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Multiple (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/07/2008 Inspector: Bruhn, Norman Owner: SUAREZ, SUGIE Job Address: 461 103 Street NE Miami Shores, FL 33138 -2456 Project: <NONE> Contractor: ACE PROPERTY SERVICES CORP Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number Parcel Number 1122310150170 Lot: Phone: 305 -598 -1700 Building Department Comments RE ROOF TO A CONCRETE SPANISH S TILE COLOR THRU. NO GAS VENTS ON ROOF DEC 200 Passed JA4L Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Thursday, December 4, 2008 Page 2 of 2 Inspection Date: 10/07/2008 Inspector: Rodriguez, Jorge Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: SUAREZ, SUGIE Job Address: 461 103 Street NE Miami Shores, FL 33138 -2456 Project: <NONE> Block: Contractor: ACE PROPERTY SERVICES CORP Permit Type: Roof Inspection Type: Up Lift Report Work Classification: Roof - New Phone Number Parcel Number 1122310150170 Lot: Phone: 305 -598 -1700 Building Department Comments RE ROOF TO A CONCRETE SPANISH S TILE COLOR THRU. NO GAS VENTS ON ROOF Infraction Passed Comments COMMERCIAL VEHICLE PTrue \ Inspector Comments Passed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Thursday, December 4, 2008 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/07/2008 Inspector: Rodriguez, Jorge Owner: SUAREZ, SUGIE Job Address: 461 103 Street NE Miami Shores, FL 33138 -2456 Project: <NONE> Block: Contractor: ACE PROPERTY SERVICES CORP Permit Type: Roof Inspection Type: Nailing Affidavit Work Classification: Roof - New Phone Number Parcel Number 1122310150170 Lot: Phone: 305 -598 -1700 Building Department Comments RE ROOF TO A CONCRETE SPANISH S TILE COLOR THRU. NO GAS VENTS ON ROOF ®k ®tc' 01 Passed Inspector Comments jJ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Thursday, December 4, 2008 Page 1 of 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Project Address 461 NE 103 Street Miami Shores, FL 33138 -2456 • Qwner Information Address Phone Cell 461 NE 103 Street MIAMI SHORES FL 33138 -2456 ........................... .......................... ........................... .................. ................. .................. ................. .................. Parcel Number 1122310150170 Block: Lot: Expiration: 04/18/2009 Applicant SUGIE SUAREZ SUGIE SUAREZ Contractor(s) Phone ACE PROPERTY SERVICES CORP 305 - 598 -1700 Cell Phone Valuation: Total Sq Feet: Type of Work: Re Roof Additional Info: SPANISH S TILE CONCRETE Classification: Residential Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $10.20 $3.40 $300.00 $6.00 $7.50 $327.10 Total Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type : • $ 0.00 4A. OCT 2.0 CX2i0 MIAMI SHORES VII_ LAGF $ 17,000.00 2300 Available Inspections: Inspection Type : Up Lift Report Hot Mop Tile In Progress Tin Cap Final Roof Nailing Affidavit 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 . Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy October 20, 2008 Date Monday, October 20, 2008 1 Reileh Engineering Corp. (Consulting Engineer) P.O. Box 22011 Hialeah, Florida 33002 Tel : 305-823-8008 Fax: 305 -823 -3300 November 24, 2008 Ace Property Services 14204 Southwest 289 Terrace Homestead, Florida 33033 Project: Dear Sirs; ROOF TILE UPLIFT TEST REPORT Residential Home 461 Northeast 103 Street Miami, Florida Information provided by client: Permit Number: RF081789 Date Completion: November 20, 2008 Roofing Contractor: Ace Property Services Project Number: 08 -1868 (Testing Laboratory Certificate #06- 0501.15) In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project. Thistestingwas performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface. The type of the used for this project was reported to be Spanish S Roof Tile. This tile was reported to have been foamed in place. At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than one (1) tile in ten (10) of all components in the field area and one (1) tile in five (5) of all tiles in the perimeter and corner areas were physically examined. A minimum of one (1) test per every two (2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the confer areas were conducted. Based on our test results, we conclud e meets the test requirement outlined in the above- mentioned pro test report for your review, oftlle at the above referenced project °col, Attached pleasefind a copy ofour Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation MZhamad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 461 Northeast 103 Street Miami, Florida Reileh Engineering Corporation — Project Number - 08 -1868 — Page 2 of 4 Report of TILE UPLIFT TEST for Residential Home 461 Northeast 103 Street Miami, Florida Project Number: 08 -1868 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass Reileh Engineering Corporation -- Project Number - 08 -1868 — Page 3 of 4 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass Reileh Engineering Corporation -- Project Number - 08 -1868 — Page 4 of 4 2 12 10 29 27 25 9 28 26 8 3 19 18 1 4 21 29 13 9 16 22 20 24 14 19 6 96' 60' 08 -1868 APPROX. ROOF 1' 51' LOCA110N5 ANL2121MN510N5 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/20/2008 Inspector: Rodriguez, Jorge Owner: SUAREZ, SUGIE Job Address: 461 103 Street NE Miami Shores, FL 33138 -2456 Project: <NONE> Contractor: ACE PROPERTY SERVICES CORP Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number Parcel Number 1122310150170 Lot: Phone: 305 -598 -1700 Building Department Comments RE ROOF TO A CONCRETE SPANISH S TILE COLOR THRU. NO GAS VENTS ON ROOF Passed /0 Inspector CREATED NOT PER INSTALLATION )---1 ) (vet Comments AS REINSPECTION N.O.A y /--Z n0 FOR INSP- 96879. WEST HALF DONE WILL NEED LETTER FROM ARCH -ENG FOR ROOF CALL FOR 11/20. JR 11/19/08 o- o $. dt kI. Failed Correction Needed , A. Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, November 19, 2008 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/28/2008 Inspector: Rodriguez, Jorge Owner: SUAREZ, SUGIE Job Address: 461 103 Street NE Miami Shores, FL 33138 -2456 Project: <NONE> Contractor: ACE PROPERTY SERVICES CORP Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Block: Phone Number Parcel Number 1122310150170 Lot: Phone: 305 -598 -1700 Building Department Comments RE ROOF TO A CONCRETE SPANISH S TILE COLOR THRU. NO GAS VENTS ON ROOF Infraction Passed Comments TIN CAP SPACEING True Inspector Comments 1 - 2 - ®t"'• L, R___ AA vs 6 d) 'M i &L-) 1. y °Tr, F. Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Monday, October 27, 2008 Page 1 of 2 Inspection Date: 10/28/2008 Inspector: Rodriguez, Jorge Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: SUAREZ, SUGIE Job Address: 461 103 Street NE Miami Shores, FL 33138 -2456 Project: <NONE> Block: Contractor: ACE PROPERTY SERVICES CORP Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number Parcel Number 1122310150170 Lot: Phone: 305 -598 -1700 Building Department Comments RE ROOF TO A CONCRETE SPANISH S TILE COLOR THRU. NO GAS VENTS ON ROOF Passed Inspector Comments 10 -2 0 -- c2g �C� J - AA-us t- Avg S , �o ►''� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Monday, October 27, 2008 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/30/2008 Inspector: Rodriguez, Jorge Owner: SUAREZ, SUGIE Job Address: 461 103 Street NE Miami Shores, FL 33138 -2456 Project: <NONE> Block: Contractor: ACE PROPERTY SERVICES CORP Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1122310150170 Lot: Phone: 305 -598 -1700 Building Department Comments RE ROOF TO A CONCRETE ROOF SPANISH S TILE COLOR THRU. NO GAS VENTS ON ci o 7.° Passed Inspector Comments �% // ..--x 7-' c;-7-74.4.--. 4 i;�,_ �� 7-, -( Failed 7 (� .�� �P - Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, October 29, 2008 Page 1 of 2 NOTICE A RECORDED COPY MUST BE VO PERMIT NO. I ri Q Uck OF COMMENCEMENT POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION TAX FOLIO NO. // —21 W .. � °I1 o STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: Y6 NF cn 111111111111111111111111111111111111111111111 c:FN 2008R0813974- OR Bk 26597 P9 35099i lips RECORDED 10, 06/2008 10:34:40 HARVEY RUVII'IP CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE t' S 3313, 2. Description of improvement: 3. Owner(s) name and address: Su j c-e K. Suw.a.2_ t /tic l a3 s?