'< 63 COP 1'- 00, natural or propane AFUE ® .70 .78 AFUE, ., 3'•1.0 Fuel Oil AFUE II .76 .78 AFUE F�ctric Realatance EF •:` . .e8 EF 3 Goa, rnatural or propane . EF . EF Y ,.54 ` . Fuel at EF .54 EF • "Common c(Nr►lroneris are Grose which separate two wdiloned Oft eta In a multilam9y gtrilding. ' TABLE 10C. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY (Randvat)ons see 3 below) Maximum percentage glass to Ilom area allowed Is selected by type,,overtanp lerOOh mW shading coadenl See beloaG g "+r.�.� �.® -96 0 GLASS TYPE, OVERHANG, AND SHADING COEFRC ENT (TINTING) REOWREO FOR MM PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP-TO 50% Single Double Single Double Shale ' Double Shale Dodder "' OH --W OH - SC OH - SC OH - SC ' '-,OH-SC., OH, - SC OH • SC OH -!SC 1'- 0' -.90 2' -1.0 V -10 3'•1.0 21-.90 .0 3' 1' -.88„ 0'•.70 2' -.86 1'- 70 ,,...4'- ,, 2-.70, 01-.45 0,-.35 01 ; AD Shading cafte nts (SQ may be.obtained (rent the m amdedw of -the gl ass. typical shading codde<tls are single-paned clear: SC 1.0 double-tarled dear SC -'.9D, and le- Ilnt SC n .86: Form 10000 may be used to comply the idlawing on of woudon: SMALL ADDITIONS TO EXISTING RESIDENCES. Add4ionsvdtictrhm6DOsquarel6dorimol.+ itiomdammaycm *wfthMeEnergyCodeuftth bm.The Ctiptite requirermedsinTailesl0kI08pd IOC applyodytoftmipotantsaltheadditlar , not lob e Wilding. Space heeling, coding, and waiarNm ng �rtavelsmest be met only when equipment is installed Spedloahy to6etY8 ttre addillm or a bed installed in t e edditlon s Uuclf r. t;onpondnt8separatbig tuu litiata4l spaces hors ccr diiiarod spaces mist met the prescribed mirdmurn Insulation WM RENOVATIONS. Residential buildings tnderping renovadn twig more daft 30% of 1 aid value of bAftnw comply 10 the ftw Codeveing Oft bra. The prescriptive raquhemenll in Tables ICA anc1,106 Wilt nlY to tint connp wb and equua<xxnertt being aerated m replaced GENERAL DIRECTIONS: I. On the left sided Table 108hnthecdumnhired "INSULATION INSTALLED", Indicate the R- valisdttrebulet im being addedtoeadtcompaard .Onbtight5itedTable105wE Aft, efhcWgIMiScIthe quiprrant being lrataliedinUrecohmmtiled °EFFICIENCYINSTA UW. All R ,*mand the minirmanvabtesprescribed m the preceding colurtn br that Competent. Comi>onerds and eWipment neft being added nor renovated may be Iett bWdc - 2. ADDITIONS ONLY. Detemdrrethe pementagedrrewglassumidomeds* areabrtheaddlilmasidhats. T�itheareasoldgtassw�w e, sliding glandoorsardglassperefshl does whichare more than!hd Ore aread the tfcorlubleband all moverft rod glass and addit titre previous total. Whim gins to axift aloft bell lanced of embsed bytheadd'ift anamoodequal to the ldel and this gins maybe subtracted from thaWW glass arm Divide the adjustedglassatea total byOiecwdbWOoaandthe adtrft. Mu[ plyby100to getOrepercrerd.FndttakgoMgW$p wbge. wderwh* dtywzWcul at edpwcadagelahsonTabblOC. Forexample ,20%glasswwldqua*IorhatU ,: 30� 6Wumn. Pr�riptives now byOrerypacdglass0glieorfble�aia) aWtheoverhaig (OH)pa�Iwithashad(n9! ►W(SC?-AnypWfwOtrhtthes�ed .Up% "k" tilled-11m" % cat�+Latxxeptable. Fore+ �lgl�stypeandwerhang, Oierraidmumsisdingc�llciaitai�s�ihed. IndicdeOrecdporybitowldchOspercerdageGOShtOreboxatihet� Intrerreidcdrurnfit�d" InslalG�"., iridbateObcabulatedpercentagedglassinO�addrt Acttslglassw6xicwsanddaorspreviaslyinttmtlortva� oifhe"8 beiri (O-Med inOaacWft, dond hanretocxmomlh Oermwhang adshaft M r tmdson Table 10C. AOrrew gWs bnft a& tbrtn offer b re0emente fm one d the optiaa In the glass pwmWp ,category You indicated. The overhang (OFD distance is measured perpsr lady hCaft�ie face of the glas; to aunt direly under the outermost edge d the overhang. 3. RENOVATIONS ONLY. ONyglessare�wrtuctrara being replacedaspartolthemmva lansreedtorr etthe asing eft .Anytiase used for glass areas which are under at West a two foclawang and whose bog adge does not extend further tmefeethenthecv Man am being mwftdWord meal ft crateriamnatbedarersingie- pamUMec, double- perrechMordmb im&tW.. 4. Complete Ore bib rOm requested on ire top hat of page L 5. Read °Minkmdp Raquhefrrente t� Srtae Mora and ttraOais ", Tabb i0A on pie 1, and ctrech to irate yaq in{erttion b tongriy with aq applicable We � , • , 6. Read4 sign, wo dele Ot "Ovmer/AgarY cerii& aihur MMW on page 1. 2 FLORIDA ENERGY EFFICIENCY CODE FORM 1000 -C -91 FOR BUILDING CONSTRUCTION SMALL ADDITIONS . Section 10 — Residential Prescriptive Compliance Method Climate Zones AND RENOVATIONS Department of Community. Affairs , SOUTH 7 8.9 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFRCIENCY CODE MAYBE DEMONSTRATED BY USE OF FORMIM00.91FOR ADDITIONS OF OW SOUAIE FEET OR LEM AND RENOVATIONS .TO SINGLE AND MULTIFAMILY RESIDENCE& ALTERNATIVE METHODS ARE PROVIDED• FOR ADDITIONS BY USE OF FORM 10CM91 or 900"1 PROJECT NAME Aero aDDRESB: MINfMUM BUILDER: O JQ ALL PACKAOIES COMPONENTS PERMITTING �IAMi �iJOKE'� IMTE 7 ❑' 8� 9❑ Q� �-b 1 Y OWNER: �C 15 �i f x F►� PERMIT NO.: Minimum of 0.34 CFM per linear foot of.operable sash crack Includes sliding lass doors . EXTERIOR & ADJACENT DOORS 904.1 Maximum of 0.6 CFM per sq. R. of door area: solid core, wood panel, Insulated or glass doors only. EXTERIOR JOINTS & CRACKS 904.1 up Tb" O.: ' 6 SOLE & TOP PLATES 903.2 RENOVATION ❑ ADDITION IF MULTIFAMILY, NUMBER OF UNITS COVERED BY THIS SUBMITTAL: CONDITIONED FLOOR AREA U inf ltration farrier must be Installed In exterior walls &, raised wood floors. INTERIOR JOINTWRACKS so. FT All opentings in Interior surfaces of callings and exterior wails must be, Seals ,.• N KM M EA CLEAR TNT,FR.M,SOLAR SCREEN MENNIG LENGTH FT Sic•. Exhaust fans vented to unconditioned apace shall have darrlpere, except for combustion Comply witir efficiency requirements In Table 9.7A. Switch or dearly marked circuit breaker (electric) Spas & heated pools must have Covers (except solar heated): Narl- commerclal pools must have a pump timer. Gas spa & pool heaters must have minimum thermal !MM of 78%w WATER HEATERS 904.2. SSE• S0. Ft MULTIFAMILY ATTACHED © SINGLE-FAMILY DETACHED PORCH OVERHANG LENGTH FT DOUBLE• • PANE 904.4; Insulation Is required onlytor redlcelating systems, Indu ft treat recovery units.'An such Cases, p1pina heat lass shau be limited to a maximum of 17.6 STUH W linear fogt of SHOWER HEADS SD FT rXRIeIE• PANE �s HVAC DUCT CONSTRUCTION, INSULATION & INSTALLATION 904.6 0. FOR ADQITIONS ONLY: PERCENTILE OF GLASS TO FLOOR °b WALL TYPE AND INSULATION : CE UN . A INSULATION FLOOR TYPE 1003.0 fNStltAM WOOD FRAME MASONRY UNDER ATTIC: R: �.� ' RAISEO: W40LE AS LY: R ® COMMON: COMMON: t•—j`j (1 R= 1i II II•L j WOOD MASONRY` EXTERIOR: R. ADJACENT: R•a COMMON: R EXTERIOR:.:. R®' . ADJACENT: ,�R -. COMMON: 1 `R = u R ° ° , RNSED R' COMMON: Rv LU CAB -Oy. GRADE: R m DUCTS COOLNO YSTEM HEATOM S TEM " . '' HOT WATER SYSTEM UNCONDITIONED SPICE: R = N CONDITIDNED R CENTRAL, ❑ NONE 40 ROOM .:' ❑ PTAC ❑ NO NEW SYSTEM SEERIEER a �•� ❑ F.LIeCTRtC;STFi1P `' lAT PUMP ❑ Nl1TURAL QA8 ROOb1 /.PTHP' ❑OTHER FUELS NONE ❑ ND NEW SYSTEM 0OP1HSPF1AFUE m RIM] ELECTRIC ❑t-�-�I NATURAL GAS nJ OTKR FUELS ❑ NO NEW SYSTEM EF = . 0. SOLAR ; ❑ HEAT RECOVERY' ❑ �D. HEAT PUMP , SFIEF = NUMBER OF BEDROOMS, - t,ereby �18Y clot dm plate Arid loan covered by a oskNtadon ere M canrdattroa wHh dam_ , Florida ErcogyCoda PREPARED 9Y: Ir i.% - i 'r DATE: I ho ft e"ilm Florida Energy Code. OwNEPI AdENT: DATE: ftv*w of plants and K=ftd= covered by ft oftdftn balicata corivilarm wM fF�IdaE.roWCaft Bofateowmhc*mls teted,ff�bOftwNbe6 fed br &t mordeaoe ohm Se�On 883.908. F.S. SUILDM OFPIG LL: DATE: TABLE IDA MINfMUM RE IREMENTS JQ ALL PACKAOIES COMPONENTS SECTION REQUIREMENTS WINDOWS 904.1 Minimum of 0.34 CFM per linear foot of.operable sash crack Includes sliding lass doors . EXTERIOR & ADJACENT DOORS 904.1 Maximum of 0.6 CFM per sq. R. of door area: solid core, wood panel, Insulated or glass doors only. EXTERIOR JOINTS & CRACKS 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed. SOLE & TOP PLATES 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. INFILTRATION BARRIER 903.2 inf ltration farrier must be Installed In exterior walls &, raised wood floors. INTERIOR JOINTWRACKS 903.2 _ All opentings in Interior surfaces of callings and exterior wails must be, Seals ,.• FIREPLACES 903.2 F`Gji4ea must heye flue dampers, glass doors and outside combustion air intakes EXHAUST FANS 903..2.. Exhaust fans vented to unconditioned apace shall have darrlpere, except for combustion Comply witir efficiency requirements In Table 9.7A. Switch or dearly marked circuit breaker (electric) Spas & heated pools must have Covers (except solar heated): Narl- commerclal pools must have a pump timer. Gas spa & pool heaters must have minimum thermal !MM of 78%w WATER HEATERS 904.2. SWIMMING POOLS & SPAS 904.3 - HOT WATER PIPES 904.4; Insulation Is required onlytor redlcelating systems, Indu ft treat recovery units.'An such Cases, p1pina heat lass shau be limited to a maximum of 17.6 STUH W linear fogt of SHOWER HEADS 904.6 Water flow must be restricted to no more than 3 I qna minute at 86 PSIG: " �s HVAC DUCT CONSTRUCTION, INSULATION & INSTALLATION 904.6 All ducts, Nftlrps, mechanical equipment and plenum chambers shag be rtechankm* attached; sealed, insulated and Installed hh e=Wance with the criteria of Section 904.8. Ducts In urn space and air handlers located In- attics must be Insulated to a ndttimum Ft-4 .2 (R•8 after 11ii92) UTALJ o v HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. RENOVATIONS ONLY GLASS 1003.0 Meets the requirements of am 1003.0. See step 3 of page 2 of this form. CHARLES W. CARR' 4246 S. W. 44th Street LAND SURVEYOR SURVEY NUMBER 92 -3 -068 MIAMI, FLORIDA SURVEY OF LOT 2n and i ip RaRt L 112 of Lot 19 SueolnstoN "AM ND ,D PLAT OF SECITON NO. 5 OF Assordial to fbe Plot Tbereef as Recorded In Plot look V- 1 ►ubtla Records of Coeefy, Florida _,.�8 obe: cafe, Marr+h Rthr IQ sers� Ag x F. lord I HUM CRRTIFY tkef the 044046d sketch represents • retest surrey wade asdoe my direction. led Is true and car• rest to the best e1 my knowledge end 601101. Tkere re ' gag It eats. ��l�� 9961STE1E0 LAND SURY[YOR 1060 3TAT[ Of FLORIDA 1 LOCATED IN: MIAMI SHORES, DADE COUNTY, FLORIDA.- I The Florida Flood Insurance Rate Map, dated I —d — published by the United States Department of Housing and Urban Telephone: Deve�ywent delineates the herein described land to be within zone ` 221.3416 X This I a Flood Hazard Zone. This is a land survey and was prepared in accordance with and satisfies the minimum technical standards of Section 472.027 of the Florida nLOCK 123 Statutes and the rules promulgated thereunder of the FSPLS and of the wr ounuven FLTA. .At Pali N 60 .i •� .. .. N /D �� 50 553 H N �! 60 .i •� .. .. .. �� 50 553 H /i /8 r /3 Z/ n 'V3 N 1 f . :� �;\ iq k Al. E. _ 103 .=a _ a�T. . LOCATION SKETCH: SCALE: 1' = 150' 0.74 oyeX cta.¢5 a35 ii.72 /5 41 90 � Q 0� Q �n @ ti d\ 0 x po�2cf/ qt � M 6 -o M e4le x --x /0.35 /5�' ... .LOT. ,DETAILS: SCALE: 1' 20' N� o S N0 N Q0 N N T" 75. o0 w '4 Z_ K- 3D Q�I t1� V� �O 77.5 "R /W --_- Al P 1Z /3 N /i /8 r /3 . :� �;\ iq k Al. E. _ 103 .=a _ a�T. . LOCATION SKETCH: SCALE: 1' = 150' 0.74 oyeX cta.¢5 a35 ii.72 /5 41 90 � Q 0� Q �n @ ti d\ 0 x po�2cf/ qt � M 6 -o M e4le x --x /0.35 /5�' ... .LOT. ,DETAILS: SCALE: 1' 20' N� o S N0 N Q0 N N T" 75. o0 w '4 Z_ K- 3D Q�I t1� V� �O 77.5 "R /W --_- Al N /i /8 1 Z/ n 'V3 . :� �;\ iq k Al. E. _ 103 .=a _ a�T. . LOCATION SKETCH: SCALE: 1' = 150' 0.74 oyeX cta.¢5 a35 ii.72 /5 41 90 � Q 0� Q �n @ ti d\ 0 x po�2cf/ qt � M 6 -o M e4le x --x /0.35 /5�' ... .LOT. ,DETAILS: SCALE: 1' 20' N� o S N0 N Q0 N N T" 75. o0 w '4 Z_ K- 3D Q�I t1� V� �O 77.5 "R /W --_- Al t CHARLES W. CARR -- 924S S. W. 44th Street LAND SURVEYOR Telephonet SURVEY NUMBER 92 -3 -068 MIAMI, FLORIDA 221.3416 SURVEY OF $U /DIVISION "AMKNI)KI) YJ-W17 fir- +`6A1A According to the Plat Thereof as Recorded In Plat leek NA. Public Records -L_.._ )add County. I Date, Marr•h F;i-.h s 1 QQ sort . —.E 1 H[RIaY CIRTIFY the# The attacked sketch represents a recent surrey wade under my direction, and is true end car• rest is the best of my kaewledge and beltr__-_ /snack eats. 1901ST L90 LAND SYRY[YOR 1460 STATE OF FLORIDA 1'� LOCATED IN- .MIAMI SHORES, DADE COUNTY. FLORIDA. N W O O E 0 5 LOT DETAILS: SCALE: 1' = 20' s Pogo Na 47 The Florida Flood Insurance Rate Map, dated — published by the United States Department of Housing and Urban Deve; wnent delineates the herein described land to be within zone X . This 1s nOta Flood Hazard Zone. This is a land survey and waa prepared in accordance with and satisfies the minimum technical standards of Section 472.027 of the Florida Statutes and the rules promulgated thereunder of the FSPLS and of the FLTA. r,,o n /30 •. .. IV ., a 5a r,,o .i •. .. IV ., a 5a 553 N15' 8 y G 5 ,4 3 2 t 1 30 w►l N 17 AS / zi zz 23 N 1 N �5 h LOCATION SKETCH: SCALE: 1' = 150' 47 G G E Y °J 'na vernc• � �`' 0.74 oVew c .0./3 F- -per %,r CERIMCATE OF RE- OCCUPANCY On behalf of Mami 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. FLORIDA _ Date of Certification THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINM TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPN LENT CODE PERTA24ING 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 Ve 1 Ito PLICATION FOR CERTIFICATE OF RE- OCCUPANCY _ - - -' I, hereby apply for a certificate to re- occupy the single family residence known as : (address) tin ME 1.0-3 4 , Miami Shores, Florida. Legal Description: Lot: t I Block 1 ) 3 PB & PG: - I hereby certify that I understand that the zoning of the property is for single -family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Mami Shores Village, certifies only that the referenced property is being used for single -family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant - Date--I - 14 -0 3 Print Name �L)iL4 For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: Telephone: Buyer Seller Realtor Company Name Application Fee ($50) paid: Cash Check No. #L_3Q_ i Inspected b • Approved C,-- 15enied Date D Comments: PAGE l OF 2 v Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Building Permit Permit Number: BP2003 -20 Printed: l/7 /2003 Page 1 of 1 Applicant: CATHERINE TRAHEY Owner: TRAHEY CATHERINE JOB ADDRESS: 69 NE 103 ST Contractor Contractor's Address: Local Phone: Parcel # 1121360130970 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOT 20 E1/2 LOT 19 BLK 123 LOT SIZE 75.000 Fees: Description Amount FEE2003 -106 Building Permit Application Fee $60.00 Total Fees: !$65.60 FEE2003 -107 CCF $0.60 Total Receipts: $0.00 FEE2003 -108 Notary Fee $5.00 Total Fees: $65.60 Permit Status: APPROVED Permit Expiration: 7/6/2003 Work: EXTERIOR PAINTING AS PER AGREEMENT Construction Value: $900.00 If there Is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid In advance before calling fore - `'M °t.- - . This Permit is granted to the contractor or builder named above to construct the t ordinances pertaining thereto and with the understanding that the work will be perfoi and approved by the proper municipal authorities. This Permit may be revoked at a authorization. A further condition upon which this permit Is granted is the understan ordinances and regulations pertaining to the work covered hereby whether shown of by his agents, servants or employees. Signed: (INSPECTOR) In consideration of the Issuance to me of this permit, I agree to perform the work with the plans, drawings, statements or specifications submitted to the proper authi myself, my agent, servants or employes. �. Signed: (Contractor or ROBERT W. TRAHEY CATHERINE K. TRAHEY 69 N.E. 103RD ST. MIAMI SHORES, FL 33138 M.ffi Date�i�'�y r� s3- aa�srzs�o too $ -- Dollars 8 0=_ 005043553Leila 6007 1VII, -VIVII 0x1%j Ott( t+.3 V .1J_I...�,Ei►,UE . • ... . Paint Color AppkoYal 444 'A ghement . ....... . .. DATE: . ••• • ••• OWNER'S NAME: r , : yap ADDRESS: �W /03vf ADDRESS OF SITE:j CONTRACTOR & LICENSE (if applioab1e3 • • '.. Go COMPANY NAME: PHONE:... emen�ts on the site must be listed and indicate the color to be painted..-' Wal �Y - --� ascia Drip Cap/Drip Edge - • . So t Ro Flow Bins Shutt6 -� Cn Awni ky z Chim y . Doors and door jams x Garage Doors Railings Fences Decorative Metal All brick (simulated or re; Stucco Banding Any other stucco features Accessory Buildings Other z. a� Cn 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 ature of bwnef Date Signature of Contractor Date APPROVED: Building Official Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 CRITIQUE SHEET JOB ADDRESS f APPLICANT PERMIT NO. ADDRESS: MIAMI SHORES ,:VILLAGE...: BUILDING ! ZONING, '.DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL. MECHANICAL PLUMBING FIRE PUBLIC WORKS J STRUCTURAL BUILDING OFFICIAL - t. Subled to coatpffanoe with ett t-ederai. State. Counip.VM3V mites SAW regutaftM VVA26 assua= no responsthVity for accuracy oflor resutts ffm these plans. 2. This copy of plans must 6a arailabtt an building site or no inspection WIN be coadcated. DATE COMMENTS INITIALS Z— L _ r A/c�� s e tJ l 1' � Aj - 4u MIAMI. C)ADE NI IANI I -DADE COUNTY, FLORIDA ® METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Premdor Entry Systems 911 E. Jeferson, P.O. Box 76 Pittsburgh ,KS 66762 , BUILDING CODE COMPLIANCE OFFICE Mti I1tO -DADE FLAGLER BUILDING 140 WI.S'I' 1'LAGLER S'IREI --I% SUnli 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (3U5) 375 -2908 CoNTI Ar. roll 111UNSINr. Sl:c. -1'I0X (303) 373 -2527 FAX(305)375-2558 c:GYr%- %c. -roli KtNFOiw -F,% IBtfr Dwtsio\ (305) 375 -2966 FAX (305) 375.2908 PRODUCr COYrROI. DIVISION (305) 375.2902 FAX (305) 372.6339 Your application for Notice of Acceptance (NOA) of Ei tergy 6 -8 S -W /E Inswing Opaque Double w /sidelites Residential Insulated Steel Door under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. e A 0 ACCEPTANCE NO.: 01- 0314.24 EXPIRES:: 04/02/ 2006- _ Raul tcoarlgucz Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 06/05/2001 \\ s045000 I \pc2000 \\temp1ates\notice acceptance cover page.dot Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office Premdor Entry Systems ACCEPTANCE No.: 01- 0314.24 APPROVED JUN o 5 ona, EXPIRES Anril 02.2006 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS I 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if. a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. C. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising Iitdrattire. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer needs not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPT NCE Manuel ercz, P.E., Product ontro , miner Produc Control Division Premdor Entry Systems ACCEPTANCE No.: 01- 0314.24 APPROVED JUN 0 5 2001 EXPIRES April 02. 2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This renews the Notice of Acceptance No. 00- 0321.26 which was issued on April 28, 2000. It approves a residential insulated door, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code (SFBC), 1994 Edition for Miami -Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Series Entergy 6 -8 S -W /E Inswing Opaque Double Residential Insulated Steel Doors with Sidelites- Impact Resistant Door Slab Only and its components shall be constructed in strict compliance with the following documents: Drawing No 31- 1029 -EW -I, Sheets 1 through 6 of 6, titled "Premdor ( Entergy Brand) Double Door with Sidelites in Wood Frames with Bumper Threshold (Inswing)," prepared by manufacturer, dated 7/29/97 with revision C dated 01/11/00, bearing the Miami -Dade. County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 This approval applies to single unit applications of pair of doors and single door only, as shown in approved drawings. Single door units shall include all components described in the active Icaf of this approval. 3.2 Unit shall be installed only at locations protected by a canopy or overhang such that the angle between the edge of canopy or overhang to sill is less than 45 degrees. Unless unit is installed in non - habitable areas where the unit and the area are designed to accept water infiltration. 4. INSTALLATION 4.1 The residential insulated steel door and its components shall be installed in strict compliance with the approved drawings. 4.2 Hurricane protection system (shutters): 4.2.1 Door: the installation of this unit will not require a hurricane protection system. 4.2.2 Sidelite: the installation of this unit will require a hurricane protection system. 5. LABELING 5.1 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 ". 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 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building O icial or the South Flor' • uilding Code (SFBC) in order to properly evaluate the installation o i system. Manucl crcz, P.E. Product Con xamincr Product ntrol Division 2 1 /2' it V H v PREMDQR (ENTERGY BRAND) DOUBLE DOOR WITH SIDELITES IN WOOD FRAMES BUMPER THRESHOLD (INSWING) 37 1/4• "` MAX iTAPLES �• {�. 4- NOTE MAX '%, I F MAX 17 1/?' MAx' {'� 04C. SPACING O.C. 119 SPACING t8 17 1/ ' MAX 18, O.C. S ?ACING 17 1 O.C. _148 1/2• MAX 74' MAX •- _�r MAX {�I 5' MAX -!{ • O.C. 15 [J T:. t J u MAX MAX MAX 18' .O.C. j 1B' IO.0 6' lJ IA wx MAX MAX 4' MA 4- 43 11/16' TO ; O LOCK MAX 'T— MAX 5- MA; WITH A 110 ■ 1 ip�• KlNN4R1 [K(�d1ENT q21 PER HEAO L SILL. t51 P R MMt •A%IT 1�TKINMUa+ EMgEpMENI, 37 1/4' MAX +• ' MAX MAX -"I I F_ MAX 0 or t51 IN EACH ttt .kiMB 2B' x 6a° j MAX OLD , '5'11°/2, ! , I _ eo eY16 g ..i C.. i QC. 15' O.C. 15. O.C. 15, O.C. MAX MAX MAX MAX MAX r i• MAX _ P 98 x V LONG 1/2• K 2, Lm S� ES ATTACH ASTRAGAL THROW BOLT E ly MOolftcA TKN IN ALL REMAINING STRIKE PLATE TO THE HEADER LUQIS ULESS btEO, FRAG EEC N4 TRUSIOtS� ulCSi trlltf Stll toll ii1'S HOLES - I AND THRESHOLD WITH D10 x 1 3/4' FLATHEAD SCREWS NOTES: N8 1 3/4" LONG 1.) WOOD BUCKS BY OTHERS. MUST BE ANCHORED x FLATHEAD SCREWS PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. PRECEDING DRAWINGS INTENDED TO L.H. INSWING R.H. INSWING QUAL Y HE FOLLOWING NSTALLAT IONS. T. N.T.S. A. WOOD FRAME CONSTRUCTION WHERE DOOR SYSTEM IS ANCHORED TO A MINIMUM TWO BY WOOD • �I STRAGAL ASTRAGAL PITISIX KS 66762 B. MASONRY OR CONCRETE CONSTRUCTION WHERE APPROVED ASS CO?MtnNGQIhit1E DOOR SYSTEM IS ANCHORED TO A MINIMUM TWO BY SOWTHF t NO CODE It u A STRUCTURAL WOOD BUCK. WHERE C. MASONRY OR CONCRETE CONSTRUCTION BY WATER INFILTRATION WHERE VATER (itLTRATION DOOR SYSTEM IS ANCHORED DIRECTLY TO CONCRETE E�IIREMEIIT iS NEED x REQUIREMENT IS NOT NEEDED PROs coNrROt.orrtstotm OR MASONRY WITH OR WITHOUT A NON-STRUCTURAL itiv + BUILOII"ucoOECC'ti!PLUINCT: of ONE BY WOOD BUCK. 3. ALL ANCHORING SCREWS TO BE #10 WITH F V � - ACCEPTANCE NO.5I MINIMUM 1 1/2' EMBEDMENT INTO WOOD SUBSTRATE 1 1/2' MINIMUM EMBEDMENT x UNITS SHALL BE INSTALLED ONLY AT LOCATIONS PROTECTED BY A CANOPY OR OR 3/16' PFH TAPCONS WITH THE ANGLE BETVEEN THE EDGE OF CANOPY OR OVERHANG NTO MASONRY. I E INSTALLED WITH 'MIAMI -DADE COUNTY UNIT MUST B 4. OVERHANG SUCH THAT TO SILL IS LESS THAN 45 DEGREES. UNLESS UNIT IS INSTALLED IN NON- HABITABLE AREAS VHERE THE UNIT AND THE AREA ARE DESIGNED TO APPROVED' SHUTTERS 5 THREE STAPLES PER SIDE JAMB INTO HEADER ON SIDELITES ACCEPT VATER INFILTRATION: AND DOOR, THREE STAPLES PER JAMB INTO THRESHOLD ON SIDELITES AND DOOR. 6. LATEX SEALANT TO BE APPLIED AT SIDE BY SIDE JAMBS AND SIDELITES. 7. DOOR /SIDELITE HEADER, IDOOR /SIDELITE JAMBS, AND SIDELITE BASE CORNERS ARE COPED AND BUTT JOINED. 8. DOORS SHALL BE PRE - PAINTED WITH A WATER -BASED EPDXY RUST INHIBITIVE PRIMER PAINT WITH A DRY FILM THICKNESS OF 0.8 TO 1.2 MIL. 9 FRAMES SHALL BE PRE- PAINTED WITH AN ACRYLIC LATEX WATER- BASED/ VATER-P,°"'ICIBLE WHITE PRIMER VITH A DRY FILM THICKNESS OF 0.8 TO 1.2 MIL. "Sal LETTER ° C E ly MOolftcA TKN LUQIS ULESS btEO, FRAG EEC N4 TRUSIOtS� ulCSi trlltf Stll toll ii1'S efj t L : u:uc. nme taas milt an Muo- ttt T. N.T.S. P M� R ENTRY Y M 1- 1029 -EW -I �I SHEET I OF 6 PITISIX KS 66762 VATER-P,°"'ICIBLE WHITE PRIMER VITH A DRY FILM THICKNESS OF 0.8 TO 1.2 MIL. "Sal LETTER ° C 4 9/16' GLAZING DETAIL ILLIAMS 850A ;BADE LATEX CAULK EXTERIOR • "• 74 3/4• • MAX . r INTERIOR 1/2" GLASS BITE �g -LI Nv vv OR r 1 `--I /8• TEMPERED GLASS MAX IN 1, r I 1,1 APPROVED AS CO ?PLYING WITH THE SOUTH FLQU BUILDING CODE BY Ju�j PRODU CO. iF DIVISION PUILDIN CODE COMPLIANCE OFFICE ACCEPTANCE NO 0'- 0 3 ►Y , 2 Y MAX 1- 1029 -EW-1 SHEET 2 Of 6 q[v6* tEllEi C I.r 1/4' SHIM MAX F- 3/4" 80 11/16° I MAX INTERIOR 179 5/16' MAX FIN. F SECTION B'-B P RY WOOD BUCK 1 1/4„ MATERIALS L1J t ITEM NO. DESCRIPTION 01 WOOD HEAD JAMB 2� COMPRESSION WEATHERSTRIP 3� ALUMINUM ASTRAGAL 4 ALUMINUM- BUMPER THRESHOLD TOP CHANNEL BOTTOM CHANNEL ' WOOD LOCK BLOCK STRIKE STILE HINGE STILE LOCK PREP FILLER PLATE 4'x4' HINGE WOOD HINGE JAMB #10 x 3/4' F.H.W.S. #10 X 2' F.H.W.S. EXTERIOR V PFH TAPLONS Y/!T MJM I i? EKILIRT 18 #10 X 314' F- H_V_S_ 19 #8 x 2' F.H.W.S. p LOCKSET 1 #10 X 1 3/4' F.H.W.S. WOOD SIDELITE JAMB ® 22' X 64' SINGLE PANEL GLA; SIDELITE TRIM (WOOD) WOOD CASING 1 1/4# WOOD SIDELITE 'HEAD JAMB WOOD SIDELITE BASE ® POLYPROPfLENE LITE FRAME ® #6 X 1 112' PAN HEAD SCREE+ @0 SIDELITE STILES PIN NAIL DOW SILICONE #995 TED, ; STD. 31. TOM M F -7_Pq -97 PART NOMMENTS EW -1a Al W- W_ EW -15 1/4' X 4 9/16' MTL. TO BE PINE OR EQUIVALENT KS R N BRAND LOASE A L 9650 (BRONZE) PREMDOR BRAND OR EQUIVALENT- 5/8' ALUMINUM ASTRAL PREMDOR BRAND OR EQUIVALENT - 1 1/4' x 4 9/16' EW -08 PREMDOR BRAND — 1 11/16' — 20 GA STEEL 1911 TIL, S 26 L017 }.004 -.000) 19111 Rust T'Ea TE►ISG,E TEST 11P0115 Mr BASF FOAM - DENSITY 2.0. TO 2.5 lbs. /Ft' EW -07 PREMDOR BRAND - 1 11/16' - 20 GA STEEL EW -09 4' X 9 112' MTL. TO BE PINE OR EQUIVALENT EW -06 15/16' X 1 11/16' MTL. TO BE PINE OR EQUIVALENT EW -05 15/16' X 1 11/16' MTL. TO BE PINE ' OR EQUIVALENT EW-10 PREMDOR BRAND - .050' THICK- MTL. TO BE POLYETHYLEP EW -16 HAGER BRAND HINGE OR EQUIVALENT - .097 THICK (STEE 1 '_/4' X 4 9/16' MTL. TO BE PINE OR EQUIVALENT W_ (4) SCREWS PER HINGE INTO DOOR �S) REV THROUGH HINGE JAMB INTO Sl EL TE JAMB, 8' DOVN FOR I MAX 18' O C. THEREAFTER lOX SBCREOVC THROUGH STRIKE JAMB INTO SIDELITE JAMB. 4' pOVN FROM 6) SCREVS ia EACH JAMB INTO SIDELITE. 4. 1D1VN FROM TOP, MAX S G REFER TO ELEVATION VIEV, FOR # OF SCREVS USED AND LOCATIONS (2) SCREWS PER HINGE INTO JAMB (2) SCREWS AT EACH STRIKE PLATE KWIKSET BRAND 200 LOCK OR HARLOC BRAND 100 LOCK (2) SCREWS PER HINGE INTO JAMB EW -19 1 1/4' X 4 9/16' MTL. TO BE PINE OR EQUIVALENT TEMPEREAR1TLAPSRIN POALYPROPYLENE FRAME- DC-1643 - (ODL S EW -20 5/16 x 1/2' MTL. TO BE PINE OR EQUIVALEr E MULL[DNSNT -ITEMS ARE MOLDINGS i EW -22 FOR SIDE BY SiDEBJAMRS' AS FOR EW-23 1 1/4' X 4 9/16' MTL. TO BE PINE OR EQUIVALENT EW -24 1 1/4' X 4 9/16' MTL. TO BE PINE OR EQUIVALENT DC-1643, ODL -2 HP Polypropylene by ODL AN S 18 PER FRAME TO EXCE D 14' O 0 TOE ERE AFTER. ACH CORNER EV -26 15/16' X 1 11/16' MTL. TO BE PINE OR EQUIVALENT 314 ' IONG NAII, 4' IN FROM END. MAX B' O.G TFERAFTER. USED ON MULLIONS AND APPROVED AS COMPLYQTG %'NTH THE Bi SDOTTH Fl�l(� �I�I E P RE M DOF BY 911 E. JEFFERSON PRODU FTROLDMSION PITTSBIIRG, KS. 61 BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO. 01- 0,31 Y, 2 y A COUNTY MODIFICAT 31- 1029 -EW-I /A\ SHEET 3 OF E REVISION LEITER B r- 1/4" SHIM MAX 3/4" 79 3/16" INTERIOR I MAX 80 11/16" MAX 2 BY WOOD BUCK J SECTION, ? BY WOOD BUCK 1 1/4" EXTERIOR PLEASE SEE "GLAZING DETAIL" DRAWING #31- 1029 -EW -I SHEET 2 OF 6 1 1/4„ DOW SILICONE #995 APPROVED AS COMPLYING WITH THE C—C DT SOUTH )VRA BUILDING CO BY )V RA jo PROD, T NTROL DIVISION BUILDING CODE CaMPUANCE OF ACCEPTANCE NO. 0 t - 0 3 Y 1- 1029 -EW-I SHEET 4 OF 6 REVISI(IN LETTER D i ETHER DOOR CONFIGURATIONS I7 1/r Rit Mt a/ 1/r 7r a7 1 /.• a" .• ac YR` 7a• �. M1 Mt !• Mf W r 17H PAR S. M7• 17 Vr W f. Mt w. t ' N°f ' r "" Is• sac to Mt rr Mt 17 wr Imm" Mf !• ac QL IMt tMt q M� M: Mt 1• Mi p 11.It 1 am I 1 I I 4. S a 1Mi M11t w.1 .• 1111t� a• If I /7• Mt 17 1/r Mt ac OC YKIw V ur Mi 17 1/r MI nc vKlw, /// �_ IN o so u/u• aL YKIMG O \` 17 air M: Mt 17 ur Mt at YKIMfi ac a1Ka1a nc YKiw q/ 17 air Mt _ if Sir Pas at YKIMt: 1 1 1 I 1 t I 1 I 1 • • at is- la s• oc a Mil• a 71ft am Mt >w I I 1 1 M: 1s o sac .• Mf 4' s• MAX 1a' a �, Mt MAX Mt MI Mt Mi M: Mt XX Y Mf Mt 7a Lr 4. I7 1/r Rit 31 .• M S ac YR` 7a• �. M1 Mt !• Mf j Af f' IMt 17 Vr PDX la' aC. a• aC i• nC ac YnCa4 _ Mt 17 wr Imm" Mf a• OG Mt .• Mt Mt cc V%Ctaa Mt 1• Mi it = 1 � I 1 I I 4. S a 1Mi M11t w.1 .• 1111t� a• If I /7• Mt 1. w 17 1/i" Mf ac Y� 17 1/r M: ac v If N!Mf at YACPIC 17 Vr M1 m WACIM r r MAX _j Y M:-•1 Mt _! ` 7. 3/4* PAX 77 1/r a7 NY Mt M: .. r ■►t 4. 117t MI s. • nc Ir ac u• ac 1� Mt W Mt r Mf 1 i 1 = PACK KUc 17 1/r Mf ac YK04 O _ M N" Ai 17 Sir M1 aL VACM a spar 1 1 1 I 1 r M Ira r ac 1r Mf !wt t Mx PAZ vM: �rw 4. tb .- Mt nl u.• — a" 31 .• M S 7a• �. M1 Mt !• Mf .• MI Af f' IMt Mt la' aC. a• aC i• nC !• ac IS' ac Is* oc Mt Mt Mf a• OG Mt .• Mt Mt Mt Mt 1• Mi 1 � If I /7• Mt 17 1/r Mt ac OC YKIw V ur Mi 17 1/r MI nc vKlw, ac YKilt: o so u/u• O \` 17 air M: Mt 17 ur Mt at YKIMfi nc YKiw 17 air Mt if Sir Pas at YKIMt: 04 YKtw I I 1 1 1s o sac Is• o s oc S• ac 1a' a r Mt Mt Mt MI Mt Mi M: Mt Y Mf Mt L, Ms 4. a• Mt •• •• Mt Mt Mf XX x 37 1/Y MI - . Mt a7 IN• 3 � 1, Mt !• a r oc Mi n. f, Mt Mf r Mt 1Mt .• /N11 Mt 1• MI 4• mu ri• oc s• of 1s' oc 7 nc tY Is• nc Ms Mt 1Ut Mf Mf ac Mt �• Mt 1/ 1/r Ma 1 I aC YKiw — 17 ur Mt OC YKIw 17 ur 7rt O ac WACM M IIAS. 17 Nr Mt w ac YKiw 17 air 1w O or_ YKIw so fi na, Mt \ O \ 17 I/r PAR = YKiw, �7 yr Mt It c YKiM I t I I 1 1 t 1 i3• nc 13' s• ac la• a i• •- Mf Mi Mt Mf "I 1x MAX r Mt 1• Mi �r Mt •' Mt 11'� X0 AP PRav'ED AS COMPLYING WTH THE SOUTH FLQFj;D,A 0 ILQING (. "Wt DATE J U Ni{V�1{�/ BY PRODU T NTROL DMSION BUILDING CODE COMPLIANCE OFF ACCEPtANCE NO. 41- 031 Y . 2 y 1 1 t3• o !• ac MII Mt -.• wit r w X (STEMS 31- 1029 -EW-I SHEET 5 OF 6 ' �REVISIIDIN is .. 1- 79 nTHFR DOOR PANEL STYLES 36" Io-MAX ®0® as 00 �a� no pp o0 0® ®o MAX � 6 -PANEL 4 -PANEL 9 -PANEL 10 -PANEL BLANK TOP 4 -PANEL ETHER SIDELITE STYLES 79 36" -0I AMAX /16" ' M X SL -10 SL -20 SL -30 i 1 .1 000 100 ®®® non ®® D® lag ° °° 18 -PANEL FLUSH 8 -PANEL CROSSBUCK 12-PANEL a a o 0 SL -50 SL-50B SL -69A SL -69B SL-69C SL -25 SL -55 go go go go go 00 a0 00 o a 4 -PANEL 5 -PANEL 5-PANEL 5 -PANEL 5 -PANEL EYEBROW W /SCROLL EYEBROW EYEBROW W /SCROLL CQ 0 • SL -30D SL -40 SL -90A SL -90B SL-90C SL -30B SL -30C SL -70 SL -80 iilli i i�'ii � i111I III11 i;•;•:•i 'ills' �•••, 1!Itil IIIII ',�.' • • go n .1 •1 .1 ,1 '1 •1 1 '1 00 PD -17 W a w o c 0 U J Z z DQ a U z 0 o U U� p U � 1v �4o w cc a J L O a r PD-34 m 0 uU H � a BOB !U1 BOB o °aa 001 00 PD -35 PD -36 PD -37 PD-38 PD -39 I ON PD -40 0 PD -41 31- 1029 -EW-1 SHEET 6 OF 6 (KVISIGN LETTER ' LG ENGINEERING SERVICES, INC. Consulting Engineers North Office: 7370 N. W. 36" Street Suite 374 Miami, Florida 33166 South Office: 13380 S.W. 131 Street Suite 120 Miami, Florida 33186 Tel: (305) 994 -8128 Fax: (305) 994 -8135 M. L S. Corporation 10220 Southwest 16 Street Miami, Florida 33165 Project: TILE UPLIFT TEST Trahey Residence 69 Northeast 103 Street Miami, Florida Dear Sirs; Information provided by client: Permit Number: 47777 C- 1 -V -1 -L ra E- N- G- I- N -EEER November 28, 2000 Date Completion: November 19, 2000 Roofing Contractor: M. L S. Corporation LG Engineering Services, Inc. Project Number: LG00 -2102 (Testing Laboratory Certificate #00- 0224.07) In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general- accordance with Roofing Application Standard RAS No. 106 -- Standard procedure for field verification of the bonding of mortar or adhesive. set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 20 feet above ground surface. The type of tile used for this project was' reported to be Altusa "S" Clay Roof Tile. This tile was reported to have been foamed in place. ' At the time of this testing, one test for every comer, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof 1 the located in the field area and more than 20 % of the roof tile at the roof perimeter and comer were physically examined. 