The URL can be used to link to this page

Multiple (7)Florida Building Code Edition 2002 HIGH VELOCITY HURRICANE. ZONE UNIFORM ROOFING PERMIT APPLICATION Section A (General Information) Master Permit No. Contractor's Name Job Address 1' o 1 C 3 Si Roof Category Low slope Process No. • Asphaltic Shingles Mechanically Fastened Tile ii Mortar /Adhesive Set Tile _ Metal Panel /Shingles Wood Shingles/Shakes Prescriptive BUR -RAS 150 Roof Type _ New Roof J Re- roofing Recovering T Repair Roof System Information Low Slope Roof (SF) Steep Sloped Roof .jea (SF) Total (SF) I9) Section B (Roof Plan) Maintenance Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels; clearly iaenriy dimensions of elevated pressure zones and location of parapets. Florida Building Code Edition 2002 H • h Veicr..ity Hurricane Zone Uniform Permit Accticatcn Fcrm. Secton Steel Slo ed Roof S 31 m Roof System Manufacturer_ Notice of Acceptance Number: g INIIIIIMmirla111111imaramir 12] Minimum Design Wind P ssures, If Applicable - RAS 1;7 cr Calculatichs : fi , P1: P2; ‘7.5.' P 511 Maximum Design Pressure rcril the MCA S.ecific Methoe,,4 cf We attachment: Roe:J Slope: 1.2 I tam): AriffiT- A 4 Steep Slooe4d Roof System Descri.D -ti ©n \ eck Type: pe Under,ityment: r \Insuiation: ) \ N. /V I \firs Bat-rrter:J.. Mean Roof Height -:-"astener T5cpe a Spacing:1i Tiocf C4vering: \ Type & Size \gc199: load. eric„. Florida Building Cods Edition 2002 High Vebdty Hurl crne 7cfl0 Unaonn Nardi Fan_ Section C oof System Fill in Specific Roof Assembly Components Fastener Spacing ftsr Anchor/Base Sheet and' Ides used, I Attachment (If a Identify as `NAB System Manufacture3r. /C Field. ' ac Lap. # Rows NOA No.: if 7I€7y f of Perimeter. ` oc © Lap, # Rows 00 © Lap Rows Design W —' •ssures, From R4 128 or Calorie Com � Pmax1:_ Pma :p 7 Pmax3: Max Design Pressure, F pecific NOA System: 3 Number of Fasteners P Board Deck: Type: GaugeiThickness: Slope: peAg :/2 Anchor/Base Sheet & No. of Ply(s): Anc�or/gase .:/ Acc @ #oc Insulation Field Pen 0 Comer Illustrate Components Noted and Details as Applicable: Woodbiocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, ,.� Coping, Etc. Ptdicate :" Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. t Fasten Insulation Base Layer. Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Ma Top Insulation Layer. Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Materi Base Sheet(s) & No. of Ply(s): Base Sheet Fastener/Bonding Material: A/ Sheet(s) & No. of Piy(s) :414, Ply S Top Ply. Top P Surfaci ! Florida Building Code Edition 2002 PermitApplicaticn Firm. liii or Moment based the s ystems, choose either Method 1 or 2. Compared the values for MiW1th the values from Mr. If the M, values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. • Metho (Pi: 7 ' aA. 2,7 (72:_ L/J'{ ct (P3 :_n 1.1 1.Z7 1 "M =int Based Tile Calc lions Per OA— Mr2_20 ,C2 Mj: 6• Zr RAS 127"i? NOA NOA fib*, NOA Mc Method 2 "Simplified Tilt Calculation Per Table Below ' R equirad Moment of Resistance (M,.) From rible Belor+ NO k Mr Raqulrad Moment Ra3l512f1c4' Msan Roof Homo* — Roof gems f 13° 20' 44' - :12 3:1' 66:12 4:12 64„4 �t33 33.2 �. 412 i - 3 ,2 i :34.4 34.11 30.4 31.1 31.5 I { 23.9 29.E I !� 22...i 1:12 7,3.3 23.3 27.1 1 21.2 *Musa be used tin conjunction with a list of moment based tile systems endorsed by the Browwl County Bowl of Raley cad Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F,.. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the the attachment method is ecr.eptabie. Method 3 "Uplift Based Tile Calculations Per RAS 127" (Pt' S w: )— W:_S cos 9: = F:1: NOA F' T1: 11: = w: - W: _ I cos 9 : = Fr2: NOA F' (P3: z 1: a a w: a ) — W: 3 cos 9: _ = F:s: NO Where to Obtain Information Descziption Symbol Deng:IP:v=ore Plor P2orP3 Where to fInd RAS 127 Table I or by an by Al bred on ASCII 7 :View n Rad b 3i'd AemitAtinde Rem Moment doe to Gorrit7 Aitszbumetlardatops lekuired limiest Rem At Reunited Ilya vrem—enleW. The Obsenicese M F NOA NOA NOA Fr lempla width Calcaiased N NOA NOA .Allettintnuaiman=st be submitted 10 to Boa* Official u the titer berms =Micah= SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. • 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High - Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. Y2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be r nd ailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of 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 units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. I- 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. i- 5. Ponding Water: The current roof system and/or deck of the buil ling may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding s . a be an indication of structural distress and may .iuire the review of a professional structural engine Ponding may shorten the life expectancy and pea 'ormance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. - Ponding conditions should be corrected. -f Nei' 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 4,/r 7. Ventilation: Most roof structures should have some ability• to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. fir's/ gent's Signature CADOCuaIe -n ALOCA s-nx rrcovaurs9a eUIRDING CODE COMPLIANCE OFFICE (RCOO) PRODUCT CENTROL DIVISION NOIr AtCCEF Almar (USA), inc. 61161 NW 774 Avenue Miami, FL 33166 Sco1'a: T CE A &DAD) COUNTY, FLORIDA METRO -DADE FL.AM.ER BUILDING Ise WEST FI,AGLER STREET, SUITE 1603 MIAMI, FLORIDA 331304 S63 (305) 375 -2901 FAX (305) 373 -3903 This NOA is being issued under the applicable rules and regulations the use of construction The docunttietiotl submitted has been reviewed by Miami -Dade County Product Control and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having.Juriedictlon (A.HJ). This NOA shall not be valid after the expiration date stated below. The Miami -spade County Product Control Division (In Miami Dade County) and/or the ANJ (in area other Miami Dade County) reserve the product or material tested for to the quality assurance purposes. If this product or material Chits to perform in accepted manner, the manutluctelier will incur the expense of such testing and the MU may immediately to revoke, , or suspend the use of such product or material within their jurisdiction. BORA reserves the right acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material hauls 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. DESCRIPTIONt Altus* "8" Clay Reef Tile • • LABELING:•Bach unit shell bear a permanent label with the ma+uuthetur 's name or logo, city, state and following statement;Miami -Dade County Product Control Approved ", unload otherwise noted herein. �'A of this NOA shall be considered after a renewal application has been filed and them has been no change in th. applicable building code negatively affecting the � of this product. TkRMINATION of this NO14, will occur after the expiration date or if there has been a revision or change in the materiels, use, and/or manufacture of the product or process. Misuse of this i OA as an endorsement of any product, for sales, sdve�ing or any, other pines shall automatically terminate this NOA. Failure to comply with section of this NOA aball be cause for � and removal ofNOA. • dit„.isvrns.s • . .. •'D Co!xaty o .by ho ff2)'Ofti;M+dly+hit�: ba11 �PECflON1 A copy of this entire NOA shall be provided to the user by the manufacturer or Its distributors and 'shall be availablo.for inspection at the job site at the request ofthe Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, ARC I 'rl RAUP'CN «OA Ilea 121115.03 ExpiretIon Date; E2/16/09 Approval Dab: 12/12/02 Page * of? ALOC.I onr; .ia•t.er ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Roofing Roofing Tiles Clay .1 I. SCOPE This renews roofing system using Altura One Piece 8' Clay Reef Tiles as manufactured by Abner (MAX Inc.. 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 vat 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 l isi red 6v Apnea One Piece `S' Tile Mtn Pieces Clip DBpenatoai L -18 VI' we' 10.5" yes" thick nominal 3.25" high Length varies Width; varies varying thickness Lab" 13.,0.125" Clip L &h .a 2" 0.05" thick 2.1 SUBMIT= EVIDENCE: Tat Assn* The Cee4 r for,i9,pplied . , Iuc: The Center Ili Applied Engineering, Inc. Celotex ascension Testing PRI Asphalt Technology, Inc. R.edland Technologies 'd 801C'CN Test filtniipatim TAS 112 Product Pezeth High profile clay roof tile. For direct deck or batten tuail -on, mortar set or adhesive set applications. TM 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. PA 114 Tile °lip PA 114 L Shaped tilt clip Test Idantissa 94-083 084. 15.7'200 -t Project No. 307025 Test #MDC-78 MTS 320649 CLP- 003 -02.01 7161 -03; Appendix III rest Narn,easert Static Uplift Testing April 1994 P 1 ±..:_ ?► ) ) Stela j11 'Testing Feb. 1995 PA102 (Quick-Drive Screws, Battens) Wind Driven Rain PA 100 PA 102(A) PA 102. PA 102 Oct. 1994 May 2000 October 2001 Dec. 1991 1410A No.; 02,111103 Expiration pate: 12l16107 Approval Date: 12/12/02 Page 2 at 'IZ'ter at Rolland Technologies Radiant! Technologies Rutland Technologies Redlaru] Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker 2 tcering,, Inc. Walser Engineer Inc. Walker Engineering, Inc. Test Id-- a -0.: 7161 -03 Appendix II Letter Dated Aug. ], 1994 P0631.01 P0402 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Wind Tunnel Testing PA 108 (Nail -Ott) Wind Tunnel Testing PA 108 (Nail-On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Aerodynamic Multiplier 25-7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & S 25 -784 &6 L. Dec. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 March 1995 Fobntuy 1996 April 1996 December 1996 3. LIMITATIONS 3.1 Fire glaesification is not part of this acceptance. 3,2 For mortar or adhesive set tile applications, a static field uplift test shall be performed :mordant* with RAE 106. 3.3 Applicant . shall retain the services of a Mianti -Dace County Certified Laboratory to perform quarterly test in accordance with TM 114, appendix 'A'. Such testing shall be submitted to the Buildiiig:Code Con plisnce Office for review. 3A Minitttum uaderlayrnent shall be In compliance with the applicable Roofing Applications Stanebtrds flitted section 4.1 herein. 3.5 30190 hot propped utuierlayment applications may be installed perpendicular to the roof slope unless att ed o@hervvis, by the ttndetlaymeni material rnanufactutesn published literature. 3.6 . ,tut; is far ws ed dock licatioas., Minimnutn tt . shell be in 4.1 Alm- *Ouse One Pipe S' Clay Roof Tile and its componeets shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120, 4.2 Data For Attachmentaacuia#ions i' '�I R�lii''CP1 UOA Nc., 02-1115.03 Expiration Date: 12/1M/07 Approval Datet 12/13/12 Page 3 of7 AdI..1 1ffr " ". •17.•L -r, Table 8A: Attachment Resistance tar 31 Expressed as a Moment � Mt �� ®Ibf� is .... Adhesive let S : slams The Application Tile Profiles Ofle Piece ' TD. Minimum Attachment Resistance 00.6 ._ Table SB: Attachment Recsistsnoe Expressed As. a Moment - Nit (ft Ibf) for Mort r Set 8 t*m* Ono Pia -::.S. Attachment Resistance 5. LABELING All tike shall bear the imprlct or identifiable tnst1dng of the er►anufacturers name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be a000mpanied by copies of the foliowing: 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. PROPTLE DRAWINGS ONE PIECE'S' CLAY ROOF TE LE t '4 ?fllt;'CIt IOA,Noa 024115.03 Expiration Dates 12/16/07 Approval Date 13/12/02 Page 5 of 7 •/7 .ter ddo9a u roam %19vQ iMQJddy+ 4O /91 /rr uglia tWWW dx i £0'SYmm- 0 =' ®)o[ VON dna 1W130404iw1 mole 4-iv N ;3 • 0 I U ii r, o Iowa QJHavuv NSW* () NM NINA ono 31113dW, dp JVU G ..1.93wVA1i N1OH SIMON Alto NI tam trum N4 =moo) er amAn .apt z VIIIKL3a dfl NM) AN IrRA 1 CLIP DETAILS (CON1T) END 01? THIS ACCEPTANCE ! •ti PAIPqN NOA No.: 92411103 Ezplratioa Date: 13/16/07 Approval Dates 12/1142 Page 7 of 7 Rt-icc t ont- 7 17.i Dfs MIAMil:1 N BUILDING CODE COIVR'LMANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 M A.M1 »DADS COUNTY, FLORIDA METRO-DADE PL.AGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 331301563 (305) 375 -2901 FAX (305) 374 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submittal 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 (All!). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHI (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami Dade County Product Control Division that this product or material fails to meet the requireme=nts 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: GAF Conventional Built -Up Roof System for Wood Deck. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product TERMtAT1ON 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 002-0408.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: 03 -0501 05 Expdratlon Date: 11/04108 Approval Date :IO /23/03 Page 1 tor 21 ROOFING SYSTEM APPROVAL $ub- Cateeory:. Dock Type: Mtaxi�,sit+�►�, P F ressure ire Clflo:atian: Roofing BUR Wood -75 psf See General Limitation. #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAP Asphalt Concrete Prier (jTM 307 Pruner) GAF Mineral Shield® Granules GAF WeatherCoal® Emulsion (MatrixT" Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTh System Pro Aluminum Roof Coating Fibered 301) GAP Jetblack All Weather Plastic Cement (I IatrixT"M Standard Wet/Dry Roof Cement 204) R /BERODO Modified Bitumen Flashing Cement Jethlack Prerniwn Flashing Cement GAFGLAS® #75 GAFGLAS #80 Ultima Base Sheet GAFGLAS Flex P1yni 6 Dimeesions, 5, 55 gallons 60 lb. bags 5 gallons 1, 5 gallons Test SueeIficatimt Product Description ASTM D 41 Asphalt concrete prier used to promote adhesion of asphalt in built -up roofing. ASTM D t863 Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. 1, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. 5 gallons 5 gallons 39.37" (1 meter) wide 3937" (1 meter) wide 39.37" (1 meter) wide ASTM D 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement ASTM D 4601 Asphalt impregnated and coated glass meat base suet. ASTM 04601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. NOA Na: 03- 05031•05 Expiration Date: 11/04/08 Approval Date:10123/03 Page 2 0021 Product GAFGLAS Ply 4® GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Eliminator Perforated Nailable RUBEROIDO SBS Heat - We1d ' Smooth RUBEROID® SBS Hea WekFM Granule RUBERO D® 5135 Heat - Weldra 170 FR RUBEROID® Si3S Heat - We1d'10e PLUS Test Dimensions Specification 39.37" (1 meter) wide 39.37' (1 meter) wide 39.37" (1 meter) wide RUBEROID® S138 Heat - Weld PLUS FR RUBEROID® SBS Heat - Weld'' 25 RUBEROID Modified Base Sheet Ruberoid® 20 Ruberoid® Mop Granule Various Product Description ASTM 1) 2178 Type 1V asphalt impregnated glass felt with asphalt coating. ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. ASTM D 4897 Flberglass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coadng with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. 39.37" (1 meter) ASTM I) 4897 Fiberglass base suet impregnated and wide D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. 1 meter (39.37') ASTM D-6164 Non Woven Polyester mat coated with wide polymer- modified asphalt and smooth surfaced. 