BUILDING PERMITS MIAMI SHORES
VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application b hereby made for the approyal of the detailed statement of the plans and spe ons herewith submitted for the build-
ing orother structure herein described. This application is made in compliance and conformity with the BnigOrdinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florid aU ordinances of Miami Shores V e and all rules and
regulations of the Building Division of Miami Shores Village shall be compli with, whether herein apedfied�sot.A copy of approved
plans and specifications must be kept at building durIag progress of the work. �j
,18-..
Owner's Name and Address._. 0.- ---'-------- -------
Registered
.---
Registered Architect and/or E .... ._._ --- r -_._____-•------_/-�-- ---------.._�_._.� ._--- --__. ---------•-----------------------------
Name and address of Iiceaased contractor___f= ��-. ---_-r---• d- �~~~- >-- .7 ��--�Y' ---- ......
Location and legal description of lot to be built on:
Lot__ _ __. Block._-_..___..--- ._.___...... Subdivision..._-_....----....-__.._ _. _ ._ ._...-----------_.-----
Street and Number where work is to be done—&--4_
State work to bedon and se of building (by fl ).__
AA
._ ___.___.. ._._ --.- - -• . -- _--__--- _ __.-_ __ ------_and for no other purpose.
New Building_-.._...----.------- Remc#eling---------- _._ Addition-____---------------- Repairs------------- -_ No. of Stories..... ............ .....
To be constructed of-_--------------------- Kind of foundation _ -----------------------------.._Roof Covering-_.---_-----------------------------._
Estimated Total cost of improvements$__,!z _ - _Amount of Permit ----.-.-----.--.----------------------------
Zone cubage required.-..__-.-.-...__ Plan Cubage___ _._-_. _-_ ._-----_.._._.._------------------_--
Distance to neat nearest building-____- _.___.-. .-_-•-. -- .. Size of Building Lot-_-- ----- _-- --..-_------------------
Ma:dmum 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 docs hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Supplement,
and has complied with the provisions thereof,and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act.The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks___ __--- - - _. _-- -_.--------__.-.- ----_-- (Signed)--
STATE
Signed)--STATE OF FLORIDA,
COUNTY OF DADE. J ss'
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap-
peared - •-----• -
----- -_.to me well known,
and who,��by me first duly sworn, upon oath deposes and says that he is the.-__-__-- .__-- --..-__-----•----------------------- .........._.._____.__.___...
of the above d scnbed 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. 12 iL -.... Date-_..-_���� 7d._.-__ Read,Sworn to and Subscribed before me.
Disapproved _ _ Date-_-
(S �) Notary Public,State of Florida
� _ ,. - -
Budding Ybector 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 reins on fee of $1.00 will be charged when such re-inspection is made necessary by improper not:a for in.. ai or faulty
materials and/or workmanship.
s7-
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby Made for the ap royal of the detailed statement of the phots errcl spedBcations herev�vithsubmitted f�the build
Miami
Shoxores Village Florida,amend all pr�ov o Thof thepI,aws�of the S ate o F1oprI all odrdin� off Mi mi ShoBres ViDag a�11 ru
ruless and
regulations of the Building Division of Miami Shores Village shall be rnmpli with, whether herein specified or not.A copy of approved
plans and spedfication must be kept at building during progress of the work. ,
� QQ Date �1 %�`�A-�/Il ._.___.-_--.__._....,
Owl's Name and Address.lallel.../l.•._1.._. _�Z_''� ��[ __...___ No.__�f 7. __ Street NE_/d �'�--'.= .. cam
Reglibered Architect and/or Engineer-....... _ *
__-- - - _ _ --__ _ _ - - ------•------•--------
Name and address of licensed c ontractor..G N•4-,5 T#4/al .-SPD c- .
Location and legal description of lot to be built on:
Block._._------- Subdivision_/��'__
Street and Number where work is to be done—.---.-//-;U- 1VE' D -
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 foun atip- _,.__......-.---------___------------------ oof Covering-------------..--------------------------_
Estimated Total cost of improvements Amount of Permit $------��®®-____-- __
Zone 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 plans and specifications fox said building. All notices with reference to the building and its construction may
be sent to--. - - - - - - -Le
- _ - - - __The undersi edapplicant for this building permit dot-. hereby certify that nderstands and accepts his obligations as an employer
of labor under the Florida Workmen's Compenation Act, being Section 5988, piled General Laws of Florida,Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or so tractors employed by him
in the work to be performed under this permit; and will post or cause to be post 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 su subcontractors, on work to be perfo ed under this
permit, as are licensed by Miami Shores Village. !/
Remarks___ ._ _ - - _ __ _._ . _ (Sic
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,be17 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.
G}�a
Permit No.._.1�. -�--____.. Date---./a-•.___r. _.. .� Read,Sworn to and Subscribed before me.
Disapprov _ ------
---- - -- s _ - --------- -------------------_--
(S �) -- Notary Public,State of Florida
- - ---------------- -- -----
Building In ctor My Commission Expires---- ---- ------ .. .-_--------------------_ ----
PLANNING BOARD_ _. ...... .___DATE
Chafrman _�.._._-..
----------- ---- - - - , - ._. Member -- - ----------- —-- --- --------.....-.......
_.- -
Member __ - -- -- - - _ _._._. - Member -------------—- --_ ---------.....---------------------------------
Member .._.... Member ------------.
Council Approved--_ -_-.•-- .____.----- -__ ._ _-. -_pate Disapproved -_--•-. ...........• . ..-•--.._- _........Date
NOTE: A charge of $1.00 will be made for making correction 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.
N b
e
a (4
•A-4 �
Notegram
� y
Date
For Room
from Room
1
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date o ` Job Address d 6 9_5 N. Es 1453vA Tax Folio
Legal Description Historically Designated: Yes 0�_ k
OwnerfiAmee/Tenant Master Permit# 73
Owner's Address 11 3 N-E. \U3t� Phone
costing co. NUe Ki_ C Qlu.y l tw24 �C. Address
1-01
Qualifier ax)a ' LP_Or c�ga nn SS# Rk-7 R 98'
State#CF C 04 � Mrmicipal# compactw# Ins.co.
Architcaffingineer Address
BondingCompany Address
Mdrt9W Address
Permit Type(circle one): BUMI)ING ZLECTRICALLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION �QfQuol--'., PC 1 tClver\ . sefi
Square Ft. Estimated cost(value) 76 A
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR RWROVIM ENTS TO YOUR PROPERTY(IIS'YOU INTEND TO OBTAIN FINANCINGS CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hareby 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 mad 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 accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore,I authmIze the above-named contractor to do the work stated
rol)
of owner an or Condo President Date of Con or Date
4 7i!v- /06 S3 W� '-o �° d1
/aa3wa
Notary as to Owner and/or Condo President Date Notary as to r or Date
My Commission Expires: My Commission WBUCSTATE OF FLORIDA
COMMISSION NO.CCM103
COMMISSION EXP.MAL 1
SM
FEES: PERMIT RADON C.C.F. �® NOTARY BONED
APPROVED: TOTAL DUE
Zoning Building Electrical
MechanicalPlumi ft Structural Engineer
.,`-
A-M SHORES VILLAGE, FL.OR1D .
t • B DING - DAsI' 194-6
EL . ICAL PER � Coatrgetor's
1V ji N '7��10 License Wo
PLUMBING • -
k�io bps inted under this #a-nffftOWN%
v -
Owner Of
v'
Building
AMAL
Architect -
MR
AL
ContraLftr
or Builder
Legal
Ad4tess of _ If If "S'do"11p
w
Buildin
Tbis.permdt is to.:the'oonfiracstor rianned above tract the building or ui ent or device described W e app$-
Ca-Mn heFefof,in strict•Compliance with all thereto,and th the umd .the wor be performed in compliance with 4ay�
p]�,dra statements or spedfit lions ma va been.submitted"#o' n pprov �+the' municipal an orlties. This Permit may be revoked
ach ordinumc�es or ed �au on.,A fmtber condition which this
at any timene work€s not done do oomplivin eta�r
pen-nit is granted is the,understanding'that the con or h the r f o knowled a of., oes,and
regulations pertaining W the work coves hereh •, on the ti respon-
sibildty for work done by his agents,servants or �,.
1 signed• MSPIWMRY
in consideration of the issuance to me of t to perm the covered hereunder i.n compliance'
ill and'intY lens, cera. is br cations submitted to the proper:auth of
y _ my agent,se employee•
vrork f$�b servant.or ,
ONTRA TOR
on a \ A
7TK. •�
.MIAMI SHORES VILLAGE, FLORIDA
ILDING DATE
�ECTRICAL PERMIT N° 7410 Contractor's
.UMBING License No.
'
Work to be performed under this Permit t�
wner of +
gilding
•chitect04 fF
�a" Inc
)ntractor ! ,
Builder A s
;galLot - Bl. Subdi- ,
escription 13�J 2. vision
idress Of '�^ - W, — U%�A h I
*.., Value of I Amt.
lilding Project ` I Permit +
This permit is granted to the contractor or builder named a ove to co truct the building or insta equipment or device described int a appli-
tion herefor in strict compliance with all ordinances pertaining thereto and ith the unders that the wor ill be performed in compliance with any
ins, drawings, statements or specifications that may have been submitted to an pprove y the proper municipal authorities. This Permit may be revoked
any time if the work is not done in compliance with such ordinances or if the ns are anged tithout authorization. A further condition upon which this
rmit is granted is the understanding that the contractor or buildpr-nwi ea ago assumes the re4ons Tii y for a thorough knowledge of the ordinances and
,ulations pertaining to the work covered hereby whether shown on the plans of drawi4s or in the statenteud or.specificatiops.an�that a es respon-
dlity for work done by his agents,servants or employees.
Signed: — y !14-
INSPECTOR
In consideration of the issuance to me of this permit I.agree to perform the wok covered hereunder in compliance wil ordinance and regulations
rtainin thereto and in strict conformity with the plans, drabvi�gs, statements or ecifications submitted to the proper authorities of MiallShoIes Village.
acce ,ng,tlii,�pgrtyj&I assume responsibility for all work done by eltTier rnypn my agent,servant or employee.
v
-'mftNtRAjtToR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE--=___--_____- 19-A40,
ELECTRICAL ❑ PERMIT
E���T
PLUMBING 1-1N U 6695 Contractor's
ROOFING ❑ License No.
--
❑ Work to be performed under this Permit___ __
Owner of
Building
• ` 'S
Architect _____—____ __ � � _
Contractor
or Builder _
Legal Lot — II Subdi-
Description __ _ _ Bl. vision -
• Address of Value of I Amount of
Building Project Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed:— s _____ —INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employed.
CONTRACTOR OR BUILDER BY AUTHORITY naso* �=ems'
� -.:a - x a... t v � ti'�}�.'�' t5 ac �r - < t'X-a r 'a"' ai i� • ;f'";t '�- $.
• if_.'� t'i, ^tr�' .�..;. S ,� r, z � - a ,}".;�� h �. -
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application;Js hereby made for'the approval of the detailed stsR"t:of the plans and specification herewith submitied'for the build-
other structure•herein described. This applicatjon•is made '�LampBance and conformitq with the Building Ordinance of Miami
Shores Village, FIorida, and all pmnl+isions of the Laws rif the 5tate:of irl�ida, aII ordinances of Miami Sham Village,and all Hiles and
regulations of the Building Dr�icnai:o£iVIiaini Shores Village Shall be c�mniplied with,whether herdn specified or not»A copy of approved
plans and specifications must lie kept'at bnilding during pto &�of the work... ��
Date -�.�-'�"• �.2j— ,18��
Owner's Name and Address No.Registered Architect and/or Engineer
Name and address of licensed cant
Location and legal description of loth to be built on: _
T of Block S
Street and Number where work is to be done
State wort to be doneandpurpose of building (by floors) r
and for no other purpose.
New Building Remodeling Adclitirn+ i Repairs No. of Stories
To be constructed Kind fk!undatlonertmg
Estimated Total cost of improvements$ '(a,.2. Amount of Permit $
Zone tubage required plan Cubag
Distance to neat nearest building Size of Building Lot_.
Maximum live load to be borne b each floor
I hereby submit all the plans and specifications for said building. AR notices with-reference to the building and its construction may
be sent to
The gn appcant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor un�der�the Florida Wor en's Compensation Act, being Section 5988,Compiled General Laws of Florida,.Permanent Supplement,
and has complied with the provisi tier ,and will require similar compliance from all contractors or sub-contractors empkryed by him
in the work to be performed and this permit; and will post or cause to be posted for inspection site of the work each public notice
or notices as are required by the Act.The undersigned agrees to employ only such Erectors, on k to be performed under-"
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, ;
COUNTY OF DADE.
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments,personally ap.
peared
to me well known,
and who,beh by me first duly sworn,upon deposes and ys that he is the
of the above escribed cgnstruction,that he carefully read foregoing application,and that he did sign the same,and that all facts
therein by him stated are true.
Permit No- Read,Sworn to and Subscribed before me.
Disapproved
Notary Public,State of Florida
(Signed)
,B ding My Commission Eaptrea
PLANNING BOARD HATE
Chairman — I Member
Member - Member
Member Member
Council Approval Da Disapproved nate
NOTE: A charge of $1.00 will be made for,malting corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of $1.00'wiR be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials an /or workmanship.
7 r 1 •fJ•',: t�y,�3"T f t 1p� 1 y+ 7ar� �i '�£t'�'� wq�,��3'�r�r{ ti '�.+,}�, II n'�:{ �A � � ,Jy J ,
s. fid•. n'.7av �.
e
----------------
t
r J/
l
CERTIFICATE OF OCCUPANCY
MTAM; SHORES VILLAGE, FLORIDA
t ; BUILDING DIVISION
N? ' . . 732
Miami Shores Village,
Owner, Agent`or Tenant of Building �
Lot_J Block =2 Subdivisso
Street 22, e• aw� "0
Approved-use by occupancy
n
Remarks:
M&
s
This Certificate-of Oecapaney is issued to the abo n IRA r
for building at above named location only upon.thee� sion,tb t the applicant will
abide by and comply with all conditions of Ordinances os.,92provi,:93, 94 d 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances f Miami Shores iIIage"pertaining.to
the erection,construction, alteration or remodeling of. ' dings r
BUILDING D N
1
CERTIFICATE OF OCCUPANCY
MIAW'SHORES VHJ AGE, nOMA
BUILDINGDIVISION
732
fMliami Shore Village,
Owner,-Agent or;Tenant of Bail
Lot_ �, BIock, Snbdivigio
Street
� ll
Approved use by occupancy .
Remarks: _
This Certificate of Occupancy is issued to the abovall
for building at above named_location only upon the provision t the applicant will
abide by and Comply with all conditions of Ordinances os. 92, 93, 94 a d 97,`knowns as the
Zoning, Electrical, Plumbing and Building Ordinances Miann Shores- illage pertaining to
the erection,coustruction, alteration or remodeling of ' dings
a:
,BUILDING D N
,I i
MIAMI SHORES VILLAGE, FLORIDA '
`BUILDING
MXCTRICAL P IRM IT W? 10207 Conhuctes
PLUM WG ❑ License No,
Work to be,performed under this Permit
Owner of
Building, 4. LIC41
Archtteda
Contractor
or Builder -
Le9C Lot 81. vision
'o
I
Descri h
P
Address of r ' Value of Amt. of
BuAding t i Project Fermat $ ry x ",
Thio permit fe ggrraaznrtxd tto the contractor or builder named above to construct'the building or to install the egwpmeat or device described in the application
herefor in strict' compliance wit�r all ordinances pertaining thereto and with the understanding that the work wi11 be performed in compliance with any per,
drawings, statements or specifications,that shay. aO9 bei submitted to and approved by the proper municipal authoritie& This Permit may be revoked at any
time if the work is not done in compliance with su ordinances or if the plans are changed without authorization. A.further condition upon which this permit is
granted is the understanding that:the contractor,of builder named above assumes the responsibility for a thorough knowledge of the ordinances and tions
p to the work cohered.hereby whether shcjwa on the plans or dra ggs or in the-statements or is ations and that he assumes responsibility for work
done agents, servants or employees. I ior
Signed: Fes. « ., z ,�
a, rntsraCfOR
In consideration of the issuance to me of this permit I agree to p� the work covered heitunder in compliance with;¢ aces and regulations
ertainiag thereto and,in strict conformity with the plans,'drawings, eta is or specifications submitted to
the proper authoritiea,of Miami Shores Village.
accepting:this permit I assumeiresponAxility for all work done by eithei. myself, my agent, servant or employee.
CONTRACTOROR 'BUMDER BY AUTHO r1T
i
MJAMI- SHORES VILLA
BUILDING INS IPECTION :DEPARTMENT
APk'ICATION FOR PUILDING PERM
Application is hereby made for' a pppnwA of the detailed statement:.of the plans and specifica herewith submitted for the build-
ing or other structure herein d . This,application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida,and all of the Laws of the State of Flora all ordinances of Miami Shore dVillage and`all rules and
regulations of the Building of Shores Village shall be complied with,whether.herein specified or not.A copy of approved
plans and specifications must be Dept a building during of the work.
Owner's'Name and A
Registered Architect and/or Engineer
Name and address of licensed
Location and legal description of lot,to built on:
B Ile Subdivision
Street and Numb where work is
State work to be dog and purpAof (b floors)
� I
and for no other purpose.
New iBuikling _ R�modNo. of Stories-
To bb constructed,of of foun
-� 4�-gymun
Estimated Total.cost of improvements t of Permit
Zone cubage req ® ® ] - ,fig
Distance to neat nearest b of wilding
Maximum live load to,be borne by floor
I hereby submit all the plans ,and i pecifications for said building.All notices with reference to the
building and;its may.
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Worlanen's'Compensation Act,being Section 5966,Compiled General haws of Florida,Permanent Supplement,
and has complied;with the proms hereof,and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under 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 a undersigned agrees to employ only such on work to performed under this
permit,as are licensed by Miami$hpr .Village.
RemarksI t signed
STATE OF FLORIDA,
COUNTY OF DADE. a&
Before me,the mdmigned a 'ty,a notary public,duly authorized to administer
�itlk oaths and take aclanowledgments,personally ap-
ed
to me well known,
and who,being by me first duly swo upon oath deposes and says that he is he
of the above described construction,Ii9t he has carefully read the foregoing application,and that he Nd sign the same,and that all facts
therein by him stated are true.
Permit No to Read,Sworn to and Subscdbbd before me.
Disapproved Date
Notary Public,State of Florida
(Signed) Buil My Commission E--
G BOARD 'HATE
Chairman Member
Member ' Member
Member Member
Council_Approved nAte Disapproved 77ate
NOTE:"A charge of$1.00 will bye made for making_corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-insmetion fee of $1.00 will be charged when sack re-inspection is made necessary by improper notice for inspection or,faulty
materials anwerkmanship. .
I -
&F P It AliT
STATE-OF FLOOD ) SS
y
COUNTY OF DADE
of the Village of Miami Shores,
County ofade7idr)�Pf
State of loci a, being duly sworn, doth depose and isay,`
that under th' visions of Ordinance,Tdo. 155, dated Jane 15, x.94.8, amend
I' in a, Section B- 6S of Ordinance td of la Pu 11din Cita
of Mi.amznnSho q Vi lage, he- d ires to build a n •x• o „ _
on Lot Block �,, of Suivsion,
that h ._.,_... ..r__...._...r..r,..._..._....�.:._..
a the er of said prapert , and will be the owner of s€.ic
_OL that he will do the work personally,
and 'th t tae will t such times as are required by the Zoning'anu N-11 i ng
Director:-
1.
irector;-1. FilCe. plans and specifications and obtain- approval of the
Piazaing Board and the Building Inspector.
2. Appi for and secure a Permit,
3. pay "the required fees
1,. Eksadte the work in accordance with the provisions of this
ode. >. ..
Appli, for inspections.
6w ile with the, Building Inspector certificates that, p�vision
has , 'n made to carry the necessary Workmen's Compensation,
Pub," 3c Liability an�d',Property Damage. Insurance,
P wt
et�r t Building .Ios as .the dab �aror®sses car-t3
r . ,
_e shoring" the payment required � the Federal Social:
Se 3.iy Ac's to the State of Florida or the United States of
America.
84sse 'the responsibility of not employing other than properly
1ice$$ed contractors by Miami Shores Village for part or
potion. .of the work,
9. Not Iset himself up as a "contractor".
10. 610 an affidavit before commencing work to the affect that
>, he has read this Article and will do the work personally
and
obs a all of the requirements of the Building, Flectrioal, _
Plv and Zoning Cates of Miami. Shores Village o Such
aff davit to be properly notarized upon blanks to be supplied
Building Inspector.
ll, n a er to prevent abuses and subterfuge the right of such
r-b .lder as herein provided, is limitedto but one
owner-buui14er permit each 2 years, and where an.owner-builder
has noe exorcised the privilege herein conferred no second
p ► cation for owner-builder permit shah. be granted in Less
2 years, unless the applicant is qualified as a licensed
al Contractor under the applicable Ordinances of said
W portent says cwt!
Ate" Further � _
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AIR CONDITIONING • HEATING • REFRIGERATION
17120 NORTHWEST SECOND COURT • MIAMI, FLORIDA 33169 • DADE 625-5181 • BROWARD • 527-0862
"THE FIRM PROFESSIONALS RECOMMEND"
April 6, 1971
Miami Shores Building Depar ent
10050 N.E. 2nd Avenue
Miami Shores, Florida
%%
Attn: Will am BradfcSrd
Dear Mr. Bradford....d �, - -•.__� _..
This is to ass a you that Mr. Ray Nichola' fire dampers wil
be installed in as soon as we receive them.r___v.R r_
Thank you for your cooperation.
Sincerely yours,
Alan Bostom
President
A,DDRES5,1173 N. E. 103rd St, LEGAL Lot 3, B1k.2,BISC.RIVlM RECORD GARBAGE TAX
�pp PAID BY YEAR ANNUA}.TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT
C •pC.�1�49- NUMBER
(off �y 012.00
3
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t TOT-%L EXPOSED FLOOR(OR)CEILINO AREA(INSIDE OR OUTSIDE DIMENSIONS) / y
MER � � PLAT BOOK N '
• SQ°FT. A�
GROSS WALL AREA:
PACE N ' s+eamesosa�asesmroes•ncs, + a / .-, !t. X
E3S i
lk AV
( agth of a114 Sides) ^'-'� (t• SQ.FT. Q
° w1NDOWS AREA if'eight
SU+SSECTICN v __ NORTH
PHONE VI
Z---,
�1 / r SQ.FT.
F' 'OROSS WALL AREA
3�7' SQ.FT.
a f' ✓ e��i .� NE A NW SQ.FT. �- 1L WINDOW AREASQ.FT°
Ph3ss CODE E&W 3 ! ' t mar+aar� za .�, SE Ce%, $Q.FT. AL DOOR AREA SQ.FTQ.FT.- SOUTH SQ.FT. WALL AREA t SQ.FT.
TOTAL WINDOW AREA == C - Sills FT: 99 _.
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,.. ether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
EIRS 77 G P;D� A L Dat
Owner's Name and Address —� Street___
Registered Architect and/or Engineer_ "-' --��--------_-------------_--_--
Name and address of licensed contractor _____ _w
Location and legal description of lot to be built on:
Lot- _ _____— Block._______ Subdivisi
Street and Number where work is to be done 1/7 S � ta_ 10
State work to do and purpose f 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-__----_�_------------_-__--
0 CD
Estimated Total cost of improvements $___ Amount of Permit $�_�_-`� ___
Zone cubage required-- plan Cubage— _ __� _ --------------------
Distance to nest nearest building- -Size of BuildingMaximum live live load to be borne by each floor_
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to—
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
Of labor under the Florida Workmen's Compensation Act, being'Section 5988,Compiled General Laws of Florida,Permanent Supplement,
and has compliedwith 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 th ork such public no
or notices as are required by the Act.The undersigned agrees to employ only su boonrs"o wor to ormed und�
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE.. I S&
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
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.
q �
Permit No. l f Date ��� Read,Sworn to and Subscribed before me.
Disapproved -__ Date—
(Signed)
ate(Sed) Notary Public,State of Florida
Building Inspector My Commission Expires_____—"_---_. _ -
PLANNING BOARD __ -DATE
Chairman - — Member
Member _—_ Member
Member _ _ Member
Council Approved— Date Disapproved ----------------------------------Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
3262
Mme 24P449 or mon
eoqg*tL*n of aesid®aas at, 11173 N.E. 103rd Strwt
TWOUIV five " 00/x.0025a00
C.E. Kl*Aw 11,.105 J.E. Uft AW*
Or mor-BU MW for the
W=tr=tfM at one resLctaaft Oa1y lomted at 1173 :Iw. t AM of u'+M38enar
DsomnrbW 1401948 Or Wt 14MW thea adz
Doo, 14#1%9
MIAMI. SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No77 919. Date__.
Application is herebymade for the approval Of'the detailed statement of the plans and specifications herewith submitted for the building or other
c
structure herein described.This applic eAon Is'made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State 0 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 plains and specifications must be kept at
building during progress of work.
Owner's Name and Address— No. . Street`
e i
Registered Architect and/or Engineer 1
Employing Plumber's:Naime + No Street
Location and Legal Description Lot Block-- 9L Subdi",
Street and Number where work is to be pe¢formed, No. 1173 !h Stree"-a 3 -
Stats work to be performed and purpose of building (By Flours)
New Building- Addition ° Repairs No. of S
CLOSETS -BATH - LSINKS pv - - SLOP LAUNDRY - CATCH ; FLOOR DRINKING TOTAL
TUBS -SHOWERS TORI 'SINKS TUas URINALS BASIN - DRAIN FOUNT'NS- FIXTURES
CONTR.
LIST
CHECK some SB, R DRAIN SO A1 GE GREAgE SOLAR DEEP SPRKLR. SWIM'G
.TANK i.. FIELD PI'y' TRAP HEATER WELL SYSTEM. POOL
CONTR.
LIST
CHECK _
r
Size Septic T Type of T C.P.Ay Gals. 66t_&r3
Feet.of Drain Tile - - -t—:Dist. Feet of Tenk or Drain Field from We1L
Nature of Water Supply: City—Well. + Size of Soakage Pit
Amount of Permit
�•
(Signed)-
The
1
The
undue applicant for this!builong permit does hereby certify that he understands and accepts his obligations as an employer of labor
ander the Florida Workmen s Conrpen" ,being.Section 89M,Compiled General Laws of;Florida Permanent Supplement, and has cpm-.
plied with the provisions thereof,and willruire similar compliance from all contractors or sub-contractors employed by him in the work to be
performed Hader this permit;and will post cause to be posted for inion on the site of the work such public notice or notices as are
required by the Act. The undersigned agroes to employ oily such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
i
(Signed) ` --
J
O FL
d
•STATE F ORM A, SIL
t -
COUNTY OF DADE.
Before me,the undersigned authority,anotary public,duly auhorized tmoathand take acknowledgments,
personally
led
to me well known,and who,being by me fiat duly sworn,upon oath deposes and says that he is the
of the above described construction, that a has =)dully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
i
My Commission Expires Notary Public,State of Florida
NOTE:
Aa-ins_ ee of S1.00 will be made when each re-inspection is made necessary by improper notice for inspection, or faulty
mate
i
BUILDING MIAMI SHORES VILLAGES FLORIDA �..
ELECTRICAL ❑ D.1 9_
PLUMBING
El 93055 Contractor's e
.,ROOFING
Licens® No. r �
El
❑ Work to be performed under this Permit
Owner of �� e o- fit► ,�
Building c.. ", , ° r Sow !T: �
Architect
Contractor
or Builder Iki-S ".2 4�4 1
Lew Subdi-
r Description Bl. vision
Address of Ft.
_ Sq.
Binding - Y Value of �g'°" Amount of .
"�' r ` � Project $ �` y4 Permit
This permit is granted to the cofctractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans,drawings,statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may,be.revoked
at any time if the work is not done in lompllance 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;aasumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work coveted hereby wheth r shown on the I or dr-twin or in the statements or specifications and'that hs assumes respon-
sibi4ty for work done by his agentk aerv� mpley�.
ll
Signed `'
In consideration of the issuance me of this permit I9by
perform the work co d hereunder in compliance with all ordinances and regulations
pertaining the r in stri , colo ty with the plans,drastatements or apecifications's 'tted to the proper authorities of Miami Shores Village.
In accepting rmit I o bill for all work either,myself,my agent, servant or employee.
