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Multiplee., • STATE OF FLORIDA CENTRAX #:13 -SG- 24120 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID : CONSTRUCTION INSPECTION AND FINAL APPROVAL RECEIPT : OSTDSNBR :05- 0707 -R APPLICANT: Woodard, Mark AGENT: SR091112 PROPERTY STREET ADDRESS:102 NE 103 St Miami Shores FL 33138 LOT: 13 BLOCK: 13 SUBDIVISION: Miami. Shores Sec N 1 [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3206 - 013 -1780 [OR TAX ID NUMBER] CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH CHAPTER 64E -6, FLORIDA ADMINISTRATIVE CODE. TANK INSTALLATION SETBACKS [ ] [01] TANK SIZE [1] 750 [2] 0 [ ] [27] SURFACE WATER [ ] [02] TANK MATERIAL Concrete [ ] [28] DITCHES [ ] [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS [ ] [04] MULTI- CHAMBERS [ ] [30] PUBLIC WELLS [ ] [05] LEGEND N/A [ ] [31] IRRIGATION WELLS [ ] [06] WATERTIGHT [ ] [32] POTABLE WATER LINES [ ] [07] LEVEL [ ] [33] BUILDING FOUNDATION [ ] [08] DEPTH OF LID [ ] [34] PROPERTY LINES [ ] [35] OTHER DRAINFIELD INSTALLATION [ ] [09] AREA [1] 234 [2] 0 SQFT FILLED /MOUND SYSTEM [ ] [10] DISTRIBUTION BOX /HEADER [ ] [36] DRAINFIELD COVER [ ] [11] NUMBER OF DRAINLINES 4 [ ] [37] SHOULDERS [ ] [12] DRAINLINE SEPARATION [ ] [38] SLOPES [ ] [13] DRAINLINE SLOPE [ ] [39] STABILIZATION MATERIAL [14] DEPTH OF COVER [15] SYSTEM ELEVATION [16] SYSTEM LOCATION [17] DOSING PUMPS 0 [18] AGGREGATE SIZE [19] AGGREGATE SOURCE [20] AGGREGATE WASHED [21] AGGREGATE DEPTH FILL [22] [23] [24] [25] [26] M /EXCAVATION MATERIAL FILL AMOUNT FILL TEXTURE EXCAVATION DEPTH EXCAVATION AREA REPLACEMENT MATERIAL XPLANATION OF VIOLATIONS: CONSTRUCTION [ FINAL SYSTEM [ APPROVED APPROVED ADDITIONAL INFORMATION [40] UNOBSTRUCTED AREA [41] STORMWATER RUNOFF [42] ALARMS [43] MAINTENANCE AGREEMENT [44] BUILDING AREA [45] PLUMBING FIXTURES [46] FINAL SITE GRADING [47] CONTRACTOR A Aaron Super Rooter [48] OTHER ABANDONMENT [ ] [49] TANK PUMPED [ ] [50] TANK CRUSHED AND FILLED ] Capers, John Dade ] Capers, John Dade DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 002 - 4016 -4) [ostds— cins_4016 -2] CHD Date: 3/10/05 CHD Date: 3/10/05 Page 2 of 2 r STATE OF FLORIDA CENTR.AX #: 13 -SG -24120 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT RECEIPT OSTDSNBR 05-0707--R CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other [ X ]Repair [ ]Abandonment [ ]Temporary [ NA ] APPLICANT: Woodard, Mark AGENT: SR091112, Tuffy John PROPERTY STREET ADDRESS: 102 NE 103 St Miami Shores FL 33138 LOT: 13 BLOCK: 13 SUBDIVISION: Miami Shores Sec N 1 [Section /Township /Range /Parcel No.] PROPERTY ID #: 11 -3206- 013 -1780 [OR TAX ID NUMBER] SY,*EM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 750 ]Gallons SEPTIC TANK A [ 0 ] Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 MULTI- CHAMBERED /IN SERIES: [Y ] MULTI- CHAMBERED /IN SERIES: [Y ] ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] D [ 150 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A.,. ;'TYPE SYSTEM: [ ] STANDARD [ N ] FILLED [ N ]MOUND [ N ] I CONFIGURATION: [ ]TRENCH [ N ]BED [ N ] N.;;. F..,OCATION TO BENCHMARK: FFE: 12.90 Ft NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 1.8 ] [ FELT ] [ BELOW]BENCHMARK /REFERENCE POINT E...:- BOTTOM OF DRAINFIELD TO BE [ 4.3 ] [ FEET ] [ BELOW]BENCHMARK /REFERENCE POINT L D FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES OTHER REMARKS: 1. Install 150 of of drainfield in trench configuration. 2. Existing 750 gal. septic tank has to remain. 3. Existing 750 gal. septic tank to be inspected for an appropriate pump -out and a solid vertical deflector installed on the outlet device. 4. Invert elevation of drainfield to be no less than 9.10' NGVD. S. Bottom of drainfield elevation to be no less than 8.60' NGVD. THIS PERMIT IS NOT FOR ADDITION(s). SPECIFICATIONS BY: Andre, Paul APPROVED BY: Andre, Paul DATE ISSUED: 3/7/05 TITLE: Professional Engin Dade EXPIRATION DATE: 6/5/05 y.n DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [oet&_c0ns_4016 -1j Page 1 of 2 MIAMI SHORES VILLAGE 0 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No..... Date .... ........ » .... .... ........... Application is hereby made for the approval of the detailed statement of the pans and specifications herewith submitted for the building or other structure herein described This ar+plication is made in complia icr- and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Law's of the State of Florida„ all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shor--- Village shall be complied with, wheler herein speci ied or not. A copy of approved plans and specifications must be kept at building during Progress of *or °r. Owners Name and Address..._ No........ .. . -- - ....... _ . -• - - -- . Registered and/or Engine.er._ _.. ...... . Employing Electrician's cian`s N � e. . . -i__- Location and Legal Descrip4oi: Lot .................. _...... .......... .... Block....... ........ _ . Subdivision .............................. ................. Street and Number where work is to be performed No . / ..... _ ..... greet. ............. ............ _. State work to be perfo med and purpose of building (By Floors) ...... ... :..= .....'y... �� :.r.r .. New Building ...... ..... .............. Remodeling..... ... ....................Addition � Repairs............. . No. of Stories.................... 0 Overhead SWITCH OUTLETS LIGHT OUTLETS FIXTURES NO. LAMPS REFRIO. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. —.._ LIST L CHECK ENT. S% j. DISTa CAB. OFRvicr, TEMP. SERVICE PERM. MOTORS MOTORS NEON RADIO TOTAL 0.1 HP 1 -S P TRANS CONT=:T T— I A - LI T CNN : -K 0 Overhead Service Underground Size Feeders. ...._....... ..... ... Conduit.. Main Sw_........... _ ............. ................. Amps._.... ..... _....Main :'uses... .............. ....Amps e of Installation - --fond Type - .......... 1 it. . .... ............. TAing.. AX L _ .. .... .. . _.....Metal Moulding......_..._........._. .. ........ ........ _..... ................._..... .............................._. � ............ ' ...__.........,.........,...... Amount of Permit $ .. _.....1.. ......... ............................... ( Signed) ................ __ ............. I..................... .. ....... ................ .. . - -.° .............. Electri: al Inspector. The und-rs °fined applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of iabo under the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has omplicd with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be p <rformed under this permit;, and will post oz cause to be posted for inspection on the site of the wo-k such public notice Or notices as are requirid by the Act. The undersigned agrees to ,:. aploy only such sub contractors, on work to be performed under this permit, as are licensed by Miami Shores Villge STATE OF FLORIDA, 1 COUNTY OF DADE. 156' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .... ....... ... ... ......... ....... »... ........................... _... of the above described construction, and he has carefully read the foregom ; application, and that he did sign the same, and that all facts therein by him stated are true. ». »lvty .Commission.. _ ............................ ........................ otary 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 -7 �._ -07 BUILDING INSPECTION DEPARTMENT a WZ APPLICATION FOR BUILDING PERMIT Application is hereby trade for the approl-al of the detailed statement of ine 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. antj all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the 13uilding Division of Miami Shores Village shall be compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. Date. Ownees Name and Addrcss...�C. faa.,�L: °tC l ._ L.: ... ................... «... « «..«... N*._LQZ__ S /0.3 Registered Architect and/or Engineer. . ............. . .. . ... . ............ ..... ............................... .. . ........................... Name and address of licensed controctor ....... CV&d2-- Location and legal description of lot to be built on: Lot ............. ............................... Block .............................. . Subdivision.__......__ Street and Number where work is to be done._.... State work to be done and purpose of building (by floors). M, for no other purpose. \ew Building ............................. Remodeling ........................ Addition ......_.................. Repairs... .............. _.. No. of Stories ...... ....... To-be constructed of ......................... Kind of foundation....— ................................. ........... Roof Covering.. ... ....... Estimated Total cost of improvements of Permit «.......I...... «_.._. Zone cubage required ...... .................. . . . ........ . ... Cubage ................... . . . ....................... . Distance .to next nearest building ................................... of Building Lot_. ....... Maximum live load to be borne by each floor ........................... . . .......................................... . ........ . . .. . . . . ..... . ....... . ...................................... .... I hereby submit all the plans and specifications for said building. AU 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 accedh his obligations as an employer of labur under the Florida Workinen's Compensation Act. being Section 5966, Compiled Ce La of lorida obligations Supplement, " 6f and has complied with the provisions thereof, and will require similar compliance from &I contra lot or ub- clots employed by him co Itra f I specs on 0 work such public notice ,'n the work to be performed under this permit; and will post or cause to be posted for I or notices as are required by the Act. The undersigned agrees to employ only on k be performed under this permit, as are licensed by Miami Shores Village. j Remarks ..._ .................. . ..... ........ __ (Signed) STATE OF FLORIDA, COUNTY OF DADE . .Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared. . . .................... ........ . . . ........... . ....... . ........... . ----._... ..........---- _............._.« _....__ . . . ............. . . . . . ...... .......... .........___..._...... «_..__... «. .. .......... «............- _.._..« «. _... _.._ ....—..-to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . .................. ........ . . .............. . ....... . .. . . ...... : .... . ... ...... of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated a true.. Permit N OF . . ...... Date.... Read. Sworn to and Subscribed before m& n 0 00/a — — — Disapproved..... .. te. .............. .............. ............. ............ ........ . .... (Signed) *k-1 Awvk� ............. . .............. . ..... Notary Public, State of Florida Budding Inspector My Commission Expires_ PLANNING BOARD.._ . ........... .............. _:__.-DATE Chairman ...... .. ........ Member Member ...................... . ....._.._»......... Member Member .. .. . ............. Member CouncilApproved .....«.. . ....................... . ......... . . . . ....... _-Date Disapproved ............ . . .. ........ .......................... . * ... ... ............ Date NUT E: A -charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the 111annir.--, Board. A re-inspection fee of $1.00 will be charged when such to-inspection is made necessary by Improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith vmu��ittle bSui diing or other structure heron described. This application is made in compliance and conformity with the Budding Ordinance of Miami Shares Village, Florida, and an provisions of the Laws 4 the State of Floridav all ordinanco; of Mianu Sham Village and all rules and regulations of the Budding Dwision, of Mim' Shores Village shall �be complied with, whether herein specified or not. A copy of approved plans and spIx4fications must be kept at building dwing progress of work OwnWe Nam and Address- De Vo 102-- A.1 e 3,S Nos— Registered Ar&ited and/or E4meer 714 EmpWing Plumbees Nam - _LTS S71 Lecation and Legal Description Tnt Stred and Numba where wo�k is to be performed-No. /0 State work to be performell and purpm of building (By Moors)-.Re-, NOW Building— Remo&hrut - ___ Addition— lRepairs- NO. Of Stories Si= Septic Tank-----.-. of Tank CA& -- --- - - --- -- ------------- Fed of Drain Tfle—_—, -----DlsL Feet of Tank or Drain Field from - - ------- ------- - --- ----- Nature of Water Supply- City-wa Size of Soakage Pit- Amount of Permit 41-0-77-77- (Signed)- Plumbing In.Tectw no undersigned applicant fair this building permit does hereby certify that he understands and aomeepts his 0 gaflon* as an employer of labor under the Florida Workmen's Compensation Ack being Section 5966. Compiled General Laws of Florida Permanent Supplement, and lbw cam- plied with the provisions tz:�;. and will require sirnfle compliance from all contractors or sub-contraIAanemployed by him in the work to be C under this pemkit; and will post or cause to be posted for inspection on the site of the VIA 4h public notice or nolices as are nquired by dio Act. The mulmigned agrees to employ only such sub-m� work be rated under this per mt ab are V��R&o licensed by Mind Shores Wage, % I— -_ - STATE OF FLORMA, I � OL COUP= OF DADE. Before m% the undmigned authority. a notary public, duly authariz Ahs and take acknowledgments, personall�, appeared to me well known, omd who. being by me first duly upon oath deposes and says that he is the (if the above described construction, that be bw carefully read the foregoing application, and that be & sign the same, and that all acts therein by him swW we true. My Q7'mission Expires Notary Publi% State of Florida NOTE: A re-hw Oce of $1.00 will be made when such re-inspection is made*necessary by impopet notice for inspection, or faulty pection materials ad/or warlianawh�. CLOSETS BATH TUBS S"Owww LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuss URINALS CATCH BASIN FLOOR DRAIN PRINKIN FOUNT'N20 TOTAL FixTuRas CONTR- L19T T CHECK SEPTIC TANK SEW= CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SW1M*Q POOL COMTR. LIST CHECK Si= Septic Tank-----.