- M` -a.ti.1 4S-Lx4, eCG 3°3 38 Interest in property: tar"M Name and address of fee simple titleholder: 4. Contractor's name and address: et 5. Surety: (Payment bond required by owner from c Name and address: Amount of bond $ 6. Lender's name and address: ntractor, if any) 7. Persons within the state of Florida designated provided by Section 713.13(1)(a)7., Florida St Name and address: on whom notices or other documents may be served as 8. In addition to himself, Owners designates the in Section 713.13(1)(b),,Florida Statutes. Name and address: Ilowin p�rson(s) to receive a copy of the Lienor's Notice as provided (t le 9. Expiration date of this Notice of Commencement: vy diffe .nt date is speci • ignatu ' of Own Print Owner's Name Sworn to and su.scrib on date is 1 year from the date of recording unless a Prepared by (2(11°S v //er ,2 Address: ®ri/ SCs i offs e (a.v) 33IS) Notary Public Print Notary's Nam My commission 123.01 -52 PAGE 4 12/05 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Permit No. r1n Owner's Name (Fee Simple Titleholder) Jv91 t.�z_ Phone # 3 0 5 'Ha 9 • R, 3 `� %3t'_336 3/00 Owner's Address '6 ( f E' 103 57' City A (fin ( S L re.. Statue( Tenant/Lessee Name Zip 3'3134- Phone # Job Address (where the work is being done) LI (o ( lV c; (s3 s 3' City Miami Shores Villain County Miami -Dade Zip 33) 3� FOLIO / PARCEL # /1– -223 it –b f5- -c• '7 Is Building Historically Designated YES NO C o n t r a c t o r ' s Company N a m e Q ,Ce(iiCe -- P h o n e # 3O -.f k• no0 Contractor's Address 1 99'1 I S 1 tit- si +----gfr City ti Cann ( State— P1 Zip 33 I Si Qualifier Name C'ao..en 24-) 165 State Certificate or Registration No. Ca (OSfr2 21 Certificate of Competency No. Phone# 3 ®5 514ti00 Architect/Engineer's Name (if applicable) Value of Work For this Permit S —4 Phone # Square / Linear Footage Of Work: 2-3° 0 Type of Work: DAdddtion Alteration ONew Describe Work: a '. �,t:�. ■► Q ru eS ❑ Demolition * ** * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** * ** Fees************* * * * * * * * * * ** * * * * * * * * * * * * * * * * * * ** Submittal Fee $ S Notary S Training/Educ Scanning Radon Bond $ " Code Permit Fee $ nen C., ('1 Structural Review. S MIAMI SHORES VILLAGE CCF S CO/CC Technology Fee S '��5b Zoning S Double Fee $ Total Fee Now Due S 1s 10 See Reverse side - Bonding Company's Name (if applicable) Bonding Company's Address City . State 0 Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State l U Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the abse e of such posted notice, the inspection wilt be approved a reinspection fee will be charged Si Signature r or Agent The foregoing instrument was acknowledged before me D- _ d a y of f'ff, 20 ? by S Utf who is personally known tome or who has produced As identification and who did take an oath. NOTARY PUB Sign: Print: My Commission ********* ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1//il Contractor The foregoing instrument was acknowledged before me this day of who i llv known to me or who has produced as identification and who did take an oath. 2C5 by CPA I Sign: Print: My Commission *** * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** APPLICATION APPROVED BY: Plans1Examiner Engineer Zoning (Revised 07/10/07) ROOF ASSEMBLIES AND ROOFTOP STRUCTURES • • ••• • • • ••• •• • • •• • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • ••• • • • • ••• • • •• • • • • • • Florida Building Code Edition 201)4 High - Velocity Hurricane Zone Uniform Permit Application Fo Section A (General lnformattbnl• Master Permit Na . Proceti9 Nd • • • • Contractor's Name Ace Property Services Corp Job Address 461 NE 103 Street Miami Shores, FL ❑ Low Slope ❑ Asphaltic Shingles ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE el Mortar /Adhesive -t Tile ❑ Wood Shingles/Shakes ❑ New Roof 0 Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM Are there Gasv Vent Stacks located on Roof: Yes D No 0 INFORMATION If Yes, what type: D Natural DLPGX Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 0 2400 2400 Section B ( oof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of elevated pressure zones and location of parapets. r _ mirommerlerri `L,Ij MUM :1M.Aci +n..;R� �.l�w!7�1�::+�.,!•InA.�� 7•�R!�k. :::»it b. X:.;+A!w1 BLDG DEPT TO-COMPUMM 15.32 STATE AND COUNTY RULES AND FlE(flATirl $ FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND R FTOP STRUCTURES • • ••• • • • ••• S. •• • • • •• •• • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • ••• • • • • ••• • • • ••• • • •• • • • • • • • • • • • • • • • Florida Building Code Edition VIM ; ; • • • • • • • •; • High - Velocity Hurricane Zone Uniform Permit Arniiic at on Form. Section D (Steep Sloped Roof System). •• ••• •• oo • - - • •- .• Roof System Manufacturer: • • • • • • • ••• • • • Monier Lifetile LLC Notice of Acceptance Number: 07- 1023.09 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations �i " 5.11 P2: 18.31 18.31 P3: Maximum Design Pressure (From the Product Approval Specific System): 66.5 Roof Slope: 2.5 : 12 Steep Sloped Roof System Description \ Deck Type: plywood 5/8 \ Type Underlayment: Ridge Ventilation Na Insulation: 30 # ASTM Fire Barrier: Fastener Type & Spacing: 1 1/4 Ringshank Nails & 1 5/8 Tincap hoc La Adhesive Type: Polyfoam Poly Pro AH160 \ Type Cap Sheet: i 90 # Mean Roof Height: 10" \ Roof Covering: Spanish S Tiles Type & Size Drip ( 3x3 za go galvanized metal \ Edge: 12 "oc Field 15.34 FLORIDA BUILDING CODE — BUILDING • • ••• • • • ••• •• •• • • • • • •• •• • • • • • • • • • • • • • • • • ••• • • • • R150448§EfiBtIES tigOFTOP STRUCTURES • • • • ••• • • • •• • • • • • • • • • • • Florida Building Code EElitipi3 2004 ; • • • • • • • •; High Velocity Hurricane Zone Uniform Permit Application Fomt. • • Section E (Tile Calcula lops) • For Moment tile systems, choose either Method 1 or2. Compare the values for Mrwigh theyaft ps t$e ha lues cap; greater than or equal to the r values, for each area of the roof, then the tile attachment method is acceptble • • • • •• • • • • • ••• •• Method I "Moment Based The Calculations Per RAS 127" Required M (Pt: 452 (P2: 95.4 „, 95.4 x 283 = 11.89 ) _ Mg: 6.78 = Mri 5.11 x?` .283 = 25.08 ) _ Mg: 8.78 = Mr2 18.31 x A. .263 = 25.09 ) _ Mg: 6.78 = Mr3 18.31 Product Approval Mf 66.5 Product Approval Mf 88.5 Product Approval Mf 66.5 Method 2 "Simplified Tile Calculations Per Table Below" of Resistance (Mr) From Table Below Product Approval M 'Must be in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift tile systems use Method 3. Compared the values for ir with the values for Fr. If the fr values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P1: (P2: (P3: = x w: _ ) - W: x cos 8 = Frl Product Approval F' x w: = ) . W: x cos S = Fy Product Approval F' x w: _ ) W: x cos 0 = F Product Approval F Where to Obtain information Mr required Moment Resistance* Mean Roof Roof Height -> Slope 4, 15' 20' 25' 30' 40' Job Site 2:12 34.4 38.5 38.2 39.7 42.2 Restoring Moment due to Gravity 3:12 32.2 34.4 38.0 37.4 39.8 Mu ft :12 30.4 32.2 33.8 38.1 37.3 Calculated 5:12 28.4 30.1 31.6 32.8 34.9 All calculations must be submitted to the building official at the time of permit application. 3:12 28.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 'Must be in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift tile systems use Method 3. Compared the values for ir with the values for Fr. If the fr values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P1: (P2: (P3: = x w: _ ) - W: x cos 8 = Frl Product Approval F' x w: = ) . W: x cos S = Fy Product Approval F' x w: _ ) W: x cos 0 = F Product Approval F Where to Obtain information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier a Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance Mu Calculated Minimum Attachment Resistance F. Product Approval Required Uplift Resistance Fr Calculated Average 111e Weight W Product Approval Tile Dimensions len = gth W = width Product Approval All calculations must be submitted to the building official at the time of permit application. FLORIDA BUILDING CO E - BUILDING 15.35 e MIA MID BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NICE OF AC Monier Lifetile, LLC 200 Story Road Lake Wales, FL 33898 SCOPE: This NOA is being iss The documentati ANCE (NOA) • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • • • sloe • • 44 • • • • . 4& E , FLORIDA • : ROOFING ASSEMBLY APPROVAL Category: Sub- Category: Material: Roofing High Profile Roofing Tiles Concrete • • ••• • •• •• • • • • • • • • • • • • ••• • • • • • • • .•• • • • • •• • • • • • • • • • • • • • • • • • ••• • •• • • • • • • • • • ••• •• •• • • • • • • • • • • • • • ••• • ••• • • • • • • • • • • • • • • • • • • ••• •••• ••• • .