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ELC-06-2323 R � Miami Shores Village �n 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 u~ oma Phone: (305)795-2204 Fax: (305)756-8972 ®RiDP" Permit Permit Status: APPROVED Issue Date: 9/13/2006 Expires: 03/12/2007 Permit Number: ELC-9-06-2323 Owner's Name: one: Permit Type: Electrical-Commercial Parcel#: 1132050190050 Work Classification: Repair Block: Lot: Job Address: 1150 103 Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor Total Square Feet: 0 KLM OF SOUTH FLORIDA INC (305)232-1114 Yes Total Valuation: $ 1,500.00 Comments: Re uired Inspections UPGRADE REPAIR ELECTRICAL SEVICE 200 AMP Final Additional Information Type of Work:REPAIR Additional Info: Classification:Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. Fees Due Amount Invoice Number Amt Due Amt Paid CCF $1.20 ELC-9-06-26152 $158.35 Education Surcharge $0.40 Total: Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 � ) ��� 1 4 PAI® Technology Fee $3.75 �,/ Total: $158.35 Building Department File Co NOTICE: In addition to the requirements of this permit, there may be 9 p Copy additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. Applicant Signature Inspection Worksheet Miami Shores Village r1 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 10/24/2006 MCI25200 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Repair Job Address: 1150 103 Miami Shores Village, FL Phone Number Parcel Number 1132050190050 Project: <NONE> Block: Lot: Contractor: KLM OF SOUTH FLORIDA INC Phone: (305)232-1114 Building Department Comments e Inspector Comments Passed Failed Correction �r Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Monday, October 23, 2006 Page 2 of 2 5�!° Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �tow�vp' Phone: (305)795-2204 Fax: (305)756-8972 t�$ rcticsn P+ItatTl�f ,..,, It NusMet b ; 4'V77,; Inspection Date: 09/20/2006 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Wire Lathe Owner: , Work Classification: Repair Job Address: 1150103 ! Miami Shores Village, FL Phone Number Parcel Number 1132050190050 Project: <NONE> Block: Lot: Contractor: KLM OF SOUTH FLORIDA INC Phone: (305)232-1114 Building Department Comments I Inspector Comments � (' Passed Failed Correction Needed Re-inspection a ($75) )C'� No Additional Inspections can be scheduled until re-inspection fee is paid. Tuesday,September 19,2006 Page 2 of 2 Miami Shores Village M rcE7 BuildingDepartment SEP 1 2 � coos 1► 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 B Y._fju/______.__ BUILDING _I Permit No. � PERMIT APPLICATIO ���4106 N �� /UI .Master Permit No. FBC 2004 ,' Permit Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) Phone# Owner's Address City ;52XQ 6 16 3 StateZip J�� Tenant/Lessee Name Phone# Job Address(where the work is being done) /` ® A49 `03�Y City_ Miami Shores Villase County Miami-Dade Zip --s FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name 4 L,44 Q j0 Phone#30.5 Z3 Z/1 fGf Contractor's Address -3®0 EkO E1f 7 5 57- City fCity 12fr�fid,Z State ��� Zip 3r?1 J'77 Qualifier Name E ® Phone# 3,0z:� State Certificate or Registration No.3®_3 03 fto - Certificate of Competency No. 93 ay y Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ 00 ®lo Square/Linear Footage Of Work: Type of Work: DAddition Alteration ❑New �Repair/Replace ❑Demolition P' P Describe',Work: V Submittal Fee$ Permit Fee$ CCF$ ' C //OCC Notary$ Training/Education Fee$ Technology Fee$ 3.35 Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$_,, . See Reverse side--j� Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip F Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS.and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an es ' at value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and constructio brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded n ti f mmencement must be posted at the job site for.the first inspection which occurs seven (7) days after the building permit " 'Iss In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged �. Si a -tt 11ra `��t Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrumen was acknowledged before me this day of ��% ,20,0� by day of,��;�' 20 ,by who is personally known to me or who has produced_PXI who is personally known to me or who has produced #DA) As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: `�� , W MY COMMISSION I DD 473293 My Commission Expires: LNa1HTt3O1 m My Commission Expires: EXPIRES:October 10 2009 * * MY COMMISSION+f DD4733 "�, ,ate � !* 1( E�SY' 08i'U, '40gP,1 emcee nm e 57 APPLICATION APPROVED BY: / Plans Examiner Engineer +" ZOIImg � 4 (Revised 02/08/06) _ • • ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM.IF A MASTER PERMIT HAS BEEN OBTAINED,THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE O DISCIPLINE APPLIED FOR: PERMIT# PLUMBINGELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C(CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS ID. DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY JAPPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY IRANGE TOP UNDERGROUND TANKS CLOTHES WASHER JOVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F.PRESSURE VESSELS SINK.POT/3 COMP. MOTORS 0-1 HP ISTEAM BOILERS SINK,RESIDENCE. MOTORS OVER 1-3 HP IHOT WATER BOILERS SINK,SLOP. MOTORS OVER 3-5 HP IMECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP ITRANSPORTING ASSEMBLIES URINAL I MOTORS OVER 8-10 HP ELEVATORS/ESCALATORS WATER CLOSET IMOTORS OVER 10-25 HP IFIRE SPRINKLER SYSTEMS INDIRECT WASTES I MOTORS OVER 25-100 HP COOLING TOWERS WATER SUPPLY TO: IMOTORS OVER 100 HP VIOLATION A/C UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER JAIR CONDITIONERS HEATER-NEW INST. ISTRIP HEATER HEATER-REPLACE IGENERATORS TRANSFORMERS LAWN SPRINKLER-WELL IGENERATORS TRANSFORMERS SWIMMING POOL IGENERATORS TRANSFORMERS WATER SERVICE ISPECIAL PURPOSE SEWER CONNECTIONS JOUTLETS COMMERCIAL UTILITY-SEWER ISIGN TUBES UTILITY-WATER ISIGN TRANSFORMERS SEPTIC TANK ISIGN TIME CLOCK RELAY IFIXTURES FAINFIELD,4"TILEIRES. JANTENNA PUMP&ABANDON SEPTIC TANK ITELEVISION OUTLETS SOAKAGE PIT CU.FT. IVIOLATION CATCH BASIN IREINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET( 'AS) GAS PIPING cam - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Applicaties) is hereby made for the appropal 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 w building during progress of the work. �4_s --- Date-----------....... -//------------------------------------... ,19------- Owner's Name and Address.--- .___. %_- _ Street.._._____�U ------••y-------------------••-- ----- -._ No. ./ .. ------------------ Registered Architect and/or Engineer ----------------CTl�---�- e-------&� T-------------------------------------- f Name and address of licensed contractor-------......... ------------------------------------------------------- 3 cf Location and legal description of lot to be built on: Lot - 5�. _' Block------------ --------­-----­ Subdivision.---------- - Street and Number where work is to be done.-_-__-.-.- ( . .-•-------------------------------------------------------------------------------------------------------- S�t�ate work be done and p ose o!' buildin (by floors)____..___ -.-. ___ T _ f 02 04 -..... - ------ = x - and for no 1 4 i ""` other purpose. New Building---------------------- ---. Remodeling---------.-----.._--_ Addition-_-------------_-------- Repairs------------------------. No. of Stories --------......... To be constructed of----- ----------------- Kind of foundation....---------------------------------------------------------- Roof oviging---------------------------------------------•- Estimated Total cost of improvements $..-_a. .. _________________________Amount of Permit $ Zone cubage required - "._... _.. flan Cubage ----------- Distance to next nearest building �. Size of Building Lot.......................................................... Maximum live load to be borne by each floor.........-----------------------------••------------------------------------------------------------------------------- - ----------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to-----------------------------------------•----•----------------=-------------------------------------------------- The ----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 Sup lenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employe 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks------------------------•-------------------------------------------------------------------- (Signed)----------- --------------------------------------------------------------------------- STATE -- STATE OF FLORIDA, ! COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -------------_-• -•------------------•-•-----------•------------------ ------------------------------------ ----•-----------------------------------------------------------------------------------•---------------------•-----.----------------•-----------------------------to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the___-------------_.___--_______._______.._________________.__-_-_._____..___._-___ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No-------fon--- Date..____ .----------.- _........ Read, Sworn to and Subscribed before me. --- -- Disapproved ---W Date- `.. _,--------- ------------------- - - ---------------- --- -----••----•----•-•--•---------•------------ Notary Public, State of Florida (Signed) --------- -------- ---------------- Buil mg Inspe r My Commission Expires-------------------............................. ... NNING 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. �f P� -T 56 14 e ell I I i —!--- — i �Ilu � I 0 LICENSED AND INSURED PLAZA 5-2447 q. a2mari c O)2; ,, _qne. BUILDERS 1200 N. E. B1 TERRACE MIAMI, FLORIDA L"rc LAri5� t ON r � a F n r d f 6 </ 7 t10 illy ot TV -' zzz Zo �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------- Owner's Name and Address.- =:- fir �L — TVo. / ?' /'Feet ' - Registered Architect and/or Engineer._- .- -��.. ------** - ... - - :........ ---------------------------- ------------------------------------------------------ - ------------ Name and address of licensed contractor---------_---­---- --------------- 6)----------------------- -------_ --_------- -------------- ------- Location and legal description of lot to be built on: Y Lot--------------------------------------- Block-------------------------------- Subdivision---,.r --------- --------- ------- ----------- Street and Number where work is to be done - ��)c---------------------------- State ---------- ------------ - - - State work to be done and purpose of building (by floors)---- -' __------ - r �, ----------------- ------------ ,p�j ------ ---------------------------------------- ------- ` f----= ...........'� ���'---------- ------- and for no other purpose. New 'guildiug--------------_------------- Remodeling..------------- ---- Addition-.----------------------- Repairs-------------------------- No. of Stories----------------.------ To be constructed of------------------------ Kind gf�o da n a---------------------------------------------------------- Roof Cover' Estimated Total cost of improvements ________________----Amount of Permit $-.-.--..----_- P $------- ------ 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 Sup dement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performeN under this permit, as are licensed by Miami Shores Village. Remarks-------------------------------------------- -- c, --- . ---------------------------------•---------------- (Signed)---- ------------ `-�--------•------------------------------------------------------- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -•-_----------_------------------------------------------------------------------------------------_-----------------------------------------------------------------------•--------------- -------------------- ------------------------------------------------•---------------------------------- - --------------------------------------------------------- --------to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the------------------------------------------------------__-------- ------------------_- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him ��stated are true. '^� Permit No.__`�_ _ _____________•_..___-__.- Date-___......._ �_--------- Read,Sworn to and Subscribed before me. Disapproved --------- "t Date-- - r - ------- y - (Signed) - --- Notar Public, State of Florida -------- - Bui ding Inspector My Commission Expires________________________________------------------------------------ PL NG ___________________________________PLING 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. `e i 1flcCL- 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 a•. building during progress of the work. bc Date--•----------••----••--------- - 19. RC1 -- Owners Name and Address.... .-i............................. - -- ------------- No.-----••((�._._.. Street...-•--------------3-------- Registered Architect and/or Engineer._......... ..................... l l ---------------------------------. •-------••••••.....................•--- Name and address of licensed contractor-----------•--------•---4------------------------------------------......A.................... --••-•---•-•- •- -----------------------•---------•----• Location and legal description of lot to be built on: . Lot--------------------------------- Block-----------':. - -- - Subdivision- = - �-t - - x -------�------- --- Street and Number where work is to be done.-----------_._.____.: �p / v�-�-� State work to be done and purpose of building (by floors)__._......__�G..�.�____..�^__________ __________________ _______._____...__.______...__.___.._..._._._ ----------------------------------------------------------------------------------------- ----------------------------------------------------............-------------------------------------------------------------------------- --------••-----------•-------•--------------------------------------------------------------------.................-•_.. --------------------------------------------and for no other purpose. New Building---- Remodeling_._.-_................. Addition....._...._..__.._.. - Repairs-------------------_---- No. of Stories------------.----------- ' ,�, To be constructed of------ :�� �._____- Kind of foundation_.._ 6�'!! '�:_._1 :J___.------_____.------ Roof Covering---.Z:: Estimated Total cost of improvements ®...............................Amount of Permit $y___MI-- D�_-_-__.-.--_____----r----- Zone cubage required-----------------------------------------•-----.----------------------------Plan Cubage----------�1 5- �C!.'. . . -- - 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - Remarks -- (Signed) - -- � e i } ST. E OF FLORIDA, + 'CO TY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -------------_----------------------------------------------------------------------_--------------- -----------------------------------------------------------•----------------- --------------------------------------------•--------------------to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_------------_----------------------------------.-__---___-__-•-.-___-............ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated 11are true. ce Permit. No.____._-' _l__ -------------.-------- Date______....._ _ __.. -p Read, Sworn to and Subscribed before me. Disapproved --------- Da -----• ---------- -------------•-- -------------------------------- --------------------------------------------------------------------- Notary Public, State of Florida (Signed) - Buil ing Inspec My Commission Expires------------------------------------------------------------------- P -.-._________P NNING 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. J -� s • r ,' '2-L/� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iiuilding Division of Miami Shores Village shall be complied with, whetd er berein specified or not. A copy of approved PI ans and specifications must be kept at building during progress of the work. ..d t Date -• - -- . . 19. Owner's Name and --- , .�. --------------- No.-- -• --- ' Street---` .._ '---------- Address._ Registered Architect and/or Engineer.. .�. +� y .._ ..... ... Name and address of licensed contractor.. -�------------------ -- -------------------•--- -- = -----------------•-•-----------------------------------------' Location and legal description of lot to be built on: � —---- Block----------- Subdi ision.. f - Street and Number where work is to be done...... _1„��-__- _ fl. _.e_- ti ' 6__d-----•- -------- --_--_-.....................-... --- - w o _ State work to be done and purpose of building (by floors)---------- 1_..__---_----.----w--_-- ---..- -----=-- ------------------------------------------ ---------------- `----.-------------------__----___----------------------.......-...........-_......_.......---------- -----•----------------------------------------•-----------•--•---••---- .............................................. - -------------------------------------------------------------------------------------and for no other purpose. New Building-- k - Remodeling.......................... Addition.......................... Repairs-----------------_------ No. of Stories...--/--------_-------- To beconstructed of-.��-��'_.'.__.-.--.--- Kind of foundation-._: < ' ' L - Roof Covering. Estimated Total cost of improvements $ u-- ; ,_Amount of Permit,$ ^_ ................. Zone cubage required-----•----------------f 6 r - c- ...plan Cubage------ � __�� L��� ,� Distance to next nearest building----_---- - ` --- _Size of Building Lot. = `� - ------•----------•----------------------•--- Maxhnum live load to be home 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-- r -�i/— L °- �} — ----------------------------------------•-------•---------------------------- 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subco tractors,,on work to be performe under this permit, as are licensed by Miami Shores Village. Remarks--•-------------------------------------•-_-_---------------- _ _.—__ (Signed)------S-- "`'-- ---a-`'--�--------------------------- STATE OF FLORIDA, I . 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit ---------- Date------ 9 �__ .�? ___. Read,Sworn to and Subscribed before me. Disapproved --------------------- -------- -------------------- Public,State of Florida (Signed) -=--._.Ja �N.�.. ...?� `` 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. 4. 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, whet]er herein specified or not. A copy of approved plans and specifications must be kept a building during progress of the work. � , i� G Date - !.........................•----------•.......19--- ... 41 / (J Owner's Name and Address._. .._]."� Jy... -� /�� ------------------------ ----------- ---- --------- No..-,./` Street f� - �'G�--/�=✓( Architect and/or Engineer__�Y.G'.__ �� �___--_____! f J a ----------------------------------------------------------------------- Registered Name and address of licensed contractor------- ......•...•- ! -------------- - ----- Location apd legal-des ript�ion of lot to be built on: Lot--e.------ -- Block----------'-'----------------- Subdi ision-----------------------------------------------------------------------------------------�=-----•---��--------- Street and Number where work is to be done / 1 E 1L r7 -A-------------=--------------------------------------------------••--------- State work to be done and purpose of building (by floors)-------/.......... L `. ..----------••------•-•-------•••--.r-------- ----------•----------------------------------------------------------------------------•---••-•--•--------------------------and for no other purpose. New Building----1----------------------- Remodeling_.--------.------------- Addition._._.-_____.--.__.___--__ Repairs---------------------____ No. of Stories----/._._-_--._-.__.._ Te be constructed of. ----__.-_--------------.- Kind of foundation--____ O'`_��'E._-r.--'. Roof Covering `---------------_-i ------- - w Estimated Total cost of improvements $x 3_._/; .` ._._Amount of Permit $ - �_.r-_______---- 7one tubage required = Plan Cubage - --- ----------- Distance to next nearest building_._..____ ., ...- :�:_ _..�'_____________________$ize of Building Lot-------__r.......___x_.__. r�:._=f?.. _..........._.__...______....._ Maximum live load to be borne by each floor.______._._.------- ---------------- ---------------------------------------------- ---------------------------------------- i 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 suchublic notice or notices as are required by the Act. The undersigned agrees to employ only such sutractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks-------------------------------------------------------------------------------------------- (Signed)------/,W/-" l`'" STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ----------------------------------...------------------------------------------------ ------------------ -------------- - ------------------------------------------------------------------------------------------------------------.--,to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the______..___-_-__._______-._______--_.______________ __ _ __ __._ . . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No--------__a_�_1_cl-----------________ Date-------- ------- Read, Sworn to and Subscribed before me. Disapproved -------------------------------------- Date---........................................ •-------------------------------------------------------------------------------------------------------- Notary Public, State of Florida (signed) C� -N--------M iV4n ''4'' - = ----------`-'`&zt, - 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 i$1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. t e ` � 19 �G - �- a - ,. n�°��I f I���� -.., '._ Nnew�aaz.�,+i;�r.d•'J Yy ;,� t. ��_ �� x'r r ,.moi a Z G ���� 1 �-A �M-'yt,R b Mi`S.�l.,�+[. 3 1 >♦� �1' �. 4 � ;1 : i t `� -, r c�>i�,. ¢ x,•,;.� � ���?� �.,i ist i�,,.��7��r�r�'.;�t t�` _�s .�. a• � --. J ''ht 'ftY�,n-...a +.+.. t � "� �atis,�,w�+t -3 �^• iT :x ` k r.r ai� _ / t/-�y �� a xat'J' 3!^�1 t: . t.fi t r� � c q s +• r—• ,. F ?aw,�`•S-t-t "!s 9 - rfJ ?'s.' :i rPr s�-.`afi].T .„ - 1 � 1 ,,, y l P i - ' "['a - � ' •-, %gin' 1 ��-# /��•-� �• - } � is +.� U 71 r$ �ts.�,•s '' ' 2 ' �C P'T f -•LlJ ` � � �j////jam +ir ip ,( T. 2� i t s jp X � 66 R� 'R3'r4 :.1,� �.- - '.cJ.f� ,rb2 -. ^4 „y �2 •6�'� ��Fk',L'+k�: , .. � ... .. - - :i=7.�"�.i 4;:��` f'r}s ctti+�•� ,mak .n A 0- 7 t Cho ' q A�C rT a* s,A a W tit 7,0 r � s� CoT 0i LoT It 4;NZT O�, LOT -,i A 0 3 Z*- Block o r- CTPT rz C 6% -X�r' lot-9f/ O-L, WAM SHO."ZU 64C. h3 sb )T OPublic reaerds of FLORIDA. (0027 for 14ARTZY ChPLAAK 0 'br. -a C_ A, _T_ I Wj A- P LOCATION Section F-- . 1 0 3 fto. L17. I hereby certily: That tho attached SURVEY of-the uforomontl,m.ed pr*p3rty, is t.ue and correct, to the bq U3 IL best al my knowl edge and belief, as r-iw-onlly surveye4 10-1 and plat-od under my direction arT4d supervision; 50 I Ff also, that these are no errroac-b'meats' unless shown thereon. CVv ge Reg. Engineer Ns. 3469 Reg- SURVEYOR No. 717 STATE OF FLORIDA < 1896 N.W. 85th Street Miami 47, Florida Pl. 84368 - PL 8-8677 NOTES IP—iron pipe 8—iron bar 6 '8" rd. EP—Else. pale swk—sidewalk urL v-- DH—drill hole PL—property line A CL—center line f---'_�" "_ :,_-- .✓�. ,. :�-�. 7 r ' 'tw _ - r+ T if F 7P .�_ �" ,/G� x a JL 104A *`c -k iz pi'ksr o 1 ,�,t Miami Shores Tillage APPLICATION FOR FINAL INSPECTION Prior to a final inspection this application must be filled out; if sub contractors have failed to take out permits the general contractor shall be responsible for the permit and fee. A final i%spection must be made prior to the release to Florida Power and Light Co. and the issueance of a certif*tate of occupancy. OWNEI' zz� JOB ADDRESS LOTS 6 OCIC a , ? UB. BUILDER DAY LABOR CONTRACT DATE //� r 19444 ITEMS SUB CONTRACTORS & SUPPLIERS / NAME & ADDRESS AMOUNT 1. Architectural Fee (Plans 2. As haltwalks drives etc. 3. Cabinets - Bath Vann 4. Cabinets Kitchen 5. abinets - Medicine 2"k, I 6. Cabinets - Unit Closet 7. leaning Zi TZT T-7 8. Clearing Site 9. Concrete - Foundation Slabs Beams -._;�, / �i. e� 10. Concrete - Walks drives etc. 11. Contractors Fee -� 12. Electric Fixtures --o' 7.,1A, e i 13. Electric Wiring 14. EquiMent Rental - 15. Excavation 16. Fill for Slab v c �� ,;T T 17. Floors & kitchen 18. Floors - Terxa°z.9- L'�473,4.� '°/l C ✓• e.' a. r>'^'i=r/ l ies-'fz 19. Garage Doors 20. Glass Sliding Doors ' ���'L 21. Hardware Finish -;p 22. Hardware - Rough 23. Heating t q✓ ` 7'' 24. Insurance - Liabili com .-bond 25. Labor - ?Moll 6. abor - Contract f- 27. Labor - Contract 28. Landsca i.n Fill Gradin / - 77777 29, Lath Plaster2 Stucco c ccccfLE 30. Lumber A11 31. sonry Laborh e T� 32. Masonr Materials, Block do15 33. Millwork ' 34. Miscellaneous 35. Ornamental Iron Work 36. Oven & Plate - Built-in -� 37. Overhead 38. Pai,ntin 617.7 7/7 , IIx 39. Permits T02oraEy Power 40. Pilin Foundation 41. Plumbing Com lets 42. Pool - Swi mm n 43. Roofing & Sheet Metal Work a� 'e, 3 44. Roof Trusses - Pre-fab. ,J '�,$_ - ._ ! t �+� a.cs /Ij�.� 45. Screen Enclosures 46. Se tic Tank or Sewerage 7 7 T,z 7, -js-;- L711 47. Shower or Tub Enclosures 48. Steel - Reinforcin & strl. 49. Su envision - 50. ServesJ �sC-T e `d=" 51. Tile & Marble C` cam, v 41z<L- 52. Water - Public 53. Water - Well & Pum 54. Windows - Glazing & Screens ; `.� �°` -7 55. Window Frames - Concrete i A N SIGNED �° '- �-,_�-�` TOTAL /' CONTRACTOR MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING C'.i AiMIT Permit No._� ' - - Date-----•--2/2b/�-------------------------- Application is herebor 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-__Mr._Carmen -._. No. 1150 Street--------N.E. -103rd St. Registered Architect and/or Engineer --•--..— -_---------------..._-_---__----__--- Employing Plumber's Name_---_-Rose—Sep$1C____T2_nk _ No. Street-- Location treet_Location and Legal Description Lot—___ Block Subdivision..._._.._. 1150 N.E. 103rd St. 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 LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS Tues URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'S TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Sizo septic Tanl+~_700 Gal. -..-_______Type of Tank�P.rec_ast_ ---___--Capacity Gals.-___700 Gal. 32' Blk. Dr. Feet of Drain Tile- Feet of Tank or Drain Field from Well------_ _---.------_--_-------__-_--_-___._-_................. Nature of Water Supply: City—Well.— --_---_Size of Soakage Pit---_-------_--___. (Signe Amount of Permit d) G 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 Worlanen's Compensation Act,being Section 5988, Compiled General Laws of Florida Permanent Supplement, and hus 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. ?� _ J /'/ �V l (signed)---- _-'--__�.�`-��s�--------------------------•-•---------------_ Master Plumber. STATE OF FLORIDA, t 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 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 some, 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-fnspectiou is made-necessary by improper notice for inspection, or faulty materials and/err workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r�4i,MIT 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 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 AddressNo. Street_----__...------_-------_----------.- Registered Architect and/ En - eer UJ 7 Employing Plumber's Name-----_- r _ ! --� ._ No._ <4A. Str,_L - � - Location and Legal Description Lot— _ Bl Subdivision-AS------!'9_ -. 7 .. Street and Number where work is to be performed—No. State work to be performed and purpose of building (By Floors) New Building_-_ ------.____ Remodeling ___-_ Addition-_.—.—._._...___..-.. Repairs_.__..__.-.--__.._..__ No. of Stories....•................. BATH LAVA• SLOP �RY CATCH FLOOR DRINKING I S°F/ � .�. TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS ITit1b URINALS BASIN DRAIN FOUNT'NS w z� FIXTURES CONTR. LIST ' CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'O '�'f - TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. / LIST CHECK Size Septic of -------- --_._._—__..---.--Capacity Gals-----------_--------—........ ........... Feet of Drain Feet of Tank or Drain Field from Nature of Water Supply: CityWell. -----Size of Soakage Pit-------------_____ .____ __ _------.__..__ -____•_ __—_— �----ter- ---------- --..�__ _-------- � ----------------'----•---- Amount of Permit (Signed)— lnmbing Inspector. The undersigned applicant for this building permit does hereby certify that lheemntands and accets his obligations as an employer of labor under the Florida Workmen's Compensation Act,being Section 5988,CompiledLaw&o Florida-Permanent Supplement, and has com- plied with the provisions thereof,and will require similar compliance from all cp�sub ttactors`'�empjoyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection t$ of ; 'work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contrA work o be peFformed under this permit, as are licensed by Miami Shores Village. A(Sigma1 ," - - - ' Mester Plumber. 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 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 thereiu by him stated are true. ---�_�- My Commission Expires Notary Public,State of Florida NOTE: A re-faspection fee of$1.00 will be made when such rainspeotion is made necessary by improper notice for inspection, or faulty materials and/or workmanship. se lift T�. bit# �M@ _ c® w� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT - i .L �,� .. APPLICTION FOR ELECTRICAL PERMIT 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 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. Owners Name and Address...l . iL. ......... ..............No.......Z!:`.! .........................Street....4 ..C.:......./..+ .. ........... . RegisteredArchitect and/or Engineer.......`............................................................. ...........................................................�......................... �:. Employing Electrician's Name..., ......�.......... .�:c—c.. .� .-<........._. Street7 i Location and Legal Description Lot....................................................................Block.-•---................::.. ..............Subdivision................................................ Street and Number where work is to be performed—No.........1!.�:.... ......f:.:.L.:...�!?.. ...: Street............../-...........---...................................... State work to be performed and purpose of building (By Floors)...... ......�.`.:.....n.�;� :.......r. :.�?.e'!a..�4:.... ............................. New Building.... ...........................Remodeling................................Addition..............................Repairs......................................No. of Stories................... SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. gRACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. NZATER HEATER �e CONTR. ` 1 LIST z- L / Z e CHECK -2 ENT. DIST. SERVICE SERVICE "'' fO e"�' �r 5/1esa MOTORS MOTORS NEON RADIO TOTAL :. SW. CAB. TEMP. PERM. „� fg �iV 0.1 HP 1•5 HP TRANS. C"TR.iS CHECK —�+— Overhead Service Underground Size Feeders....................Conduit................ Amps Sw...............................A .....Main Fuses......ps...................... p Type of Installation—Conduit........................Tubing........................B.X.L.........................Metal Moulding..................................................,:.................... ..... ».... ........................... .....» .............» .. ... ................. . .............. ..................................................................... ...........»..»..��.».......... .:................... Amount of Permit $..................... 3.G'.. ........................................... (Signed)..... : :L......: .. .....................j ........:............... 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 siteof 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. 1 �fiZL (Signed)--... .............................................`.»....»......»....................... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. j as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. .......................................y...........:...:.......»�....................................... ....................................ry.......... ......................:.................................. M Commission Expires Nota 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. FORM 63 REV. ELECTRICAL INSPECTION DIVISION BUILDING DEPARTMENT P. 0. BOX 708 MIAMI 33, FLA. I hereby make application for an electrical permit to install or change electrical wiring in or NO. on the premises described below. I agree to comply with all the rules and regulations govern- ing electrical installations in the City of Miami. DATE LEGAL DESCRIPTION: n ,p Lot Block Subdivision Owner or Address �/,. ✓ /;' / Occupant % -^- Building Occupied as: New Construction Existing Structure Addition to Existing Building ROUGH WIRING Total Ceiling Bracket Receptacle Switch Bell Floods Sub-Feeds SERVICE Outlets Transformers AMP. AMP. Equipment & Special Outlets Stove Water Space Other Main Switch Size Service Size Service No. Circuit Heater Heater Wires Conduit Drier Refrigerator other Machine MOTORS — AIR CONDITIONERS (List and Give H. P. of Each Motor) Display Streamer Special Sign / Case (Festoon) Outlet Total Bulb or Tube Sockets t/ Total Sockets Ceiling Bracket Master Ready Electrician Phone Will Call Firm Waiting to Cover Name - Address INSPECTION REPORT Date Application Received Fee Paid ROUGH WIRING FINAL Final OK No. OK for RETURN ( ) Inspector Inspection Will Not Be Made Without Permit ! FORM 63 REV. ELECTRICAL INSPECTION DIVISION BUILDING DEPARTMENT P. O. BOX 708 A. I hereby make application for an electrical permit to install or change electrical wiring in or NO. on the premises described below. I agree to comply with all the rules and regulations govern- ing electrical installations in the City of Miami. DATE LEGAL DESCRIPTION: Lot Block Subdivision 9 Owner or Address �, I � �."" Occupant , a- Building Occupied as: `� New Construction Existing Structure Addition to Existing Building ROUGH WIRING TotalCeiling Bracket Receptacle Switch Bell Floods sub-Feeds SERVICE Outlets / Transformers s� AMP. f AMP. Equipment & Special Outlets Stove Water Space Other Main Switch Size Service Size Service No.Circuit Heater Heater Wires Condult Wash. Drier Refrigerator Other Machine IR.MOTORS— ACONDITIONERS (List and Give H. P. of Each Motor) Display Streamer Special Sign Case (Festoon) Outlet Total Bulb or Tube Sockets Total SocketsCeiling Bracket Master , Read Electrician Phone/ Will Call Firm Waiting to Cover Name / -� Address INSPECTION REPORT Date Application Received Fee Paid ROUGH WIRING FINAL Final OK No. OK for RETURN ( ) Inspector Inspection Will Not Be Made Without Permit ! t 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 os 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 tile Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the ficatuil Building Divi ion t atyibuildinhoreillal h the workd with, whether herein specified or not. A copy of approved P P g duringprogress Date.......Mar_ch--14-.1-960.- ---•-----..._,19------•- Owner s Name and Ad4ress......1%rrY-_.C8..rM8A----------.._--•_----- ............._. No. ...121.0 Street..N.•._X.. Alai---Terrace RegisteredArchitect and/or Engineer.................................................. ---------------•-------•-•-••---------------------------------------••--•---•---------_................. Name and address of licensed contractor. 11�.-ROOfLIg &_Tie_CO„•__I11rr•._�••,/a3�._�tJ�_.lej,__,'79th._Bt._�.._M38mi__E]a. Location and legal description of lot to be built on: Lot--------------•-•.......................... Block.-------••--....--•-----........ Subdivision.-._--.-•----•--------------•-•-•-------------------____-----------------------•-••-----------------•--•- Street and Number where work is to be done------- .-...—....._.................•.......... State work to be done and purpose of building (by floors)..._........._............----------------------------------------._..........................•-----------•-------•........... 36 squares- 30#_,felt. 90#•slate, -big tile. ....•.....................................-.........................................—- ._ .,-r------------------------------------------------------------------------------...and for no other purpose. New building....A...................... Remodeling.................. ....... Addition.......................... Repairs.........-•-•---•-••-•••• No. of Stories......-------........... To be constructed of............................ Kind of foundation...------_-----------------------------------------------•--_-. Roof Covering...shingle...tile------------ Estimated Total cost of improvements $.... 37gs- .....Amount of Permit $..................&.N......-............_..........I- --_-•- Z,one cubage required------...._-------•------•-•--_--_----------------_------—----.._-.Plan Cubage.............................-...............................................----•----..------ Distance to next nearest building------•---_--•-•-----•-------•---------------_-Size of Building Lot......--•..........-...................................-----------------.------- Maximum live load to be borne by each floor.................--._-_--___..._..-r-----------------------_--.----.-_-...__....... 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 Suplament, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employeTby 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 pr 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 OFING TILE CONPANYq , Remarks------ - _....._......_.—_ (Signed)..- ----�- STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared ____--,---------•------------------------------------------------------------------------............................_.. —- -- —----------------------------------------------------- - -•----------------------------------------------------------—---—-----.--..to me well known, end who,beta by me first duly sworn, upon oath deposes and says that he is the.............................. --------- ----- . _.----------- _-•-__-.----------------------- of the above ascribed 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... '_: "__9... _----------._ Date_. =11-Z ....... Read,Sworn to and Subscribed before me. Disapproved - - - —Da - -----------------_-• -_- ------------------------ ----•-------_-•- Notary Public,State of Florida (Signed) ---•-------------------- Building Inspgctor 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. 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...-..................... P Owner's Name and Address.. V S` vS: ' ----------------- No. _.�! '.......... Street-AK_-- --1.......6t.' ... Registered Architect and/or Engineer.-----................................. -------�v -----............----------•-•-•-----•--•-----•.----- --••---•----......._......... --__-•---...... Name and address of licensed contractor.._.Fl(.�`1__'�® =+---_-- r/Z `--c--- 0 E-_-a--r----------------o---P rJ•-- lit;-- S'1-1 l f Location and legal description of lot to be built on: Lot............................--•---........ Block.----- " Subdivision......................- . . Street and Number where work is to be done........C.Y.1 -C ......5,7 ______d'5C,4 rw� � -----•----------_-----------•---•--- State work to be done and purpose of building (by floors)..... _i/'�------ -------- -----__.._-­-_--`=Y ---­----------------------­------------------------•-------•------•-----------•----...............------------------------------------------------------------------------------------------------------------------------ -----•-•------•--•-------------•----------------•---------•--------•--------------•----•--------------------•------------------.-.and for no other purpose. New Building---------------------------.. Remodeling..................-....... Addition...........----------•--- Repairs.......................... No. of Stories-- ------------------ To be constructed of---------------------------- Kind of foundation.-------------------------------------------------------------- ioof Covering---------------------------------------------- Estimated Total cost of improvements $--..-•�•.... c�.........................Amount of Permit $..........................-----.---.---------._.-.- Zonetubage 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 theprovisions 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 suchpublic 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. 1=�1?A;`�cvt /daft Ca/i 0,T1•;Y Mle G;,;`o Remarks _ - - — — - - ___ _. (Signed) c. -�-•. --.---------- -- 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. 77 Permit No._•_-��_Z--_•-•--.--.__-__ Date_____-_`%��-1__--=-_f ____ Read,Sworn to and Subscribed before me. Disapproved __ -- Date — 1 — — --------------------------------- - - - ----- ------- Notary Public,State of Florida (Signed)_= ------ ._ •.-•••_ :-.:CYT---:-- r:__.--- --- Bu ng Inspector My Commission Expires--------------------•-------------------------•-------------------- CANNING 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. L"k 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 ot. Acopy of approved plans and specifications must be kept as building during progress of the work. P f"'� Date. - - - ,19........ Owner's Name and Address.-----_._... ............................. ---- Street -------------------------------- Registered •--------- ----- ------ ----•-•-•----•................................ Name and address of licensed contractor..___............... ....... /-------- ------------ Location and legal description of lot to be built on: Lot---------------------------------•----.__ Block........... -•---•.••... Subdivision.................... ----- — - - --•-------- Street and Number where work is to be done----------------_----------• .••--•-- ----- -------- - - --= - - — - State work to be done and purpose of building (by floors)--_-- __-- --•- --- ---- ....-........-.-- -- •--•----.----------------------------------.____-•.-_-_.. --•---------•---..........................-..................._..................---------------------------------------------------------------•----------------...................and for no other purpose. New Budding---------------------•------.. Remodeling-------_-------------- Addition-------------------------- Repairs----------•-••----•------ No. of Stories.......................... To be constructed of.-------------------------- Kind of founda ion---•--••------------•-•-... --•-------------......•--------__ Roof Covering.......................................-•----- Estimated Total cost of improvements $_________ ______�-- - Amount of Permit $--------------------------------------------...---_....... _---------------•--_--- \� Zone cubage required----------------••------ .-.Plan Cuba e ------------------------------------------------- g ..........................---------------------------•------...................----------------- 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 subcontractors, on work performed under this permit, as are licensed by Miami Shores Village. Ct `` ' Remarks--•--------------------------------------•-------------------------•-- - (Signed)------------------- --- STATE OF FLORIDA, = COUNTY OF DADE. as. 4:Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -------•-----•----------------------------------•--------------------------------------------------------------------------—-------------------------------------------------------------------------- --- — -----------_ --__.----------— -—- - --------------------------------------------_-------------------------to me well known, and who,being by me first duly sworn, upon oath deposes and says that he is the-....--------------.......................................----------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.---?-,,�_.._-_------------------ Date---------------------- ----- ____-.--_-_ Read,Sworn to and Subscribed before me. Disapproved __—__ - D — -—-- —— - - - - f --------•-------------�-- ---- -- - Not Public,State of Florida �- (Signed) -•--t-'��c------._--e°`:_._ ...- •- ---�_-------------'�`------ Building Ins actor 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. -- -- , ;� ' � ' \ , � - _ �. 3 .,-! -��t t PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date F/,, �'� Job Address /I 5® ft E / )3 124�S-` Tax Folio Legal Description s.Q, Historically Designated: Yes �/ 2 No Owner/Lessee/Tenant l/ Master Permit# 4 2 ()n 7 Owner's Address O?L tv 07 S Zip 331 -A Phone S o?X01/ Contracting Co. S'f Fame e biC + Address 6.-) 10 Qualifier C'u r-a S S State# Municipal# Competency# 9rb S op Co. Architect/Engineer Address Bonding Company Address Mortgagor Adams Permit Type(circle one): BUILD G CTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft 1 8 9 I- i m e cA r �ee+ 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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work be done in compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above- ed contractor to work stated. n 4-V tq i e of er and/o Condo President Date S"eo�ff act Date Notaryto Owner and/or Condo President Date Notarysono or er-Builder Date My Commission Expires: O'011% C"Ia Seul�1 My Commission 1reS: FFICIAL NOTARY SEAL * *MY CDMrWSSW CCBGB194 CIADYS J VILLAR NOTARY PUBLIC STATE OF FLORIMA Expires Noverrdaer23,2�1 COMMISSION NO.CC714163 .MY COMM5[ON EYP.MAR.1 FEES: PERMIT -( RADON C.C.F. �' ® NOTARY BOND TOTAL DUE Y t0 +2O APPROVED: Zming Building Electrical Mechanical Plumbing Engineering 4LSW 04 IM •" °[ TrC ��� V � :'.�,� l��i� Z.�t� �fid' f. Block'--1+ `ob• �' r fwd all IT5AJB y p �172A �A Ov TIM i2t�T'rc►. v sic. 8 �. k 3 _ 67 Public raarrds of �+DS Coo= M y� ,�a� 0 ' FLORIDA. h hMN L�a(M ZIn C FA'!i. TSR , •� tea. a.. L O s r.. ,�� c W AUMy VIA_ 8,20411:1 i,,. C) C .� T ! 1 LOCATION RAMI SN_OWES LL.A. ,- tJ. C lb.400 i Fr JAN_RY 2q19 60 0 4t of pI hereby certify: That the attached SURVEY of•the ' atoromentiored property, is true and correct; to.the N E► b beat of my knowledge and belief,as recoiitly surveyed (�a/ and plat-ed under my direction and superniston; erT gotb:. . also, that there are no er:croachnonts. Shown thereon. 00., 0 o0 . e • Heq. Eaginser No. 3465 . �, t Req. SURVEYOR No. 717Ck STATE Or FLORIDA ( L�, 1888 N.W. 85th Steeet � c � ` � Q • , ;, _ �„ Miami 47. Florida PL 8-8368 . PL 8-8577 NOTES V� V—iron pipe 133—Iron bar 5/8" rd Ep—Moe. pole awk—Sidewalk L o DH—drill hole PL—prey llae S c L�!► t•a 3 O l f CL—center line 1b (�117,AdN.f roe_ 77L-A-1!�4 - t 6 ' p- L LALIC U.S. SOUTH Project Engineering & Testing Lab., Inc. N2 2347 6065 N.W. 167th Street, Suite B-23 • Miami, Florida 33015 Telephone: (305) 558-2588 • Fax: (305) 362-4669 ON-SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 --------------------------------------------------------------------------------------------------------------------------------------------------------- SITE SPECIFIC INFORMATION Owner's Name: M SS i Gr t Permit#: $P 3vO72- -344 Job Address: I l 5'o t4 r=� L O 3 ? .1 M L A N4 1 S i-O Z ` f Roofing Contractor: v Q l i TZa G ti L,F� 1 S FE I S ` - �- A hsl S� Type of Tile: �? T Date Installed: Approximate Roof Height:-Mfeet Roof Pitch: 3 ' I -2- Type Type of Access to Roof: Scaffolds ✓ Ladder Other Approximate Square Footage of Roof: 31B ftz Required Testing Force: 35 lbs. Testing Equipment: Chatillion 100 Date Tested: S -1 '7 -0 2 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- TEST RESULTS P= PASS, F= FAIL Test Location Uplift Pull Test Location Uplift Pull Test Location Uplift Pull Test Location Uplift Pull Test(P or F) Test(P or F) Test(P or F) Test(P or F) 1 26 S & 51 76 2 27 52 77 3 28 53 78 4 29 E65 79 5 30 80 6 31 1 7 32 82 8 33 83 9 34 84 10 35 11 36 86 12 37 13 38 88 14 39 9 15 40 90 16 41 1 66 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 1 97 23 48 73 1 98 24 49 74 99 25 50 75 100 -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPO BY v �S v�®Z Civil Engineer: Lab Certification#98-0608.04 State of FL Certificate Authorization#4100 p jos t l�� ►-} t® 3 Z i, SHEET NO. ZOF Z CONTRACTOR Qui+ L RAP 40 CHECKED BY DATE SKETCH OF ROOF SCALE /� � r P, AA2 3 0 2 NOTES: 1 ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 12-13-01 Job Address 1150 N.E. 103 Street TaxFolio / 13 a 0-6- 0 / `S} D (9 ITO Legal Description L--Qunllu horr-Q Historically Designated: Yes No %/ Rader Memcri o-L Owner/Lessee/Tenant Rev. Paul Mas s i nq ill / (,(Nl O.ln arch Master Permit# P. .20D Owner's Address - 205 N.E. 87 Street E1 Portal, Fla. Phone 758-2521 ContractingCo-Quality Roofing Contractor, Inc. Address 13800 N.W. 1st AVenue Qualifier Carlos Arocho SS# one 751 -0382 State#— RC 0 0 5 8 6 2 7 Municipal# Competency# 17 8 8 9 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood: deck, replace rotted wood, tin cap 301b. ASTM felt, install galvanized eave drip, vallye metals, mop on with type III asp al one layer of 901b. ASTM felt. install Spanish S Clay colorthru tile with polyfoam adhesive setting. 0.d -In- Square Ft 3 8 sg. Tile 4 sg. Flat Estimated Cost(value) $ 16, 900.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR EUPROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING,CONSULT WFM 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 WORY, OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above-named contractor to do the work stated. Signature of er and/or Condo President Date Signature of Contractor or Owner Builder Date Notary as toOwner anor Condo Presidentate Notary ai to C bntrdctor or Owner- MM My Commission Expires: MARYLOU HERNANDEZ My Commission Expires: 14 NtARYLOU HERNANDEZ da��q'spy, - aq' fid: MY COMMISSION#DD 060579 =,: MY COMMISSION#DD 060579 . ` EXPIRES:October 10,2005 a: EXPIRES:October 10,2005 Bonded Thru Notary Public Undetwrrters ` Bonded Thru Notary Public Underwriters FEES: PERIAT3 RADON C.C.F. NOTARI('C BOND APPROVED: TOTAL DUE o� Zoning Building 7 Electrical Mechanical Plumbing Structural Engineer '1 -� -• '"�"��L) 5 r „ ;r y r n b a,,.r- - . c u,,,.•n r. S r - - - rA �i 4rra it•,(yrs QUALITYROOFING CONTRACTOR,INC. -_ -- 13800 N.W. 1ST AVENUE 16954 MIAMI,FL 33168-4849 �` f.2 PAY DATE ,� - (�,._. 63-4/6M FL TO THE 1348 ORDER OF _ -' o L BankofAmerica, - LLARS Be ACH Wr 063100277 //5-0 Nl,F, to - ® FOR � r '016954u x.06300 004 7�. 00 1595 300 2141 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 1328 11 777 2002 FEB 26 11."38 .THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. Legal description of property and street.address: 1 1 5 0 N.E. 103 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to a new Tile and Flat roof. 3.Owner(s)name and address: Rev. Paul Massingill 205 N_ 87 S r fi F1 Pnri-Al , T'larida 33138 Interest in property: Owner Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quality Roofing Contractor, Inc. 13800 N.W. 1st Avenue Miami , Florida 33168 5.Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond$ 00 6.Lender's name and address: N/A 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A S. 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: N/A 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) Signature of ner Print Owner's Name , Prepared by Carlos Arocho Sworn to and subscribed before me is _day of S .# Quality Roofing Contract. Address: 13800 N.W. 1st Ave. Notary Public --Mait. ---- - - Miami, Florida 33168 MARYLOU HERNANDEZ Print Notary's Name :tea My Commission Expires bQ` EXPIRES:October 10,zoos STAT E OF FLORIDA,COUPKI T Y OF DARE B HEREBY CERTIFY that this is a tare c original f ed in this office on (% c. n — O�- WITNESS my hand and Oli;crel Saar. HAkVEY RUVIN, CLERK, ofc andCouniy F.C. Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name:Li(, ;_A Llf_�JIfobAddress: / C3 S ROOF CATEGORY 2(Low Slope Application) ❑ (Nail-On Tile)% a(`Morta -Adhesive S� e T ❑ (Asphalt/Fiberglass Shingles) ❑ (Metal Roofs\Wood Shingles&Shakes) ❑ (Other) ROOF TYPE ❑ New Roof L Re-roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area(ft=) e Sloped Roof Area(ft2) Total(ftp) 5 Master Permit No. Exposure category(per ASCE 7-88): 4� Building Classification category(per ASCE 7-88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) , ARE THERE �, I GAS VENT STACKS? a YES ❑ NO Q�,V v` i TYPE—NATURAL. ❑ LPGX cl Ft, P^St� ROOF PLAN Lt, -5�`�z --------------------------------- - --------------------------------------- 1 I s' ---------------------------—------- i———-------———------—---—---� ��;r-1 i ' 1 r-------------------------- I � � 11 ---------------- Deck type: WE!cjA 1 l: ; i ; -------- r ------- ---- —�1-- r MIA11A1 SHORES VILLAGE - Metal Flashing at all change of Plane ; ------- ATTACHMENT ----- -- I ATTACHMENT I Ft. 1 ' 1 1 ' I� I 1� Fastener Type: ? c t:a, S ; I, }A; , SPACING ----- 1 -1 Field: ,1 . Perimeter:U O.� - Corner. 0'(-, ---- ----------- 0 ------- --' 1 ------------ --- --------- 1 1 1 1 I ----------------------------' I 1 DETAIL 1 & 2 ' I 1 ——------------------------------------- i 1 '— -----------—----- L---- ------ {—' '-- ------------------ --------------_ --' 123.01-76 ase Page-1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION Deck type: L)O CA I Y\ �Underlayinent: Li Rid a Ventilation? Insulation: pp 0 Fastenera&spacing: V% rYP c'h e_r� �-Pei,iu.-,1 -(3 Cap Sheet: e 1' Roof Covering: " - ✓ yn r (1 ROOF SLOP[ I ri ed e A*-Dp g ' �- MEAN HEIGHT )Ly­ ATTACHMENTS ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami-Dade County Product Control Notice of Acceptance-Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals D E T A I L 3 TILE CALCULATIONS �e (Pmarl:`71 X (Aerodynamic Multiplier): 1 v )- Mg:�=Met:' eA PCA: _Cl is (Pmax2: X (Aerodynamic Multiplier): Mg:�, rZ. PCA: " 0 (PmaX3: r us'-y X X(Aerody c Multiplier): k)- Mg: -Gt 0=Mr3:�-�� PCA: C,0 Page-2 5104 APPENDIX "F" APPENDIX"F"REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix"F", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit,to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics-Workmanship:The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics(appearance)issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance,that are not part of a zoning code,should be addressed as part of the agreement between the owner and the contractor. •� 2. Renailing Wood Decks: When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC.(The roof deck is usually concealed prior to removing the existing roof system) _3. Common Roofs:Common roofs are those which have no visible delineation between neighboring units(i.e.townhouses,condominiums,etc.).In buildings with common roofs,the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. ASM 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers(wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly(the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. 9 - Owne Agent's Signature Date Contractor's Signature Signature r FEB 21 '01 14:12 FR BRADCO 305 597 94B4 TO 3059533333 P.01/05 .MI OA MIAMI-DADE COUNTY.FLORIDA METRO-DADEFLAGLER BUILDING BUILOWC CODE:COMPLIANCE OFFICE MLTRO-DADE:FLAGLGR BUILDING 140 WZST rLAOLCK STKL'LT,SUITE 1603 MIAMI,FLORIDA 33110-1363 -NOTICEPRODUCT CONTROL " E (305)375.2001 rnX(30J)37s•290s Santa Fe Tile Corporation CONTRACrOn LIC1; SING SECTION 10302 M.W.South Rlver Drive,Day#16 ()0.F)375-2n7 1'AX(3oi)375-2Sstl Medley,FL 33178 CONI RACrOX VNfoKCtialM'DivlsiON (30!)375.2466 FAX(301)375-2908 FRODUCr CaN1•aat,ulvislo. Your application for Notice of Acceptance(NOA)of: (303)775-19p2 FAX(303)3124;39 Spanish "S" Clay File under Chapter 8 of the Code of Miami-Dade County governing the use of Alternate Materials and 'Types of Construction,and completely described herein,has been Yeeon rtiended for acceptance by the Miami-Dade County Building Code Compliance Office(BCCO)under the c anditions specified herein. This NOA shall not be valid after the e,(Diradon date stated bow. BCCO reserves the right to secure this product or material at any time from a jobsite or manufactut+ is plant for quality control testing. If this product or material fails to perform in the approved manner. CCO may revoke, modify, or suspend the use of such product or material immediately. SCCO reserws the right to revoke this approval, if it it determined by BCCO that this product or material fails to ineet the requirements of the South Florida Building Code. ,I The expense of such testing will be incurred by the manufact+. II ACCEPTANCE NO.: go-1212.06 I EXPIRES: Ox/tIa 1 Raul Rodriguez Chier Product Control Division 15 IS THF&OVERSHEET, FSR SPECIFIC AND CENEXAL CONDITIONS s nK 6,PR!20UCT H.V 1JEW COMNMEE This application for Product Approval has been rev1ewedthe BCCO and approved by the Building Code and product Review Committee to be used in Miami-DI de County, Florida under the conditions set Porth above. I Francisco J.Quiniann, R.A. Dircetor 1 Miami-Dade County AI'PROY>ED, 02101/2001 - _ Building Codc Compliance OMcc 11sQ4s000i�vcZeoO>ate�nphoealnociceaeeeymne�oewPi�.ace — Internet mail address:postmasterebulldingeoueorliina,coit, ( + H mcpago:nttp:,,,--w,0u,ldingcodeonlint corn FEB 13 '01 17145 3058SM58 PAGE.®i rE3 21 i01 !4413 9P WIAD.W .rub 5'j'i X464 iU .• Vv. ;v/ LVVi JV....r fir----„• RANTAFE TILE CORPORATION I ACCEPTANCE: No. : 00-1 1x_= •Qb ROOFING ASSEMI9LY APPROVAL Cnt� Roofing Approval pate: Fobruory Sub-Cattgorv: 07320 Rooting Tiles [;%piratian Date: Rebrurtry 1,3006 MoteMoterl9b Clay Roof Tiles Deck Tvnoe Wood 1. SCOPE This renews a roofing system using Santa Fe"Santafe S"clay roofing tile,manufactured by Santafe Tile Corporation described in Section 2 of tills otice of Acceptance,designed to comply with the Soutlt Florida Building Code, 1994 E tion for Miami-bade County. For locations where the design pressure requirements,as d ermined by applicable building code. does not exceed the design pressure values obtain by c Iculations in compliance with RAS 127 using the values listed in herein. The attachment calcu tions shall be done as a moment based system. 2. PRODUCE' DESCRIPTION Manufactured by Test Product 1'ean Dimensions Snecificatians �oscription Santafil 'S' Clay I = l8" PA 113 0 a piece high profile clay roof tilt Roof Tile w a l 1.3" a ipped with two nail holes. For nail-on, %a" dock m rtar set and adhesive set applications. Trim Pieces I=varies PA 113 A cessory trim,clay roof pieces for use at w varies hi s,rakes,ridf cs raid valley terminations. varying M nufaetured for each the prorilc. thickness 2.1 COMPONENTS OR PRODUCTS MANUFAC URED 8Y OTHERS Toot Product Product Diro t► 'ons Sneaiffientions AeAerintiott lyinnuf_ntt4tror Tile Screws 08 x 2-W' Ions PA 114 itainlem Steel generic 0.130"shank di a. Appendix E 0.178 Hutu dia. 3. LIMITATIONS 3,1 fire classification is not part of this acceptant 3.2 For mortar or adhesive set tilt applications, a6,iDadc lift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain tho servieos of a Minty Certified Laborg:7atory to perform quarterly test in accordance with PA hall be submitted to Ilio Building Code Compliance 0g:,RRC Roofing Producl Control Examiner 2 FEB 23 101 17:45 30050 PA5E.02 . =EB 21 '01 14:13 FR BRADCO 305 597 -4e4 70 3059533333 c.03%05 SANTAF)E T E TON ; ACCEPTANCE No. ; 00-7212.06 3.5 30/90 hot rnopped underlayment applications ay be installed perpendicular to the roof slope unless stated otherwise by the undcrl ytmcn: material manufacturers published literature. 3,6 Thia acceptance is for Nvood deck application. Minimum deck requirements shall be in compliance with applicablz building code. 4. INSTALLATION 4.1.1 Sxntafe'S'and its components shall be installe in strict compliance with Miami Dade County Roofing Application Standard RAS l l ,RAS 119, and RAS 120. 4.1.2 Data For Attachment Calculations `I Table 1: Aerodynamic Multi I ens- 'rile % (ft) 7.(ft ) Profile Batten Apolicition I Direct Deck Santgls 'S' 0274 � 0,297 � Table 2: Restoring Moments due ic Gravity-M ft-Ib Tile 2 12" 3"•12" 4":12" 5,':12" 6":12" 7"'12" or Profile I greater Battens Direct trans Direct ars Direct 8 ens Direct B&enc D'ueat Battens Direct Doak Dock D ck Deck Deck Deck 5antafe'8 3.93 1 5.90 5.83 1 $,82 1 :,73 1 5.69 ,56 5,53 5.32 5.29 5,03 1 NIA Table 3: Attachment Resistance Expressi d as a Moment- Mf(ft-ibf) For Nall-On S st Tile Profile Tile Two Nails One Screw rwo Screws One Screw Two Scrcws Application I w_ /Clip w /Cli Santafe S Direct Deck 21.8 29.16 38.28 57,31 57,60 Battens L11 51,77 1, Approved screws as noted'Product manufactured b others'. ! I Table 4: Attachment Resistance Express d as a Moment- Mr (ft-lbf) for Mortar or Adhesive S4 t S stems TileTile Attachment Profile A Gcation Resistance Santafe'S' Mortor Set 23.6 Adhesive Set 81•g A t I� 1 �I 4r2aPZU1028222, RooCng Product Control Eurr6ncr 3 II W---8 13 '01 17:45 30S8E8a050 PAGE•03 Ft]3 �:1 '01 14:13 PP, 6kADC0 Jot) y'�'r a4�� ;u )kJa77JJJJd : • I SANTAIM TILE CORPORATION i ACCEPTANCE No. : 00-1;12.0b 5. LANCLING i 5.1 All tiles shall bear the imprint or identifiable r4irk4 of the maru facturor's name or logo, or following%atetrnnt: "Miarr i•Dade County P�o uct Control Approved". 6. BUMI)IING PERMIT REQUMEMENTS 6,1 Application for buildiag permit shall be accompanied by copies of rhe following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation ohhis system, r I PROFILE DPAWIlY1C SANT-Aft"SA.NTAFE S" CLAY Ik w TILE I l i L I 1 •� 1 w i I •e i I 1 I .i rank Zuloap.RAC fin&Product Control E%-A.atiner 4 I FSB 13 101 1746 3058880050 PAGE.04 - 5AINTAFM TME QORPOR611QN ACCEPTANCE No. 00-1212.06 I F NOTICX OF ACCSINCE STANDA D CUOTTIONS f Renewal of this Acceptance(approval)shaA be considered aft ei a renewal application has been filed and the original submitted docurnertration, including test supporting da oagineering documents,arc no older than eight(1)years. 2 Any and all approved products shall be perntanendy labeled wiqq hetrta1, acturees name,city.stair, and the following staterntac "Miami-Dade County Product Contro Fproved . or as speeifieolly stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if; i a) Thert has been a chazge is the South norida Building C Af!'ecting the evaluation of this product and the product is not in compliance with the code changcsr b) The product is no longer the same product(idendcai)as one originally approved; c) If the Acceptance holder has not complied with all the req rrmcnts of this acceptance, including the correct installation of the product; J) The engineer who originally prepared,signed and scaled equired docunterttauon initially subrnJued, is no longer practicing the engirreeri.ttg prcfessi i 4 Any revision or change in the materials,use,and/or manafactu of the product or process shall automatically be cause for termlr4tion of this Acceptance,unlcs prior written approval has bccu requested (through the filing of a revision application with appropriate fee'and granted by this office. S Any of the following shall also be grounds for removal of this A ptarrce: a)Urustistactory performance of ibis product or process; ' b)Misuse of this Aox wcc as an oadorsetrtcnt of any pr ct,for sales,advertising or any other purposes. G The Notice of Acceptance number preceded by tbo words Miami- udc County,Florida,and followed by the expiration date way be dicpliiyed in advertising literature. Iran inion of the Notice of Acceptance is displayed,then it shall be done in its cntirery. i. 7 A copy of this Acceptance as wall as approved drawings and oth documents,where it applies,shall be provided to the user by the manufacturer or its distributors and s 11 be available for inspection at the job site at al:times. The copies teed not be rrscaled by the engineer 8 Failurc to comply with any section of this Acceptance scall be case for termination Sind removal of Acceptance. 9 This Acceptance contains pages I through S END OF THIS ACCEPTAINrF �I I i i raakZuloaga,RRC ol5ng Product Control Ex,amrnar 5 ; ' FEB 1.3 '01 17'-46 3@5138809`50 PAGr•t *;x TCiTAL PFtu_.05 n: MI_ E f MIAMI-DADS COUNTY. FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE.CO.NIPLIANCF,OFFICE METRO-DADE FLAMER BUILDING 140 WEST FLAMER STREET.'SUITE I601 PRODUCT CONTROL NOTICE OF ACCEPTANCE (30s1�s--?9o1.(1F x(05)3is.ivo3 G.�I�t4.1terials Corporation t A.; CONTRACTOR UMVSLNG SECTION 136 Ips Road (303)373-13:7 FAX(306)373•:353 Wayne NJ '07470 CONTRACTOR E.\FORCEatE.\T SECTION (303)375-2%6 FAX(303)373-21905 PRODUCT CONTROL DIVISION Your application for Product Approval ol': (303)373-:902 I--A-X(305)37:.6339 GAF Rubcruid Modified Bituntell Roof System Fur ll'uud Deck. under Chapter 8 of the Code of Miami-Dade County governing the use of Alternate Materials and 'Types of Construction, and completely described herein, has been recommended for acceptance by the N1jami-Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. Ifthis product or material fails to perform in Elie approved manner, BCCO may revoke, modit-y, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, it'it is determined BCCO that this product or material fails to meet the requirements of the South Florida I31.1ilding Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:00-0331.08 iZ) Expires:11/06/2003 Raul Rodri,,uez Chief Product Control Division THIS IS THE COVERSI'IEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. 4 :'ranclsco . Quintana, R.A. Director Approved:07/06/2000 1 of 55 Miami-Dade County • Building Code Compliance 0131ce Internet mail address:postmasterebuildingcodeonline.com ROmepage:*http://www.buildingcodeonline.com CAF MATERIALS CORPORATION Acceptance No: 00-0ULM c ROOFINC SYSTEM APPROVAL Categorv: Rooting Approval Date:July_ G=00 Sub-Category: SBS/API', Modified Bitumen Deck Tvoe: Wood Expiration Date: November 00, 2003 Maximum DesignPr_ essure -75 psf Fire Classification: Sec General Limitation #I i TRADE NAMES OF PRODUCTS MANUFAcruiuD OR LABELED BY APPLICAN-C: Test Product Product Dimensions SI)LIciIl ation Descrintion GAF Asphalt 5, 55 gallons ASTM D 41 Asphalt concrete primer used to Concrete Primer promote adhesion of asphalt in built-up roofing. GAF Mineral Shield® 60 lb. bags ASTM D 1863 Granules for surfacing of exposed Granules asphalt,cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. GAF WeatherCoat® 5 gallons ASTNI 1227 Surface coating for smooth surfaced �. Emulsion roofs. GAF Premium I, 5 gallons ASTM D 2824 Fibered aluminum coating. Fibered Aluminum Roof Coating GAF Jetblak All I, 5 gallons ASTM D 3019 Relined nsphalt blended with a mineral Weather Plastic ASTM D 3.109 stabilizer and libers. Permits adhesion Ccmcnt to wet and dry surfaces. GAFGLAS #750 3 sq. roll ASTM D 4601 Asphalt impregnated and coated glass 75 lb. roll mat base sheet. GAFGLAS #80 2 Sq. Roll ASTM D4601 Asphalt impregnated and coated, UltimaT't Base Sheet 70 IbsJroll fiberglass base sheet GAFGLAS Ply G® 5 sq. roll ASTM D 2178 Type VI asphalt impregnated glass felt 45 Ib. roll with asphalt coating. GAFGLAS Flex 5 sq. roll ASTM D'2178 Type VI asphalt impregnated glass felt PlyTm G 45 Ib. roll with asphalt coating. ? of55 C Frank Zuloaga, RRC Roo0n3 Product Control Examiner • 1 GAF MATERIALS CORPORATION Acceptance Nu: 00-0331.0;4 SYSTEMS: Membrane Type: SBS Deck Type H: Wood, Insulated, New Construction or Rerool' Deck Description: �N/3:" or greater plywood or wood plank System Type A(I): Anchor sheet mechanically fastened,all layers of insulation adhered.with approved asphalt. All General and SYstena Limitations shall apply. Insulation Fastener fastening I asteners Fastener Laver 1_ Vpe Detail No. Per Board Density (see RAS 1 17) One or more layers of any of the following insulations. Approved Type(s): ACFoana-I, E'NRG'Y 2, GAFTEMPS Isotherm R, E'NRG'Y 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEINIP Composite, GAFTEivIP Composite A,GAFTEINIP Composite N Minimum: I"x 3' x 4' N/A N/A N/A N/A Approved Type(s): ISORoc, GAFTEMP@ Tapered Minimum: l" x 4' x 4' N/A N/A N/A N/A Approved Type(s): High Density Wood Fiber, GAFTEMPO Mali Density Wood Fiber, GAFTEMP RecoverBoard Minimum: ''/2".x4' x 4' N/A N/A N/A N/A Approved Type(s): Wood Fiber, GAFTEIVIP® Fiberboard Minimum: '/_" x 2' x 4' N/A N/A NIA N/A Approved Type(s): Paaroc Minimum: '/�" x 4' x 4' N/A N/A N/A N/A Approyed Type(s): Perlite, GAFTEMP® Perm alite Minimum: x 2' .x 4' N/A N/A N/A N/A Approved Type(s): Fiberglas Minimum: 15/16" x 4'x 4' N/A N/A N/A N/A Approved Type(s): Permalite Tapered Roof Insulation,GAITEMP® Isotherm Tapered Minimum: '/�"x 2' x 4' N/A N/A N/A N/A Approved Type(s): Tal crcd Isotherm I2,Tapered Isotherm RA,Tapercd IsotlaermRN, GAFTEMP Composite Tapered,GAFTEMP Composite A Tapered,GAFTEMP Composite N Tapered Minimum: ''/o"x 4' �4' N/A N/A N/A N/A 15 of55 Frank Zuloaga. RRC Rooting Product Control Examincr CAF MATERIALS CORPORATION Acceptance No: 00-13�Q8 f Note: All insulation shall be adhered to the anchor sheet in full ntoppiugs of:approved hot stsph:►lt within the EVT ranee and at a tate of 20-40 lbs. Please refer to Nliami-Dude County Itootin;; Application Standard 1tAS 117 for insulation attaclunent. Insulations listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels naay be used as a top layer placed with the polyisocyanur:tte side facing down. CAF requires either a ply of CAFCLAS ST11A-CAVCNTO perfutaded laid dry or at layer of CAFTEivIPO PERNIALITE or wood fiber overlay board un all isocyantirate applications. Anchor sheet: GAFGLASO Illy 4-ID, Ply 6,*&, GAFGLAS Flex Ply7" 6. 975 Base Sheet. GAFGLAS #30 Ultima" Base Sheet, STRATAVENTas Nailable. RUBL'ROID iNlodified Base Sheet or RUBEROIDO 20 base sheet applied to the;deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered in two rows 12" in the field. Base sheet shall serve as anchor sheet for attachment of insulation - Base Sheet: (Optional) Install one ply of GAFGLAS®#75, GAFGLAS #30 ULTIMA"' Base: Sheet, GAFGLAS® PLY 40,GAFGLASO PLY 60, GAFGLAS Flex Ply"' 6, GAFGLASO STRATAVENTO Perforated(laid dry), RUBEROID iviodified Base Sheet or RUBEROIDO 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20- 40 lbs./sq; (see General Limitation #4). Ply Sheet: (Optional)One, two,or three plies GAFGLAS PLY 40, GAFGLASO PLY 60 Ply or GAFGLAS Flex Ply 6 sheet adhered in a hill mopping of approved asphalt f applied within the EVT range and at a rate of 20-40 lbs./sq.. Membrane: One or more plies of RUBEROIDO 20 , RUBEROID 30, RUBEROID 30 FR RUBERO1D MOP Smooth, RuberoidO Mop 170 FR, Rubcroid0 Mop Granule. RUBEROID MOP PLUS, RUBEROID MOP FR, RUBEROID ULTRACLADJZ. fully adhered in an approved asphalt at an application rate of 25 Ib./sq. t 15%. Surfacing: (Optional, required if RUBEROIDi\--IOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slat,applied at 400 Ib./sq. and 300 Ib./sq. respectively in a flood coat of approved asphalt at 60 Ib./sq.. 2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 Ib./sq.± I S%. Maximum Design Pressure: -45 psf (See General Limitation#7) Maximum Fire Classification: See Gencral Limitation #1. Maximum Slope: See General Limitation #I. Specification No.: 16 of 55 Frank Zuloagga. RRC Rooting Product Control Examiner ` GXF MATERIALS CORPORATION Acceptance No: Ott-0331.Oti WOOD DECK SYSTEM LovilTATIONS: I A slip sheet is required with Ply 4(g) Hex I'lyr" 6 and Ply 6!t when used as a nlech:ulicall% listened base oranchor sheet. 2, '/,Typc X gypsum.board is acceptable to be installed directly over the %%uod deck. GENERAL LimITATIONS: I Fire classification is not part of this acceptance, relcr to a current Approved Ruutin�.: �\klaterials Directory for fire ratings ofthis product. 2 Insulation may be applied in I11lIltipIC lavers. The first laver shall be attached in compliance %%ith Product Control Approval guidelines. All other layers shall be adhered in :1 Iilll nloppim,. L),**approved asphalt applied within the CvT range and at a rate of 20-40 lbs./sq., ur mechanically attached using the fastening pattern of the top layer. 3 All standard panel sizes are acceptable for mechanical attachment. When applied in appro%ed asphalt, panel size shall be 4' x 4' nlaxin1u111, 4 An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet . may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c., or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either System shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of 4i psf. 5 Fastener spacing for insulation attachment is based on a i�Vlininlunl Characteristic Force (F') value of 275 IV- as tested in compliance with TAS 105. 11'tile fastener value, as Iicid-tested, is bekm 275 Ibf., insulation attachment shall not be acceptable. 6 Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a mininitnn fastener resistance value in conjunction with the maxinlunl design value listed within the specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, sinned and scaled by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing l izwithdrawal resistance value taken fi•onl Miami-Dade Protocol TAS 105 and calculaltiontile s it compliance %pith Miami-Dade Rooting Application Statldard RAS 117. 7 • Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated ill compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calcu'latcd in compliance with Miami-Dade Roofing Application Standard TAS 117. (When Ellis linlitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 3 All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Miami-Dade County Roofing Application Standard TAS I 1 I and the wind load requirements of Chapter 23 of the Soutil Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.e. lield,.perimeters,corncrs). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones(i.e. perimeters,extended corners,and corners). 's limitation is specifically referred within this NOA, General Linli 1 n n he ' applicable.) ) � 54 of 35 Frank Zuloaga, RRC Roofing Product Control Examiner GAF 1NIATERIALN CORPORATION Accrpt,uicr No: Qn-Q_331 0.8 NOTICE OF ACCE PTANCE STANDARD CONDITIONS 1 Renewal of Ellis Acceptance(approval)shall be considered after a renewal appIitxtlittn has been filed and the original submitted documentation, including test supporting data,engineering documents,are no older than eight(8)years, 2 Any and all approved products shall be permanently labeled with the manufacturer's Haute, city, state, and the I'ullowing statement: "Miami-Dadc County Product Control Approved", oras specifically stated in the specific conditions Of Ellis Acceptance. 3 Renewals of Acceptance will nut 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 sante product(identical)as the on c) IFthe Acceptance holder has not cuntplied e originally approved;with all the requirements or this acceprutce, including the correct installation of the product; d) The engineer Who oriIfinall y prepared, signed and sealed the required documentation Illiialll' Submitted, is no longer practicing the enf engineering profession. , 4 Any revision orchange in the materials, use, and/or manufacture of the product or process shall automatically because for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be brounds for removal of this Acceptance; a) Unsatisfactory performance of this product or process, b) Nlisuse of this Acceptance as an endorsement ofany product, for sales, advertising or any other purposes. G The Notice of Acceptance number preceded literature.by the words Nliami-Dade County, Flori followed by the expiration date may be dis la ed in advertisin�� - da, and Notice of Acceptance is displayed, then it shall be done in its entirety . I f ani portion of the 7 A copy of this Acceptance as well as approved drawings and other documents where shall be provided to the user by tite manufacturer or its distributors and shall be available fortes, inspectiot) at the job site at all times. The copies need not be resealed by the engineer. 3 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance• al 9 This Acceptance contains pages I through 55. END OF THIS ACCEPTANCE 55 of 55 Frank Zuloaga, RRC Rooting Product Cuntrol Cxaminer 2000 ROOFING MATERIALS & SYSTEMS DIRECTORY 172 ROOF COVERING MATERIALS(TEVT) ROOF COVERING MATERIALS(TEVT) Roofing Systems (TGFU)—Continued Roofing Systems (TGFU)—Continued Insulation: One or more layers perlite,glass fiber,3/4 in.min,isocya- Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, nurate,urethane,perlite/isocyanurate composite,perlite/urethane com- posite,phenolic,1-1/2 in min. perlite/isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet,hot mopped Base Sheet(Optional): One or more layers of Type GI,G2 or G3. or mechanically fastened. Membrane: One or more layers of "Ruberoid Torch".(smooth or Ply Sheet.(Optional): One or more layers Type G1, hot mopped in granule),"Ruberoid Torch Plus"(granule),"Ruberoid Mop'":(smooth orlace. granule)or"Ruberoid Mop Plus"(granule).- p Surfacing: "AL MB Aluminum Roof Coa' 'at 1-2 al/s ... Membrane: "Ruberoid Mop FR"or"Ruberoid Mop 170 FR"(granule). 9. Deck:C-15/32 $ q 16. Deck:C-15/32 Incline:1/2 Incline:l/2: Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, Insulation(Optional): One or more layers perlite,glass-fiber,3/4 in min, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ perlite/isocyanurate On o composite or phenolic offset 6 in.from joints. urethane composite,phenolic,1-1/2 in.min p P Base Sheet One or more layers.of Type G-2 or G 3 base sheet hot Base Sheet One o;more layers of Type G2"GAFGLAS#75 Base Sheet", mopped or mechanically"fastened. hot mopped or mechanically fastened in place. . • Ply Sheet(Optional): -One or more layers of Type G-1,hot mopped in Ply Sheet: One or more layers of Type Gl "GAFGLAS Ply.4", hot place. , mopped in place. Membrane:. One layer. of "Ruberoid Torch" or "Ruberoid.Mop" Membrane: "Ruberoid Mop FR"(granule). (smooth). Surfacing '(Optional):GAF Fibered Aluminum Coating at 1-1/2 gal/sq Membrane: One layer of"Ruberoid Torch 170FR"or"Ruberoid Mop or GAF Weather Coat Emulsion at 3 gal/sq. FR"(granule) 10. Deck:C-15/32 Incline:1/2.... 17. Deck:NC Incline:1 Insulation(Optional): One or more layers perlite;glass fiber,3/4 in Insulation (Optional): Perlite,"fiber.glass,.wood fiber, isocyanurate, min, isocyanurate, urethane, perlite/isoryanurate•composite; perlite/ urethane,perlite/isocyanurate composite or phenolic. urethane composite,phenolic,1-1/2 in.min Base Sheet: One or more layers Type G2 or G3 base sheet,hot mopped Base Sheet: One or more layers of Type G2"GAFGLAS#75 Base Sheet",, or mechanically fastened. hot mopped.or mechanically fastened in place,. Ply Sheet (Optional): 'One or more layers Type Gl,'hot mopped iri Ply Sheet: One or-more layers.of..Type Gl "GAFGLAS Ply;4", or place. "GAFGLAS Ply 6"hot mopped in place. Membrane: One layer of"Ruberoid Mop FR".or"Ruberoid Mop 170 Membrane: Ruberoid Torch 170FR"(granule).,; Surfacing (Optional):GAF Fibered Aluminum Coating at 1-1/2 gal/sq 18. Deck:NC ule). or GAF Weather Coat Emulsion at 3 gal/sq. Incline:1/2 11. Deck C-15/32 Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, Incline:.l/2 urethane,perlite/isocyanurate composite or phenolic. Insulation: Isoryanurate,2 in,min.,wood fiber,perlite or glass fiber, Base Sheet (Optional): One or more layers:of Type G-2 or G-3 base any thickness, hot mopped or mechanically fastened.ilsheet hot mopped or mechanically fastened. offset 6 in n pace.;Joints Ply Sheet(Optional): One or Base Sheet: One or more layers of Type G2"GAFGI:,J1S#75 Base Sheet", lace. ro e•layers of Type G-1,hot mopped in hot mopped or mechanically fastened'in place.'� '�•�'' p ,i. Membrane:. One layer.of"Ruberoid Torch"(smooth),"Ruberoid Mo Ply Sheet(Optional): One or more layers of Type Gl"'GAFGI:AS Ply 4" '(smooth. p or"Ply 6"hot mopped in place. 14,- ) Membrane: "Ruberoid Torch 170FR"(granule). Membrane: One layer of"Ruberoid Torch•170FR","Ruberoid Mop FR" Surfacing (Optional):GAF Fibered Aluminum Coating at 1-1/2 gal/sq 19. Deck:NCroid Mop 170 FR"(granule). • or GAF Weather:Coat Emulsion at 3 gal/sq: ,,; Incline:1/2 12. Deck:C-15/32 Incline:1/2 Insulation (Optional): 'One or•more.layers of perlite, glass fiber, Insulation (Optional): ;Iso anurate isocyanurate,.urethane;perlite/isocyanurate composite or phenolic, ry , perlite or glass fiber, any thick- thickness. any ness,hot mopped or mechanically fastened in-place..joints.offset'6 in. Base Sheet: One or more plies G1 or G2,hot mopped or adhered with Base Sheet: One or more layers of Type G2"GAFGLAS#75 Base Sheet", Karnak Chemical.Co. .'No. 81" or Gibson-Homan "No. 6160"..cold hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type Gl'+GAFGLAS Ply 4".or-".Ply 6", applied adhesive at,1-1/$gal/sq. hot mopped in place. Membrane: One layer of"Ruberoid Mop.FR'.'or"Ruberoid•Mop-170 Membrane: "Ruberoid Torch 170FR"(granule)." F"(granule),hot mopped or adhered with'Kamak Chemical.Co."No: 81"or Surfacing (Optional):GAF Fibered Aluminum Coating at 1-1/2 gal/sq 20. Deck.C-15/32-Homan"No.6160 cold applied adhesive at 1-1/2 gal/sq: or GAF Weather Coat Emulsion at 3 gal/sq. Incline:1/4 13. Deck NC Incline:1/2 Insulation: Polyisocyanurate,any thickness. Insulation (Optional) Flsoryanurate„wood fiber board,.perlite, lass Base Sheet- "GAFGLAS#75”(Type G2),mechanically attached. fiber,any thickness,hot mopped or mechanically fastened place.Joints Membrane: One Touch 170FR'u(granule)Torch(smooth). offset 6 in. 21. Deck C-15/32 Base Sheet: One or more layers of Type G2"GAFGLAS#75 Base Sheet, Incline:1/2ib hot mopped.in place. Insulation(Optional): Polyisoryanurate,wood fiber,perlite;glass fiber Ply Sheet(Optional): One or more layers of Type GI"GAFGLAS Ply 4" any ti"��'hot mopped or mechanically`fastened. .-­ Ply "Ply et hot mopped in place. Base Sheet: One:or more plies of Type-,G2 "GAFGLAS #75" or Membrane: "Ruberoid Torch 170FR"(granule)­- Ruberoid 20 FR"base sheets,•hot mopped or mechanically fastened. Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1-1/2 Membrane: One or more plies of—Ruberoid 30 FR" hot mopped in gal/sq or GAF Weather Coat Emulsion at 3 gal/sq, 22. Deck:C-15/32 14. Deck NC Incline:1/2 Incline:l-. Insulation (Optional): lsocyanurate, wood fiber boards erlite, lass Insulation (Optional): Polyisocyanurate,wood fiber,perlite,or glass P $ fiber any thickness,hot mopped or mechanically fastened. ober,any thickness,hot mopped or mechanically fastened in place.Joints Base Sheet: One or more plies of Type G2"GAFGLAS#75"hot mopped offset 6 in or mechanically fastened. Base Sheet: One or more layers of."GAFGLAS#75-Base Sheet",hot < mopped in place. Ply Sheet: One or more plies of"Ruberoid 20 or"Ruberoid 20 FR",hot Ply Sheet(Optional): One or more layers of"GAF Y GLAS Ply 4"or"Plymopped m place. 6"hot mopped in place, Membrane: .One or more plies of"Ruberoid 30 FR", hot mopped in Membrane: "Ruberoid Torch 170FR"(granule). , place. Surfacing (Optional):GAF Weather Coat Emulsion applied. gal/sq 23' Deck C-15/32 Incline:1/2 or GAF Fibered Aluminum•Coating at 1-1/2 gal/sq. PP 8 q Base SheetInsulation( One orlmore rlayeer$rs Type lass or perlite, hot moppedormechanicallyfastened.15. Deck C-15/32 Incline:1/2 fastened. LOOK FOR.THE'UL.MARK•ON PRODUCT OR Miami Shores VillagePermit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: PL2003-103 � OR Printed:4/15/2003 Page 1 of 1 Applicant: 0-- Owner: > JOB ADDRESS: 1150 NE 103 ST f,,/ Contractor MR C'S SEPTIC TANK Contractor's Address: P O BOX 693239 t f� Local Phone: 305-651-7859 �O �O Parcel# 1132050190050 Legal Description: 5 53 42 MIAMI SHORES SEC 8 REV PB 43-67 W20FT LOT 4 & E55FT LOT 5 BLK 175 N Fees: Description Amount FEE2003-2189 Builder's Bond $300.00 FEE2003-2190 Building Fee $80.00 Total Fees:$386.80 Total Receipts: $0.00 FEE2003-2191 CCF $1.80 FEE2003-2192 Notary Fee $5.00 Total Fees: $386.80 q Permit Status: APPROVED Permit EYntr-#; '" _ - - - 6580 PO - -- -- --- -- --- Wn�4• T.• INC. s. Re-inspection �R, C'S SEPTIC & DRAIN, s3-aa13/2s�o OPERATING ACCOUNT P.O. BOX 693239 305-651-7659 DATE application herefor in strict compliance with all MIAMI, FL 33269-0239 / � pecifications that may have been submitted to OO _ rices or if the plans are changed without 5; �„- responsibility for a thorough knowledge of the v` DOLLARS nd that he assumes responsibility for work done PAY ' To THE ORDER F ®Washington Mutual Ston Mutual Renk FA MWS yif9ch Street Flranolat Canter ii1g-800-788-7WO i7a Nw•sestn sweet 24 NUT a st�°f�'"Ce - ___-- tions pertaining thereto and in strict conformity MIU,Fl amiares ssponisibility for all work done by either �' 38 30 3084 FOR n■ �: 2 6 7 0 8 4 13 • - u■0000006 5$0 - -- — (Contractor or Builder) BY: STATE OF FLORIDA PERMIT 30.DEPARTMENT OF BEALT$ /v DATE PAID: WSITE SEWAGE TREATMENT AND DIPOSAL SYSTEM[ FEE PAID: ^o CONSTRUCTION INSPECTION AND FINAL APPROVAL RECEIPT isus I , APPLICANT: 4 ]�'(/ AGENT: � PROPERTY ADDRESS: tj LOT: sLocK: SUBDIVISION: _I��16w; PROPERTY ID s: 11-5;6 :5 -6 q-00�A CHECKED [X] ITERS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST HE OORRMlCTED. TANK INSTALLATION C� SACKS [ ] [0Xl ,TANK SIZE [1] /U� [2])_ [P ] (27] SURFACE WATER FT [ 1 [021 TANK MATERIAL [281 DITCHES FT [ l [03] OUTLET DEVICE 0 • cri IGr ( l (291 PRIVATE WELLS FT [ l (041 MULTI-CHAMBZRED [ Y /(N ] I l (301 PUBLIC WELLS FT [05] OUTLET FILTER ' 1 l (31 l IRRIGATION WELLS FT [ ] [06] LEGEND _ I7 [ ] [32] POTABLE WATER In= WvFT [ l [07] WATERTIGHT [ ] 133.1 BUILDING FOUNDATION I Y' — FT I 1 1081 LEVEL � l t 1 (34] PROPERTY LINES 4 /? [ l [09] DEPTH ' D ��CGu�c�^ �vt.�.tc ) I 1 (35 OTHER jj ] iT DRAINFIELD INSTALLATION l�V.t/c'y 300 FILLED / MOUND SYSTEM [ 1 1101 AREA [11/3 K / 12]1_21 SQFT [+`3 l 1361 DRAINFIELD COVER [ l [111 DISTRIBUTION BOX HEADER ✓ t l 1371 SHOULDER: t l [12] NUMBER of DRAIxLxNES 'S (t 1 I38] SLOPS [ l [13] DRAINLINE SEPARATION 3/-'— [ ( ] [39] STABILIZATION [ l [14] DRAINLINE SLOPE [ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION I l [161 ELEVATION [ABOVE/BELOW] BM I 1 [40] UNOBSTRUCTED AREA [ 1 [17] SYSTEM LOCATION [ 1 [41] STORNWATZR RUNOFF [ 1 [181 DOSING PULS N ll.' [ ] 1421 ALUMS [ l 1191 AGGREGATE SIZE 0. 0,/ I ] [43] MAINTENANCE AGREEMENT [ l [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA [ ] (211 AGGREGATE DEPTH [ 1 145] LOCATION CONFORMS WITH SITE PLAN I 1 [46] FINAL SITE GRADING .5 FILL / EXCAVATION MATERIAL I 1 [47] COV"UkLTOR I ] t 22] FILL AMOUNT (�/' [ ] [481 0"00 I ] [23] FILL TEXTURE [ ] [241 EXCAVATION DEPTH ABAN-DpMp001 [ ] [25] , AREA REPLACED I 1 1491 TAO Fm [ 1 [261 , REPLACEMENT MATERIAL t 1 1501 Top am. i EXPLANATION OF VIOLATIONS / REMARKS: ( 1 [ l [ l 1 ) (r t)C CxD DATE: CONSTRUCTION APPROVED DISAPPROVED]: Jd y+.vs 6 �y r OC- CHD DATE: FINAL SYSTEMAPPROVED ISAPPROVED]: 1 Page 2 of 3 DH 4016, 10/9 �Pxo ons Editions May Be Used) f :can yr ,i taller/Contractor r'r y,W{ding Deparbmnt iauJth Department 3 Y won y_. r ,iy F t ,� 1 :megr` R4 i x F. v s�<x� � ,p���ra�i.4"� f+'' � e.. '•�3' ��� t,.�F nf��� ■ .+ � i� a i �-_� _ ' > e $`,yu xA. r �, y -''"� k� gig a.��� �r..�. �`,• � '� '�.,�v�j a��w2 '�. © n�,§���y �� :� nw i �R��-��x--. � � "�A'�"r ..., 5kq�'�.�,�; �,zk i�1e -<✓�fy } nW�a'k I ,J. ':r r Z C,_ ry• 5 n s } :ate ti d STATE OF FLORIDA PERMIT # ` i DEPARTMENT OF HEALTH • ••• • 1pll ONS % ITE SEWAGE DISPOSAL SYSTEM •• •• . • . •; •�• .t # SITE EVALUATION AND SYSTEM ,SPECIr,CJFIGNS:-: : • goo aE / ` • . •.. . • • •• APPLICANT s rr''�? G(' I1-�,Y(j;l j:%tQ !dCe i t �.c� L 1 dC AGENT t"/'I • • •• ••• LOT: BLOCK: "7 SUBDIVISION11- . e (,'� • 44_)-,.j PROPERTY ID , : �_3 �..y _ ��. _ (Section/Township/Range/Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEEf OR OT*A•blMIFlVD PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH 'PACE•OF•Sly&STTAt. COMPLETE ALL ITEMS- ----------- PROPERTY TEMS._____ ___PROPERTY SIZE CONFORMS TO SITE PLAN: [ ] YES [ ] NO NET USABLE AREA AVAILABLE: N��Z"�ACRES TOTAL ESTIMATED SEWAGE FLOW: f' �S� GALLONS PER DAY [RESIDENCES-TABLE 1 / OTHER-TABLE 2] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AEA REQUIRFFD: C om(! - SQFT J /„r � BENCHMARK/REFERENCE POINT LOCATION: J f�• [ N /-r), tIS� ELEVATION OF PROPOSED SYSTEM SITE IS -� (INCH FT [ABOVE BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: j6vSD FT DITCHES/SJALES: /8-S-0 FT ,NORMALLY WET? [ ] YES f [,,],NO WELLS: PUBLIC: NT_ FT LIMITED USE: !'QIP FT PRIVATE: r-+.'-1N. FT NON-POTABLE:-- FT BUILDING FOUNDATIONS: FT PROPERTY LINES: Ij FT POTABLE WATER LINES: '!;�O FT SITE SUBJECT TO FREQUENT FLOODING: ( ] YES JAINO 10 YEAR FLOODING? ( ] YES [,,I-NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: IFT MSL/NGVD r'- SOIL PROFILE INFORMATION SITE 1 ,° � �� % SOIL PROF3LE INFORMATION SITE 2 Munsell #_/Color Texture Depth Munsell olor Texture Depth to S e to ,ltd ) �( to i.4-#* /) t , � to n I I-, r to oto v" ' & to-72 _y r to t i{ to, -tor-- JtC� to.. to! t0 _T_ to -,rto to USDA SOIL SERIES:1,1,4A AJ !� '1) USDA SOIL SERIES s�A j ,�A-7,4 OBSERVED WATER TABLE: INCHES [ABOVE / BELgWj EXISTING GRADE. TYPEF- PrERCHED / APPARENT] ESTIMATED WET SEASON AT R TABLE ELEVATIO � -INCHES [ ABOVE /' BELgW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [ L NO j OTTLING: [ ] YES [q NO DEPTH: INCHES / I SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: J_ jA DEPTH OF EXCAVATION:�z , I/NC$ES DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: 7 SITE EVALUATED BY4 - DATE: � t Page 3 of 3 OH 4015,101%(Replaces NRS-H Form 4015[Paye 31 which may be used) (Stock Number. 5744-0034015-1) STATE OF FLORIDA DEPARTMEN-L OF.4F4ILTH. a APPLICATION FOR ONSITE SEWAGE DISFBS;j SXSj�p EVO%TI2UCTION PERWT- 3 Ot2-M' ' ••• Permit Applioa�ion Number � � ----- ------ PART II -SITE PLAN; :----- Scale: Each block represents 5 feet and 1 inch=50 feet. e ; t I t _ a_q • R-� • •-041 - -P t , {T a { { ! Y P - _ } t tt l{rr kid/ i s ! t - f r3-{ t— T a. it i it i — - } j - � T � + tT -0"-t j"-f 'O` --{- �.T d t,.•t �.:�P' y ____: -i �i i i �... R -b--t--- t { -_-1 -..¢-.--t tt t _ t .fit.}_ -t_�1 •_ 1-�-y t---� - - r--t- -`-t-, - --� -+--t--'------ - -- -, i .-. t t ! T . 1 : Notes: 'DO , Lo i CA-) Site Plan submitted b Signature Plan Approved Not Approved Da 6 By �' 1,axounty Health Department ALL C A ES MUST BE APPROVED BY T4 COUNTY HEALTH DEPARTMENT t i DH 4015,IONS(Replaon HRS-H Form 4015 whkh may be used) (Mo*Nueber:574'4-=-4M5A Page 2 of 3 E `k STATE OF FLORIDA * ••• 0 CENTRAX #: 13-SG-16103 % DEPARTMENT OF HEALTH •• • . . .•. .: DACE PAID: ONSITE SEWAGE TREATMENT AND DISPOIAt tY::TEIj.; ; • AE PAID : $ •`°"`'`� CONSTRUCTION PERMIT : : •:• ; : ; R£C EIPT • OSTDSNBR 03-1019- -R • • • • • • • • • • • . CONSTRUCTION PERMIT FOR: [ ] New System [ ]Existing System [ ] Holding Tang [ •] Innovative Other [ X ] Repair [ ]Abandonment [ ] Temporary [ IN ] APPLICANT: Rader Memorial United Method AGENT: SR09ilflb,:CAL°Kj1WG VTEPHEN • • • • • • • PROPERTY STREET ADDRESS: 1150 NE 103 St Miami FL•33138 000 LOT: 5 BLOCK: 175 SUBDIVISION: Miami Shores [Section/Township/Range/Parcel No. ] PROPERTY ID #: 11-3205-019-0050 [OR TAX .ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] Gallons SEPTIC TANK MULTI-CHAMBERED/IN SERIES: [Y ] A [ 0 ] Gallons MULTI-CHAMBERED/IN SERIES: [ Y ] N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ] GALLONS DOSING TANK CAPACITY [ 0 ] GALLONS @ [ 0 ] DOSES PER 24 HRS # PUMPS [ 0 ] D [ 300 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ] SQUARE FEET , SYSTE A TYPE SYSTEM: [11<] STANDARD [ FILLED [ N ]MOUND [ N ] I CONFIGURATION: [ N ] TRENCH ] BED [ N ] N F LOCATION TO BENCHMARK: Finished Floor of E istincr Residence 10.8' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 0.7 ] [ FEET ] [ BELOW ] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 2.9 ] [ FEET ] [ below ] BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 26.0 ] INCHES OTHER REMARKS: Existing 900 Gallons Septic Tank To Remain. Install 300 Square feet Drainfield. Invert Elevation of the drainfield to be NLT 8.44' NGVD Bottom elevation of the drainfield to be NLT 7.94' NGVD THIS PERMIT IS NOT FOR ADDITION. 1�?RC1";. ;O? EDD- •N) V II VERT r__r Z�:i;=i::illi BOTIOM OF DIILANFIaD ELEVA1I01 d SPECIFICATIONS BY: Andre, Paul TITLE: G APPROVED BY: Andre, Paul TITLE: Professional En i Dade CHD DATE ISSUED: 4/2/03 5� 9 EX L A�!IO 'ME: 7/1/03 PIL"R DH 4016, 03/97 (0bsoletes previous edition hich may not be used) ic�..w r.....t....-. a7nn_nn1_nn1c_n% �^ STATE OF FLORIDA CEN—F x: 13-SG-16103 4 DEPARTMENT OF HEALTH DAr ONSITE SEWAGE TREATMENT AND DISPOSsa .5 9JI!*M••. s •a FEE• $ ^°"• CONSTRUCTION PERMIT ; ' ; ; 0 0 - • 0 Rte=_ • • • :1 • • • ••• • • i OE::4=_°r=R 03-1019- -R CONSTRUCTION PERMIT FOR: il ' ' • • ••• 00- 4k � [ ] New System [ ]Existing System [ j Holdi ry Van$ ; ;_ • • -. - •] •I� , __ i ve Other [ X ] Repair [ ]Abandonment [ ] Tempo=a?y • •: IN p • APPLICANT: Rader Memorial United Method AGENT: SR0931119,•CC �G•MS;%E=5 PROPERTY STREET ADDRESS: 1150 NE 103 St Miami FL-4318* : :�• LOT: 5 BLOCK: 175 SUBDIVISION: Miami Shores [Section/Township/=_Y-::= ] PROPERTY ID #: 11-3205-019-0050 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS -:!,ND STAN=!--z.=:_ OF CHAPTER 64E-6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTO=__ PERFORM'_=` :T -0R ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BAS-S FOR ISS=:`ir` OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFIC_-=-N- MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DC=_ NOT HE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PER:•'=:TING RE;==RED FOR == _=IRTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] Gallons SEPTIC TANK MULTI-C==?�T-_RED/IN SERIES: [Y ] A [ 0 ] Gallons MULTI-C-?=--IRED/IN SERIES: (Y ] N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ] GALLONS DOSING TANK CAPACITY [ 0 ] GALLONS @ = C I DOSES =: HRS # PUMPS [ 0 ] D [ 300 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ N ] FILLED [ N MO^-)= N ] I CONFIGURATION: [ ] TRENCH [ ] BED [ N ] N F LOCATION TO BENCHMARK: Finished Floor of E istin Residence 10.8' N-G7r I ELEVATION OF PROPOSED SYSTEM SITE [ 0.7 ] j FEET [ BELOW =_MARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 2.9 ] [ FEET 7below ='_,i,=_`_MARK/REFERENCE POINT L D FILL REQUIRED: [ 0.0 ] INCHES EXCAVATION REQUIRED: [ 26.0 OTHER REMARKS: Existing 900 Gallons Septic Tank To Remain. Install 300 Square feet Drainfield. Invert Elevation of the drainfield to be NLT 8.44' NGVD Bottom elevation of the drainfield to be NLT 7.94' NGVD THIS PERMIT IS NOT FOR ADDITION. pEEL D VERT FL c1 1y14 V BOTIGNi OF DRAL1,7-LD CATION -r SPECIFICATIONS BY: Andre, Paul TITLE: l'y--�' APPROVED BY: Andre, Paul TITLE: Professional Eng= Dade CHD DATE ISSUED: 4/2/03 THE SEPTIC TANK S ALL BE PUMPED AND A Q T=5 DATE: 7/1/03 DEFLECTION DEVICE INSTALLED CA THE OUTL, ' DH 4016, 03/97 (Obsoletes previous editions which may not be used) rc►r...� nn....L...�. a7AA-nni-nnlc-n1 1 of 7 aJ; A 0 0 . . . . . . . . . . PERNIIT APPLICATION 000 000 --� 14isdergPdrafit No', �`• Subsidiary Permit leo. •.' INSTRUCTIONS - The following steps must be taken to obtaii? a pel.n,it 6,om the r4iani Shores Village: .OR . • .. Step 1. Complete the attached permit application which must be signed b i •o M M Omar d'ualifier.•Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. IT roofing Wolk Mlobe dbne,a roofing application must be submitted along with this permit application. Step 2. Submit the completed annlication with all necessary documents to the Building,Planning and Zoning Department for processing. During the processing of your application,you may be asked to submit additional information. APPLICATION Job Address: /150 IlArz— 1613 f b /4 /7' -3YI 3 d Address Apt. City State Zip Folio Number Description of Work � � l/✓�.yt4e/� Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet J� Units 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 ( / ) 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 Add'l Detachment Fence Other Other ARCHITECT ENGINEER Name Name License No. License No. Address Address Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR N / �d�G Name Address AJ License No. Address Home Telephone Business Telephone 9< -7S Q o Telephone gad e /—7�57 Fax Fax ® Qualifier Name . .. .. . . . .. .. Paget see : • • • ••• • PERMIT APPLICATION re 00 .•. • • • INIPORT-ANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are(amid 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 col ftteflbl wec*•nds os holidays. • 2. All construction of demolition areas MWST B"AI'IJkl&E0 4 04COAN,NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PR0PBatT;F?.S1VI:,Bg kEkFT-R%FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tanks. Department of Environmental Resources Management(DERM)and/or Miami-Dade Water and Sewer Department(MDWASD)approval is required for applications involving sewers. Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. 1, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 11 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. STATEVF FLORJDA,COUNTY O IAMI-DARE STATE OF ORJRA,COUNTY OF MIAMI-DADE Sign'duroe of Owner Sig a e of Contractor/Qualifier Print Name Print Name / Sworn to and subscribed before me this day of ^Sworn to and subscribed before me this day G Signature of Notary Public-State of Florida Si of No is-State of Fl da 'w9e a M Seeker SEAL: ��/a [. �/ S� rP: MY Commission pD160048 ° ir•81dtrdh9r 14,2006 Personally known OR,Produced Identification Personally known r,duced Identification Type of Identification Produced: Type of Identification Produced: .. .. •• .. Page 3 • • •.• : • • : •:• PERMIT APPLICATION ... gas ••• INSTRUCTIONS: Please indicate the type of work being performed and quantityries) fh the space provided below. .. . . . .. ... . ELECTRICAL TYPE QTY. TYPE QTY. 'uYP,,, QTY. TYPE QTY. 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 5-15 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 jAir 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 QTY. TYPE QTY. TYPE QTYTYPE TY. Minimum Fee Condensate Drain Generator Refrigeration,Tons s A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost f� A/C Wall/Wm.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 ,FYPE QTY. TYPE QTY. TYPE QTY. TYPE Ty. A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair s Cap-Fixture Fountain Pump and Abandon Sprinkler System Cap-Water Gas-Appliance Pump,Domestic Supply,AC Well j Cap-Sewer Gas-Natural Pump,Fire Stand Temporary Toilet Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal Dental Chair Grease Trap Pump,Sprinkler Utility-Sewer Discharge Well Ice Maker Pump,Sump Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield,4"Tile/Res. Lavatory Septic Tank Water Heater New Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe Drains,Floor Minimum Fee Shower Water Service Drains,French Miscellaneous Equipment Sink Well,Supply r I i RECEIVED AND REVIEWED BY: DATE: 1 goo 0 • • •• • • • • •• •• • • • •• •• Page •:•.,.• • • . ••• • • PERMIT APPLICATION OFFICE USE ONLY ;•• ••• •• ••• ❑ OWNER-BUILDER FORM •• •• ❑ PROOF QF PV VERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) .' .: ;(Ath;.: •• (Attach) 1 ❑ FIRE DEPARTMENT ••• ••fl•HRS IDEIRA APPROVAL ❑ BPR APPROVAL(Restaurants) I APPROVAL(Commercial/ (Septic/Sewer) multi-family) I ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) $3.00 per page(Scanning Fee) $ Miami Shores Village $ Bond $ 32 Metropolitan Dade County (C.C.R) $ < r (sq.ft.=V1000 x 0.60) Inspector State Educational Fund $ (Q.005/sq.ft.) State DCA(Radon) $ (¢.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ TOTAL $ (� REVIEWED AND PREPARED BY: DATE: SECTION BY DATE CONDITION OF APPROVAL Zoning Electrical Mechanical PlumbingC/- ! Fire Public Works Structural Building Official f i I Revised July 2001 10050 N.E. 2-AVE., MIAMI SHORES,FL • (305) 795-2207 •FAX (305) 756-8972 • http://www.miamishoresvillage.com i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNo........ ................... 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. Owners Name and Address... ...:.. . ........ ..........:..........................No. ��.�_... .......................Street ... '...` °... �>"1........ ........ Registered Architect and/or Engineer.............. .. ............................................... ............ ....._........-'........................... ....... . �:..........Stret.. ..EmployingElectrician's Name.. ......_................_.._.............No. .� �._ . � .............................. Location and Legal Description Lot...............................•--••----............................Block........................._................Subdivision..............................................._ � : 9 Street and Number where work is to be performed—No....,1.:_.._�........ ..�.�. ,.....�.................Street.................................................................... State work to be performed and purpose of building (By Floors).............. ......_..._............_..-.......-.-.-..........._.........:......_................------ ..-.......... .__... New Building................................Remodeling................................Addition..............................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. ACE STRIP TOTAL O���UTLEETSS�� OUTLETS RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. H TER HEATER CONTR. P LIST �- CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON 6� SW. CAB. TEMP. PERM. OA HP 1•3 HP TRANS. RADIO TOTAL °r<COSTR• CHECK Service Overhead Site Feeders................ Conduit................Main Sw...............................Amps..........................Main Fuses......_............... Amps Underground "" Type of Installation•—Conduit........................Tubing........................B.X.L.........................Metal Moulding........................................................................ ............_.............._.......................................................................:............................................................................ ..... ........................ C. Amount of Permit $............... ....................................................................... (Signed)..........�.r.1 ......:... :.... ..� .., :.._ ,;........... Elelxcical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hit 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,c6ntractors 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 tie 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)..c _. .. ....... _..:.v..J.as?er �.,......... STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........................................................................................................................................................................................................................................ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.......................................................................... of the above described construction, 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. ...................................... ................................................................... ................................. .......... ........_.............;.................................. MyCommission Expires No�Publt.. 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 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the ap rowl of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. T)iis 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. s Date............. ------••------------------,19..4 '_(1 Owner's Name and Address._.. - __ No._--•---•-----•-------- Street------------------------------------------ ------------ Architect and/or Engineer.------------------ -----------------------------------------------. ----------- s .-_- •-------- - - Name and address of licensed contractor...........• - - �filZa -------- e ation and legal description of lot to be built on: Lot._ ---•--_.. Block---•--�-��....... Subdivision---------,-- - -------—---------------•--•-••---------------------•------.....--------•---- Street and Number where work is to be done.....-------------_ . .... ..'^_ -- •-- ---- "-•- -- -•------•-------•-------------- State work to/be done purpose of building (by floors)...__....._. � :......................... __ _--___ •-----••---•-- ............ �-e- - - ............................G- - •-------------------------------- .......—------------------------------------ --------•- -------------------•-------------------------- -- -----•-----------------------------------------and for no other purpose. New Building---------------_-----•----.. Remodeling........................-- Addition------------------------- Repairs-------___................ No. of. tones. - To be constructed of------------_------------- Kind of foundation....................................---------------•----•--- Roof Covering.-- ' _..._. �� Estimated Total cost of improvements $---------- ®4"-__---------.....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 the plans and specific" ns for said building. 11 notices with reference to the building and its construction may be sent to - — - �teq building ------ t ---------------------- The ----------The undersigned applicant for this building permireby 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 Sup lenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employe him in the work to be performed under this permit; and will post or cause to be posted for inspection on thapsite of the work suchublic notice or notices as are required by the Act. The undersigned agrees to employ only such subco for o work to be performed under this permit, as are licensed by Miami Shores Village. p Remarks-------- ------------------------------•-------------------------------- — (Signed) - --------------- STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -------------------------------------------•------------------•------------•----------------------------------------------------------------------- --- -- - - —_— - ----------------------------------------------------------------------------to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_....._------------_-----------------------------------__-_________-----------__---__--__-••_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated lee. Permit No_---__ _"__--XZ�._-- - Date Date_._— �` �1-- - � ' Read ._._ ____.__._.__ ,Sworn to and Subscribed before me. Disapproved ------------- Date --- _� - ---- - ---- -- - - (Signed) Notary Public,State of Florida --------------------- - --------------- Building Inspeclggrr My Commission Expires_________________________________ A PLNING 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r Date 1 ' 3Job Address I/S I E ( CQ f Tax Folio Legal Description Historically Designated: Yes No Owner/i essee/Tenant L,' a"4� Master Permit# �� 94 Owner's Address �� �= 1 Sr M i a vh I' J 3 lid Phone J6 S--—7�0 -- �� 1 Contracting Co. Cf A6,,,-<<. C 6 ` Address g j v 41t, 71 r, F/ 3a/igi Qualifier R.T"W .3- cc-,`' S one J C LPS63 L( State# CA C o.)6 41 LI Municipal# Competency# © .2`� Ins.Co. ( �a r �o rC Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBINMECHANIC ROOFING AVING FENCE SIGN WORK DESCRIPTION � CJ Square Ft. Estimated Cost(value). LO WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR EWROVEMENTS 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 Wk ' be done in compliance with71hicable laws regulating construction and zoning. Furthermore,I authorize the above-n tr for o wort stated Signature of owner and/or Condo President Date Signa a of Con ac or or Owner-Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner-Builder ate My Commission Expires: My Commission Expires: 4FEES: PERMTT RADON C.C.F. �� � NOTARY BOND r TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE q Date ' 3 Job Address s Tax Folio Legal Description S 'n g l If e S Owner / Lessee / Tenantd�qt er C��ArC h Master Permit # Owner's AddresO'S N c S 7 s v / l i a" i A. �33 IPhone 15L 71-L-2-S21 Contracting Co. CLIC A it CooJf? Q) I' ` � CO. Address �0 . O®xoAC4 ,, FL, Qualifier �o C � SS# _ Phone State #C&()264I�{ Municipal # Competency IPO�IU02.3 Ins.Co. /rq' 6`c� Ins . Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION fff.AA LL Square Ft. 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 co truc 'on zon'ng. Furthermore, I 7�1. the above-n contractor to do the work stated. Si ature .°+ er ancl6t�t . President Signature o ntrac r or Owner-Builder Date: MY COMMISSION#CC741112 EXPIRES D BONDED THRU TTRROY FAINO02 IN URANCF INC Notary as to Owner and/or Condo President Nota ° to ct&o Own Builder My Commission Expires: 5'-) c�.p My � 1.� Febnwy 14,I= ,oro®n■u>Aar�aa�mn FEES: PERMIT RADON C.C.P. NOTARY TOTAL DUE APPROVED: Fire Other Zoninx Building Electrical Mechanical Plumbing Engineering, MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL E] ,3 DATE 196 ❑ PERMIT � 9879' � ' Itrr�ccto PLUMBING ;� L�eexit�'e N ROOFING ❑ 4.t; ❑ Work to be performed under this Permit— ~ Owner of Building Architect h ontractor or Builder (I ' Subdl- Legal Lot:a. �, � � � Bl. _. Description .- vision Sc,, Ft. Address ofValue of Amt, of Building r 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 specificapons and that he assumes responsibility for work done by his agents, servants or employees. �f 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? 9965 Contractors License No- ROOFING ❑ Work to be performed under this Permit- _ Owner of Building _..._. Architect -ontractor or Builder M Legal Lot II Bl, Subdi- Description vision Sq. Ft. 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 AUTHORITY 17 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ElDATE 195 PLUMBING Q �'E R M I T N? 9 9 0 9 Contractors r License No. ROOFING ❑ _ ❑ Work to be performed under this Permit— ° Owner of Building Architect Contractor #`` or Builder :. Legal Lot II Bl. 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 liherefor 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: `" ' �' r' 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 17 MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL D DATE 195 PLUMBING ❑ PERMIT N? 9934 Contractor's License No. r ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect -ontractor or Builder Legal Lot II Bl. Subdi- Description vision Sq. Ft. Address of Value of Amt. of 1 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 ❑ DATE 195 PLUMBING [�] PERMIT NQ 9 9 31 Contractor's License No.— ROOFING ❑ ❑ Work to be performed under this Permit—_.__ Owner of Building Architect -ontractor r'° or Builder Legal Lot II Bl. Subdi- Description vision Sq. Ft. Address ofi l Value of Amt. of Building r-.. * 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 ❑ DATE 19 ELECTRICAL ❑ PERMIT N° 2,93 Contractor's PLUMBING F, PERMIT No. HOOFING ❑ ❑ Work to be performed under this Permit Owner of Building f Architect Contractor or Builder Legal Lot I Subdi- Description Bl. vision Address of Value of µ,' 11 Amount of Building F 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: 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 .,d;/ AUTHORITY ABBOT PRINT VA NOTICE OF COMMENCEMENT - PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: uR43 31 0 1999 SES` 03 13:`3 COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: G c$ /(�Q �J L 10 j .47- /Y"(Q - Mia w► 0res FI . 3tJ� 2. Description of improve ent: � II 3. Owner(s) name and address: �Qc� Aj C 7 3 T M ` F1 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: �. '1 R G /fllGvv� � 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond l NERE3Y Cfc$!lfY fhoi ihi:is c !r c.+pr,of the orlgte bled in IS' y�� � s o'ica e9 ' t 6. Lender's name and address: C` W TtvESS b• . ,�,±Of'ki Se i. 7. Persons within the State of Florida designated bys Ow e . ier f ° r nts mdy�e-seN provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: r 8. In addition to himself, Owner designates the following person(s)to receive a copy of the Lienor's Noce 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) ' / 7 r y 7 Sigft*e of r Print Owners Name r f .�/J,� ;,�n �ff/CL I /' Prepared by: J �?�'rt �� ,l - �r u J� Sworn to and subscribed before me this = day of 1 g Address: Q LO K ZS Notary Public _ WCO Robert C... /r�iG�� F1 J ((, Print Notary's Name G ,.� : ;;; e °S'24,2002 ry' ..J T1,':1v c. My Commission Expires: r TRUSSED NOMINAI CLEARICAMBER DESIGN STRESSES, POUNDS ° RAFTER NO. SPAN SPAN, L U1 U2 I L1 L2 X Y . •��. 16-3-T-1 16' 15.4' 9/32" 2618 2187 2541 1694 524 528 17-3-T-1 17' 16.4' 5/16" 2788 2329 2706 1804 557 563 18-3-T-1 18' 17.4' 5/16" 2958 2471 2871 1914 592 597 19-3-T-1 19' 18.41 11/32" 3128 2613 3036 2024 626 631 ,* 20-3-T-1 20' 19.4' .'11/32" 3298 2755 3201 2134 660 665 N - 27.5 L -3.10 L 21-3-T-1 21' 20.4' 3/8" 3468 2897 3366 2244 693 700 22-3-T-1 22' 21.4' 3/8" 3638 3039 3531 2.354 728 734 23-3-T-1 23' 22.4' 13/32" 3808 3181 3696 2464 762 768 19.75 L • 0 24-3-T-1 24' 23.4' 13;32" 3978 '3323 3861 2574 796 803 .3g +110 L (L ) `-' 1 +165 L (L1 •(. N 25-3-T-1 25' 24.4' 7/16" 4148 3465 4026 2684 830 837 - 28-3-T-1 26' 25.4' 7/16" 4318 3607 4191 2794 864 671 t rx xgb31 L UZ DETAIL M 27-3-T-1 27' 26.4' 15/32" 14488 3749 4356 2904 898 908 28-3-T-1 28' 27.4' 15/32" 4658E4459 4521 3014 932 940 2 H 29-3-T-1 29' 28.4' 1/2" 4828 4686 3124 966 974 STRESS DIAGRAM 30-3-T-1 30' 29.4' 1/2" 5000 4851 3234 1000 1008 31-3-T-1. 31' 30.4' 17/32" 5168 5016 3344 1034 1043 • 32-3-T-1 32' 31.4' 17/32" 5338 5181 3454 1068 1077 33-3-T-1 33' 32.4' 9/16" 5508 5346 3564 1102 1111Z34-3-T-1 34' 33.4' 9/16" 5678 5511 3674 1136 1146 DETAIL L SOY CgO� SYM. ABOUT CENTER-LINE } BB.CEPT FOR .C.SPLICE � I3 12 i di DETAIL N NOTE: MCE FOR 16',20'.24', 281, 27.5 L Approx. 1/4 t. � � 32' SPANS LOCATED ON C/L m 27.5 L p —�I FOR OTHER SPANS -AS SHOWN 275 L - U2 U� 1 2 3 2 x 4 BOTTOM CHORD t C � 1 L2 �I _ s� f� L-SPAN I DETAIL K Approx. 1/3 pt. I CAMBER DETAIL O MAX. SPACES CLEAR SPAN C NOMINAL SPAN-OUT TO OUT OF SUPPORTS C LU Designed at 15%unit Designed at 337%,uni Nominal Ext. Tiber Compress JRADE ESIGN 81 FABRICATION DATA SEE DRAWING NO. 10 FOR stress increase for stress increase for size in lin bending parallel to LUMBER SPECIFICATIO short-time loading short-time loading inches 'T'&tens, grain, 'c" DETAILS OF TRUSS JOINTS Q on lumber on lumber parallel to (p.s.i.) Design and fabrication meets with grain, 't National Design ifications for TOP BOTT. TOY BOTT. rens- ra a um r is! (p.s.i.) SPECIES AND COMMERCIAL GHALF SPAN CHORD CHORD CHORD CHORD en y Na om Lumber man- Industrial West Coast Hemlock orc urers Assoc. -(latest revision) 2 x 4 1200 900 No. 2 Southern Pine, or equaland Timber Construction Standards" F 16°-19 16=28' 16'-3 by Ams can to e o m r on- L 20 22 2 x 4 1200 1000 Industrial Coast Region Douglas Fiqual struction-(latest revision) 21'-22' 23'-24' 2 x 4 1500 1000 Industrial West Coast Hemlock, or •_ Z 2 x 4 1500 1200 Industrial Coast Re las FiDESIGN =CRITERIA 23' 29'-34' 2S' 32'-34' Live Load Trussed Rafter SNO. I Southern Pine, or equalpacing-2'-0"c/c e� `1+I pp p R � c RAFTERS/� T C®Q . } '—d.' 26'-6° 2 x 6 1200 8000 No. 2 Soothers Pine, or equalDead Load 25 p.s.f. VV..F1.0 G��+++j STANDARD �N®h!R® TRU E® A F 1 G 11�+ t i 25-29 27-32 �� ®r• �A FOR SPANS 16 TO 34 FEET, 3/12 SLOPE Q , � Standard West Coast Hemlock orDesign Load 55 p,s.I. i��V. • 2 30 33 2 x 6 1200 1000 Standard Coast Region Douglas Fiqual Maximum nail load=76 lbs./nail bq 450' i* X2p 31'-33' 2 x 6 1500 1100 Construction West Coast Hemlockual (equals 55 lbs./mil®40 psf loading) +0.+ NTL�- 1 -s® SCa16 1°® I'-6n GANG-NAIL HARDWARE -01 STATE OF %Z GANG-NAILS INC.342 x6 1500 1200 Construction Coast Region Douglas equa i vn lv34' Stamped from 14 gauge galvanised 0�C • �` N' ��2 x 6 1500 1350 No. 1 Southern Pine, or equal / 0�steel;Manufactured&supplied by s•�.• OR 1 �_ aeluesMIAMI FLA. D3Q�R!T F.G.H. 2 x 4 350 600 Construction CoastRegion Douglas qua Gang-Nails, Inc.,Mlami, Flos on both rida. +h if �, S ®la�ll0 tQsaea ALL WEI3 MEMIIEItS •2 x 3 1200 900 Industrial West Coast Hemlock, otruss facInstall eunlessstated. ���aD��� � a!!>tOTs®IT IOtRlT a ASSOCIATES INC•{/W<1Ltf 9 Copyright 1958-J.C. Jureit GN-2+x 13 (311-34' SPANS) CENTER PLATE ON *GN-2f x 10-21 (271-301x 7+WITH t2-WITH (27'-30' SPANS) BOTTOM CHORD F-*- 2 x 6 TOP CHORD 2 x 4 TOP CHORD—GN-2+x 9 (23'-26' SPANS) 6-OGN-2+x 74 (18'-22' SPANS + + + + 4- 2 x 4 BOTTOM + + + + + + + 4- + o(D + + + + �- + + N 2 x 6 tpP CKOVLD f�' F ++ - 2-16 710 p Cx0 CHORD I- + -i- ® + + + + + } + + ( RD Q + + + + + ®I + + + ++I M i + i- + + • N DETAIL 11011 (161-171 SPANS)SPANS) 2 x a Tpr cKp� +++++ F +`+ - a X 4 Tpp CNOR W �EA D GN-3 x 62 H NOTE: PLACE (16' .34 SPANS) e� + �+ + _ REAR PLATE WEB MEMBER 2 WEB MEMBER -t" HIGHER 2 g g + + d + + + t O 3 —'— —— —'— �'�' Ds 4 + + + t + + z 419 + + � 4- + 0 ®—f—® 2 + + +A 2x i.. + + + + ` ti g WEB MEMBER 4- 40) T_ _ NEB MEMBER DETAIL �IM�� 2 x 4 BOTTOM CHORD fl CENTER PLATE ON DE TAIL IINI' �D STOTES ANCEIORF DGEIVE NAILS D STANCE TOICH HAVE TOO SHORT AN BE COUNTED AS EFF CTEND 2 x 3 WEB MEMBER P CapRD C ZX6 LO .v i WIDTH LENGTH 2 x 6 TpP CHOP Iss' xOgD C GN-412-x 130'? ti 4 q p�� T V/ K C GN-41 x 13 (27'-34' SPANS) OHD �C x W GN-4z x lOZ (24'-26'-6" SPANS) } LOP CK X X �C I 2x 1�--� �--GN-4z x 9 (20'-23' SPANS)—� 3 I I N-42 x 7}(i6'-19' SPANS Q 1)0-1 I I x 4 I X 2 ,g + + + + + + 1- -1 ( — GN-1 x 61 1 I Q X 7-8 + + + + + { + + + Zz I + + (ALL NS) i " + + + ( h + + 1- +- - + a 2 x 4 BOTTOM CHORD x X W EB MEMBER + 4- 1 + + i 4_ + T + -0' + �_ + MDETAIL L + + Q �m + + + + + + + + + + Q.,vXN JOINT DETAILS I+ { + + + + + FOR SPANS 16 TO 34 FEET, 3/12 SLOPE+ + + i 90l, p ' e *:mpg 4509` :a i TE RATE 3/1/58 GANG—NAILS INC. ICALZ 3"• 1'-0" �/ ,/C✓�:%F�OE1�p•' �0 SF. SEE, MIAMI FLA. DRAWN G.H. DETAI L 11 K 11 FRED DRAWING NUMBER ti APPROVED ET 1DEEIT!af30CIATEf INC-El81EEBEs 10 Copyright 1957-J.C. Jur01t m U RIDGE LINEd. A21_p/l W GN-3 x 6 a A -- GN1.3 x 61 i r g 24 2x4 0 2x4 CAT B 2x4 CAT Z o U • CIlll a VALLEY JACK TRUSSES 2X3 2 x 3 14 LyL U @ 2'-0" O.C. t y , 11 g4v D w L. 4 -0 �-� GN-3 x 612- E 214 -G ER TRUSS GN-3 x 6Z y _ 14 GN-l'x 34 W FASCIA LINE a 2 x 3 LT 2 x 3 STANDARD TRUSSES 4 21-0" C F_ 1461-011 —I GN-3 x 6- U GABLE END TRUSS FASCIA LINE 2,4 _ I STANDARD TRUSSES J GN-3 x 621 2x4 Cq GN-12 x 34 ROOF PLAN KEY - - 2 x 3 LT 213 SPACING: 2'- 0° .O.C. I D T11.* $ _0 to.i GN-3 x 61, LUMBER SPECIFICATIONS J 2 x 4 l� 1500 f, No. 1 Southern Pine or 1500 f Douglas Fir, or Equal 12 :. k 2x4 ! N { 2-1/2 DETAIL A N i GN-3 x 61 2 x 4 GN-la x 3 GN-1'-x 3 3 GN-1 2 x 3 3 z J USE ONE-HALF OF ;�74P 1 m �. PIECE CUT FROM 2 x 3 x3 G4`S 2 x 6 TO FORM 2'-011 STANDARD TRUSS 1 BOTTOM CHORD E SPACING 2'-0"O.C. 10'-0ll o ,J ALL TRUSSES SYM.ABOUT C/L VALLEY JACK TRUSSES M VALLEY JACK TRUSSES DETAIL "A:' FOR 2.5 / 12 SLOPE GABLE 2`I2 BOTTOM CHORD CUT HALF SPAN a...a 1=I-6 REFERENCE SHEET R" w F H.P. 0 3/I/58 REVIB® (MAKES 2 - 2 x 3 BOTTOM CHORDS) The Valley Jack trusses detailed are for a 22 in 12 slope. However, GANG-NAI LS INC. CUT DESIGNED TO ALIAW they may be made for any pitch roof by changing the slope of the top -FOR- VALLEY JACK TRUSSES TO FIT chord and the cut of the bottom chord. STANDARD TRUSS FRAMINGDP^-ING NUMBER Jureit & Associates, Inc. -_Engineers V-2 4,0# 4 v I 5510$ 550# 18,300#C 1 b c E" A m a 3 4 d o C I� 1 2 5 6 h 2750# g 3300# f 2750# e I H 2 24,800#T G o 1 0 ?,100#C 18 3 C 00# 0 20'-0" —i n 25,3p0#C M N 3 24,800#T H N SPACE DIAGRAM 1 ' 16d SPIKES STRESS DIAGRAM W @ REAR H THROUGHOUT I GN-54 x 9 TRUSS GN-3 x 612 GN-3 x 6-21 16d SPIKES i I GN-1i x 61 C; FRONT FACE GN-1z x 62i @ 12"O.C. Z THROUGHOUT GN-6 x 184 TRUSS 12 2%6 � � �� GN-3 x 6 Z _ 2 g GN-3 x 6'. C 21/2 2 , 2 -2X411 2 - 2x4 2 -2x6 2 - 2x4 2 - 2x4 2 - 2x6 2 - 2x6 CAMBER 1/4" GN-51 x 5 CAMBER 5/16" CAMBER� 1' 1/4" GN2,0" 6i 21-011 m GN-6 x 18q1 hN GN-l2 x 62 4two WELD 4'-0" LSPECIAL BRACKET 10-0" HED C FABBR.ICATORY NAIL TWO TRUSSES TOGETHER l6d SPIKES .� 14 GA. STEEL SPECIAL WITH ONE SET OF PLATES EACH REAR FACE L BRACKET FOR MOUNTING u TRUSS TO FORM GIRDER TRUSS. @ 12"O.C. STANDARD TRUSSES TO GIRDER TRUSS USE ad NAILS C y'" DIA. BOLT M o THROUGHOUT .� EACH BRACKET 16d SPIKES �. FRONT FACE SPECIAL BRACKET FULL SPAN a 4./ @ 12" O.C. FURNISHED BY W •C FABRICATOR �4 `� 1/2" BOLT EACH BRACKET Q SPECIAL BRACKET POSITION OF STANDARD DETAIL-No SCALE TRUSSED RAFTERS - SPECIFICATIONS - PLAN VIEW LL DESIGN CRITERIA: DESIGN& FABRICATION SPECIFICATIONS: Live Load-7-317-p-sT Dead Load = 25 psf "National es gn Specifications for tress- Design Load= 55 psf Grade Lumber and Its Fastenings", N.L.M.A. 2.5/ 12 GIRDER TRUSS Maximum Nail Load = 76 pounds per nail Latest Revision. Uniform Specifications of the (Equals 55 pounds per nail at 40 psf loading) American Institute of Timber Construction. FOR 2O SPAN .0 33-1/3%allowable unit stress increase for short NOTE: THIS GIRDER TRUSS IS 9 -6 time loading on lumber. "GANG-NAILS" DESIGNED TO CARRY STANDARD3/1/58 REFERENCE SHEET Made of 14 gage Galvanized Steel. Manufac- 201-0" AND UNDER SPAN TRUSSES LUMBER: tured by"Gang-Nails, Inc." Install "Gang- AT 2'-0" O.C. GANG-NAILS, INC. TWI 4;leo. 1 Southern Pine or Nails" on both sides of truss. -FOR- 1500 fDouglas Fir, or equal. oaww1Ne Nu 1500 �"°" Jureit & Associates, Inc. - Engineers G-1 1 DESIGN CRITERIA w HALF SPANS9 Trussed Rafter Spacing-2'-0"c/c Lj ALL TRUSSES SYMMETRICAL Live-Load = 30 psf ABOUT CENTERLINE, C/L Dead Load 25paf EXCEPT AS NOTED OTHERWISE Design Load= _Wpsf o- (Live Load plus Dead Load) 3510@ C A Maximum nail load-76 lbs./nail (Equals 55 lbs./nail @ 40 paf loading) a 0 B 33-1/3%allowable unit stress in- O 3430#T 3180 C crease taken for short time loading 1 3,4 28609 T C on lumber. g6, & 1'-0" (16' SPAN) z'-o" iia' SPAN)1 SPAN) DESIGN 1L FABRICATION DATA 2 r� �- 3459 C Design and fabrication meets with STRESS DIAGRAM FOR 18=2.5-H-T 3699 13 2 x 4 TRUSS NO "National Design Specifications for SCALE: V=1000# „�` 2%4 16'-2.5-H-7 Stress-Grade Lumber and Its Fas- SEE x A 26-S =� IT-2.5-H-T SEE DETAIL "F" A 3 4 IBS-, -H-7 teniaga", National Lumber Manufac- DRAWING NO. 6 4 2 23-S (16'SPAN) 12 2% turer s Association Latest Revision, 29-5 (17-SPAN)2i 1 X26-5 32-S (18'SPAN) i CAMBER 13/32" and"Timber Construction Standards" - American Institute of Timber Con- GN-24x 9 4'-5" 1'-6" L SEE DETAIL "J" i struction's Latest Edition. DRAWING NO. 6 a r— 8'-0" (16' SPAN) GANG-NAIL HARDWARE 8'-6" (17' SPAN) SPLICE 9'-0" (18' SPAN) 1'-0" from C/L(16' SPAN) 1'-6" from CIL(17' SPAN) Stamped from 14 gauge galvanized 2'-0" from CIL(18' SPAN) steel. Manufactured and supplied by Gang-Nails , Inc., 8410 Bird A Road, Miami, Florida. Install 58208 C Gang-Nails on both sides of truss 770#T face, except as shown otherwise.In- O 2 63909 C stall metal web members as shown. ,y0' B 3'-0"(16'SPAN) Solid lines indicate members on near. y 5710#T C 3'-6"(17'SPAN) face-dashed lines indicate members 3 1 4'-0"(18'SPAN) on far face. 6800#T GN-2;x 102 S60Q 330#L GN-4zx 13 71 B SPLICE IS OPTIONAL TRUSS NO LUMBER SPECIFICATIONS STRESS DIAGRAM FOR 18-2.5-H-5 SEE DETAIL"F" A � 2 x 4 DRAWING NO.6 2 - I6�-2.5-H-5 SCALE:1"=2000# 12 2%4 GN-2 g x 184 23-S A� 2a SEE DRAWING 33-L a ITi 2.5-H-5 1500 Y, No. 1 Southern Pine or ' NO. R-1 1 3 IB-2.$-H-5 2 x 4 -., 1500 f Douglas Fir, or equal. 2 x 4 CAMBER 15/32" C 7'-1" 1'-1" 74 s � 8'-0"(16'SPAN) 8'-6"(17'SPAN) SPLICE 9'-0"(18'SPAN) 4'-0" from C/L(16'SPAN) 3'-6" from C/L(17'SPAN) 3'-0" from C/L(18'SPAN) le-le SPAN HIP TRUSSED RAFTERS 3iI158 P-5�12 SLOPE F.H.P. -FOR- GANG-NAILS, INC. oa,.nm.um Jureit&Associates, Inc. -Engineers H-4 HALF SPANS DESIGN CRITERIA '•a ALL TRUSSES SYMMETRICAL Trussed Rafter Spacing-2'-0"c/c d ABOUT CENTERLINE, C/L 77780#0#T �7.11#0'C 0@ CA EXCEPT AS NOTED OTHERWISE 6'-6" (351 SPAN Live Load - 30 psf ,a 700;7 T B 516@ 7'-0" (36' SPAN) 514@ Dead Load 25 psf m C D Design Load= 5Fi psf o- 4 C �- 2 x 6 - 2 x 6 TRUSS N0. (Live Load plus Dead Load) 1 65708 TD 2.5-H-I I Maximum nail load-76 lbs./nail 5898 2%6 36'-2.5-H-11 (Equals 55 lbs./nail @40 psf loading) 56. 2 75808 T CAMBER 27/32" U 7408 C 8208 T B c 93-1/3%allowable unit stress in- STRESS DIAGRAM Fon 36'-2.5-H-11 �� 51-L 4 5o-s a' crease taken for short time loading SCALE: 1"=32008 GN-4a x 153 5 6 ' SEE D9TALL."F" 2$6 2 g 3 45- 92-3 C° on Lumber. GN-2!x x 21 12 DRAWING NO.6 2a 1 129- NCO. DRAWING- DESIGN 9 FABRICATION DATA 2 x 4 2 x 4 \�% SPLICE Design and fabrication meets with 61-54" 1'-?" 51-4" 3'-0" D 71-6"from C/L(35'SPAN) 8'-0" from C/L(36'SPAN) "National Design SpeciScationa for 17'-6" (35' SPAN) 181-0^ (96' SPAM Stress-Grade Lumber and Its Fas- 8808 C 7180@ C A 8'-6^ (35' SPAM tenings", National Lumber M�: 9nr- 8 98 9'-0" (36' SPAN) 66 3 14188 T 89208 C B B 08 C TRUSS NO. turer's Association Latest Revision 70518 T 1 2 x 6 2 x 6and"Timber Construction Standards" — 4,5 1.2 a 35_2.5-H-9 62.5-H-9 American Institute of Timber Con- 9408 T or C 36 STRESS DIAGRAM von 36'-2.5-H-9 36-S 36-s CAMBER 29/32" struction's Latest Edition. SCALE: 1"=32008 GN-4a x 15i 2 x 6 2 3 5 SEE DETAIL"F" 57- 4 41-S 12 DRAWING NO. 6 1 GN-2 A.21 I GANG-NAIL HARDWARE e 2a SEE DRAWING NO. R-1 Z x 4 2 x 4 �� 2 x 4 �` � Stamped from 14 gauge galvanized SPLICE steel. Manufactured and supplied 71-2" 5'-8" C 1'-10" 7'-6" from C/L(35'SPAN) by Gang-Nails, Inc., 8410.Bird 171-6n (351 SPAN) 8'70" from C/L(36'SPAN) Road, Miami, Florida. Install 8808 C Gang-Nails on both sides of truss 11408 T 15408 C 20508 T 1740#C A 18'-0" (96' SPAN) face, except as shown otherwise.Ln- 10'-6" (35' SPAN) 2 3608 B 1 1 589 4298 ll'-0^ (36' SPAN) 5618 4 ll,5608 C C GN-4a x 6a B C D stall metal web members as shown. 3 10,5608 T 1 75808 T D A TRUSS NO. Solid lines indicate members an near 5.6 ---12,2000 T ` 2 x 6 `` 2 x 6 ` �` 2 x 8 35'-2.5-H-7 face-dashed lines indicate members STRESS DIAGRAM FOR 36'-2.5-H-7 2 1-1 6 29-s 29-s a. 36'-2.5-H-7 on far face. SCALE: 1' =32008 GN-4'-a a 15a 2 4 I 6 :1 SPLICE IS OPTIONAL 12 1 38- 98-L 5 38-L ' 2; LUMBER SPECIFICATIONS 2 x 6 2x6 �O�> SPLICE 1500 Y, No. 1 Southern Pine or 3V-4" 11-7"D LGN-4A.-x 21' 1'-6"from C/L(35'SPAN) 1500 f Douglas Fir, or Equal. • ----i 5a1n17'-6" (35' SPAN) t 2'-0"from C/L(36'SPAN) 18'-0" (361 SPAN) 12'-6" (35' SPAN) GN-4j x 6' 7038 B 3638C 3738 D 4798 13'-0" (36' SPAN) E 759816 F B , 4x6 c 4x6 ` 4x6 `` 4x6 TRUSS NO GN-6 x 21 35'-2.5-H-5 12 4 g 6 0_s 2 20-5 0-S -L g 9-L m 36'-2.5-H-5 20-S, 20 3 0-S 6 7 9 ' 2z 1 20-S 0" 0- CAMBER 1-1/32" 4 x 8 1.— 1.6 I 4 x 6 11 I10-4n 1'-p" 10 y° 10_p" SEE DETAIL 20-4n F SPLICE 4„• 61-0" ; 1-0" I-0' 5'-3" from C/L(35'SPAN) -36 t ' SPAN HIP TRUSSED RAFTERS 1T-6" (35' SPAN) 5'�" from CIL(36'SPAN) 35 18'-0 (361 SPAN) GN-5a x 21 OFFSET PLATE 5/16" R I 112° - F.H.P. . STRESS DIAGRAM Fop 36'-25-H-5 `GN-2°x zl ,��°' EACH szoE s 3/1/58 2.5/12 SLOPE a7e00c a MT •7ao► a i':�:.t:'i y:�*;AI i': GN-51 x 21 SCALE: 1'=60008 as #C 22509T c c .,� .,a�a a Z 17800 C 17500 v 1a0•c END VIEW ® 4 x 6 $C. ''�"+ :«t«++«% —FOR- a 0c 0 0T zn.7aae ,;.,.�;,t:�,, SIDE VIEW GANG-NAILS, INC. SPLICE DETAIL GN-2°x 21 `''' 8,10 ,600/C .7 400'T 1B 570 T IB 880/T I 12,78MT SCALE: a"=1'-9" TOP& B01'1'OM j� I I I 1 I I I 1 I I_ a _FT -r8_&Associates, Inc. -En veers 0'-6"(35' SPAN) DESIGN CRITERIA ti A HALF SPANS ''-°" c36' PAN' ti Trussed Rafter Spacing=2'-0"c/c ALL TRUSSES SYMMETRICAL GN-41.x 6s 5230 C Live Load = 30 psf O 1080$C ABOUT CENTERLINE, C/L .- - Dead Load = 25 psf EXCEPT AS NOTED OTHERWISE 1 2 x 6 TRUSS NO. Design Load= psf 35-2.5-H-ITS (Live Load plus Dead Load) m 8090@ C B - 36-2.5-H-W Maximum nail load=76 lbs./nail .e 1 3 4970@ T C D 6 CAMBER 5/8" m 6920#T ,t 919# 2 x (Equals 55 lbs./nail @40 psf loading) y0� o' 33-1/3%allowable unit stress in- U C 2 ^♦♦ crease taken for short time loading STRESS DIAGRAM FOR 36-2.5-H-17� B 77-L 3 on lumber. 2 SCALE: 1"=2000$ GN-4q x 15% SEE DETAIL"F" 2 x 6 44-8 DESIGN&FABRICATION DATA DRAWING NO. 6 GN-21x 15'- ex Design and fabrication meets with 12 1 SEE DETAIL"J" 21 DRAWING NO. 6 "National Design Specifications for Stress-Grade Lumber and Its Fas- �'� 2x4 ♦ ♦ 2 x 4 tenings", National Lumber Manufac-� 9'-6'-a" D 2'-8^ 0'-6" SPLICE from C/L(35'SPAN) turer's Association Latest Revision, On C/L (36'SPAN) and"Timber Construction Standards" A 17'-6" (35' SPAN) 18'-0" (36' SPAN) (35' SPAN) American Institute of Timber Con- 660# 3'-0"(36' SPAN) struction's Latest Edition. ° - c TRUSS NO. C B � 2x6 �p0 13 1 35-2.5-H-15 1 4 5580#T C 36-2.5-H-15 GANG-NAIL HARDWARE 70510 T 558° D 809# 2 x 6 CAMBER 11/16" .S #C Stamped from 14 gauge galvanized IOfOX $ _ f' 4 steel. Manufactured and supplied r -♦ 2 ♦ ♦ �� by Gang.-Nails, Inc., 8410 Bird STRESS DIAGRAM FoR 36-2.5-H-15 A 2 3 2 Road. Miami, Florida. Install SCALE: 1"=2000# GN-41 x 151, 62-L 57-L Gang-Nails on both sides of truss SEE DETAIL"F" 2 x 6 41-S face, except as shown otherwise.In- DRAWING NO. 6 I GN-2 a x 181. stall metal web members as shown. 12 1 SEE DRAWING Solid lines indicate members on near 2z _ NO. R-17 face-dashed lines indicate members on far face. 2 x 4 2x4 t 2.4 ♦ i D SYLI(,E SPLICE IS OPTIONAL _ 91-4 ��- 21-211 a _I 1'-6" from C/L(35'SPAN) 2'-0" from.C/L(36'SPAN) I LUMBER SPECIFICATIONS A 17'-6" (35' SPAN) 1500 f, No. 1 Southern Pine or 18'-0" (36' SPAN) 1� 41-6"(35' SPAN) `i 6000 5'-0"(36' SPAN)2 x 6 2750(L) 1500 f Douglas Fir, or Equal. 7560@ T 1120#C C 370#C 330#T 1030@ C B TRUSS N0. 1 4 6180#C B _ 35-2.5-H-13 C 36-2.5-H-13 1 5 3 5980#T D 699# 21L 6 CAMBER 3/4" 9g 080#T 50-S - �''°C -6440#T �_"'♦♦ 4 .N 2 A STRESS DIAGRAM FOR 36-2.5-H-13 2 65-L 45-L 5 SCALE: 1"=2000# GN-4i x 15z 2 x 6 32-S 12SEE DETAIL 3 GN-2& x 21 2z 0 DRAWING NO. 6 1 I SEE DRAWING t ' NO. R-1 35-3 SPAN HIP TRUSSED RAFTERS 2 x 4 44- 2 x 4 if -1/2"4-0"1 F.H.P. D SPLICE r 3/1/58 2.5/12 SLOPE 7'-1" " I6'-2" _ Ot- from C/L(35'SPAN) `r' 6"On C/L (36'SPAN) I -FOR- GANG-NAILS, INC. 17'-6" (35' SPAN) u Jureit&Associates, Inc. -En s �- 18'-0" (36' SPAN) gineer ' o ti � t 2' TYPICAL GANG - NAIL HIP TRUSSED RAFTERS SKETCH OF SURVEY SCALE: 1" = 20' N.E 103rd STREET �----------- -------- ------------ 21'PAVEMENT • • •/ 8 / M • / 25.50'PARKWAY 1 � RID P.I.R 1l2" E __ _ _0 '_ __ _"� J / (No 32 84) P.I.R 1n" P.r+ P.I.R 112" `ppb (No 3284) 77.89' (No 3284) G' • / � 65' I �v •/ D-61'08'49" 90.003' I p't F.I.R 112' R=25.00' I • (No 3284) T=11.98' �a I o.os ' - — 10.0' I 60'Enc ig. Adj.C.B • well l LO UO I O J ryG� P� U") I O U_ �I I VACANTLAND Wo 90'00 0' AREA=15731.58sf = 0.36 Ac. I 7.9' � I W I F.I.P 1" ' 1 (No I.D) I I I 1 I I Elevations I b 1 .60'En 011.1 F.I.R X30?s� (No 3284) LT _ 55 _ I b F.I.R 1/2- 128'S1'11" OC'1 ryo (No 3284) LS O " LEGAL DESCRIPTION Lot 5, less the East 55.0 feet,and all of Lot 6 in Block 175 of Sq "Revised Plat of MIAMI SHORES SECTION 8",according 41P to the plat thereof,as recorded in Plat Book 43 Page 670" of the Public Records of Miami-Dade County, Florida. so"o� " CERTIFY TO Elizabeth Cimadevilla. o ID) C&C.Title Agency,Inc. (N Commonwealth Land Title Insurance Co. ��LID) JOB No:99-0246 DATE:02-02-99 DRAWN BY:H.Y.P REVISED: NOTES. -THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. -LANDS SHOWN HEREIN WERE NOT ABSTRACTED FOR EASEMENTS AND/Olt RIGHT OF WAYS OF RECORD. -LEGAL DESCRIPTION PROVIDED BY CLIENT. -BEARINGS IF SHOWN ARE BASED ON ASSUMED MERIDUW BY PIAT OF RECORD. dF SHOWN,ELEVATOR ARE REFERRED TO N.G.V.D/9a. -UNDERGROUND ENCROACHMENTS HOT LOCATED. THE FLOOD INSURANCE RATE MAP,DATED 3-2-94,PUBLISHED BY THE FEDERAL EMERGENCY MANAGEMENT BOUNDARY Sl1R``''EY AGENCY(F.E.M.A),DELINEATES THE HEREIN DESCRIBED LAND TO BE LOCATED WITHIN: .iEY ZONE:AE­8.W COMMUNITY No:12DS52 PANEL No:0093 SUFFIX J IHereWCai9ti:.Tht6�e° °_ � ORION SURVEYORS _ "w respu gqe rt,sge.err)s'LsLS ala r"sts ft,wmmn -CHAIN LINK FENCE ® -CONCRETE BLOCK ted.icdawwlw sysset tam by the'FLCRIVA BOARD -WOOD, INC. - -WOOD FENCE I�--Ht•--, or WIRE FENCE STRUCTURE OF LAND SURVEYORS In Chapter S1G17.6',Ratde Add- ristralve Code,Puaw f to Sodan 472.027,Raide Statutes. ENCRO -ECROACHMENT P.R.M -PERMANENT REFERENCE MONUMENT W!M :WATER METER C.S.8 -CONCRETE BLOCK STRUCTURE P'C'P -PERMANENT CONTROL POINT FN FIRE FIRE HYDRANT C.LF -CHAIN LINK FELE P.H -PONT OF PRERSECTION C.B -CATCH BASIN �--- W.F -WOOD FENCE P.0 -POINT OF CURVATURE COMMENCE CONC -CONCRETE (M) -MEASURED DM -DRILL HOLE SW -SIDEWALK —Yt TOR Y..PIN RA 15006 S,W 80th TERR. (P) -PLATTED U.E -UTILITY EASEMENT Arc AIR CONDITIONER (C) -CALCULATED D.M.E -DRAINAGE MAINTENANCE EASEMENT F.P EL -FINISH FLOOR ELEVATION Rendsjrm*oeril<MmwNo.0087 MIAMI, FLORIDA 33193, OIS .OFFSET P,P -POWIERPOIR RO.p 8@I� AdINf1 sl a+,r FI�TI�o t (305) 317.6907 a 367.9590 Wp' =NO AIN F'" 70,,Ian� IA " San c Id wM out the 81dnB ute oed Nt8 •NAIL m ir18 A B, ,Y " e,B LTA AAatu§,tAfda@Fff F-0 -EDGE MARK ReiSed Seal o/a Hai a Certs Surveva$Meoeer) S.LR -SET IRON ROD F.I.R -FOUND IRON ROD EO.W -EDGE Of WATER h, — = LOCATION SKETCH SCALE:NTS ! �taD aiGAt Faa10 X11 ~ V its c iA 125 rr C"on My a) wargr JAW Q1 �� l ::. • AM QK SIM LLj p j i C6£ RE5�f1V( s� ^ BJ FFE a1bB9 I W 'err wit IP _ n an': •� W3 tig3133' FRO MWl25 00'(Rec j 12�10'(MeaR) mr S3 Z SMM FORI'RADER MEMORIAL MITBD METHOD CHgl5O N.E. 103RD ST., MIAMI SHORES, FLORIDA 33138. LEGAL DESCRIPTION THE WEST 20 FEET OF LOT 4 AND THE EAST 55 FEET of LOT.5:-BLOCK 175 OF MLAMI SBDRES SECTION 8 SUBDIVISION ACCORDING TO THE PIAT THEREOF A8 RECORDED IN PLAT BOOK43 AT PAGE 67 axaeremmcsrweruma.as�aum�vmee.v�wnu++m.WamaAuumuaune�mvR'�tl10M�Q' OF THE PUBUC RECORDS wauno.�uaawvno aiwraavertnmcama ax. ®ta,e x a c a WANI—DADE COUNTY,FLORIDA ul umm comocommm VAX Mom OF WW M-awamm Fwd guomm tM Tvp r nm a a. ANIKMM amass.A M a•mx PaE.ra MMM WZAnaK No!wjm=mwho=ovm apmme+wu®aaAovaa .xuwa SURVEYOR'8 SEAL I HEREBY CER1FY 7W am smay mp maftd SINCE teal ELEVATION BASED ON LOC.#3250 HE Ammon nab an mbdpmn m mdmi m BL.ANCo SURVEYORS INC. >amneeuxc owu COW B-26—B ELV.10.091 wro o+euavar,ummum ouRRY by em STATE OF PwRiDA SUM of Lewd ttivJ=lc 1y ovWNelt SU84=7001 iOPME.2jN0T%%WV MffT+ES=AnM wnu�d m aea 4nmr t enemmm•Land s,wayom• nera•Los aooyoBe iD RAI'EDB A FLORM LICENSED SLOW&ORAND MAPPER )THE 8UR%DEPICTED HERE ISNOT t me no ammlommo s,-adwk anum a NO KOM SHORE DIM COVERED BY PROFESSIONAL UABan'Y 4) LEWL DHBCRtPT1ON PRMWW BY CUNT. a) rlipeetbgontlm�acvt�mma�renioaamr MANBEA6H.PL 33141 1J��i0RDUND ENCROAM ENTS NOT LOCA7®.W ELE{WTi0N8 ARE a"M ON NAnoM OEODi M- mahoimbmem (308)BBB-120D j ,��o VERTICAL DATUM OF M. A CP FENCES ARE UNKNOW B) 7HERE MAY BE AODII ON& Fax THE TSE MN PPFWR A14Y OMM D VMRX FOR�M AND�NZO M 95mm N/A ff/o� CFTRLEVWRLKWETOBEMADE70DETER6iWEt�AADED AHEL 0093 0 120652 BEARD=MENSHOMARE REFErUSEbTO ASSWEDMMM OFSAB>PS PAGE REQIBTEREDLA1iO9URVEYd1 OW BTATEOi`FLORIDAti382< 1 7 0 rvav /Z9 RR CC'f FE0VFE JAN � � � • CRITIQUE SHEET 0 JOB ADDRESS A � `y� �®� �� APPLICANT PERMIT NO. PHONE t# ADDRESS: AF'PUCATION -04( U F 6,Y MIAMI SHORES VILLAGE BUILDING/ZONING DEPARTMENT- SHEET _OF SECTION BY —DATE MISCELLANEOUS ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL . 1. Gabled to compitaace with an Federal,State CowtXVitla9e rotes end reTAat w-%wage z=mm no responsibility for accurtcy offor results fr= ff2. This copy of plans must b• a faltabit oan9 site at no inspection MR be coadodat DATE GU.UJV G • COMMENTS INITIALS `r``fi'�sJ.. .�-Jf S r..;.� r�;�,� /� S Ij.1. t�lfi''I•�y`` L,''y�"i�� � "S�' �"t„ � n-' µ'F^!' 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FLORIDA 33138-2382 Telephone: (305) 795-2207 ....Fax: (305)_756-8972 COVENANT OF CONSTRUCTI N WITHIN RIGHT OF WAY WHEREAS, X--a6iej G eJ�G /� hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio#: III- B';0 5 -O 1l —CLOS Lot A 4 F-5514' W 5 Block 116 Subdivision $ Tax Folio#: 11 " 31C 6 m ® 1 Ci a O 05 O requests permis ion to install: [ Asphalt,concrete,brick pavers [] Landscaping []Other within the public road right of way of l`dz/ l /®:3 f✓ Oy/ji���� Sj� (address) IN CONSIDERATION of the approval of this permit by the Village,the Owner agrees as follows: 1. To maintain and repair,when necessary,the above-mentioned item(s)installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability,which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense,within 60 days notice by the Village to do so.Failure to comply with this notice will result in the Village causing the item(s)to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned,their heirs and assigns,until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County,Florida by the Village Manager of Miami Shores Village(or his fully authorized representative). SIGNED,SEALED,EXECUTED AND ACKNOWLEDGE on this _� day of SIGNED,SEALED AND DELIVERED in the presence of: Go Marola Franco/Sans �G�Commission#CC 925828 Expire6 April 6,2004 Bonded Atlantic Bonding Co.,Inc. S�OR'Es yi Miamis o�e� ViLe Fn. 13181Mg v AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) �`✓� Jn®17 The undersigned Affiant, f�/ �//y .does hereby attest that the (property owner) , attached survey,performed by (nanveof surveyor's company) performed on ,is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six(6)months old. The Affiant,as property owner,further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further,Affiant sayeth naught. .4jiw" Affianypoperty owner Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this day ofTaG 200 3 Affiant is personally known to me, �rodu c- as identification. Notary Nitnp Marola anco/Sans :4. .�SCommission#CC 925828 '. �o- Expires April 6 2004 •,, pFo.,. Bonded Thru w .`` Atlantic Bonding Co.,Inc.