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Multiple (12)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/15/2007 Inspector: Grande, Claudio Owner: MCADAMS, J. KEITH Job Address: 406 103 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CHAMPION CONCRETE Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number Parcel Number 1132060170760 Lot: Phone: (305)252 -8055 Building Department Comments DRIVEWAY OLD CHICAGO BRICK �E815 �OOY Passed In = pector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, February 14, 2007 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ................. ............................... Inspection Date: 03/15/2007 Inspector: Grande, Claudio Owner: MCADAMS, J. KEITH Job Address: 406 103 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CHAMPION CONCRETE Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132060170760 Lot: Phone: (305)252 -8055 Building Department Comments DRIVEWAY OLD CHICAGO BRICK MAR 16 2007 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, March 14, 2007 Page 2 of 2 Issue Date: 2/12/2007 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 08/11/2007 Owner's Name: J. KEITH MCADAMS Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 406 103 Street NE Miami Shores Village, FL Contractor(s) CHAMPION CONCRETE Phone (305)252 -8055 Primary Contractor Yes Additional Information Type of Work: DRIVEWAY CHICAGO BRIC Additional Info: Bond Return : Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Bond Type - Owners Bond CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $300.00 $5.40 $1.80 $150.00 $6.00 $3.75 $466.95 Building Department File Copy Applicant Signature Parcel #: Block: Section: Re Permit Status: APPROVED Permit Number: DS -2 -07 -234 Phone: 1132060170760 Lot: PB: Total Square Feet: Total Valuation: uired Ins,ections 1300 $ 9,000.00 Foundation Sidewalk Landscaping Final Invoice Number Amt Due DS -2 -07- 27474 $466.95 CK l ')CC X o ©t 1 4AWD Amt Paid Total: NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. PERMIT APPL ICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) 406 N.E.'103rd STreet` Date 4( 20/92 Job Address Legal Description • Owner / Lessee / Tenant Mr. Ledick• 0 aster Permit # Owner's Address 406'. N.E. 103rd ST•reet Contracting CoDbenour Roofing, • S/M & Sup•pljyydiigess Qualifier James D. Ob.enour WO 265. -44 State# , C.00014306 0 Competency# ')•06454 Phone757 -26.12 7357 N.W. Miami Ct. ' Miami, FL - 3517 Phone 757 -2612 USEC SIF Ine.Co.rapitai ASS_ Architect /Engineer N /A Address • Bonding Company N / A . • Address Mortgagor . N/A Address .Permit Type .(Circle one): BUILDING ELECTRICAL'• PLUMBING 'NECHANIcAL PAVING :oPerC. calk cis. CPmit efi' FENCE SIC ' WORK DESCRIPTION Reroof entire residence and install.new tile roofing. sue: c s r -% /3/'1,i©, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE '1 DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YC INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE. OF COMMENCEMENT) . I... . Application is hereby made to obtain a p:a.z.mx �,o c:• work and installation as indicated above, at on tae attached addendum (if applicable). I certify that all work will be performed to meet ti standards of all laws regulating construction in this jurisdiction. I understand that separat permits'are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and NECHANICAL work. OWNE'R'S AFFIDAVIT: I certify that all the 'foregoing information is accurate and that all vox will be done in compliance with all apOldable laws regulating construction and zoning FurtAermore, I authorize the above- naunea a:ox.tractor to do ,, -e •work stated. Siature of Owner and or Cond President Date: 4/20/92 Notary as to Owner and /or `onco President My Commission Expires .1m. • * * *otarar i?i 'de CoMmissInh Fitting Feb. 18,1993 • PERMIT FEE: APPROVED: Fire lie. eg9 nature of Contractor 4/20/92' • ate: /f N tary'as to:Contractor or Owner- Builder My Commission Expires: .* * lit �c * . •• it boy Piblit %%ta iied& ititkittistion GxCirss Feb. 18,19g3 or Owner- Builder Electrical . Mechanical Plumbing' Engineering P VI • • • • a • • • • • -=' INTERMEDIATE PLATFORM This adjustable height Ms:Serves • as an intermediate station to connect two portable ramps when one ramp is not long enough The assembly results in a rainpIip: to :20 long using standard • PVIcornponents. • • It can be used in churches. schools, and homes when it is'desi mix I .o remove or store the ramp between uses. It is quickly and easily assembled and disassembled. The whole assembly breaks down into components that are easily stored and transported making it ideal for rental agencies. Each section is a standard component • that can be shipped from existing stock • by UPS. The platform is constructed from corrosion resistant aluminum with • a grooved surface for traction. • • • r The 36',E. wide by 39" long platform includes double bar handrails to provide additional security and stability. Easily adjUsted legs are IH d erriPMent • Specificati(”•::: A ■Nrath - 36" • Length - 39" • Height - Adjustable 4" to 20" • Weight - 60 Lbs. • Handrails - 1 1/2" Diameter Top rail height: 36" Lower rail, height: 19" Contact nearest dealer Prairie Fairbury, ew Industries, Inc. 68352,0575 MODULAR RAMP SYSTEM PVI has designed a modular, all aluminum ramp system, for both home, access and commercial use. This 36"- wide ramp system has a load carrying capacity of 100 lbs. per square foot. The ramp system consists of standard components that can he assembled quickly and easily with common hand tools. The "nodular components make it easy to move the ramp to a new location or change the configuration, Straight. ramps, 90 degree turns, and ISO degree switchbacks are designed to meet ADA recommendations. Standard handrails consist of tw-w- diameter horizontal rails. PVI offers opti*1 handrail designs. This system is able to accommodate architectural inserts to Complement the surroundings: The PVI modular ramp system, is strong, durable, portable, flexible, and yet is affordable enough .to make it the I best alternative tO, prOvide quality, fimetional access to many areas. !, • A • • A Width - 36" Length - As required -- SI minimum Load Capacity - I 00+ pounds per square foot Slope - Adjustable -- as required Floor - Slip resistant grooved aluminum Edge Protection- 2" curb Handrails - Double 1 1/2" bar -- standard Height - 36" - 38" ,Other desivis circuit-Me upon request Contact nearest dealer Pra rie View Industries, Inc. Fair ury, NE 68352-0575 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT N° 9587 ROOFING ❑ DATE 195 Contractor's License No. Work to be performed under this Permit_ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY °'s.` l 7 BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descriptio ddress uilding MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 9517 DATE 195 Contractor's License No. Work to be performed under this 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, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 7 r Lot n Bl. Subdi- vision ,f Sq. Ft Amt. of Permit $ Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 7 OWNER'S NAME ECOMarl. • 71 V:- — ___ -- RRESENT- ADDRESS 1004 N. E. 116th Street LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE./ 406 N. E. 103rd S treat LOT 11 & 12 BLOCK I 92 SUBDIVISION Miami Shores Sect. #1 GENERAL CONTRACTOR F. V. K ohnait ADDRESS ' - 1004 . E. 116th Street PHONE NO. 7 -7797. LICENSE NO. 2251 BUILDING PERMIT NO. 7901 DATE 3119/49 PERMIT FEES 21.00 - BUILDER'S BOND NO: 780 DATE p ZONE REQUIREMENTS 18.500 CU. FT. PLAN CUBE 33, 61O CU. FT. EST. COST $ 16 805.00 DRAW NGS, SPECIFICATIONS, �T1n RESTRICTIONS AND CUBE CHECKED BY: T DATE / 5/ 2J 49 X NEW CONSTRUCTION TYPE - - - CBS STORIES ROOF CONSTRUCTION I 1 Tile INTERIOR CONSTRUCTION Oak Floor Walls fl116 REPAIRS DESCRIPTION _ _ LiY__k1 i Din; B — K±t- Talousied Porch - 3 Bed Rms - 2 Baths - Utility Ban ALTERATION DESCRIPTION 2 car attached garage ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD - ARKS SUBMI W • __ •-- -- +.NCIL ap CERTIFICATE OF OCCUPANCY NO. , p 89 ISSUED 36/49 BY JDH TO F.V. KQabaits 1001L NE lit.... e.. BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE 8+ W . BUILDING INSPECT ONS INSPECTIONS DATE rr BY RE- INSP BY • RE- INSPECT BY FOUNDATION • 21 9 DH BEAMS & L NTELS iu , na _-_ FRAMING r''M.311,;_1111MJI FINAL M ELEAN -up' PERMITS & I SPECTIONS �,�PLUMBING - CONTRACTOR F711 ith BrOs. PHONE PERMIT NO. 80 ` DATE n 8 $ r EIRIW NEW BLDG. ALTERATION ADDITI•N REPAIRS SPECIAL PERMITS PERMIT NO. t DATE FEE TEMPORARY SERVICE I SEPTIC TANK I $ SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY •SPECT BY RE- INSPECT; BY ROUGHI'N o 1731007011711 GAS_-__ SEWER ' SEPTIC ;T NK � Ilig SOLARIHEATER FIXTURES CC y 'e�����!r]n 7n8 MOM PERMITS & INSPECTIONS is Co '' 10. -: CONT -AC„TOR Zelda PHONE ppX � PERMIT NO.' 8202 DATE * R 1� FEE $ 12` . `I NEW BLDG. Y ALTERATION AD.ITION REPAIRS. SPtCIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 0;. g � � � 91 ' t $ 1 00 H. W, HEATER CONN. I RANGE CO N. , $ MOTORS I $ 'FIXTURES ' . . S INSPECTIONS r DATE BY ICE- INSPECT BY RE- INSPECT BY TEMP. SERVICE • D13 1 ROUGHING X�1}©0j� IIM L;y)`L, H. W. EATER CONN �I RANGE CONN. FIXT RES & FINAL I �, 1 _� 011RU L� APPROVAL TO POWER CO. FOR SERVICE 4A ';:i4le4i214k, r -Y i f 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 plans and s of the lions Building Division vi kept aMiami building hoes Village e shall of be complied with, whether herein specified or not. A copy of approved Owner's Name and Address. Registered Architect and /or Engineer Name and address of licensed contractor iC Location and legal description of lot to be built on: Lot__-______. Block. Subdivision_. Street and Number where work is to be dope State work to be done and p j. •se of building (by L Date Seto, , ---. ,19 No. ? 4!4. - Street ®® New Building_ _ Remodeling____ Addition . Repairs To be constructed of Kind of foundation.-_._._. Roof Covering Estimated Total cost of improvements $ 2.4g.; Amount of Permit $ Zone cubage Cubage Distance to next nearest building_- Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to- _ - -- _.____ - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 subcontr ctors, on work to be perfo ed under this permit, as are licensed by Miami Shores Village.,, Remarks (Signed) te{ ti' 644 _ 0.44; -. and for no other purpose. No. of Stories 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- paved 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...../ Disapproved r D (Signed) adding Ind tor Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires------------------- •_- -_ -_ -- PLANNING Chairman ____ __ Member Member Member Member-- ...... _______________ .._______. _._._..,.___._._--- ._,_,_----__ Member _._., -_ Council Approved. _ ____r. _....�.....___ ___ _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. f MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No y Date.. Application is hereby made for the approval 0 the detailed statement of the plans and speciftc®,atiions herewith submii for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of • 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 srclfications must be kept at building during progress of work. f • Owner's Name and Address. .. ».... »..,...4 / AL Ile, No 144 Street. 4' Registered Architect and /or Engineer Employing Electrician's Name. �� Y q £L CT r/ C No } ». »...........Street ;t/ 4./ g Block .. »...i» »...:».Street. /. L / 1 Location and Legal Description Lot n �%-5 t(r44-0,4.1. .......... » ».... »....».. Repairs. No. of Stories. Street and Number where work is to be performed - -No State work to be performed and purpose of building (By Floors) New Building .... .Remodeling ✓ .Addition 4 Service Underground Size Feeders. Conduit.. .Main Sw .Amps. ..Main' Fuses.., ».... ..... . »,..........Amps Type of Installation—Conduit. Tubing E.% L, .Metal Moulding ». . Amount of Permit $.. (Signed) 00 000 The undersigned applicant for this building permit does hereby certify that he understands and accepts labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or work to he performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. es. Before me, the undersigned authority, a notary public, duly authorized appeared- So Electrical Inspector. obligations as an employer. of orida Permanent Supplement, and contract Ors employed by him in the the work such public notice or notices performed under this permit, as are Master Electrician. to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.... .«. »..,1........._.» ..... ». »...... » ».... ... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Pub Stn of Florida �. t� lic. NOTE: A re•inspection fee of $1.00, will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. .S@ACE NEATER STRIP HEATER TOTAL CLIST A -WP G,( r !� CHECK ENT. SW. DIST. - CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS LS. HP NEON TRANS. RADIO TOTAL CONTR. I /St 4 1- /Tr /' air CHECK Service Underground Size Feeders. Conduit.. .Main Sw .Amps. ..Main' Fuses.., ».... ..... . »,..........Amps Type of Installation—Conduit. Tubing E.