•.. • • • •• ••• •• • . . • • •• • •• • • • • • • • • • ••• •• 1. SCOPE This renews a system using Monier Lifetile Spanish 'S' Concrete Roof Tile, as manufactured by Monier Lifetile LLC in Boca Raton, FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Monier Lifetile 1= 18" TAS 112 Spanish 'S' Tile w =10 -1/2" min. 3/" thick Trim Pieces 1= varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. TAS 112 Test Identifier 7161 -03 Appendix III 7161 -03 Appendix II P0647 -01 P0402 94-084 94-083 25 -7183-4 Product Description High profile, interlocking, one-piece, 'S' shaped, high- pressure extruded concrete roof tile equipped with two nail holes. For direct deck nail -on, mortar set or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Wind Tunnel Testing PA 108 (Nail-On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (2 Quik-Drive Screws, Direct Deck) Date Dec. 1991 Dec. 1991 Aug. 1994 Sept. 1993 May 1994 April 1994 Feb. 1995 NOA No.: 07-1023.09 Expiration Date: 01/02/13 Approval Date: 12/27/07 Page 2 of 6 Test Agency The Center for Applied Engineering, Inc. Redland Technologies The Center for Applied Engineering, Inc. Nutting Engineering Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. • • • • •• • • • • • • • • • • ••• • • • ••• • • • • •• •• • • • • • • • • • • • • ••• • • • • • • • • • • • ••• • • • • ••• • • • ••• • • •• • • • • .• • • • • • • • • • • • • • Test Identifier • :: Ted Pia ne/Repont ••• • . . • 25- 7214 -3 Static Uplift Testing •'PA:102 (I QtufcwDlnve Scfew, • • r 3'$re1' ) • • • Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC -78 13343.1 520111 -3 520191 -2 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations • • • Wind'Tuhnhl ThStiflg PA 108 (Nail -On) Wind Driven Rain PA 100 Physical Properties TAS 112 Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Restoring Moment Due to Gravity Two Patty Adhesive Set System Date March, 1995 Aug. 1994 Oct. 1994 June 2007 Dec. 1998 March 1999 Oct 2007 February 1996 April 1996 December 1996 March 1995 August 2007 April 1999 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Monier Lifetile Spanish 'S' Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 07- 1023.09 Expiration Date: 01/02/13 Approval Date: 12/27/07 Page 3 of 6 • • ••• • • • ••• S. •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • • • ••• • • •• • • • • • • • • • • • • • • • • • • • • • • • • • Table 1: Average • • • • • • • • • Weight (1N)''ndbimerisio'ns (I x &) ' • Monier Lifetile Spanish 'S' Tile Tile Profile Weight -W (1bf)• • • • • Len h- 1(1t.... • • I Width -w (ft) Monier Lifetile Spanish 'S' Tile 9.64 ' . - : ' : -:1. • _ - 5' • • Direct Deck 0.865 Table 2: Aerodynamic Multipliers - A. (ft3) Tile Profile A (ft) Direct Deck Application Monier Lifetile Spanish 'S' Tile ' 0.263 Table 4: Attachment Resistance Expressed as a Moment - Rif (ft Ibf) for Nail -On Systems Table 3: Restoring Moments due to Gravity - Ms (ft-lbf) Tile Profile 2 ":12° 3 °:12" 4 ":12° 5 ":12" 6 ":12" 7 ":12° greater Battens or Direct Deck Monier Lifetile Spanish 'S' Tile Battens Direct Deck Battens Direct DwK Battens Direct Deck Battens Direct Deck Battens Direct Deck N/A 6.87 N/A r6.78�' �°`' N/A 6.67 N/A 6.52 N/A 6.34 N/A 6.16 Table 4: Attachment Resistance Expressed as a Moment - Rif (ft Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Monier Lifetile Spanish 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 1 . #8 Screw 20.7 20.7 2 . #8 Screws 43.2 43.2 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 Table 6: Attachment Resistance Expressed as a Moment Mf (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Spanish 'S' Tile Adhesive 29.3 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. NOA No.: 07- 1023.09 Expiration Date: 01/02/13 Approval Date: 12/27/07 Page 4 of 6 • •• • • • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • Table 7: Attachment Resistance Exf*bssbd as d Moment -'Mr (ft -lbf) for Single Patty Adhesive Set Systems ' Tile Profile Tile Application • • • • • • :Minimum Attachment • • 'Res Monier Lifetile Spanish 'S' Tile Polyfoam PolyP+a'r" : • • • • :•• • • • 660 Polyfoam PolyPro'n" .7" 3 Large paddy placement of 63grams of PolyProTM". 4 Medium paddy placement of 24grams of PolyProTM. Table Moment - Mr (ft-Ibf) 8: Attachment Resistance Expressed as a for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Spanish 'S' Tile Mortar Set 24.5 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below, or following statement: "Miami -Dade County Product Control Approved ". MONIERLIFETILE LLC, SPANISH 'S' TILE (BOOA RATON, FL PLANT) LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 07.1023.09 Expiration Date: 01/02/13 Approval Date: 12/27/07 Page 5 of 6 • ••• . .. .. • • • • . • • • • • • • • • • • • • • • • • ... • • • • • •• • .. .. .. • • • • • • • • • • • . • • • • • • • • • • • • • • • • • .. • • • PROFILE DRAWINGS • MONIER LIFETILE SPANISH `S' CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 07-1023.09 Expiration Date: 01/02/13 Approval Date: 12/27/07 Page 6 of 6 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 • • •. I. • • • • • • . • • ••. • • • ••• • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • ••• • • • • • ••• • • • ••• • • • .• • • • • • • • • • • • • • • • • • • N114 -D,E COUNTY, FLORIDA • • • • • • • • ' •' : MEIJI/VD/1.V FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 • •• (4157 315! -2901 FAX (305) 375 -2908 • •• • • • • • • • • • .• • • • • • ••• •• SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® A1I160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by Jhrge L. Acebo. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Sub Category: Materials: SCOPE: This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® All 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Roofing Roof tile adhesive Polyurethane • • •.• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • ... • • • • • • • • • • • • • •.. • • • • ••• • . ••• .. • • • • • • • • • • • • • • • . • • • • • • • • • • • .. • ... •••• ... • • • • .. • • • •. ... •. • • • • • • • .. • • • • • ... •. • Product Dimensions Test Specifications Polypro iIi AH160 N/A TAS 101 Foampro RTF1000 ProPack® 30 & 100 N/A N/A Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results 1.6 lbs. /ft.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Penn / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services LIMITATIONS: 1. Test Identifier #94 -060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB -589 -631 9637 -92 01 -6743 -011 01- 6739- 062b[1] 7050.02.96 -1 528454 -2 -1 528454 -9 -1 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 • .. • • • • • ... • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • S•..... •••• • • • • • • • • •. • • • • • . • • • • • • •. • • • • • • • • • • • . • . • • ... . • Test Name/Report .•• . S IRS ffil. ••' •• •• I•S for :• ••5 •• &SIV 14 -93••• •• SSTD 11 -93 SSTD 11 -93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 TAS 101 TAS 101 Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01/94 04/30/93 11/16/94 01/16/95 03/14/96 10/23/98 12/28/98 TAS 101 • 03/02/99 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH 160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro their tile assemblies shall test in accordance with TAS 101. AH160 roof tile adhesive with 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. / F` W • t2 F'= MS NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3 of 7 • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • S. • ••• • • •• • • • • • • • • • INSTALLATION: • • • • • •• • ••. •••• • • •• ••• • • • • • 1. Polypro® AH160 may be used with any roof tile assembly having a current 140A that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance withtfie2on aedf4 $ ?ibatjbh section and the corresponding Placement Details noted herein. The roof tte•••asteiib y's adhesive attachment with the'use of Polypro® A11160 shall provide sufficient attachment resistanca, cpressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense tinier shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (warns) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 LABELING: All Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 • • •.. •• •• • • • • • • • • • • • • • ••• • • • ••• w • • • ••• • • • • •• •• • • • • • • • • • • • • • ••• • • • ••• • ADHESIVE PLACELNI; 4E1' • • • M • SINGLE PATTY' • • • • • • • . • • • •. •••• ••.• NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date:,04 /13/06 Page 5 of 7 • • ••• • • • ••• • •S. •• • • • •• •• • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••• • • • • ••• • • • ••• • • • •• • • • • • • • • • • ADHESIVE PLACEM1N�' 9E4114 4• • : • •� • SINGLE row TY • • • • •• • • • •• ••• •• •• • • • • • • • •• • • • • • ••• •• NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 • • ••• • • • .•• S. •. • • • • • •• S. • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • ••. • • • • ••• • • . ADHESIVE PLACEiIEii DE • • . • . • • • •••• DOUBLE PA'Y' ' • • : • • • • • • • • •• • • • •• •.