1 meter (39.37") ASTM D-6164 Non -Woven Polyester mat coated with wide polymer modified asphalt and surfaced with mineral granules. 1 meter (39.37 ") wide 1 meter (3937') wide 1 meter (39.37 ") wide 1 meter (39.37") wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37' (1 meter) wide ASTM D-6164 Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D -6164 Non Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Premium glass fiber reinforced SBS - modified base sheet ASTM D-6164 AST 1 D -6164 ASTM D4601, Type II, UL Type G2 BUR ASTM D 6163 SBS modified asphalt base sheet and ASTM D 5147 interply sheet reinforce with a glass fiber meat. ASTM D 6222 Non -woven polyester mat coated with ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. NOA Na: 03-0501.05 Espirat at Date: 11/04/08 Approval Date:10/23103 Page 3 of 21 Product Ruberoid® Mop Plus (Granule) RUBEROID MOP Smooth RUBEROID® MOP 170FR RUBEROIDO MOP FR RUBEROID® TORCH Smooth RUBEROID® TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID 170FR TORCH RUBEROID® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD® SBS RUBEROID® Dual FR Test pretensions S_peci lcation 39.31" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Product Description ASTM D 6222 Non -woven polyester mat coated with ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. ASTM D 6164 Non -woven polyester mat coated with ASTM D 5147 polymer - modified asphalt and smooth surfaced 39.37" (1 meter) wide 39.37" (1 meter) Wide 39.37" (1 meter) wide 3937" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) Wide ASTM D 6164 ASTM D5147 ASTM D 6164 ASTM D 5147 ASTM D5147 Non-Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. ,Non-Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen rltembrane, smooth surface. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granule. ASTM D 6222 Heavy duty, polyester reinforced, asphalt ASTM D 5147 modified bitumen membrane, granule surface ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 6163 Non -woven fiberglass mat coated with ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. ASTM D 6163 Non woven fiberglass mat coated with fire ASTM D 5147 retardant polymer modified asphalt and • surfaced with mineral granules. ASTM D 6298 Woven fiberglass mat coated with Polymer ASTM D 5147 modified asphalt and surfaced with aluminum, copper or stainless steel foil. ASTM D 6164 Non -woven polyester and fiberglass mat ASTM D 5147 coated with file retardant, polymer modified asphalt and surfaced with mineral granules. NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10/23103 Page 4of21 Product Vent Stacy (metal and plastic) GAF Aluminum Emulsion GAP Aluminum Roof Paint (Matrix® System Pro Aluminum Roof Coating Fibcred 302) GAF Built-Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Tile -Matt Base Sheet Tile -Mate Cap Sheet Shingle- Materm Underlayn ent TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAF WeatherCote MB+(Matrix 715 MB Coating) TopCoat MB+(Matrix 715 MB Coating) WeatherCote'm (Matrix 531 Weathercote® Elastomeric Flashing Oracle) Matrix Low VOC el Matrix 101 System Pro S8S Adhesive (Ruberoid®Mld) Matrix 201 System Pro SDS Flashing (Ruberoid®MB) Matrix 102 Select MS Adhesive Rimensions 5 gallons 5 gallons 1001b. cartons, bulk 60 lb. kegs 39.37" (1 meter) wide 39.37" (1 teeter) wide 4 sq. roll 30 Ibs. 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallon 5 gallons Test Specification Product Pescri»tdon PA 100(A) One way valve vent used to relieve built -up ASTM D 1929 pressure within the roof system. GAF Vent ASTM D 635 Stacks are available in metal or plastic. None Mineral colloidal bituminous emulsion with reflective aluminum flake ASTM D2824, Non- fibered aluminum piginented, asphalt Type 1 roof coating ASTM D312, Interply mopping and surfacing asphalt Types 1, 11, III and IV SEES modified asphalt ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass reinforced shingle underlayment Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive — Plashing Grade. ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive. NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10t 3-03 Page 5of21 Product (Ruberoid ®M73) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic: Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Crid Adhesive Matrix 303 Select Fibered Alurnimun Matrix 304 Select Non - ,i RUBIROmD®Modified Bitumen Adhesive ime *3.1 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons APPROVED INSULATIONS: Product Name GAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFFEMP® Composite A & N (BMCA)GAF'1'j p® Fiberboard GAFTEMp® Patinalite GAFFEMP GAPCANT I04W. Ic i t p 1 nue: t:aao.:4o mei Test Sued— f-- ica.atiag ASTM D4586 ASTM D4586 ASTM D4586 ASTM D3019 ASTM D 2824 ASTM D2824, Type1 ASTM D 3019 Type 111 Product Descrintian Cold Applied Modified SEBS Asphalt Adhesive –Flashing Grade, Standard Plastic Asphalt Roofing Cement Standard Plastic Asphalt Roofing Cement Caulk Grade. Cold Applied Asphalt Adhesive. Fibered aluminum coating. Non- fibered aluminum pivnented, asphalt roof coating. Fiber reinforced, rubberrred Adhesive 'limit 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board GAF TEMP Perwalite Recover Board Perlite recover board GAFFE P GAFEDf;EmI Tapered Tapered perlite board Nip:. Strip MCA) GA1 FEMP® High Density High density wood fiberboard insulation. Fiberboard UMCA EnergyGuard, RA Polyisocynurate foam insulation BMCA Composite EnergyGuard, RA Polyisocynurate/wood fiberboard composite Polyisocyanumte foam insulation Polyisocyanur tte foam insulation PYROX White Line Manufacturer (With CmTeut NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp, BMCA l3MCA _Apache Products Co. Apache Products Co. NOA No: 03- 0501.03 Expiratiott Date: 11/04/08 Approval Date:10/23/03 Page 6of21 rage ■CC APPROVED INSULATIONS: Product Name ACFoam r, ti & Composite ISO 95+ ISO 95+ Composite Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck E9VRGY--2 & ENRG'Y 2 PLUS, U1traGard Gold FiberGass Roof Insulation Structodek Multi -Max & FA Paro c Base Board Faroe Cap Board APPROVE) FASTERS: Fastener Number Product Name TABLE 2 Product Description Polyisocyanurate forma insulation Polyisocyanurate foam insulation Polyisocyanurate/perlite ridged insulation Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation 1. GAFTTCE®(Drill -Tea) #12 Standard & #1.4 Heavy Duty Roofing Fastener 2. GAPTITE® (Drill -Tec®) ASAP 3. GAFTT! E® (Drill -Tec ®) Base Sheet Fastener and Plate 4. Galvalutne Plates (Drill - Tec® Metal) 5. Polypropylene Plates (Drill -Tec® Plastic) 6. Delcfast Fasteners #12, #14 & #15 TABLE 3 Manufacturer (With Current NOA) Atlas Energy Products Firestone Building Products, Inc. . Firestone Building Products, Inc. generic generic generic O -P Gypsum Corp. Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Product Manufacturer Description Dimensions (With Current NOA) Insulation fastener for . GAF Materials Corp. steel, wood & concrete decks. Pre- assembled GAFI 1TB Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalunie stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks 3" and 3 W 3" and 3' " GAP Materials Corp. GAP Materials Corp. GAF Materials Corp. GAF Materials Corp. Construction Fasteners Inc. NOA No: 0.3.050 1,115 i5 Expiration Date: 11104/08 Approval Date :10 /23/03 Page 7 of 21 APPROVED FASTENERS: Fastener Number 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Product Name Dekfast HIex Plate Dekfast Lock Plate #12 Roofgrip Fasteners Metal Plate Gearlok Plastic Plate Glasfast Fastener Olympic Fastener #12 & #14 Olympic Fastener ASAP Olympic Polypropylene Olympic G-2 Olympic Standard Insul Fixx Fastener lnsul Fixx S Plate InsulFixx P Plate Tru -Fast Tru-Fast Plates Tru Fast Plates TABLE 3 Product Description Galvalu ne hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. Polypropylene round plate Insulation fastener assembly with recessed plastic plate Insulation fastener Dimensions 27/8 "x 3v4" 3 "x31 /" Pre- assembled Insulation fastener and plate Polypropylene plastic plate 3.5" round galvalume AZ55 steel plate 3" round gaivalume AZ50 steel plate Insulation fastener for steel and wood decks 3" round gaivalume AZ50 steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Polyethylene plastic plate Manufacturer (With Current NOA) Construction Fasteners Inc. Construction Fasteners Inc. ITW Euildes Corp. 3" round TTW Buildex Corp. 3" square 3.2" ITW Buildex Corp. Johns Manville 3.25" round 35" round 3" round 3" round 3" round 3" round 3" round Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. SFS/Stadler SFS /Stadler SFS/Stadler The Tru -Fast Corp. The Tru last Corp. The Tru -Fast Corp. NOA No: 03- 0501.05 Expiration ate: 11/04/08 Approval uate:10/23N3 Page 8 of XI EVIDENCE SUBMITTED: Test Aeenev Factory Mutual Research Corp. Factory Mutual Research Corp. Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. IRT of S. P1. IRTofS.Fl. Test Identifier FMRC 1996 II. 2B8A4.AM I.I.3i39Q1.AM I.I.ODOAB.AM LI. OD1A8.AM I.L 0Y9Q5.AM GAF - 012 -02-02 GAF-020-02-01 02-005 02 -014 Description Current Insulation Attachment Requirements Wind Uplift FMRC 44704 Wind Uplift FMRC 4470 • PA 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 ate 01.01.96 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 11.06.01 02.01.02 01.18.02 03.22.02 NOA No: 03-0501.05 Expkatlun Date: 11/0403 Approval Date:104303 Page 9of21 .• II, 'smar Man Fran: A/heeler To X Date: 142/2003 Thee:1M:36 PM Deck Type 1: Wood, Non insulated Deck Description: "in" or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: GAFGLAS #80 Ultima' Base Sheet, STRATAVENT® Ftimioator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat Weldr" Smooth or RUBEROID SBS Heat-Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yni 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shack nails and do caps at a fastener king of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (1Vlaxhnum Design Pressure -45 psf, See General Limitation 17) GAFGLAS® Ply 4®, GAFGLAS Fleas PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drib Tec (OAFTTI'E) #12 or #14 Strews and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -45 psf, See General Limitation #7) OAFGLAS Flex P11114 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap stagged and in two rows 9" o.c. in the field. (Maximum Design Pressure S2.S psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tee (GAFTITB) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -6/1 psf, See General Limn #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill Tec (GAFTLTE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maxana►n Design Pressure - 60psf, See General Limitation #7) . GAFGLAS #75 Base Sheet or any of above line sheets attached to .deck with Drill-Tec (GAteritE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One • row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure - 75psj, See General Limitation 17) One or more plies of GAFGLAS® PLY 4®, GAFGLAS® PLY 6® ply sheet, #80 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a hill mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbs./sq (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied wkhin the EVT range and at a rate of 20- 40lbssq. NOA No 03- OS01.0s Expiation Date: 11f04/08 Approval Date :1W23 /03 Page I8 of 21 Page 19 of 22 • g ra • oausriummt From JWhee1er To: X Date: 12PTION Tjm : t 58:36 PM Page 208122 Surfadng: (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 201bsJsq with an application rate of 1.5 gal./sq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gat/sq.; or GAF Fnunium Pibered Aluminum Roof Coating (Matrix System Pro, Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal./sq. 2. Asphalt flood coat at an application rate of 60 lbsJsq. t 20%; plus gravel or slag with an application rate of 400 lbs./sq. & 300 lbs sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW VOC applied at rate of 1 -13 gal/sq. Madnium Design Pressure: See Fastening Above • NOA No: 03- 0501.05 Expiration Dat :IU04/08 Approval Date :11t /23/03 Page 19 of 21 • • • •, 1 WOOD DECK SYSTEM LIMITATIONS: • 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum Vs" Dens Deck or Vz Type X gypsum board is acceptable to be installed directly over the wood deck. Gle:NERAi. LIMITATIONS: 1. Fins classification is not part of this acceptance, refer to a current Approved Roofing Materials Dire story for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the flVT range and at a rate of 2040 Ibslsq., or mechanically attached using the fastening pattern of the top Layer 3. All standard panel sizes arc acceptable for mechanical attachment. When applied in appmvcd asphalt, panel site shall be 4'x 4' neaxinutm. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mapped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at tacit sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall he at a minimum rate of 12 lbs./sq. Note: Spot enriched systems shall be limited to a maximum e esign pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (P) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. if the fastener value, as field - tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/basc sheet or membrane attachment is based on a minimum fastener resistance value in conjtutctioa with the maximum design value listed within a specific system. Should the fastener resistance be Less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engine r, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both. insulation and base sehcet..as cajcul.ttcd in compliance with Roofing Application Standard RAS 117. (When this limitation is speci Godly referred within this NOA, General Litnitation 119 will not be applicable.) 8. All attachment and sizing of perimeter hailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extender/ coasters rind corners). (When this limitation is specifically referred within this NOA, General Limitation !C/ will slot be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 913-72 of the Florida Administrative Code. END OF '17115 ACCIiPTANCE NOA No 03.0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 21 or 21 . • ° Roofing Systems r'TGpuj— Continued * GAFGLAS Premium Base Sheet may be used in any of the following systems. "GA:=g� Flex Ply 6" is a suitable alternate to "GAFglas Ply 6 ". "GAF TEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Hot roofing a9 Class A. B and C mHot roof ng p�L for use with organic and glass felts or modified bitumen "Ruberoid Heat Weld" SBS roofing membraner mar be used in lieu of "Ruberoid Mop" SBS product in any applicable Classification. 1. Deck G15/33 Cass A • Incline: 3 Insulation (Optional): One or more lavers perlite, wood fiber glass isocyanurate urethane, perlite /iso<yanttrate composite perlite/ urethane composite. wood fiber /isoc anurate composite, phenolic, arty thickness. Ply Sheet Three or more layers Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". hot mopped. Surfacing: Gravel. 2. Deck C -13/32 Incline: 2 Insulation (Optional): One or more lavers perlite, wood fiber glass fiber. isocyanurate urethane, perlite /isocyanurate composite perlite? urethane composite. wood fiber /isocyanurate composite phenolic, any thickness. Ply Sheet: Three or more layers Type Gl - GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet one laver Type G3 "GAFGLAS Mineral Surfaced Cap Sheer. 