1 ' LG Engineering Services Inc. appreciates the o pp ortuni ty o f assisting yo u in this project. If you ' have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. ' Respectfully submitted; LG Engineering Services, Inc. 11�oha ad Sonny Salleh, P.E. 1 Project Manager THE UPLEff MM ' Trahey Residence 69 Northeast 103 Street Miami, Florida 1 F L 1 1 1 ILG Engineering Services, Inc. — rde Uplift Test Result — Project Number. LG00 -2102, Page I Report of TILE UPLIFT TEST for Trahey Residence 69 Northeast 103 Street Miami, Florida Project Number: LG00 -2102 X..�X...,X.....`...-.*.,.. � ... . . ..... . ......................... ..... r..., . . ...... ............ . .... .......................... ..-........ ...... .. ........ . ......... .. ..... . . . .... ................... ..x . . ...................... ...... 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass ILG Engineering Services, Inc. — rde Uplift Test Result — Project Number. LG00 -2102, Page I :.: . fit:.;.::.: mbe:.;;:.;;:.;:.; :.:....::::................:... hest.. Lord.;:.......:::.:::::.: �' t:::::::. ...... 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass LG Engineering Services, Inc. Me Uplift Test Result — Project Number. LG00 -2102, Page 2 Test Number Test Load (lbfj Test Status 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass ::. ............. LG Engineering Services, Inc. - Tile Uplift Test Result -- Project Number. LG00 2102, Page 3 ffff. 1v!.!•v .vvvv .vvd! !•!•!.vY .. ...... .Yf.. .:.v: v..: uvvutbvvw• u.• vt••• 4.?%.? vK• SV} vvvSSVVVVV1vvv}• av} v. v..•: f.•. 1• n•. V. vv.•• A4• v: d!• V. f•••! K. •S•:N•:.••••••••••••vA!bN••lfvC 1 .. v.• .. LG Engineering Services, Inc. —Tile Uplift Test Result — Project Number: LG00 -2102, Page 4 NOTICE OF COMMENCEMENT z � : . A RECrORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: TAX FOLIO NO. 0OR51902 2 2040 OCT 27 13 :52 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with lillcwtvl f I.J. r110"Wo Jldluleb, lilt' following Intormanon Is provloeo In mis Nonce of l 01`11MVIRM1llelll. 1. Legal description of property and street address: i r� 2 �j'e c7/ t5 �� l� 2. Description of improvement: _ 3. Owner(s) name and address: /�/S /�/ /�•�` ya Interest in property: !t Zdn2e, a6&l Name and address of fee simple titleholder: ' 4. Contractor's name and address: 5a/ 16-rh 5. Surety:(Payment bond requirep! by owner from contractor, if any) Name and address: A11A ' Amount of bond $ 6. Lender's name and address:• 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. in a001Uon iv nlmselr, owner oeslgnaies ine following persons) io receive a copy of lne LIef1Ul D INVIIGC dS F7l UVIUCU Ill Section 713.13(1)(b), Florida Statutes. Name and address: o � ri NOTICE OF COMMENCEMENT z A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 0ORa5 1'd�022 2010 OCT 27 13 :52 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: I5� /,03 rd, 2. Description of improvement: 3. Owner(s) name and address: (p Interest in property: tgt �/U&7rC Name and address of fee simple titleholder: 4. Contractor's name and address: nz 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: X1114 Amount of bond $_ /</ 4- 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner l Print Owners Namej' IpV Sworn to and subscribed before me this Notary Public Print Notary's Name My Commission Expires: �` b r—q 5re ared by: WidO Mytaornm C�1N4 Address: —U Ho. oc 93ooai , �i 4`t / c, 00r/ J 7 i30 ^.52 2.53 STATE OF FLORIDA, COUNTY OF DADE I HAY CERT Y that this rs a t— -Y A P P FNT) T\ "Fit f•1WV1l7D4Z in-rMT(-A-rrniN; rr)p P,00FING CONSWERATIONS As it pertains cu Appczw�'-',.�- ret Mrt"Vi"G. fit,- Worlt flit- requirvi iroofitig Pc['11,006, iv r,4� tioverii, .111 rite Y?i;n n 111111 i hu pruv;.s;oi,S, A' pit- F^11mvine ;rr-mt u u requirtmcnEs and SI;11-1 �W P. Ol' -ZWL r" t'..6 �J— ... ... silotild be ad&essci ;is pafi. A' litc '.-.z The ;M flir adj-,icctic oox indicates that the iicii% halo lut;:C, 1. Acs tit c t i cs- -fNo r k nx a n -, h i p - Tiic workniansitip -F tproviding that the roofing sysceni nests the wino rcsiswn,:c will wazar Aesthetic'. (appearance) issues nrc neat a consiocration v-Tut r%:spzcl 10 provisicn.5. ACS11hz1E"1-- stlell a..% color or arChiMCEttral appcarancc, that are not part of a agreement between ;lie oiwner and the contractor. Rcnnilin2 Wood Dccki: Wlicn rephicing roofing. dic e stim, wooj root' dl-tzk- may ha;,--� b,: re.,nailtd is usoall I). zo, in �2. acCord-ance with the current provisiorts -,1f Chapter 29 of the SFBC. (11 rQ01 deck: removing the existing roof system) k3. Cortinit)n Roofs: Common roa'o are those wilich litvl- no visit)te cicilixer.tion between ixeighboring tt -s %%-I talon roofs. the rooFing contractor andiior .;cs (i.e- townhouses. condominiums. Ill bu;jdi(j. ill eon ownte should notify' the occupants of adjacent units orroofing %%:o.-k to be performed. E:.nosed ceilings: ENposed, open b-:ltli ceilings are -here the underside of the roof decL-;n--- call be fra,rt% bcirj,.v. The owner ina• wish to maintair the archiccccural npptaraace. Elit:refore, roo?im, nail P-ZrITrrii.tians of the underside of the decking rna% not b--- accq•tabic. The SFSC provides Elie option of litaill tail' ill'-$' Poriding, Wntcr: The current roof syst-c-ni zildlor deck: of tht• building may no, drain wcli and nuty PLjiding can be all indication of structural ,Z,nusjL u I;xtO in low-k-ine, areas of the roof. ir a I c i i i -.*, e r. Poriding MZV shormi thc life dvr rtV*---,,V OF 3 proft!;4; .s --nd iii: j' rz.qt.,; —011,1 structi, Tic -id-itt timil it-,- orl.,iii�l co.1dicitstit; may not be ei. zr�e, p�rrorrna-nc= or ti-z titw-- roaftn- sysccol. I b?: r.jrrtcred. rooring system -t1ld Ar"'b. Ovcrrlow Scuppers outIc's): It is rt:qwr•d thaz rainw I mer flora.- c-ff so that the roof is not A— %%-,, s may block this discharge if overloaded from a build up Of or other roof - ex(ellstoll 1C ssn to tilstall overflow scuppers in 3ccoardwicc owunow scupper.-, (..'till oufllt(s) Ife flog 11 IMU cc Chapter 23 cif' ti i e 5 F 2C•. k; to v, atural airflo- throul-th gile interior 7. Ventilation: Most rOorsECticl:ur1�S Sits. lu lk,6" S-- j shall itat �z reduced. 11 o lac structural assembly (tile buiiding Ti itic ? F.-1— tiv, si�r•ice IiFc oFtlic roof. b- beneficial to Consider additional vciturlg c�ui e ncnartmcitt ror further kS. The owncr may contact tile information the %. bove. cc - • , Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: lob Address: AhF le3 4-44 ." rs ROOF CATEGORY I M ❑ (Low Slope Application) El ( (Nail -On Tile) a ort Adhesive Set Til ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal RoofstWood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof Re-roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (W) �—`� Sloped Roof Area b f � Total ft2) , �,c { �� { C�t7t>D Master Permit No. Exposure category (per ASCE 7 -88): _C Building Classification category (per ASCE 7 -88 table 1): _—r_— Ft. Deck type: ROOF HEIGHT AND SYSTEM DETAILS (Drawn details as needed) A__TTAC$MENT Ft. Fastener Type: _ ROOF PLAN ---------- T% - - - -- --------------------- 1 - - -- r _ r - - - - - - - - - - - --- - - - --- ' I I I it r- - -- - ---- - --- - -- -- - -- --- 1 1 1 I 1 - 1 t 1 , 1 I , SPA CIN Field.. Perimeter: Corner. ' ' 1 --- - - - - - - - - - - - I 1 {----- - - - - - - - - - - � I I DETAIL I & 2 ' --- - - - - -- - -- - -- - -- -- ; , , ' I t , -- - - - - -- iii - -- - - -- - -- -- -- - - -- -- ------ - - - - -- '-------- - - - - -- - -- ---------------- - - - - -' -`". r� " . 12UI -78 SM Page -1 . N t Appendix "E" UNEFORM ROOFING PERMIT APPLICATION PROCESS No. SLOP SYmmDFSCB .ff"Noer /® fired. t/ roS x 4,6 u, i ATTACNM WFS REARED (Pm1:d+ x tit ): _) • M�. ' j5 Ms: PCA: +• t �� ,S' /!/.� +. (Petarr2: .� x k ( 4 Mif f: ) • M�: ._._ ' M. :: 2 PCA.. . (par�r9: �, x 7l (a�at.,n�. may: ) - Ms- _� � M,►�' �• PCA. AID AV t4A5rA,%A-*)',CA(., 4�-, Page -2 r 4A1Atd 4U.1,1 { ;•li:ai� CCi1.i!iiPY, I=LC}Rtl!.�► -- _ - %'&TR0 -0A0E r-LArj F tiutt.nt~c 1it:Tt.01aG Coo &: Coxtt+t A.%Ct< OFFICE "'ETit0.0AW: FL,%CLtjt aVq.0ivc 140 wKST FLAGLEtt STOE". $k:TT 160) PROtl N'T CONTROL NOTICE OF ACCEPTAINCE IJOS1 I MI. F OIRIOA ;]%)C- Airnar (LISA), Inc_ 6645 vw 77 Ave. Miami EL 33166 CONTIVACTOR LtCtivSWC ser*rto.N t�DSi 3A3•�527 �wdt {303? 373 - *3i8 ;0INUACT014 E.VV0*CtMCpT SF•CYit3,v iJ093 � #S•:4� fAJt 1303! 3'43 -390? Your application for Product Approval of. Pnoot/cT CONTROL of VISION Altujq' °rf Tee 43031IT;•I�iaa under Chapter S of the Code. of Miami-Dade County governing the use O€'��lteEnaee MaferiWs and TvM of Construction. and completely .described hcrein, has been reeotttmendtd foe acceptance by the M ami•Da& County Building Code Compliance OfirKe (BCCO) under the conditions Specified herein_ This approval shall not be valid after the expiration date stated below. 8CC0 reserves the fight to secure tliiR product or material at &Aytime front a jobs;te or martutacturer's'Plant for equality control testing if this product or material faits to perform in the approved matrmer. BCCQ jtlay revolze, modify, or suspend the use of such produc; or tnatcriatl irnrnediateiy. BCCO reserves the right to revoke this approval. if it is determined 8CC0 that this product or material fails to meet the requirements of the South Florida Building Code. The expease o:such testing will be incurred by the manufacturer. Aceop►ranrc NO. ;99- 1102 -04 (Revises No.: 97.0918.02) Explirex:12 /1612001 Raul Rodriguez Chief Product f`ontrol Division THIS IS THE COVERSHlEET, SEF ADDITIONAL PACES IFOR SPECIFIC AND GENElt -4L CIO fly VIT10IN -- BUILDING CODE & PRODUCT REWEw ComMuTIrE This application for Product Approval has been reviewed by the BCC-4 and'appro,ed by the Building Code and Product Review Committee to be used in Dade County, Florida 4Wcr the conditions set fonh above. kfancisto 1. ai4ttana.1.A. Director i of s Miami -Bade County Approved: l2ti6/19 Building Code Compliance Orti. Oct -26 -00 15:16 STATE FARM/DON MARTZ 305 652 4695 -1 STATE SAAm S*I*A*1*1,' VARM Co. 1 0 1) 1 1 V 1,; S 1) A I R Y R 0 \1 (.') I-. T I I Xf. I A %I I B L A H F"1. 3 3 1 7 1) 1 -11 )NI.; (305) 6,93-1711 FAX (305) 662-1691 1.111(:1 I AV 1, W-1 I q,( S SANDY COMPANY r).\Tr. 10126AX) -rAY"Ni 1XI 30i-899 94W mo-it. -41-ImsLit, k LOUIS A(aUllifili 12799 Nl:, 2 AVE. N -N-1 I AM 1, 11. 33161 SINI)EWS Ll URCUNT 0 i.oR rumnx 13 P1 -F A%r.-' (XIMIMLYL' ❑ ILimSI-1 Kfu,l.Y 13 PlYA%V WXCA4:1.J: C.AIL OUR OFFICh CONCERNIN6 THE 1-*.SIIM,-N'TT-T;ORnll','Al:k*)Vi-' PROPPATY. S.NNDY EW17/M M* 14 MVI TLRF f t F?E$ 1 ILE 4 3058999490 NE3. S2F [� V ALMAR (LISA), INC. ACCEPTANCE No.: 99-1102.g.4 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NflT_ TCE Of ACCEPTAIYCI~: ST vnARD COVDiTtONS I. SCOPE This revises a roofing system using Almar `One Piece S' Clay Roof Tile, as manufactured Almar (USA), Inc. described in Section 2 of this Notice of Acceptance. designed to compiv with the South Florida Building Code, 1994 Edition for Miami -Dade County. For tht locations where the pressure requirements, as determined by SFBC Chapter 23. do not exceed the dtsign pressure values obtain by calculations in compliance with PAS 127 using the values listed in section 4 herein. The attachment calculations shall be Cone as a moment based system_ Category: Prepared Roofing Sub Category: High Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Product Test Product Annuitant Dimemions SnetiRcations Description One Piece `S' Tile I 18 Y.•" PA 112 High profile clay roof tile. For direct deck or W 10" batten nail-on, mortar set or adhesive set 'A." thick nominal applications. Trim Picces i varies PA 112 Accessory trim, clay roof pieces Cot use at tips, sv = varies takes, ridges and valley terminations. varying thickness Manufactured for each tine proFlc. 2.1 Components or products manufactured by others Product 9:30 Felt 043 Coated Base Sheet Test Product Qimensipns Stngcifreatiqlns Descrtinflop Manufacturer N/A ASTM D 226 Saturated organic felt to generic type It be used as a nailed anchor sheet. N/A ASTM D 26?6 Saturated and coated generic organic base shm for single of double ply underlavm - Frftk Zukuga. RRC D�rw. O.^A..... Q... -:• -- 84/17/120 88 =15 Mf=UI It NKHM N KAA- 1 1Lt - 4M M!.'dt* VtOv ALNIAR (USA), INC. ACCEPTANCE No, :_22-1102.L4 APPROVED 'December 16, 1999 EXPIRES :Dcccmber 16, 2002 nTiCE OF r'EP E• T,D- RQ,CONDITIOvS Prod see pits "Ai -ins Test sneeifieations Product Description* Mans fac�r�er Quickcrete Roof Tile Mortar N/A PA 123 Prepared mortar mix Quickrmte Mortar designed for mortar set (with current roof the applications. NOA) Roof Tile Adhesive , N/A See PCA Two component Poi fna y nt ( "Polypro® polyurethane adhesive Products, Inc. AH 160 °} designed for adhesive set (with current roof the applications. NOA) Tile -Bond Factory premixed See PCA Single component � Po Flexible Products canisters polyurethane foam roof (with current rile adhesive NOA) 3- LIMITATIONS 3.1 Fire classification is not pan of this acceptance. 3.2 For mortar or adhesive set the applications, a static field uplift test shall be performed in accordance with RAS ltl6. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayntents shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Miarni Dade County Roofing Application Stant;ard RAS 118. RAS i 19, and RAS 120. Frank Zuloaga. KKC poop 04/17/00 08:16 MEDITERRANEAN ROOF TILE 3058999490 N0.526 W6 ALyIAIt ((;SA). INC. ACCEPTANCE No.: 99-I10?14 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NQ ICE F C PTANCE: STAN A C NDtTtOiY Table 4: Attach+trtent Resistance Expressed as a Moment M, (ft-lb"fl for Two Patty Adhesive Set S stems The Tile Application Profile Minimum Attachment One Piece'S' Adhesive Resistance Tile 29.33 2 See manufactures component approval for installation requirements. Flexible Products Company Tile90nd Average weight per patty 10.7 grams, Pol foam Product, Inc. Avers a weight per patty 8 rams. 4A: Attachment Resistance Expressed MIS s a Moment . Mr (ft -lbf) for Single Pa Adhesive Set Systems Tile Application Minimum Atta hment Lj4)A Pofoam Pot ProTM Re ce PalyPotP ement of 63 rams of polytac n nt of 2agrants of potyPro pTa7bleQ: Attachment Resistance Expressed as a Moment - Mr(ft -ibf) for Mortar Set Systems Tile Tile Attachment rofile Ap lication I One Piece 'S' Tile Resistance Mortar Set' 24 50 S- LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6. 1.1 This Notice of Acceptance. 6.1.2 Anj 'other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Frank Zuttrdga, RRC V - .. sV VV • � v • f.y s �. v u � �.. r • vyrV� • � �� VLIyVJJI��fI t l (vu. -140 VCAJ AL,vf - >R (USA). INC. ACCEFTANCE Ve_ : 99- 1102.01 APPROVED :December 16. 1499 EXPIRES : Dreembec 16.2002 N Ti .� C ANCE STAND�i�tD�,�T a ? Data For Attachment Calculal;ons ii l7ar1 /rlJ('J t � 1� r tw l l tF.rOl hp" r+,t.U. f It_: -► JvwtJ� NU. � WW AUNTAR (JiSA ). INC. ACCEPTANCE No.: 1 -t 02.04 APPROVED :December 16, 1999 EXPIRIES :December 16, 2002 NOT E OF 4CCEPTANCE• STAND, tD_ rONDITIOtNS Pr uct Dimens_tons Test Product seeciricationj Dricription Manu a ctucr ,Mineral Surface Cap Sheet N/A ASTM D 349 Mineral surfaced asphalt generic roll rooRng for use as a top ply in a double ply underlayment system. Rainproorit 30" x 7i*' roll PA 104 Single ply. nail -on Protect- O•Wrap, 36" x 75' roll underlayment with 2" Inc. or self - adhering top edge. with current NOA 60".x 75' roll Ice and Water Shield 36" x 75' roll PA 103 Self- adhering W.R. Grace Co. undertayment for use as with current NOA a top ply in a two ply underlayment system with Approved 930 or 943 as the base layer. wood Battens v i ! Wood Preservers Salt pressure treated or 0sneric Min. I" x4" Institute LP - 2 decay resistant lumber horizontal battens min. i" x 4" for use with vertical battens or min. I ^ x 3" for use alone Tile Nails Min. 10d x 5" PA 114 Corrosion resistant. generic Appendix E smooth. strew or annular ring shank nail. Tile Screws 48 x 2 'W' long PA 114 Corrosion resistand coated, generic 0.335" head dia. Appendix E square drive, galvanized. 0.13 l" shank dia. coarse thread wood screw 0.173" sctrew thread diameter Roof Tile Mortar NIA PA 123 Prepared mortar mix Bermuda Roof { ^TileTites'" ") designed for mortar set Company. Inc. roof tine applications. (with current NOA) ftaitk fuloa�a. RRC F ..— ALMAR (FJ$A1. I'C. ACCEPTANCE Mo. :."tUgZ&j APPROVED : Dtcseeba 16, 1999 EXPIRES :Oscembee 16.2802 Nor F M S PROFILE iiRAWNGS �OIIE (AL LGW t ONE FSECE'S' CLAY NOW TILE i' f v-.� s ., w tea: tea ray t e GtCeQ•e 1Ch4 rct.rt Ar r i Lt -> N$?. 525 AUNT aR (USA), INC. ACCEPTANCE No.: 9 . 02. 3 APPROVED :Dectruber 16, 1999 EXPIRES :December 16, 2002 O ICE OF ACCEP ANCE• STA�yD�, CON,QtTiaNS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test-supporting data, engineering documents, are no older than eight (8) years. ?. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state. and the following statement: "Miami -aadc County Product Control Approval ". or as specifically stated in <the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. C. If the Acceptance holder has not complied with all the requirements of this acceptance. including the correct installation of the product d. The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall alltomatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this Office. Any of the following shall also he grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance numb preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. if any portion of the Notice ofAccepunlee is displayed, then it shall be done in its entirety. i. A copy of this Acceptance as well as approved drawings and other documents, where it applies. Shull be provided to the user by the manufacturer or its distributors and shall be available for inspection at the,job site at all time. The engineer need not reseal the copies. 8. " failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of A"vmnce consists of pagr I through 7 and this last page & END OF THIS ACCEPTA=Zuw"L . 0 Wa METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33/30-1563 (30S) 375 -2901 FAX (305) 3TS -2906 PRODUCT CONTROL DIVISION (30S) 37S.2902 PRODUCT CONTROL NOTICE OF ACCEPTANCE FAX (305) 372.6339 Polyfoam Products, Inc. 2400 Spring- Stuebner Road Spring, *rX. 77383 Your application fot Product Approval of: Folyfeam Products "Pty Pro Ali -160" Roof Tile Adhesive under Chapter 8 of the Mianti -Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: The Center for Applied Engineering, Inc. and bliles Laboratories Polymers Division has been recommended far acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2.14 and the standard conditions on page IS. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufaeturees plant for quality control testing. if this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval. if it is determined by the Building Cade Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense or such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 99- 0303.02 Rmcivs: 94- 9402.02 E EXPIRES: 04/16/01 Aaul Rodriguez Product Control Supervisor THIS IS THE COVFRSH_FFT SEE ADQITIONAL PAGFS FOR SeCCII' IC AND GFNFRAI. CONDITIONS BVII.DING CODE CCOMMITTF..E This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, 11orida under the conditions set forth above. APPROVED: 04/ t 6/98 Intornet mail address: postmaster @buildingeodsontine.com t% Charles Danger. II.E. Director Building Code Cumpliance Dept. Miansi -Dade County Homepage: htlp : /Iwww.buildingCodoonling.com ray• -.av .r .. _ _. _ .. POLY FOAM PRODUCTS, INC' Product Control No. 96 -2L x2 PitODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING COMPONENT APPROVAi. 1 scant: Product Control No.: 98 - - 0303.02 rely feam Products, Inc. 2400 Spring - Stuebner Road Approval Date: April l §. 1998 Spring. Texas 77383 -1132 r.;cpiraiion Date: Agrsl 16, 2001 Catcaory Roofing Component Sub- Catezorv: Fastenittg%Adhesive Tyne; Roof Tile Adhesive 11 b-'1' Two Component Polyurethane System+ Description Polyfoam Products, Inc.. produces two - component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polyprog AH160 is specialty designed for application of concrete and clay roof the over a variety of roof deck substrates and underlaytnent materials. Polypro® adhesive is applied with proprietary FoamproO RTF 1000 dispensing equipment. Approval of this product is specific to the two component mix and Foampro® RTF1000 dispensing equipment. Alternative methods of dispensing will require a revision to this approval. PulyproO adhesive shall be applied only by *Qualified Applicators*, licensed by Polyfoam Products. Inc. Certificates and identification cards are issued to applicators upon successful completion of a application training program. Approval of this adhesive system is cot+tingent upon application by a 'Qualified Applicator. Contact. Pat Murray P.O. Box 1132 Spring. Texas 77:393.1132 Phone: (713)350 -RRRA Fax: (713)288-6450 Page 2 of 15 crank Zuloass, RRC Roofing Product Control Examiner POLYFOAM pKODUCTS, iNC. Product Control No.:9>�- 0303.02 TRADE NAMES OF PRODUCTS MANU>FACTURM Oil LABELED BY APPLICANT Test Product • sueci Prod uct O1 N j ' °A Two conrQwsent Polypro® AN 160 PA 101 polyusclMne Fostnpro� RTF 1000 NIA See Detail Attached Dispensing Equiptttent Page 3 of 15 Frank Zuloagn. HKC Roofing Product Control Examiner t POLYFOAM PRODUCTS, INC. TIE;s -T REPORTS Product Control No.: 98 -0303 02 Test Azencv Test Identifier Tgst Name/Report Date • Center for Applied #94 -060 Mimi Dade Protocol 04/08/94 , Engineering PA 101 Center for Applicd 257818 -IPA Miami Dade Protocol 12/16/96 Engineering PA 101 Center for Applied 25- 7438 -3 SSTD 11 -93 10125/95 Engineering Center for Applied 25- 7438 -4 SSTD 11 -93 10/25/95 Engineering Center for Applied 25- 7438 -7 SS3'D 11 -93 11/02/95 Engineering Center for Applied 25 -7492 SSTD 11 -93 32/12/95 Engineering Miles Laboratories NS- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, 9637 -92 ASTM E 108 04/30/93 1isc. Southwest Research 01- 6743 -011 ASTM E 108 11/16/94 Institute Southwest Research 01- 6739- 062b(1) ASTM E 84 01/16/95 Institute Trinity Engineering 7050.02.96 -1 PA 114 03/14/96 Page 5 of 15 JJJJ Frank Zuloaga, RRC Roofing Product Control Examiner ' 6ipr- '30 -.98 04:11P Po 7yfoarn Products i nc - POLYFOAM PRODUCTS, INC. r—e rtv Density Compressive Strength 'i'emilc Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Product Cotitroi No.: 95- 0303.02 TYPICAL Pl1YSICAL PROPERTIES TOA Results ASTM D 1622 1.6 lbsJfft' ASTM D 1621 1 R PSI Parallel to rise 12 PSI Perpendicular to rise ASTM U 1623 28 PSI Parallel to rise ASTM U 2127 0.08 Lbs.lFt2 ASTM L• 96 3.1 Perm 1 Inch ASTM D 2126 +0.07% Volume Change r@ -400 F.. 2 weeks +6A' /o Volume Cilange @1580F., 100% Humidity.2 weeks Closed Cell ASTM D 2856 86% Content 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 varintion- Page6of IS Frank Zuloaga. RRC KWfing Product Control Fxaminer • AP r- 3V - �o V Y . 1 J I' A product Control No.: 98 -1} 02 POLYFOAM PRODUCTS, INC. SYSTEMS Deck Type: W L od, Non - insulated, New Construction/RerMf Deck Description: 15 /j2" or greater, plywood or wool plank. SYSTEM A: Adhesive Set Application .slope Range: 2 ":12" to 7 ":l2" Underlayment: Shall comply with Miami -Dade Roofing Application Standard PA 120 Roofing Tile: Any roof tilc assembly having a current shall be applied in compliance With die Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Roofing Application Standards PA i IS or PA 127. The adhesive attachment data is noted in the roof We assembly NOA. Comments: I. All 'System Limitations' noted in the tilc Roof System Assembly Product Control Approval small apply. Page 7 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner r.Apr-- :1U -ye5 U-4: Let- r0 iyT c3am r- r-vuuc-:4.a Arrf-- _ POLYFOAM PRODUCTS, INC. Product Control No.: 99-0303.92 SYSTEMS (CONTINUED) Deck Type: Concrete, New ConstructOn/Rerouf Deck Description: New construction SYSTEM B: Adhesive Set Application Slope Range: 2 ": l2" to 7 ":12" Underlaymcut I Install Approved underiaymcnt system of o» t: Of the following: Waterproofing: Underlayment: (30/90 Hot Mop) fully adhered in a fall mopping of ASTM U 312 type IV asphalt applied within the L•VT range. Back nailing and laps shall be in compliance with Roofing Application Standard PA 120. Any liquid applied roofing system having a current NOA for its use as a tile undcrtayment system. Roofing Tile: Any roof the assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance detemuned in compliance with Miami-Dade County Roofing Application Standards PA 115 or PA 127. Tlic adhesive attachment data is noted in the roor tile assembly NOA. Comments: 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval or waterproofing component Roofing; Component Product Control Approval shall apply, as applicable. Page 8 of 15 Frank Zuioaga. RRC Roofing Product Control Examiner Imp 'f.7V'JU VY • 1J1 l V •�/ VV••• • • VVVt, a.� �••`.- ..IM1 �• �I a�Va.. • . �v .r POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 COMPONENT APPLICATION l . PolyproO A14160 tilt adhesive shall only be applied over an underlay rent installed in compliance with application instructions detailed in its NOA.. Underlayment may be any undcrlaymcnts or underlayrnent systems listed Miami -Dade County Roofing Application .Standard PA 120• 2. Adhesive application shall be in accordance with the instructions provided herein. Tthe manufacturer may provide additional instructions subsequent to this approval date which may prevail. Installation must be by a Factory Trained'Qualified Applicator' approved and licensed by Polyfoam Products. Inc. 3. Calibration of the FoamproO 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 0.08 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved without revision of NOA. 4. Adhesive shall be dispensed in a 17 into 23 in' pad at time of application. The cured pad shall be approximately 5" x 12 ". Foam placement shall be in accordance with tile 'Placement Details' herein, Each generic tile profile requires a specific placement, as noted in Table 1, below 5. Adhere tile directly in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam fins been dispensed. Table 1: Adhesive Plaeetuent For Each Generic Tile Profile Tile Profile Placement Detail Two -Piece Barrel #1 'S' Shaped #2 Double boll #3 Flat #4 Page 9 of 15 Frank Zuloaga, RRC; Roofing Product Control Examiner 'A ,pr _40 -98 04:13P Polyfoam Products Inc. yam`+ * 0 j -•��'- Product Control No.: 98_- 0303.02 POLYFOAM PRODUCTS, INC' SYSTEM LIMITATIONS 2. Polypro4p A14160 adhesive shall be installed only by Qualified Applicators' apProv¢d and licensed by Polyfoam Products. free. •', 3. For adhesive set tile applications, a field static uplift test by a Roofing Application oStandird PA't i06. testing agency, in compliance with Niiatni -Uade County Roofing shall be required not less than 72 hours after applic�uiocl to coafrnt cite adhesion- shall Refer to application drawings published by the National Tile Manufacturers AssocipLtion for penetrations and termituttions, as well as the'Ylaccrnent Details' included with NOA. S. Refer to the Roof *rile Assembly Product Control NOA for system acceptance with: this Co,nponent. 6. Refer to the Prepared Roof Tile Asscinbly for fire rating. 7. Polypro®AH 160 shall not be exposed permanently to sunlight. g, Polypro® AH160 shall be applied with Foam pro RTF1000 dispensing equipment Drily. 9. Polyfoam Products Inc. shall supply Building Ofrcial with a list of'Qualificd APOicatars' approved and licensed by Polyfoam Products. Inc. Page 10 of 15 FrankLuloaga. RRC Roofing Produ *t Control Examieer '�4pr- 30 -4g 04 :14t' h'O I y I uattt r► uc�a��. -. P. . POLYIFOAM PRODUCTS, INC. vfaw Aewrt..'Inr a.1' e..►•• 111.. ?U... 6-400 Mt.. ttiltw..w..ri I...kto— t T 10 as .1. I.ol.r to •da a..— p" law. A...e.. too MRI104 of to- .... a•e.w. 1K. tte.t to V... INM. .# go*. d Owk *A N... C... .r...<. `•..AR .1... Product Control No.:_ 98 -0 . 2 PLACEMENT' DETAILS 11.11 tt.t•• , ta-......wt +r ..e•1 o►a..r ear• 1R st.w --�� ■MN••a...•. Placement Detail tft: Two-Piece Barrel Profile ONhw.1 M+e! -ram ».wr aN.• N lote- Page I t of 15 Prank Zuloaga. f�RC Roofing Product Control Examincr ,Apr-31R-q8 04:14V ro +yl vans . ..•�- -.-- - t r POLYFOAM PRODUCTS, iNC. PLACEMENT DETAILS (CONTINUED) mail ■h""8% A- ----t Product Control NO-:31-0-3-03-02 Placement Detail N2: W Shaped Tile Profile a... Page 12 of 15 Frank 'Luloaga. 1 RRC Roofing Produdt Control Examiner ,Agi-r• -30-98 04 _ 1bP No lyroam -- t r - POL.YFOAM PRODUCTS, INC - PLACEMENT DETAILS (CONTINUED) Product Control No-'–M210-2-0-2 Placement Detail #3. Double Roll Profile Page 13 of 15 Frank Zuloaga. RRC Roofing Product Control Examiner POLYFOAM PRODUCTS, INC- PLACEMENT DETAl1 S (CONTINUED) own N.... O PM.tle J..1 . •q-, - b o.A�1 Product Control No -:-200303.02 Awy aw.Myw sl.f.w lT4y nt*r►a. �.+� l..ti ..w.. —IV. V." .q ...a. s' ..P l.w...w�►.�•++ Piaccment Detail #4: Flat Profile Page 14 of 15 ulow, w, Roofing Product Control Examiner Ht., ?V -7U V•• A:JO- 0- LJ ,y/ V41 /, I-f IJLA4A > 11 IC- =P L3 YIJ -1VUL f 10 1_ /' - POLYFOAM PRODUCTS, INC. Polyfuum Products, Inc. 2400 Spring- Stuebner Ro2d Spring, TX 77383 Product Control No.: 98- 0303.02 ACCEPTANCE NO: 2EV03 02 APPROVED A_pryt I6, 198 EXPIRES till NOTI CI: STANDARD C0 01TIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has bee" filed and the ntation, including test supporting data. engineering documents, are no older than original submitted docume eight (8) years. Any and all approved products shall be permanently labeled with the manufacturers name, city, state, and the following statcmt -tit: "Miatni -Dade County Product Control Approved", or as specifically stated in the specific conditions of this Acceptance. Renewals of Acceptance will not be considered if: a) 'ritere has been a change in the South Florida Buildine Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared. signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, andlor manufacture of the product or process shall autumaticnlly be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product er process; b) Misuse acthis Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Miami -Dade County. Florida, and followed by the expiration date may be displayed in advertising literature, if auy portion of the Notice of Acceptance is displayed. then it shall be done in its entirety. 