• • • •_ `•0 • w • • •• • Single paddy between tile 2 in. xT in. medium size paddy eave course only Nail through plastic cement between Lille PAin. x 3 ln. Single paddy on underlayment Single paddy on top of tile Eave Course Eave Closure 2 in. x 7 in. medium Fascslze paddy eave course only ia END OF THIS ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 7 of 7 • • ••• • ••• ••�•• • •'• •• •• • • • • • • • ••• • • • • • • • ' • • • ••• • • • • ••• SECTION ,i 24 HIGH VELOCITY HU IC NE ZONES REQUB" C ES% Itotjaig it. NI ;JR RCS OFING ••• • ••' • • • • • • • •, 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to pro a the owner with the required roofing permit, and to explain to the owner the content of tits %ecttQn.. •The pJVvi ions of Chapter 15 of the Florida Building Code, Building govern the minimum reqtireriett4dici:stlargiprds,of a industry for roofing system installations. Additionally, the following items should be addr s e i as of the a reement between the owner and the contractor. The owner's initial in the adjacent b'ooc inbk ateS thtt the t rr 'has !peen explained. rA 1. Aesthetics- W rkmanship: The workmanship provisions of Chapter 15 (High Ve ocity Hurricane Zone) re for the purpose of providing that the roofing system meets the wind resistance' and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with re pect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renslling Wood Decks: When replacing roofing, the existing wood roof deck m y have to be renailed n accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) f the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring its (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner h6uld notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of tije roof decking can be iewed from below. The owner may wish to maintain the architectural appearance, tierefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may e water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. �!. 5. Overflow scuppers (wall outlets': It is required that rainwater flow off so that the roof is not erloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with e Florida Building Code, Plumbing. 4 1. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of e structural assembly (the building itself). The existing amount of attic ventilation shall not e reduced. It may be beneficial to consider additional venting which can result in extending the service life of the r of. 4/6.1. NO 103 sr Date Con - %'o Signature Property Address Permit Number Rev:1/20/2005,Computer Services, Building Department Miami -Dade My Home rban Development Boundary oning on-Ad Valorem Assessments My Home Page 2 of 2 rt1d171i . dde. ov Show Me: Property Information Search By: Select Item Text only Property Appraiser Tax Estimator Portability S.O.H. Calculator Summary Details: Folio No• 11- 2231- 015 -017Q Property: 461 NE 103 ST Mailing Address: SUGIE K SUAREZ 481 NE 103 ST MIAMI SHORES FLA 33138.2458 Properly Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 1,694 Lot Size: 8,250 SO FT Year Built: 1953 $25,000 MIRROR LAKE SUB PB Legal 56-15 LOT 17 LOT SIZE Description: 75.000 X 110 OR 11640- $91,840 1133 1282 4 Sale Information: Sale O/R: Sale Date: 0/0 Sale Amount $0 Assessment Information:* Year: 2008 2007 Land Value: $193,784 $213,984 Building Value: $182,860 $162,860 Market Value: $356,644 $376,844 $113,43 Assessed Value: $116,840 Homestead $25,000 $25,000 Exemption; Total Exemptions: $25,000 $25,000 Taxable Value: $91,840 $88,437 Senior Exemption; $50,000 $0 Senior Taxable Value: $41,840 $88,437 *The market and assessed values are accurately reflected.infonnation related to this property's exemptions and taxable values are being updated as a result of the recent passage of Amendment One and will be available shortly. Additional Information: L • i 1. to • -- •> in a ru. • mmunity Development District nity Redevelopment Area powennent Zone rprtse Zone d Use •:ERIArp,o1.44$ ELlcT Digital Orthophotography - 2007 0 130ft My Home [Property Information I Property Taxes I My Neighborhood I Property Appraiser Home I Using Our Site I About I Phone Directory I Privacy I Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. Legend Boundary e Selected Property Street ®d Highway Miami -Dade County Water http: / /gisims2.miamidade.gov /myhome /propmap.asp 10/8/2008 ?NI4 �t SioraVillapeOrAit Deliaatetase 10050 NE 2nd Ave * Miami Shores, Fl 33138 Phone 305 -795 -2204; Fax 305 -756 -8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: Suy /� Su 4242– Property Address: L/ / y67- la3 sT- Roofing Permit Number: ECEVVED OCT 7 2008 GM, WO Mb NO Date: 9'2-6'o•P' Dear Building Official: I $U2. Sum& certify that I am not required to retrofit the roof to wall connectiorti of my building because: O The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. O The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) State of Florida County of Dade S'tel i C �u�i'd�CsL Print Name PA/ The undersigned, being the first duly sworn, deposes and says that he/she is the oefttfaeter for the above property mentioned. Sworn to and subscribed before me this — (.0 day of 39 r �5 Notary Public, Sate of Florida at Large - * When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $ ,000.00, and th ding was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall cone • 'on Hurricane Mitigation. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/19/2008 Inspector: Rodriguez, Jorge Owner: SUAREZ, SUGIE Job Address: 461 103 Street NE Miami Shores, FL 33138 -2456 Project: <NONE> Contractor: ACE PROPERTY SERVICES CORP Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number Parcel Number 1122310150170 Lot: Phone: 305 -598 -1700 Building Department Comments RE ROOF TO A CONCRETE SPANISH S TILE COLOR THRU. NO GAS VENTS ON ROOF *I 19 2000 Passed Inspector Comments 1kt e- sr 1{. ,s,-1 ®,u o ®r- rd I= =„4.2 sr4-144--ri.e.,0 . n. k 1 2.-0 642 ` O. 44 . Failed 7f1 --c,p___, 12.1c)0 �o, Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, November 18, 2008 Page 1 of 2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit 9a1417 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 S e Street.. t0' 3t, Registered Architect and/or I Engineer 's North Dade Septic .Tank st iikalcalkinsala tl d ri 013:Lcht_a Mork Subdi -44-1L4' Street and Number where work is to be performed—No Street.— State work to be performed and purpose of building (By Floors) li — Repairs.. XX No. of Stories. .. . .. . .. New Building Remodeling Addition Size Septic Trmlf Type of Tank-- Feet of Drain 'nil. —'300 aqsf t • fist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage —CePeeitY Amount of Permit $—_. 25.00 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and ham 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 mit, as gurf'sre required by die Act. The undersigned agrees to employ only such sub-contractors, on work to be perf under licensed by Miami Shores Village. (Signed) /42,1-q Plumber. STATE OF FLORIDA, COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Pubho, State of Florida NOTE: A re-inspection fee of $1.00 will be made when sari misspell= is soas'-, by improper notice for inspection, er faulty materials and/at warlonanship. CLoscrs OATH Tuss em°v/gml LAVA. TORISS SINKS a.m. SINKS LAUNDRY Tugs URINALS CATCH Lump/ FLOOR DRAIN DRINKING FOUNT'S/ r----M.0T,s7 11, I X TUR IS Colon. LIST CHICK SEPTIC TANK SIWIR CONN. DRAIN FIELD SOAKAGS Pro. Gittssa TRAP SOLAR HEATER Du" WILL *PIM LH. SYSTIEK tht i si • is Pool. CONTR. LIST . CHICK Size Septic Trmlf Type of Tank-- Feet of Drain 'nil. —'300 aqsf t • fist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage —CePeeitY Amount of Permit $—_. 25.00 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and ham 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 mit, as gurf'sre required by die Act. The undersigned agrees to employ only such sub-contractors, on work to be perf under licensed by Miami Shores Village. (Signed) /42,1-q Plumber. STATE OF FLORIDA, COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Pubho, State of Florida NOTE: A re-inspection fee of $1.00 will be made when sari misspell= is soas'-, by improper notice for inspection, er faulty materials and/at warlonanship. MiAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during *grass of the work. 20 squares Dated 23rd, ,19.77 Owner's Name and Address. MI's. Sus 3eKlm Suarez, N0.461 gt,N,E, 111rd St. Registered Architect and /or Engineer . ftStit. sne•TItt•tenmrmxi.mmttearr :... Name and address of licensed contritctorlang,,Rooflug & Tile Cosa Ine,17,11T, W. Location and legal description of lot to be built on: Block._ Subdivision 'o.' Lake Street and Number where work is to be done. 6 1 N.E. 103rd Street • State work to be done and purpose of building (by floors). Rene.; tear Qf _existalxtg rho ng,,AQwn to sheathing, tin cap 1 -30# felt to sheathing mop. 1 -901b. slate with hot asphalt1:..install white shingle and for no other purpose. New Building Remodeling. Addition Repairs. .CCF. No. of Stories ...... ........._.._ To be constructed of Kind of foundation......._ .. Roof Covering &Ugi? tile.. _.,. Estimated Total cost of improvements $.. ,1s600 :00 _ _...._. .._.Amount of Permit $.120 Zone cubage required._-_ ..... __________ ..... __.. __. _..flan 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 NVorkmen'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 th of the work such public notice or notices as are required by the Act. The undersigned agrees to employ onl such subcon, actors, 9 to be performed under this permit, as are licensed by Miami Shores Village. Remarks__ ..... (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ._ ...... ......... _______ _______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. k — 7 Permit No � Dirt Read, Sworn to and Subscribed before me. Disapproved ___ __.