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BP-02-1783 f `I It i s�•5�CA yPERMIT APPLICATION Master Permit No. Subsidiary Permit No. Vj �tORNp' i following steps niust be taken to obtain a permit from Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done,a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building,Planning and Zoning Department for processing. During the processing of your application,you may be asked to submit additional information. iAPPLICATION Job Address: ® (A f Address Apt. City State Zip f 2, Folio Number n"0099 Description of Work J C L Font� Lot Block 2- --2+ ° Subdivision PB PG Zoning Linear Feet � Of Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work ( 600 ^ Bldg Value Tenant Information ax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓) PERMIT CHANGE (✓) TYPE OF MANAGEMENT (✓ f Building Chg.Contractor New Construction nclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumbing Extension Relocation of Structure Shell Only LPGX Supplement Foundation Only Add'1 Attachment Roofing Reinspection Other Add'1 Detachment Fence Other Other El r r l ARCHITECT ENGINEER CName Name License No. License No. Address Address i i r Telephone Telephone �. Fax Fax r PROPERTY OWNER CONTRACTOR Name ® r r'( n A L/ ame Address V P a License No. Address i © ;\. i'-)' A \ �^^1 Home Telephone , 4 co!7 / Business Telephone on Fax Fax QualitHer Name I, 9 Page 2 PERMIT APPLICATION I]NIPORTANT NOTICES { I 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m.to 6:00 p.m.,and Saturday from 8:00 a.m. , to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN,NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. i 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. i 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tanks. Department of Environmental Resources Management(DERM)and/or Miami-Dade Water and Sewer Department(MDWASD)approval is required for applications involving sewers. AFFIDAVIT Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all work will be performed to meet the standards of all-laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 11 Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in accordance wi Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a on actor. TATE 7 ,CO OF MIAMI-DADE "FORID UNTY OF MIAMI-DARE e of Sig �Sazoel Print Name Print Name i v \ Sworn d subscribed before me this da of 9 y orn to and subscribed before me this day of ignature of Notary Public-State of Florida rgnature of tato^f>~i^r;.i ��OF Ft�� ANA M.TORRES SEAL: OF F[ ANA M.TORRES SEAL: ��OTAR�o My Comm Exp.6/6/2003 w Pusuc a My Comm Exp. 3 �+PUBLIC a No.CC 84345743457 No.CC 843457 11 Perwnally Knower r]other I.D. (]Personally K-m I]Other 1.0. Personally known Personally known OR,Produced Identification i Type of Identification Produced: Type of Identification Produced: I I I j Page 3 PERMIT APPLICATION t ! INSTRUCTIONS: Please indicate the of work being performed and uantit ies m the space provided below. type g Pe 9 y( ) P ELECTRICAL QTY. TYPE 1 Minimum Fee Dryer Outlet,Appliance Service Repair A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary A/C Central 4-7 Ton Fire Pump Outlet,Switch Signs A/C Central 8-15 Ton Fixture-Fluorescent Oven Space Heater(kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+Ton Flood Lights Plugmold/Strip Subfeeds,No.of Amps A/C Window FPL-Load Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.(p(PH) Temp Sem,Construction Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days Deep Freezer Low-volt,Fire Renew-Temp Service Demolition Low-volt,Intercom/Teleph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps MECHANICAL 1 1 Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wal m.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressum Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel PLUMBING TYPE Q-1-Y. TYPE QTY. TYPE QTY. TyPi,', TY. A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinldng Fountain MUcellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap-Fixture Fountain Pump and Abandon Sprinkler System Cap-Water Gas-Appliance Pump,Domestic Supply,AC Well Cap-Sewer Gas-Natural Pump,Fire Stand Temporary Toilet Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal Dental Chair Grease Trap Pump,Sprinkler Utility-Sewer Discharge Well Ice Maker Pump,Sump Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield,4"T-de/Res. Lavatory Septic Tank Water Heater New Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe Drains,Floor Minimum Fee Shower Water Service Drains,French Miscellaneous Equipment Sink Well,Supply f RECEIVED AND REVIEWED BY: DATE: I Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLISTi ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER i (Specify&Attach) (Specify&Attach) _PERfvIIT FEES $3.00 per page(Scanning Fee) $ Miami Shores Village $ 6' Bond $3—oo , Metropolitan Dade County (C.C.R) $ t 0 (sglt=x/1000 x¢.60) Inspector State Educational Fund $ (0.005/sq.fc) State DCA(Radon) $ (¢.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ j TOTAL $ � �t ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION BY DATE i Zoning CONDITION OF APPROVAL Electrical Mechanical Plumbing Fire l I Public Works Structural Building Official &57jt Revised July 2001 10050 N.E. 2m AVE.,MIAMI SHORES,FL• (305) 795-2207 • FAX(305) 756-8972 • http://www.miamishoresvillage.com Miami Shores VillageBuilding Permit . .... p�.� 10050 NE 2nd Avenue --- Phone: 305-795-2204 . Permit Number: BP2002-1374 Printed:8/7/2002 Page 1 of 1 Applicant: IdtRt� MIAMI SHORES VILLAGE ,5 , Owner: IPJ AdtNE�� NOTICE JOB ADDRESS 570 N 103 ST Owner is Responsible for Maintenance of Contractor ARROW ASPHALT&ENGINERING INC Contractor's Address: 14799 NW 117 AxM Village Sidewalks as per Village of Miami Local Phone: 305-556-5702 Shores Code of Ordinances, Including Driveways, X%"aused By Current Construction Activities. Parcel 01132060170880 Legal Description: MIAMI SHORES SEC 4 AND PLAT PB 15-14 LOTS 3&4 BLK 93 Fees: Description Amount FEE2002-4383 Buildier's Bond $300.00 Total Fees:$361.20 FEE2002-4384 CCF $1.20 Total Receipts: $0.00 FEE2002-4385 Building Permit Application Fee $60.00 Total Fees: $361.20 Permit Status: Approved Permit Expiration: 2/3/2003 Construction Value: $1,760.00 Work: NEW DRIVEWAY If there is no permit package accessible on the job-site for inspectors to verify,there will be no inspections. Re-inspection fee is$50.00,which must be paid in advance before calling for another inspection. 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: (INSPECTOR) BY: In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and In strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility far all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: s f ARROW ASPHALT& ENGINEERING, INC. 8132 e b/B/A DIGGER O'TOOLE FIRST UNION NATIONAL BANK 14799 NW 117 AVE. 63-2.630 HIALEAH,FL 33018 Y (954)963-2381 (305)556.5702 PAY TO THE DATE AMOUNT / q ORDER OF /►/�i�✓/�� $ O LI 0—LJJ %,"oo TW SIGN TURES FIEQUIRED f 11100008 13 211• 1:063000021n, 998 i 7 7 7 2 2011' --C�- `u kkY�� fY e't 3. 3} • .SI -Y# 4� � Y 1r 'fit "Y�3y-,,i�.� �p"ffyJ' 6J� y, n A 1$C Miami S40Mj , �!►�5,'OR��•yam! $ t F�ORIDP 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138-2382 Telephone: (305) 795-2207 Fax: (305)-756-8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, I ,hereinafter referred to as the Owner of the gl (owner) following described property: Legal description/folio#: Lot Block Subdivision Tax Folio#: requests permission to install: Asphalt,concrete,brick pavers [] Landscaping [] Other within the public road right of way of (address) IN CONSIDERATION of the approval of this permit by the Village,the Owner agrees as follows: I. To maintain and repair,when necessary,the above-mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability,which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense,within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s)to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned,their heirs and assigns,until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County,Florida by the Village Manager of Miami Shores Village(or his fully authorized representative). SIGNED,SEALED, EXECUTED AND ACKNOWLEDGE on,,this day of t � v 65/ er) ' SIGNED,SEALED AND DELIVERED in the presence of: 3 g The Sunshine State AM 03 Vie. e �Amu awft,'s, Rasp 08.p F sex y &now � X06 moo of 9� 115�OR�F.S L! .... „.„MMiamLS4ore,4 i lcww 1 p' •STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, AC tIC does hereby attest that the (property owner) attached survey,performed by (name of surveyor's company) performed on �j/Z is an accurate representation of the existing*mditions and ($'ate of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six(6)months old. The Affiant,as property owner,further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further,Affiant sayeth naught. • r ant/Pro ownq"/ ess(sign and print) itness(sign and print) SWORN TO AND SUBSCRIBED before me this day of Affiant is sonally known to me,produced as identification. �01PRY P+Blit S IIA V W w N1y COMMISSION#DD 026739 * EXPIRES:July 10,2005 ��A�OF F,e,', Bonded Thmbudget Pdatary=ervce? JUL-lb-•LUUC PKI ub;j t rrl I ILLfIHN/btVCL MA Nu. luo (00 DOW r, uci uc $KETCH S6C5 AL0 �N��~Aa((Y�/�UE"�VEY �..,.-�... �_ "L.'w.G�iii.�..•w.•�.�.emmlww+lrvrvlu�+WM•wY•PSM W.TMf. or cl,e'�, 4. Wu OtOrZfP t SIUi. N.e 1/41P' w 1/4 4 4-2 i 14 14 QY _^G-.x.. �a«�:sa:xT a b:� � .'C:C�-,.S�t ae:�s:sr.�:• ��\ Nizo Q 14 �3�?� y,/ter•,! c.�, W GL• d 1n2.1 P� t py WIMWI 4 \ �df .LUT A �w�� a, ryI VDoe Do 4W .90 00 � �r • • , �...L..�....... ......_ _.........,...Ne wr.v,n+r�,wwl.r.n +, yerarwp•o.r• ...,.�, ie.r... •I..... ...�(�..1,.,I...s..l Ps_rr...rr..�,�..w_. .Yru_�ru.u....�✓_T— ._wn•.•+•r�-+•••h..� Y I+�. y BEARINGS HEREON (IIS ANY) Alitr REFERRED TO AN ASSUMED VALUE OF '`_ POR THE •i• r i i i •i•fjkln KCAAlNr4 JA InKNTlr.Al w"Twp DI AT of riRh. an • • • • • • • • • • ••• • • • ••• • • I i i OR D r .eN •`� PERMIT APPLICATION all ""°m Master Permit No. Subsidiary Permit No. ORINSTRUCTIONS - The following steps must be taken to obtain a perinit, froin the Miami Shores Village: 'iop' I i Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done,a roofing application must be submit- ted along with this permit application. i Step 2. Submit the completed application with all necessary documents to the Building,Planning and Zoning Department for processing. During the I processing of your application,you may be asked to submit additional information. APPLICATION Job Address: 5776? Az—:7 t--®ff—5�; Ap ; �l r � L- �✓�/�� Address Apt. City State /Zip I Folio Number Description of Work /�(,so �J 1 A4/�AY • j Lot Block i E Subdivision PB PG Zoning near Feet Current Use of Property ®r/ 0 1-- Square Feet nits Floors Proposed Use of Property Value of Work Z. Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓) PERMIT CHANGE (✓) TYPE OF MANAGEMENT (✓) i Building Chg.Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumbing Extension Relocation of Structure Shell Only LPGX Supplement Foundation Only Add'1 Attachment Roofing Reinspection Other Add11 Detachment Fence Other Other EARCHITECT ENGINEER Name Name License No. License No. Address Address ` Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR t Namei Name Address 5-7aq ate' ®�(i C.'�• License No. / CI'r 577- - /� ® ° (�.' I C:i—c'��/�� Address /7�r/ Home Telephone ® Business Telephone Telephone 3/T Fax� � ��'0 Fax Qualifier Name Al / i Page 2 PERMIT APPLICATION i 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m.to 6:00 p.m.,and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN,NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the streettsidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION STIES. Other construction may have a trailer which requires a separate permit 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,Planning and Zoning Department i 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement 9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tanks. Department of Environmental Resources Management(DERM)and/or Miami-Dade Water and Sewer Department(MDWASD)approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 19 Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE O C)i COUNTY O3P MJIQH-DADF, STA OF FL A COUNTY OF MI !DADE n � of Owner Signature of Contractor/Qualifier Print Name Print Name I Sworn to and subscribed before me this day of Sworn to and subscribed before me this day of Signature of Notary Public-State of Florida Sigl of-Notary Public-State of Florida SEAL: -- SEAL: , SHAWN OTOOLEI oMOdo, saaweS AMON 1e8pne rpepuoe ao0 tyres ayl * * MY COMMISSION#DD 026739 900Z bl hlnr:S38ldX3 EXPIRES:July 10,2005 6f�L9Z0 00#NOISSIWW00 AN N�q oQ`oQ Bonded Th d N a r Person _—4=_l cation Personally kno a trx�1 n MModuced I fj io -- i Type of Identification Produced: Type of Identification Produced: SHAWN 070OLE l MY COMMISSION#DD 026739 P EXPIRES:July 10,2005 ti 'For-FoPo Bonded Thru Budget Notary Services Page 3 PER UT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies)in the space provided below. ELECTRICAL TYPE QTY. T Y P E, QTY. T Y P u', QTY. TYPE Q-1-Nr. Minimum Fee Dryer Outlet,Appliance Service Repair A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary A/C Central 4-7 Ton Fire Pump Outlet,Switch Signs A/C Central 8-15 Ton Future-Fluorescent Oven Space Heater(kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+Ton Flood Lights Plugmold/Strip Subfeeds,No.of Amps A/C Window FPL-Load Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.(p/PH) Temp Serv.,Construction Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days Deep Freezer Low-volt,Fire Renew-Temp Service Demolition Low-volt,Intercom/Teleph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps MECHANICAL TYPE Q-1-Y. TYPE QTY. TYPE QTY. TYPE Q'1-Y. Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wall/Win.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel PLUMBING TYPE QTY. TYPE QTY. TYPE Q-1-Y. TYPE A/C Condensate Drains,Roof Nliscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain N7iscellan ous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap-Fixture Fountain Pump and Abandon Sprinkler System Cap-Water Gas-Appliance Pump,Domestic Supply,AC Well Cap-Sewer Gas-Natural Pump,Fire Stand Temporary Toilet Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal Dental Chair Grease'hap Pump,Sprinkler Utility-Sewer Discharge Well Ice Maker Pump,Sump Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield,4"Tile/Res. Lavatory Septic Tank Water Heater New Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe Drains,Floor Minimum Fee Shower Water Service Drains,French Miscellaneous Equipment Sink Well,Supply RECEIVED AND REVIEWED BY: DATE: Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) PERrVIIT FEES $3.00 per page(Scanning Fee) $ Miami Shores Village $ 3r)®MBond $ 73r)0 - Metropolitan etropolitan Dade County (C.C.F.) $ (sq.ft.=x/1000 x 0.60) Inspector State Educational Fund $ (¢.005/sq.fc) State DCA(Radon) $ (¢.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ TOTAL $ 3 ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION B CONDITION OF APPROVAL DA Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES,FL• (305) 795-2207 •FAX (305) 756-8972 • http://www.miamishoresvillage.com 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 \`y 4hores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatin,ks of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans ana specifications must be kept at building during progress of the work. �J Date------------- Owner's --------Owner s Name and Address--------- - --- - --- --- ------ -- - ��..'"'�1�� No.------------------------ Street----t0L1-----1_6 S Registered Architect and/or Engineer----------------- "�.�_w ±�.E.0 j - - --- -- Name and address of licensed contractor----------� �.� ��:f---------�t� .- — ��-' - _ _� Location and legal description of lot to be built on: IZ•�Cs r-) (a -! �4_ j Lot-- --- l - -- Block---------C Subdivisigy,-----P- ---t-- - -4 -� Street and Number where work is to be done---------------------------�- -�.,1_-------�_ � ± � ---�--------- State work to be done and purpose of building (by floors)____ _____! 1N<&1_1 _______ ----------___ --------------------------------------------------- ------------------------------------------------------------------------ ---------------------------------------------and for no other purpose. New Building----------------- -- Remodeling-------------------------- Addition------------___----__ JRepairs-------------------------- No. of Stories-----/------------- To be constructed of____�..t_ `----- Kind of foundation--- f ___: _E!*!�'�r__i______ Roo Estimated Total cost of improvements $_____ ~ _ �Q d _______Amount of Permit $[__:_..ice__________________ --_- /------------ - -- - -- --- Zone cubage required------------------ CQ _-Plan Cubage_______ Distance to next nearest building_______ C.l__ ___ _______________Size of Building Lot------------ ,; z Maximum live load to be borne by each floor---------------s� `_ /---------------------------------------------------------------------------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida,Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / Remarks------------------------------------------------------------------------------------------------ (Signed)_,<' -- C/ ----------------------- :2 jo STATE OF FLORIDA, ~r = COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ---------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------to me well known, and who, being by me first duly sworn, upon o th deposes a d says that he is the______________________________________________________________________________________________ of the above escribed construction, that he as carefully rea the foregoing application, and that he did sign the same, and that all facts therein by hi statfede' QQ _ Permit No., ------_ dDate-_ -__ __ ------ --------`'j Read, Sworn to and Subscribed before me. I - -- D to - - ---------------- ---------------------------------------------------------------------------------------------------------Disapproved ________ Build Notary Public,State of Florida (Signed) -1 -4 --------- Building I ector My Commission Expires------------------------------------------------------------------- PLANNING BOARD-- ------------------------------------------------DATE Chairman ----------------------- - Member -------------------------------------------------------------------------------------------------- Member -------------------------------------------------------------------------------------------------- Member ------------------------------------------------------------------------------------------------- Member - —- --------------------------------------------------------------------------- Member -------------------------------------------------------------------- -------- Council Approved------------------------------------------------------------------ ---- PP -------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. r r I O _jJ.. .. M .. • .. I .. .. IT I i UA p,19 i Ip r ToT A" AW GG: �o x4,4 ' 1cGLVO1.D; 101.110 Zq �! No�GCI� 319 :g'+ 4.2 sed l O� A!X,td l" _ 1 3is GUDL-ti. ��'Co�R � iso � � $'•co .. . .. . .. �583 • � ,� l0•$3 1� IS©. amp. !Z SSS moo TO m MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is iiereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date------ , Owner's Name and Address.-.m-0 190 � e- .. Q -' r__Ci S��44�No.-----_--------------- Street---------------------------- Registered Architect and/or Engineer.--- -�.� � �7� ------------i�:ff-------------------••-•-----•---•-------..............---------- ----------------------------- Name -------- Name and address of licensed contractor______-��'..� Location and legal description of lot to be built on: C Lot---------34_4------------------ Block------ ------------------- Subdivision-- 1_{/�- �--_v?T1G�l � CST - 4" Street and Number where work is to be done------- 7�_,_-- ._ ------ ____ i 1 �.�-_ State work to be done and purpose of building (by floors)-------A-----—,t_T1/______ _-----------------.-........................................... -----------------------•-•--------------------- --- ------- -----------------------•--•---•----------------------•--••--••--••------------------•-------•---------------------------------------------------------•----------------- •-----------------•------------------------------------------------------•----------------------------------------------------------------------------------------------------------------And for no other purpose. New Building--.--_-------------------- Remodeling------------------------- Addition........ Repairs------------------------- No. of Stories------------------------ To be constructed of__-_C-�1_j5- ------ Kind of foundation..* _C&W_C-----___-_-_____-..--_•-_ Roof Estimated Total cost of improvements $------Iv-510=-----------------------Amount of Permit $-----1_02_g;'`___- Zonecubage required-------------------------------------------------------------------------------Plan Cubage------------------------------•--------------------------------------------------------------- Distance to next nearest building.--..........................•---------.---------._____._-_Size of Building Lot____---_------_-_.-_-_-----------_------------_._. _ Maximum live load to be borne by each floor-------------------------------------------------------------------------------------------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to------------------------------------------------------------------------------------------------------------------------------------------------------------•---•------------------------------•--------- The undersigned applicant for this building permit 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 suchublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcon ac ors, on work to be performed under this permit, as are licensed by Miami Shores Village. ff aa Remarks-----------------------—----------------------_--•----_---------------------------------- (Signed).. -- - ''4-- e STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --•----------------------------------------------------------------------------------- ---- ----------------------------------------------------------—..............-------------------------------------------------------------------—----------to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_------------------------------------------------------_----------------------_---------- ____ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. /J Permit No-------- _ ,,1_______------------- Date----7�, _._ !�__-- Read, Sworn to and Subscribed before me. Disapproved D - PP - - — - Notary Public,State of Florida (Signed) -..• _ ------•-•-----••----------- ui ing Inspector My Commission Expires-------------------------------------------------------------------- PLANNING BOARD----------------- ---------------------------------DATE Chairman -------------------------------------------------------------------------------------------- Member ----------•---•-•------------------•---•---------•-----------•-•--•-------•----------------------- Member -----------------_----•---•----------------------------------------------------------------- Member ----------•...................................................... Member ------- -------------------------------------------------------------------- Member Council Approved-------------------------------------------------------------------------Date Disapproved ---------------------------------------------Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. o io. ani r't P O T► �� o .L 4 squares gravel MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date-.,&U. mat------17-----------------------------•-•---._-,19_-60 Owner's Name and Address...G_e0:---+T.....M-aCaughaICI----------------------._---..........._• No._J_.70------------_ street---R_�''.�_---1Q`3-_S tl'---•-- RegisteredArchitect and/or Engineer.-----------_----------•---_-------------•----__-------------------------------------------------------------------------------_---_---__------..-•------ Name and address of licensed contractor....N_or_th__DadA__RQQ_f ins...�t'Q_�e_f___.�,�Q�Q_.��•__ 20...c't!,...jQpg Pka Location and legal description of lot to be built on: Lot---Z A-------------------------- Block..-9'3-.............-•-------- SubdivisionNi --Shor a$---#4---•---------------- -- Street and Number where work is to be done......S7Q...N..E.....I.Q3...S- .&-----------------•---•-------•----------------------- ----------------- State work to be done and purpose of building (by floors)_.._t�1_e.11ing.*__._3.!n30# ._.._` Wpq.._Ik4phalt___&__pea._roek •------------------------------------------------------------------------........•••••-•-•----•--•-----------•-----------------------------•-----------------------------•------------------------------------------------------- ..--•---.--------•---------------------------------.........................-----------------------------------------------------------------------------------------------and for no other purpose. New Building-----__------_-_-----__--- Remodeling.......................... Addition_.._$-_---------_--__. Repairs.........-................ No. of Stories.......1---------------- To be constructed of............................ Kind of foundation-----.-_--_-------_--_-_---•_.__............................... Roof Covering------bUilt---up-- gravel Estimated Total cost of improvements $--.1QQ.4.0-____.._•-----------------Amount of Permit $-----5-010------_-----------..----.--...-------------------_-••---------- Zone cubage required---------------------------------------------------------- Cubage---- --------------- Distance to next nearest building.-------------------------............-.......-.........-Size of Building Lot------------------------------ Maximum live load to be bome by each floor....................._._.—-----------------------------------------------------_ - ....-.......-........................................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.X01!t4_D.EdeRO0f 11 _CQs= 14010__AT#,& -20___(_'t., -0 a _Lock$-F18 . ----_--- ----------- 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 tinder this permit; and will post or cause to be posted for inspection on the site of the work suchublic 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) { y' 6,L STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority,a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --- - -----------••--------------------•-----------------------------•--- -----------------------------•--------------------------------•---------------------------------------------------------------------------------to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.--------------_------------------------------------___..------------------------------------ of 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 ar �,�, '�6 Permit No.�_.�_-._ ._.._____. _. Date-------- Read,Sworn to and Subscribed before me. Disapproved ____._-- -_- Date_ ' , ---------- ______________ (Signed) --••-•..-` ` Notary Public,State of Florida Build�i g�nspector \ My Commission Expires--------------.............................-........................ PLAN I BOARD------------------------------------------------•---DATE Chairman ---------------------------------—---------------------------------------------------- Member ----------------------•-__--------------...............................- Member - - ._.._.. ----------------------------—------------------------- Member Member ------ ------------_----------------------—-------------------—---------._.. Member ----------------------------_---•----------•--------------------•-- - Council Approved-------------------------------------------------------_--------Date Disapproved _-------_-•--- .....................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNo...............a.o................ Date...............August 16, 1960..... _............................................. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address........ C .....................................No. 570 P1. Z`........ S103rd St. _ . . ...... treet.............. .........-. RegisteredArchitect and/or Engineer..................................................................................................................................................................................... Employing Electrician's Name... atj.rs$.ate...lled:bra.c...0c.................No........6..4...Na...Li........Street.........41h..A.Y.en.me.............. Location and Legal Description Lot..............................................................I.....Block..........................................Subdivision.........:...................................... Street and Number where work is to be performed—No........... �7.0...IB.° Eo103dSt. . ........Street.................................................................... State work to be performed and purpose of building B Floors .EA.dditien...ta...reai-de ce................................................................ New Building................................Remodeling................................Addition........ ..................Repairs......................................No. of Stories.....1........... SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. $@ACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. A T6R HEATER CONTR. LIST2 4 7 4 17 LIST CHECK 2.80 ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. OA HP 1.0 HP TRANS. CONTR. 1 7 LIST 1 CHECK 1.00 Service Overhead Size Feeders....................Conduit................Main Sw...............................Amps.....................,.....Main Fuses......»............... Amps Underground ""' Typeof Installation—Conduit........................Tubing........................B.X.L........................Metal Moulding...............»....................................................... ...................................................................................................................................................................................................................................................... _.....................................................................................................................................................»....................................................,........................................ Amount of Permit $.....................50.......................................................... (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. v (Signed)..................»........................._.................... _.... . ........................... Mae Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I 66' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared..................................................................................................................................................................................................................................... tome well known, and who, being by me first duly 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 Expires Notary Public, State of Florida NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE_ 19 ELECTRICAL PLUMBING EJ PERM 1 T N� 4235 Contractor's ' License No. ROOFING ❑ ❑ Work to be performed under this Permit— Owner of Building - --- ---- -- - - Architect Contractor or Builder Legal Lot I Subdi- Description _ I Bl. vision Address of Value of j Amount of Building ! Project Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: t " _--_ 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 ABBOT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.-__ -- 9�_� Date---__--�"U —2.-__ _x72-_------------ Application is hereby made for the approval of the detailed statement of the plauftnd 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----..Geo• J• McCaughan NO.___5 Q N_E_-- Street.-__W3r&.,Street ----- Registered Architect and/or Engineer__- --------__�_—._--------__---_ -- ---------------------- ---- Employing Plumber's Name----- owning Septle Tank P*M2394-PV8 --- street Haleah-33012 Location and Legal Description Lot Block _ —_. Subdivision._—_.__.____—___.._-_- Street and Number where work is to be performed—No. 577 N.E- 103rd Street-----------_-.----—_ State work to be performe8 and purpose of building (By Floors) ----_-3g_!Te,ay---------------------------------------------------------------- New Building —Remodeling Addition-_.—_---__._ Repairs---Z...__.----------- No. of Stories----------------------- BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBE URINALS BASIN DRAIN FOUNT'NS FIXTURES CONT". LIET CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL I-- CONTR. LIST CHECK Size Septic Tank_-------------_--_-------Type of Tank—_---------------—____ ---------------------Capacity Gals.------------------ Feet of Drain Til®-_-----------____-- tea+. Feet of Tank or Drain Field from Well------------------------------_---.------------____--_----.-..._-.---_-- Nature of Water Supply: City—Well. —_—.__--- -----Size of Soakage Pit--------------------------------- —�-- — —---- -------------------- - -- Amount Of Permit --�+.OA- — (Signed)--f-f- -•moi s�9—— -------------� 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- piled 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 n work to be performed under this permit, as are licensed by Miami Shores Village. (✓ / , Master Plumber. STATE OF FLORIDA, as. 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 rednspeetion is made-necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /G� APPLICATION FOR PLUMBING PERMIT Permit No..`J:�__.1SG_ 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 Shares 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_._MC: CAUGHAN 570 NE 103 5tNro et — Registered Architect and/or Engineer North Dade Septic Service 8G0 jW 111 Street MgarrSii .. _ —. a nd al tion B Subdivision. Street and Number where work is to be performed—No. 570 NE 103 Street _............... _. State work to be performed and purpose of building (By Floors)__.w______.._—__—_._.—__—......_..__.•--.--._..............--.- ...._............ —.. xxx New Building___.___ --.----......__.. Remodeling _._.--Addition__.-___..—_... Repairs... .............. No. of Stories.-. ........... ... BATH LAVA• GLOP LAUNDRY CATCH FLOOR DRINKING I TOTAL CLOSETS Tugs GHOWMAS TORIES SINKS SINKS Tugs URINALS BASIN DRAIN FOUNT-NO I FIXTURES CON". LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM•G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL Com• 300 sq. ft. LIST CHECK Size Septic Tan _—_ Type of Tan ------------ -_.Capacity Gala..--•----•-------- --•-- Feet of Drain Tile. -_—_-•- *- Feet of Tank or Drain Field from Well.-._-_ --------- Nature of Water Supply: City—WGIL _-Size of Soakage Pit...............-_ _____—._-----.--•--_-----.._._.___..__.. _ ——- --- ---- --------•---...-- - . ..... Amount of Permit = —© (Sign _ __—_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act,being Section 5988,Compiled Cenral Laws of Florida Permanent Supplement, and heti com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contracton employed by him in the wor& to he performed under this permit; and will post or cause to be posted for inspection on the e e wor is notice or notices as Rm required by the Act. The undersigned agrees to empkTy only such wb-0oatract on work performed u thiy permit, as are licensed by Miami Shares Villages PP --Master Plumber. • STATE OF FLORIDA, SS.I 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 depses oand Says that he 1a 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 hire stated aro true. My Commiasioo Fapirse Notary Public,State of Florida NOTE: A re-inspection fee of $1.00 will be useds wbea wale m4ospaetian Is mede-usc asarf by 6spuper notice far lsaspaLtioq, or faulty materials and/or worl®auship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 4 Date -/,7 " 9 ,y Job Address S 70 Tax Folio._// 3 Z O G 01-7 D Q�(O "1 ;LA2 PL or- m - s. 5-�r4r- J Legal Description✓Y/i.� o � Nv Z L 3 Owner / Lessee / Tenant egwmis, Master Permit # a Owner's Address S 7 a A/. qq l0 3 a-y Phone 7s/- 5 z1� Contracting Co.�ai�� iZ - UtiyG'0 g2 Address Qualifier/W 4,d rim c.,. 'oee tL,6 A,v SS4�� hone 3oS- State # Municipal # Competency # Ins.Co. Architect/Engineer A� 44&0/-) Address_'"e -57,-vyg- el , ,e 3y22/ Bonding Company Address Mortgagor Address Permit Type(circle one). ILDI ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIONC� (� _S /�GO G/c G.t/,A ll Square Ft. 6 Estimated Cost(value) 26-41 R-e�l 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. S' ature of owner an or Condo President Si ature of Owner-Builder Date: Date: v Notary as to er and/ Notary as to Owner-Builde rl- My Commission Expires: =MUC�� ATE�OV� 7ZT SAMy Commission Expir M`l'CMINISSION LAPOZES:"1.29,159& �TA�Y PVZLIC,STATE OF FLortrDA, RMWD TNRU NOTARY PLT11C,"UDIz3E&2``YF:II—Mg, 1y C®Pd MIISSIIGN EXPIRES:1Mc, BONDED TEfiRU NIOTABY PUBLIC FEES: PERMIT ^ RADON C.C.F. a NOTARY TOTAL DUE APPROVED: Fire Other Zoning Buildin � Electrical Mechanical Plumbing Engineering . w OFF15851 n 1799 NOTICE OF COMMENCEMENT OF IMPROVEMENT STATE OF FLORIDA COUNTY OF DADE 3 R 14r 1007 1993 MAR 22 07:50 BEFORE ME,the undersigned authority,personally appeared EDWARD A.McCARTHY AS ARCHBISHOP OF THE ARCHDIOCESE OF MIAMI, who,being duly sworn,states that: 1. EDWARD A. McCARTHY AS ARCHBISHOP OF THE ARCHDIOCESE OF MIAMI,of Miami, Dade County, Florida(hereafter OWNER)Is about to commence the Improvement of the following described real property situate In Dade County,Florida: Tract A, REplat of Blocks 115 and 116 of the Amended Plat of Miami Shores Section "5" , according to the plat thereof recorded in Plat Book 43 at Page 48 of the Public Records of Dade County, Florida. �Y OcM=jwCffIX7Af Rf OWOSAW r OF DADE COUNTY,fLORIRA, RECORD VERIFIED �a HARVEY RUVIN ItY CLEP.K CIRCUIT COURT ,id :r•',Y'�t P. e:.,.. ...... ,r,•.:.,.,:fa•'J.1'.i i,la 111!��.�:I.PI i 2. OWNER'S Interest In the real property hereinbefore described is FEE SIMPLE. 3. The name and address of the party contracting with OWNER forthe Improvements hereinbefore described is: Waas-Phillips Construction Co. , 5582 N.W. 79 Avenue, Miami, FL 33166 4. The general nature of the Improvements to be constructed upon the real property hereinbefore described Is: St. Rose of Lima Office Addition 9401 5. OWNER designates GEORGE P.KAPLAN,The Chancery,Archdiocese of Miami,QA0d Biscayne Boulevard,Miami,Florida,as the person upon whom notices or other documents required under Chapter 84, F.S., may be served. w WITNESSE : lf� � EDWARD A. McCARTHY AS ARCHBISHOPO THE ARCHDIOCESE OF MIAMI,OWNER The Chancery SWORN TO and SUBSCRIBED before me this 940 123M Biscayne Boulevard q� Miami, Florida 33138 day of � AAAA 19 (•J Lln 4L 6 This instrument was prepared by: George P. Kaplan, Director NO ARY PUBLIC Archdiocesan Building Commission 9 4 01 f ak Biscayne Boulevard Miami, Florida 33138 My commission expires: � ETHEL MARINELLI Notary Public,State of Florida My Comm.expires June 5.1993 No.AA67291i1 BoRM On Geral Insurance Undervi tens a PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date7 job Address �7® ®.3 Tax Folio Legal Description lk- � Historically Designated: Yes No� Owner/I.ess,e/Tenant A 6-K Master Permit# O•v.rnex's Address lt5l Fl a3 _� _—Phone 3 0 5 S13 —660 Contracting Co. / Address y Z< V3 Z { J� ! (� - a Qualifier. [&S# Phone533 - C r0 0 State# CC--- e a7 M 1 unicipal# Competency# Ins.Co. Architect/Engineer —Address— -- Bonding Company — Address Mortgagor— ---.Address _ Permit Type(circle one): BU"ING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVVIG FENCE SIGN WORIK DESC ®rQr IAM eooF 010 Square FL �� _t Estimated Cost(value) WARNING TO OWNER: YOU',MUST RECORD f2 NOTICE OF COMMENCEMENT AND YOUR FAILIi nE TO DO SO MAY RESULT IN YOURPAYING TWICE FOR INIPROVEP Er,,11TS.TO YOUR PROPERTY(IF YOU WTENO TO GBTAR-T FINANCING, CONSULTWTlt'II YOUR LENIDER OR AN ATTORNEY REUVRE RECORDING YI.DI(TR NOTICE OF rOi' rvTX-IVCEMENT.) Applicaticn 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 wont will be performed to meet the Mmdafds of ail laws regulating constntctibu in this jurisdiction. 1 understand that separate permits are required for ELECTRICAL,PLUM13iNG,SIGNS,POOLS,ROOFING and MI?CH.Ai 1iCAL WORK. OWNER'S AFFIDA`JIT: I crtrtify that all the foregoing inl:orm-ation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore,l authorize'lie above-named contractor to do the work stated. gnatu of owner a. , ondo P--sident Dat S' nature of Contractor or ✓ner-Builder Date Notary as to Owner and/or Qat -- - Notary as to Contractor or OvAier-I',.d&—r. — - Date My Commission ExpirCS CABEZA SEAL My Com,mission Expires: FFICIAL N A Y SEAL MASEMA MASEMA CABEZA NOTARY PUBLIC STATE OF FLORID ROTARY PUBLIC STATE OF FLORIDA^ COIJW1sSION NO.C016c".9 COMMISSION NO.CC316tua MYCOM M[ISSION EXP.SEPT 1�,is MYCOMMISSION P.SEPT 1S,14r�7 FEES: PET-dVRT _RADON C.C.F. 6 — —_NOTARY _,_ 1'OTA[,DUE__ APPROVED: Zoning _ _.— —liuildit�g 37-- Elec-i6cal M%-xharncal Plumbing t R-1 PROFESSIONALS GENERAL CONTRRCTORS, INC. LICENSE#CGC 005231 12875 N. E. 14TH AVENUE • NORTH MIAMI, FLORIDA 33161 TEL. (305)895-0154 • FAX(305)895-09441 :: U, L �F LJ�BFTpA TZ'��I NOTICE OF COMMENCEMENT I� PERMIT NO. TAX FOLIO NO. �•� STATE OF FLORIDA: 9 COUNTY OF DADE: %0 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. N 1. Legal description of property and street address: t5 �✓ .old 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contracto 's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) o Name and address: �"' �' E o /tea ooc 6.7EFC37 ,��,' ta,:� e�'� a �a this 6. Lenders name and address: 7. Persons within the State of Florida designated by Owner upo e - qefvecras provided by Section 713.13(1)(a)7., Florida Statutes By dcoun'9ttName and address: rr 8. In addition to himself,Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signator of Owner Print Owner's Name C. 4 . M`C-4LL6rHAM Prepared by: Sworn to and subscribed before me this day of f , 19� Address• Notary Publi N"� :ZA Print Notary's Name ' _ � S My Commission Expires: MYcommiss. n FORM A-104 White - Original Canary Office t Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: a Job Address: J N 1 J v j ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail-On Tile) ❑ (Mortar-Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ (Metal Roofs\Wood Shingles&Shakes) ❑ (Other) ROOF TYPE ❑ New Roof �-Re-roofiing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area(ft2) C Sloped Roof Area(W) J1 Total(ft2) Master Permit No. Exposure category(per ASCE 7-88): Building Classification category(per AS E 7-88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) y LI u ROOF PLAN --------------------------- --------------------------- ---- ----------------------- j I I I I I Deck type: 0 (h' -',II''''' -rIIII1I'I-.'I''''' -IIIIII --_-'I,-_-'-__--I_--_- r--------------IIII---I''I---_I1IIIII---1,IIIIIIII- - ' r------------------- 7,1111,: 111.III,IIIII IIII''I--------------- ------------- ----------- ATTACHMENT ---------------_______________________ATTACHMENT IIIIIIIIIII III,IIIIII I I I � Ft. ji Fastener Type: I � A- SPACING yP `----------' . 1 Field: / Perimeter: Corner: � I � � I ' _�_____---------------------- I I DETAIL 1 & 2 i i i i '--------` - -----------------I I I I I 1 I ' I --- '---------'�-�'-------------------- I I I � I I ---- ------------------------------------------- 123.01-78 ------------------------------------------,23.0,-78 9/96 Page-1 McTRO-OAOE METROPOLITAN DADE COUNTY, IFI.()Rlr)A BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO DARE FLAGLER BUILDING ROF A XX PTA CE ROWILIM140 WEST FLAGLI=F1 STREET GAF Material Corporation MIAMI, FLORIDA 33130-1563 (306) 375.2901 1361 Alps Roa FAX(305)375-2908 `dVaync,NJ 07170 INTERNET: mdce01 @shadow,net Your applicatio for Product Approval of: PRODUCT CONTROL SECTION GAIF Convents inal Built-Up Roof Systems (305)375.2902 under Chapter of the Metropolitan Dade County Code governing the use of AIternate M terials and�2-6339 Tyles of Consyuction, and completely described in the plans, specifications and calculations as submitted by: Dyuatech Eng-neering, Inc., Factory Mutual Research Corporation, and Underwriters Laboratories,I ic. has been reCOM nended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida nder the specific conditions set forth on pages 2-98 and the standard conditions an page 99. This approval st all not be valid after the expiration date stated below. The Building Code Compliance Office reserves I ie right to secure this product or material at any time from a jobsite or manufacturer's plant for quality ontrol testing. if this product or material fails to perform in the approved manner, the Building Code C Dmpliance Office may revoke, modify, or suspend the use of such product or material immediately. 11 a Building Code Compliance Office reserves the right to revoke this approval, if it is determined by tie Building Code Compliance Office that this product or material fails to meetthe requirements of a Building Code Compliance Offce that this product or material fails to meet tile requirements of a South Florida Building Code. The expense of si ch testing will be incurred by the manufacturer. ACCEPTANCE 0-: y%J- 003.03 Devises No.: 94-1014.01 1EXP S: /auRodriguez Product Control Division Supervisor ONDI'I-IONS BUKI DIN QhE CnMM13aFiF. This applicationr Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliant Office and approved by the Building Code Committee to be used in D County, Florida under tate onditions set forth above, arles Danger, P.E. Director APPROVED: Building Code Compliance Dept. Metropolitan Dade County I Product Control No.: 95-1003.03 PRODUCT CONTROL NOTICE OF ACCEPTANCE 1 ROOFING SYSTEM ApprzoVAL Applican GAF Materia s Corporation Product Control No.: 954003.03 1361 Alps Roz d Wayne,NJ 0-470 Approval Date: March IA. 1996 Expiration Date: Nov. I0, 1997 cate2ory: Membrane Roofing System sub-utegT Built-Up Roofing iYX Conventional ub- y{L Fiberglass System Description GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years, produces a widi range of roof products for built-up and modified bitumen roofing systems. In addition, GAF offers tw ply modified systems to meet the demands for multi-ply SSS and APP modified specifications. GAF provides ananted systems over various insulated and non-insulated substrates, copies of which can be obtain from GAF and can be found in the "GAFGLAS Built-Up Roofing Application and Specifications" nanual published annually. GAF roof systei ri assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters ratories and have been tested in compliance with all requirements of the South Florida Building Code. Specific classifications for assemblies are listed in the current U.L. Roofing Material Directory and th current Factory Mutual Approval Guide. GAF Materials orporation products are distributed through a wide network of roofing wholesale distributors throi ighout the South Florida area. For more infon iation on specific roof system constructions, contact the Technical Service Office, located in Wayn ,New Jersey,at 1-800-ROOF-41 I. Contact: William J. Woodring Director of Technical Services (20 l)628-4134 Frank Zuloaga Plans Examiner,ViadaVlSntrol Division 2 Product Control No.: 95-1003.03 T , Basalt ool Perlite Polyiso yanurate Compo ite Board Wood F iberboard High D] nsity Wood Fiberboard Rockw l Maximum-Design Pressure Material Degign Pressure Wood -60 psf steel -75 psf Concrete -192 psf Lightweight Con rete -45 psf Cementitious Wc od Fiber -45 psf Poured Gypsum Oncrete -45 psf Material Classification Wood Class'A' Steel Class'A' Concrete Class'A' Lightweight Con ete Class'A' Cementitious Woo id Fiber Class'A' Poured Gypsum Concrete Class'A' Note: Fire classi Fications and maximum design pressures do not reference all assemblies over all deck types. Re iiew system listings for design pressures and the Underwriters Laboratories Roofing Materials )irectory for Fire Classifications. Frank Zuloaga Plans Examiner, ntrol DIYLslon Product Control No.: 95-1003.03 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY,APPLICANT Prtsduct Test Product 5 cific iQ9 GAF Materia s 5,55 gallons ASTM D 41 Asphalt concrete primer used to Corporation phalt Concrete Pria cr promote adhesion of asphalt in built-up roofing. GAF Mineral hleld4D 60 lb, bags ASTM D 1863 Granules for surfacing of exposed Granules asphalt, cold process cement or emulsion_ GAF Mineral ShielddD Granules shall be used for flashing applications only. GAF Materials 1, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral Corporation le blak ASTM D 3409 stabilizer and fibers. Permits adhesion All to wet and dry surfaces. Weather Plasti Cement GAF Materials 1, 5, 53 gallons ASTM D 4586 Trowel grade,asphalt plastic cement. Corporation PI tic Cement . GAF Materials 5 gallons ASTM 1227 Surfacc coating for smooth surfaced Corporation roofs. WeatherCoatO Emulsion GAF Materials 1, 5 gallons ASTM D 2824 Fibered aluminum coating. Corporation Fib red Aluminum Coat no GAF Materials 1,5 gallons ASTM D 3019 Refined asphalt blended with a mineral Corporation Jet ak ASTM D 3409 stabilizer and fibers. Permits adhesion All Weather Plastic to wet and dry surfaces. Cement GAFGLAS #75 3'x 108' ASTM D 4601 Asphalt impregnated and coated glass Base Sheet 75 lb.roll mat base sheet. GAFGLAS Ply 6 3'x 180' ASTM D 2178 Type V1 asphalt impregnated glass felt 45 lb. roll with asphalt coating. GAFGLAS Ply Y x 180' ASTM D 2178 Type IV asphalt impregnated glass felt 40 lb. roll with asphalt coating. Frank Zuloaga Plans Examine ontra 4 t � Product Control No.: 95-1003,03 W " PMdUc � � Test Product Y SJZecificatiou Dewipl!sm GAFGLASOD Tx 36' ASTM"D 3909 Asphalt coated,glass fiber mat cap sheet Mineral Surfacl d 76 lb.roll surfaced with mineral granules, Cap Sheet GAFGLASQ Y x 36" ASTM D 4897 Fiber glass base sheet impregnated and Stratavent(V(Vj nt 69 lb.roll D 3672 coated on both sides with asphalt. Ply)for nailable decks Surfaced on the bottom side with mineral granules embedded in asphaltic coating. GAFGLAScp Fli shing various Proprietary Asphalt coated glass fiber mat flashing sheet available in three sizes. GAFGLASW Y x 36" ASTM D 4897 Fiber glass base sheet impregnated and StrataventO(Ve t 6016, roll .D 3672 coated on both sides with asphalt. Ply)Perforated Surfaced on the bottom side with mineral granules embedded in asphaltic coating. GAFTEMP40 various PA 110 Polyisocyanurate foam insulation. Isotherm R GAFTEMPO various PA 110 Polyisocyanurate foam insulation with Composite high density fiberboard or Permalite perlite insulation. GAFTEMP4D various PA 110 Fiberboard insulation. Fiberboard GAFTEMPO various PA 110 Perlite insulation board. PermaliteS GAFTEMPO various PA 110 High density wood fiberboard High Density insulation. Fiberboard GAFTITEV#12 PA 114 Insulation fastener for steel and Standard plywood decks. Roofing Fastener GAFTITEO#14 PA 114 Insulation fastener for steel,wood and Heavy Duty concrete decks. Roofing Fastener GAFTITEO Base PA 114 Ease sheet fastening assembly. Sheet Fastener and Plate Frank Zuloaga Plans Examiner, ntrol ry S Product Control No.: 95-1003.03 Test product ci>ztsm Cal valurn e PI tes 3" and 3 �'/s" PA 114 Round galvalume stress plates. NTB Fasteners PA 114 Fastener for use in gypsum,tectum and lightweight insulating concrete decks. Polypropylene plates 3"and 3 W PA 114 Round polypropylene stress plates. Ruberoidt9 20 1.5 sq. roll ASTM D 5147 SOS modified asphalt base sheet reinforce with a glass fiber mat. RtiberoldO Mo I sq. roll ASTM D 5147 Non-woven polyester mat coated with Granule 103 lbs, polymer modified asphalt and surfaced with mineral granules. Vent Stacks(m tal PA I00(A) One way valve vent used to relieve and plastic) ASTM D 1929 built-up pressure within the roof system. ASTM D 635 GAF Vent Stacks are available in metal or plastic. Prank Zuloaga Plans Examiner. ontrol Division 6 Product Control No.: 95-1003.03 'RADE NAMES OF PRODUCTS MANUFACTURED BY 0-rHERS tp,g Test Product '� Dimensions S296.hation Dead Manufacturer Pyrox various PA 110 Polyisocyanurate foam Apache Products Co. insulation (with current PCA) ACFoam I various PA 110 Polyisocyanurate foam Atlas Energy insulation Products (with current PCA) ACFoam II various PA 110 Polyisocyanurate foam Atlas Energy insulation Products (with current?CA) Celeore PA 110 Cellular insulating concrete Celcore, Inc. system (with current PCA) Icy-Therm Nail-I ne various PA 110 Polyisocyanurate foam Celotex Corp. insulation (with current PCA) Hy-Therm SP various PA 110 Polyisocyanurate foam Celotex Corp. insulation. (with current PCA) HY-Therm AP various PA 110 Polyisocyanurate foam Celotex Corp. insulation (with current PCA) Hy-Therm Stable R various PA 110 Polyisocyanurate foam Celotex Corp, insulation (with current PCA) Hy-Therm White various PA 110 Polyisocyanurate foam Celotex Corp. Line insulation (with current PCA) Vapor$ar GB 36"x 108' ASTM D 4601 GZ fiberglas base sheet Celotex Corp. (with current PCA) Anchorbond PA 114 Insulation fastening Celotex Corp, Fastener assembly (with current PCA) Dekfast Fasteners PA 114 Insulation fastener for steel Construction #14 and concrete decks Fasteners Inc. Mr Frank Zuloaga Plans Examine , ontrol 7 Product Control No.: 95-1003.03 Test Product Product im n, icons Spegification Description ManU acturer Dekfast Hex Pl to 2 7/8" x PA 114 Galvalume hex stress plate. Construction 3 1/4" Fasteners Inc. (with current PCA) Dekfast Lock Plate 3"x3 114" PA 114 Polypropylene looking Construction plate. Fasteners Inc. (with current PCA) Dekfast Fastene s PA 114 Insulation fasteners for Construction #15 concrete decks Fasteners Inc. (with Current FGA) Dekfast Fastenex i PA 114 Insulation fastener for steel Construction #12 and wood decks. Fasteners Inc. (with current PCA) TPR PA 114 Aluminum fastener for Creative lightweight,gypsum and Construction tectum decks Components (with current PCA) Elastizeli PA 110 Cellular insulating concrete Elastizell Corp. system (with current PCA) FM-30, FM-45, PA 114 Base ply fastening systems ES Products, Inc. FM-60, FM-90 for lightweight concrete (with current PCA) Fasteners decks Nail-rite Type'A PA 114 Galvanized steel base ply ES Products, Inc. fastener for lightweight (with current PCA) concrete decks Nail-Tite Type'R' PA 114 Galvanized steel base ply ES Products, Inc. fastener for lightweight (with current PCA) concrete decks ISO 95+Composi a PA 110 Polyisocyanurate/perlite Firestone ridged insulation (with current PCA) Frank Zuloaga Plans Examiner, ontrol Dlvts 8 t Product Control No.: 95-1003.03 Test Product DimensiQns 50mifigalLm Description Manufacturer Asphalt ASTM D 312 Type III or IV Hot asphalt generic bitumen adhesive Asphalt Primer ASTM D 41 Asphalt Primer generic BPS various PA 110 Extruded polystyrene generic insulation High Density W various PA 110 Wood fiber insulation generic Fiberboard board Oriented Strand various PA 110 Oriented strand board generic Board Pelite/Urethane various PA 110 Perlite/urethane composite generic Composite board insulation Perlite Insulation various PA 110 Perlite insulation board generic Polyethylene 4 mil min_ Vapor barrier/Air barrier generic Red Rosin various Rosin paper for barrier generic layer on wood decks Roofing Nails Minimum# PA.114 Corrosion resistant annular generic 12 ring shank nails Tin Gaps Min.32 ga.x Corrosion resistant circular generic i°/," discs. Type X Gypsum various Fire resistant rated gypsum generic Type X Gypsum various Fire resistant rated gypsum generic al MB aluminum PA 121 Aluminum roof coating Grundy Industries roof coating (with current PCA) Dens-Deck various PA 110 Gypsum insulation board. Georgia Pacific Frank Zaloaga 2M7:::� Plm Examitier, ntrol Divts 9 ' Product Control No.: 95-1003.03 Test Product Product „9 Mmensionscifigt� ion Description Manufagrurer #12 Roofgrip PA 114 Insulation fastener for steel ITW Buildex or wood decks (with current PCA) #14 Roofgrip PA 114 Insulation fastener steel, ITW Buildex wood or concrete decks (with current PCA) Gripdek Fasten r PA 114 Insulation fastener ITW Buildex (with current PCA) Hexcel Fastenei PA 114 Insulation fastener ITW Buildex (with current PCA) Hextra PA 114 Insulation fastener and ITW Buildex metal or plastic plate (with current PCA) Standard Plastic 3" round PA 114 Polyolefin plastic plate ITW Buildex Plate (with current PCA) ISd 95+' various PA 110 Polyisocyanurate foam International insulation Permalite (with current PCA) E'NRG'Y-2 various PA 110 Polyisocyanurate foam NRG Barriers, Inc. insulation (with current PCA) ISORoc various PA 110 Polyisocyanurate foam/ NRG Barriers,Inc. rockwool composite (with current PCA) insulation Con-Tite PA 114 Concrete deck insulation Olympic fastener Manufacturing Group,Inc. (with current PCA) N.T.B. Magnum PA 114 Glass reinforced nylon Olympic fastener for use in gypsum Manufacturing and cementitious wood Group,Inc. fiber decks. (with current PGA) Frank Zuloaga 'A Plans Examiner, ontrol 17ivisjo 10 ................. t Product Control No.:95-1003.03 Test Product ! ProducDimensions ,q=ification Description Manufacturer N.T.B. Spin 2"round PA 114 2"round amorphorus nylon OIympic Weld Plate locking plate for use with Manufacturing N.T.B. fasteners with 1" Group,Inc. head (with current PCA) N.T.B. Plastic I late 3"round PA 114 3" round polypropylene Olympic stress plate for use with Manufacturing N.T.B. fasteners Group,Inc. (with current PCA) N.T.B. Plate PA 114 3" round galvalume AZ55 Olympic plate for use with N.T.B. Manufacturing fasteners Group, Inc. (with current PCA) Olympic Stand d 3" round PA 114 3"round galvalume Olympic AZ55 steel plate Manufacturing Group, Inc. (with current FCA) Olympic Fasten.-r PA 114 Insulation fastener Olympic #14 Manufacturing Group,Inc. (with current PCA) Olympic 3.25"round PA 114 Polypropylene Olympic Polypropylene plastic plate Manufacturing Group, Inc. (with current PCA) Olympic Fastent r PA 114 Insulation fastener Olympic #12 Manufacturing Group, Inc. (with current PCA) Olympic Fastent r PA 114 Insulation fastener Olympic Manufacturing Group,Inc. (with current PCA) Frank Zuloaga Plans Examiner, trot DiVIslo Il Product Control No.:93-1003.03 Test Product Product Dimensions Specification 1)e�tjQn Manufacturer Olympic CR B ise PA 114 Insulation fastener Olympic Felt Fastener a nd assembly for Base Sheet Manufacturing Base Sheet Di fastening only Croup,Inc, (with current PCA) GlasFast Fastei er PA 114 Insulation fastener Owens-Corning assembly with recessed Fiberglas Corp. plastic plate (with current PCA) GlasFast/Strike PA 114 Insulation fastener Owens-Corning assembly and metal plate Fiberglas Corp. for use over concrete decks (with current PCA) Paroc Base Boa rd various PA 110 Rock-wool insulation Partek,Inc. (with current PCA) Paroc Cap Boai d various PA 110 Rockwool insulation Partek, Inc. (with current PCA) Multi-MaIx various PA 110 Polyisocyanurate foam Rmax, Inc. insulation (with current PCA) Multi-Max FA various PA 110 Polyisocyanurate foam Rmax, Inc_ insulation (with current PCA) UltraGard various PA 110 Polyisocyanurate foam Schuller insulation International Inc. (with current PCA) Insul-Fixx Faste ier PA 114 Insulation fastener for steel SFS/Stadler and wood decks (with current PCA) [nsul-Fixx P 3" round PA 114 3"round polyethylene SFS/Stadler stress plate (with current PCA) Rawl Drive PA 114 Insulation fastener and steel The Rawlplug and plastic stress plate for Company Inc. concrete deck (with current PCA) Frank Zuloaga Plans Examiner, ontro! 12 t Product Control No.:95-1003.03 Test Product er2duct Dimensions ,Speailltcation Description Manufacturer Rawl Fasteners PA 114 Insulation fastener for steel The Rawlplug #12 and wood decks Company Inc. (with current PCA) Rawl Fasteners PA 114 Insulation fastener for use The Rawlplug #14 in steel,wood or concrete Company Inc. (with current PCA) Rawl 2" Plate 2"round PA 114 2"round galvalume AZ55 The Rawlplug membrane plate Company Inc. (with current PCA) Rawl 3" Plate 3"round PA 114 3"round galvalume AZ55 The Rawlplug steel plate Company Inc, (with current PCA) Rawl Spike PA 114 Insulation fastener and steel The Rawlplug and plastic stress plate for Company Inc. concrete deck (with current PCA) Rawlite PA 114 Insulation fastener for The Rawlplug cementitious and gypsum Company Inc. decks (with current PCA) Rawlite 3" Plate 3" round PA 114 3"round galvalume AZ55 The Rawlplug steel plate for use with Company Inc, Rawlite fasteners (with current PCA) 202 HS PA 121 Roof coating Thermo-Materials. Inc. (with current PCA) Super Prep It PA 121 Roof coating Thermo-Materials, Inc. (with current PCA) Tru-Fast DL PA 114 Insulation fastener for steel, Tru-Fast or wood (with current FCA) Frank Zuloaga Plaus Examiner, Pontrol 13 Product Control No.:95-1003.03 Test Product Product Dimensions Specification Qc cri tion Manufacturer Tru-Fast Plastic 3.04" round PA 114 3.04" round polyethylene Tru-Fast Plate plastic plate (with current PCA) Tru-Fast MP-3 3.23" round PA 114 3.23"round galvalume Tru-Fast AZ50 steel plate (with current PCA) Tru-l=ast 110 PA 114 Insulation fastener for use Tru-Fast in wood,steel or concrete (with current PCA) decks Tru-Fast Ultra PA 114 Stainless Steel fastener for Tru-Fast use in steel,wood and (with current PCA) concrete decks Tru-Fast TL PA 114 Glass reinforced nylon Tru-Fast fastener for use in tectum or (with current FCA) gypsum decks Tru-Fast DP PA 114 Insulation fastener for use Tru-Fast in steel or wood decks (with current PCA) Tru-Fast TP PA 114 Insulation fastener for use Tru-Fast in steel or wood decks (with current PCA) Tru-Fast C>+ PA 114 insulation fastener for Tru-Fast Fasteners concrete decks (with current PCA) Insulcel PA 110 Cellular insulating concrete W.R.Grace . system (with current PCA) Structodeck various PA 110 High density wood fiber Wood Fiber Industries (with current PCA) Frank Zuloaga Pians Examin ntrol Djvtston 14 ....................................................................................•............................................................................................................................. rroauct l.onirol LNo.:77'i uu-7 r Test Reports Name Mow I2c Factory Mutual march FMRC 1994 Current Insulation 01.01.94 Corporation Fastening Requirements J.I. #OT4A LAM Uplift Approval 08.26.92 J.I. it I V8A4.AM Uplift Approval 06.28.93 J.1. 91RIA6.AM Uplift Approval 11.15.91 J.I.#OT2Q4.AM Uplift Approval 10.17.91 J.I. #OQ6A6.AM Uplift Approval 07.16.91 J.I.#3X3A2.AM Uplift Approval 08.02.94 J.I.#OY9Q5.AM Uplift Approval 07.29.94 Undenwitors R1306, 87NK11819 Class A Fire 01.01.93 Laboratories, Inc. Classification , Dynatech Enginc ering, 3600.02.95 Wind Uplift, Small 02.02.95 Inc. Scale 4482.02.95 Wind Uplift 02.02.95 Frank Zuloaga Plans Examiner o 15 ............................................................................................................................................................................... Product Control No.: 95-1003.03 . f . Deck Type 1: Wood,Non-insulated .- beck Descrip ion: `9/,,"or greater plywood or wood plank decks System Type (1): Base sheet mechanically fastened. All General ai d System Limitations shall apply. Base Sheet: GAFGLAS(& #75, GAFOLASID PLY 60, GAFGLAS(& STPATAVENTO or RUBEROID+& 20 applied to the deck with approved annular ring shank nails and minimum l %" tin caps at a fastener spacing of 12" o.c. at the lap, IS" o.c. in two rows staggered along the center line of the sheet in the field. MY Sheet: Two or three plies of GAI+GLASQ PLY 4 or +GAFGLASV PLY 60 ply sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-401bs./sq.. Cap Sheet: (Optional) One ply of GAFGLASO Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 lbsJsq.. Surfacing: (Required if no cap sheet is used) Install one of the following: 1. Grundy AL MB aluminum Roof Coating with an application rate of 1.5 galJsq.; or GAF WEATHER COATO Emulsion with an application rate of 3 gal./sq.; or GAF Fibered Aluminum Coating with an application rate of 1.5 gal./sq.. 2. Asphalt flood coat at an application rate of 60 lbsJsq. f 20%; plus gravel or slag with an application rate of 400 lbsJsq. & 300 lbs./sq., respectively. Maximum Desig Pressure: -45 psf. Maximum Fire Classification: W. See General Limitation#2. Maximum Slope: 3":l2"; See General Limitation#3. Specification No.: N-8-3-C, N-8-3-0, NFB-4-M, N-13 4M/P6, N-B4-C, N-134-C/P6, N-04-G, N-B-4-G/PG, N-B-5-C, N-B-5-C/P6, N-B-5-C;- N-13-5-C/P6, N-8-5-0, N-B-5-G/P6, N-13-5-M, N-B-5-M/P6 Frank Zuloaga Plans Flxaminer, uct Control Division 26 .............. Product Control No.:95-1003.03 f r ` Deck Type I: Wood,Non-insulated Deck Descript on: 19/,2" or greater plywood or wood plank decks System Type (2): Base sheet mechanically fastened. All General an I System Limitations shall apply. Base Sheet: GAFGLAS@ #75, GAFGLASO PLY 69, GAFGLASO STRATAVENTO for Nailable decks, or RUBERO1DO 20 applied to the deck with approved annular ring shank nails and minimum 1 %" tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered along the center line of the of the sheet in the field. Ply Sheet: Two or three plies of GAFGLASO PLY 4 or GAFGLASS PLY 64D ply sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 lbsJsq.. Cap Sheet: (Optional) One ply of GAFGLASO Mineral Surfaced Gap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 lbsJsq.. Surfacing. (Required if no cap sheet is used) Install one of the following: 1. Grundy AL MB aluminum Roof Coating with an application rate of 1.5 gal./sq.; or GAF WEATHER COATO Emulsion with an application rate of 3 gal./sq.; or GAF Fibered Aluminum Coating with an application rate of 1.5 gal./sq.. 2. Asphalt flood coat at an application rate of 60 lbs./sq. t 20%; plus gravel or slag with an application rate of 400 lbsJsq. & 300 lbsJsq., respectively. Maximum Design Pressure: -55 psf. Maximum Fire Classification: 'A'. See General Limitation#2. Maximum Slope: 3":12'; See General Limitation#3. Specification No.: N-B-3-C, N-B-3-G, NFB-4-M, N-B-4M/P6, N-B4-C, N-B-4C/P6, N-B-4-G, N-B4-G/PG, N-B-5-C, N-B-S-Cft, N-B-5-C, N-B-5-C/P6, N-B-5-0, N-B-5-G/P6, N-13-5-M, N-13-5-M/P6 Frank zuloaga Plans Examiner, ntral D'evesto 27 Wood Deck Product Control No.: 9.5-1003.03 +•• - System Limi I tions: 1. A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of base sheet to plank and deck. Red rosin sheet may also be installed on plywood decks as an option. 2. A slip sheet is required with GAFGLAS(ID PLY 4 and PLY 60 when used as a mechanically fastened base or anchor sheet. 3. Pre-assembled cap nails may only be used for termination of fully bonded surfaces such as mechanical termination at wood blocking, head and side laps, and base flashing terminations. Cap nails shall not be used for the mechanical attachment of a base sheet. Tin caps are required by the South Florida Building Code. Pre-assembled'Cap Nail'shall not be used for base sheet attachment. The followingassembl y is approved to a maximum design pressure of -52 ps0 No substitutions shall be made: a- Deck Type: ��/3�� Plywood. b• Anchor Sheet: GiAFGLASO 475 fiberglass reinforced base sheet, GAIFGLAS40 ply 60, or STRATAVENTO (Vent Ply) for nailable decks,or RUBEROIDS 20 base sheet. Fastening: Nailed 9"o.c. at the lap and in two rows staggered IS" in the field,nailed with I I ga.annular ring shank nails and 1$/8"tin caps. C. Insulation. Base Layer: (Optional) Min. .1.2" E'NRG'Y 2, 2 Plus, AC Foam 1, If or GAFTEMP Isotherm R adhered to the Anchor Sheet in a full mopping of approved asphalt applied within the EVT range at a rate of 20-40 lbsJsq.. Top Layer: Min. V2" approved wood fiberboard adhered to the base insulation layer in a full mopping of approved asphalt applied within the EVT range at a rate of 20.40 lbs./sq.. d. Base Sheet; (Optional) Install one ply of GAFGLASO#75 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 2040 lbs./sq.. e. Ply Sheet. (Optional)One, two,or three plies of GAFGLASS PLY 4 or GAFGLAS0 PLY 64D Ply sheet adhered in a full mopping of approved asphalt applied within the EVT rangean 20 40- Frank Zuloaga 28 Plans Examine , ontro ................................ ..... .. ................................................... ....... ........................................................................ f f p 224 ROOF COVERING MATERIALS REV71 ROOF COVERING MATERIALS(TEVT) ROOFING SYSTEMS (TGFU)—Continued ROOFING SYSTEMS (TGFU)—Continue. 44. Doela NC bndklo 2 Crap Slant"GAFGLAS Mkmal Surfaced Cap SMsC'r hot moPP&L Foam-pearbo"or"Pel Oso Speciar with-PoMoam 251-OF"Polyfoam 303".1 in.mit+. Cis"8 Be"Cwt-GscoSN S-1000"applied at 19aVsq(10 dry mils► L Dwelt:615/32 incRetw 34/2 SierfacMD-aecones S-1000-applied at 1 gaVsq(10 dry mals)• Mw laden(Option*nese or more briers PwOW wood fiber.Mass flurm prrNraa composite, perNte/untlmn oompo/kd. v. GAF BUILDING MATERIALS CORP,WAYNE NJ 07470 R1306 p(1 PM Sleet r moi:�b.w a Tip.at"aAFMAi Ply 4'or-WC ABp1fALT.FELT SYSTEMS►MRN NOT ROOFiNO ASPHALT CN Shot Typo 63"(iAFGLAB Mknsro1 Surfaced Cap Shoat.hot mo, Typo 02 apha t Wass mat bass. I f 0��►S*75 Baso Sherd Is a suit"Manua Nr Z Doofa 616/31 iaarrw 3 to Typo a t asphalt Waas Spon Ply Mat(GAFGtAB Ply 4'or"GAFGLAS Ply S")in the Cass A.8 or C insulrtlan(15=Ora e►mon Wars porNM wed►Nast Stas roof GI asp ialt ad ibexbelop. tlnerns, eompooite. _—'we*—.composite. 71a toot deck nay Ikrt be coeorod with a Type 62 asphalt Etas mat baso Mea"GAMAS Stn Base ��y otType a t.62 or G3. tasotnt of ai PM puforaad"w-GAFGLAS Staaasow Nat1�M for askabir derb'Perforated a M Membrom Ons or more Myers of"Ibbsroid Torch'(tmoolh or g+ napped and ns,NebM to he nmsdnsdpNy aadnod granule oWe down PM-igrt A L'Rmaertdd Mop• w gramd4 or"MANoid Mop As an option Type 62 asphalt glass Out base shot rGAFGLAS;75 Bap Shear or'GAFGLAS Cap�t'LiAiirf Af MharM SurfawN�BhsK;lot mepprd Shmoverd(VentdM for nsNable docks)may be subrkph ubed for 61 asalt oers Vim fiber Ply d raAmA3 Ply 4-o-GAFGLAB Ply S)as fla nailod bares Ply to tin followb If system Dodo C-15A2 C Mellish:1/2 Bolam Pty w base sham may he veld rmopped,spot rtm"OF or awcharrkaNy fearerled bnoulodon(OPtiatta8t Ono ter roan Wen PoriNrr wood flbor.0-3 Limen edlermrliee kadiasd.M kWdadom nay be hot mopped ormedunkeYy fastaad fllarle. PeNaAsoo�rw composite, p~wodmera composite. . "GAFGLAS RasNp or-Rubenld-may b e used for RashMrS In any of On Clore A.B o C Me oe11110,hrhonaN4 am--, , toms NNed below. PM Sheet Three w mon Won of Type O1-GAFGLAS Ply 4"or"GAT Winn-pwmte"le relamMS4 flub includes-GAFMW Perlia"or any otter UL Cisuff ed pstNtr � elam" '20 W Cuimiuladow pone or sip on suitable elstrmatss for Wmvl in Ory d the Clea A.8 a C syataas Ns1• -COµTAR FILT� T COn+ Clem A 8trumral pment flier bWMkv units we considerml suitable s be kwtuded as a desk in ds 116E i. Dein 616/32 Incline:to Mwkq Clea A.8 or C syst~flaad over 615/32 or NC. bmulrtlorl fOplMmb One ter more layers porNa,wood fiber.Wass The aRe of gypsum board wmda mW d the Chas A.8 w C"a m does not advrterlf flats. . P~-Gd— eamPpsite. ' oHeet firs radtq.Tia Ise of 1/2 kL min gypsum board an acceptable akerwa far kmardrdon eco ply,Shapft�w wore Were of Type 01 `GAFGLAS PM 4"or C-I W32 decks. with coal or b(ueri um Tia uta of Polyslyrerto kaWadon beard botweern min 3/4 k1.pwNa board and deet with rate ps, mopped pei'(pwmta(soskn prises/polystyrerto/parga) is a sukabM akertaa for isoeyartwaa board M the lob COMBINATION HOT AND COLD SYSTEMS tosrhlp Clan A.B or C systema. ksadatlen in any d time following ClatlSee Class Al. hodmorrm R nay be substituted lor any bocyarwrato 1. Dock NC ::.:u inellne:2 d0m Insulation A.8 and C ulation( OnWen e or mon PON*.wood Biber or glass f Het sones sspheht for use with argarnle AMC!�ttta o modified bitwnon membrana Ph Shot Thew or mare Myers of ripe a1"OAKitAS PN 4'or"GAT L Swtsiling:Gnmillf- ts-1sr'as MB AAmnkwm Roof C st 1-1/2 1. Desk:W6/32 halo me 3 (Optiormab Ono o mere layers peallm wood 5ber Wass finer,ipayarmraln.w► hudedon(Opdanno One or mora layers,postero,wood fbw.glass �Wd perNahrotlano cotoPosla, wood fNar/IeeayentaraM tlnrta. perNaJleeept�a Pt+dta/erm composite, Ply Shot Three w mon Myers Typo G 1 -GAFGLAS Phar 4" or "GAFGtAS PM b.Mt There a aero Myers of Type 61'GAFGLAS Ply C or-GAI L Deck NC 1th.flner Cert litaldaion at 3 grVsq 111011118116 Meitae 1/2 Surfacing Grovot. 2. 6/32 Incli ns,2' bmdadom one or two layers'Maherm W.4 h.hot mopped. . bundadon(OPtloeab One or more Were parNs,word iN-.Slew fm-.Ipalratrrals,.w► Ply of i Any tR aassNisd grovel surfaced Class�A asphaB Wer fit) tion. P� P~-O&— composite. wend tibo/aayersntr t. oalaa or Ph",St Three or more Myers Typo a 1-GAFGLAS Ply 4-or"GAFOIAS Ply 6". L Dealt:615/32 beeline 2 Cap Most One Myo Typs 03-GAFGLAS Mineral Surfaced Cap ShosC. bteuMUom One ter more Myers pofl s,wood lbw.glass 3. Dodo NC bacilm2 ! flame. composite. porma/tredume composite, ItlatdWrn(Optlom*One or men Myers Peron.wood Rhe-.91805 fiber. on• 4 •O tiara. COMPOOM perma/untlura cormPostu, wood fber/leaeyssrras Three w more Myers,d Typo 61 '6AFOLAS Ply 4"o. P1 A compoelte,pb@mAa.2 kL mos Ply Shpt Two or nam briers Type 61"GAFOLAS Phar 4-or"GAFGLAS Ply 6". I Orueldy Gtdustriss'al MB Akrnkam Rod Co~ 14/2 t' Cap Slant one bier Type G3-GAFGLAS Mineral Wooed Cap hast`. L Dock:11C 4. Dods WC bnwbdoll(Optiwab Ota or more layers sto,weed fber glass haubdom One or two byes"bodwrm R",4 km.mea,hot mopped• � • PerNt✓ureth— composite. Pty Bisset AArrtyry UL CIassMNd flrria surfaced Close A esphak et+ss Ply er msoro layers ss Type Ol'GAFGLAS Ply 1'or `GA B. Deelc 6f6/32 - �m� - Weather Cwt Emm ldw AF'M 1-1n*Wsq. 9.0 Red lair appsperw mClea C at Types ex AS. 'i�n�"tr�be^+Medi. bsNrlar UnNmim, A Bbsit. Wern.d OGAFOL,AS Ply 6". Decks 616/32/ ad Cap Bhew". badrdon(Opdamb One or more layers perms, fiber o glass+ x 3 / Pq Limb Three a mere Wtn d Type Ot"GANLA8 Fly 4' or-GA Q ww4r hichav rho"M Me Aluminum Rod CoadW n 1 S owSham ora Wer d 7mrpe 62`- #as75:ION SLOW. Mem Ply, meet Om or r-arr.lelws at TywmAtAR W 4"er GRF3 C'sat 6rrtkdmtn"M S OaVsu4 bneNttes 2 hat Om Wer of Tips GT-riAFr- Inelkmo:2 V L bsdaflea17pdsx*Om or more Were Puha.wood fiber.glass dere Om or more layers per.Slaas�•laocyanursto,uretham,perawAsocyarrtrw tiara. porNte/boeyatrrs,te connPoNa. petmta/troflnrta composite. compala,pwik✓wothans coapoak L p+asmoN, 1.0 km.rain(off-set from plywood Joina 6 W cm=phoneft any ddobaa. Bap Sham Om or mon Were d Type G 1.G2 or 63 Threat or mere Wars,d Tips,61'GAFGLAS Ply 1'a`Gro Membnms Om or roan layers of`Ruberold Tr rch"famoodm or grana% -Ruber.fid Torch Swfaotngs GnmM YndadNs"al M8 Aluminum Rod Cwdng'at 1-1/ pl„e-b mvjK'Rubwold Mop•bmooth or granW.)o:-RuberoM Mrp Mvs`(Prs-sftL L Dodo 615/32 bsNnar Unlimi+ Cap Shoot"GAFGLAS MkwW 6urinad Cap Shaet-..1ot-3,W L bsutadon(Dpdono*One or mon layers perms,wood Rbw,glass 8. Deck:615/32 lew.1ne:2 Owns. 0orkaAsec"nurals oompos(s• Permt✓orethara composite. kmdedon(Opdons*Om or mare Were,pwiis.wood fNurglass fiber.boey---,W err compoa8a,Ft '"4 arty ddoktass. tom. composite. perms/wetheno composite. wood Rber/isosy-014 PM Mut Three or mon layers of Typo G1 IWOLAS Ply 4"or"G. Composite•p enolic.-1d�ekllea' - Bwfmkl��SI UIR MEMBCost Emulsiori"at 3 RANE ROOFVWSYBTEMS Sep Shpt Two o•mere flyers of Typo G2 or G3. Unless�e y-w k4lorled phwwNe.Imuiadofi, be used Merry d 11- Ply Sheet(Optbm'k Om x mr n bon d Trim 61. Membrernar One a ^more Wer:d `Ru%wrid Tot-k-(smooth or grarmrleL -Rube.oid Tad. Unio-a oJmwlas iefic lad arty d tla faltoyitq LkgM t'ty Mertlbrerte Sr Ptur W@nuML-larbc.roid does`;t.mo.th x Lrsn de►or`Ru%woir'MorPb•i ytnnuI4 bias of R.rberolt.bteub Ono LOOK FOR MARK ON PRODUCT LOOK FOR MARK bN PRODUCT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appproyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. Tliis application is made In compliance and conformity with the Building Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date...SQ.p_G ?QbQX._1`1-s.._1956...........-............19........ Owners Name and Address...CcPQ..._.J-....14cCaughan..._..._....•..._............................_. No..._.57Q......_... street-_...F....._1017d. at..r . J Registered Architect and/or Engineer-----..................................................--•---•---.............._......_.....-_._...- Miami hones - ... Miami Ohores ............................. Name and address of licensed contractor...Lang..n afi lg".&.-Tlle....Company-_.I11ie..��Q._N..'.ki.._�9t1�..�t.......M.am. ...k'la Location and legal description of lot to be built on: Lot-------------------.............-......... Block................................. Subdivision..............................................—------............._-_.........._-.............................. Street and Number where work is to be done.... �'70.:.1I E ---1Q �d--St.r---M] mi__ShorE s-------------•----_ _ ...___.._--------------------- State work to be done and purpose of building (by floors)...!AW._QXT___B.e0-tiQt7;_•of r.j2Of_ Te,P199_@ 3Q felts _ lb.-mop.on..with-hot._asphalt�_ then gravel. . -•----------------•--•••......••-•-......_.._..----------------------••. - -- — - ._.._..—--------.................................-.....------- -----------------------------------------------------------------------------and for no other purpose. New Building............................. Remodeling.----••.......................... Addition_-•------_-•-----.-_-_ Repairs---------X.............. No. of Stories.......................... To be constructed of............................ Kind of foundation............................................................... Roof Covering................................................ Estimated Total cost of improvements $..........$.5..Q.Q---_--------------------Amount of Permit $....................._..................... --•--------...---....--•---------..... Zonetubage required-_...---------------------------------------------------_ -------plan Cubage-----_-_--_-------------------------------------------------------------............... .. Distance to next nearest budding--------------------------------------_---_._._--Size of Building Lot..........—------—......._................................................... Maximum live load to be borne by each floor...............--.--___—._..-------------------_---------------___ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to-----------_--._._.._._--._._—------_---------------------—-------------------------------------------------------------- The undersigned applicant for this building permit 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,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. Lang Roofing & 7ile Co., Inc.' `-=------_------•------------ STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared -- ------------••-------------------•-----------------------------------------------------•---------•--•--••--------------•----_------------------------------- ___ --------------------.-_-.___._._.....-_....................__...-_-......._.to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.............____.......................................-................................... of the above described construction, that he has carefully read the f9regoing application, and that he did sign the same, and that all facts therein by him stated are true. hh Permit No.`4 _ Date-------- �1._L_.`_� _ Read,Sworn to and Subscribed before me. Disapproved __ _._ _ Date_ .— - __ ---------------------------- -- .-- -------------------------_ Notary Public,State of Florida (Signed) ----------- °" -..._.. -F� �._ ------,��==-ter-------- Building Inspector Commission Expires............................................. ___......- PLANNING BOARD-------------_-----_______________----.---.--.DATE Chairman -----.._....----- - -_ --------------------------- Member Member . - - - _.._..••. ....... _ ___—-- ----•--- Member -----------------------------------------------------------------------•---•----------- Member ....__.... - ---- - - __ __ .____._ __.. Member —_-------------- ----......................-.._.... Council Approved----------------------------- - -------------------Date Disapproved .....................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT tt Permit No.JA2_�.`.0................ 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. Ownei s Name and Address..............aoC..Q.tl..4. ....... o.... Street................................................... � .... ...................... ...... Registered Architect and/or En ineer._......--•............................................................... ..........0--................._.................... Employing Electricians Name____.-.:...;CY......L..d'V!�4�r r.........................No.... .... 1 V .......Strcet.. ..__..I. .. Location and Legal Description Lot E_......? .. .........................................Block.............7.3.....................Subdivision..—A&T.AK .. ,�! / Street and Number where work is to to performed—No....f.�.v..../ .9n..............ze)..:...Street......t.!.............................»--_........................ State work to be performed and purpose of building (By Floors)...........e. .............................................................................. New Building................ke-f/.....Rea►odeling................................Addition..............................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUGFIXTURES REFRIG. IRON RANGE RANGE WATER W. H=AT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'0 NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST V . CHECK t BHT. WST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEAR PERM. -G 1 HP 1-5 HP -TRANa. CoNTR LIST CHECK Service Underground erhead Size Feeders............._.....Conduit»..............Main Sw...............................Am .Main Fuses............................Am s ps.»... P Type of Installation—Conduit........................Tubing............o...........B.X1.........................Metal.Moulding...............»....................................................... ............»..............»................................»..........»................».............................................................................._..........»........................................................... ...• Amount of Permit :...1�'' � 5...f................................ .......................+ .»» f(signed) ........................................... . -- ical Inspector. The undersigned applicant for tlhis building permit does hereby certify that h u derstands and accepts his oblig�ns as an employer of labor under the Florida Workmen's his Act, being Section $966, Comp General Laws of Florida Petinanent 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 sub-oontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). ................. ... .....»': ± .......... STATE OF FLORIDA, �L " �"a'p�' 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, 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. ............................................ ' • .................................. ........................................................ ....................................... ... ..................»... vyommissionExExpires NotaryPublic, State ofPlorid NOTEt A re-inspection fee of $1.00 will be,wade when such re-inspection is made necessary by improper notice for inspection, or faulty in orials and/or workmanship. ` v ` Lang Roofing & Tile Co. 430 N. W. 79th St. s, p-10335 11-28-50 $2.50 _. I � � r MIAMI SHORES VILLAGE i PLUMBING INSPECTION DEPARTMENT ' APPLICATION FOR PLUMBING PERMIT •2 _ '�J Permit No.-��--------�--- Date--��---�-------------- Application is hereby made for the>pproval 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---------- _¢ -__ ___-_ /lam—_ _ ___ No._��0-----4/, Street--. Registered Architect and/or En _______-, __ ____ _ —,__ ._-------_____--------------------------------------a_--- Employing Plumber's Name No._*.14Z L&l�--- Street:-_!_ -- Location and Legal Description.LotW___ __-�-- _____-- -___s__ Block______—_-- _-__-- Subdivision. Street and Number where work is to be performed No._.__ S@eet-----------------. State work to be performed and purpose of building(By Floors)------------_-____-- __ ____ --------- ----��-----------------------___-�� __ Remodeling-----------. --Addition--.____-_ __-- R -- No. of Stories-------------------------- New Bu>Zding----------------- ebeg----__---_-__.--------- -- el?�------------------ BATH LAVA, SLOP. LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWER:II TORIES SINKS SINKS Tues URINALS BASIN DRAIN FOUNT'NS FIXTURES i CONTR. . LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G _ TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank_____ D d-_------ -------_—__-=Type of T —.- ------- Gals.---IF/�� ------------- op - -_- Feet of Drain Tile___ _.,..- ------------DIst. Feet of To or Drain.Field from We1L----------------------------------- --------------_-- ------____-- Nature of Water Supply: City-Well----------------------_-_—___ _-__Size of Soakage Pit------------------------------ -------------- - -- --------_ - --- _ _ _ _ — - - — ------------- Amount of Permit $_ � _ (Signe ----------------- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that erstands and accepts his ob)iga s as an employer of labor under the Florida Workmen's Compensation Act,being Section 5988, Compiled eral 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: (Signed)- — M - — -------aster---Pl-----umbe----- r- - . , STATE OF FLORIDA, ss. 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. i -------------------- --- -_---____ M�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. j i - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 19.T-6 Owner's Name and Address------2,71 -----_______-__-- - No.__ fv__---'Street--------?/ Registered Architect and/or Engineer_--_- -- Name and address of licensed contractor____________- _9�____/____ �t�c_ _'___-� D__ti--✓_- ------- Location and legal description of lot to be built on: Lot---------------------------------------- Block-------------- ------------------ Subdivision----------------- ---------—--------------- ---------------------------------------------------------- Street and Number where work is to be done-__-_--_-s-moo_____ - /�3 �� -- ---------------- ------------------------------------------------ State work to be„done and purpose of b 'ding (by floors)_ --------------_---------------------_-------------____ -----------_- - --- - ---- --------- - ^----------------------------------------------------------------------------------------- ------------------------------ ---------------- -- - -- - -------------------------------------------------------------------------and for no other purpose. New Building------------------------------ Remodeling-------------------------- Addition-------------------------- Repairs------------------------- No. of Stories-------------------------- To be constructed of--------------------------- Kind of foundation---------------------------------------------------------------- Roof Covering------------------------------------------------ Estimated -----------------------------------------=----Estimated Total cost of improvements $----------- - -------------------Amount of Permit $-------------------------------------------------------------------------- Zone cubage required----------------------- - ---- - ---:---_Plan Cubage------------------------------------------------------------------------------------------- Distance to next nearest building------------------------------- ----------Size of Building Lot---------------------------------------------------------------------------------- Maximum live load to be borne by each floor----------------------------------------------------------------------------------------------------------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to-------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------ The undersigned applicant for this building permit 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 subcontracto ork to be p rformed under this permit, as are licensed by Miami Shores Village. Remarks------------------------------------------------------------------------------------ (Signed.- y ------- STATE OF FLORIDA, 1 COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ------------------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------------to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the----------------------------_--------------------------------------------------------------_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hi stated((��are22tru22e. Permit No.___ _______�_�!___7__J_ ______ _ at -----------____--------------------------- Read,Sworn to and Subscribed before me. Disapproved = t - - ------------------ --- -------------- rida------------------------------------ --- Notary Public,State of Florida (Signed) ------------ Building Inspector My Commission Expires---------------------------------------_----------------__-______ PLANNING BOARD-------------------------------------------------------DATE Chairman ----- ----------------------------------------------------------------------------------- Member ---------------------------------------------------------------- - --- Member -------------------------------------------------------------------------------------------- Member ----------------------------------------------------------------------—- ---- Member ----------------------------------------------------------------------------------------- Member ----- - ---------------------------------------------------------------- CouncilApproved-------------------------------------------------------------------------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. j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APOLICATI4IN ,FOR ELECTRICAL PERMIT Permit No... 4?1........ Date................ `... ............... .....� .... Application is hereby made for the approval of the detailed statement of the plans and specifications.herewith sub /for budding or othec structure herein described. This application is made in compliance and conformity with the Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Floridan all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, wbether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address..........A-4.......sl!..,_.- .... _. e�"102ii.. .........Street................... RegisteredArchitect and/or Engin r..................................................i4 .......... ...........................................Street............................... Location and Legal Description Lotw......_..........................................................Block..........................................Subdivision...._._..............:.......................... Street and Number where work is to be performed—No...... 7.d........ ... .Street...................................... ........................... Statework to be performed and purpose of building (By Floors)........................................................................................................................................ New Building................................Remodeling................................Addition..............................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUG FixTURss REPR16. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS REC 4X-Tia NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATaR HEATER CONTR. LIST CHECK ENT. DIST. SERVICESERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAD. TEMP. i PERM. 0.1 HP 1.5 HP TRANS CLIST CHECK Unerd derg8round Size Feeders.-................Conduit................Main Sw...............................Amps...........................Main Fuses............................Amps Typeof Installation—Conduit.......................Tubing........................B.X.L.........................Metal Moulding.........................................................._............ Amount of Permit $.. ...........114..40 v... ................................I..... .................. (Signe ..... .._. ................................. lecxrical�Inspedor. The undersigned applicant for this building permit does hereby certify understands and accepts his ob tions as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966, piled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar complian rom 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. i (Signed)... .. ...... .iC! .................. Master Electrician. STATE OF FLORIDA, COUNTY OF DARE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared..........................................4............................................................................................. ................................----..................................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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 mated are true. ....................................................»........................................................ .............................................................................................................. My Commission Expire Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. i • 2 25 w + t 50 MIAMI SHORES VILLAGE r 150 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �-m QQ 9 Permit No.. ��:1_�__ 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-- �._v_�_ o.___— -----__ -- Street---------- ----------------------------- V ---- Registered Architect and/or -------------------�,----------------------------------- FA. Employing Plumber's N — No._3e o�_—� StreetSi tnl� Location and Legal Description Lot— _ �_--- --_�-----.___ B - _--�_ Subdivision___---__SrA1 !_ fir. �y� ----------- Street and Number where work is to be performed—No.-S-7-0--- _ a•'1sStreet_-------------------------------_-_------------------------- • State work to be perfor;e d purpose of building (By Floors) ..- ._- -- r�r ------------------------------------------------- New Building-_ '/----_--- Remodeling_--- ___Addition-_----------____--Repairs------------------------- No. of Stories---_-/-_-_ BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING N TOTAL CLOSETS TUBS SHOWERS TORIES SINKS $INKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES -LIST LIST CHECK 2 zs Sn o SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G Tat CONN. .FIELD PIT TRAP `HEATER. WELL SYSTEM .POOL- CONTR. LIST CHECK o©�. _. Size Septic Tank---------— Type of Tank---------------------------------=---------Capacity Gals.----_-- -------------------------------- Feet of Drain Tile__—.__---M____-_---- —Dist Feet of Tank or Drain Field from Well—--------------------------------------------------------- Nature of Water Suppl City Well__T ______--_--~_..._.Size of Soakage Pit__—_---_-----------____-- - -------- 7plic�,nt -----------------Amount of Permit (Signed)- -�____-- _ing•The undersigned for this building permit does hereby certify that he4,1 stands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act,being Section 54)88,Compiled GeLaws 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 of notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under permit, as are licensed by Miami Shores Village. (Si - - ---- -------- - - - -- — Master Plumber. STATE OF FLORIDA, ss. 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 fist duly sworn,upon oath deposes and says that he is the----------------=------------------------------------------------ of ------- -------------------- of the above described constructions 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 CommissionExpites Notary Public,State of Florida NOTE: A re-inspection fee of 41.00 will be made when suelf re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. •� _ r mac: AL rn •�_ Z AL IL A , 4 1 C', MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is ¢wereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- it,g 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. f� . ' Date----------.. �. —_ 19 f ±r -•------------ Ownei s Name and Address.__ % '�... ---------- ----------------- No.- ---- .-- Street...... '---.--- Registered Architect and/or Engineer_-_ _- -•_____________ _ ______ `:...__._____. _ y�— ]� -- _ Name and address of licensed contracto �fL ;f.;�"G�¢-- 1� = C Lei Location and legal description of lot to be�on: g P Lot----------------------------------- - - Block---------- -------- Subdi ' ion--•-•----•••......•- Street and Number where work is to be done_: . -. -----: � --- - -1_____._. , State wofk to be done and purpose of building (by floors), .. •........_ ____ - Y 'h� . - •• -----------G1(! --•��ey�. -- - - -.. and for no other purpose. New Building------------.._____/ Remodeling--------....... ....---- Additi n-------------------------- Re r s ►E _._ No. of $tories-.._-_ To be constructed of___._____.____________ Kind.of foundation.__--_______--_.__.._................................... . R6of Covering-=J .:... Estimated Total cost of improvements _--__.-_________________Amount of Permit $ ;1-____--___-____.____-._.___ r Zonecubage required----------------- -•--------_------•----------------------Plan Cubage--------------------------------------------------••-••--•----•-••-•..............- ------ Distance-to-next nearest building --.---.•--------------------------------------------------Size of Building Lot-----.------_--------------------- -_------------------------ Maximum live load to be borne by each floor-------------------------------------------------------------------------------------•---------------------------------- I hereby s brit all the,0'lans and specifications for said 4ilding. All notices with reference to the building and its construction may be sent to._ / f 'a - - r r / r a - ------- ---- --------- ----- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled 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 inspTetion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su contractors, on�work be er rined under this permit, as are licensed by Miami Shores Village. Remarks---------------------------------------------------_-----------------------•----------- (Signed) > -' `1 " ------------- STATE OF FLORIDA, "'�' • O/V C�L� C COUNTY OF DADE. ss. //D/�� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ------------------•--------------------------------------------------------------------------------------------------------------------•----------------------------•------------------------------------------- o ---------------------------------_ _--------------------------------------------------------------------------to me well known, aud who, being by me first duly sworn, upon oath deposes and says that he is the_____--____._-_.___-._________.__--- -_ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. e ` Permit No._ f ______--.__-__. Date-------- Read, Sworn to and Subscribed before me. Disapproved ---------------------------- --- ate---....�---- ------------------- -------------- ---------------------- ------------------------------------------------------- (Signed) -- ------------------------------------------ -------- - - --- Notary Public,State of Florida (Signed) -------------------------- --, __.._.. - •------•-. --- --;,::----t---- Building nspector IvTy� Commission Expires_______________________________ PLANNING BOARD-------------------------------------------------------DATE Chairman ----•-•----------........----------------- ----------•----------------------------------- Member ------------•------------------------------•-------------------•--•------------------------...... Member -----------...........................................------------------------------------------ Member -----------------••----•---•---------•----•-------.......----------------------•--•••-•----------- Member - --- -------------------•-•---•------•--.....................--•-•----- --------------- Member ...............................---------------------------------------------------------------- Council Approved..........................................................................Date Disapproved --------------- ------ ------Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. ? ,r 001'ev, Date ---••• •--•-••••.,19 Owner's Name and Address. ,i No. -W--•---- �"° .*"r Registered Architect and/or Engineer... ._......... .-, ---•-- z----•-- °............ ----------------------;-- r°.._ --------------- Name and address of licensed contractor � a9$ ° _ �..e?D ,: ,2 . Location and legal description of lot to be built on �z �,� Lot...............---------------------------- Block-----_-_ Subdivision-------------------------- - -----------------------.----------------------------------------------- tip 0.Street and Number where work is to be done._ _ — •-- ---- ---:.-:•.x---------------------------------—----------_•--_._-__..--_-__------ State w to be done and purpose of building (by floors)- �` �_ ,p __ .�V Zr./ ift+1 ct "r-- �. i r-5 ' F * - 1 i-----•-- - 7; and for no other purpose. 77Vew .Building--•------•-----------Remodeling.......................... No A Stories.......................... To be constructed of-........................... Kind of foundation-----------------------------------........-----•-,--......_ . Irof Cvering.� -. 00 Estimated Total cost of improvements $. �- --;--------------------_..______Amount of Permit r{i _. 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 b X11 the $ ans and sp��,cations for sa�irdilding. All notices with reference to the building and its construction may besent to.. � t -•-------------------------•---------------- The undersigned applicant for this building 1rmit 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 iection on the site of the work su h public notice or notices as are required by the Act. The undersigned agrees to employ only su*-opNec ors, on wor be pe.r eed un r this permit, as are licensed by Miami Shores Village. tl Remarks.---------------------------------------r --- ---------------M_ _ (Signed r - ----------------- STATE OF FLORIDA, ! + COUNTY OF DADE. J ss 161Before 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_____ ___._m_______.__...___. Read,Sworn to and Subscribed before me. Disapproved ---------------------_---------- Date-___-_-_-—-—----_------- ----•---------------------•----•------------------------------•--------------- - Notary Public,State of Florida (Signed) ------------_------_--.-._----------- •------------------•--------------------------------•- Building Inspector My Commission Expires_________________________________ PLANNING BOARD-----------------------------------------------------DATE Chairman •-------------------_---------------------------------------------------------------------- Member ------------------------•--------•--•------------............................................... Member ...----....-........-.....-------------_--_------------------_--_------------ Member -----------------------------------------------------•-------•---------------------------------- Member --....-••-•-----•---------------------------•---------— ---— -- Member -----------------------------------_-----------------------_-----..................-..... Council Approved.----------------------.-_-_--._------_--------------------------Date Disapproved --------------• --•----•--------Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. ILMI SHORES VILLAGE PLUMBING INSPECTION DEPARTME6q�;;' PLICATION FOR PLUMBING ' m•,., I°� Permit No._-- _` 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 coaformity 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 AddressA1_ o��l2_ -----G7� - ._ ��A_1_.._ street.-----Zf-J.......................... Registered Architect and/or Engineer-_____--_ -------------------------- Employing Plumbers Name.-4a ' __.-. _ � - -- o.�..___ __ Street----__—-_._-_- Location Location and Legal Description Lot._____ _ Block -_�. Subdivision__ _-_- Street and Number where work is to be performed-No. Street--------_-.-_--------_------.-----_•--_--_-__. State work to be performe8 and purpose of building (By Floors) _-- -----_----_.__--------------------....._...... ...-.-_........ New Building-----____------------_--Remodeling ------ Addition-____..__.-._.... Repairs----------------------- No. of Stories........................ BATH LAVASLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. - LIB4 CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE- SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank-------- -----__ __-----Type of Tank_ _------------ ------___ _----____-- Capa ' Gals._ -----...........__.---. Feet of Drain Tile_- _. ��-.Dist. Feet of Tank or Drain Field from Well_-.-- - Nature of Water Supply: City-Well.--------- --- -Size of Soakage Pit--__.--------- 41 -------- / ---^--— -7—— -- _._ _ S _ -----•. - Amount of Permit $ ( wed)- - -Pltnnb` Inspector. -� The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor under the Florida Workmen's Compensation Act,being Section 5988, Compiled General Laws of Florida Pe 'anent 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 tlae Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed _, ---•......... er Plumber. STATE OF FLORIDA, } a& �� - COL7NTIT OF DADS. 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-_------------.----------_---_--------------------. ----__. construction,the above described consction, 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 rim-mission Expires Notary Public,State of Florida NOTE: A re-inspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUtt.DING INSPECTION DEPARTMENT APPLIr,*-PTI® FOR BUILDING PERMIT Application is hereby made for the r�pproyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date - - November 4- -------•-------.,19-70 Owner's Name and Address__G e O r e_ M C C a u 9 h a n_.___�-- -- - No. _5 7 0 street_----N�--.E. 103rd St. Registered Architect and/or Engineer---------- - -__------------------------------------------------------------------------------------------------------ -------_-----------------------_- Name and address of licensed contractor...0 b e_n o u T_ R o o f'i ng---------------. 7357 ------- W. _Miami._-C t, Location and legal description of lot to be built on: Lot---------------------------------------- Block---------------------------------- Subdivision-_._---------- --- Street and Number where work is to be done-----------ATO N. E._103rd St. ______ _ State work to be done and purpose of building (by floors)----�-Remove existin---•-----_-------_----------.-----groof and re lace 9iith� ply _asphalt -and____grevel _roof ins. - _ - -------- ----------------------------------------------------------------...and for no other purpose. New Building - - Remodeling - Addition.- Repairs -X No. of Stories.. To be constructed of---------------------------- Kind of foundation------------------------------------------ ----- Roof Covering..__3O.--s_Qs._ _ ------- - -------------- Estimated Total cost of improvements $-----1-4 7 C•_0 0--------------_---__Amount of Permit $-----_7!-0 0 ------------------------- --------•----------------------- Zone cubage required---------------------------------------- ------------ ------------Plan Cubage------ -------------------- Distance to next nearest building-__.__-._---------. .._-._.. _.-_-__Size of Building Lot---- ------------------- Maximum live load to be borne by each floor___ __ ._ . .____ ....... _-__-_--..............._. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to----. - - -------- - - - - - -- --- --------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work gh public notice or notices as are required by the Act. The undersigned agrees to employ only such boon ctors, on work to pe�rmed under this permit, as are licensed by Miami Shores Village. Remarks-------------- (Sign (�------t 2-2,j re-v- ---_`_--- — STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,personally ap- peared - -------------------- ---------- ------ ------------ ----------- - - ---- ------------------------- ---------- — -------------- --------------------------- ------I-------. _------------- --------------------------------------------------— - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_-----__ ----- ___ _____________________________________ ............................. of 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. r Permit No.�___�_ �''- l--_-- - Date__-. __�°.'_ _ �. Read,Sworn to and Subscribed before me. DisapprovedDate - c — ---------- �Y -- - ------------------------ ------------------ - No Public,State of Florida (Signed) .------- --- ----- B o` uilding Inspector My Commission Expires____._-- ----- .. .__-----------___________________________ PLANN BOARD__ ___ _ --- ---- -- ------____DATE Chainnan ------ - - --- -- ---- -------------------r------------------ Member ------------------------------------- ---- ------................. . Member ------------------- - ---------- ------- ---------- ---- Member . ----------------------------------- ---- - - Member - --------------- - ----- -- ----------------------- -— Member ---------------------------- ---------_--- ----------------------------_ -- Council Approved_------ ----- - ------ ---------------------- ---------- ---Date Disapproved ------ --------- I------ - ----_ -- -------------Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspt,non 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 ui the 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 building during progress of the work. Date..._...__. May 28 _ 19..-8/ O.vner's Name and Address... !1,c2.. 4 r 4n..._»........»........................ No�'.z�»......._...... street N....f�..lO Registered Architect and/or Enginee{ ..................... ' ............................................ .........,,.,. ...............nnttw..:•......... ................................ Name and address of licensed contractor.06elC4ltA_ oil} •Ce........7357-A.... ._. . ..».. «!!1.. ......... ..........._..».._» Location and legal description of lot to be built on: Lot............................................ Block.................................. Subdivision.. ............._».........._ ._..»».._.....-.•..........................»....._.. Street and Number where work is to be done...5 AZ193Ad 5 _...»_ ........ . .................. . State work to be done and purpose of building (by floors)...