3. Deck: NC Insulation (Optional): incline: 2 P One or more layers perlite, wood fiber glass filet isocyanurate. urethane perlte /isocvanurate composite penile/ urethane composite, wood fiber /ix.,cyanurate composite. phenolic, 2 in. max. Ply Sheet: Two or more lavers Type Cl "GAFGLAS Ply 4" or "GAF - GLAS Ply 6 ". . . Sheep tSheet One layer Type G3 "GAFGLAS Mineral Surfaced Cap 4. Deck NC InsulatIorr Incline: 112 I Sheet One or two lavers "Isotherm R", 4 in. max. hot mopped. Ply Any l.1 Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck C -15/32 Slip Sheet (Optional): Red rosin Incline: 1 t: � paper, nailed to deck. nailed). Base Shee One Layer of type G2 "GAFGLAS Base Sheet" (may be Ply Sheet One or more layers of Type GI "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". CaepmSheet One layer of Type G-3 "GAFGLAS Mineral Surfaced Cap & Deck NC Base Sheet One r - incline 3 . Bas Sheet layer of Type 62 "GAFGLAS 175 Base One or more layers Type SS Ply - GAFCLAS Ply 6 : Y of T 61 "GAFGLAS P1 4" or Cap Sheet One layer of Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". Deck: C15/32 incline 2 Insulation: One or more layers pertite, glass file; isocyanurate, ure- thane, perlite7' 1.0 in. miu(of et from composite, penis /urethane composite. phe- nolic, Sheet One or more layers a plywood joints I 6 2 o Membrane: of R•� GI. C2 or G3. One or more layers of "Ruberofd Torch granule), "Ruberoid Torch Plus" " (smooth or granule) or "Ruberoid M l "I(ubemid Mop" (smooth or Cap Sheet: "GAFCIAS (granule). Incline: Mineral Surfaced hot mopped. Insulation (Optional): One or more layers perlite, wood fiber eky orate, were perlite /isocyanurate Pow wood fiber! composite, Phenolic. my - Isocyarnrrate composite phenotirr any Base Sheet Two or mon: layers of M Ply Sheet Optional)* One more lasers of or pe .. M note ul�nor more layers oft "Rubesol �" (smooth or --_ grranule) or "Rubel Tench � el "Ru6echdd M°Pp (emwoth or 7 It • t LOOK FOP ma ROOT: Covaa iG 11RTERIALS MEW) Roofing Systems (TGpu )--Continued Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheer, hot moppe 1. Deck: C -15/32 • Class B Insulation (Optional): One or mos iaeen perit 2 wood e 1 fiber. isocyanurate, uretane perlitemc composite p I thickness. wood fiber / aturate composite. p eno Ply Sheet Two or more lavers or Type a "GAFGL45 Ph 4" "GAFGLAS Pit 6" Cpl Sheet type G3 "GAFGLAS Mineral Surfaced Cap Sheet". 2. Deck C -15/32 insulation (Optional): One incline:rl: , fiber i or more layers perlite, wood tire;, , I socyanurate, urethane perlitellson,anurate composite. peril airethane composite. wood fiber /isonanurate ■ompos :te. phenolic. a thickness. Base Sheet Two or more layers of Type 61. 62 or G_. Membrane: One or more lavers of "Ruberoid granule), "Ruberoid Torch PI Rube Torch" ;smooth granule) or "Ruberoid Mop �" (granule), "Ruberaiei flap" t_rtooth Cap Sheet p burs" (granule). P "GAFGI 4S Mineral Surfaced Cap Sheet ", ho: :n: •piled. 1. Deck: C -15/32 Class C Insulation (Optional): Incline: 1/2 Insulation °anurtio urethane, or more layers perlite. w•oed tibe . gla urethane composite; methane, perlite /isaryanurate composite. pe.rhti thickness. oodr /tSOn`anurate composite, phenolic at Ply Sheet Three or more lavers of Type GI "GAFGLAS Ply 4'- t "GAFGLAS Ph- 6". Surfacing: Special Roofing Bitumen" 20 Ibs!se- COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR 1. Deck C -15/32 Class A Insulation (Optionalk One Incline: 1/2 �r ism)'anwate, urethane. � more tay'ers pertite, wood finer. Sias fiber, is composite. wood perht, isot.anurate composite, pert, thickness bber!hokyantirate composite phenolic, and Ply Sheet: Three or more layers of Type G1 "GAFGLAS Ply •1" or GAFGLAS Ply. 6•', hot mopped with coat Surfacing: Gravel. tar bitumen. COMBINATION IIOT AND COLD SYSTEMS L Deck NC Class A Insulation (Optional): Incline: 2 Tibet 2 in. max. One or more Ls}er><.perlite, woo( fiber or glass Ply Sheet Three or more lavers of Type 61 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing Grundy Industries ~ • MB Alopilrium ' 2. Ifed -NC!`q P : - Insulation (Optional): One or Incline: I fiber isocyanwate• urethane, more layers pe•riite, wood fiber; glass urethane composite, wood h'berlre/%Bte /isocyarurate cslte, p te. petite/ thickness- kyanuratr composite. phenolic. any PI Sheet Three or more layers of Type GI "GAFGLAS Ply 4" or LAS Ply 6 ". Surfacing: "Weather Coat Emulsion" 3. Dedc NC ml) at 3 gal /sq. • Insulation: One or two layers Incline: 1/2 Ply Sheet Any or Classified "Isotherm R- 4 ire, hot mopped. mat system. gravel surfaced Class A asphalt glass (free 4. Deck NC insulation (Opttonaly; Iodine 2 wood fiber and lass Isocyanu ram penile, iso+cyanurate /composite, Base Sheet g fiber any t idutess merl e:l irally fastened. ` mopped. One ply Type Cl or t, mechanic-AY fastened or hot asithatL t: One or more piles GI or G�, adhered with hot hoofing �r GAP {eP� um I Alumintun q. Coating : 1-1 /2 5. D NC Coat F•rmtlsiah 3 gal /sq ins6Gttion (Optional): Pe L►dtnr. l mechanically fastened, any , polyisoeyaaturate. wood bbe,c z .• -, • -. MIAMI •DADE MIAMI DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring- Stuebner Road Spring ,TX 77383 -1132 Your application for Notice of Acceptance (NOA) of: Two Component Polyurethene Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein_ This NOA. shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375-2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT DIVISION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION . (305) 375 -2902 FAX (305) 372 -6339 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01-0521.02 EXPIRES: 05 /10/2006 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMiI EE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami Dade County, Florida under the conditions set forth above. APPROVED: 06/14/2001 Francisco T. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office \1 50450001 \pc200011tempiatestnodce acceptance cover page.dot Internet mail address: postmasterbuiidingcodeoniine .con Flomepage: bttp: // r.buildingeodeonline.cont Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Roof Tile Adhesive Materials: Polyurethane Approval Date: June 14, 2001 Expiration Date: May 10, 2006 1. SCOPE This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by Test Product Anplicant Dimensions Specifications Description Polypro® AH160 N/A PA 101 Two component polyurethane Foampro® RTF1000 N/A Dispensing Equipment ProPack®30 & 100 N/A Dispensing Equipment 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list uplift resistance values with the use of Polypro AH160 roof tile adhesive. 2.2 Typical Physical Properties: Property Test Density ASTM D 1622 Compressive ASTM D 1621 Strength Tensile Strength Water Absorption Moisture Vapor • Transmission Dimensional Stability ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 Results 1.6 lbs./ft.5 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm / Inch +0.07% Volume Change @-400 F., 2 weeks +6.0% Volume Chan Humidity, 2 weeks Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 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. 3. MUTATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro (4 AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. F _w F`— 2 MS 4. INSTALLATION 4.1 Polyprof? AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 4.2 Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 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. 4.4 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. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® AH160 shall not be exposed permanently to s Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 4.9 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 TileProfile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 5. LABELING All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 1)Placa enough adheslveto achieve 17to23 Optional 2x4'sfar square Wise in coalf with the pan tIla ateeppitch applications 2) Turn cocoa opsida down. Plan rubella 112 in. RI In Flom outside edge of coca ®o. Than install thetge. /lA. Frank Zuloaga, RRC Product Control Examiner Polyfoam Products. Inc. ACCEPTANCE No.: 01- 0521.02 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Frank Zuloaga, RRC Product Control Examiner C PolTfoam Products, Inc. ACCEPTANCE No. : 01-0521.02 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Single paddy under Vie Single paddy between the 2 in. x 7 human she paddy eave come only Fault Waqthole Save closure Ddpedge Nell through plastic cement PaddY between the Prilna 3 In, In la PaddY n underlayment Single paddy an top of tile Eat Caume Bove Closure 2 Ina 7 in. Indian size Fast paddy eave course only Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products civil be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes • b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following Anil also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, char be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 8. END OF THIS ACCEPTANCE Frank Zuloaga, RRC Product Control Examiner PolFfoam Products Inc. ACCEPTANCE No.: 01- 0521.02 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA.).. A. DRAWINGS: NONE B. TESTS: Test Agency Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied E n g i n e e r i n g Center for Applied Engineering Miles Laboratories Polymers Division Ramtech.Laboratories, Inc. Southwest Research Institute Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Celotex Corp. Testing Services Celotex Corp. Testing Services 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 E -. Test Name/Report Miami Dade Protocol PA 101 Miami Dade Protocol PA 101 SSTD 11 -93 SSTD 11 -93 SSTD 11 -93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 PA 114 Miami Dade Protocol PA 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 Miami Dade Protocol PA 101 12/28/98 Frank Zuloaga, RRC Product Control Examiner Polyfoam Products Inc., ACCEPTANCE No.: 01- 0521.02 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA.) C. CALCULATIONS: Walker Engineering, Inc., Evaluation of Tests. Dated 04/07/99 D. MATERIAL CER II 1CATIONS: NONE E. STATEMENTS: NONE Frank Zuloaga, RRC Product Control Examiner SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED -OWNERS N CONSIDERATMNS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explain d. 1. Aesthetics-Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of prnviding that the roofing system meets the wind resistance and water intrusion performance standards. Aesthent,, (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 1- I 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be minified in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of 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 units (i.e. townhouses, condominiums, etc.): In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. \-r 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The 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 cause water to pond (accumulate) in lov.-.:ying areas of the roof. Ponding cart be an indication of stn.:eh:rat distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of nv roofing system, Ponding conditions may not be evident until the original roofing system is removed. Ptinding conditions should be corrected. 6. Overflow scuppers (wall outlets) It is required that rainwater flow off so1at the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code; Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount Of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the toOf. r. s/Agen s 'Signature Date' CAD8Cilittitaii0.1.06,1.3-11TempliSECTION Irtdas tor's Signature Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/22/2005 Building Permit Permit Number: BP2005 -156 Page 1 of 1 Applicant: TAWANA THOMPSON Owner: THOMPSON TAWANA JOB ADDRESS: 480 NE 103 ST Contractor Local Phone: 305 - 895 -9237 Parcel # 1132060170710 Contractor's Address: 305 NE 116 ST Legal Description: AMD PL OF MIAMI SHORES SEC 4 LOT 3 & V125FT OF LOT 2 BLK 92 PB Fees: Description Amount FEE2005 -2334 Building Fee $300.00 FEE2005 -2336 Training and Education Fee $2.00 FEE2005 -2337 CCF $6.00 FEE2005-2338 Technology Fee $7.50 FEE2005 -2339 Scanning Fee $15.00 Total Fees: $330.50 Total Fees: $330.50 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/1/2005 Construction Value: $9,800.00 Work: RE -ROOF TILES AND FLAT DECK Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/22/2005 Building Permit Permit Number: BP2005 -156 Page 1 of 1 Applicant: TAWANA THOMPSON Owner: THOMPSON TAWANA JOB ADDRESS: 480 NE 103 ST Contractor Local Phone: 305 - 895 -9237 Parcel # 1132060170710 Contractor's Address: 305 NE 116 ST Legal Description: AMD PL OF MIAMI SHORES SEC 4 LOT 3 & W25FT OF LOT 2 BLK 92 PB Fees: Description Amount FEE2005 -2334 Building Fee $300.00 FEE2005 -2336 Training and Education Fee $2.00 FEE2005 -2337 CCF $6.00 FEE2005 -2338 Technology Fee $7.50 FEE2005 -2339 Scanning Fee $15.00 Total Fees: $330.50 Total Fees: $330.50 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/1/2005 Construction Value: $9,800.00 Work: RE -ROOF TILES AND FLAT DECK MAR 0 8 2005 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: W.11 c': t.1 ., t i U.' •. Ct.< ! Y74 I I NE IC 4\ I r -4 /1' 00217O AJ St re'7' 4 DESCRIPTION: LOT 3 AND THE WEST 25 FEET OF LOT 2, BLOCK 92, "AMENDED PLAT OF MIAMI SHORES SECTION NO'. 4 ", ACCORDING.TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 15 AT PAGE 14 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. ALL OF THE FOREGOING SUBJECT TO ANY DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. ORDERED BY: BADEN REALTY PREPARED BY:. CHARLES D WEBB, I' (2. 4557. PONCE DE LEON BLVD -. CORAL GABLES, FLORIDA 33146 TEL. 661 -79`,0 BUYER: CANTON AUGUST 22, 1980 F.B. 4W5 -49 JOB '80 -101 I HEREBY CERTIFY: THAT THE ATTACHED "SKETCH OF SURVEY ", FOR MORTGAGE PURPOSES ONLY AND NOT FOR CONSTRUCTION, OF THE ABOVE DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED AND PLATTED UNDER MY DIRECTION; ALSO THAT THERE ARE NO VISIBLE ENCROACHMENTS UNLESS SHOWN THEREON. EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY; LOCATION AND IDENTIFICATION OF UTILITIES ON AND /OR ADJACENT TO THE PROPERTY WERE NOT SECURED. NOT VAl JNLE SEALED WITH AN EMBOSSED SURVEYOR'S SEAL JR. YOR #2.187 R I DA i IF: . . �Ca I '1 i 'i•1. ' r -4 /1' 00217O AJ St re'7' 4 DESCRIPTION: LOT 3 AND THE WEST 25 FEET OF LOT 2, BLOCK 92, "AMENDED PLAT OF MIAMI SHORES SECTION NO'. 4 ", ACCORDING.TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 15 AT PAGE 14 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. ALL OF THE FOREGOING SUBJECT TO ANY DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. ORDERED BY: BADEN REALTY PREPARED BY:. CHARLES D WEBB, I' (2. 4557. PONCE DE LEON BLVD -. CORAL GABLES, FLORIDA 33146 TEL. 661 -79`,0 BUYER: CANTON AUGUST 22, 1980 F.B. 4W5 -49 JOB '80 -101 I HEREBY CERTIFY: THAT THE ATTACHED "SKETCH OF SURVEY ", FOR MORTGAGE PURPOSES ONLY AND NOT FOR CONSTRUCTION, OF THE ABOVE DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED AND PLATTED UNDER MY DIRECTION; ALSO THAT THERE ARE NO VISIBLE ENCROACHMENTS UNLESS SHOWN THEREON. EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY; LOCATION AND IDENTIFICATION OF UTILITIES ON AND /OR ADJACENT TO THE PROPERTY WERE NOT SECURED. NOT VAl JNLE SEALED WITH AN EMBOSSED SURVEYOR'S SEAL JR. YOR #2.187 R I DA 4=Ps/A..92! dt 14' J ?4L /Y''S/y/ 0007 T' F .... ..