-_,.' D e (/ - Notary Public, State of Florida (Signed) _ _ _ _ _ . Building tor My Commission Expires PLAN NC 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection tion or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATICIN FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State oj 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 pievess of the work. 6-2 77 Date , 19..-- firs Suarez m 4r- 1.03 Owner's Name and Address. wroo.4.••.••■••*. •••••••••■■•••••• 4,000000•NOOM••••• areet..■•••••••••••••••*•••••••••••••• ..... ■•••• Registered Architect and/or Engineer , AW Itoofim_CO 4 W Miami . Inc. 37 N.M. 87 eet m Name and address of licensed contractor Location and legal description of lot to be built on: Block. Subdivision. 461 N.B. 103 Street Street and Number where work is to be done State work to be done and purpose of building (by floors)._ Remove existing flat tile and install new flat tile to Dade County COde. 00 00 •■■• WOOO •••••■•■••••■■* ••■••••■••••■■•■•■•■....0 00 ••••■••01/ • 410 and for no other purpose. New Building Remodeling Addition Repairs.. No. of Stories To be constructed of Kind of foundation Roof Covering Flat the Estimated Total cost of improvements $...-.1.2.12.9.9.1.9.9_...—......Amount of Permit 24 Square I 2. 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 or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks. (Signed) 00 ne • - son STATE OF FLORIDA, I COUNTY OF DADE. j ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. —..--..- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him statecliat710.7 2 „ . Date Read, Sworn to and Subscribed before me. Permit No Disapproved . ate (Signed) Building pector 2- 2 Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Disapproved Council Approved. 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. Date Date 8f -Cad 48..E C77' ai J a 7& °A. fcrN-- 33 ( c l /ht, Que, / d,„„„„ra„,,f un ,p MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT } ►PPLICATION 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 applic�aation is made in compliance and conformity with the Building Ordinance of Miami Shores Vn lage, 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 Owner's Name and Addresses it irr�• •� .� N Registered Architect and /or Engineer_ Name and address of licensed contractor Location and legal description of lot to be Lot /5 Block Subdivi,swion__._.( - Street and Number where work is to be done �!/ 6 / " J4 E• • /0 3 P State work to be done aid purpose of building ( b ,19_ Streetiqr on: cad New Building " Remodeling To be constructed of C. 4 ri a 1';ind of founded Estimated' ted'Total cost of improvements $...�,. %.d dd Zone cubage required 1$ A.dition Distance to next nearest building " 7L".. Maximum ' live load to . borne by each floor and for no other purpose. Repairs__ _ ___ _____.__. No. of Sttories -_ / Roof avering omit of Permit $_ Plan Cubage_ Size of Building Lot_. i t b I hereby submit all e plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned ap lichnt for this, building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Flori a ,MT rkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with e` provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wok to be perforined under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to,be perforgred, under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ' Before me, the and rsigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, 'being by me of the above described con _ therein by him stated are true. Permit No Disapproved (Signed) /L#I� • y sworn, upon oath deposes and says that he is - the- etron; that be has carefully read the foregoing application, and that he did sign the same, and that all facts to me well known, Date l_� o 5.3 Read, Sworn to and Subscribed before me. Date G BOARD 12.". - Member Member _ _ -- +R`I"?�P Council , pproved_ 1, \ �' _ Dat NO : A charge $1.00 will be made for making corrections the Plannijng Board. w Notary Public, State of Florida My Commission Expires--___ -- Member Member ,Member Disapprov or changes to DATE • Date t is application after approval lias been obtained from A re+lnspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for, inspection or f ulty materials andd, /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building 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. Apil 28 63. Date r , 19. Owner's Name and Ad Tess W. Vincent Farrey No. 01 street N.E. 103rd Street Registered Architect an /or Engineer Name and address of licensed contractor Certified York Corporation-1U Dixie Highway .onItnd legal description of lot to be built on - ..... Block Subdivision &reet and Number where work is to be done .461 03rr3 St re et,. Iliami.-Shore IS • _Flord State work to be done and purpose of building (by floors)- Int11ttox 1_ of Yo..r.k. Nadel 3514.R, 3 HP water actur.ce_haat pump in 1 t-a- and for no other purpose. New Building_ Remodeling. Addition Repairs No. of Stories • To be constructed of_ , Kind of foundation. Roof Ctij.ing Estimated Total cost of improvements $__28.10...QO._____.____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 he.reby 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 a plicant 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 subcontraters, onjyork to1„,..)) wife co, ed un his permit, as are licensed by Miami Shores Village. Remarks (Signed)_______ N. Miami, Florida STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peered to me well known, and who, 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 sated are true. • Permit No ' n Datec, Read, Sworn to and Subscribed before me. Disapproved ,,,,__ Date • (Signed) ''<' 4 / Built1hg Inspector My Commission Expires.. PLANNING BOARD_ DATE • Chairman. Member Member Member _______________________________ ..... Member - --- Member' Council Approved Date Disapproved .. Date Notary Public, State of Florida NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval, has been obtained from the Planning Board. A re-inspection f e of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or wor ship. LAURA Mc CARTHY RE. L ESTATE PHONE PLAZA 1- 4941 187 N. E. SETH STREET MIAMI 37. FLORIDA March 14th, 1961. Thie will serve as my authorization to allow Evelyn Cumuing to copy the floor plan from the blueprints in your possession of my home located at 461 N.. E. 1O3krd Street, Miami Shores, Florida. Lot 17/ of Miriror Lake, Subdivision, PP56, P 15. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Applcation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ings 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 , 19-) Owner's Name and Address. -11,4,9 No.. 41.4 I. Street_ / 61. - Registered Architect anci/or Engineer I: Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done Xnd purpose of building (by floors).-.Z/ __and for no other purpose. New Building_____ ...... Remodeling Addition Repairs No. of Stories To be constructed of I Kind of foundation Roof Covering Estimated Total cost of ,improvements ,;,) c- 0 Amount of Permit $ Zone cubage required. _Plan Cubage Distance to next near.* 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 or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. • Remarks (Signed)._ STATE OF FLORIDA, I COUNTY OF DADE. I f ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ••■••■,* 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 trpe. Permit No Date 9-/, Read, Sworn to and Subscribed before me. to me well known, Disapproved ___ Date (Signed) , Building Inspector PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved___4.____ —______Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made materials and/or worlananship. Notary Public, State of Florida My Commission Expires__ ...... .... Date this application after approval has been obtained from necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT P tsult No... _ E 7- Date Application is hereby mad' 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. y Owner's Name and Address ! 