�� ,.. {te...ea�i,�1i n�.•.a and.�r ..»,_ttsre..auat _». .I.-ply...6&•i.Lt...up...oA.p_4aa_.,aad..gatavel........» _• .... ................._..._.__....».........».........................».....__......_ _...................................._..._....._............................-••••— _.. ................._........................_.._._........._._...._......and for no other purpose. New Building............................ Remodeling................ ........ Addition.......................... Repairs.....-............_....... N "�f Stories...... ................ _ To be constructed of ....... .................. Kind of foundation............................................................._. Roof Covering.-P 404.... Estimated Total cost of improvements $.....3y.300.•.QQ_.....................4mount of Permit s......ZQ..0..Q.».....»....................__..................._........ Zone cubage required..... ...Plan Cubage..................._..»...._................................._........................ _ Distance-to next nearest building.........................................._.__...Size of Building Lot..........».......».»....._................ Maxiinurn live load to be borne by each floor.................................................................................................................._................ . ...... ............ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to.. .... ... ......................... ............................._...........................................,........................................ ....... The undersigned applicant for this building pennit docs hereby certify that he undersFands and accepts his obligations ns an employer of labur under the Florida Workmen's Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Sup ilement, and has complied faith 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 siWtheworuchpublic notice or notices as arc required by the Act. The undersigned agrees to employ only such subco actors, on wormedunder this pennit, as are licensed by Miami Shores Village.Rein,arks._._.................._................._..._.._..».»....».».....» ....._.».» (Sig ed)_ _......� STATE OF FLORIDA, M COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared ....... .......................................................».....»........................................._........... ._ ._.._-.•_•-......-...._.................._.. ._.........._..........M......_.............. ...._..............»......._..........__._..._......................_.......-........ .. ._....._».._._ _to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is,the.............................................................._........................._ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. Y r. Permit No..--.-.Q.n4o N'_.......... Date...... ........ mead,Sworn to and Subscribed before me. Disapproved ....... » 1. Date.._..... .......... .. ......... .. ._»_.._»...». f.. loci..._ Notary Public,State of Florida (signed) ..__.................... »............ Building Inspector My Commission Expires......_».»......... .�............._..._.. PLANNING BOARD...................... .............._-.._.._.»...DATE Chairman ...... .. ...................._........._»......_.........._........_................. Member ......._........................_..»»........................---_....................._ .Merriber ................................_-----------------------»-----__—............. .._»_.. Member ............................................ ... ..».....__...................... Member .. . ..........................................._._......__.....»..._.._...._....... Member .................... ....... ....»_..._.........-..».........................-..... Council Approved .....Date Disapproved ......_. .............................................».._............»... .................................................. .... .. ....... ....Date NU T i:: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the I'Linnii.;,,liumd. A rc•ni.pvvtiun fee of $1.00 will be charged when such re-inspectlon is made necessary by improper notice for inspection or faulty materials anti/or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date TAI 13 JobAddress 590 N/c 103 ,S7'. Tax Folio I 3.20 6 Qk&() Legal Description , o t- -3-4 q 111 oc k 933 N l L�81-listorically Designated: Yes No Owneramsee/Tenant MA y Te ,4 b±hl V L Cet u k WIU Master Permit# Owner's Address �'�0 �U I�0 317 1 r 114 W1 'Slii Phone I - 32 /(n Contracting Co. TYSo Address 12.3 6/ IV-10 ��, l�Ya�/`r / 3.�/6 J� Qualifier Pill M t`a- aim w 1X i A M V V- SS# Phone 6's Y `F37, State# R e.0[, Municipal# 30-I q'D/°a®'? Competency# CC, I 2 3 Ins.co. Amhitect/Engineer f Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFING PAVING FENCE SIGN WORK DESCRIPTION t nn Vr / Q-S j_Sjft Ac Square Ft &,V e o'?® � SJ' Fc,T 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 U14PROVEMENTS 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 Pr sident Date Signature of Contr or or Owner-Builder Date Aa -7 ?.!r Noi to Owner and/or Condo President Date Notary ago Contractorpr Owner-Builder Date My Commission Expires: My Commission Expires: MVAMH � 1MIXST'A OF X78 OF FLORtp WO CcMu My X413 N 1 � 999 FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Zoning Building 1 Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r Permit No.4 L-� 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. [jam ` Owner's Name and Address /T/7 7/ --._- No._X Street-_-Z Registered Architect and/or Engineer-- 7--- Employing Plumber's Name/ C, No. A� Street A., Location Location and Legal Description Lot Block Subdivision_ _ _ ._-___.-. Street and Number where work is to be performed-No. State work to be performe8 and purpose of building (By Floors) New Building—_-----------.------Remodeling —_-•---Addition.__-----____- Repairs-------_----------_---- No. of Stories---------------------- - - BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FTOTAL TURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank----—--_--— - --Type of Tank..—------------------------ - - Capadty Gals----------- - -- -------- Feet of Drain Tile __ _ — Dist. Feet of Task or Drain Field from Well__------------._._----.---_-------------_.____.____......--_--.---- Nature of Water Supp y: ity ell. -----.-Size of Soakage Pit----------------__ __-------_ -_- -- ---- ----- ----- Amount of Permit $___` — (Sigaed)- — Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obh tions as an employer of labor under the Florida Workmen's Compensation Act,being Section 5988,Compiled General Laws of Florida Penn t 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 pert ed under this licensed by Miami Shores Village. Pert, as are T (Sign - — _ - er Plum •.------ 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 to me well known,and who,being by me first duly sworn,upon oathdeposes 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. y PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address ? V,- C L1 S �`` Tax Folio 3 Z O d 17 0 &O Legal Description Historically Designated: Yes NNo�►1 Owner/L,emw4Teaat= i t l C-. N '� Master Permit# 43 l V Owner's Address Phone D Contracting Co. f->Ak- 'J %V— L Address t K f� dV v) �L Ste, i O f I� +✓® Queer *4 -tJ. SS# - - Phone 01 7� C07 V. State# Municipal# Competency#C b-Z-S'22w . Ins.Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one : BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 42—Lot vim, C'Q�-4c Square Ft. Estimated Cost(value) �3 6 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. ignature of o and/or Condo PresidA Date Signature of Contra for aL- : Date -g'- 44 N -ent Date 4ot&yas to Co tra o Owner- tYS I VILI AR ate y Co ssion EISYS I My Commission E rres NOTARY Pt JBLIC STATE OF I7ARII)�a INGMTARYI PUBLIC STATE OF R OR®A CO'I-AMISSION NO.CC714103 COMMISSION NO.CC714103 MY COMMISSION EXP.MAX.1 MY COMMISSION EXP.MAIL 1 FEES: PERMIT �.� RADON C.C.F. 90 NOTARY BOND TOTAL DUE APPROVED: ae Zoning B � � f Q Electrical Mechanical Plumbing Engineering d3k" I VINYLIMPROVEMENT COMPANY Family Business Since 1969 1889 NW 22 ST.,POMPANO BEACH,FL SIDING-SOFFIT-FASCIA 33069 STORM PANELS-WINDOWS PHONE(954)979-6775 1-800-287-6775 MOBILE HOME ROOFS&CARPORTS ALCOA FAX(954)960-0567 JUNE 30, 1998 TO: VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES, FL TELEPHONE 305195-2204 RE: BUILDING PERMIT AUTHORIZATION TO WHOM IT MAY CONCERN: MR. RONALD C. PACE HAS AUTHORIZATION TO PROCESS BUILDING PERMITS FOR HALLMARK VINYL IMPROVEMENT CO. THANK YOU. SINCERELY, MARK J. DEN QUALIFIER MJM:sm STATE OF FLORIDA COUNTY OF BROWARD SWORN TO AND PRESCRIB BEFORE ME THIS 30TH DAY OF JUNE 199 VIr (Seal) AXY11PUBLIC v LISA A.PA!B:]:Co. MY COMMISSION B 'tor E?�IRFS:06n0 I.800.3-NOTARY Fla.Notary Services META -oane METROFFOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDINC BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO DADE FLAGLER BUILDING 140 WEST FLAGLER STREET PRODUCT CONTROL NOTICE OF A MIAMI. FLORIDA 33130-1563 N ,.., �rt� ,,b _« (305) 375.2901 r FAX (305)375-2908 Alcoa Building Products ;' INTERNET' mdccOl Oshadow net Division of Stolle C x ` k OH 45365 PRODUCT CONTROL SECTION Sidney (305) 375.2902 FAX (305)372-5339 Your application for Product Approval of: Alcoa Vinyl Siding and Soffit 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 S 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 incl.rrred by the manufacturer. Acceptance No.:95-0111-08 (Revises No.: 92-1001.1) 4RauRo eiguez rxpires:04/25/99 Product Control Supervisor THIS IS THE COVERSHEET,SEE ADDITIONAL PAGES FOR SPECIFIC AND GENER -U, 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. t s anger, Director Building Code Compliance Dept. _1_ Metropolitan Dade County Approved:U4/25/96 Q t�oa Building Prodlsets ACCEPTANCE No.: 45-0111.08 APPROVED : APR ? 5 1996 EXPIRES : Apg 5 NQTICE of err •nE TAN!CE-* SPECIEW CONDITIONS 1.0 DLSCRIPTION:. This approves Alcoa Vinyl Siding and Soffit molded into panels on the styles and pressures listed below. 1.1 Sidings Series Lake Forest Premier Model Description Thickness Pressure LFP40 Double 4" Horizontal Panel 0.044" -60.0 psf LFP045 Double 4'/2" Dutchlap Horizontal Panel 0.044" -46.6 psf LFP l ON Double 5" Vertical Panel 0.046" -53.3 psf Series T-Lock Barkwood Model Description Thickness Pressure WGV40 Double 4" Horizontal Panel 0.048" -60.0 psf WGV50 Double 5" Horizontal Panel 0.048" -60.0 psf DWGV50 ' Doable 5" Dutchlap Horizontal Panel 0.048" -60.0 psf Series Liberty Elite . Model Description Thickness Pressure 1.44T Double 4" Horizontal Panel 0.048" -60.0 psf 1.55T Double 5" Horizontal Panel 0.04$" -60.0 psf LD55T Double 5" Dutchlap Horizontal Panel 0.048" -60.0 psf Series Silhouette Model Description Thickness Pressure STV44 Double 4" Horizontal Panel - 0.044" -60.0 psf STV55 Double 5" Dutchlap Horizontal Panel 0.044" -60.0 psf Series Meadow Brook Model Description Thickness Pressure MB40 Double 4" Horizontal Panel 0.042" -60.0 psf MB50 Double 5" Horizontal Panel 0.042" -60.0 psf MBD45 Double 4'/s" Dutchlap Horizontal Panel 0.042" -46.6 psf Candido Font, P.E., Plans Examiner Product Control Division -2- Alcoa B u iLd in gT-radmW ACCEPTANCE No.: 9.5-0111.08 APPROVED : APR ? 1996 EXPIRES : APS 2 5 1999 NOTICE Or ACCEPTANCE: SPECIFIC CONDITIONS Series Brent Wood Model Description Thickness Pressure BW40 Double 4" Horizontal Panel 0.040" -60.0 psf BW50 Double 5" Horizontal Panel 0.040" -60.0 psf DBW45 Double 4%" Dutchlap Horizontal Panel 0.040" 46.6 psf Series Trademark Model Description Thickness Pressure TRM40 Double 4" Horizontal Panel 0.040" -60.0 psf TRM50 Double 5" Horizontal Panel 0.040" -60.0 psf TRM45 Double 4`4" Dutchlap Horizontal Panel 0.040" -46.6 psf 1.2 Soffit Series Lake Forest Prcmier Model Description Thickness Pressure LFP 1 ON Double 5" Vertical Panel 0.046" +180.0 psf -53.3 psf UPIOV Double 5" Ventilated Panel 0.046" +180.0 psf -53.3 psf Series Trademark Model Description Thickness Pressure TRMS I ON Double 5" Vertical Panel 0.042" +180.0 psf -53.3 psf TRMS l OV Double 5" Ventilated Panel 0.042" +180.0 psf -53.3 psf _ Series Pro-Select Model Description Thickness Pressure PSS 10N Double 5" Vertical Panel 0.046" +180.0 psf -53.3 psf PSSIOV Double 5" Ventilated Panel 0.046" +180.0 psf -53.3 psf Candido Font, P.L., Plans Examiner Product Control Division -2a- �lcoa BiWding Products ACCEPTANCE No.: 95-0111.08 APPROVED APR 2 5 1996 EXPIRES APR 2 5 1999 N!Q1ICE OF ACCEPTANCE: SPECT EIC CONDITIQNS Series Pro-Teck Model Description Thickness Pressure PTS 12N Triple 4"Vertical Panel 0.040" +180.0 psf -60.0 psf PTS 12V Triple 4"Ventilated Panel 0.040" +180.0 psf -60.0 psf PTS12CV Triple 4" Center Ventilated 0.040" +180.0 psf -60.0 psf 2.0 SND[ IONS: Alcoa Vinyl Siding and Soffit shall only be permitted over 5/8" (5 Ply) plywood sheathing supported by studs or joist at 16" o/c for siding and 10" o/c for soffit. The maximum design pressure is listed on Sections 1.1 and 1.2. 3.0 INSTALLATION: Walls and underside of eaves to receive the siding and soffit shall be checked for structural adequacy, cracks or defects shall be eliminated and the walls shall be waterproofed with the equivalent of 15 pound felt as described in Section 2704.6(b)1 of the South Florida Building Code. 3.1 Siding Sheathing and studs where the vinyl siding will be installed shall be designed by the architect or engineer of record complying with the South Florida Building Code and the minimum requirements of Section 2 of this Notice of Acceptance. Alcoa siding shall be fastened to wood studs through the hem holes with .128" diameter, .375" head, 1%" long galvanized roofing nails with 1 5/8" embedment into wood (0.50 specific gravity species) including zinc coated steel washers 'A" I.D., 9/16" O.D. and 0.05" thick. The manufacturer's specifications and the South Florida Building Code shall be followed for the installation of the siding including all the accessories such as cornier post, starter strips trim around openings,etc. Candido Font, P.E., Plans Examiner Product Control Division -2b- A ,-_" Btlilding Products ACCEPTANCE No.: 95-0111.08 APPROVED APR 2 5 1996 EXPIRES APR 7 5 1999 NOTIFPTANCF: SP CIFIC S'�NDI'1'IONS 3.2 SAMA Sheathing,joist and/or rafters where the vinyl soffit will be installed shall be designed by the architect or engineer of record, complying with the South Florida Building Code and the minimum requirements of Section 2 of this Notice of Acceptance. Alcoa soffit shall be fastened to wood through the hem holes with .128" diameter, .375" head, 114" long galvanized roofing nails at 10" o/c with a l 3/8" embedment into wood (0.50 specific gravity species). The manufacturer's specifications and the South Florida Building Code shall be followed for the installation of the soffit. 4.0 MARKING, All approved products shall be permanently labeled with the manufacturer's name, city, state and the following statement "Dade County Product Control Approved" or the manufacturer's logo and the Dade County Logo. 5.0 EvlpE Z, SUBMITTED: Laboratory Test Datc Signature ATI 17074-1/6 PA202 & 203 02/20/96 A.N. Reeves Candido Font, P.E., Plans Examincr Product Control Division -2c- Alcoa B, Wing Products ACCEPTANCE NO.: 94.;-0 111 APPROVED : APR ? 5 _1996 EXPIRES : APP 2 5 _1999_ STANDARDNOTICE OF ACCEPIaNCE ) 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(S)years. 2. Any and all approved products shall be permanently labeled with the manufacturers 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 enoincer 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 fie)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(c)and this last page 3. • �.sidhdo qIw n n a. d nrodugb ms 10, 11 & 12 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 al windows and doors shall conform to Security and Forced Entry Prevention,Cha.to 36 of the South Florida Building Code. Candido Font, P.F,., Plans Examiner Product Control Division END OF T111S ACCEPTANCE -3- • Accents & Trzms Dentil Molding • Adds architectural ,P 5/8• i interest to roof line 5-3/9• � • Low-maintenance, high-strength polymer • Available in White 4 \\, DENTILMD45 4-1/2" Dentil Molding f 4-1 Illlul DENTILBK45 4-1/2" Dentil Molding End Block Accent Panels = ,- T e°0000°oeee-eeeeevee------ ., �.: 9-3'4• • In 4 Victorian styles 6• • Exclusive locking _ system for secure E <<1 1 -<, APRD �J J �1LLll � laJ < installation I ��. Round Accent Panel ye• Paintable white surface ----veva--e -°vee--�---- with lightly brushed texture; round style J IJJJJ J, e' also available in .JJJJ Pebblestone Clay and �� ' j' APSQ I, Victorian Grey Square Accent Panel 50.1)2 1 F50.1/2•- ._ ---------- ----- ---------- - ------ ------------------ 11-1/2' I• APOCT APDIA Octagonal Accent Panel Diamond Accent Panel fjo,oapffik Mastic® See color chart inside back cover 13 Accents & Trims Gable Vents • An attractive, low-maintenance T ,r ventilation solution 22- • Easy snap-in installation • Available in all 12 vinyl RDGV siding colors Round Gable Vent ,2•-1 --20• ,E•--- ,e. T T 20 I 18•2 12 22 1 74• 1 Imo. RECTGV HRDGV OCTGV Rectangular Gable Vent Half Round Gable Vent Octagonal Gable Vent Vents & Mounts • Give fixtures a finished look - • Easy snap-in installation l 0D-1El • Dryer vent has a ` FMOUNT protective gate to _ _` Fixture Mount System keep out birds and small animals • Available in all 12 vinyl siding colors41 o _. 4. &&4• A DRYVENT �.• Dryer Vent System fm.mm�� Mastic@ 14 See color chart inside back coaxer Vinyl So t • Lasting Dimensions" s vinyl soffits are warranted for soffit,vertical siding, s "� wainscoting and long-span applications > • Exclusive lock design ` tightens panel under stress - • Mastic VIP Limited Lifetime Warranty - 1 I I ., f gym, 1 4^ ' Universal Triple 4" Double 5" Triple 4" Beaded 8" • .046" thickness t ickness • .040" thickness • .036" thickness . Subtle brushed finish in • Low gloss, matte finish in • Low gloss, matte finish in 3 • Grayback all 12 siding colors, all 12 siding colors, plus White,Cameo,Classic • Low gloss, matte finish plus Musket Brown Musket Brown Cream, Desert Sand, • Non-ventilated and ventilated II • Non-ventilated and • Non-ventilated, ventilated Pebblestone Clay,Sandtone .� ( ventilated and center vent and Victorian Grey y • Available in White • Non-ventilated and • Mastic Limited 50-year ventilated Warranty ) x, J[-4- ^ 4 0 �A PSS10N PTS12N PBS80N Double 5" Non-Ventilated Panel Triple 4" Non-Ventilated Panel Beaded 8" Non-Ventilated UVS12N PSS10V PTS12V Soffit/Wainscot Universal Triple 4"Soffit Double 5"Ventilated Panel Triple 4" Ventilated Panel PBS80V Non-Ventilated Panel Beaded 8"Ventilated PTS12CV j UVS12V Triple 4" Center Ventilated Panel Soffit/Wainscot Universal Triple 4"Soffit PBSJ03 Ventilated Panel Only available in White Beaded J-Channel—3/8" offiam" M a st i c° 7�7_. 8 See color chart inside back cover I Vinyl Siding—Brentwood A smart choice to add beauty and value f ` • .040" thickness • Cross-sawn wood emboss • Mastic VIP Limited Lifetime Warranty - 0 0 0 BW40 BW50 DBW45 BWOP05 Brentwood Double 4" Brentwood Double 5" Brentwood Brentwood 3" Double 4-1/2" Dutch Lap Outside Corner Post i Vinyl Siding—Glenwood' a The first in value • .040" thicknessz T • Grayback i • Mastic Limited 50-year Warranty 0 T o 0 0 0 1 111 TRM40 � t-+T TRM50 T TRMD45TRMOPO5 w+T va Glenwood Double 4" Glenwood Double 5" Glenwood Double 4-1/2" Glenwood 3" Dutch Lap Outside Corner Post See color chart inside back cover 7 APPLICATION FOR CERTIFICATE OF RE-OCCUPANCY hereby apply for a certificate to re-occupy the single family residence known as : (address) �a0 Miami Shores,Florida. Legal Description: Lot: Block PB &PG: I hereby certify that I understand that the zoning of the property is for single-family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re-Occupancy that may be issued by 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 J/N u1i1�'�i✓ Date / Print Name V 17 For purposes of conducting the inspection required by Section 902 of the Miami Shores Land ya,.,r,e Development and Zoning Code, please contact: hplw.5se ;p3-� yy3�- fes.-Yarm Contact Name: /-I'e/i ss Telephone: Buyer Seller Realtor�_Company Name AV-?-e -CyAle e- _ �o.1A'e Application Fee ($50)paid: Cash Check No. �;>p.)- O Inspected by: Approved Denied _ Date_:3� Z 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 SHOREORIDA By: _ - ^a` 1 z2� Date of Certification: THIS CERTIFICATE 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 CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MADE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 AFFIDAVIT I, /4,4),!lz am purchasing the property at 570 NE 103 Street. In order to obtain a Certificate of Re-Occupancy from Miami Shores Village, I agree to remove the kitchen in the southeast bedroom and cap off electricity and plumbing inside the wall, to correct the illegal electrical and plumbing conditions in the Utility Room, I agree to secure appropriate permits prior to commending the work. I agree to comply with said conditions within 20 calendar days from today, July 12, 2000. I understand that Miami Shores Village will revoke the Certificate of Occupancy and cause the electrical power to be disconnected in the event that I do not comply with the aforementioned conditions by August 1, 2000. cfr cuADYS1In NMARY PUgU STICrE OF�°a COMMS,ION NO. 1 ��gSION EXP.MAR PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dat d J Address 520 A16--lD 3/'�-S'/ Tax Folio Legal Description �-7 Historically Designated: Yes No O�wneramsee/Tenant &n® ��`cP�r!p /�/�G1'(Q� Master Permit# er's Address5 Q IV�i®3`� Cs/` � ®S= �� —676 7 Contracting Co. z,\o fit Address Qualifier SS# - - Phone State# Municipal# Competency# Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one • BUILDIN LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION . Yl Square Ft. Estimated Cost(value) 6 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. d�� , �A' 2j6V4� ZAl Signature of owner and/or Condo President Date ofor-Owner-Builder Date F), 71AO Notary as to Owner and/or Condo President Date otary of t6-6-nfi#ctoi or Owm&Builder Date My Commission Expires: My Commissio O1p,(iV 1"U6OFFlCIAL NOTARY SEAL ,, ANGELA M BECKER CophtiSSVOPI MUG!