7 A copy of this Acceptance as Well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. g Cailure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 *11tis Acceptance connins pages I through IS. F,Nf) OF THIS ACCEPTANCE Page 15 of 15 Frank Luloaga, RX Roofing Product Control Examiner f' APPENDIX "F" REQUIRED OWNL ERS 10TIFICATION FOP ROOFING CONSIDERATIONS As it pertains to this Appendix 'T ", it is the responsibility ut Litz' roofing; contractor to provide the 0«u2r With the required roofing permit, to provide the owner with this appendix and to explain to the om.•ner Elie content of this form. The provisions of Chapter 34 of the South Florida Buildin-, Code (S1�13C) govern all Elie minimum requirements and standards of the industry for roofing systcni installations. Additionally, the following items should be addressed as part of the agreement between (lie 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 Elie roofing system meets the wind resistance and water intrusion perfornittnce standards. Aesthetics (appearance) issues are not a consideration With respect to %vorkmanship provisions. Aesthetic issues such a% color or architectural appearance, that are not part of a Toning code, should be addressed as part of the agreement between the oWtier and the contractor. -� 2. Ren-ailing Wood D'ecls: When replacing roofing, the existitz� wood roof deck may have to be rcnailed in accordance with the current provisions of Chapter 29 of Elie SFBC. (The roof deck is usually concealed. prior to removing the existing roof system) 3. Common Roofs: Common root's are those %vilich have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings With common roofs. the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. 4. ENPosed ceilings: Exposed, open beam ceilings are where the underside of the roof deckin_; tali be ieL%3d from below. The owner may wish to maintair. the architectural appearance, Ellercfore, raofin�, nail penetrations of the underside of the decking in—n.', not be aeccpt,b1c. The SFBC provides Elie option of maintaining this appearance. S. Ponding Water: The currenE roof si•siciii andlor deck of the building may not drain «•ell'and may C., eater to pond (aceuttiulite) in low -lying areas of the roof. Potidtn� can be :ttl indication of structural distress and titay require the revie-W of a profes�ion:il structural engineer. Ponding may shorten the life exp °etancy and performance of the ue�': roofing system. Ponding cotlditit- ns ma} not be et ident anti! the arigiu�l systeni is removed. Ponding conditions should b: corrected. 6. Ovcrflow Scurtrers (wrill outlets): It is required chat raimt•ater flog': c,ff so that the roof is not overloaded from a build up of seater. Perimeter /edec walls or other roof EXtcnSlonS ma }• block this discharge if overflow scuppers. (��aII outlets) are not provided. It may be necessan to install overflow scuppers in accordance «i I Chapter 23 of the SFBC. 7. VC te some ability to Vent natural airflow. ntilation: 1`lost roof structures should ha through the' interior of the structural assembly (the building itself). The existing, anillllnt Of :It(lc ventilation shall not be reduced. It n be beneficial to consider additional venting which can result in cxEetiding Elie service life of die roof. S. The owner may contact the itliatiti -Dade County COtiSUnicr Services Department for further information regarding Elie above. I kl& - ove ncr's /Aunt's 94rinturc U etc Contractor'> SiLpaturc • Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Job Address If /li-G (Low Slope Application) ROOF CATEWRY D (Nail -On Tile) 0 (Mortar- Adhesive-Set Tile) (Asphalt/Fiberglass Shingles ) ( Metal RoofsWood Shingles & Shakes) ❑ (OthEr) -ROOF TYPE ❑ New Roof Q Re-roofing ecovering XRepair 0 Maintenance Flat Roof Area (W) M% Sloped Roof Area (fe)— 49— Total (ft) 1166 Master Pernnt No. Exposure category (per ASCE 7 -88): Building Classification category {per ASCE 7-88 table i): ROOF HEIGHT AND SYSTEM DRTAILS - (Draw detaits as needed) 4P yL e s e�'�� tpp de Mks R heck tame: /U. A V 5-1-11ACHUZZIT Fastener Type: 1 rr SPACING i Field: PrHme tPr: . -- :_`o rner- r a f s r 4,oh O'1G Ve•P.&l ROOF PLAN a -- - - - - -- -- ------ ------ --- «� — – – – – – i t� '-- - ---------------- -- -�.– [ 1 1 r . - - -- -- – – – -- – – – – – – – – [ i 1-- -- - - - --- ----- -- - --- 1° t 1 7 ' , 1 • e— '-- rye -- -- - - - - - -- �i[`i%+ � [ [ � [ 1 j■ [♦ • t • 1 1 t t[ t )]qq I` 1[� i 1[' 1[ 1 1 1; t 1• I t i,( t da r I .t , t [ . , [ ' - - - - - -° -------------------- c- --- --i ' [ -- --- --- ---- --- ---- -- - - - --- a T!, e f" M-74 0mg 4 ate,%- i r x s \�t. A\. t l & II r x s \�t. A\. t l & 3 N ill li c ift 3 g4ts S5a \vQ*. 7- 3 Lk Le I \r;oU Al U'.' • v + is R QT 4! �".�Ad � F'.$'r" '� :r! +77 t } v $' a,+ � _� +Q' ', a •�?9? -r IL KPH rr ��r � � x 1 ` A "" 1 F'4 `�Ia�i •s6 �i rC g ._ ...._ _.. +} �IC a St � �';r' ak :� � 1 �•vt.Jt� n ,� \ ..._.... { //� yr.'u1 . �,,.!° i 'a•t. f;0� i�r� R PP rx. a:�. ''e,;:' ;!• tlA bw s.a e 3 }��¢} � � ` ` fig. 7�' �'� � t _f 1 c $ �` s% �1��\ G i�� • R 1a.� LID - •/ z, R�' -t,�" 3. f � r , " a�: .c%v .%Y� f r, w. �`�. z '• � �..it tk1 'ir.* qr' r! '�•"!ri�Ri� � kp.F '1 {�� ''tw•'F 3 °'Q�ky, � �ar � r 1 : t �,h i$._ ; °,�• � ,�.o- S '',�i , +s''e i 3''-r. ref t" r, k �L �� r��' r yr� •� i � � 5� �' �i �'� �C r , i, A.vR Ty,� - f .•NQe l,pt�r�:'$ S '��`�� r C � 3 Y� rYf. �yuL R d "d �?r._ ynj 3 s� s �'� 1: at oa' *fit 41 .Y M RInlIL2RL.s.iir...3 C 14 - •�R + .� `� s��r3�'� i�i (p }9 +�tj �� `... +; i yt � 3�.� y'ji�yt ir�r IJ tE v ^ ?. _ t <. °� A� 'R '''�W.re [?' { `y.'r r}i .R:.'. R 6� 'tr + +i7i y '• -i x .a �•c c n"a "yt'' •ra'/sMyr.�' � [ + e � „{` 1 +` �'. 4 rst . v r'. a i sr - � .• ��q., ' y y #� 3 Ie i+ �'� ! s � � Qc "g �i ,�itb,�;� � x. P • � 4Q t1 a�. ? {tr r�,�� ..... � • .. .,(....,n 1...lA4r J"'+f}:Y `iv 4i __... �..._ ........_.._.._._......._.._._. ; Q ...__ ..�...,.,�,.,! r r — _ .a' i - IN m ADDENDUM TO BUILDING PERMIT.APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUIB UNIT FEE ITEM SW I TCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET I LIGHT OUTLETS CENTRAL HEATING O1SMASHER RECEPTACLES A/C WIND) OISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAETER MM REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNOERGRM TANKS LAVATORY OVEN ABOVE GROUND TANIM LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COP. MOTORS OVER 3- 5 HP MECH AN I CAL VENT 1lAT ION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRAM MTING ASSEWLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS 00 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SU+'PL.Y TO: AIR CO101TIONERS 3 A/C UNIT STR IP HEATER /6 =� rr :- FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFpiMIFAS LAWN SPRINKLER -WELL SPECIAL POIRI`OSE SWIMMING POOH, OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS S IGN TRANSFORMERS UTILITY -SEWER SIGN TIME OLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECT ION SOAKAGE PIT W. FT. CATCH BASIN DISDOARG'E WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR RATER HEATER FIRE STANDPIPE POOL. PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. D R. CLAt?SS�f�1 e, 2L9 N W 91st St JOB LOCATION (ST. OR -AVE.) - LOT BLOCK SUBDIVISION 59 N E 103rd Street ' 20Fr 19 L23 M S Section #5 „ - -. .GENERAL CONTRACTOR -_ -_- _ ____.,- _ ___ -- -:. - , _.- ._- ADDRESS _ -_= _ -_ .,_ ..._ _ -PHONE NO. __- LLGENSE No.. hmer- Builder Same I Some BUILDERS BOND, BUILDING PERMIT NO. 6= IDATE 1 0 8 I PERMIT FEES 1400 NO, 713 DATE 6Z3,gZl 8 ZONE R -7 REQUIREMENTS 179 f 500 CU. FT. I PLAN CUBE 192124 CU. FT. EST. COST $106000.00 DATE T. t1 DRAWINGS, SPECIFICATION_ S RESTRICTIONS AND,CUBE CHECK D BY: �� [ �! 19� TYPE STORIES OF CONSTRUCTION INTERIOR CONSTRUCTIO N CBS I 1 mRtO1 I e A. ' NEW CONSTRUCTION s'.f __ : DESCRIPTION - -- REPAIRS Iiy � ^�in " Ki - Sor POr F, h- 2, Bed ft s- 1 Bath - DESCA.PTION ALTERATION I I I 1--car attached arage. {I 1 ADDITION {.,, Bldg ._Ins Inspect= APPROVED I� REJECTED REFERRED TO COUNCIL REASONS SUBMITTED TO RE- SUBMITTED TO PLANNING BOARD -- R €MARKS- - SUBMITTED TO VILLAGE COUNCIL' 5" % �B bean M Clausen `N6�91a�' fit- CERTIFICATE OF OCCUPANCY NO. ' ISSUED / BY TO _ _ T_-_----_.-----=- BUILDING.- PE€RAUT- AND- .1N5PECT1Olt_REQORQ Ml, h9L SHORES _YILLAGE_.- - - -- -. G BUILDING INSPECTIONS 4 11 IN SPECTION* "DATE BY RE- INSPECT BY RE- IN SPEG BY '. I'FOUN ATION 6/23/48 H BEAM$ &,LINTELw FR 4M ING ,FINAL =CLEA -UP PLUM N7G PERMITS do INSPECTIONS CQNtf§AC3T'Ok '', ILreeaan Jones PHONE �! iPERM �' NO. 6 © DATE O FE .9 I� INEW BLDG. ALTERATION ADDITION R PAIRS SPECIAL PERMITS PERMIT NO, DATE TEMPORARY SERVICE $ SEPTIC TANK $ 'SEWER SOLAR HEATER $ GAS6 $ ald' n'' & Wallen 68 8 S 1N E6TION$ DATE BY RE- INSPECT BY RE. INSPECT BY OUG' IN'G 7 I- LLS JDH r3AS II EWER SEPTIC TANK SOLAR HEATER FIXTURES 1 H 81dn1251 n 721 8JD ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR, L R Goddard IPHONZ PERMIT NO . 6W 1 DATE _21_ FEE $ 10 ,go NEW BILDI". ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE' TEMPORARY SERVIC H. W. HEATER CONN. tow $ RANGE CONN. $ MOTORS $ 1XTU ES,' INS ECTIONS DATE BY -RE- INSPECT BY RE- INSPECT'I' BY �MP. SERVICE JaUS ROUGHING JDH H: W. HEATER CONN RANGE CONN. y IXTU ESI& F NAL IAQUI f „ PPR VA � "TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ' or other herein described. This application is made in compliance and conformity with the Building OMinance of Miami Shores Village, da, all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula tiorrs $ g Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and suer be kept at building during progress of the work. N Date — /Vy/ --- -- - 19Zy/I _,� %��,, �[ /__. ti:Vet V Owner's Name; ,Adcireas —_ _�_�� '"-= ---- °_� O.�_T S Architect and /or Engineer Name and address of licensed contractor Location and 'ption of lot to be built on: Lot ._. Block ^ , L i Subdiv' ' Street and Number where work is to be - State work to be done and u oee of building (by P rP - - ---- -- - - - - -- ------- - - -__- -and for no other purpose. New Remodeling__________ Addition- - . --- pairs -- – _-- ---- – ---- --- No. of SS ties______-- - To be constructed of. 0.:_ Kind of foundation ------- - ----- Roof Covering_ eG Estimated Total cost of improvements $ ^.- .��y --" ".- ".------- _.Amount of Permit ' --- - - - - -- - - - - -- - - _�._ Zone cubage required—yy �� ,Plan Cubage____ � �5 _ Distance to next neatest � building _— .lam - - -- -Size of Building Lot — __7'.5" Maximum live load to be borne by each Boos i hereby'subdmit all the plans and specifications for said build' g. Al titer with reference building and its constracuo may be seat tee; ___.�._... � g� . ° — - 12-:7,C21 The undersigned applicant for this building permit does hereby certify that be understands a 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 notice as are required by the Act. The undersigned agrees to employ only such su tractors, on work to rformed under this permit, as are ' by Miami Shores Village. J i f Remarks (Signed) STATE OF FLORIDA. ! COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - _ _ -___to me well known. 1 and who, being by me fitit duly sworn, upon oath deposes and says that he is the___--- -___�_ — of the above described construction, that he has ca ully read the foregoing application, and that he did sign the same, and that all facts therein by him red ara Permit No Da Read, Sworn to and Subscribed before me. Disapproved Da - – - - Notary Public, State of Florida (Signed) - Building Inspector My Commission Expires ----- Y PLANNING' BOAR _DATE' Chairman Member w- 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty maretials and/or workmanship. g n /2'f ZL 1$ Z� 323 pp -- p_ 6 2- 6 STATE Cap Ss F DADS 4 the Village of Miami wee, County of Dade and State of Florrida, being,, duly swoorn, doth depose arA stay, that wider the provisions of Section B -368, Sub - section {d }v of the Building Code of ores Village he desires to build a subdivisiott, that he is the Omer of said property, and vill be the owner of said • , that he will do the work p gQrMUj# an that he will, at such times as are required by the Zoning and Building Directaef ~ to pUe pUn and specifications and obtain approval of VillMe MmAng Board and of the Building Inspector. 20 _ A*L ez.e p mht.` - 3� Pay Ue required fees, for license and for permit„ {� juntAte the work in accordance with the provisions of the Zoning, Buildings Plumbing and Electrical Codes ON Miami Shores Village:, so 6o, Apply for inspections., Silo with the Building Inspector certificates that PrQVi$icft hag been made to carry the necessary Workman' s Compensation, FukUo Liability and Property Damage Insurance. 7, the responsibility of not employing other than properly liemsed contradtors by Miamri. Shores Village for any pmrt or portion of the work. )k& set himself up as a "Contractor'"# 9• SX00de Builder's Bond. Aid for*Aw this Deponent says not. 4r SWC=jV AND SMN TO BEFORE TIE this day of (Notary 'blic IMIT # ;ate of Florida runty of Dade Tax Folio t4a. l( NOTICE OF COMMENCEMENT 7 R 13 ° 9 0 1 1995 APR 10 09:08 UNDERSIGNED hereby gives notice that improvement will be made to certain real operty, and in accordance with Chapter 713, Florida Statutes, the followinc formation is provided in this Notice of Commencement. Description of property: (legal description of the property, and street address if available) / ✓) General description of im r v ment• I �� Ce .� r"4 r p p �, A OF FL.' _A, COUNTY OF DADE � �E1p�iiY _ I "EVI-C£'VVY that this is o true copy of the (, L l a— �. /'rte' J 19 day o A-0- ----- u eARRViy1 ' }IN, CL f cult n county Coot. Owner information: a. Name and. Address: b. Interest in property: �� e C. Name and address of fee simple titleholder(if other than owner): Contractor: (name and address) J� Surety: a. Name and Address Cl- b. Amount of bond$ Lender: (name and address) Persons with the State of Florida designated by Owner upon. whom notices or other documents may be served as provided by Section 713.13(i)(a)7., Florida Statutes: (name and address) In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b) Florida Statutes. Expiration date of notice of commencement (the expiration date is 1 year frc the date of recording unless a different date is specified) ignature of Owner orn to and subscribed before me this day o In BE H AN RA MY COMMISSIGN N CC 329817 *' EXPIRES: November 11, 1997 BOrlded Th. No13ry PuWiG UtldetwtiteB ary Public ��!! My Commission -- ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING / tfcwT d i; (Gr DISHWASHER I RECEPTACLES I A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) Is DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK u> >f a FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS MINA MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIWING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT.' CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE . METER SET (GAS) GAS PIPING RESIDENTIAL HEATING AND COOLING REQUIREMENTS* Page 1 HVAC WORKSHEET ` t 0R GATT - WISE' DESIGN TEMPERATURE 41.tl M11.111 , HEATING AND COOLING REQUIREMENTS DIFFERENCE DUE TO GLASS AREA /300/350/40 ° 45° 50° WINDOWS & 'GLASS DOORS ''AREA 'SQUARE FEET HEATING MULTIPLIER (CIRCLE ONE) HEATING' (BTUH LOSS) Glass Doors Infiltration less than 1.0 CFM /FT SINGLE GLASS DOUBLE GLASS 900 950 90° Single Glass C 50 60 70 75 85 C Double Glass R 40 45 50 55 60 Other Sliding Glass Doors Single Glass 75 85 100 115 125 22 Double Glass - 30 60 70 80 90 100 25 Windows, Infiltration less than 0.50 CFM /FT 16 1 81� 13' NE & NW } 60 41 36 ,Single Glass 45` 40 50 55 60 70 32 Double Glass C. �0 . 25 30 35 40 45 90 Infiltration less than 0.75 CFM /FT 57 70 44 36 75 47 39 Single Glass SE & SW t S 45 50 60 65 75 55 35 Double Glass 60 35 30 35 40 45 50 Other Windows Single Glass 75 90 105 115 130 N Double Glass, 20 60 70 80 90 105 15 Fixed or Picture Windows 11 20 14 14 N E & N W Single Glass 33 40 50 55 60 70 22 Double Glass 35 25 30 35 40 45 ' Other 43 55 52' 47 45 32 30 Total TUH Loss (Enter on Line 2 Page 2 ) 35 33 SE & SW :.... 45 39 WINDOWS & GLASS DOORS AREA SQUARE FEET COOLING MULTIPLIER (CIRCLE) COOLING (BTUH GAIN) SINGLE GLASS DOUBLE GLASS 900 950 90° 95 . C T.r -- R --- C T R C T R Cjl T I R No Shading N _7 2 30 22 20 30 26, 25 20 14 13 25 17 16 1 81� 13' NE & NW } 60 41 36 65 45` 41 50 29 24 50 32 27 C. �0 . E & W / -: `i . 85 60 ' 53 90 64 57 70 44 36 75 47 39 SE & SW t S %- '/c 4.I { 75 45 51 31 45 28 80 50 55 35 50 33 60 35 37 21 30 18 65 40 40 24 33 21 Draperies or Blinds N 20 17 16 25 21 20 15 11 11 20 14 14 N E & N W 35 33 30 40 37 34 30 22 21 35 25 24 E & W 55 48 43 55 52' 47 45 32 30 50 35 33 SE & SW 45 39 35 50 43 39 40 26 25 40 29 28 S 30 26 24 30 30 28 25 17 16 25 20 19 Roller Shades �* N 25 19 17. 25. 22 20 12 11 20 15 14 NE & NW 45 36 32 50' 40 37 40 26 22 45 29 25 E & W 65 53 47 70 57' 51 55 37 32 60 40 35 SE & SW 55 44 39 60 48` 44 50 32 27 50 35 30 S 35 28 25 40 32 30 30 20 16 35 23 1 19 Awnings, Porches, Etc, _ All Directions 25 22 20 30 26 25 15 14 13 20 17 1 16 Other Total BTUH Gain (Line 2, Page 2) RESIDENTIAL' HEATING AND COOLING'RECIUIREMENTS* WINDOWS; & ?GLASS DOORS' AREA {a- SQUARE ,FEET Page 1 HEATING (BTUH' ` LOSS)`: Glass Doors Infiltration less than 1.0 CFM /FT ` NVAC WORKSNEET FOR WATT WISE w 900;; .45_0.'. ", • 900 „ TEMPERATURE Y 60 L.G. - 1 \" Il�l HEATING AND COOLING REQUIREMENTS 85 C 'Double Glass R DUE TO GLASS AREA .. ° ° 300 35° 40° 456 0 501 55 60 Other Sliding Glass Doors + I,. + Single Glass 75 85 100 115 125 22 WINDOWS; & ?GLASS DOORS' AREA {a- SQUARE ,FEET HEATING MULTIPLIER (CIRCLE ONE) HEATING (BTUH' ` LOSS)`: Glass Doors Infiltration less than 1.0 CFM /FT SINGLE GLASS DOUBLE GLASS 900;; .45_0.'. 900 Single Glass ' •C. 50 60 701 75 85 C 'Double Glass R 40 45 501 55 60 Other Sliding Glass Doors + + Single Glass 75 85 100 115 125 22 Double Glass 30 60 70 80 90 100 25 Windows, Infiltration less than 0.50 CFM /FT 16 ` NE & NW:' `' ' E & W' ' ' ' ° ` %' . �. 60 85 41 60 j 36 53 ,Single Glass 46° 64 ` 40 50 55 60 70 32 47 Double Glass ' " ®�' 25 30 35 40 45 80 Infiltration less then 0.75 CFM FT 50 60 37 30 65 40 33 Single Glass S 45 50 60 65 75 35 ` Double Glass 35 30 35 40 45 50 ' Other Windows ` j Single Glass 75 90 105 115 130 N Double Glass, f 20 117 60 70 80 90 105 15 Fixed or Picture Windows E. 11 20 14 114 NE & NW E & W _. 1 '' Single Glass 33 48 143 40 50 55 60 70 ' Double Glass 35 50 25 30 ,35 40 '45 Y Other a , 35 50 ` 43- 39 140 26 25 140 Total BTUH Loss (Enter on Line 2,'Pege 2) 29 YS yam • '�, 30 a' WINDOWS & ....: GLASS DOORS ' AREA SQUARE FEET'.. COOLING MULTIPLIER (CIRCLE) , COOLING' (BTUH;` "' GAIN)y•. ` SINGLE GLASS DOUBLE GLASS 900;; .45_0.'. 900 95 •C. T.' R C T R C T R Cjj T I R No Shading 3 , / N +• / f *6 t ` -2 30 22 20 30 26 + 25 20 14 13 25 17 16 ` NE & NW:' `' ' E & W' ' ' ' ° ` %' . �. 60 85 41 60 j 36 53 65 90 46° 64 ` 41 57 50 70 29 44 24 36 50 75 32 47 27 39 ' " ®�' ' 'SE & SW ®x c m ` 75 51 45 80 bb 50 60 37 30 65 40 33 S 86l x b 45 31 28 50 35 ` 33 35 21 118 40 124 121 Draperies or Blinds ` N 20 117 16 25 21 j 20 15 11 11 20 14 114 NE & NW E & W _. 35 55 33 48 143 30 40. 55� 37 52` 34 47 30 45 22 32 21 30 35 50 25 35 24 33 ' SE & SW :`%'.". 45 39 35 50 ` 43- 39 140 26 25 140 29 28 ;S 30 26 24 301 30. 28 25, 17 16 125 20 •19 Roller Shades --77777 N 25 19 17: :25 i 23 : 22 20 12 11 20 15 14 s : NE & NW.. 45 36 32 � 501 40, 37 40 26 22 45 29 25 E &.W "- 65 53 47 '70 57 51 55 37 32 60 40 35 55 144 39 ' '60' 48 ' 44 50 32 27 50 35 30 S 35 28 25' "40' 32 30 30 ZO 16 35 23 19 Awnings, Porches, Etc. All Directions 25 22 20 30 26 25 1 15 14 13 20 17 16 Other Total BTUH Gam (Line 2, Page 2) ::::$:i:' In •. f. a. }: :.: < >.... :.`..5::S':: j;:$ : !. % :'xcc�c: u. 'l4•i`:'' >i 1 MANUAL "J" t°:. riser T • Tinted Prepared By: �C l�i°il °il Cl e o s or • I TOTAL HEATING AND COOLING REQUIREMENTS Page For: 2 • Name: �-,Q &C s r d- 'Cd1 -7-14 / r7A-Or,X Address: Q 9 21A L-2-3 -3 S,7' City: - I jj, ; j 14, g- fY 4 rLo DESIGN TEMPERATURE DIFFERENCE '2C0 An* ACS Fno on DESIGN TEMP Yn =F �a ITEM ' AREA SQUARE . FEET -- - HEATING MULTIPLIER (CIRCLE ONE) HEATING (BTUH LOSS) COOLING MULT. (CIRCLE) 'COOLING (BTUH GAIN) Gross Wall Area ��<�.. ''r. « <� •`�w• Glass Area From paae 1 2 ;;- ,.,.:: ^: ,,,,.,.,:,,.'<, :�..,>..•t.. »,.�: Partitions, 6.5 10.0 Finished 1 side No Insulation 17 19 22 25 28 Finished 2 sides No Insulation 9 11 12 14 16 4.5 6.0 Finished 2 sides, R -5 4 5 5.5 6 7 2.5 3.5 . Finished 2 sides, R -11 2 3 3 a 4 2.0 2.5 Other Doors (Excluding lass • :.w::n : "C:?;.,o•.:..•p., :'�:z�..'�• ?: .;.:_ : <':. %ziy .:q;;tl. 200 : ��,.� .,v.;. \i: ^.:::i: 225 :£:v:. <,�t�� <:zv: ,.,. ....:;tt^ 10.0 - .:^.v+.,• •: 13.0 No weatherstripping `' `° 135 160 180 1 L Weatherstripped 70 85 95 110 120 10.0 13.0 R -5 Insulation, No weatherstripping 123 144 164 185 205 4.3 5.5 R -5 Insulation, weatherstripping 68 79 90 1101 113 4.0 5.0 Other Net Exterior Walls `t ?;e 9 '`:%�3,.,> a:s':i':'.:�y 12 } ,,Cr�'':<'°•;` Y13 <6i:'t'. 14 ^+.,��,�3+:..a,. ;�,:�,� � ��6.0 CBS Furred No Insulation � 4.5 / CBS Furred R -3 Insulation 5 6 7 8 8 3.0 4.2 CBS Furred, RA Insulation 4 5 6 6 7 2.7 .8? CBS Furred, R -5 Insulation 4 5 5 6 6 2.5 3.5 Frame, No Insulation 8 `9 10 11 13 5.5 7.0 Frame, R -11 Insulation 2 2 3 3 4 2.5 3.0 Frame, R -14 Insulation 1.5 1.7 2 2.5 3 2 2.8 Other Cellina under attic Ri oof x.::a'h >.:. .... �.h :.r >` 0110 ` No Insulation OD LT W 1 181 24 27 30 9 7 U018.5 G� R -11 Insulation DK LT 2.4 2.8 13.2 3.5 3.9 2.6 2 3 .5 R -19 Insulation DK LT 1.5 1.7 1.9 2.2 2.4 1.5 1.5 2 11.5 R -22 Insulation DK 'LT 1.2 1.5 1.7 1.9 2.1 1.5 1.0t1.31.0 R -26 Insulation DK LT 1.1 1:3 1.4- 1.6 1.8 1.3 1 R -30 Insulation DK LT 1 1.1 1.3 1.4 1.6 1.1 .9 Other Floor, Concrete Slab Perimeter Ft. No Edge Insulation 35 40 40 45 45 0 0 Other Subtotal s: >.�:y,. �g.�"';:,• >:Y v ,.. ' •r, ,•C. .: ,;�•"u•`:,.. ' .9,.,• •=i' "r.•t>;:... v i. %<Y:; .:t �:....,Y,,: ui�`' .. }+•Y•' +,CS'O: >:? %��';fi t.n /ii ...h ?r �A:: ve .n �J+i% •:: "��,x�'t�. `_: ; :s+ People P le @300 &A PP 1. @1200 {,.:, �;;�:,µy by :•5>Ytn. <.`5.. •P• ^%:4 ,':•.hL.i4 ws ;. ...m,: i3Oi ?•. S�mQ • Sensible BTUH Gain Duct BTUH Loss &Gain ,.,,�: 2 In Flex. or 1 In. Rigid r: .. „•. .075 • 1% In. Rigid .075 Total BTUH Loss y ':; s'� s S ? �^ >�Y:' . t>• "�•.•�=Z;s�,a�s�,t' ,�:a `..t t .:?.•3: • • x a . `� � .,:i:3•"dt,. 5 :?•..+a.'.?"A �.«;t:, ,`::?�,. • 4., Subtotal BTUH Gain '=s >.' ��,�::�i. ;�.::xz ::;_ :> :s a�} ' :E. '& ':u > >> ; �'�� a�' �t:. .:s•::�� <,..a;��.�'ri<.::•:..::i :•.y. .� ..,.. '.:.. ,Kid: %+Y. .,.. �:.. ,:• .'�,'.';,:.�..,h+!'a°<L a »a;�: �.. :.y f `v. =Jwmg .`•�6.`St.9 ?. , }. .:j�l..•?a Total UH Gain a Calculated Heating Requirements Size of Unit Chosen ... . • Oversized • Undersized , , , , , , . , , . •-� tic 1 BTUH Calculated Cooling Requirements BTUH BTUH Size of Unit Chosen . • , . , , , , BTUH % Oversized , , , , . , , , , -3 Z. '4 Undersized , , , , , , , , , , .:1 • RobjEjVr4_ 6ATj+Y r�68jwy_ io3, sr A, 1�5 c F,-k T /LAS aed I 50 Ac>", F ly 0 in 14 , 0.11 A,8 0 & 01 S" I T g5 to r i 14 UP C_ 1'4 41 0.11 0 & UP C_ 1'4 41 aiami Jbor=! lI rge / L O R t O Sec. 5-1.1. Air conditioning regulations. (a) 411 individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. Units installed over public property, paths of egress or, more than ten (10) feet above grade shall be secured to the struc- ture by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields or similarly rot - resistant fastenings. (b) The following special requirements shall apply to the con- trol and regulation of noise nuisance &*m air conditioning machinery: (1) All equipment, existing or hereafter installed, regardless of location, shall be maintained in good working order. Equipment so located that normal operating noises create a nuisance to adjacent owners or occupants shall be pro. vided .h soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure maintenance of a rea- sonable noise level. (2) All equipment on outer walls, on roofs, or in other exposed locations, which are unduly noisy, and which causes valid complaints from adjoining property owners or occupants, may be required to be relocated, redesigned and.'or en- closed in noise - retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. ,(3) Special consideration shall be given to the planning of all future insthllations to minimize the noise nuisance to ad- joining property owners or occupants, and the building official shall have authority to reject or require the rede. sign of any system which, in his opinion, would cause such a.noise nuisance. (c) Violation of this section shall be punished as is now or may hereafter be provided by law. (Ord. No. 299, § § 1 -3, 2- 21-61) I bave read the above ordinance and will ccsply with the regulations the eof . owctks iSignatu =e MIAMI SHORES VILLAGE PLUMBING. INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ Date- _ -- - ---- �_�------ _ - - -•- Application is hereby mad f�tapplicatian the approval of the detailed statement of the plans and specifications herewith su itted for the building or other structure herein described. is made in compliance and conformity with the Building Ordinance Miami Shores Village, Florida and all provisions of the Laws of the S to of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be co lied with, wheth _ erein specified or not. A copy of approved plans and specifications must be kept building during progress of ;work. Owner's Name and Addr4 Registered Architect andh Employing Plumber's Nan Location and Legal Desc r Street and Number where State work to be performe New Building _...... - -__— - -- Size Septic . Type of TAnk `_.--- -Capad Feet of Drain Tile._-.-__ _-- -___ -- _�. i)Ist. Feet of Tank or Drain Field from WeIL___ _ - - -- ___ ............. Nature of Water Supply: 6�ty— Well. _ _ Size of Soakage _ a Amount of Permit The undersigned app cait_f5r-th -bu ldt.,Q Dermit does hereby �at'Ke understands and accepts his obligations as an•employer of lallor under the Florida Workme ds Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has . Plied with the provisions t 2ereof, 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 snb�contra s, on work to be performed under this permit, as an licensed by Miami Shorsas,Village. I , -"" . Plumber.... STATE OF FLORIDA, . ss. ) COUNTY OF DADE. Before me, the under dgned authority, a notary public, duly, authorized to administer oaths and take acknowledgments, personally appeare to me wellknown, 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 fac therein by him stated are true. My' h�mon firm 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 Paul materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLO66Ta TUBS SHOWERS TORIES SINKS SINKS Tuesi URINALS BASIN DRAIN FOUNT'NS FIXTUREI CONTR. LIST CHECK - SEPTIC SEWER I DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic . Type of TAnk `_.--- -Capad Feet of Drain Tile._-.-__ _-- -___ -- _�. i)Ist. Feet of Tank or Drain Field from WeIL___ _ - - -- ___ ............. Nature of Water Supply: 6�ty— Well. _ _ Size of Soakage _ a Amount of Permit The undersigned app cait_f5r-th -bu ldt.,Q Dermit does hereby �at'Ke understands and accepts his obligations as an•employer of lallor under the Florida Workme ds Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has . Plied with the provisions t 2ereof, 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 snb�contra s, on work to be performed under this permit, as an licensed by Miami Shorsas,Village. I , -"" . Plumber.... STATE OF FLORIDA, . ss. ) COUNTY OF DADE. Before me, the under dgned authority, a notary public, duly, authorized to administer oaths and take acknowledgments, personally appeare to me wellknown, 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 fac therein by him stated are true. My' h�mon firm 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 Paul materials and /or workmanship. MIAMI S H ORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT' {� b, PPLICATION FOR ELECTRICAL P RMIT ; Permit r ��.., .. «... Date.......!. Application is''bereby ma e f structure herein desen r the approval of the detailed statement of the plans and•, specifications h r submi �d'for the building or other . application is made in compliance and conformity with the Building O anee.of Mi mi Shores Village, Flosidal, and all provisions of the ws of the State of Florida, all ordinances of Miami Shores Village and all rul and regulatiogs of the Building. Division: of Miami Shores Village be complied with, ;whether, herein specified or not. A copy of approve7plans and specifications must be kept at building .during progress of w Owner's Name' and Addre&s.. rk. / �j ) « �» .. .... . «.... ..a.......... «......w...No.« _: 4_- ..1. -... wll .:Street...l...D. . «.... «.. .... «.... . Registered Architect and /or _. w - .... ir... ».... «.... ...... _ ..... i IE ' eZRA Employing EleUctrician's Nam.... ..... :.. :. .... :.... ...No ... ..:street 'Location and Legal Descripti n Lot ....... « .......... ............................................... « Block...:.... .:............ i...Suladivision ..................... ..... «... ' r Street and Number where wok is to be performed— No ...................................... ..... ... . «:. » «.. «w... «...: «.Street. .... .. «. «::......., ..... ....:.... State work to be performeq and purpose. of building (By Floors)......... ............ .... « ..w.« . «. «.. ;. «... «:..w. «....... «...:w.... .......... «....... New Building.: ».w. .... :' ...Remodeling .......................... ..:Addition.% ......................... Repairs...........1h... ___..No. of Stories. .................... 1i SWITC OUTL&S -LIGHT. OUTLETS' ,PLUG CE'P'rS FIXTURES NO. LAMPS REFRIG.� OUTLET IRON OUTLET RANGE OUTLET RANGE -CONN, - -WATER HEATER W. CO BAT: N. :...SPACE !;' HEATER STRIP 14MATF-R iOT�1L LIST CHECK ENT. SW. DIST. -' CAS. - ERVIca TEMP. SERVICE PERM. MOTORS Od HP - MOTORS .1s HP NEON - TRANS. RADIO TOTAL Comm LIST CHECK Overhd S Underground ' M.. ............ s....Service ....Main Fuses ..,........ Type of Installation —Goad ' t. w ................... Tubing.Ae!� .............. B:X.L... ........ .... .:Metal Mouldmg,l. .... w....... w. «.... ...« «. «.�. «... «. «.« .. ; «.w........... 1 ... .. .... ......... .................... . ..................... ........ ».: ». « «« «... r tF,. » w.. w (.... «...w..w.... «...... « « «. ».w ..i.. w .i «.w..... ».......» Amount Pe�r � ..i. ... .......w..«.. ...» .............. i..w ..... «........ ..... w.. � .}...:. w.� �... w... «. «.w. .. ........ '(Signed) ah: ofi l t ° .. «. ............ w . .. ... » ..« ....... « ....!`...... « .. «. E.. leet.r.i. e d Isp«ec..t« o r. The undersigned appliiant for this building permit does hereby certify ►at he understands and `accepts his obligations as _ an employer of labor under tt�e Florida Wo kmeri s Compensation Act, being Section 5966, ;'Compiled General Law of Florida Permanent Supplement, an'�d ,has complied•' ;kviith the provisions thereof, and ' will require similar compliance from all contractors ot subcontractors employed' by him in the work to. be performed under this permit; and will post or cause to be .posted for inspeon on the dit4 of the work such public notice or notices as are required by the Act. The .undersigned agrees to employ only such subcontractors, on wqA to be performed under this permit, as ai+e licensed by Miami Shores Vj ge. (Signed)-.- . .....: Ii � Master. Electrician. i STATE OF MORIDA, ; COUNTY OF DADS. as: . Ily Before n}e, the and fined authority, ;a notary public, duly authorized to . 'adminfster • aatl� . and take acknowledgments, person appearedw «_. w... «..... ... w... ..,� «w .. »..... «...... «w .it.. ... ...a • .sworn �4, , well wn who to me and m i n an says a is the bein e f rat .dui .0 oath deposes d that h g by Y lm elms ys « I of the above '. escribed co ction, and he has carefully read the foregoing application, and . that e did sign the same, and that all facts therein by him stated are ...TF... ... My Co III « . ». .. ................... on Expires « No Public, State of Flonda w .fee NOTE: re -inspection of $1.00 will be made when such re-inspection is made necessary -1 improper notice for inspection, or faul� materials and/or workmansb MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No—la2n . I.. ».... Date. .�... »........ Application is hereby made or the approval of the detailed statement of the plans and specifications he, bfor. the budding or other structure herein described. application is made in compliance and conformity with the Budding Or Shores Village, Florida, and all provisions of the Law i of the State of :Florida, all ordinances of Miami Shores Village and all rules and regulations of the Budding Division of Miami Shores Village sh 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..... ............. ,Arstreet...)..P ».d. ........................... Registered Architect and /o En er ............... .......................... Employing Electrician s N ��e .....:. ^� t. ).......................... No .......... .... »... »........... Street ................................................. Location and Legal Description Lot...:.. » .. ................... »..... »..... ._.....................Block....................................... / .. Subdivision : + .. .. ......... . Street and Number where work is to be performed— No .................. ........................ »..Z... &Z.Street.... .�..ed� ... _ ..................... Statework to be performed and purpose of building (By Floors) ......... » .......................................».»»..»........................»....».»....».... ............................... New Building.... ..... .... Remodeling ..................... » ..... ». Addition . ............................ Repairs»». ..... ............ ,.....No. of Stories,................... Overhead Service Underground Size Type of Installation—.10o Amount of Permit The undersigned applk labor under the Florida Wi has complied with the pro, work to be performed unde as are required by the Act. licensed by Miami Shores STATE OF FLORIDA, ,.Conduit. .... .. ..... »..Main Sw ........... ...................Amps. ».. ................Main Fuses... ..... .... Amps .Tubing ... ......... ......B.X.L.................... »...Metal Moulding......... .. ... ......... ». »................... ..... - - ------------- .......»------------------ ----- --- ---- -- --- -- •---- ---- - - - - --- lot - - - - -- . ... Z�./. ..... . ...... .. . .......... . ».........»....»....» ............... ................... »........... (Signed)........f�'' ..:.: :......:. .: : . »... Electrical Inspector. at for this budding permit does hereby certify that he understands and accepts his gationa as an employer of kmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent ;Supplement, and lions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices The undersigned agrees to employ only such subcontractors, oa work to be performed under this permit, as are (lags. ( Signed) ............ ».. » ............. ».... - -- --- - -- H. ».--.. ....... Master Electrician. COUNTY OF BADE. 86. Before in% the unde signed authority, a notary public, duly authorized to administer oaths and take 'acknowledgments, personally appeared...... ...... ».. ». ». » ...... ....... ... ... .».» ...... » ............... » ................. ..»» ...... _ ...... .. .... .. .... .......»»....:........ ... ......... .....»..:....».». ... _. ... ........................ to me well known, and whi being by me first duly sworn, upon oath deposes and says that he is the ».... ».....• .. ..».. .. . ... .. _ ............ .......... »... of the above described co ction, and he has carefully read the foregoing application, and that he did sign the same, and. that all facts therein by him stated are .... ......... ........».;».....»........»..........»...»..... ............................... ....................... ».... .. .... a. ... ........................ »..... ». »...,.... My mission Expires Notary Public. State of lorida NOTE: A re inspectio fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or wor p. SWITCH L10N7 PLUG FIXTURES REPRIO. IRON RANGE RANGE WATER W. HEAT. SEACL TOTAL OUTLETS OUTLETS RCE'P'T's No. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN, WATER HEATER' CONTR. LIST CHECK ENT DIST. SERVICE SERVICE MOTORS MOTORS 'NEON RADIO SW. CAB. TEMP. PERM. 0.9 HP 1.8 NP TRANS. .TOTAL CLIST LIBr —86-- CHECK Overhead Service Underground Size Type of Installation—.10o Amount of Permit The undersigned applk labor under the Florida Wi has complied with the pro, work to be performed unde as are required by the Act. licensed by Miami Shores STATE OF FLORIDA, ,.Conduit. .... .. ..... »..Main Sw ........... ...................Amps. ».. ................Main Fuses... ..... .... Amps .Tubing ... ......... ......B.X.L.................... »...Metal Moulding......... .. ... ......... ». »................... ..... - - ------------- .......»------------------ ----- --- ---- -- --- -- •---- ---- - - - - --- lot - - - - -- . ... Z�./. ..... . ...... .. . .......... . ».........»....»....» ............... ................... »........... (Signed)........f�'' ..:.: :......:. .: : . »... Electrical Inspector. at for this budding permit does hereby certify that he understands and accepts his gationa as an employer of kmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent ;Supplement, and lions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices The undersigned agrees to employ only such subcontractors, oa work to be performed under this permit, as are (lags. ( Signed) ............ ».. » ............. ».... - -- --- - -- H. ».--.. ....... Master Electrician. COUNTY OF BADE. 86. Before in% the unde signed authority, a notary public, duly authorized to administer oaths and take 'acknowledgments, personally appeared...... ...... ».. ». ». » ...... ....... ... ... .».» ...... » ............... » ................. ..»» ...... _ ...... .. .... .. .... .......»»....:........ ... ......... .....»..:....».». ... _. ... ........................ to me well known, and whi being by me first duly sworn, upon oath deposes and says that he is the ».... ».....• .. ..».. .. . ... .. _ ............ .......... »... of the above described co ction, and he has carefully read the foregoing application, and that he did sign the same, and. that all facts therein by him stated are .... ......... ........».;».....»........»..........»...»..... ............................... ....................... ».... .. .... a. ... ........................ »..... ». »...,.... My mission Expires Notary Public. State of lorida NOTE: A re inspectio fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or wor p. Application is Ing or other struct Shores Village, Flc regulations of the plans and specifics Owners Name and A Registered Architect s Name and address of Location and legal des - -- ------------- I Street and Number wlu State work to be done MIAMI SHORES VILLAGE, I ;BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT made for rroN-al of the detailed statement of the plans and specifications herewith submitted for the build- hi dn described. : hs application is made in compliance and conformity with the Bu of Miami d all provisions of the Laws of, the State of Florida all ordinances of Miami Shores e man ce all rules and,' ; Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved ad be kept at building during progress of the work. taste :..... /16r4 ko T, f ----------- .......... . ........... 19 ........ ...... ------------------- _ Street- . . . . . ....... . . .................... ............... ..... . . io or Engineer A . . .... ........ reed` contractor.. W . a ....................... .................................... .......... [on of lot to be built on: Block_ ........ Subdivisf --Moo . ....... ...... ...... . ...... . .. work is to be done_.,_.,?@_1___,._ --------------------- I purpose of building (by floors)- 4W._A%T� _AAL for no other purpose. New Budding --- - - ----- Remodeling ... . ............... Addition-_____ Repairs __.._ .................... No: of Stories ....._.................... To be constructed of...., rind f f ...................... - 0 0 . ......... ... I . ........ . ........ I ....... __ Roof Covering .............................................. 77 Estimated Total cost of Improvements $..____- - - -.. A ount of Permit $..___ . _.._..._.,..._.»._._ ...... . ..... . . ...... . ........... . ...... . Zone cubage required ,11 -Plan Cubage-_ . . . . . . ...... . . . .. . . . . . ....................... Distance to next wue#t building-*.-...-.! ... . . . . ........ . . -Size of Building Lot ..... . . ..... . . . . . ....... . ...................................... Maximum live load to be borne by each floor—_ . ................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its, construction may be sent to ____ I I : I I -- The undersigned s of labor under the Flo and has complied with in the work to be perf or notices as are requir permit, as are loaned STATE OF FLORMA, as COUNTY OF DADE . I I . Before me, the peared Dr this building permit does hereby certify that he understands and accepts his obligations as an employer men's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, sions thereof, and will require similar compliance from all contractors or sub-contractors employ by him ler this permit; and will post or cause to he posted for inspiction"on the site of the work such public notice Act. The undersigned agrees to employ only such bcoii 'Rctors' on work to b y performed under this A-, i Shores Village. IU (Signed)_ . .... . authority,, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap. --.to me well known, and who, by me first duly sworn, n oath deposes and says that he is the_. - ------------ '.. . did .............. . . ..... . . and . ............... . .. . .. . of the abo!ven&W construction, thatleo has car"y read the.foregoing application, and that he did sign the some, and that an facts therein by him stated ai a tme. Permit. No. hate__,.. _ Retad, Sworn to and Subscribed before me. Disapproved Date — . . . . . . . .......... Notary Publi% State of Florida (Signed) ... . .... Budding InspecW My Commission Expires_-_-... . .. . ......... . PLANNING BOARD _.__---------DATE Chairman Member - - — ------ Member. Member . . ....... Member ...- ..._.»»_ Member Council Approved--. Disapproved - - - ------- - ------ - --_---------------- ----- --- ---- --_.--- .- - - - - -- -Date NOTE: A charge of $1.00 will bet 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 Application Is ing or other struct Shores Village, FIc regulations of the plans and specifics Owners Name and A Registered Architect a Name and address of Location and legal des . . 190 ft I A Street and Number wl State work to be done s® 03 A - . 1%. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- .in described. This application is made in compliance and conformity with the Building Ordinance of Miami d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and r Division of Miami Shores Village shall be complied with, whether herein ed or not. A copy of approved ust be kept at building during progress of the work. AAss 09 Date.. f - — - ------- - . .......... ss..• . No.- JY-- Street�Ae.J-10.1.*.5t, itEngineer ...... ..... ....... - ------------ - - A'W-i * ------ * --------- - -------------- - ---- * ------- - -- --------- ised contractor - -_ 211 .............. mj��. ..... . .......... . ..................... . .. . ...... ion of lot to be built on: Subdivision_/ jk® I A . . ....... . ..... work is to be done ....... A-wj- I purpose of building (by floors 2+® ®a- .AR" /a' ........ —._.._and for no other purpose. New Buildi ---------- Remodeling .......................... Addition.4m,0.0 - - -----------.Repairs. ............ . ........ No. of Stories.... To be constructed of--� --- - ---------- Kind of foundation.. . . . ................. . ........... . ........... Roof Covering ----- d -t.Ar) ..... 4 Estimated Total cost of improvements of Permit $------- - . . . . . . . . . ..... . . ..... . ....... . .... . .... Zone cubage requiredt Cubage--...--.' . . . . . . . ....................... Distance to next nearest! -of Building Lot_ ................ . ........ . . .......................... Maximum live load to be borne by each I hereby submit all the plans and specifications for said budding. All notices with reference to the building and its construction may be sent The undersigned ap Hcant for this building permit does hereby certify that be understands and accepts his obligations as an employer Of labor under the Floria Workmen's Compensation Act, being Section 5966, Compiled General laws of Florida, Permanent Supplement, and has complied with t e rovisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be perfo eX 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 require by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed b Miami Shores Village. 1 Remarks ---1 - (Signed)- Z 0-1. STATE OF COUNTY OF DADE. Before me, the u peared and who, being by of the above descri therein by him stat( Permit No.- Disapproved (Signed) ---- I authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- me well known, duly sworn,'upon oath deposes and says that he is . the..-_ --------- ii ...... *"'-'-'d .... * ........ — ---------- I ------ ii.- truction, that he has carefully read the foregoing application, an that he di, sign the same, and that all acts mad, sworn to and subscribed before me. Notary My Cotagdssion Chairman-------.--- .._._.. «.. . ........ • ... «.... «.. «.. 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. II ' ~ . ~- __ ' r` Permit No.....t1.. ° .�.s. Application is hereby ma de structure herein descril3ed. and all provisions of the Las of Miami Shores Village building during progress of MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,;APPLICATION FOR- ELECTRICAL PERMIT . �......... Date.......a�...» �. ........... ...................... or the approval of the detailed .statement of the plans and specifications herewith submitted for the building or other This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, a 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 ork. .. Owner's Name and Address i.»."�.......:..�:'P'�?:.. .........» ............ No ....... � $ . � :.fir :...1`�.�treet� ..1�» . .:...................... Registered Architect and/o Engineer . ............................... .......:..........._. _..... »....... »......... »._.. »» ........... »..... ».... ». » «... , .. », ®. Employing Electrician's Name ...... - �° ............ .�...................._ ...........No.....5�!y ... ,»»....»....:$treet... ZJ /— W....7- . Locationand Legal Description Lot ......» : .................... ............. ..... ............... Block ........... ... »..................... Subdivision. ........ ........................ ......... Street and Number where w3A is to be performed—No ...... /Q.1!.... — ......Street ... » ...:. ............................ ».. ............ 'r State work to be performed aid purpose of building (By Floors) ....................................................... ... ........ ... ... ...... ..__._»___. ... ............... ............. ', ,New Budding ........... _. .......... ..... Remodeling ....... .............. .».._. Addition._ ............................ epairs ......... , ._ . .Na. of Stories.................... SWITCH I LieNT PLUG FIXTURES REPRIG. IRON RANGE RANG11 WATER W. NEAT. ggACE STRIP TOTAL = t% OUTLETS OYTLa78 EOe,wr , No. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONK. HIYATER HEATER S I Il to CHECK Amount of Permit The undersigned app labor under the Florida has complied with the p1 work to be performed un, as are required by the A licensed by Miami Shores STATE OF FLORIDA, COUNTY OF DADE. Before me, the and - -- - Electrical Inspector. ant for this building permit does hereby certify that he understands and a his obligations as an employer of irkmen's Compensation Act, being Sectipu 5966, Compiled General Laws Florida Permanent Supplement, and 3Wons thereof, and will require similar compliance from all contractors or subcontractors employed by him in the this permit; and will .post or cause to be posted for inspection on the site of the work such public notice or notices The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are 'illage. (Signed)......_... ...... »..... ......... Matter »Electrician. authority, a notary public, duly authorized to administer oaths. and take acknowledgments, personally to me well known, and whip, beiag by me first duly sworn, upon oath deposes and says that he is the-- .............................. _.».,...:.................._... of the above described co n, and he has carefully read the foregoing application, and that be did sign the same,. and that all facts therein by him stated are .................. . » » ...... ... ». ........ ._..»» ... »........ My mmieaion Expires Notary Rblic,State of Florda NOTE: A re hapeclo t��n fee of $1.00 will be made when such M in$peW" is`made necessary by improper notice for Inspection, or faulty materials and /or workman iip. ENT. SW. DIST. CAD. SERVIca TEMP. SERVICE PERM. MOTORS 0.1 H► MOTORS 1.5 HP NEON TRANS. RADIO Torm. CONTR. B A FtSL LIST CHECK ® Zp , tj C4,74 Service Overhead r und Size rui...............Main Sw .........._................ .Ampa........:..........:.Maier Fu ..... _ . Type of Installation-- Coa...» ........... .. ..... Tubing........................ B. R. L ......................... Metal Moulding. »....._._ _.......... ...... »�ps Amount of Permit The undersigned app labor under the Florida has complied with the p1 work to be performed un, as are required by the A licensed by Miami Shores STATE OF FLORIDA, COUNTY OF DADE. Before me, the and - -- - Electrical Inspector. ant for this building permit does hereby certify that he understands and a his obligations as an employer of irkmen's Compensation Act, being Sectipu 5966, Compiled General Laws Florida Permanent Supplement, and 3Wons thereof, and will require similar compliance from all contractors or subcontractors employed by him in the this permit; and will .post or cause to be posted for inspection on the site of the work such public notice or notices The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are 'illage. (Signed)......_... ...... »..... ......... Matter »Electrician. authority, a notary public, duly authorized to administer oaths. and take acknowledgments, personally to me well known, and whip, beiag by me first duly sworn, upon oath deposes and says that he is the-- .............................. _.».,...:.................._... of the above described co n, and he has carefully read the foregoing application, and that be did sign the same,. and that all facts therein by him stated are .................. . » » ...... ... ». ........ ._..»» ... »........ My mmieaion Expires Notary Rblic,State of Florda NOTE: A re hapeclo t��n fee of $1.00 will be made when such M in$peW" is`made necessary by improper notice for Inspection, or faulty materials and /or workman iip. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEW APPLICATION FOR PLUMBING Permit Date___ Application is hereby de or the approval of the. detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe& application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Levy i of the State of Florida, all ordinances of Miami Shares Village and all rules and regulations of the Building Division of Miami Shores Village sha be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work- r1\ J J Size Septic Tank_._. �° Type of Tank----- -._�� c -� `� _ __.Capacity L Feet of Drain Tile � ''! Feet of Task or Drain Field frcao4 Well-- .__._. _.._...._...... Nature of Water Supply: —Well Size of Soakage Pit_________ Amount of Permit (Signed) Phmnbing Inspector. M The undersigned appli t for this building permit does hereby certify that he understands and accepts his o � tioas as an employer of labor ender the Florida Workmen' Compensation; Act, being. Section 5886, Compiled General Laws of Florida P t Supplement, and has com- plied with the provisions eof, and will require similar compliance from all contractors or sub - contractors ployed by him in the work to be performed under this permi 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 We Act. The iindersigned agrees to employ only such sub- contractom on work to be performed under this permit, as are licensed by Miartsi Shores V111age. G y 1 (Sind)— `- T it Plumber. STATE OF FLORIDA, COUM OF DADE. j Before me, the undersigned authority, a notary public, duty authorized to administer oaths and take acknowledgments, personally appeared to me of the well known, and ho, �g by me first duly sworn, u�n'oath and.says that he is the _.__ ._ _...---- ... - -- therein by him stated are that has carefully read theregoitsg application,' and that he did sign the same, and that all facts My Co. Expires Notary Public, State of Florida NOTE: A re-inspectior fee of $1.00 will be made when such minspecan is made-necessary by improper notice for inspection, or faulty materials and /or viodinansib I i ✓ � ��' Owner's Name and Address ��' ' No. _ Strom Registered Architect and /or — _ - -- Employing Pi's -Name No. Street-•--- Location and ),legal Descri On LOL Block Subdivision Street and Number where w k is to be performed—No- State work to be performeS md purpose of budding (By New Building __ _ RemodetcTg w. Addi _- Repairs _ — ...._._. _ No. of CL08ET8 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING- FOUNrNe TOTAL FIXTURES CONTR. LIST }—f- CHECK SEPTIC SEWER', DRAIN .SOAKAGE - GREASE' !SOLAR DEEP SPRKLR.. SWIM'G - TANK CONN. FIELD PIT TRAP HEATF-R WELL SYSTEM POOL CONTR. LIST -_ CHECK Size Septic Tank_._. �° Type of Tank----- -._�� c -� `� _ __.Capacity L Feet of Drain Tile � ''! Feet of Task or Drain Field frcao4 Well-- .__._. _.._...._...... Nature of Water Supply: —Well Size of Soakage Pit_________ Amount of Permit (Signed) Phmnbing Inspector. M The undersigned appli t for this building permit does hereby certify that he understands and accepts his o � tioas as an employer of labor ender the Florida Workmen' Compensation; Act, being. Section 5886, Compiled General Laws of Florida P t Supplement, and has com- plied with the provisions eof, and will require similar compliance from all contractors or sub - contractors ployed by him in the work to be performed under this permi 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 We Act. The iindersigned agrees to employ only such sub- contractom on work to be performed under this permit, as are licensed by Miartsi Shores V111age. G y 1 (Sind)— `- T it Plumber. STATE OF FLORIDA, COUM OF DADE. j Before me, the undersigned authority, a notary public, duty authorized to administer oaths and take acknowledgments, personally appeared to me of the well known, and ho, �g by me first duly sworn, u�n'oath and.says that he is the _.__ ._ _...---- ... - -- therein by him stated are that has carefully read theregoitsg application,' and that he did sign the same, and that all facts My Co. Expires Notary Public, State of Florida NOTE: A re-inspectior fee of $1.00 will be made when such minspecan is made-necessary by improper notice for inspection, or faulty materials and /or viodinansib I ppp- . c#� . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby Onade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure her in described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores �'iIlage, Florida, an l 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 pp grass of the work. Date..._... Owncr s Name and Address Gl.. aL. ».1...i* --- ------- -.. »..._»_. No.... .....»... Street.�...�.�.. Registered Arehieect and /or Engineer ... ...................... ». ` »... «recnsr „.r+s+ yes. e:nsmn ...- ....... ....... emesm�xr. es: . ............................... Name and address of licensed contrpctor.. _.t..�_.� ---- -- . d.�. .. .5 ----------------- .. ».. »......»..:.�.... _.. Location and legal description of Iot to be built on: L D'_0_9.45'. ...�..� _..... Block. »..1. /... ».» Subdivision__-....__ ,�u/bd�ivision.. off' ... »... »....... ` ' .» ......................_ .. . Street and Number where;work is to be done__...6zq.. �. tom. ''�. a h 1 `5 1 .... ». »... State work to be done and purpose of building (by floors _. ._........ »_ » ».._ .. _..» .................. ».._ »._�_°�._ »_ . ». _ .. ._..._ ».._ ..............._ »_ »__ r » . » ...» ._»._.». »» ». ._.....and for no other purpose. New g......._. ................... . Remodeling ... _ » .......... ...... . Addition. _.. 4 ........ Repairs:...._.................. No. of Stories...... ... ... ......_ To be constructed of ... ..................... . ... Kind of foundation .... .»»..-._ ...................... .. ......... _ .......... .... Roof Covering ............... ................ ......_ ..... Estimated Total cost of improvements $ »._.s _A,mount of Permit 9 .» ..._ . ... »........_ ............... Zane cubage Plan Cubage... »..... _......._. ».... _.. Distance to next nearest building .............................. »._ .__-----Size of Building Lot ....... ».._.».__»-._-.» ..... » ...... ... ................ _.__._ Maximum live load to be borne by each floor_--_...._-_»._.._.----- .... - .... __ ........ . ....... ».__.. ... ».. »r.-..-..-_-- ..... _ ..... .. .... _ ................ ............. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ............................ .................................... -_ .......... .................................................... » .................. _ ......... ....... ........ . .......... - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subegitractors, on work to be performed under this permit, as are licensed by Miami Shores Village. _ a (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 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 trite. Permit No. `Z�rap »__....... Date.... -2° -z � � Read, Sworn to and Subscribed before me. Disapproved . » _ _. ... Date _ ... ...... _ ...... ....._ ..._... . »..... No Pubh State of Florida ( Signed) . ». _ Building Inspector My Commisdon Expires..»..._..»._._.»._._._. PLANNING BOARD ._DATE Chairman .._ ...... ........ ........ _ _ ._ . ._ .__ .. Member »....»_ ... ..._.. ......__ __ Member...___ ... _ ........ _..... _ _ ....__.... ... ...... Member »...._» ..... ......�» ......- » . »..» .. Member .. ... ............. _._ ._._ _ _.... »_ . _ Member .. »..... _ Council Approved_........ Date Disapproved _ .. _ ». .....». »... ».._ .. ».._ .... »..Date NOTE: A charge o $1.00 will be made for making corrections or changes to this application after appro%ml has been obtained from the Plannin;; Board. A re- inspection fee if $1.00 will be charged when such re- fnspection is made necessary by improper notice for inspection or faulty �. materials and /or workma ishup. i • PLOT.PLAN Boom "M J 0 1 ' r I 75 NORTH ARROW X LA 3 ST., TERR., AVE., CT., PL. NO SCALE Legal:, Lot No. 120 2 & Block No. 1 3 Subdivision SEC. TWP. RGE. or Metes & Bounds .Plat book and Page No. NOTE: 1. Show existing buildings and additions. 2. Show distance from property lines to buildings and /or new additions. 3. Locate septic tank or sewer and electrical service. 123.03-P4 -rf- 0 �Ff-:- M i CS M.B. B.D. FORM 1 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT the build- Of Miami Florida, rules and p ' ji" Application kalii approved Dole. Amu st 282 19 0 - .,._,19.. -.- Owner s Name and Addi ! Mr. Kotte 6 N.E. 103 Ste ------ No.---- Street----------'.."--- Registered Architect and/or Engineer---- .__________ - - -__. - — - - ---------- - ---- - - -- . ... ....................... Name and address of licensed contractr----Qr-kjn Ar 1 1960 UU, a -27 Av Location and legal description of lot to be built on: Lot- B1ock---------- Subdivision-- Stred and Number where, work is to be done- --__ -_ 02 N.E. 103 St. State work to be done aid purpose of building (by floors) avlon Tavrl - - - - - - - --Mane 38-911 hours — ------- .-and for no other purpose. Now Budding — - ------ - Remodeling- --- Addition_------------- - - - - -- Repairs..— No. of Stories____..-_-- _..____ -_- To be constructed Kind of foundation— Roof Covering----- -- -- - - - - -- -------- - -- ----- Estimated Total cost of improvements of Permit Zone cubage -_ -__ .Plan Cubage— — - — ------ - --- - ---------- Distance to next nearest' building--.--------- - - - ------- ------ - ---- IQte—etize of Budding Lot----- -r__ — __ —_.._ _...._—_------- -- Maximum live load to W home by each floor-.-- — -------- — — - - -_- I hereby submit an 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, require similar compliance from all contractors or sub-contractors employ by him in the work to be perf ' ed 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 require by the Act. The undersigned agrees to employ only such subpputractors, on work to be performed under this permit, as are licensed b Miami Shores Village. A 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- peered- ----- - - - ------ -- - - ----- - -------- - - ---- - - —to me well known, and who, by me first duly sworn, upon oath deposes and says that he is the- of the above described 7C scribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated arei true. Permit: No. - - - 19— - - ------ Date-----2r�--13J-. 7.0- Read, Sworn to and Subscribed before me. Disapproved _Date — ---------- - - — - - — ----------- - - - Notary Public, State of Florida Ad t (Signed) ---------- Budding lusl�� My Commission Expires-------- -- — ------- PLANNING BOARD__.--...:.- -_. - -. Chairman - - - - -- Member --- - - - - -- ....... ..... ......... . Member — ----- Member ------- - --- — - - ---------- ------ Member --- - ---- — --------- Member --- — - - - ------- — --------- Council Approved---------- . --- - — -------- - ---------Date Disapproved - ------------- - ------------------ --- -- --- - --- ---------- ------- Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee I of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspeLdon or faulty materials and/or workin hshiP. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT .� APPLICATION FOR PLUMBING PERMIT Permit No._�. �� Date %J 3 0/7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sham Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of work. Owner's Name and Address_____ f�0 No. 0.. Registered Architect and /or Employing Plumbe's Name No 1 7 street Al t7 Location and Legal Description Lot Alock Street and Number whers work is to be No ��Street —. State work to be performell and purpose of building (By Pbors) /V f) -e C K NOW Building _ Remodeling Addition _- No. of Siva Septic Tank. Type of Tank __ - - - - -- Capacity - -- Feet of Drain is nl Feet of Tank or Drain Field from Well__ Nature of Water Supply: Cityr. -Wel Size of Soakage Pit-- _____._. Amount of Permit ................... Ig 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require smile compliance from all contractors or sub - contractors by him in the work to be performed under this permi4 and will post or cause to be posted! for inspection on the of the wor ch p c notice or notices as are required by tlfe Acct. The undersigned agrees to employ only such sub - contra on to perf er this permit, as are licensed by Miami Slmree Village. i STATE OF FLORIDA, p COUNTY OF DADE. j Before me, the undersigned authority, a notary public, dully authorized to administer oaths and take acknowledgments, personally appeared to me well known, and win, being by me first duly sworn, upon oath and-says that he is the-__ _ -_- ___�- .. _. -- of the above described construction, that he has carefully read theregceiag applicatiton, and that he did sign the same, and that Itil facts therein by him stated are tree. My Commission Expires Notary Pablio, State of Florida NOTE: A re-hupection fee of $1.00 Will be made when sash ro4uspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship: CLOSSTO BATH TUBS S"OwMw TORI88 SINKS SINKS TUSSRY URINALS BASIN DRAIN FOUNT NB F X TAL CONTR. Ltur CHUM SEPTIC TANK SEWER CONN. 6RAIN FIELD SOAKAGE P, an"Se TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'G POOL CONTR. LIST CHECK Siva Septic Tank. Type of Tank __ - - - - -- Capacity - -- Feet of Drain is nl Feet of Tank or Drain Field from Well__ Nature of Water Supply: Cityr. -Wel Size of Soakage Pit-- _____._. Amount of Permit ................... Ig 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require smile compliance from all contractors or sub - contractors by him in the work to be performed under this permi4 and will post or cause to be posted! for inspection on the of the wor ch p c notice or notices as are required by tlfe Acct. The undersigned agrees to employ only such sub - contra on to perf er this permit, as are licensed by Miami Slmree Village. i STATE OF FLORIDA, p COUNTY OF DADE. j Before me, the undersigned authority, a notary public, dully authorized to administer oaths and take acknowledgments, personally appeared to me well known, and win, being by me first duly sworn, upon oath and-says that he is the-__ _ -_- ___�- .. _. -- of the above described construction, that he has carefully read theregceiag applicatiton, and that he did sign the same, and that Itil facts therein by him stated are tree. My Commission Expires Notary Pablio, State of Florida NOTE: A re-hupection fee of $1.00 Will be made when sash ro4uspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship: Permit No.-Z L_Ll . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made the approval of the detailed statement of the plans and specifications herewith submitted for the building or; other structure herein described. T s application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the La of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village she I complied with, whether herein spedfied or not. A copy of approved plans and specifications must be kept at building daring progress of w k. Owner's Name and Addresses No *Street __— Registered Architect and /or $ngineer _ Employing Plumber's Name —Rose Septic Tank Co. No 2552 W. 3r ve, Location and Legal Description Lot Block Subdivision Street and Number where we rk is th be performed —No 6 9 NE 103 At - Street___— State work to be performell and purpose of building (By Flom)---- New.Building ___...._ Remodeling Addition_____ — _ _ _ -- Repairs ..- ........ _.._-- No. of Stories... Size Septic Tank__ Type of Tank __ —____— Capacity Feet of Drain Tile — DisL Feet of Tank or Drain Field from Well__ Nature of Water Supply: Cl�_Well _Size of Soakage Pit — _ — _ — ... ......... 3.00 Amount of Permit $ (Sign)) _ ...... Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral 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 rem by the Acct. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Vilfage. (Sim) Master Plumber. STATE OF FLORIDA, 1 85. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well (mown, 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 ffooregoing application, and that he did sign the same, —hat _.- fact therein by him stated are true. and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-hispection fee of $1.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty materials and /or warEmansh p. CLOSETS BATH- TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES COWM. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK- { - - -. - - - -- - - - -- - Size Septic Tank__ Type of Tank __ —____— Capacity Feet of Drain Tile — DisL Feet of Tank or Drain Field from Well__ Nature of Water Supply: Cl�_Well _Size of Soakage Pit — _ — _ — ... ......... 3.00 Amount of Permit $ (Sign)) _ ...... Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral 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 rem by the Acct. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Vilfage. (Sim) Master Plumber. STATE OF FLORIDA, 1 85. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well (mown, 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 ffooregoing application, and that he did sign the same, —hat _.- fact therein by him stated are true. and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-hispection fee of $1.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty materials and /or warEmansh p. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications most be kept at building during p%pgress of the work. 10 sq"res Date..»..».. t 33JI&S... I97fi... Owners Name and Addre� Mrs. John ,Kotte No, Street.N:E . 103rd St.M .»............�......... _ .. Registered Architect and /di En&int:ey' .......... . ... »....... ».. »............._. .......... ........................ ••:•• ••-•: sense••• em�e• n� :ne *asarnnms,mnnstx+a:s: :••• -•• Name and address of licensed contactor... 523 N.M.. 11atv-- .XiBltt4..F.a,B,....33M Location and legal description of lot to be built on: Lot_ ... .. ......... ..... ..... ....... _ ..... Block ._ ............... ...... ... . ---_ Subdivision ...- ......_ _._ ..._._.. .._...: _ .... Street and Number where 'work is to be done!($JLA. 1'� . iT.BB.ti...... ...... ....... ...... _.._ State work to be done and purpose of building (by floaars).&JftU1Jk=o =...... Z_�..•'- sheatkt3r boarda,�, din cap,l- felt to sheath3n moi 2 -1 felts t�ith_hot.esphalt and! cover with�a layer of peaa�. gravel embedded into hot poured asphalt. _ .................. _..... _ .._......................__ .... _..... ..... _ .,.......... ..._.. ........and for no other purpose. New Building ............................. Remodeling ... __ .......... ...... .. Addition................. .. RepgIrs:.._XM. ._._ No. of Stories-- � To be constructed of .........1 .................. Kind of foundation ... ».......... ........................................ , Roof Covering ..lt=P3,V..gMvB1......»..._. Estimated Total cost of improvements $..1s 0 s .._.........»» ..... Amount of Permit &.5.s:QQ. . ....»... . 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 ........................ _ a•- --------------------------------------------------------- _---------- - 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 Cenral Laws of Florida, Permanent Suppleunent, 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 per: e ormed .under this permit; and will post or cause to be posted for inspection on the f the work such public notice or notices as are required by the Act. The undersigned agrees to employ o_such su 'w to beer i ed u * this permit, as are licensed by Miami Shores Village. � Remarks .__ ....... ......... (Signed) g STATE OF FLORIDA, S. . Ga 11, President COUNTY OF DADE. ss' Lang Roofing & Tile Co., Inc. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared__ ._- _._.-- ..... __ ...... - ... - ...... . _. _ ........... .... ..... -- ---•-. ._ . ._to we well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..._ ............... _ ...... -__-_.............. _. ._---_..- ...... _.._.._ .._ of the above described co truction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. _ _ _... Date. 2 Read, Sworn to and Subscribed before me, Disapprovi ( Signed ) Chairman Member ... _.____...._.. Member ....... ............. Council Approved ....... NOTE: A charge the Plannin;; Board. A re- inspection fe materials and /or workr. Not Public. State of Florida My Commission Expires..._____._... ,» .._. ._... .•. - •...... -- .... . ____DATE Member _. _ . ___._.. .._... Member _ ........... _.... .......... ...._.- _... _ . _._..._._ ._ �._ ...._ Member .. ... .._.. ... _ _. ... ..... _.. _..» Date Disapproved .._ .. .._.-...__» .. .... ..... .. ... _. ............. ...................... Date $1'.00 will be made for making corrections or changes to this application after approval has horn obtained from E $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty Ghin. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT B Permit No.1 ? 2 O o Date......._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for 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 cmnplW with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. p Owners Name and Address... _ .� ® rfa .._...... No• _ Street. Al ! `'� Registered Architect and /oar Employing Plumber's Nome Location and Legal Descxiptign Lot nunonvymon..... Street and Number where work is to be performed-No. — ._..... Street ... . _ ... state work to be performe8 and purpose of building (By Fkaors) _.. ��..� ..__._._....._..._..._........ _ ........_ ........_..:.. - New Building . Remodeling ... Addition. _. No. of Stories :....:....... Size Septic Tmk w.- Type Of Feet of Drain T +tom s*_ Fed of Tank at Drain Field from WeIl__ --- -- -. - Nature of Water Supply: City -WO L Size oaf Soakage Amount of Permit ( Signed The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations en employer of labor under the Florida Workmens Compensation Act, being Section 5988, Compiled General Laws of Florida Pennant S plement, and llus 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 wor ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, work to performed under this permit, as are licensed by Miami Shores V� 96- I Ili Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tome well known, and who, being by me first duly swan, upon oath and says that he is the_ .___..__._..____. _ _...._ ._ ........... .. _ -- of the above described construction, that has carefully read theregemli application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Notary Public, State of Florida NOTE: A re- inspection fee of :1.00 will be made Wrhm sneh n4upeodoa is mode-necestary by improper notice for insPectim or ian* . materials and /or worinnanship. CLO SETS BATH Tu /6 SHOWER/ LAVA. TORIES SINK/ SLOP SINK/ LAUNORY Tu // URINAL{ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N/ TOTAL FIXTURE/ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SWIW* POOL I CONTR. LIST GNECK Size Septic Tmk w.- Type Of Feet of Drain T +tom s*_ Fed of Tank at Drain Field from WeIl__ --- -- -. - Nature of Water Supply: City -WO L Size oaf Soakage Amount of Permit ( Signed The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations en employer of labor under the Florida Workmens Compensation Act, being Section 5988, Compiled General Laws of Florida Pennant S plement, and llus 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 wor ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, work to performed under this permit, as are licensed by Miami Shores V� 96- I Ili Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tome well known, and who, being by me first duly swan, upon oath and says that he is the_ .___..__._..____. _ _...._ ._ ........... .. _ -- of the above described construction, that has carefully read theregemli application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Notary Public, State of Florida NOTE: A re- inspection fee of :1.00 will be made Wrhm sneh n4upeodoa is mode-necestary by improper notice for insPectim or ian* . materials and /or worinnanship. 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 heirewith submitted for the build. fng or other structure 'tin described. This application is made in compliance and conformity with the Build Ordinance of Miami Shares Village, Florida, d all provisions of the Laws of the State of Florida all ordinances of Miami Shores ViDage and all rules and regulations of the Building Division of Miami Shores Village shall he complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of the work. v (.aC til°`� ..._ _ .... ...,19..E Owner's Name and Address._ .......»» -_ -_ -_- -� - ................... , Na a. 1..-- ...�• Registered . Architect and/�b ngineer..._ � _ = --- .._..�'c� � .�`.�...�! / •--- ............. -- .... . ..._._........._,........ ........ Name and address of licensed contractor----- - - - - -. _ --- ..-- ....................» »_ ... _.»»__._..» .... _ .... _ ..... . ......... ........ Laeatioa and legal description of lot to be built on: - t le _ -_- - -- Subdivision...».'._... � � s . ,gyp � . _... Street and Number where work is to be done_.__- 1- _ -�..d_ ` C�_. State worlfi to be done and purpose of building (by floods) New for no other purpose. deling ----- - .__A ....... _._ Addition - ----- A ----- ------ Repairs.-_____ No. of Stories ....................... .. To be constructed of ...... a :................... Kind of Estimated Total cost of improvements $____, ??»� Amount of Pennit $ ' W C3 Zone ubage required._._..____. ; » _ __ N _. Plan Cubage _ �� L's c--- _ ---- .,,�'° Distance to next nearest building_ _ ._ »_--- - -. - -- _.. __ _ ._Size of Building Lot -_. _.w . _ _.._.... ........ _ .............. .. .. Maximum live load to be borne by each floor---- I hereby submit all a plans and specifications for saidbuilding. All notices with reference to the building and its construction may c , -- o P a G� be sent to"�_ ;,- _ : .»-------...._ .................. ...--- .....------ ••------ - - - - -- The undersigned ap licant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the a d Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement, and has complied with a rovisions thereof, and will require similar compliance f all contractors or sub- contractors employed by him in the work to be perfo ed under this permit; and will post or cause to be post for spection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only .su su ntr rs, on work to be perfofed under this permit, as are licensed b Miami Shores Village. Remarks _ ( Signed) _»_ �.--- STATE OF FLORIDA, COUNTY OF DADE. SL Before me, the peared and wb% bein -by one first d the above cam thdnft by Id1nta are" n public, duly authorized tom imster oaft and take acknowledgments, personally ap- me well known, upon oath deposes and says that he is he has carefully read the foregoing application, and that he did sign the same, and that all facts 7r'L Permit No--, Date _ Read, Sworn to and Subscribed befog me. Disapproved Date _ Notary P llc, State o orida (Signed) . -. ---: :w • --- .. . ..... ............- .- .....�_._ _ _ . - -- __ . Notary Public, State of Marido at Budding Inspector My Commission Expires-- ----_- My_=mmissian--explrea SJot. -1� .1960. Bonded by American 5uretY Co. of N. Y• PLANNING BOARD- --- ....-- ._- _ - -_.-_ . -. -DATE .01 Chairman Member Member . Council NOTE: A charge the Planning Board. A re -inson fe materials and /or wonrkn Member_ _. ____ _ , _ _.._..._._ ..............._ -- Member — Member ----Date Disapproved ------ --- _ ---- _.-- .----- -. -. -. -_ _----- .- - - - -.- ........................Date $1.00 will be made for making corrections or changes to this application after approval has been obtained from rf. $1.00 will be charged when such re- inspection is made necessary by, improper notice for inspection or faulty v I rI Z` • L� �r o � /d,e0 s Osa. e. C + �s'�i�p -�-- — 9'7 F`t -7a(63 . ��1t. °�•• /•• �� __- ��•r -•�• f, ••�tlfl.•a sAf��'tUf''••a�0 V•l.'•• •,lf.,�".�•�tjf.•• •blf.••rQ'i••1�••0 •° 11 .•'�'y'- .tf.•°"••tfiiE�Silf,•• a•l�•�' r��•a1.slt�a�� Issued 19 tami hores ffl A l3 aoe ` F L A 8 1, D Amount N? s{ No._ Houses BUILDER B O N �`•. � s KNOW ALL MEN BY THESE PRESENTS, that 1, ' '• '.Address - rl in consideration o the issuance- to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buildings at the following addresses• io do hereby d sit with ami Shores Village, Florida, the sum of and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of- 82ad 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 d6 "not so clear and repair such premises immediately upon the completion of such cons_ ctio tithe meaning of such ordinances, the Village may clear and repair the some and pay the costs of such clearance and repairs of a aforesaid f� and return the remainder to me; and that, if I shall clear and repair said property i lately, as aforesaid, then said shall be rew d to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this day of - - c E Village Building Inspector and obtain his approval,.after which Miami Shores Village will refund your lonei in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPR AL ,• I hereby certify that the construction contemplated under this Bond, has been cow eted and at the builder thereof has ;l• caused the surrounding premises to be cleared and repaired in as good condition as the were fore encing gaid constructio WHEN CLEARED AND REPAIRED BY THE VILLAGE . AL A •• g Amount of Bond . . _ . . . $ Vil l in nspector, Miami Shores Vulagp. ° Cost of clearing and repairs done by Village $ '`�.�• � Balance due Builder $ Cancell By -�•r'• � • .. �l��i'1�1••�•''R••�'fCo, ' ff 1 • 7l•• '11 • �." 1C••�!�11�11'•a 'r •J '��}liS•�Jl %�'��x . fC ... •11•li•fl�f�. - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- other structure. ur build- ing or herein described. This application is made in compliance and conformity with the Build! ig Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida all ordinances of Miami Shores I illage and all rules and regulations,of the Building Division of Miami Shores Village shall be con pliQ with, whether herein specified or A copy of approved plans and specifications must be kept at budding during piggress of the work. Date., Owner's Name and Address. ............ .. streetZ& ... .... ........ ...... ....... Registered Architect and/or Engineer.... ......... .. .. .. Name and address of licensed controctoO Location and legal description of lot to be built on: Lot ........ . . ..... . ..................... Block................ _ Subdivision.-_- -- Street and Number where work is to be done _LF____-�Z_f."L Z'r State work to be done and purpose of building (by #loorsla .......«..«.»...------ •------ --- ----- -- ------- -- -- «- a for no other purpose. A New Building. ... . ........................ Remodeling.. _............ .... . . Addition .......................... ]Repaine.04_*,, Stories—'z___ To be constructed of ........... .......•..• ...... Kind of foundation Roes ...................... . .. Estimated Total cost of improvements CAP .4nount of Permit . .... . ..... Zone cubage required .............. ... . . ...... . . ..... . ... __.. .------.Plan Cubage .. . ........ . .... Distance to next nearest building ...... . .... ;; ..... . ..... -...------Size of Budding Lot--..-- . ... . ...... . . ...... . ........ Maximum live load to be borne by each floor_ ............. _----..._....... .................. «........._.. .....».-_«........_.... «_. ............................. I hereby submit LU the planyd if* ti for said building. All notices with f yn spec ica ons c &pl effence to the buil its construction may -7f Z I �� I....1 ............... t' 14�alz . be sent ...... The undersigned applicant or the A�buiilling 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. I I Remarks—___-_ — — ------- - — STATE OF FLORIDA, COUNTY OF DADE. j ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. pemrially 'p. peared . . ................. . .... . .. ..••...... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.... ....................... of the above described construction, that lie has carefully read the foregoing application, and that he did �gn thsame, that all facts therein by him stated are true. Permit No. Date_ _-$2- Read, Sworn to and subscribed before UW'. Disapproved — NIP - g, _Aknte- ( r Notary Public, State of Flori Signed) uildiig Inspector My Commission Expires PLANNING BOARD . . . ... . ....... ........... -----DATE Chairman .. . ...... ........ Member Member Member Member .. ... .. ........... Member Council Approved.. . . . ...... . ... Date Disapproved ...___._»._.»..... ... ..................... ...........................Date I "�OTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained the P hinnin.- Board. f m ro A re-in ection fee of $1.00 will bo'charged when such re4uspection is made necessary by improper notice for inspift-tion or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure. herein described. This application is made in compliance and conformity with the Builds gggggg Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores ge and all rules and regulations of the Building Division of Miami Shores Village shall be complied' with, whether herein specified or A copy of approved plans and specifications must be kept at building during piggress of the work. Owners Tame and Address............. »»». �... »..... ...... .......... ..- »-»».. No._Y_,,?_ ........... S � .Ye'.j? ". E . Registered Architect and /or Engineer ..• • • •••••.. •• :• •• ••" : :r., «rnr re,,, :n- -- ------ ........ Name and address of licensed contritcto?. t:.....'.!�.�.s'...�.i._. �. _ .... .........- ..............._..... Location and legal description of lot to be built on: Lot......_... _ ... ................. _......... Block. ».............. /� ... Su��bdiiviision.__..__.-_.. ..... ..._._.�.................. _........ Street and Number where work is to be done—k? °.�Ca.S.t w ® ... State work jo be done and purpose of building (by oors 6eP, _ st�....ra�'c* ... .. ..... .............._................ _._.{ ............... .....___ ..._ w. - _.._.... no other purpose. New Building ............................ Remodeling .... _ .......... ..... Addition .......................... RepaisifAoke�. _ of Stories...Z. �.,...— To be constructed of ... _ ....................... Kind of foundatiomn .... - ............... ..........._ Roof Covering:"�:�^ Estimated Total cost of improvements $.. : ? �..._.. „�___iZ- ount of Permit .................... _ ..._. Zone cubage required. _ ....... ------- _._.__.._. -.. _ _.._... _.__.......__plea Cubage ........ ...._._ .._..... ..... Distance to next nearest building ....... _ ........... __._: ___ Size of Building Lot...... ....--_..-. .... ,.._...... Maximum live load to be borne by each floor ........................ _.._-. .... .............................. _..._ ....... .. _ ._....... » 1....._. I hereby submit pal the plan d specifications for said building. All notices wi�tthi eference to. the buil nd its construction may - be sent to -.- 1 ' c....._.4° ... p . :...o.,�......_...�. :.. ... 3. �` /�......._ 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 subcon tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( 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 be did sign thp� same. aad that all facts therein by him stated are true. Permit No. _. .. _ .____. Date. Disapp {oved _ .. _. _ .. Date._.. . _. (Signed) .. ........... -- __ .._.. ------ . Building Inspector Read, Sworn to and Subscribed before me. . . Notary Public, State of Florida My Commission Expires.. PLANNING BOARD __ ....... ............. _— _DATE Chainnan .._ ...... ... _ _.._ _ _. Member ..._ _... .. »......_.. _- -- hfernber ... _-._ .... . ........ .... Member _ .._....... ».- . » ...... r.._. ».....__...._.._ _...._ .. 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 heen obtained from the Plannin;; Board. A re- impection fee of 51,00 will.be charged when such re- inspection is made necessary by improper notice for inspe tim or faulty materials and /or workmanship. NTE TA L E C}{ I R EST. 1957 Weatherwa I I Division Manufacturers of Window Enclosure Systems, Insulated Roof and Wall Systems SHUTTER PRODUCT APPROVAL AUTHORIZATION FORM DATE: ( BUILDING DEPARTMENT) DEAR: We are the Dade County Notice of Acceptance Holder for: _ :MAXIMUM IMPACT 24GA STEEL ACCEPTANCE NO. 98-0304.03 M- A -XIMUM IMPACT .050 ALUM. ACCEPTANCE NO. 98- 0728.04 MAXIMUM IMPACT 20 GA STEEL ACCEPTANCE NO. 99- 0519.07 MAXIMUM IMPACT .060 ALUM. ACCEPTANCE NO. 99- 0217.07 This letter authorizes "'61 Ae . " to use our above named product at ( CONTRACTOR. ONI'NER BUILDER) the following job site. ( JOB OWNER'S NAME) ( JOB ADDRESS) ( CITY , STATE R ZIP) Sincerely, CORPORATE SEAL 7635 West Second Court/Hialeah, Florida 33014-4334 U.S.A. Phone: (305) 823- 2323/Toll Free: (800) 432 - 5180 /FAX: (800) 432 -1685 MIAM = DE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130-1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305) 375 -2901 FAX (305) 375 -2908 MetalTech, Inc. CONTRACTOR LICENSING SECTION 7635 West 2nd Court (305) 375 -2527 FAX (305) 375 -2558 Hialeah FL 33014 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2908 application for Product Approval of PRODUCT CONTROL DIVISION Your a pp pp (305) 375 -2902 FAX (305) 372 -6339 24 ga. Storm Panel Maximum Impact under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Applicant, along with drawings prepared by Robert S. Monsour, P.E., and test reports prepared by Construction Testing Corporation and Certified Testing Laboratories has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 98-0304-03 // V//UX__D Expires: 10/01/01 Raul Rod 'guez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 10/01/98 4- 4 lv&' anger, Director Building Code Compliance Dept. Metropolitan Dade County Internet mail address: postmaster @buildingcodeonline.com qW Homepage: http : / /www.buildingcodeonline.com MetalTech. Inc. ACCEPTANCE No.: 98- 0304.03 APPROVED : OCT 0 1 1998 14 j 1 1613 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE This approves a 24 ga. steel storm panel type shutter, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami - Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION The 24 ga. steel storm panel type shutter and its components shall be constructed in strict compliance with the following documents: Drawing No. 98001, titled "24 ga. maximum impact storm panel", prepared by Ramms Engineering, Inc., dated January 10, 1998, last revised on August 14, 1998, sheets 1 through 7 of 7, bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS All permanent set components, included but not limited to embedded anchor bolts, threaded cones, metal shields, headers and sills, must be protected against corrosion, contamination and damage at all times. 4. INSTALLATION The 24 ga. steel storm panel type shutter and its components shall be installed in strict compliance with the approved drawings. 5. LABELING Each panel shall bear a permanent label with the manufacturer's name or logo, city, state and the following statement: "Miami Dade County Product Control Approved ". 6. BUILDING 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 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.13 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Helmy A-Caakar, P.E. - Product Control Examiner Product Control Division -2- Metarrech. Inc. ACCEPTANCE No.: 98- 0304.03 APPROVED OCT 0 1 1998 EXPIRES OCT 0 12001 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) yam• 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if- a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. C. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPTANCE Helmy A. hfikar, P.E. - Product Control Examiner Product Control Division - -3- • 110 co � 0 2 H28 2' lA fLAr BAR flat BAR N 7/16'• -f o N .093 1 29/32' 5 13/16' TIMOD VARIES 3' MAX. o O lcu N N 5 3/8'- �- c c N .093 N .0 ^93 V VARIOUS TYPES OF F -TRACK NOT SHOWN u L2H 1 8 MIN. 2' COMPLIES WITH: 24 ga. S.F. &C. 1.994 EDITION FOR DADE COUNT); SOUTH FLORIDA SUEDING CODE 2314.5 FA77GUE LOAD TESTING AND 2315 IMPACT TESTS DESIGN CRITERIA: J WIND LOADS PER CHAPTER 23 OF S.F.B.C. PRESSURE REQUIREMENT CALCULA77ONS Z MUST B£ PERFORMED PER ASCE 7 -88 'MINIMUM DESIGN LOADS FOR BUILDING AND OTHER STRUCTURES' Q GENERAL NOTES: d NL LIH .� 1 8` MIN. 1 1/2' 7/8'1 3/32' 3 7/32' 1-3/3?' VARIES CORNER PAN l 1 3- AM>WQAI O .030 AIX ® _ - � L3H 1. 1 8' MUN 3' SPECIAL NET PANEL SECTION IA/OUNT1116J HOLES 12 1/Y Q0 CROSS SECTIONS A MAY HE NULLED Typ= AU SROS 3/B' ( TVP. ) ALL ALUMINUM EXTRUSIONS TO BE ALLOY 6063 —T6 OR EQUAL STORM PANELS .SHALL BE} 24 GAUGE STEEL, AS7M A653 SO GRADE E MIN Fy 80 XaL MINMUM VALUE 0 HOT DIP COATED. WIfH A NOMINAL WIDTH OF 12 1 12" THE STORM PANEL SHUT7rR MAY BE INSTALLED VERTICALLY OR HORIZONTALLY, IN ACCORDANCE TO THE DETAILED SPECIRCA77ONS HEREIN PANELS MAY BE M07CHED OR MITERED TO ACCOMMODATE AN OBSTRUC770M ANCHORAGE OF THE SHUTTER SYSTEM TO CONCRETE OR MASONRY SHALL CONSIST OF R THE FOLLOWING OR EQUAL WITH MINIMUM UL77MATE LOAD VALUES SHOWN W6 WL 114' D44. BA LOK/BOLT ANCHOR ( SLEEVED DRIVE ANCHOR ) MIN. TENSILE 1190 - MIN. SHEAR 1520 - 1 118° MIN. EMBED. IN CONCRETE MIN. TENSILE 1200 - MIN. SHEAR 1270 - 1 118' MIN. EMBED IN MASONRY 114 -20 PAWL - CALK - -IN ANCHOR ( MACHINE SCREW ANCHOR ). WITH 114 -20 BOLTS MIN. TENSILE 1870 - MIN. SHEAR 1730 - 718' MIN. EMBED. /N CONCRETE MIN. TENSILE 880 - MIN. SMEAR 1340 - 718" MIN. EMBED IN MASONRY 114' PERMA -SEAL TAPPER BY BAWL ( MASONRY SCREWS VARIOUS HEAD TYPES ) MIN. TENSILE 1520 - MIN. SHEAR 1980 - 1 112' MEN. EMBED /N CONCRETE' MIN. 7EVSILE 860 - MIN. SHEAR 1270 - 1 114' MIN. EMBED IN MASONRY 114' ZAWC M41LW BY RAWL ( Z40VAC HAMMER DRIVES ) MIN TENSILE 980 - MIN. SHEAR 1400 - 1 318' MIN. EMBED IN CONCRETE MIN. TENSILE 730 - MIN. SHEAR 1320 - 1 114' MIN. EMBED. IN MASONRY ANCHORAGE TO WOOD CONSTRUC77ON SHALL BE 114' STEEL LAGS OR LARGER WITH i' MIN. THREAD PENETRATION, 114 -20 BRASS WOOD BUSHINGS OR 114' ELCO PANEL MATES W/7H 1 718' MIN. THREAD PENERA770N. REFER TO SHEETS 5,6 Qc 7 OF 7 FOR ANCHOR SPACING AND MINIMUM EUSEDMENTS IT SHALL BE THE RESPONSI89./ Y OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF THE STRUCTURE TO WITHSTAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHORAGE: EACH PANEL SHALL BEAR A PERMANENT LABEL OR STAMP SHOWING ' METALTEW. INC. HhUEAH. FL ' ' DADE COUNTY PRODUCT CONTROL APPROVED W.ARN/NG TO OWNER OR TENANT LOC47W IN EACH HEADER OR ONE PANEL OF EACH OPENING, STA77NG ' STORM PANELS WILL NOT OFFER HURRICANE PROTE'C77ON UNLESS ALL REINFORGNG STRAPS OR BOLTS ARE PROPERLY WSIALLED. WHEN REOURED PERMANENT FASTENER COMPONENTS, EMBEDDED ANCHOR BOLT$ THREADED CONES OR METAL SHI£ LDS, NOT pN USE; MIST BE PROTECTED ACNNST CORROSION. CONTAMIN477ON AND DAMAGE AT ALL Tiwe n ER LEG MY 1 /s-zo x 3/4 STEM a a 12 14` O.G — R&ST W AFFLC42M AV SHM 2 & 3 t Amum Y6 =a LOCATED ON HOR90NM OR VE UZ AL LEG, O ®'w® STUDDED ANGLE DETAIL 1/8" x 1 112' FLAT STUDDED STRAP MAY BE USED AV PLACE OF ANGLE MP' S. MONSOUR. PE EB- 0006024 wm c aneEama. tic. APPROVED AS COMPLYIIUG WITH THE SOJiH FLORIDA'suaim Cim DATE I BY PRODUCT COWOL DIVISION BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO. q B - '0304.03 U Z ry f o W Z � V r� g W cq 0 o m� W Y � 0 n M x� W= a� 0 �0 m C�1 0 3 0 /. 