-. of Tank CA& -- --- - - --- -- ------------- Fed of Drain Tfle—_—, -----DlsL Feet of Tank or Drain Field from - - ------- ------- - --- ----- Nature of Water Supply- City-wa Size of Soakage Pit- Amount of Permit 41-0-77-77- (Signed)- Plumbing In.Tectw no undersigned applicant fair this building permit does hereby certify that he understands and aomeepts his 0 gaflon* as an employer of labor under the Florida Workmen's Compensation Ack being Section 5966. Compiled General Laws of Florida Permanent Supplement, and lbw cam- plied with the provisions tz:�;. and will require sirnfle compliance from all contractors or sub-contraIAanemployed by him in the work to be C under this pemkit; and will post or cause to be posted for inspection on the site of the VIA 4h public notice or nolices as are nquired by dio Act. The mulmigned agrees to employ only such sub-m� work be rated under this per mt ab are V��R&o licensed by Mind Shores Wage, % I— -_ - STATE OF FLORMA, I � OL COUP= OF DADE. Before m% the undmigned authority. a notary public, duly authariz Ahs and take acknowledgments, personall�, appeared to me well known, omd who. being by me first duly upon oath deposes and says that he is the (if the above described construction, that be bw carefully read the foregoing application, and that be & sign the same, and that all acts therein by him swW we true. My Q7'mission Expires Notary Publi% State of Florida NOTE: A re-hw Oce of $1.00 will be made when such re-inspection is made*necessary by impopet notice for inspection, or faulty pection materials ad/or warlianawh�. Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. H a W 3 NORTH A WEST- EAST SOUTH Remarks: NORTH SOUTH A_244 SM 3.39 DIVISION OF PUBLIC INSPECTION DEPARTMENT OF PUBLIC SERVICE CLOSETS MIAMI, FLORIDA SHOWERS LAVA- I herewith submit the following plan of plumbing for approval: rf I CATCH URINALS Employing Plumber t}-z_ �✓- c t . - Work executed by New Old El • Y_ Story E] Addition ❑ Remodeled E] For a Dwelling Store ❑ Garage ❑ Apartment ❑ Hotel ❑ Office Bldg. ❑ Owner or Agent l� l �.r,,;:�x._, Address FOUNT'NS Builder or Contractor is Address FIXTURES Lot No. _L.� s° ` ` ,� Block No. r Subdivision Address 0 p r �" 1.0 4/1 . Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank 4— Existing bldg. drain ❑ To dry well ❑ CLOSETS BATH SHOWERS LAVA- SLOP SINKS LAUNDRY I CATCH URINALS FLOOR DRINKING TOTAL TUBS TORIES $I NKS TUBS II BASIN DRAIN FOUNT'NS FIXTURES A charge of X1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. M a .Nl Date Date 9' / _ — Date ROUGH -IN 'INSPECTION SEWER INSPECTION FINAL INSPECTION I Ground Rough -In Rain Leader r A.M. P.M. A.M. P.M. A.M. P.M. 4 � � Approved by Approved by y/�+ �4�Lf2_ Approved by t Condemned by Condemned by Condemned by REMARKS REMARKS REMARKS I` Plan No. / Sewer Permit No. THIS SPACE FOR ELEVATION SKETCH A PERSPECTIVE SKETCH WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH In alterations to existing work show the old work in red 'ink and the new in black ink. Letter each stack PROVIDED THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the to correspond with the opening shown in floor, plan or ground plan on opposite page. stack connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. 9 l � of ,M �r .a r . N, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or the plans and specifications herewith submitted for the build in¢ or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid.%, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Boilcling Division of Miami Shores Villap shall be complied with, wheth r herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. � Date... -�; Est" Ov<ner's Name and Address .....,!. Y.... /..fri ........................_ ... No....s �wel.l Registered Architect and /or Engineer ... ..dV11�_5yj'4hV- Loc ....................... Name and address of licensed contractor... �a�t i�'j 'd+ legal des 'don f lot to be built on: Lot YK..l c:..' ilfl.l: !.. 11..I.... cc .... ! ......... / t A Street and ,''umber where work is to be done..�ilf State work to be done and purpose of building (by floors _ ...... _ :..� .. i . ..... _ ..._. ... . _ .............._�_ . _..._.._. ................. - ........................................... _ .... .. ... .. ........ and for no other purpose. New Bui! ding ............................ Remodeling ........................ Addition .......................... Repairs .......................... No. of Stories...... ....... : ........ _ To be constructed of ......................... Kind ouodation ................................... .......................... -.,,Roof Covering ......... ....................... ... _..__ .G Estimated Total cost of improvements $.� - . ...... .........................Amount of Permit S...r�. Zonecubage required ..... ............................. ............................ - -- .............Plan Cubage............................... ............................... Distance -to next nearest building........-- ....... ......................... _ ........ _ ..... Size of Building Lot ....... .. ............. _ ..... _ .......... .. ..... ...... .............. _ ___ - Maximum live load to be borne by each floor ......................................................................................................................:.,.... ............................... I hereby s t Wae p �. ns nn specs i /a tons for sai l/l iv All notices with reference to the building and its construction may besent to.: t�. ►X..� r!.. ..._.. /1 I........., ...1 l rl.' ..................................................... ............................... .... .... ........... The undersigned applicant for this building pcnnit does hereby certify that he understands and accepts his obligations as an employer of labur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, anti has complied eeith the t�rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec ' on the site of t work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s r on work t be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks....................... - ................................ ............... _ ...... ------- (Signed)... .. _r... .M.._. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notory public, duly authorized to administer oaths and take acknowledgments, personally ap- peared....... ...................................................................................................................................... _.............._._._.._...__. ............. ................. .._ ......... ..... ..... - ....................... ........... ___— _ - ........... ......... _ ....... - .......... _ .................. _ __.....to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . .................. .... ....................................... _ ................... ... of the above described construction, that lie has carefully read the foregoing application, and that he did sign the saute, and that all fads therein by him stated are true Permit No.._ILIA101: i .............. Date._.. _ rV ' ...... Read, Sworn to and Subscribed before me, Disapproved ... T...... Date .._ ........ _ ......... ----.............. ................................. .............................. _._..�..�_..._. _ ... Notary Public, State of Florida ( Signed) ........ ...... 1 >! ....................................... _.............. Building Inspector My Commission Expires ....... .............._........._..�.�_ _.._... PLANNING BOARD ...................... ..................... _.._......DATE Chairman ........ .................... ................................ .......... ....... ........... Member ....... _ ....................... ................................. ._ ....... _ .............. _ \Icrr,ber ................................ - ............................... _..._ ..................... --- Member ....... .. ......... ............ _ ................. .-. ... _ ............ -- Member .. ... ............................................... .....- ...._..._._- .... ........ Member .... _ ................ -- ----- _----------- - - .._... .-- ---------------------- —.._.. , Council Approved .............. .. ............................. ...._......................Date Disapproved ...... _ ..................... ............................ .. ......Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Pl.trtning, 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 anti /or workmanship. l�' E MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. g Date---- -- - -- - -- -- - k- - - -- - ------------------ -> 19r! Ownor's Name and Address__, �J% � ° e--- -.- -- - - - - -- -- Street -_ _'_,x.1_"_4---- Regtlered Architect and /or Engineer--- _ _. _ Name and address of licensed contractor__- .- /�''�'� r'f_•. �'_" t: ._______ .._�f1___��`9 Location and legal description of lot to be built on: Lot_ -- - - -- - -- . --- - ----- - --- - - ---- Block ------- _._ Subdivision -- Street and Number where work is to be done Z i_ ° o '' ,_. - ' r- - - -- . - --------- 7------------ - - - -1- -- ----- --------------------- State work to be done and purpose of building .(by floors) __ _ --------------------- +r'' e='e_r /_' * 8"1 __ .C-------- f ______ ------------------------------------------------------------ ---- - - -- - - -- -- - - - -- -- -- --- - - - - -- - ------ - - - - - -- I ----------- ------------- -- - - -- -- -- - - -- - ------ -- - - - - -- - - - -- - -- - -- - - ----------------------------- -- ------------- - - -- - -- -.and for no other purpose. New Building ------------------------------ . Remodeling _ -_.. . -.. ____ Addition -------------------------- Repairs__ _ No. of Stories __ To be constructed _______ Kind of foundation ____.____t _'+° ___ ------------------ __ __ Roof Covering___ .. __ ---- - ----------- . ------------ _ Estimated Total cost of improvements $___ -.%* '__ ;_ - - ---- - ___,________Amount of Permit $__ _______________________________ Zone cubage required-------------------------------- -- - - -- --- -- - - -- --- --- - - - - -- -Plan Cubage - - -- - -- - - - --- Distance to next nearest building__.___ . - -------- __ _. Size of Building Lot_____ _ __________ _ Maximum live load to be borne by each floor_ -- . -_ .. ----- -- - - - .___ -- - . -- --- .- -------- --- -- - - -- - - -- - -- - -- _. -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to -- -- - - - -- - - -- -- - - - - - -- - - - - - -- - - - -- - The undersigned applicant for this building permit doc 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 subcontractorsa on work to be performed under this permit, as are licensed by Miami Shores Village. r/ Remarks - — - - - - -- - - - - - -- - - - -- - - -- ( Signed) �, -_. " `g'� �' ----------------- 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 a ,re true. Permit No -------- �_ ( ._ ___ Date__ 1 __' _ . ,7_ Read, Sworn to and Subscribed before me. Disapproved � -- :Date -- - - -- --------------- -- - -._. / Notary Public, State of Florida (Sig aed)l� L. ` _ ? -- t_ `, Building Inspector 'My Commission Expires_ __ _ .._ ----------- ____ __________________ PLANNINARD__ __ - __- ---- - __ ___________DATE Chairman- - - -- -------------------- - ------ ----------- - Member - -- -------- - --- -- ----------- - - - - -- - - -- - --- - -- - - - - --- - . - -- - -- Member--------------- - - - - - - -- - -- -- -- - -- - - -- - - - -- -- - -- Member ------------------------ - - --------------------------------- ---------------- Member. ---- - - - - - -- - - -- --------------------- - -- ---- --- --- Member _ _.- Council Approved ----- --- ------- _ ------ . ----- --------- --------- --------- _._Date Disapproved __.. ____Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. "' IAA Fe y' er I l A -69 APPLICATION NO. G1 Or DATE l 193 * IN °° e 9s TSD * ELECTRICAL DEPARTMENT OF THE CITY OF MIA�Vr�I Desirin g Y our certificate of Approval, application is hereby made for an inspection of the��S electric installation in the premises stated below, for which undersigned agrees to correct CO FL04 any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER BLO/CK{ NUMBER SUBDIVISION ^ STREET AND NUMB ER�^�" 'Z `�' I / ®�- SIDE - OWNER '. OCCUPANT OCCUPIED AS `"° 4=`1'. -- BUILDING- -NEW OR OLD (UNDERLINE WHICH) WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTOR VOLTS- TOTAL AMPS PHASE CEILING I BRACKETS RECEPTACLES SWITCHES STOVE1ES WATER HEATERSI SIGNS I OTHER APPARATUS KIND OF INSTALLATION OPEN OR CONCEALED KNOB. RX.. BX.. MLDG., CONDUIT, METALLIC TUBING FI BASEN FIRST SECOP THIRD .00RS FIXTURES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING I BRACKETS MAIN sues BRANCHES ENT I - D 1 FOURTH REMARKS MASTER ELECTRICIAN t/ V y� � 104 ACI �/ ./� INSPECTION WANTED i" �- ,524 -0 T Z57 I DDRESS 3--- '` ® ® 3 Ir SPACE BELOW FOR INSPECTOR'S USE ONLY RECEIVED BY INSPECTOR INSPECTED PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL NO. CORRECTED TEMPORARY DAYS. DATE ISSUED REMARKS FEE INSPECTOR MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Dater` ------------ ._.. �, 19_ Owner's Name and Address__ 4 "r c. - - - - -- --- - - -- -- --- - - - - -- - --- � /�� ✓��---------------------------- No. -- - - - - - -- f-- -- ----- Street------- - - - - -- -- - Registered Architect and /or Engineer---------------- - - - - -- �' ------- -- ---------------------- � - - - -- ----------------------------------- ---------------------- - - - --- Name and address of licensed contractor----�_,!A__!!G Location and legal description of lot to be built on: Lot -------------- --------- - - - - -- Block--- ------------------------- - - - - -- __ �Subdivisiony- �!