�:'w�'.i�•fty,�'.+FY$�q"4?C •, �x vtL!�q '.1 ,. a�'�1Q'�'d , N ..4ikwyf 424‘151r, t- 2 . SA.,„ f'O -� I Y f °7 4'2 aw • .�9 (87717' 0* f °7 w � I �,. ,4''!Z ,4' .2 I ,fr.'at g'Paf �►; i/D�� I ag°',e .Sad .S.Q.J /y$_� • 61 -7//'`'6" • •S.L , N .2 •• • 266 oo • _.S',, L� �'"6" A-, 02 7 is k sr " 0 iss r'' tseGa; y,4,, 'yvMtJ �j,7�; { r•`u?' '�7;'Xt4 y1, of ,O2. „/ a /cW- Agiang HOAL r a 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 ng 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 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 l� �` L Registered Architect and/or Engineer A Date 7-Le' V , % r 19 PP Na q ra Street A"4 /1 7 S Name and address of licensed contractor Location and legal description of lot to be built on: Lot. 4114-4 og Block f.Z Street and Number where work is to be done S—C7 yb % L J S Subdivision ofM6i) L % ,20,04 11 1211 /7/6 h State work to be done and purpose of building (by floors). state exterior colors (submit samples) aced Al"a/fi r 4 , 4 re 0 and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To b e constructed of C- 7 S co Cc & it' Kind of foundation C ®A/C,f Fro` /-0 a 7 Roof Covering YSt Estimated Total cost of improvements $P Amount of Permit $ / ° Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or 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 q- only such subcontractors. work to be ormed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. ss' Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the f =: ,; •g .appli cation. and that he did sign the same. and that all facts therein by him stated are true. Permit Na " 0 245 Date 7 Disapproved. (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE 1't Date Read. Sworn to and Subscribed before me. Notary Public. State of Florida Chairman Member Member Member Member Member Council Approved /late Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 4� _.l /9' - " cO 'C. 01.ckc ccec FILLf4 w Z d i con -. Z S TEES /0" R, s f4 o.✓• • c64c �u )// go SLxZ 6 writ y y CONC. CFL [ 'F / F11 i✓/ Z Je CO AI T, y #C 00-/C. l - /OfnO WIRE AFSy /ars—A. x t' ! #S C9 Air 8-" Co.✓6, #OFSLp ' E)ciST STi i/CT x /4.vs/001.1 rvi/rr AllA CO,/`7 /"4C TEb y/I G /0" x /4" c ONC , Fr c. 441/ z « S cover. T ` /Picelk WALL SEC T4,.ri 6x'57: GT4- /9770 yq• 4V6 /o7 Sr Ii" CONC . : i Af! 6J/ s6 - /0 ✓10 f,,/ /Qf fFt*' ,fir/ is,/EC t 4,0#7,04cTEf ay*/t c 00. " to ,05-F 8"' jJ(La C0/7/9, /0" 5 TEAS X11/es. 414 p A fib i r/0 tiro A'� io J sr LC x1J1: GARAGE $•,12 *2.6-1 DExic y" C04/C. S AA? exe r‘ r� iRE RoA6 /Pere/ ory A/FLL co/+P4csod Fi44 ctNDiJruk itre SOIL. Etcor I �./CLL . (coAVe ry �cpCE 1/ �^ Conic. ,F /4ji sdilu6X6KC wi,F 4D n E ti Piet I CV/1/140W f- i L L 0frf WW1) t f w4lo i f oil. /CA C4DSf sec. f6' I/ "CowC . ;ar t'wsG��+ta W lief i7 el 4' 04., A/EL conRett rei CROSS S6—CTo, THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT El WITH NO VARIANCES p WITH VARIANCE(S) LISTED IN "REMARKS" AND ZONING NO OTHER ORDINANCES WILL BE PERMITTED, UN ESSISPECIFIICALLYNLISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. FIRE DEPARTMENT PUBLIC WORMS POLICE DEPARTMENT Authori'ed Signature Date BUILDING DIRECTOR PLANNING & ZONING BOAI'cD VILLAGE COUNCIL PRELIMINARY: REMARKS: APPROVAL FINAL: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & BUILD- ING REGULATIONS WHETHER OR NOT {SPECIFICALLY INDICATED HEREIN. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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. 'T'lue application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiurida, 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. 1 Owner's Name and Address • `� 0 4, No e%.FF' Street ...... Registered Architect and /or Engineer ofEmploying Electri «aA's Nalhe. .rg../7t1 .4.2x/.4' Z- ccis_ No....f.9Z.. Street ....?.7.: L. /12 6 Location and Legal Description Lot VA; ) 7 eg. • .rs -3' S' • Block Subdivision Street and Number where Work is to be performed—No 0-..1-0 .� - State work to be performed and purpose of building (By Floors) New Building Remodeling .Addition d/ Repairs Street. /0 3 No. of Stories. Overhead Service Underground Sue Feedes Conduit .Main Sw -Amps .Main Fuses....— .............. --Amps Type of Installation --- Conduit..... Tubing .B.X.L Metal Moulding Amount of Permit $•• "1'7.7. (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work 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. (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. I ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _.._....... . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 Notary Public, State of Florida NOTE: A reinspectjion fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T•S FIXTURES NO. LAMPS REPRICE OUTLET IRON OUTLET RANG[ OUTLET RANG[ CONN. - WATER NEATER W. HEAT. CONN. SPACE NEATER STRIP NEATER TOTAL CONTR. LILIST L� / 1 CHeck 4..,.S. . /. '-a ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RADIO . TOTAL CONTR. LIST CHECK . Overhead Service Underground Sue Feedes Conduit .Main Sw -Amps .Main Fuses....— .............. --Amps Type of Installation --- Conduit..... Tubing .B.X.L Metal Moulding Amount of Permit $•• "1'7.7. (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work 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. (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. I ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _.._....... . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, 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 Notary Public, State of Florida NOTE: A reinspectjion fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is h eby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid , and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the B • ding Division of Miami Shores Village shall be complie with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and A Date_.._Ailg rt_..3.4_. W _ .___..._.,19...62 dress. - J. H.wRouseeau,_ Jr. No.._.- _..__. street.-N.E. 103 Street Registered Architect aid /or Engineer Name and address of licensed contractor Orkin Ext n... tang- Company.,,- Ino.,, 19.60 N.lif. 27 Avenuo, Miami. Location and legal desption of lot to be built on: Lot_.._ __ __._._...-- - BIock -_ Subdivision._ Street and Number where work is to done_.___ 480 N.E. _ 101_-Street, Miami Shores State work to be don and purpose of uilding (by floors)_--_ N. iQr_.T.QILt _tilni__ -___ _U > -_--_. .—-� - — -- a -- - - 8 Potwds - _- _- .-------- ---- and for no other purpose. New Building. Remodeling. Addition Repairs No. of Stories To be constructed of -'Kind of foundation _- Roof Covering Estimated Total cost of improvements'$L3.10.00 Amount of Permit $ Zone cubage require _._.______ __-.Plan Cubage_.__ Distance to next neatest building_ __ __. -_Size of Building Lot Maximum live load to' be borne by each floor-_--_-__---___.____- ____.__--_-___-__-___-___-__-_. _ __� - -- I hereby submit all the plans and specificatiions- 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 petformed under this permit; and will post or cause to be posted for • ► - on on the site of the work such ublic notice or notices as are req red by the Act. The undersigned agrees to employ only such %• actors, on wo to performed under this permit, as are Remarks by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADS• ss (Signed) 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 xr a first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 3- � ' Date ` Read, Sworn to and Subscribed before me. Disapproved ( Signed) -_ Notary Public, State of Florida Building 9' . -ctor My Commission Expires -- -------- .......� PLANNING Chairman .___ Member Member . Y _ ____ .. _ Member Member f Member Council Approved._) _ ... _----- .___._Date Disapproved _.__..__._.__. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1== I I 410 /d, /03 E sT: "leXACA6M...14- rt.() C11-7 kr) LLiLU /" 6 A s ray LOT 4- Lo ci 2_ SECTION YY1- SCALE 00,\Ir n01,1e1611 iLES ISICASIVECIDI 564 N. E. 125th STREET NORTH MIAMI, FLORIDA DATE /3" DWG. BY-- I oa ttk Miilt mit E 1k) eQt -7 To s RAI 4 4 , g..1 DA4 SHEET of J. o.P.4- 4oq- PgS #237 Issu Amoun No. House Addr aiami Jlzores9llage L O B t n A BUILDER'S BOND SNOW ALL MEN BY THE E PRESENTS, that I N? 984 in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buil • `ice: at the following addresses: a ®a2 do hereby aepowit with Miami Shores Village, Florida, the sum of and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village - property damaged by me, used for the deposit of material or > . pment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of . ` 4.'. . , e a the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and t of _`' and return the remainder to me and that, if I shall clear and repair said property immediately, as aforesaid, then WITNESS MY HAND and Seal at Miami- Shores Village, Florida day o S INSTRUCTIONS T( BUILDER When above xnentioned4onstruction is-- completed and the remises are cleared and a bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refun 'ur money in accordance . e above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the b der thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing s . ' construction. WHEN CLEARED AND REPAIRED BY THE VILLAGFA Amount of Bond. _ . Cost of clearing and repairs done by Village Balance-due-Builder. Ma. • e it••••VAj. , MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. w June 25, 1979 Application is hereby made for the apprrval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. Thai 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 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 J,, H . Rousseau No. 480 N .E .10,E St . street. Miami Shores,.,_ Registered Architect and /or Engineer Employing Plumber's Name HAROLD G. JAFFEB0 INC. Na, 2.'1 s. 1Fti. 3 St$ Miami , F1a 33135 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No N N. E E. 103 St . Street- State work to be performed and purpose of building (By Floors) New Building _ ._ - ......... -_ -- Remodeling _ __ . Addition._ _ ... _.. .__.. Repairs.:....- _.......- ...... -. No. of Stories... .... -_^ CLOSETS BATH TUBA SHOWERS LAVA. TORIES 161". 161". SLOP SINKS LAUNDRY Yule URINALS CATCH BASIN - FLOOR. DRAIN DRINKING FOUNT- NI TOTAL FIKTURES LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL BPRKLR. SYSTEM SWIM'O POOL 211 irrigation we CoNTW. LIST _ I f 97� a� CHECK Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. ...Capacity Cals. Amount of Permit $ 1^10 (Signed)17"3 I (48%'114 V . Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws ; Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or ". •. . tractors employed by him in the work to be performed under this permit;. and will post or cause to be posted for inspection on the sit • the work such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub - contractors, :' , to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. U. (Signed) tare #1106 Muter Plumber. Before me, the undersign authority, a n public, duly authorized to administer oaths and take acknowledgments, personally appeared ,ti -6E' ®G-) 6:: 4-4- rFF ='2- to me well known, and who, being by me first duly swan, upon oath deposes and says that he is the C ® rd:' 4 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 p ' ted are true. i oTaary ubli. v << :ter of Florida at Large Ii9 Commissi� My Co State of NOTE: A re- inspection fee of $1.00 will be made when re•inspectlon is made•neoessary by improper notice for inspection, or fault' materials and /or workmanship. * MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby "ode 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 ef 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 mist be kept at building during piegress of the work. Date JULY 10th 1980 Owner's Name and Address SPIRO CANTON 14.80 NE jib-5rd Srili Stree Registered Architect and/or Engineer TMIT.ttlIt•trVITIITTIMITI•SrittrIlIGT1TISt Name and address of licensed contractor Williams Fence Co.L. Inc 2300 N.W. 79th Street Miami Location and legal description of lot to be built on: ' Lot3 W 25 ?f LOT %lock. 92 subdivision MIAMI SHORES SEC /1. PB 15-14 Street and Number where work is to be done 480 N 103rd ST State work to be done and purpose of building (by floors) CUSP ° CONFINE CHIUREN IN FENCED IN AREA FENCE TO BE 48 IN HIGH SEE ATTACKED SKETCH WITH PERMET APPLICATION and for no other purpose. New Building Remodeling. Addition Repairs.. .............. .......-- No. of Stories. To be constructed of " Kind of foundation.............-.... .....itoof Covering... Estimated Total cost of improvements $. 465.0o --Amount of Permit S.. 1:9' 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. 23.00 atreat avliamd -F1 ida 33447 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Pennanent 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. d Ae.Z /4/41/21-1-1e;;.------ Remarks ( Signed )— STATE OF FLORIDA, COUNTY OF DADE. ss• Before 111,• the undersign authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Li) LULL, )1_, 1„;,1,2 and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - Permit No Date to me well known, Disapproved (Signed) Chairman Member Member Rea Sworn to and SuWcrl fore me. Date /ILI ) Notary Public, State of Flori My Commission Expires .JLtL!' fl! dIf Pi Intn, Expircs Aug. 2, itJ. Building Inspector PLANNING BOARD DATE 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-inN.Pection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. . • 4 - Noth-SPIT 480 N.. 103rd. Street maatensegat. ADDRESS 8-8-1D NOTEs 1, Show existing buildings • 24, Show distance-front-property-Tines' te-plioposed fencing Shoe .,it?tew 4 Shoe meAsur 4...1Ment$ OWNER'S NAME MOZLEY, MR. &- MRS.-L. A. PRESENT ADDRESS 6310 North Miami Ave. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 480 N. E. 103rd Street LOT 3 & W 2512 BLOCK 92 SUBDIVISION Miami Shores Sect. #4 G .E-_ - L -DD, P 3745 0-B Owner- Builder 6310 North Miami Avenue 3 -9042 BUILDING PERMIT NO. 9198 DATE £/1/50 PERMIT FEE $ 17.00 BUILDER'S BOND NO. 984 DATE 4/1L/50 ZONE REQUIREMENTS 18,500 CU. FT. PLAN CUBE 19,548 CU. FT. EST. COST $ 12,500.00 < - = DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE - - 4/u/50 � - -NEW CONSTRUCTION TYPE - °` -,VDf7 STORIES �:- # -- ROOF CONSTRUCTION INTERIOR CONSTRUCTION - ° -- Tile - -- -` =_ ° - - °_- °. Floors - Plaster Walls ------ -. - - -- REPAIRS dal. Liv Rm - dal. Porch - Kit - 3 Bed The - 2 Baths - 1 car att. gar. .•._, ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS. CERTIFICATE OF OCCUPANCY. NO. _ 9222 .. 922 L �n ISSUED- 6/10150 r�nLT?T I BY. al r++ -,. TT� TO L.A. Mew .1 cap - . , haft Mt w .1 f19ssA Q4. -- - - BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES .VILL/CC T' • V I r1Ird, Iw�aoo, rInr i INSPECTIONS DATE BYY RE- INSPECT BY RE- INSPECT BY FOUNDATION . 