0n 126'' ✓7 es No '6 / Street Al s e ..... Registered Architect and /or Engineer Employing Plumber's Name w ,45 Grt s S y s to Ot2 No /.577/ Location and Legal Description Lot—, fleet Street and Number where work is to be performed —No. / Street .2 MI? Subdivision street_ /VE /c , .513 State work to be performed and purpose. of g (By Floors) New Building Remodeling Addition_ Repairs.___.___ No. of Stories _.._ Size Septic Tank Type of Tank - Capacity Gals.._. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well- Size of Soakage Pit_.-_._ Amount of Permit $ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig . , : as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman >. ' Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em eyed 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 . ublic 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 undyed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared (Sigma) Master Plumber. to me well known, and who, beinglby 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. NOTE: A re- materials and /or My: Commission Expires Notary Public, State of Florida fee cif $1.00 will be made when such re- inspection is made.necessary . by improper notice for inspection, or faulty GLOSaTS BATH TUBS ZoN., I LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING POUNT'NB TOTAL. FIXTURES Comm. LIST CHECK • SEPTIC TANK SEWER CONN. I DRAIN. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POO4. - / CL c e e4 74e/e, LIST CHECK Size Septic Tank Type of Tank - Capacity Gals.._. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well- Size of Soakage Pit_.-_._ Amount of Permit $ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig . , : as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman >. ' Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em eyed 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 . ublic 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 undyed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared (Sigma) Master Plumber. to me well known, and who, beinglby 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. NOTE: A re- materials and /or My: Commission Expires Notary Public, State of Florida fee cif $1.00 will be made when such re- inspection is made.necessary . by improper notice for inspection, or faulty II I- Mi OWk4ER'S-NAME or Lake ome PRESENT ADDRESS LICENSE NO PHONE NO. B LOCA �/� % 1f.t. 103 ON d S St. OR AVE) . LOT 17 ' BLOCK SUBDIVISION Mirror Lake Johh GENER Myers L CO TRACTOR ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. r 16 DATE 2-26-53 PERMIT FEE $ 19.00 BUILDER'S BOND 011Mit i DATE ZONE REQUIREMEN S Cu. FT. aa/ PLAN CUBE 19)864 CU.1FT. 15 000 EST. COST $ DRAW NCS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE x NcW �, CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION terrazzo floors, Master wa1 .s P REPAIRS DESCRIPTION acd ceilings' 3 bdrm. -2 baths-living room-dining room- kitchen- garage ALTERATION DESCRIPTION ADDITION SUBMITT D TO PLANNING BO 1 RD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE•SUBM ED TO PLANNING BOARD "; ✓ SUBMITT• D TO VILLAGE COU!4CIL d REMARKS 4 CERTIFIC TE OF OCCUPANCY ISSUED °n AND INSPECTION BY RECORD —MIAMI TO SHOR S VILLAGE NO. . 1 :I i MIT BUILDI .n/rASGI a5— -f r v. .a 1 BUILDING INSPECTIONS nSPECTIONS - DATE . . R RE- INSPECT B BY R RE- INSPECT B BY FOUNDATION O O9' 1 1 /` BEAMS & LINTELS 1 1..4- .,.,..7;.: � �f0" FRAMING y y,� � ��,�i , , A FINAL - -cv- 114-i/ CLEAN -UP I II if PLUMBING PERMITS & INSPECTIONS i CONTRACTOR =-_�� , i ._ �', P PHONE PERMIT NO. 41-(.0 DATE F FEE $ 4.—e - A ADDITION R NEW BLDG. . - REPAIRS SPECIAL PERMITS P PERMIT NO D DATE F FEE, TEMPORARY SERVICE $ $ SEPTIC TANK 1 1 . .G®® ,�� $ $. SEWER $ $ SOLAR HEATER $ $ GAS $ $ INSPECTIONS D DATE B BY R RE- INSPECT B BY R RE- INSPECT B BY ROUGHING ° ° .0- t t61. Q Q GAS - -_ SEWER SEPTIC TANK I ItiAIIIIMa SOLAR HEATER - -Mil FIXTURES r ri•+ ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR 0 c 1.., .`. P PHONE pppp/ APPROVAL TO POWER CO. FOR SERVICE DATE r/'. a% - yr BY - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the 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 Divi ,,ion 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__'____ Registered Architect and /or Engineer_ - -__ ..... Name and address of licensed contractor__ Location and legal description of lot to be built on: Lot Block._ _ Subdivision. Date___..______ — ,19 Street Street and Number where work is to be done-- ._____.._____. � __ __./ 6.._ ___ Ste work to be done and purpose of building (by floors) 3 and for no other purpose. New Building_ ___ . _ _ Remodeling' Addition _. _ - Repairs... ... No. of Stories... Ep be constructed of Kind of foundation Roof Covering Estimated Taal cost of improvements $ ••, �_ Amount of Permit $ ______ _._ ___, :.� ■. .,one cubage required____ __— __Plan Cubage_____ __._- ..__ :- IrDistance 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 or sub- contractors employed by him in the wo_k to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit.,as are licensed by Miami Shores Village. Remarks:---.--- - -- _._�_ (Signed).- __ -. STATE OF FLORIDA, j f COUNTY OF DADE. 1 ss• / Before me, the undersigned authority, a notary public, duly authorized to- administer oaths and take, acknowledgments, personally ap- ' :peered ___ 1__._ to me well known, therein by him g by stated me first duly sworn, upon oath deposes and says at he is the- _ - -- -- and who, of tlh. abov,. described construed �, that be has carefully read the fo egging application, and that he did sign the same, and that all facts 'Permit No. —_____ 1_'' Date Disapproved --- -_---- _ - -_ -_ _ "(Signed) ii Chairman '' Member — - — -- ' Member - — Council Approved. __ Dat g nspector PLANNING BOARDa Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires_ . Member Member Member Disapproved _DATE Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hewn obtained from the Planning Board. . A re- inspection fee of $1.00 will be charged when such re- inspection is mete necessary by improper notice for inspe -•tion or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. c5 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 Registered Architect and /or Engineer EiXploying Electrician's Name : " 'v Location and Legal Description Lot. Block Street and Number where work is to be performed —No Gfr `l , C, State work to be performed and purpose of building (By Floors)... No Y"6 / east Street...' No 7,70/1 New Building »:..: »:..r Remodeling. Street.;.. . Subdivision... Street. /0.' .Addition .Repairs. No. of Stories. S a Underground Size Feeders Conduit. .Main Sw. Amps Main Fuses Amps Type of Installation— Conduit. Tubing B.X.L .Metal Moulding......_. Amount of Permit $ » ... ........ »..... (Signed) » » » Electrical Inspector. The undersigned applicant for this builduag permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 1'• Before me, the undersigned authority, ';a notary public, (Signed) ... Master Electrician. duly authorized to administer . oaths and take acknowledgments, personally appeared...... »... ...» .. ». ».... » ............... »....» . 4. » ...... ».» » ..._» tO me well known, and who, being by me first duly sworn, upon oath deposes and says that he is tile... »............ of the above described construction, and he has carefully read the foregoing application, and that he did sign tub dame, and that all facts therein by him stated are true. My Commission Expires Notary Public, State pf 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. II s-d SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES No. LAMPS REFRIO. OUTLET - IRON - OUTLET RANGE OUTLET RANGE 'CONIC 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. mum - ' TOTAi.4 LIST CHECK .. S a Underground Size Feeders Conduit. .Main Sw. Amps Main Fuses Amps Type of Installation— Conduit. Tubing B.X.L .Metal Moulding......_. Amount of Permit $ » ... ........ »..... (Signed) » » » Electrical Inspector. The undersigned applicant for this builduag permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 1'• Before me, the undersigned authority, ';a notary public, (Signed) ... Master Electrician. duly authorized to administer . oaths and take acknowledgments, personally appeared...... »... ...» .. ». ».... » ............... »....» . 4. » ...... ».» » ..._» tO me well known, and who, being by me first duly sworn, upon oath deposes and says that he is tile... »............ of the above described construction, and he has carefully read the foregoing application, and that he did sign tub dame, and that all facts therein by him stated are true. My Commission Expires Notary Public, State pf 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. II s-d Permit iLtisrb MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date— / 3/ 4r. .......... . , II Application is hereby mad for the approval of the detailed statement of The plans and specifications herewith submitted for the building or owe' 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be keg* at building during progress of 'Ina*. 