------------------- Street and Number where work is to be done___��_ �___S.�n________r 0 State work to be done and purpose of building (by floors) --- -- (__ for no other purpose. New Building_ ________________ Remodeling __________________________ Addition __________________________ Repairs -------------------------- No. of Stories -___ To be constructed of-------- - - - --- -- Kind of foundation --- - ------- ---------------------------------------------------- Roof Covering------------------------------------------------ Estimated Total cost of improvements $_ _______ Amount of Permit ----------------------------------- --------- - - - - -- Zone cubage required --------------------------- - --------------------------------------------------- Plan Cubage ------- Distance to next nearest building -------------------------------------------- _ ---- _ -------- Size of Building Maximum live load to be borne by each floor -------------------------- _ ------------------------ - -------------- I hereby submit all 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 s ctors, on rk to Jar, perfor under his permit, as are licensed by Miami Shores Village. _,0 � ( ,o — , G A" under Remarks----------------------------------------------------------------------------------------- -- - - -- (Signed) STATE OF FLORIDA, , COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared--------------------------------------------------------------------- --- - - - - -- -------------------------------------------------------------------------------------------------------------------------------------------- ----------- - - - - -- ---- - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ----------------------------------------------- ----------------------------- - ---------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.______ __-______ Date ---- Read, Sworn to and Subscribed before me. Disapproved/// - D ---------------- ------------------- -- -- - --- ------------------------------------------------------------------------------------------------------------- Notary Public, State of Florida (Signed) - - - Z ---- - ---- - - - - -- --- ----- --- - - - - -- Building Inspector r} My Commission Ex p ires________________________________________________________-_________- L PLANNING BOARD------------------------------------ --------- -- ---- --DATE Chairman ___________________________ Member ------ Member-------------- ----- - - - - -- -------------------------------------- ------------ - - - - -- Member - - - -- Member------------- --- - - - - -- --------------------------------- ---------- ---------- - - - - -- Member Council Approved -------------------------------------------------------------------------- Date Disapproved 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. BUILDING PERMIT RECORD MIA 11I SHORES VILLAGE FLORIDA DATE'S APPLICATION Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all Ordinances of NUami Shores Village, and all rules and regulations of the building• Department of Iiami Shores Village, shall be complied with, whether specified or not. r OWNER z r ARCHITECT ,t �� -. -"- CONTRACTOR LOT fir^ r¢ BLK. "VSUBDIVISION % STREET NE'KDDITION REPAIRS NU1t3ER OF STORIES ROOF TOTAL COST � .41; 49 4 U Building to be used for and no other use. I hereby submit all the plans and specifications for said building. , Signed STATE OF FLORIDA) COUNTY OF DADE ) Before me, the undersigned authority, a notary public, duly authorized to administ olaths a e acknowledgment, personally appeared .'� -,.-t to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are tr e Read, Sworn and Subscribed before me, -(.l Notary Public (Signed N0t8rV P!Wic, Stat of florids at Large re . 20, My Commission expires Cubic Feet Cubic Feet required in this Block LLNNING BOARD Chairman Member2� Member 8e;cretary Building Permit No..Wc? 7Issued to Date Electrical. Permit No. FliLnbing Permit No. LIST OF SUB- CONTRAC'T'ORS Painting Plastering — Lathing Electrical Mason & Concrote Plumbing Roofing Glazing � Tile Miscellaneous "I. DADE COUNTY ZONING *T, ICE Form 7x11 DIVISION OF PLIT.03INU INSPECTION Date: I herewith submit the following application for a permit- covering the installation of a Septic Tank Soakage Pit: Relaying: New: Feet of drain tile: Installed by: Address: "7(1 (NW. Old: Story: Addition: Remodeled: For a (Store: Garage: Apt.: hotel: Office Bldg: Res: � r T (Cara e wash floor: Wazte water from a: Building Las: Stores; Offices; Apts.; Hotel Rms; v Bedrms Owner or Agent: Address: LOT N0.1l1 BLOCK NO. .` SUBDIVISION Address of work: to -� k/� �-- . /8+3 Pr No. of Plumbing Fixtures: 3 Laundry Tubs: Floor Drains: Nature of water supply: City: IVell: Feet distant from all wells: Type of tank installed: 117 r C C'' Tank capacit -• in �llons : "7.�t` Size of Soakage Pit: Purpose of same: Additional information: Ready for Inspection: Date: Time: APPROVED BY: CONDEMMM BY: Remarks: PERIv1IT TTO. 1- Y3 FA4KA a Fi L-j f /r 1 i i' i i � 4 i I f i TO: FROM: rJi LiGrIIt cJ �OI�.S /t�1COG L o w 1 0 • Ic ON PL .4 /#;r Telephoned Came into oz � rj a - SUBJECT: 1 DATE: -q k� /ff TIME: °T Village Hall �,,VA' G� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. � ' ! pp /,J- D Owner's Name and Address ✓ O l�IrS ° V A Z 91% i; Z No. / 0 a- Street /O 3 � Registered Architect and/or Engineer arne and address of licensed contractor Location and /I legal description of lot to be built on: s� LotAdk i I? Block I '� Subdivision .Street and Number where work is to be done / a A�' �• / O 5 t, /—ii pp� • �%�/�� Mate work to be done and purpose of building (by floors), state exterior colors (submit samples) i Qtl a Leo% O F /old d`g E i n� and for no other purpose. New Buikling Remodeling_i Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 1,Astimated Total cost of improvements S 00 Amount of Permit $ 1. 56 Zone cubage required Distance to next nearest building MnYirmum live load to be borne'by each floor Cubage of Building I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees W14nploy only s ubcontxa rs on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed, STATE OF FLORIDA COUNTY OF DADE. } ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. � �(�� * Date �SJ Read, Sworn to and Subscribed before me. Disapproved ft Date (Signed) Building Inspector My Commission Expires Notary Public. State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. APPLICATION FOR CERTIFICATE OF RE- OCCUTPANCY L30 to re- occupy the single family residence known as : (address) hereby apply for a certificate 1 Z. n e , Miami Shores, Florida. Legal Description: Lot: I H 4 Z 1 Block ( 3 PB & PG. 1 -3 0 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 finfly to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that -the referenced property is being used for single-family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition ofthe dwelling or other structures on such property. c Applicant 1C Date Print Name For purposes of conducting the inspection required by Section 902 of the �'W mi Shores Land Development and Zoning Code, please contact: Telephone: �� _ Contact Name. Buyer Seller Realtor Company Name Application Fee (S50) paid: Cash Check No.�_ Inspected by- Approved Denied Dare �f a 51-99' Comments: PAGE l OF 2 CERTIFICATE OF RE- OCCUPAINCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee inspected for purposes of re- occupancy purr=t to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single -family residential purposes. MIAMI SHORES VILLAGE, FLORIDA By: Date of Certification / /oZ /r9' :1 :21 V i zi '1 1 '• i 'a :1•:1 =• • • •':1' ::1:1 1 at t • 1 •' i • 193 ,a • r 'i 1�1• ME • 121JUIS F-V (ION • gel � 1 i .•• 1 - t • •' 1�1 •• PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OIM R STRUMS ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND RiTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MADE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DEI MMINE THE CONDITION, THEREOF. PAGE 2 OF 2. .-7r-17 C�l& -d .1 rl/2, CQ. 0(0 alp Vic e Gb /of) of L i qy 0o L1 Lp �so of rn Ck CJ 66c6 xs' 6t. Z oll 0709 c =7,.. AM Gob xW 11 .. 5' WOOD FENCES 5t Wood Posts 4' -0" High or Less = 6' -0" O.C. 5' -0" High or Less = 5' -0" O.C. 2915 Fences 2915.1 Wood fences, so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minimum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 feet -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be, embedded 2 feet -0 inches into a concrete footing 1 foot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisions of this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 feet -0 inches on centers for these heights. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: TAX FOLIO NO. At + Zla"O6 - 0 /-; + / 7dW 0IR316658 7001 JUN 19 10:26 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 properly and street address: 102 NE I03rv( 542.4 H- (aful l A ofUDA 2. Description of improvement:. Re -roof 3.Owner(s) name and address: mzk. 1 11ooapi -ct 102 N E (o,394 .ghee{- M to tiu k oru 01 Interest in property: Diu tv etL Name and address of fee simple titleholder: �-� yioodai-a i02 isle (03 �ree� -- rltoutitn _ 4. Contractor's Contractor's name and address: S &J ROOFING CONTRACT INC. 173 W 22ST Hialeah FL 33010 TATr= er F-i9RIDA,COMMfM_nnnF I HEREBY CERTIFY that this is 8 r►ul ` Y ° 5. Surety:(Payment bond required by owner from contractor, if any) original this ::»ice o,� Name and address: '*J L4 t A fA 01 a u 20- l Amount of bond $ VITN H3 'n ar acial seal. HARVEY IjUVA, CLERK, fCircuuitandCount^Court>a 6. Lender's name and address: N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other be served as provided by Section 713.13(1)(a)7., Florida Statutes, C1 °` C'0 Name and address: N/A ��i a+ coo wt ttngt 04 8. In addition to himself, Owner designates the following person(s) to receive a copy o f9 as provided in CQ Section 713.13(1)(b), Florida Statutes. Name and address: N/A 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) 1• Signature of Owner Print Owner's Name Sworn to and subscribed before me this %5 day of LvY , 20 D Notary Public Print Notary's Name My Commission Exp VANESM B. RIOS , , 901929 Prepared by _jxLse_A Pc?rp2 Address: 173 W 22_ -T - •Hiabe -FT .. ..... .. D. 'Desi Leo Description /0 Q: -: M gnated:. Yes No W ownwLessw/Tenarit P101,332it Owher',S-Address ConftaC* C&I. MA C Address - - /9 & s# 5 - ' iv - 577 9 3 Competeric # Ins. Co. Staft # ci muaipd # Address Arckiftectfiaginew Bmft Comparr Address Address mmtgw ---------- CTRICAL PLUMBING WCHANICAIC jtQ9FWG,PAVING FENCE SIGN Permit Type (circle on ��E WORK DESCRIPTION. Ae-02oof- 4-c3 -61e Sa-infe Pe "'S" _1eA-r%Lr-'6jAiK Square Ft Estimated Cost (vdue) 4 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 YOURIENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COWV1KNCEMENT) 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 mformation is accurate and that all m comp with all applicable laws regulating construction and zoning I authorize the to do the work I t-� . 1, Signature of owner and/or Dam Signa or Owner-Builder b j I Date Notary as to Owner and/or Condo President Dat6 as to Contractor or Owner - Builder My Commission Expires: My Commission Expires: F Fjo VANESSA B. RIDS My Comm Exp. 1113X4 F F, dAINESSA B. RIOS 0 Pus IC � No 7 my Comm No. CC 901929 two LIC EXP- 1/13/04 No- CC 901920 FEES: PERMIT -RADON C.C.F. NOTARY BO TOTAL DUE APPROVED: ZMing Budding Mechanical Plumbing Electrical. _ Engincering__—, 3n"'e">7 'z' •c��'"i' _,L''t _: °- ''' > , ,e�,E ".siwr.r..c -x ..'T•'Y•R +6+Mw' Y.e .s .c.,c- r •s•� x+... `xrpt=' y s.-.'i r :'.�.- v-- aF.7e+yk: s. AOORESS'V�' —tp3 -. "�'t - -. pERMiT# - 5104 A ppENAI3C :.: i4P 'EDiDT1C :OWIERS HOTMIIIXTIOI"1 FOR 1tOOFxNG CO1tISIDEitA 41�TS ^' - J: it�ertains to�his. diX "E a it is the rrsponsibility of the roofing contrador=tovcde - .A permit, Pro quired roof it, to rnvide the owner Wit t t Is aPPaidi with the re and conterii of this forrii..;Thc provisions of Chapter 34 of the Florida Building ?Coi(SFBC�3gaarern . the minimum requiremc its and standards of the industry f or roofing system iristallatioijs 'Adciitio a`[Iy' ; of the agreement between the owner aid. the: ch,�ontractor the following items should be addressed as part -• . . "; = r' • =- The owner's initial in the adjacent box indicates that the iterit has been explained. . •.. 1. A esthetics - Workmanship: The meorknianship provisions of Chapter 34 are for.the purpose of providing that the roofing systerim rimeets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not'a consideration with respect to workmanship provisions. addressed ,6stheti as issues such as color or architectural appearance, that are not pare of a zoning code, sho part of the agreement between the owner and the contractor -- • "tAJ2. Renailing Wood Decks: When naplacing roofing, -the existing wood roof deck may have to be rcna* iled in accordance with the current provisions of Chapter 29 of the SFBC. (The-roof deck is usually concealed prior to removing the existing roof system) �-IW3. Common Roofs- Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. �4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. a"1W5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) -in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. MW G. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that thc roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. W7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of (lie structural assembly (the building itself). The c )qisting amount of attic ventilation shall not be roduced. T i may be beneficial to consider additional venting which can result in extending the service life of the roof. ucr's/Agent's Signature Signature MROOFING-PERMI T�APPA dix -!E UNFO TL PROCESS No. Contractor's N-ani_c:_13_ 9 7 P, � &&?-` Job Address: J� ROOF CATEGORY. rr� Tile) Slog Application) ❑ (Nail-On Tile) 12�6 dh 9 esive Set e) [-(Metal R00%oodS hin-1eA-Sh;k (Otier(AsphaltIFittrgla"-hingles) W ROOF TYPE ❑ New Roof e-roofing - ❑ Recovering ❑ Repair -0-M-aintenance, Flat Roof Area Ve) Sloped Roof Area (W) T&al(ft) 745 Master Permit No. Exposure category• (per ASCE 7-88):-., Building Classification category (per ASCE 7-89 table 1): FL Ft. 419 ROOF HEIGHT AND SYSTEM DETAILS GAiR Va,,? jr.T P T & C V r, 9, " (Draw details as needed) ❑ i�� .. ME E- UA T ITIR U ❑ I L P_ --------------------- ---------------- ROOF PLAN 7 ---------------------- ------------------------- - ------------------------------------- ---------------------------------- Deck type: I ATTACHMENT Fastener Type: SPACING Field: Perimeter: Corner: .1b - DETAIL I & 2 - - - -- -- --------------------------------- - t --- ----------------------------------- - ----------------------- ------------- -- - ---------- ----------------------------- ------------------------------------- -- _7 Page-1 LOPED,S'I'STEMDESCR'� 3 4Z. a i i+'! ..r y3 �rX• x3t Decay Plysaooi3�:5 8 �� .._ :,. Uni de:o;ymen #30 : lb Felt a,- _. twase�ncype& A ...1 /4 Roong - -cap sh«e:- 9.0 Paper —A ckna � d�-2 Roof Covertng .. � .. - Santa Fe "s ". ROOF S6OPC di Drip'edgc: 3X3 2.6 Ga' Gal-V ` SDO y..;,4 tz Rt t,erv(o- e5! 'Lcj x X j 0 1?CS • Qict S�,no D E T A I L 3 ATTACHMENTS REQUIRED t) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Qther Component Approvals TILE CALCULATIONS (Pmax14 6.1 Q 2, (Aerodynamic Multiplier): • 31 ) - Mg: 4.7 = Mrt9.59 PCA:61 - 9 0 (Pmax29 6.5 Ck X (Aerodynamic Multiplier): • 31 ) _ Mg: 4.7 =M 5121 PCA61 .90 (Pmax39 6.5 Oc 2, (Aerodynamic Multiplier): • 31 ) _ Mg: 4.7 = Mr3 25.21 PCA61 .90 F Page -2 T I - • i i Santa Fe Tile Corperstion ; 103,1: N.W. South River De ive. Dal 1116 .Medley ,FL 33175 VV IL :da YOUT VPa:icatipr. foc Notice OrAcccttaace f:OA) oi: Sri,ti "-S" °Clnv -Ti imder Chapxr 8 vf the C0dt of Nfta:ni -Da,!e i::cun �r got er:ltrt' :hr use C•f .a1ta Corstr.lcticn, and completely a striped tcrciin. lr�,s been :ecR:dazei:lzM fnc Zt:: Count; D;t• -j•ng COO C.et:jpli3nCt (,7, PfiCe (PCCO) alder u:e : Pndltlor:S s -.64 Th:s NO.A? shail not be il-ilid aver tzc expi:atien date stated be-ow. $CCO ras prcduct o::weria! am :ime from a iobsi:r or mr- nufae:ur frs p iau: for qu produc: or :"n3Ltr;a1 fail.$ to perform in the sppro..d manner, CCQ may rev cw of such prad::ct or material tztmed.a:ely. 3CC1'� reservis the tight to r determined by t3CC0 that :his produc-, or material :ails to me_t the rcq.tire 3uildir6 CA-de. T::e expense of sud.:es:ing :t:il: be irc.ve<i the fi=sj.- _c :tfir ACCEPTANCE N4: 0-211.A � v E PIRES:,t17tQU- _tt is Raul Chien TNr5 IS THI'. e`.+Dl`rWgt -I _rT CPC & nttt rio tv . i n ►r-.'rc r.-.n ear. -e This applks::on for "rodUCI Alprovai Fss bccet revit -wed b; :the 13CGo Code and Priduct Review Comm::tce. to Ic used I1: i`4i,tr1: -Dac1e Coy';Dty .F forth above. . tJ rnr� s1:a Aft -RUVED 021111. 31:11 , I- DAVE t:t .NT"i.FLORIDA -DAVE FLAMER BU L :):%(; CODE CO+1t LUN E o1:}ICE FLMD.%CC n,nC .Jt MILc.rx, -LAGL.E1. V.r -L:rr. °t:rrr. 196; MIAMI, F1 3)1. :(- M1 MAMA LICL-14MC SKM014 :son e.'Arn, nc"t9Nr1 oil V901% 1333) ; : 4S& FAX :4h ?TS• t+t rROOLCr CO`#t"RaL tw%WON � }03)37s._!s +2 •;a ?" ;?031 .•,::Y ite _•'.aerW3 and i nes of iencY br the lAianti -Duda tl:e rig:..t to secure r. is control tcatirg. If t'.tta modify, or s:lsFetld the e this. apptovai, if,; :s o' the Sood .. Flo.-sera �v Contra. Jn ision psatve b,. :he Uu.)cutg u=idtr the t:ardhie-:s 'W J. ft A. Ondc C oonn• C Codc Comaliattoc'Off,t: +•r3�f."thtl'�o►�roDdca v*Met +►er or> mar aft*.0 M Interset moll sadmsr, rsrma >,reraou;w.►gc�t.o�s;,,t.�o�� 114- ri�palt:htlF:tM blriltlitl :eA1J .. .SA. TILE CORpt3 t0;� ACCEPTANCE RoortKC ASSE.NSLY ApPROV�L Ca a ReGfng Appru+al I3tc: Fe 1.2 Sul+ -- allg2 ": 0732 Rmi -eng Ti!►s Expiration Daft: Vgpmry $ is clav Roo,. •"iie"t 1. 1. SCOPE Thiv renews a, 1`00lirg s",Mr asing Santa Fir 'Sant3.eis" clay roorl"s tile. 5stitate :;te Cn-poration dcacriped in Section : of th i'.,atice oft : =cptmce, rla`aen:red,y Simillned to COnlply 'v:tn the Scwth Florida Building Code. 1994 Irtjiaiq fix Mia1n: -Dsd6 ty. For locations where the design pressure requirtmcnts, as demmined `hl appl-t ab building :, d dots not excerd the d:s'g:t pressim values ob:s;n by Ca(CUl3tu;ns .n cotopliae With RAS 127 rsilty :he altles li;t:.d i» burin. The 8tt3thMen: caltu :jtivt:. shall !:e dore a momea; based systc,►. y. PRODUCT DESCRIPTION �[A� etnre by Test Piotlas A 1 t 13 tna+>gg a�iLetit�t�lt ee t o Santaft: s c1D� PA ;!2 0: ,mcce high protlit cl Roof Tile • - ooreae: .s+ l Ls" ci:luimcd with twe nail : es For nail•oa, Vi "ethic* M*ftarset and adhevite r sppliaations Fn:n P;etcs i,. L'8rte5 PA H: nc:C330ry er'rt. clay roof ;teas for use at w varies 1j;p4, t.Acs, rid-es and sal ey tctminw:ons. 114.yi„ s n1ad;+facttucd For cm;:f tt! profitc th :ckne.s - 2.1 Gt?NIP0NENTS UK P ROD L.CTS -MANC FACTT :RFD By OT HER, Test Product PrO uct Ui Itsiae S ific,tir II e1 'lino Tito Scretivs ,tit$ 2 long Mstantactttrcr x -h* PA 114 sions :ess Steel gt5latr a 0,130" shame dia. Apprrdi�c ;, 1 0.178 Auto dia. a 3. LIMITATIONS ' 3.1 Fire ehmslfi�-.ttiott is 1101 part of this acceptanrc. �•? i:pr rrtq�ar or aoReSii►t: sCt :ilc Pppi�caticns. 1 sra�ic field >=plif! :cst seta 11rr rarltitrurd,in a=rdent with KAS 106. _ 3.; ;.p�lii art shall retain t! a SrrviceS of a %4:rir00adc Couch• Cert;ri W Laboratory to rtrrb --m RUVW —IY te3t h, accordantc with PA I T2 a �grr+,r`pt, sutmuttcd to dsc Suildirttt root Comotlance OFr =,�:,' % 'V hall ti► s S 'Ta_FL' 1'[LE SoItPl1g1TIOR aSCEPTaN Na 00- 2 « �b 3 30M hot nv. ppW underiawasw aypi,eauo33 ansJ' be tnsta►liet: .z.:la: to the top° Qats :s t - Ouse. ! rawras f�t ! l` lisaen s:ope :tNnt s Kae d 31 "tv►�s: the unr:417runt ms sr al I 311uhOuren ;rjbtisbC6 159nta =r ':' T 9°. ; t.SC 535 :t S� I S 3? 5.0 : 29 :.nJ 3.e 7'j' I actcptarcr 33 iar'Nom+ cc k apf:ltcatlwN Mi iream dcc!c J-Pplicatic equirzrrw cars x411 be in cs np!ivm "itit build.; ode. Sctcly TtirS Sur tea? i. LNSTALLA'rIOL _ Ci'- Mi C1:-• 4.1 1 Sa.'ttafe 'S' snd s:,t sorapanen:- Iha'.l he insLllC4Q at: ici ¢ ►L -an with t`diarai Dade County Roo&j. AppDowon Sluidat3 RAS J I& RAS 115. and P. kS 120' 4.1 2 Data For Al-tviclumat Cat.. «slanons + Table 1: l� f Asrod wnatric Mule. ers- t Mt (It-lbf) for Moriur or Adhesive Set $ysterps ► ---- -- ° Profile Satien At3 licalion i C Diriet Deck tartalc 'S' I Morter S-�; 27.E 0.197 I 7ablo 2 Restoolno Morrrsnts zlue ;o ►3rav' - M (h -I 01, 12" F. - I2" or 4' 2 "a i" 3••.12" = 2• s•..12" ( 6" I Profile i — �ect . i Greater .;ect @attr*; J rt r' Qats :s t - Ouse. ! rawras f�t ! l` lisaen Dec% �x CIEC+r I Do :Ic ! "s C�ec� ` Jacx 159nta =r ':' T 9°. ; t.SC 535 :t S� I S 3? 5.0 : 29 :.nJ , f lft4bf) �i able 3: Attachr*nt Resistance Expres"d a$ a Moment r For Nail -prt Sy stmt I Tile firaRle Tita ' Two � � ;,r,: 5crc r► a Scrars j Qne Sctcly TtirS Sur tea? Application t wy Ci'- Mi C1:-• r Santale 5 i Direct Dove U 2E 5' .3? - ��,,�' —••i ty1c� �, tx-S is atted'P - Od ut -.2= 3cmrrJ b :r hers' - + Table 4• Attachmerit RttsistatlCe Ez�cnsssad as a Moment Mt (It-lbf) for Moriur or Adhesive Set $ysterps Tile Tile ttachmnt , Profile _ I Application sistancs tartalc 'S' I Morter S-�; _ q:hesive Sol e : 9 . Tiw* Ztrioalts. itoofin4 Product C rnrol Exanya;:: 3 F3 PX'AN 5. LABELING _ S Aj-' tits= shall b �� p•ir.. or idrati3abie nt kws of hr t ' '�v Or *110 *JS stag • ~�fteni -Dade County ollo u ct Cont. AX , lij APPlication for buiUl ag permit shat be scxm�iucd t. copies of Th:s Nat,aa a:'.4cp►.a.�,.^c. Any reber dg;,Ar:nts - aprimd by the %;ii W Oi�cm! or air t'�r :7 P'-OW- V c,�;uatc the ie statlaiion Of das sr-uea:. PROFILE i?R11 .Nt i SAWAF$ "SAMTAFE S" CLAY- SWOFTILY, :zr�s nanm or'c o fail�oir,�. cable buildf;ps Code ir•. I I Retv"21 of this a•1_e (3ppr3;-*e!YAWI be , onsidet.a a o:.gutal s rbYOitt tfOCttrrr «a :.ttoa, rrdudtcg test u pprting ciRh1(813ears. 2 Any cad asl 3 the U.uuicg specirtc ctTdi Rur%%W3 of P.ctt a) There has be aw the prod b) The prod<tct c) Irthe A"pt d) Tk ::igiumi suotrtittcd, is 6 Any rC IWIIA or C it cautkal!'j be I ak-3tlstl t?x `list 3 utr of the folic+. a)1:1.astssist p��rpusss. cf A.:< a.�cpera : :an date 0 4is;rpisicC. rhea it A ccpy). this Am prmida to the us site at dii dWW& I 8 Failure jo cam-ply ACccp:anx 9 This A:ccptanCt } 4 't ACCEP')i'P1.itiCE 1s.: Od�„I_ 217.0j 4 K a Mni:% t{ ?ppti_3tior. has b=n 11•I;ed rare trc X tasdi:lccnrsg docuQCnw_ bro no older 11-an vW pto4w g sh -it. be ptrrrk RtnQv labtied w;y1s the rnant fa: ww's namt, zhN, sum and MML "Miam, D2dr Crur,:t• Pt o iuct Control. Approvzd', or as spe:uimlly MXM in the � of Nis Ateeptsn:e ' Vasco will slit be Considered it a .ltalt$s is tha Stw ;h r!t►rrs;: Huiid:rg CLe sA't cttrtg ills ctisluatior of 1Hj, product Ct is not ir. Compliance lath ttc co0e thatt14 K ro Wnger tit0 a , ploduct (:..er uc.l) as tllk one originally aaptovcti; ea.a l has Wt CCnDtml «'th aA the YCq#T rre:ttS oz this rCCtptstue, ir,cttt 414 t_ite 8tl0A of the produCt: v/W origina'ly prepared, signed and seatsd tl required. docu reptstson iri.Wb 16!onjttr pwtie►nR the erglnzering pro2ssicr. r cage _A tlto material;. var. art manufam4 of the proo ct or prvaess sr-ea losefa: 18rtn:x3bon of this ACC epince. ta+l,;s± pncr wrm ca a;oroval ruts boo i requested of a tstilsiott appti:ation with a ppsopnate k4 3.-td grsatcd b/ this office igsltaWalso bt Craunds t.-,r removal of this +epwaoe: ur perf%4-r-u.-tce of Ws product or process; : 113 A C:PWnce as an endorsersunl of ar,) protjucx, fir silos. advettit:ag or an oexr r 4 A pta= number prwcded b� ttg words Mianitoad: Counv. Forsda, t!rt fellow-.V+? the rbc displaytid rn ad►trtis:nR ltteratur:, iIB ;:��erttort o£t :. ::�tottxaf.aceepl�:: iI oil be core ir, .ts tri4eq. Ei }t31:: t ss well as approrcd drs:.ladS :,xi of r Qocumcrts. �rttc►s rt »p:i�. si�Il bC ►b ? -tAt tirRnutactWer or 1:s distrrbt:ta:s an:i2{ be 3YaiG,bk fca' ittycttct► $t tl�c,toh is copies treed not be resealed by the enaincti ,I rah aAv =rive of this Acceptance SVI br -*sc to- :t:rmiratlen and rtnrwa! of maim pages l through 3 +� END OF THIS ACCI`PiA ,7CE a - - i. I FILE . 10.332 04&5 '01 16:47 11);QA,5JW .Sl�, ANC. FW(:305819 Pfit i r MAM ' MiAW -DARE COUNTY; FLORIDA MAO -DADE FLAGLER BUILDING t UILD-IN0 CO0EC0-,ApLiAYCE OFFICE evils'! RO -DADE Ft.ACtLFR IiI11I.DIN(i wI:S1' I•l.Acl.r ;it sTRiit:J; Stint I603 P TJCT CONTROL NOTICE OF ACCEPTANCE (3as) 3IAMI. II.OXI (3d3) 370 -2943 Polyfortm Products, Inc. 2400 Spring= Stu&ner R,6ad r04"'MR Crnn t.rM*sr'Vrst:t:rrn.V (303)375-25_17 i .Vi G30si 315.3.ris Sprite ; ,T:C 77383.1131 r•o� r'ttiC�o�t r:.�+tlortr.� �i�:,� r�y>>y�� -- -- (3 05) 37i -12%f) N %X (US) 375.4908 1'14"Wr CON-MOL Drt IWOv Your application for Notice of Acceptance (NOA) of (305) 37$.3 rXV (305) 37?. -6130 Two Component'Myttrctheac Foam Tifc Adhesive tinder Chapter S of the Code of Miami -Dade County goveminb elle t1se: ot'Alternatc 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. OCCO reserves the right to secure this product or material at any time from a jobsite or ritanufaeturerds 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 rescrv0s the right to revoke this approval, if it is determined by BCCO that this product or material sails to meet the requirements of the South Florida- Building Code. 'rbc expense of such testing will be incur rt d by the manufacturer. ACCEPTA i�1C . NO.: 01- 0404.01 EXP RES: -0 oalJ Rata Rodriguez Chief Product Control Division 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 Miarni -Dade County Florida under the conditions scat forth above. Francisco J. Quintana. R.A. Director - - -- i4tiami =Dade County - APPROVED; f)a /Iti/200I l3uildittL ccxla cotnprnncc: ofrc:c FILE No-=, 06/05 -_1_01 16:50 1D: GULFS IDE SIPPL.Y, _ III. FAX:, 9 965 PAGE3� 4�. of f 'im,�t-otccs Inc. ROOFING ASSEMBLY APPIkOVAL Catero": Roofing aCatetrorv: Roof Tile Adhesivc makdak Polyurethane ACCEPTANCE No.: 0 -0:0 4.0 Approval bate: Mav -0.2o0t Expiration Date: Febr usere 04.2003 h. SCOPE - - - -- - .- - This approves POlypro® Alf 168 as manufactured by 11olyfopm Products, Inc. as described in Section 2 of this Notice: of Acceptance. F'or the locations where the design Pressure requirements, as determine! by applicable building cede: des not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127. for use with approved flar. Iow, and hi-1-11t prat "tie roof tiles system using P0lypro0D AID 160. Where the attachment calculations are done ca a moment based system for single patty placement and as an uplift based system for double patty systems Z. PRODUCT DESCRIP -rION � Maatsfactured by 'Test Product �1Lr____ Dint, Cn�i�ns Tieflni Specifications P0lypr00- AN 160 D �gription N/A PA 101 Two component Foam proo Par 1000 N/A polyurethane 18 PSI Pamilel to rise Dispensing Equipment Pr0Pack0--0 30 & 100 N/A Dis Tensilo Strength pensin„ o L•quipmcttt 2.1 Components or products manufactured by others. Any Miami,Dade County Product Control Accepted RoorTilc A.