1[- jJP d/. Ara FEE TEMPORARY SERVICE BEAMS & LINTELS 5 �� $ RANGE CONN, FRAMING $ MOTOR'S li $ FIXTURES FINAL' 6/30/50 INSPECTIONS DATE BY RE- INSPECT BY CLEAN; UP BY -, 4/19/50 a fls PLUMBING & INSPE'CTIONS ,PERM f�TS CONTRACTOR Plu*bing Co. ROUGHING PHONE 9212 ?PERMIT NO. `� 9212 DATE 08/50 FEE $' 94)75 NEW BLDG. ' X I ALTERATION ADDITION REPAIRS ' SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK ® 7253 4/0/50 $ 1.0• SEWER $ SOLAR! HEATER $ GAS FIXTURES & FINAL - $ ,I • $ INSPECTIONS DATEC� IB�tY RE- INSPECT. I BY RE- INSPECT BY 0/22/50 4DH GAS SEWER SEPTIC TANK' Gn 4/28/50 6/28/50 q SOLAR HEATER FIXTURES 6/30/50. ELECTRICAL. PERMITS '& INSPECTIONS CONTRACTO Lewis C i' Bi PHON PERMIT NO. DATE 9 50 FEE $ 11.75 NEW BLDG. X I ALTERATION I ADDITION REPAIRS .SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ N FL W. HEATER CONN. $ RANGE CONN, $ MOTOR'S li $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 4/19/50 a fls ROUGHING 5/24/50 JDa H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 6/30/50 Ji r ,I • APPROVAL TO POWER CO. FOR SERVICE DATE 6/30 BY 3DR OWNER'S NAME 991.J. fonsseau JOB LOCATION (ST. OR AVE.) 480 N. N. 1U86d St. PRESENT - ADDRESS • 480 N. J. 103rd St. scrn rich +, `11'�. NO°" '° , NO. LOT BLOCK I SUBDIVISION ADDRESS PHONE NO. Filson Mfg. Co. 5110 N. N. 2nd Ave. BUILDING PERMIT NO. 4195 DATE 8/20/56 TONE PEQU I REMENTS IPERMIT FEE $ 5.00 LICENSE NO. 1167_ BUILDER'S BOND NO. 2017 DATE 8/20/56- CU. FT. ' PLAN CUBE 1090,5 CU. FT. EST. COST $ X00.00 Tax - Value- 4545.25 DATE INTERIOR CONSTRUCTION DRAWINGS. SPECIFICATIONS RES`i`R1CTIONS AIV CUBECHECKEDEY. G.= TYPE STORIES j ROOF CONSTRUCTION - NEW CONSTRUCTION- t DESCRIPTION . REPAIRS ALTERATION -- ADDITION SUBMITTED TO P DE-SCR- IPT#ON- -- Screen _Porch Addition __- j APPROVED j REJECTED- kREFERRED TO COUNCIL NNING BOARD EASONS • RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO ISSUED BY TO BUILDING INSPECTION DATE BY RE- INSPECT 'i BY RE- INSPECT BY FOUNDATION r- 27-go ..",z4 *1 v(%p a. BEAMS & LINTELS FRAMING °1 - 1) - 9.70 �9 4--1 /2d.: �p ,,E, 4 x - FINAL 9..0 -41- 1. QJ 4 $.17 CLEAN -UP 41 -0- S, Gag (ay'' “ r-� PLUMBING PERMITS & INSPECTIONS , CONTRACTOR •.PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS ' SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING - GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES . ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS I PERMIT NO. DATE FEE TEMPORARY SERVICE 0 $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY 1 RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 1 ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY , ADDRESS '480' N. E. 103rd St. f LEGAL 223! •92, NSS #4 RECORD GARBAGE TAX ,�,f 6-30-50 PAID BY �i V1 .O�.C•y "'J - YEAR ANIUUAL TAX I PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER y A. Mozley (o) /' S3• AA .0 re /...2-3/- 54 lo. 0 o 7- 5-- so / 5--7513 if fl if S i ;,I /A •.3/• S/ /oZ • OD / - la -- 1 /s �/S/ l a /09, /� -�l /� 7-/C -�° 6 °�d� l , Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING' � AMID° Date 5/24/56 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. application is made in compliance and conformity with the :wilding 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 sha:) be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Col. J. Ht Rou$seau No 480 Registered Architect and /or Engineer Employing Plumber's Name Bttiril $ f f r Construo tioh Co. No 2500 Location and Legal Description Lot Block Street_ N. E. 103 St. Street. .1iami, Avenue Subdivision Street and Number where work is to be performed —No. l480 Stieet...._.N. E. 103 Street State work to be performed �nd purpose of building, (By Floors) 2n well & sprinkler system New Building Remodeling Addition Repairs; ___ --_ - -_ ------ No. of Stories_ -- Size Septic Tank Feet of Drain Tile nist. Feet of Tank or Drain Field from Well 211 Type of Tank _Capacity Gals. Nature of Water Supply: C ty —Well supply s/s Size of Soakage Pit_ Pe t for sprinkler. system Amount of Permit $ 11-0 ( 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 5986, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permits 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. I Before me, the (Signed) Master Plumber. 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 thhe him the above stated auction, that he has carefully read the regoing application, and that he did sign the same, and that all facts therein NOTE: A re- materials and/or My Co . .. Expires Notary Public, State of Florida fee of $1.00 will be made when such re- inspection is made•neceasary by improper notice for inspection, or faulty P. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tung URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. ' DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM. SW MVO POOL CONTR. LIST CHECK Size Septic Tank Feet of Drain Tile nist. Feet of Tank or Drain Field from Well 211 Type of Tank _Capacity Gals. Nature of Water Supply: C ty —Well supply s/s Size of Soakage Pit_ Pe t for sprinkler. system Amount of Permit $ 11-0 ( 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 5986, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permits 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. I Before me, the (Signed) Master Plumber. 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 thhe him the above stated auction, that he has carefully read the regoing application, and that he did sign the same, and that all facts therein NOTE: A re- materials and/or My Co . .. Expires Notary Public, State of Florida fee of $1.00 will be made when such re- inspection is made•neceasary by improper notice for inspection, or faulty P. gr &.I C., 1-2.• MIAMI SHORES VI10...HAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 2- c /g' ' Application is hereby made for the approyal of the detailed statement of the plans and herewi submitted for the build- ing or other structure herein described. This application is made in compliance and a ity with the Bun g 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 o not. A copy of approved plans and specifications must be kept at building during progress of the work. • Date.- Owner's Name and Address.. No.MiL - Registered Architect and/or ngineer Name and address of licensed contractor, . , 19 d Location and legal description of lot to be built on: Lot _ _ Block. Subdivision Street and Number where work is to be done_.? State work to be done and purpose of b il., 1. g (by floors)._ ..../L ..... „--"--7— .., y f...z-.......,....-- and for no other purpose. New Building_ Remodeling Addition. ..1-.."" , Repairs No. of Stories To be constructed of__ i, ICind of foundation "----"- i Roof Covering Estimated Total cost of improvements $......... la „:41.' Amount of, Permit $ Zone cubage required_ _Plan Cubage. 1_ Distance to next neared building_ Size of Building Lot slr Z. kt. Maximum live load to be borne by each floor I hereby stibmit all the plans and specifications for said building. All notices witheferlynce_to the buildin! 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 5988, 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 he work such public notice or notices as are required by the Act. The undersigned agrees to employ only suchtsu. ,t .. ' tractors, on rk to be performed under this permit, as are licensed by Miami Shores Village. ed 4160 C 2-.1.... .. ,.-,' Remarks (Signed I / STATE OF FLORIDA, I COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclm ledgments, 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 he same, and that all facts therein by him stated are true. Permit No Date — Read, Sworn to and Subscribed before me. Disapproved Date (Signed) • , Building Inspector Chairman Member PLANNING BOARD Notary Public, State of Flori My Commission Expires _DATE 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 neessary by improper notice for inspection or faulty materials and/or workmanship. ••••••••••••1. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. (O..; C ( Application is hereby made fin 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. 14C5 Date MAR. ,29.116s" Owner's Name and Address _Y No z/gc Street-kg e_ J L3 Registered Architect and/or Engineet ,-.5--. .. —.rt. •.--- 1.- 1 — " - • 40 Employing Plumber's Name 4,/ 6/4..Tre "SIC' e.......t C.---'4 Streetk — (64-1— Location and Legal Description Lot _____Block Subdivision_ C Street-oe e .0 - j ■, .,.. 7%, Street and Number where work is to be performed—No. State work to be performe8 and purpose of building (By Floors) New Thrilrfing Remodeling Addition Repairs... ............■• CLOSETS BATH TUBS SHOWEBB LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. . LIST CHECK r__________ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER ,--..- DEEP WELL SPR KUL SYSTEM SW I M 0 POOL corm, LIST L' - — CHECK — — Size Septic Tank Feet of Drain Vile v-52-ta Nature of Water Supply: City—Well- I ...... Capacity Gals. Field from Size of Soakage Pit__ Amount of Permit $ ( Signed) &vector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of la under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supp d has plied with the provisions thereof, and will require similar compliance from all contractors or su • «•,. ployed performed under this permit; and will post or cause to be posted for inspection on the site of th • required by the Act. The undersigned agrees to employ only such sub-contractors, on work licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or workmanship. 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 pipgress of the work. 20sqs. Date.. May 18th 19..76 Owner's Name and Address. Mrs. J »H. Rouseau ,,_— _„_•■••••••• N0J48• ....»....... Street.... N. E. 1f3 rd Registered Architect and /or Engineer , »». -a:. ,„„ temrts -.... Name and address of licensed contractor ..Roofing & Tile �CO._, , Ine,.,i 573 N. 21st St.", Aiiami t .. Fla Location and legal description of lot to be built on: Lot_ Block. .... »....._..... ». » »» » .» Subdivision Street and Number where work is to be done 480 N. E. 103rd Street State work to be done and purpose of- building (by floors). - Tear — ! »tile .ZQQf.»Qn »main. u e.s... .?i cap 1 -30#1elt mop 1-90# slate With hot asphalt and cover with a layer of standard white cement shingle type £lashi.rtgs and for no other purpose. New Building . Remodeling Addition Repairs Re -roof No. of Stories 1 ..... To be constructed of Kind of foundation. ... ». ».... _ Roof Coverin Estimated Total cost of improvements $... »..24 QQ__ »......... -.- _.Amount of Permit Zone cubage required .. » »..._ ». »»»_ ___» plan Cubage Distance to next nearest building _.__ ....Size of Building Lot Maximum live load to be borne by each floor ..._. _......_........_....... »... ».. . I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida NVorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contra rs or sub -con actors employed by him in the work to be performed under this permit; and will post or cause to be posted for in on the site a work such rlic notice or notices as are required by the Act. The undersigned agrees to employ only such subcon won perform and this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, , Ss' OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ..to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. > Date Disapproved »_» rr _.» . Date (Signed) .��7 s� Building Inspe or LANNINC BOARD. Chairman ._ Member . -__ __..._.... » Member ....... Council Approved r ..� Read, Sworn to and Subscribed before me. Notary Public. State of Florida - My Commission Expires Member Member DATE Member Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT - APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyai of the detailed statement or me plans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of the work. �•^� Date•,» f Z - k i ,.,,._......».... _ ,19...»._ Owners Name and Address ...i...R4l.. .ri.''a..........4. ../.Q 3...S. .»_. No..»»»»»..»......... Street_,..»».». Registered Architect and /or Engineer ».._...» ,..........,0111,.. ...„,..., „.* „„„r,,,.„.,•.,„„„gM „let Name and address of licensed contactor L .e i i g n 7 , ».... • ••••••••• . ».. 000.5410 ...}...•._. »..� ......... ... 0000... ■••••••• Location and legal description of lot to be built on: Lot Block. Subdivision . »_0 .... .. »0110.. »., ».»...,,......_.. Street and Number where work is to be done k 0 ...i .0 -.1-P...---3-1--. ......,._.. ..._......— . » ».. ». » ».....,_..,. State work to be done and purpose of building (by floors) ........» ...»......M_.....».. ..._....._. ». » ................. _00_00.. ...............and for no other purpose. New Building Remodeling Addition l'"----- Repairs No. of Stories — To'be constructed of Kin, of foundation.... oof Coverin ° .. »000.0.» g;.. _.l...i..6�......._.....—.._ Estimated Total cost of improvements $.. rP 00 _.._.Amount of Permit S.. . Zone cubage required Distance .to next nearest building ......_........__...Size of Building Lot......_.,_..... 0000._. »._ 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 pennit, as are licensed by Miami Shores Village. Remarks. - (Signed)...�rfG.». .•___�__ .. _._ .Plan Cubage ............. STATE OF FLORIDA, . COUNTY OF DADE. f as. -Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap• peared ._.. ». to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the one, and that all facts therein by him stated a fi� re `. . Date....P/11.5./.. Read, Sworn to and Subscribed before me. Permit No Disapproved ..» (Signed) ........._.... 1 . .,.. Date Building Inspector My Commission Expires.......... ......._._.. PLANNING BOARD- ...._...... 0_0_•••••DATE Cnairinan 00 00... _. »00..00.». . »__0000. »_0 000. Member 004400 .iicrnber ......._ ............. 00 00_..» .. ._ ..._ »_ » ........ Member _»...... .. ........... ...... ---------- ..... . - . Member 0000. --- . .......... _. _ ... _ Member _, Council Approved .... »_. .._..._...Date Disapproved .0_00_0. »......._......... ,. 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 fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection oe faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT �. `APPLICATION FOR BUILDING PERMIT Application is he eby made for the approval of the detailed statement of cne 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, Florid.m.'and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the iiuildmg 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 Address .... ,t u.' . �:!!.� ..... .._..._....».....:.......,..... Registered Architect and /or Engineer ......�6 .t'•. . :: �{[ '" ♦ •• •••••,,nr ••wn• .+n.,,m, a �n.e+�xna Name and address of licensed contractor... .... .. e.e.. ... ........,. Location and legal description of lot to be built on: _ Lot.. 144104 Block » % —...» ..... s b l ivssion frb i/ . . C Street and Number where work is to be done d� t State York to be done ,and purpose of building (by oon)--. .ia.11 No. -scg. .. Str et....A C .....,..sad for no other purpose. New Building »•N» .M Remodeling... Addition . »».» •~Repairs.» ........._...__ N of Stosries._....._._......_._ To 'be constructed of ..C�. $ kind of foundation...,... 0 "., +' ? el."-';... Roof Covering. a Estimated Total cost of improvements S... • ".d.a. ......._....» Amount of Permit $..a� ................_........,.. Zone cubage required .Plan Cubage ..— Distance .to next nearest building —Size of Building Lot...... ........»