't,1 1 11" c ,Ng, ,.: 1/2' x.125 #-�1 I I O =3 4' VARIOUS DECREE ro . VARIES CORNER PAN RETURN L3H .moo A04 100 C7 S/ts' ~ ip cD "�• 100 1/8' MIN. ® .060 MIN .060 MI1V. Tl w'j l1 1/2' *_ 2 t 4' o . _ BLOCKING 7/8'1 3/32' 3 7/32' 1-3/3?' VARIES CORNER PAN l 1 3- AM>WQAI O .030 AIX ® _ - � L3H 1. 1 8' MUN 3' SPECIAL NET PANEL SECTION IA/OUNT1116J HOLES 12 1/Y Q0 CROSS SECTIONS A MAY HE NULLED Typ= AU SROS 3/B' ( TVP. ) ALL ALUMINUM EXTRUSIONS TO BE ALLOY 6063 —T6 OR EQUAL STORM PANELS .SHALL BE} 24 GAUGE STEEL, AS7M A653 SO GRADE E MIN Fy 80 XaL MINMUM VALUE 0 HOT DIP COATED. WIfH A NOMINAL WIDTH OF 12 1 12" THE STORM PANEL SHUT7rR MAY BE INSTALLED VERTICALLY OR HORIZONTALLY, IN ACCORDANCE TO THE DETAILED SPECIRCA77ONS HEREIN PANELS MAY BE M07CHED OR MITERED TO ACCOMMODATE AN OBSTRUC770M ANCHORAGE OF THE SHUTTER SYSTEM TO CONCRETE OR MASONRY SHALL CONSIST OF R THE FOLLOWING OR EQUAL WITH MINIMUM UL77MATE LOAD VALUES SHOWN W6 WL 114' D44. BA LOK/BOLT ANCHOR ( SLEEVED DRIVE ANCHOR ) MIN. TENSILE 1190 - MIN. SHEAR 1520 - 1 118° MIN. EMBED. IN CONCRETE MIN. TENSILE 1200 - MIN. SHEAR 1270 - 1 118' MIN. EMBED IN MASONRY 114 -20 PAWL - CALK - -IN ANCHOR ( MACHINE SCREW ANCHOR ). WITH 114 -20 BOLTS MIN. TENSILE 1870 - MIN. SHEAR 1730 - 718' MIN. EMBED. /N CONCRETE MIN. TENSILE 880 - MIN. SMEAR 1340 - 718" MIN. EMBED IN MASONRY 114' PERMA -SEAL TAPPER BY BAWL ( MASONRY SCREWS VARIOUS HEAD TYPES ) MIN. TENSILE 1520 - MIN. SHEAR 1980 - 1 112' MEN. EMBED /N CONCRETE' MIN. 7EVSILE 860 - MIN. SHEAR 1270 - 1 114' MIN. EMBED IN MASONRY 114' ZAWC M41LW BY RAWL ( Z40VAC HAMMER DRIVES ) MIN TENSILE 980 - MIN. SHEAR 1400 - 1 318' MIN. EMBED IN CONCRETE MIN. TENSILE 730 - MIN. SHEAR 1320 - 1 114' MIN. EMBED. IN MASONRY ANCHORAGE TO WOOD CONSTRUC77ON SHALL BE 114' STEEL LAGS OR LARGER WITH i' MIN. THREAD PENETRATION, 114 -20 BRASS WOOD BUSHINGS OR 114' ELCO PANEL MATES W/7H 1 718' MIN. THREAD PENERA770N. REFER TO SHEETS 5,6 Qc 7 OF 7 FOR ANCHOR SPACING AND MINIMUM EUSEDMENTS IT SHALL BE THE RESPONSI89./ Y OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF THE STRUCTURE TO WITHSTAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHORAGE: EACH PANEL SHALL BEAR A PERMANENT LABEL OR STAMP SHOWING ' METALTEW. INC. HhUEAH. FL ' ' DADE COUNTY PRODUCT CONTROL APPROVED W.ARN/NG TO OWNER OR TENANT LOC47W IN EACH HEADER OR ONE PANEL OF EACH OPENING, STA77NG ' STORM PANELS WILL NOT OFFER HURRICANE PROTE'C77ON UNLESS ALL REINFORGNG STRAPS OR BOLTS ARE PROPERLY WSIALLED. WHEN REOURED PERMANENT FASTENER COMPONENTS, EMBEDDED ANCHOR BOLT$ THREADED CONES OR METAL SHI£ LDS, NOT pN USE; MIST BE PROTECTED ACNNST CORROSION. CONTAMIN477ON AND DAMAGE AT ALL Tiwe n ER LEG MY 1 /s-zo x 3/4 STEM a a 12 14` O.G — R&ST W AFFLC42M AV SHM 2 & 3 t Amum Y6 =a LOCATED ON HOR90NM OR VE UZ AL LEG, O ®'w® STUDDED ANGLE DETAIL 1/8" x 1 112' FLAT STUDDED STRAP MAY BE USED AV PLACE OF ANGLE MP' S. MONSOUR. PE EB- 0006024 wm c aneEama. tic. APPROVED AS COMPLYIIUG WITH THE SOJiH FLORIDA'suaim Cim DATE I BY PRODUCT COWOL DIVISION BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO. q B - '0304.03 U Z ry f o W Z � V r� g W cq 0 o m� W Y � 0 n M x� W= a� 0 �0 m C�1 0 3 0 /. 't,1 1 11" c ,Ng, ,.: • •4 . SEE ANCHOR SCHEDULE moil ': CONNECTION TYPE "8" •' .'';: . •. .Jf/✓ :• �•:• �Z:• ••.:• :• : A ;EO E.D ' r " 2 SEE ANCHOR SCHEDULE HEADER or SILL 3 CONNECTION TYPE • �HEAM or SR.L DETAIL 1 DETAIL 2 NOTE'• : � y SEE ANCHOR SCHEDULE CONNECTION TYPE "D" . 4 7 4. E.D.. A OBSTRUCYID/V MOOR PLUG SCREW ANCY OR @ RANGE MAY BE REVERSED i/4 20 7HRU BOLT W1 LOCK NUT 12' ac. D ®o ®DR® HEADER or SILL DETAIL 5 SEE ANCHOR SCHEDULE CONNECTION TYPE "S" OR 07MN HEADER or SILL REFER TO THAT APPLICATION FOR PROPER CONNECTION TYPE CONTINUOUS BLOCXM 2 PIECES FASTEN TOGETHER WITH 164 RIMS OR 15 TECK SCREWS 12' Or- DETAIL 9 SMW PANEL (ttP.) a• � NOTE *' RE7CJRN PAN; Ai1R.71; TUBE OR NMV MtRST sE L6ED ON ALL OUT CDM9 m aE CFF aw REnJRN �PAN �. ®orL°JHEADERo,SILL NaTii*::� • : ° SEE ANCHOR SCHEDULE CONNECTION TYPE "A° DETAIL 3 MAY YBE WTALLED IN REVERSE DIRECTION logCOMIM/OUS BLOCIONG ® 1116 ANGLE BOLTED TOGETHER *TTH 114-20 MW BOLT W1 LOGO /WIT 6' as USED AS HEADER OR SILL z 1- MIL SEE ANCHOR SCHEDULE CONNECTION TYPE "E" DETAIL 6 HEADER or SU D ®or® MWE ro or SILL a:.. w :� 1 M711L a•a•: SEE 'ANCHOR SCHEDULE CONNECYION TYPE "C' DETAIL 4 MAXW" PWAClr STORM PALL. HORIZONTAL INSTALLATION VERTICAL /NSTAMATTON ELEVATION ELEVATION • SEE ANCNOR SCNEDW E • ' • ' CONNECTION TYPE "A" E.D.` EQ E12 'v 11 OR OTHER HE or SILL EO NOTE 7� REFER 70 THAT APPUC4770N FOR ` . • : PROPER COAWEV77ON TYPE NOTE py 7c • SEE ANCHOR SCHEDULE • ° CONTINLIOLIS WOOD BLOCKING CONNECTION TYPE "B" VARIOUS SIZES DETAIL 8 DETAIL 7 HEADER or SILL 10 OR @ MAY BE ANSTALLED IN REVOM DIRECTION AS IN DETAIL 6 OR®CONTINUOUS BLOCKNG 3/16 ANGLE BOLTED TOGETHER WITH "~ -- 114 -20 THRLI BOLT W1 LOCK NUT 6' aG USED AS WDIDER OR 661• OR ® 3aVA US SLOCONG :. . 7 518' MAX 114-20 M45MC SCREW ANCHOR W17H SIDEWALK BOLT OR 114' MASONRY SCREW 3' O.C. .m P9F MA7aiM .: : ' ' : q CONCRETE ONLY AAA7NlIUM PANE. M01!IT Or. % . : •'' DETAIL 10 OF 199 =WALL OF fXIDVWM6 WALL 1 x t ll CIA S&L •'� ' FLOOR PLUG AND MA6 W , •� . C , • SCREW ANCHOR 1Y ar- w• •.. . B D Spg= PANEL CCWIGURATgW MAr BE MEMO FOR TR4PPED *WTM PANELS Mar BE ADDED to WJTH A MU M04 04 ADD-ON OF 3f FASTENED TO 3 1 =DR 1024 //yR�t/t BOLTS r6 a.C. A cower Ai4 WRY c •SLOnw MOGeHRMC fax MAr BE USED At CWV SPECUL PAN APPS TYP. f1 ALL AfUMN CAP BETWEEN STROM PMIEZ AND D.L.a &ou NOT' E7 cm 114' 1/h10 x 3/4 STUDS AS VENTED FROM FRONT' VIEW 1 NafH Wilms I/UYp1R/T5 (1YP.� PLAN W/EWS D A. H. C AD CLOSER PAN ASSE r aw T7 CLOSER PAN mvaz aw MV sw 0 PANEL MWOM AT WMM TO PASS OVER SAO AND maw N su Pa' Sao Nix- I 0OR ® CoNMUOUS SL.00IONG BOLTED TOGETHER WITH 114-20 THRU BOIX W1 LOGO MIT 12' O.C. rr, l • i ', • r I( C� — 111-20 x 314 108=0 STUDS - I M WASHOW WIVGM= 12 112 O.C. M.) Smu PANEL MAr BE AIMMFD VENMALLY OR NORaovTAur NOTE-* DETAIL 11 1T SHALL BE THE RESPOAIWMLITY OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF THE STRUCTURE TO WITH STAND THE ADDITIONAL. LOADS AND INSURE PROPER ANCHORAGE SHUTTER SYSTEM MAY BE /NTSALL INTO WOOD, CONCRETE, MASONRY. WHEN ANCHORING TO WOOD, THE WOOD MUST BE A MINIMUM 2 X 4 EQUAL TO jf2 SOUTHERN PINE WITH OS5 SP00C GRAVITY AND STRUCTURALLY PART OF THE FRAMING STRUCTURE OR SUCURELY ATTACHED TO FRAMING STRUCTURE ' AFFM01YU AS CCPA ?; -Y;i G Vill THE SO€,7 i ELORIW� BU.LOttiG CODE t'a DAR_ 1 - • /J� FRODGCT CO R0L DiY:S ON . • BUILDING CODE CO19FL :AtiCE OffiCE ROBERT MONSOUR, PE ACCEPTANNICE K q 8 -10304.03 EB= 0006024 PtPw E7VGiPIE umc, m- U Z V C v Z " c.• N N � o m m L3 5 n M Ll W= 045 �o z �o W� As 0 �i.�IN 114 -20 FLOOR PLUG WITH MACHINE SCREW ANCHOR HEADER OR SILL CONCRETE OR MASONRY. COMIEC IOW TYPE '."Sf NOTE: a' :• F•d' THE METALTECH STORM PANEL MAY BE INSTALLED WHOUT i THE USE OF AN EXTRUDED HEADER OR SILL. THE SHUTTER MAY BE ANCHORED DIRECTLY TO THE REFER TD DEFECTION STRUCn" WITH 1NE USE OF ONE OR A COMBINATION CHART OF DETAIL 13 GLASS NOT>w* � aL T SO !K 114' PANEL MATE SCREW WJTH 14 -20 STUD HEAD aWITH WASHER® W/NGNUT ". HEADER OR SILL CONCRETE OR MASONRY j "L 1/ CONNECTION TYPE "A" REFER TO 1 FTON C7 baslibmum STORM PANEL PANEL SECURED WITH WASHERED WINGNUTS -,�L 0111 I -f rix - : .a T� N N01N =* TYPE "A" W Z d a M�M 0 U) L9 LAS II'. " " \ TION TYPE "A" STORM PANE2 4. 114 - PANEL MATE IWITH MACHINE SCREW HEAD ©O 8 C min 11ECTION •TYPE "A" ILM 114 -20 FLOOR PLUG WITH WITH 14-20 STD£NALK BOLT 114 -20 BRASS WOOD BUSHING HEADER OR SILL i°I2�51'1.ICC0 INS�'ALLA'fION HEADER OR SILL INTO W000 WOOD, CONCRETE OR MASONRY DETAIL 14 Q �TFt; • •`r �+ .. Q HEADER O 7 Hf IOER or SILL NOSE*- HEADER or SU lrtr 1-3/4' MK 1 114' MAX SEE AVCXOR SGHEMllS CONNECTION TYPE "B" DETAIL 15 THRU W/NOOW STORM PANEL 318' THRUBOLTS 9 112' O.C. WITH 2XJX.125 ANGLE ON BOTTOM WIND PRESSURE 71.5 P.S:F. MAX. MAXIMUM PANEL LENGTH 48' 1 114 MAXIMUM - WOOD COUNTER 1 114' MAX. THICKNESS COUNTER MAY BE MADE OF OTHER MATERIAL ANCHOR SCEDULE FOR ANCHOR TYPES PK.L ANCHORS 12' pi #- DETAIL 19 SEE ANCHOR SCHEDULE CONNECTION TYPE "C" --FEWER or SILL DETAIL 16 lLl ® ,r01EADER of SU «.1 DETAIL 17 SCREWED OR BOLTED 10M+ iM *VH 114-20 7MW BOLT W/ LOGO MJT 1Y o r— *OR ®1 /41�N1 BLOCKM 114-20 MASVM SCREW ANCHOR WITH SIDEWNK BOLT " jlom OR 114 MASONRY SCREW 4 O.C. r. M/IV. EDGE DISTANCE POURED CONCRETE ONLY 5U P8F MAXININ•1 PANEL HEIGHT 409" NAXM M DETAIL 20 ADJUSTABLE HEADER OR SILL •°i q . SEE ANlWR SCHEDULE CONNECTION TYE "C" DETAIL 18 NOTE: IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF THE STRUCTURE TO WITH STAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHORAGE SHUTTER SYSTEM MAY BE IN754LL INTO WOOD, CONCRETE; MASONRY. WHEN ANCHORING TO WOOD, 7HE WOOD MUST BE A MINIMUM 2 X 4 EOUAL TO 12 SOUTHERN PINE WITH 0.55 SPECIFIC GRAVITY AND STRUCTURALLY PART OF THE FRAMING � /CSMU�CTURE -OR SUCURELY ATTACHED TO FiRA11�J�j0' AS O%LYIVtlG WITH THE SOL OTI!DA BU!LD!NG CODE Q DkT QL 3 iB BY PROOUGT GO L D{V ?S•ON BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE 1403 9 = 0 LA D -A ROBERT ' S. MONSOUR, PE EB- 0006024 mw encmeam amc U Z v ' n e z v Z ; S n 0 � m W U c xn n M L W= Na 6 dZ Eo Wm �3 n 0 an' THE METALTECH STORM PANELS MAY BE INSTALLED WITH OR WITHOUT THE HORIZONTAL BRACE STRAP. REFER TO PANEL DEFLECTION CHARTS. k y 1 N z FRONT NEW SIDE NEW 24 ge, STS©. QE31CN PRESS/R E PMa SPAN 44.40 124" 47.81 123 51.23 1 19" 58.06 112" 61.47 109" 66.85 104" 71.46 100" 75.30 95 " 81.45 88" 86.83 82 " 91.44 1 78" ar a C= iz(5r 124" MAX. PANEL HEIGHT NO PANEL STROP IS REQUIRED PANEL HEIGHT 0 =90' ow .90't- 724' WALL MOUNT 2 518° 3 1/2" INSIDE MOUNT 2 518° 3 112" BUILD OUT 2 518- 1 3 ,314" MINIMUM DISTANCE BETWEEN GLASS AND PANEL HORIZONTAL BRACE STRAP 114 -20 STUD WITH WINGIUUT 12 112` O.C. 1 /5` X 314` FIAT ALUMINUM BAR SIDE VIEW FRONT VIEW DETAIL "E" lit MAXIMUM GAP BETWEEN PANSY AND HEADER /S 114` (TYP.) DETAIL "F" �I FASTENER MUST BE IN MORROW POR770M OF KEY HOLE MOUNTING HOLE MAY ALSO BE A 9116' D/A. QRCLE DETAIL "G" Lc;m �r s DETAIL 13 ON SHEET 3 I` ti� U 'R' 4 DETAIL r3 ON SHEET 3 WALL MOUNT ANChVAW PANEL TOP & sormY NO RM OR 5XL HORIZONTAL BRACE "STRAP PANELS MAY RUN CONTINUOUS BY WIDTH HEADER AND SILL EITHER HORIZONTALLY OF VERTICALLY EXPLODED ASSEMBL Y I. 10-1 V C� C V �4 24 GAUGE MAXIMUM PWAC P STEEL STORM PANEL Q C N 2 c FRONT VIEW SIDE' VIEW DETAIL 3,4, & 8 ON .SHEET 2 DETAIL 3,4, & 8 ON SHEET 2 124' MAX. PANSY HEIGHT ONE PANEL STRAP LOCATED MIDSPAN PANEL DEFLECTION CHART WITH HORIZONTAL STRAP PANEL HEIGHT 0'!-104- 104't-124" WALL MOUNT 2" 2 114" INSIDE MOUNT 2" 2 114" BUILD OUT 1 2" 1 2 114" MINIMUM DISTANCE BETWEEN GLASS AND PANEL HEADER AND SILL TYPE MAY VARY, DEPENDING ON APPLIC477ON WALL MOUNT AYD PANEL 10P & BDITDM a9mi Sam= /wI;/= DETAIL I ON SHEEP 2 DETAIL 15 ON SHEET 3 \`I HEADER DETAILS 5.7,9. 10 AND 11 ON SHEET 2 HEADER 2 DETAIL 2 ON SHEET 2 DETAIL 16 ON SHEET 3 HEiIDE74 2 IF& t a ~ j� 4�= V SILL DETAILS 3,4 AND 8 DETAILS 5, 7,9, 10 AND 1 r ON SHEET 2 ON SHEET 2 WALL MOUNT BUILD OUT WN HM AND SILL MW HM AND S¢L TYPICAL SECTION VIEWS d ROBES'!' MONSOUR, PE EB- 0006024 wm cmahenm IKC APPROVED AS COMPLYING WITH THE SOUTH FLOPiDA BUILDING CODE DA 'V n —c91_ 1 BY PRODUCT COIti ROL DiV.S ON BUILDING CODE � � � OFFICE � ACCEPTANCE NO. q U Z v n 4 Z v S C4 O W O m w L] Zn n x� v� W a� dz �c m W � r3 °n 0 r DETAIL 2 ON SHEET 2 DETAIL 16 ON SHEET 3 HEiIDE74 IF& . z V � HO a W O igg SILL DETAIL 4- ON SHEET 2 INSIDE MOUNT WIN MR. AND MEL APPROVED AS COMPLYING WITH THE SOUTH FLOPiDA BUILDING CODE DA 'V n —c91_ 1 BY PRODUCT COIti ROL DiV.S ON BUILDING CODE � � � OFFICE � ACCEPTANCE NO. q U Z v n 4 Z v S C4 O W O m w L] Zn n x� v� W a� dz �c m W � r3 °n 0 r A N C H 0 R S C H E D U L E ANCHOR SPACING vs DESIGN PRESSURE AND CONNECTION TYPE UP TO 59.6 PSF UP TO 71.5 PSF PoLwm Cctx3wm CoMmmoumc Paumocacrem I C0KCFWM8L= cmeawumrmE cowc == rmE CoNmemm7yn I ��Tym ANCHOR TYPE PANEL I- D. A B C 1 0 E A B C D E A 1 8 C D E A B —C F —D E 19- RAWL LOWBOLT (SLEEVE ANCHOR) 1118" MIN. EMBEDMENT 6W SPAN 7 13 13 1 16 1 13 13 16 13 11 13 13 ...... . ..... .... . ..... ..... ........... . . ... . .... .............. 16 _13..._:....9... 13 13 10 13 13 . . ........ . ........ ..., .... . ......... 16 13 7 13 13 16 8 13 i 13 16 13 9 3 16 13 11 . ... .... . .......:....13_..... «9 «..... 16 13 7 13 1 13 16 16 13 6 13 13 16 13 7 1 1 13 13....;.13... 3 13 13 13 13 W SPAN 16 13 8 13 13 16 ... 13 10 13..': 13 .. ... .......... . ... ........... .. . ... . ..... 16 13 7 13 13 13 8 13 13 16 13 6 13 13 16 6 13 13 13 16 8 7 8 12 12 16 9 . . ........... ... .... 16 a 6 ; 10 i 12 1 16 8 7 11 15 7 5 9 10 i 15 7 13 12 2' W span 3* 7 16 9 7 12 13 16 9 8 12 i 13 16 8 6 11 12 16 8 7 11 12 ....... .... ........... .. . . .. ........... .................... .. .. ............... . 15 7 5 10 11 15 7 5 10 11 15 5 6 15 i 5 7 7 ------- 7 6 5 5 14 6 6 5 ............................. ............... ....... ...... 12 4 4 6 5 1 12 4 4 6 6 . 5 5 15.....:.._x`.... >..6 7 6 15 5 7 7 . ..... ... ..... . . .... . . .... 12C span 7 14 . 5 5 6 .... 5 14 ........ . . 5 . ..... . ... 6 ... 6 5 12 4 4 6 ... 5 12 . .... 4 ..... 4 ....... 6 5 16 16 . ........ 15 13 13 13 8 . . .. 7 6 13 .............. 13..'...13 13- 13 ......................... 14 13 13 .. 13 7 . ..... 6 13 .... ..... 13 13 . .... ... ... 13 6r SPAN 3' ...16 13 10 13 13 16 13 8 13 13 ........... ...... . ...... ... ... 16 13 7 13 13 13 7 3 13 .......... . . . ............ . ...... .. ..... ... . . . ....... ... : .. ...... .. .... 16 13 6 13 14 13 6 13 13 1/4 RAWL ZAMAC NAILIN DRIVE (HAMMER DRIVE) 1318' MIN. EMBEDMENT IN CONCRETE Sr SPAN 3' 16 ........ ... . 14 13 ............ ............ 11 8 6 5- 13 : 13 1 13 ......... . . ....... ... ............ .. 13 13 12 ....... . .... . ..... .. ............ 13 13 11 10 ....... ... 9 8 6 .... .. .. ... 5 4 13 13 ..... ... 12 12 . .............. 11 11 15 7 13 6 .. ........ 12 6 6 ' 10 .. ....... .. 5 9 4 8 m 11 . .. ...... ... 10 ..... .......... 9 11 .............. 10 9 5 . ........ .. .. 4 5 ........... . 4 7 .. .... 6 6 8 . .............. 7 6 . 7 t lw 10V span 3" 1 2" 15..........7... 6 10 il 11 5 5 7 8 .................... .......... ........ . . ..... ........ . ........... . . ..... .. . ..... . ..... . ................ .. 13 : 6 5 9 Io la :: 5 4 7 7 . ... ...... . ... . ............. .... .. ...... .... .. . .......... .. ........ . . .. ..... ........ ..... ......... . 13 4 6 6 5 9 4 ...... . ....... ........... 4 . . ........ .......... ............ ............... 11 4 4 5 : 4 8 3 ..... . .... ..... 4 4 3 ......... .... 3 . 1 114 1114- MIN. EMBEDMENT IN BLOCK 12 6 4' 8 . 9 s 9 4 4 6 7 10 ... 4 . ......... 4 . ........ 5 ...... . ...... . 4 1 ............... .............. 7 ........ 3 3 1 4 3 3" 13 4 5 6 5 ...... 9..... .. ........ . . ......... 2" . 124 span 11 .............. .. . .. 4 ..: . ........ .. 4 ......... .... .... 5 . . ...... ...... ... .. 4 a ..... 3 4 4 3 114 10 4.' 4 5 ' 4 7 *** 3 * 3. *'***'* ! 4 ' 3 16 16 13 13 13 1 16 13 ..... ..... .. ............ . ... ..... ........... .......... ... .... . ....... .... . . ....... ... : 1 : . 10 13 : 13 16 16 a 13 t 13 14 13 7 . ....... ............... 6 5 13 13 14 16 .............. 15 14 14 VARIOUS HEAD TYPES arlm 6r SPAN r ix 16 - 13 ! 13- 13 13 16 - 13 9 13 ... ..... . .............. 13 .... . ......... ... ... .............. `*�---*****--* **- - -* 16 13 12 13 16 13 .... . ............ ......... ....................... . ...... .... ... . . .......... _.._7__.... ..13.......13........16..__..16 16 13 10 131 13 1 16 13 6 13 13 (MASONRY SCREWS) Sr SPAN 2" 16 13 ?.......13_..13.._ «.16...... 1 12 7 13 13 . ..... . 16 13 10.. 13 13 14 11 6 13 13 16 13 8 13 13 13 10 5 13 13 16 11 W 16 lo 16 9 7 13 3 12 13 .13........._8_....... 13 i 1 2 6 : . .............. . ...... 1 13' 11 5 g..... «...._9...._ 5 4 . 8 7 10 9 a for span 2' 16 11 10 13 16 10 8 13 16 9 7 12 13 i 13 6 6 9 10 13 12 6 5 a 9 13 11 4 7 a 16 7-. 16 6 6 a 9 7 5 7 7 11 1 10 6 9 4 3 5 4 3 5 5 4 4 4 3 IX RAWL PERMXSE& TAPPER W ELCO PANEL MATES I 11T MIN. EMBEDMENT IN CONCRETE 1114' MIN. EMBEDMENT IN BLOCK 124 span 16 7 8 9 i ... . . ....... .... ...... 16 6 i 7 : 8 6 1 10 -1-6 6 6 7 B 9 4 ..... .... 4 . ...... ... . ... 3 . .......... 4 .. . 3 5- ............ 5 ... . ....... 4 4 4 3 r lic Gr SPAN IV 16 13 113 113'13 16 9 '13 113 1 _1 16 13 1 13 1 13 1 13 16 1 13 8 13 13 €13'13 16 13 11 `13 13 113 116 13 1 13 1 8 113 16 13 6 13 13 13 1393 16 113 111 13 113 16 13 i 6 13 13 16 113 i 9 13 13 114 113 5 13 13 1X= x 7fir. IW DIA. RAWL CALK4N (MACHINE SCREW ANCHOR) 7fir MIN. EMBEDMENT 88' SPAN lOr span 16" 16 16 13 13 13 11 a 13 13 13 16_1 12 13 14 11 7 6 :1.,13 13 J. i 3 13 13 16 13 12 1 9 13 13 ...13 13 13 ;_6.1.6 _12 6 1 5 9 10 a 9 7 IV 16 13 8 13 i 13 13 10 5 13 1 13 16 13 1 11 _11 _Lj3 13 6 9 a IA L 16 i 12 1 9 1 13 1: 13 12 6 = 5 1 8 1 9 16 11 7 13 13 11 5 1 4 7 a 6 a 9 1 9 4 4 --i-i 1 16 8 1 7 1 10 8 10 i 4 4 4 —16 16 1 11 1 7 1 13 13 11 1 5 4 1 7 1 8 1 7 1 6 9 1 7 9 3 1 3 1 4 1 3 12Cspan 16 1 8 s__ 9 1 11 9 1 11 4 5 Y 5 4 ZV J6 8.._I_l i 10 8 110 «1 4 4 5 4 16 1 7 ! 6 1 9 1 7 9 3 3 4 1 3 SPANS AM LOAM SHOWN IN THIS SCHWLJLE ARE FOR DETERNIINING ANCHOR SPACING ONLY. FOR ALLOWABLE SPANS V& 13ESICIN LOADS REFER TO SHEET 4. MINIMUM ENSEDMENT AND EDGE DISTANCE EXCLUDES STUCCO AND /OR WALL RNISHES. SHADED AREAS REPRESENT ANCHOR CONDITIONS 771AT ARE NOT ACCEPTABLE. IT SHALL BE THE RESPOWBIUrY OF THE CONTRACTOR TO VERIFY THE SOUNDNESS OF THE S7RUCnJRE TO WITH STAND THE ADDITIONAL LOADS AND INSURE PROPFJ? ANCHORAGE. SHUTTER SYSTEM MAY BE INTSALL INTO WOOD CONCRETE OR MASONRY. APPr"WIS AS CDMPLr.NG V.IM THE SOUT114i ti BUILDING CODE OAT` 8 F- PWefjiT C l C. K.opLDIv:s ON SUILOJIG CODE COMPLIANCE OFFICE ACCE-TANCE No. ILI -030 Lk-o3 0 U 04 LJ 0 n Li W x z 0 wo :; Sol htl A N C H O R- S C H E D U L E SPAN AND LOADS SHOWN N THIS SCHEDULE ARE FOR DETIG ANCHOR SPACNG ONLY. FOR ALLOWABLE SPAN VS, Dpi LOADS REFER TO SHAT 4, WHEN ANCHORING TO WW, THE WOOD MUST BE A. M"UUM 2 X 4 EQUAL TO 12 SOUIMW PANE 045 SPECBW GRAWIY AND STRUCTURALLY PART OF THE FRAMING STRUCTURE OR SUCURELY ATTACHED TO FRAMING STRUCTURE sHADED AREAS REPRESEAIT ANCHOR CONDITIONS THAT ARE NOT ACCEPTABLE: IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO YERPY TPIE SOUNDNESS OF THE STRUCTURE TO W?H STAND THE ADDITIONAL LOADS AND INSURE PROPER ANCHORAGE . SHUTTER SYSTEM MAY BE AIVTSALL INTO WOOD, CONCRETE OR MASONRY. y.: • pg. .� ri:.�:,� ,. "`7 .� f s« 4 d rr y yr itOHERT : YO�TSOUR; PE -..EB- 0006024 rams alrrleaim. nc APPROVED AS COMPLYING WITH THE SOUTH FLOVIDA BUILDING CODE OA o� A& of _ 144 �� BY PRODUCT CONTIOI. DIV S ON BUILDiNG COME COMFLMCE OFFICE ACCEPTANCE NO. RS`a*`i •3 0 z n C g w 0 � m q m x� n N Li w= a� 41 H° wi �3 Atl o Jb er -X 60 IS." 5Q,. FT +42.sl r.s.p:. - 45.°lo rs.r: ACC P. No. q4�- o30 #.vo, jc +s n -12. T sa. pT _ .. - -- ACC r Ko• °I�b•o�o4•a� - i 3t1Ix loo II lr7A4 SQ. FT• ++2.$l �'S.P. -+172.110 bg•G ACC r. i I� J u -x 60 0 22. S6t. FT. 4s-1ozsr " ACCr f 6. -_ °lg- o3oq -.o3 A Gon 30. s,:� Be. rT. +12. Sol °S. P. - St.oro ws.r. ACC P. id- l I S5 11, 48a Ill. I -Ga. FT. +lr..o$ r5.f _4'T.15t F5.1%. ACC r. so. °f�-a3o4.o3 2i x S 6 G.-1 S6t. +4ro. 0s, F S.- ACC I- j 4. °Iq, - 030 +. 03 ,s lix a,g A,CCv OAD 7A13L' fob ,WINDOWS MAeK, 0r -NINGP S Z� POS1TN� r10ESSURC' N ATWR ,'v,�SSURB' ZoT�lr - - O'L1 nx3rv" Hr7-00 rS.i! - +1.9,1 fS.rL -- JhT91e101z o SO Y.+ u +45.08 rs.F. -11.91 PS.F NT ? IF, 10 ry x 60 t �-2. 8`I P S. G - ��,.q0 s. l' __ _IRTI: , to R C,` S+ u x Go �i +41.51 I' S. r. - + 5. `jo P.S. r I KTI; IZla R '14 °n moil t42. g°I f'S.F - So. 041 P.S.r WvRloR ny+ �A r4j ST rA114 'J�' C G ACC�rTANCC- No. G �W'i�Ai. N,OTr'S . off; is STo R1' G. Ii. S. o- 15 ICo �';�• X Po S 119 r G, ASC? ;BIND COP *. --_,t coISTRACtoe S-4A L REVISIONS v ry n z(J) s F c.• e X —° T OAS - �d — 26 afm" ew U. A. �. AS S: oW Na SHEi CF. I Inspection Date: 02/1312006 Permit Type: Imported Permit Inspector. Devaney, Michael Inspection Type: Final Owner: HUMBLES, ROBERT Work Classification: Electric Job Address: 69103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Phone Number Parcel Number Block: Lot: 1121360130970 Contractor: SHINE MAINTENANCE ELECTRICAL Phone: 305 - 269 -1151 Buildina Department Comments Friday, February 10, 2006 Page 2 of 2 t• Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Friday, February 10, 2006 Page 2 of 2 t• Miami Shores Village Electrical Permit 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: Printed : 10/17/2005 Page 1 of 1 Applicant: ROBERT HUMBLES Owner: HUMBLES ROBERT JOB ADDRESS: 69 NE 103 ST Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST Local Phone: 305 - 269 -1151 Parcel# 1121360130970 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOT 20 E1/2 LOT 19 BLK 123 LOT SIZE 75.000 Fees: Description Amount FEE2005 -13585 Building Fee $225.00 Total Fees: $231.30 FEE2005 -13586 CCF $0.60 FEE2005 -13587 Training and Education Fee $0,20 Total Receipts: $0.00 FEE2005 -13588 Technology Fee $2.50 FEE2006 -13589 Scanning Fee $3.00 Total Fees: $231.30 Permit Status: APPROVED Permit Expiration: 3/13/2006 Construction Value: $800.00 Work: ELECTRICAL HOOK -UP FOR POOL AND SPA Signed: (INSPECTOR) FAIR In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Plumbing Permit 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: Printed: 10/17/2005 Page 1 of 1 Applicant: ROBERT HUMBLES Owner: HUMBLES ROBERT JOB ADDRESS: 69 NE 103 ST Contractor ESSIG POOLS Local Phone: 305 - 949 -0000 Parcel# 1121360130970 Contractor's Address: 1800 N. E. 151 ST. Legal Description: MIAMI SHORES SEC 5 PB 10 -47 LOT 20 E1/2 LOT 19 BLK 123 LOT SIZE 75.000 Fees: Description Amount FEE2005 -13590 Building Fee $160.00 FEE2005 -13591 CCF $0.60 FEE2005 -13592 Training and Education Fee $0.20 FEE2005 -13593 Technology Fee $2.50 FEE2005 -13594 Scanning Fee $3.00 Total Fees: $166.30 Permit Status: APPROVED Permit Expiration: 3/13/2006 Construction Value: $600.00 Work: PVC PIPING FIR POOL AND SPA Signed: (INSPECTOR) Total Fees: $166.30 Total Receipts: $0.00 C "T .1 8, FASO In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: �.., NOV 0 21005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 101 ZA 1 (:;5 Type Insp' n �OC�- -t�L b 1 N C Permit No.—� - 3 Name 2OE5E—= Address bq I-F-- 103 ST Compan;S-14 M A I NT $ J AQC = tL-TC-rOCA! Phone 3015 ��-q - imCQ EX? 22-5 t / Lyzl I A Inspection Date 10 1 Z 4• j CS ADnroved ar- ell Correction ❑ ls - 4,4IAMI SHORES VILLAGE Z` BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request f Date t Type Insp'n Permit No. Name i- Address Company .r Phone 1 Inspection Date Approved ❑�� s Correction ❑�'� `�'` Re- Insp'n Fee ❑ 1 Re- Insp'n Fee ❑ 5�o1� L-A yob BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (305) 795.2204 FAX (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at �`1 PE h Miami Shores, Fl., and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statutes. (please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is comylpted for contract purposes, will constitute a violation of Chapter 515, F.S. and will be o si red as committing a misdemeanor of the second degree, punishable b f' 0 0 d /or up to 60 days in jail as established in Cha k 775, F.S. a tWFT5Y S ATURE & DATE 1 Na K ,rNN uv t�� T N y co Oub�ic - SHF9' tcro ' N ( EASE • '0' May? / F�oj da �'1 200 SIGNATURE Y& DATE 'V012 Nlvrt" _- :AMq N 405 DATE °° c 14, � J ' No. RECEIVED FROM C w �C-jC� FOR RENT k- 6 U 2/ FOR { I�1 POORDER ACCOUNT �CA H PAYMENT FROM TO CHECK t �' BAL. DUE MONEY BY N? 4383 I illc(ge of Miami Shores - I JOB 0 x/- I � ADDRESS Co .oa. .&C. /off I INSPECTION I>- QZ rZ p o,► , I I TIME READY % ' %p REMARKS Ole )o < -L=, Tsa & k1 .g al- INSPECTOR DATE ° 4-Z 9 8 0 511 DOLLARS I. - 1182 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/0812006 Inspector: Levrack, James Owner. HUMBLES, ROBERT Job Address: 69103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Cnmmenfa Permit Type: Imported Permit Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number Block: Lot: 1121360130970 Wednesday, February 8, 2006 Page 2 of 2 ments o /'� ' oc EiInMc Passed � Failed E]_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, February 8, 2006 Page 2 of 2 9 4468 NOV p MIAMI SHORES VILLAGE 2005 BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date 1(-) Z1 (-)6 Type Insp'n " 441 till] c->A 1 N Permit No. Name P, .'j' Address (-9 Me /03 sT Company T4jpLs Phone # (c3C7S )-14q - 0DCpx -r- 22,e,- A Inspection Date JO I Z- I us Approved Correction 0 Re- Insp'n Fee 0 Inspection Worksheet Miami Shores Village L _" 10050 N.E. 2nd Avenue Miami Shores, FL ` Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02122/2006 Inspector: Grande, Claudio Owner: HUMBLES, ROBERT Job Address: 69103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor. Buildinsa Deoartment Comments Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number Lot: 1121360130970 FINAL POOL r7 Inspector Comments Passed Failed E]_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, February 21, 2006 Page 2 of 2 44% o 1 2005 MIAMI SHORES VILLA BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1® 3i Type Insp'n ' p 1 Permit No. Name 10L L , tlo koS Address (A '�1 � M)4 Company Cz, )L216 Phone # Inspectior Approved Correctooi, �. Re- Insp'n Fee ❑ +"I ®Cj MIAMI SHORES VILLAGL 2005 BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date I 2 Type Insp'n PCX=' L- S71a---L Permit No. S X05 - 13 4-4 Name Z=>k;3�T PVM. . Address (,,=I �� 103 ST Company �J Phone # Inspection Date tb�4 (os L.YZIt AN Approved ❑ Correction Re- Insp'n Fee ❑ EO 0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 11111/, � �. 1% ✓ f• •� n Permit Number: Printed :1 nil 7/2005 Page 1 of 1 Applicant: ROBERT HUMBLES Owner: HUMBLES ROBERT JOB ADDRESS: 69 NE 103 ST Contractor ESSIG POOLS Local Phone: 305 - 949 -0000 Parcel # 1121360130970 Contractor's Address: 1800 N. E. 151 ST. Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOT 20 E1/2 LOT 19 BLK 123 LOT SIZE 75.000 Fees: Description Amount FEE2005 -12666 Structural Fee $50.00 FEE2005 -13595 Building Fee $636.00 FEE2005 -13596 CCF $13.20 FEE2005 -13598 CO /CC $50.00 FEE2005 -13599 Training and Education Fee $4.40 FEE2005 -13600 Technology Fee $15.90 FEE2005 -13601 Scanning Fee $27.00 FEE2005 -13602 Radon $1.80 FEE2005 -13603 Builders Bond $300.00 Total Fees: $1,098.30 Permit Status: APPROVED Permit Expiration: 3/13/2006 Construction Value: $21,200.00 Work: NEW SWIMMING POOL SPA AND DECK Signed: (INSPECTOR) Total Fee .*1,098.30 Total Receipts: $0.00 CCT 18 PAID GI�-�122RC� In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 10 PERMIT # "" 1 CONTRACTOR: IE-,� l Cno P00 L-S SUBMITTAL DATES 14 PROJECT TYPE: ,-� I M M I &LG , clw, 14 ZONING FIRE 4 9 /,;,t -6 - STRUCTURAL ex IMPACT FEES /4)5' ELECTRtCAIA HRS /DERM �a JPLU N NOC Yj MECHANICAIG / 0A O BLD G' r I J T - M AMI SHORES t R&2005 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request ate'V 1 Type Insp'n Permit No. L 1 U-) Name Address 6 ( Qc— l Company E55 (44 . Phone # Inspection Date 1 lot r Approved i Correction ❑ %._ ��'�� Re- Insp'n Fee ❑ • i L ♦ SWIMMING POOL OWNER'S CERTIFICATION Date Miami Shores Village Building and Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as % 4W-- !Poocated at CT 1�� '` f-� "IC In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety. barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit AAA in duplicate. SK ETCH OF SURVEY (BOUNDARY SURVEY) SCALE: 1" = 2d' PROPERTY ADDRESS_ 69 NE 103rd 5T. MIAMI, F.. 33138 L,EG& DESCRIPTION LOT 20 AND THE EAST 1/2 OF LOT 19 BLOCK 123 E C O V 7.13 SUBDIVISION AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 47 SE? OF THE PUBLIC RECORDS OF MIAMI -DADE —_ COUNTY. FLORIDA. 12:PC5 - 14-4 -- LOT 21 BLOCK 123 mr t mr OW Mo ° ° 123.15' � M 20.05' 1 !2 I 15.00 mw 5.01' 2 b ama 38.00' b I LOT 20 I BLOCK 123 EAt O i 30.05' 10.10 1-1 tsi 1 $ CHIC. ONE STORY $ RE51DENCE ui �j = � n, f w 69 - I �4 + O +� 4.90' I � '�1— 37.35 a !2 =� � ' 30.95' I _ l�5Pt1. 26.33' i • I ' ODIJC. ``� T"e el or LOT 118 A x BLOCK 123 7.50 I RIP — — — — 123.100 mr ow ow t (W 1D) c ° elt of Lar I$ BLOCK 123 z I 0 le I n �o a ° < a o As o ZOM Z Ld W 0 � o �x ` W R 'Q R 3 N I g12 O 2� fig y�pp f-C � <p4 Z R 8 O LSE 'o-JR1 5 > d WiR �° v rt a d jE Z 15 0 m La QYi� usipW W S 2 R z &g o� W o ;i� 0 W m �t3 Lv O, R W ta LLJ lh f.efff/flf 4 { Rptl� v c3nsa 1' I 9 6 1 11 1/ 1 LO fffffff ■f t4�� tq3 t t f i i■ I■ s f f f f f f■ f■ ■ U Z 6 � � N O Z W �+ W _ a Roy- oz U Ip"ZI WZF�Z of p U)m ^ N ZIg� b � MIS U a�s G3 Ld p, �x ` W R 'Q R 3 N I g12 O 2� fig y�pp f-C � <p4 Z R 8 O LSE 'o-JR1 5 > d WiR �° v rt a d jE Z 15 0 m La QYi� usipW W S 2 R z &g o� W o ;i� 0 W m �t3 Lv O, R W ta LLJ lh f.efff/flf 4 { Rptl� v c3nsa 1' I 9 6 1 11 1/ 1 LO fffffff ■f t4�� tq3 t t f i i■ I■ s f f f f f f■ f■ ■ ZONING CRITIQUE SHEET PERMIT # JOB ADDRESS: /z7 19 APPLICANT: c= APPLICATIT: l - .. �- INITIALS 1 It- CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION IN? _ 946 Miami Shores Village, Florida, 7 -2D-" Owner, Agent or Tenant of Building MR A. K Lot 20 & 14 1 Bloch 123 Subdivision Miald shores # 5 Street, Address 69 N.E, 103rd St. Approved use by occupancy Qe and Fl ©1 de A Adds �dt ®Li Remarks: This Certificate of Occupancy is issued to the above named Om®r for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buil gs or struc Plan Cube 9363 tury TeX Value 3782 BUILDING DIVISION Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 0 5 - /3 q- q Job Name 4Vrn6tcs Date gL l a l eS, BUILDING CRITIQUE SHEET Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ezt 430 RECEIVED' ' SE J1. ♦ E n plianc 7 ' With Standard'T& Safety, .UL ju a Building Commission Code Re n , Per ETL Listing Number 3035022 ♦ Exceeds Operational Requirements of Model Barrier Codes -* Microprocessor Controlled ♦ Monitors Entry to Pool and Spa Areas + Instant On Or 7 Second Delay Models Available ♦ Surface or Flush Mount Models + 15 Second Adult Shunt ♦ Low Battery Alert CLOSED LOOP Recessed Surface Mount • Built-in Back up Battery Capable maximum 500 mA Source or To Plug In Power Source. ♦May Be Hard Wired To Remote 12 Volt Applied Voltage Must Not Exceed 15 VDC. The new GRl DOORALERT/POOL ALARM was designed as an aid for prevention of an unattended th D �FRTI area by asmall-child. Monitoring all doors or windows with to mans adult�passxthru featiure attempt access to th POOL ALARM will sound an alarm should anyone too small should be protected in such a manner by the GRI DOOR pooVspa area. For maximum protection all moveable openings ALERT/POOL ALARM. or with a 12 volt The 289 -1, 289 -2, 289 -3 and 289 -4 can be operated independently with an onboard 9 volt battery ed DC power source, in which case the battery will perform aback -up function should the externally supplied externally supplied power sources have been designed to maintain a minimum sound pressure level of 85db at source fail for any reason. Both pow on no alarm soundings during that time lapse. Should the 10'. Estimated battery life is approximately 180 days based a roicimately every battery voltage drop below 7 volts, i loo battery ttery failu be �tte initiated be r placed sound t Vie, and the cause of power 30 minutes for one to two weeks prior t failure determined and restored. wer supply It is suggested that some type of surge protection, such as th e GRI CS- 1'Current Sensor, be used between the power and all GRI Pool Alarms using external power power level is considered total battery NOTE: Unit will function at minimum 5VDC at a very limited sounder volume. This failure. PART NUMBERS DESCRIPTION 289 -1 Recessed DoorAlert/Pool Alarm 7 Second Delay -- �Closed Loop . 