-sctnbly ha- ving a current NOA which list up" rt'rc;sistance values with the use of Pot }pro Al 1160 rovrtile adhesive. ? Typical Physical Properties: 1'ro a est Results Density ASTM D 1622) 1.6 tbsJfl.' Compressive ASTM D 1631 18 PSI Pamilel to rise Strength 12 PSI Pe'rpcndicular to rise Tensilo Strength ASTM 0 1623 23 PSI Parallel to rise Watcr Absorption ASTM D 2127 0.03 Lbslrt'- Moisture Vapor ASTM 13 96 3.1 Perm / Inch Transtnission (.. FILE No.332.06i05 101 16 :47 ID:GULFSIDE SL PAL.Y, INC _ __ . FAX:, 196965 F `L Poi f am Products Inc ACCEPTANCE No. 11-0404.01 Note: The physical properties listed above are presented as typical avenge values as determined by accepted ASTyI test methods and are subject to normal manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 PolyproOD AH160 shall solely be used.wlth.Ilat. low,- & high tile profiles. 13 Wminmm underlaymeats shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Potypro® AH160 roof tile adhesive with their file assemblies shall test in accordance with PA I01. 3.5 Roof Tide manufactures acquiring acceptance for two paddy placement with the use of PolyproO AH160 roof file adhesive with their tilo assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. F- M5 4. INSTALLATION 4.1 Polypro@ AH160 may be used with any roof file assembly having a current NOA that lists uplift resistance values with the use of PolyproO AH160. 4.2 PolyproO AH160 shall be applied in compliance with *the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro@ AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof We assembly NOA 4.3 Polypro D AH160 roof file adhesive and its components shall be installed in accordance with Roofing App,fidatioti Standard RAS 120, and Polyfoam Products, Inc. PolyproV AH160 Operating Instruction and Maintenance Booklet, 4.4 Installation must be by a Factory �rained'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam products Inc. shall supply a Iist of approved applicators to the authority having jurisdiction. 4.5 Calibration of the FoamproV dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shaII be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4,6 - Polypro® -A 1+M0 -sMI be applied with Foampro RTFI000 or ProPack 30 & 100 dispensing equipment only. 4.7 PolyproO AH160 shall not be exposed permanently to sun kFrank Zulo3ga, RRC Product Control Egli= 3 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Po1ypro49 AHI60 has been dispensed. �. 4-9 Polypro® AR160 placement and minimum patty weight shall be in accordance with the Macement Details' herein. Each generic the profile requires the specific placement noted herein. , Adhesive Placement For Each Gjacrie Tite profile TileProfle Placement Singlc Paddy Weight Two Paddy Weight Detail Min. (,grams) per paddy Min. , 33 FlatLow Po nl tinm N/A. IffighProffle(2Pi=Baffol) 91 17 /side da cap and NIA +•u. L.vw, Mun rrorues #2 24 NIA Flat: Low H-t2h Profiles $3 8 5. LABELING All Polypro(@ Al I160 Containers shall comply with the Standard Conditions listed herein. 6- BHII -DING ,PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly Oaivate the installation of this system. 9 ILE" t�fo -332 'QI 16 48 ID GUL.FSIDE SUPPLY, - t ' --�� F •34581. � '° - Pq� �� =3``� ` ACC PTA1tIC� lrto.: 01- 0404.01 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY f�otan. nrmm�beappo� ti m GeM.s.ehet . N Pol foam Products, Xn ACCEPTANCE No. :.Qi_„ 404.01 ADHESIVE PLACEMENT DETAIL 2 { SINGLE PATTY wumnq�9AAl�amanc . . � ire ••'• V� �K GYRQ : • - . Faacla {j Fueta • CilP cgw GL•o � tll►a�l1 plisfit te�trnt D�(1�� i. fwtOn= EbeCams Fm& - — -- - -- -- — "l`�it�L'.ZilZS.G — - Prc�ncr control Ecr +> "�' ms's,° — mac..°- --.. � � �""_ �` �_��. " y�°'`•F -s;ti s '^'�'�.c�..., ' + eFIL.E 40.332.08/05 'Ol 16 48 . :1D:GULFS11At bVr4 -LY, 11C. FAX 3t v231 3 4 _ otv %am Prodnc me ACCEPTANCE No.: 01-0404.01 ADHESrv'E PLACEMENT DETAIL 3 DotMLE PATTY tiuough � y Nag throogh plastic cement � r r�.�`Jn.x 3 h Simla lay on of dle Ule =amp de l K siodfulft 4yem comas" Nall through plastic cement Single paddy under too Sin* paddy b &am ate 1Un4eflarew (under tile) 2 bL xY!kmc&m t coumanly 3 v dart &-,3 Slagle 04 < ' x3 tn. 4 in. P�Ym+ 2' 4 in. ?; Single under- paddy co layment ra r. Frye eoursa sinsile paddy oa top oftlle fascia out Wp.ol Me 2in.Xlin, rneQiwn _ � dor * ells paddyeave Fasxla cmusa only Nag throogh plastic cement � r r�.�`Jn.x 3 h Simla lay on of dle Ule =amp de l K siodfulft 4yem comas" FILE No-333 06/05 '01 16:49- _ID :GULFSIDE.SUPPLY, INC. Polvfanm products, Xrtr. FAX:3058196965. ':_ : =.1: ACCEPTANCE No.: 01- 0404,01 1. Rene►val of this Acceptance (approval) shall be considorcd aft -e at renewal application has beat fled t and the original submitted documcrtcs, including test - supporting data, cngincering doeum=ts, arc no older than eight (8) years, 2. Any and all approved products shall be pcmu mently labeled with the manufacturces ttaimc, city. state, and the following smternent. "Miami -Dadc 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. Thcrc has bec a 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 Iongcr 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 0148inally prepared. signed and scaled -the required documentation Wrially submitted, is -no longer practicing the C;Sinccring 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 dlis Acceptance, unless prior �vrittCn approval has been requested {through the filing of a revision application with appropriate fee) and granted by this office. S. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory pt2 fonnattea Of this product or process. b. Misusc of this ACCCpmnec as an indorsement of say product, for sales, advertising or any otbcr purposft.. 6. The Notice of Acceptance number precedcd by the Words Miariri -Dadc County. Florida, and follo%n d by tiro expiration date may be displasod in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirely. 7. A copy of this Acceptance W %%rJl as approved drax%ings and other documents, where it applies, shall be provided to the user by thcmanufaeturer or its distributors and shalt be available for inspection at the job site at all time. The engineer rued not reseal she copies. 8. Failure to comply with any scction of this Acceptance shall be cause for termination and reatovat of Acceptance. 9. This Notice of Acccpmnec consists of pages 1 through 3. END OF THIS ACCEPTANCE 4 ►oar �� r -- - 5f .. . .......... .... ....... ...... .... Y- JL- MANUFACTURING, INSTALLING AND SERVICING HURRICANE SHUTTERS FOR THE RESIDENTIAL AND COMMERCIAL MARKET WORLDWIDEI Dade County Building Department Gentlemen: We are the Dade County Notice of Acceptance Holder for Hurricane Shutter number 00- 0721.04. This letter authorizes ALL FLORIDA HURRICANE to use Hurricane Shutter approved under number 00- 0721.04 for the following job. WOODARD 102 NE 103 STREET MIAMI SHORES Sincerely, All Broad Hurricane Panel, Inc. LeRoy Pc President Phone: 954 - 974 -3300 1-800-250-2182 Fax: 954 -973 -3928 CGC#046375 www.1800hurricane.com Est. 1954 1.800 - HURRICANE & �A 450 W. McNab Road Ft. Lauderdale, FL 33309 MANUFACTURING, INSTALLING AND SERVICING HURRICANE SHUTTERS FOR THE RESIDENTIAL AND COMMERCIAL MARKET WORLDWIDE! Dade County Building Department Gentlemen: We are the Dade County Notice of Acceptance Holder for Hurricane Shutter number 00- 0721.04. This letter authorizes ALL FLORIDA HURRICANE to use Hurricane Shutter approved under number 00- 0721.04 for the following job. WOODARD 102 NE 103 STREET MIAMI SHORES Sincerely, All Br9paro Hurricane Panel, Inc. LeRoy IN President Phone: 954 - 974 -3300 1-800-250-2182 Fax: 954 - 973 -3928 CGC#046375 www.1800hurricane.com td IAN1I•DA[>E MIAMI -DADE COUNTY, FLORIDA ® METRO -DADE FLAGLER BUILDFNG PRODUCT CONTROL NOTICE OF ACCEPTANCE All Broward Hurricane Panel Co. 450 West McNab Road Ft. Lauderdalc ,FL 33309 BUILDING CODE CONIPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 180 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33134 -1:63 (305)375 -2901 FAX(305)375-2903 CONTR:tCTOR LICENS1NG SECTIo.N (305)375-2527 FAX(305)375-233S CONTRACTOR ENFORCENIeXT DIVISIox (305) 375 -2966 FAX (305) 375 - 29(3,4 PRODUCT CONTROL DIVISIOX (305) 373 -2903 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of. 0.063" Aluminum Storm Panel Shatter 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. ACCEPTANCE NO.: 00- 0721.04 EXPIRES: 01/08/2004 Raul Rodriguez -Chief Product Control Division THIS TS THE COVERSHEET SEE ADDITION PAGES FOR SPECIFIC AND GENERAL CONDITIONS QUILDING 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: 10/12/2000 Francisco 1. Quintana, R.A. Director Miami -Dade County Building Cade Compliance Office r� a,. All Broward Hurricane Panel Company ACCEPTANCE No.: 00- 0721.04 APPROVED OCT 12 2000 EXPIRES 01!082004 NOTICE OF ACCEPTANCE: SPE(.JFIC CONDITIONS I. SCOPE This renews the Notice of Acceptance, No. 98- 0225.01, which was issued on April 30, 1998. It approves a 0.063" aluminum storm panel shutter, as described in Section 2 of this Notic: 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 This 0.063" aluminum storm panel shutter and its components shall be constructed in stict compliance with the following documents: Drawing No. 96 -538, titled " 0.063" Aluminum Storm Panel ", prepared by Knezevich & Associates, Inc., dated September 3, 1997, last revision #I dated March 25, 1998, sheets I through 6 of 6, bearing the Miami -Dade County Product Control Approval and Renewal stamps with the Notice of Acceptance numbers and approval dates. 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 Iimited to embedded anchor bolts, threaded cones, metal shields, headers and sills, must be protected against corrosion, contamination and damage at all times. 4. INSTALLATION This 0.063" aluminum storm panel 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. All Broward Hurricane Panel Cornnanv ACCEPTANCE No.: 00- 0721.04 APPROVED OCT 12 2000 EXPIRES 01/082004 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) years- 2. Any and all approved products shall be permanently labeled with the manufacturers 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 autom atically 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 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, small be provided to the user by the manufacturer or its distributors and shall be available for inspection at the ,fob site at all times. The engineer needs not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and rer±oval of Acceptance: 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. ENI} OF THIS ACCEPTANCE OPTIONAL MARKING LOCATION -7 PRODUCT MARKING IDENTIFICATION SERRATED PANEL EDGE, OPTIONAL 1t- ?S. TYPICAL r I 1.00" 2.00" (TYP.) 13.00" 15.00" (FULL PANEL) OSTORM PANEL SCALE :3- = V -0" OPTIONAL LEG Q"SEA" ANGLE SCALE :3*' = W N J== O W z CL ZJ = aQW C) a o J acra W N Q zWW F < W W 0: ... CL v► O LL 125" TYP. 0 0 N 5.00" MAX. O ANGLE SCALE .3- = V -0" WIDTH UNLIMITED F (PERP. TO PANEL SPAN) TOP MOUNT BOTTOM MOUNT OTYP[CAL ELEVATION FOR ALL INSTALLATIONS SEE TABLE` 2. PAGE S OF 6 . FOR REQUIRED SEPARATION FROM GLASS. 2.2S" -1 (HALF PANEL) ONE HALF PANEL PER OPENING MAY BE USED AS REQUIRED TO COVER OPENING. -e1.. i r 11/32 "o 2.220" �- .085" .100" 1 .091" of O - : 1!1 001. �1 .054.. .39" 5 /8 "o q I .39" t = MIN. .085" 6 ] "KEYHOLE" WASHER �� SCALE : 3" = 1' -0" 3003 -1114 ALUMINUM ALLOY 4 "W HEADER SCALE :3- = T -0" O (7 } WINGNUT �. SCALE : 3" = V -0" ZAMAC 3 ALLOY GENERAL NOTES: 1. THIS STORM PANEL SYSTEM IS DESIGNED.IN ACCORDANCE WITH THE SOUTH FLORIDA BUILDING CODE, 1994 EDITION. 2. POSITIVE AND NEGATIVE DESIGN PRESSURE CALCULATIONS SHALL BE PERFORMED FOR SPECIFIC JOBS IN ACCORDANCE WITH ASCE 7 -88 "MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES." TABLES SHALL BE REFERENCED AT APPROPRIATE DESIGN LOADS. 3. STORM PANELS SHALL BE 5052 -H32 ALUMINUM ALLOY, 0.063" THICK WITH A MIN. Fy (BEFORE ROLLING) OF 23 KSI. ALL EXTRUSIONS SHOWN SHALL BE 6063 -T6 ALUMINUM ALLOY, U.O.N. 4. PRODUCT MARKINGS'SHALL BE WITHIN 12' OF ONE END OF THE PANEL WITH A MINIMUM OF ONE MARKING PER PANEL AND SHALL BE LABELED AS FOLLOWS: 8 H P C 0 FT. LAUDERDALE, FL DADE COUNTY PROD. APPR'D. 5. ALL BOLTS AND WASHERS SHALL BE GALVANIZED OR STAINLESS STEEL WITH A MINIMUM TENSILE STRENGTH OF 60 KSI. 6. TOP AND BOTTOM DETAILS SHOWN MAY BE INTERCHANGED AS FIELD CONDITIONS DICTATE. PANELS MAY BE MOUNTED HORIZONTALLY WHERE APPLICABLE. 7. THE DETAILS AND SPECIFICATIONS SHOWN HEREIN REPRESENT THE PRODUCTS TESTED FOR IMPACT. CYCLIC AND UNIFORM STATIC AIR PRESSURE LOADING IN CONFORMANCE WITH DADE COUNTY PROTOCOLS PA 201. 202 AND 203. 8. DESIGN IS BASED ON CONSTRUCTION TESTING CORPORATION (CTC) TEST REPORTS No. 96 -047 AND 97 -032. 2.188" .090" .100" .062** 9,1.. .062" �' PRODUCT RENEWED Z .0 ACCEPTANCE No. O 0 - 0 EC ATIONDATE 0i 08 004. 40N TROL DIVISION $UII.DING CODE COMPLIANCE OFFICE APPROVED AS COMPLYING WITH THE SOUTH FLORIDA BUILDING CODE DA7 P 1 19. BY - PRO ROL DIV!S +ON BUILDING -CODE COMPLUaYCE OFFICE ACCEPTAICE NC q � 4 ZZ�' Wyo.. U 1 1.939" I II 1�� z � i •2.4 - � ��:�IR II ( 3 ] "U" HEADER ►W- SCALE : 3** .188" ' K 4 < 1 .290" .648' LIJ N V .090" (TYP.) O8 "F" TRACK SCALE : HALF SIZE PRODUCT RENEWED Z .0 ACCEPTANCE No. O 0 - 0 EC ATIONDATE 0i 08 004. 40N TROL DIVISION $UII.DING CODE COMPLIANCE OFFICE APPROVED AS COMPLYING WITH THE SOUTH FLORIDA BUILDING CODE DA7 P 1 19. BY - PRO ROL DIV!S +ON BUILDING -CODE COMPLUaYCE OFFICE ACCEPTAICE NC q � 4 ZZ�' Wyo.. J uj z 8 p IL d a � � rn M 0 M g� a � i� o 0 r r z 0 u J � 1J._ L IP30FdS A HE FL LI t u No$' PE O 997 a drawing Pa. 96 -538 aRaaf t N a U oo � N Z z T p' 44 - S!