._... Maximum live load to be borne by each floor I hereby sub ni t all the plans and s ecifications for said g . All notic with reference theuild i g and, its construction may be sent to y� MJ% ..... ... . 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 5066, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- 4ontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon ctore, .on work be perforrged' under this permit, as are licensed by Miami Shores Village. Remarks..._._ .....__...... _ (Signed) STATE OF FLORIDA, . COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized peared ..»._.»._.. ».......» o administer. oaths and take acknowledgments. personally ap- • 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 carefull y read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. ; Permit No .L�L�..... Date..... .. Read, Sworn to and Subscribed before me. Date Disapproved —... ( Signed) ...... . »...a Building Inspector Notary Public, State of Florida MyCommission Expires...._._........., la ...... ...............••■..••••,,.•■••.,_._.. PLANNING BOARD...».........» DATE Chairman .. ».... .....»...._.._......»....., ..._. »». ».....» »_.......»...... Member Member Member Member Member .. »_......_ Council Approved _.. »_ ._._......_....._Date Disapproved - _ _ . ». »..... .. Date NOTE: A 'ch.irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the PL.innir.g Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Perini. Nu V 411 Date. ....... :,1,pllc:Itl.n, i, hereby made for the approval of the detailed statement of the plans and specifications herewith subtle, .i for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi;- • ! Shores Village, Florida, Bad aU provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and reguletic • . of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A *ivy of approved plans and Spec fications meet be kept at ',wilding during progress of work. -1 • ')caner s Name and Address -1 IN C. t st/i< Le- No ro Street_ .__M E , .egio :red Architect and /or Engineer smploying Plumber's Name ..L9 v!!...........4'1"4t"`-S to Location and Legal Description Lot. I loelr Subdi Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) Street New Budding Remodelling__._ _• _ ..._._ Addition... Repairs ...... .... No of Stones • Size Septic Tank. Type of Tank.___ Capacity Feet of Drain Tile.- _ -____ _ .- .__,.__Dist. Feet of Tank or Drain Field horn Nature of Water Supply: City -Well. Size of Soakage Pit ,, Amount of Permit a_ � ?c♦ C (Signed)_ i. ..........._ •• Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e pelmet of Who under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent £upi lement, and has eo 9- t lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed I y him in ' +:.m, rk c' b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub!: notice a; no ice!' rs a' nyulred by die Act. The undersigned agrees to employ only such sub - contractors, on be , formed ',s , tilts ,, ' a Iii, er .t . licensed by Miami Shores Village. 411111 (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. 2819 Mast a Plum 1 99— zg -602- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgements, perior.s: ; • npear!c, to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the . -7,9e8,2-0--4-1 . ...... ..... .... _ of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, therein by bin, stated are true. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXPIRES MAY 5 1986 My Gin a UNDERWRI TER: N Pub o, Bien, of Florida and but all acts NOTE: A re- inspection fee of $1.00 will be made when Bach reknapectian is emede•necessary by improper notice for inipirt'on, ce butt) materials and /or workspanship. -• CLoorr. BATH Twos SNOw[RR LAVA. TORIHO SINKS SLOP SINKS LAUNDRY Tu00 URINALS CATCH ®A•IN FLOOR DRAIN DRINKI • FOUNT' • ��- •L�" lel Wh re 4 ToT..L PIAT.R00 CONTR. LI'T - CHICK SOPTIC TANK SiwaR Conn. DRAIN Fume SOAKAOI PIT GRIMM TRAP SOLAR HIATIR OUP WILL SPRKLR. SYSTEM SWIM'S POOL 11.11. VP `` CONTR. LIST CHICK Size Septic Tank. Type of Tank.___ Capacity Feet of Drain Tile.- _ -____ _ .- .__,.__Dist. Feet of Tank or Drain Field horn Nature of Water Supply: City -Well. Size of Soakage Pit ,, Amount of Permit a_ � ?c♦ C (Signed)_ i. ..........._ •• Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e pelmet of Who under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent £upi lement, and has eo 9- t lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed I y him in ' +:.m, rk c' b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub!: notice a; no ice!' rs a' nyulred by die Act. The undersigned agrees to employ only such sub - contractors, on be , formed ',s , tilts ,, ' a Iii, er .t . licensed by Miami Shores Village. 411111 (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. 2819 Mast a Plum 1 99— zg -602- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgements, perior.s: ; • npear!c, to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the . -7,9e8,2-0--4-1 . ...... ..... .... _ of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, therein by bin, stated are true. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXPIRES MAY 5 1986 My Gin a UNDERWRI TER: N Pub o, Bien, of Florida and but all acts NOTE: A re- inspection fee of $1.00 will be made when Bach reknapectian is emede•necessary by improper notice for inipirt'on, ce butt) materials and /or workspanship. a, 0 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descrii bed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address JEFFREY WETNHRLR 757-3468 Date DECEMBER 2, 1988 19 No° N.E. 103 Street MIAMI SHORE$S. FLORIDA. Registered Architect and/or Engineer Name and address of licensed contractor WINDOWS, SEW OUR WINKLE. 5100 n..W 72 AVE. MTAMT, FU,BIDA 33166 'Location and legall dption of lot to be built on: Lot364 or Block Subdivision Amo •.2o?1.''I /9 e 7// t Street and Number where work is to be done State work to be done and purpose of building (by floors), state exterior colors (submit samples) RF.PTACTNG 3 JAL WDWS WITH 1 Aid AND 1 P - Tod IN EXISTING OPENINGS, NO STRUCTURAL CHANGES. COSDT $ 464 00 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation 7 Roof Covering Estimated lbtal cost of improvements $ • Amount of Permit $ i 579 Zone cubage required Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to Plan Cubage The undersigned applicant for this building permit does hereby certify that be understands and accepts his obligatons as an Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied compliance from all contractors or sub - contractors employed by him in the work to be performed under this on the site of the work such public notice or notices as are required by the Act. The undersigned �: i=' -t to under this permit, as are licensed by Miami Shores Village. ,_ ployer of Labor under the Florida Workmen's provisions thereof, and will require similar will post or cause to be posted for inspection on work to be performed STATE OF FLORIDA COUNTY OF DADE. as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared Sel moue G and who, being by me first duly sworn, upon oath deposes and says that he is the 41 e'i+- 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. to me well known. Permit No. - 6� / V Date Disapproved (Signed) Building Inspector My Commission Expires Notary Public, Stk' STATE OF FLORIDA 6Y COAR'ISSION EXP JULY 25.1991,E PLANNING BOARD DATE Chairman Member Member Member Member . Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained frog the Planning Board. A re- inspection fee of $25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Mr. We i nk i 1 Date 2/18/91 ,19 No. 480w. F,. Street 101 et Registered Architect and/or Engineer Nameandaddressoflicensedcontractor Levy Gray Roofing 800 N.E. 147 st. N. Miami Fla. Location and legal;desscc�ription of lot to be built on: ��// }}�� / /j� p q / // Lod li at_Blo k Subdivision #4(b I� L /lJ �.c4 // J°(�I / 7 '7/ Street and Number where work is to be done 480 N.E. 103 st. State work to be done and purpose of building (by floors), state exterior colors (submit samples) R em (Iv P flat roof p f f and r p p 1 are 'a n= New Graves roof- 400 Sq. ft. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation �� Roof Covering Gravel Estimated Total cost of improvements $ 1 6 7 �i _ f 1(1 Amount of Permit ,% �e Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to 800 N . E 147 st. N. MiamiPla. 33161 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 4E7 4ft A-, STATE OF FLORIDA ) COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the fo egoing application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. Disapproved Date (Signed) Building Inspector Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained froth the Planning Board. A re- inspection fee of $25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. METRO-DADE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Clopay Corporation 312 Walnut St. Cincinnati, OH 45202 BUILDING CODE COMPUANCE OFFICE SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL SECTION (305) 375 -2902 FAX (305) 372.6339 Your application for Product Approval of: 24 ga. Galvanized Steel Sectional Garage Door 9' wide under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: applicant. For listing see section 7 of this Notice of Acceptance. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3 This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:95- 0821.02 (Revises No.: 95- 0317.01) Expires:07/25 /97 Rau Rod iguez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Director Building Code Compliance Dept. Approved: 11 /02/95 -1- Metropolitan Dade County Clopav Corporation ACCEPTANCE No.: 95- 0821.02 APPROVED _EXPIRES • • • • 1.0 DESCRIPTION: NOV 0 ? 1995 JUL 2 5 1997 This approves sectional door 9' -0" wide x 6-6" through 8' -0" high made out of steel, lock forming quality (ASTM A527), a yield strength of 30,000 psi, a galvanized coating of G60 (ASTM A525) and finished with baked on polyester enamel. The door shall be constructed and reinforced as detailed in the approved drawing #101182 pages 1 & 2. RAM SKIN END STILE CENTER STILE END HINGE CENTER HINGE HORIZONTAL REINFORCEMENT SHAPE FREQUENCY 12G. 24G. 18G 200 14G 14G 20G U 1 /Section This approval includes 4 models which are the same door with the following difference: Characteristic Flush Panel Smooth Texture Wood Grain Texture Wood Grain Texture & Painted 2.0 USE: Model 78 91 93 or 83 94 or 84 This Door is approved for a maximum design pressure of +46psf & -48 psf and its use is restricted to this pressure. The door passed the impact and cyclic test, therefore it does not require hurricane protection devices. The door shall meet the burglary security requirement of section 3603.2(c)2(aa) of the South Florida Building Code. The door operating mechanism (not included in this approval) shall be certified by Underwriters Laboratories or other recognized agency. -2- Candido Font, PE Plans Examiner Product Control Division Clopav Corporation ACCEPTANCE No.: 95- 1)821.02 APPROVED : M011 0 2 1995 EXPIRES : JUL 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 3.0 INSTALLATION: The door shall be installed as shown on drawing #101182 pages 1 & 2. Wood in contact with concrete or cement shall be treated with an approved preservative as set forth in paragraph 2913.2(a)1 or shall be of a durable species as defined in subparagraph 2913.2(a)6(aa) of the South Florida Building Code. Installation of 2" x 6" wood jamb requires a 1/4" tapcon and 1 ".0 x 1/16" thick washer @ 12" o/c with a minimum embedment of 1 -1/2 into 3000 psi (minimum) concrete or into 2000 psi grout filled concrete block. Installation of track requires a 5/16 x 1 1/2 lag screw per bracket (5 brackets minimum) with a minimum embedment of 1 3/8 into PT Wood Jamb. 4.0 CONDITIONS OF USE: Application for Building Permit shall be accompanied by duplicate prints of the approved drawing's #101182 pages 1 & 2 bearing the approval stamp, Notice of Acceptance Number and date by the Dade County Product Control Section along with computations prepared by a qualified Florida Professional Engineer or Architect verifying the adequacy of the door at each site. The shopdrawing shall bear the signature of the architect or engineer with the following statement "The supporting structure has been designed for the forces on the approved manufacturer's drawing." Application for Building Permit for replacement doors shall be accompanied by duplicate prints of the approved drawing #101182 pages 1 & 2 bearing the approval stamp, Notice of Acceptance Number and date by the Dade County Product Control Section. Also the building official must be satisfied that the proposed installation meets the use of Section 2 above. 5.0 LIMITATIONS: This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested (according to ASTM E -8) by a Dade County approved laboratory selected and paid Candido Font, PE Plans Examiner Product Control Division -2a- Clopay Corporation, ACCEPTANCE No.: 95- 0821.02 APPROVED EXPIRES . NOV 0 9 195 ; JUL 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS by the manufacturer. Every 3 months, four times a year, the manufacturer shall mail to this office: a copy of the test reports with confirmation that the specimens were selected from coils at the manufacturer's production facilities and a notarized statement from the manufacturer that only coils with a yield strength of 30,000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance. 6.0 IDENTIFICATION: All approved products shall be permanently labeled with the manufacturer's name, city, state and the following statement: "Dade County Product Control Approved ". 7.0 EVIDENCE SUBMITTED: Test Reports HETI 94-47 Date 4/15/94 Calculations Date Al Farooq Corp. 5/5/94 Drawing Number Clopay B.P.Co. 101182 Drawing Ref. Signature 101182 pages 1 & 2 A. Vigar, P.E. Signature A. Farooq, P.E. Last Revision 9/95 -2b- Signature H.W. Westerfield Candido Font, PE Plans Examiner Product Control Division APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY A /iJ co i s a- O u , hereby apply for a certificate I, YPPY to re- occupy the single family residence known as : (address) c5/1167- , Miami Shores, Florida. /i A/C-- 103 Legal Description: Lot: Block £ PB & PG: `( �' — 3 I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Date S ,:a.— 00 Print Name �/elfN C 9/ S X 0 6( * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: ,& €4M /vr4/ totele-'e Telephone: 0-0s-- ?6 8- (o e0.6 Buyer Seller Realtor ✓ Company Name e 'ti,1 £7 °2 ' f ' y .c� c4244o/A -7-Air - Check No. c5•0 7 Application Fee ($50) paid: Cash Inspected by: F . LUB I EN Approved X Denied Date 6/1/00 Comments: PAGE 1 OF 2 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. MIAMI SHORES VILLAGE, FLORIDA By: 4i, � Date of Certification: 6/1/00 on: THIS CER'11.h'1CATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CER'1'1h1CATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 JQpay Corporation ACCEPTANCE NO.: 9.1- 0821.02 APPROVED NOV 0 i 1995 EXPIRES JUL 255 1997 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted , is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Acceptance contains pages 1, 2, 2(a) through 2(b) and this last page 3. Items 10. 