4.AAA44 4) . Ownes Name and Addres. A-A-SEPTIC TANK CO. INC. No Street Registered Architect and/or Engin Employing Plumber's Name No Location and Legal Descr4tion Block— Street and Number where work is to be performed–No V 4 / State work to be performed and purpose of building (By Floors) New Building Street__ street_11 Remodeling Addition___ Repairs_ No. of Stories___ ..... Size Septic Tank– 6 _Type of Tank Capacity Gals ao Feet of Drain Tile Jr/0 nist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: Gity–Well. Size of Soakage Pit. ••■■■••■ Amount of Permit $ (Signed) N1kql*.– Plumbing Inspector. The undersigned app cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmefs Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions tiereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted, for inspection on the site of the work such public notice or notices as are required by the Act The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, I ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare Master Plumber. to me well lcnown, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described c6nstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all fac therein by him stated are true. My 0 Vi on Expires Notary Public, State of Florida t'ater: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or fau • and/or workmanship. TsAL FIR --....—.... —...--- III T CRCS CLOSETS T 8 U AT 8 HS 1 SHOWERS LAL Tom V F45 SIN^ I.' SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRIK I N FOUNT' N NS G . CONTR. LIST ! ' CHECK _,..... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I W 0 POOL CONTR. LIST • I • 1 II ' CHECK _ 1 , Size Septic Tank– 6 _Type of Tank Capacity Gals ao Feet of Drain Tile Jr/0 nist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: Gity–Well. Size of Soakage Pit. ••■■■••■ Amount of Permit $ (Signed) N1kql*.– Plumbing Inspector. The undersigned app cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmefs Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions tiereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted, for inspection on the site of the work such public notice or notices as are required by the Act The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, I ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare Master Plumber. to me well lcnown, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described c6nstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all fac therein by him stated are true. My 0 Vi on Expires Notary Public, State of Florida t'ater: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or fau • and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /4cam$ Date -_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior 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 Engin Employing Plumber's Name / > • NO._..9 e OZ / .7 Str Location and Legal Description Lot 0. Block Subdivision.3 W. '- I/ / No Street- • Street and Number where wprk is to be No. State work to be performed and purpose of building (By Floors) New Building 4°— . Remodeling Addition.:.___. 5 Repairs - - -- No. of Stories________.___..,__. Size Septic Tank Type of Tank ._._Capacity Gals Feet of Drain Tile � ....._Dist. Feet of Tank or Drain Field from WelL Nature of Water Supply: City Well. Size of Soakage Pit Amount of Permit $ .' ®` (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and h:+s 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 iundersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. (signed) Master Plumber. '! STATE OF FLORIDA, COUNTY OF DADE. ( m. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat 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 foul materials Odd /or workmanship. DRINKING FOUNT' ��? l (M' .,c TOTAL FIXTURRI .......rr_ CLOSETS BATH `TUBS U SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tube URINALS CATCH - BASIN FLOOR DRAIN CONTR. LIST ® r - .. / _� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP HEATER DEEP WELL SPRKLR. SYSTEM SWlava -POOL 5 p CONTR. LIST CHECK Size Septic Tank Type of Tank ._._Capacity Gals Feet of Drain Tile � ....._Dist. Feet of Tank or Drain Field from WelL Nature of Water Supply: City Well. Size of Soakage Pit Amount of Permit $ .' ®` (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and h:+s 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 iundersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. (signed) Master Plumber. '! STATE OF FLORIDA, COUNTY OF DADE. ( m. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat 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 foul materials Odd /or workmanship. �. 3 MIAMI SH ORES VILLAGE ELECTRICAL INSPECTION - DEPARTMENT Al- PLICATION FOR ELECTRICAL PERMIT Permit No.... f . _° .. Date. - !),.... 0 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 ° t " ! QA f N..) I LA A ii, ) 0 'e–Si No: »... Street Registered Architect and /or Engineer Employing Electrician's Name... / -e- 4 - No Street Location and Legal Description Lot - Block L. Subdivision. - Street and Number where work is to be performed —No.. _.__Q .t .. L ,.:.Street - - State work to be performed and purpose of building (By Floors) New Building ---.."'°1 Remodeling_ .Addition. .Repairs. »....No. of Stories. r .Amps pl Servic Overhead Feeders .. ».... �. »... »Coadult» .Main Sw .Am .Main Fuses...» _Amps n ergmun Type of Installation—Conduit 'l nbin B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned appli ca for this building permit . does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in th work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notice - as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to . administer , oaths and take acknowledgments, personally appeared. - . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. liy • of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. • My Commission Expires �.. • Notary Public, State of Florida NOT A re-inspection fee of $1.00 will be made when such - re.inspection is made necessary by improper notice for inspection, or faulty inaten and/or workmanship. - SWITCH • • LIGHT , ,PLUG F FIXTURES R REPRIO. -. I IRON - R RANGE. R RANGE W WATER W W. HEAT.. S SPACE S STRIP - T TOTAL LIST 1 19 2 2- 4., 0 0 q 1 o CHECK.. � �. - -._... / 1 o E ENT. 0 01ST. • S SERVICE S SERVICE - - - - MOTORS - - MOTORS N NEON RADIO T TOTA1, CONTR. - CHECK ) )470 B B abils ) ) a a , ,i�� .Amps pl Servic Overhead Feeders .. ».... �. »... »Coadult» .Main Sw .Am .Main Fuses...» _Amps n ergmun Type of Installation—Conduit 'l nbin B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned appli ca for this building permit . does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in th work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notice - as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to . administer , oaths and take acknowledgments, personally appeared. - . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. liy • of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. • My Commission Expires �.. • Notary Public, State of Florida NOT A re-inspection fee of $1.00 will be made when such - re.inspection is made necessary by improper notice for inspection, or faulty inaten and/or workmanship. - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMEW 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 oidmances of Mianu Shores Village and all rules and regulations of the Building Division of Miami Shores village ,,b,11 be complied with, whether herein specified or not. A copy of approved plans and specifications must be kepi at building during progress of the work. Owner's Name and Address. Z77°' Registered Architect and/or Engineer Name and address of licensed contractor _i_ifigra Location and legal description of lot to be built on: Date , 196- )/) _. Street N, Lot _ - Block. _ Su Street and Number where work is to be done.. 44 State work to be done and purpose of building (by floors) • ■ e6: 473-1 AA We 7 -51ae,.. M J3 Z414 jj and for no other purpose. New Building_, .. ....... Addition. .. - - Repairs. No. of Stories To be constructed of. ___ Kind &foundation Roof Covering 74.../ 0 .0 .... • \-, Estimated 7-dial cost of improvements $-- ...IA.