� < O ►W- 1Q „ K 4 < LIJ N V W Q � � J � < H < UQ Zia .i O d a o o s co V W aa~i i =JO < •' IL W ' z W Z W x 1 N < Y 0) Z V► a. P a. OA, a °= w J uj z 8 p IL d a � � rn M 0 M g� a � i� o 0 r r z 0 u J � 1J._ L IP30FdS A HE FL LI t u No$' PE O 997 a drawing Pa. 96 -538 aRaaf t N a — EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) —FASTENER, SEE ANCHOR SCHEDULE. REFERENCE - CONNECTION "TYPE 2' 1/2" n /� O SEE MIN. SEPARATION FROM GLASS SCHEDULE u GLASS OR DOOR O4 CONT. FASTENER. SEE ANCHOR SCHEDULE. REFERENCE CONNECTION'TYPE 3- — 1/4- OR 314" MAX. SESSTORM PANEL SCHED. BASED ON GAP ,AT TOP OF PANEL W J _ J 0 = W }- u Z W J J W Z W Q a Q F a m X h0-� ' Q a W W N EMBED. EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE _ BASED ON TYPE OF STRUCTURE) 1/4- OR 3/4- MAX. SEE STORM PANEL SCHED. BASED ON GAP _. AT TOP OF PANEL i 3 W J SEE MIN. I SEPARATION I o FROM GLASS uj SCHEDULE i I O W w J Z J GLASS I r Z a OR DOOR I Q i a a I 0 4G CONT. " } I 1/4 -20 MACHINE Q v BOLT 8, WINGNUT F W p 6 -1/2" O.C. W ' FASTENER SEE ANCHOR EDGE SEE MIN. SEPARATION FROM GLASS SCHEDULE — GLASS OR DOOR — FASTENER, SEE ANCHOR SCHEDULE. REFERENCE CONNECTION "TWE 4' 1/4 -20 MACHINE BOLT r & WING NUT (a1 6 -1/2" O.0 W J J o = W I— v Z W •J J W J Z W Q a Z Q E a a: X Q 1 N E W W N SCHEDULE. REFERENCE VZ =__ CONNECTION "TYPE 3' FASTENER (al 6 -1 O.C. MAX., '�' BUT DO NOT EXCEED ANCHOR / EOGE DIST., 4— EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) �.../ CEILINGANSIDE MOUNT SECTION �j SCALE . 3" _ V -0" CONCRETE. HOLLOW SCHED.. P6, SPACING. USE EXISTING CO REMOVABLE ANCHORS ONLY. BLOCK OR WOOD CR FRAMING 'T REFERENCE CONNECTION YPE 1' (SEE ANCHOR SCHEDULE USE S W/ S.S. TRUSS HEAD BASED ON TYPE OF STRUCTURE) BOLTS W/ KEYHOLE WASHER. ENGAGE BOLT HEAD IN NARROW PORTION OF KEYHOLE WASHER BLOCK OR WOOD FRAMING FASTENER. SEE ANCHOR FASTENER, SEE ANCHOR (SEE ANCHOR SCHEDULE SCHEDULE. REFERENCE "`SCHEDULE. REFERENCE BASED ON TYPE OF STRUCTURE) -7 CONNECTION 'TYPE 5' CONNECTION "TYPE 4' W � U V< W O w } 0 D o SO CONT. EXISTING CONCRETE. HOLLOW _#14 TEK SCREW OR 1/4 -20 BLOCK OR WOOD FRAMING.... CMACHINE SCREW & NUT @ 13- O.C. (SEE ANCHOR SCHEDULE 13/4" 1/4" OR 3/4" MAX. SED ON TYPE OF STRUCTURE) / 3/4" SCHED. BASED ON GAP AT TOP OF PANEL co "U" W '•�, HEADER A OPTIONAL LEG a O CONT. Q a — J GLASS OR < ' FASTENER, SEE ANCHOR 71/4--20 SCHEDULE. REFERENCE MACHINE BOLT & CONNECTION "TYPE 1" WINGNUT @ 6 -1/2" O.C. EXISTING CONCRETE, HOLLOW O N BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) (ANGLE TO WALL DETAIL) (PANEL TO ANGLE DETAIL) OWALL MOUNT SECTION SCALE :3" = 1' -0" U *0 EXISTING CONCRETE HOLLOW q EMBED. EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE _ BASED ON TYPE OF STRUCTURE) 1/4- OR 3/4- MAX. SEE STORM PANEL SCHED. BASED ON GAP _. AT TOP OF PANEL i 3 W J SEE MIN. I SEPARATION I o FROM GLASS uj SCHEDULE i I O W w J Z J GLASS I r Z a OR DOOR I Q i a a I 0 4G CONT. " } I 1/4 -20 MACHINE Q v BOLT 8, WINGNUT F W p 6 -1/2" O.C. W ' FASTENER SEE ANCHOR EDGE SEE MIN. SEPARATION FROM GLASS SCHEDULE — GLASS OR DOOR — FASTENER, SEE ANCHOR SCHEDULE. REFERENCE CONNECTION "TWE 4' 1/4 -20 MACHINE BOLT r & WING NUT (a1 6 -1/2" O.0 W J J o = W I— v Z W •J J W J Z W Q a Z Q E a a: X Q 1 N E W W N SCHEDULE. REFERENCE VZ =__ CONNECTION "TYPE 3' FASTENER (al 6 -1 O.C. MAX., '�' BUT DO NOT EXCEED ANCHOR / EOGE DIST., 4— EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) �.../ CEILINGANSIDE MOUNT SECTION �j SCALE . 3" _ V -0" CONCRETE. HOLLOW SCHED.. P6, SPACING. USE EXISTING CO REMOVABLE ANCHORS ONLY. BLOCK OR WOOD CR FRAMING 'T REFERENCE CONNECTION YPE 1' (SEE ANCHOR SCHEDULE USE S W/ S.S. TRUSS HEAD BASED ON TYPE OF STRUCTURE) BOLTS W/ KEYHOLE WASHER. ENGAGE BOLT HEAD IN NARROW PORTION OF KEYHOLE WASHER BLOCK OR WOOD FRAMING FASTENER. SEE ANCHOR FASTENER, SEE ANCHOR (SEE ANCHOR SCHEDULE SCHEDULE. REFERENCE "`SCHEDULE. REFERENCE BASED ON TYPE OF STRUCTURE) -7 CONNECTION 'TYPE 5' CONNECTION "TYPE 4' W � U V< W O w } 0 D o SO CONT. EXISTING CONCRETE. HOLLOW _#14 TEK SCREW OR 1/4 -20 BLOCK OR WOOD FRAMING.... CMACHINE SCREW & NUT @ 13- O.C. (SEE ANCHOR SCHEDULE 13/4" 1/4" OR 3/4" MAX. SED ON TYPE OF STRUCTURE) / 3/4" SCHED. BASED ON GAP AT TOP OF PANEL co "U" W ' EDGE m GIST. )` ' ' ''' HEADER A 1 Z O a O CONT. Q a — J GLASS OR < ' X = DOOR � MBED 5 CONT. °.� 1/4 -20 MACHINE BOLT 3, WINGNUT Z m FASTENER, SEE ANCHOR SCHEDULE. TYPE 4NCE DIRECT MOUNT SECTI W&OVED AS COMPL'(ING WITH SCALE: 3" - V -0" SOUTH FLORIDA BUILDING CODE OS CONT. (� {, i )1 : !ii - Lt�S�tl/3 (m 6 -1/2" O.C. a CONT. 1 3/4" #14 TEK SCREW OR 1/4 -20 MACHINE SCREW &NUT Ca 13"O.C. I FASTENER. SEE ANCHOR ot~n / 1 SCHEDULE. REFERENCE p ` CONNECTION "TYPE 5' EXISTING CONCRETE. HOLLOW - "MBEO. 2" x 2" x 1/8" MIN. - BLOCK OR WOOD FRAMING - 3/4- r i 2" x S- x 1/8- MAX. CONT. TYP.) ALUM. ANGLE (6063 -T6) (SEE ANCHOR SCHEDULE I BASED ON TYPE OF STRUCTURE) (SIDE CLOSURE REQUIRED. SEE PLAN VIEWS) SOCONT. p ANGLE BUILD -OUT SECTION O ANGLE BUILD -OUT SECTION O SCALE 1 3" V-0- SCALE 3'• ■ 1' -0- #14 TEK SCREW OR 1/4 -20 MACHINE SCREW & NUT (al 13" O.C. SEE MIN. SEPARATION FROM GLASS SCHEDULE -7-G) 1/4 -20 MACHINE BOLT & WINGNUT Cal 6 -1/2" O.C. 114 TEK SCREW OR /4 -20 MACHINE SCREW , NUT Ca 13" O.C. d � O V Z N1 �' r: N i < ' W tL 1- O N V 0 VI a w V 1 J < N < U *0 Z ?i a q o a 0 2 n 0 V Q W = J C W N esf i M us Z = n n < N X 0 U= ¢a t< 0 Y c N °sZ iv � Y = v J z 8 d w O A J� f P ODUCi COtd OL OIYISION BUILDING CODE COMPLIANCE OFFICE a ACCEPTANCE N0. 29- 6225. a 1 s t 1/4- OR 3/4" MAX. g $ SEE STORM PANEL o >. SCHED. BASED ON GAP z AT TOP OF PANEL S W J tl A PRODUCT RENEWE a x - OACCE?r NCE No. Lud 2EXPMAT10N DATE G 1/0 /7-0 • v.1. cll Q AROFESS` Noon a� Ix PRO IZ�RF N FL L e ie r1ol BUILDING CODE COMPLIANCE QFI7C PE ' 9B9 (SIDE CLOSURE REQUIRED. SEE PLAN VIEWS) data draw" no. I 96 -538 an..l 2 Of e FASTENER, SEE ANCHOR SCHEDULE. REFERENCE 05 CONT. CONNECTION `TYPE 4" EXISTING CONCRETE, HOLLOW BLOCK OR WOOD FRAMING i#14. TEK SCREW OR (SEE ANCHOR SCHEDULE 1/4 -20 MACHINE SCREW BASED ON TYPE OF STRUCTURE) &NUT cD 13" O.C. --0,// Z-fli 3/4- t t EDGE _ SEE MIN. SEPARATION DIST. FROM GLASS SCHEDULE r = t O t- GLASS OR MBED � L DOOR 7—Y F.) u FASTENER, SEE ANCHOR t SCHEDULE. REFERENCE u CONNECTION 'TYPE 4• t 4 O CONT. t a :;.�•, (TYP. TOP t &, BOTTOM) t X wH 1/4_20 MACHINE BOLT & L7 to t WINGNUT (n1 6 -1/2" O.C. 0 o t (TYP. TOP & BOTTOM) EXISTING CONCRETE, HOLLOW BLOCK OR WOOD FRAMING 3/4" (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) OS CONT. 4114 TEK SCREW OR (SIDE CLOSURE REQUIRED, SEE PLAN VIEWS) &NUT (nMA13- IINE SCREW F ANGLE BUILD -OUT SECTION 0 SCALE : 3" = 1' -O" 2" x 2" x 1 /8" CONT. G OR 0.55 OR GREATER ALUM. ANGLE 6063 -T6 I (MAX DESIGN LOAD * 72 PSF) O"PASS THRU" SECTION (IN CONCRETE) SCALE : 3" a 1' -0" J m THREE 1/4 "0 WOOD LAG ; SCREWS W/ 3" MIN. WOOD ROOF TRUSS EMBED. @) 24" O.C. MAX. I x OR FRAMING MEMBER SHALL BE PERPENDICULAR TO PANEL FACE EXISTING GLASS — STUCCO FINISH OR PLYWOOD SOFFIT /4" MIN I { i / t x-3/4" PLYWOOD SEE MIN. i GLASS N 8 SEPARATION FROM -a V+ OR DOOR 1/4 "0 RAWL CALK-114- 0) 7" O.C. MORE THAN 12" BEYOND �!'[Tiilflftt?ti V.l. Kt CH WITH 7/8" MIN. EMS. 1 CONC. OR E RATION HOLLOW BLOCK OR 1/4 "0 LAG GLASS Z a "SEA" 0 a SCHEDULE a Q •1 J ANGLE tn U o x� I = -538 THRU BOLT @ 12" O.C. EMB. Q O MtZ � - a j a WITH 7/8" MIN. EMS. It?CONC. OR 1/4 -20 MACHINE BOLT & WING NUT .w., MAX. 1/8" TILE 'FINISH MATERIAL HOLLOW BLOCK OR 1/4 "0 LAG SCREW @ 24" O.C. W/ 1 -1/2" MIN. EMB. IN WOOD. WOOD SHALL BE OF SPECIFIC GRAVITY I rs r)-i[ rrn Z 6 -1/2" 0. N mi 2" x 2" x 1 /8" CONT. G OR 0.55 OR GREATER ALUM. ANGLE 6063 -T6 I (MAX DESIGN LOAD * 72 PSF) O"PASS THRU" SECTION (IN CONCRETE) SCALE : 3" a 1' -0" J m THREE 1/4 "0 WOOD LAG ; SCREWS W/ 3" MIN. WOOD ROOF TRUSS EMBED. @) 24" O.C. MAX. I x OR FRAMING MEMBER SHALL BE PERPENDICULAR TO PANEL FACE EXISTING GLASS — STUCCO FINISH OR PLYWOOD SOFFIT /4" MIN I { i / t x-3/4" PLYWOOD —MA x. 3 O x 4" x 1/8" CONT. N 8 ALUM. TUBE (6063 -T6) z .=ET2" 1/4 "0 RAWL CALK-114- 0) 7" O.C. MORE THAN 12" BEYOND �!'[Tiilflftt?ti V.l. Kt CH WITH 7/8" MIN. EMS. 1 CONC. OR E RATION HOLLOW BLOCK OR 1/4 "0 LAG r#14 SMS BETWEEN TRUSSES (la 12" O.C. :HEOULE SCREW (a1 12" O.C. W/ 1 -1/2" MIN. 0 a EMS. IN WOOD. WOOD SHALL BE -OF Q •1 J SPECIFIC GRAVITY G OR 0.55 tn U o OR GREATER -- —1/2 "0 -538 THRU BOLT @ 12" O.C. EMB. = \_1/4••0 RAWL CALK -IN 12" O.C. N a j a WITH 7/8" MIN. EMS. It?CONC. OR o HOLLOW BLOCK OR 1/4 "0 LAG SCREW @ 24" O.C. W/ 1 -1/2" MIN. EMB. IN WOOD. WOOD SHALL BE OF SPECIFIC GRAVITY i 2" x 2" x 1 /8" CONT. G OR 0.55 OR GREATER ALUM. ANGLE 6063 -T6 I (MAX DESIGN LOAD * 72 PSF) O"PASS THRU" SECTION (IN CONCRETE) SCALE : 3" a 1' -0" J m THREE 1/4 "0 WOOD LAG ; SCREWS W/ 3" MIN. WOOD ROOF TRUSS EMBED. @) 24" O.C. MAX. I x OR FRAMING MEMBER SHALL BE PERPENDICULAR TO PANEL FACE EXISTING GLASS — STUCCO FINISH OR PLYWOOD SOFFIT /4" MIN I { i / t S" x 1/4" OR TWO S" x 1/8" CONT. ALUM. PLATE. —MA x. 3 O t EXTEND PLATE TO NEXT 8 q4 TRUSS IF HEADER ENDS W F- 1 MORE THAN 12" BEYOND �!'[Tiilflftt?ti V.l. Kt CH t LAST TRUSS. RATION t ! r#14 SMS BETWEEN TRUSSES (la 12" O.C. :HEOULE A (MAX DESIGN LOAD ;t 82 PSF) SOFFIT CONNECTION SECTION SCALE: 3 = 1' =0° SEE MIN. SEPARATION FROM GLASS SCHEDULE 1/4 -20 STUD & WINGNUT, PANEL TO ANGLE CONNECTION @ 6 -1/2" O.C. it 1 -1/4" M 2-1/4-11 I 7 , ALUM. "ANi( EXISTING , \-- 114"0 RAWL CALK -IN STRUCTURE fM 7" O.C. W/ MIN. 7/8" EMBEDMENT IN CONCRETE AND 3" EDGE DISTANCE (MAX. DESIGN LOAD z 72 PSF) 0 I FLOOR MOUNT SECTION I� SCALE : 3" = V -0" 1/4" OR 3/4" MAX. M PANEL SCHEO. BASED ON GAP AT TOP OF PANEL .o i J m w Z u Q J a� Xz Q ~ Ez 2 w J ru J d p PRODUCT RENEWED Z m a - 8 q4 Q W F- iL �!'[Tiilflftt?ti V.l. Kt CH BUILDING DE COMPUANCL' OFi1C$ �IvetOfESS �Gtx , v O 9E) SOUTH FLORIDA BUILDING CODE 0 a Q •1 J h < N U o e a ? -538 a O O d W P1 = N a j a u o � i 4 y J O N mi wt= t" i Q � w x x 2 0 a U 2 G a ti A a a o o O W W YI = N y x p W Z J • r o PRODUCT RENEWED �O._ 0 ?2f . O ¢ ~ O o Z 8 TION DATE 01 0 0 a iL �!'[Tiilflftt?ti V.l. Kt CH BUILDING DE COMPUANCL' OFi1C$ �IvetOfESS �Gtx , CC 9E) SOUTH FLORIDA BUILDING CODE 0 DAT ( � Z3 19 e •s Nu:co �_ 8Y DUCT CO J O�)vIS:ON N �1 tlU1LOfNG C� 'COMI�LIA�iCE OFFICE °'•"'"a "'' C 96 ACCEPTAIICE NO.QR - 6 -538 o � g J •a Q � G o O N • r o PRODUCT RENEWED �O._ 0 ?2f . O ¢ ~ O o ACCEPTANCE Na „ TION DATE 01 0 0 EY PRO NTROLDIVISION �!'[Tiilflftt?ti V.l. Kt CH BUILDING DE COMPUANCL' OFi1C$ �IvetOfESS �Gtx , APPROVED AS COMPLYING WITH THE 9E) SOUTH FLORIDA BUILDING CODE � DAT ( � Z3 19 e •s Nu:co �_ 8Y DUCT CO J O�)vIS:ON d4stigo by ch•cMa ,.+x.,. �1 tlU1LOfNG C� 'COMI�LIA�iCE OFFICE °'•"'"a "'' C 96 ACCEPTAIICE NO.QR - 6 -538 N 1 < N f m FYIgTINC, C.S.S. ALT. LEG DIRECTION 22THREE -1/4 -0 THRUggBOLTS 60 3T �LUMxAII LE EMBED. EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) -ALUM. BEAM (SEE BEAM SCHEDULE BELOW FOR BEAM DESCRIPTION 8, MAX. HORIZONTAL SPANS) Tf 1/4" OR 3/4" MAX. GAP SEE STORM PANEL - -�FSCHEO. BASED ON GAP I AT TOP OF PANEL. -THREE 5/16 "0 CALK -IN ANCHORS [� 3 -1/8" O.C. W/ 1 MIN. EMBED. IN CONC. OR HOLLOW BLOCK W/ 3 -3/4" MIN. EDGE DIST. USE TWO ANCHORS FOR 2" x 5" x 1/8" BEAMS (SIDE CLOSURE REQUIRED. SEE PLAN VIEWS) (MAX. DESIGN LOAD :t 72 PSF) QTOP BEAM SUPPORT SECTION SCALE : 3" - T -O" THREE S/16"0 CALK -IN ANCHORS ((0o11 3 -1/8" O.C. W/ 1 MIN. EMBED. IN CONC. OR HOLLOW BLOCK W/ 3 -3/4" MIN. EDGE DIST. USE TWO ANCHORS FOR 2" x 5" x 1/8" BEAMS _Z E m I t - K1_. " SEA" ANGL Tw BEAM SCHEDULE DESCRIPTION PANEL SPAN BEAM SPAN 2" x S" Tw = .125" Tf = .125" m a r 8' -2" 8' -0" 2" x 9" Tw =.072- Tf - .224" 5' -d" 15' -11" 1 8' -2" 13' -6" 1/4 -20 MACHINE J BOLT & WING NUT z (a 6 -1/2" O.C. < CL -O X E 314 TEK SCREW p6) 13" O.C. N m A l7 z Lai J aa Tf ALUM. BEAM (SE£ BEAM EO SCHEDULE BELOW FOR BEAM DESCRIPTION & MAX. HORIZONTAL SPANS) 4; 2" x 3" x 114" x 0' -8" 6063 -T6 ALUM. ANGLE 6 w C7 0 EXISTING GLASS - ,.Y• S " MAX. NON- STRUCTURAL FINISH �- MATERIAL (BRICK OR WOOD BANDING) FASTENER, SEE ANCHOR SCHEDULE. �- REFERENCE CONNECTION "TYPE 2• / -"h" HEADER 1/4" OR 3/4" MAX. GAP EE STORM AN L � I SCHED. BASED ON GAP Isi AT TOP OF PANEL. O SEE MIN. SEPARATION FROM GLASS SCHED. OK WALL MOUNT SECTION SCALE :3'* - V -0" SEE MIN. EXISTING 11SEPARATI1ON FROM GLASS GLASS SCHED. t- to 0 w t7 O w ED. O J i J= �G w I=-U zN W -f JW z -J< za < as X� < V! Ew W N Wr X W 0 z mo J Nv W N z wJ < Ww 0. N z X `a<. OPTIONAL Z LEG -FASTENER, SEE ANCHOR SCHEDULE. REFERENCE THREE 1/4 -0 THRU BOLTS CONNECTION 'TYPE 1• EXISTING CONCRETE. HOLLOW ALT. LEG DIRECTION BLOCK OR WOOD FRAMING �,. �' - "SEA" ANGLE (SEE ANCHOR SCHEDULE BASED �If� MAX' ' _NON- STRUCTURAL FINISH EXISTING C.B.S. NOTE: THIS DETAIL MAY BE USED AT ON TYPE OF STRUCTURE} MATERIAL (BRICK OR WOOD TOP OR BOTTOM OF PANEL. BANDING) r PRODUCT RENEWED ACCEtTA?mxxa. o o— o "7 ?, /- o 4 EXPII2AT10N DATE01/08/7,00,.- B W. PRODUCT CONTROL DIVISION BUILDING CODE COMPLIANCE OFFICE APPROVED AS COMPLYING WITH THE SOUTH FLORIDA BUILDING CODE BY • _CQ/A,_-f_' O PRODUCT CONTROL DIVISION BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO. ag- dZZS.61 1/4 -20 MACHINE BOLT & WING NUT @ 6 -1/2" O.C. "SEA" ANGLE µ� CU .o ° N 'e o z Z m a r j r. c N W � W t" o _: o LL 61 W a < Uo ID .i On RWrn = CA N O aQo U � < us H T W w W F �( Y > Vt < m U = o P 4. a > a m W u Z = _ } Y _ v .1 W p O � � Q 0 01 o � a N 2 s= 40 a� 0 v n C ° o � g� {�1..1. lC�RZ CH 1IM11S 41 ME FL 6 r Not Pe 0 0 j — (SIDE CLOSURE REQUIRED. SEE PLAN VIEWS) (ANGLE TO WALL DETAIL) (PANEL TO ANGLE DETAIL) -"- •., dr I A. Ndrea L.w 0 c (MAX. DESIGN LOAD 72 PSF) (e� �K i► rn —`y vM er...rnQ �.. n BOTTOM BEAM SUPPORT SECTION O WALL MOUNT SECTION 96 -538 I SCALE : 3" = V -U' Al/')7/OA A43-14 TABLE 1 STORM PANEL SCHEDULE NEGATIVE DESIGN LOAD W (PSF) ALL MOUNTING CONDITIONS (MAX. 1/4" SPACE BETWEEN PANEL & HEADER) ALL MOUNTING CONDITIONS (MAX. 3/4" SPACE BETWEEN PANEL & HEADER) AO L max. (FT - IN) © L max. (FT - IN) 30.0 10 - 10 10 - 10 40.0 10 - 5 10 - 5 45.0 10 - 2 10 - 2 50.0 9 -11 9 -11 55.0 9 -8 9 -8 60.0 9 -5 9 -5 62.0 9 -4 9 -4 65.0 9 -3 9-2 70.0 9 -1 8 -6 72.0 9 -0 8 -4 75.0 8 - 11 8 - 0 80.0 8 -9 7-6 90.0 8 -0 6 -8 100.0 7 -2 6 -0 110.0 6 - 6 5 - 5 120.0 6 -0 5 -0 130.0 5 -6 4 -7 140.0 5 -1 4 -3 150.0 4 -9 4 -0 160.0 4 -6 3 -9 170.0 4 -2 3 -6 180.0 4 -0 3 -4 190.0 3 -9 3 -1 200.0 3 -7 3 -0 TWO 1/4 -20 BOLTS & NUTS (b 24" O.C. ANG E CLOSURE PIECE: FASTENER P 12" O.C. FOR DESIGN - LOADS LESS THAN OR EQUAL TO 110 P.S.F. THAN " 1 10 P.SFR (DES IAN CHOR SCHEDULE FOR ANY ACCEPTABLE ANCHOR) EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING. (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) O MAX. 1/4" GAP EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING. (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) NOTES 1. ENTER TABLE 1 WITH NEGATIVE DESIGN LOAD TO DETERMINE MAX. PANEL SPAN. POSITIVE LOADS LESS THAN OR EQUAL TO THE NEGATIVE LOAD ARE ACCEPTABLE. 