11 & 12 listed below only apply to glazed products 10. Unless specifically indicated in the Acceptance (approval), this unit is approved as a single unit installation. For multiple installation of this unit, a separate Acceptance for mullions is required from the Product Control Section. 11. The spacing of fasteners at window sills shall be as tested. The spacing of fasteners in all other parts of the frame, shall be as tested, but in no case shall exceed 24" on center. The first fastener shall be located at a maximum of 6" from each corner and mullion or stile. Fastener shall fully penetrate the buck, which shall be the same size as the one tested with the unit. No wood or plastic shields or pins shall be used for anchoring. See section four (4) of this approval for sizes of fasteners used in testing. 12. Hardware for all windows and doors shall conform to Security and Forced Entry Pre , Chapter 36 of the South Florida Building Code. Candido Font, P.E. Plans Examiner Fhroduct Control Division END OF THIS ACCEPTANCE 3621 MIAMI SHORES VILLAGE BUILDING DEPARTMENT t9�® Building Inspection Request Date 1 q I CS Type Insp'nn L-E i N CB 2ESS Permit No. $5._ Name7.4w T43014 Address 480 1.M. 103 -ST Company Phone # (-S05 8C 5 -9z37 Inspection Date 9 J12. 1 Der Approved Correction Re- Insp'n Fee 3i MIAMI S RES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 orb Building Inspection Re st3 0 2005 Date° 2_6 OS Type Insp'n 1 •L !Qe- - . Permit No. 6PCIS— «� • Name / - 1/VAN#47-7-1-1-0M "P' NI Address 48° klE 103 ST Company 2cZ 41sk -SEEEviGE Phone # ( s) 4 4n� 4_ Inspection Date 9 ; Z% 1:::"5" Approved Correction ❑ Re- Insp'n Fee ❑ LG Engineering Servicees; Inc Tile Uplift Test Result Pi ojectNumber: LG0b -24 7; P.agge`3 Pillage of Miami Shores N? 4627 INSPECTOR I f . Village of Miami Shores IJOB 4 I ADDRESS II INSPECTION TIME READY j REMARKS I INSPECTOR DATE N? 4831 est Load (lb 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 53 35 Pass 54 35 Pass LG Engineering Services, Inc. - Tile Uplift Test Result -- Project'NUmher: `LG05- 2477, Page'; `Village of Miami Shores N °• 4958 JOB sS ADDRESS 4 vp AI' (c- k in 3 S -, INSPECTION -41-1 n% /1-<-- 013 Po a. e_-= e TIME READY P -41 . a 17 - REMARKS r F A..-y -- fl pJ et ` y INSPECTOR DATE I ° N L CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 525 Miami Shores Village, Florida, 9 -18-56 Owner, Agent or Tenant of Building Col. J. Ronsseau Lot W 2 3 Block__92 Subdivision m I 4 Street Address L5Q Tv .E „ 103rd Street Approved use by occupancy Screen Porch addition Remarks. This Certificate of Occupancy is issued to the above named owner for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Plan Cube 1090.5 Tax Value 545.25 BUILDING DIVISION Report of TILE UPLIFT TEST for Residential Home 480 Northeast 103 Street Miami, Florida Project Number: LG05 -2477 35 35 3 35 4 35 35 6 35 35 8 35 9 35 10 35 35 12 35 13 35 14 35 15 35 16 35 17 35 18 35 19 35 20 35 21 35 22 35 23 35 24 35 LG Engineering Services, Inc. - Tile Uplift TestResiilt -=Pr Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass. eject Number: LGO5 =2477, Page 1 xi.T'iFICA.TE OF OCCU SHORES V'.LAGE, FLO BUILDING DIVISION ANC Mi emarks: this Certificate of Occupancy is issued to the for building at above named location only upon abide by and comply with all conditions of Ordinan Zoning, Electrical, Plumbing and Building Or r . the erection, construction, alteration or remodeling t, ve nan4e expr s Nos. s of uil vision that the applicant will 93, 94 and 7, known as the S i es V , - ge pertaining LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please coo not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. amad Sonny Salleh, P.E. Project Manager TILE UPLIFT TEST Residential Home 480 Northeast 103 Street Miami, Florida MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin Inspection Request Type Insp'n Permit No. Name Address Company Phone # i 30 Inspection Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil ing Inspection Request Date 5 Type Insp'n I I 1 l Co\ 0 Permit No. eas 1Y°. Name n O D l j c i Address X150 Company Prc Phone # Inspection Date Approved Correction Re- Insp'n Fee 319 C•I•V•I•L LG ENGINEERING SERVICES, INC. Consulting Engineers [� 2020 Northwest 7th. Street c I Miami, Florida 33125 EN•GI•N•EER Tel: (305) 649 -6454 Fax: (305) 541 -3298 September 14, 2005 Perfect Roofing 305 Northeast 116 Street Miami, Florida 33161 Project: Dear Sirs; TILE UPLIFT TEST Residential Home 480 Northeast 103 Street Miami, Florida Information provided by client: Permit Number: BP05156 Date Completion: September 09, 2005 Roofing Contractor: Perfect Roofing LG Engineering Services, Inc. Project Number: LGO5-2477 (Testing Laboratory Certificate #00- 0224.07) In accordance with your request and authorization, a representative of G Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project s testing was performed in general accordance with Roofmg 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 fe t and the mean height of the roof is less than 30 feet above ground surface. The type of tile used f r this project was reported to be Colterra Roof Tile. This tile was reported to have been foamed ' place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More th 10% of the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. 31(15 MIAMI SHORES VILLA BUILDING DEPARTMENT ' 305- 795 -2204 Building Inspection Request Date ) Os Type Insp'n—FT F' rm IC-SS Permit No. ezA 6 – 15('' Name -rC:1 ) Cal n 4e0 N� lt7� sT Address Companyr r 'C c+ 12-cc57-4r1 Phone# (as) 403^ 4qq 4 Inspection Date 9 18 I Approved ❑ Correction ❑ Re- Insp'n Fee 12es hC&V hzeo 6,6 fri ee tor-'goDr 7M 77!e w /(ess GIJ c12e IJ . 401/(4 frot) MIAMI S RE VILLAG BUILDING DEPAR 305- 795 -2204 Building Inspection Request Dateq `'' Type Insp'n I ( 1'Q l �(' P(C9 Permit No. �Ft)46 1.5G Name ^Tj +z npc n Address 4-b0 1JE 03 5 Company P= (jn Phone # S �2 Inspection Date 2� trg Appro Correction Re -Ins» Fee LI = pQcJ in 1 1 1 1 1 4)(50 1 METRO MODELS 78, 84A, 91, 93, 94 (24 GAUGE) END STILES ATTACHED TO DOOR SKIN WITH PATENTED TOG —L —LOC SYSTEM (TOP, BOTTOM, & CENTER) (3) INTERMEDIATE STILES PER SECTION ATTACH WITH TOG —L —LOC (TOP & BOTTOM) AND URETHANE ADHESIVE (ALONG CENTER) ism- A 0 ■ i I i i 0 0 LOCATION OF OPTIONAL VENTS (MAX. VENT SIZE 20- 3/4"x2 -1 /2) A MAX. DOOR WIDTH = 9' -0" JNSIDE. Et EVA nON (SCAT F: 1 /2" = 1 ) SNAP LATCH ENGAGES ONTO VERTICAL TRACK. ONE SNAP LATCH ON EACH SIDE OF DOOR. INTER. STILE OUTSIDE KEYED HANDLE END STILE INSIDE HANDLE OUTSIDE KEYED LOCK SNAP LATCH LOCK OPTION CONFORMS TO SFBC 3603.2 INTER. STILE OUTSIDE HANDLE SEE END HINGE DETAIL ON PAGE '2 SEE INTERMED. HINGE DETAIL ON. PAGE 2 LOCK POSRION (BOTH SIDES) TWO POINT LOCKING CONFORMS TO SFBC 3603.2 REGARDING GARAGE DOORS WITH 5/8" MIN. ENGAGEMENT. FOR BOTH OUTSIDE KEYED LOCKS AND INSIDE SLIDE BOLT LOCK OPTIONS, SEE LAYOUT OF EACH LOCK ON BOTTOM OF THIS PAGE. END STILE LOCK BAR GUIDE LOCK BAR ENGAGES IN TRACK ON OUTSIDE KEYED LOCI( EACH SIDE LOCK BAR LOCKING OF DOOR. CONFORMS TO SFBC 3603.2 INSTALLER MODEL RETAIL . MODEL DESCRIPTION 78 78 FLUSH PANELS 91 N A SMOOTH TEXTURE STEEL 9 O•0 'i - 1- .a 94 84A WOODGRAIN TEXTURE STEEL W/ PAINTED STILES r END STILES ATTACHED TO DOOR SKIN /WITH PATENTED TOG —L —LOC SYSTEM / co. TP BOTTOM, & CENTER) (3) INTERMEDIATE (TOP & BOTTOM) REV 3 4 5 6 DATE 5/94 6/95 9/95 DESCRIPTION LOCK NOTE REVISED 10/95 ADD" LOCK LAYOUTS, LOCK NOTES, AND VENTS ADD MAX. VENT SIZE NOTE CHANGES TO PAGE 2 STILES PER SECTION ATTACH WITH TOG —L —LOC AND URETHANE ADHESIVE (ALONG CENTER) ► A L ■mil. -?r— �■: ■� aT LOCATION OF OPTIONAL VENTS (MAX. VENT SIZE: 20-3/4x2-1/2") MAX. DOOR WIDTH = 9'-0" INSIDE ELEVATION (SCALE: • /2" = 1') SLIDE BOLT LOCK ENGAGES INTO VERTICAL TRACK. ONE LOCK ON EACH SIDE OF DOOR. INSIDE SLIDE BOLT LOCK OPTION CONFORMS TO SFBC 3603.2 us C■C a�. Building Products Company A THIS DOOR HAS A DESIGN PRESSURE OF +46.0 PSF & —48 �' PSF AND A TEST PRESSURE OF - 0,66:0 PSF & —72.0 PSF. PAGE 1 OF ' 2 INSIDE ELEVATIONS CLOPAY BUILDING PRODUCTS COMPANY 312 WALNUT STREET SUITE 1600 CINCINNATI, OHIO 45202 (513) 381 — 4800 DOOR HEIGHT SECTION HEIGHTS* 1ST 2ND 3RD 4TH 5TH II nilFi1IJLI 11411iFIYL11� 6'— • E udifl WATiiIIMAINUAii= 8' • HMI 8 21 21" 18" i!1` iiEVA M 18" 21" * — SECTIONS ARE NUMBERED STARTING AT THE BOTTOM NOTE 1; DOORS UP TO 7'-0" HIGH CONSIST OF (4) SECTIONS. DOORS OVER 7'-0' HIGH CONSIST OF (5) SECTIONS. NOTE 2; SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED BY A REGISTERED PROFESSIONAL ENGINEER FOR WIND LOADS SHOWN ON THIS DRAWING. LOCK POSnON (BOTH SIDES) TWO POINT LOCKING CONFORMS TO SFBC 3603.2 REGARDING GARAGE DOORS WITH 5/8* MIN. ENGAGEMENT. FOR. BOTH OUTSIDE KEYED LOCKS AND INSIDE SLIDE BOLT • LOCK OPTIONS, SEE LAYOUT OF EACH LOCK ON BOTTOM OF THIS PAGE. APPROVED AS COMPLYING Wrt8 RE SOUTH FLORIDA BUILDING CODE OA 1_,. ._ -,_ a- 19 BY PRODUCT` VIS.ON BUILD1NG CODE COMPLIA1 OFFICE ACCEPTANCE NO. j. QZ PLOT 1 =24 DATE' 2/17/94 �� I T. MAN a 8Y. CLASSIFICATION IACTURED / PURCHASED nruRmTIC" METRO DOOR MODELS: 78, 84A, 91, 93 94 B DRAVING NADIERI REV. 101182 .6 OCT 16199 METRO MODELS 78. 84A. 91, 93. 94 (24 GAUGE) 24 GA. STEEL (MIN. YIELD STRENGTH: 30,000 PSI) AU. EXTERIOR STEEL SKINS ARE COATED WITH G -60 GALVANIZING, BAKED ON PRIMER, AND A BAKED -ON POLYESTER TOP COAT APPLIED TO BOTH SIDES OF STEEL SKIN. (4) #14 SHEET METAL SCREWS (4) 1/4" DIA. SELF TAPPING SCREWS 14 GA. END HINGE SCALE 2" = 1' 14 GA. INTERMEDIATE HINGE SCALE 2" = 1' 2x6 WOOD JAMB SHALL BE ANCHORED TO GROUT REINFORCED BLOCK WALL OR CONCRETE COLUMN WITH 1/4 "x1 -3/4" EMBED TAPCON ® 12" O.C. FOR DOORS UP TO 9'-O" WIDE. BLOCK WALL CELLS SHALL BE FILLED WITH CONCRETE AND REINFORCED WITH #5 BARS EXTENDING INTO FOOTING AND INTO TIE BEAMS. ALL BARS SHALL BE CONTINUOUS FROM TIE BEAMS TO FOOTING. PREPARATION OF JAMBS 8Y OTHERS_ STOP MOULDING BY DOOR INSTALLER •(TO SUIT) 18 GA. MIN. GALV. STEEL END. STILE �--- 2" THICK SECTION A -A SCALE 2" = 1' 12 GA. GALV. STEEL TOP ROLLER BRACKET. EACH BRACKET ATTACHED W /(4) #14x5/8" SHEET METAL SCREWS. • SHIP LAP JOINTS. 14 GA. GALV. STEEL END HINGE. EACH FASTENED TO END I:0 STILES /(4) #14x5/8" Y SHEET METAL SCREWS tx & (4) 1/4" SELF o TAPPING SCREWS. g 3" TALL x 20 GA. GALV. S I ttL U -BAR TWO PER DOOR SECTION. ATTACHED WITH 1/4" SELF TAPPING SCREWS. (2) SCREWS AT EACH END AND INTERNED. STILE LOCATION. 20 GA. MIN. GALV. STEEL INTER. STILE 12 GA. GALV. STEEL TRACK BRACKET FASTENED TO WOOD JAMB WITH ONE 5/16" x1 -1/2' WOOD LAG SCREW PER BRACKET. 2" GALV. STEEL TRACK FASTENED TO TRACK BRACKETS. EACH BRACKET ATTACHED WITH TWO 1/4"x5/8' BOLTS & NUTS .Q TWO 1/4" RIVETS. JAMB CONFIGURATION SCALE 2" = 1' REV DATE DESCRIPTION 3 5/94 CHANGES TO PAGE 1 4 6/95 CHANGES TO PAGE 1 5 9/95 CHANGES TO PAGE 1 6 10/95 DELETE REFERENCES TO 16'W DOORS HORIZONTAL TRACK SUPPORT BY DOOR INSTALLER (TO SUIT) II "L" 0 z X4" a X3" 13 GA. GALV. STEEL BOTTOM ATTACHED WITH (2) #14x5/8" ALUMINUM EXTRUSION & VINYL WEATHERSTRIP. ,s 14 GA. GALV. STEEL CENTER HINGE FASTENED TO CENTER STILE W /(4) EACH #14x5/8" SHEET METAL SCREWS. 14 GA. GALV. STEEL END HINGE FASTENED TO END STILES W /(4) EACH #14x5/8" TAPPt G METAL SCREWS. & (4) . 2" STEEL ROLLER. 13 GA. GALV. STEEL FLAG BRACKET. EACH FASTENED TO WOOD JAMB WITH (3) 5/16"x1 -1/2" WOOD LAG SCREW.. CONFIGURA SCALE 1/2" = 1' BRACKET. SHEET METAL SCREWS. 2". GALV. STEEL TRACK, TRACLC THICKNESS: .060" TYP. 2- 1/2"x12 GA. GALV. STEEL TRACK BRACKET. DOOR HEIGHT L` BRACKET PLACEMENTS X3" ii EN 6•- • FhliIRESTAi IWi 6 IrYZIii•EON W/M i $' -N 8 M MiQGIIIEK IWWitLN 3-1 IMI 1N I. M ATE AI 5; 8= PAGE 2 OF 2 CONSTRUCTION DETAILS THIS DOOR HAS A DESIGN PRESSURE OF +46.0 PSF & -48.0 PSF AND A TEST PRESSURE OF + 69.0 PSF & -72.0 PSF. APPROVED AS COMPLYING WITH IBE SOUTH FLORIDA BUILDING CODE GA i Z_ 1916_ PRODUCT . 01 DIVISION BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE MRS' Og21.0a Clopay Building Products Company CLOPAY BUILDING PRODUCTS COMPANY 312 WALNUT STREET SUITE 1600 CINCINNATI, OHIO 45202 (513) 381 - 4800 SCAM PLOT 1=24 CATO 2/17/94 DRAWN ST' MWW CHECKED DY. CLASSIFICATION I MANUFACTURED / PURCHASED METRO DOOR MODELS: • 78 84A, 91 93. 94 DRAVaNG tAINSER. 101182 REV. 6 UCT 1 6 1995 41,b0 W5/r SOC. r. all 5040 c Ca .z . rr z-ts. • BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 19 PERMIT N9 6251 Contractor's License No. ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building B1 Subdi- vision Value of Project Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. INSPECTOR 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 ♦.BOT 7*.. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORI ❑ PERMIT N? 3754 C Lit Work to be performed under this Permit_ Architect Contractor or Builder Legal Lot Description Address of uilding Bl. Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipn herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be rawings, statements or specifications that may have been submitted to and approved by the proper municipal author e if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A t ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kn, ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications one by his agents, servants or employees. Signed. Bi INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in comp ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY BUILDING ELECTRICAL PLUMBING Owner Buildin Archite Contras or Build Legal Descrip Addres Buildin MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 9198 DATE 195 Contractor's License No Work to be performed under this Permit Df ct tor er Subdi- Lot BL vision tion . s of Value of Amt. of i Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the w. covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or spe tions su fitted t the roper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, loy CONTRACTOR OR BUILDER BY U 0 az�R�ll 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 w. covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or spe tions su fitted t the roper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, loy CONTRACTOR OR BUILDER BY U 0 az�R�ll BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder. Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 9218 Work to be performed under this Permit .00) Lot Bl. DATE l95 Contractor's License No 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 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 MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 9212 DATE 195 Contractor's License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bi. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. Subdi- vision Value of Project $ Amt. of Permit $ 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 Owner Buildin Archite Contrac or Build Legal Descrip Addres Buildin MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 9253 DATE 195 Contractor's License No. Work to be performed under this Permit Df } } . - h r i is � �`` � �, � �.�. � �.,. -:., �' � °. Lot B BL / / v Subdi- 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 ❑ PERMIT N? 4 9 5 Contractor's License No. ❑ Work to be performed1tfde7r this ' Permit MIAMI SHORES VILLAGE. FLORIDA /*" DATE' Owner of Building Architect Contractor or Builder Legal Description Address of Building tzt -2 (2,. 