-, ' ....11. Arndunt c, 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 be sent to The unde'signed applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under ihe Florida Workmen's Compensation Act. being Section 5966, Compiled Con- of Florida. P rwanen, SuppLoent, and his complied with the provisions thereof, and will require similar coraciiariee from all contractors or sub-contractors employed by him in the work to be perb.rmedl under this permit and ',All post or cause to be posted for inspection on the site of the work sill public noti.e or notices as are requir d by the Act. The imili-rigned agrees to employ only such subcontr., ors, pn work to be perfo , :d !,;:der this permit, as are licensed by M'ami Shores Remarks_ — STATE OF FLORIDA, COUNTY OF DADE. j gs• (Signed)_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _ - and who, being by me first doly sworn, upon' oath deposes and says that he is the of th abov. de.etibed ,-istruction tb b has carefully read the foregoing application, and that he did sign the same, and that .LII facts therein by him stated are tote. Permit No—__ Date. 7 r (..7 Read, Sworn to and Subscribed before me. Disapproved _._ 43ate to me well known, (Signed) _ Notary Public State of Florida pector My Commission Expires PLAkNING BOARD___Yn. c'.7-.1.--..---.'Lls eALI (.9.s.) DATE Chairman ..'Yi)a)4!-A.-, v\.,3 (1-_-, Lo-„, .-(.._ member 1 et..A,s.L.)--tt-4--CL- Member 1.,:,--!, f ' ! .- 11Q-t..1, 1 --t‘4.--------------- Member . jr--4-1)-L-1-("---, s Member - 11 -VA.: W_C--. tt‘--4414_.---A.:—.),......- . _ Member Council Approved - Date Disapproved _ Date NOTE: A charge of $1.00 will be made: for making corrections or changes to this application ,Ifter approval I, . Is been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is mi: le necessary by improper notice for inspcotou or Le ty materials and/or workmanship. AS AWNINGS .i .UMBRELLAS - FURNITU MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shore: 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 _____ - - Registered Architect and /or Engineer________ —.. Name and address of licensed contractor. _______ ! -- Location and legal description of lot to be built Lot- -. - -_ _ Block -_— -- -- -- - - - - -- ____ -_ Subdivision_ Street and Number where work is to be done_. State work to be done and purpose of building (b floors) Date___ 7- f r z ,19 No. Street_ and for no other purpose. New Building Remodeling Addition. _ Repairs__ ___ .. . No. of Stories To be constructed of Kind of foundation_ Roof Covering _Amount of Permit $__ .__- 5 a Estimated Tatal cost of improvements $__.' Zone cubage required_ _Plan Cubage Distance to next nearest building _ -- ---- _ -- -_- Size of Building Lot _- -.____ -- -- - ._.... . Maximum live load to be borne by each floor - b. 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 con>niiance fr tractora or sub- contractors employed by him in the woak to be perfo,me sunder this permit; and will post or cause to be poste or inspec ion s ,.tile site of t, e work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only sue, subcont ctor .' ` work performed under this permit. as are licensed by Miami Shores `illage. Remarks _ (Signed) ._ STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of th above de..c ibed construction, that hee has carefully read the foregoing application, and that he did sign the same, and that all facts therem by him stateiLare true. Permit No._. Disapproved (Signed) -.- Date_ _ Read, Sworn to and Subscribed before me. Notary Public. State of Florida Buildins•nspector 14k My Commission Expires_ fJ 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 :hinges 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 mete necessary by improper notice for inspection or faulty materials and /or workmanship. thri c42° i') MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /7 Date. 5/5/61 Application is hereby made or 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 shad 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......... Vincent Farrey No 461 N:' E. 103re .eet Registered Architect and /or Engineer Employing Electrician's Name KAMER & WOOD, INC. No 297 N. W. 54th street llama Location and Legal Description Lot x. Block Subdivision. Street and Number where work is to be performed —No 4a. If. .. 103rd. -at.. Street. State work to be performed and purpose of building (By Floors) New Building Remodeling .Addition Repairs. . . ,.No. of Stories. 141 ORE Service Underground Size Fgeders.?4?.�.duit.l Type, of Installation -- Conduit..... X wing B.X.L •Metal Moulding ................ ... 1- 10Oa»p. Main Sw..1- 6.01310.p.... ..Amps. .Main Fuses .....Amps .... .... »...... • es/2, Amount of Permit S» . (Signed) .„. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a -' his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • ?Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under' this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices . as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, }' COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared..... (Signed) ,Master Electrician. 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 therein by him stated are true. -' all facts } ».. M y Commission Expi res ...» N ry 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 I PLUG RECE•P•T•S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET a. +' /` 11-li RANGE OUTLET CONN. WATER HEATER W. HEAT. CONN. St ACE HEATER STRIP HEATER wA+Hj R TOTAL GIST 1 / et> 1 CHECK ENT. SW. DIST. CAD. SERVICE I TEMP. SERVICE PERM. MOTORS 0.1 HP 4 MOTORS NEON 1.11 HP :TRANS. RADIO TOTAL, CONTR. LIST 7.. 1 -3111. CHECK - -. - - -.- - _- - - - ',Z m om . - - - - - - 141 ORE Service Underground Size Fgeders.?4?.�.duit.l Type, of Installation -- Conduit..... X wing B.X.L •Metal Moulding ................ ... 1- 10Oa»p. Main Sw..1- 6.01310.p.... ..Amps. .Main Fuses .....Amps .... .... »...... • es/2, Amount of Permit S» . (Signed) .„. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a -' his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • ?Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under' this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices . as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, }' COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared..... (Signed) ,Master Electrician. 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 therein by him stated are true. -' all facts } ».. M y Commission Expi res ...» N ry 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. 33 C. - Fe4nee. eqp& I.� (rG C'e"'�'" �' f m A. 60,1)-6.• 33 :16- H ;1 f ( v-5 I. u9 i tf' t 5-h re.efizsevu ; Oat ( ct+ No t\ S de j Gl 110( 3 0 PQ et Lo en Ia --Ike i s,oPe of ►e Date Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 4G 0 !t) ax Folio Historically Designated: Yes No Master Permit # Phone y 3 O '7,577— 0F� S p /y o /errant �(� A �`t•O, f:¢ W lX Owner's Address r l Contracting Co. b Qualifier State # Architect/Engineer Bonding Company Mortgagor SS# Competency # Ins. Co. Address Municipal # Permit Type (circle one WORK DESCRIPTION Address Phone Address Square Ft. Estimated Cost (value WARNING TO IQWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YIOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is herby 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 AFFJI AVIT: I certify that ill the foregoing information is accurate and that all work will be done in compliance with all applicable laws r construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo Preident Date My Commissionixpires: II FEES: PERMIT %' RADON APPROVED: Zoning Mechanical g Notary alto Contractor or MY, Commissior glirlileW PUBLIC STATE OF FLORIDA COMMISSION NO. CC 714103 JAY COMMISSION EXP. MAR. 12`0. BOND TOTAL DUE BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 4344 Work to be performed under this Permit DATP 195 Contractor's License No. Lot Bl. Subdi- vision Value of i I Amount of Project $ I I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 � BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15943 DATE 195 Contractor's License No ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BI. Description. Address of Building Subdi- vision 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Architec Contrac or Build Legal Descript Addres Buildin MIAMI SHORES VILLAGE, FLORIDA ❑ ❑ PERMIT N? 14108 DATE 195 Contractor's License No. ❑ Work to be performed under this Permit Df 1 a for er ion. Lot II Bl• j ci Subdi- vision of r 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 BUILDING ❑ • ELECTRICAL PLUMBING ❑ ROOFING ❑ Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 14298 DATE 195 Contractor's License No Work to be performed under this Permit Architect Contractor or Builder Legal Lot II gl, Subdi- Description. vision Address of Building f40 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. Value of Project $ Amt. of Permit $ i 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 PLAT OF BLOCKS 15 4 lib OF AMID. PLAT OF MIAMI SHORES.; SECTION 5 (43-48 ) 35 35 _ d' 2 4 0 co f 'tso' 10 3a N E, 10, ac 5. Line S.W. 4 S.E. S.W 4 Sec- 1s tn i AM'D. PLAT -5242 -- ST. LIN en `go2.03 MIAMI SHORES SECTION 4 •. 5.E. con 5.W.'4 '.5.E.4 5.V4:4 Sec.„,31 .52 .42 (15.14) 140 s I