289_2 Surface Mount DoorAlert/Pool 289 -3 Recessed DoorAlert/Pool Alarm - Instant On - Closed Loop 289-4 Surface Mount DoorAlert/Pool Alarm -Instant On - Closed Loop WARNING: THIS IS NOT A LIFE SAVING pEV-IOETOEEI- sooa4s s218 GEORGE RISK musnuES, INC. G.R.I. PLAZA K VIBALL,NE 69145 TOU,FREE I- 80x523 -1227 (308)2354645 FAX (308) 235 -3561 E_MAIL: grlsales@megavision.com WEB SITE: ww%v grislk_com % .. : MADE W US.A'. W :Q INSTALLATION INSTRUCTIONS: I h P ETL LISTED POOL ALARm The GW DOOR ALERT/POOL ALARM mounts easily to the wall by any door or mow which allows access to the pool/ spaarea.- Usinga CLOSED LOOP netic reed scyitcb, the unit will deteet and atirreiunce an open access by sQUiding a1dud•continuous alarm. Two timed op-, O toota are offeredi A. maximum seven (- a. io second delay mode prior to sounding. upon door opening; or an instant alarm. sounding upon activation. A surface mount and a recessed mount model are offered in both time options for a total of 4 different versions. All versions incor- porate a built-in pass thru feature and deactivation button to allow adult access without alarm sounding. Although the DOOR ALERT /POOL ALARM cannot be turned off, this feature will simply deactivate the alarm function for a maximum of fifteen (15) seconds. During this time span the adult must exit and close the door before alarm sounds. Once the alarm is sounding it can not be silenced by simply dosing-the door. The deactivation button must also be depressed. The sounder cannot be disabled by holding down the deactivation button. If a screen is present on the opening giving access to the pool, a second CLOSED LOOP switch should be mounted on it and both switches wired in parallel. This configuration will allow the door to be open for ventilation since the unit will activate only when both the screen and thc door or window are opened. If multiple openings lead to the area, the GRI DOOR ALERT/POOL ALARM can monitor all by installing CLOSED LOOP switches which are wired in series. In this way, . any opening will be detected by the -GRI DOOR ALERT/ POOL ALARM. A single deactivation button can also be wired at each opening to utilize the pass thru feature. Additional remote sounders may be. wired in to extend sounder coverage. Please contact your local GRI Distributor for information on remote options. Part numbers and wiring diagrams are available from the factory. WARRANTY: One year warranty against workmanship, material and factory defects. TOLIrFREE 14M- 445 -521$ GEORGERTSKU. DUS'IRIES, INC. TOLIrFREE 1-800- 523 -122 GRL PLA7A (308)235 -4645 Y,11 MAL.L,NE 69145 FAX(308) 235 -3561 NIAM IN U.S .A. E-MAIL: grisales@megavision.com WEB SITE: wwwgriskcom BA-203; Key .A. - ... . ADDRESS' 69 N.E. 103rd St, LEGAL E7 19, & 20, Blk 123 -A5-wi- REC0 RD GARBAGE TAX �j"�jf �(e i -- ! 2J/�F`- PAID BY - -' "' -:J i ' - - - -- -- � -- ' -YEAR - - ANNUAL TAX -- - PERIOD USED AMOUNT PAID- - DATE PAID - - NUMBER 9 . df d y 3 �r , • • r ,/� 7 ri ° 1"419- /,a►• 3k TV 1 - s- J- OWNER'S NAME PRESENT ADDRESS # LICENSE NO. PHO ENO, JOB LOCATION (ST. OR AVE.) LOT ` BLOCK SUBDIVISION -_ -GENERAL CONTRACTOR--- - - - -- - ADDRESS BUILDER'S BOND UIL W .P T No � O DAT 7A A uc F 4 7 Ii'Z 9 (� b ZONE REQUIREMENTS CU. FT. PLAN CUBE � CU. FT. � EST. CAST 3 DATE DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C. NEW CONSTRUCTION TYPE STORIES t ROOF CONSTRUCTION INTERIOR CONSTRUC ION s 4010! V � / _ i t - DESCRi ON REPAIRS i VdF.09 oirwexziao4 G Oft ALTERATION DESCRIFrTION ADDITION � APPROVED I REJECTED (REFERRED TO COUNCIL REASONS S SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD ( I SUBMITTE12 TO VILLAGE COUNCIL tau CERTIFICATE OF OCCUPANCY NO.� ISSUED j r BY TO� -r -CIE - -- -- BUILDING PERMIT AND INSPECTION RECORD- MIAMI SHORES VILLAGE 7Z v `-'• F UILDING7 a INSPECTIONS '00/a INSPIa:TIONS DATE BY INSPECTIONS DATE BY FOUNDATION I ROOF BEAMS & LINTELS I I POOL FRAMING I AIR COND. FINAL I CLEAN UP SLAB SLAB PLUMBING PERMITS & INSPECTIONS CONTRACTOR (21 PHONE PERMIT NO. Y I DATE - �3- FEE $ NEW BLDG. I ALTERATION X I ADDITI N REPAIRS SPECIALS PERMITS I PERMIT NO. I DATE I FEE TEMPORARY SERVICE I I $ %EPTIC TANK I $ ,SEWER I $ �SOLAR HEATER I Is GAS I is Is INSPECTIONS DATE I BY RE- INSPECT BY RE- INSPECT BY ROUGHING TUB & TOP OUT SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR /6�2,r �� /L� / L� - PHONE PERMIT NO. �d I DATE eI � FEES 6° po NEW BLDG. I ALTERATION I ADDI ION- REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. I $ RANGE CONN. I $ MOTORS IS FIXTURES $ I I� INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TEMP. SERVICE ROUGHING H: W. HEATER CONN RANGE CONN. I FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date`. - - - -- - -- i 9 —_. _,� ELECTRICAL ❑ PLUMBING ❑ PERMIT N? Q Q (j 8VJ0 Contractor's _ ROOFING ❑ License No. - -- - - ❑ Work to be performed under this Permit. -_— Owner of Building Architect Contractor or Builder Legal Lot j Subdi- Description Bl, vision Sq. Ft. — — Address of Value of Amount of Building _ Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed - ( INSPECTOR) BY - -__ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N? 7897 PLUMBING Work to be performed under this Permi Owner o4tk Building t — Architect - — Contractor or Builder Legal Lot I Bl. Description Address of Subdi- vision Value of DATE, 194 Contractor's License No. Amt. of Permit This permit is ranted 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. f Signed:— ed: "`�� By INSTECTOR In consideration of the issuance to me of this permit I agree to perform thg,`work covered hereunder in compliance wit I ordi c an4i rpg 4tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au o ties o Mi mi S r lage. In accep g this permit I assume responsibility for all work done by either myself, my agent, servant or employee. - CONTRACTOR �,DR BUILDER °" )�. Y AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE "` d194 ELECTRICAL PERMIT NO 6740 Contractor's PLUMBING License No. Work to be performed under, is "Permi ✓ �` � � `� �� Owner of Building `Lchitect Contractor or Builder _ Legal Description Address of Lot Bl. Subdi- vision Value of This permit is grAted to thA contractor or builder named above to construct the building or to install the equipment or devils 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 Pe 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 con on upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledg4rkohthe ordinances and regulations pertaining to the work covered hereby whether shown on the plansor dravAgs or i tli statements or sp cations at lie assumes respon- sibility for work done by his agents, servants or employees. e• $igne INSPECTOR By -T In consideration of the issuance to me of this permit I agree to p form a work covered hereunder in compliance with dinances and r�gu� s J pertaining thereto and in strict conformity with the plans, drawings, state nts or specifications submitted to the proper authonof Miami ShorAs't�Silae. 4`i- In accepting this mit I assume responsibility for all work done hyeither myself, my agent, serva t or employee. NTRACTOR OR BUILDER r BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner Building Archite Contrac or Build Legal Descrip MIAMI SHORES VILLAGE, FLORIDA PERMIT NO (;71? Wo k to be performed under this DATE 194 Contractor's IF of (f G• ` ¢ - ct for er rLot /,' . '. Bl. ./y Subdi- tion �/ vision � Value of ' � Amt. of Pro ect / C/ G C:✓ Permit Address Building This permit is grante 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 ch this permit is granted is the understanding that the contractor or builder named above assumes thg:r ponsibiiity' for a thorough knowledge of ices and regulations pertaining to the work covered hereby whether shown on the plans or dra in n the s to ents or specifications and th' mes spon- sibility for work done by his agents, servants or employees. Signed ' . By RPF. R In consideration of the issuance to me of this permit I agree to ing they to and in strict conformity with the plans, drawings, :pt�s permit I as�gme a� ility for all work done by ;,Work covered hereunder in compliance with all ordinances aggd r gulat��'Qns or specifications submitted to the proper authorlffPs of Miami Sho •V IW. S f, my agent, servant or employee. CONTRACTOR OR BUILDER ' BY AUTHORITY Address Building This permit is grante 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 ch this permit is granted is the understanding that the contractor or builder named above assumes thg:r ponsibiiity' for a thorough knowledge of ices and regulations pertaining to the work covered hereby whether shown on the plans or dra in n the s to ents or specifications and th' mes spon- sibility for work done by his agents, servants or employees. Signed ' . By RPF. R In consideration of the issuance to me of this permit I agree to ing they to and in strict conformity with the plans, drawings, :pt�s permit I as�gme a� ility for all work done by ;,Work covered hereunder in compliance with all ordinances aggd r gulat��'Qns or specifications submitted to the proper authorlffPs of Miami Sho •V IW. S f, my agent, servant or employee. CONTRACTOR OR BUILDER ' BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ''' ', 194 ELECTRICAL PERMIT N° 6842 Contractor's PLUMBING License No. Work tWbe ' e rformed under this Permit Owner of Building k Architect Contractor or Builder _ Legal Description Address of Lot Bl. Subdi- vision Value of Amt. Permit This permit is gr nted to the contractor or builder named above to construct the building or to install the equipment or deice described in the appli- cation herefor in strict zpliance 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 he ordinances and regulations pertaining to the work covered hereby whether shown on the plans or a ' 'gs or ' e statements or specifications and th ass es 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 perfo` the work covered hereunder in compliance with all ordinances and regulations pertaining they and in strict conformity with the plans, drawings, state nts or specifications submitted to the proper authorities of Miami Shores Village. In accep90g, t e7ft I%a�su�me responsibility for all work done by eithdr=myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING I V I 1 /"► Irl 1 7 I'7 ❑ ELECTRICAL PLUMBING ❑ PERMIT ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description �) Bl. Address of Building — NA 380'7 Work to be performed under this Permit_ Subdi- vision _ Value of Project DATE 195 Contractor's License No. Amount of Permit $_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations Dertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. 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. In ac- t this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY s, u ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ DATE 195 PERMIT N? 3767 Contractor's License No. Owner of Building Architect Contractor or Builder Legal Description Address of Building Work to be performed under this Permit_______ Subdi- vision Value of I Amount of - Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough 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 tine 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 s, Lot ! Bl. Subdi- vision Value of I Amount of - Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough 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 tine 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 s, BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect - ontractor or Builder MIAMI SHORES VILLAGE, FLORIDA DA PERMIT No 8628 Contractor s License No._ Work to be performed under this Permit Legal Lot (I Bl. II Subdi- Description vision Address of Building , 8g. Ft. Value of Amt. of Project $ Permit 95 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY rye .17 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT N. � PLUMBING ❑ 8603 ROOFING ❑ ❑ Work to be performed under this Owner of 11 Architect Contractor or Builder_ li Legal Lot Description Address of Building Bl. Subdi- vision DATE 195 Contractor's License No._ Sq. Ft. Value of Amt. of Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL El PLUMBING ❑ ROOFING ❑ Sub di- vision f Owner of Building_ Architect �ontracto or Buildez Legal Descriptic Address c Building MIAMI SHORES VILLAGE, FLORIDA -' DATE 195 PERMIT N? 8665 Contractor's License No Work to be performed under this This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 r Lot �I n Bl. Sub di- vision f SQ. Ft. Amt. of Permit $ Value of 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. 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 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT PLUMBING 0- AT . 8575 ROOFING ❑ ❑ Work to be performed under this Owner of Building_ Architect - ontracto or Builder Legal Descriptic Address c Building DATE 195 Contractor's License No._ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 1 7 r Lot 1� n Bl. Subdi- vision if Sq. Ft. Value of Project $ Amt, of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 1 7 MIAMI SHORES VILLAGE. FLORIDA BUILDING DATE ELECTRICAL ❑ � 195 PLUMBING ❑ PERMIT lr ? 8540 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permit ' Owner of Building Architect _ - ontractor or Builder_ Legal Description Lot (I Bl. Subdi- vision Sq. Ft. Address of Value of F Amt. of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, E drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 MIAMI SH13RES VILLAGE, FLORIDA BUILDING . DATE 194 ELECTRICALrRMIT NO 6'739 � Contractor's PLUMBING LI n e N o. Work to be pormed under this Permit d Owner Building Archite 4 Contrac or Build Legal Descrip Address Buildin of � F ct r for er r Lot Bl. Subdi- tion vision of ' Value of II Amt. t 'I°1. Project I Permit This perms is ranted to the contractor of bus er named above to construct the building or to install the equipment or de ce tescribed in the appli- cation herefor in str' t compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, st ements 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 conditio .upon which this permit is granted is the understanding that the contractor or builder named above assu ¢. the re ponsibility for a thorough knowledge' o dinances and regulations pertaining to the work covered hereby whether shown on the plans or dra gs,or ' tl)e'statements or specifications and at e mes respon- sibility for work done by his agents, servants or employees. i / ell ..;; Sian-A; � ; ;' INSPECTOR In consideration of the issuance to me of this permit I agree to perfdm► e work covered hereunder in compliance with ag, rdinances and rgul bons pertaining thereto and ip strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti of Miami Shords 'pillage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY This perms is ranted to the contractor of bus er named above to construct the building or to install the equipment or de ce tescribed in the appli- cation herefor in str' t compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, st ements 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 conditio .upon which this permit is granted is the understanding that the contractor or builder named above assu ¢. the re ponsibility for a thorough knowledge' o dinances and regulations pertaining to the work covered hereby whether shown on the plans or dra gs,or ' tl)e'statements or specifications and at e mes respon- sibility for work done by his agents, servants or employees. i / ell ..;; Sian-A; � ; ;' INSPECTOR In consideration of the issuance to me of this permit I agree to perfdm► e work covered hereunder in compliance with ag, rdinances and rgul bons pertaining thereto and ip strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti of Miami Shords 'pillage. 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 u DATE 195 ELECTRICAL E, PERMIT N° 10809 Contractor's PLUMBING ❑ License No. _ Work to be performed under this Permit Owner c Buildinc Architec - ontrac or Build Legal Descripi Address Buildinc �f :t for er Subdi- Lot I Bl. vision :ion. of t Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR - In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ELECTRICAL PLUMBING ROOFING Owner of Architect - ontractor or Builder_ Legal''`4 -- MIAMI SHORES VILLAGE, FLORIDA ❑ ❑ PERMIT W? 13032 C. I ❑ NVork to be performed under this Permit BI., Address of /C t ANIL Building _ This permit is grante the contractor or builder named abol herefor in strict compliance ith all ordinances pertaining thereto at drawings, statements or specifications that may have been submitted t time if the work is not done in compliance with such ordinances or if granted is the understanding that the contractor or builder named ab( pertaining to the work covered hereby whether shown on the plans o done by his agents, servants or employees.: _ Subdi- vision ltValue of X44000 Project $ DA No I Amt, of Permit $ 95 to construct the building or to install the equipment or device descried in thSapplication with the understanding that the work will be performed in compliance with a _ ,plans, d approved by the proper .municipal authorities. This Permit may be revoked many lans are changed without,: authorization. A further condition upon which this permit is assumes the responsibi4ty for a thorough knowledge of the ordinances and regulations wings or in the jLo6fnents or specifications, and tha* % asaumea. rean r7i J* y,=k Signed: ..,7ance— INSPECTOR lof In consideration of the issuance to me of this permit I agree to erform4 pthe work covered hereunder in com��w 6 all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, stat ents or specifications submitted to the proper-- au tnorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by ei er, myself, my agent, servant or employee. _q CONTRACTOR OR BUILDER BY AUTHORITY: MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL ERMIT N? 6739 PLUMBING Work to be performed under this Permi Owner of w Building Architect Contractor or Builder Legal Lot Description Address of Bl. Subdi- vision DATE 194— Contractor's License No._ Amt. of Permit This permit is Minted to'the contractor oAuilder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strigf compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, stateements 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 agsumes respon- sibility for work done by his agents, servants or employees. Signed: ,« _ By * INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194_ ELECTRICAL PERMIT N° 6842 Contretors PLUMBING Work to be performed under this Permit e '.- Owner of Building Architect Contractor or Builder Legal Lot Description Address of al Subdi- vision Value of Amt. of ?Ne PIN Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: } - By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ry DATE ELECTRICAL PERMIT N° 6'740 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Subdi- vision 194_ Address of Value of I Amt. of Building Project Permit? This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict oempliance 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 Villa. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 6712 contractor's License No._ Work to be performed under this Permit_ Contractor or Builder Legal Lot Bl. Description Address of fY Subdi- vision Value of 194_ This permit is grante to the contractor or builder named above to construct the building or to install the equipment or device de /cribed 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 specificatrasubmitte to the oper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, >}l wee CONTRACTOR OR BUILDER BY AUTHONTY { t Miami Shores Village . o Building Department 10050.N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING R. PERMIT APPLICATIO SEP i�kj?f5 FBC 2nni � Permit No. le Master Permit No. Permit Type (circle): Building El _,tdca, Plumbing Mechanical Owner's Name (Fee Si ple Titleholder) _L A ��- -` �� °'S Phone # Owner's Address 's �,.: -� �� t City rl, 41". State Zip Tenant /Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company N Contractor's Address r City 1--,,e 4 v^. Qualifier State State Certificate or Registration No( � `` Y Roofing Phone) -j Zip Certificate of Competency No. Architect /Engineer's Name (if applicable) O cat: 4�C/ Phone $ Value of Work For this Permit �0t a y0 Square Footage Of Work: U Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair /Replace ❑ Demolition Describe Work: Submittal Feed` Permit Fee $ mil_ . J�l� '" CCF $ �3 • c) 0 CO /CC . 5CD, CID Notary $ Training /Education Fee $ 21'! _ Technology Fee Scanning $ Z') , f(D Radon $ ( • 8C, Zoning Bond Code Enforcement $ Structural Plan Review. $ '- Total Fee Now Due $ t (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State r Mortgage Lender's Name (if applicable) Mortgage Lender's Address city State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law br chure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of com en eme t be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu I th Bence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature' Sign g Owner or gent Co tractor The foregoing instrument was ac ow before me this l� The foregoing i strument as ack owledged before me this_ day of 2 y day of who is p0known- as produced who is per onally and who did take an oath. NOT NOTARY PUBLIC: Sign: - Sign: Pr' _ Print: 2 y ow -r wh s produced as identifcati n ho did take an oath. k _ ly s•�! "OtarY My Commission Expires: M co pt1bli� S I1�� My Commission Expires: • N0. 17Q q0 200 * * ** * ** * * * * * * * ** * * * * ** ** My co *pXA 12 *e* ay mfi No. '' &24, 2007 APPLICATION APPROVED BY: chc 05/13/03 Mans Examiner engineer Zoning 1 ' s 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 br chure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of com en eme t be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu I th Bence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature' Sign g Owner or gent Co tractor The foregoing instrument was ac ow before me this l� The foregoing i strument as ack owledged before me this_ day of 2 y day of who is p0known- as produced who is per onally and who did take an oath. NOT NOTARY PUBLIC: Sign: - Sign: Pr' _ Print: 2 y ow -r wh s produced as identifcati n ho did take an oath. k _ ly s•�! "OtarY My Commission Expires: M co pt1bli� S I1�� My Commission Expires: • N0. 17Q q0 200 * * ** * ** * * * * * * * ** * * * * ** ** My co *pXA 12 *e* ay mfi No. '' &24, 2007 APPLICATION APPROVED BY: chc 05/13/03 Mans Examiner engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 T 1• (305) 795 2204 Fax• (305) 756 8972 BUILDING PERMIT APPLICATION FBC 2001 E�V2D Permit No. SE? , y4" 2005 aster Permit No. Permit Type (circle): Building &lecf bluing Mechanical Owner's Name (Fee Si ,ple Titleholder Phone # Owner's Address it �, 5�-v�' ,� State Zi C y p Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO -, Roofing PContractor's Company Name — ' -`� > r �'" (> Phone #}� Contractor's Address � ^ - 1 S1 _ City,._ State_ Qualifier 4�) -t__ - ) State Certificate or Registration No. L. . Zip �> 5 ( kl_ Certificate of Competency Architect /Engineer's Name (if applicable) �� .%� ��,_ i .�f r Phone as $ Value of Work For this Permit fl Square Footage Of Work: Type of Work: ❑Addition ❑Alterattiion [—,]New El Repair/Replace ❑ Demolition Describe Work: ( r%( _` }" _Cot/ 4 ._ ********************* * * * *Fo Submittal Fee $ Permit Fee $_ / /�� CCF $ CO /CC Notary $ Training/Education Fee S ° :!.' Technology Fee $ Scanning $3-Co_ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 1(0& • 30 (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of .a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochur ill be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ent ust posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued 1 ie bsen e such posted notice, the inspection will not be approved and a reinspection fee will be charged. r Signature � Signature Owner or Agent ntra or The foregoing instrument was acknowledged before me this — The foregoin instrume t was acknow before me thisLr- y of da , 201 .'� day of who is erson known e w has produced who is e onall n p _ o p p r�� o �o�pr* i'(0 Vas produced As iMntifi,961yon and who did take an oath. NOTAR; UBLIC• NOTARY PUBLIC: Sign- i ei Siff as who did take an oath. Print: 1 of—��c � SHEMAiV Print Notar f SOMA U� �_ My Commission Expires: yCpmm• EXp. May 24 Ortdd M Commission Expires: my COM . ex' ate Of Florlda om � � 20 APPLICATION APPROVED BY: Plans Examiner Engineer Zoning chc 05/13/03 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 s_an -��.. i�ncl�c BUILDING PERMIT APPLICATION Permit No.� Permit No. FBC 2001 Permit Type (circle): Building K Electrical,,.) Plumbing Mechanical Owner's Name (Fee Simple Titleholder) 1` e� 1� -� Phone # Owner's Address 1 A K! (7 ( 0 > -Q=UA City hL)' d. i Tenant/Lessee Name State F- Job Address (where the work is being done) 6 i Zip 3317" Phone # City Miami Shores Village County Miami -Dade Zip -33 '4' Is Building Historically Designated YES NO Contractor's Company Name iti` Y'`' 1 T_1' ` i "" " j >'`� Cam' Phone # Contractors Address % i city__! Qualifier. r State Certificate or Registration No. (- ! State Zip Certificate of Competency No. Architect/Engineer's Name (if applicable) j 4t% Phone # $ Value of Work For this Permit 00 Square Footage Of Work:. Roofing Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Submittal Fee $ Permit Fee $ �2S i �'� CCF $ C ,bQ CO /CC Notary $ Training/Education Fee $ e_ , d' Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State i t Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature s Signature (I Owner or Agent \J Contractor The foregoing instrument was acknowledged before me this %� The foregoing instrument was acknowledged before me thisz--2- - -- day of day of i 20t who is pernally known t has produced who is persorleff'Yknown e wh„ has produced NOTAR Sign: and who did take an oath. NOTARY PU VA. zit /n .� , Sign: as who did take an oath. v �� C � Print: Prmt am U , �ate © My Comn Expires: � F2 t Do 0 ? y/My Commission Expires: 'pni APPLICATION APPROVED BY * /�0-v*lans Examiner Engineer Zoning chc 05/13/03 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ' - Job Address / ZA f,- /0-1 �V Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / T Owner's Address No Master Permit # � e 'hone Contracting Co. /L /iui✓I G�t �J "� • Address ��,� p�� - / 1jyr /k9/�( Qualifier Al SS# Phone J N /ss0 State # Municipal # Competency # Ins. Co. Architect/Engmeer I,�I-I'/ -/ / 6L45r 11t' Address / UCI (Al Bonding Company ^ - - -- Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft.� (J Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR Il"ROVEMENTS 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 worll be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work ted. ignature of o and/or Condo t Date Signature of on or Own -Buil ' NoT�mAx 9 .,3 - �tsr. Notary o Owner Notary a ltAt03 Date My Qemmission Exp N My Commis 'on EMISSION NO' ON fiXF. MY COMMISSION EXP. MAK 1 FEES: PERMIT ! U RADON C.C.F. /-AO NOTARY S BOND APPROVED: TOTAL DUE t Zoning Buil ' 1 0 Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE p ter" � 3 Date Job Address n 1 �"1� 1 - 1 Tax Folio Legal Description Historically Designated: Yes No K Owner/I.essee / Tenant r / I7 A 14 X V' Master Permit # L ( l d Owner's Address (Q • I' I D2 S� Phone J .. X) '7_3 Contracting Co. �9 i♦ N LZ MEAL ��r n4�_ Address _ 1`i-�r31 ll9 . l.l�. 9 J Qualifier SS# _" JWPhone 12 a4– 1 %7 0 State # Architect/Engineer Bonding Company Municipal # Competency # 119 - Ins. Co. Pz5o r•- L . Address Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL OOFIN PAVING FENCE SIGN WORK DESCRIPTION EPA mo L F A K!SS E 1 ?J Q t a V f L- Iz c D Square Ft Estimated Cost (value) 0. 31a –T o� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR.LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. "40 Signa o t Date Signa o f Contrp g Owner- Bui lder DDate ACRY [gr, �y /% FIC D NOTARYS O -� �.. �7tS �1Q JVII.I.AU� ^l dn My Commission FEES: PERMIT D RADON Date /Notary as to My Commis Al E OF FWRIDA NO. CC714103 C.C.F. NOTARY BOND e (0— APPROVED: qqpp�� Zcaling Building '� Electrical Mechanical Plumbing Engineering TOTAL DUE .`a;.... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL ICATIO14 FOR PLUMBING PERMIT ruait Nd.tO LY Date_! 'cation is. hereby made for the approval of the detailed statement of the plans and specifications herewith submi for the building or other ' �1 Y _aPF P P 8 herein- described. This application is made in compliance and conformity with the Building Ordinanee:of i Shores Village. Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulat' ns of the Building Division of Mia "� Shores Village shall be ° complied with, whether herein specified or not. A copy of approved plans and ifiations must be kept at ' ng during pagan of work. Name and Addt Registrad Architect and/or Employing Plumbers Name No, Street Locatica and Legal Description k_ _ ,.J__ Snbdiv' , Street and Number whexe work is to be perfornied-- No... Street-_ . to be perfornoi and purpose of building (By Floors) _� _ ..._.. .. Remodeling________.____.. -__ Addition____ ..________ Repairs_ - -------- - -- No. of Stoda:Y__°._._—. tr ` � rc BATH t.JAjfA• STOP LAUNDRY - CATCN.. FLOOR DRTNKIN TOTAL 'CLOSETS TORIES '$tNKB ..SINKS TUBS BASIN DRAIN FOtIWT'N FIXTURES Before me, the undersigned authority. a notary public, duly authorized to administer' oaths and take �kaOwledgments, personally appeared I -known, and who, being by me first duly sworn, upon oath deposes and says that he is the .____.__ o tlm above described construction, that he has carefully read the foregoing application, and that he did sign�the earns, and that all facts the him stated ate true. . icy Commission ,Expires ... ++ .. .* Notary Public. "Florida NCtJ, A re -' fee of $1.00 will be made when such re- inspection is made necessary by improper a ice for i slrritjcrr workmasohip. tulmdon, or faulty Q oU ORMN SOAKAGE.. GREASE SOLAR DEEP SPRKI.R.. Swim's. - FIELO -PIT TRAP`- .HEATER WELL SYSTEM .POOL j", CHZCK silze Up* Tank Type of Tank _____.- ---------- _.__.°_____...._.___Capacity Gals, Feet of Drain Tile_ ._ ...... _:..__ ..°_ Dist. Feet of Tank or Drain Field from WelL__.____...__w_ Nature of Water - Supply= City —Well_ — - - - -- --Size of Soakage Pit.- _____- -_____ __ ... _,...... ____._ ________ _____ _._.