2. REFERENCE APPROPRIATE COLUMN IN SPAN TABLE BASED ON MOUNTING CONDITION IN FIELD. 3. ENTER TABLE 2 WITH POSITIVE DESIGN LOAD TO DETERMINE MIN. SEPARATION FROM GLASS. 4. FOR DESIGN LOADS BETWEEN TABULATED VALUES, USE NEXT HIGHER LOAD OR LINEAR INTERPOLATION MAY BE USED TO DETERMINE ALLOWABLE SPANS. -es.. 1 FRODUCT RENEWED 113WrANCENa. O O - •O Z (• 0 L� EXMAT?DN DATE 01 /00 '{- O o 7 HY '1 i PI ONTROL DMSItNT BUILDING CODE. COMPLIANCE OS'FICE MAX. 1/4" GAP �i O EXISTING CONCRETE, HOLLOW BLOCK OR WOOD FRAMING. (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) EXISTING CONCRETE. HOLLOW BLOCK OR WOOD FRAMING. (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) ALUM. ANGLE CLOSURE PIECE: 1" x 2" x.125** MIN. TO 2" x S" x .12S" MAX. w 1/2" OVERLAP FASTENER @) 12" O.C. FOR DESIGN LOADS LESS THAN OR EQUAL TO 110 P.S.F. & (� 6" O.C. FOR DESIGN LOADS GREATER TFfAN 110 P.S.F. (SEE ANCHOR SCHEDULE FOR ANY ACCEPTABLE ANCHOR) CLOSURE DETAILS (PLAN VIEWS). SCALE: 1 -1/2" . V -0" TABLE 2 SEPARATION FROM GLASS SCHEDULE POSITIVE DESIGN LOAD W (PSF) ACTUAL STORM PANEL SPAN (FT. - IN.) MINIMUM SEPARATION FOR NSTALLATIONS LESS THAN 30' ABOVE GRADE (INCHES) MINIMUM SEPARATION FOR NSTALLATIONS GREATER THAN 30' ABOVE GRADE (INCHES) 35.0 6 - 0 3 1 -1/2 8 -8 2 10 -10 Q 7 < 40.0 W ► 3 o O 8 - 8 2 -1/8 10 -5 3 50.0 - 6 - 0 3 1 -5/8 8 - 8 2 -1/4 9 -11 3 60.0 6 _ 0" _ 3 1 -5/8 s - 8 2 -1/2 9 -5 3 70.0 6 - 0 3 1 -5/8 8 - 8 2 -3/4 9 -1 3 80.0 6 - 0 3 1 -3/4 8 - 8 2 -7/8 8 -9 3 90.0 3 1 -3/4 8 - 0 2 -5/8 100.0 6 -0 3 1 -3/4 7 - 2 2_1/4 H 1/4 -20 S.S. BOLT & BOLT & WINGNt @) 24" D.C. (TYP) 20 GAGE STEEL BENT PLATE - FASTENEI LOADS LE THAN 1 0. ANY ACCT BAT WVDOW OVERLAP )ESIGN AL TO 110 P.S.F. ADS GREATER 3R SCHEDULE FOR ALUM. ANGLE CLOSURE PIECE: 1" x 2 x 0.1" MIN. TO 2" 25 x 5" x 0.125" MAX. EXISTING CONCRETE, HOLLOW BLOCK OR WOOD FRAMING. (SEE ANCHOR SCHEDULE BASED ON TYPE OF STRUCTURE) 1/4 -20 S.S. BOLT ' 3. BOLT 3. WING,IUT @ 24" O.C. (TYP) - 20 GAGE STEEL BENT PLATE -� V1 NOV 1" OVERLAP APPROVED AS COMPLYING WITH THE SOUTH FLORIDA BUILDING CODE DAT I 7 9 BY PRODUCT CONTROL OIVISIOrl BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO.g9- �ZZ� U o ° o ° N Z Z P r - N _ < d o W (/i N Q 7 < W ► O ? o O v_ N a� 'A� OA < U °0 V C3 O a a o o x M N <. o u > W = J O N o =U.- Z i > ^ x > rt < Y o p U = E aa, ci a. NO y o v t=7 Z = _ 9L Y _ v J p ul Z S CL IL � W t~- N r1 m 0 0 N h 2 s� �0 0 v n n c 0 N I v.J. v1:M fPaaFtit EtIGMtn FL ni• N I P 0983 a. +. ooiotni i. �C a....� by .sT,oT� e•dyn by ce•cti•a o n+K.+► vn+ 96 -538 •n••r f of a INC ANCHOR SCHEDULE sASTENEP SPACINS (INCHES) REQUIRED enp V APtO1_1c OESIGN LOADS AND SpnNS 1 2" EDGE DISTANCE 3/4" EDGE DISTANCE :u j Cef� LOAD SPANS UP TO SPANS UP TO SPANS UP TO Z N ? ANCHOR TYPE (W) PSF 6' -0" (SEE NOTE 1) 8' -8" (SEE NOTE 1) 10' -10" (SEE NOTE 1) CONNECTION CONNECTION CONNECTION X (SEE NOTE 1) MAX. W y CONNECTION TYPE (SEE NOTE 1) TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 w D: 56 13113 10113111 1 1 2 3 4 5 1 1 2 3 1 4 5 13 10 -7 10 7i 5 13 6? 13113113 8 6 13 11 62 13113- 10 9 13 10 13 8 6.5 9 7 11315 1311.3 5 7 5 72 13113 1 11 8 11 8 13 5 5 8 6 13 4 4 7 5 10 1/4'0 S.S. LAG SCREW W/ 10S 13 5 S 8 6 113 4 4 7 5 1 13 4 1 4 7 5 110110 1 -3 /c' MIN, THREAD EMBEDMENT SHEAR, PARALLEL To WOOD GRAIN 200 13 414 8 7 5 13 4 4 7 5 13 4 4 7 5 6 13 56 13 1318.5 5 13 11 13110 5 10 7 113 6 4 8 6 8 7 62 13 13 7 13110 6 13 8 5 9 7 113 5 4 17 15 6.5 114'0 S.S. LAG SCREW W/ 72 13 13 6.5 111 8 13 5 4 8 6 113 4 3 7 15 10S 13 5 4 8 6 13 4 3 7 5 113 4 3 7 5 7 1 -3/4- MIN. THREAD EMBEDMENT SMEAR PERPENDICULAR To w000 GRAIN 200 13 4 3 7 5 13 4 3 7 5 113 4 3 7 5 C) 56 ! 56 13 13 13 13 13 13 13113 10 13 111131 6 9 10 12 9 62 13 13 13 13 13 13 12 11 13 10 13 7 9 11 8 10 13 1114'0 ELCO MALE /FEMALE 72 13 13 13 13 13 13 "8 10 12 9 13 6.5 8 10 7 10 PANELMATE W/ 1 -7 /I' MIN. EMBED. i 1/4 -20 105 13 8 1101111 6.5 9 9 1316.S 0 Q C 8 10 7 13 6.5 8 10 7 6 MACHINE SCREW / NUT 200 13 6.51 8 1101 5 7 13 6.5 8 10 7 13 6.5 8 10 7 7 X 56 13 131-7 15 1 4 10 3 1 5 4 3 8 5 4 T30 5 13 62 1319 16.515 5 13 3 9 3 1 1.13 1131 7 8 3 5 72 11 S 5 4 3 8 7 4 3 4 7 7 3 13 4 S S/16 "0 BRASS BUSHING 105 8 5 4 3 6.51131 7 5 3 8 6.5113 7 5 3 8 6.5 W/ 5/8" MIN. EMBEDMENT L 1/4 -20 MACHINE SCREW 200 7 13 3 7 5 7 5 3 5 3 7 3 3 4 3 13 13 ANCHOR NOTES: 1. SPANS & LOADS SHOWN HERE ARE FOR DETERMINING ANCHOR SPACING ONLY. ALLOWABLE SHUTTER SPANS FOR SPECIFIC LOADS MUST BE LIMITED TO THOSE SHOWN IN TABLE 1. SHEET 5 OF 8. 2. ENTER TABLE BASED ON THE EXISTING STRUCTURE MATERIAL, ANCHOR TYPE AND EDGE DISTANCE. SELECT DESIGN LOAD GREATER THAN OR EQUAL TO NEGATIVE DESIGN LOAD ON SHUTTER AND SELECT SPAN GREATER THAN OR EQUAL TO SHUTTER SPAN. 3. EXISTING STRUCTURE MAY BE CONCRETE, HOLLOW BLOCK OR WOOD FRAMING. REFERENCE ANCHOR SCHEDULE FOR PROPER ANCHOR TYPE BASED ON TYPE OF EXISTING STRUCTURE AND APPROPRIATE CONNECTION TYPE. SEE CONNECTION DETAILS FOR IDENTIFICATION OF CONNECTION TYPE. 4. ANCHORS SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURERS' RECOMMENDATIONS. S. MINIMUM EMBEDMENT AND EDGE DISTANCE EXCLUDES WALL FINISH OR STUCCO. 6. WHERE EXISTING STRUCTURE IS WOOD FRAMING. WOOD FRAMING CONDITIONS VARY. FIELD VERIFY THAT FASTENERS ARE INTO ADEQUATE WOOD FRAMING MEMBERS, NOT PLYWOOD. 7. WHERE LAG SCREWS FASTEN TO NARROW FACE OF STUD FRAMING, FASTENER SHALL BE LOCATED IN CENTER OF NOMINAL 2'x4" (MIN.) WOOD STUD. 3/4" EDGE DISTANCE IS ACCEPTABLE FOR WOOD FRAMING. WOOD STUD SHALL BE "SOUTHERN PINE" G ■0.55 OR GREATER DENSITY. LAG SCREWS SHALL HAVE PHILLIPS PAN HEAD OR HEX HEAD. S. MACHINE SCREWS SHALL HAVE MINIMUM OF 1/2" ENGAGEMENT OF THREADS IN BASE ANCHOR AND MAY HAVE EITHER A PAN HEAD, TRUSS HEAD, OR WAFER HEAD (SIDEWALK BOLT), U.O.N. 9. ® DESIGNATES ANCHOR CONDITIONS WHICH ARE NOT ACCEPTABLE USES. 10. w" DESIGNATES ANCHOR CONDITIONS WHICH ARE REMOVABLE BY REMOVING MACHINE SCREW, NUT OR WASHERED WINGNUT. REMOVABLE ANCHORS ARE REQUIRED FOR DIRECT MOUNT @ 6 -1/2" OR 13" O.C. MAX. SPACING ONLY. SPACINGS SHALL NOT EXCEED VALUE SPECIFIED IN ANCHOR SCHEDULE. LOCATE FASTENER IN NARROW PORTION OF KEYHOLE SLOT. ANC:HnR ti1;Ht• -1 it it r FASTENER SpAC1NG (INCHES) REQUIRED FOR VARIOUS OESIGN LOADS AND SPANS (•'PE 0 9B3 1 2" EDGE DISTANCE 1 3' EDGE DISTANCE j Cef� LOAD SPANS UP TO SPANS UP TO SPANS UP TO SPANS UP TO SPANS UP TO SPANS UP TO Z F- v N ] ANCHOR TYPE (W) PSF (SEE NOTE 1) (SEE NOTE 1) (SEE NOTE 1) (SEE NOTE 1) (SEE NOTE 1) (SEE NOTE 1) CONNECTION TYPE CONNECTION TYPE CONNECTION TYPE CONNECTION TYPE CONNECTION TYPE CONNECTION TYPE w D: MAX. (SEE NOTE 1) 1 1 2 3 4 5 1 1 2 3 1 4 5 1 1 2 3 4 5 1 1 2 3 1 4 1 5 1 2]_3 1 4 5 1 2-13 1 4 I S S6 13113113 > 13 11 13 10; 10 10 8 113 6.5'S W X 8 J'6.S 13 13 1311.3 12 13 11 12 1 11 8 13 7 9 9 7 _ Z 62 13 13 13 13 10 13 8 9 9 7 13 5 7 7 5 13 13 13113 11 13 9 110110 7 13 5 8 8 6 72 13 13 11 12 9 13 6 8 B 6 13 4 6.5 7 5 13 13 13113 9 13 6.5 9 9 6.5 13 5 8 7 5 ', 1 /4-0 ITW TAPCON W/ 1 -3/4- MIN. EMBEDMENT 105 13 6 7 8 6 13 4 6.5 7 S 13 4 6.5 7 5 13 6.5 9 1 9 6.5 13 5 1 8 7 5 13 5 8 7 5 Cr U W/ ANY APPROVED TAPCON HEAD 200 13 4 6.Sl 7 15 13 4 6.Sl 7 5 13 4 6.5 7 5 13 5 8 1 7 5 113 5 8 7 5 13 5 8 7 5 Z O )K 56 ! 13 13 12113 11113 10 '8 10 8 13 6 6.5 8 6 13 13 13113 13113 13 13 13 10 13- 8 101 8 62 13113 10 13 10113 8 7 9 7 1131 5 6 7 5 13 13 13 13 13113 10 12111 9 113 6.5 9 9 7 0 Q C 1/4 -0 RAWL,CALK -IN W/ 7/e' EMBEDMENT L 1/4 -20 S.S. MACHINE SCREW 72 13 13 9 11 9 113 6 6.5 8 6 13 4 5 7 S 13 13 13 1311111-3 7 10 10 7 113 5 9 IS 16.5 105 13 5 6.5 8 6 13 4 5 7 5 13 4 5 7 5 13 7 10 10 7 1131 5 9 8 6.5113 5 9 8 6.5 200 13 4 5 7 5 13 4 S 7 5 13 4 S 7 5 131 5 9 8 6.51131 5 9 8 6.5113 5 9 8 6.5 56 13 13 7 7 5 13 5 1 5 5 3 10 3 1 4 4 3 13 13 9 .5 5 1131 5 1 6 5 3 Jill 3 5 4 3 Z ,m- 114-0 ELCO MALE /FEMALE 62 13 12 7 6.5 5 12 3 5 4 3 9 4 3 13 12 8 6.5 5 12 4 5 4 3 9 4 3 72 13 6.5 6 5 4 10 4 3 3 8 3 3 13 7 7 5 4 10 3 4 4 3 9 4 3 "PANELMATE W/ 1 -1/4' MIN. EMBED, i 1/4 -20 105 10 4 3 8 3 3 8 3 3 10 4 4 3 9 4 3 9 4 3 MACHINE SCREW / NUT 200 8 __g 3 3 B 3 3 8 3 3 9 4 3 9 4 3 9 4 3 56 13 1316.51 5 3 9 3 4 3 7 3' 13 13 7 5`� 4 10 3 5 3 8 4 3 62 12 8 5 4 3 8 4 3 6.5 3 13 9 6.S 5 3 9 3 4 3 7 3 Y 72 10 4 5 4 3 7 3 6 3 11 5 5 4 3 7 4 3 6.5 3 U p 1/4 -0 ITW TAPCON W/ 1 -3/16" MIN. EMBEDMENT 105 7 3 6 3 6 3 7 3 3 6.5 3 6.5 3 J m W/ ANY APPROVED TAPCON MEAD 200 6 3 6 3 6 3 6.5 3 6.5 3 6.5 3 W IL )K 56 13 13 6.5 6 4 11 4 4 4 3 9 3 3 13 13 10 8 6 13 5 7 S 4 11 3. 514 3 62 13110 6 5 1. 10 3 4 4 3 8 3 3 13 13 9 7 S 13 4 6 5 3 10 5 4 3 Z 72 13 6 5 5 3 9 3 3 7 3 3 13 7 7; 6 ,4 11 3 0 4 r3 19 4 3 U 1 /4-0 EMBEDMENT CALK-IN W/ 7 /tl' EMBEDMENT i 1116 -20 S.S. MACHINE SCREW 105 8 3 3 7 3 3 7 3 3 11' 3 5 4 3 9 3 19 4 3 200 7 3 3 7 3 3 7 3 3 9 4 3 9 4 3 9 4 3 O 56 13 13 7 7 5 13 5 5 5 3 10 3 4. 4 3 13 13 9 7 5 13 5 6 5 3 11 3 5 4 3 62 131121 7 6.S 5 12 3 5 4 3 9 413 13 12 8 6.5 5 12 4 5 •1. 3 9 4 3 72 13 6.51 6 5 4 10 4 3 3 8 3 3 13 7 7 5 4 10 3 4 4 3 3 1/16-0 ELCO MALE/FEMALE PANELMATE W/ 1 -1/4" MIN. EMBED. i 1/4 -20 705 10 4 3 8 3 3 8 3 3 10 4 4 3 9 4 3 3 MACHINE SCREW / NUT 200 8 3 3 8 3 3 8 3 3 9 4 3 9 4 3 3• pRODUCT RENEWED ACCEPTANCE Na O 07q,1- 0 4, By 1 C ZO4 ; IItpT20 /N DATE v lI / PRODIi CONTROL DIVISION BUMDING CODE COMPLIANCE OFFICE �M 0 c 0 �M i J W 0. 4 O z�b, Q n1 o � 0 V:a Kt4TmictA PL t- else Not (•'PE 0 9B3 1 Z _ C SOUTH FLORIDA BUILDING CODE Cef� nl::,, I L DAT 19 AS NOT[O ..ion ur j cf+ -cho. r l id 'p 11 BY Q W F (D 0 < ACCEPTANCE 1 „ r _ 0 r W N N o0a < Uo° a O a D o m _ N N %A < > a V I J O Q ~ N >; � W W X z Y = p r Q U Z a U. 0, � Z N V Y Z I = } Y _ 0 0 c 0 �M i J W 0. 4 O z�b, Q n1 o � 0 V:a Kt4TmictA PL t- else Not (•'PE 0 9B3 1 APPROVED AS COMPLYING WITH THE _ C SOUTH FLORIDA BUILDING CODE Cef� nl::,, I L DAT 19 AS NOT[O ..ion ur j cf+ -cho. r l id 'p 11 BY PRODUCT CO ROL DIVISION Ora.inq no. BUILDING -CODE COMPLIANCE OFFICE 96 -538 ACCEPTANCE 1 I .nett# 6 of 6 I MIAMI SHP-,ES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu°Iding Inspection Request e�� Date Type P d" T e Ins n Permit No.'= r ,^ Name Address (r' �,- ! a' Company - f- � Phone # Inspection Date Approved Correction ❑ Re- Insp'n Fee ❑ z2 13 r LOCATION A102 h. -. 103rd Street / 4,r Yk4 y 13 - pfd �� GARBAGE TAX RECORD PAID BY YEAR ANNUAL TAX OF PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER A Aft • 1940 1941 / �2 �• 1942 d 1D 1943 • - �O ZZ, < 1944 1945 U � 1946 1 1947 O ]I,^Z - �� C� q 1948 z, v c 3 /'y " / 2- 3/-,Y? U br�r/ 1949 1950 CI • /oA X 034,01, - 6 r d MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL E PERMIT N° 9322 Contractor's ❑ License No. PLUMBING - Work to be performed under this Permit Owner of Building Architect - ontractor or Builder — Subdi- Legal Lot Bl. vision Description. Address of Value of II Amt. of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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, specifications and that he assumes responsibility for work done by his agents, servants or employees. `sl } Signed: , i' P BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder EJ MIAMI SHORES VILLAGE, FLORIDA Date — __ 19 3r► n PERMIT lr : 10066 Contractor's 7 7 ❑ License No. El Work to be performed under this Permit Legal Lot Subdi Description Bl. vision — — — Sq. Ft. Address of 7- M 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 BUILDING Fl MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date--___ PLUMBING ❑ PERMIT N? 10191 Contractor's ROOFING ❑ License No. ❑ Work to be performed under this Permit--_ Owner of Building Architect Contractor or Builder �i Legal Lot Subdi M Description — Bl. vision Sq. Ft. Address of { , , t 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 aiami Aores7illage F L O R I D A PLUMBING PERMIT ee Issued to Lei° 1223 OWNER LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building Fixtures Fixtures Sewer tic Tank Total Village Plumbing Inspector Received Payment by 777 F P! aiami =fhores7illage F L O A 3 D A PLUMBING PERMIT �e Issued to N° 1210 Si IRI)IVlSInN to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story building at ix u es Fixtures $ Sewer $ tic Tank $ _ Total $ f 1~ Village Plumbing Inspector''' Received Payment by . t(_ — z tv MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed by for. owner, and occupied has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater .watts Power: Connected load H. P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ 11" D " # "(' ❑ Owner of MIAMI SHORES VILLAGE, FLORIDA PERMIT NU 9146 Work to be performed under this Permit Building — — J /V a _ __ `' X Architect — Contractor or Builder Legal Lot Subdi- Description Bl. vision Sq. Ft. Address of Value of Building Project $_ Date—_ 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 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 byy either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Miami Jhores '--'illage F L O A I D A OFFICE OF ELECTRiICAL DEPARTMENT Miami Shores Village, Fla., 19 QgjLtractor or Electrician LOCATION N? 847 NO. STREET PART OF LOT LOT BL'K SUBDIVISION DESCRIPTION OF WORK Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee I This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with e plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time n the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with plication and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the f Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Village. ELECTRICAL PERMIT aiarni Jhores"'_-illage N. B. —This Permit must be on display on the em. during F L o n I D A the construction. OFFICE OF ELECTRICAL DEPARTMENT Owner of Building ' 7 Miami Shores Village, Fla.,�"F' 19 or LO CATI O N N° '753 NO. STREET PART OF LOT LOT BL'K SUBDIVISION / �� t 9, 16ztz "� DESCRIPTION OF WORK NUMBER OF Outlets I Motors I Receptacles I Generators I Stoves I Water Heaters I Signs I Billboards I Other Apparatus I II Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upo,g the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by th' Department. 