®8W CC786697 TW W CORAFfIISSION EXPIRES a NOV..101 15,9002 FEES: PERMIT _RADON C.C.F. � 0NOTARY .,D 0BONDzio APPROVED: TOTAL DUE Zoning Building Building Electrical Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE 1 Paint Color Approval and Agreement DATE: 3AW-01 - OWNER'S NAME: Ab v` :XflPHONE: 3-65 .s r-690 q ADDRESS: 5-/7o ADDRESS OF SITE: a CONTRACTOR& LICENSE (if applicable) COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls P/30 G— /9 Fascia Soffit n 0 Roof o Flower Bins z Shutters > Awnings Chimney cn Doors and door jams '' H Garage Doors x Railings c Fences `, x Decorative Metal ' All brick (simulated or regular), Stucco Banding , Any other stucco features \ Accessory Buildings Other/ a0SC� OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above-named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached les.s . , / j Sign , re of Owner Date Signature of Contractor Date APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION . ' 31,1 w Building Of k`al Date APPLICATION FOR CERTIFICATE OF RE—OCCUPANCY _ �, I, oz, /� c 1 f if n hereby apply for a certificate to re-occupy the single family residence known as : (address) 527 f v %O� Miami Shores,Florida. Legal Description: Lot: Block PB &PG: I hereby certify that I understand that the zonins 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 MAN1��Vii✓ Datek/' Print Name For purposes of conducting the inspection required by Section 902 of the Miami Shores Land ,��.�,e Development and Zoning Code, please contact: ?-ted Contact Name: l e ss Telephone: '75�— OAS Buyer Seller Realtor�_Company Name -e meet Application Fee($50)paid: Cash Check No. �C?� REINSPECTION B LUBIENX ?/ 7/0 Inspected by: Approved Denied Dat - l�� PP e 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 ORIDA BY: J � By: %C- rop 7/27/00 - / 1 22u-a Date of Certification: THIS CERTIFICATE 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 CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MADE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 • r • r f AFFIDAVIT 1, 44,y Z/z4Gz/ , am purchasing the property at 570 NE 103 Street. In order to obtain a Certificate of Re-Occupancy from Miami Shores Village, I agree to remove the kitchen in the southeast bedroom and cap off electricity and plumbing inside the wall, to correct the illegal electrical and plumbing conditions in the Utility Room, I agree to secure appropriate permits prior to commending the work. I agree to comply with said conditions within 20 calendar days from today, July 12, 2000. 1 understand that Miami Shores Village will revoke the Certificate of Occupancy and cause the electrical power to be disconnected in the event that I do not comply with the aforementioned conditions by August 1, 2000. s NQTay InjBUC-STATE OF ARIDA COWAISSION N0.CO'4 03 it+lY COMMSON EXP.NIpR l rsfi �n 't1MTAa/)I yon BUILDING DEPARTMENT (/ -'s 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138-2382 TELEPHONE (305) 795-2204 FAX (305) 755-8972 June 22, 2001 Mr. Nino Tillman 570 N. E. 103 Street Miami Shores, Fl. 33138 RE: Certificate of Occupancy Dear Mr. Tillman: One of the considerations for Certificate of Re-Occupancy as spelled out by Affidavit of July 12, 2000 have not been completed, i.e. permits. Please contact this office as soon as possible in order to forestall any further action by the Village. Govern yourself accordingly. Sincerely, / �C Charles B. Esher Building Official CBE/ab 7 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ' Job Address 1^7 r)or, I Tax Folio a3 � 0 tl -O Y8 6 Legal Description Historically Designated: Yes No Owner/I.essee/Tenant �\XWD I LA.MA-A) Masher ermit# V/ Owner's Address—,9-71) Contracting Co. R�tb IR Address 17 KYD NV— � RV QualifierW J�j q n2 J! &T1`�t" R�V-e_ 2 SS e�6 -as--:? State#_ Municipal# Competency# Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBINMECHANICAL OOFING PAVING FENCE SIGN WORK DESCRIPTION 1 YV)W _V�"�� A J R S�SMP?A Square Ft ®(f 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 EMPROVEMENTS 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 AFFJDAVfT: 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. F ermore,I authorize the above-named contractor to do the work stated. e x/�,/9 A Signature of owner and/or Condo President Dai Signa of Contractor or Owner-Builder, .Date Notary as to Owner and/or Condo President Date No as to Contractor or Owner-Builder Date My Commission Expires: ` ;- My Commission Expires: a`l 1-b ,e- launders v,, �,d,,, like Saunders u„�uu:ission#DD 000727 .'o~Ppr Au�o�%r n#DD Q_ Expires Feb. 11,2005 eExpires 5 "'' Bond�1 Thra =��oe Bided Thr %4�o 0�, Atlantic Bre 0%Im �'12,,DF Agog @ 4R IIID. FEES: PERMrr K RADON C.C.F. NOTARY n BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer 4 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) . , PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE 3ATH TUB SWITCH OUTLETS SPACE HEATERS 310ET LIGHT OUTLETS CENTRAL HEATING o 31Sli144S11ER RECEPTACLES f A/C (WIND) )ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) A INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK 10011 MAIN SERVICE REPAIR/METER CHANGE REFRIGERATION 3REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS .AVATORY OVEN ABOVE GROUND TANKS .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS 10THES WASHER MOTORS 0— 1 HP STEAM BOILERS MOWER MOTORS OVER 1— 3 HP HOT WATER BOILERS INK, POT/3 COAD. MOTORS OVER 3— 5 HP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8— 10 HP ELEVATORS/ESCALATORS EWDRARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET MOTORS OVER 100 HP VIOLATION NDIRECT WASTES A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER—NEW INST. GENERATORS TRANSFORMERS HEATER—REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER—WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TL>BES WER CONNECTIONS SIGN TRANSFORMERS ILITY—SEWER SIGN TIME CLOCK ILITY—WATER FIXTLRES PTIC TANK ENNA LAY TELEVISION OUTLETS AINFIELD, 4' TILE/RES. VIOLATION + & ABANDON SEPTIC TANK REINSPECTION MGE PIT CU. FT. rDi BASIN 3(>WGE WELL 4ESTIC WELL .A DRA I N )F INLET AR WATER HEATER E STANDPIPE L PIPING N SPRINKLER SYSTEM RANGE ER SET (GAS) PIPING a 19 41L)3 ®S"6 Miami Shores Village Sec.6-3 Air Conditioning Regulations. (a) All individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. Units installed over public property,paths of egress or more than ten(10)feet above grade shall be secured to the structure by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight(8)inches on the exterior of a building shall be supporWd by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields or similarly rot-resistant fastenings. (b)The following special requirements shall apply to the control and regulation of noise nuisance from air conditioning machinery. (1) All equipment, existing or hereafter installed, regardless of location, shall be maintained in good working order. Equipment so located that normal operating noises create a nuisance to adjacent owners or occupants shall be provided with soundproofing, or sound-absorbing baffels, or enclosures, as approved to insure maintenance of a reasonable noise level. (2) All equkmxal on outer walls,on roofs,or in the other exposed locations,which are unduly noisy,and which causes valid complaints from adjoining property owners or occupants may be required to be relocated, redesigned and/or enclosed in noise- retarding materials when, in the opinion of the building official,such enclosure is necessary or would be effective. (3) Special consideration shall be given to the planning of all future installations to minimise the noise nuisance to adjoining property owners or occupants and the budding official shall have authority to reject or require the redesign of any system which,in his opinion,would cause such a noise nuisance. (c) Violation of this section shall be punished as is now or may hereafter be provided by law (Ord.No. 299, Sec. 1-3,2-21-61). I have read the above ordinance and will comply with the regulations thereof owner/sijikure to&actorOignature I have read the above ordinance and will comply with the regulations thereof. s-.ORFS RL4U�i s�i1—Ts FOR C��.��tiC.�..L P= t a c CIIa load calcatadc= ✓. = Vie+�caa��m�Cin rem a� �- a . o�Rer I «ed bry cmc and hie c Cie rG� of ie ho=e, <<�=-. , the R + r:cane'a=hem glad� . � �---.:e��:..��? �t�Bey fe:r tee, ��, � Z- �aor necar wit vers. s"Ye uo oole ass to the - + mart�c-� e i� cr a=C� ceit ' 'ab is over V2,500-00,, the=`Tat e� � �:; ��x�r�� otI • be cm .�' ^ c c L Si L ez Ems-�Ic= ♦ 1cc �C�Qctm an c'�-�OFIC�QII.tZ '� CU ELLC'LIC IL�GL�C TT md k�S- -. . t i c ed m=s-he ager r heck-qo. mss`be I in rem d Pref cc h=os� + Ccc��m� � ' e Bm��of Ms azo. + Work des�do�. aic.� + acc, of C , ,. c e r - e �1ao over V '00.00 To: Village of Miami Shores, Office of Code Enforcement Date: June 9, 2001 I understand that my neighbors at 570 NE 103rd Street plan to install central air conditioning. I have no objection to their locating a condenser unit within five feet of the exterior wall of their home, on the side that faces my property. Name: I (� Address: 25(Ar--� Q C— lb 3rd Signature: i NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. L 9 TAX FOLIO NO. 1, " 31Q.6(P — &1'T &9K STATE OF FLORIDA: cv COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with %0 Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 'a kt 1.Legal description of property and street address: .7 f�5 �,� �`T" M V C� 2.Description of improvement: k Wy--,-TIIPt U-- C- 3.Owner(s) -3.Owner(s)name and address: n) 6 Interest in property: (I f,,l 9" i ' Name and address of fee simple titleholder: 4.Contractor's name and address: -t> It;. s fti R r p rol �- 5.Surety:(Payment bond required by owner from contractor,if any) Name and address: Amount of bond$ 6.Lender's name and address: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(11(b),Florida Statutes. Name and address: 9.Expiration date of this Notice of Commencement:(the expiration date is 1 year from the date of recording unless a different date is specified) SignsWro a1 Amer ,,f Print Owners Name�v/�O �i� � f� Prepared by: 1 (,ory N ptp Sworn to and subscribed before me this day of 4", r, Address: ZC33tSdike SaundersNotary Public P o aslan ares Fab. 11.2W5 Print Notary's Name aoudad Tlnu Adaatto aaafNng Oo,Ino. My Commission Expires: STATE OF FLORIDA,COUNTY OF DADE ,4v Cou,1aj, 1 HEREBY CERTIFY that this is a tru7e of the v P CIFPyK original filed in this office on��_day of �`7Js�F A o zo r2/_ Q WITNESS my hand and Official Seal. RVEY RK, of Circud and County Courts HA D.C. �oF coin By DI PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date jJob Address S'JV) WV--- �1 Tax Folio 3 0 t-1 —6 -W Legal Description Historically Designated: Yes No Owner/Lessee/Tenant 1 VVb M LCM l'rW Master Permit# �3®d Owners Address SID Me 103 3 &`r Phone& � `7 RX Co9 6-1 Contracting Co. r—,—�Z�i 1��.�ll'1.� V.Er i R I [� Address 17Z Sh YV E C ff 0(� Qualifier-'I'v�Pl! M SS e -Mc State# F c ft(,) lab`' Municipal# Competency# Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDINGLECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION X.) Square Ft. .CJ15 D Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above,and on the attached addendum(if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING,SIGNS,POOLS,ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above-named contractor to do the work stated. Si lure of owner and/or Condo President Dfite 'gnatur f Contractor or Owner-Builder Da e otary as to Owner and/or Condo President D e Notary as to Contractor or Owner-Builder Date My CommissiontFBes: e1 My Commission Expires: �� ' Souders V A ao ®��=Commissfon#DDOOO727 o++g +��a+`r>�neton#DD Vis? o° Exphes Fob. 11,2DOS m;t a F®b. p, F Thm `v Etta B aft Co.,Im o�/b a O B uft Co,'M FEES: PERMIT } P,,rO RADON C.C.F.f NOTARY 'S BOND APPROVED: TOTAL DUE Zoning Building Electrical r Mechanical Plumbing Structural Engineer ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE 3ATH TUB SWITCH OUTLETS SPACE HEATERS 31DET LIGHT OUTLETS CENTRAL HEATING )ISHWASHER RECEPTACLES A/C (WIND) )ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) )RINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK •LOOR MAIN SERVICE REPAIR/METER CHANGE REFRIGERATION 3REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING !NTERCEPTOR RANGE TOP UNDERGROUND TANKS .AVATORY OVEN ABOVE GROUND TANKS .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS ;INK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES 'INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EWORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 HP COOLING TOWERS 'ATER CLOSET MOTORS OVER 100 HP VIOLATION NOIRECT WASTES A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS "Ce2 A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFQRMERS HEATER-NEW INST. GENERATORS TRANSFORMERS HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER-WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES NER CONNECTIONS SIGN TRANSFORMERS ILITY-SEWER SIGN TIME CLOCK ILITY-WATER FIXTLRES PTIC TANK ANTENNA LAY TELEVISIONOUTLETS AINFIELO, 4' TILE/RES. VIOLATION f & ABANDON SEPTIC TANK REINSPECTION SKAGE PIT CU. FT. TCH BASIN 30ARGE WELL 4ESTIC WELL .A DRAIN lF INLET .AR WATER HEATER E STANDPIPE 'L PIPING N SPRINKLER SYSTEM RANGE ER SET (GAS) PIPING To: Village of Miami Shores, Office of Code Enforcement Date: June 9, 2001 1 understand that my neighbors at 570 NE 103`d Street plan to install central air conditioning. I have no objection to their locating a condenser unit within five feet of the exterior wall of their home, on the side that faces my property. Name: Address: Signature: . f " = RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House EDD HELMS AIR CONDITIONING Job: 04-06-01 17850 N.E.5th.AVE.,MIAMI,FL 33162 Phone:305-653-2530 Fax:305-653-7933 For: Tillman 570 N.E. 103rd. St., Miami, FI 33138 Phone: 305-758-6907 Fax: 305-759-3317 Notes: n i r IV Pry m Weather: Miami, Int'I Airport, FL, US Winter Design Conditions Summer Design Conditions Outside db 50 OF Outside db 95 OF Inside db 70 OF Inside db 75 OF Design TD 20 OF Design TD 20 OF Daily range L Relative humidity 50 % Moisture difference 47 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 13596 Btuh Structure 23276 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 13596 Btuh Use mfg. data n Rate/swing multiplier 1.00 Infiltration Total sens. equip. load 23276 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 460 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 2725 Btuh Area(ft2) 1286 1286 Total latent equip. load 3185 Btuh Volume(ft) 10288 10288 Air changes/hour 1.0 0.5 Total equipment load 26461 Btuh Equiv.AVF(cfm) 172 86 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 80.0 AFUE Efficiency 0.0 EER Heating Input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Heating temp rise 0 OF Total cooling 0 Btuh Actual heating fan 1245 cfm Actual cooling fan 1245 cfm Heating air flow factor 0.092 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 88 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wng htsoft Right-Suite ResiderdialTm 5.0.38 RSR28324 2001-Jun-08 15:12:22 C:WIy Documents\Wdghtsoft 1-1VAC7emplateWirnan-hevel.rsr Page 1 RIGHT-J WORKSHEET Entire House EDD HELMS AIR CONDITIONING Job: 0406-01 17850 N.E.5th.AVE.,MIAMI,FL 33162 Phone:305-653-2530 Fax:305-653-7933 MANUAL J:7th Ed. 1 Name of room Entire House kitchen closet a/h 2 Length of exposed wall 103.0 It 28.0 ft 3.0 ft 0.0 ft 3 Room dimensions 12.0 x 16.0 ft 9.0 x 3.0 ft 3.0 x 3.0 ft 4 Ceiings Condit Option 8.0 fti heat1cool d 8.0 ft heattcool 8.0 ftj heat/cool 8.0 ft heaUcool TYPE OF CST HTM Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) EXPOSURE NO. Htg I Clg (ftj Htg Clg (ft2) Htg I Clg (ftp Htg Clg On Htg Clg 5 Gross a 14B 2.9 2.9 824 "" ""' 224 " *' *'"" 24 """ *"** 0 Exposed b 0.0 0.0 0 '*"* "" 0 "" "" 0 "**' *"" 0 walls and c 0.0 0.0 0 *"" "" 0 ""' "'"' 0 ""' *"' 0 partitions d 0.0 0.0 0 0 "" "" 0 0 e 0.0 0.0 0 - **** 0 "" '"" 0 "'* '*" 0 IF 0.0 0.0 0 """" '*"* 0 "*"* '"'" 0 '"'* ""' 0 6 Windows and a 2C 13.0 "" 129 1677 '"" 27 351 *'*" 0 0 ""** 0 0 glass doors b 0.0 "" 0 0 '"'" 0 0 *"* 0 0 *""* 0 0 *"* Heating c 0.0 "" 0 0 "`*' 0 0 *'" 0 0 *"" 0 0 d 0.0 0 0 *""' 0 0 *""" 0 0 *'"" 0 0 e 0.0 0 0 """' 0 0 '""" 0 0 ** 0 0 fl 1 0.0 "" 0 0 """" 0 0 """" 0 0 "**" 0 0 7 Windows and North 31.0 28 """" 868 12 372 0 """ 0 0 """" 0 glass doors NE/NW 0.0 0 """" 0 0 "*"* 0 0 '"* 0 0 *"* 0 Cooling ENV 89.0 83 """" 7387 15 '**" 1335 0 "'" 0 0 *'"' 0 SE/SW 0.0 0 """" 0 0 ""*' 0 0 "'"' 0 0 ""' 0 South 48.0 18 """" 864 0 '""" 0 0 '"' 0 0 """ 0 Horz 0.0 0 """" 0 0 '"*' 0 0 "*" 0 0 "'"* 0 8 Other doors a 10C 7.2 9.9 42 302 417 21 151 209 0 0 0 0 0 0 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 C 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 9 Net a 14B 2.9 2.9 653 1881 1909 176 507 514 24 69 70 0 0 0 exposed b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 walls and c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 partitions d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 10 Ceilings a 18A 6.2 11.5 516 3179 5924 0 0 0 27 166 310 9 55 103 b 18B 1.4 2.9 770 1109 2218 192 276 553 0 0 0 0 0 0 C 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 11 Floors a 22A 16.2 0.0 103 1669 0 28 454 0 3 49 0 0 0 0 (Note:room b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 perimeter c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 is displ. d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 for slab a 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 floors) f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 12 Infiltration a 1 22.1 11.1 1711 3780 18901 48 1061 530 0 0 0 0 0 0 13 Subtotal loss=6+8..+11+12 "'"" 13596 """" """ 2800 """" ""' 284 "" ""' 55 Less external heating """" 0 """" """' 0 "" `*'" 0 "'"* '*" 0 Less transfer """" 0 """" '"'" 0 *"*' "" 0 *"" '"*" 0 14 Duct loss 0% 0 - 0°/ 0 '""` 0°/ 0 ""' 0°/ 0 15 Total loss=13+14 - 13596 """" '"" 2800 "" ""` 284 ""` *"' 55 16 Int gains: People @ 300 2 - 600 0 "" 0 0 ""' 0 0 "'"" 0 Appl. @ 1200 1 """" 1200 1 ""' 1200 0 "'" 0 0 "`" 0 17 Subtot RSH gain=7+8,.+12+16 "'*' - 23276 """ "" 4714 ' '" "" 380 *"* """ 103 Less external cooling """" """" 0 "" `"'" 0 "' ""* 0 "'"' "*'" 0 Less transfer """" """" 0 "" """ 0 '""' *'"' 0 *"' "*"" 0 18 Duct gain 0% - 0 0°/ ""'" 0 00/ ""'* 0 0°/ "" 0 19 Total RSH gain=(17+18)"PLF 1.00 """" 23276 1.00 "*` 4714 1.00 "*` 380 1.00 ""' 103 20 Air required (cfm) """" 1245 1245 """" 256 252 """" 26 20 """" S 6 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wrt-lghtsoft Right-Suite Residential7p°5.0.38 RSR28324 2001-Jun-08 15:12:22 C:\My Documents\Wrightsoft HVAC\Template\tillman-bevelssr Page 1 RIGHT-J WORKSHEET Entire House u , EDD HELMS AIR CONDITIONING Job: 04-06-01 17850 N.E.5th.AVE.,MIAMI,FL 33162 Phone:305-653-2530 Fax:305-653-7933 MANUAL J:7th Ed. 1 Name of room bedroom 1 bath 1 m.closet m.bedroom 2 Length of exposed wall 12.0 ft 6.0 ft 3.0 ft 34.0 ft 3 Room dimensions 12.0 x 12.0 ft 12.0 x 6.0 ft 12.0 x 3.0 ft 15.0 x 14.0 ft 4 Ceiings Condit Option 8.0 ft heaUcool 8.0 ft heat/cool 8.0 ft heat/cool 8.0 ft heat/cool TYPE OF CST HTM Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) EXPOSURE NO. Htg Clg (ft) Htg Clg (ftp Htg I Clg (ft2) Htg CIg (ft2) Htg I Clg 5 Gross a 14B 2.9 2.9 96 *`** "*` 48 **** ***` 24 **** `*" 272 **** **** Exposed b 0.0 0.0 0 "" "" 0 **** "" 0 *`** `*" 0 **** "** walls and c 0.0 0.0 0 *`*` "`* 0 **** "" 0 *`** "" 0 **`* **** partitions d 0.0 0.0 0 "*` "" 0 **** "" 0 "" "" 0 "" "" e 0.0 0.0 0 "" `*** 0 **** - 0 *`*` - 0 **** - 6 Windows and a 2C 13.0 " 36 468 **** 0 0 "`" 0 0 - 50 650 *"* glass doors b 0.0 " 0 0 "" 0 0 **" 0 0 "" 0 0 "" Heating c 0.0 " 0 0 "" 0 0 **** 0 0 **** 0 0 - d 0.0 " 0 0 "" 0 0 '"* 0 0 "" 0 0 "" e 0.0 " 0 0 "" 0 0 '*" 0 0 "" 0 0 "" f 0.0 " 0 0 "" 0 0 **" 0 0 "" 0 0 "" 7 Windows and North 31.0 0 "" 0 0 **" 0 0 **" 0 0 **** 0 glass doors NE/NW 0.0 0 **" 0 0 **" 0 0 "" 0 0 **`* 0 Cooling E/W 89.0 36 **" 3204 0 *`" 0 0 "" 0 32 **" 2848 SE/SW 0.0 0 **** 0 0 **" 0 0 `**` 0 0 `*" 0 South 48.0 0 `*" 0 0 "`* 0 0 "`* 0 18 "" 864 Horz 0.0 0 "" 0 0 "`* 0 0 `*`* 0 0 "" 0 8 Other doors a 10C 7.2 9.9 0 0 0 0 0 0 0 0 0 0 0 0 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 9 Net a 14B 2.9 2.9 60 173 175 48 138 140 24 69 70 222 639 649 exposed b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 walls and c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 partitions d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0' f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 10 Ceilings a 18A 6.2 11.5 144 887 1653 72 444 827 36 222 413 210 1294 2411 b 18B 1.4 2.9 0 0 0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 Is 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 11 Floors a 22A 16.2 0.0 12 194 0 6 97 0 3 49 0 34 551 0 (Note:room b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 perimeter c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 is displ. d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 for slab a 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 floors) f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 12 Infiltration a 1 22.1 11.1 36 796 3981 0 0 0 0 01 0 50 1105 553 13 Subtotal loss=6+8..