______ ._...._..,._..__.�.....� A t'af Permit $._ (Signed) - -- - -=� - -- -- - W plumbing Iaspeator. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor rotmisr the :Pl atida',Wotkuren's Compensation Act, being Section 5466, 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 employo 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 rk such gu a no ' r notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on wo rmed i n permit, as are 1)y Miami' Shores Villayzee - (Signed Master Pl ' S' AT9 OF FLORIDA, CtAft TV OF DADIR. ss. Before me, the undersigned authority. a notary public, duly authorized to administer' oaths and take �kaOwledgments, personally appeared I -known, and who, being by me first duly sworn, upon oath deposes and says that he is the .____.__ o tlm above described construction, that he has carefully read the foregoing application, and that he did sign�the earns, and that all facts the him stated ate true. . icy Commission ,Expires ... ++ .. .* Notary Public. "Florida NCtJ, A re -' fee of $1.00 will be made when such re- inspection is made necessary by improper a ice for i slrritjcrr workmasohip. tulmdon, or faulty Q oU q MIAMI SHORES VILLAGE L ELECTRICAL= INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT' Permit No.ALl.-. .. Date... a .! ��..�..1 .... Application is hereby a for the approval of the detailed statement of the tans and specifications her th submitted for dte building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of work. rr Owners Name and Address:.d.. ..., ._ .. -& _ .......................... No....1i1.1 N.C.- 1.0 ......Street .,....... ......... Registered Architect and /or Engineer ..........t. #:k.....4 .:. . 7-6.6. ..... Employing Electrician's Name...:....... w!!4 ....IL14 .........No.....,.. • ........ ........•......Street Location and Legal Description Lot ...................................... ...... Block .... ...................................... Stibdiviston :.. - - -- Street and Number where work is to be' performed— No:......_ sre.....�.11............................. `Street ...:..... ... State work to be performed and purpose of building (By Floors)- !-. New Buildt g .;«........ ........... .. Remodelin g ........ :. .......... . .•. :.Addition,. _;........ ......:.Repairs..............., .........:.....No. of Stories. ................... *W MN LIONT PLUG FurrUREs. REFRIO. IRON RANGE RANGE W. NEAT. GPACEI STRIP TOTAL OWMM OUTL9" RECE•P•T•$ NO. LAtmPs OUTLET OUTLET OUTLET CONN. NEATER CONN. NEATI* NEATER COWM* 4� low .-- .- r+- «.. -... ...}.. LIST "t^' Ame CHECK TENT. OWT. safe as SERvIcs MOTORS MOTORS NEON RAOtO TOTAL SW.. CAS.. TEMP. TERM. O•t NP t,S. NP TRANS, CONTI LIMIT VKWE Overhead Site Feeders..... Conduit ................ Main Sw... Service Underground Amps... Haan Fuses Amps Type of Installation -_4 conduit., ..Tubin ......B.X.L .. ...................Metal Moulding .......... :....... ......I.. ........................... ..... .. ... . .... ,. ...... .. ...................... + Amount of Permit '$. - ... ............................................... (Signed) ........... ..... . Electrical inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen "s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied' with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed' by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work suds public notice or notices as are required by the Act:' The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village, (Signed)..' +_. .. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. � Before me, the undersigned authority, a notary public, duly authorized to' administer oaths and take ;acknowledgments, personally appearA ... ......................... ......................................... .... ......... ..... ,. .... .. ... . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...... ....... ......, ...., .... I.............:.... F of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. f .my Commission Expires Notary Public, State of Florida Nt Ut A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty pis W /or wetkumns6ip. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE I Date '.s (l Job Address °/ BcJ /£ / s Tax Folio-//-1-13r- 0 ( 3 O% �Z-0 Legal Description Owner / Lessee / Tenant l 4- C✓�T ��/ �,� Master Permit #� >_ 7 Owner's Address 6 q nl r 1 ®3 fl- Phone Contracting Co. 6.,aZt.IEs- 4.i- rro..jrJ, Address `/ G m,c2l Ji,J 7�� /cc. Qualifier 44rdJ eJ ss #r "— Phone Z (o Y - Zit o State # 0SC,63JI(Aunicipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company, Addres Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION AL) 3 Square Ft Estimated Cost(value) 7 8 70, �? 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 authorijoe7thg above coriractor to do the work stated. .1101- 06 Signature of owner and /or do President Signature'of Contras Date: Date: /� r- Builder Notary as to Own �4 br #o 9fififtt j Notary me Builder BMW My Commission Ex •'� • ' My Co : ' iiC E XlN 0 CC 329617 € EXPIRES: November 11,190 q [ended Tluu Notary Public FEES: PERMIT_, rF7 RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other Zoning _ Building Electrical Mechanical( C� l Plumbing Engineering PERMIT APPLICATION FOR MIAMI /,pn� g -- Date Job Address 6 � Ale y'J ;Lg G�1— Tax Folio SHORES VILLAGE Legal Description Historically Designated: Yes No Owners / Tenant t4-3r%.9 /�AWA��— e-1 Master Permit # Owner's Address �7 /V a &40" , " ` Phon2<1T) — Za— c5/ /=3. Contracting Co. Address Qualifier / //Ga m ` %�'��%`C� SS# - � - /Phon C;3 iS S State # C DU 7J�� Municipal # Competency # Ins. Co. Architect/Engineer ��" Address Bonding Company Address Mortgagor p y Address Permit Type (circle one): BUILDING ELE TRICAL tPLUMBING MECHANICAL , PAVING FENCE 2RN ,� GliiG �.s�v ,�— s}C /`s�i2� CS' l�iCL WORK DESCRIPTION c9- �v,e �J�e�d 1,40 Square Ft. I f i 110a & ,qd e-5 • Estimated Cost (value) / /601 O WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT M YQ1Fk PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER 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 teat 411 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 AFFIDAVfr: _ I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws mgplating construction and zoning. Furthermore, I Notary My Coy FEES: PERMIT G " r RADC APPROVED: Zoning Mechanical the above -named contrac;Zof the stated. Date f � n or Owner -Bum Dais .,A 14 Date Notary as to My Commis COW ta BOND TOTAL DUEL Electrical Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address L9di N •'V-- -\F 3 n� Tax Folio Legal Description -7 er Lessee / Tenant >� Master Permit # 2') % / Owner's Address Phone 95�9 '\�°� Contracting Co. Address LAO1ts 7 ' A C Qualifier Q . SS #.. Phone State # ls2Lj-1 _ Municipal # Competency Ins. Co. CIA Architect /Engineer Address Bonding Company �� Address Mortgagor Address Permit Type(circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN CD WORK DESCRIPTION , Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO" SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS,, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above-named contractor to do the work stated. Signature of owner and /or Condo President Si ature of Co ractor or Owner - Builder Dater te' Notary as to Owner and /or Condo President Notary as to Contragtor, .2 1 e My Commission Expires: My Commission Expi s: St MCtONAUGiIL NOTARY_ PEWX SATE OF COMMMON NO: CC! 4675 ** * * * * * * * * * * * * M COMi�fISA1ON UC. '! FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE• APPROVED: Fire Other Zoning Building Electrica / 4E 17 Mechanical Plumbing Engineering 5NORES E,' l • • • ••• • • • ,p� y�� ; •; • ; ; •; • PERMIT APPLICATION r� •••• ° °. Master. ��rmlt.Nc�.. • Subsidiali PeiHt N� . <rORIDp' • • • • • • • Step 1. Complete the attached permit application which muster d bbf tt& nrdne *bwnVandaua'lifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of yourappi e4ioD. If ipgflnt�&ork % 1W be done, a roofing application must be submit - ted along with this permit application. • • • • • • • • Step 2. Submit the coWlleted gpnlication with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION W i %% 47 YA Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE( ) Building Electrical Mechanical Plumbing LPGX Roofing Fence ARCHITECT Name License No. Address Telephone Fax A% ity escription of Work° Zoning Linear Feet Square Feet — Units Floors Xalue of Wor _ Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension PRO W Name / l Address Home Telephone J 6 Business Telephone i Fax TYPE OF MANAGEMENT (./) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'1 Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualit5er Name Page 2 ; • • • • PERMIT APPLICATION .... . .. .... . IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOL'f I1AVIr1U REC%IVED YOUR VZLIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited [o: •Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST H&MA419T✓1IW IN•A C�E4N �TJEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTI99 SH, ,tLJ%E•0K FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM $EING D�M fgEII BZ B.Qt:IPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk' • • • • • • • • . 68 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, I" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE of Owner r+ I �� Print Name 4t. nd subscribed before me this day of Signature o otary Public - State of Florida " ' dyr Angela M Becker SEAL: %Q My Commission DD150048 �pd� Expires November 15, 2006 Personally known OR, Produced Identification L__ Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this Signature of Notary Public - State of Florida SEAL: day of Personally known OR, Produced Identification Type of Identification Produced: r--)— 1 4 7) 7) ' �� Type of Identification Produced: INSTRUCTIONS: Please indicate the type of work beinigerformed aAd qtfhdlityEles) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer Q,.-Y. • .' N P1,, pule pplianoe- • • • QTY. Page 3 ; • . • • • • • • Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump • Outlet, Switch •' • ' ' ' Cap - Fixture PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work beinigerformed aAd qtfhdlityEles) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer Q,.-Y. • .' N P1,, pule pplianoe- • • • QTY. TYPE Q-1-Y. Service Repair A/C Central 1 -3 Ton Drinking Fountain Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Pool Piping Outlet, Switch Fire Sprinkler System Signs Cap - Fixture A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Sprinkler System Space Heater (kw) Cap - Water A/C Central 16-20 Ton Gas - Appliance Fixture Light Pump, Domestic Parking Lot Lights Supply, AC Well Spas/Hot Tubs Cap - Sewer A/C Central 20+ Ton Gas - Natural Flood Lights Pump, Fire Stand Plugmold/Strip Temporary Toilet Subfeeds, No. of Amps Catch Basin A/C Window Gas - Propane FPL - Load Central Pump, Re- circulate Posts Temporary Water Closet Swim Pool, Commercial Clothes Washer Air Conditioners Gas Piping Garbage Disposal Pump, Replace - Pool Range/Range Top Urinal Swim Pool, Residential Dental Chair Chiller Grease Trap Generators, etc. Pump, Sprinkler Receptacles Utility - Sewer Switchboards Discharge Well Clear Violations Ice Maker Heat Recovery Pump, Sump Refrigerator, Comm. (p/PH) Utility - Water Temp Serv., Construction Dishwasher Compactor Indirect Wastes Low -volt, Burglar Relay Repair Refrigerator, Domestic Vacuum Pump Temp for Test - 30 days Disposal Deep Freezer Interceptor Low -volt, Fire Roof Inlet Renew - Temp Service Water Closet Domestic Well Demolition Laundry Tray Low -volt, Intercom/Teleph. Septic Connection Repair Circuits Water Heater Drainfield, 4" Tile/Res. Dishwasher Lavatory Low -volt, Television Septic Tank Service, Number of Amps Water Heater New Drains, Area MECHANICAL TYPE Minimum Fee QTY. TYPE QTY. Condensate Drain TYPE QTY. Generator TYPE QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost Drinking Fountain A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Pool Piping Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Sprinkler System PLUMBING TYPE QTY. A/C Condensate TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE QTY. Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY DATE: ... . Page 4 • • • • • . . , • PERMIT APPLICATION OFFICE USE ONLY ... CHECKLIST ❑ OWNER -BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) ... (Attach). • • (Attach) ❑ FIRE DEPARTMENT ❑ 4RS'/:DfW"PgOVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic /'SeNderl •• multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond $ ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ L'j (sq.R. = x11000 x Q.60) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary ISSUING OFFICLA'c-- _j REVIEWED AND PREPARED BY (Q.005 /sq.ft.) $ (0.01 /sq.ft.) $S, C6 SECTION BY D TE Zoningl 3 d Electrical Mechanical Plumbing Fire Public Works Structural ` Building Official ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ DATE: Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com { PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 4k%yrt- /(.8 f4- Tax Folio Legal Description Historically Designated: Yes l A No Owner/Le�ssee / Tenant CQ "lam' Master Permit # 7 % S78 Owner's Address 4f NFL /ag�— c29 „ Phone 7Z" d-Z 2-3 Contracting Co. J�?-A�. Address Qualifier State # Architeet/Engineer Bonding Company Municipal # SS# _Competency # Address Address Phone Ins. Co. Mortgagor Address Permit Type (circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN /7 WORK Square Ft. Estimated Cost (value) WARNING TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR BIPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT � 0/ APPROVED: Zoning RADON C.C.F. i : & ® NOTARYS, Q O BOND r Building \ Electrical Mechanical Plumbing Structural Engineer TOTAL DUE ', 4 D Si tune of Cgphx for r Owner- der Date k�.,f otary as t on g&or Owner -B lder Date My Commission _ p� e <� ANGELA. tub EGCKER TOM 0{�UN "90 9 NUMBER `} c C066697 T`cOF F�� W CtNt MISSION FIR RADON C.C.F. i : & ® NOTARYS, Q O BOND r Building \ Electrical Mechanical Plumbing Structural Engineer TOTAL DUE ', 4 D PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Datelohgldw. Job Address io Z�r / ®�`�� Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee /Tenant /�-1�• �?� Master Permit # 41 / Owner's Address / eW 1*410' Phone•'"' Contracting Co. ' �1� -C/%L� Address Qualifier SS# State # eaC__. / Municipal # Competency # Ins. Co. Architect/Engineer jy /9" - Address Bonding Company Zr Address Mortgagor %y Z.6} Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL! PAVING /FENCE SIGN WORK DESCRIPTION N -P,rr� d�oQ'� Ti /es .� /� s•�- C� /� T� /�� . ��6�� T��,�t��' J Square Ft. -2- '16 'I 6 I� � =� °Z •Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT :. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. owner and/or fV /,.�i /� of Contractor or 0 rotary A to Owner and/or Comm Ev. Q4W Notary as to Contractor or My Commission E ' .c > No. CC 930003 My Commission Expires: FEES: PERM[T 0 RADON C.C.F.,'�' NOTARY APPROVED: Zoning Building i 1% Electrical lw� DV Date M104ML WILF 2, V No. CC 930003 Date t y polwW y www t r odw I.D. t� y BOND,_—� �7 TOTAL DUE �0l.�� /r-- Mechanical Plumbing . Structural Engineer Miami Shores Village tda,,4 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION ? =, `` 007 Master Permit No. p 3 FBC 2004 MAY 2 Permit Type (circle): Building E1�c Heafl- XI-Ptnmrbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 't,o %&& %C 'L kAuM6L.C-S Phone # 3eS- 3 % O Lp S 4-3 Owner's Address k;, C1 r� �-- ` 0 3 S-v CityiAtutrt i �jL•nc"eS State Zip 33 3 Tenant/Lessee Name ----' Phone # Job Address (where the work is being done) b Cl N L k O 3 City Miami Shores Village County Miami -Dade Zip 3 FOLIO / PARCEL # S gC S Q 7> 10 -4-'? / O Z - e' r &<>- i q 'J�)L, K ,Z Is Building Historically Designated YES NOS Contractor's Company Name Contractor's Address City Qualifier Name C) "jor,3 & e- State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ q O d State Phone # Zip Phone # _ Certificate of Competency No__ Phone # Square / Linear Footage Of Work: Type of Work: DAddition QAlteration ❑New { Repair/Replace ❑ Demolition Describe Work: _ /G7 S y S -,l c� �o c�.por © 1G z Submittal Fee $ Permit Fee $ �d �-^" CCF $ 5'q0 CcO /ACC j Notary $ Training/Education Fee $ Technology Fee $ , J u Scanning $ "\' Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ ayn a DA,R jjj See Reverse side -� �TRiV Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage,Lpndff : s Name (if applicable) Mortgage Itender's AAdres$ City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that. no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ` / Signature Owner or Agent Contractor The foregoing instrument was acknowled ed before me this � The foregoing instrument was acknowledged before me this day of r• 1200-1,b y � ✓ - -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. NOTARY PUBLI Sign: as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: "av P'.'.._ � ",aria d'erodp Print: My Commission .Commission #DD273065 My Commission Expires: �?� Expires: DEC. 07 Z00 �RR�,d� *��r 'nuns WWW ARONIVOTARY.com APPLICATION APPROVED BY: 1�_T :5/�i (Revised 02/08/06) Plans Examiner Engineer Zoning 13" Miami Shores Village a` Building Department 10050 NX.2nd Avenue. Miami Shores, Florida 33138 Tel: (305) '795.2204 Fax: .(305) 756.8972 Permit No, k'+T Master Permit No. FR,� #' 23 Pe ' c 'r P R IVf IT — Q letlt�pie Ttleholcler) iIUJ Phone # \ 310y3 `k �'C city State Zip Tt nau�e� tie Phone # Alm it sfi:{ t the wr}rk is taein done) On, G sty , -. tt mi s Vial s e County Miami -Dade Zip to i i Cot is v ignated YES NO i IColtchctt3�''.Catny Alatne Phone # City State Zlp j , ati �"�r, � . � Phone # Matte "tcrl� =Reiiattation No Certificate of Cgmpetency No fYWNklk I ittf l Ltl It �'" V�� Wet* � thus Permit S Soo. Type of Work: ❑ Addition / ❑ Alteration ! ew / [) Repair /Replace ilescbettirw� tss C�iY�_ „ T A{g►ia Rtt t �s,fiet y t e po obtain,a permit to do the -worlt and' iostallatioiis ae indicated. 1 certify, that no wort: or installation has crnnmencad pries to dtC issuance oC a Ix m�it MA"Aiatatt wwk will -li0 parr iod'to meet the standaids of ail I ws regulating construction in this iurisdicxitHt: I understand that sepalate pennft must he secured fsar EI,K',TtttC•AI (z)RR, Pi.t l'ilN(i,_SICiN` , WELLS. I'OtJi: % f URNACFS, f3O1LF..RS. kATERS, TANKS and AIR CONDITION�iRS, ETC'..... i - WA IE,IwING TO OtVNER: ' YOUR FAILURE . TO RECORD A NOTIcC OF COMMF,NC"FMENT MAY REST ►L'I� IN YOUR PAVING TWICE FOR iit�[ftG VEMIENTS. TO YOUR PROPERTY. 'IF VOdt INTEND TO OBTAIN FINANCING, CONSULT WITH V, OUR LE ER OR AN ATTORNEY BEFORE :�AICf VO iii- NOTICEOr, C:Ok MENCEMENT." Firirice nr #pptic rt" Asa tor iitiairto the issuance ale hRildingpermit with an estimated value exceeding %?iOd. the applicant must pr nose in gt .Jaitlr tl >trt tr cryw ci/ the noc e,d f ei owwgbt tttent and construction lien law brochrnt will be delivered to the person whose property is subject to attachment. A10. a vertffiedcopy ol'the record4d notice o %c�rtn must Its pond ar the jab site j6r the, frrsl inspection which occurs seven (7j days after the buildings permit is issued hi the absence f f nich posifed notice: tfie l,isyu�c f +YrTl,rittl e..�tplirrnrf t p"do reinspeetion,fee will be charged. Fees perm, qr i__ Technology Fee: TrairgICailk Feed jto tart' S Cade Enforcement $ Ut4 .1?rae Zoning S iv 0 fi �� T l Fee Now Due ,$ �• r t, I See Reverse side - MIAM SHORES VILLA PANT COLOR APPROVAL AND AGREEN F,NT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. Walls: ► 2 4 Attach color samples with name and Fascia: 1 2 _3 4 number. Drip Cap /Drip Fdge: 1 2_ 3 4 Soffit: I 2 ; 4 2 Roof: 1 3 4 Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 Awnings: 1 2 3 4 Chimney: 1 2 3 4 Doors and Door .lams: 1 2 3 4 Garage Doors: —1 2 3 4 Railings: 1 2 3 4 3 Fences: I 2 3 4 All brick (simulated or re <,ular : 1 2 3 4 Stucco Banding: I 2 3 4 Any other Stucco Features: 1 2 3 4 4 Accessory 131.111dings Other: 'AI ER'S AFFIDAVY'r- if certify that all the foregoing information is accurate and that all work will be done in cu'l,puance with all applicable laws regulating construction and zoning. Signature Owner or Agent The foregoing instrument was acknowledged before me this day o[ = 20_.by_ who is personally known to me or who has produced_ As identification and who did take an oath. NOTARY PUBLIC: Sign: Print My Commission Iixpires: Signature Contractor The foregoing instrument was acknowledged before me this_ day of . 10 ; by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APP _ 1[ %0 • P% l% a%ns % % % x% aminY e% r L ___ar 'r Preservation Board Code Enlorcemenl -_ -- (Revised 04/24/0, cc. L t Air F-2e` ! V l P F, o` Q SIG �1 Z$ I 1 cl z -IY5. o Cl® 10 i. 56 .�., Z6 quo 773 - o 3.Z- ,3 4S3 4-0 0 00 MIAMI. SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT t4kPPLICATION FOR ELECTRICAL PERMIT Permit No.__ 6_E E -- -- -- - - --- 21— Date-- - --- -- 11 Application is hereby de for the approval of the detailed statement of the plans and specifications herewith submitted r 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 Y v — �.� --'° —' ----- ---- --- - ----- No.--- - -i- I ? - - - -�r - � --. Street --1 0- 3 Registered Architect and /or Engineer Employing Electrician's Name No. Location and Legal Description Lot ------------------- — ------- — --------------- — --------- Block -------------------- - -------------------- Subdivision_ —_ - -__ _ - -- - / - ---- -------------- Strezt and Number where work is to be performed—No ------------------ I �-- ______ Street____- — __..\' ___- _____— _._______________ __; - - ------- � "E� State work to be performed and purpose of building (By Floors) ---------------------- ----------- ------------------- _— ------------- — ---------------------------------------- New Building--- ---- �----- -- ------- - - - --- Remodeling--------- ----- ----- --- - - -- -- Addition ..--- -------- -- -- -- -- - - - - -- Repairs-------------------- -- --- - -- No. of Stories- --- ------ - - - - -- Service Overhead I-' Size Feeders..___ --- Conduit.__7,___ Main Sw ----- _1.____ Am p s. !/ ------- Main Fuses_______ LJ_ --------------- Amps. Underground Type of Installation -- Conduit--------- - - - - - -- Tubing - -- - - - - -- B.X.L ----------------- Metal Moulding -- --- --- — --------------- -- --- — -------- — ---- ----------------- Amount of Permit (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen;s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are lice_;sed by Miami Shores Village. % r (Signed) --- - - ---- - --- -- - -- -=- ' 1--- --- --- ------ ---- -- -- - --- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared----------------- ---- -------------------------------------- --- ---------- -- ----- ---- ----- — -- — - ----- -- --------- ---- - -- --- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the--_____. -------- -- _-- ----------------- _ --- —___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------- ----- --- ------ --- --- ----- ------ -- --°-----°--_--...._._._.--------------------------_._-_... ........__..................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship, SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES No.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL LIST jS - /�- 4{/- -- CHECK ENT. SW. DIST. CAB. SERVICE TEMP• SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead I-' Size Feeders..___ --- Conduit.__7,___ Main Sw ----- _1.____ Am p s. !/ ------- Main Fuses_______ LJ_ --------------- Amps. Underground Type of Installation -- Conduit--------- - - - - - -- Tubing - -- - - - - -- B.X.L ----------------- Metal Moulding -- --- --- — --------------- -- --- — -------- — ---- ----------------- Amount of Permit (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen;s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are lice_;sed by Miami Shores Village. % r (Signed) --- - - ---- - --- -- - -- -=- ' 1--- --- --- ------ ---- -- -- - --- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared----------------- ---- -------------------------------------- --- ---------- -- ----- ---- ----- — -- — - ----- -- --------- ---- - -- --- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the--_____. -------- -- _-- ----------------- _ --- —___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------- ----- --- ------ --- --- ----- ------ -- --°-----°--_--...._._._.--------------------------_._-_... ........__..................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship, MIAM,1 SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.___�LI ---- `° Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address -------------- // A/ �/ Pca_� - - -- ---- - - - - -� -- ��'' =.21i� _t0_ - - - -- No.------ - - - -f� -- -- �----- - - - - -- - - -- Street - -- f>?' -� - lb-3 ----- -�- -- `---- Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed —N No . - - - -- -- �1 473_ _,K---- --- -- - - -- Street -- - - ------- -,i1 - --------- - - - - -- Subdivision------------- --------- -------- -------- - - - - -- Street-------------------------------------------- ---- --- --------- -- - - - -- -- State work to be performed and purpose of building (By Floors) ________ ________________________.______ --------------------------------------------------------------------------------------------- New Building------------ --------- ----- -- - - - -- Remodeling----------- ------- -------- - - - --- Addition -------------------------- Re pairs ------------------ ------- No. of Stories -------------------------- Size Septic Tank_________________ _ _ _ _ __ Feet of Drain Tile________ Nature of Water Supply: City— Type of Feet of Tank or Drain Field from W of Soakage Capacity �------ - - - - -- -------------------------------------------- --------- - - - - -- ---------------------/aws ---------------------------------------------------------------------------- --------------------------------------------- - - " - - -- -- - - - - -Amount of Permit $ -------------------------------------- ----------- ----- -------- -- - --- (Signed) umbing Inspector. The undersigned ap 'cant for this building permit does hereby certify that h N-erst cepts h' ob igationF--an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, ss. COUNTY OF DADE. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the ---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS $LOP SINKS LAUNDRY TUBS URINALS CATCH BASIN - FLOOR DRAIN DRINKING FOUNT NS �14 TOTAL FIXTURES CONTR. LIST _ /L_ CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SW IM'G TANK FIELD PIT TRAP HEATER WELL SYSTEM POOL ' CONTR. ��CONN. LIST I CHECK Size Septic Tank_________________ _ _ _ _ __ Feet of Drain Tile________ Nature of Water Supply: City— Type of Feet of Tank or Drain Field from W of Soakage Capacity �------ - - - - -- -------------------------------------------- --------- - - - - -- ---------------------/aws ---------------------------------------------------------------------------- --------------------------------------------- - - " - - -- -- - - - - -Amount of Permit $ -------------------------------------- ----------- ----- -------- -- - --- (Signed) umbing Inspector. The undersigned ap 'cant for this building permit does hereby certify that h N-erst cepts h' ob igationF--an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, ss. COUNTY OF DADE. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the ---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT,. '`�__�__ _ _ _ --' Permit No.____� ._ - Date___ ..._._ Application is hereby made fo the approval of the detailed statement of the plans and specifications herewith sOb fitted 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 bf 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 - _ -._ -- _ 1 _------- ---- --------- -- ----- - - - - -- t -- ---- No. - - -- - --L�! fir— Street- -- / - - -GC - -� — +�.f- -• Registered Architect and /or Employing Electrician's Name No.__ 1 7 2 Al—P-7 --- - - - - -- ' Location and Legal Description Lot ---------- --- --------- -- - - - - -- - ----- -- - --- Block--------------- — --------- — -------- - - - -- Subdivision-- --------- ------ - - - - -- -_- Street and Number where work is to be performed—No ---------------------------------------------------- ----- ------ Street-Lo --------- — _— __ —___ _---_.__-------- - - - - -- State work to be performed and purpose of building (By Floors) --------------- — ---- ----_------ ---------- — ---- --- ---------- -- ------------------- — ---- — ----------- New Building----------- --- -------- ------ -- -- -- Remodeling-------- --- ------ --- - - - - -- Addition .-- -- ------- -------- -- -- -- Repairs----- -- ------------ --- - - - - -- No. of Stories.----- --- -- -- -- -- Service Overhead Size Feeders ----------- Underground Type of Installation--Conduit ---------------- Amount of Permit Conduit ------ -- ------ Main Sw. Tubing---- ---- -- - - - - -- B.X.L ----------------- Metal C_ _— --- - ------- Main Fuses ---- — --- — ______ ----- Amps. Electrical The undersigned a plicant for this building permit does hereby certify that e u tands and accepts his obligations as an eii6loyer of j1ab under the Florida Wor men's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work 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 required by the Act. The under signed agrees to employ only such sub - contractors, on w r to be performed under this permit, a licensed by Miami Shores Village. (Signed) -- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ------------------------------------------------------------------------------------------- ------------ -------- - - - - -- - -- — -- — — - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------------------ -- ---- _ ---------------------- — __- ------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL SWITCH LIGHT PLUG FIXTURES REFRIG. OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER OUTLETS OUTLETS RECE'P'T'S NO.LAMPS OUTLET CONTR. LIST CHECK ENT. $W, I DI ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Size Feeders ----------- Underground Type of Installation--Conduit ---------------- Amount of Permit Conduit ------ -- ------ Main Sw. Tubing---- ---- -- - - - - -- B.X.L ----------------- Metal C_ _— --- - ------- Main Fuses ---- — --- — ______ ----- Amps. Electrical The undersigned a plicant for this building permit does hereby certify that e u tands and accepts his obligations as an eii6loyer of j1ab under the Florida Wor men's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work 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 required by the Act. The under signed agrees to employ only such sub - contractors, on w r to be performed under this permit, a licensed by Miami Shores Village. (Signed) -- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ------------------------------------------------------------------------------------------- ------------ -------- - - - - -- - -- — -- — — - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------------------ -- ---- _ ---------------------- — __- ------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.