6 t , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. 1_n=540 " Dated_+'�.... � , 19 �` .� � �� , x -' -- (Seal) ill ''�`_ ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. aiarni. Jhores'--7Yillage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT NQ 775 Owner of Building Miami Shores Village, Fl CAlbractor or Electrician LOCATION NO. STREET PART OF LOT LOT BL' K SUBDIV,.II,SION Signs Billboards Other Apparatus Permit Fee / DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with jae Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the te of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami ores Village. Dated 19 (Seal) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Contractor or Electri aiami c%ores'7Yllage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 LOCATION NO. STREET PART OF LOT LOT BL'K SUBDIVISION No 847 DESCRIPTION OF WORK NUMBER OF Outlets Motors i Receptacles I Generators Stoves Water Heaters I Signs Billboards Other Apparatus II Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time :)n the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by s Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the e of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami res Village. Dated 19 -- __ (Seal) BUILDING PERMIT Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Shores Village, Florida, 19 PROPOSED LOCATION NI? 497 NO. STREET PART OF LOT LOT BLOCK SUBDIVISION ROOF . PERMIT FEE s , DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF COPt%TR TI OX BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame, Tile Concrete facto Residence ts. Stores Hotel This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. a,... BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami $ hores Village. 7 -;L V - &l PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 167- &,67 103 J'r /; Tax Folio /I — 3 Z0& -O/3 - /7#Vd Legal Description � N If L 6 r tt O �% C historically Designated: Yes No ✓ OwnerAxssee / Tenant IA14 - C e1JA:>V4 9 Master Permit # Owner's Address /0 A16 /03 s Phone -7&c7-&'1S-1 Contracting Co. All A4 y& - 14""— Address 1W 7, 3 34 `3 f Qualifier GVWC 6)V� O Y et SS# Phone CJ4 State # Municipal # Competency # Ins. Co. Architect/Engineer Bonding Company Address Address Mortgagor Address Permit Type (circle one): UILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ff �� 41( op_ Square Ft. (a I' 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 a construction and zoning. Furthermore, I authorize the abQve-mmed co 7- Signature o caner and/or Condo President Date Iv.343s17 6s r330 .03 Ed that all ork will a in compliance with all applicable laws regulating to do the wirk state 6//. (/-�-/® i Notary�to Owner an o ' "bate , _ Notary as to Contractor or Owner- Buildef "� Date My Commission Expir s:. - NA ` My Commission Expir . N NM � STATE ©F FLQR COBS r10. CC714103 A P. MAR 1 H3t:Yr� wMBLUIC .15 MY r r, FEES: PERMIT `f RADON C.C.F. l a NOTARY BOND APPROVED: TOTAL DUE (? _ Zoning Building Z S r Electrical Mechanical Plumbing Structural Engineer n PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date G I 1 d 0 Job Address Legal Description Tax Folio Historically Designated: Yes No Owner/Lessee / Tenant 1 (X W (`x 0 4k u (Q Master Permit # _T Owner's Address I Q'[ 11 <. 110 ' -', Phone Contracting Co. t,, t � P, k,,, rC Address Qualifier _ u A 3- may-1,1 -- SS# State # Architect/Engineer Bonding Company Mortgagor Municipal # 000-t f -9 ` "r - Competency # Address Address Address 1 31'- ':� ' . Phone " = I - > -Z- I Ins. Co. Permit Type (circle one . BUU LDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING(jENCESIGN WORK DESCRIPTION Square Ft. E ( Estimated Cost (value) I , (�-- o O .� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR EUPROVEMENTS 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. j Signature of o4mer and/or Condo President Date Signaturof C tractor or Owner- Builder Date n. -. C L NOT Y L t P V C1Z� € �� _ OF !A NOTARYSEAL Notary as to Owner an or STATE Notary as°to C ntractor ATE OF ate My Commission Expires: i COMM lON NO. C ' My Comm�{ssio Expir • COM ESSION NO. CC751130 FLORIDA DA lY COMMES�ION EXP. UNE 14, 002 �bEYCOMIvIISSION EXP JUNE 14 2002 e FEES: PERMIT RADON C.C.F. NOTARY ` D BOND 2�! APPROVED: TOTAL DUE_ imZoning �� '�" T Building Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Addressx 0 7 fr Tax Folio Legal Description Historically Designated: Yes. Owner/Lessee / Tenant Master Permit # �Y& Owner's Address Contracting Co. �-�L Address Qualifier State # Architect/Engineer Bonding Company Mortgagor Municipal # SS# _ Competency # Address Address Address No Phone s- --?3 -) -�0ls5 Phone Ins. Co. Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION C F2 �C (� n -n� 1--� � -� AQ. Square Ft. Estimated Cost (value) y WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IlNPROVEMENTS 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT �r Q APPROVED: Zoning - 006 K Ck S gnature of on for or Owner - Builder Date �s-r3h :7-°e23 /- 4/ zao e) Date Notary as to Contractor or Ovygr- Date My Commission IJ cpires: OF G D N SEAL NOTARY pUBUC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR.1 C.C.F. !� tl NOTARY J BOND TOTAL DUE —� R d �j, Building T`(,a Electrical Mechanical Plumbing Structural Engineer Date •'.i PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Ay ' 1101 Tax Folio ,/ /' aZDb' f7 /� �7�C7 Historically Designated: Yes No Owner/I.essee / Tenant Master Permit #� - �o•? Ownees Address _/4 -�- ' - � Phone Contracting State #453 2s 0 /01;/ Municipal # 11,77 or-4 Mortgagor Permit Type (circle one): BUILDING f WORK DESCRIPTION Square Ft. Address AA) 13 e �- SS# .� �- %�he _ Competency # Ins. Co. Address PLUMBING MECHANICAL ROOFING PAVING FENCE /SIGN Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOYJR 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 tha work will be done m compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named c ntract o o do work stated ignature of owner and/or o do For ident Date Sign a a of actor or Owner -B lder Date No as er or 96ndo President Date Not as t r or Date My Commi My C Y EXPIRE • Jutb 4, MY COMMISSION ROBIES eonaea7tau am OMMISSION # CC 550034 EXPIRES: June 4, 2000 aamw7WNo xy FEES: PERMIT' RADON C.C.F. NOTARY BOND TOTAL DUE APPROVED: Zoning Building Electrical C _ Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3--21- -'�( Job AddressK /UZ Ni< 101 S1-P—EE, Tax Folio)C' ► ► s 20(, 13 1730 Legal Description C J & _ l q 1. Li I 13 f� rK ► S MS 4F 1 Owner / Lessee / Tenant_ Owner's Address S E Master Permit # -31-"5d.3 Phone Contracting Co. Address 766 '44IE45 Qualifier SS #t - - Phone 42� 7'56 T7 State # Municipal #, Competency #k Ins.Co. Architect /Engineer Address Bonding Company, Addres Mortgagor f 42-0-1 Addres Permit Type(circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �;�f- F �r i2�.s,ne•�F,,, =t_ -10 "s Square Ft._ Estimated Cost(value Z,O e) . WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: 44.-Z-, Signature of Contractor or Owner- Builder Date' •3 v a -� A. 1 Notary as to Contractor or Owner-Builder My Commission Expires: NOTARY PUBLIC, STATE OF FLORIDA. MY (COMMISSION EXPIRES: April 29,199S. 11400IRiI TURV NOTARY PUBLIC UNDERWRIaPA * * * * * * * * ** FEES: PERMIT RADON C.C.F. c y� NOTARY TOTAL DUE'# "°" APPROVED: Fire Other Zoning Buildin Electrical Mechanical Plumbing Engineering_ _ - : i PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 q Iq Job Address t G L N 1 Q- s:, Tax Folio (I 3 7� Q ©) 3 17n Legal Description Historically Designated: Yes No o, �r&&ssee /Tenant (a , N� � Master Permit # r C/o Owner's Address fB"Z rJE t,e73 C � -(�,_Phone -z s-& Contracting Co. Address Qualifier SS# - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Pa^"*- US �. �� --,; ..-: i�7o�<'�c.�.�lfr rtF '1 JLF.SSurz- ci_- CA&+, c k--, z : s c 8 -5 +5 Q o c's i2 t Z Square Ft. 50 D Estimated Cost (value) 90 0 D WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. �L' A, IILita Signature of own& and/or Condo President Date Signature of Contractor or Owner - Builder Date My CO vea, ?{pl o slon 00351002 Expires Feb. 28.1998 Bonded by HA1 r, F4 800 - 422-1555 Date Notary as to Contractor or Owner - Builder Date My Commission Expires: FEES: PERMIT 410. Q t RADON C.C.F. .,.?_O NOTARY TOTAL DUE ice®. .5� APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering aiami bores c illag } F L O R I D ' APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Date /.� 193_ Owner Address /a � W, z--. �® Building Contractor Electrical Contractor Location of proposed work: Lot loc fl" Subdivision Building: Old or new Number of stories Used as Description of proposed work Details of proposed work: Number of Motors H. P. Volts Amps. Phase OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS .OTHER APPARATUS MAIN e BRANCH Basement First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors Additional Information Signature of Applicant Gi/ Address (if other than owner or contractor) SPACE BELOW FOR INSPECTOR'S USE ON Work begun Inspected Work finished Final inspection 1 aiami Aores'-Tillag ^ F L O A I D /J. APPLICATION FOR ELECTRICA PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after, installation: 193 Owner __l Addr Q /V, g. Building Contractor Electrical Contractor � .. . Location of proposed work: Lot hock Subdivision Building: Old or` ew Number of stories Used as Description of proposed work Details of proposed work: Number of Motors H. P. Volts Amps. Phase OUTLETS MOTORS RECEPTACLES GENERATORS STOVE S WATER H'TERS SIGNS BILLBOARDS .OTHER APPARATUS MAIN SUB BRANCH AV First FLOOR NUMBER OF SIZES OF INSULATION. OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Thir Fourth Other Floors Additional Information • Signature of Applican r Address If other than owner or contractor) (SPACE .BELOW FOR INSPECTOR'S USE O Work begun Inspected {, Work finished Final inspection j Inspector Notes: \N� C, o (74 (4 y 0 A ,N -4 fir Site Plan submitted by: s' Signature Tide Plan Approved Not Approved Date By County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10M (Replaces HRS-H Form 4016 which may be used) (Stock Nuntw: 5744 -OM-401" Page 2 of 3 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRLICTIONA�Mw' C�' Permit Application Number j — — — — — — — — — — — — — PART It - SITE PLAN------------- - - - - -- Scale: acqblock represents 5 feet and 1 inch = 50 feet. F. V 2 4z' P � V-1.11 f CU j § L V T ry V Notes: \N� C, o (74 (4 y 0 A ,N -4 fir Site Plan submitted by: s' Signature Tide Plan Approved Not Approved Date By County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10M (Replaces HRS-H Form 4016 which may be used) (Stock Nuntw: 5744 -OM-401" Page 2 of 3 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 rj 04 Fax: (305) 756.8972 1 c.� BUILDING MI Z 0 g =5 Permit No. PERMIT APPLIC �-_ : , : p.., Master Permit No. FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address j92- k-�e City �l. Sk4 r2S State Tenant/Lessee Name Electrical lumbg l0 3 S- f- FL Mechanical Roofing Phone # Zip 33!39 Phone # Job Address (where the work is being done) 1c Z V' Sfi City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO t"` Contractor's Company Name A A-Q rOn( Phone # Contractor's Address X02 -2- �_�„J 3s C+ City fir -k V-0. m a i( State Fl.- Zip 1330 2 3 Qualifier State Certificate or Registration No. ISE5f booG4g Certificate of Competency No Architect /Engineer's Name (if applicable) �14 A Phone # $ Value of Work For this Permit $-2-100— Type of Work: ❑Addition ❑Alteration ONew Describe Work: iz ' ` ' Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Square Footage Of Work: [ 50 Repair/Replace ❑ Demolition Permit Fee $ CCF $ CO /CC Training/Education Fee $ Technology Fee $ Radon $ Zoning Bond $" `l Structural Plan Review. $ T?tal Fee Nou- 7ue (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 h City State WE 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 Comm cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. c Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this day of —7' Q —, 20 Eby �Cc✓ �a � -r t� who is personally known to me or who has produced As identification and who did take an oath. Contractor The foregoing instrumek was acknowledged before me this 3 day of t&ayr 2005, by who is personally known to me or who has produced , U C el-IS-9 NOTARY PUBLIC: NOTARY PU Sign: MON Sign: Print: R+ N t)I>25at37 1^ Print: OF IP M Commission Expires: 1-8(10-3-NOTARY FL Na ?ary Discount Assoc. Co. My C APPLICATION APPROVED BY: chc 05/13/03 as identification and who did take an oath. September 16, 2007 1.800.3- NOTARY FL — "7— 4 -Plans Examiner Engineer Zoning