+11+12 "" 2518 **** **" 679 *" `*" 339 "" *"** 4239 **" Less external heating *`" 0 *'*' "** 0 *`" *`" 0 "" **** 0 Less transfer 0 "" *`" 0 *`" **" 0 "" **" 0 14 Dud loss 0°/ 0 **** 0% 0 "** 0% 0 `*" 0% 0 15 Total loss=13+14 `*" 2518 "`* *"" 679 **** `*`* 339 "" "" 4239 *`** 16 Int gains: People @ 300 0 '"` 0 0 **** 0 0 `*** 0 2 - 600 Appl. @ 1200 0 "" 0 0 - 0 0 - 0 0 **** 0 17 Subtot RSH gain=7+8„+12+16 `*" "" 5430 **" **** 967 `*** `*** 483 "" - 7924 Less external cooling **" "" 0 "" *`** 0 **** `*** 0 `*" "" 0 Less transfer **" **" 0 "" "" 0 **** "" 0 ***' "" 0 18 Dud gain 0% ***` 0 0°/ **** 0 0°/ - 0 0% **** 0 19 Total RSH gain=(17+18)*PLF 1.00 **** 5430 1.00 "" 967 1.00 "" 483 1.00 "" 7924 20 Air required (cfm) I **** 1 31 290 `*`* 621 52 ***` 1 31 26 - 1 3881 424 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wrrrg ht5o Ft Right-Suite ResidentialT"5.0.38 RSR28324 2001-Jun-08 15:12:22 P� C:WIy Documents%Wrightsoft HVAC\Templateltillman-bevel.rsr Page 2 r 8 RIGHT-J WORKSHEET Entire House EDD HELMS AIR CONDITIONING Job: 04-06-01 17850 N.E.5th.AVE.,MIAMI,FL 33162 Phone:305-653-2530 Fax:305-653-7933 MANUAL J:7th Ed. 1 Name of room dining living hall 1 2 Length of exposed wall 17.0 ft 0.0 ft 0.0 It 3 Room dimensions 17.0 x 10.0 ft 17.0 x 24.0 ft 3.0 x 6.0 ft 4 Ceiings Condit Option 8.0 ft heaUcool 8.0 ft heat/cool 8.0 ft heat1cool TYPE OF CST HTM Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) Area EXPOSURE NO. Htg Clg (ft) Htg Clg (ftl Htg Clg (ftj Htg I CIg Htg Clg 5 Gross a 14B 2.9 2.9 136 ***" "*"" 0 **** **** 0 **** **** **** **** Exposed b 0.0 0.0 0 **** **"" 0 **** **** 0 *"*" **** walls and c 0.0 0.0 0 **** **** 0 **" **** 0 **** partitions d 0.0 0.0 0 **** **"* 0 **** **** 0 e 0.0 0.0 0 **** **** 0 **** *""* 0 f 0.0 0.0 0 ***" "*** 0 - **** 0 6 Windows and a 2C 13.0 *" 16 208 "**" 0 0 **** 0 0 **** ***` glass doors b 0.0 *" 0 0 **** 0 0 **** 0 0 **** **** Heating c 0.0 " 0 0 **** 0 0 **** 0 0 **** **** d 0.0 *" 0 0 **** 0 0 **"* 0 0 **** **** e 0.0 ** 0 0 **** 0 0 **** 0 0 ""** **** f 0.0 ** 0 0 - 0 0 ***" 0 0 **** **** 7 Windows and North 31.0 16 **** 496 0 **** 0 0 **** 0 **** glass doors NE/NW 0.0 0 **** 0 0 **** 0 0 **** 0 **** Cooling EM 89.0 0 - 0 0 **** 0 0 **** 0 **** SE/SW 0.0 0 **** 0 0 **** 0 0 **** 0 **** South 48.0 0 **** 0 0 **** 0 0 **** 0 **** Horz 0.0 0 **** 0 0 **** 0 0 **** 0 **** 8 Other doors a 10C 7.2 9.9 21 151209 0 0 0 0 0 0 b 0.0 0.0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 0 9 Net a 14B 2.9 2.9 99 285 289 0 0 0 0 0 0 exposed b 0.0 0.0 0 0 0 0 0 0 0 0 0 walls and c 0.0 0.0 0 0 0 0 0 0 0 0 0 partitions d 0.0 0.0 0 0 0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 10 Ceilings a 18A 6.2 11.5 0 0 0 0 0 0 18 111 207 b 18B 1.4 2.9 170 245 490 408 588 1175 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 0 d 0.0 0.0 0 0 0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 11 Floors a 22A 16.2 0.0 17 275 0 0 0 0 0 0 0 (Note:room b 0.0 0.0 0 0 0 0 0 0 0 0 0 perimeter c 0.0 0.0 0 0 0 0 0 0 0 0 0 is displ. d 0.0 0.0 0 0 0 0 0 0 0 0 0 for slab a 0.0 0.0 0 0 0 0 0 0 0 0 0 floors) f 0.0 0.0 0 0 0 0 0 0 0 0 0 12 Infiltration a 22,1 11.1 37 818 409 01 0 0 0 0 0 13 Subtotal loss=8+8.+11+12 - 1982 **** **** 588 **** **** 111 "*"" **** **** Less external heating **** 0 **** *"** 0 **** **** 0 **** - *"*" Less transfer **** 0 **** **** 0 **** **** 0 *"*" **** - 14 Duct loss 0% 0 ***" 0% 0 **** 0% 0 *"*" °/ *"** 15 Total loss=13+14 **** 1982 **** - 588 *"** 16 Int gains: People @ 300 0 **** 0 0 "*** 0 0 ** 0 **** Appl. @ 1200 0 **** 0 0 **** 0 0 *** 0 **** 17 Subtot RSH gain=7+8„+12+16 **** **** 1893 "*** *"** 1175 **** *`** 207 **** **** Less external cooling **** '`*` 0 **** **** 0 **** **** 0 ***" **** Less transfer **"* **"* 0 **** **** 0 **** **** 0 **** ""** 18 Duct gain 0% **** 0 0°/ **** 0 0°/ ***" 0 °/ *"** 19 Total RSH gain=(17+18)*PLF 1.00 **** 1893 1.00 - 1175 1.00 **** 207 **'* 20 Air required (cfm) '*** 181 101 *"*" 54 63 - 10 11 **** Printout certified by ACCA to meet all requirements of Manual J 7th Ed. -� wr-�ghtsoi-t Right-Suite ResidenBal'm 5.0.38 RSR28324 2001-Jun-08 15:12:22 C:1My Documents\Wrightsoft HVAC1Templateltillman bevel.rsr Page 3 E 4 RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House EDD HELMS AIR CONDITIONING Job: 04-06-01 17850 N.E.5th.AVE.,MIAMI,FL 33162 Phone:305-653-2530 Fax:305-653-7933 M-4' p •;..p For: Tillman 570 N.E. 103rd.St., Miami, FI 33138 Phone: 305-758-6907 Fax: 305-759-3317 Notes: p , Weather: Miami, Intl Airport, FL, US Winter Design Conditions Summer Design Conditions Outside db 50 OF Outside db 95 OF Inside db 70 OF Inside db 75 OF Design TD 20 OF Design TD 20 OF Daily range L Relative humidity 50 % Moisture difference 47 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 10614 Btuh Structure 20322 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 10614 Btuh Use mfg. data n Rate/swing multiplier 1.00 Infiltration Total sens. equip. load 20322 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 230 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 2045 Btuh Area(ft') 965 965 Total latent equip. load 2275 Btuh Volume(ft) 7720 7720 Air changes/hour 1.0 0.5 Total equipment load 22596 Btuh Equiv.AVF(cfm) 129 64 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 80.0 AFUE Efficiency 0.0 EER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Heating temp rise 0 OF Total cooling 0 Btuh Actual heating fan 1087 cfm Actual cooling fan 1087 cfm Heating air flow factor 0.102 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 90 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. %"igl-itsoft Right-Suite ResidenUalTM 5.0.38 RSR28324 2001-Jun-08 15:22:19 IC C:1My Documents\Wdghtsoft HVAC\TemplateUillman-bevel.rsr Page 1 ( T RIGHT-J WORKSHEET ' Entire House EDD HELMS AIR CONDITIONING Joe: 04-06-01 17850 N.E.5th.AVE.,MIAMI,FL 33162 Phone:305-653-2530 Fax:305-653-7933 MANUAL J:7th Ed. 1 Name of room Entire House m.closet bedroom 4 closet 4 2 Length of exposed wall 103.0 ft 3.0 ft 31.0 ft 3.0 ft 3 Room dimensions 12.0 x 3.0 ft 13.0 x 14.0 ft 10.0 x 3.0 ft 4 Ceiings Condit.Option 8.0 fti heat/cool d 8.0 ft heat/cool 8.0 fti heat/cool 8.0 ft heat/cool TYPE OF CST HTM Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) EXPOSURE NO. Htg Clg (ftj Htg CIg (ftp Htg I CIg (ftj Htg Clg (ftl Htg Clg 5 Gross a 14B 2.9 2.9 824 *'** **** 24 '*** "'* 248 **" *'** 24 - "" Exposed b 0.0 0.0 0 *'** **'* 0 '*'* "" 0 '**' **** 0 **" "" walls and c 0.0 0.0 0 '*'* *" 0 - *'* 0 '*** "" 0 "" partitions d 0.0 0.0 0 '*" *" 0 *"' "*' 0 '**' "*' 0 "" e 0.0 0.0 0 *'** '*** 0 - - 0 '** - 0 - **** f 0.0 0.0 0 *'** **'* 0 - - 0 "*' *"' 0 - - 6 Windows and a 2C 13.0 " 204 2652 "" 0 0 "" 32 416 **" 0 0 "" glass doors b 0.0 " 0 0 '*** 0 0 **** 0 0 **" 0 0 ***' Heating c 0.0 " 0 0 '*** 0 0 **** 0 0 *" 0 0 "'* d 0.0 " 0 0 "" 0 0 "" 0 0 ***` 0 0 "" e 0.0 " 0 0 "" 0 0 "" 0 0 **" 0 0 "" f 0.0 " 0 0 "" 0 0 "" 0 0 "" 0 0 "" 7 Windows and North 31.0 16 "" 496 0 "" 0 16 "" 496 0 **** 0 glass doors NE/NW 0.0 0 '"* 0 0 "" 0 0 "*' 0 0 **** 0 Cooling E/W 89.0 98 **** 8722 0 *'*' 0 16 **** 1424 0 - 0 SE/SW 1 0.0 0 **" 0 0 **** 0 0 '*" 0 0 "" 0 South 48.0 90 **" 4320 0 *'** 0 0 "" 0 0 '*'* 0 Horz 1 0.0 0 *"* 0 0 **** 1 0 0 '*** 0 0 *"' 0 8 Other doors a 10C 7.2 9.9 21 151 209 0 0 0 0 0 0 0 0 0 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 9 Net a 14B 2.9 2.9 599 1725 1751 24 69 70 216 622 631 24 69 70 exposed b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 walls and c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 partitions d 0.0 0.0 0 00 0 0 0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 10 Ceilings a 18B 1.4 2.9 899 1295 2589 0 0 0 182 262 524 0 0 0 b 18B 1.4 3.5 30 43 104 0 0 0 0 0 0 30 43 104 c 18A 6.2 11.5 36 222 413 36 222 413 0 0 0 0 0 0 d 0.0 , 0.0 0 0 0 0 0 0 0 0 0 0 0 0 e o.01 0.o 0 0 0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 11 Floors a 19B 0.8 0.0 27 22 0 0 0 0 0 0 0 0 0 0 (Note:room b 22A 16.2 0.0 103 1669 0 3 49 0 31 502 0 3 49 0 perimeter c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 is displ. d 0.0 1 0.0 0 0 0 0 0 0 0 0 0 0 0 0 for slab a 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 floors) f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 12 Infiltration a 1 12.61 6.3 2251 2836 14181 0 01 0 321 403 2021 0 0 0 13 Subtotalloss=6+8..+11+12 '*'* 10614 - "" 339 '*" "" 2206 *"* "'* 161 "" Less external heating '*** 0 - "" 0 - "*' 0 *"' "" 0 - Less transfer "" 0 "" 0 '*'* "" 0 *"* **'* 0 "" 14 Duct loss 0°/ 0 '*** 0°/ 0 '*** 0°/ 0 **** 0°/ 15 Total loss=13+14 "" 10614 - 339 "'* "" 2206 "" "" 161 '**' 16 Int.gains: People @ 300 1 "" 300 0 "" 0 1 "" 300 0 "" 0 Appl. @ 11200 0 "" 0 0 *'" 0 0 *"' 0 0 **** 0 17 Subtot RSH gain=7+8..+12+16 "" "" 20322 "" "**' 483 "'* "*' 3577 "" '*** 174 Less external cooling '**' "'* 0 - **" 0 "" "" 0 "" "" 0 Less transfer '*** '*'* 0 '*'* **" 0 *'** *'** 0 '*" "" 0 18 Duct gain 0% *"* 0 0°/ ***' 0 0°/ **** 0 0°/ - 0 19 Total RSH gain=(17+18)'PLF 1.00 '*** 20322 1.00 "" 483 1.00 "" 3577 1.00 '*** 174 1201 Air required (cfm) - 1 1087 1087 '*'* 351 26 **" 226 191 - 161 9 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. .� wts "CjV Oft Right-Suite Residential TM 5.0.38 RSR28324 2001-Jun-08 15:22:19 A'ak C:1My Documents\Wrightsoft HVAC1Template\tillman-bevel.rsr Page 1 MIAMI SHORES V LAGE BUILDING DEPARTME 305-795-2204 Building Inspection Req st� Date- Time -- Type Insp'n Permit No. �,�^ z r Name Address E Company 4� - *hone# 1 �— ' C / D For Inspector: Name&Date Approve Correction ❑ Re-Insp'n Fee ❑ �,� 7 Lots 3 & 4 S1oorc 93 ADDRESS 570 N. E. 103'street LEGAL M/S Seation #3 RE4RD GARBAGE TAX Otn• RECEIPT — PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID C-0, Geo.J.McCau han (O NUMBER t; CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1199 100 % 1-1-61 Miami Shores Village, Florida; 5-10-61 Owner, Agent or Tenant of Building G.J. Me GAUGHAN Lot 3 V 4 Block 93 Subdivision MMMI SHORES # 4 Street Address FLORIDA R0014 ADDITIOIkT Approved use by occupancy 570 N.E. 103rd Street Remarks: 605 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 4704 Tac Talue 2352 BUILDING DIVISION OWNER'S NAME I�pPRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST._Q�i AVE.) LOT BLOCK SUBDIVISION (ST, �-t GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. BUILDER'S BOND BUILDING PERMIT NO. ® DATE �� o RMIT FEE$ (®� NO. DATE ZONE REQUIREMENTS CU.FT. PLAN CUBE ® CU.FT. EST.COST$ , r DATE DRAWINGS. SPECIFICATIONS �/ RESTRICTIONS AND CUBE CHECKED BY•O-- n 1 l �� rP D NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION DESCRIPTION �r REPAIRS b� 1�6 oS e e8 d ALTERATION DESCRIPTION ADDITION 6 ft on esu C—@ k k 4,0L4 SUBMITTED TO PLANNING BOARD I APPROVED I REJECTED (REFERRED TO COUNCIL _ REASONS RE-SUBMITTED TO PLANNING BOARD I I SUBMITTED TO VILLAGE COUNCIL REMARKS _CERTIFICATE OF OCCUPANCY NO. //�� ISSUED `� 0® BY TO • m" BUILDING PERMIT AND INSPECTION RECORD—MIAMI SHORES VILLAGE BUILDING INSPECTIONS INSPECTIONS I DATE I BY INSPECTIONS I DATE BY FOUNDATION I ROOF BEAMS& LINTELS I I POOL FRAMING I AIR COND. FINAL I CLEAN UP SLAB SLAB PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. I DATE FEE S NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIALS PERMITS I PERMIT NO. DATE I FEE TEMPORARY SERVICE I I $ SEPTIC TANK $ SEWER is SOLAR HEATER I I $ GAS is S INSPECTIONS DATE I BY RE-INSPECT BY I RE-INSPECT BY ROUGHING TUB&TOP OUT SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. I DATE FEE S NEW BLDG. I ALTFRATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H.W. HEATER CONN. I $ RANGE CONN. I $ MOTORS $ ` FIXTURES I - - $ INSPECTIONS I DATE BY RE-INSPECT BY RE-INSPECT BY TFMP. SERVICE I I ROUGHING H.W. HEATER CONN RANGE CONN. FIXTURES&FINAL �I APPROVAL TO POWER CO. FOR SERVICE DATE BY OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. CAS RGE J. 1250 N. W. 101st Street JOB LOCATION (ST.OR AVE.) LOT_ BLOCK SUBDIVISION 570 N. Be 103rd Street I 3 & 4 I 93 ( Miami Shores Sect. #3 GENERAL CONTRACTOR - --- - ADDRESS _ PHONE NO. JICENSE NO. Durham Development Co. 11265 N. E. 109th Street I 84-6278 ( 4048 BUILDER'S BOND BUILDING PERMIT NO. 1018 I DATE ul X1 50 I PERMIT FEE S 19000 NO. 112# DATE r 2194M CU. FT. I EST. COSTS 1-59000000 ZONE pEQUIREMENTB 18500 CU.FT. PLAN CUBE DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: 11/1/50 TYPE STORIES flat CONSTRUCTION INTERIOR CONSTRUCTION NEW CONSTRUCTION CBS I 1 flrat - Gravel Terrazzo Floors - Plaster Walls DESCR IPTION -[.REPAIRS ( Liv Fdn - Din Foroh - Bit - 4 Bed Ems - 2 Bsths - Storage Borm _ I ALTERATION Bail ADDITION APPROVED I REJECTED REFERRED TO COUNCIL I REASONS SUBMITTED TO PLANNING HOARD RE-SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL g_ CERTIFICATE OF OCCUPANCY NO./OZ :� ISSUED J_� BY TO �-v BUILDING PERMIT AND INSPECTION RE ORD—MIAMI SH ES VI AG BUILDING INSPECTIONS INSPECTIONS DATE PG R -INSPECT BY RE-INSPECT BY FOUNDATION 11795-0 PG • so BE MS&LINTELS I�"�C-S FRAMING FINAL CLEAN-UP PLUMBING PERMITS �t& INSPECTIONS CONTRACTOR Kee P wnbin C PHONE PERMIT N2.___101%1 I DATE 11/a/50 FEE$ NEW BLDG. ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE -�-I 10231 1 ,$ SEPTIC-TANK Pennell. 10 1 ll-/g,/50 $ 00 SEWER SOLAR HEATERS $ GAS $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY ROUGHING n/w5 p GAS SEWER SEPTIC TANK 3-1/10/50 PG SOLAR HEATER FIXTURES ELECTRICAL ERMI' ECTIONS 46 CONTRACTOR �A Q PHONE PERMIT NO. V DATE 11.1 • FEE$ 14-95 NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORAR SERO 1s 10201 0 $ 1-00 H.W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY P TEMP.SERVICE __IJAI.50 PG ROUGHING H.W.HEATER CONN RANGE CONN. FIXTURES&FINAL APPROVAL TO POWER CO.FOR SERVICE DATE , AV BY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL El PERMIT N° 10191 Contractors PLUMBING FTI License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Subdi. g Lot II Bl. vision Description ddress of Value of Amt. of uilding Project $ II Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descr ed in the application efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 ted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations aining 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 e by his agents, servants or employees. Signed: VBy 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 ining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ceptinir,this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N° 10 2 31 Contractor's PLUMBING ❑ License No. _ Work to be performed under this Permit Owner of Building Architect Contractor or BuilderSudir, Legal Lot I) Bl. v sion Description. Address of Value of Amt. of ' Building Project $ (I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to 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 a AUTHORITY v/ MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL El PERMIT N° 10335 Contractor's PLUMBING F� License No. Work to be performed under this Permit Owner of Building Architect -ontractor or Builder Subdi- Legal Lot II Bl. vision Description. Address of Value of II Amt, of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements 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 MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL F-1DATE PLUMBING ❑ PERMIT Na 9337 Contractor's License No. ROOFING p ❑ Work to be performed under this Permit Owner of Building r C,- e d °" , )e., t 1 41 .,3 Architect Contractor or Builder Legal Lot IIfBl• Subdi- � Description. vision Sq. Ft. Address of '` Value of Amt, of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility, for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statempfits 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 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N? 4347 Contractor's - License No. "K=.. , E ROOFING ❑ Work to be performed under this Permit — — _ Owner of Building i Architect Contractor or Builder Legal Lot I Suhdi- Description — ! Bl. vision Address off a - Value of rr' ,' Amount of Building Project $ �, Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING PERMIT No 8098 Contractor's License No. ROOFING ❑ r ❑ Work to be performed under this Permit_— I( "` ''_ F`�".•.ti Owner of d` ° I1 e + * d1 } r t Building �� Architect .r+I -ontractor or Builder .4 • Legal Lot II Bl. Subdi- t Description vision M S4. Ft. Address Of r ', Value of Amt, of t Building < �' p 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 't 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 I 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: �._. 816-•-t..., INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances*end 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 !!! CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1075 Miami Shores Village, Fla., Owner, Agent or Tenant of Building Lot Block Subdivision Street Address--� r. ..�. Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos.92, 93, 94 and 97, known as the Zoning,Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. ,:.� �.d„'•"," lo'" � .fid- �: i B IEDING DIVISION t RIGHT-J WORKSHEET Entire House EDD HELMS AIR CONDITIONING Job: 04-06-01 17850 N.E.5th.AVE.,MIAMI,FL 33162 Phone:305-653-2530 Fax:305-653-7933 MANUAL J:7th Ed. 1 Name of room bath 2 closet3 bedroom2 family 2 Length of exposed wall 6.0 ft 3.0 It 15.0 ft 42.0 ft 3 Room dimensions 10.0 x 6.0 ft 10.0 x 3.0 ft 13.0 x 15.0 It 27.0 x 15.0 ft 4 Ceiings Condit Option 8.0 fti heat/cool 8.0 ft heat/cool 8.0 Iti heat/cool 8.0 ft heattcool TYPE OF CST HTM Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) EXPOSURE NO. Htg I Clg (ftp Htg Clg (ftp Htg I Clg (ft) Htg CIg (ftj Htg I Clg 5 Gross a 14B 2.9 2.9 48 **** - 24 **** **** 120 **** **** 336 **** **** Exposed b 0.0 0.0 0 **** **** 0 **** **** 0 **** **** 0 **** **** walls and c 0.0 0.0 0 **** **** 0 - **** 0 **** "`* 0 **** **** partitions d 0.0 0.0 0 **** **** 0 **** **** 0 ***' "'* 0 **** **** e 0.0 0.0 0 **** **** 0 **** **** 0 ""` **"" 0 **** **" f 0.0 0.0 0 **r* ***-* 0 **** **** 0 "*` **'* 0 **** **" 6 Windows and a 2C 13.0 - 6 78 **** 0 0 **** 16 208 **** 150 1950 ***" glass doors b 0.0 ** 0 0 **** 0 0 **** 0 0 **** 0 0 Heating c 0.0 ** 0 0 **** 0 0 **** 0 0 **** 0 0 d 0.0 0 0 *""' 0 0 ""` 0 0 - 0 0 `*'* e 0.0 *' 0 0 *"" 0 0 0 0 **** 0 0 f 0.0 '* 0 0 *""' 0 0 "*' 0 0 **** 0 0 "* 7 Windows and North 31.0 0 **** 0 0 **** 0 0 **** 0 0 **** 0 glass doors NE/NW 0.0 0 **** 0 0 **** 0 0 **** 0 0 **** 0 Cooling E/W 89.0 6 **** 534 0 **** 0 16 **** 1424 60 **** 5340 SE/SW 0.0 0 **** 0 0 - 0 0 - 0 0 **** 0 South 48.0 0 **** 0 0 **** 0 0 **** 0 90 **** 4320 Harz 0.0 0 **** 0 0 "*** 0 0 **** 0 0 **'"' 0 8 Other doors a 10C 7.2 9.9 0 0 0 0 0 0 0 0 0 21 151 209 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 9 Net a 14B 2.9 2.9 42 121 123 24 69 70 104 300 304 165 475 482 exposed b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 walls and c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 partitions d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 10 Ceilings a 18B 1.4 2.9 60 86 173 30 43 86 195 281 562 405 583 1166 b 18B 1.4 3.5 0 0 0 0 0 0 0 0 0 0 0 0 c 18A 6.2 11.5 0 0 0 0 0 0 0 0 0 0 0 0 d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 11 Floors a 19B 0.8 0.0 0 0 0 0 0 0 0 0 0 0 0 0 (Note:room b 22A 16.2 0.0 6 97 0 3 49 0 15 243 0 42 680 0 perimeter c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 is displ. d 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 for slab a 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 floors) f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 12 Infiltration a 1 12.61 6.3 61 76 38 0 01 0 16 202 1011 171 21561 1078 13 Subtotal loss=6+8..+11+12 **** 458 **** **** 161 **** **** 1233 **** **** 5996 **** Less external heating **** 0 **** **** 0 **** **** 0 **** **** 0 **** Less transfer **** 0 **** **** 0 **** **** 0 - **** 0 **** 14 Duct loss 0% 0 **** 0% 0 - 0% 0 **** 0% 0 **** 15 Total loss=13+14 **** 458 **** **** 161 - **** 1233 - - 5996 **** 16 Int.gains: People @ 300 0 **** 0 0 - 0 0 **** 0 0 **** 0 Appl. @ 1200 0 **** 0 0 - 0 0 **** 0 0 **** 0 17 Subtot RSH gain=7+8..+12+16 **** - 867 **** **** 157 - **** 2390 **** **** 12595 Less external cooling **** **** 0 **** - 0 **** **** 0 **** **** 0 Less transfer **** **** 0 **** **** 0 **** **** 0 **** **** 0 18 Duct gain 0°/ *"' 0 0% "" 0 0% "" 0 0°/ **'" 0 19 Total RSH gain=(17+18)*PLF 1.00 **** 867 1.00 **** 157 1.00 "" 2390 1.00 **** 12595 1201 Air required (cfm) **** 471 48 **** 161 S **** 1 126 128 **** 6141 674 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. L wrraghtsoFC Right-Sufte ResidentialTM 5.0.38 RSR28324 2001-Jun-08 15:22:19 C:WIy DocumentsXWrightsoft HVAC\Template\tillman-bevel.rsr Page 2 RIGHT-J WORKSHEET Entire House EDD HELMS AIR CONDITIONING Job: 04-06-01 17850 N.E.5th.AVE.,MIAMI,FL 33162 Phone:305-653-2530 Fax:305.653-7933 MANUAL J:7th Ed. 1 Name of room hall 2 2 Length of exposed wall 0.0 ft 3 Room dimensions 3.0 x 9.0 ft 4 Ceilings Condit Option 8.0 fli heat/cool TYPE OF CST HTM Area Load(Btuh) Area Area Area EXPOSURE NO. Htg Clg (ft) Htg Clg Htg CIg Htg Clg Htg Clg 5 Gross a 14B 2.9 2.9 0 **** **** Exposed b 0.0 0.0 0 - **** walls and c 0.0 0.0 0 **** **** *** **** **** **** **** **** partitions d 0.0 0.0 0 e 0.0 0.0 0 f 0.0 0.0 0 6 Windows and a 2C 13.0 ** 0 0 **** glass doors b 0.0 ** 0 0 **** Heating c 0.0 ** 0 0 **** d 0.0 *` 0 0 **** e 0.0 ** 0 0 ***-* **** **** **** f 0.0 *` 0 0 **** 7 Windows and North 31.0 0 **** 0 glass doors NE/NW 0.0 0 - 0 Cooling E/W 89.0 0 - 0 SE/SW 0.0 0 **** 0 South 48.0 0 - 0 **** **** **** Horz 0.0 0 **** 0 8 Other doors a 10C 7.2 9.9 0 0 0 b 0.0 0.0 0 0 0 C 0.0 0.0 0 0 0 9 Net a 14B 2.9 2.9 0 0 0 exposed b 0.0 0.0 0 0 0 wails and c 0.0 0.0 0 0 0 partitions d 0.0 0.0 0 0 0 e 0.0 0.0 0 0 0 f 0.0 0.0 0 0 0 10 Ceilings a 18B 1.4 2.9 27 39 78 b 18B 1.4 3.5 0 0 0 c 18A 6.2 11.5 0 0 0 d 0.0 0.0 0 0 0 e 0.0 0.0 0 0 0 f 0.0 0.0 0 0 0 11 Floors a 19B 0.8 0.0 27 22 0 (Note:room b 22A 16.2 0.0 0 0 0 perimeter c 0.0 0.0 0 0 0 is displ. d 0.0 0.0 0 0 0 for slab a 0.0 0.0 0 0 0 floors) f 0.0 0.0 0 0 0 12 Infiltration a 1 12.6 6.3 0 0 0 13 Subtotal loss=6+8..+11+12 **** 60 - **** **** **** **** **** **** Less external heating **** 0 - **** **** **** **** **** **** Less transfer **** 0 **** **** **** **** **** **** **** 14 Dud loss 0% 0 **** °/ **** °/ **** °/ **** 15 Total loss=13+14 **** 60 "**** **** **** - **** **** **** 16 Int gains: People @ 300 0 **** 0 **** **** **** Appl. @ 1200 0 **** 0 **** 17 Subtot RSH gain=7+8..+12+16 **** **** 78 **** **** **** **** **** **** Less external cooling **** **** 0 **** **** **** **** **** **** Less transfer **** **** 0 **** **** **** **** **** **** 18 Dud gain 0% **** 0 °/ **** °/ **** 19 Total RSH gain=(17+18)*PLF 1.00 **** 78 **** **** **** 1201 Air required (cfm) - 1 61 4 '*'* I I I **** I I I **** Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wr�g htsoft Right-Suite ResidentialTm 5.0.38 RSR28324 2001-Jun-08 15:22:19 AZUK C:WIy Documents\Wrightsoft HVAC1Templateltillman-bevel.rsr Page 3