% L, .Metal Moulding ». . Amount of Permit $.. (Signed) 00 000 The undersigned applicant for this building permit does hereby certify that he understands and accepts labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or work to he performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. es. Before me, the undersigned authority, a notary public, duly authorized appeared- So Electrical Inspector. obligations as an employer. of orida Permanent Supplement, and contract Ors employed by him in the the work such public notice or notices performed under this permit, as are Master Electrician. to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.... .«. »..,1........._.» ..... ». »...... » ».... ... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Pub Stn of Florida �. t� lic. NOTE: A re•inspection fee of $1.00, will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No /e, 7 Date MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications her a 7 submitted for the building or . other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name PeBii4/6 No. / /// Location and Legal Description Lot Blocti Street and Number where work is to be performed —No. C^," No _,i__1% Str street -- Subdivision Street_ Z.+ a State work to be performed and purpose of building (By Floors) New Building Remodeling e•' Addition Repairs___ _ -_ - -_ —_ _ No. of Stories - Size Septic Tank_ Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well. _Capacity Gals Amount of Permit $ - -- E'' (Signed)" T Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Penman Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ofhe above de rib d are construction, that he has carefully read the foregoing application, and that he did sign tie same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made .necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS TORIES TORIES - SLOP SINKS LAUNDRY TUBS URINAL8 CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NG TOTAL FIXTURES CONTR. LIST CHECK SWIM•G POOL SEPTIC TANK SEWER CONN. DRAIN FIELD .SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM • CONTR. LIST CHECK Size Septic Tank_ Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well. _Capacity Gals Amount of Permit $ - -- E'' (Signed)" T Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Penman Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ofhe above de rib d are construction, that he has carefully read the foregoing application, and that he did sign tie same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made .necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMO SI-OCRES VCLLASE BUILDING INSPECTION DEPARTMENT APPLICATION FD ' USLD NG PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. _ Date ' . _ pp 1 • Owner's Name and Address AFB' ..1�..%� • L 1 , „� NNrt��.- -'.. 8 ,°�'a� I.`� ae -,_it' Registered Architect and /or Engineer - ■_ ... Name and address of licensed contractor i a} r t-i 14 C (p1 ;i (.4.,-.). i � ;'1t Location and legal description of lot to be built on: Lot_. • Block._._ Subdivision Street and Number where work is to be done (r5,3 fr State work to be done V ptupose of building (by floors) g f= T. . 4 _4., New Building_ . and for no other purpose. Remodeling______._...._ _ . Addition _.___ Repairs:____...._ _ _.� No. of To be constructed of___ ._ ___ _. Kind of foundati® _.._ _. _ 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 b e s e n t t o _ _ 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 . 'ntractors, on work to be perfo med ender this permit, as are licensed by Miami Shores Village. Remarks 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 he has carefully read t _ application, . that he ..._.___._..._ therein by him stated are true. Permit No -2,41 l -2,v Date is Read, Sworn to and Subscribed before me. Disapproved (Signed) Dat Chairman Member Member Council Approved Notary Public, State of Florida Building Inspect..' My Commission Expires P NING BOARD Member Member Member 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 or inspection or faulty materials and /or workmanship. CyASTAIN FENCE COMPANY, INC. 901 N. W. 143RD STREET /-/O6 )7 . ho3 • BuiLdro, of Bettem jeiza& MIAMI, FLORIDA 33168 ° PHONE 688 -0541 N /03 S �a 0 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 Build Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address_ ...._. Art. L) .a Date._. c . _ _ l No._e ......_..- street. L, Registered Architect and /or Engineer j Name and address of licensed contractor ry Q�� 4 -`t� A-- i Q Lp Location and legal description of lot to be built on: Lot _. Block Subdivision 4®(0, iu . Street and Number where work is to be done State work to be done and purpo of building (by floors)_.. �_ . - Qt,_- 5.‘,...-2....... � v jJ - __._ and for no other purpose. modeling Addition Repairs No. of Stories Kind of foundation- _ - - -__ Roof Covering nts $ ®9/ / �' ')._,. . Amount of Permit $ __-_— .... ___________Plan Cubage__._____-.--_.__--_----________... Size of Building Lot I- - New Building__._ To be constructed of Estimated Total cost of imp Zone cubage required _ _ Distance to next nearest b Maximum live load to be - I hereby submit all be sent me by eaeb . .... ..... _... _ plans and - specifications for said building,. All notices with reference to the building 'an ( (© 'ti4oia� -awe The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent 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 intractors, on work o �, performed under this permit, as are licensed by Miami Shores Village. - Remarks STATE OF FLORIDA, COUNTY OF DADE. j as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- (Signed) 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 b 3 Date _�_ ' 6 Read, Sworn to and Subscribed before me. Disapproved _ n Date_.. - (Signed) ___ __to me well known, Chairman Member Notary Public, State of Florida Building Inspector My Commission Expires_ PLANNING BOARD. Member Member DATE Member_...__ - -. __._ __,__ _,- __- _- _-____ Member __ __._,.- -----_.-_�--_--____,__-._.-____ ____--_-----__. Council Approved_-____-_-_.-.--.-- ___ __._....,.__._____..__,__Date Disapproved I 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. 8)4, , • • 7— s - Y3 7 7 MIAMI SHORES VILLAGE /-1 •3 - /9-2.9 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT • Application is hereby made for the approval of the detailed statmnens or toe plans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and 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 of not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer. :erne and address of licensed contractor's Locations Lot.. Block :....!a.....,..... nd legal description of lot to be built on: Street and Number where work is to be done 757.17 s Street— �--jr~ /0 3S ._ Subdivision. '-D 4i- a -G State woe be donne? and p se of building (by floors). New Building To be constricted. of Kind of ouyd Estimated Total cost of improvements $• �� Zone cubage required.. eADAIO Remodeling Addition Repairs..... . No, of Stories vuing..._----- .. .------- ..------- _....._...... ........and for no other purpose. Amount of Permit $. Plan Cubage » ..._ Distance .to next nearest building : ..................._.. ..._.._ ......_.....Size of Building Lot...... ...._- Maximum live load to be borne by each floor »..._..... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, pleent, and has complied with the provisions thereof, and will require similar compliance from all contractors or su ntractors 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 he work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcon ° actors, tole fo under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, ` COUNTY OF DADE. I 6'6 J v336 Before me, the undersigned aethority, 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 hint stated are true.. Permit No. .44 7. 'Z. QDate......-.Z.L..l.. Read, Sworn to and Subscribed before me. Disapproved ....... (Signed) ............. Chairman ... Member Member .. .. Council Approved ..., Dat \ ,a Building Inspector _.. Notary Public, State of Florida • My Commission Expires PLANNING BOARD............. _........._DATE Member Member_ .._...._ ............. Member _...._..�.. Date Disapproved .. ...._.._.._.._._..... Date SO T E:; A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Pl.annir.g Board. A rc- impection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ry APPLICATION FOR ELECTRICAL PERMIT Permit No Due / //- ; C� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Piyidai and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all ruler and regulation's of the Building Minot of Miami Shores Village shall be complied with, whether herein specified or not. A copy oft approved plans and specifications must be kept at building during progress of work.- Owner's Name and Address es No. Registered Architect and /or F,s �Fle eia ?..4i o an�d(r ption Engineer..... _ »....... .....� .. Street and Number where work is to be performed—No---- State work to be performed and purpose of building (By Floors).... New Building»»».»._. »..._.».... »Remodeling._». —......---.No of'' Stories 1Fladfrgronnd Sire Feeders». »..»..»»...»Conduit».. »....»...Main S'* � ,» Amps,:,, er rain pures,. Type of — .. ».».......B.X.L l Moulding. ' 7 Service Amount of Permit S. Ps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts. his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Florida Permanent. Supplement, and has - complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him is - 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 suboontractors,,i(ksork to be performed under this permit, as are ' licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. f a. (Signed) A)' 3j Master Blectridan. Before- me, the undersigned authority, a notary public, duly authorised to administer oaths and take , acknowledgments. personally ' appeared._. ` P • to me well known, and who, being by me first duly sworn, upon oath deposes and says that he Is the. of the above described construction, and he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by fYLIC STATE OF FLORIDA ' MY COMMISSION EXP. APR 24,1990 BONDED TMRU GENERAL INS. UND. My Commission Expires NOTE: A re inspection fee of $1.00 will be made when such he•inapection materials and /or workmanship. by improper notice for trusitetths, iiy'fauity SWITCH OYTLErs LIGHT OUTLETS PLUG RECS••rs FIXTURES MO. Lamps REPRho. Owner tRon OUTLST Renee OUTLET RANOa Conn. Worm HEATER' MI.IMEAT. CREEL'' '.' SPACE • MEATIER' ` STRIP , NEATER ' ' • I `1'" *erm. :� Comm LIST CRICK ENT. SW. DIET. CAR. SERVICE Temp. SERVICE Pen. n Homes at no Morons tenon. I • t.s�NP Timm. Meow T ' AL v Come. List. Omit .o sal' ` 1 1Fladfrgronnd Sire Feeders». »..»..»»...»Conduit».. »....»...Main S'* � ,» Amps,:,, er rain pures,. Type of — .. ».».......B.X.L l Moulding. ' 7 Service Amount of Permit S. Ps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts. his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Florida Permanent. Supplement, and has - complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him is - 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 suboontractors,,i(ksork to be performed under this permit, as are ' licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. f a. (Signed) A)' 3j Master Blectridan. Before- me, the undersigned authority, a notary public, duly authorised to administer oaths and take , acknowledgments. personally ' appeared._. ` P • to me well known, and who, being by me first duly sworn, upon oath deposes and says that he Is the. of the above described construction, and he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by fYLIC STATE OF FLORIDA ' MY COMMISSION EXP. APR 24,1990 BONDED TMRU GENERAL INS. UND. My Commission Expires NOTE: A re inspection fee of $1.00 will be made when such he•inapection materials and /or workmanship. by improper notice for trusitetths, iiy'fauity 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. Date 199 Owner's Name and Address Pi ,J16' ���� /� Na Street Registered Architect and /or Engineer Name and address of licensed contractor e,i4/ F li legal Z description Block to built on: J M P y 1, In a # i� i zoo- / 1 � 7� O 9 Lot J_TL O�J� subdivision r 0906 N l ©3 s7 State work to be done and purpose of building Iby floors), state exterior colors (submit samples) j2/JW 7 S D c.P T - wA / 71✓ Street and Number where work is to be done and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 'lb be constructed of Kind of foundation %Roof Covering Estimated Total cost of improvements $ _j 16' 4) ° Amount of Permit $ 'i / ° a , 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 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 be 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 • 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 = ;` - -..ploy only such subcontrac . on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed► _ aL STATE OF FLORIDA COUNTY OF DADE. 88' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 Na w,2 Date ro Read. Sworn to and Subscribed before me. Disapproved ,� Date Notary Public. State of Florida (Signed) Building Inspector, My Commission Expires DATE PLANNING BOARD 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 andror workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the 'detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of M : Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein ed or not. A copy of approved plans and specifications must be kept t building during p grass of the work. Owner's Name and Address.. !!/1,�/ .� ....,... �l /� , ;% „,,,„„e, No Registered Architect and /or Engineer Name and address of licensed contractor Loeatio al description of lot to ilt on; Lot_ �,� . _ _.... Block._ ,.. / : - ✓, I'./ <" yyr /fir. Street and Number where work is to be done #1 ,: •":/!/'�J!/�.,/ /) State work to be done and purpose of building (by fl. ers) 1 , ,off' and for no other purpose. New Building Remodeling _. Addition Repairs' No. of Stories.._._._..._........... To be constructed of_ Kind da on_._ _. „_„ Roof Covering f /yin ®'f _.._..._ Estimated Total cost of improvements $ �1�_`� '. Amount of Permit $k. Zone cubage required.__. Plan Cubage Distance to next nearest building_..__._._..____________ _ Size of Building Lot.._ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to„ _ _ - ._...__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors , sub - contractors emplo ed by him in the work to be performed under this permit; and will post or cause to be posted for • ' , ;on on : to of the work sue ublic notice or notices as are required by the Act. The undersigned agrees to employ only such su 'i_ rs• k to be perfo under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, I COUNTY OF DADE. as • 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 13 'Sl° Date % f 3M Disapproved ..L. Date_: (Signed) �11 uilding Inspector Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved ____ _ ._.� .... Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged: when such re- inspection is made necessary by improper notice for inspects or faulty materials and /or workmanship. E 4 AV E k/E1O ST STATE OF FLORIDA COUNTY OF DADE I HEREBY CERTIFY that this Is ttri{e copy of l• original filed A.D. 'q ha pis office on .. (( of WITNESS my hand and Official Seal. Clerk Circuit Court ay ` D.c. 92R 144 0 1992 APR 21 12 :41 PERMIT NO. TAX FOLIO No . // 3a66' 0/7 d 7 NOTICE OF COMMENCH4ENT STATE OF Florida O ouNTy OF Dade THE UNDERSIGNED hereby gives notice that improvement will be made to certain real pity, and in accordance with Chapter 713, Florida Statutes, ,the following information is provided in the Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) 406 N.E. 103rd St. Miami Shores, FL 2. General. description of improvement REroof entire residence install new tile roofing. 3• Owner information Mr. Ledick 406 N.E. 103rd St. Miami Shores, FL 33138 a. Name and address b. Interest in proPertY Owner c. Name and address of simple titleholder (if other than Owner) SAME 4. Contractor (name and address) Obenour Roofing, Sheet Metal & Supply Co. 7357 N.W. Miami Ct. Miami, FL 33150 5. Surety N/A a. Name and address b. Amount of Bond $ . n / A 6. lender (name and address) N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida States (name and address )James D. Obenour 7 3 5 7 N.W. Miami Ct. Miami, FL 33150 8. In addition to himself, Owner designates James D. Obenour of Obenour Roofing to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) 726toalk ° E4i (Signature of Owner) 20th day of April ,19 92 Public My CW :r =in Exposes;` ' o E pi es e 8993 1 Sty Fb 11 PREPARED BY: Catherine A. Duffin 4209 Jackson St. Hollywood, FL 33021 0E,-04 1993 11 :11AM FROM ROLLAL'EN, INC. This instrument Prepared by: Name: Security Climate Control Address: 550 Ans/n Blvd. Hallandale, FL 33009 TO 1805 ?56O972 P.02 93R266592 1993 MAY 27 1356 It No. Tax Folio No. // 2C2‘ 0 / 7 076 0 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF .DA, j� E THE UNDERSIGNED hereby gives notice that improvement 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. Description of property: (1z• l description of property, and street address if available) If 9„ Gt--( 2. Genera! description of improvement: 3. Owner information: a) Name and address: b) Interest In property `�- ,4/74 is /( '0 6 //C /03 .S"747- , �, �p7/ 3 _3 /3v c) Name and address of fee simple titreholder (if other than owner): 4. Contractor: Security Climate Control 550 Ansin Blvd. Hallandale, FL 33009 5. Surety a) Name and address b) Amount of bond 6. Lender: (name and address) STATE .�_ r, .'r, ^_, 41-,' o -J,DE 'IFRF'Y c r ^., • r1 7. Persons within the State of Florida ,Y e'ig,iated by Owner upon whom notices other documents may be served as prov ded by Section 713.13(1)(a)7, Florida Statutes: (name and address). 8. In addition to himself, aw'ner designates the following person(s) to receive a copy of the Lienor's Notice as provided In Section ° 713.13(1)(b), Florida Statutes: (name and address). 9. Expiration date of notice of commencemer The expi,rat,'on date is 1 year from tr.r date of recording unless a different date r ~ : .pecified ' Sworn tend subscri ed before me this A.7 day of ru 19 q13 io a. t t a. L Lt---tficc Owner:? Name tSignature of Notary Public s' -.1 -L. gym. / f AiLfolc (Signa re of Owner) c d 1 .., / -, s sP° i< 'cs rolladen CUSTOMER NAME L.4 /r JOB ADDRESS c� BILLING ADDRESS 442 , /VE /03 X/9" TELEPHONE ' '7.ac} �- `� g�� PROPERTY OWNER OTHER PHONE ROLLADEN INCORPORATED We propose to furnish and install the following: Unit No. Prdt Slid Door Win Entry Door Room Opening Size Width Height Operation US Profile DA Profile Color Frame Color Manual Crank Motor MMOr or T' Pie, •A 'ny. )eC0 , 1‘,4 (2 Q 13 Y / 1,' „ /I 2 Yse� �c 4 at itZ `_0i/ r 75 S �� r Y • • -Y., )C Tote openings o be covered (multiple Filler Panel(s) to be located in section count as one). Units are numbered from left to right from: No. and Na inside Outside and Nn utters) to be installed: Inside O Outside rl Rear Indicate by number counter clockwise Q OMIT Front 171 't,- TOTAL AMOUNT DEPOSIT (IA Min. Regain ed) A_ %, BAL. DUE 0.0.0. Pay Installer fb // installayiestimated to begin to I weeks from date in approximately /3 of receipt of deposit. This you will be contacted to date. is only an estimated date and schedule the actual installation Special Instructions• Electrical hook -up included in this price? YES ❑ NOY- Surface Mount ❑ Recessed ❑ TERMS OF PAYMENT BALANCE O PAYMENT IS DUE UPON INSTALLATION. In those cases where electrical hook -up is to be performed by Rolladen or Its authorized sub - contractor, imum of ten percent (10 %) of the contract amount may be retained pending completion of same. FLOOR OF BUILDING / OWNER OF PROPERTY? YES5 NO ❑ (If NO, fill in Owner's name and address Is "high- work" required? YES ❑ NONliC s in space provided at top of form. Products are to be installed on the premises situated in County, State of I42)o vn I by Purchaser and described as: Lot Block , Sub Division. CONTRACT SUBJECT TO ADDITONAL TERMS ON REVERSE SIDE "BUYERS RIGHT TO CANCEL" "This is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by providing Mitten notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep. all or part of any cash downpayment." EXECUT- ' SIX COPIES, ONE a -�• WHIC WA D I BY BUY - ' HIS /� DAY OF /_!` %.: L. • (Salesman) Accepted & Approved ROL -3 MAIN OFFICE ORDER NO. (X) RED TO, AND RECEIPT IS HEREBY ACKNOWLEDGED >.c (Purchaser Sign Here) ■647Z k> (Purchaser Sign Here) Page ROLLADEN INCORPORATED rolls ' _ rolled, CUSTOME NA E 04.1.1-6X. ,# .4412/C JOB ADDRESS _ BILLING ADDRESS 1/04 /V E. /03 /'64M/ 33/ 3 g • 751 - 649:2-S— PROPERTY OWNER TELEPHONE OTHER PHONE We propose to furnish and install the following: Unit tARn No. kit Slid Door Entry Door Room 1 2 3 4 5 6 7 8 9 10 Opening Size Operation Width Height Manual Crank Motor MtrlOr US Profile 0/S Profile Frame Color Color Color -`fir 41105"1 • 0141‘ !ear, rite �ty� `AiL � 11M 41 AI Et Total openings to be covered m ( ultiple count as one). Units are numbered from left to right from: Inside Outside , Filler Panel(s) to be located in section No. and No. Shutter(s) to be installed: Inside O Outside O and No. None J U k TOTAL AMOUNT DEPOSIT (% Min. Required) • 1.1 8 00 Install estimated estimated to begin in approximately Lam to weeks from date of receipt of deposit. This is only an estimated date and you will be contacted to schedule the actual installation date. BAL. DUE C.O.D. Pay Installer del Special Instructions: Electrical hook -up included in this price? YES ❑ NO V Surface Mount ❑ Recessed ❑ TERMS OF PAYMENT BALANCE OF PAYMENT IS DUE UPON INSTALLATION. in those cases where electrical hook -up is to be performed by Roliaden or its authorized sub-contractor.,,4fflximum of ten percent (10 %) of the contract amount may be retained pending completion of same. FLOOR OF BUILDING /ei". ► Is "high- work" required? YES ❑ NO OWNER OF PROPERY? YE NO ❑ (If NO, MI in Owner's name and address In space provided at top of form.) Products are to be installed on the premises situated in .%��U �� County, State of r�, %%)ed by Purchaser and described as: Lot Block , Sub Division. CONTRACT SUBJECT TO ADDITIONAL TERMS ON REVERSE SIDE "BUYERS RIGHT TO CANCEL" "This is a home Aolicitation sale, and if you do not want the goods or services, you may cancel this agreement by providing written notice to the seller in person, by telegram, or by mall. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash downpayment." EXECUTED IN SIX COP ES, ONE CO - !�� C W 9 D J RED TO/ AND RECEIPT IS HEREBY ACKNOWLEDGED BY BUY , HIS DAY OF �, 'V ROL-4 Accepted & Approved ORDER NO. (X) (X) h(Purchaser Sign Here) /4■//e. r (Purchaser Sign Here Page Jof__2/ E;ii\o\e.„,L1, STORM PANEL 1" RACKS IOSI 61v2 FL 1,4 Th=0 'US v2_ 9 -1-4-- kliz o ALL 1voRY ciP210‘ as 3o a 614 sIY4 FL. LETS— 10SI I. 010 0 OSI TT .15Yi os 0 SO 00 02.1. r 22/2_ ebs4$11 B 4- ton e 76/4 0 • 0 `;'-`0 3_(9% 0 L4,44. #5. 2.1:z... - 1 - 4 ilk 9 xio a 4 =AO '76,4 TP tK 10°Zito Sx9 iozge 41'br JL -0 Oil , 4 47Y A= `c7./t-i 4 ot iLlp, 9)06 • e) IO2W4. All voRy 2't/" FLd ■(D3" ---► T- m 125 Y4 - E‘uL S,0 4Z% L 5014 .hn oLos 14--5 of WL S -q I' 4 i lost ,O 1 g -5.5 4'/w 4S _ A - i - S- I -:I xi 45 3 ' /►�. 8x9 9 - I - 4 3 dt 1329 e_414 `lR 9xit) 84t )029 @ 12$%2 lost T- Ts20__ —__ _�!+ B 1029 @2314 ., rnoVL Si4uTE-RS FL G3 412 tL .O Seri t.4"/Li 4� i02 0+6 42, =1 -1 • `Its sxii 13 to29 @ S* 11 i2 ►3 14 1022 (— Z%'2 tcT , ; `y L 10) 11 102q le als% If I *,' 411 . j �F 4‘ J4i1 T�oR`/ _ P- 23802 FL I1 FL T-T ° 112%4 F ot2 s -o Id 46% A= 81%z. 45 10% to -I-4 'IR. !cool lo29@I15 %: °"lp ❑s o I'-- 466/8--'1 'Ft_ 012 rib A.= 181 %2 45 to -I-4 toxtl B "F 10290I FL T -T= 15X4 W /la 4S 9 - I 1-4- qx lo'i2 a 1029 @ 7sY2 wan CL iP5 O N TbP OF 1 OZ2. lo3ao,_s 4{ LAD I el< 93P-`2330a PRowr sr}OoR Dcso GARAGE Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2003 -329 Printed: 11/12/2003 Electrical Permit Page 1 of 1 Applicant: J. KEITH Owner: MCADAMS JOB ADDRESS: 406 NE 103 MCADAMS J. KEITH ST Contractor BRINKS HOME SECURITY INC Contractor's Address: 9960 N. W. 116TH WAY, SUITE 12 Local Phone: 305 - 887 -8455 Parcel # 1132060170760 Legal Description: AMD PL OF MIAMI SHORES SEC 4 PB 15 -14 LOTS 11 & 12 BLK 92 Fees: FEE2003 -7070 FEE2003 -7071 FEE2003 -7072 FEE2003 -7073 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $0.04 $2.50 $103.14 Total Fees: $1. .14 Total Receipts: $0.00 -53.1\ Permit Status: APPROVED Permit Expiration: 5/8/2004 Construction Value: $300.00 Work: BUGLARY ALARM 1 MASTER 8 DEVICES DEC 0 2 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING DEPARTMENT °—" 795 -2204 **�� Building Inspection Request Dates _ 'lime Type Insp'n Pe Name Address Compan Phone # 305 For Inspector: Correction ❑ Re- Insp'n Fee 2 e C Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/14/2002 Applicant: Owner: Building. Permit Permit Number: BP2002 -540 Contractor CRAWFORD DOOR CO INC Address: 339 NE 69 ST Local Phone: 305 - 757 -4113 Cellular: Parcel # 1132060170760 Legal Description: AMD PL OF MIAMI SHORES SEC 4 Job Address: 406 NE 103 ST Fees: FEE2002 -1536 FEE2002 -1537 FEE2002 -1538 Permit Status: Description Amount Building Permit Application Fe$60.00 $0.60 $5.00 $65.60 CCF Notary Fee Total Fees: Approved Permit Expiration: 9/10/2002 Construction Value: Work: GARAGE DOOR rsn If there is no permit pact fee is $50.00, which must I This Permit is granted to the con ordinances pertaining thereto and v and approved by the proper munici authorization. A further condition u ordinances and regulations pertaini by his agents, servants or employe Signed: In consideration of the Issuance with the plans, drawings, statemen myself, my agent, servants or emp Signed: $887.09 Page 1 of 1 PB 15 -14 LOTS 11 & 12 BLK 92 Total Fees: $65.60 Total Receipts: $0.00 A li F PAY TO THE ORDER OF CRAWFORD DOOR COMPANY, INC. PH 305 - 757 -4113 339 NE 69TH ST MIAMI, FL 33138 First Union National Bank ® firstunion.com Org. 003 R/T 067006432 ir4 - tut direte2Az r r $korts DATE 3 — I 11" 6% 0', • DOLLARS 9690 63- 643/670 BRANCH 13093 0 Security feature. included. Details on tact. 11'0000969011' 1 :06 70064 3 21: 2666 70080 L938 !DADE MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE DAB Poor Company, Inc. 12195 NW 98 Avenue Hialeah Gardens ,FL 33018 Your application for Notice of Acceptance (NOA) of: Sgctian Residential Garage Door under Chapter 8 of the Code of Miami -Dade County goyerning 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. BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 • MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375-2908 CONTRACTOR I.ICE.NSINC SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT DIVISION (305) 375 -2966 FAX (305) 375 -290x PRODUCT CONTROL DIVISION (305) 375.2902 FAX (305) 372 -6339 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01- 0620.11 EXPIRES: 48/1-4/2006 74,11-1-0 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for. Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 08/02/2001 Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office 11504500011pc200011templateslnotice acceptance cover page.dot Internet mail address: postmaster ®buildingcodeonline.com ( Homepage: http : / /www.buildingcodeonline.com DAB Door Company, Inc. ACCEPTANCE NO: 01- 0620.11 APPROVED:. Alt 0 2 2001 EXPIRES: 08 /14/2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This renews the Notice of Acceptance No. 98-0901.10 which was issued on 10/22/98. It approves a Sectional Steel Door as described in Section 2 of this Notice of Acceptance. And it is designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County (SFBCC) for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The DAB 9'wide Sectional Door and its components shall be constructed in strict compliance with the following documents: Drawing No. 98 -01, titled "Sectional Residential Garage Door" prepared by Al- Farooq Corporation, dated 01/30/98 with latest revision on 08/24 /98, Sheet 1 to 2 of 2. It bears the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by Miami -Dade Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 Units with dimensions equal to or smaller than those shown on the approved drawings shall qualify under this approval. 3.2 This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E- 8 by a Dade County Approved Laboratory selected and paid by the manufacturer. Every 3 months, 4 times a year the manufacturer shall mail to this office a copy of the Test Reports with confirmation that the specimens were selected from coils at the manufacturer's production facilities. And a notarized statement from the manufacturer that only coils with a yield strength of 34,000 PSI or more shall be used to make door panels for Dade County under this Notice of Acceptance. 4. INSTALLATION 4.1 The Sectional Door and its components shall be constructed in strict compliance with the approved drawings. 4.2 The installation of this door does not require a Hurricane Protection System 5. LABELING 5.1 Each door shall bear a permanent label with the manufacturer's name or logo, city, state and the following statement: "Miami -Dade County Product Control Approved 6. BUILDING PERMIT 6.1 Building Permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance, including two copies of the approved drawings as identified in Section 2. . 6.1.2 Any other document required by the Building Official or the SF'n order to properly evaluate the installation of this system. Candido Font, PE, Sr. Product Control Examiner Product Control Division DAIS Door Company, Inc. ACCEPTANCE NO: 01 -0620.11 APPROVED: AUG 0 2 2001 EXPIRES: 08/14/200 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. Candido Font, PE, Sr. Product Control Examiner Product Control Division END OF THIS ACCEPTANCE -3- The Sunshine State menwomornataset Liao -o4 40 ANNA MARIE LADICK 408 NE 103 snow MIAMI sue, FL 331884457 11-1 F ` o 1 48 00 ate ADDRESS RECORD GARBAGE TAX AMOUNT' PAto' DA` 13 PAF MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the ing or ether structure herein described. Shores Village, Florida, and all provisio of the Building Division of plans and specifications must be kept at roval of the detailed statement of the plans and specifications herewith submitted for the build- his application is made in compliance and conformity with the Building Ordinance . Miami 0 of the Laws of the State of Florida, all ordinances of Miami Shores Village and all es and Shores Village shall be 'complied with, whethher herein specified or not. A copy of : pproved building during progress of the work. 1 f Date Cam! I : J Z tee IT__ No __1100 q°- Street _i ( Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be �� ` loc Street and Number where work is to be Subdivisi State work to be done and purpose of building (by floors) -; 1. --r and for no oth New Building v--- Remodeling Additi • - Repairs No. of Stories To be constructed of " -- S— d $ of foundatio . ' ; A3 '• Roof Covering t-- Estimated Total cost of Improvements bra 7 Amount of Permit $ Zone ctibage required 1 ' Plan Cubag Distance to next nearest building ` Size of Building Lot Maximum live load to be borne by each floor (- l CD I hereby submit all , the plans and specifications for said building. All notices with reference to the building and its constru be sent to iffier $ 119 purpose. The undersigned applicant for this t of labor under the Florida Workmen's and has complied with the provisions th in the livork to be performed under this or notices as are required by the Act. Th permit, as are licensed by Miami Shores ion may uilding permit does hereby certify that he understands and accepts his obligations as an employer ompensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Su lement, reof, and will require similar compliance from all contractors or sub- contractors employ by him ermit; and will post or cause to be posted for inspection on the site of the work such pu olic notice undersigned agrees to employ only such sub ctors, ' on work to be performed . dt r this Village. (Signed) Remarks STATE OF FLORIDA, COU °N`TY OF DADE. Is' Before me, the undersigned authori and who, being of the ,above d therein by him a notary public, duly authorized to administer oaths and take acknowledgments, per .. ally ap- eposes and says that he is the fully read the foregoing application, and that he did sign the same, and th.t all facts C Il known, Permit'.' No. proved (tSigned ) Read, Sworn to and Subscribed before nee. Notary Public, Std of Florida My Commission Expires Member Member Council Approved NOTE: A charge of $1.00 will. be the Planning Board. A re-inspection fee of $1.00 will b materials and /or workmanship. Member Member Member Date Disapproved made for making corrections or changes to this application after approval has been obt charged when such re- inspection is made necessary by improper notice for inspectio to . ed from or faulty PERMIT APPLICATION FOR MIAMI SHORES VILLAG 10050 N.E.22nnjd Avenue • e Miami SS ores, Florida 33138.305- 795 -2204 ` ob Address 6 AA= � ° /03- d / Tax Folio / / 3 4o/ Legal Description Historically Designated: Yes Owner's Address No Master Permit # .-- ‘ 6S' r1; V Phone 75 — 99 Contracting Co %L\ ®d C 4 Address OZO a ki . f • /- '-' SS# / one 3pr 4i —Z —6000 Qualifier l/�r I. state # t t ` 3ivdy Municipal # Competency # Ins. Co. fifivD IF WHERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND ' _ BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPE Permit Type (circle one): UILDING WORK DESCRIPTION: ELECTRICAL PLUMBING r '`fond MECHANICAL ROOFING spy Square Ft. Estimated Cost (value) (JI. WARNING TO :OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITII . YOUR LENDEXOR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are requited for all disciplines. 11111101 guleting � li pnaone 6y� the above named contractor to do the orlOit ot1 24n_9.e OWNERS AFFIDAVIT: I certify ►` ttth$ pp information is accurate and that all work will be to construction and zo �tK ' e th v `: 44SION •. y • *= s•s • do resid0bD13260 • -S. .....•• 11�+ with all applicable laws Date Signature of Contracts Og No, tort er and/or Condo President Date Notary as to Contrac or or Owner Builder pires My Commission Expires FEES: PERMIT VI APPROVED :. Zoning Mechanical; {'� ' 7/ O d • i 4,0 Plumbing RADON C.C.F �O NOTARY BOND TOTAL DUE Building Electrical Structural Engineer CA ,, JOB NAME (../4 e�ifrrif ADDRESS' LAO 11e t /03 Different location thanabove? • EXISTING CONDITIONS 1. HOUSE MAIN ELECTRIC SIZE AMPS 200 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE 4q:( AIR HANDLER BRANCH CIRCUIT:WIRE SIZE-0 e, 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: SIZE OF EXISTING AIR HANDLER DISCONNECT: WIRE SIZE a) (.) , & CIR. BKR. SIZE 40 FUSE , & CIR. BKR. SIZE FUSE O AMPS. TYPE: FUSE CIR. AMPS. TYPE: FUSE ,G (r) CIR. 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? SIZE SIZE ERR. SER. YES I/ NO 5. EXISTING UNIT TO BE REPLACED [ � OR RELOCATED SW_ SW �J�/ NAME PLATE INFORMATION FROM EXISTING UNIT MAKE 1 1�/ e PACKAGE MODEL # A CONDENSOR MODEL # /7�Ii 0 6 0 A.H.U. MODEL # rc' (C� t /2,10 HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE I() CONDENSOR MINIMUM CIRCUITS AMPS 3 % A.H.U. MINIMUM CIRCUIT Ai.PS T 4 MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE AIR HANDLER AMP SIZE EER 7 FUSE FUSE HACR CIR. BKR. HACR CIR. BKR. Cj�A�NAAME P TE INFORMATION FROM NEW UNIT BEING INSTALLED MARE I , /rab4 IP7�✓ DI/ t 1 PACKAGE MODEL # CONDENSOR MODEL # (24-9/4 ?1*,19 HEAT PUMP TYPE YES NO )C KW HEAT STRIP SIZE A.H.U. MODEL #7-6t) 6- 6 CONDENSOR MINIMUM CIRCUITS AMPS A.H.U. MINIMUM CIRCUIT MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE AIR HANDLER AMP SIZE EER ! 3 FUSE AMPS HACR CIR. BIM. HACR CIR. BKR. y : #DD132648 a� • r 80710.1 oq•'" C fate- Ins00• <(N..0 49tic STA ���` CERTIFICATE NUMBER NATURE'OF QUALIFIER !MD, THE OWNER'S NOTAR/ZED SIGNATUI 14:.2.0 NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) 'LUMBING ELECTRICAL MECHANICAL • UNIT FEE ITEM SWITCH CUTLETS UNIT FEE .LTD( . •• ' , • SPACE WATERS ' •. MIT FEE LIGHT CURETS CENTRAL HEATING : A RECEPTACLES A/C (NItO) . . SERVICE TEWORARY A/C (CENTRAL) FCIRRAIH SERVICE SIZE IN ARS CLCT 1CAX 'AIN SERVICE REPMR/ATER OWGE REFRIGERATION TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING 'TOR RANGE TOP UhVERGRCUtO TU C.S t_ OVEN ABOVE GRC NO TANKS TRAY •� .. WATER NEATER U.F. FRESSLRE VESSELS • TIASNER IAITCRS 0- 1 EP - , STEAD BOILERS • • - -_ • • MITCRS OVER 1- 31 •P HOT TATER BOILERS . -• OT/3 COMP! MITCRS OVER 3- .5 HP IEQWUCAL VENTILATIOT : • tESIOOCE MOTORS OVER 5- 8 EP TR) SP(IRTItf ASSEMBLIES iLCP IPOTCRS OVER 8- 10 FP ELEVATCRS/ESCALATCRS RY. TATER CLOSET MITCRS OVER 10- 25 If FIRE SPRINKLER SYSTEI►S M)TCRS OVER 25-100 I•P COOLING TOICcRS ' xoSET - MITCRS OVER 100 H' VIOLATION .T TASTES A/C MEOW REIMPECTION SLPPLY TO: AIR COtOITIONERS • UNIT STRIP HEATER l " A SFRISMER• GEHERAToe.S TRAISFCFVERS AWIMP , _ ER-NEN INST. GE` ERATCRS TRAiFC GERS 1 :r . ER- REPLACE GENEIIATCAS 1RAISFtP.ERS ■ SPRINXLIMIELL hl MI POOL SPECIAL FIRPOSE • • CUTLETS COMIC I AL R SERVICE • SIGH 1L8ES CONNECTIONS SIGN 1RMSFCMERS Y ? ' Y4ATER SIGN TIME CLOCK FIXTLRES 1* ANTEhT(A ' 'IELO 4' ,M/.RES. & MA W 73 3. IC TA* ' TELEVISION CUTLETS VIOLATION REINSPECT ION 6ASIN '- Tic NIL I. >vITER, TEA STNPIPE IIIII M WNW SYSTEM WM MI Sir OAS) 'IPM • E Sec. 5-1.1. Air conditioning regulations. - (a) All individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. Units installed over public property, paths of egress or more than ten (10) feet above grade shall be secured to the struc- ture by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall be supported by steel angle brackets secured by bolting. Bolts to masonry shall be Set in lead shields or similarly rot - resistant fastenings. (b) The following special requirements shall apply to the con- trol and regulation of noise nuisance from air conditioning machinery: • (1) All equipment. existing or hereafter installed, regardless of location, shall be maintained in good working order. Equipment so located that normal operating noises create a nuisance to adjacent owners or occupants shall be pro- vided with soundproofing, or sound - absorbing ballets, or . enclosures, as approved to insure maintenance of a rea- sonable noise level (2) All equipment on outer walls, on roofs, or in other exposed locations, which are unduly noisy, and which causes.velid complaints from adjoining property owners or occupants, may be required to be relocated, redesigned and/or en- . closed in noise - retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. ,(3) Special consideration shall be given to the planning of all future installations to minimize the noise nuisance to ad- joining property owners or occupants, and the building official shall have authority to reject or require the rede- sign of any system which, in his opinion, would cause such a.noise nuisance. (c) Violation of this section shall be punished as is now or may hereafter be provided by law. (Ord. No. 299, 4 I 1 -3, 2. 21-61) I have read the above ordinance and will canp1y with the • \ \! \ `� \ I I l 11 1 t / t ..v.la, L 8::-.04.. • 7: OF to the 14, of da. Idams; wtgage ar, its 75.00' ■." wo 4.7 %L.A. ampRoyeo. 150' WN 1-8 21' PARKWAY FD. - 1/2" LR. WOOOFENCE -x-x- VIREFENCE FAL MIL • PROPERTYCORER • STEEENCHMARK M FAD CLI:UNE° ELEV. BEVATION ENCR EVCROACHMENT CENTERLINE MIEBEI CONCRETE PRCPRITYLIE Lf CONCRETEMONIAENT Elk FOINEHRONROD FAR FOLICHRONPRE RAY RIGHTOFWAY MW NAL DISC OE DRA9LAGEE4SESENT U.S UTETIYEASEAONT PS EOM P RAT &Ix= ASPHALT • OVEREADLRES P.P. POWERPOLE TX TRANSFORM C4TV CABLERSER WI. WATERAIMER TEL. TREPHOIEFACINES MEM COVEREDARE4 BEARNGREFERRICE CH CHORD RAD RADIAL TIE N.R NON RADIAL NO ARCOVDMOAER BAL BEVOIRMAN CR CATO/SAM a C4LallATED WELL ® coma BLOCKWALL TYR GENERAL NOTES: a O.B. O. OIL SW ENT LAE F.CAL ERIC L LAE ALM ALT.S. OR OREL P.C.P. P.RAL PS NAN: P.S. P.0.8 P.O.0 P.O.L. P.C. P.aa p.aa P.T. ROE SA,/ TEAL T.O.B. TYF'. W.0 .1149- CSYTRALANGLEDELTA CEED8OOK DESCRIPTIONORDER) DRILLHOLE CRIVEWAY wawa. LANDSCAPEMAINI7314NCE RNISIEDFLOCR FOLAVDCONCRETEMONLMENT RXINDPARKER-K4LOINAIL Lavern L1MEDACCESSEASEIENT MANHaE MOTTO SCALE CFROALFECOR.78 OFFICIALRESORDSIKIOK PERIOAENTCONINOL PERWAVITRERRENCE PAGE PAWSIENT RATBOOK POWTOFEEMMIG FOWTOFCOMMENCRENT • PONTONLOW PONTOFCLFIVARRE • POAVTOFCOMPa8DCURVATIRE PONTOFREVERSECIRVE PaVTOFTANGENCY MW ROMOWAVA,N054SaENT SETROVRODLICAP SKISVAUf • • TEMPCRARYIENINMARP • •• TOPCFBAMC TYPICAL IWNESSCOMER • saw EXEOFWAIN? WOODDECK EOSTINGELEVATION • • • • • • • • • • • LEGALDESCRIPTIONPROVIDEDBY OTHERS • • • • DELANDSSHOWNHEREDNWERENOTAITSMAC7EDFOREASEMSVTS OROTIERRECORDEDINCIASEIR4NIESNOTITHOWNOVNERAT. • e• LIAMERGROLAVDPORTIONSOFFOOTINOSFOINDATIONSOROTHER • • MEROVEIRRTSWERENOTLOCATED. WALL TESARETOTHEFACEOFTIEWALLAND • • • • • ARE NOT TO SEISED TORECONSMUCTOOLNDARYLOES • • • NOT VALCWIMOUTTHERGVATLIFE8ORIGNAL RAISEDSE4L0FARDRICI4 UCENWISLIFIVEYORANDAEMPER adYVISSLEENCROMMENTSLOCATED N0EIBITIFICATIONFOODCAVPROPERTYCORNERSLAVLESSNOTEE4 DME4SONSERO3NARERATAAWAE4SLREDLAW.E9SOTIERIVISE WAN FENCEOWIEREWNOTDETEFSSEA BEVATIONSFSHOWNAREBASEDIPONALOKOWEESSONERWEENOTEO BEARINGSREFERENCEDTOLVENVIEDASELR INISSURVEYDEPICTEDFERERNMACLOSEDGEOAETNCRGIRE NOLOIDERGROMIAPROWEMENTSOR MEW PETALLATICAVS HAVESEENLOCATEDOTHERTHANStIONM • • • • • - • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • -•• • VII • • • •• • • • • • • - S. • , • • • • • • • • • • • • • • • • • • • • • • • • ip• HMI& CERTIFY THAT INS , ,rt iiat4 TRIEANDCORRECT ATIONCEA _—..11111111. STAIEOFR.ONDA 9782 M•I ,!11•7'. • loo.00 (P)(m) /NI /•. N. /'‘. 10' AS°HALT /. • /N /N. /N. /N• IN. /N. /N. /•• f" RLROINIIITS STATEOFFL(711114 L4ADKRVEYORSMAPPERN0.3144 so u opfioarg LOW9R.RAWIE2 1AAVSINVEYOR&MAPPERNO.8301 THISSAVEYISPITENOBTFORMaIMA.GEOVIEMIWCERRPOSESOM.Y. 'mowTINTEARVEYISIKETOIEUF Ca• NIFILICTIORPERWTTITIODESIGNORANYOTIERUSEMINOUTIIEWRITTSVCOVSOff OFFRITTRNANa4LSLIRVEVORRNC. -7: CENTRAL FLORIDA ?AV; -7010 Fax(987 9174020* , FAX 1-880-787-8E0 VOICE 1400-787 8988 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: DS -2 -07 -234 Invoice Number: DS -2 -07 -27474 Applicant: J. KEITH MCADAMS Company Name: Owner Address: 406 N. E. 103 ST. MIAMI SHORES, FL 33138 Job Address: 406 103 Street NE Miami Shores Village, FL Date Payment Type Check Number Amount Wednesday, February 14, 2007 02/14/2007 Check 1366 02/14/2007 Check 1365 $300.00 $166.95 Change $0.00 $0.00 Total Payment: $466.95 Page 1 of 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n T`" i 1 )) c2`-.'1,'YCC( Permit No. )r zCO2 SAC Name `/V� Address 1 C0 C° S Time Company Phone # d -5 — - cie0 a) 5- e For Inspector: ,3f v Name Approved Correction X Re- Insp'n Fee ❑ /1/0 DAtt, jwilA Cvv.?Lic ?\..10 3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7\10\03 Time Type Insp'n Permit No. Name Address Company Vfrivire_ LS/p ©,- 5-V ,to6 bF 103 3'5 - 90 ©3 Phone # 6.- 5600 For Inspector: 7 J/\ o, Name & Date Approved Correction ef�`l Re- Insp'n Fee NOTICE OF COMMENCEMENT T INSPECTION A RECORDED COPY MUST BE /POSTED ON THE JOB SITE AT TIME OF S L - \ TAX FOLIO NO. PERMIT NO STATE OF FLORIDA: COUNTY OF MIAMI -DADE: notice that improvements will be made to certain real THE UNDERSIGNED hereby gives noter 713, Florida Statutes, the following information property, and in accordance with Chapter provided in this Notice of Commencement. 1. Legal description of property n street/address: LO 1111111 1 1111111111111111111111111111111111111 CFN 2007R0158726 OR Bk 25365 P9 0098i tips) RECORDED 02/14/2007 09:25 :34 HARVEY RUVINv CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE 2. Description of improvement: 3. Owner(s) name and address: c Cd3 - He 11 : Acb Interest in property: simple titleholder: Name and address of fee simp 4. Contractor's name and address: bn' e -re-Li- 5. Surety: (Payment bond required by owner from contractor, if ariOriof riaR vE'Y Ruv i ` 411 I _ DC Name and address: Amount of bond $_ 6. Lender's name and address: ersons within the state of Florida designated by Owner upon whom not 7. P 'provided by Section 713.13(1)(a)7., ) 7„ Florida Statutes, Name and address :� --- B. In addition to himself, Owners in Section 713.13(1)(b), Florida St Name and address: 9. Expiration date of this Notice of Commencement: (the expiration different date is s•ecified) s or other documents may be served as to receive a copy of the Lienor's Notice as provided designates the following persons) atutes. ,L'''ure of *wrier Sp Print Owner's Name Sworn to and subsc Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 4/44 �j ` .�-- ZO day bed before me this Address: 4/44 _ 3 f date is 1 year from the date of recording unless a Prepared by Aptly-fe-- Corm t1SSi0n -# 1)1)491643 Expires: NOV. 17, 2009 Bonded Thr1, , ;lar'.'c Bondi ..g C.c., Inc. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n � ) .`1. /(_id '1.7,./ Permit No. 14 3L) Name Address Company Phone # Inspection Date IAD() (tC1t1 Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date 1—" p� 0 Type Insp'n Permit No. Name Address Company Phone # crialwo L a° °3 3z3 4,06 ■ la3 5 '►rd's 311 371 z g 3a Inspection Date 0 ° 3 °0 V Approved Correction Re- Insp'n Fee ❑ 3% Amy AFFIDAVIT 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, -J Alves 1 C 4,074/11 5 , does hereby attest that the (property owner) attached survey, performed by 1,5 /- jV ,4/0U /YL U"' U ekr X45- (name of surveyor's company) performed on , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted -or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Ath t sayeth naught. Witness and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this j day o$ X9 Affiant is o personally known to me, ✓produced !Y1 a 3n. utI \ b , j ri'4J as identification. NOTARY PUB +F ,.O.RID ires: Bonded Thr;: A! !antic D '1 OV. 17, 2009 Laic o. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 'Mt-795-2204 Building Inspection Request Da Time Type Insp'n f" No. Permit Name Address Compan 0 ��cf )o3J *, Phone # 3 oS - Lt 113 For Inspector: 3 / 2) U am f : ate Correction Re- Insp'n Fee El MIAMI SHORE.? Viii AGE BUILDING DEPARTMENT GI\19 305-795-2204 Building Inspection Request k Data �� ► Type insp'n _ . I -c Permit No. Name Address Company Phone # 30 "` 757— FS--4 Inspection Date Approved Correction Re-Insp'n Pee El X0!`7-14 ids -- =,�v Miami Shores %4/tae 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -23 Telephone: (305) 795 -2207 Fax: (305) -756 -8972 • APPk COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, 44 rres tic A-4)4115 (owner) following described property: Legal description /folio#: , hereinafter referred to as the Owner of the Lot Block Subdivision Tax Folio #: requests permission to install: [-r-'--Asphalt, concrete, brick pavers [] Landscaping [ ] Other within the public road right of way of 406 E 103 5r ( VV 4,44 „S i (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this S6 day of 1/, 33 �3� SIGNED. SEALED AND DELIVERED in the presence of: (owner 40TARv ?L OF FLORIDA eia Basilio Corn mission # DD491643 Exp ires: Bonded T} :;t; ,antic Bonding Co., CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° '783 Miami Shores Village, Fla Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks • This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structus. fi e� u BUILDIPQCDIVISION BUILDING ELECTRICAL PLUMBING Owner of ) Building -- / Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA DATE /), PERMIT N? 7918 Work to be performed under this Permit Lot Bl. Subdi- vision Contractors License No. 194y Address of / t Value of Amt. o Building G C 2 ,--"(/'__, t ,.- Project Permit A e` () This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the tatements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. CTOR By In consideration of the issuance to me of this permit I agree to perform - work covered hereunder in compliance with pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author' In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY cesand tin iami Shorts Gil age. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building 0 MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 8039 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Value of I Amt. of s Building *_ / ,� 17' _ t Project Permit i, ,,2% ) This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. r Contracto License No. 194_ (/;/ Bl. Subdi- vision Signed• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations .i} pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori!s of Miami Sbor;s ARM e. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. By CONTRACTOR OR BUILDER BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA ' PERMIT N? 8202 Work to be performed under this Permit Legal Lot Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that, s e assumes respon- sibility for work done by his agents, servants or employees. DATE 1 944_ Contrac or's License No. Subdi- vision Value of Project Amt. of 414 Permit . Signed. - INSPECTOR In consideration of the issuance to me of this permit I agree to perfor(tl e work covered hereunder in compliance with all ordma.,ces and re uktions pertain reto and in strict co formity with the plans, drawings, statements or specifications submitted to the proper authoritle ' of Miami Sore Mae. In acce inng this permit I assume % iesponsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDF6 BY AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA, DATE 7 }1 ./ 194, Contractor's (I License No. PERMIT N? 7901 Work to be performed under this Permit Building Owner of j �- Architect 227 2}-2 Contractor y or Builder t .L." Legal Lot / ,! Bl. -`�_j Description 1 / -r / 1 -2 Address of / `� r ,( Value of J �� Amt. of Building (• /�, ! s%'tAP Project s+,. Permit a U This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w'th 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: I SPECTOR In consideration of the issuance to me of this permit I agree to perform thi 4ork covered hereunder in compliance with ll ordi .an. anji r.agytations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut ties of S E3d Willage. In accepting this permit I assume respynsibiliiy for all work done by either myself, my agent, servant or employee. NTRACTOR OR BUILDER BY AUTHORITY Master Permit No. PERMIT APPLICATION (DCCi. 52_9 Subsidiary Permit No. INSTRUCTIONS - The following steps must ne taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized, Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: ii 0(0 to.e - 10-3 Si- .1114,(hisiityle3 n c 3% 3, Address Apt. City tate Zip Folio Number 3 s2 0 C ~ 01.) •- 8 ") (1s 0 Description of Work 4164-31: Lot Block 1/1__Ar" /� Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet , Units Floors Proposed Use of Property Value of Work 0/50 '� Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Y Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY O ER Name el Telephone Alteration Exterior Home Telephone Repair Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction License No. Enclosure Telephone Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR "e.-/#11PJ le4,• No Grp e)P.0 7-2/ Address 99ea mgy " /4.2, gam/ /7 Telepho f f7 �3� a _ Qualifier Name Page 2 PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is 'required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. 1, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, CO Y OF MIAMI -DADE e of Own Print Name S_y om tg4nd subscribed bef. Signat SEAL: Personally known ES MY C0 IMISSION M CC 921 EXPIRES_ June 4, 2004 Sonded Thal hfl,eyPtIbr 1 n rvs,ars I: OR, Produced Identification Type of Identification Produced: STATE OF FLORIDA, OF MIAMI -DADE Signatur Pnnt Name o t nd subscribed before me this Signat SEAL: .'fig;. JjL10ROSLEP MY COMMISSION 4 CC '21872 EXPIRES Junes. 2004 ov .... aoided Thru No a v Pi Una rw rt2�. =. Personally known OR, Produced Identification Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPP. Service Repair Q "1 Y. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton s Gad ..I Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Ce tral Posts Swim Pool, Commercial Air Conditioners Garbage Disposa Range/Range Top Swim Pool, Residential Chiller e4e,„% Receptacles Switchboards Clear Violations R Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor _Heat (Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE; QTY. Minimum Fee TYPE Condensate Drain QTY. TYPE QTY. Generator TYPE: Refrigeration, Tons Q11. A/C Central, Tons Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wallin. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE: Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply DATE:/C' CONDITION OF APPROVAL Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) TOTAL REVIEWED AND PREPARED BY.. SECTION BY DATE Zoning Electrical �' ' ff.-i Mechanical Plumbing Fire Public Works Structural Building Official DATE: / ii' *3 Revised July 2001 10050 N.E. 2'D AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5&579:3 Job Address 46 f(fc /2?Pd:57- Legal (/ cip /4, Descriptio / Lessee / Tenant Owner's Address Tax Folio ll J �i/ / / 00 7 )-214;?Az/1/ Master Permit # Phone dress CS—°*bdh49l)'€6)d"- Phon. 5 73 / (S 7/ /Q-3 ras:S,". Contracting Co. iletat �? L ,7:, Qualifier Ad State #U: .(/D2 S ' Municipal # Competency # Architect Bonding Company N/-- Address Mortgagor Ins.Co. Pv Address /. d p . /A-- Permit Type(circle one) WORK DESCRIPTION ELECTRICAL PLUMBING , MECHANICAL ROOFING PAVING FENCE SIGN (ice Square Ft. LA k Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate nd that all work will be done in compliance with all applicable laws regulating con ction and authorize the above -na_ed contractor to do the work stated ./ le( 1.14444 /jr, Signature of owner and /or Condo President Date: \AA ko2 L � Notary as to Owner and /or Condo President My Commission Expires: NOTARY PUBLIC. STATE. OF FLORIDA. MY COMMISSION EXPIRES: SEPT. 26. 1994 BONOGO TM r NOTARY* YDLIC YN *R W RIY6* ** * ing. Furthermore, I 4 Signatu Owner- Builder Date: , e Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY PUBLIC. STATE OF FLORIDA. MY COMMISSION EXPIRES: SEPT. 26. 1994. •OND D TMRY NOTARY PYt1.IQ VNORRWRITtR$. * * * * * * * ** FEES: PERMIT i' b RADON C.C.F. 114').5161 NOTARY TOTAL DUE APPROVED: Fire Other Zoning Buildin 93 Electrical Mechanical Plumbing Engineerin Date Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address tte0C0 4 /63-.01 • Tax Folio Owner / Lessee / Tenant 10r, t +' S 4411152 'ViC4 Master Permit # 36 %4 Owner's Address Contracting Co. Qualifier +41% C/106.4 ac-z,;,),& ss# Phone State # tr1 1104 4 /U. � . Phone 7 S1—' dig Zr „f7 7/Z- ;I.J/L 1 iJ Address I 4'K Jib fihu'8 32t . 5.7 78S Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG WORK DESCRIPTION Square Ft. 727 ,04710eiz, t47,netele/oft tk 7.er 7. 60 zi3 Estimated Cost(value) eta 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 al be done in compliance with all applicable laws regulating const .- 'on and zoning. authorize the above -named on actor to do the work stated. Signature of owner and or Condo President Datet\ Notary as to Owner an •ndo Pre 'dent My Commission Expires: rk will re, I Signature of Contra Date: Notary Public, My Coma. expires or or CKING at 22, 1 er- Builder Notary as to Contractor or eta" Budder:. LORNA COCKINB ry Vie, Stale if Nu* bA►M y ** * * * * * * * * * * * * se. ° * ** N C.C.F. i6e NOTARY TOTAL DUE '36'0 Fire Other My Commission Expires: FEES: PERMIT '3e) RADON Zoning Buildin Mechanical Plumbin Electrical Engineering STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FPR: ri ] New System [ . 'E <xisting System [ ] Repair `;{ [OP] Abandonment APPLICANT: 41 At le A PERMIT # DATE PAID FEE PAID $ RECEIPT # -Holding Tank [t Temporary /Experimental Other(Specify) ENT: PROPERTY STREET ADDRESS: e f 3y� LOT: PROPERTY ID #: SUBDIVISION: [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS T A N K D R A I N F I E L D 0 T H E R [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI— CHAMBERED /IN SERIES:[ ] ] [GALLONS / GPD] CAPACITY MULTI— CHAMBERED /IN SERIES:[ ] ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] [ r;.f , -f SQUARE [ ] SQUARE TYPE SYSTEM: CONFIGURATION: FEET FEET PRIMARY DRAINFIELD SYSTEM SYSTEM [ ] STANDARD [ ] FILLED [ ] TRENCH [ LOCATION OF BENCHMARK: ,fs 4 [ ] MOUND [ [ ] ELEVATION OF PROPOSED SYSTEM SITE [ --I [INCHES /FT] [ABOVE /BELOW] BOTTOM OF DRAINFIELD TO BE [ "" ... ] [INCHES /FT] [ABOVE /BELOW] FILL REQUIRED: [ _..w, > }- INCHES BENCHMARK /REFERENCE POINT BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ ]'INCHES I t SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: TITLE: TITLE: HRS-H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001- 4016-0) CPIU -White Applicant- Canary Installer /Contractor -Pink EXPIRATION DATE: Page 1 of 2 Building Department - Goldenrod INSTRUCTIONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. APPLICATION FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID#: 27 character id number for property. (CPHU may require property appraiser ID # or section/township /range /parcel number) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D-6, FAC. DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CPHU. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. WE APPLICANT: 10,0 p. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS LOT: PROPERTY ID #: BLOCK: SUBDIVISION: AGENT: ,2 4/7 PERMIT # / [Section/Township/Range/Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: TOTAL ESTIMATED SEWAGE FLOW: 3a/D AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: i/ [ ] YES [ ] NO NET USABLE AREA AVAILABLE: ACRES GALLONS PER DAY [RESIDENCES-TABLE 1 / OTHER-TABLE 2] GALLONS PER DAY [1500 GPD/ACRE OR 25g111AACRE] SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS THE MINIMUM SETBACK WHICH SURFACE WATER: 167rD FT WELLS: PUBLIC: BUILDING FOUNDATI [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEA S: DITCHES/SWALES: "g114725 FTLI NORMALLY WET? [ ] YESi ] NO FT LIMITiD USE: 44,1A FT PRIVATE: fyla FT NON-POTABLE:7/4- FT FT PROPERTY LINES: .Sid FT POTABLE WATER LINES: SP FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES 10 YEAR FLOOD ELEVATION FOR SITE: 6' 0 SOIL PROFILE INFORMATION SITE 1 Multi /1/Color exture USDA SOIL SERIES: Depth / tO Y TE7to—IF-77 to74, to to to to to to [4-NO FT MSL/NGVD 10 YEAR FLOODING? [ ] YES [4/1NO SITE ELEVATION: e 0 FT MSL/NGVD SOIL PROFILE INFORMATION SITE 2 muilegolor tur, Depth / ''tor?--- " (-L to 2-17/' 'Ito fti „or., 1111rifr USDA SOIL SERIES: to to to to to OBSERVED WATER TABLE: ‘e,,) INCHE [ABOVE / BELO:0 EXISTING GRADE. TYPE: [PERCHED / APPARENT] ESTIMATED WT SEASON WATER TAM INCHES [ ABOVE / BELOW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [ BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: DEPTH OF EXCAVATION: INCHES SITE EVALUATED BY: DATE: HRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used (Stock Number: 5744-003-4015-1) q411.crtli• Page '3 of 3 SEWAGE FLOW: uNossTRucTED AREA: •• • Fechtit tracking prembre issigratitt by 11121511: ProperispownerN tattendrizen remessentstive: blt7ddid, add ddiddidddidd tbd taticef amperty itize sae conforms to submisted intat Alan, Reward ent sespitle mita besishable s ems examtwe paverl arum and pasantes.3 stiad Mita within pediebe tiffetwoftway did easements end ezelusette of streams, kebob Record the esdratited itanagit Mow Mr We se:abashment from Tebbe 1 theeirtertiessii os Telths 2 thisithesidemiald, Chripter I AIRE, EEC, Eakenst the eathonked thtensthe now for the lot based ori S UdaWe ante add dddkdd NApply 11301) gallons. per day per acre for peivate watter eimphirs dad 23W dddd bee sithe •for publiv water stippliesh if authorized sewage flow pitspird the itemytek :mitt of lisimitheisibberp time, pattitstkiki tddi kractimi chipmed, Unokaartresed area DEE bit di least 2 Idfliddd ddaddiddid mittorpiton area arid tem.st, 75 Esteem. ot uncezemetteart area mum meet deddd-didd dreaftef MAD: RAD. The wortbstrumed anis must by conteguppe :irk the dratattekt„ BENCHMARK INFORMATION: Fiscorn tokation :of me betiatimette. if swum starkeyoNs benchmark re,cersd ddtudl dtdddadeddd Remorp met SETEApprist phimeed minimum setbacks wroth Pm he mod! at tai Pitted festotrais Actual metembenthate must ha recorded or INA' for nen appIirakint fiettems. Darkeses on Mb men or withat ibette. dt the speibram tet mkt rrteememet The bwantion Er EN public drinking v.?e.0 reht of she apptinsanis litt must :Am be vefified, FLOOD INFOIEFLATION: aused shit sitivatims. SOIL, PROFILE INEOPUSIATION: Two soil profehre within the paspoced Heterebtion erns to a mirtiesem depth MI6 Met or refiteal are. requited„ Soil idersdkiation will list USDA Snit Canssifickatte ruethodoinigy OtAintsitti comes kiti3 opmet pop thiptiftemp, Rteapirsis Bumf cissity dorunketeed, Frovide USDA mass avadtatte, record EUNKI if dm series cannot he determined, WATER TALLEt It:mord the semis in He observed water 1.2b22 ttt the amp of Ate evaissetion. Mesh spersitedt or septhetere appropiew: Recioni astarnard wet reason water babie elevation ihmatd en site evetwattion, USDA kat maps:, eyed hisnorical vedermaboth litilients if them I s high water Ishits verstraten Eresein: Indirate k n o t th r i p t is present and depth: epplicatits restchl depth at chstarkeich requltrisch 11.er:cite! INA: it eithe tepplierible, Cheek Stritinfielti configuration required. If abets spesitht type, Signature of evaltetatort titie, and date cif evadvatiors Fraftenionsi enghwers mast :seta dotrummention thibmitted, il 122.22.22 A 2 AWN Ye witstedi iti Ate 1 ELENA t tON Ur kt1224,,,lthd Altid i Id ddd iditildNd: td, ridA EN i Ad: i 3 BENCHMARK SITE I ETT! 2 SITE 3 FRIG SS ILE 1-1 SHOT (31 pHOT SHOT APPLICATION FOR: [ t..r New System y] Repair LICANT AGENT: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC [ '] Existing System [ (':1 . Holding Tank [t Abandonment [ .,j Other(Specify) i M's C lI is [I� PERMIT 1 DATE PAID FEE PAID $ RECEIPT I Temporary /Experimental TELEPHONE: i c-q .. q Cf MAILING ADDRESS: TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] LOT: BLOCK: SUBDIVISION: PROPERTY ID #: PROPERTY SIZE: DATE OF q3 SUBDIVISION: [Section /Township /Range /Parcel No.] ZONING: ACRES [Sgft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE PROPERTY STREET ADDRESS: DIRECTIONS TO PROPERTY: 4' C 'U . S/ ✓ -.3/ .3L PUBLIC BUILDING INFORMATION [RESIDENTIAL Unit Type of No. of No Establishment Bedrooms 2 3 4 [,k Garbage Grinders /Disposals [Al Ultra -low Volume Flush Toilets APPLICANT'S SIGNATURE: ] COMMERCIAL Building I Persons Business Activity Area Saft Served For Commercial Only [ P1J'Spas /Hot Tubs ( ] Floor /Equipment Drains [Al Other (Specify) DATE: HRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used) Page 1 of 3 (Stock Number: 5744 - 001 - 4015 -1) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4(4.17 7 Job Address 406 %O 3 S Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant Owner's Address K1a ! /c.tr Lctcst eZ 4c ,Vi /3 Master Permit # Phone No ///..2 d/CZ. 73-1- g72.5"-- Contracting Co. gudC1 y s 5u.vl se._ Y (4. lie /;1 , Cc'vti r Address /?25 5'41 sic/ 4". Qualifier C. 71;4:/cock ss# - ' PhoneC3CS 2361 Ins. Co. State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one). LILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN e WORK DESCRIPTION ..toms7/et��.�DI;c, o !�'ckt1rr V emu! .L_tic uSi- N'i�.5 --��c fJ7 ®c (4+�' Square Ft. S- Estimated Cost (value) ,2,Arde■ ©© ooh'/ 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 tractor to Signature of owner and/or Condo President Date r or Owner- Builder Date Notary as to Owner and/or Condo President Date otary as to Contractor or Owner - Builder, _ _ Date My Commission Expires: My Commission Expires: FEES: PERMIT 7() ®Q RADON APPROVED: Zoning Mechanical Building C.C.F. NOTARY Electrical BOND g6.. TOTAL DUE Plumbing Engineering STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number / PART II - SITE PLAN Scale: Each block represents 5 feet and 1 inch = Notes: g, f —Dim -.1 4 Site Plan submitted by: Plan Approved By SIGNATURE Not Approved County Public Unit ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744- 002- 4015 -6) Page 2 of 3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No _7_19-1k/ Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith submitted for the building ar otl structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores image, 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 brilrling during progress of work. ( % Owner's Name and Address _' . ' Registered Architect and /or Engineer Date No. —1._e? _Street. • Employing Electrician's Name- _____._____ _ _-_. ____._.._- _-_____«No Location and Legal Description Lot_ __LLJ '1".' / _ _ . Block___._. �...._.__ _Subdivision Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building_____ Street. ._No. Services Overhead Size Feeders__ --.-__._____ Conduit___ :.Main Sw._._-_,_e..._.__ -.. -Amps. Underground Type of Installation— Conduit__._ Tubing_ _. B.R.L._- _ - - - -- _Metal Moulding Amount of Permit $_. . d (Signed) The undersigned applicant for this building permit does hereby certify that q understands and acre; labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of e ` • : Per Lipp has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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 as are required by the Act. The undersigned agrees to employ only such sub- contractors, oink to be performed der licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DARE. Before me, the undersigned authority, a notary public, duly authorized to administer oa appeared_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is theme _ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that alt facts therein by him stated are true. My Commission Expires - W NOTE: A re- inspection fee of $I.00 will be made when such re- inspection is made necessary by improper notice fi materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P•T'S FIXTURES NO. LAMPS REFR1G. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE : HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO - TOTAL CONTR. LIST CHECK Services Overhead Size Feeders__ --.-__._____ Conduit___ :.Main Sw._._-_,_e..._.__ -.. -Amps. Underground Type of Installation— Conduit__._ Tubing_ _. B.R.L._- _ - - - -- _Metal Moulding Amount of Permit $_. . d (Signed) The undersigned applicant for this building permit does hereby certify that q understands and acre; labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of e ` • : Per Lipp has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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 as are required by the Act. The undersigned agrees to employ only such sub- contractors, oink to be performed der licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DARE. Before me, the undersigned authority, a notary public, duly authorized to administer oa appeared_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is theme _ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that alt facts therein by him stated are true. My Commission Expires - W NOTE: A re- inspection fee of $I.00 will be made when such re- inspection is made necessary by improper notice fi materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. _ 43 Date 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other PP P sP g structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. //I/ . _ t'11 s` 1` No / �.G, %t/e Street f... / 4 S r Owner's Name and Address_ Registered Architect and /or Engineer Employing Plumber's Name 't7/ t fh r'e'f - No. (/‘! V t Street .L_ Y• 7 ij✓c Location and Legal Description Lot ii 56 / Block_ f 2, Subdivision _] s5"•_ e_c . Street and Number where work is to be performed -No -5-t .2- LC � Street State work to be performed and purpose of building (By Floors) /4ry A2esi;(elc \e 1 New Building cam'' Remodeling Addition epairs No. of Stories I Size Septic Tank r ✓s Type of Tank u "' t Capacity Gals. Feet of Drain Tile 1 G? 0 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well. Size of Soakage Pit Amount of Permit $ !! ' ( Signed bing Inspector. ation as em to er o 0 The undersigned applicant for this building permit does hereby certify that e s i derstands and accepts his obligation employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be, performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. ( Signed)_ Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB S SHOWERS RS LAVA TORIES INKS SINKS " SLOP SINKS LAUNDRY TUBS URINALS. CATCH BASIN FLOOR DRAIN. DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST ifi V CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL ■S/ N C.o as CONTR.. LIST CHECK Size Septic Tank r ✓s Type of Tank u "' t Capacity Gals. Feet of Drain Tile 1 G? 0 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well. Size of Soakage Pit Amount of Permit $ !! ' ( Signed bing Inspector. ation as em to er o 0 The undersigned applicant for this building permit does hereby certify that e s i derstands and accepts his obligation employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be, performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. ( Signed)_ Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7,2 d 2 Permit No. -- - - -- — – – -- Date 9/7/49 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address KOC hnit _____ _ _ _ No._–______�'P9 _ _ _____. Street___ 11F?! q Registered Architect and /or Engineer Employing Electrician's Name ___LOW a_ _ Waigilr. _________ No 9930 • _- I Street____ 7th _IT0___w_________ Location and Legal Description Lot_ ________ -11C 12 Block 92 Subdivision___–_ M s ___4______ Street and Number where work is to be performed —No 406 N E Street__ 103��1')G State work to be performed and purpose of building (By Floors) Wiring _________ New Building Y Remodeling Addition.. Repairs No. of Stories Service Overhead Size Feeders Se r Underground Conduit.l.`_ Main Sw. Amps. Type of Installation - Conduit_____ Tubing X B.X.L Metal Moulding Amount of Permit $24, SrO The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly appeared _ (Signed) 100 __ Main Fuses _____ __Amps. Electrical Inspector. rtify that e ' nderstands and accepts his oblT`ons as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) I.SCG Master Electrican.� authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS. PLUG RECE'P'T'S FIXTURES NO.LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 18 18 18 1 p $0 18 1 1 1 CHECK ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Size Feeders Se r Underground Conduit.l.`_ Main Sw. Amps. Type of Installation - Conduit_____ Tubing X B.X.L Metal Moulding Amount of Permit $24, SrO The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly appeared _ (Signed) 100 __ Main Fuses _____ __Amps. Electrical Inspector. rtify that e ' nderstands and accepts his oblT`ons as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) I.SCG Master Electrican.� authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. 75 -1 —Z-3:3t PERMIT APPLICATIO Master Permit No. FBC 2004 , . Itmlu Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 'IC = /mac:.. City /F; ti-,, . ,, ',/, , Tenant/Lessee Name RECEIVED FEB, LQ 9 2007 Y; MLA) Plumbing Mechanical Phone # Roofing State Zip �� t Job Address (where the work is being done) City Miami Shores Village Phone # FOLIO / PARCEL # County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name C}°{ v jj (cis/vary, Phone # � ZS-2 O ) Contractor's Address � ( f . � 1 - W t City btt. State Zip '3 S Qualifier Name Ai He, ,14.3 1 (. Phone# 7 "'133 3 State Certificate or Registration No. Certificate of Competency No. 't 5 ,, O 2 V. Architect/Engineer's Name (if applicable) Value of Work Type oaf Work: For this Permit $ di-700, 00 Describe Work: El Addition ['Alteration Phone # Square / Linear Footage Of W . Repair/Replace ['New 1300 /tJ ❑ Demolition *****,** * * * * * * * * * * * * ** ** ** * * * * * * * * * * * ** Fees****,******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Notary $ Scanning $ Bond $� Permit Fee $ Training/Education Fee $ I .W Structural Review. $ Radon $ DPBR $ CCF $ J • 40 Co /cc Technology Fee $ 3. 1S Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ See Reverse side —> C 1` Pia 3 i 14' Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and insta %latitiiis 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 del. ered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must b' posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the as ence of posted notice, the inspection will not be approved and a rein�pection fee will be charged. Signature -- Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this C)C day of Ftt , 206"7 , by � c,',✓Vt,rs Ic . ac..,,,c t„ y , day of 4 , 200? , by r°,1 'e M, 5 C7 who is personally known to me or who has produced cO _ who is personally known to me or who has produced 42._ /II < 3S--- (6(-- (- S ° 4-. As identification and who did take an oath. 0 `f)j b j /01(as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Signature Sign: Print: e 0 Nr l ifetgi l ia�T ft r14�RIDA My Commission Exp. * * * * * * * * * * * * * * * ** Gl ela Basilic) , \I l �) o Commission # DD491643 *iijes* * *I7* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Bonded Tlau Atlantic Bonding Co., inc. Sign: Print: My Commiss s APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST Cl OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond $ Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review 5 :Do ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) TOTAL $ f () REVIEWED AND PREPARED BY: SECTION BY DATE Zoning Address 1.I, ®; -% c'Yvv Mechanical Electrical Plumbing Business Telephone 1J \ 4 Mechanical Fax \ 1s` Roofing Plumbing Fence Fire Fax Foundation Only Public Works Add'l Attachment L Structural Add'l Detachment Building Official Other DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com PERMIT APPLICATION Master Permit No. Subsidiary Permit No. br, _ vo INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: ig \43 S4, Folio Number Lot Subdivision Current Use of Property Proposed Use of Property Tenant Information Address Apt. 16.41" S�tc3 �L City State Description of Work C\ & 'C Block PB PG Zoning Square Feet 00 `T Units Floors Zip Linear Feet /Value of Work gg 9. 0 t Tax Assessed/Appraised Value Flood Zone PERMIT TYPE (✓ ) Building 11&_ Name rx - Y∎ `1\0 , Electrical Address 1.I, ®; -% c'Yvv Mechanical Home Telephone 3 ®S — Plumbing Business Telephone 1J \ 4 LPGX Fax \ 1s` Roofing ' Fence Other Fax PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Telephone Fax PROPERTY OWNER New Construction 11&_ Name rx - Y∎ `1\0 , \ : CI A- Address 1.I, ®; -% c'Yvv `© 3'"•" S4--, SSi,..4 1 , 1.°- Home Telephone 3 ®S — ,, _5-(7 - y 9 .z,s- Business Telephone 1J \ 4 Alteration Interior Fax \ 1s` Demolish Bldg Value Base Floor Elev. TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Name c A kz.N. / t Alteration Exterior ,,./ °- Repair Alteration Interior Demolish ' Relocation of Structure Shell Only Fax Foundation Only _ Li 16--/' Add'l Attachment L Other Add'l Detachment Other ENGINEER Name License No. Telephon F CONTRACTOR Name c A kz.N. / t p' License No. 99 . ..5 Imo 0 Address 3 6-- s MA-14i cL, 331 ' Telephone >S j _A,/#__ 3 Fax 73-7 _ Li 16--/' Qualifier Name 0 4 V L f Page 2 PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1s' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure . i age 1-1 11 on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name rn to and subscribed before me this STATE •F A, COUNTY OF MIAMI -DADE Signat •f Contractor Qualifier Sworn to and subscribed before me this SEAL: tau Pub ' - t ori ie o Fl c' AU'{ ANGELA . '~il r GZi &kS �:^ i Ns ,r 7 {�e X40 RAY Ct A ' :B$. t f", 'OR, Produced Identification Personally known Signature. SEAIt: Personally known OR, Produced Identification Type of Identification Produced: )+-- ").L L3 t IDS3 ; -) l�C ) jType of Identification Produced: 0 Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Pump, Domestic Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Pump, Fire Stand Flood Lights Plugmold/Strip Subfeeds, No. of Amps Pump, Re- circulate A/C Window FPL - Load Central Posts Pump, Replace - Pool Swim Pool, Commercial Air Conditioners Garbage Disposal Pump, Sprinkler Range/Range Top Swim Pool, Residential Chiller Pump, Sump Generators, etc. Receptacles Switchboards Relay Repair Clear Violations Vacuum Pump Heat Recovery Disposal Refrigerator, Comm. (p/PH) Interceptor Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Septic Connection Temp for Test - 30 days Water Heater Deep Freezer Drainfield, 4" Tile/Res. Low -volt, Fire Lavatory Renew - Temp Service Water Heater New Demolition Low -volt, Intercom/Teleph. Sewer Connection Repair Circuits Water Re -pipe Drains, Floor Dishwasher Minimum Fee Low -volt, Television Shower Service, Number of Amps Water Service Drains, French MECHANICAL TYPE QTY. TYPE QTY. TYPE QTY. TYPE QTY. Minimum Fee QTY. Condensate Drain QTY. Generator QTY. Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Pump, Domestic Process/Pressure Piping Cap - Sewer Bath Fan - Vented, # Pump, Fire Stand Fireplaces, Number of Pressure Vessel Gas - Propane Pump, Re- circulate PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY: DATE: • NW 5i 1. FROM LOAD TABLE OBTAIN THE APPROPRIATE DESIGN BEFORE CONSULTING THE GRAPHS. 2. ANT SHUTTER MUST COMPLY WITH THE CORRESPONDING GRAPH FOR SLATS. 3. IF TWO OR THREE SPANS ARE REQUIRED, THEN THE PURLIM AND HEADER GRAPHS MUST BE CONSULTED TO DETERMINE THE APPROPRIATE COMPONENT TO USE. DESIGN LOADS - PSF SOUTH FLORIDA BUILDI4C.CODE SHUTTERS NON COASTAL ELEV. ALL FEET SHADES BUGS 0 - 5 9.5 24.2 S - 15 11.6 29.7 IS - 25 14.1 36.3 25 - 35 15.8 40.7 35 - 55 17.8 45.1 55 - 75 19.8 50.6 75 - 100 21.6 55.0 100 - ISO 23.8 60.5 ISO - 250 27.3 69.3 250 - 350 30.6 78.1 COASTAL EXPOSURE BLOCS 60 OR LESS BLDCS OVER 60 INTERIOR END INTERIOR END 26.6 28.6 26.4 41.8 30.2 35.1 32.4 51.3 37.0 42.9 39.6 62.7 41.4 48.1 44.4 70.3 45.9 55.3 T 49.2 77.9 55.2 87.4 60.0 95.0 66.0 75.6 85.2 104.3 119.7 134.9 Z 5uuTTE2 WIDTH 544UTTER WIDTH CI 1. SPAN 0 81- IUTTE12 WIDTH 2 SPANS -2.312 4/BILL Tpi 1. THIS STRUCTURE I5 DESIGNED IN ACCORDANCE WITH 1988 SOUTH FLORIDA BUILDING CODE. 2. DESIGN CRITERIA FOR ALUMINUM, MINIMUM MECHANICAL PROPERTIES 6 SAFETY FACTORS ARE IN ACCORDANCE WITH THE "ALUMINUM CONSTRUCTION MANUAL ". LATEST EDITION. 3. ALUMINUM ALLOYS: ALL EXTRUSIONS SHALL BE ALLOYS AS NOTED IN DETAIL DRAWING, ALL SHEET SHALL BE ALLOY 3003 -H14. 4. STEEL SURFACES TO BE PLACED IN CONTACT WITH ALUMINUM SHALL BE CIVEN ONE COAT OF ZINC CHROMATE PRIMER IN ACCORDANCE WITH FEDERAL SPEC. NO. TTP -645. OR BE GALVANIZED. 5. ANCHORS INTO CONCRETE SHALL BE 1/4" EWIE BOLT OR I 14 TAPCON, 1 -3/4" EMBEDMENT OR EQUIVALENT. 6. ALL BOLTS, NUTS AND WASHERS SHALL BE STAINLESS STEEL OR ALUMINUM ALLOY 2024 -T4 OR 7075 -T6, OR PLATED STEEL. 7. THE DESIGN OF ANY SHUTTER AT A GIVEN ELEVATION SHALL COMPLY WITH THE TABLES AND GRAPHS PERTAINING TO THE EXPOSURE /ZONE. 8. DESIGN CRITERIA: DEFLECTION S L /30 OR 2" SHADES LOADS ARE TAKEN AT 75 MPH WIND WITH SHAPE FACTOR OF 1.1 SHUTTER LOADS ARE THERM AT 120 MPH WIND ZONE WITH SHAPE FACTORS AS DEFINED BY THE SOUTH FLORIDA BUILDING CODE. - -- 9 5PAN 5 5TOZM PARS NOTE: IF 1010 TRAce IS USED ADD 1/13 TO ,AC.TU AL. "J'HUTTEB WIDTH 1F5EFOT2E T1.EAp1NG rs+EAVI.I S SLAT CODE A - L IQ W/1 ALUM INSERT EVERY SLAT H - PVC W/1 ALUM INSERT EVERT SLAT C - PVC W/2 ALUM INSERTS EVERT SLAT D - ALUM FILLED WITH URETHANE FOAM 1022 PURLIN - TWO SPANS NO REINFORCING <SO. FLA) RLLDN4 mui6mmummum ""U".■MINIMM ,",MOMM, ■ ■ ■■■ ■■ „ SMI,.XEM, ■ ■ ■ ■ ■■ „"R.,. MINIMM EMOR "„',■■■ MMOMMEMEMEMMOM II,,,,E„E"EOM MEMMOOMMEIMMEME ■ ■ ■. ■, ■ENEmEma was 40 60 80 100 120 140 160 180 SHUTTER WIDTH - INCHES n 0 . J :Zm u, N 1 022 PURLIN - THREE SPANS NO REINFORCING (SO. FLA) RLLON6 RENUO■,R ■ ■ ■ ■■ ENEE ■„ ■, ■ ■■ ■■ UOMM. ■'. ■ ■ ■■ MMUMEMOMEMMO UMMU RS►i■L■■■ EMOMEEMMOMMIN MMINUM"S, ■■,■ ,,,,NOMM■, ■, ■■, EMONSIMESOMEMM ■,,,,,", ■, ■" ■,■►"„M,.,'■ ■■,'.,,M„'■,. ■ ■INI,"M„", ■ ■■MMEM,C,M, MMOMMEMOMMEMIL ■■ ■■ ■ ■EMPAIRO � 46 60 80 100 120 140 The 180 SHUTTER WIDTH - INCHES SLATS - SINGLE SPANS RLLONI at N a 40 50 60 '10 80 90 SHUTTER WIDTH - INCHES 1024 PURLIN - TWO SPANS NO REINFORCING I I EEL ■■(•■•• ••• VII .,, ■ ■N ■■■ ■■ VRIM BOON MINE „•,,•,. M'. ••• mommismom 111111011111 ■ ■ ■ ■mtammem m ala• ` EMOM►II ■ ■ ■ ■■■NSE M5'' 40 60 80 100 120 146 160 180 SHUTTER WIDTH - INCHES 1024 PURLIN - THREE SPANS NO REINFORCING (SO. FLA) RLLON7 MUM MUM MEMO ,■,■'d EMMEMMEMMISME MOMMTNIMMIN MEEMILMMEOMM -,,,, ,.,■,.■ MINIMMINEMEMEN -■,UM„"'O -■■,S',".E ■■■MM,,,',RI _all MIMEO MIMI ■ ■M= I. r N a. m O J Zm uU) H U: O▪ m B) m ry 40 60 N0 100 120 140 160 180 SHUTTER WIDTH - INCHES. SLATS - TWO SPANS RLLON2 W am a U. ❑ m a0 ❑ J m zr u H m 'DI � 0 m a m m 80 90 100 120 140 160 180 SHUTTER WIDTH - INCHES HEADER 1039 ( LICHT DUTY) - TWO SPANS m (SO. FLA) RLLONl2 ID m m l�r Ur a 8) 0`U 4 0 J Z m U to In O m 4 m 60 80 100 120 140 160 100 SHUTTER WIDTH - INCHES . HEADER 1039 (LIGHT DUTY) - THREE SPANS. - m (SO. FL) RLLONI4 m U. 'Ir a 'm 0`D 4 0 J E,12 m H U: O m 4 m m 60 80 100 120 140 160 SHUTTER WIDTH - INCHES 100 SLATS - THREE SPANS m RLLON3 a N m m 80 90 100 120 140 160 SHUTTER WIDTH - INCHES 180 HEADER (HEAVY DUTY) - TWO SPANS (SO. FLA) RLLONIS m m PO MAM■ ■■ .`\;,� \""'1111■ ■ ■:��!\�► \1111 NEIL \ ■■ 60 HO 100 120 140 160 SHUTTER WIDTH - INCHES 180 HEADER (HEAVY DUTY) - THREE SPANS (SO. FLA) RLLANIS m F) 60 80 106 120 140 160 SHUTTER WIDTH - INCHES 180 Z ZF 01- Q OM aw 0. IaN 0 cc 0 2400 0 0 a�N w 4 ▪ w3 °- LLw U :Uj Z j z0-I 4w- 2 o ROLL -UP SHUTTER g SHADE 0- rn (8(� lull drawing nO . 89-80 meet a of z SOUTH FLORIDA BUILDING CODE 7060. /IOOo ovER A TRACK PuRain/ 4 MUA1JOn/ 7PACK ELEVA77Ot'J N-7:5- 'Fa X1" K 4e. $04SYER @ /g' 0-C. /029 A/ LE Go "•q 2.00n/c•ANCHag5 4 pop R /VETS W/NL7OW 27re2Ae20BOL75 2•14'X 2Y4771Pok) oRF.QU/✓ -3 ALT SECT /ON e -e Hoop COvER REEL I4OTE : W H6tJ USED as a SHADE, A LaBI_ SMALL BE 4 -FIXD 5TATIu'1G 1 NAT T+4E U+IIT SNALL L'}t QLl5D UP 'DUQING A HU221CANE WARNING A HeAOER o' 6" 4 -416: RIP R/VE129 PVC . LAT ALUM. I BE -4/-* /NSERT 2- 1/4,, A NCNO 29 'Wax ( 7EX W/WA,9H,ER SLAT WITH INSERT /1/4/775. 2- -1r 1ya'x 14i2'xke *e W1657'1-517-, 5HeEr METAL SCREW@lg "O•C. /o39 HEADER 2�r /Y20x1Y2'x/& (7Yp) Ft/RL/N5 5_475 0WC. ANCHOR''• /8' 0.C• SoT, r1714ACK'# /O /l 2 H47: kw= 02.74'. 20 N•T'5- 2-1/4.- Dolr5 C7YP /CAL) htoD CL7• VER 2 Yq ' 1 "LAIC5 (21/1c p1CA ^ 57£E'L REEL Ht4oeP *ex /".57:57-L SVETE METAL 3CREWTIe " o-C• 4 Via.' Poe RIVETS PoRL/N5 2 -1r II/2"x IV2'xYe" 2- Yq =2o Boos 2 1 /4'x /y4'CONC.ANCHORB SECT/0"/ B - 8 N•T•S• 2-Y4'x 1 c 'dC, ANCHOR. 00 Eouith(-7YR) 101r 7$ACK /O /0 TRACK M/JLLIOAI S/e�bP RtVET�S C0 /G'O•C• X l "7 oR ECXJjv G4, SICE 4 Y4' co&ice. \\N. AwcHoFtS OP EquIV• ,C-E✓L/N9KOR WALL HULL /01 /C68 cNAmvez. 2 %qq"�CONC1'. ANCttoR oR EWu1th MULL /onl MOUNT /NC? F HEADER CONNECT /ON "47:5. 1.3..Y8 ALU61. 11/12X. '4 TAFCo►J 1 -5/4 El- IBE>. 3 e6"2 CONC• ANcrloR5 GAP /8.a•c- utT M OR IO2'.1 4 kcipoP R feio C. 2- Y4'X /% EN115EDMeNr t2tNC• ANarKW5 oR E4u /V• SECT /ON" A - A T`5• CavC•ANGARS SEE NOTE c /JEzIPErZ 1- 1EADE2 END COAIA/fC770A1 DETL. G 4 Y4' GONGY+E 7 . CIRA2 #02 130L•T HEAD pvc LEXAn/ SLAT (A) _ oRS71AA.vE R L EXTR• ALUM, SLAT AL11M. I BEAM IM ERT 1.949 7PACK 10/0 TRACK 101 1 8T M 11 ANl LE 1029 8 N 4.00 •129 MuLL10/4 /023 GoG3•TG-11 2.00 PuRLJN 022 z 0 Z_ U1 H O I- a ❑ a0LU J ▪ w aF a • U1 O ¢¢vm (� WW 1331 ZmI7 00a1 a Qw¢0m 4 w�LLy ? Z C▪ I to 4 w - 2 O. 8 2.00 14• MULL/on/ /024 5•rao HEA O ER (Heavy tarry) 3.00 HEADER /039 (Llq/TCYr7) G063 -75 •750 J $ — 11 --•I25 CMAA/NEL 1058 MULLIONS TO $E US6a DS �04t -OW} MU LU O 0 1024 SNUTTEe ■Et6NT = 87•0 6407-me WIDTH = Id-o" (EA. SIDE aF 44Ut UON) MpX. bEbtEN LOAD 41.4 PSF MULLION 1023 544 -rrEe 1-1E16 4T = 9=0° SNu -r-rs . WITJTH a 10' -0'' (EA. SIB pF MOW ON) Max. bESt.►U LOAD = 464 ?Sr ✓1111 GO■IoI -no- - DeviaTI+IS cQoN S1-4ati1N JAWS N ISE C1461 5E-PAP-Al-ELY. APPROVED AS COMPLYING WITH THE SOUTH .FL•-1DA = DIMING CODE DATE 19 dIr BY PROD CONTROL SECTION DADE COUNTY B L O M ZONNG D ) ACCEPTANCE. NO. i£— —(G�J / or SOUTH FLORIDA BUILDING CODE 0. a li g 1=1 I I drewng no 85 -80 sheet 1 or 2 GENERAL NOTES I. THIS STRUCTURE IS DESIGNED AS PER THE SOUTH FLORIDA BUILDING CODE 1994 EDITION FOR DADE COUNTY. ALSO FOR WINO LOADS AS PER ASCE 7 -88 USING CORRESPONDING LOADS. 2. ANCHORS SHALL BE AS USTED. SPACED AS SHOWN ON DETAILS. ANCHOR EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WALL / DRESSING OR STUCCO. 3. ALL BOLTS, NUTS AND WASHERS SHALL BE ZINC PLATED CARBON STEEL 4. ANCHORING OR LOADING CONDITIONS OTHER THAN THOSE SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL DOOR NOCHT CONSISTS Of' 6' -6• 2 SECTIONS le 2 SECTIONS 21' 6' -9' 1 SECTION 1e' 3 SECTIONS 21' 7' 4 SECTIONS 21' - 7' -3' - 7' -6' 5 SECTIONS 18' — r -9' 4 SECTIONS 18' I SECTION 21' e' 3 SECTIONS 18' 2 SECTIONS 21' 8' -3• 2 SECTIONS te 3 SECTIONS 21' 8' -6' 1 SECTION 18' • SECTIONS 21' 8' -9' S SECTIONS 21' - 9' 6,SECTIONS 18' - 9' -3' s SECTIONS 18' 1 SECTION 21- 9'-6' 4 SC'�1ONS le' 2 SECTIONS 21' 9' -9' .3 SECTIONS te' 3 SECTIONS 21' 10' 2.sECIoNS Ie' 4 SECTIONS 21' 10' -Y 1 iECT1ON 18' s SECTIONS 21' 10' -6' 6 ECTIONS 21'- 10' -9' 6.6ECTIONS l8' I SECTION 21' II' 3 SECTIONS 1e' 2 SECTIONS 21' Ii' -3' 4 SECTIONS Ie' 3 SECTIONS 21' t i' -6' 3 SECTIONS 18" 4 SECTIONS 21' 11' -9' 2 SECTIONS 18' 5 SECTIONS I1' 12' 1 SECTIONS 18' 6 SECTIONS 21' 12' -3' 7 SECTIONS 21' - 12' -6' 6 SECTIONS 18' 2 SECTIONS 21' 12' -9' 5 SECTIONS 18' .3 SECTIONS 21' 13' 4 SECTIONS 18' 4 SECTIONS 21' 13' -3' 3 SECTIONS 18' 5 SECTIONS 21' 13' -6' 2 SECTIONS Ie' 6 SECTIONS I1' 13' -9' 1 SECTION ,8' 7 SECTIONS 71' I4' 8 SECTIONS 21' - I4' -3' 6 SECTIONS I8' 3 SECTIONS 21' 14' -4' 5 SECTIONS 18- 4 SECTIONS 21' 14' -9' 4 SECTIONS Ie' 5 SECTIONS 21' IS 3 SECTIONS 18'16 SECTIONS 21' 15' -3' 2 SECTIONS l8' 7 SECTIONS 21' IS' -6' I SECTION 16' 8 SECTIONS 21' I S' -9' 9 SECTIONS 2 I' — 16' 6 SECTIONS 18' 4 SECTIONS 21' OUTSIDE HANDLE OPTIONAL STOP MOULDING ' BY DOOR INSTALLER- STEEL TRACK BRACKET FASTENED TO WOOD JAMB WITH / ONE 5/16" X 1 -5/8" LAG SCREW SOUTHERN PINE 0.55 S.G. K ' 3/4" MAX. I 13 GA. STEEL TRACK BRACKETS SEE SHEET 2 FOR SPACING / 14 GA. GALV. STEEL TRACK FASTENED TO TRACK PLATES W/ 1/4 -20 X 5/8 TRUSS HO. SLOTTED M.S. & LOCK NUT CENTER STILE iflLOCK BAR GUIDES INSTALLED ON ENO LOCK BAR ENGAGES IN TRACK ' ON EACH SIDE OF' DOOR / 14 GA. GALV. STEEL / END ROLLER NIING W/ (4) ( 14 X 1/2' 5M5 — 2/ OC DOOR STILE OUTSIDE KEYED LOCK ' LOCK BAR LOCKING SHOWN 7 X 7 GALV. AIRCRAFT TYPE CABLE & NICO —PRESS SLEEVE W/ MIN. 5 TO I SAFETY FACTOR 114 X 1/2' 5145 ' 4 PER HINGE CENTER STILE — A SPRING LOADED SLIDE COLT LOCK (BOTH SIDES) FASTENED W/ (4) 14 X 5/8" S.M.5. 5/8' MIN. LOCK ENGAGEMENT CONFORMS SFBC 3603.2 REGA;OIn G GARAGE DOORS 12 GA. STEEL TO J t r 1/2' X 1 -3/4" X 1/16' VERT. ALUM TUBE —GLUED TO PANEL ANO SECURED TO END STILE WITH 3/16" POP RIVETS 0 12' O.C. 7/16' PUSHNUT_ INSTALLED ON ROLLER SHAFT 1 -7/8" X 2 -5/8" X 18 CENTER STILE GA. STEEL I( 14 X 5/8' 5.1.4.5. _ 2/ HINGE f 14 CA. GALV. STEEL CENTER HINGE SECTION B -B l rPOP RIVETS OPTIONAL VENT MAXIMUM OPENING AREA ' 80 SO. IN. MAX. DOOR WIDTH 9' —O" INSIDE ELEVATION RAISED PANEL EMBOSSED DOOR L. — 3/4' X 2 -1/2" X 18 GA. STEEL END STILE 3/4" MAX. d I'J ROLLER HINGE DAB DOOR MODEL 824 MAX. SIZE 9' -0" WIDE X 16' -0" HIGH DESIGN PRESSURE RATING = + 53.0 PSF - 60.0 PSF J THIS DRAWING IS PROPERTY OF' DAB DOORS INC. COPYRIGHT 1998, TRADEMARK PROTECTED DO NOT REPRODUCE WITHOUT WRITTEN CONSENT. 5/16' HILTI SLEEVE ANCHORS OR EQUAL 1 —1/2" MIN. EMBED INTO MASONRY / 1 PER BRACKET Engr. OR. HUMAYOUN FAR000 STRUCTURES FLA. PE ( 16557 PATENT PROTECTED i�I 1 r Y 1 f 2001 ACCi,i'T VT:r. i,o.0/— OG 2�I GARAGE \98 -01 DAB DAB DOORS INC. /11 c U V1 v U GENERAL REVISION OPT. INSULATION ADDED c c �„ 0 VI-o v C T 0 co P N 0 < m co 1 0 1 I drawing no. 98 -01 (sheet 1 of 2 'N i 16' -0' MAX. DOOR HEIGHT I( Qy (I,y A Vl iii A ijj V l \ / \ / t /A' lo ., \ • 'v 'v1 : ' gu, / \ / \ r*I= / \ \ / m ` \ 1.1 ( / t I N r / / 1/2' X 1 -3/4" X 1/16' VERT. ALUM TUBE —GLUED TO PANEL ANO SECURED TO END STILE WITH 3/16" POP RIVETS 0 12' O.C. 7/16' PUSHNUT_ INSTALLED ON ROLLER SHAFT 1 -7/8" X 2 -5/8" X 18 CENTER STILE GA. STEEL I( 14 X 5/8' 5.1.4.5. _ 2/ HINGE f 14 CA. GALV. STEEL CENTER HINGE SECTION B -B l rPOP RIVETS OPTIONAL VENT MAXIMUM OPENING AREA ' 80 SO. IN. MAX. DOOR WIDTH 9' —O" INSIDE ELEVATION RAISED PANEL EMBOSSED DOOR L. — 3/4' X 2 -1/2" X 18 GA. STEEL END STILE 3/4" MAX. d I'J ROLLER HINGE DAB DOOR MODEL 824 MAX. SIZE 9' -0" WIDE X 16' -0" HIGH DESIGN PRESSURE RATING = + 53.0 PSF - 60.0 PSF J THIS DRAWING IS PROPERTY OF' DAB DOORS INC. COPYRIGHT 1998, TRADEMARK PROTECTED DO NOT REPRODUCE WITHOUT WRITTEN CONSENT. 5/16' HILTI SLEEVE ANCHORS OR EQUAL 1 —1/2" MIN. EMBED INTO MASONRY / 1 PER BRACKET Engr. OR. HUMAYOUN FAR000 STRUCTURES FLA. PE ( 16557 PATENT PROTECTED i�I 1 r Y 1 f 2001 ACCi,i'T VT:r. i,o.0/— OG 2�I GARAGE \98 -01 DAB DAB DOORS INC. /11 c U V1 v U GENERAL REVISION OPT. INSULATION ADDED c c �„ 0 VI-o v C T 0 co P N 0 < m co 1 0 1 I drawing no. 98 -01 (sheet 1 of 2 a•• HORIZONTAL REINFORCEMENT 1/2 X 1 -3/4" X 1/16' ALUM TUBE CLUED TO PANEL AND FASTENED TO VERTICAL STILES WITH 1 (2) 3/16" POP RIVETS i HORIZONTAL REINFORCEMENT 1/2" X I -3/4" X 1/16" ALUM TUBE CUT TO MISS RIB CLUED TO; 1?4NEL AND FASTENED TO VERTICAL STILES WITH 1 (2) 3/16" POP RIVETS , POP RIVETS ' 14 C.A. CALV. STEEL SLIDE FASTENED TO w/ 5/16 -18 x 3/4 M. SCREWS & NUTS. )JUSTABLE • •ACKET �IEX HEAD - 12 GA. GALV. STEEL TOP ROLLER BRACKET (DOUBLE) FASTENED W/ (6) 1 14 X 5/8' S.M.S. ' ErLiF..„., 18 GA. X 2-1/4" X 2' GALV. STEEL U.BAR REINFORCING TRUSS 0 CENTER OF TOP SECTION TRUSS FASTENED TO ALL VERTICAL STILES WI TWO 1 14 X 5/8" S.M.S. 7/16" DIA X 3 -3/4" ROLLER SHAFT ' „GR HEIGHT SECTION HEIGHTS BRACKET PLACEMENTS i ST 2ND 3R0 4TH 5T}.1 81 82 83 84 85 85 • 87 88 6. -0” 18" 18" 18" 18' N/A 1' 11-3/4 23" 34" 45" 56' 67" - 6' -6" 21. 18" 1E" 21" N/A 1' 11 -3/4 23' 34' 45" 56' 67" - • 7' -0" 21" 21" 21' 21' N/A 1' 11-3/4" 23" 34' 45" 56" 67" 78 -I /4" 7' -6" 18" 18" 18' 18" 1" 11 -3/4 23' 34" 45" 56" 67' 78 -1/4" 8' -O" 21" 18" 18" 21" 1' 1.1 -3/4" 23' 34' 45" 56" 67' 78 -1/4' - SECTIONS ARE t1UMBERED STARTING AT THE BOTTOM FOR DOORS MORE THAN 8 FT. HIGH USE ADDITIONAL TOP BRACKETS AT 10" O.C. 5/16" X 1 -5/8" LAG SCREWS INTO WOOD OR 5/16' SLEEVE ANCHORS WITH 1 -1/4' EMBED INTO MASONRY 3 PER BRACKET, ' 24 CA STEEL PANEL FLAPS BENT OVER PANEL OPTIONAL EPS- EXPANDED POLYSTYRENE INSULATION BY APACHE PRODUCTS CO. - DENSITY = 1.07 PCF N.O.A. j 98- 0409.03 ' '21" PANEL 'SECTION A —A 14 CA. GALV. STEEL ROLLER HINGES FASTENED W/ (4) 1 14 X 5/8" SMS 2 -1/2' X 4 -1/4" X 13 GA. STEEL PLATES WELDM TO 1 -1/2" X 1 -1/2" X 14 GA. ANGLE 1/2" PUNCHED HOLES 0 4" O.C. MIN. 24 CA ROLL FORMED STEEL PANEL 0 -029" DRAWING OUAUTY 0 -40 MIN. YIELD STRENGTH = 34 KS! i WITH PRIMER AND BAKED -ON POLYSTER PAINTED TOP COAT APPUED TO BOTH SIDES OF STEEL 18 GA. X 2-1/4" X 2" GALV. STEEL U.BAR ' REINFORCING TRUSS C1+ BOTTOM OF BOTTOM SECTION TRUSS FASTENED TO ALL VERTICAL STILES W/ TWO 1 14 X 5/8" S.M.S. 12 GA. GALV. STEEL BOTTOM BRACKET FASTENED W/ (4) fi 14 X 5/8" SMS BOTTOM SEAL ' .039 ALUM PLATE WITH (2) 1/8" X 1" S.M.S. AND RUBBER WEATHERSTRIPPING SEND STILE THIS DRAWING IS PROPERTY OF DAB DOOR; INC. COPYRIGHT 1998. TRADEMARK PROTECTED DO NOT REPRODUCE WITHOUT WRITTEN CONSENT. PATENT PENDING W z z a- a 0 I- V W 0 0 CAST ALUM. CABLE DRUM HORIZ. TRACK SUPPORT RIZ. TRACK LENGTH = OPENING HEIGHT PLUS 12" ' m P.) 14 GA. GALV. STEEL TRACK ' TRACK CONFIGURATION WOOD FRAME BUILDINGS ' STUD WALLS OR DOOR OPENING SHALL BE FRAMED SOUD BY NOT LESS THAN (3) 2X4 PRESSURE TREATED GRADE 2 OR BETTER WOOD STUDS. STUD WALLS TO BE CONT. FROM FOOTING TO TIE BEAM. WOOD BUCK CONNECTION TO MASONRY • TRACK SHALL BE SECURED WITH TRACK BRACKETS TO PRESSURE TREATED 2X6 WOOD JAMBS WHICH SHALL • BE ANCHORED TO GROUTED REINFORCED MASONRY BLOCK WALL OR CONC. COLUMN W/ 1/4' TAPCONS • WITH 1 -3/4' EMBED AND A SPACING OF 10" O.C. OR 3/8" 01A Hu SLEEVE ANCHORS. 1 -3/4" MIN. EMBED AND A SPACING OF 12" O.C. THE BLOCK WALL CELLS SHALL BE GROUT FILLED AND • REINFORCED WITH FOUR 15 BARS EXTENDING INTO FOOTING AND INTO TIE BEAMS. ALL BARS SHALL BE • CONTINUOUS FROM TIE BEAMS TO FOOTING. PREPARATION OF JAMBS BY OTHERS 2" X 3 -1/2' X 12 GA. TRACK BRACKETS 2 -3/16' HIGH CONNECTED TO TRACK WITH ONE ' 1/4' BOLTS k NUTS. gr: DR. HUMAYOUN FAR000 STRUCTURES FLA. PE J 16557 MAY 1 6 2001 0 0 I0 so N !C C,) r GG ?I'.: ::5 WITH THE C:JT;1 Fl;::c.,'' 'UIITII)J( CODE P 7E_AUG. 2001_ _-- 1•: 0 01 w I, C 0 0 w a C., a w 0 Vi w 0 U W N U z N tr 0 0 0 0 0 a7 rl Q J s- Vl z CO w rn 0 CC 30 z 01 - _ N 10 m TEL(305) 556 - C 1 c 0 a U U, U U 0 CO 01 0 O o ' drawing no. 98 -01 u11.0;;! . r-;•: errcE ACCT TANCL 71. p! —O62G. I I w 0 6� sheet 2 of 2 )