195 Lot A x= B1 Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume respo ity for all work done by either, myself, my agent, servant or employee. CONTRACTOR UILDER BY AUTHORITY 6 Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 171-‘,2 " 97 Job Address `I $ 0 N / �` '� t Tax Folidi( / f — 3 ' 6, (7 O 1 (�} Legal Description ��.( l,i `, )- cj Historically signated: Yes No j l0tr ;)� Yt Owner's Address L-/ g C' 1V t U 3 Si- Master Permit # 7 Phone 7117-- 35( P .11 I Contracting Co. ,.4 tzeZL 2 c a Address 4 N �! Qualifier i ,014 06 OGf%.S State # Architect/Engineer Bonding Company Mortgagor Municipal # SS# Phone 538 -31147-_, Oce414423 competency # 91) 39 Ins. Co. WSC'ORP / /1', (o' Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 124'644 ,C, ale" J Square Ft. Estimated Cost (value) 4 j21,2 - " WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate 'permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature owner '` and/or Condo President ' Date a/lezez)41,i197,4) Va?-2/97 Notary as to Owner and/or Condo President Date My Commission Expires: MARCIA HILMS NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC339927 MY COMMISSION EXP. JAN. 20,1998 FEES: PERMIT tip RADON C.C.F. APPROVED: Zoning Building Mechanical Signature of Contractor or Owner- Builder Notary as toiContractor or Owner- Builder My Commission Expires: ce97 ate OFFICIAL MAR� NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC339927 MY COMMISSION EXP. JAN. 20,1998 NOTARY BOND TOTAL DUE 1717 Electrical Plumbing Engineering -PMIT APPLICATION FOR MIAMI SHORES VILLAGE Date .5 - /( -%Y Job Address 'a-0 /OJ s i ". Tax Folio Legal Description Owner / * _ssee / 4eneftt Ft Y ➢. 4/f7,-VxL., Master Permit # Owner's Address S 4/hs' ,11 TO J Phone 2,S-2 `J Y 6 Contracting Co. ©vwVel1 Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one) LBUILDING .,t ELECTRICAL PLUMBING MECHANICAL ROOOFING PAVING FENCE SIGN WORK DESCRIPTION C T-4.-:/1 /Ore At( - L A- (514„/ ,Q Square Ft. Estimated Cost(value) ° 'C O O WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize b ove -named contractor to do the work stated. Si owner and /or Condo President Signature of Contractor or Owner- Builder DaCte /' Date: Notary as to Owner a nor Condo President Notary as to Contractor or Owner- Builder t My Commission Expi es: 0-11YINg. OFFICA NC .�.s My Commission Expires: ‹,=, V.I.Atiq 50. jg CCKINIS. '! SLIONAVI CC •lqa ?3 ** * * * * L _O. „ *4 a '' 1* * * * * * * * * ** FEES: PERMIT 371,C449 RADON C.C.F. ►,-' NOTARY TOTAL DUE ,---4 6C APPROVED: Fire Other Zoning Building ' Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3r1 JobAddress 41q3 f'--"E- to �-3 Si Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Z,L; a A. r u "V&f?SO Owner's Address ya) /k/6 / r%. =3 "A-41C r Contracting Co. Ab., Fi Qii lifter SS# State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Address Master Permit # / O4' Phone 7 / . 3'/ 7 e Phone `fro ic.. "6 /03Y Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN JJ�( WORK DESCRIPTION /2.0 :2 ,, f!'?.e. �. ilj /.1 lPfr / ./ ' y'V' y..r: `! ()- • r i (.14 440 4 Square Ft. Estimated Cost (value) P( WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Signature of Contractor or Owner Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON APPROVED: Zoning Mechanical Building C.C.F. Notary as to Con My Commission PIMPLthazuer7 •� c,FF . iAi COMMISSMN CC360191 NOTARY Electrical BOND Date 1/3/97 Date TOTAL DUE " ,.'* 6 Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date U' 5 Job Address `ZW)A%`F- Tax Folio Legal Description Owner / Lessee / Tenant 4 i'`,/4' LE Master Permit # ;V Owner's Address `/ Q A //03 t/ - Phone 3 7 -3 cz Contracting Co. (OCot)e,es Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MEECHAN CAL WORK DESCRIPTION a---c--A-± ,,.,e-ZZ (3f-/i i C ROOFING PAVING PENCE SIGN Square Ft. Estimated Cost(value) o-. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and tIat all work will be e in compliance with all applicable laws regulatin c nstruction and zoning'. Furthermore, I a hor ze the above- ame contractor to do the work s ed. Signature of owner and /or Condo President Signature Owner- Builder Date: Notary as to Owner and /or Condo President My Commission Expires: Date' ary as to Contra,¢'i 9r Owner- Builder ►RY PV9 Or *.m. MGTARY SEAL • ti PATRICIA S AIRY * �1 y COMMISSION NURSER n' .. 'C CC222590 7, '~ per° YY COMMISSION EXP. ** * * * * * * * * * * * * o Ft° SHPT 25 1 95 ,. -.. ** FEES: PERMIT -73 RADON C.C.F. '`57) NOTARY TOTAL DUE .3�a7 Fire »/- C0)174 r �( feoiz t/ My Commission Expi APPROVED: Zoning Building etiItRIv Other Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address '4 O A(, Ef 03 Sk'Ge47(Tax Folio Legal Description I " \\QPYtt S� ir�' S d- {‘ ✓J o Z04--3 -�f E-8.-- Lessee / Tenant Okla (Aka, tM- Master Permit # AI 87. 103 e,-@, Phone-75-7-3(4 Contracting Co. 6745 V (71(ae./K7(;Ai Address ddress /.rV o 7& Z c 4 � //Z i % �� Qualifier JbS(..- G...C-'t% //V SS# Phone /- (.q6 836 State #/74'7 Municipal #/ 'b4/V Competency # 27/1072? Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL C ICAL ROOFING PAVING PENCE SIGN Owner's Address WORK DESCRIPTION Square Ft. Estimated Cost(value) .75-0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I and d that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING a.= 'CHANIC WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information be d• =- 'n compliance -wit all ap• cable la.- regulating c au o 1 e the abov :m contractor o do t e work stated. Signature of Date: j� ryi pr,�, that all work will Furthermore, I Notary My ;Commi resident Date: as to Contractor or Owner-Builder My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES. PERMIT r9 RADON C.C.F. '�� NOTARY TOTAL DUE-3'4 ' Fire Other APPROVED: Zoning Buildin_ Mechanical Plumbing/1`n- Electrical Engineering Date 702 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 40 2? /0 3 " Tax Folio /1 3-20i /7 el/ee Legal Description a‘e% 3 ' .g25-' 2 /3a 7 2 ' 4S S # Z Owne r / Lessee / Tenant v Gc,/e ,l yC2Qh'eA E',:J/1 /e Master Permit # v� Owner's Address LP 70777 e 4 /1-60//6 Phone 73-7-3kok Contracting Co. Ccc).c.)e/e - levi.- Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one) :(BUILDING,)ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION L�"cs A�cs T 2314. eRf a ie o 1700-Sg /al/7-e- -- Square Ft. Estimated Cost(value)O O. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be don n compliance with all applicable laws regulating construction and zoning. Furthermore, I aut ; the abov contract° to do the work stated. Signature of owner and /or Condo President Date: Notary as to My Commission Ex ** * * FEES: PERMIT APPROVED: er President OTARY SEAL GLADYS H BARCO NOTARY PUBLIC STATE OF FLORID COMMISSIONkNO. 079387 MY COMMISSION EXP. .1,194 SO RADON Signature of ree4er - Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * 1�3 w* oGG� C.C.F. .-50 NOTARY TOTAL DUE Fire ^( Zoning Building Mechanical Plumbing Other Electrical Engineering___ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (47-12- 00 Job Address O&) N 6 70S L92 Tax Folio Legal Description Historically Designated: Yes No K Owner/Lessee / Tenant ?k / _ l t, . '% k 0 Master Permit # Ljt, < (-v Owner's Address eig N (0 3 - Phone 3a- 7573Q/ 7, Contracting Co. O \/ C/A (r R Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor �� - C�c.Y -�.�� Address ca vow Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Ate lace--- `11t Ow'as_ jr Square Ft. /89 O e5„X9 wF "Li a - c r4cf6.9 Pc(`, xyer'tor epF Hoose . Tr( Cn : eaoeS -bore! e�S R coF u.-ti t to to u..tc evz Pool Estimated Cost (value) $7 0 (.) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date e of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contracto My Commission Expires: My Commission E Ft-5 /a2-& T!f 1<» A-09 FEES: PERMIT 6O. RADON APPROVED: Zoning Mechanical AEI se: .L MONmmEL ON NUMBER TYfitak2Ilt oc. 4 cC ";` - ;ssuuON EJ(P(RES 17 2002 OFFS] Date (.1/ «/o ca C.C.F. k) NOTARY 67. BOND TOTAL DUE rj 6c Building );f0' Electrical Plumbing Structural Engineer ano a MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 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 4' Registered Architect and /or Engineer No Street Employing Plumber's Name_ ��_ -' - St c__"`�__a____ -- No._ #2.- Street W 1 4144 .t h" © Location and Legal Description Lot,'2 1" Z-1 Block___�__7___A Subdivision_ Street and. Number where work is to be performed— o Street_.4/4 s__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition _ Repair No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar . compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA -. TORIES SINKS SLOP SINKS LAUNDRY TUBS L{ .` `� LS FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST 2 V I I O / I ' -IX- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE. PIT GREASE TRAP. SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'.G POOL CONTR. LIST CHECK Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar . compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__ 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 .7"7'a !` t ":. No. Street Registered Architect and /or Engineer4 Employing Plumber's Name _ Location and Legal Description Lot No. Street Block - ` Subdivision Street and Number where work is to be performed -No. � C d,_.et Street State work to be performed and purpose of building (By Floors ) New Building Remodeling Addition ° Repairs No. of Stories Size Septic Tank 0 -J Feet of Drain Tile ° f! Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. Size of Soakage Pit Type of Tank Capacity Gals. Amount of Permit $ G$-t) ( Signed) umbing Inspector. The undersigned applicant for this building permit does hereby certify that he Ord tangs and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on ork to be performed under his ermit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR. DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. . LIST CHECK Size Septic Tank 0 -J Feet of Drain Tile ° f! Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. Size of Soakage Pit Type of Tank Capacity Gals. Amount of Permit $ G$-t) ( Signed) umbing Inspector. The undersigned applicant for this building permit does hereby certify that he Ord tangs and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on ork to be performed under his ermit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No._____ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 04°L1/5" — 0 de 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 compli 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 Enginee Employing Electrician's Name No.__l___.f_Y_ __ __ Street__ ____ I ► ___ Location and Legal Description Lot L. c Block ao __t!5-- ------ - -- - -- Subdivision_-_ ] _- —___ 1'! (-4(----Street No._ Street_ Street and Number where work, is to be performed—No State work to be performed and purpose of building (By Floors) New Building to Remodeling Addition_ Repairs No. of Stories ..____ __________ Overhead I, Service Size Feeders__,/ Conduit__ Main Sw.jilleg Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ ,/, "i Main Fuses______. ___Amps. (Signed) 1 Inspector. The undersigned applicant for this building permit does hereby certify that he un ' ads and accepts his obligatio . ; n employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene aws of Florida Permanent ; , ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed .y him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on /work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed ) Master Electrican. 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 of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL COLNTR. IST J i ® I 1 CHECK ENT. SW. DIST. CAS. SERVICE TETMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ST CHECK Overhead I, Service Size Feeders__,/ Conduit__ Main Sw.jilleg Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ ,/, "i Main Fuses______. ___Amps. (Signed) 1 Inspector. The undersigned applicant for this building permit does hereby certify that he un ' ads and accepts his obligatio . ; n employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene aws of Florida Permanent ; , ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed .y him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on /work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed ) Master Electrican. 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 of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Miami Shores Village Building Department 10050 N.E.2nd Ayeutie.4 Shores, Florida 33138 sto F,ax: (305) 756.8972 BUILDING PERMIT APPLICAT ON. FBC 2001 Permit Type (circl Electrical Permit No. coo 6' `> - Master Permit No. Plumbing Mechanical Owner's Name (Fee Simp • - . oer) 1 Ct 1t'_tPf ()F) Phone # 30.S''- -1 — 3LE- tS Owner's Address 14F-- t o3 S( City' L t 1 'e State Tenant/Lessee Name 3 t3- ->.Q.. Zip Phone # � 7 - Lt 7 ` Job Address (where the work is being done) 14 Bo i I 33 ►3 City Miami Shores Village Is Building Historically Designated ,YES Contractor's Company Name Contractor's Address 3t-'...5 1A it 6 5—.e- City N-t. � 1 �" Qualifier C Tad( Zip Phone #32 ` ct95 7 State Zip 5316' State Certificate or Registration No. i& is 9 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit (I 9 NO Type of Work: Describe Work: Square Footage Of Work: C.( ❑A dition ❑Alteration \ [New El Repair/Replace '6e-P0014 leS fist - d. 1;6' ❑ Demolition *************************Fees*************************** Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement S Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. gnature Owner or Agent The foregoing instrument was acknowledged before me this 1 day of fj) , 200) , by who is personally known to me or who has produced ANA-, As identffication and who did take an oath. Signature �� ppY PV6 Contractor t The foregoin instrument was t acknowled (edbeef- ore me this 1 day of ce. .b. , 20 DS, by I i 6 tU to't`er who i personally knowito me or who has produced as identification and who did take an oath. My Commis„ T f * * * * * * * * * * ** * *********************** * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** ** �Rp ExpiresOc$obsr04.2006 9 ,OF F�� My Commission Expir �S. Tammy Walker - -• `� Commission #DD319687 ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 "= g�yX11, *16, 2008 Q�: Bonded Thtu Atlantic Bonding Co., Inc. Plans Examiner Engineer Zoning Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address fre �� Tax Folio Legal Description Historically Designated: Yes No 7 czi f - 004 Master Permit # ZIP g n 2 Owner's Address �7 /V j� %J Phone Contracting Co. / ,44! /1 .1 LG Address Qualifier /ii3� ss# // Phone 3TF '4 Owner/Lessee / Tenant State #,E/'7%O 0,01 3 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING CT L PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Joe �✓ �Jy'1K Square Ft. -/ _ hv/4 - Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all de foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 97 Notary : .: wne and/or My Commission Expires. FEES: PERMIT 3 S RADON /Si to Of Cos ntractor or 0 der 9? Notary as to Contract My Commission Expires: C.C.F. • VO NOTARY TOTAL DUE 3s 16° APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering