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Archive (2) Miami Snores villageBuilding Permit � ' 10.050 NE 2nd Avenue seat Phone: 305-795-2204 Permit Number: BP2002-1723 ` Printed:10/8/2002 Page 1 of 1 Applicant: LORINE MCGEE Owner: MCGEE LORINE JOB ADDRESS: 1201 NE 103 ST Contractor JOHN BUSTA Contractor's Address: 300 NE 91 ST Local Phone: 305-219-9699 Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Fees: Description Amount FEE2002-5667 Building Fee $80.00 FEE2002-5668 CCF $1.20 Total Fees: $81.20 Total Fees: $81,20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/6/2003 Construction Value: $1,200.00 Work: ROOF REPAIR If there is no permit package accessible on the job-site for inspectors to verify,there will be no inspections. Re-inspection fee is$50.00,which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to Install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,drawings,statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted Is the understanding that the contractor or builder named above assumes the responsibility fora thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents,servants or employees. Signed: (INSPECTOR) BY: In consideration of the issuance to me of this permit,l agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,mXAgeak4,ervants or employes. G Sign (Contractor or Builder) BY: S e e u r f t e n k a need - a ---'""""�------ dcc-n.axent. �S ee bock details. 'JOHN BUSTA ROOFING INC. was,-2M1720 0° 1720 300 N.E.91 STREET MIAMI SHORES,FL 33138 PAY 000e� DATE I® "' �!-� 03-27i631 FL ORDER OF �COf BankofAmerica. 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J � �r J� > i � r i - - 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 all the minimum requirements and standards of the indus- try 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. - -'' #—Aesthetics-Workmanship:The workmanship provisions of Chapter 34 are for the purpose of providing that the roof- ing 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. dt&2.Renalling 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.) da .Common Roofs: Common roofs are those which have no visible delineation between neighboring units(i.e.town- ouses,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. 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 under- side of the decking may not be acceptable.The SFBC provides the option of maintaining this appearance. s-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 roof- ing system.Ponding conditions may not be evident until the original roofing system is removed.Ponding conditions should be corrected. A6.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. C % .Ventilation:Most roof structures should have some ability to vent natural airflow through the interior of the structur- al assembly(the building itself).The existing amount of attic ventilation shall not be reduced.It may be beneficial to consider venting which can result in extending the service life for the roof. The owner may contact the Miami-Dade County Consumer Services Department for further information regarding the above. Own. s/Agenes Signature Date Contractor's Signature 123.01.12 PAGE 2 7/99 PERMIT APPLICATION Master Permit No. _ Subsidiary Permit IN'S-I-fwC-I-I0NS - The [oII0\%iII() S(eps Inust bc, I�Ikcll to ob( Iijl il permit f1,0111 tho Miami shorcs Village: Step 1. Comps the attached permit application which mug be ftladby dw Map=owner and"Mm Both su aatures mug be notarLzi Please print or type to allow for a more awe processing of your application. If roofing work will be done,a roofing application must be submit- ted ubmitted along with this permit application. Step 2. Submit Ow=Mleted{plication with all necessary documents to the Building,Planning and Zoning Department for processing. During the pmoessing of your application,you may be asked to submit additional information. Job Address: /�/ `t73 �' � 111A'r/ �171/� f --> Address Apt. city state zip Folio Number Description of Work �/ &Zmi Lot Block Subdivism PB PG Zoning Ianear Feet current Use of Property Square Feet /47 Units Floors Proposed use of Property value of warkf/-Z6v• Bldg value Tenant Iuf anadw Tax Assessed/Appraised Valpe Flood Zone ' Base Floor Elev. PERMIT TYPE (°/) PERMIT CHANGE /) TYPE OF 1bIANAGENIENT (./) Building Ch&Conhudw New Cambuctlon Enclosure Fel Reeewal Alter Exterlor Memel Revision Ah atien bderlor Denalish phmdft Exton Relation of St uctare Shell Only LPG% Fin Only Addli Attachment R1001109 RchMMwd= Other Add'1 Detachment Fence Odwr ER Other ARCHITECT MA ENGINEER Name Name Lioese Na License No. Address Address 1 Fax Fax PROPERTY OWNER CONTRACTOR Name Name Adders Lleesae Na Address ' 'nN� T*,heos FaM✓'" Fax 1 ,t/ Page 2 PERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 am.to 6:00 p.m.,and Saturday from 8:00 am to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN,NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. - 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION STIES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Buildig,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 Resourm 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. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent(50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMAENCEMENT may result in you paying twice for improvements to your property. If you are spending more than$2,500 or intend to obtain financing,you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1s,Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Constriction Lien Law and Choosing a Contractor. STATE OF FLORIDA,COUNTY OF MIAAG-DADS A, OUNTY OF MIAMI-DARE r Sigoatme of owner Sj !Mare of ContracVQualifier J,o Q i \J Print Name Print Name Sworn to and subscribed before me this day Swan to and subscribed before me this q4r,," day w Si Si ELLER LORRAINE KELLER SEAL. P, tis I�ORRAINE K i L9R SEAL Notary Public,-Ste$or FbMa - d FLCrid61 = •= I11yCotmrEtcpiApri8,2009 N 0925Cmmiastan # DD 17A��2 � +tlss [J'109725 By National Not"Am. Personall Type of Identification Produced: Type of Identification Produced: Page 3 PER UT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies)m the space provided below. Minimum Fee Dryer Outlet,Appliance Service Repair A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary A/C Central 4.7 Ton Fire Pump Outlet,Switch Signs A/C Central 8-15 Ton Fixture-Fluorescent Oven Space Heater(kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Hubs A/C Central 20+Ton Flood Lights Plugmold/Sib ip Subfeeds,No.of Amps A/C Window FPL-Lead Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.WPH) Temp Ser%,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 Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wall/Win.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System ProcessWressure Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit Bath Ttiub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Pipaing Sprinkler Repair Ca -Fixture Fountain Pinup and Abandon Sprinkler System Cap-Water Gas.Ap fiance I Pomp,Domestic Supply,AC Well Cap-Sewer Gas-Natural Pomp,Fire Stand Tem nary Toilet Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Pi ing Pump,Replace-Pool Urinal Dental Chair Grease Trap Pump,Sprinkler Utility-Sewer Discharge Well Ice Maker PUMP,SUMP I Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pum Disposal Interceptor Roof Inlet Water Closet Domestic Well Laura nay Se tic Connection Water Heater Drainfleld,4"THdRes. Lavatory Septic Tank Water Heater New Drains,Area -_ .Meter Set.(Gas) Sewer Connection Water Re - Drains Floor Minimum Fee Shower Water Service Drains,French Miscellaneous Equipment Sink Well,Si 1 RECEIVED AND REVIEWED BY: DATE: Page 4 PE fvff APPLICATION FoMCE USE ONLY ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Anwh) (Attach) ❑ FIRE DEPARTMEIT ❑ HRS/DEW APPROVAL ❑ BPR APPROVAL(Reslatuants) APPROVAL(Commercial/ (Septic/Sewer) multi family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New C nshuctim) (On File) ❑ OTBER ❑ OTHER (Specify&At ach) (Specify dt Attach) $3AO per pap(Scauning Fee) $ Miami mars wlage $ � C� BaW $ MetwpolitanDade County (C.C.:) $ QZ snoop hupectorStaleEducemalF®a $ c � State DCA(Radom $ Cade B Fine $ Zoning Review $ Notary $ TMAL REVIEWED AND PREPARED BY: DATE: SECTION BY DATE Eleckical Afthadcal Pluldbing Irk Pic Wmb mal Builft 011icial Revised Illy 2001 IW50 N.E.2m AVE.,MIAMI SHORES,FL (305)795-2W7•FAX(305)756-8972•httpJ/www miamishoresvillage com MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Bui/ll4mg Inspection Request Date "r lt C:� Type Insp'n Permit No. `I' ® !Q Name Address �V�v Company Phone# Inspection Date I Approved Correction ❑ Re-Insp'n Fee ❑ 41 G MIAMI SHORES4 ILLA . BUILDING DEPARTMENT O� 305-795-2204 Bu'Iding Inspection Request Date �+ Type Insp'n El n l E 1 C9'Permit No.No. 046- Name tlxP Address 1 Z l A,3c; ly -,s Company l4 Phone# Inspection Date9129 Approved lel Correction O Vd S 6®0.0 Re-Insp'n Fee ❑ VPAMISHORES VELLAGE . -bUILDING DEPARTMENT \ ^� 305-795-2204 ) Building Inspection Request j Dao 3 . ] �Imp'nFil� � � 05- Z� 'Al Permit K& > < J \ Name } Address z �� \ \ Company / Phone# j a � \ . InspectionD% Approved - j r Correction ❑ �� R-s%Fee ❑ / a \ j ( � » \ \ ` \ K - ( � [ ( [ � \ § / 1 . d h n y i Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 Phone: (305)795-2204 / di A' Expiration:03124/2008 Project Address Parcel Number Applicant 1201 NE 103 Street 1132050200060 LORINE MCGEE Miami Shores Village, FL Block: Lot: Owner Infoartation Address Phone Cell LORINE MCGEE 1201 NE 103 ST MIAMI SHORES FL 33138-2653 Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 Total Sq Feet: 0 Tons:5 Available Inspections: Additional Info:A/C Inspection Type: Classification:Residential smoke Test Approved:In Review Rough Comments: Date Approved::In Review Rough Duct Date Denied: Hood Smoke Det Test Final ventilation Fees Due Amount Total Amt Paid Amt Due CCF $3.80 Education Surcharge $1.20 $0.00 $0.00 $0.00 Permit Fee-Additions/Alterations $178.75 Scanning Fee $3.00 Payment Type: Technology Fee $4.42 Total: $188.97 04/'�C SEP 2 7 RAW 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. September 26,2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Wednesday,September 26,2007 1 sF Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 12/27/2007 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type• Final Owner: MCGEE, LORINE Work Classification: New Job Address: 1201 103 Street NE Miami Shores Village, FL Phone Number Parcel Number 1132050200060 Project <NONE> Block: Lot: Contractor: C&R AIR CONDITIONING CO Phone: 305-685-6394 Building Department Comments EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM WEST SIDE OF PROPERTY Inspector Comments Passed Failed Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Tuesday, December 4, 2007 Page 2 of 2 ( - , 7 MIAMI SNORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date1�,,4 Type Insp'nT f� Permit No. Name ji 4 .�� Address /- Company Phone# Inspection Date Approved Correction ❑ Re-Insp'n Fee ❑ MIAMI IORES VILLAGE _ BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date �ff Insp'n M� lug Permit No. Name Address it r Company Phone# = Inspection Date Approved Correction ❑ s t Re-Insp'n Fee ❑ E_ L t. fi x Miami Shores Village Building .Permit 10050 NE 2nd Avenue r Phone: 305-795-2204 Permit Number: BP2003-231 Printed:2/11/2003 Page 1 of 1 Applicant: LORINE MCGEE OWN r Owner: MCGEE LORINE JOB ADDRESS: 1201 NE 103 ST M O Contractor JOHN BUSTA Contractor's Address: 300 NE 91 ST 0 Local Phone:305-219-9699 Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Fees: Description Amount FEE2003-886 Building Permit Application Fee $60.00 FEE2003-887 CCF $3.00 Total Fees:$363.00 Total Receipts: $0.00 FEE2003-888 Buildier's Bond $300.00 4' Total Fees: $363.00 Permit� Status: APPROVED Permit Expiration: 8/10/2003� tP Construction Value: $4,800.00 Work: RE ROOFING FLAT DECK ,M �a,�� _ — Lor d e t a i l s. ®Secnrit enhanced document.See be k 1913 Re-inspection JOHN BUSTA ROOFING INC. os o0 305-757-2728 63-27/631 R app N.E.91 STREET Iication herefor in strict compliance with all MIAMI SHORES,FL 33138 DATE 92 �/ "Q� 410 ifications that may have been submitted to a or if the plans are changed without Q 0 possibility for a thorough knowledge of the PAY a57 that he assumes responsibility for work done To THE •"^• ORDER OF DOLLARS 8 Bankof America.�.,� ACHRrr003100M _ T � is pertaining thereto and in strict conformity r FOR -- 3sponisibility for all work done by either 11800 191 311' 1:06 3 100 2 7 ?1: 0037302321302112 1 NOTICE OF COMMENCEMENT PERMIT NO. TAX FOUO NO._�I- -0-'57—&;z0-Ori (} STATE OF FLORIDA: COUNTY OFDADE: 03RO93990 2003 FEB if 15:til THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement t.Legal description of property and street address: _ ? S ,QEi/PB 3/7 All TQ,bCr/Sri ZA 497-- 1;W pT /.2Ai it/—,=/D3 sS • 55T A&AA12 Sz�� C/— 2.Description of improvement: _AF—gMF/A/� 3.Owner(s)name and address: Interest In property: Name and address of fee simple Weholder: ' 4.Contractor's name and address: O XI A 5.SmOY--Wayment bond required by owner from c aWF f IDA,COUNTY OF DADE who�COU ,Name and dress: I HEREB P,T1FY at this is a true py of the y�� Amount of bond$ e on WITNESS 6.Lenders name and address: Y h a r al �• 7i Y � B eq F� of uem 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: S.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes. Name and address: 8.Expiration date of this Notice of Commencement.(the expiration date is 1 year from the date of recording unless a different date is specified) tin de ,e, JC4r, � Sirko"Cl ormer Print Owners Name '/yVF Swom to and subscribed before me this day ofd Preparedby Address:��9/.VT Notary PublicY -� Print Notary's Name Q C My Commisslon Expires: C7 ►PUM-4UM of Florida COmmiasiM / DD.100728 MMW By Nafsi Notary Asan. • Florida Building Code Edition 2002 ebdty Hurricane Zone Unilorm Perri t 1€cadon dorm. Section A (General Information Master permit No. Process No. Contractor's Name Job Address ROOF CATEGORY In Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesio 13 Asphaltic ❑ Metal Panel/Shln les a Set Tile Shingles g ❑ Wood Shingles/Shakes. ❑ Prescriptive BUR-RAS 150 ROOF TYPE :<£z• ❑ New Roof Re-Roofing ❑ Recovering l~I Repair 13 Maintenance ROOF SYSTEM iNFOR&nON - Low Slope Roof Area(SF) Steep Sloped Roof Area 0) Total(SF) sic i i Section I3 (Ro Plan} Sketch Roof flan: illustrate all levels and sections, roof drains, s u I scuppers and overflow drains. Include dimensions of sections anti,!levels, clean Iden#i dimensions of elevated ressure zones and location of ara Wiz" 4. .._ •p._..s Z . . .._� -'�-1. •_�'_+..• w q. ...a.-i ,'..� + t 3 '"'-t-••i-�__ .. -e_..:a f.. .:. + -i , r--- oil • i . i Florida Building-Code Edition 2002 f ' h Velar's Hurricane Zone Uniform Pemu't tion Foran. Secton_C (Low Sloped Roof System) Fill In Specific Roof Assembly Components Fastener Spacing for Anchor/Base Sheet and Identify Manufacturer Attachment (If a component its not used.Identity as"NA*) ' System Manufacturer �I Field:�"oc Lap.#Rows i�- 'oc 140A Noy_ Perimeter.k—'oc 0 Lap,It Rows "oc " '� " Design Wind Pressures.From RAS 128 or Calculations.. Comer oc a Lap.#Rows cc P„x- �� Number of Fasteners Per Insulation Board Max.Desi g r From the Specific NOA `,d,� System:_ Field Perimeter 0Corner Deck: Illustrate Components Noted and Tye: �� Details asApplicable: Gauge/thickness:/i" woodblocking, Gutter, Edge Termination, /j►h Stripping, Flashing. Continuous Cleat, Cant Slope:/�J z Strip. Base Flashing. Counter- Flashing, �,Etc. + AnchorSm Sheet&No.of P1y{sj. / ndl te: Mean Roof Height, Parapet'Height, rlBase Sheet F � Height.of Base Flashing, Component Material, Mat ! A� Materia.6Thickness, Fastener Type. Fastener Spacing or Submit Manufacturers Details that Insulation Base Layes7 ��'e a� g T Si?�= Comply with RAS 111 and Chapter 16. Base Insulation Size and Thickness: +J E i I sul doast er/ di Material: Top Insulation Tap insulation Size and Thickness: ::�- Parapet To�rdon Fastener/Bonding Material: Heioht Base Sheet(s)&No.of Piy(s) +°g �=1=� � FT. Il� Mean , No of ep1mS)C'tl 'lz'/®,f' -....._._:...__..,_.._._ ..__----- r rL� """'� Height Top Fl ei1! in l�tate��L�"L ''� Surface ! 1 Florida Building Code Edition 2002 h Vebft Hurricane Zone Uniform Permit tion Form. Sec#ion D (Steep SIO ed of S stem Roof Syste Manufacturer: Notice of Acce p nce Nu or. - Minimum Design W d Pressures, if Applicable(From '127 or Calculations): P ; P2• P3• Maximum Des n Pressu From the N S ecific tem Method o iie attachment; Steep Slo ed ft0f S em Descri tion Deck Type: YPe Underla ent: �! goof Slope: Insula n: 12 Fire Bar or. i t Ridge Ventilation? Fastener Type&Spacing: _ .�..__... _ .... ._ AdhasirR.TVp ;. ype Cap Sheet: Mean Ro Height: oof Cove ng: e & Size Drip dge: -- Florida Buiirli:Tg Cbde Edition 2p02 • '�"`------ FI' Veloci Hurricane Zone uniform Pemtit Lm89on Form, Section E Tile Calculations 'For ,wit nt based lila Systems,choose etcher Method 1 or Z. -'far RIS with the values from M�If the 1eIeither are CO1npared the values values,for each area of the r greater than or equal to the I Ir ,then the file$ eut method Is acceptable. �Ieth od I x �Y meat Based Tile Caleu tions Per ------- At x;L : bxl 12 ~---- ---....�–b1g: am 1I, NO tr--- –. Ieth d 2"Simplified Tile CalculationN &Ire_ Required Moment t esistance(lit.}From Table Belo, le per Ta le elo.,Y" "-~•~---t NOA hIr Mr Req;rtred Moment Resistance Mears Root H --�„ Roof Slope .. r 12— IV 2W :12 34.4 36.5' 38.2 30' 401 3 4.12 2 34.4 39.7 – 42.2 30. 36.0 6:12 32.2 •4 39.8 33.8 6.12 28.4 30.4 31.6 95. 37.3 7:12 24. .tl 29.4 32.$ 34.9 5.9 30.5 32.4 NN14st be used in conjunctlon with a l t 27•i 28.2 30.0 Or o Broward County Board of Rules and,� moment based lite s�stenss endorsed br the ppe Fo Uplift based tile systems use tiI od 3. vale for F Compstred the values for Fr. if the F' values are gr ter than or equal to the F area o the roof,then the tile attach eat method is ecce I'`t�}�'ith the ptr�ible, values, fdu',each Method 3 "U lif ' •;" (pt: x 1. x �';P aced Tile Calculations " _ r PM 12? x l: (pa:_ x 1. x $V: ,m_ } x cos 8.. Frl NOA F' I W: —" g2• NOA F' Fn. MOA F Descridtion 1Vhere to Obtain Information S mbol Where fan � Pt of P2 or P3 l RAS 127 7 table I or by an as8 Mesh s - - br•Pia bean ca: Aaod f ® lob Site laid Marnnt • toGta+tl NOA NOA Minittattn M t ice M NOA Cakaktted u lift R NOA van a rile W ' t Caku�te�t 'rite Dinewions Ali,6-jkaN(yA nns R4tubew6nutt'nt A"Kidrh 6+the Buihtin Ot ' t at tbc date of .t rcati�. i eo' . gal J• Mi� 2 MIAMI-DADS COUNTY.FLORIDA METRO-DADS FLAMER BUILDING- BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563. (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee ee to be used in Miami Dade County and other areas where allowed by the AuthorityHavingJurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control DivisionIn Miami Dade ade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jwisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comph with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTIOp�GAF LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement:;°Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance o:this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertisingother u or any purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded b the words Miami-Dade aae County, Florida and followed b the expiration date may be displayed i y Yn advertising lite •� literature. If any y portion of the NOA ��displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages I through 33. The submitted documentation was reviewed by Frank Zuloaga,RRC. NOA No: 02-0408.10 kv— la Expiration Date: 11/06(03 '` Approval Date:05/23/02 Page 1 of 33 ROOFING SYSTEM APPROVAL e Roofing Sub-Cgte¢ory: SBS/APP,Modified Bitumen Rg Wood NUMMUm Design Pressure -75 psf Fire CIW-if1catlon: See General Limitation#1 TRADE NAMES OF PRODUCTS AIANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions S»ecification Description GAF Asphalt Concrete 5,55 gallons ASTM D 41 Asphalt concrete primer used to promote Primer(Matrix7m 307 adhesion of asphalt in built-up roofing. Primer) GAF Mineral Shield® 60 lb.Bags ASTM D 1863 Granules surfacing er of exposed Granules 100 lb.bags P cold process emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. GAF WeatherCoat® 5 gallons ASTM 1227 Surface coating for smooth surfaced Emulsion(Matrix'rl roofs. Fibered 305 Emulsion) GAF Premium Fibered 1, 5 gallons ASTM D 2824 Fibered aluminum coating. Aluminum Roof Coating (MatnxTm System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather 1,5 gallons ASTM D 3019 Refined asphalt blended with a mineral Plastic Cement(Matrix7m ASTM D 3409 stabilizer and fibers. Permits adhesion Standard Wet/Dry Roof to wet and dry surfaces. Cement 204) GAFGLAS#750 39.37"(1 meter) ASTM D 4601 Asphalt impregnated and coated glass Wide mat base sheet. GAFGLAS#80 Ultimgm 39.37"(1 meter) ASTM D4601 Asphalt impregnated and coated, Base Sheet Wide fiberglass base sheet GAFGLAS Flex PlyTM 6 39.37'(1 meter) ASTM D 2178 Type VI asphalt impregnated glass felt Wide with asphalt coating. GAFGLAS Ply 48 39.37'(l meter) ASTM D 2178 Type IV asphalt impregnated glass felt Wide with asphalt coating. GAFGLAS®Mineral 39.37'(1 meter) ASTM D 3909 Asphalt coated,glass fiber mat cap sheet Surfaced Cap Sheet Wide surfaced with mineral granules. . GAFGLASO 39.37"(1 meter) ASTM D3672 Fiberglass base sheet coated on both STRATAVENT® Wide ASTM D 4897 sides with asphalt.Surfaced on the Eliminator Perforated bottom side with mineral granules embedded in asphaltic coating with factory perforations. NOA No: 02-0408.10 Expiration Date: 11106/03 Approval Date:0&23102 Nib Page 2 of 33 t ' Ili Test Product Prodact Dimes kation DescriDtion GAFGLAS®Flashing various Asphalt cooed glass fiber mat flashing sheet available in three sizes. GAFGLAS® 39.37"(1 meter) ASTM D3672 Fiberglass base sheet coated on both STRATAVENT® Wide ASTM 4897 sides with asphalt.Surfaced on the Eliminator Perforated bottom side with mineral granules Nailable embedded in asphaltic coating. RUBEROIM SBS Heat I meter(39.37 ASTM D-6164 Non-Woven Polyester mat coated with WeldTM Smooth wide polymer-modified asphalt and smooth surfaced. RUBEROIM SBS Heat- 1 meter(39.3T) ASTM D-6164 Non-Woven Polyester mat coated with WeldTM Granule wide polymer modified asphalt and surfaced with mineral granules. RUBEROID®SBS Heat- 1 meter(39.37") ASTM D-6164 Non-Woven Polyester mat coated with WeldTm 170 FR wide fire retardant polymer modified asphalt and RUBEROID®SBS Heat- 1 meter(39.37") ASTM D-6164 Non-Wovicenn Polyester atmineral coated with WeldTM PLUS wide polymer modified asphalt and surfaced with mineral RUBEROIIO SBS Heat- 1 meter(39.371) ASTM D-6164 Non-Woven Polyester mat coated with Weld PLUS FR wide fire retardant polymer modified asphalt and with mineral RUBEROID Modified Base 39.37'(1 meter) ASTM D4601, Prem umaced glass fiber reinforced SBS- Sheet Wide Type 11,UL modified base sheet Type G2 BUR RUBEROID®Modified 5 gallons ASTM D 3019 Fiber reinforced,rubberized Adhesive Bitumen Adhesive Type III RUBEROID®SBS Heat- I meter(39.37') ASTM D-6164 Non-Woven Polyester mat coated with We1dTM 25 wide polymer-modified asphalt and smooth Ruberoid®Mo surfaced. P 39.37'(1 meter) ASTM D 6222 Non-woven polyester mat coated with Granule Wide ASTM D 5147 polymer modified asphalt and surfaced with RUBEROID MOP Smooth I sq. roll ASTM D 6298 Non-woven polyester mat coated with 87 lbs. ASTM D 5147 polymer-modified asphalt and smooth surf RUBEROID MOP PLUS 39.37'(1 meter) ASTM D 6164 Nonwoven polyester mat coated with Wide, ASTM D 5147 polymer modified asphalt and surfaced ith RUBEROID MOP 170FR 39.37'(1 meter) ASTM D 6164 Non-Woven polyester mat coated with Wide ASTM D 5147 fire retardant polymer modified asphalt and surfaced RUBEROID MOP FR 39.37"(1 meter) ASTM D 6164 Non-Woven with mineral granules. polyester mat coated with Wide ASTM D 5147 Etre retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID TORCH 39.37'(I meter) ASTM D 6222 Heavy duty,polyester reinforced,asphalt Smooth Wide ASTM D 5147 modified bitumen membrane,smooth surface. o NOA No: 02-04K10 y Expiration Date: 11IO&W Approval Date:OSRM Page 3 of 33 7 Test Product Prod Dimensions snaoA tion RUBEROID TORCH 39.37"(1 meter) ASTM D 6222 Heavy duty,polyester reinforced,asphalt Granule Wide ASTM D 5147 modified bitumen membrane,granule surface. RUBEROID TORCH PLUS 39.37"(I meter) ASTM D 6222 Heavy duty,Y Poer reinforced,asphalt Wide ASTM D 5147 modified bitumen membrane,granule surface RUBEROID TORCH FR 39.3r'(1 meter) ASTM D 6222 Heavy duty,polyester reinforced,coated Wide ASTM D 5147 with fire retardant asphalt modified bitumen membrane,granule surface.. RUBEROID 170FR 39.37"(1 meter) ASTM D 6222 Heavy duty,polyester reinforced,coated TORCH Wide ASTM D 5147 with fire retardant asphalt modified bitumen membrane,granule surface. Ruberoid®20 39.37"(1 meter) ASTM D 6163 SBS modified asphalt base sheet Wide ASTM D 5147 reinforce with a glass fiber mat. Ruberoid®30 39.37"(1 meter) ASTM D 6163 Non woven fiberglass mat coated with Wide ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. Ruberoid® N 30 FR 39.37"(1 meter) ASTM D 6298 on woven fiberglass mat coated with Wide ASTM D 5147 fire retardant,polymer modified asphalt RUBEROID® and surfaced with mineral granules. 39.37"(1 meter) ASTM D 6163 Woven fiberglass mat coated with ULTRACLADO SBS Wide ASTM D 5147 Polymer modified asphalt surfaced with opper RUBEROM Dual FR 39.37"(1 meter) ASTM D 6164 Non-woven poly-e or stainless steel foil. ster and Wide ASTM D 5147 coated with f le retardant,,fiberglass mat polymer- modified asphalt and surfaced with Vent Stacks(metal andmineral granules. PA 100(A) One-way valve vent used to relieve built- plastic) ASTM D 1929 up pressure within the roof system. ASTM D 635 GAF Vent Stacks are available in metal or plastic. GAF Aluminum Emulsion 5 gallons None Mineral colloidal bituminous emulsion with reflective aluminum flakes GAF Aluminum Roof Paint 5 gallons ASTM D2824, Non-fibered.Aluminum pigmented, (MatrixTM System Pro Type I asphalt roof coating Aluminum Roof Coating Fibered 302) GAF Built-Up Roofing 100 lb.cartons, ASTM D312, Interply mopping and surfacing asphalt Asphalt bulk Types I,II,III RUBEROID MOD Asphalt, 60 lb.kegs and IV Asphalt L&Asphalt P g SEBS modified asphalt Shingle-MateTM 4 sq. roll Fiberglass reinforced shingle ,Underlayment 30 lbs. underlayment Tile-Mate Modified Base 1.5 sq.roll ASTM D 5147 SBS modified asphalt base sheet and Sheet interply sheet reinforce with a glass fiber mat tile underlayment. NOA No: 02-0408.10 AII Expiration Date: 11/06103 Approval Date:OS12M `Page 4 of 33 Test Product Prodaatton DNKdDdOU Tile-Mate Miff Ca 1Dim Cap sq.roll ASTM D 5147 Non-woven polyester mat coated with 103 lbs. polymer modified asphalt and surfaced with mineral granules file underlayment. Tile-Mate Modified Cap 1 sq.roll ASTM D 5147 Non-woven polyester mat coated with Plus 102 lbs. polymer modified asphalt and surfaced with mineral granules tile underlayment. TopCoatO Surface Seal SB 5 gallons Surface coating for smooth surfaced and (Matrix 602 SB Coating) mineral surfaced roofs. GAF WeatherCote® 5 gallons Surface coating for smooth surfaced and MB+(Matrix 715 MB mineral surfaced roofs. Coating) TopCoat MB+(Matrix 715 5 gallons Surface coating for smooth surfaced and MB Coating) mineral surfaced roofs. WeatherCoteTm(Matrix 5 gallons Surface coating for smooth surfaced and 531 WeatherCote(& mineral surfaced roofs. Elastomeric Flashing Grade) Matrix Low VOC 5 gallons Surface coating for smooth surfaced and mineral surfaced roofs. Matrix 101 System Pro SBS 5 gallons ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive Adhesive (Ruberoid®MB)Matrix 5 gallons ASTM D3019 Cold Applied Modified SEBS Asphalt 201 System Pro SBS Adhesive—Flashing Grade. Flashing (Ruberoid®MB)Matrix 5 gallons ASTM D3019 Cold Applied Modified SEBS Asphalt 102 Select SBS Adhesive Adhesive. (Ruberoid®MB)Matrix 5 gallons ASTM D4586 Cold Applied Modified SEBS Asphalt 202 Select SBS Flashing Adhesive—Flashing Grade. Matrix 203 Standard Plastic 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement Cement Matrix 213-Gun Grade 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Plastic Cement Cement Caulk Grade. Matrix 103 Cold Adhesive 5 gallons ASTM D3019 Cold Applied Asphalt Adhesive. Matrix 303 Select Fibered 5 gallons ASTM D 2824 Fibered aluminum coating. Aluminum Matrix 304 Select Non- 5 gallons ASTM D2824, Non-fibered.Aluminum pigmented, Fibered Type I asphalt roof coating. RUBEROID®Modified 5 gallons ASTM D 3019 Fiber reinforced,rubberized Adhesive Bitumen Adhesive Type M r. y NOA No: 02-0408.10 Expiration Date: I IAWW Approval Date:O 23002 Page 5 of 33 APPROVED INSULATIONS: TABLE 2 Product Name Product Description Manufacturer is (With Current NOA) - GAFTEMP Isotherm R,RA,RN& Polyisocyanurate foam insulation GAF Materials Corp. Composite,EnergyGuard RA GAFTENM Composite A&N Polyisocyanurate foam insulation with GAF Materials Corp. high density fiberboard or Permalite perlite insulation. (BMCA)GAFTEMP®Fiberboard Fiberboard insulation. GAF Materials Corp. GAFTEMPO Penmalite Perlite insulation board. GAF Materials Corp. GAFTEMP GAFCANTTM Cut perlite board GAF Materials Corp. GAFTEMP Penmalite Recover Perlite recover board GAF Materials Corp. Board GAFTEMP GAFEDGETM Tapered Tapered perlite board GAF Materials Corp. Edge Strip (BMCA)GAFTEMP®High High density wood fiberboard insulation. GAF Materials Corp. Density Fiberboard BMCA EnergyGuard,RA Polyisocynurate foam insulation BMCA BMCA Composite EnergyGuard, Polyisocynumte/wood fiberboard BMCA RA composite PYROX Polyisocyanurate foam insulation Apache Products Co. White Line Polyisocyanurate foam insulation Apache Products Co. ACFoam I,II&Composite Polyisocyanurate foam insulation Atlas Energy Products ISO 95+ - Polyisocyanurate foam insulation Firestone Building ISO 95+Composite Products,Inc.Poysocyanurate/perlite ridged Firestone Building insulation Products,Inc. EPS Extruded polystyrene insulation Generic Wood Fiber Wood fiber insulation board Generic High Density Wood Fiberboard Wood fiber insulation board Generic Pelite/Urethane Composite Perlite/urethane composite board Generic insulation Perlite Insulation Perlite insulation board generic 'Dens Deck Water resistant gypsum board G-P Gypsum Corp.YPs E'NRG'Y-2&E'NRG'Y-2 PLUS, Polyisocyanurate foam insulation Johns Manville UltraGard Gold A WA NO A No: 02-0408.10 Expiration p ration Date: 11/06103 Approval Date:05/S3/IiZ Page 6 of 33 ( •k i j44 tN _APPROVED INSULATIONS: • TABLE 2 Product Name Product Description Manufacturer FiberGlass Roof Insulation Glass fiber/Mineral fiber insulation (With as aurrent NOA) ville ISORoc Polyisocyanurate foam/rockwool Johns Manville composite insulation Structodek Wood fiber insulation board Masonite. Multi-Max&FA Polyisocyanurate roof insulation RMax,Inc. Paroc Base Board Rockwool insulation Partek,Inc. Paroc Cap Board APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 1. GAFTITE®(Drill-Tec®) Insulation fastener for GAF Materials Corp. #12 Standard&#14 Heavy steel,wood&concrete Duty Roofing Fastener decks. 2. GAFTITE®(Drill-Tec®) Pre-assembled GAFTITE GAF Materials Corp. ASAP Fasteners and metal and Plastic plates. 3. GAFTITE®(Drill-Tec®) Base sheet fastening GAF Materials Corp. Base Sheet Fastener and assembly. Plate 4. Galvalume Plates(Drill- Round galvalume stress 3"and 3 '/2" GAF Materials Corp. TecO Metal) plates. 5. Polypropylene Plates Round polypropylene 3"and 3 %2" GAF Materials Corp. (Drill-Tec®Plastic) stress plates. 6. PHekfast Fasteners#12,#14 Insulation fastener for &#1 SConstruction Fasteners wood,steel and concrete decks Inc 7. Dekfast Hex Plate Galvalume hex stress plate. 2 7/8"x Construction Fasteners 1 Inc. 8. Dekfast Lock Plate Polypropylene locking 3"x' ' 30'/4" Construction Fasteners plate. Inc. 9. #12 Roofgrip Fasteners Insulation fastener for ITW Buildex Corp. wood and steel. 10. Metal Plate Galvalume stress plate. 3"round ITW Buildex Corp. IL Gearlok Plastic PlatePolypropylene round late 3"3 square P ITW Buildex Corp. 12. Glasfast Fastener Insulation fastener Johns Manville assembly with recessed plastic plate 4 NOA No: 02-0408.10 Eipimtbn Date: 11/06/03 Approval Date:023/02 Page 7 of 33 t APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 13. Olympic Fastener#12& Insulation fastener Olympic Manufacturing #14 Group,Inc. 14. Olympic Fastener ASAP Pre-assembled Insulation Olympic Manufacturing fastener and plate Group,Inc. 15. Olympic Polypropylene Polypropylene plastic plate 3.25"round Olympic Manufacturing Group,Inc. 16. Olympic G-2 3.5"round galvalume 3.5"round Olympic Manufacturing AZ55 steel plate Group,Inc. 17. Olympic Standard 3" round galvalume AZ 50 3" round Olympic Manufacturing steel plate Group,Inc. 18. Insul-Fixx Fastener Insulation fastener for steel SFS/Stadler and wood decks 19. Insul-Fixx S Plate 3"round galvalume AZ50 3"round SFS/Stadler steel plate 20. Insul-Fixx P Plate 3"round polyethylene 3"round SFS/Stadler stress plate 21. Tru-Fast Insulation fastener for steel The Tru-Fast Corp. and wood decks 22. Tru-Fast Plates 3"round galvalume AZ55 3"round The Tru-Fast Corp. steel plate 23. Tru-Fast Plates Polyethylene plastic plate 3"round The Tru-Fast Corp. EVIDENCE SUBMITTED: Test Aeescv Test Identifier Description — Date Factory Mutual Research Current Insulation FMRC 1996 Corporation Attachment 01.01.96 Requirements Factory Mutual Research Wind Uplift,FMRC J.I. 1B9A8.AM Corp. 4470-PA 114 09.04.97 Trinity Engineering Wind Uplift PA 114 J.I.3D4Q2.AM 04.30.97 P 4483.04 97-1 06.06.97 Dynatech Engineering Wind Uplift #3600.02.95-1 Corporation PA 114 02.02.95 PRI Asphalt #4482.02.95-1 P GAF-020-02-01 ASTM D 4977 02.01.02 Technologies,Inc. IRT of S.Fl. 02-005 TAS 114 IRT of S. Fl. 02-014 01.18.02 TAS 114 03.22.02 Aft Y NOA No: 02-4 MIO Expiration Date: 1 U06W Approval Date:013/02 Page 8 of 33 +305`P IRM ABC SUPPLY 761 P01 FEB It 103 08:41 f A►P'p om ASSRUBLIN NimypIt: : SBS DO& W44 bonland,New C or Refoof Dak DauxVilost l at or wood plank of latsnlstion with Typae A(1)1 A> i all brM Y Ali Gawal said sysNa unassbas add V*- 000 or eases Of any of We fbllowing imlatians. I� Latyer ltlo>a Fasteaaars Fsstener (Table 3) Densitylte ACFORWI,E'N Wy 30 CAngW*beaerm R,RINRG'X 2 Pte,GAPTOW 120010 GAFTIM' Son...B C �'k*MC��COMA D 130' MMVGqm> W RA Compaaluh XM8r8YG8Md RA A+�imum l"Wkk WAt NIA Need 111 a , Nle �'d.IIIA wood ,GA tkwft WMA lots GAFTZMP ROM~Board VA MA Minimum W dj& Pause,Pertita,GAIT we Pernatite N/A NIA MinhwA W Wick rglas Minimum Oil&"thick N/A NIA Note: AB hmftdog:has be adb wW to We speber dmot to fiffi 1ROP0119 of hot asphsh winds IM SW range wa at a rata of 20-0 Usneg fe_ plem rdw to Roofing A�� smn+�d RAs 11'7 fbr ar t a s i �'only as bme lay—with a asuwnd WWQfnV tW Wa bsdk*s'=ftW an We Anal 6raue substra . Compodit hmiatim pauaels sM be used as a toP IRM PIMCO wft the -mmyMul aide being chum GAP'requires cow a pl�y of GAMLAS XMTAVEM FJIMAmt P*rf*Ta l IMM dry or 0bWof GAP"i' w*PISMAUTE or wwA mer overlay bosM on AN baa:yantsMc MlicaE O" AmAor .sheet: GAFOL.AS M Ulfim'm'BM Shot,STRATAVQ'J M BliminaW P NaiU►bK RUBMtOID tdodifital Baca Slut,RUBEROMO 20,RUEER®ID SBS Heat Weld's Sawth or RUBOWM SBS Hes-Weld 25 base shat ama chiMicaRy fa MMA to deck as below, GAFGLAS®Pty 40,GAFGL.AS Fin Pty's'6,GAFGLAS#75 Bpe Sheet Of afly a � r � t a��aa�aw m mit �rnilt��i�r 11�i�ll� +3087518579 ABC 6< Y 761 P02 FEB 11 103 08=41 i GAPOIJAW Pitt 4*,GAFQ M Nn ft"6 OAPMAS M Ow Shed or eery Of sbaar--" todocwit»Toe( #12or#14 Swam aaaaal 3"Pbvv6 12"orc.k 3 anav& One ow is in tiw 2"wade lap. Tk odor low as equally qi 12"o o.ba So fwd oft tom. GAPM AS F=",,t,G +nra�r� Ao*w . ShOft atteohld to dead vuith appmved NNAWW ft dwA aaills aj tai cop at ae 60miner species of 9"o e.at do 4" ad In em roam V o e.in,to - - 3 :�r 037 #7SBese Sheet or away ofabove Atm s to daelc with Drill-Tec(GAFTITB)#12 at 014 Sam and 3"Pku% it ox,In 4 towa. 1n row Is in do 2"side lap. The other tows are equally s p u W approKhrmly r o c. in the field of the ate. (A tax Imm 19oasaga—ial'p0:Sw tour 07) Any of above Anchor sheft auachW to check aPp mad amaular shank nails and 3"invened trill-Tat(GA1P7"i'i1x)insulation plasm ata specing of 9" oc.at the 4"lop suacred in two rows 9"in the I . (lfafanrbaaaM JI?"6W PftWWW—afar pay;mar GNWWL&Wftww M71 GAPOI.AS 073 Base Shoat or any ofabove AWw sheets auwkW to tl with Dri)14ec(GAFT'1`$)012 or#14 Summ ad 3"Plates„f:"o c.in 4 rows. Oft roar is io the 2"slate lap. The other rows are equally spaced approximately 9"o c. In 66 field of the dweat. O --njw,,San GeaalWis "W&Woa4 W) Bauer sbeeft. (O al)bei am ply of GAFGLASO#73.t3AFGLAS 40 LWI A'm Sawa Sheet,GAFOLASO PLY 40.GAFGI.AS Fla Ply*m 6,waLA$ STRATAVM470 Elmer (laid dry} RUBEROID Modified Base Shook RUBEROID MOP Smooth,RUBEROMO 20,RUB MM SBS Heat. We1dTM or RU N ROID SBS Heat-Weld 2S to top layer of i A With �' aphak app ndaathe EW raor and at a rune:of 2040 roe Gaul Limitation a#4 tbsls4 ( )• Pty : (Dual)One or Fin Ply 6 sheet, t3 OLAS 080,R(IB>iROID MOP ,RUBEROM 20 aged in a full ota FIRM of apPFoved asphalt applidd within the PVT range and at a rate of 2040 I $q. Membrusae: One or more plies of RUBEROWO 20,RUBEROID 30,RUI3EROID 30 PR RUBEROID IOP SmooftJkdmMMWj2#M Rmbftwo Mop Granule, RUBEROID Mt'}F'PLUS,RUBEROID MOP FR,RUBEROID ULTRACLADO, at RUBEROID Dual FR fidly a&wred in as appmved ash at an,aappucalon rate of 2S lbJsq.t 1 SSL Sttrfaeing: (Optional, mquimd if RUBEROID MOP Smooth or RUSEROID 20 is top nnatabra w)lastali one of the following: L Gravel or slag aPnlW at 400 IbJsq.and 300 tbJsq.respectively in a flood coast of approved asphalt aa.t 60 lbJsq. 2, DAFGLAS Mineral Surfaced Cap Shalt in an approved asphalt at as applieatioa tate*f25 tbJsq.± I SW NOA6: U ExpbudemiDetc. MOM Approvoi DAW. ftV t0of33 d F. t idsiabil Y°r � -'31 WOOD DECK SYSTEM LIMITATIONS: I A slip sheet is required with Ply 4 and Flex Ply Tm 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum Y."Dens Deck or %2 Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LuvnTATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20401bsJsq.,or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt,panel size shall be 4'x 4'maximum. 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 shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at 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 lbsJsq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psE 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F7 value of 275 lbf.,as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field-tested,are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required,as determined by the Building Official,a revised fastener spacing,prepared,signed and sealed by a Florida Registered Engineer,Architect,or Registered Roof Consultant may be submitted. Said revised fastener spacing shall uMize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA,General Limitation#9 will not be applicable.) 8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs shall conform with Roofing Application Standard RAS 11 l and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.e. field,perimeters,and corners).Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones(i.e.perimeters,extended corners and corners). (When this limitation is specifically referred within this NOA,General Limitation#7 will not be applicable.) END OF THIS ACCEPTANCE NOA No: 024MM.10 Expiration Date: 11/06103 Approval Date:05W/02 Page 33 of 33 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner witli the required roofing permit, and to explain to the owner the content of this section..The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. MnI. Aesthetics-Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane e) re for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with 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. iw.2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be ren din accordance with the current provisions of Chapter 16(High Velocity Hurricane Zones)of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring un is (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. �4.Exposed Ceilings: Exposed,open beam ceilings are where the underside of the roof decking can be vie— %vef� from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cau a 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. cleInn--6. Overflo-vti• scuppers (wall outlets): It is required that rainwater flow off so that the roof is not o�/drlo`aded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code,Plumbing, 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the int�ribr 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. _ 0Z 10-7 - veer s/Agent's Signature Date Contractor's Signature CAOO"3,lLdkaWLOCAI.S-t%Temy\SECrtO\tiSl.Oue HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATIOL FOR ROOFING CONSIDERATION'S 1524.1 As it pertains to this section,it is the responsibility of the roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of#his section..The provisions of Chapter 1S of the Florida Building Code,Builducg 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 owners initial in the adjacent box indicates that the item has been explained. . 1. Aesthetics-ti'Vorl mauship: The worlarnanship provisions of Chapter 15 (High Velocity Hurricane Z ne) re for the purpose of providing that the roofing system meets the♦wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions.Aesthetic issues such as color or architectural the awnera appearance, d the nce,that m not part of a zoning code,should be addressed as part of the agreement 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be ren i din accordance with the current provisions of Chapter 16(High Velocity Hurricane t ones)of the Florida ly concealed prior to removing the existing roof system)' Building Code.(The roof deck is usual 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring ue. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing nark to be performed. 4.Exposed Ceilings:Exposed,open beam ceilings are where the underside of the roof decking can be vi we from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable.The Florida Building Code provides the option of maintaining this appearance. ESElth 5. Ponding "Water: The current roof system and/or deck of the building may not drain well and may cau a water to pond {accumutate) 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. G. Overflotiti scuppers (wall outlets): It is required that rainwater flow off so that the roof is not oed from a build up of water.Perimeter/edge u-alis or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code,Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the int�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 oft'he roof. ��ner's/Agent's Signature Yate Contractor's Signature crooerKe.iv�neoe►u-srp,scrrro�uu+.e.. Page 4 PER UT APPLICATION OFFICE USE ONLY KNIUKKKnEl ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) Nuffitamillm $3.00 per page(Scanning Fee) $ Miami Shores Village $ Bond $ D Metropolitan Dade County (C.C.F.) $ 3 , 00 x/t000 Inspector State Educational Fund $ (0.0051sq.fc) State DCA(Radon) $ (0.01/sgA) Code Enforcement Fine $ Zoning Review $ Notary $ h TOTAL $ V REVIEWED AND PREPARED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbin Fire Public Works of Struchual AV/— Building Official Revised July 2001 10050 N.E. 2-AVE.,MIAMI SHORES,FL• (305)795-2207 •FAX(305)756-8972•http://www.miamishoresvillage.com Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed'and quantity(ies)in the space provided below. Minimum Fee Dryer Outlet,Appliance Service Repair A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary A/C Central 4-7 Ton Fire Pump Outlet,Switch Signs A/C Central 8.15 Ton Fixture-Fluorescent Oven Space Heater(kw) A/C Central 16.20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+Ton Flood Lights Plugmold/Strip Subfmds,No.of Amps A/C Window FPL-Load Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Rangeatange Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.WED Mmip Serv.,Construction Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days Deep Freezer Low-volt,Fire Renew-Temp Service Demolition Low-volt,Intercommeph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps Minimum Fee Condensate Drain Generator Refrigeration,Toffi A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cast A/C Wall/Win.Tons Dryer Vents,Number of Paint Booth Ventilation,Cast Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections El Barbecue Fire Sprinkler System ProcenfiVessure Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel 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 Ca -Fixture Fountain Pmup and Abandon Sprinkler System Cap-Water Gas-Appliance I Pum Domestic Sqpply,AC Well Cap-Sewer Gas-Natural Pmnp,Fire Stand Tempozin Toilet Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal Dental Chair Grease Trap PmnSprInMer 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 Iaundry Tray Septic Connection Water Heater Drainfle14 4"MIdRes. Lavatory Se tie Tank Water Heater New Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe Floor Nffidmum Fee, Shower Water Service Drains,French MUcellaneons Equipment I Sink Well,Supply RECEIVED AND REVIEWED BY: DATE: PERMIT APPLICATION e, Dn . oa J Master Permi{No. Subsidiary Permit No. INSTRUCTIONS - The following steps must be (aken to obtain a permit from the Jklialni sbores Village: Step 1. Complete the attached permit application which must be signed by the VmWa owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done,a roofing application must be submit- ted along with this permit application. Step 2. Submit the comp len ted aoglication 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. t Job Address: Agan ME/43 xw-affJ" Address Apt. City State Zip Folio Number//3W� 0,W°(2360 Description of Work I oew" Fl� Lot Block Subdivision PB PG Zoning Linear Feet Current Use of PropertycL. l�/Q/�/� Square Feet s� Units Floors Proposed Use of Property Value of Work �. Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE ( PERMIT CHANGE (✓) TYPE OF MANAGEMENT (✓) BuffdIM P4&Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumb Extension Relocation of Structure Shell Only .LPG% Supplement Foundation Only Add'1 Attachment Roo R on Other Add'1 Detachment Fence Other Other ARCHI T N ENGINEER IJIA Name Name License Na License Na Address Address Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR NameLOi� �/ Name / �i Address �'�C License No. 460//�/ I0,3 Address Home Telephone -q 3004e?/jr. ;,t ,�3 Badness Telephone 1Wephonem,.,— Fag ..7- 772 Fax Qoalidfer Name• ® ��'/ Page 2 PERMIT APPLICATION 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 begun construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 am.to 6:00 p.m.,and Saturday from 8:00 a m to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN,NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMUM 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(ARS)approval is required for applications involving septic tanks. Department of Environmental Resources Management(DM"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. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent(50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also frilly 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, l°Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA,COUNTY OF MIANII-DARE JJ=DA,COUNTY OF MIANII-DADE Signature of Owner of Contractor/Qualifier 441074 Print NamePrint Name � ..� and subscribed before me this day ofQ& and subscribed before me this� day r 4 Signature 5 o Si - Y""w.,, LORRAINE KELLER Y " LORRAINE KELLER SEAL: ' r �_ �Pubitc-State&Florida SEAL: ? �L �y Publtc-Stete of Florida •- bh tErtpieaApr16,20J!f E. •= iMyCom *dmEVk*Apr16,2005 Commisalon S OD 109725 Commission 0 00 109725 Banded By National Note ry Asan. A Bonded By National Notary Assn. Personally known OR, I on Personally known I Z t' catton Type of Identification Produced: Type of Identification Produced: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Btu' ding Inspection Request Date,5131 Type Insp'n 90 Permit No. 6P0q-q-5. Name v4 coC.R, Address tao i N L ` 03 54- Companycorn p/"� . Phone# Inspection Date Approved Correction ❑ Re-Insp'n Fee ❑ -44qq ,MIAMI SHORES VILLAGE r BUILDING DEPARTMENT 305-795-2204 Bu' ding Inspection Request Date J Type Insp'n o o } Permit No. bP()q_ -1��• ee Name c. 22 a Address laoI tj � ( ®J S� a �� n r Company gl—e( Phone# Inspection Date Approved Correction ❑ Re-Insp'n Fee ❑ - a no t Miami Shores Village ' ��C WED Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida.33138 �JUL 14 2004 Tel:(305)795.2204 Fes: (305)756.8972 �' BUIL Permit No. PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type(circle): Building Electrical Plumbing. Mechanical Roofing Owner's Name(Fee Simple T ) 1 )-Y),- Phone# c.3 CS—-15' Owner's Address1JF--ID,3y-d SA- Ci w, �I�x�.rP S State E L_ zips? Tenant/L.essee Name Phone# )e'Job Address(where the work is being done) 1,2-al �/� G b3 s' City Miami Shores Village County Nami Dade Zip 33 I'M Is Building Historically Designated YES NO ✓ Contractor's Company Name c ,� &1t.-lb Phone a j- yT 136 Contractor's Address /Y Z6 /t A90 Qualifier --�• �—� State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# $Value of Work For this Permit 2.L/�� Square Footage Of Work: Type of Work: ❑Addition ❑Alteration [--]New ❑ Repair/Replace ❑Demolition Describe Work: 71.a->4 1-e eo ii 4i ,e Submittal Fee$ Permit Fee$ CCF$ 0 MCC Notary$ ® � Traiining/Education Fees 60 Technology Fee$ Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ Le- 7 v 3, (Continued on opposite side) ?3 Bonding Company's Name(if applicable) Bonding Company's Address City State zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application ion is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation bas 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 COMLVICNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ignature �C�'? J / Signature • � �-.—� Owner or Agent Contractor The foregoing instrument was acknowledged before Qmee this Z The fo going ent was ledg ore me this day of�ZO D ,by Z tYL/t /g 'e � day o 20 4 who is personally known to mron pwho is y own to me or who has produced_ As oath as identification and who did take an oath NOTARY PUBLIC: inn NOTARY LIC: o Atlaatk$0ni�Ca61= Sign: / _ Sign. Print: Air YA41-FL a}JLP�.�tiy Z Print: a' a My Commissiod Expires: My Commission Exp' Mmram�r t��2agg ��*�e*�*�a��xx��m��ax��x*��*a��*�e*��*�� ax•xx��*�xx�•*wxa��a**��x*�x��xa��*��x�x� AL 14 APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Cha 05/13/03 RECE ED Miami Shores Village • JUL I F ' t olor Approval and Agreement Date - -`--- _ Phone# C)S 75-7 - x&wner's Name Owner's Address T= A ,S V City 1`�l c� S htN Ps StateC`�— Zip '3 X,Wb Address(where the work is being done) -1, D I �) I 3',d 7� City_ lyliami Shores Village _County Mami/Dade Zip 33/ Is Building Historically Designated YES NO !/ Contractor's Company Name(if applicable) C 4 Phone# � d� All elements on the site must be listed and indicate the color to be painted Walls Fascia -- Drip Capldrip Edge f7 e "' -`r f//- ------ Soffit Roof Flower bins c? Shutters_ Awnings Chimney Doors and door jams ! y —� Garage doors Railings Fences /U ---- - Decorative metal c0 All brick(simulated or regular) S—d Stucco bandingr' Any other stucco features Accessory Buildings Other OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I � Date �-/,3`�i�• t Owner or Agent APPLICATION APPROVED BY: Date P&Z Official chc 6/18103 Miami Shores Village Building Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: BP2004-955 Printed:7/16/2004 Page 1 of 1 Applicant: LORINE MCGEE Owner: MCGEE LORINE JOB ADDRESS: 1201 NE 103 ST Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305-895-1368 Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Fees: Description Amount FEE2004-7114 Building Painting Fee $60.00 Total Fees' $68.90 FEE2004-7115 CCF $1.80 FEE2004-7116 Notary Fee $5.00 Total Receipts: $68.90 FEE2004-7117 Training and Education Fee $0.60 FEE2004-7118 Technology Fee $1.50 Total Fees: $68.90 Permit Status: APPROVED Permit Expiration: 1/10/2005 Construction Value: $2,400.00 Work: EXTERIOR PAINTING Signed: (INSPECTOR) In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: BP2004-955 ` Printed:7/16/2004 Page 1 of 1 Applicant: LORINE MCGEE Owner: MCGEE LORINE JOB ADDRESS: 1201 NE 103 ST Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305-895-1368 Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Fees: Description Amount FEE2004-7114 Building Painting Fee $60.00 Total Fees: $68.90 FEE2004-7115 CCF $1.80 FEE2004-7116 Notary Fee $5.00 Total Receipts: $68.90 FEE2004-7117 Training and Education Fee $0.60 FEE2004-7118 Technology Fee $1.50 Total Fees: $68.90 Permit Status: APPROVED Permit Expiration: 1/10/2005 Construction Value: $2,400.00 Work: EXTERIOR PAINTING Signed: (INSPECTOR) In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: Shores Villa . � M1ami e g Building Department R EC E O VE D 10050 N.R2nd Avenue.Miami Shores,Florida 33138 Tell:(305)795.2204 Fax:(305)756.8972 FEB ® � 2004 BUIL __ _ _ I Permit No. -1 w PERMIT APPLICATION Master Permit No. FBC 2001 l �I I Permit Type(circle): Building ]Electrical Plumbing Mechanical Roofing I� Owner's Name(Fee Simple Titleholder) LGY I rye crree Phone# _Ff Owner's Address jaw 01 City '��c�w: X415 State FL-;; Zip 3�1 Tenantli.essee Name Phone# Job Address(Where the work is being done) l a O 1 N f= I OaArA 9-% - City Miami Shores Vdlage County Miami Dade Zip 2::11R U Building Historically Designated YES NOX_ Contractor's Company Name ®�/C/ 1' � Phone# �'�/ 9( !P9 Contractor's Addre,Ss3 City I State Zip i ArchitectlEngineer's Name(if applicable) Phone# N $Value of Work For this Permit Square Footage Of Work: Type of Work: ElAddition []Alteration []New ❑Demolition Describe Work: 1�_- �� X910 MC It7��- 0 9e& cc�b 0.00C Submittal Fee SQ ®® Permit Fee$ CCF$ /2 Notary$ Training/Education Fei Technology Fee$ Scanning$ Radon$ Bond$ Code EAforceinent$ Structural Plan Review.$ Total Fee Now Due$ (Continued on opposite side) I Bonding Company's Name(if applicable) / Bonding Company's Address OA City lState A11A Zip jeh Mortgage Lender's Name(if applicable) Mortgage Lender's Address "",,�� City Stated Zips 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,BEATERS,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 EMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMNCEMENT." Notice to Applicant. As a conaUtion to the Issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the built*ng permit Is issued In the absence of such posted notice, the Inspection will not be approved and a reinspection fed will be charged Signature / gme 99-9-- Signature Owner or Agent Contractor The fo ing instrument was acknowledged before me this ^_,, The regoing instrument was ac Ied me this day of�20&�,by�P r Q"t f Q, &(Tt clay, 2QV b who is personally known to me or who has produced who personally known to me or who has produced D As identification and who did take an oath. as identification and who did take an oath. � O ARY PUB �Pav PUO o ��,� NOTARY P C: Si r. DLAOM VIIJAR Sign: COMMISSION BER o my Print: ` DDM094 g4inwis.2M My Commission Expires: °F Fro '''g My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No.�� Certificate of Competency No. - . APPLICATION APPROVED BY: FEB 5 2004 Plans Examiner Engineer Zoning Cho 10114103 ;i f s r •1 A! t • • 1 [ i;l 1 no a ■ �'.r,,\! ■��iifil■1 ■■■■ ■1R ■ ■ ■ �Iif1■■■��:k*iifiii%!�■!■A■■■ . lri�r w�iirti* l ■■ '■■■■ ■!■�■=f �I ��lon�rrltlR■► as 0 alloloss no MR89,410 Man Ila� MR�`lrtA l�!!!!!■/■ iit!■ ■ ■ r[_..M ! .._ 17ifit,:■■�►.! Woos r!! no, man ww"Pon [lLiiN l� �i�■l w,hNasals %�rrl�mularli»A wn�as-Roiit!■ir■ ■iii ifi■ii- ■■■■ /■ ■■■■ ■ltf�I■f1irl�Ra ■ ■!!#■■■■■■■ !�■■■iil!!■■■ win lN■ ■a#tll ■!lRiifi !A■�' ��1■M! 1mA� �INU111111 m!!!■A��l ■i�aii■�Millli�Itiw w R iit■■Tif1A RiR■ ■iii■iwon MltLi/R■■ ■!ii/i• ■iitliifiiN�N ■iifi� t �� iNA/� rR� I■ !/fi�t7■fiitil' Mi31iR■R; as al!■!� wli��!!■!■filiMliittM llr/ ■■iRiilRlRlalllWalso■iRiR�9 r Awi �r■iiliti o% Mii► _i� ltii �an�iRiile Saoiii■a!■ ■l�iiiiwfitti�' 11!li�mailRfiili3iiit+;4l�rliii►'�� ■�%ti�ir!!lllr�ir�rliilRlllli■iirlit !%fKi�it�0��ir�� I�.■sii. RA■a/iii\ aii, it�iR ■�su■ ■iiial�eixfil a■ ■irf��INNER�ia 0 am ani :�iis� ■iiiit�i:, so as 0 ! /■t!!■fAo!!!s! `!!fan. % »r wqwgxRMm w%� w� �� owns NunnlknotiR!!■■liii ■�!!■■an 0` ■■■YiRon quofilnumomp 0 !!■ R Ro ■!■ ■■iriilifr� iiomlu! !!!!!■ ■ u � si i�tiii M ii iiiilii�iM�ai�r�i�liumiil�a��ii imass airii =iiiilliRi IN oun uo �►lao%% 1i1■% Evans 1�%ia�t %% msmleumr\ill vi �■ltliifi*il! ■■NANWTA MMt on # wg%sa%a%%won NO*%u%%mumomN*n I% wA'ifi�ll�Rfii!11 lit inl■It AA%M%liliimiiliil�iVommiliiill![Ili�illl=illl�li�t��!l��.��A�%��1llitltl; iRri!iM�!�!�liiif■�"i!�w�!■!t!t!�l!�f!�liR1luw■st�■N��rlit■�■ta>ifl�i■ll!■!�is�m�uulmM!t!�R�!�!i�!ilslRila �■!�■!liR�i:l%�+b./1� �\�!►l�t1��ltlll��IirllS�,rC tii�lfRf0iiils iIMl!} nasals!! n �11 iiil ��lall�/iilMui 48113:1000108 � AS�Uwj ' � wugUNENNNr/linsnamli !lRl i > �AtM Page t of 1 High Velocity Hurricane Zone Uniform Roofing Permit Application MtAMMACtE COUNTY BUILDING DEPARTMENT ELECTItONiC APP'a.1CA'i'tO section C (Low`doped Roof System) manufacturer in the Specific Roof Assembly cctnponents and Identify (if a component is not used,Identify as"NA") Wood Mager: system raa�ndg _ Base stefts)8 No.of pws): { NOA fo _ base:�s pss"S' m eet� ar Catcx�atians: � Design V1�td yeRoRAS " Prnax 2: Pty Stutesj&Ida.of �: Max 1: - s Pmax3: � Pty S'haet Faster oEsting Aa1: Maximum DesW PIOSSUM FMMNOA System.= Drip Edge Gauge- �"�facei ffA- tick typo:l51W def'" --- --- Ftp ge taate�ac'rAW Gaivinized Metal These cks require a fas ri test by an approved test iatxatc►rYgaugeeat gauge or 8& N1A CaPUV metal..[----�- tli5d ..y TOP , } Top t'h Fastenirtgl�E hnA'�gatedal , SWPWI - � Amrttort ase sh"t S Na.of 14 (s* ArsctarH3ase sit astos S Maw& PASTE SpACMG FOR BASESHEET ATTACHMEW Fastener ':•t(nsutafton uase Layeroze�'.M J 11/4"R. i+ORS Ba. motedak. Agate fa Top>i t F StwAdH+a Wk*�' t.P td: arc a tapg$ ratEf� +OIC a.f'erirra�r: aft e ft4A rages e m"otc Mid a>ion ToP Ktdciutesx g,Garners: & otc NIHNBEFt OF>rASTENI2 ER MULAIM BOARD Held:L__-.-5 Pedmeter cons er m Page 3 Page 1 of 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Font MIAMI-DARE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Illustrate Components Noted and Details as Applicable: Wbodbkxking, Gutter,Edge TerminabonstStripping/Flashing,Continuous Cleat,Cant Strip.Base Flashing,Countertiashing,Caping,Etc. Indicate: Mean Roof Height, Parapet Height, Height of se Flashing,Co ent Material,Material Thickness,Fastener Type, Fpstener Spacing Or. Submit Manufacturers Detws that Comply with RAS- 11 and Cha er 46. _g f � Par�et'G�ariite�kt.� WleenHaofHe4t FL r �w , r 1 ! Pagb 3a 1 . c ' • Page 1 of 1 Application Form EHILIghk>cityHurricane zone Uniform roofing Permit MI-DADE COUN=TY DEPARTMENT ELECTRONIC APPLICATION Section D(Steep Stoped Roof System) tsysteima�anatacturer-. w _l� _.�l'' �--._.� NoSce of Acceptance Number. Mhthnt kin Cestan Wind Pressures.N Applicable(fit RAS 127 or catcutations): Maxlrnutn Wstgn Wind Pressures,(From the PCA Specille sys—tem) n Sloped System DcscrlPtion Dec*Type:-51$"Plywood Y. htsutaUorjRM Barrier Board nal sostrate: �F-a�spte*n�ers• Of or Cap sheet TypefAdhesfve Type: M sw/,A--a-- ,a Ro�asircwsvtiw n9: Rod Caverkrp Ahadurmtt Meftd: J stops: Roof Mean lint: Drip 2'face'26 ga. ltklge Verttltaticut: / _ Edge Sim 8 Method of Tft Attachatenir t)flp Fdge Matertai Type: Galy nize M t Drip Edge Fir TVSW Ariemats Tile Atlad anott Mem Clip 5 cin for Metal Roof Panels Hook Stripl0eat ga.ar welght WDA Field: Petrtieters: Comers:E7] Pefteter t+lFldttt: Page 4 _ Page 1 of 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI-DADS COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION . Section E (Tile Calculations) For Moment based the systems,chose either Method 1 or 2.Compare the values for Mr with the values from Mf.If the Mf values are greater than or equal to the Mr values,for each aea of the roof,then the the attachment method Is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P 1: x A -Mg: °` =Mr1: NOA Mf: P 2: x A[=-Mg: .x'` =Mr1: NOA Mf:k1 P 3:I i x A -Mg: =Mri: NOA Mf: = r� Method 2"Simplified Tile Calculation Per Table Below" Required Moment of Resistance(Mr)From the Table Below: NOA W.- Mr f:Mr Required Moment Resistance" Mean Roof Height 16, 20, 25, 30, 40, in Peet Roof Slope t 1 1 4 1 2:92 34.4 36.5 38.2 39.7 42.2 3.12 32.2 34.4 36.0 37A 39.8 4:92 30A 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 130.5 32.4 7:12 24.4 1 25.9 27.1 28.2 30.0 'This Table must be used in conjunction with a list of moment based the systems endorsed by the Broward county Board of Rules and Appeals. c Page 5 Page l of 1 High Velocity Hurricane Zona Uniform Roof ng P r�nit Application Form MIAMI-DAVE COUNTY BUILDING DEPARTMENT E TRONIC APPUCATION For Uplift based tie system use Method 3.cam re the values for r with the values for Fr.If the 1=values greater than or qua[to the Fr values,for each area of the roof,then the tate att chment me Is acceptable. Method 3"Uplift Based le alculations Per RAS 127" -w.E-771 x cos G.x Fri F xW -w:�xCos 8:-Fr4 KOA F (ft x se=x w:�)-w: x COS W.ft Fr3[= NOA F' Where to Obtain Informatio Description Symbol Where to Find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared 9 by a P.E.based on ASCE 7-98 Mean Roof Height H Job Site Roof Slope 8 Job Site Aerodynamic Multiplier A NOA Restoring Moment due to Cavity Mg NOA Attachment Resistance Mf NOA Required Moment Resistance Mr C.alaalated Minimum Attachment Resistance P NOA Required Uplift Resistance Fr Calculated Average Tile Mkilght w NOA Tile Dimensions 1_length NOAw 22 width All calculations must be submitted to the Building Official at the tme of permit application. Page 58 T SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDE 1524.1 As it pertains to this section,it is the responsibility of the roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of this section..The provisions of Chapter 15 of the Florida Building Code. Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been 1. Z.Aesthetics-Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions.Aesthetic issues such as color or architectural appearance,that are not part of a zoning code,should Fpart{ ed as of the agreement between the owner and the contractor. ( 2. Renag h Velocity Hurricane Zones)of the FloWood Decks: When replacing roofing, the existing wood roof deck may have to be renailed ui accordance with the current provisions of Chapter 16(Higrida Building Code.(The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4.Exposed Ceilings:Exposed,open beam ceilings are where the underside of the roof decking can be sewed m below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. * 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may caeto 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. Pon tions may not be evident until the o ' ' I 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 over ed from a build up of water.Perimetededge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code,Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the mterio 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. Owner°s/Agent'�3 ignature Date Contractor's Signature �xggdee I�1.5?2 t�►1 ((e2i 2084 11:19 MEDI TERF4*E N ROOF TILE 4 • f y•'4v',•i��. .'•j7:' .?:t�.l;S•::;,xi i,?cr.'a;' 'q,y'. ..i.. ._ .• .s'.t 1:�>�;:' � _' MIAM tOAOE MIA4tt-UADE COUNTY.FLORIDA MMO-DAIDE FLAGLEIt BUILDING BUMMING CODE COMMIA14CE OMCE(BCCO) 140%VYSr nA(;LER STREET,5UrM 160 MODUCT CONTROL DrASION MIAMI.FLORIDA 33130-1563 (305)37$-2901 FAX(305)3?S-2743 NO'i"tce OF ACCEIrrANCE NOA Monier Lifetlle,LLC 135 NW 20*Street Boca Raton,FL 33431 SCOPE: This NOA is being issued gaoler the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(80RA)to be used in Miami Dade County and other areas where allowed by j the Authority Having Jurisdiction(AHJ). l This NOA shall not be valid atter the expiration date stated below.The Miami-Dade County Product Control Division tiro Miami Dade County)and/or tic AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.l(this product or material faits to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify.or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance.if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with ihc:High Velocity Hurricane Zone ofthe Florida Building Codc. DESCRIPTION. Atlantis Shake do Slate Concrete Roof Tile LADELINC: Each unit shalt bear a permanent label with the manufacturer's name or logo,city.state and following statement;"Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a rel application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product TERM INAT1014 of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use.and/or manufacture of the product or process. Misuse of this NOA as an endonctn ent of any product. for sales,advertising or any other purposes shalt automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT:NT: The NOA number preceded by the wows Miami-Dade County. Florida. and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,theft it shall be dote in its entirety. RISPEC IOtN:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. The subTrrittcd docummintiot was reviewed by Frank Zuhnga.RRC d NOA No.:02-12I IA8 Kq&adan Dam !?d1dW Apliroval Hatt:GUOM Pagel ori 7 nu.Jt G. w...-+•- 11;19 M)IT � 1 TILE -� 3575 •, .02,173/2004 r :ire�•r _ • ... .' ROOFING ASSEMSL Y APPROVAL, Category: Roofing Sub-Category Flat Proftle Rooting Tilcs Mi3tcrial: concrete I. SCOPE This ratews a system �g M�ticr Lifetik Atlantis Shake & Skate CtWrtte Roof Tile, as manufactured Monier Lifetile LLC and described to Section 2 of his Notice oice Building Cods Cees not ActePlanCe- For locations where the i�'` e requirements.as determined by app licable exCced tl�design presstue values obtait d by calculations in ctunpliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shalt be done as a moment based system. 2. PRODUCT DESCRIPTION Test Product Nlaaufaettrredliv pCscription ' ,dna^tliant p#n,�„�cions 5ncc#iieatians Monier Lifetile 1= 15" PA 112 'Flat.interlockitig,high pressure exttuCtd Sw- 10 Ih- concrete shake and slate roof tile eq Atlantis Shake and uipped Atlantis `is t 't/.t"thick with ttvo nail holes. For direct deck,mortar Stator adhesive:set applications. Trim Pieces 1=varies PA 112 Accessory trim,concrete roof pieces for use w—varies at hips,rakes,ridges and valley terminations. varying thickness Manufactured for each the profile. 2.1 SUBMITTED EVIDENCE: Test Agency. Test idcntifter '(°c yaaa¢/itenart ate 7161.03 Static Uplift Testing Dec. 1991 Redland Technologies Appendix fit PA 102 d~.PA 102(A) The Center for Applied 9.44060A Static Uplift Testing Mara►. 1994 fl84 PA 101 (Mortar set) May 1994 f:nginCeKtog. (Adhesive Set) The Centcr for Applied 25.7094.2 Static Uplift Vesting Oct. 1994 PA 102 Engineering.Inc. (4" Ncadlap,Nails.Direct Dcck. New Construction) The Cenwr for Applied 25-7094=5 Static Uplift Testing Oct. t99a PA 102 Engineering.Inc- (4»1{q�p,Nails.Battens) The Center for Applied 25-7094-5 Static Uplift Testing Oct. 1994 PA 102 Engiuccring.Inc. (4'Hcadlap,Knits,Direct t)c+ek, Rccover/Rcroof) NOA No.:02-121109 CIO EXOrad"Dates 17116f87 Approval Date:01/09103 •02t8� i1:19 MEWTEWA4EW ROOF TILE 4 �� -..,'.s... ,..., T[+e!A4@t1CY fi t tdC11or �CSt�meJlteteort Ads i 25-7183-6 Static Uplift Testing Feb. 1995 The Center for App PA 102 Engioeering.Inc. (2 Quik-Drive Screws,Direct Deck) 25-71$3-5 Static Uplift Testing Feb. 1995 The Center�Applied PA 102 )rttgineering,Inc. (2 Quik-D) ive Screws,Battens) The 257214-1 Static UpWiTcsting March.1995 Center fru Applied PA 102 Engineering,Inc. (I Quik`mivc Screw.Direct Deck) The Center for Applied 25-7214-5 Static Uplift Testing Mauch, 1995 PA 102 Engineering.10c- (I Quik-Drive Screw, Redland Technologies 7161-03 Wind Tunnel"testing Dec. 1991 Appendix It PAA 109(Nail-ort) Redland Technologies Letter Dated Aug. 1.1994 Wind Tunnel Testing Aug. 1994 PA 10$(Nail-On) Redland Technologies P0631.01 Wind Tunnel Testing July 1994 PA 108(Mortar Set) Redtatsd Technolo}*tes Pp402 Withdrawal Resistance Testing Sept. 1993 of screw vs,smooth shank nails Applied Pro cct No.307025 Wind Driven Rain Oct. 1"4 The Center fuer Appy .l PA 100 Engineering.Inc. Test#MDC77 t. 1994 professional Service 22!447099 Physical Properties Sep Industries,Inc. PA 112 Cclotex Corporation Testing 520109-1 Static Uplift Testing Dec. 11"8 service 520111-4 PA 101 March 1999 520191-I Walker Engineering.Inc- Calculations Aerodynamic Multiplier March 1999 Walker Engineering„Inc- Calculations Moment of Gravity Sept. 1999 Walker l ngine';ring.Inc. Calculations 257094 February 1"6 Walker Engineering.Inc. Calculations 75-7496 April 1996 Walker Enginecring,Inc. Calculations 25-7$$4 December 25-7804b-9 1996 25790- 4&s 25-7548.6 Waller Engineering,Inc. Calculations 25-7193 March 1995 Walker Engintxring.Inc. Calculations Aerodynamic Multipliers April 1999 Walker Fxonccriing.Inc. Calculations Two.Patty Adlmsive Set Symcm• April 1999 NOA Not.02-1211.08 ® v.Wnfim Daw12A6187 Apgreval-Daft 01IM3 . _ • • lt�g��r� • .02rt ?Ji 11.1'9 MMITE faN ROW TILE �; . . . s 3. LIMITATIONS 3.1 Fire t:hwificatioR is aot part of this acceptanCe 3.2 For mortar or adhesive set Ile applications, a static freld uplift test shall ix performed in accordance with RAS 106. 3.3 Applicant shall Tewin the services of a MIi:►rap Dade county Suctesting shall be submtory 10 itted to quanaly test in accordance with TAS 112. the Building Cade Compliance Office for review. 3,4 Mininwra underiayrncnt shall be in compliance with the applicable Roofing Applications Standard,listed section 4.1 herein. ndicular to the roof slope 3.5 30/90 hot mopped underlayment applicatitans Y installed pct Published literature. unless stated otherwise by.the underlays material manufacturt:rs 3.6 This aceeptaaee is for wood deck applications. Minimum deck requiren"ts shall be in compliance with applicable building code With a minimum of t«o sctetivs. 3.7 May be installed on slopes 7:12 and gree 4. INSTALLATION ' stile Atlantis Shake and Slate Concrete Roof Tile and its components shall be onier [.�f , 4,1 MI installed in strict compliance with Roofing Application Staudard RAS 118, RAS 114, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight(W) and Dimensions(I x w 1 Tile Profile Weight-W(dbt) Length-1 eft} Width-w Of) Monier LifeMe Adar+tis Stake& State Tne Table 2: role,Mal tiers-7l ft Tiia x eft ) Profile Direct Deck lication Monier LWefde Mantis Stake a State Tice -014- Table 3: Restorina irAq"W"As doe to•Gravi - (ft-la Tile 3":12" 4"Ar 5":12" 6":12" T"'12"Or ' teatet Profile Monier LftQe AUSMIS OKect©eck Oireci t'iedt Meet DAdt Direct Deck OireclOeck Shake 8 Site Tie 6.0 5.9 5.8 5.5 NOA Ko.:01-1211-49 Rxpi Ikm Date:t21 M7 Appreval Date:tllt"103 pW 4 et•6 30575727M t4u.�'tt MERIT N ROOFTILE .02/93i204 trxn�a Table 9: A#achnI8nt Re 3k&&nee Expressed as a Moment-Mt(ft-ibf) for Dalt-On Svsterns { �astene+r Type Watt Deck Direct Deck Battens Profile (min 15132"' (min.19132" plywood) plywood) lu rier LlfeMe 244d&S Sha*Naffs 30.9 38.1 1?•2 Atlantis Shake& 1-10d Smooth or Screw 7.3 9,8 4.9 Slate'rile Shank Na0 18.t3 7.4 2-10d Smooth or^strew 14.0 Shaic Nags 1 so strew 30.8 30.8 183 51.7 24.4 146CIOf Screw 24.3 24.3 24.2 Shark Nod Fiek1 CrOE 1-14d Smooth or Screwy 19.0 19.0 22.1 Shenk Nail Eave C' 2.14d Smooth or Strew 35.5 35.5 34.8 Shank Nails Field COO) 2-10d Smooth of Strew 31.9 31.9 32.2 Shank Nails Eave 2-i0d Shank Nails 50.3 65.5 j 48.3 (i InsQ17jOon Waal a 4"lie h@a ft and fasien*M are toeated a mitt.of 2Y:from Mad of We Table S: Attachment Resistance Expressed as a Moment Mr(ft-lbf) for Two Patty Adhesive Set Systems t rite Profile Tile Application Minimum Attachment Resistance Monier Lifetite AGantis Shake&State Tile Adhesive 31.9 2 See mamOactures G for kwafleNon of ements. 3 Mexibie Products Company Tde8wW Average t per patty 11.9 grans. Po#Vfoam Product,tne.A 8 rams. Table 5A: Attachment Resistance Expressed as a Moment-Mt(ft-ibf) for Si ie Paft r Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Mote- r t.ifetb FttlWft Shake 8 Slate Tile P ro'" 1 t ti,r3 {� A 4 to p n40 1 5 Medfum ace n*m of 24 d TM I Table SD: Attachment Resistance Expressed as a Moment-K(ft-tbf) for Mortar or Adhesive Set S stems Tile Tits Attachament Profile Resistance Monier t.8etite Atlantis Sfwke&Slate Tie r Set 39.0 NOA Na:02-1211.09 0acpkadea Darte:12n6107 Apel Daft 01MM3 ftg4 5 of 6 a .P tom,5 td e ` • 102/k,12004 11:19 t>EmiTE RQDF T1LE 4 722 S. LABELING All tilos Shull bear the imprint or identifiable marking of the tnanufacturces nam or logo.or following slatement:"Miami-Dade Couttty Product Control Approved". 6. BUILDING PERMIT REQUIREMENTS &I Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. - 6.1.2 Any other documents required by the Building Official or applicable building code in order to property evaluate the installation of this system, PROFILE DRAWINGS v.�w�•' �—=�`^.�Y t�fit`..� �",•,, •.`.^•�z'•` •�„. •,,-.. '•tel t •�M�•j.• -yam•,..••�'"^�,..�'' I'C • `7 OnVAJW MOMER LIFETME AT,..lh►•t'ts Sn.%KE&SLATE Co,,4Cttm ROOF Tit,ti END OF THIS ACCEPTANCE. yOA 14c.:02-121108 ® < Esp1mlims Date;12J1"7 otr*1 Date:•0t 3 Pap 6 of_6 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Dat Type Insp'n Permit No. Name %� Address + V Company Phone# Inspection Date Approved Correction ❑ Re-Insp'n Fee ❑ MIAMI SHORES VILLAGE ` BUILDING DEPARTMENT 305-795-2204 Building Inspection Request s Dat Type Insp'n Permit No. Name : Address l D V n Company Phone# Inspection Date 1 LD Approved k Correction ❑ Re-Insp'n Fee ❑ i a MIAMI SHORES VILLAGE �� BUILDING DEPARTMENT (D 305-795-2204 Building Inspection Request DatAo��4 TypeInsp'n Permit No. arae Address •. 03 Company Wj Ph$ne# / "o Inspection Date 2/)-3 / b \4 Approved Correction ❑ Re-Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT �p 305-795-2204 Building Inspection Request Dat" Type Insp'n ) fi Peit No. Name Address 03 :{ Company `�r Ph ei Inspection Date 3 /K) Approved Correction ❑ Re-Insp'n Fee ❑ _ a MIAMI SHORES VILLAGE -BUILDING DEPARTMENT 305-795-2204 Building Inspection Request DaV7"5 Type Insp'n Permit No. Na (� AddressO b Co ' mpany � Phc�Ffome PS Inspection Date Approved ❑ Correction Re-Insp'n Fee ❑ e c MIAMI SHORES VILLAGE *BUILDING DEPARTMENT ° 305-795-2204 Building Inspection Request Da Type Insp'n �+ z Permit No. ` � �'4 Na . Address Company 2Phorfe S 1 �� G Inspection Date S I Approved ❑ d Correction ` Re-Insp'n Fee ❑ 2 j r.. k. S: k� t p Miami Shores Village Building Permit 10050 NE 2nd Avenue *•�' 'i Phone: 305-795-2204 Permit Number: BP2004-138 Printed:2/12/2004 Page 1 of 1 Applicant: LORINE MCGEE Owner: MCGEE LORINE JOB ADDRESS: 1201 NE 103 ST Contractor JOHN BUSTA Contractor's Address: 300 NE 91 ST Local Phone: 305-219-9699 Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Fees: Description Amount FEE2004-1282 Building Fee $375.00 Total Fees:$424.18 FEE2004-1283 CCF $21.60 0 FEE2004-1284 Notary Fee $5.00 Total Receipts: .S0 FEE2004-1286 Technology Fee $9.38 FEE2004-1288 Scanning Fee $6.00 FEE2004-1396 Training and Education Fee $7,20 Total Fees: $424.18 Permit Status: APPROVED Permit Expiration: 8/3/2004 Construction Value: $35,600.00 Work: RE-ROOF SLOPED AREA OF ROOF ONLY COLOR THRU FLAT CEMENT TILE Signed: (INSPECTOR) In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: NOTICE OF COMMMCEMENT � A JIMC i M COY MW I*PORM ON TW JOBWE ATTWOF iC Si IOR E.ic 22028 Ps 3?121 t 1Ps) RECQIit#ElJ 1321134€I2004 12>32= 5 HARVEY RUVIMr CLERK OF COURT 1'ATt OF- tDA: 11IAMI-DAi�E Gi1UNTYP FLORIDA LAST PAGE (.-C7t1N1 Y OX MtAMI-DADS: T'i-tv-UNDERMWO tray 9rw m'AM that tttjravExtwds will be made to car teat ptq"t)4 and in ..dic. CtmWer 713,l=MWa S'tRWtc%t#tH"kwft iritwtttrOlon is pmvMed in U Nance*1 Con ,tt i. Legal description of property and streeUaddress: � � AA3./ 331361-9 f irn 2. Description u pr p 3.0wner(s) name and address: Interest in Marne and address of fee simple titleholder: .._......... q. t"..rantractor s nsarrre.tnd address": -..� q1.._._./..� 5.�airrety:{paymer+.t gond required by owner tram contrac4rr anc�►��s c3�rt�A.COUNT'OF DADS couy�� this�s a fru crspY of the G'4�` �34£ H1 CE3J# Xt _..... ..__.. _ -Name and anti address: R/, /�._._ ____...__.._._..._.._.._._..__...___ _._._ p �a oP ,:- .- it�t}in tttfS off�CC on �+ 9 r A nount of band .__./t/, _ .___w - - °t� /Z,�jAD 20 G. Landers name and address: ~'_ ._....._..._....._._._...., r s c�.tment,� may l3 � S r11L''(i ct� 7. PON- within the state of Florida designated by Owner II provided by Section 713.13(i)(a)7., Florida Statutes, � IIMame and ackiress: /V�Q.._._._......._w._..,_..�...._,�_ _........_...._._.._......__..._.._._�_.__-...._._...___.___...__._....-.._.._._._.-____._._�___._..__... I €i, in addition to himself, Owners dt^Mnate s the following# ersc7n(s)to receive a ctsryy c f tYrc3 Lien's Mcatic%e as provided in Set:tion 713.130)(b), Florida Statutes. Narne and p. Expiration data of this Notice of C:antn'rencement: (the expiration date:is 1 year from thO date. Of re00rdirtg rrr�tcsr: s differont date is spec}fi .-----ice Print owner's Narne &AL&__,Ve_64:E..___._� _._._ ._____ _ .._._.__.._ prepared b Sworn to and subsc ' before me this. day of __ ___� 20 Q V AddressNOTAW SM ' Notary Public_-_ V F' ADYSJV LAR i31ld;SS0NNLWBEA l�ldrM _._._....... .�...._. ..._... ..___.. Print Notaiy'S my commission expire:,:.__ "Ip- _. 2 Terry H. Lee 1201 +461-N.E. 103rd Street Miami Shores,Florida 33138 May.31, 1979 Planning and Zoning Board Miami Shores Village 10050 N. E. 2nd Avenue Miami Shores., Florida 33138 Re: 1201 N. E. 103rd Street Members: As permitted under Section 701 of Article VII of Miami Shores Village ordinances, this is to request a rehearing at the next meeting of your board of my application for a building permit to construct a roof over my patio area. It is my understanding that my original application com- plied with the criteria set forth in Item 4 (e)(1.) and 4 (e) (2.), but was denied by the Village council because it did not completely meet the requirement of Item 4 (e) (3.). My architect has now revised the ornamental con- crete block grill and facing so that no portion of the flat roof will be visible from the side street of my property, and, thus, complies completely with the ordinance, making no variance necessary. Therefore, I respectfully request that approval of my proposed roof addition be granted. Cordially Terry H. L cc: Mr. Frank Lubien t MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approy�al of the detailed state,�u•nc or the plans and specifications herewith submitted for the buil jig or other at.,t;. hcrcin described. This application is made in compliance and conformity with the Building Urdinanee of Miami Shams �'�itasc, Florida, inti all provisions of the Laws of the State of Florida all ordinances of Miaml Shores Village and all rules and regulations of the t3u'I ing Division of Miami Shores ViFI ga shall be complied with.whether herein specified or sot. A copy of approved plans and specifications must be kept at building duringogross of the work. Date Ls- ».19.8-• Owner's Name\amo and Address ....».».»........., .. . Nok'_m, Ste`' f— Registered Architect and/or Engineer............_....».....»»._._...».»...».»......»...................»••«.. ..................... dame and address of licensed contr,�ctor�[�.!!ltsx�...��. :��t»�!�..�.�...ti�a. 6•-ted»�: .��.�.?q'A3"� lit-e�s+4-e�- Loeation and legal description of lot to be built on: Lot......................._................... Block................ ......».» Subdivision.__.»......,....._ .... ..... Street and Number where work is to be done.....lNs.!».»...._''�....._:. ��.a`�+Cs - .,.», »••». , State work to be done and purpose of building(by floors). '"' / C�1••.. sa�:» -akwd` 'a" .-.. »•`�:s�..-.- _.� ,................I..........»»..»...»..., _.................. .... ».».....................»..»............»._............_............_.«»_...._ «............................ ....._...«..............................»..»... / ............�........»......».. .»..........._..........».......sad for no other purpose. New Building............................. Rentodcling..._..i/........»» Addition......................... Repalri......................_4. No. of Stories...... Tobe constructed of ....... . ............. Kind of foundation:...... .......................4......_...........- Roof Covering...................................._. .._ Estimated Total cost of improvements $..._......1.�2 .......» .....Amount of Permit ......................�»_... Zonetubage required...... ..............................»......,__....»_ .Plan Cubage................... .w...».........»...»«»«...._»......................._ Distance-to next nearest building..............................-.------Size of Building Lot.»......._..« ..._..».._»........_.. . . ,. ......... ...._...._ Maximumlive 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 Comlwnsation Act. being Section 5966,Compiled General Laws of Florida,Pennanrnt Sappirment, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cantractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act.The undersigned agrees to employ only such subcontractors, an work to be performed under this permit, as are licensed by Miami Shores Village. Remarks..._................._.._.»........... .._.... (Signed) «.. •,._„_.. STATE OF FLORIDA. . COUNTY OF DADE. ss' Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments. personally ap• peared _............................................................ ......_.... .........». ..»...».......» «..«........._..._.. .»».,...»......»....._.. _,...._._ ......_»................_..._.._..............._.. ................__ ..... .._.... _..to tae well know% and who, bein 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 sante.stud that all facts therein by him stated are true.. l Permit No. Date.-��y Read.Sworn to and Subscribed before tae. Disapproved ... C to.— «..r.._.............. ............................................... Notary Public,State of Florida (Signed) ....»......». ............._..............»...........».. Building Inspector My Commission Expires.....»...»»..,.. PLANNING BOARD» ..».......................;-DATE Chairman ........ ............._...._........... ._............».. Member ..»..._..........»....».».�._....».......»..« ....._....,..»».._ Member ....:.._..........»..»..».__.........»...,.. »»............. Member ».................. »....».._._.........,......».... Member .. ... ..............._...................._. _....»..._..,.._._....._ Member _.._.»..._.....w,..««..»...»».._.. ._»...».»....^,_..... CouncilApproved.....»._................ . ._..._..»».»».__-Date Disapproved ..».._..».._..._._»............................... ...................Mae :CUTE: A charge of $1.00 will be Horde for making corrections or changes to this application after approval has been obtained from the I'lannin.-llo.trd. A re-imiu•c•tion fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspention or faulty materials anti/or workmanship. -x.--Z o o 6 L e, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statuisu•nt of the plans and specifications herewith submitted for the build inq or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. anti 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 compliQ with,whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. Q Dateµ~�� D Owners Name and Address....... ..a »_... ».c; �.............»». No._�&._.. tred—16 3 Registered Architect and/orEngltleer.... .. ................... ......•►, ......••••.......•.............• Name and address of licensed contractor. » ..».......».»».».»........ w...s`��.........�.rte!:.».._.......... Location and legal description of lot to be built on: CZ.. ss - p Lot................................_......... Block...rk=4....1-lust Subdivision. i tey/ad_/-A� / Street and Number where work is to be done.»_.._.».... _. _... _..».»........_.... State work to be done and purpose of building (by floors)._ � �'K.4. �_. ....» ......_...»......_.._...... _....................................................»...................»..__. ...........»»......»».»»..»... ........and for no other purpose. New Building............................. Remodeling.....................»_ Addition.......................... Repairs... .................. No. of Stories........_.....»...._ Tobe constructed of ......................... Kindof foundation...--......................................... Roofp�Covering...................................... � Esdrnated Total cost of improvements of Permit $,.-JY t »......._.._......__».............. ?ane cubage required...... ....................................—_»......_._.....»..........Plan Cubage..................»»»».»»»...».........»....»......_._.......................... Distance-to next nearest building...................................--...----Size of Building Lot........,.............».»_........__.......»,.............._..».»._ Maximumlive 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 in employer of labor under the Florida Workmen's Compensation Act, being Section 5966,Compiled General Laws of Florida.Permanent Supplement, anti has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act.The undersigned agrees to employ only such subcontr,#ctom on work to be performed Yoder this permit, as are licensed by Miami Shores Village. , C'�_��s..,n:'•(ir%! Remarks.......................................»»»_..»». (Signed) STATE OF FLORIDA. Iss. - 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 efully read the foregoing application, and that he did sign the same.w d that all facts therein by him stated are Permit No. �_- -•-•• Date.._. l .. .. Read,Sworn to and Subscribed before rte. Disapproved _ :... Date.. .. . _..». ....................................................... Notary Publc.State of Florida (Signed) ._.---.••t- ;-. ... ............._.............................. Building Inspector My Commission Expires..— PLANNING BOARD-__..... Chairman ........ ........ .........._._..»_....».._.._-_»._.......».»... _»..... Member .....»_.».....».._._.» ....»......._..... .......»....»»». .Mernber ......................_......__».»........._..__._»_.._.».. ...».».. Member _...._........_........... ._..»»........._...........»....».._ Member .. ... ...............»......_ .. .._......... ..._. _._.....__...._ Member ».._..»........ ...r._......» »» ._»..»....._..__.» CouncilApproved.....».......................:........_...._.__._.... _Date Disapproved .............»».»_.....................................................Date NU T E: A ch.irge of $1.00 will be Horde for making corrections or changes to this application after approval has been obtained from the Phinnin.-Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspeatinn or faulty materials anti/or workmanship. MIAMi SHORES VILLAGE BUILDING INSPECTION DEPARTMENT i APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed state:oa•nt ur cne plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami ;chores Village, F lorid.%. 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 compliQ with,whether herein specified or M.A copy of approved plans and specifications must be kept at building during p}pgrest of the work. � G ..� ...._«......._ 19 Date .. Owner's Name and Address.. .. »«.....................»... Noi «./�� lStrea�...»«.»»..../..Q. , Registered Architect and/or Engineer............ ..«....«..... »•p• ••e•••••« r.r••••.••.••••.•••.••••••.«•••• Name acid 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 •• .State work to be done and purpose of building (by floors)....«. _............................ .........._..................._.........».._... ........._._.................«.. .......and for no other purpose, New Building............................. Remodeling.................. « Addition......_.................. Repairs:....................._.. No. of Stories............._......_ Tobe constructed of ......................... Kin f foundation» ........................................... Roof Covering.............................._....._...«. Estimated Total cost of improvements 8......laZa 41..j�da__»._«.»__.Amount of Permit ..................... »._....... Zonetubage required...... .................._._........_......_»»..._. ...._».Plan Cubage.................. «.....».......»........................................... Distance-to next nearest building.............................._.»_......_..»».._....Size of Building Lot.»...._._.«_.._.«......«.......»_....... . ................... Maximumlive 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 tenricrsigned 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 clement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-etmtractors employed by him in the work to be performed tinder this permit; and will post or cause to be posted for inspection on the site of-the work such public notice or notices as are required by the Act.The undersignedagrees to employ only such subcoitractors, on k performed under this permit. as are licensed by Miami Shores Village. Remarks..._._..............._..«.....».._... »« (Signed) STATE OF FLORIDA. � . � COUNTY OF DADE. SL Before me, the undersigned authority.a notQry public,duly authorized to administer oaths and take acknowledgments. personally ap. peared .»...._.............................. .........................................«.__... .................«...._».. _....... »_«_«__._... .«..._..»....._....__. _......_.__ ......_....._..........__..._............�..._... ............_ --to me well kurfm 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 some.vid that all facts therein by him stated are true.. II Permit No. Date,..-9"'""'---- Read.Sworn to and Subscribed before me. Disapproved __« .... .` Date.._. _. ......................................................«.«.».... t Notary Public,State of Modda (Signed) ............. .« ................»............... • Building Inspector My Commisdon Expires. PLANNING BOARD............. ...... -----------..._..:. ...DATE Chairman ........ .............«...._._,....«.............»... Member ......._..«.................«_._..»«.......«..............._....._............»_.� Member ....... ...... ..«._.............._...»»... Member _....._.«.«...«........ .... .«..........»._ Member .. ... .......... Member .......«._«..�. ..»«.»«......._._«... Council Approved.....»................»....:..._..._....«._«....»» Date Disapproved ..».._....._.«_«««....»...«......».............:..................Date .UTA;: A charge of 81.00 will be made for making corrections or changes to this application after approval has been obtained frois the Plannin.-Board. A re-irrgx•ction fee of $1.00 will be charged when such re-Inspectbn is made racessawy by improper notice for inspertinn er faulty materials anti/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT �f� APPLICATION FOR ELECTRICAL PER(,�MIT Permit No..f.`.:.� lq0 Dam.....1.� ��... ............................... ............ .......... ............. . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Budding Ordinance of Miami Shores Village, Flunda, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of work. / ,�^ Owner's ]dame and Address...7,—rw?#-4...../-g5 :..........................................No.../�O./......./..`.'.. .......Street.... V. ��. ................................. RegisteredArchitect and/or Engineer.......................................................... ........................................................................... ............................................ Employing Electriciatl's Name.... ......... ! ..... i9_............. .......Street..JV2.. ........................ Locationand Legal Description Lot......._...........................................................Block................................_........Subdivision................................................ Street and Number where work is to be performed—No.........tz.Q.]....., .........................Street..10 T.-74............................................ State work to be performed and purpose of building (By Floors).........................................._............................................................................................. NewBuilding...............................Remodeling...............................Addition...... .........Repairs......................................No. of Stories.................... SWITCH LIO/IT PLUG FIETURas Ra anis. IRON RANGE RANOR WATER W. NEAT. SPACE STRIP TOTAL OUTLETS OUTLETs RaCE'P•T's NO.LA.rs OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTE. LIST c:mwx ENT. DIST. SERVICK SERVICE MOTORSMOTORS NEON RADIO TOTAL SW. CAS. TEND. PER.. m 0.1 NP I.S NP TRANS. CLwnt Im CHECK Overhead Site Feeders....................Conduit................Main Sw...............................Am .Main Fuses.. .Amps Serviee Underground Amps.......................... _................... Typeof Installation—Conduit......................Tubing........................B.X.L.........................Metal Moulding....................................................................... ........_............................................................................... ........_........................................................................................................................................... _.............................. ....... .............. ..................... , . ... ...... .. ... I Amount of Permit $.......b�.Il.Q...................... ....................................... (Signed) h/.......511.�!J/!.....1i!�.•1............. .._....... -Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contractors, work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)...�? 1 .. =f ..... .......... M .......... aster 8leeerilian. STATE OF FLORIDA, i COUNTY OF DADE. j ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. ...»....................._.... .... .Commie�oa»��._.....»....................... .........................NonrY.P�b1�G Siaue ........ odds...................»»...... of NOTE: A re4napection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. I 77 1'16 Z� >k May 17, 197 MAY 2 11979 WiLLAG'E MANGER #AMI SHS VIL e Village Manager - Miami Mr. 0. Sam Ackley, V g Shores Village Miami Shores, Florida 33138 Re: Request for Variance for Construction; 1201 N. E. 103rd Street Dear Mr. Ackley: Last Tuesday the Council declined to approve a unanimous recommendation that be of the Village Planning Board t t I granted a variance from the build- ing codes ordinance in order to add a roof over my patio. Unfortunately, I was out of the city on business and unable to appear at that meeting and, therefore, I an requesting an audience where I may present my side of the situation. I understand that a group of dedicated citizens toiled long and hard on this ordinance and that it is designed to maintain the Village as a charming, beautiful and desirable place in which to live. Having been a homeowner in Miami Shores for almost 17 years, I certainly subscribe to that wholeheartedly. However, I find it difficult to understand the Council's stance on what seems to me to be a very minor variance which would in no way detract from or lessen the standards or values of the neighborhood, nor would it violate even the spirit of the ordinance as I understand it. Further I submit that m re- quest complies with those standards for the following reasons: 1. The proposed roof--designed by Dov Liven, AIA--will blend into and enhance the existing structure, actually creating a more pleasing and attractive appearance than at present. 2. The only departure from total compliance with the ordinance is that one corner of the roof--some five feet of a 17' X 32' span could as constructed be seen from a segment about .f feet in length on the side street of the corner lot. (Photographs were supplied.) To remedy this slight deviation, I propose two alternatives: a.) Ornamental concrete blocks would be installed to tie in to the proposed five-foot section visible from the side street. The same ornamental blocks are already a part of the structure screening the air-conditioning units, and are totally visible from the side street, and create no unpleasant effect whatso- ever. Photographs were supplied. b. Two trees over 15 feet high have already been purchased (Proof of purchase is available), and will be planted in a complimen- tary position to further reduce any visibility of this small portion of the proposed roof. Mr. 0. Sam Ackley, Village Manager May 17, 1979 Page Two In summary, the roof.that I would like to add is for the purpose of making my patio a covered porch--not an addition to my home. It would not only not detract from the appearance, but actually create a more eye-appealing appearance. It is not for the purpose of adding footage to the house, but to allow us to more fully enjoy the use of our home, and add to the value of our property and, hence, to the entire community. One final point: I am told that the City Attorney advised the Council that they must be consistent in administering this ordinance; otherwise, it would be difficult to defend in court should that become necessary. I cannot quar- rel with that but, I also submit, gentlemen, that any zoning ordinance that cannot be varied for a reasonable, realistic,. and justifiable reason is not a worthy law and should be changed. Also, may I point out that members of the Planning Board made actual physi- cal inspections of the site and concluded the variance was justified, while the Council took their negative action without benefit of investigation or inspection. Thus, it appears that my request was denied purely on a legal technicality and that the merits were not even considered. I understand that the concept and fairness of the entire ordinance is to be reexamined on the Councils' own motion at the meeting of June 19. Unfortu- nately, I have a business conflict which cannot be changed and will be unable to appear on that date. Therefore, I respectfully suggest that a request for reconsideration be placed on the agenda for the council meeting of June 5. Cordially, Terry H. Le THL:1 cc: The Honorable Henry A. Everett Councilman Ralph E. Bowen Councilman Donald W. McIntosh Councilman Joseph P. Farina, Esquire Councilman Herbert Spahn, Jr. ^.t r Ter? H. Lee im Northeast to3rd Street MiamiJ Shores 38,florija April 18, 1979 Mr. Frank LuBien Building & Zoning Director Miami Shores Village 10050 N. E. 2nd Avenue Miami Shores, Florida 33138 Re: Screened Porch; Addition to 1201 N. E. 103rd Street Dear Mr. LuBien: I appreciate you coming by and looking at my patio area which I plan to convert into a screened porch. And, I understand your interpretation of the ordinance that I may not extend the roof line beyond the existing wall of the house on the west side be- cause a portion of the addition could be seen from 12th Avenue-- the side street of my home. However, I. think the circumstances are such that a request for a variance from the Planning Board and the Village Council is en- tirely proper. Please consider: The existing patio which had an aluminum carport-type cover over a portion of it--and which I removed when I bought the house because it most definitely detracted from the house and the neighborhood is approximately 32' by 22' . I want to roof and screen approximately two- thirds of it in a manner that would enhance the architecture and beauty of the house. As I understand the ordinance, my proposal meets all the requirements except that some 5 feet of the roofline (total extension is 17') could be seen from a precise area of 12th Avenue--provided you stand in a certain spot--approximately 30' in width. Mr. Frank LuBien April 18, 1979 Page Two The attached photographs clearly illustrate that there is only one small area of 12th Avenue from which the proposed addition would be visible, and I hereby commit that I will plant trees and/or shrubs so that in a very few months, that portion of the roof and screen will not be visible from that area of 12th Avenue at all. I understand and agree with the purpose of the ordinance, but it seems a bit extreme to deny- me the full use and pleasure of my home because of a minor infraction which can be easily remedied. I have a considerable investment in .this home, and I certainly would not make any modification or change in it that would not add--much less detract--to its value. Consequently, I ask that my request for a variance be placed on the agenda of the next meeting of the Planning Board. Cordially, THL:l attachments MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby trade for the approA•al of the detailed statement ui the plans and specifications herewith submitted for the build ing or other structure berein 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 tpecif ed or not. A copy of approved plans and specifications must be kept at building during piiogress of the work. Da s......... ............—i�- ...L... Nom » ».»».. Street.,....»» Owner's Name and Address � »» .».. .»........»»_...........». Registered Architect and/or &ngincer......................»...»............»...»..........................,.............,Jt�•,.,....,.•,,,,,,.,:....,.,,... ,..,,................................. Name and address of licensed contrgctor........ �1�✓. . .»..) .1..5....0............./�i�x2.�LC»..r»....». a.4.a-,d'a.f....... ,......... Location and legal description of lot to be built on: Lot............................................ Block._.............................. Subdivision.............. ...................._...... _. Streetand Number where work is to be done...»............._»»..».'.»�.»».»».' »_»...... » ... �''......» State work to be done and purpose of building (by floors)... and for no other purpose. New Building........W......•... »Re . modeling.............ww........ Addition..........) ....,.Repairs.» »µ .......»No. of Stories..... .. To be constructed of ......................... Find of foundation............................................................».Itoof Covering......1 ..��...ft6g..&—ffi' Estimated Total cost of improvements $......1.)..6.................»»»»......Amount of Permit 110.........».........................._............................ Zone tubage required...... . ..................................._........_.»..»»»»...Plan Cubage...................» »....._..._........................._..»_....................... _ Distance to next nearest building...................................»......»..».».».....Size of Building Lot........»_......».»....._..»......_........................ ».. ...._ Maximumlive 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 a accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 8966,Compiled pal L14ws of Florida,Permanent Aup dement, anti has complied %lith the provisions thereof, and wil) require similar compliance from al},contract rs or sub-contractor employed by him in the work to be performed under this permit; and will post or cause to beposted or in`specti n the to of thew uch public notice or notices as are required by the Act.The undersigned agrees to employ only sac tr s, on k to be ormed under this permit, as are licensed by Miami Shores Village. Remarks..._..................-..............».»»»..».....»..».....»»». ... (Signed 4_... .. » ...._ STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public,duly authorized to administer oaths and take acknowledgments, persortally ap. peared ......_............................................_.............----......................».-•---_._.............................._.._.............._. ._.............. ....... -......_................._-..................._._......»._»_._.._.»_......................»».»._.»._.»_»..»...._._..»»..._.,___......to me well kaown. 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 states)ax e. ` y� t'� Permit No.. k �•»- Date.. !l��.j1.�.»..... Read,Sworn to and Subscribed before me, '3 .. Disapproved ...., _ .. Date.._......__.........�.._....._....... ......... .. .... ......... .... Notary Public,State of Florida (Signed) .......................................».............. uilding Inspector My Commission Expires.......�....»»............................._. PLANNING BOARD...».._............................._..—.._.»...DATE Cnainnan .... ..................._.........__................_............._.»....»» Member ................................ _.»....»....».»...... .»......... Member ............. ...................._...................._..__.,...... .... »... .». Member _..............._........................._........_......... . ................._.._ Member .. . . ......................................... ... ».r.....»..._..........»....._ Member ....».............. .........,».......»»......_»...» ..»_..._»._ Council Approved............................................. .»».»...Date Disapproved ».._»_........ ..»...........................................................................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after apprm-al has been obtained from the Planning 11o.trd. A re-in>pertion fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials anti/or workmanship. r, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT App$catton is hereby made for the approval of the detailed statement of the plans a�sped$c�tions herevvlth submitted for the build- or or other structure herein described This application is made in compliance and conformity with the B Ordinance of Miami Shores Village, Florida,and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Viljage and all rules and regulations of the Building Division of Muuni Shores Village shall be complied with, whether herein specified or not.A copy of approved plans and spedfications must be kept at building during progress of the work. f �� _-- .____...._.. _._ Oz's Name and Address._.. _ --__ ---- lL _ Street -/_ ............. Regitered Architect and/or Engineer... _ ____ -.-- ---- _ . ___.------_ Name and address of licensed contractor_. .... _ -_�j------------ Location and legal description of lot to be built on: Lot-- -- _ _---------_-- Block.---... ._.__- _- .- Subdivision._-- -----..___.____-• _.� ----•-___-- Street and Number where work is to be done__ C?70/ State wok to done and purpose of building (by floors)_ _ _��-< < _�� ZEi purpose. New Building_--- -------..--___-.. Remodeling.----•__-- -- Addition_--------_-...---_ Repairs------•.-•--____.----- No. of Stories....- .----•------ .... To be constructed of-------------------___ Kind of foundation-..� ___-----------------_---__--- __-_Roof Cov g_. -------- ---------- ........... _ Estimated Total cost of improvements$--------.- ,. 0®_ Amount of Permit $_._._ � ---. _ ------- ---------------------.- Zone tubage 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 foi said building. All notices with reference the building and its construction may be sent to-_._ The undersigned applicant for this building permit dcx hereby certify that he and ds and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5988,Compil eral Laws of Florida,Permanent Stipple ' t, and has complied with the provisions thereof, and will require similar compliance h9di all contractors or sub-contractors employed by in the work to be performed under this permit; and will Post or cause to be posted or inspection on the site of the work such public no or notices as are required by the Act.The undersigned agrees to employ only sugh subcontractors, work to be performed under permit, as are licensed by Miami Shores Village. Remarks___ --•• - -. -- __-- ------ (Signed)- STATE Sighed)_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,beanng by me first duly sworn, upon oathAeposes 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 __ ---------- Date—.--.._ ------ -. .__. - Notary Public,State of Florida Building Inspector My Commission Expires- __. .._ ..... PLANNING BOARD_ _. _-_-. _--___-_.-----._DATE Cluinnan .____ _ __-----___ _--___---•-- Member ___----------.._._.--____-_. _.. ..---_---._.............. ._...._ Member ---_ - __--- ------ _._-._ - _._ __ - Member ---...-- Member .......... - -- - -- -_ _ _._. Member ........ Council Appr�ed-__ -.• _ -- ------- _._Date Disapproved __..._ _.--_-•--.. .------- - --------- -. __---- ------Date NOT "A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannifig 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. F19-ST ?.000e® MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the ap royal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described T is application is made in compliance and conformity with the Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of 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._._._._..._.__... Ow is Name and Address- Y----Y .- f_ E'-��--------- ------- No.___._---..._. --. Strut--__-..-_--.__._._.....__•.---- Registered Architect and/or Engineer... _ / ----- - -_ -- .- _ --------- Name --- Name and address of licensed contractor_ - G�_!!i S p e __ 17! _ t.ea.�� l._`u._ _ �.. r 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 p se of building (by floors)_ ___ ---- - ......... -----__ _ _ _ - __-._---._. _ —-and for no other purpose. New Building---_._ __............... Remodeling---------- __ Addition_....._------------ Repairs............... -_ No. of Stories..... ............ .... To be constructed of-------------------._. Kind of foundation -- _ ------------•---------._._._.._.__-- -_-- Roof Covering__ ........ .......... ........... _:_-- rrc3- Estimated Total cost of improvements$------ —.-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 foi said building. All notices with reference to the building and its construction may be sent to--- - - - - _ - - The undersigned applicant for this building permit dot 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 em loyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act.The undersigned agrees to employ only such subcontractors, work to be performed under this permit, as are licensed by Miami Shores Village. Remarks--_ _--. . - -- ---_. _-_- _._ __ (Signed)___ _-�_-_--_._____ STATE OF FLORIDA, COUNTY OF DADE. Before me, die undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap. peared - _ ------ . -_..to me well known, and who,heir 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 --- ------------...... Date ._w._----� .- _-�--_- ____�_ -. __. (Signed) - Notary Public,State of Florida ------- - - - -----;•-;----- ---------- ----- ------ -- -•- Building Inspector My Commission Expires-__. -_. ----- - ---------------------- PLANNING BOARD-_ChafIrman - - -- -- - -- - 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. i -'�j� -`-..__...•.. /', if �, r:,_v.. G to• 1 �. I h-—� -40 17l f � o -- C,�t Vii.,•r i MIAMI SHORE ILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appro�al 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, atl 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.E Owner's Name and Address.. W - ��-l'4'°�"�'------------••-•.......................__ No.--------•--- - - Street._......---......------._.----......... Registered Architect and/or Engineer------ _LZ i�4.._ -} ..........................-................. ---•••----•-...... ._ . Name and address of licensed contractor... �`3� �w � Location and legal description of lot to be built on: Lot-----------— ---••------------ Block---•---------•---•--•-•--•--�----r-r-�Subdivision........------ /---------_. -----_ _ _-.-_-_.-_..........____.-...........-....._......--- Street and Number where work is to be done...... _---..._._---.-_--,-`_ _ _----•- -------.___.. State work to be done and purpose of building (by floors)--Q►M.-CM-QWT1 b�--- NT—1PJ---._. 7 �.--w..�-'-—T_ � -- -----------------------------------_____.___ ---------------------------•-----------_----------___._...and for no other purpose. New Building --------- Remodeling.-_-------------_----- Addition........---------_------ Repairs----------_-------_---- No. of Stories.......................... To be constructed of............................ Kind of foundation.............-.....__-------------------------------------- Roof Covering.......................................---... Estimated Total cost of improvements $...... ..A 40__------Amount of Permit $.....!-!;a....112.........................._�---..............._........ Zone tubage 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 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,Pennanen i lenient, and has complied with the provisions thereof, and will require similar compliance from all contra r sub-contract rs en by him in the work to be performed under this permit; and will post or cause to be posted for inspecti a site of k )lie notice or notices as are required by the Act. The undersigned agrees to employ only such subcon cto on work perf under this permit, as are licensed by Miami Shores Village. Remarks__...------------------------------------------ (Signed)----...-- STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared —- - -------•--------------------------------•---------•-------------------------------------—-- - - ----•••••---•-•----------- -•-----_----_------ __�_---_ _ .---•------_------------_--______------...------- _ to me well known, and who,being by me first duly sworn, upon oath deposes and says that he is the___.......................... .... ......................................-.....- of 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.-.____7_7�_--___--- _.. Date_ q_ _-Lm _ Read,Sworn to and Subscribed before me. Disapproved _ - --- Date - - -- ..... -.....---- _ - - - - ---- - Notary Public,State of Florida (Signed) - ----- B g Inspector My Commission Expires-------------------_ PNING BOARD--_.._--_--------------------------____---.--DATE Chairman ------------................._— - ----------------- Member Member -- ----.__.-_..-......-___ ____•-_---�. �__ - Member Member ..........---.-------_--------------------------________ __ Member Council Approved-------------------------------------------•------Date Disapproved -----------------------------------.............................................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SNORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Ais hereby made for the apppproval of the detailed statement of the plans and spedfications herewith�tbmitted far the build- Orrinucture basin desnribed. This application is made in compliance seri conformity with the BuildiOrdinance of Miami SharesFlorida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores V ge and all rules and regulabe Building Division of Miami Shores Village shall be complied' with, whether herein spedfied ar not.A copy of approved plans ications must be kept at building during progress of the work. �/� ................19....... Owner°s Name and Address............... .d'i.:( �,,,_...__._...._. ---• -------•--� No....__........ Street_...................................... Registered Architect and/or Engineer...................__......__.._. -- Name and address of licensed contractor..._.._�t..�a. .(�L�. _-...... -aS_ ........ �$1GY!! Location and legal description of lot to be built on: &A Lot-------------_-_..._._. .......... Block._.................._........— Subdivision�..-,�l-,,a�p-Q--/__-�,e r Street and Number where work is to be done__..__� ..G._._ .- _� .._._...._ _.._ _--_-•---._._ State work to be done and purpose of building (by floors)__ _ ........7 .. _.... .._...._....._. . . _.___.__ __._...................._.___....and for no other purpose. New Building___-_..._............... Remodeling....................__ Addition......._................ Repairs...............__....... No. of Stories.......................... To be constructed of..........._._......._... Kind of foundation_.--._--_--_.................._....._.___-........... RoofCovering..........._..........I... .._..__......__. Estimated Total cwt of improvements$_.._..�.��2_. �?.----Amount of Permit $..... /- --_ ---- --.._ __..._....................._....... Tone cubege required_....-_ . .Plan Cubage._.-__.___..-_---_.-.-.-__-------..__.._..----..-..._._.......................... Distance to next wrest 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 un�applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under Florida Workmen's Com tion Act, being Section 8988,Compiled General Laws of Florida,Permanent Supplement, and has complied with.the thereof,and will requite similar compliance from all contractors ar sub-contractors employed by him in the work to be perform his 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 tractors. an to be performed under this permit, as are licensed by Miami Shores Village. ea 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,bd by me first duly sworn, upon oath deposes and says that he is the..............................._..........._.._ _..-..__._..............._.._._ of the above bed construction,that he has carefully read the foregoing application, and that he did sign the same,and that all facts therein by him stmilare true. Permit No. ____ Date-_ � � Read,Sworn to and Subscribed before me. Disapproved _ _ _.,�. __._.. Date ._.._-_----.._. -----......._. (Signed) Notary Public,State of Florida •- ' Bui ding Inspector My Commission Expires.--_--__..............-.................•--------- PLANNING BOARD--___... .----_-DATE Chairman .__._..__.... __ . __ Member — — _— — _......_--_--.....-•-...... Member Member ._..._..... . Member .......... _ _---___ _._ Member Council Approved _. _. ... ---.Date Disapproved --------------—-----------------------------------------------------------....Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby Made for the approval of the detailed statement of the plans and specifications harewith submitted for the building or;other structure herein described.This awhostion is made in compliance and conformity with the Building Ordinance of Miami Shares Village. Florida, and all provisions of the Laws of the State of Florida,all ardiaances of Miami Shares 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----'b- , t,-L _ No �.0 Registered Architect and/or Engineer kA `'m r,q- I 61W a a h1a, Employing Plumber's Name__ J„ ►L►)ff n JX 8Q Wr— No Location and Legal Description 3 Block I q -) Sub&vd►....PA Street and Number where work is bo be performed-No LQ, street .Al tw!7- LP-15t.-- State woo to be perrfoamell and propose of building (By Floors)—]I c I f\ft-aj e-w- L__x gp.y..NOW -4 —Remodeling No. of Storiro..__..._.-.-_........_. BAY" 8HOWERB LAVA. SINKS SLOP LAUNDRY URINALS CATCH RLOOR DRINKING CLO$itTS W Q,Vd• TOTAL- TUB6 TORIES SINKS TUBS BASIN DRAIN FDUNT'N8 . �� R_ (e FI%TURES CONTRLIST• ..GL�.L_ CHS= sumo SEWER DRAIN. .SOAKAGE OREASS' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP NEATER WELL SYSTEM POOL - CONYR. LIST CHECK Size septic Tank_._ Type of Tanti -._ _--.:--_--_.._--_-Capacity Gals.__-..-._----_ -..... ---------- Fed of Drain Tile D1sL Feet of Tank or Drain Field from Well__ Nature of Water Supply: 9P WeIL -Size of Soakage Ptt Amount at Permit I$ .� ( ) N= Phrmbing lnspec or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obb as an employer of labor under the Florida Worlmr�'s Compensation Act,being Section 5988.Compiled General Laws of Florida P Supplement, and has corn- plied with the provisions thereof.and will require similar compliance from all dors or sub-contractors ed by him in the work to be perf under this permit;and will post or cause to be.posted for inspection an the site of the work such public notice or notices as.are required by the " The undersigned agrees to employ only such s ab-cur on to be performed this permit, as are licensed try Miami shrives Village. (Signed) Master Plan STATE OF FLORIDA, COUNTY OF DADE. j Before me,the undmApIed authority.a notary publi%duly autlmrized to administer oaths and taloa aclmowledgmants, personally appeared to me weD lmawn,and who,being by me&A duly swami.upl oath' and.says that he is the..._.,___ tof h the above described construction, him stated that he has casefully read the foregoing application, and that he did sign the same, and that all facts My C.ommisdoI Expires Notary Pnblia,State of Florida NOTE: A re-imam fee of$L00 sill be made whwa nch winspectlau is mado-wcessary.by improper notioe for inspection, or faulty materials and/or 1 , C0 t V T w� e S VL 11-1010 N �\ v MIAMI SHORES VILLAGE APPBUILDING INSPECTION DEPARTMENT LICATION FOR BUILDING PERMIT Application is hereby made for the appm,al 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 Share 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__ �. I9. r �e n � ..-----•------....... Owners Name and Address......_=�f"k,_A- //-��_,.__.__.______........................._ No._.___....___.___ Street_._............_...................... Registered Architect and/or Engineer--•�.._..._...._l._1i a. _.__._ ........... -----_............-........__.._.... — ----;........_........ •-•-•--.. Name and address of licensed contractor_........ Q .. ��"l1.�'_.._ w ttr Location and legal description of lot to be built on: Lot .. Block_......_.......... _ Subdivision-....-_._...•_.-._- � Street and Number where work is to be done__-.z4j-.__.k__ ` 'sl►;'- work to be done and p se of building (by floors) ------..._ _•._------------ ___._------ -- .._...----..and for no other purpose. wilding.. __. _ Remodeling.............._--------- Addition------ Repairs.......................... No. of Stories.......................... To be constructed of_.__......_.........._... Kind of foundation.._.._.-_......................................_._...._._ Roof ening.--.-.•---....._.._...-•-----.....-.-•---.._.. fi Estimated Total cost improvements $...__... ...:�Q- G---_ _ . Amount of Permit $...... ............._............................._. Zane tubage required-------__--------_._. __-------Plan Cubage.-......_.......___---_-..................—.........----....................... Distance to neat nearest building------_-------------___.__--. __..._._Size of Building Lot_.....____.....-_---__.—................................................. Maximum live load to be borne by each floor-------------____ ____.._.__.__._. __._ -----_-__.__...____.-_...._...._................._.......... I hereby submit all the plants 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 6988,Compiled General Laws of Florida,Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act.The undersigned agrees to employ only such subcontractors, on work to performed under this permit, as are licensed by Miami Shores Village. 1f Remarks -- —._ _ (Signed)-' F--� W1 STATE OF FLORIDA, p COUNTY OF DADE. J S' ` Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap. pedred ____.___---------•_--•-- _____.� ...... _...._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._ _C � Read,Sworn to and Subscribed before me. Disapproved _ _ ..------------•----•-----•--..._..._..-----...-_. - (Signed), .._ ,� _.....__.._ Notary Public,State of Florida._. ------_--------- Building for My Commission Expires...._....._..._..............._............__._. PLANNING BOARD—__ _---_.__.-DATE Chairms$n ___._..___..----- _ _ _ __ _ Member --------------- _._.__............................_...___....._.-......_-_ Member Member Member Council Approved..._--__•-____.____._.___..._.___.— -Date Disapproved --------_---_—----------------------------------------------------------Date NOTE: 4 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 reins on fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials,4 or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit NO......» » .. ............. Date..... ... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith fled 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. j� & Owner's Name and Address..�4....Aa�/ ................................No..............................»...«.....Street................................................... RegisteredArchitect and/or Engineer........ »..........................»............. ..............«. ,........7 ... Employing Electrician's Name...... ��. �t"...No....J. ,. .«...........SWI .lf ./.. Location and Legal Description Lot......3i... .....:. .. .. ..Block............ 4...�..............Su�bd/ivtsioa... .. .. ......... Street and Number where work is to be performed—No._ .............. »»...._.......Street..f..!.... ®./®. .... ............... Statework to be performed and purpose of building (By Floors)............ 1 ... , .......«........«....«....»....«................................... NewBuilding.........`.........Remodeling...............................Addition.............................Repairs».«........................«.,....No. o ......../....... SWITCH LIGHT PLUS FIXTURES REFRIS. IRON RANGE RANGE WATER W. HEAT. $pACa STRIP TOTAL OUTLETS OUTLETS RaCE'P'T,s No...LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. Hd�1TIL HEATER CONTR. LIST v CHECK ENTDIST. SERVICE SERVICE ,1 / MOTORS MOTORS NEON RADIO ;l_ TOTAL .SW. CAB. TEMP. PERM. D060 i�eS • O.I HP I.s HP TRANS. d CTR �pDeB s,i { LI �- LIaT' p 6L1 A� CHECK ! ! 1 Service Overhead Size Feederl rz:,«..ConduiL.. ........Main Sw.....'�ar'f!�..«....Amps--2-432.»....Maim Fuses... .....Amps Type of Iaetallation—Conduit...«. T......... ubing»........k:......B.X.L t —.6 �.�»..M ». Metal Moulding .........». ®. «�®................. »...« ..»..».»............. »...«....«....«...................................»..«................. ......................«.............».».........«......».. .... . Amount of Permit $....•«...m�....�»�..................................... ................. (Signed)..............«. ..... ...---- «. . dasl Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Flarida P eat Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub Ionto 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•coatractors, on work, to be performed this permit, as are licensed by Miami Shores Village. (Signed).. .... ...»....»...»....«.».»»..._«.........»..........«........... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared».........».............«....»......»..................................................»..............»......«......»......... .......»............«.................»......«....«.............»...«............... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the»...............».«.».««......»....».««..».................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. «....».....«.»».....»».». ..»..........«...».»..«.......................................». .......................». ...................«...»..........»»»......»..........».«.»...... My Commission Expires Notary Public, State of Florida NOTI: A re-inspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT P7Bit Ida.__�P Date»�� _(�._0 N__ Application is hereby made for the appmval of the detailed statement of the plans and specifications herewith submitted for the buil mother structure herein described.This application is made in compliance and conformity with•the Building Ordinance of Miami Shares Wage, Florida, and all provisions of&a Laws of the State of Fklrida,•all ordinances of Miami Shares Village and all rule$and regulations of the Building Division of Miami Shares Village shall be complied with,whether herein specified or not. A copy of approved plans and specifications must be kept at building during pros of work. Owner's Name and Address 1 �.? �' �� L� _ _ No— Registered o Registered Architect and/or Q �- Employing Plumber's Namel No�� .may.AE Stream Luh and-Legal Description Lot y�Black Subdivision Street and Number where work is to be p ad—No-1 2L � 1 State Wank tD be peerfornma and purpose of baffft (By Flom) Naw Building---- - ---Remodeling Addition---. No. of Stories...., CLOSg'n{ •„BATXSXOWERS LAVA. SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TQ68 TORIze SINKS TUBS BASIN DRAIN FOUNT'NS FIXTURBe COMM. LIST CHECK SEPTIC SEWER DRAIN SOAKA66 GREASE' SOLAR DEEP SPRKLR. SWIN'6 TANK CONN. FIELD PIT TRAP NEATER WELL SYSTEM POOL CONTH. LIST CNSCK nn rr Sime Septic T U 9L G d Typo _- Feet of Drain Tile 3 9 X= -:?-,� Dist,Fat of Tank or Drain Field from WeU_ __...... _ Nature of Water Supply: CkYW'M- -Size of Soakage _ .._. Amount of Permit APl1 (Slow C N �- -e�/ t� Plumbing Inspector. The undersigned applicant for this building permit does hereby carts be and accepts66-bligations as an erllp of labor under the Florida Warkman's Compensation Act,being Section 8988, piled Gerleral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof,and will require similar compliances m all caatncctars or m&coutractars employed by him in the work to be perfm under.this permit;and will post or cause to be posted'for on the site of the work such public mice or notices as are required by We Act. The nndazigned agrees to employ only such on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ___.................... Mader Plumber. STATE OF FLORIDA, COUNTT OF DADE. j Before me,the undersigned authority,a notary puW ddy authorized to administer oaths and take aclmowlclgments, personally appeared to me well known,and who,being by me first duly swarm.upon oath ilannoon and.says that he is the_._...-__ of the above dwarlbed mon, that he has carefully read theroiivQ apo anion, and that he did sign the cam, and that all facts thereb by him stated are true.. MY.C Eagi�cas Notary Public.State of Florida NOTE: A re- xmdm fee of$1.0 will be made when std rs4bnspeothm is made-neaeaaryby improper mice for inspection, or faulty materials cud/err ship: c MIAMI SHORES VE LLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Dates Time P Type Insp'n Permit No. L j.® N 1 Address Company Phone# For Inspector: g` b Name& ApprovedAll Correction ❑ ��"` ®�' Re-Insp'n Fee ❑ Z,® ® ate � � ` t PERIVIIT APPLICATION "" ""' Master Permit No. Subsidiary Permit No. ';P,r) ��OR1Dp' INSTIMCTIONS --The following steps 11111st I)e taken to obtaill a perillit from tile Nhand Shores Village: Step 1. Complete the attached permit application which mug igned by the pprone tr xowner and rn,atifier Both signatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done,a roofing application must be submitted along with this permit application. Step 2. Submit the compj=d W i rim 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. MN Job Address: I2 NE 1 ®zs 1 CrAr w Skores F'1 . IAddress--h M Apt. City State Zip Folio Number ' ! 3g;Q �wO Q-)0 Description of Work tCMe �a- Lot Block Subdivision PB PG Zoning Linear Feet Current Use of PropertySquare Feet Units Floors Proposed Use of Property `"value of Work !7) ? Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE ✓ PERMIT CHANGE ✓ TYPE OF MANAGEMENT (✓ Building Ch&Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumb Extension Relocation of Structure Shell Onl LPGX Su lement Foundation Only Add'I Attachment Roofing Other Add'1 Detachment Fence Other Other ARCHITECT ENGINEER Name Name License No. License No. Address Address Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR Name o Name L or K VL Address License No. G ®n ` q 't4 (1®, &)E I W Actr0►7 1 A Address d•C� Home Telephone a O S' 7 J 1 ' q o. 0 X (0a A 3 0 /y)tR 1-+1 " Ft. 3Q 1416 Business lg phone Telephone��s-� t_r- qq Fax 204,( Fax .�� Qualifier Name y Page 2 P PERMIT APPLICATION I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m.to 6:00 p.m.,and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN,NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the streeVsidewalk. 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. Al,'I,'IDA\il'F - Please read carefully'. Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (5001o) 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. STATE OF FLORIDA,COUNTY OF MIANII-DADE ST t UNTY OF MIANII-DADE i I'4,� P tW �—� Signafm of Owner Sign of er r kdAI'WO Me 6ea �1� r �hr� J Print Name Print Name 1 Sworn to and subscribed before me this day of _, Sworn to and subscribed before me day Signature of N I'u - tate of Florida ignature of N - . "tom, Robert 7.ChW '�',RY P&O OFFICIAL NOTARY KER SEAL: .tt° �_MY COMMISSION#CC741112 EXPIRES SEAL: p � ANGELA M ®EcxER 1-- FV0:!01F4 nCONPfJ4MON NU69aER May 24 2M2s < CC786697 BONDEDTHRU TROY FAIN INSURANCE HdC. MY COMAP MON EXPIRFSNOV. 15,2002 Personally known OR,Produced Identification Personally kno Produced Identification Type of Identification Produced. Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies)in the space provided below. Minimum Fee Dryer Outlet,Appliance Service Repair A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary A/C Central 4-7 Ton Fire Pump outlet,Switch Signs A/C Central 8-15 Ton Fixture-Fluorescent oven Space Heater(kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights SpasMot Tubs A/C Central 20+Ton Flood Lights Plugmold/Strlp Subfeeds,No.of Amps A/C Window FPL-Load Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.(WM 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 NILCHANICAL Minimum FeMl.- Condensate Drain Generator Refrigeration,Tons A/C Central, Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wall/WiDryer Vents,Number of Paint Booth Ventilation,Cost Air Handler, Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections BarbecueFire Sprinkler System Piping Bath Fan-VenFireplaces,Number of Pre sure Vessel 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 Cap-Fixture Fountain Pimpand Abandon Sprinkler Systent Cap-Water Gas-Appliance Pump,Domestic Supply,AC Well Cap-Sewer Gas-Natural Pump,Fire Stand Temporary Toilet Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal Dental Chair Grease Trap PumN Sprinkler Utility-Sewer Discharge Well Ice Maker PUMP2 Sump Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pum 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 Equi went Sink Well,Supply f RECEIVED AND REVIEWED BY: DATE: J f .. i Page 4 PERNIIT APPLICATION OFFICE USE ONLY ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) $3.00 per page(Scanning Fee) $ i0U Miami Shores Village $ 7c, .- Bond $ Metropolitan Dade County (C.C.F.) $ (sq.ft=x/1000 x 0.60) Inspector State Educational Fund $ (g.005/sq-ft) State DCA(Radon) $ (0.01/sq.ft) Code Enforcement Fine $ Zoning Review $ ✓� �/n TOTAL $ C v ISSUING OFIACIAL REVIEWED AND PREPARED BY: DATE: SECTION BY DATE CONDITION 01'AI)NZOVAI- Zoning Electrical Mechanical - , .C.® Plumbing Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 2ND AVE.,MIAMI SHORES,FL• (305) 795-2207 •FAX(305) 756-8972•http://www.miamishoresvillage.com J Village of Miami Shores Mechanical Permit 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305-795-2204 Permit Number: MC2002-22 Printed:3/1/2002 Page 1 of 1 Applicant: `LORINE MCGEE Owner: MCGEE LORINE Contractor C& R AIR CONDITIONING CO Address: 2121 NW 139 ST#10 v ) Local Phone: 305-685-6394 Cellular: Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Job Address: 1201 NE 103 ST J Dru' T Total Fees: $0.00 J Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 8/28/2002 Construction Value: $1,300.00 Work: EXACT REPLACEMENT OF 21/1 If there Is no permit pa AIR CONDITIONING CO. BANK OF AMERICA P.O.BOX 681330•MIAMI,FL 33168-1330 FLORIDA 4353 fee is$50.00,which must PHONE:(305)685-6394 R3-243/670 r This Permit is granted to the cc -3 Q ordinances pertaining thereto and ` and approved by proper muni Jam' authorization. A further condition PAY TO THE ordinances and regulations pertai ORDER OF 76 . -�o by his agents,servants or employ 1 anAd' -� �� DOLLARS P NJ Signed: In consideration of the issuanct with the plans,drawings,stateme myself,my ag ,, an or MEMO Signed: SMAATURE 11'00435311' :067002436 : 401309106011' 1 r PERMrr APPLICATION Master Permit No. Subsidiary Permit No. G' O URYDIFRIMITMI Step 1. Complete the attached permit application which must be signed by the property owner and qualifier Both signa=must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done,a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building,Planning and Zoning Department for processing. During the processing of your application,you may be asked to submit additional information. Job Address: l ®l ( O oR-% 1 d CQ tn'1 1 F( . Address /, ! Apt. City State Zip Folio Number 1324&��00 U l nn Description of Work RCEWWA Lot Block Subdivision PB . PG Zoning Linear Feet Current Use of Property /Square Feet Units Floors Proposed Use of Property ✓Value of Work t Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE ( PERMIT CHANGE (✓) TYPE OF MANAGEMENT ✓ Building .Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumbft Extension Relocation of Structure Shell Only LPGX Supplement Foundation Only Add'1 Attachment Roofing Re on Other Add'1 Detachment Fence Other Other ARCHITECT ENGINEER Name Name License No. License No. Address Address s Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR �+ Name L®Pine A G e Name -t (t `®r ® . Address ry License Na CAC 0 tZ P 1.2.®l N I®a, ( m Fl . Address t� aydv► , Home Telephone 0®S. P o. b ® )r � ::?j 0 Mjq^ , Fl. fa Badness Telephone Tdephone'-jf).,P h"�C-jo?q Fax `?®.-frvS�� Fax Qualifier Name ko �0 e r t �6A S t Page 2 PERNIIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m.to 6:00 p.m.,and Saturday from 8:00 am. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN,NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tacks. 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. STATE OF FLORIDA,COUNTY OF MIAMI-DADE S O C OF MIAMI-DARE Si ture of Owner Si of ctor/ Lae;Pe, Me-Cr e vo, 'L. rJ � Print Name Print Name ��f Sworn nt and subscribed before me this 9i day of Sworn to and subscribed before me this day , Signature of No blic-S Florida a e o c � L �-1pt6i6 I Pay PVe 04GS6i� M BECKER SEAL: Robert J.Ch4111 SEAL: O~ nl� a0gNoy NUMBER MY COMM�SION#CC741112 EXPIRES * ;i �,► c c?a 6 6 9 7 �= May 24,20D2 �, Q off EXPIRES t10PIDMTHRu1ROYFAtNW 1NM W 9�F '; OFf Personally known OR,Produced Identification Personally OR,Produced Identification Type of Identification Produced: Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies)in the space provided below. ELECTRICAL Minimum Fee Dryer Outlet,Appliance Service Repair A/C Central 1-3 Tbn � Fan Outlet,Wall Service,Temporary A/C Central 4-7 Ton Fire Pump Outlet,Switch Signs A/C Central 8-15 Ton Fixture-Fluorescent Oven Space Heater(kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tabs - F_ A/C Central 20+Ton Flood Lights Plugmold/Strip Subfeeds,No.of Amps A/C Window FPL-Load Central Pasts Swim Pool,Commercial Air Conditioners Garbage Disposal RangeWjuw 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 Best-30 days Deep Freezer Low-volt,Fire Renew-Tiemp Service Demolition Low-volt,Intercom/Teleph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps MECHANICAL Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wall/Win.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Proceafflressm Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit Bath Tab Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Rellair Ca -Fixture Fountain Pump and Abandon S rhdder S Ca -Water Gas-Appliance Pump,Domestic Supply,AC Well Cap-Sewer Gas-Natural Painp,Fire Stand Temporary Toilet Catch Basin Gas-Propane Pum Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pinup,Replace-Pool Urinal Dental Chair Grease Trap Pump,Sprinkler UtiliAy-Sewer Discharge Well Ice Maker Pump,Sump Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pum Interceptor Roof Inlet Water Closet f Domestic Well Laundry Tray Septic Connection Water Heater I Drainfield,4"TilelRes. Lavatory Septic Tank Water Heater New Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe Drains,Floor Minimum Fee Shower Water Service Drains,French Miscellaneous Equipment Sink Well,Supply RECEIVED AND REVIEWED BY: DATE: f Page 4 PER UT APPLICATION OFFICE USE ONLY ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) 'multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) PU'.1041T 1-,LES $3.00 per page(Scanning Fee) $ Miami Shores Village $ fes® e Bond $ Metropolitan Dade County (C.C.R) $ r ? (sq-&=x/1000 x 0.60) Inspector State Educational Fund $ (0.005/sq.ft) State DCA(Radon) $ (0.01/sqA) Code Enforcement Fine $ Zoning Review $ REVIEWID AND PREPARED BYE '�ZgDATE:�� z SECTION BY DATE Zoning Electrical ®_ Mechanical Plumbing Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 2ND AVE.,MIAMI SHORES,FL• (305)795-2207 •FAX(305) 756-8972•hitp://www.miamishoresvillage.com PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date '27-®t Job Address a O AI C 109 s�- Ta!Folio�gO Descrj pilon rq I? I�iStoricallyDesigmated: Yes No /� 1 OwnedL,essee/Tenant Master Permit# ownws Address I xo i tj e (®, Phone Z16 S 7 S77 • a contraaing co. Ct R A, r-c b CJ. C o �Frc .�Ja EuHe; Fc.�9r6dr Qualifier Q0�cr • SS# - Phone �0 S I - State# c A G C.64 l4 Municilw# Competency# Ins.Co. Nctri T®p Th Arclutect/Engineer Address Bon ft Company Address Mortgagor Address Permit Type(drele one): WELDING ELECTRICAL PLUMBING CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION l Sgaaze Ft Estimated Cost(value) to A s. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR RIPROVEIMUM 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 penmtto 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is acceuate and that all work will be done m compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above-named contractor to do the work stated. X ge, -C) Signaturel of owner and/or Condo President Date Signature Oatoactor or Owner-Builder Date ]oyce Kranz WCOMM6S M#CC�950 Notary as to and/or Condo President Date Notary as Date My Commission Expires: My on Robert I.Chtyst *, WCOMM ION# I41112 WM May 24,2002 h„` e�mt�s6+ r�no�nn�acc FEES: PERMtfJ RADON C.C.F. NOTARY '" BO APPROVED: TOTAL DUES 4 a a Zoning Building Electrical Mechanical 4�, ( Plumbing structural Engineer• .r ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B, OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES I A/C (WIND) DISPOSAL. SERVICE TEMPORARY A/C (CENTRAL) OR INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHAD REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GRAND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS 'RATER CLOSET MOTORS OVER 100 HP VIOLATION IAUIRECT WASTES A/C WINDOW REINSPECTION *NATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER-NEW INST. GENERATORS TRANSFORMERS HEATER-REPLACE GENERATORS TRANSFORMERS LA'NN SPRINKLER-WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS MMRCIAL WATER SERVICE SIGN TUBES 'EWER CONNECTIONS SIGN TRANSFORMERS ITILITY-SEWER SIGN TIME CLOCK 1TILITY-WATER FIXTURES 'EPTIC TANK ANTENNA 'ELAY TELEVISION OUTLETS .RAINFIELO, 4' TILE/RES. VIOLATION •UMP & ABANDON SEPTIC TATA( REINSPECTION :OAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE COL PIPING AWN SPRINKLER SYSTEM AS RANGE :TER SET (GAS) AS PIPING . MIAMI SHORES VILLAGE AIR CONDITION REPLACEMENT JOB NAME ADDRESS l2� l I l 0j S Different location than above? EXISTING*,CONDITIONS I. HOUSE MAIN ELECTRIC SIZE AMPS WIRE SIZE 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE , & CIR. BXR. SIZE FUSE SIZE SW_ AIR HANDLER BRANCH CIRCaIT:WIRE SIZE , & CIR. BKR. SIZE FUSE SITE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: AMPS. TYPE: FUSE CIR. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT:_ AMPS. TYPE: FUSE CIR. BKR. 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES NO 5. EXISTING UNIT TO EE REPLACED OR RELOCATED NAME PLATE INFORMATION FROM EXISTING UNIT MAKE C 4 irr G r PACKAGE MODEL ig t CONDENSOR MODEL # a r� A.H.U. MODEL, '# HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE CONDENSOR MINIMUM CIRCUITS AMPS A.H.U. MINIMUM CIRCUIT AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZ FUSE HACR CIR. SXR. AIR HANDLER AMP SIZE FUSE HACR CIR. B_CR. EER NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE R"'c M PACKAGE MODEL # CONDENSOR MODEL `\A M ca- O O A A.H.U. MODEL 13EAT PUMP TYPE YES NO �rr�c RW HEAT STR2P SIZE CONDENSOR MINIMUM CIRCUITS AMPS oCv A.B.U. MINIMUM CIRCUIT AMPS MAXIMUM OVERCUARM PROTECTION SIZE AND TYPE.- CONDENSOR YPE:CONDENSOR AMP SIZEa FUSE HACR CIR. BKR. AIR HANDLER AMP SIZE FUSE HACR CIR. BKR. EER SIGMA OF QUALIFIER CERTIFICATE MBER 1 ._ . PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 13M C- I OB ST Tan Folio/I'3-?A "-,0oZel e© Legal Description c31 Owner / Lessee / Tenant v` Master Permit I Owner's Address 1.201 �� I�� Phon i ° Contracting Co. C't" `'' �.o gJ. Co . Address po,bow q�1q Qualifier-6Le r`E T C.r S_ SSS - - Phone State KAC-®16V ici.pal # Competency Ins.Co. rj Z S Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � , Square Ft. Estimated Cost(value)A,04 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 regulati con t n and zoning. Furthermore, I authorize the above-named contractor to do the work st Signature of owner and/or Condo President Sign of Contr ctor or Owner-Builder Date: Dat Notary as to Owner and/or Condo President Notar , as q Cont act or Owner-Builder Ex 'des: RobertZC M3' ,ion Expires: Ch" oyce Kranz MY COMMISSION#CC741112 DM8 =; �:' MY COMMISSION*CCBw50 IXWRFq Mc 24,2002 ''= February 14,.2003 ow mec THRU fpr FA NWANCA RC* * * * i;�°�k �DEk1HW W FAW Maa C0k FEES: PERMIT A999r&0> RADON C.C.P. NOTARY © r'"' TOTAL DUE APPROVED: Fire Other Zoning Building Electrical . �� d Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date l - Job A a 01 /01 qf Tax Folio 1 -- ::U QC- Qd('LQ0(g 0 Trurl- 187A MQ:.� Shove's Sect 9 &V16i Lqd Description P L3 3"t 1 IdeallyDesignalad: Yes No Ownevi ssee/Tenant MRS L zl o e A e G r�e— Master Permit# Owner's Address ! 2 b ( . C—:. l 0 3 )-r ZC-.-T Phone -SQ-5'- -76-7- FZ 61 eontra�n-Co. 3 -Q 0—m o-e-reja-et ax) Address 18156 :isaZ h CST 304 & *4. Qualifier STD fz.G3 e WO ob 2 r,--o IE Z Ss# 264- -76-7J-31 Phone 5oa gR state# CC-G-OZZ 76 2 Municipal# Competemy# Ins.Co. Architect/Engineer Address Bonding Company Add= Mortgagor Address Permit Type(drele on : BUII.DING CTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DIESCRIPTION T E Squareft Estimated Cost(value) 241 WARNING TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR DIPROVEMENTS 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 vm&and installation as indicated above,and on the attached addendum(if applicable). I certify that all work will be performed to med 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 iafeamation 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 the work stated. of ar Condo President ®k i of der Date L �2 Dos-,�f 2 O ///.f Notary to Owner and/or Condo��it Bide My on Exprres. BWDBORAHRANNE MY I O CC OW4 s, COMMISSION M 9 54 mss:Decoft 1A 2aoa =066] FEES: PERMIT�Q._RADON C.C.F. 0 NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing 1 F�ineer ha, /I ''r- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appro�al of the detailed statement of the pians and specifications herewith submitted for the build- ing or other structure berein described This application is made in compliance and conformity with the B gg Ordinance of Miami Shares Village, Florida and all provisions of the Laws of the State of Florida all ordinances of Miami Shores�Villa e g , P g and all rules and regulations of the Building Division of Miami Shores Village shall be complied' with,whether herein ed or not. A of approved �$ roPY PP plans and specifications must be kept at building during progress of the work. Owner's Name and Address...._D--:-L`_t -LE Ce_. ...................— No._....._....._.._.. Street_--___................................ Registered Architect and/or Engineer.......U)i,S._A_9.. ..._..... Name and address of licensed contractor_-__._r.&R. rA5'rt.00_� _�. �. ,,�?-'`_.�...._. Location and legal description of lot to bebuilt on' Lot -.. 3 .._......... Block._ -..I.......__._._ SubdivisionS..&.R g Street and Number where work is to be 5.P_ ---.-- State work to be done and purpose of building (by floors)_N.�!� �'� .��.�12 �{0�►.f!G 'r � ___ .._..._.............._..... ___-- ---____ _. -..-_.. _ .____.._.._and for no other purpose. New Building_...Lam-....._...... Remodeling..................., Md1tion-....._................ Repairs-...... ._ No. of Stories -••--•---••-•---._.. To be constructed of.C!.J(5.,-.. Kind of foundation.. _. c._:......-- Roof Covering :.F�,...- -- --.-- -. ��. ^__.. .Amount of Permit T161 ._ -- Estimated Total cost of improvements $... � ---•----�../.` ..._ ...._®._._.:_.- Zone cubege required.._,._� _ ___ _ plan Cubage- � -��d� M P& Dlstanoe to next nearest budding.-__.-_._..___._-_.-_. ___ ..Size of Building Lot 1.�� __ ►. Q .._--------.,..-.......... Maximum live load to be borne by each floor__._._.__.. ...-_.....-..-_.................. I hereby submit all the plans and spedficatbns for said building. All notices with reference to the building and its construction may be sent to__ o N T r= :_� �Ql�..�.7Q� �.:.��_: _............._.._................. The undersigned applicant for this building permit does hereby'certify that he understands and accepts his obligations as an employer Of labor under tthhee Florida Workmen s Compensation Act, being Section 5986,Compiled General Laws of Florida,Permanent Supplement, and has complied with the p ons thereof, require similar compliance or sub-contractors employed by him in the work to be performed under this permit; and will post or cause toed posted or site the k such public notice or notices as are required by the Act.The undersigned agrees to employ only su su war be ormed under this permit, as are licensed by Miami Shores Village. Remarks. STATE OF FLORIDA, COUNTY OF DADE. Before me,the undersigned authority,a notary public,duly autho administer oaths and take acknowledgments, personally ap- peared ......--...-..... to me well known, and who,bei �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 alga the same,and that all facts therein by him stated are Pertnit N ... Date. � Read,Sworn to and Subscribed before me. Disapproved - ....._.... • Dat Or, (Sign) Notary Public,State of Florida ....... .---... .-. __.. .__._ _..-__.-•------- Building Inspector My Commission PLANNING BOARD ..__.._.-. ---.DATE Chairman Member ......- Member Member Member ...._.... _ _ __ _ Member Conned Approved _ Date Disapproved ------.._.-__..._-........................._.....................__.....Date NOTE: A charge of x$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. 47 7,33 — ori ' "A All — Ts Fit - Ali ��f A VQ U RT T oleph4le iegistered La A Surveyor P. , 0. Box 359" J-0550 South Mia6i Flor-i NG 103 iT — i \ iy' �. �.. j '�3 �7 3o i� LOCATION SKETCH Scale 10 20al —� Located in Miami Shores, Florida, A SURVEY OF O 4 and 35. Moak 1:61 or MIAMT SHORES %TCTTAN Un- .& according -to they plat thereof - recorded in Plat Book _1 at page 33 of the Public Records of Dade County, Florida, LOT DETAIL SKETCH For D. J. Hiller Seale 1" s 30' Date: June 229 1960 1 _rQ.,S po w E,- L,»F� - a►,:_:-sal t: ✓� o a a All109 Prpt S' WAT@t' /'Ylgil ___ L•3Antbar—�o/Q.� _.{4 � L/` /�0-3rd v,T >o.019Ss u n Ed,CIQ r. ;7S /e1 Y►f 2 O PpyEm en�`'9.7p T hereby certify that the attached sketch represents a recent survey made under my direction and is true ' t• dV and correct to the best of my •knowledge and belief. 0 4. .••••• . F That '-there are no encroachments upon t operty. ~.• ttE1q .•tio , y- - �v � STATE OF1 s Charles. L. Davenport, Registered Lund Surveyor No. 909x' State of Florida. It for R�Q. LA D �J�-„'. FB 33 Page 104 File No. .211-4j j 'r 1 MIAMI SHORES VILLAGE PUJMNNG INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is liereby Heade for the approval of the detailed statement of the plans and specifications herewith submitted for the ding or;other structure herein de=bed.This applioatioa is made in compliance and conformity with the Building Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida,all ordinances of Miami Shores Village and all rule and regulations of the Building Division of Miami Shores Village shall be complied with,whether herein specified or not A Dopy of approved plans and spedficatiow must be kept at building during progress of work. Owners Name and Address._._.. .9 fit' No _. _. Street— Registered treet. Architect and/or Employing Plumbe's Name_ 2�� _�. _._ S LOn and-Lel Description Lot Bloch Subdivision Street and Number where work is to be performed-No S State work to be penforme8 and purpose of budding (BY Flom) NOW B„didin -.____-__. Remodeling Addition---. R _......__. No. of Stories......... _.___..- BATH LAVA $ SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL CLOSIiTB TUBS 8NOWBRB SINKS TORIES SINKS TUBS BASIN DRAIN FOUNT•NS FIXTURES CONT". LILT CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. sw1we TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LAST CHMM Size Septio Tank. --- of Tank _ ..............Capacity Cats.____ Feet of Drain Tile-- eet of Tank or Drain Field from Well Nature of Water Supply:City—WeIL Sine Soakage Pit 141 Amount of Permit $ r (Signed. __. _.........._ Plumbing Inspector. The undanigued applicant for this building permit does hereby certify that he understands and so" obligations as an employer of labor under the Florida Worl=an s Compensation Act,being Section 5988,Compiled General Laws of Flora ermanent Supplement, and has com- plied With the provisions thereof,and will require similar compliance from all oonteaetors or subcontractors employed by him in the work to be performed ander.this permit;and will post or cause to be pasted for inspection on the site of the work such public notice or notices as-are required by the A& The undasigned agrees to employ only such sub-wntraetora, on work to be performed umdar this permit, as are licensed by Mie Sham Vi>1age. (S4pnd)__f.� � P1 STAT£ OF FLORIDA, COUNTY OF DADE. Before me,the undersigned authority,a notary puW duly authorized to admini oaths and take aelmowledgmenta, personally appeared to me well known,and who,being by me first 4dy sworn, and.says that he is;he___ _ _-- of the above described conotrucition, that'he has y read the foregeting application, and that he did sign the same, and that all facts thw da by him stated are true.. My Com Expires Notary P c,State of da NOTE: A re-lowwtift fee of$LOO will be made when M&reaiaspeCOM is awde•mspessary.by notice for inspection, or faulty materials and/or wa dimmihip. I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT c 9 �j APPLICATION FOR PLUMBING PERMIT I$"witNo..._.._-.a 4Date._/O-1 Application is hereby nude for the approval of the detailed statement of the plans and spedHcattmas 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 Shares 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 Weifieatiops must be kept at building during progress of work. Owner'e Name and Address .. 4- �- IZ _. No Registered Architect and/or Engineer ___�_--- Employing Plumber's Name_ 2-i T ®Ne Location and-Legal Description Lots Block_ Subdivision ,� Street and Number where work is to be performed-No- �"L L-1:1 - State work to be performed and purpose of building (By noon) New Budding __. _ ._Remodeling Addition __. _. Rte- _-_.__._-_--- No. of Stories......... BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL. CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FoumrmS FIXTURES CONTE. Wer CHUM SzMC SEWER DRAIN. SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIN'O TANK CONN. Flaw PR TRAP NEATER WELL SYSTEM POOL CONTE. LIST CHECK Septic Tank------ Type of Tank-__._. ......_.__Capacdty Fed of Drain Tile6- Feet of Tank or Drain Field faraan Well__ Nature of Water Supply: City Well. -Size of Soakage Pit_..........-.- _ Ei& ---- .-)-- Amount - ,- Amount of Permit €� `b (Signed-) _ - ---_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands ural aoDepts his as an employer of labor under the Florida Workmen's Compensation Act,being Section 5988,Compiled General Laws of Florida P Supplement, and has com- plied with the provisions thereof,and will require similar compliance from all factors or sub-contractors employed by him in the work to be performed Lander 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 reqWred by lite Act. The unilersigned agrees to employ only such sub-oentractom on work to be performed under this permit, as are licensed by Miami Shorties Village. r. — 401 r (Signed) __.. Master Plumber. STATE OF FLORIDA, t 986 COUNTY OF DADE. Before aria,the undersigned authority.a notary public,duly anthorized to admfidster oaths and take personally appeared to we well(mown,and who,being by me first duly sworn,upon'oathAeposes and says that he is the— of he of the above described fiction, that he has casefulty read toe foregoing application, and that he did sign the same, and that all facts tbwdn by him stated are true. My_Cammmi"im rApires Notery Public,State of Florida NOTE: A w4n�fee of$1.00 will bo prude when such winspeation is ms&-neoessery.by improper notice for inspection, or faulty materials and/or worlmaoanship. 1 BUILDING ❑ I SNORE VILLAGE, FLORIDAr y ELECTRICAL Ely�T.` n 4. owe— ELECTRICAL ate PLUMBINGQ IT N? 7333 Contractor's ROOFING ❑ tieees® NO. Q Work to,be performed under this Permit Owner ..r f Building t Aichttect '.. Contractor ..� or Builder Legal Let Subdi- Bl DeSCnpttOn n I 1 . ��,` i vision_ Address of a a ' Value of I I Amount of .�.r. d Building Project $ ({ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install'the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the,work will be performed in compliance with any plane,drawings,statements or tions'that may have been submitted to and approved by the proper mauicipa' authorities. This Permit may be revoked at any time if the work is not done in compliance with each ordinances or if the plan are changed without sitthorization.A further condition upon which this permit,is granted is the understanding that the contractor or wilder named above affatimes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered here whether ,sown on the pl# or rawinge or in the statements or specifications and that he assumes respon- sibility for work done by his agents,servants a ployees x' Signed• w ., S C ex BY , In consideratioa of the iasaance to me of this permit I agree to dorm thes work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,st ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done f e er,myself,my agent, servant or employee. CONTRACTOR or BUHMER Y BY ` AUTHORITY " CC, ? 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 Buil Ordinance of Miami Shores Village, Florida, and all pro'Isions of the Laws of the State of Florida all ordinances of Miami Shores Vi ge 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..-_-. 21 ., o- __ ....... Owner's Name and Address....-._.fry' olt1_.QQD$trt Ctioit___r{O........................... 0 I'd St. Registered Architect and/or Engineer......--•--------........._.........-.............-•---•------._......-••-----------•--------------••---------------•-----._.----.....----•.................... Name and address of licensed contractor........BX.Wis___89Vf 1=-t�.. c1S..R—�i---V St. Location and legal description of lot to be built on: Lot-----•------_..._..................... Block.................................. Subdivision.................................... __ -__ __... - ------ ..............-.......-- Street and Number where work is to be done.,...2 201 N. 9-.-1-03 State work to be done and purpose of building (by -_9_0__....-Tile_ROOf __-----------------_......-...................................___ __._ r__..._____._____.__._.._._.._------.--.---.__._........._....and for no other purpose. a New Building------____g ...... Remodeling-----_------------------ Addition---------.................Repairs--------:-------- --- No. of Stories.......................... To be constructed of............................ Kind of foundation_._._-._._...._--------------------------------------- Roof Covering------MOL......................... --- Estimated Total cost of improvements $..5ZQQrdQ----_------______-___Amount of Permit 0 '00__— Zone cubage required ..___. __.----__ ._.__. ___ _._.._--Plan Cubage—.-_-..-_.......-----_--------...__ .------......................... Distance to next nearest building--.--____------._----------- ._.__._-Size of Building Lot.-_...._---_-_--_-.-__--_-_.....---..................................... Maximum live load to be home by each floor._......-.-- .._._------_--.---_.-_-- _____._ _----, _- I hereby submit all the plans and specifi4o6 rior said building. All notices with reference to the building and its construction may besent to_--____.__ ___ _—— _ _..... .....-----.._._ -_-_--_.---._._..._..................................... ,i The and applicant for this buil inrmit does hereby certify that he understands and accepts his obligations as a employer of labor and er�the Florida Workmen's Coni tion Act, being Section 5988,Compiled Ceneral Laws of Florida,Permanent p lement, and has complied with the provisions thereof, and will require similar compliance all con ors or sub-contractors em e�by him -in the work to be performed under this permit; and will post or cause to be posted for on the 'te of the work sic blit notice or notices as are required by the Act.The undersigned agrees to employ only such n on to be perf under this permit, as are licsn►sed by Miami Shores Village. Remarks _ (Sign _ A,411 A, STATE OF FLORIDA, COUNTY OF DADE. I ss' Before me,the undersigned authority,a notary public,duly authorized to administer oaths and takea owledgments, personally ap- peared _ _........ —_..._.__.-----___._... — ---•__�___• .......... __ __ _._._ _—_to we 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. _ Z Z'_�' Read,Sworn to and Subscribed before me. Disapproved ___ _- Date ____ --- (Signed) — Notary Public,State of Florida Building Inspector My Commission Expires...___......._-------_............ PLANNING BOARD_._._._._....._.__.._. --_------DATE Chairman ._._.._..___._.._.._ _ ___ _ _ _ Member _ Member _._.--------._.__ __..___ .___. Member __....... _.��__ _- _--__ ------_----_...._...-_......... Mem ...._..--•------------- T _ .._ �.__ Member Council Approved—_ -__.-__.-__- ---------- -Date Disapproved _ -—.....__--_--------------------------------------------:..........Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE, .FLA. lq? 1572 JOB 4�,sgc� - 7Z,//&c.- ADDRESS /' -� IAl, G 10 3 -13 INSPECTION y .� — -• TIME READY/9 � ® ®�b REMARKS: ae trope-+ INSPECTOR — DATE AA o-.,Lie z bftand Shorft VIUM r - 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 -:specti.on must be made prior to the release to Florida Power and Light Co. and the issueance of a certificate of occupancy. OWNER D. J. Biller JOB ADDRESS 1201 N. E. 103rd Street LOT 34 & 35 BLOCK_ 187 SUB- Agiami Shores Seo, 8 BUILDER meson Construotion Co. DAY LABOR CONTRACT x DATED& ember 6a 19 60 ITEMS SUB CO NAME AADDDRRESS PLUS AMOUNT 1. Architectural Fee lens Walter Hubbard-2 0 Coral Wa . As halt kwalks, drives etc. - Cabi.nets - Bath Vanity _ 27 St. 4. Cabinets - Kitchen a » 5. Cabinets - Medicine .. 6. Cabinets - Unit Closet 7e Cleaning 8. Clearing Site a a 9. Concrete - Foundation labs Beams a a 10e Concrete - VMK,dr�ves 2 etc, a a 11. Contractors Fee 12. Electric Fixtures Q11tes El antri 0-1145 _3ffiQQQ-00 13. Electric Wiringa a 14.- ua. ent Rental 15, Excavation 16. Fill for Slab a a 17.. Floors - Finish wood & kitchen RONA11 700-Ga T8-. Floors- - Terrazzo - NONE 19. Garage Doors (1rAwfQxd Door Sales-1899V.4 Ant 790.00 20. Glass Sliding oors 1. Hardware - Finish XaaXiami Hxd-.686 22. Hardware - RoEgh Gone al Gontraot= , 23. Heatin 24. surance - Liabili c .-bond 5. Labor, Pa of 6. Labor - Contract -� 27. Labor - Contract 28. Landsca in Fill Gradin 29, Lath Plaster Stucco ' Alex akar 21aso-635 VW 123 st, 4400,00 30. Lumber AllLmbx!--190 It, 31. Masonry Labor 32. XasRna Materials, Block M&U12 Tn,d-52220 Him- Blvd- 33. Millwork 34. Miscellaneous 35. Ornamental Iron Work 36. Oven & Plate - Built-in - _ 37. Uverhead 38. Pa t - 39. Permits Temporary ower Yea 40. Piling Voundation) NONE 41. Plumbing C2Mlete _ 42. Pool - Swimming 43. Roofing & Sheet Metal Work - 44. Roof Trusses - Pre-fab. 45. Screen Enclosures NONE 46. Se tic Tank or Sewers e 47. Shower or Tub Enclosures 500*00 48. Steel - Reinforcing & strl. TA111 Emohipe IIXLQA-1759y. 70000 49. SupqrWsion Q neral, 50. Surve s 1919 51. Tile & Marble (Ifinfixal contractor 52. Water -Public yes 53. 'Water - Well & Pump _-- 54. Windows - Glazing & Screens 55, Window Frames - Concrete JDU=i Corn.-K601 ON C S UCTI ON 00. SIG 0 `1JTOTAL CONTRACTOR MIAMi SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed state.su•nt ar the plans and specifications herewith submitted for the build int 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 Villa$c shall be compliQ with, whether herein specified or M. A copy of approved plans and specifications must be kept at building during pr9gress of the work. Date..._...._... 197.x_ Owner's Dame and Address.-T'?.<.tcail...... .. ..._»........»............................».... .»!5�. .i ::.:....._. RegisteredArchitect and/or Englncer............® ......�!.k?f:t ....................................................n........,.,,,.,,,:«,.,.,,,.,.,,_,,,.,,...0 ................... Fame and address of licensed contractor.... Location and legal description of lot to be built on: 'r Lof..17e:: .../.-(? ..... Block................................ Subdivision. 5... ?__ !q ��✓� _».? !��1.....t.�....... Street and Number where work is to be done..._®.� ?.�..._. .../.�..� t'..:.»__.._.» _ ...... ............_.. State work to be done and purpose of building (by floors).,-- »....................... ». ......__...._ .... _........................................_.................................._........ ............... »................»»... »_._..»............and for no other purpose. New Building............................. Remodeling......................... Addition........1e.............. Repairi......................... No. of Stories.................... _ To be constructed'of ......................... Kind of foundation............................................................._. Roof C4vexing..................................... ..... Estimated Total cost of improvements $.....1.M.srz.O?...........................Amount of Permit $....��,..�4 .. .! .. ..................._ ..................._..... Zonetubage required...... ...................................._. ......__._ .____...Plan Cubage........:f`.I'z.. _.._. ..... .................»_...._......................... Distance to next nearest building..................................................—....Size of Building Lot.........._........._....._................ Maximumlive load to be borne by each floor................................................................................... ._....._-........................................................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. Bt. t®.1.� �"n..d�.!Qr�[Q.r. ti:lc: .:.. Z.tE?4t?..ISL.SfP.. f"..... t�ts?F.:.,,. .4.... �.68 . .. .. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labur under the Florida Workmen's Compensation Act, being Section 5066, Compiled General Laws of Florida,Permanent Stipplement, and has complied %%ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause-to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks..._.................._..............._...... ----._-_-......... STATE OF FLORIDA, r-- -®ac!/� COUNTY OF DADE. I ss. Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap. peared ....... ..................................................._..............................................._.............___..__..._.-...........-.................._.. ••---.......... ......................._......_-..._..._........... . _ .._to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.............................................................._............................ of tl:e 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 e. Permit No..A! � ..._-......... Date. hd-LlyQ ....... _.. Read,Sworn to and Subscribed before me. Disapproved .. _ ... ate..__......-.........---.............. ............................ ... ... ......... .._ _._.... ... .. Notary Public,State of Florida (Signed) .---•........ ...... _.............. uilding Inspector v�j�My Commission Expires...__......__......_...�. PLANNING BOARD.... �Al..1:t............._..... .».-...DATE Chairman ........ ..........................................................»................ Member ......._.......................»_.»....». ......_........_....................._ Mernber ..•••..........................._...._.......•---.._...._.._..___-.--•--..... Member _....._..... .»........ .._. .... ........_............._.................».._ Member . . . ...............»............................• ..... Member ....-...............r.. .. CouncilApproved........._.................................._-•--............_.. ............................................................................Date NOTA:: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained frcnn the 1'l.tnnirr„Board. A re-in%pection fee of S1.00 will be charged when such re-inspection is nada 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 wade for the approval of the detailed stattmenr oe the plans and specifications herewith submitted for the build- inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, caul all Inovisions of the Laws of the State of Florida, all ordinances of Misnal Shores V{t p and all riles and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein sperm or not.A"py of approved plans and specifications must be kept at building during progress of the work. Date.» .«»..._...» ....»......_._ »..,192..p Owners Name and Address......IrE»�� 1....... .: .:...,..}.�._.N..:' ...»»»».... No.L� ..»». Street.»«. Registered Architect and/or Engineer..............L�.4?�« ..I..f vlgtn/... .......I...........1 ••me•:sreex:mrsem+•:•aess��gr�eq�:a••w� •• r Name and address of licensed contractor........�� .A .....«».»......�».j..._.�.V..E.......Z�l . Location and legal description of lot to be built on: Lot................................._......... Block..................»»«.......« Subdivision._ _...._........_« .« _` _.».._......................««....._...».... Street and Number where work is to be done...«.....,..2.-?..ef._.«.-_- � .�.1�... _« T ._ »>..... ...._ State work to be done and purpose of building (by floors).. c. ,/�.__:...«_«.«..._.Lagc y.,rytf......». ......»»»..................................... _......................................._................ -.........._ _.. «...._.....«_..«......«»..»......«.._..............._....._........aad for no other purpose. New Building............................. Remodeling....... ................ Addition.......................... Repairs................ ... No. of Stories...... To be constructed of.......................... Kind of foundation............................................................. Roof Covering....................................._....... Estimated Total cost of improvements P $.......... ....._«»»......Amount of Permit «.......«_«..............«_.._.... Zonecubage required.............................................__....«_.«.«.. .».._Plait Cubage....................___....____.........». ' Distance to next nearest building......................................... of Building Lot........««-......__»«._..-......._...... Maximumlive 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, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act.The undersigned agrees to employ only such subcqntragors. on work to be rforved der this permit, as are licensed.by Miami Shores Village. Remarks.•._.................._.._........__ _. ...__««. (Signed)_..... .«._ ._.. ._.. i 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 e. q Permit No._��.--._...... Date._0 �r Read,Sworn to and Subscribed before me. Disapproved « .- .q.. Da ...............N...... f Florida Notary Public,State o ori (Signed) .__ ...«. ««......... ._..».. uildmg Inspector My Commission Expires..««.»«..»..».... .�. PLANNING BOARD.......-....»....................._._......_. -DATE Chairman ......... ..................._.._...««...................»._.._..___......... Member ...__............_«..«.». _._................».._..._.«......_..._ Men'ber ....._......•.-•...............-•-----•-.....- 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 Plannin„Board. A re-inspection fee of 51.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MiAMI SHORES VILLAGE w BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statecsiunt or me 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 compliQ with,whether herein specified or not. A copy of approved plans and specifications must be kept at building during prpgress of the work. TDate..._..:��./...�.�.._._......................_._......_..,19.�.f Owners Dame and Address...........T ..... ..................._» YtsRegistered Architect and/or Engineer....•.......lelclem&. •6L Z.44•••••t.. ••••••nne•••••m•••:n•s:remsemr+•maiesx+n*ee............................... Name and address of licensed contractor..... /?`� .Lri2FLf�iG:t�!.�.�1.... "� _... ..fff.> .�!4�.-../L .. •......,... Location and legal description of lot to be built on: Lot............................................ Block....................._.......... Subdivision................._.............. _...._._.•......•........................... ... Street and Number where work is to be done... ./ -.4?./-......_....�.....��. .�r._.» .. ....... .....___... State work to be done and,purposeoj building (by floors). . _.................... ...=_.._._»..._..»......»........ ................_ _...................... �i-rs. . .r~,c............._.. .l.r?...... _...................................._..._........._.......................__........._.. _...._.....»..... ....»..»....................»._._..»•.•........and for no other purpose. New Building............................. Remodeling......................... Addition.......................... Repairs............... ... No. of Stories...... To be constructed of .... ........... Kind of foundation.............»................................................ V er vering....................................._..�. Estimated Total cost of improvements $..._....��.1!a'�.........._......^mount of Permit $�...1*1 .. _.. ... . ................ . Zone cubage required...... ....................................._.........__...._........__..Plan Cubage....................»» .........»..........».... .»..-_._......................... _ Distance to next nearest building...........................................—.-.----Size of Building Lot........__. ..........._..........................................._ Maximumlive 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 unelersigncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5066,Compiled General Laws of Florida,Pernxne•nt Supplement, and has complied kith 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 subcoAtra on work AD be performed find this permit, as are licensed by Miami Shores Village. OF Remarks......................-..............._._ ..._..»..._ .. (Signed)» »..._ ...._. ..».,._.._.... STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared ...............................................................--_.............__...__....___.................................-.---_._-...--__....»._._.-._.....__..»...._.................._-- -----------------_-_-_-.................................._......................_. _.__......................._._.._•»..._.._........_..— ..-to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.............................................................._.................._......_ of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same,and that all facts therein by him stated are true. Imo( �Q Permit No...�.d t ....._......... Date..11.4)-!_1...._._. Road,Sworn to and Subscribed before me. Disapproved �...._... .. Date.__.._._...._.._.._..._........ .. ... ....... .... . »...». Notary Public State of Florida (Signed) ...... .... ......................................._.............. Building Inspector My Commission Expires.......•.„.....•„»„....•..•.. .._ PLANNING BOARD..._................. .............._.__...........DATE Chairman ........ ............................-__...... ................... Member ......._..............._....._._. ,_....».»...... .......�......._._......_..._ Member ................................ .... ...._....._._ ____...._...._._ ... Member _.._._..........»......... ...._ ..»»....._».......___.....-...........».._ Member .. . . ......................................_._.. ..._._... »__....._._...._ Member ..._............ ._...................... ...._. _ Council Approved ...Date Disapproved ............................................._.._»........»»..... ............._.........................................................Date NOT F: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained Fran the I'lannirr-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. I MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed stateneent of isle plans and specifications herewith submitted for the build ing or other structure Itaxcin described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 1 arida, and all provisions of the Laws of the State oC Florida. all ordinances of Miaml Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified of not.A copy of approved plans and specifications must be kept at building during progress of the work. / Date Ownei s .tame and Address....A.(GL.........., r :. No .Y....t..»... _. Resistere ch' and seg gincer .. .............. ................».,.»..•.3�•a.tr•••.m•nn•n.-..n-------se-ma ............._..... /3y Name an a css of'liccn contrgc or.. . .�.... ....., .. ..-........•.•••• (Q/•_- descri ion of lot to be built on: 7 `�� or and is !� Block._._. ... Subdivisi z ®g d`.�. Lot_. ..... ...... ..».... _ a 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 Building............._.............. Remodeling. ..........-... Addition.......»................ Repairs.................»... No. of Stories............._...... _ To be constructed of ..................._.. Kind of foundation .•.............................._.»._._.... Roof Coven!%..._....._...................... _. 41, Estimated Total cost of improvements -Amount of Permit ri...._....OL41. .s .. _ ...........»_...�. Zonetubage required...... ..... _.._....._........__». .»Plan Cubage.........».... ......... . _._........................_ Distance-to next.nearest building......._...........__.._._._ also of Building Lot.»... ..............„................ _._...._ Maximumlive load to be borne by each floor_..............»......_.....».._..............._».............».. ..-........._.._........_........................... I hereby submit all the plats and specifications for said building. All notices with reference to the building and its construction may besent to.. ......................._..............................._.....------........................................................................_............................ . .... ... .......... The undersigned applieant 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 Cenral Laws of Florida.Permanent Sop tlesltent, and has complied with the previsions thereof, and will require similar compliance from all contractors or sub-contractors employe by hint in the .work to be performed tinder this permit; and will post or cause to be posted for inspection on the site of the work such ultlic notice or notices as are required by the Act.The undersigned agrees to employ only such subcon er this permit, as are licensed by Miami Shores Village. Remarks...-_.»..._..».....»........ (Signed) STATE OF.FLORIDA. I SL / �G COU.%TY OF DADE. Before me, the undersigned authority,a notary public,duty authorized to administer oaths and take aclmowledgments. persorially ap- peared ._._._.._.- .-.....»............................................_................_— .......--......... .........._._._..... .._. _.._............._.. _......_.__ ..._... ..... __......_. ................... to me well lmawn. 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 sam%and that all facts therein by him stated are true.. Permit No. 'z7-/ a_�-..... ..... Date. 1// �.... Read.Sworn to and Subscribed before me, Disapproved ...... at ...... ............. ........ .... ......... Notary Public,State of Florida (Signed) . ......._....»... ........................_............. Building Inspector My Commission Expires. PLANNING BOARD .._....................._.... ...DATE Chairman ........ ........ Member ......_........._»....... .. _..»..._.....__..._ .Mwnbcr ................. .................... .... ....... Member _....._......._....._. .........._.... .........._.._ Member .. ........... ...... ................._...:..._ ._...._ Member _....»...... ._..._.. ._. .__.___._._... CouncilApproved....._.. ............................_..__ Disapproved ...»._.._.._..._....»...............................................Date N'U T E: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannir.st Board. A re-in!pection fee of $1.00 will be charged when such re-inspection is made necessary by Improper notice for inspection or faulty materials anWor workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT A087S APPLICATION FOR ELECTRICAL PERMIT Permit No.......'. ......... Date . .....ZZ.............. 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, Flu:ida, 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. Q `�c� Owners Name and Address..........» - ...No./Zo/.........................Street../.f e RegisteredArchitect and/or Engineer........................................................................................................................................G............................................ Employing Electricial!'s Name..., '7 �G O ;'Cr C � No.. ..........................Street. .........:7.':........ '........... ........................................._............. Location and Legal Description Lot......!'a........le..&q......................... ..... .......................Suva.... .........l Street and Number where work is to be performed—No.............. ..............._. -, State work to be performed and purpose of building (By Floors).........................................._............................................................................................. New Budden .....Remodeling.......11......................Addition........................ ..Re rs......................................No. of Stories.................... Budding.......................... .... pal SWITCH LIGHT PLUG RIXTURIS RKRRIO. IRON RANGK RANOR WATKR W. NKAT. SACK STRIP TOTAL OUTLKTB 0UTL1KT8 RaerP'T's NO.LAMPS OUTLIT OUTLar OUTLaT CONN. NKATaR CONN. HIATKR HKATER CLIST LIST CNZ= C$1 a44A ENT. DIST. SKRVICK SXRv1cK MOTORS MOTORS NaON RADIO TOTAL SW. CAB. Temp. PIRM. 0.1 HP 1.6 HP TRANS. Comm 2 LIST CHICK c+ r®V Overhead Service Underground Size Feeders.................Conduit...............Main Sw...............................Amps..........................Main Fuses....._.............. ......Amps Typeof Installation—Conduit......................Tubing........................B.X.L.........................Metal Moulding.............._....................................................... »......».............................................................................. ...................................................... _..........».._........................................................... ... ...................... .:.................... .......... ... Amountof Permit $.....Yc.w...................... ..................................... ( gn )..�1� JY ......�7..T................... -......... 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 sub.contraetors employed by him in the work to be performed under this permit; and Will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on k to be perfo ed under this permit, as are licensed by Miami Shores Village. (Signed)...... ................................. ...... ........_...». ................. Master Electrician. STATE OF FLORIDA, 1 ss' COUNTY OF DADE. I Before me, the undersigned authority, a notary public. duly authorised 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 applmtim and that he did sign the same. and that all facts therein by him stated are true. ................................ .... My......... ._.............................. ................................».......................»...........».....»................._....... Commission Expires Notary Public,State of Florida NOTE: A reinspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. ©(03 3 ' r 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 piggress of the work. 1 Owners Name and Address..... ., 1 LL E _ _. Nj 20/ Street N .. ®3 ST. 5Te4 / EC $' V 6N KS / ft* rt,Anhll€o and/or Engln� ,,,,,,,,, .�.,....._. ....................» Maim end Addrem of licensed �aatrActur»h v r wN ..»loo ! ti K 5 �.��..( c A t» p ' Location and legal description of lot to be built on: Lot_.............»..._.................... Block............... ..»».....» Subdivision.».........�.».... Street and Number where work is to be done-4.X52 State work to be done and purpose of building (by floors) __»»...._..._. ...._»._. .....»....»......._. ...»......... ._.._and for no other purpose. New Building........................... Remodeling....--................... Addition....................... Repairs:.»-..»»... .-....... No. of Stories.. To be constructed of.. .1-.V.m...... Kind of foundation».»» .»..............._........... _...Roof Covering»......».. ...... . Estimated Total cost of improvements$»._.. S O��..».- ....,Amount of Permit Zone cubage required__--__. .»..».». ...»»»___:_.Flan Cubage.- __»»»». I . ............ 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 I • be sent to__.�r V 2 12 { C A ry 1�!t�i!v�1.-----_.................................. ...._._.. .._... ............». 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 b him in the work to be performed under this permit; and will post or cause to be posted for inspection site of the work suchpublicnotice or notices as are required by the Act.The undersigned agrees to employ only such su on wor be ormed under tbis permit, as are licensed by Miami Shores Village. Remarks _ (Signed) STATE OF FLORIDA, COUNTY OF DADE. SL Before me,the undersigned authority,a not F public,duly authorized to ad oa 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 aU facts therein by him stated ar tru Permit No. ( _.. . Date_ — 2— d,Sworn to and Subscribed before me. Disapproved ate._.,. _ ..__...... ..._. .._..»... (Signed) __..... �.._. Notary Public,State of Florida Building Inspector y Commission Expires PLANNIN BOARD ....__._.._--... DATE Chairman .................._... _._ Member Member _.��__. ._._. .._ Member --------- Member --....... _ . ___». M. ..»»._ Member _... Council "Apeov_ed._.» __..... . ... _.....». Date Disapproved .......»_......»-.».»..-..............................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this appkcattan after appro%ml has been obtained from the:Planning Board. A re-inspection fee of 31.00 will be charged when such reinspection is made wry by Improper notice for faspfttim or faulty materials and/or workmanship. BUILDING & ZONING - ADMINISTRATION PLOT PLAN IF C, C.o, 1LLL � NORTH ARROW l. J r US'E DOOR z 1 �0 1a ' I E4a� -d C oNto � 1 _ °z'_d 24 5 � PAS► ® � �� ffi��., W04LL I 67®� 1 v „ TERR., AVE., CT., PL. NO SCALE Legal: Lot No. Block No. Subdivision SEC. TWP. RGE. or Metes & Bounds Plat book and Page No. NOTE: 1. Show existing buildings and additions. 2. Show distance from property lines to buildings and/or new additions. 3. Locate septic tank or sewer and electrical service. 123.03-94 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date Job Address /,�20( Tax Folio t l 37-05- 20 ®bbd 7- Legal Legal Description �1 (g� A Master Permit # Owner / Lessee 1 Tenant 4, pr o&—JE-(Z7 _ G7- i;� I C ff Owner's Address 1 O .� '� Phone -7f-9 -off ?-73. Contracting Co. Address 1 ,96 j + ) (Cl Qualifier SS# - - Phone State# Competency$ Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION �Q&.,- �Q(c v c� C��c Square Ft. Estimated Cost?��.°" WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT) . Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work.will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above-named contractor to do the work stated. Signature of Owner and/or Condo President Signature of ontractor or Own r-Bui1 s Date: Date Notary Public State otonda My Commission Expires 9/18/92 Banded Thru Stembter-Adams & Sweet Notary as to Owner and/or Condo President Notary as to Contractor or Owner-Builder My Commission Expires: My Commission Expires: * * s1t * sk sk * s4' * * �1c * :1►t Fc PERMIT FEE: APPROVED: Fire Other '9 , Zoning Building [ Electrical d67AW © �+ �� Mechanical Plumbing Engineering =y== PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date fO-a7-9a' Job Address 0;0:3. 574 - Tax Folio // s A06,- a JP eme Legal Descriptioni�? .287 4 - O/C /l/lio• C/cD Ap Owner / Lessee / Tenant A&I G-OrS++' Faster Permit 0__ Owner's Addxts s Z413,ca 57- /Wwwi. SA?,g,r- Phone Contracting Co. AIA; d,v� 15-A cite Go/P Address /77 of G~ew--,ce �G/I• J Qualifier �?//�®�� /y/�/l/v SS# Phoone��/- State # Municipal # Competency #` coo ns.Co. Architect/Engineer - �� o�-. Address�g� Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �^ c �' �• O S,�6z�� Ap 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 construction and zoning. Furthermore; I authorize th re-named contractor to do the work stated 1A cam, Signature of owner and/dr Co President ignature of Co actor or Owner-Builder Date: /�� Date: r Notary as ®4 ndo President Notary as to Contractor or Owner-Builder My Co ssion� My j�rl�oNmid . GO NarARY PUBLIC S DAY CO\4t,41.,B ON FEES: PERMIIT RADON C.C.F. NOTARY TOTAL DUE ®✓� APPROVED:., Fire Other Zonin Zui;ld' ;� r Electrical Mechanical Plumbing Engineering_ .. .. Nor SKE K OF BOUNDARY SU EY I •� o,. F 1!e,0.eau- 14.; o y ` r�, j r .*!. • to :`+ � '1A r �� . f� to pz CON '0 © � 74N ° In ;` gip' ,+,' �9 '`-•. �� _��'�y �`m ,Z Al Ike � •`' �t3.o* °'.�t:l�'-� .TCo� :11,a �Nt7..t.P t . -. �-- .•• '�91GL�fAf-JIG. '+`t�D.00?' `...be.£..' t -,• tbu A B R E V I A T I 0 N 5 1 F A N Y A P P L I E D 5WK=S10EWALK, CBS=CONCRETE BLOCK STRUCTURE, CLF= CHAIN LINK FENCE,P.L"PROPERTY LINE, NCO=NAIL D DISC, IP=IRON PIPE, FNS=FOUND, STYaSTORY, A/C-AIR CONOITIONI•NG PAD, P/C-PROPERTY CORNER, O/H-ORILLEO HOLE. WIGHT OOEN FENCE, RES-RESIDENCE. CL-METCLEAR, 'RB=REBAR, UE-UTILITY EASEMENT, CONCvCONCRETE SLAB, R�W° SCALE . � �r = RIGHT OF WAY, 4_-CENTERLINE. V/=DIAMETER, $P= SPIKE. TYP=TYPICAL. MEAS-MEASURED, REC=RECOROES,ENC ENCF�' "HMENT, COMP=COMPUTED, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ////. 3 Job Address / /�� C�L Tax Folio l� 90 f-FI 120J,0 ,Legal >Description Owner / Lessee / Tenant Master Permit Owner's Address Phone 75 --�•, Contracting Co. 100Address Qualifier SS# - Phone P State # Municipal # Competency Ins.Co. Architect/Engineer �'`'1 Address Bonding Company Address Mortgagor ``—~ Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING' MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION lee n0i 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 construction and zoning. Furthermore, I authorize the above-named contractor to do the work state Signature of owner and/or Condo President Owner-Bui4derr Date: Date: Notary as to Owner and/or Condo PresidentNy or olii#4;�-Jkilder My Commission Expires: a,. o iA�lo�0& Expires:, FEES: PERMIT 9 fP RADON C.C.F. NOTARY S- DUEAJ APPROVED: Fire Other Zoning ilding Electrical Mechanical Plumbing Engineering je, o 1l'�(f!"J��H°wall . ,. •,.�� .. �d'� ;�s�yltjto MOP .fit S PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address / © .Tax Folio Legal Description @;�/ Lessee / Tenant Master Permit # Owner's Address 52�` Phone Contracting Co. Q�A547t, Address Qualifier �/� SS State #�RVCWX- 3'S Municipal Competency # �J � `7 Ins.Co. S7` Foy� Architect/Engineer Address Bonding Company. Address Mortgagor _.. Address Permit Type(circle one): BUILDING EL CTRIC P[LUMBING MECHANICAL ROOFING�/PAVING FENCE SIGN WORK DESCRIPTION C�- PA Square Ft. Estimated Cost(valu 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 constru 1 n and zoning. F rmore, I authorize the above-named contractor to do the work stated Signature of owner and/or Condo President Signatur f Fcwactor or Owner-Builder Date: Date* Notary as to Owner and/or Condo President Nota y as to Contracto or -Buikder My Commission Expires: My Commission E p'e n, a oe;+i-y Public Personally known[]OR Produe-ed LDX T,ypeand number of LD. produced: flak * ih ak ak * ak ak ak * ah * L.b*101aW4. -70** DIt?race an oath,or FEES: PERMIT RADON C.C.F. NOTARY DID N1 APPROVED: Fire Other Zoning Building Electrical 0921011- Mechanical Plumbing Engineering r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9 Date 3'��''�y Job Address 1201 N.E. 103rd St. Tax Folio 11 -32-0q 2Q 00!00 2. Legal Descriptiontn 'j�A.GT t M id SEC, P P.; 'S 1-6{-� Owner / Lessee / Tenant Mr. Frank Mcgee baster Permit Owner's Address 1201 N.E. 10 3/r'd St . Phone 757 8281 Contracting Co. C +Q A i v-(o J. CO. Address ( a-1 0 w 13 9 -1 Qualifier kober-1 J - � f SS# Phone 6 9S6 3 R q State .#CAC0.2441q Municipal # Competency #0148802"3 Ins.Co. t& Ndrfi�rVil ]hf4.(aNccG Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING CHANICAL ROOFING PAVING FENCE SIGN. WORK DESCRIPTION S C 4,VJ Square Ft. Estimated Cost(value) a O SO .O 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY -(IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT) . Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize abov -named 61ontractor to do the work stat Signature of owner and/or Condo President Signature o Contr for or Owner Builder Date: )Jfe, Date: - i(,- �-1 �3octin IT). Notary as to Owner and i9eg` is o y as to ractor o Okaner-Eui lder My Commission Expires: * COMMISSION NUMBER Commission Expires: .• CC255237 NI toy Sfta "m o�° MY COLU(SSION EXP. �Sss�sA 20,19 5 e* * * e OFA .is, �' 9497 * * d0 * * *e FEES: PERMIT RADON C. 46 C.F. NOTARY TOTAL DUE 24 APPROVED: Fire Other Zoning MIA Building Electrical lMechanicaPlumbing Engineering If- ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address UO/ u E I b3K Tax Folio //-3205-020 ONO Legal Description LOT IM 61OCt- g 5Ub.' AI Am i SNor&S e / Lessee / Tenant Mie. M c0 E'E Master Permit # Owner's A dress /o?0 / �11E /03�d - Phone Contracti .n Address ka-k- IA. _ &4ja -r Qualifier_ -6whh '066gaAw SS Phone 75 7Zb/2. State # Municipal # Competency # Ins.Co. Architect/Engineer • Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION &ALga OCOO -Q,&4 e �4.�f� �`7J�i� �� /'Y)C.�.rC.[,(/te IV Square Ft. La. Estimated Cost(value) a�. �C�• 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 licence with all applicable laws regulating c struction and zoning. urthermore, I author' t abov contractor to do the work stated Sign ure of owner a /or Condo President S' ature of Contractor or Owner-Builder Date: ate: Notary as to Owne :andy=FAM#'� ent Notary as to C ��ta -Builder My Commission Exp RT1a My Cossi OUR NOTARY FMLIC STATE OF FY,ORIDA ...INTO.CC26 y OI®T EXA MAR.1 997 tk tktk FEES: PERMIT ®• RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire L Other n � Zoning Building Electrical Mechanical Plumbing Engineering ...METRO-DADE UNIFORM BUILDING PERMIT SECTION II BUILT-UP APPLICA'T'IONS AND MODIFIED BITUMEN SYSTEMS GENERAL: Type of Roof System Assembly to be Applied: ())XjF'lr® Manufacturer of Roof System Assembly: 6 A F- Product Control Approval Number: q3 113D d� System Number from Product Control Approval: N-1 I -- M G, (Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System Guide Specification.) (Note: If a minimum roof system is to be applied,describe all components within the system and list the manufacturer of each component. DO NOT complete this section if system is Product Control Approved. ) Base Sheet: �A�&07E Fasteners: Ply Sheet(s): P-1i be ro IQ #)V4 Cap Sheet: Asphalt: Note: No insulation system is acceptable under the minimum roof category.) Built-Up Applications and Modified Bitumen Systems Page-1 Complete the following for all Roof System Assemblies: (Check one of the following) Recover Re-roof: New Construction If a recover, is the existing Roof System Assembly to be used as a bonding substrate?: Y V' N If YES, has an ASTM E907 test been carried out to confirm adhesion of the existing membrane to the substrate?: Y ,� N (If des, attach ASTME907 test report.) Proposed Fastener: (Attach withdrawal resistance test report.) / Has the deck been examined for moisture?: Y Y N (Provide data confirming compliance with Section 3401.9(c).) THE SYSTEM: All Roof System Assemblies in the Product Approval have a variety of options. Briefly describe the Roofing Components to be used in the Roof System Assembly and attach a copy of the manufacturer's published specification: Deck: wpey (Briefly describe) Insulation: f`1 ZA (Type,size and method of attachment, if applicable) Base Sheet or Ply: app" Co lA5 *?6- (Type and method of attachment) iN Ca p�e'C� Built-Up Applications and Modified Bitumen Systems Page-2 i Ply Sheet(s): (Type and method of attachment) Top Ply: M sono (Type and method of altachment) o tv 1 Adz i f Surfacing: (Type, if applicable ) Flashing Materials: (Type and method of attachment) Built-Up Applications and Modified Bitumen Systems Page-3 FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND INSULATION LAYER(S). (Where Roofing Component not used in Roof System Assembly,fill in with"N/A".) % kciog: (b►i p.1 .;,be. {/oPpfitabte) op Ply: Bonding Material: Ply Sheet(s): Bonding Material: Fastener. (i/base sheer wec&a r Base Sheet: BondingR Material: (IJbose sbesr bonded) Fastener: (if gap ry oath.attached) Top Insulation Layer inch, (i/oPpticab&) Bonding Material: (!oyer br/roP onJLuutearion J) Fastener. (arch.attack ouch.attached) _inches 4E Insulation: Bonding Material: (�foaedahanAondeJ) _----Vapor Retarder: .._.»._..._.....____.w_..._......_._.__._......_..____..._......_ ..._.___._.......... (f/optdieobte) Primer: (ijapPhe nFcx: inches 7pet Gage or Thickness: Density.if concrete deck: Built-Up Applications and Modified Bitumen Systems Page-4 r` Coping Cap Gages: Sketch Roofing compoeterds which make up Roof Fastem System Assembly at Perimeter Parapet Walls. Spacing:_O.C. Insert leaders indicating Roofing Component uwv M Clip Type: dimensions,thicknesses,etc. ClipGa Include fastener type and spacing used fir wood. blocking attachment. 3f Deck Type: PERIMETER DETAIL#1: Parapet Wall Detail Sketch Roofing Componerds which make up Roof System Assembly at Perimder Areas to be Flashed. Insect leaden indicating Roofing Component names, dimensions,thicknesses,etc:. Include fastener type and spacing used for wood- blocking attachment. Deck Type: PERIMETER DETAIL#2:Flashing Detail Built-Up Applications and Mollified Bitumen Systems Page-5 ` t Sketch Rooting Components which make up Roof System Assembly at Perimeter Edge with Gravel Stop or Drip Edge. Insert leaders indicating Roofing Compone to names. dimensions,thicknesses,eta Include fastener type and spacing used for wood- blocking attachment. Gravel StopOdp Edge Gage: Fastener Spacing: o.c. A— f A, Clip Type: Clip Gage: s , <] Deck Type: PERIMETER DETAIL#3: Gravel Stop or Drip Edge Sketch Rooting Components which make up Roof System Assembly at Perimeter Edge with Gutters. Insert leaders indicating Roofing Component names, dimension,thicknesses,eta Include fastener type and spacing used for wood- blocking attachment. Gutter Type: Gutter Gage: Fastener Spacing: i ; Deck Type: PERIMETER DETAIL#4: Gutter Detail Built-Up Applications and Modified Bitumen Systems Page-6 ' r t Sketch Roofing Components which make up Roof System Assembly at any'othee Perimeter Condition which may exisit. Insert leaders indicating Roofing Component names, dimensions,thickesses,eta Include fastener type and spacing used for wood- blocking attachment: it C6001 RoaPIMA GAf l�dA�Roln l6� G6vPfR• G1hf'A(4R6rn•_ PF �d,(a G'�nss 1�nsl= w' o� FAyifi PERIMETER DETAIL#5: 'Other'Detail Sketch Roofing Components which nuke up Roof System Assembly at any other'Perimeter Condition which may exisit. Insert leaders indicating Roofing Component names, dimensions,thickesses,eta Include fastener type and spacing used for woW- blocking attachment. r•. PERIMETER DETAIL#6: 'Other'Detail Built-Up Applications and Modified Bitumen Systems Page-7 . • L Insert Building and Parapet Heights. (If no Parapet exists,insert"MIA") Also insert applicable information pertaining to the building Below. (See ASCE 7-88 Fact Sheet Attached) Exposure Category: C S Classification Category At Hurricane Oceanline?: Y_N Basic Wind speed at Building Location: 110 mob Building Condition based on %of Openings: feet GROUND LEVEL BUILDING INFORMATION#1 Built-Up Applications and Modified Bitumen Systems Page-8 Sketch Roof Plan indicating all dimensions,any slopes, roof drains,crickets,or roof top equipment Also insert variable labeled"a"which indicates perimeter and comer dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7-88 Fact SheetAttached) s D E SI�X�ITf r �� v Q BUILDING INFORMATION#2: Roof Plan with Perimeter and Corner Dimensions Built-Up Applications and Modified Bitumen Systems Page-9 --FOR PLAN EXAMINER USE ONLY-- Roof System Assembly Product Control Approved: Y N If NO, note any deficiencies: Design Pressure Requirements: Field: psf Perimeter Areas: psf Corner Areas: psf Note any limitations: Reviewed Details?: Y N Notes: Built-Up Applications and Modified Bitumen Systems Page- 10 Reviewed Field T -- t Data?: Y N Notes: Additional Notes: Alan Examiner Built-Up Applications and Modilicd Bitumen Systems Page-11 RUBEROID® Specification N-1-1-MG General Recommendations presented on pages 17-22 shall apply in addition to the following application recommendations. G M .in aeiiabie`' Application Recommendations Deck 1.Lay one ply of GAFGLAS®#75 Base Sheet(or in the case of afresh lightweight ui insulating concrete or gypsum deck where STRATAVEM1e(Vent Ply)for Nailable a n► Decks is required),with a minimum 2 Inch side lap and not less than 6 inch end laps.Nail along side lap of the base ply at intervals not to exceed 9 inches and 4•Mia. stagger-nail down the center of sheet in two rows with nails spaced at 18 inch rMta side Up intervals in each row. Lap 2.Starting at the low point of the roof,fully embed one ply of RUBEROID MOP -- ------ --- 39%' (Granule)in a nominal 25 pounds per 100 square feet(plus or minus 20%) �iappm.10 continuous coat of Steep Roofing Asphalt ASTM t)-312 Type III or IV. The e"-- RUBEROID membrane must be positioned to provide 4 Inch side laps and 6 inch •M°" end laps. 9 eAFeLA8i78 .' RUBERBn;MOP ;t Substrate—'/x inch minimum plywood,gypsum,structural wood fiber, lightweight insulating concrete.See"Lightweight Insulating Concrete Decks," page 10. Slope—Up to 1 inch per foot for lightweight insulating concrete:up to 3 inches per foot for other decks. GAF Materials Corporation Steep Roofing Asphalt ASTM D-312 Type III or IV GAFC�LAS75$;seSheet �� RUBEROID MOP Granule Surdj � � . Guarantees Available S ecificaUon- RUBERDID LibertyRUBERDID :;, N-1+MG 12,40 12,10 51 :Mt D) E NETR6POLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 1J BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO-DADE FLAGLER BUILDING / 1j" 140 WEST FLAGLER STREET ✓ MIAMI.FLORIDA 33130-1563 U (305) 375-2901 FAX(305) 375-2908 PRODUCT CONTROL NOTICE OF ACCEPTANCE GAF Building Materials Corporation(NIB) 1361 Alps Road Wayne,NJ 07470 Your application for Product Approval of GAF Ruberoid Roofing Systems under Chapter 8 of Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans,specifications and calculations as submitted by GAF Building Materials Corporation,Factory Mutual Research Corporation,Underwriters Laboratories,South Florida Test Sevice,and Construction Research Laboratories has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County,Florida under the Specific Conditions set forth in pages 2 et seq.and in the Standard Conditions detailed on page 3. The approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to require retesting of this system within the first two years of the approval should any amendments to the South Florida Building Code be enacted affecting th' rZroof system. ACCEPTANCE No: 93-1130.04 Diamond,P.E. Product Control Division Supervisor DEC 1 3 1996 **PLEASE NOTE** THIS IS THE COVERSHEET,SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDPTIONS. This application for Product Approval.has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committer to be used in Dade County,Florida under the conditions set forth above. Charles Danger APPROVED: :OEG ] 3 1993 Building Code Compliance Department Metropolitan Dade County i 1"IXU-MAIM lsUu.uuv�r t.vu��,virin a.uur�.L PRODUCT APPROVAL SECTION ROOF SYSTEM APPROVAL Acceptance Number: 93-1130.04 Approved: DEC 1 3 1993 Expires: DEC 13 1996 Manufacturer: GAF Building Materials Corporation(MB) 1361 Alps Road Wayne,NJ 07470 Product Control No.: 93-1130.04 System: Membrane Roofing System Subsystem: BUR Type: Modified Bitumen Roofing System Type: APP,SBS• Contact: William L Woodring Director of Technical Services (201) 628-3000 Trade Names of Products Manufactured by Applicant: Ruberoid®Torch Plus Ruberoid®Torch Plus is a modified bitumen membrane with a polymer asphalt dated polyester mat. Ruberoid®Torch Plus is surfaced with granules and applied by torch. Roll weight: 93 lbs.;Roll Size:75 ft.=; Dimensions: 39.4"x 22.r. -Ibubero id®Torch FR Ruberoid Torch FR is a fire retarding modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid Torch FR is surfaced with mineral granules and applied by torch. Roll weight: 90 lbs.;Roll Size: 73 ft.2; Z THDiamond,P.E. ME"TRODADE METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130.1563 (305) 375-2901 FAX(305) 375-2908 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Extension of Acceptance may be considered after a new application has been filed and the supporting data, test report no older than ten(10)years, have been re-evaluated. All reports of re-testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials,use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re-evaluation. I 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words Dade County,Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 6. A copy of this approval as well as approved drawings and other documents, where it applies, shall be provided to the applicant by the manufacturer or his distributors and shall be available for inspection at the job site at all time. The prints need not be re-sealed by the engineer. 7. Failure to comply with Standard Conditions shall be cause for termination of Approval. t Diamond,P.E. supervisor Product Control Division `..; -3 - Revised 3 - Revised 9-20-93 Acceptance Number: 93A 130.04 Approved: _QAC 1 3 1993 Expires: .DEC 13 1996 Trade Names of Products Manufactured by Applicant: Dimensions: 39.4"x 22.8. Ruberoid®Torch Smooth Ruberoid®Torch Smooth is a modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid®Torch Smooth is smooth surfaced and applied by torch. Roll weight: 87 lbs.;Roll size: 100 fL2; Dimensions: 39.4"x 30.5'. • Ruberoid®Mop Plus Ruberoid®Mop Plus is a'Heavy Duty' modified bitumen membrane with a polymer asphalt coated polyester mat. Rtiberoid®Mop Plus is surfaced with granules and applied in hot asphalt. Roll weight: 981bs.;Roll Size:75 R2; Dimensions: 39.4"x22.8'. Ruberoid®Mop FR Ruberoid®Mop FR is a fire retarding modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid®Mop FR is surfaced with mineral granules and applied in hot asphalt. Roll weight: 110 Is.;Roll Size: 75&2;Dimensions: 39.4"x 22.8'. Ruberoid®Mop Smooth Ruberoid®Mop Smooth is a modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid®Mop Smooth is smooth surfaced and applied in hot asphalt. Rail weight: 88 Is.;Roll size: 100 R2; Dimensions: 39.4"x 30.5. Ruberoid®20(FR) Ruberoid®20(FR)is the bottom ply of a two ply system also consisting of Ruberoid®30(FR)as the top ply. 3 A I Diamond,P.E. . Acceptance Number: 93-1130.04 Approved: 'DEC 1 3 19 9 3 Expires: .DEC 13 1999 Trade Names of Products Manufactured by Applicant: Ruberoid®20 FR is a fire retardant polymer SBS modified bitumen. Roll weight: 951bs.;Dimensions: 39.4 x 45.5';Roll size: 150 11.2. Gafglas®Ply 60 Gafglas®Ply 64D is an asphalt coated roofing felt with a glass fiber mat. Roll weight: 44lbs.;Roll size: 500 11.2; Dimensions: 3'x 166". Gafglas®Ply 4 Gafglas®Ply 4 is an asphalt coated roofing felt with a glass fiber mat. Roll weight: 401bs.;Roll size: 500 R2; Dimensions:3'x 166. Gafglas®Stratavent® Gafglas®Stratavent®Perforated is an Perforated asphalt coated base sheet with a glass fiber mat The bottom side of Gaflas® Stratavent®Perforated is surfaced with granules. GafglaA Stratavent® Perforated has 518"diameter perforations cut 3"o.c.and is for use over nailable decks. Roll weight: 60 lbs.;Dimensions: 3'x 36'. Gafglas®#75 Gafglas®#75 is an asphalt coated Mase sheet with a glass fiber mat Roll weight: 75 Is.;Dimensions: 3'x 108'. Ruberoid®Torch Granule Ruberoid®Torch Granule is a modified bitumen membrane with a polymer asphalt coated polyester mat Ruberoid®Torch Granule is surfaced with mineral granules and applied by torch. Roll weight- 1021bs.;Roll size: 100 R 2;Dimensions: 39.4"x 30.5'. !� pilDiamond,P.E. ' Acceptance Number: 93-1130.04 Approved: DEC 13 3 1993 Expires: l 1 1996 Trade Names of Products Manufactured by Applicant: Ruberoid®Mop Granule Ruberoid®Mop Granule is a modified bitumen membrane with a polymer asphalt dated polyester mat. Ruberoid®Mop Granule is surfaced with mineral granules and applied in hot asphalt. Roll weight: 103 lbs.; Roll size: 100 ft.2;Dimensions: 39.4"x 30.5'. Ruberoid®30(FR) Ruberoid®30(FR)is the top ply of a two ply system also consisting of Ruberoid®20(FR)as the bottom ply. Ruberoid®30(FR)is a fire retardant polymer SBS modified bitumen and surfaced with granules. Roll weight: 92 lbs.;Dimensions: 39.4"x 30.5; Roll size: 100 V. Gafglas®Stratavent® Gafglas®Stratavent® is an asphalt coated base sheet with a glass fiber mat. • The bottom side of Gaflas® Stratavent®is surfaced with granules. Roll weight: 69 lbs.;Dimensions: Tx 36. GAF Weather Coat® GAF Weather Coat®Emulsion is a Emulsion surface dating for smooth stuaced roofs. Coverage: 2:5 gallons/square.; Packing. 5 gallon pails. GAF F'bered Aluminum GAF F'bered Aluminum Coating is Coating used to protect smooth-surfaced composition roofs,metal,and masonry. Coverage: 2 gallons/square;Packing. 1 and 5 gallon pails. GAF JetblakTM Flashtite® GAF JetblakTM Flashtite®Cement is Cement used for flashing and cave construction. s Viliamond,P.E. Acceptance Number. 93-1130.04 Approved: OEC 3 1993 Expires: VC 1 3 1996 Trade Names of Products Manufactured by Applicant: Coverage: 75 lbs./ uare•Packing: 1 g s4 g and 5 gallon pails,53 gallon drums. GAF Plastic Cement GAF Plastic Cement is used for installing flashing material. Coverage: 75 lbs./square;Packing: 1 and 5 gallon pails,53 gallon drums. GAF JetblakTM All-Weather GAF Jetblak'rM All-Weather Plastic Plastic Cement Cement is used to install flashing and may be applied on wet surfaces. Coverage: 1 gallon/14 142;Packing: 1 and 5 gallon pails. GAF Asphalt/Concrete Primer GAF Asphalt/Concrete Primer used to promote adhesion of asphalt in built-up roofing. Coverage: 1-2 gallons/square; Packing. 5 gallon pails,53 gallon drums. GAF Mineral Shield® Granules for surfacing of exposed Granules asphalt,cold process or emulsion. Packing: 601b.bags. GAF Ganite Roof Insulation Various fasteners for use over steel, Fasteners heavy steel,plywood,structural concrete,cementitious wood fiber, gypsum,and lightweight concrete decks. Vent Stacks,metal and plastic GAY Vent Stacks are one way valve systems used to relieve built-up pressure within the roof system.GAF Vent Stacks are available in metal or plastic. t f G/Diamond,P.E. PRODUCT APPROVAL SECTION Acceptance Number: 93-1130.04 Approved: -DECOEC 1 3 19 9 3 Expires: l3 1996 Trade Names of Products Manufactured by Others: Company/Applicant Product Name Product Description Manufacturer GAF Building Materials Insulfixx Fastening Systems Steel&Concrete Insulation SFS/Fabco Corporation(MB) Fastening Assembly Dekfast Fastening Steel&Concrete Insulation Construction Assemblies Fastening Assembly Fasteners,Inc. Roofgrip,Gripdek Steel&Concrete Insulation ITWBuildex Fastening Assembly Olympic,Contite Steel&Concrete Insulation Olympic Fastening Assembly Rawl Spike® Concrete Insulation The Rawlplug Fastening Assembly Company New Striker,Tapcon Insulation Fastening ITWBuildex Assembly Dekfast#14&#15 Insulation Fastening ITWBuildex 1 Assembly Pneutek CDIF Insulation Fastening Pneutek Assembly ASTM D-41 Primer Asphalt Primer Generic ASTM D-312 roofing Bonding Asphalt Generic asphalt Rawl Deck Screw Steel&Concrete Insulation The Rawlplug Fastening Assembly Company Rawl Loop Toggle Lightweight Concrete The Rawlplug Insulation Fastening Company Assembly Rawl Rawlite® Lightweight Concrete The Rawlplug Insulation Fastening Company Assembly _..J (S ee FM ' gsfor approved insulation fasteners with specific insulation panels.) Gil Diamond,P.E. Approved- 3 1993 Expires: AC ] 3 1996 Trade Names of Products Manufactured by Others: Company/Applicant Product Name Product Description Manufacturer Es products FM-90,FM-60, Base Ply Fasteners ES Products FM45,FM-30 Karnak No.97&No. 169 Roof Coating Karnak Chemical Corporation AL MB Aluminum Roof Roof Coating Grundy Industries Coating Karnak No.81 Cold Applied Adhesive Karnak Chemical Corporation Gibson-Homan No.6160 Cold Applied Adhesive Gibson-Homan Grundy 20 F Emulsion Roof Coating Grundy Industries Nails Min.diameter#12 corrosion Generic resistant annular ring shank nails,FF-N-105-B,Type 2 Tin Caps Min.32 ga.x 15/8" Generic corrosion resistant circular discs CR-Base Sheet Plate 2.75"galvalume steel stress Olympic plate Manufacturing Group,Inc. CR-Base Sheet Fastener CR:10 coated galvanized Olympic steel fastener. Head size: Manufacturing 1.125"x 1";Length. 1.2" Group,Inc. • CR-1.2 Base Sheet Fastener CR-10 dated galvanized Olympic steel fastener. Head size: Manufacturing 1.125"x 1";Length: 1.2" Group,Inc. Nail Tite®Type A Galvanized steel Base Ply ES Products,Inc. Fastener(Lightweight Insulating Concrete only) Nail Tite®Type R Galvanized steel Base Ply ES Products,Inc. Fastener(Lightweight Insulating Concrete only) (See FM listings for approved insulation fasteners with specific insulation panels.) br Gil Diamond,P. Approved: LOEC 1 3 1993 Expires: LI EC 13 1996 Trade Names of Products Manufactured by Others: Company/Applicant Product Name Product Description Manufacturer FM-30 Disc Disc for ES Products FM-45 ES Products,Inc. and FM-60 Base Ply Fasteners Red Rosin Rosin paper for barrier layer Generic on wood decks ,i (See FM listings for approved insulation fasteners with specific insulation panels.) . Gil Diamond,P.EQ-4. Ir ' Acceptance Number: 93-1130.04 Approved: 1UEC 1 3 1993 Expires: DEC t 3 1996 System Number 1(SBS) Deck Steel/Wood Deck description 18-22 ga.steel deck,wood plank or min 5/8"plywood. New construction and reroofing. For steel decks less than 22 ga.but not less than 26 ga.TPR fastener and Olympic 3"round or SFS type IS'stress plate may be utilized at a density of 1:2 ft.'. Field fastener testing is required on all re-roof projects to confirm a minimum withdrawal resistance of 400 lbs.. Systems installed over steel deck less than 22 ga.require written approval from GAF Technical Department. Vapor Retarder(Optional) (Optional) (Steel decks only) Any Factory Mutual approved vapor retarder with proprietary or • approved adhesive or such other vapor retarder system designed by the architect or design engineer. The vapor retarder forms part of the roof assembly for fire classification. See Factory Mutual Approval Guide for listings. First ply shall not be bonded to wood decks. A red rosin sheet may be applied below the base sheet over wood and plywood decks. Insulation (Optional for wood decks only) Wood fiber,fiberglass;perlite.polyisocyanurate,perlite/isocyanurate composite;basalt rockwool,or gypsum board: Insulation shall be either bonded to a nailed base sheet(see base sheet nailing pattern)in a full mopping of ASTM D-312,type III or type IV hot asphalt or mechanically attached with a Factory Mutual approved fastening assembly listed with the insulation panel. (See Approved Insulations and Fastening Patterns List). Moisture content in an existing built-up roof must be in compliance with Section 3401.9(c)of the South Florida Building Code. Prior to application,all existing roof surfaces used as a bonding substrate shall i Gil Diamond,P. 32- 9 Acceptance Number: 93-1130.04 Approved: !IEC 1 3 1993 Expires: DEC t 3 1996 be tested for uplift resistance in compliance with ASTM E-907 to the calculated design velocity pressure of the roof deck. Existing roof surfaces and dissimilar materials must be fully primed with ASTM D-41 primer and allowed to dry. If insulation board is bonded to the existing roof or to a base sheet no one dimension should be greater than.4 ft. If more than one insulation layer is applied,the top layer may be mechanically attached or bonded in a full mopping of ASTM D-312,type III or type IV asphalt. Note: No insulation panels shall be bonded to an existing built up roof with a gravel surface without full removal of the loose gravel,priming of the surface with ASTM D-41 primer,and a flood coat of asphalt, prior to mopping of the insulation with bonding asphalt. Refer to GAF published application considerations for insulation application and to attachment requirements published in the current Factory Mutual Approval Guide. Basesheet Option#1: One ply of Gafglas#75,Gafglas Stratavent(non perforated),Gafgas Ply 4,Gafglas Ply 6,Ruberoid 20 or Ruberoid 20 FR mechanically attached to the wood deck with approved nails and tin caps 9"o.c.at the laps and'18"o.c.staggered in two rows in the field,or over an insulation substrate with insulation fastener and plate assemblies 18" o.c.at the laps and 36"o.c.staggered in two rows in the•field. { (See Comments and Limitations#6 and#7) Option#2: One ply of Gafglas#75,Gafglas Ply 4,Gafglas Ply 6,Gafglas. non-perforated Stratavent,Ruberoid 20 or Ruberoid 20 FR bonded to an insulated substrate attached with Factory Mutual approved fastening assemblies in compliance with FM class 1-90 windstorm classification requirements,in a solid mopping or mopped in ribbons maintaining 50%adhesion,using type III or type IV hot asphalt at a Gil Diamond,P. 33 acceptance Numucr: 93-1130.04 Approved: .0M 13 1993 Expires: DEC 13 1996 { rate of 25 lbs.per square f20%or Gafglas perforated Stratavent applied dry to the insulated substrate and mopped over with a full mopping of type III or type IV asphalt over which an interply of Ply 4 or Ply 6 shall be applied. (See Comments and Limitations#8 and#9) Plysheet (Optional) Mop one or two plys of Gafglas Ply 4,Gafglas Ply 6,Ruberoid 20 (FR),or Ruberoid Mop in ASTM D-312 type III or IV at a rate of 25 pounds per square.f 20%. Membrane Mop one of the following membranes in a solid mopping of ASTM . D-312,type III or IV asphalt at a rate of 25 pounds per square:h 200/o: Ruberoid Mop Ruberoid Mop Plus Ruberoid Mop FR Ruberoid 30 Ruberoid 30 FR The base sheet and the cap sheet shall maintain a minimum stagger of 12 inches for all laps.(See GAF application instructions) Surfacing Option#1: Apply not less than 400 pounds per square of ASTM ( D-1863 aggregate or 300 per square of slag in a pour coat of an ASTM D-312 type III or type IV asphalt. Comply with GAF slope requirements for slope and type of asphalt. Gravel surfacing shall be completed as soon as practical but the membrane shall not remain exposed for more than 30 days. Option#2: Apply one of the following roof coatings at the specified rate: roof coating rate GAF WEATHER COAT Emulsion 3 galsJsq. GAF Grundy F'bered Aluminum Coating 1%galsJsq. Karnak No.97 1'/r3 galsJsq. ,w Gil Diamond,P. ri4;cepta1ce lvuiuoec: y3-1130.04 Approved: KC 13 1993 Expires: DEC 13 1996 Karnak No. 169 1%-3 gals./sq. Grundy Industries 20 F Emulsion 3 gals./sq. Grundy AL MB Aluminum Roof Coating 1-2 gals./sq. Note slope limitations and membrane aging requirements published by GAF. Flashings Refer to GAF application instructions for flashing specifications. Fastening Install all plies of Gafglas Felts used in conjunction with all Ruberoid membranes vertically on slopes of 1 inch per foot or more and backnail them into wood milers or nailable decks approximately 4 inches from the back edge of the sheet. All end laps must be at wood naders,and the top edge must nailed into the wood nailer on 6" centers. Use approved roofing nails and tin caps. The Ruberoid membranes shall be ternninated at nailers as dictated above. For non-insulated wood decks,terminate and nail the end of Ruberoid membrane on the same nailer spacings indicated above. The membrane must then be nailed off on 6"centers,2"from the top of the membrane,into the nailer or wood deck using nails with integral metal heads at least I"round or square. The overlapping membrane must extend at least 6"past the center line of these nails. See Approved Insulation and Fastening Pattern list attached. Comment and Limitations 1. Maximum slope shallbe 6":12". (Any application over 1":12", Shan require hadmailing of all plies 4"in from the back edge of the felts into wood nailers.) 2. An overlay insulation panel is required on all applications over closed cell insulations(See Insulation List). 3. All perimeter nailer and metal profile design shall conform with Factory Mutual Loss Prevention Data Sheet 149. 4. All asphalt shall:comply with ASTM D-312 requirements. S. Bonding to dissir War surfaces(other than insulation facers and asphalt saturated membranes)should be be preceded by an application of ASTM D-41rimer for asphalt applications and allowed to fully dry. 6. This roof system assembly,when applied over a steel deck and mechanically attached at 18"in the lap and two rows at 36"in the r Gil Diamond,P.E. - tu:ceptance 1,4waUct. 9S-11 O.U4 Approved:. DEC 13 1993 Expires: LOEC 13 1996 field with min.3"diameter FM approved fastener plates has been approved for use to a maximum field design velocity pressure of-45 Psf 7. This roof system assembly,when applied over a wood plank deck with an ASTM D2626 or D-4601 base sheet mechanically attached at 9"in the lap and two rows at 18"in the field with min. 12 ga.annular ring shank nails and min. 15/8"tin caps has been approved for use to a maximum field design velocity pressure of-45 psJ` 8. This roof system assembly,when bonded to an insulation substrate has been approved for use to a maximum field design velocity pressure of-45 psf. 9. This roof assembly,when applied over a perforated Stratavent base sheet in an intermittent mopping of asphalt is approved for use over a non nadable or insulated substrate to a maximum design velocity pressure of-30 psf. 10. Perimeter and corner areas shall have an increase in fastener density for both insulation and base sheet in compliance with the Factory Mutual Loss Prevention Data sheets 1-28 and 1-28S. 11. The chosen assembly must comply with the fire resistance requirements of Sections 3401.5 and 3401.6 of the Souih Florida Building Code. Refer to fire'classification ratings'in the Underwriters Labomtories.Current Directory. 12. Any amendments to these provisions shall be in compliance with Section 203 and 204 of the South Florida Building Code. 13. Refer to GAF specifications for appropriate flashing materials. 14.Refer to one of the following GAF specifications for this application:- I-1-1.-MG,I-1-1-MSC,I--2-1-MGP,I 2-1MGPM I-3-1-MGP,I-3-1 MGPFR,I-0-2-MGP,I-0-2-MGPFR,1-1-2-MGP, I-1 2MGPFR,I-0-220/30,I-0-2 20/30FR,1-1-2-20130, I-1 2-20/30FR,I�-1-2-20/MG,I-1 2 20/MGP,I-1-2 20/MGPM N-1-1-MG,N-1-1-MSC,N-1-2-20/30,and N-1-2-20/30FR. 15. A withdrawal resistance test shall be carried out on all reroof and recover projects to confirm deck integrity. 16. Walkways maybe fabricated from one ply of Ruberoid Mop Plus or Torch Plus(Grapule)fully bonded to the top membrane ply. Gil Diamond,P.E. PERMIT APPLICATIO74 FOR MIAMI SHORES VILLAGE Date ��Job Address`02 Q� i/��3 Tax F� ' f Legal . �o�. 0AC fd94"-"vDhesizuftd:- Yes No ✓ Owee/T A Master Pount#4 e7.1 I Owner's Address '3Phone 0� Caukading CO. L,�DGfJ� �00��7��1 `��/ gess 1.?/9& r A mer -4, -t0adws SS#��.�.■.■i�� state# 1Vltmicipat# f Compete=# Ins Co. Ar, (..moi Arehitec //Enginee� ---- Address BandingCompmiy Address mmtgw Address Permit Type(chvie one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft Estimated Cost(value) �Cf 70 47/ 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 ATI'OBNEY 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 a=nVe and that all work will be done in compliance with all applicable laws regulating construction and ' g. Furthermore,I authorize the above-named contractor to do the work stated. .. 1 i of owner or Condo President Date SiWkture of Contractor or Owner-Builder ate t6Ek ae Notary as to Owner and/or Condo President Date Notary as Contractor or Owner-Builder ate My Commission O, My Commission Expires AL q OFFICIAL N A MARCIA IIID MARCIA HIIAG NOTARY PUBUC STATE OF FLORID NOTARY PUBLIC STATE OF COMMISSION NO.CC�i W COMMgWON NO.CC33OW MY COMMISSION EXP ,Zp,1998 MY COMMISSION EXP. 1998 FEES: PERMIT RADON C.C.F. NOTARY BOND TOTAL DUE APPROVED: Zing Building Electrical Magical Plumbing Engineering METRDADE _ METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING OUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET PRODUCT CONTROL NOTICE OF ACCEPTANCE MIAMI, FLORIDA 33130-1563 (305) 375-2901 F Clopay Corporation FAX(305) 375-2908 312 Walnut St. PRODUCT CONTROL SECTION Cincinnati, OH 45202 FAX(305)372-633339 Your application for Product Approval of: 24 ga. Galvanized Steel Sectional Garage Door 9'wide under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: applicant For luting see section 7 of this Notice of Acceptance= has been'recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below.The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re-evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:95-0821.02 (Revises No.: 95-0317.01) //e7 Expires:07/25/97 Raul od iguez Product Control Supervisor THIS IS THE COVERSHEET,SEE-ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Cnarles Danger, Py Director Building Code Compliance Dept. Approved:11/02/95 4- Metropolitan Dade County Clopav C�rnoration . ACCEPTANCE No.: _95-0821.02 APPROVED : NOV 0 7 1995 EXPIRES JUL 2 5 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1.0 DESCRIPTION• This approves sectional door 9'-0" wide x 6-6" through 8'-Q" high made out of steel, lock forming quality (ASTM A527), a yield strength of 30,000 psi,a galvanized coating of G60 (ASTM A525)and finished with baked on polyester enamel. The door shall be constructed and reinforced as detailed in the approved drawing#101182 pages 1 &2. RAM SKINEND CENTER END CENTER HORIZONTAL REINFORCEMENT STILE STILE HINGE HINGE SHAPE FREQUENCY 12G. 24G.I18G 20G 14G 14G 20G U 1/Section This approval includes 4 models which are the same door with the following difference: Model Characteristic 78 Flush Panel 91 Smooth Texture 93 or 83 Wood Grain Texture 94 or 84 Wood Grain Texture& Painted 2.0 USE: This Door is approved for a maximum design pressure of±46,6L& -48 Us f and its use is restricted to this pressure. The door passed the impact and cyclic test, therefore it does not require hurricanerotection devices. The door shall hall meet the burglary security g ary requirement of section 3603.2(c)2(aa)of the South Florida Building Code. The door operating mechanism (not included in this approval) shall be certified b Underwriters Laboratories ones or other recognized g Y a enc . Candido Font, PE Plans Examiner Product Control Division -2- • ' • , C_ lo�ay Cor'noration ACCEPTANCE No.: 95-0821.02 APPROVED Nov 0 2 1995 EXPIRES ; JUL 2 5 1997 NOTICE OF ACCEPTANCE: p CT C CO TDTTIONS 3.0 INSTALLATION: The door shall be installed as shown on drawing#101182 pages 1 & 2. Wood in contact with concrete or cement shall be treated with an approved preservative as set forth in paragraph 2913.2(a)I or shall be of a durable species as defined in subparagraph 2913.2(a)6(aa)of the South Florida Building Code. Installation of 2" x 6" wood Jamb requires a 1/4" tapcon and 1".0 x 1/16" thick washer @ 12" o/c with a minimum embedment of 1-1/2 into 3000 psi (minimum) concrete or into 2000 psi grout filled concrete block. Installation of track requires a 5116 x 1 1/2 lag screw per bracket(5 brackets minimum)with a minimum embedment of 13/8 into PT Wood Jamb. 4.0 CONDITIONS OF U Application for Building Permit shall be accompanied by duplicate prints of the approved drawing's#101182 pages 1 &2 bearing the approval stamp, Notice of Acceptance Number and date by the Dade County Product Control Section along with computations prepared by a qualified Florida Professional Engineer or Architect verifying the adequacy of the door at each site. The shopdrawing shall bear the signature of the architect or engineer with the following statement "The supporting structure has been designed for the forces on the approved manufacturer's drawing." Application for Building Permit for replacement doors shall be accompanied by duplicate prints of the approved drawing#10 1182 pages 1 &2 bearing the approval stamp,Notice of Acceptance Number and date by the Dade County Product Control Section. Also the building official must be satisfied that the proposed installation meets the use of Section 2 above. . 5.0 LIMITATIONS: This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested (according to ASTM E-8) by a Dade County approved laboratory selected and paid -- Candido Font, PE Plans Examiner Product Control Division -2a- Clopix-Corporation -- ACCEPTANCE No.: 95-0821.02 APPROVED : NOV 0 7 1995 EXPIRES ; JUL 2 5 1997 NOTICE OF ACCEPTAN • SPEC'IFIC CONDITIONS by the manufacturer. Every 3 months, four times a year, the manufacturer shall mail to this office: a copy of the test reports with confirmation that the specimens were selected from coils at the manufacturer's production facilities and a notarized statement from the manufacturer that only coils with a yield strength of 30,000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance. 6.0 IDENTIFICATION: All approved products shall be permanently labeled with the manufacturer's name, city, state and the following statement: "Dade County Product Control Approved". 7.0 EVIDENCE SU MrEp- Test Reports Date Drawing Ref. Signature HETI 94-47 4/15/94 101182 pages 1 & 2 A. Vigar, P.E. Calculations Date Signature Al Farooq Corp. 5/5/94 A.,Farooq, P.E. Drawing Number Last Revision Signature Clopay B.P.Co. 101182 9/95 H.W. Westerfield Candido Font, PE Plans Examiner Product Control Division -2b- '' ,' �• Clapay orporation ACCEPTANCE NO.: —95-w 02 APPROVED : Nov 0 2 1995 EXPIRES ' JUL 2 5 1997 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance(approval)shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data,engineering documents,are no older than eight(8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name,city,state,and the following statement: "Dade County Product Control Approved",or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if- a) fa)There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b)The product is no longer the same product(identical)as the one originally approved; c)If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d)The engineer who originally prepared,signed and sealed the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change in the materials,use,and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance,unless prior written approval has been requested(through the filing of a revision application with appropriate fee)and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a)Unsatisfactory performance of this product or process; b)Misuse of this Acceptance as an endorsement of any product,for sales,advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed,then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents,where it applies,shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Acceptance contains pages 1,2,2(a)through 2(b)and this last page 3. Items 10 11 & 12 listed below only-Uplytoglued 11roducts 10. Unless specifically indicated in the Acceptance(approval),this unit is approved as a single unit installation. For multiple installation of this unit,a separate Acceptance for mullions is required from the Product Control Section. 11. The spacing of fasteners at window sills shall be as tested.The spacing of fasteners in all other parts of the frame, shall be as tested,but in no case shall exceed 24"on center.The first fastener shall be located at a maximum of 6" from each comer and mullion or stile.Fastener shall fully penetrate the buck,which shall be the same size as the one tested with the unit.No wood or plastic shields or pins shall be used for anchoring.See section four(4)of this approval for sizes of fasteners used in testing. 12. Hardware for all windows and doors shall conform to Security and Forced Entry9'= f the South Florida Building Code. ... Candido Font,P.E. Plans Examiner Product Control Division END OF THIS ACCEPTANCE METRO MODELS 78, 84A. 91 , 93, 94 (24 GAUGES Kv Hare � 3 "4 LOCK NOTE REVISED END STILES ATTACHED TO DOOR SKIN WITH PATENTED �- 4 6/95 ADD-LOCK LAYOUTS, LOCK NOTES, AND VENTS EWD STILES ATTACHED TO DOOR SKIN 5 9/95 ADD MAX. VENT SIZE NOTE TOG-L-LOC SYSTEM (TOP, BOTTOM, & CENTER) WITH PATENTED TOG-L-LOC SYSTEM (3) INTERMEDIATE STILES PER SECTION ATTACH / (TOP, BOTTOM, & CENTER) 6 10/95 CHANGES TO PAGE 2 WITH TOG-L-LOC (TOP & BOTTOM) 3) INTERMEDIATE STILES PER SECTION ATTACH WITH TOG-L-LOC AND URETHANE ADHESIVE (ALONG CENTER) (TOP & BOTTOM) AND URETHANE ADHESIVE (ALONG CENTER) A A DOOR SECTION HEIGHTS* HEIGHT 1 ST I 2ND 13RD 4TH 15M rl 6'-G* " fr 21 N A SEE END I; 7' 2 a HINGE DETAIL _ ON PAGE 2 8'- 21" 18" 1 jf�r2l` * - SECTIONS ARE NUMBERED STARTING AT THE BOTTOM � �j SEE INTERMED.HINGE DETAIL i• ON PAGE 2 �^ DOOM UP To 71-0" HIGH CONSIST OF in R p ce DOORS OVER 7'-0" HIGH CONSIST OF i..p (5) SECTIONS. C3 Z C3 Z SUPPORTING STRUCTURAL x �o - ELEMENTS SHALL BE DESIGNED BY A w LOCK POSITION F GINEER o LZI (BOTH SIDES) o 8 FOR WIND�LOADPROFESSIONAL SHOWN ON THIS TWO POINT LOCKING c DRAWING. WO CONFORMS TO SFBC 3603.2 REGARDING ' �. LOCK POSITION GARAGE DOORS WITH (BOTH SIDES) 5/8" MIN. TWO POINT LOCKING ENGAGEMENT. CONFORMS TO SFBC FOR BOTH OUTSIDE 3603.2 REGARDING I NS LOCATION INSIDE SDE BOLT MIENGAGEMENT. KEYED LOCKS AND OPTIONAL VENTS (MAX. VENT SIZE: 20-3/4"x2-1/Z') LOCK OPTIONS. SEE FOR BOTH OUTSIDE MAX. DOOR WIDTH '9'-0" LAYOUT OF EACH KEYED LOCKS AND LOCK ON BOTTOM F INSIDE SLIDE BOLT INSIDE ELEVATION (SCALE: 1/2' 1') OF THIS PAGE. LOCATION OFJ LOCK OPTIONS, SEE P OP'IONAL VENTS (MAX. VENT SIZE: 20-3/4"x2-1/T) LAYOUT OF EACH MAX. DOOR WIDTH a 9'-W LOCK ON BOTTOM SNAP LATCH ENGAGES -INSIDE ELEVATION ( A F• 2" 1 OF THIS PAGE ONTO VERTICAL TRACK. 1—/ � ONE SNAP LATCH ON END EACH SIDE OF DOOR. INTER. STILE 4, INTER. STILE STILE �K END -SLIDE BOLT GUIDE LOCK ENGAGES OUTSIDE STILE INTO VERTICAL APPROVED AS COk9PLYIN6 tArT11t KEYED OUTSIDE IN STILE HANDLE END LOCK BAR LD KK ON ONE THIS DOOR HAS A DESIGN PRESSURE SOUM FLORIDA BUILDING CODE HANDLE ENGAGES IN EACH SIDE OF +46.0 PSF & -48 A PSF AND A DAT OF DOOR. TEST PRESSURE OF 0 PSF & INSIDE HANDLE TRACK ON INSIDE SLIDE BOLT BY OUTSIDE KEYED LOCK EACH SIDE —72.0 PSF. .OUTSIDE KEYED LOCK LOCK OPTION PRODUCT L DIV!S.ON SNAP LATCH LOCK OPTION LOCK BAR LOCKING OF DOOR. CONFORMS TO SFBC 3603.2 BUILDING CODE COMPLIANCE OFFICE CONFORMS TO SFBC 3603.2 CONFORMS TO SFBC 3603.2 PAGE 1 OF 2 ACCEPTANCE NO. _ Zl.6 INSIDE ELEVATIONS INSTALLER RETAIL . SCMD MASMMM MWAeruo MODEL MODEL DESCRIPTION Clepay CLOPAY BUILDING PRODUCTS COMPANY PLOT 124 78 78 FLUSH PANELS 312 WALNUT STREET MTV 91 N S OOTH TEXTURE SUITE 1600 2/17/94 METRO DOOR MODELS: 83 WOODGRAIN TEXTURE STEEL 94 84A WOODGRAIN TEXTURE STEEL. W/ PAINTED STILES Building Products CINCINNATI. OHIO 45202 °��" �'MWW 78 91 93. 94 (513) 381 - 4800 p ^ � f Com a n '�'' B 101182 •s r OCT 16199 METRO MODELS 78, 84A. 91 , 93, 94 (24 GAUGE) �. THICK 3 5 94 CHANGES TO PAGE 1 4 6/95 CHANGES TO PAGE 1 9/95 CHANGES TO PAGE 1 6 10/95 DELETE REFERENCES TO 16'W DOORS HORIZONTAL TRACK SUPPORT BY 1 DOOR INSTALLER (TO SUIS / SECTION A—A SCALE 2" a 1' 24 GA. STEEL (MIN. YIELD STRENGTH: 30,000 PSI) ALL EXTERIOR STEEL SKINS ARE COATED WITH G-60 12 STEEL. TOP ' ROLLER BRACKET. EACH GALVANIZING; BAKED ON PRIMER, AND A BAKED—ON BRACKET ATTACHED W/(4) • POLYESTER TOP COAT APPLIED TO BOTH SIDES OF STEEL SKIN. #14x5/8" SHEET METAL 13 GA. GALV. STEEL FLAG BRACKET. SCREWS. EACH FASTENED TO WOOD JAMB WITH (3) 5/16"x 1-1/2" WOOD LAG SCREW.. (4) #14 SHEET METAL SCREWS SHIP LAP JOINTS. - TRACK CONFIGURATION SCALE 1Z2" a 1 O ENO HINGE 'EACH � FASTENED TO END W p STILES W/(4) #14x5/8" _ O (4) 1/4" DIA. SELF TAPPING SCREWS O 1 SHEET METAL SCREWS a do (4) 1/4" SELF o / TAPPING SCREWS. C 2". GALV. STEEL TRACK, S TRACK THICKNESS: .060" 14 GA END HINGE 14 GA. INTERMEDIATE HINGE "L" 5 SCALE T 1' SCALE T 1' 3" TALL x 20 GA. GALV. 0 -: STEEL U—BAR TWO PER = DOOR SECTION. ATTACHED WITH 1/4" SELF TAPPING 7. z "X4" TYP. 2-1/7'x12 GA GALV. STEEL TRACK BRACKET. 2x6 WOOD JAMB SHALL BE ANCHORED TO GROUT SCREWS. (2) SCREWS j5 REINFORCED BLOCK WALL OR CONCRETE COLUMN AT EACH END AND o. WITH 1/4"x1-3/4" EMBED TAPCON ® 17' O.C. FOR o DOOR " " BRACKET PLACEMENTS DOORS UP TO 9'—O" WIDE. INTERNED' STILE " HEIGHT L X1 X3" X4 LOCATION. X3" 6'— t7U' 3-1 16BLOCK WALL CELLS SHALL BE FILLED WITH CONCRETE7'— 3-1 1 3 6AND REINFORCED WITH #5 BARS EXTENDING INTO FOOTING T 3AND INTO T1E BEAMS. ALL BARS SHALL BE CONTINUOUS \ } � ' 3-1 1 34 5 FROM TIE BEAMS TO FOOTING. 13 GA. GALV. STEEL BOTTOM BRACKET. THIS DOOR HAS A DESIGN PRESSURE PREPARAMON OF JAMBS BY OTHERS. STOP MOULDING BY DOOR ATTACHED WITH (7). #14x5/13' SHEET METAL SCREWS. OF +46.0 PSF & —48.0 PSF AND A ` ;;;;; ;;;;;;;;, INSTALLER-(TO SUIT) TEST PRESSURE OF + 69.0 PSF ac ;;;;;;;; ALUMINUM EXTRUSION —72.0 PSF. •• •'• ,• • ••' • ••••• 18 GA. MIN. GALV. STEEL END STILE VINYL WEATHERSTRIP. 20 GA. MIN. GALV. STEEL INTER. STILE � APPROVED AS COMPLYING WITH INE 12 GA. GALV. STEN TRACK ,t SOUTH FLORIDA BUILDING CODE _ BRACKET FASTENED TO WOOD DATF.[!L 16.� JAMB WITH ONE 5/1G'x1-1/7' gy W000 LAG SCREW PER BRACKET. 14 GA GALV. STEEL CENTER HINGE PRODUCT FONTROL DIVISION 2" GALV. STEEL TRACK FASTENED TO CENTER STILE W/(4) BUILDING CODE COMPLIANCE OFFICE FASTENED TO TRACK BRACKETS. EACH 14x5/8" SHEET METAL SCREWS. PAGE 2 OF 2 ACCEPTANCE Nogq—r' _LgzJ.�z EACH BRACKET ATTACHED WITH TWO 14 GA GALV. STEEL END HINGE CONSTRUCTION DETAILS 1/4"x5/8" BOLTS do NUTS Qf3 FASTENED TO END STILES W/(4) EACH TWO 1/4" RIVETS. #1 4x5/8* SHEET METAL SCREWS & (4) P* ay Sc" PLOT '1a24 pJ1 �01 """�"`T`"�° � tea' CLOPAY BUILDING PRODUCTS COMPANY aT, 1/4r SELF TAPPING SCREWS. CIO 312 WALNUT STREET 2/17/94 METRO DOOR MODELS: JAMB CONFIGURATION SUITE 1600 MAW ars 78 84A. 91 93, 94 e SCALE 2: 1' T STEEL ROLLER. Building Products CINCINNATI, OHIO 45202 MWW aavm wAmm acv. C O n1 a n (513) 381 — 4800 °'ECKO °Y' B 101182 6 do CT 161995 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ® n Date ' `I Job Address Q-01 P13F 103 S"� Tax Folio Legal Description Sw SES Owner J Lessee / Tenant �� G Ciee Master Permit 4L l /5 9-91 Owner's Address /&01 NE 103 S+- Phone Contracting Co. C$R Ai r rondr'-Hori 't h Address a 18) 1 M L-L) �?,ci S� --4-(D Qualifier SS Phone State 1J C 1 Municipal 1� Competency #MZ3# Z3Ins.Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANI ROOFING PAVING FENCE SIGN WORK DESCRIPTION_ 92&22,,J QC .rte tom 0,,('r LaAod I I u kcc,., e.le-J/-a_ (4a., 4- Square Ft. o0 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 workwill 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 w' h all applicable laws regulating const WCont tid zoning. Furthermore, I author' he above contractor to do the work sta 7 S' ure of owner and/or Condo President Signaturetor or Owner-Builder Date* Date: ,� i �, Ps3fiEAJ.L MY M&MM Y 14 No ary as to Owner and/or Condo President Notary as to Contractor or er-Builder My Al 0, a ogAsg &ZaL My Commission Expires: ; Si n c®F9raJSS10 s svur�oEs � : FEES: 1tAKN C.C.F. _ NOTARY TOTAL ' APPROVED: Fire Other Zoniniz Building Electrical Mechanical &,Plumbing Engineering ., NOTICE OF COMMENCEMENT MAIL THIS DOCUMENT Tot REC..I 7695P@859 WE WER 44 West Flagler ST 8th FL. KI MI, FL 33130 ' phone ! (305)372-7777 PEMIT ! TAX POLIO ! + k=TE OF PIARZDAz 978289919 1997 .AMI 30 13:11 ; OF DARE: r, !'M UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and .in acccrdance with Chapter 713. Florida Statutes, the following information is provided in this NctidG j. Legal description of property and street address /,�� NE /03 MiC.l?'I"9_ hoo� 2. Description of improvement: t / i. owner(a) name and address: interest in property: lame and address of fee simple titleholders �. actor's name' and.addressstR Air T h QL POM 10eKA Ft--3 3 g •# iS. tys (Paymsnt bond required by owner from- contra , if any) kanee and addres s "t of•bond $ 4. Lender's name and address: 7. Persons within the State of Florida designated by owner upon whom notices or other documents ma be served as provided by Section 713.13(1) (a)7. ,Florida Statutes. Nam* and address: 9. In addition to himself. owner designates the following person(s) to receive a copy of the Lienor's Notice an -provided in Section 713.13(1) (b),Florida Statutes. game and address s f; ! iration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differ t date is specified) Prepared by: Z�- of Owner -. Sworn to and subscfribed before me this day of 19472r��/ ] 6tary Public + • Address: !y Commission Expires:: L 4D. • eV OFFICWL RECORDS BOOK., OF ON*COWry,FLOW& REQ vERfM HARVEY RUVIN c�ewc cnecurr r�ouRr r„��; PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date aoa Job Addn A01. 10E, 10 3rc). mak' Tax Folio 11- m-05-02,0~ 00C,2 O rary 187 �r%low Shofm Cn dS / Legal Dmripdm % o C C '31 - tJ 1 Historically Designated: Yes No e Owm/Ixssee/Tenant Lor 1 n L' 2n CG:= Master Permit# q/oZ d r Owres Address %a0 1 NE 1030rri 6+ Phone 9 g I ConizactingCo. -2 00A.)5`Mv 'ej), ) OaRP Address I3155 S'xo2A 0-r 3O6 A�l . Qualifier G—E P0-1b RA �-7� l—=Z SS# , Phone VV State# CG C 0 22.762. 1Vluwcw# Competen"# Ins.Co. engineer Address `t Bonft C..-.p...y Mortgagor Address Permit Type(circle on . BUII.DING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Pr-7 PA..1 f2 (2 &.)GiZFT r— Oa I UM A.) 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 vm&and installation as indicated above,and on the attached addendum(if applicable). I certify that all work will be pe bmwd to meet the standards of all laws regulating construction in this jurisdiction I understand that separate permits are required for ELECTRICAL PLUMBING,SIGNS,POOLS,ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT:.I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthmmore,I authorize the above-named contractor to do work stated // 7-d- 00 Signature of Cando President S• of or Owner- Date Notary as to or Cando Presides t Notary as to Ower- Date MYCommissi7A`pM77 MY FFd N ARY IE�TeJGER DELL MAR ARLENE J.ergo AT®7'Ali"PLIKIC 5AATE OFR=WA *. MY COMMISSION @ CC OW74 CQ.MMr&ON NO.CC770476. EXKRES:Jwte 12.2001 MY CQi N EXP.AU aat w Ttw Nfty Pw)ft w*w ftM FEES: PERMrr RADON C.C.F. NOTARY .-(') BOND APPROVE TOTAL DUE- �l/ go Zoning Barldrng 4W Electrical Mechanical Plumbing Shuctual Ewer MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date b Time o 14 Type Ins ' Permit No. " Nam Address D 3 ja Compan Phone# f For Inspector: ` T. Tame Correction ❑ Re-Insp'n Fee ❑ NHAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Requ DateTime Type imp' Permit No. —'' Nam Address Company %ALS—_ Phon& A 1 For Inspector: &Date Approved '?. Correction ❑ Re-Insp'n Fee a ❑ MIAMI SHORES VILLAGE UELDING DEPARTMENT C g 305-795-2204 Building Inspection west_ � e �f U Date Time Type Insp'n Permit N003 o:}, Nan Address Company Phone# �- c Name& to r " Correction ❑ Re-Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Time Type InsP' Ln!KA,"r Permit No. n N Address ® l o,3 ' Comp �— L // m / Phone# 3®S 6 E �q For Inspector:Yl 10 7+ e&Date Approved Correction ❑ Re-Insp'n Fee ❑ A w 3C)� MIAMI SHORES VILLAGE WILDING DEPARTME 305-795-2204 Building Inspection Requ t Date_ Time /� Type Insp'n Permit Notd . Y N Address 1.� Company 3 Phone# / �`��/ • For Inspector: ® Name&Date Approved Correction ❑ Re-Insp'n Fee ❑ Miami Shores Village Building Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: BP2003-218 Printed:2/7/2003 Page 1 of 1 Applicant: Owner: MCGEE LORINE JOB ADDRESS: 1201 NE 103 ST Contractor 311 CONSTRUCTION CORP Contractor's Address: 13155 IXORA CT #306 Local Phone: 305-891-9865 Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Fees: Description Amount FEE2003-844 Building Permit Application Fee $60.00 Total Fees: $60.60 FEE2003-845 CCF $0.60 Total Receipts: $0.00 Total Fees: $60.60 Permit Status: Approved Permit Expiration: 8/6/2003 Construction Value: $400.00 Work: REPLACE REAR GARAGE DOOR HURRICANE SHUTTER EXISTING If there is no permit package accessible on the inh- '+-sw-_-_-__.- e-inspection sww fw e'!w ww. - 2200 L ation herefor in strict compliance wfth all ON CORP. motions that may have been submitted to 3-R CONSTRUCTI s3-a/s 05) r if the plans are changed without .89 PH.3o51-9865 ® �rnsibility for a thorough knowledge of the p O BOX 611416 Date at he assumes responsibility for work done NORTH MIAMI,FL 33181 / / Ae c res . Pay - (QO r (00n. of /1�� '� �0 Dollars 8 Bank of Am rica- pertaining thereto and in sect conformity ponisibility for all work done by either For lgol— ' 9 40 II' U5002200112 1:0630000471: 00 L 5 PERMIT APPLICATION and oma • Mpiter Permit No. Subsidiary Permit No. . . . . . . INSTRIXTIONS - me ioiiowing steps must be taken to obtain a perinit 1'roin tile Miami Silo res vilhl-e: Step 1. Complete the attached permit applisMn Vt*h =G ftg ?)yp&mmpcw owner and guali&er Both signatures must be notarized Please print or type to allow for a more accftWtep*gsi6 ifs b epplicat�on. If roofing work will be done,a roofing application must be submit- ted along with this permit applicatigt1.• • • •• • • •• • • ••• ••• • • Step 2. Submit the competed aonlication with all necessary documents to the Building,Planning and Zoning Department for processing. During the processing of your application,you may be asked to submit additional information. • Job Address: I a01 IV E I Q.3VC( cS� 1Y11 cx,r.1 Bye-5 FL- 3313— Address Apt City State Zip Folio Number 1 I Oa��0 Description of Work AI&nom'' jtX&j' - e,—AftANt— Cv- Lot-T r Jr 1 k R Block a10o R. ,i.d p—j Subdivision m , Sh r s "PB3 k PG,gj Zoning Linear Feet Current Use of PropertySquare Feet Units Floors Proposed Use of Property 'Value of Work ® ' 0® 1 Bldg Value Tenant Information �- Tax Assessed/App 'sed 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 LPG% Supplement Foundation Only Add'l Attachment Roofing Reinspection Other Add'1 Detachment Fence' Other Other ARCHITECT ENGINEER Name Name License No. License No. Address Address Itlephoce Teleph Fax dp Fax PROPERTY OWNER CONTRACTOR Name Lp rt n e rel eGe a Name 3 1.�tTlO•�. Address 210 N Licence No. 4 MkCJ.MhIIOyP51 F�- 36 Address Td o jime p� Q . Q Telephone CJ— � O �6 Business Tblephone Tel o Fax Page 2 ... . . . . ... . . PERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVEDYpUR JAL.IDATP PERMIT AJ�3PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 am.to 6:00 p.m.,and Saturday from 8:00 am. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CUAN.WAT4WD SANITARY GONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FW FRQ&"A=VI;DSVIIS..' 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY gQUIPMIP1%8J VFDCVC 4qD MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the streetlsidewalk. •s ••• . • . + • •a 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. I, the OWNER of the property, have disclosed all information related to,any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent(50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor'elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent(509o') of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than$2,500 or intend to obtain financing,you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and _ Choosing a Contractor. STATE OF FLORIDA,COUNTY OF MIAMI-DADE S OFFLO A,COUNTY OF MIAAG-DARE D?.te�'1JP✓ � Signature of Owner ida4ure of /Qualifier L-C'm i Print Name awe Sworn yZand subscribed}}9 fwr in,this �Iy of Sworn toind subscrr before me this y of ao of N blic-State S411ature of NWiryPublic-S of on %a NL FAIMM SEAL: MY a=SS*N @ CC 926474 SEAL: 'r MY COMMLSSM @ 00X474 EXPIRES:AprH 10,2004 EXPIRES Apt910,2004 aa�dadTlauNo6aryP llnderNt&�s ftnd9dT6mterryP Ut WWft$ Personally known OR,Produced.Identification Personally known OR,Produced Identification L� Type of Identification Produced: Type of Identification Page 3 • • • ••• • • • PER UT APPLICATION •• . ••• INSTRUCTIONS: Please indicate thatae of wol dieingVrf*ed and quantity(ies)in the space provided below. ELECTRICAL Minimum Fee Dryer • • • • • • :1 Ottlet,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/Sb ip Subfeeds,No.of Amps A/C Window FPL-Load Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm-(p/PH) Temp Serv.,Construction Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days Deep Freezer Low-volt,Fire Renew-Temp Service Demolition Low-volt,Intercom/lleleph. Repair Circuits Dishwasher Low-volt,Television Servlce,Number of Amps MECHANICAL TYPII" QTY. TYPE QTY. TY111" Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wall/Win.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System ProcewNressure Piping Bath Fan-Vented,# Fireplaces,Number of Pressure vessel PLUMBING A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Re lace Pool Piping Sprinkler Repair 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 EClothes Washer Gas Piping Pump,Replace-Pool Urinal Dental Chair Grease Rup Pump,Sprinkler Utility-Sewer EMwharge Well Ice Maker PUMP,SUMP Utility-Water fDishwasher Indirect Wastes Relay Repair Vacuum Pum Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainf eld,4"Tile/Res. Lavatory Septic Tank Water Heater New Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe E Drains,Floor Minimum Fee Shower Water Service Drains,French Miscellaneous Equipment Sink Well,.Supply l ' RECEIVED AND REVIEWED BY: DATE: Page 4 : : : :•: : : : • a �;• ; ; ; ; �;• ; PERMIT APPLICATION OFFICE USE ONLY ❑ OWNER-BUILDER FORM ❑ PROOF OF 6WARSHI? ❑•UONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) •• ♦o• •• • • • •• ❑ FIRE DEPARTMENT ❑ HRS/DERMA'PPRMA%: : :CC BOR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) ••: ••• ••• multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) $3.00 per page(Scanning Fee) $ Miami Shores Village $ Bond $ Metropolitan Dade County (C.C.F.) $f� (sq.&=x/1000 i x 0.60) Inspector State Educational Fund $ (¢.005/sq-&) State DCA(Radon) $ (0.01/sq-&) i Code Enforcement Fine $ I Zoning Review $ Notary $ i TOTAL $ I REVIEWED AND PREPARED BY: Dom: SECTION BY DATE CONDITION OF A 1>1)ROVAI, Zoning Electrical Mechanical Plumbing Fire . Public Works Structural B ding Official Revised July 2001 10050 N.E. 2ND AVE.,MIAMI SHORES,FL•(305) 795-2207•FAX(305)756-8972 •http://www.miamishoresvillage.com Miami Shores Village Electrical Permit 10050 NE 2nd Avenue ". ,. Phone: 305-795-2204 Permit Number: EL2005-270 y Printed:8/15/2005 Page 1 of 1 Applicant: LORINE MCGEE Owner: MCGEE LORINE JOB ADDRESS: 1201 NE 103 ST Contractor MOODY ELECTRIC INC Contractor's Address: 669 NW 90 ST Local Phone: (305)758-2000 Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Fees: Description Amount FEE2005-11216 Building Fee $315.00 FEE2005-11217 CCF $3.60 Total Fees:$330.70 FEE2005-11218 Training and Education Fee $1.20 Total Receipts: $0.00 FEE2005-11219 Technology Fee $7.90 FEE2005-11220 Scanning Fee $3.00 Total Fees: $330.70 Permit Status: APPROVED Pennit Expiration: 1/29/2006 Construction Value: $5,975.00 Work: INSTALL NEW 15 KW GUARDIAN GENERATOR AUG 3 0 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: '. Miami Shores Village u . Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305 795.2204 Fag:(305)756:8972 RE Es AESr�_ Z-1 .D BUILDING AUG Permit No.�- PERMIT APPLICATION ter Permit No. FBC 2001 ----- a�-�_ Permit Type(circle); Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) LO f 1 n e.. ��f111 c_&(!2 Phone# 205- -76-7 - Ec2 e Owner's Address City &v,) State L Zip s►38 Tenant/Lessee Name ---" Phone# Job Address(where the work is being done) Cva- City Miami Shores Vill a County ami-Dade zip Is Building Historically Designated YES NO X_ Contractor's Company Name r I T Phone# 30S--7S?-j0 Contract 's Address i City !< ` State zip. Qualifier t State Certificate or Registration No. Certificate of Competency No. 1 060 Z Architect/Engineer's Name(if applicable) iJ JA Phone# 5� q-Is { $Value of Work For this Permit Square Footage Of Work: 9 - x Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace El Demolition Describe Work: In 6 newW G `�" Submittal Fee S Permit Fee$ _A moi mp CCF$ 3• (o CO/CC Notary$ " Training/Education Fee$ 1 - 20 'Technology Fee$ -7 . 4O Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ (Continued on opposite side) Bonding Company's Name(if appli le) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State . Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.and that all work-will be-,done in-compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is.issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature f,✓!,1/y � Si - - _ weer or A;gen —, Contra or The foregoing instrument was acknowledged before me this I The foregoing instrument was acknowledged before me this day of 2005,by day of 20 Wby_Je2h n T `' who is personally known tom or who ha�produ��L, who is erso known to me or who has produced P A$identification and who did take an oath. as identification and who did take an oath. ---- r ',-NOTARY NOTARY P E_-= - - _ - Sign: Sign: Print: N Flarlda Print: My Commission Expires: M Commissi COMM1aeloa 0 DD 1D4873 y Bonded By NaUwal Notary Assn. Notary Pic.Slate of Flows 1M*****% ymmm.9V1resfibMh29,2�9 RAJ a.*xxe * ssaaxsxewx* .x**x � *wa. x r _ APPLICATION APPROVED BY: !� Ghg Plans Examiner Engineer chc 05/13/03 Zoning 1'I �PALICATION FOR BUILDING ESR.*:IT MUST ACCOt±>?ANY THIS ADDENDUM. Ii A MASTER PERMITHAS B. --BTAINED,* THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL :.V UNIT FEE ITEM UNIT FEE ITEM UNIT FEE i1♦ TUB Sf ITCH OUTLETS SPACE h'EATERS OET L IGfr OUTLETS CENTRAL HEAT ING SHWASNER RECEPTACLES A/C WINO) S OSAL SERVICE TUMARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN APS DUCT WORK CCR DRAIH SERVICE REPAIRA ETER aW&E REFRIGERATION EASE TRAP ADPL I ANCE OUTLETS PROCESS Aid? PRESS P IP I NG TERCEPTOR RAWA TOP UhUERGROXltOO TANKS :VATORY OVEN ABOVE GRaN TANKS ,UNMY TRAY =.. WATER NEATER U.F. PRESSURE VESSELS .OTHES WASHER )4TORS 0- 1 IP STEM BOILERS :UFIER MOTORS OVER 1- 3 If HOT WATER BOILERS NX POT/3 COMP. WTORS OVER 3- -5 HP MECHANICAL VENTILATION .NX. RESIDENCE WTCRS OVER 5- 8 If TRANSPORTING ASSEMBLIES M. SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS :h WAY WATER CLOSET WTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS iINAL MOTORS OVER 25-100 FP COOLING TOWERS 'TER CLOSET IOTCRS OVER 100 If VIOLATION •DIRECT WASTES A/C WINDOW REINSPECTION ;TER SLZ'PLY TO: AIR COW I T I ONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GEtOERATORS TRANSF(WEBS I NEATER-NEW INST. GENERATORS TRANSMIMS NEATER-REPLACE GENERATORS TRANSFOYI M LAWN SPRINKLER HELL SPECIAL PIAIPOSE SWIMdING POOL CVrLETS CUM IAL WATER SERVICE SIGN TUBES .WER CONNECTIONS SIGN TOMFOWERS ALITY-SEWER SIGN TIME CLOCK 'ILITY-WATER FIXTUiES :PTIC TANK ANTENNA .LAY TELEVISION OUTLETS UINFIELO. 4' TILE/RES. VIOLATION Af 8 ffM SEPTIC TAW REINSPECTION . 1AKAGE PIT V. FT. %TCH BASIN SDNM m WESTIC WELL lEA CRAIN ,OF IH1.E1' ILAR WATER HEATER IRE STKPIPE ML PIPING %WH SPRINKLER SYSTEM ,S RADE :TER SET (GAS) S P IP ING .aSnt Sona halls■rain 1181188181 J11111 lilt Ii ' • i NOTICE OF COMMENC�MEIVT N Bk 7 s 09671_f �� A REWMED COPY iIU.ST BE PDSiED ON THE JOB SrM AT TME OF FIRST�I t: _ CD i rt 5�'21U.510--52-'55 HARVEY ROVINP CLERK OF COURT PERMR NO 2C—) TAX—Z- FOLIO NO. MIAMI-DADE COUNTYP FLORIDA LAST PAGE -^ STATE OF FLORIDA: COUNTY OF MIAMI )ADE.• r THE UNDERSIGNED hereby gives notice that improvements wlu be made to gain real property,and in acc=iance with Chapter 713,Florida Statutes,the tdbwOV irftmation is provided in this Notice of Comm axone'tt. e 1. Legal description of property d stmettaddress: &F III Pub) 0 Zee 3X& rmnlut 2. Description of improvement: an S C&ANe� 3. Owner(s)ngme and address 33 Interest in property: 6US pp it Name and address of fee simple titleholder: 4. Contractor's name and address:Contractor's _� W 96 :%% - COUNTY OF DADE No coU 5. Surety.(Payment bond regtrired by owner from contractor,if 4i*REBY CERTIFY that this rs s tsue c t the Name and address: OWN tiled in thrs a ion Amount of bond S -20 WIWESS my ha and Ott%flat AC 6. Lender's name and address: .� �, va tws pQ' IS Anal 7. Persons within the state of Florida designated-by Owner upon whom notices or er documents may be served provided by Section 713.13(i)(a)7., Florida Statutes, Name and address: Z6Z2&a2 _ e- � d 1 '00 4 _ld 8. in addition to himself,Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a dlffXent date is specifiled) Signature of Owner Print Owners Mame �40/?—/AJ4 Prepared Dy Z a W_ _Ajo *gw- Swom to anc suoscrioed before me this aay of! 20 t Notary Pubii^ nultu & �� Fnnt Notar,_teamsWAY -- ! My Commission exorr=-.. • #i�raorandalfar,8�pi�esiMairlf.11oo8 Cwnrais fas S DO 184873 HWdW By National Mahn Aser. T�sC INC. ►ao� �� tV WDY EL.EC www.moodyelectric.com 669 N.W. 90 Street - Miami, FL 33150-2166 Tel: (305) 758-2000 Fax (305) 754-1333 410A4. god A"P Amp M.L. ® MF P MAYA 40e4r A/ 6 e oe, acv Av� i0i � aw4 2 I�O 41TIMAJ AA. t A ;-T, &A A 1914t*J14a IS K WvvemA PAT BRIGGS y PublicSffita of FiorldaA*'L1'414,. MARY 08ed BY National Notary BAssrt. 000, dof 07/11/2005 09:42 3058938001 PRO OFFICES PAGE 01 Jul ? 0 5p Moode Eloctria Inc 305-755-2000 M. 1 i � . iROUL YMYYYY.Ifl00 CbJ*71,3M 669 N.W. 80 Street - Miami. F4 33150.2166 Tel: (305) 758-20100 Fax (1105) 754-1333 ProPoaa1 Sabbm �: Lorh*McGee 1201 N.E. 103 Street Nud Stores,Flmid43138-2653 Tel:305-757-$281 Mx0ha Mc(hc(640ter)#305-754+1354 Job Name: Gemmtor Hook-Up taaitba: Same as Above •os Destripsm: 1.) Fumist and iWW new 15kW 12&240.v&ss Gown owl&popme pmagem with automatic Cttu as swjwL 2.) Coat to be 10c on wast side of house and vmsft swims in aeric zoom. 3.) AU conduit wiring and ffubW bwu&d Bora ro LL ,P��4 '� OTE: S Nom: 1.)Petd**and paT try others, !d ®5®•®C> Qum S r9?S 2.)Pemit fine is cost plus$75.00 in XUWM 10*Ove gwNt & 3)Crag and tstk connection by othm 4.)Any addidond=Vim ieq*W by ft Au&witWs Having dutdic&m will be o�sid�d a to the avope and will be goatod a$a eha�age. W ftyubts as ffiflwn Pmgrm % Sm Alcove in ae even0AWWb%ro Pfff ft proposal tad"6%00 UKK WL Od es Wftd to r Wdraft" i"W 1wAllied ...www.ii.....o► "`-- — - ---—=—=-- _ "�'� 1 or�•�*a rn of �vw b�''s Y: bt4o�t�ec9'k,baa. �'1► .71w►ae;..w rwrdR.r•- �� - sadw+eboaebpaooensed• Pio t art ZU1 C/ MIAMI SHORES VILLAG ®U BUILDING DEPARTMENT 305-795-2204 Building Inspection Request nate V-5105 Type Insp'n 645 Soye- fiftl Permit No. Name Loma Address lut jir 163 rr Company Phone# 3� ��- 6 Inspection Date Approved Correction ❑ Re-Insp'n Fee ❑ Miami Shores Village Plumbing Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: PL2005-269 Printed:8/31/2005 Page 1 of 1 Applicant: LORINE MCGEE Owner: MCGEE LORINE JOB ADDRESS: 1201 NE 103 ST Contractor AMERIGAS PROPANE AND SUBSIDIARIES Contractor's Address: 10052 NW 89 AVENUE Local Phone: 305-883-8600 Parcel# 1132050200060 Legal Description: 5-6 53 42 .28 AC MIAMI SHORES SEC 8 REV PB 31-41 TRACT 187 A LOT SIZE Fees: Description Amount FEE2005-11940 Building Fee $160.00 FEE2005-11941 CCF $1.20 Total Fees:$168.60 FEE2005-11942 Training and Education Fee $0.40 Total Receipts: $0.00 FEE2005-11943 Technology Fee $4.00 FEE2005-119" Scanning Fee $3.00 na-4 Total Fees: $168.60 Permit Status: APPROVED Permit Expiration: 2/26/2006 Construction Value: $1,200.00 Work: 2 SET 120 TANK Signed: (INSPECTOR) In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fag:(305 72 ]BUILDING �� U �� Permit No. PLO a 2-k:8 • PERMIT APPLICATION p` Masi Permit No. F'BC 2001 Permit Type(circle): Building / Electrical mbm* Mechanical Roofing Owner's Name(Fee S' ple TLtleholder) Phone# Owner's Addres M44d-e_-, eaea City �•�O/ x/0:3 Stated Zip TenantlAssee Name Phone# .i ?; � o is _ ��;•/ Job Address(where the work is being done) City Miami Shores ViUne County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone# Contractor's Address '/00'4 Dia e9 City. Stated Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# $Value ot,Work For this Permit /.700,00 Snare Footage Of Work: 9 g Type of Work: ❑Addition QAlteration ❑New ❑ Repair/Replace ❑Demolition Describe Work: . " /.'G la 4 � Submittal Fee$ Permit Fee$ ��® CCF$ CO/CC— Notary$ —' Training/Education Fee$ . 40 Technology Fee$ 4. oo Scanning$3 • CC Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ .Total Fee Now Due$ � r �_ 6 (Continued on opposite side) (' '� Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) n Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to.do the work and installations as indicated. I certify that no.work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNfR'S AFMAVIT: 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 FA lLURE 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 LENI)ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an'estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first,riMpection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be_charged Signature X _ � yY� Signature i --r Owner or Agent Contractor The fore oing ins ac snow is The foregoing instrument was acknowle Iged befo this49 day o 20 to FI day o 20Q by , who is pe orally ddaa 1 A 7Z w_ho is pens nally IG B VAR A000 000�af �?�' 3 'd As identification and who did take an oath, as ide catim ayi oath.; MY NOTARY P LIC: NOTARY PUBLIC: Icy exp�r No DQ3t7Q3 Sign: Sign: flded thru on Agen Inc.(800)4514859 Print. Print: �4 My Commission Expires: My Commission Expires: ,�,�,�,��e�,�,�,�,�,x,��,�,r,r,�,►,�,x*,��r�«*,�,�*,x ar�,�,�,�,�,�,�a ar*,�,�,�,�,�,u,�,�,�,�,�+��s�,r,�,�,�,�*,x a,�,�,�,�,r*�*+�,�,r�,�,�,��,�,�aa,r,�,�,�a,�,��,�au a��,�**,x*�re,��,� APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Che 05/13/03 ; ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,. -TIM OWNER-S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE MATERS BIDET LIGHT OUTLETS CENTRAL HEATING ©ISyO&S RECEPTACLES A/C (WIND) 01SPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAUER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUFOfRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 }P ELEVATORS/ESCALATORS TEMIDRARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER-NEW INST. GENERATORS TRANSFaMM HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER-WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES j SEWER CONNECTIONS SIGN TRANSFORM UTILITY-SEWER SIGN TIME CLOCK UTILITY-WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4" TILE/RES. VIOLATION PUMP $ ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANOPIPE POOL NNW LAWN SPRINKLER SYSTEM GAS RANGE f METER SET (GAS) GAS P SKE*+ ,JH OF BOUNDARY SUS JEY a9- Q a Y... - ,, ccxw.." f'cu 221, i 2 cv QV 9 $• N � �__ �` JPO' _ r �•-_-yam�,,b. J' -• �3jU ND:7. `�111��Y.d�aG `I SCO:QCJ' LL��y '�N � .t t. ✓ t Aly •:: �.. r - f ' •• ••• • • • • • •• • •• • • • • ••• • •• ••• •• • • • •• • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • ••• • • ••• • • p! R E V I A T I O N S I. F SWK'+SIDEWALK• CBS•CONCRE T>�•B L.�CK S�•R$CT:RL•oLLI.9 CHRIN LINK FENCE.P-L•PROPERTY LINE. N/0=NAIL g DISC- PIPE.PIPE. FNO=FOUND, STYr�TORY• O/4AI4 COI:DITlFAESOt I-NG PAD. P/C-PROPERTY CORNER, DIH=GRILLED HOLE. ''bo R/GHTOOOFEN FENCCE. NTERLESIP ENE E�! DR-T•L E�SP�4P *VyUp.TYPICALY MEASMMEASUROEOC4ROEC*RECOROEDNCRETE BENCRW� 5CAL E : 1 11 = M • @"• ••• • • ENCROACHMENT. COMPaCOMPUT D, II -. Gr�. QND... L.OIZ.``1�t5c. Ma C-%5--s 7 H a�1Fa JOB N 205-t"2-t._ FOR,: F ' PROP. RDD . 1,eo /V9, X03 ROi„eP. !'t ICcYY1! �j hOYP.°s J l�IOf l�c•. F . BOOK LOCATION SKETCH 33I 3E, LEGAL UESCR I PT I ON : SCALE : 1 koa + DATE FIELD SURVEY . -fie aGT tb'i A •oF "�,AtAMt �Hv ��L�'tioN ¢�wiSEfl�, t,�-,os2PtNC� -tca "S'4-lam R-AT T6(c-- 2&4Pf-r ?-Ero2-0E0 1w RAT 5cDoy. e P,oC g-t zoo l"t-t �t?aL ari a Go� <;f l►J'r-(7 •R 3 i LttllT .h►T 37 n• •� Tv Aq- iis L; F t•.11� lam. . F_.E. A1.ID -lJtZtN� MCI. c��,�, lrtt5 �YIFE C E R T I F. I E D T 0: ..2101�l�` .i7 1,�t } �:L t1 C!F-Z. �': •I1 ,b`�'�«Q 6�t3 E'�( SURVEYOR'S NOTES: 1 )THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY G I 2)ACCORDING TO THE NATIONAL FLOOD INSURANCE PROGRAM, THE SUBJECT PROPERTY LIES WITHIN FLOOD ZONE: _k : 3)UNLESS A COMPARISON IS SHOWN, ALL BEARINGS AND DISTANCES SHOWN ARE THE -SAME AS PLAT VALUES; 4)THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON THIS SKETCH: S)UNDERGROUND PORTIONS OF FOOTINGS., FOUNDASOR T N OTHER IMPROVEMENTS WERE NOT LOCATED; O FENCE TIES ARE TO THE CENTERLINE OF THE SAME: 7)WALL TIES TO THE FACE OF THE SAME; $ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM (NGVD); 9)THERE ARE NO ABOVE GROUND--EN`M*oAlCHMENQS OTINER•iHAN THOSE SHOWN; 1O)TH I S SURVEY IS FOR MORTGAGE PURPOSES ONLY, NOT TO BE USk FO:00 .N�WRLC:ItN:P§:POSES. I HEREBY CERTIFY THAT THE ATTACHED SKETCH OF• 60UN•DARY Sj VIY•aF THE ABOVE DESCRIBED PROPERTY IS A. TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE•FLO.RIDA BARD•OF PRgFES`jIONAL LAND SURVEYORS IN CHAPTER 21HH-6 FLORIDA ADMINISTRATIVE CODE, PU6tS*JA*1T• TO SgeT�Fooi 471.®2Z, •FLORIDA STATUTES. 000 0 00 00 000 0 P.O. Box 65-3706 - TELEPHONES (305) 266-784 • • Z62-7840 1 KARL F. KUHN MIAMI , FLORIDA 33265. ••• • •� + • • -REGISTERED LAND SURVEYOR N2 4916 710 SW 99TH CT. CIRCLE FAX • 05 .2 • • STATE OF FLORIDA SO. MIAMI , FLA. 33174. • • • •" • • • U • • D W TH AN EMBOSSED SURVEYOR' S t t • r �� ' y U6� • • IZ 4p 0 ..: • 3-4 in t CayIC2, 00 r to CL co lu z �; . . . . (,{, V�+� erg' ,! • • • • • 1.t6 ' :: • •• • • —fit W 01) OCf dp CO 11Nltve _ o I 0 � �s s� i� dO ••• t t ••• 1 • ••• •• •• i•i i i i•• i• • • • • • • • • •• •• • • •• •• ••• •• • • • • • • • • • • ii ••• • •• i i • i i ••• • • ••i ••• • • • • • ••• • • • • ••• •• •• Or • • •• •• • • • • i i•i i • i i 00 :00 • • ••• • • • • ••• • • • • • • • • • • •• • • • • • • • • • • 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# U� PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL IRECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C(CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCTWORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER JOVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F.PRESSURE VESSELS SINK.POT/3 COMP. MOTORS 0-1 HP STEAM BOILERS SINK,RESIDENCE. MOTORS OVER 1-3 HP HOT WATER BOILERS SINK,SLOP. MOTORS OVER 3-5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES URINAL IMOTORS OVER 8-10 HP ELEVATORS/ESCALATORS WATER CLOSET IMOTORS OVER 10-25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES IMOTORS OVER 25-100 HP COOLING TOWERS WATER SUPPLY TO: I MOTORS OVER 100 HP VIOLATION A/C UNIT JAIC WINDOW REINSPECTION FIRE SPRINKLER JAIR CONDITIONERS HEATER-NEW INST. ISTRIP HEATER HEATER-REPLACE IGENERATORS TRANSFORMERS LAWN SPRINKLER-WELL IGENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY-SEWER SIGN TUBES UTILITY WATER SIGN TRANSFORMERS SEPTIC TANK ISIGN TIME CLOCK RELAY IFIXTURES FAINFIELD,4"TILE/RES. JANTENNA PUMP&ABANDON SEPTIC TANK ITELEVISION OUTLETS SOAKAGE PIT CU.FT. IMOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET(GAS) GAS PIPING C&R > C&R AIR CONDITIONING COMPANY CEIVED SEP 2 2007 BY. WARRANTY KC —LOA L The Purchaser shall receive such warranties as are extended by the equipment and/or material manufacturers. In addition C & R shall provide labor to adjust system and replace defective parts for a period of 365 days from initial start up date. 5 YEAR COMPRESSOR, S.YEAR'PARTS 1 YEAR 15KW HEATER PRICE CASH TERMS: Total job $5050.00 500A Deposit $2525.00 500A When ready to operate $2526.00 ITEMS NOT INCLUDED- PERMIT FEES CUSTOMER,pCtCEPTANCE e This proposal is accepted by: Print Name: ..o� Date: 4-f�°7 CONTRACT APPROVAL This proposal is accepted by Date: Page 3 of 3 Miami Shores Village Building Department SEP 2 6 2007 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tet:(305)795.2204 Fax:(305)756.8972 Y° BUILDING Permit No. (- PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: Mechanical Owner's Name(Fee Simple Titleholder) Phone# 3®S Owner's Address ( ad 1 NE l 03_PT City State zip -3 Tenant/Lessee Name Phone## E-MAIL: Job Address(where the work is being done) . 19,n I Af E City Miami Shores Wine County Miami-Dade Zip 31 l Q ff FOLIO/PARCEL# Is Building Historically Designated YES NO —T Contractor's Company ame �' t C C A i Phone# r. Contractor's Address V CityY State -*- Zip-- �� Qualifier Name__R a 6-ert T . C in t Y Phone# State Certificate or Registration No. 0—A t*02 o q/L( Certificate of Competency No.. E-MAIL: Architect/Engineer's Name(if applicable) Phone#. Qo - Value of Work For this Permit$ .S S'o _ Square/Linear Footage Of Work: Type of Work: ❑Addition nAlteration []New. _ Repair/Replace ❑Demolition ° 6 Describe,Work: Submittal Fee$ Permit Fee$ [ �D . CCF $ (Q CO/Cc- Notary$ Training/Education Fee$ )_ Technology Fee$ -42, Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ �0 See Reverse side-� I Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. ,I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS; WELLS,POOL$,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to,the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature� t; Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The fore oing instrument was acknowI ged��ree me this eel da of 20�by ®1'i r^G c ^mac day of 1 20 Q�,by P v Y who i ersonally known me or who has produced who i rsonally known me or who has produced As identification and.who did take an oath. as identification and who did take an oath:" NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print- Q rrf Print: To,V1 ,,� Robert J.Chrys#, My Commission E = Clot DD 621880 My Commission Expires: _COt(rdt#DD524g02a •_ ir10_ _ . . r�aa�. ,ax aoosastore APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised-02/08/06) 5� r Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Permit Status:APPROVED Issue Date: 11/20/2006 Expires:05/19/2007 Permit Number: RF-11-06-2803 Owner's Name: LORINE MCGEE one: Permit Type: Roof Parcel#: 1132050200060 Work Classification: Roof-New Block: Lot: Job Address: 1201 103 Street NE Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor Total Square Feet: 480 DALEY ROOFING INC (305)7549892 Yes Total Valuation: $ 5,500.00 R uired Ins ions Additional Information Tin cap Type of Work:Re-Roof Additional Info: Hot Mop Tile In Progress Classification:Residential Up Lift Report Final Roof 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 $3.60 RF-11-06-26802 $275.05 Education Surcharge $1.20 Total: Notary Fee $5.00 Permit Fee-New Roof $250.00NOV 2 1§%ja Scanning Fee $9.00 Technology Fee $6.25 n Total: $275.05 Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. Applicant Signature Miami Shores Village g [e� C&L Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fu:(305)756.8972 BUMI)ING Permit No. PERMIT APPLICATI01 NOV 16 2006 Master Permit No. FBC 2004 Permit Type(circle): Building Electrical Plumbing Mechanical oofing Owner's Name(Fee Simple Titleholder)_ �(,Q.S. �?//�/�MG6P& Phone# 306- 759 Owner's Address ' Aq 0/ Alb 10 % r City. ULO I 6hoyeS state Zip Tenant2essee Name Phone# Job Address(where the work.is being done) lol 0/ Ao6 /03 4-7— city -TCity Miami Shores Villaee County . Miami-Dade Zip 33/3 a' FOLIO/PARCEL# Is Building Historically Designated YES NO i/ Contractor's Company Name 94Q09fPJ(q IkJC- Phone# Contractor's Address g3lf AA%-) /to V96% City State r4 Zip Qualifier NameCGxiel Phone# State Certificate or Registration No. /19jo Certificate of Competency No. ArchitectlEngineer's Name(if applicable) Phone# ' Value of Work For this Permit$ 15 r 660, 00 Square/Linear Footage Of Work: Type of Work: []Addition []Alteration []NewC��air/Replace ❑Demolition / & Describe Work: { - Ft.WT V=r— „ l� E. jW IO ti�J SIALL 5V- U # ` Submittal Fee$ Permit Fee$ 60 - CCF S 1 '60 CO/CC Notary$ 5on Training/Education Fee$ I• Technology Fee$ Scanning$ Radon$ DPBR$ zonings Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Dae$ See Resside �.,, Bonding Company's Name(if applicable) Bonding Company's Address City State z Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do.the work and 'installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS.and AIR CONDITIONERS,ETC..... d OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also, a cert&d copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ' 0, -.9=9 — ti� -z Owner or Agent Contractor e for oinstrument was acknowledged before me this L2 The foregoing instrument was acknowledged before me this qday of 20()G by day of 120 by known to me or who has rodu ho is personally known to me or who has produced o is on kno p As identification and who did take an oath. as identification and who did take an oath, NOTARY PUBLIC: NOTARY PUBLIC: Sip: � Sip: Print: &AQ � ' Print: My Commission Expires: My Commission Expires: •N 71l1k/1C9Y7ff1111P71f1Tf9Tt]$$tt$11t91tt�f[$$ti'f!$�f71[1'6$ttT[1TC�S1tiTl1$ t�f1�P91C1�1TC11t9Tt7fft$1Tt11¢91P11P7T111P'�l7�CSQ11t71C111Tt9�F91t9�t9$119'CttlZ 1♦t$t1'P91l�ttl1TP 11P�PfYtti7lt$[$�P11t11tt1ttflttt11f71f�t11ll�t7Tf11t1�'11P1�7tt1Tttff$t1TP1k9Q9Tttl APPLICATION APPROVED BY: G l Plans Examiner Engineer Zoning (Revised 02/08/0 NOTICE OF COMMENCEMENT 1011110MIN IN A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION CFH 2004SR 1#.. 11.44354 l.�lJ 2� OR Bk 25037 Ps 08691 QP9) PERMIT NO. r" AX FOLIO NO. RECORDED 10/24/2006 11:32:31 HARVEY RUVINv CLERK €3F COURT STATE OF FLORIDA: MIAMI-DADE COUNTY? FLORIDA COUNTY OF MIAMI-DADE: STATE OF FLORIDA,COUNTY O f GE P�yp CouNj� I HEREBY CERTIFY that this Is ti1@ �Jg CLFkK 0, THE UNDERSIGNED hereby gives notice that improvements wilZe R016 - N , property,and in accordance with Chapter 713,Florida Statutes, f Seat. C 20 3� �o,vE��g � is provided in this Notice of Commencement. HARV IN,CLERK,o Cou►dY Courts Fes° W. eC 1. Legal description of property and streettaddress: 2. Description of improvement: (�, ,, Wpb �1-�,,t-- W011 Sk-yU00 1 S 3. Owner(s)name and address: Loyl Vle— y1C61 5t - i?�t Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: t✓f 46Z : j M NVJ 1" S i; �lA c I , �3 •a 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: .Y Amount of bond $ 6. Lender's name and address: ►\ 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, ` Name and address: 8. In addition to himself, Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) c ignatu of Owner ((��//�� Print Owner's Name LAVV sG4C Gtcn) Prepared byL Sworn to and subscribed before me this day of � l W C , MOS Address: Notary Public Tint Notary's Name WI1C1� U( )(p Mor 20 y commission expires: CIL 123.01-52 PAGE 4 12MS NOV 16 2006 SECTION 1524 . HIGH VELOCrTY HURRICANE ZONES REQ OWNERS NOTIFICATION FOR RMA CONSH)ERATK 1524.1 As it pertains to this sectiorr, it Is the responsibility of the roofing=*actor to provide the owner with the required roofing permit,and to explain to the owner the content of this section..The provisions of Chapter 15 of the Florida Sullding Code, Bu ng govern the minimum miquirements and standards of the indust y for roofing system it tions. Additionally,the following il3ems shod be addressed as part of the agreement behmen the owner and the contractor.The owner's initial in the a*=rt box irxkates that the item lois been explained. 1 AsWwdcs-Wo hlp:The wa tananship provisos of Chapter 15(High Velocity Hurricane Zone) we for the purpose of providing that the roofing system meets the wind resist and water Intrusion performance standards. Issues are not a consideration with respell to workmanship provisions.Aesthetic issues or that are riot part of a zoning code,should be addressed as part of the owner and the contractor. ✓ Z.Renallirtg Wood ' r ng ra►fing,the existing wood roof deck may have to be renalled m acxordance with the 18 (High Velocity Hurricane Zones) of the Florida Building Code.(The roof is the existing roof system). RR which i. •�( „y whihave no visiblebetween neigh units(i.e. . in with commort roofs,the roofing contractor and/or Owner should notify the occuparft of adjacent units of roofing work to be performed. "4.EigmW Callings:Exposed,open beam ceilings are where the underside of the roof decking can be viewed from bele. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the deddng may not be acceptable. The Florida Bullaing Code provides the QV-1 of maintaining this appearance. f�!N�'`' r 5. POWIng 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 pjxpnid distress and may require the review of a professional structural engineer. Ponding.may.shorte**#W life ...... expectancy and performance of the new roofing system. Ponding conditions may not be eUdditlrntil tits original •• roofing system is removed.Ponding conditions should be corrected. •••••• ...... . ...... 000 6. Overfbow scuppers (Walt otdiets): It is required that rainwater flow off 8o0ths the rgof lit not •••. overloadeI from a build up of water. Perimeter/edge wells or other roof extensions mayeWv*'tfds dirge if ..... overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow=AMp In mance ..;..' .. with the Florida Building Code,Plumbing. .. • .. . ...... T.Ventilatton:Most roof structures should have some ability to vent natural airficcDy thtorlgh the kftrjor of '0 structural assembly(the building itself).The extsing amount of attic ventilation shall nct be wduce&j#AVy be :0000: beneffdal to ng which can result In extending the service fife of the oro. ; 666:06 ;0 ; •• • ' .. Date cis swishire Property Address Permit Number Rev.. C r serves Bing DeperhmN Paga `of 1 Mo Vebmft Hurricane Zone UnUbm Roofing Permit App fon IMAIR-DUE COUM BUBBIW DWAPITUM EUECTIMM rjj Section A(General InIm"adon) 1111mew Porn*NO. Process No. contractors Name: Job Address: -pm,eq ioopAje) mol A-C joa S-11- Roof Category YLOWSIOPS, ❑ Mecham Fastened Tile ❑Mortar/Adhesive S*Tft 0 Aspthaft Shingles F1 mew Pmwshkvw D mrood st"issam*9s, El Presm"ve wR4m mo El othm. Roof Type 0 New Roof )(FwRooft 0 Recovering 0 Repair El maintenanos .P-A Are two Gas Vent Shift located on the roof? 0 Yes eNo If yes,WW type? n Natural 0"X Roof System information Low sIWe roof area(11.4) Steep Sloped was(W) TOW QLI) Section 8&2g Plan) SkeWh Rcer Phm Musbute as levels and secdons,roof dmbW sirs,overlm scuppers and overlow drams.Indbde Onevelons of sections and levels,dearly khmW Onermilons,of eWAAW presum zones and locallon of parapets. Pwknewr Wkuh(a-): Coum Sim W al. 0 J J. L-1 L 1 t.-1 I L -J Lit J.- lot ------- ... q, • 90:066 4, 66009 L"A 4 ..Z. 4J --44 6666•• It T- -T, —T fill t Aj-J-j J, c'-f-T 4AL L J J, I-TT it I-J-; Ij F- rift Page 2 htip://www.miamidade. —a.HTIVL 11/9/2006 Vejocft MmImm Zane goon Roo"PSR k Forte COON it APIRMAIM .d Rlu ftf,e Components Noll and DetWis as Applk:able: VVwftbdft,Gutter,Edge TermkmbwasJS6rWmWFlasMM Continuous Cleat,Cort Strip,Base Flashing,Countwilashing,Coping, Etc. indk:ate: mean Roof Height, Parapet Height.Height of Base Flashing,Component Material,Material Thickness, Fastener Type,Fastener Spacing Or: Submit[Manufacturers Details that Comply with RAS-111 and Chapter 16. q LAJ . l ...... . ...... .... ...... .... . ..... .. .. .. . ...... Page 3a L.H.. //�i�•w.•....w.��w•� .�...ie ..n/L.lrl�r/«nwti"«ir «oww+��wrt/ne..ti..++ w A '1 1.*—I 1111 d11nnc PgWld a High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI-RADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section C(Low Sloped Roof System) R11 In the specific roof enembly components. if a component is not required,Insert not applicable(WA) In die text box. Roof System Manufacturer. Base Sheet(s)&No.of Ply(s): PW #- 17t5' 1I . T Base Sheet F Materbd: NOANo: �13-d5o yam+ yl ram IYq r,s. roof n") Ii s)f 17nC&X Wind UpM Pressure%From RAS 128 or Seater CCallcubdons: Ply Sheets)&NO.Of Ply($). (P1)Fkrtd: 5;)l psf (P2) Perimeters: p 1r 3 ASf Nl P (P3)Corners: J;318 4 Psf Ply Shed FadenerAW&M Mme: I Maximum Design Pressure.From the Speoft Top Ply: y� NOA System: - -7-Ir psf n r,(,}�}11w Top Ply Fastardr glSonding Material: Deck W. 5/$°Plywood ftu`T h/a.0 •These decks require a fastener para test by Surfacing: an approved tem bboratory Other fleck Type: Shwe Ply Deck Support Spakbq: SkWe Ply Sheet IAM: 12 sheet W the 1/ :.•.:. Skrpe: 2, :12 No.of Skgb Ply 1R sheNs: • ••.•.• Shwe Pill ire F IMaw . • Fire or Vapor Banka: ••• •• • Drams edge Metal Sim&Gav#&ar areWj j0.1, PP Sheet&No.of Ply(S): Dt�GS pe:TyWA ••.• �.• •• •..•• Dr aS tWok M0 orwe �Qi®► • ••• - - Sheet Fas1rlBondirag MatedBl: •....� _•••••• Parapet Coping MeMsize& Gra WA • brawn Layer fte&TIS: CWmg mategm Tye; WAS • • •as• • • PwaW t(x* I orWA Insulation Base FaetenedSonding Material: ..• FASTENER SPACING FOR BASESNEET ATTACHNIENT kmdedon Top Layer &Tticimess: / 1. Field: 9 " OTIC a kms& p� rows® 7 w F Mme: 2.Perinnier: // " ok @ape& L/ res 0 w Insulation Top Layer `� ,/�( J 3.Comers: �p w ole 0 lips& '7 imus V Wood Naw: NUMBER OF FASTENERS PER INSULATION BOARD Wood Nater FasWrar Type and FIM: Perimeter: Come: FasterwType: N/A Alternate Fastener: http://www.miamidade.gov/buildiWrooft.permifiq#swfion a 4%202.htm 11/9/2006 M IA M KWW-DADS COi7N1Y,FLORIDA _ METRO-DARE FLAOLER BURDDIG DUHAING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FT.AQ=M=T,SUM MW PRODUCT CONTROL DWWON IMAM[,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) Wdview Skylights. R 201 Longhorn]fid. Fort Worth,TX 76179 Scope.This NOA is bang issued ung the applicable rules and regulations govermug the use of construction matesub lbe documentatm submeed has been reviewed by Miami Dade County Product Control Divisiore and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AM. Trus NOA shall not be valid after the c4uradon date stated below. The Miami-Dade County Product Control Division(In Miami Dade County) and/or the AHI(in area atter thea Miami Dade County) reserve the right to have Buis product or material tested for quality assurance purposes. If*a product or material fails to perform in the accepted mamer, the manufitchm will incur the expense of such testaig and the AHJ may iaely revoke, modify,or suspend the use of such product or material within Char junsdiodom BORA reserves the right to revoke this ,if it is ddernmwd by MiamiDade County Product Control Divisiomn that this product or material fans to mom the regniremeuts of the applicable budding cede. This product is approved as described harem,and has berm designed to comply with the ffigh Velocity Htuncare Zoon of the Florida Code. X96;oto eY`GS sheeb No 1 of 1,prepared by Birdview,Skylights dated OW26100 with no revisions bearing to Miami Dart.County Product Control Renewal stamp with the Natioe of Acceptem muncher and amore date by the Miam 4)ade County Product Control Division. ••••• MISSILE IMPACT RATING:Large&Small Missile Impact '••' : • LABELING:Each unit stun bear a pert label with the manufacturer's name or leo,cW p to and fie•••• ....:. Mowing sWeu=3V"Miami-Dade County Product Control,Approves',unless otheswise notieWftft and the • done shall be properly aadwd by GE Plastics. •*000 •••••• RENEWAL of tins.NOA shall be considered after a renewal amore las been Mod and beenlno 0 ••••• dmp m the applicable buildnig code=pW*afffoc"S the pwfi�cc of this product. Vto TERMINATION of this NOA wrll occur after the aspiration date or if there has been a reviMgr.ehange 4&ttho •••••• materials,me,and/or maaufiwb=of the product or process.Misuse of this.NOA as an CUUMBUDEMP of any.... .... . Product,For sales,advertising or any other purposes shall automatically terminate this NOA.Failute to c�jy.• • with any section of this NOA shall be cause For terminatim and removal of NOA. '..' : .... �•••• ADVERTISEMENT: 11e NOA number preceded by this words Miami Dade County, Florida, and foRo W by the a quratiare date may be displayed m advertising literature. If any portiere of the NOA is displayed,then it shall be done is its em*cty. INSPECTION:A copy of this entire NOA shall be provided to the user by the marmfitcturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA 0 00.0524.02 it consists ofthis page 1&approval document mawkned above The submitted documobtatiou was reviewed by out,P.E. Page i Biurdvle�►v �T�� NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY.Not part of NOA) . A. DRAWINGS 1. Drawing No. EB696, sheets 1 & 1, model"6SFD-DARE", prepared by BWew Skylights, dated 07/26/00, with no revisions, signed and sealed by V. N. T614 P.E. B. TESTS 1. Test report on Large IVliWe Impact:Test per PA 201, Cyclic Load Test per PA 203 and Uniform Static air Pressure Tat per PA 202, on "Series 6SFD-DADS Self Flashing Aluminwm olycwbonate Skylight'; prepared by Maori Testing Laboratory, report No. K-49362 issued on 09/10/96, signed and sealed by D. G. Ober,P.E. C. CALCULATIONS 1. Anchor Calculation,ation,sheets 2 through 5,dated 08/21/96 and signed by D.A. Tewillega,PE. D. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 00-0718.02 issued to General Electric Company on 09/0=000,eRpiring on 07/02/2003. 2. Extrusion drawings No.BVS-X10947 A&BVS 8554 by Tel Tower Extrusions, LTD for Birdview Skylights. • 0000.. • . . 0000.. E. STATEMENTS •• •• 0000.. 0000.. • • 0000.. 0000.. • 1. No change letter issued by Birdview Skylights,on 08/10/2000 and aigoed by 1r. •••• • .0.00. Bird. 0000 0000. 2. No change letter issued by BhxMew Skylights on 02/11/03 and sigWgV G.4?---*. Bird. .. .. .. • 00.0.0 0000.. • • • • 0000 • • • • 0000 • • 0000 • . s Candida F,Font,P.L Stenier pndm COMM Esmml� NOA No 03-030311 Dabs; My 02,2008 Apprwal Date: dnw 05,2M Z-1 r OUTER POLYCARBONATE DOW(GE UEXAN XL10).118•THICK INNER POLYCARBONATE DOME(GE LEXAN 9034).090•THICK 2375" , E.SIUCONE ADHESIVE SEALSRCS 10001 ' #10X/"HWHSD WITH NEOPRENE WASHER ' LOCATED 4"NOMI EACH CORNER AND, 150° I 1C MAX ON CENTER THEREAFTER 1095 OF SPAN,4"WK r .070"Off.ALUMINUM ANGLE1600.73) C0M1NUOUS101.645ANTOPRENE + t.w RUBBER GASKET#1115 COMATE GUTTER WITH.25•WEE"HOLE X LOCATED AT EACH CORNER #10 X US STAINLESS STEEL.HWHSMS APPROVED MODELS& LOCATED 4°FROM EACH CORNER AND, � Mom, SIZE IV MAX ON CENTER THEREAFTER "AM ROOF OPENING AW EXT.ALUMINUM(6063-TS)CURB FRAMING 65FD1818' 141/4•X 141/4" ' 6M='• 14 U4°X 161/4• NOTE: 65FD1826• 141/4"X22 U4" ALL ALUMINUM TO BE 6063.75 ALLAY 66FD1634' 14114"X 301/4" FULLY MITERED AND WELDED AT CORNER SSMI S0• 141/4'X 461/4' ' GSFFD2424 24"X24° 7.0" 6.0" ` GM436' 24"X 38° 4"MINIMUM SEE 1 69132M 221/4°x 22 1/4" ' GEN RAL N075#2 6902634 221/4•X 30/M• 6SFD26M 221/4"X 341/4• 69D26S0• 221/4'X461/4" ' GNW434, 301/4"X 301/4• ' 4903450 301/4°X 461/4° ROOF DEMAND SUPPORT WESKM BYOTHERS) + 6SFD3636 36"X36' SEE GENERAL NOTES 91 69DSM 461/4°X461/4° #14 X 1•PAN HEAD LAG SCREW 4.0°FROM EACH 3.0" CORNER,MAMMUHM ON CENTER 12" ' isROOF OPENING DIMENSION• N8°PLYWOOD DECK DEWAN AA • • •• 1/B+IN N.TOLAT.P E ADE COUNTY ACCEPTANCE NUA4BE 000324.02 FourIVt tL 36 PSF -47 FfF i i i � rte lEawm in m RE OSTM CML ENGINEER SKYLIGHT z000 - i• i•i ••• FLORIDA REG.12847 ,„ � � � BIRDVIEV1/ O THE CLEAR CHOICE NOW& L 7.pr 201 LONGHORN RD.FT.WORTH TX.76179 Ph.817.439.9266 Fx.817-2324468 11.ALL ROOFING UET&R%j%ok"Y W%CHI6Rit 34 OPJIrwF&f•• BkI� D P2 0 DRAVANCIP EBM I L V.00 SHEET 1 OF 1 IV MININUM DRfWTOE4';hLEdNU5pMToMrHEK34T. BURFACE B SH!$(1 ��—"'� $ • DRAWN BYs E.B� DAM 7-26-01) OR BUR WI11fOU • •FORIMLATIN LE 9 ANDOWMets65FD DADS SCAL& FULL INSUlA110P1THPCT • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • MIAM MIAMY DADBCOUNTY,FLORIDA _ METRO-DADS FLAG=BUIWINt3 BUHMING CODE COLA LIANCZ OFFICE(BCCO) 146 WEST nAGLER STRICET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33138.1563 (305?373-2901 FAX(305)375-29M NOTICE OF ACCEPTANCE(NOA) GAF Material Corporation 1361 Mp Road Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. This documentation submitted bas been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and otter areas where allowed by the Authority Having Jurisdiction(AHI}. This NOA shall not be valid after this expiration date stated below. The Miami Dale County Product Control Division(in Miami Dade County)and/or the AHT(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted meumer, the manufacturer er will incur the expense of such testing and the MU may immediately revoke*modify,or suspwd the use of such product at material within their jurisdiction. BORA reserves the fight to revoke tins awe,if it is damned by Mani Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the I1igh Velocity Hurricane Zone of the Florida Building Code. �:. :��,.� :�:..;.� ��ysb�ci►for -t. LABELING:Bach unit shall bear a permanent label with the manufacturer's name or logq,city`stage a de 9:9 following statement"Naomi Dade County Product Control Approved",unless otherwise noted Dein. 000000 0 0000.. RENEWAL of this NOA shall be considered after a renewal application has leen filed aniMptas been no change in the applicable building code negatively affecting the performance of this product.'••••• • 0000 0000.. • 0000.. • .... . 0000. TEBNIINATION of this NOA will occur after the expWAan date or if there has been a rewWQ4 or chautig p2 the .. materials,use,and/or smmnfactuue of the product or process.Misuse,of this NOA as an endorismint of k3l ; product,for sales,advertising or any other purposes shall automatically terminate this NO4•P#u�e to comply •• with any section of this NOA shall be cause for termination and removal of NOA. •••• 0000:: • 0000 ADVERTISEMENT:The NOA number preceded by the words h iamiDade County,Fhonda:and f@98*U by :•••• the expiration date may be displayed in advertising literature, N any portion of the NOA is displayed,then it shill be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distn'buucrs and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA#024M.10 anis consists of pages 1 through 31. The submitteddocumentation was reviewed by Frank Zu loaga,RRC. NO , Date:l Page 1432 Membrane: One ply of Ruberoiid®Torch Smooth,RubaW d®Torch Granule,RuberoidO Torch Plus Granule or Ruberoid®Torch FR torch applied according to manafacturer's application instructions. Or One or mem plies of RUBEROID®SBS Heat WeldTu PLUS,RUBBROM40 SBS Heat WeldTm PLUS FR,RUBEROW0 SBS Heat Wei 170 FR, RUBEROID®SBS Heat WeldTM,RUBEROM0 SBS Heat WeldTM Smooth, RUBEROM0 U1tmaadnx SBS and RUBEROMO SBS Heat WeldTm 25 applied according to manufacturer's application instructions. SurbAbs: (Optional)Install one of the following: 1. Gravel or slag applied at 4001bJsq.and 3001bJsq.respectively in a flood coat of approved asphalt at 60 lbJsq. 2. GAF Premimn Fibered Aluminum Roof Coating,at 1.5 gal./sq.or GAF WeatherCoe Emulsion at 3 gds/sq. (Torch Smooth applications only) 3. GAF WeadwcoteC MB+(Matdx 715 MB Coating),Applied at 1 to 1.5 gal./sq. 4. Top Coat®Surface Seal SB(Matrix 602 SB CloadnA Applied at 1 to 1.5 mel• j Design Preswre: See Fastening Above • SSSS.. • • • Soso.. SSSS.. SSSS.. • SSSS.. SSSS.. • SSSS . • SSSsoo • SSSS.. SSSS . SSSS. SSSS.. SSSS SSSS.. • 00 • SSSS.• . • SSSS . 0 .0000. . .. . . . Atop A NOA No: 03 4SOL02 191; IfIN n Date: 11MM Approval Dahn=W Page 29 of 32 Membrane: One ply of Ruberoid®Torch Smooth,Ruberoid@ Torch Granule,Ruberoid® Tach Plus Granule or Ruberoid®Torch FR troch applied according to �n - s application instructions. Or One or more plies of RUBEROM@ SBS Heat WeldTm PLUS,RUBEROEO SBS Heat WeldIm PLUS FR,RUBEROW6 SBS Heat Weldlm 170 FR, RUBEROMS SBS HWWeldfm,RUBER0M@ SBS Heat Weld'n"Smooth, RUBEROMO UhmCladTm SBS and RUBEROMO SBS HedWeldlm 25 applied according to morns application instructions. S'arl (Optional)Install one of the following- 1. ollowing1. Gravel or slag applied at 400 lbJsq.and 3001bJsq.respectively in a flood coat of approved asphalt at 601bJsq 2. GAF Premium Fibered Aluminum Roof Coating,at 1.5 gal./sq.or GAF Weatla rCoate Emulsion at 3 pUsq. (Torch Smooth applications only) 3. GAF Weatherco"MB+(Matdx 715 MB Coating),Applied at 1 to 1.5 plJsq- 4. Top C wO Surfaces Seal SB(Matrix 602 SB Coating),Applied at 1 to 1.5 Esq. Mashwn Design Press=: See Fastening Above too •e 4 . . • 096.49 :•••44• • •99• • •444• •440•• **Ito • • • • •004• to •• •• • •4.99• • • see• • • • *sees* • • • • • •• • 0000 ••460• ® NOA No: 03.OSOL02 Nsphstion Date: 11MM Approval Date:lO/2W Pap 29 of32 WOOD DECK SYSTEM LEMUTiONS: 1 A slip slit is required with Ply 4 and Flex Ply T9 6 when used as a mechanically&Owed base or anchor slant. 2. WMiMUM VV Dens Deck or V2 Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LnuTATIONS: 1. Fire classification is not pact of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. bmiation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-401bsJsq.,or mechanically attached using the fastening pattern of the top layer 3. All standard panel sines are acceptable for mechanical attachmenL When applied in a roved asphalt,panel size shall be V x 4'maximmn. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the lase sheet is fully mopped.N no recovery board is used the base sheet shall be applied using spm mopping with approved asphalt, 12" diameter circles,24" OC.;or drip mopped 8"ribbons in three rows,one at each sidehap and one down the center of the sheet allowing a continuous area of.ventilation. Encircling of the strips is not actable. 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 Wsq. Nate: Spot attwhed sysmaa udwH be Limited to a nmhnm desdgn pressure of 45 pot. 5. Fastenerg for insulation attachment is based on a Kmimum.Characteristic Farce(F)value of . Nthe fastener vat ' T � 275 M,as tested in camapliance with Testing Application Standard TAS 105 as field-tested,are Below 275 IN.insulation attachment shad,not be acceptable. 6. Fastener spacing for mechanical attachment of anchodfiam sheet or membrane attachment is lased on a monimnm fastener resistance value in conjunction with the maximum design value listed wiajjq}.;. a specific system. Should the tater resistame be lass than that required,as dateripea by the •••••• Building Official,a revised faster spacing,prepared,signed and sealed by a Flori W;Wed;...:. •• Engineer,Architect,or Registered Roof Consultant may be submitted. Said revised fi qer spai% •••: shall utilize the withdrawal ramstacee value taken from Testing Application Standards WAS 105 jmd •••• calculations in compliance with Roofing Application Standard RAS 117. '00000 :°°°'' 7. Perimeter and corner areas shall fly with the enhanced uplift pressure reqdt is of dm& ..:..' areas. Fastener densities shall be for both insulation and base sheet°auf t kcubAd•ni : °...°. complimm with Roofing Application Standard RAS 117. (When this 11mitaMItkndficaft •• referred within this NOA,General Limitation 49 win not be appillenW) ' °°°°'. ••,•:• 000* 8. All Mwh=mt and sizing of perimeter milers,metal profile,and/or t an rgns0000 :,...: shall conform with Roofing Application Standard RAS 111 and applicable wind load�.0 ° 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i e. fieni,pa meters,amp carnes).Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at enhanced preamnue zones(i.e.perimeters,extended corners and cis). (When finis IhmiW=is apecificady referred w1diln the NOA,Geral Limitation#7 wUl not be aPpllcable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B 72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03-M L02 m . Espen Date: IIW M Approval Date-.IW23tOCi Page 32 of 32 §NWII Ing .GVH 2002 Mr. bfidwdlGada 1361 Alp Road Wqak W 07470 3M9 Deem %.Gada: ' Ms is in reVonse to oar�a as June 20,20 02. As.dismmM,the fonowiag rias:ate SIVILC u nxt.-V-Clas A c6teria Pte- &NSMT,7SA baser!on VdWiV&e tea dater.- . � . . •. 0000.. �--�, Vie• if2 .. . 0000.. . 0000.. or - �....� Is ..�..� 10.61. - 0000 • 0000. ..�..� x..0.0 .. .. 00 .isms 0 0 00 0000.. • : 0000 6000:6 000 000066 • 00 0 6000 0....: 0.00 1 tganY Wesdm.wise on the above. P1a a contmat�writet. Vay trwy yaws. 1 C t UWAMCdOg CnonP I Amdw Kwe Prat 13ivWon ti Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 12113/2006 14 Permit Type: Roof Inspector: Grande,Claudio Inspection Type: Final Owner: MCGEE, LORINE -CeL Work Classification: Roof-New Job Address: 1201 103 Street NE Miami Shores Village,FL Phone Number Parcel Number 1132050200060 Project: <NONE> Block: Lot: Contractor: DALEY ROOFING INC Phone: (305)754-9892 Building Department Comments I' Inspector Comments Passed 10 Failed E]_ Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Tuesday, December 12,2006 Page 2 of 2 Inspection Worksheet Miami Shores Village � ..n.� 10050 N.E.2nd Avenue Miami Shores,FL OR Phone: (305)795-2204 Fax: (305)756-8972 1 � � $ B Permit Number: - � - $ Inspection Date: 12/07/2006 Permit Type: Roof Inspector: Grande,Claudio Inspection Type: Final Roof Owner: MCGEE, LORINE Work Classification: Roof- New Job Address: 1201 103 Street NE Miami Shores Village, FL Phone Number Parcel Number 1132050200060 Project: <NONE> Block: Lot: Contractor. DALEY ROOFING INC Phone: (305)754-9892 Building Department Comments DEC 08 Inspector Comments Passed Failed Correction a Needed _f Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Wednesday,December 6,2006 Page 1 of 2 Inspection Worksheet Miami Shores Village rm 3 y 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 11/28/2006 Permit Type: Roof Inspector: Grande,Claudio Inspection Type: Tin Cap Owner: MCGEE, LORINE Work Classification: Roof- New Job Address: 1201 103 Street NE NOV 2 Miami Shores Village,FL Phone Number Parcel Number 1132050200060 Project: <NONE> Block: Lot: Contractor: DALEY ROOFING INC Phone: (305)754-9892 Building Department Comments Infractio Passed Comments TIN CAP SPACEING False I Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Tuesday, November 28,2006 Page 2 of 2