CONTRA or B BY AUTHORITY
W
5Wtamz ghoYeess—xiiwe,
8 LO' B l D A N® 765
Amour 'cc
No.House I B�.J I L.D E S BO
lij
SNOW ALL MEN BY THES SENTS, that
�E ill
A
m consi on of the issuance to me y Miami Shores illage, Florida,`of a permit or permits to or repair a b ding or
p buil at,#he fo ad +
agog L-*,W Will ode
do hereb deposit with Miami Shores Village, Noi the sumo 44 A and I agree with:"saki Village that;when each construction shall have
been completed by me within the,meaning of ordinances of aid Village, I will clear all premises and repair any Village property damaged by me, y
used for the
deposit of material or egnipmen�41hconstruetfoadr repo$and'that, if I do not so clear and repairsnclt premi§es immediately npoat-the
completion of such consttu withinthe mof such ordinances,the Village may clear and repair the same and pay the costs of such clearance and
he aforesai and i etur*the remainder.0 me;and t6t, if I shall clear and repair sad property.immediately, as oresaid, then
•
SO 'hall be returned to me.
At' iami Shores Village, Florida, daq`o
4 •
WITNESS_MY HAND and Seal
(Seal)
INSTRUCTIONS TO BUILDER-When ab�e i wotioned construction is completed and the premises:are cleared and repaired this bond to the
Village Building Inspector and obtain his appzdv, after which Miami Shores,Village will refund your money in accordance with the re agreement.
GE BUILDING INSPECTOR'$APPROVAL
I hereby certify that the constructi contemplated under this Bond,has been completed and that the builder thereof has caused
the surrounding premises to be cleared an' repaired in as good condition as they were before commencing said construction.
WHEN CLEARED AND REPAIREDBY�TH� GE
Amount of Bond. . . . . , $ Ace Village Buildin br,Miami Shores Village
` Cost of clearing and repairs done by village
Balance due Builder . . . . . b. $-SLS— Cancelled= 19— B
. . I• j+�.,•R,.I . A •flys
Z
3 ,7
OWNER'S NAME ;PRESENT ADDRM LICEPLSE NO. PHONE NO.
3A-1 a4 Alm_
-JOY .N R AVE. T"' " BLOCK SUBD 14N
B LOCAT
• �}.
E RAL' CONTRi4CF0 ADDRESS . ONE NO. (CENSE
BUILD R'ff BOND
0
BUILDING PERMIT NO. DATE PERMIT FEE ` DATES /,
ZONE REQUIUME TS dpwftw CU.FT. PLAN CUBE %zciCU. FT. EST.COST
1 DATE
DRAWINGS SPECIFICAFIONS'RESTRI S7A.N0BE CH CKED BY:
ORI S ROOF CONSTRUCTION ERIOR CONSTRUCTION
Allo
NEW CONSTRUCTION
D R IPTION
REPAIRS
ALTERATION DESCRIPTION
ADDITION
OY REJECTED REFERRED TO COUNCIL REASONS
MOM
\ .
SUBMITTED TO g
RE.SUBMirrEb TO PLANNING BOARD r
} L REMARKS
§UBL41TTED 12 VILLAGE C U CIL
L J y,
CERTIFICATE OF CCUPANCY O: 7 ISSUED 6 1Q BY dI I TO OF. Kirlsa® - 11 �;
13UILDQIN E MIT AND INSPECTION RECORD—MIAMI SHORES VILLAGE
BUILDING INSPECTIONS
INSPECTidKS DATE BY RE-INSPECT BY RE-INSPECT BY
FOUNDATION
BEAMS&LINTELS
FRAMING
FINAL
EA -UP'
PLUMBING ERMITS & INSPECTIONS
CONTRACTOR Midlemd Pl=Zing Ina IPHONE
PERMIT NO. 7.7$0 1 DATE FEE S 10075
NEW•BLDG. S I ALTERATION ADDITION R PAIRS
SPECIAL PERMITS PERMIT NO. DATE FEE
TEMPORARY SERVICE $
SEPTIC TANK N0.D8de 7799 7OW/49
r S 3..w-.-
SEWER
. 00S WER S
SOLAR Ii EATER S
GAS
S
INSPECTIONS DATE BtY! °RE-INSPECT BYRE-INSPECT BY
ROUGHING
GAS
SEWER
SEPTIC TANK A/ishigJDB
SOLAR HEATER
FIXTURES
ELXCTRICAL PERMITS & INSPECTIONS
CONTRACTOR Ab= 3160triCPHONE
PERMIT NO. M& DATE FEE S 10,20
NEW BLDG. X ALTERATION ADDITION REPAIRS
SPECIAL PERMITS PERMIT NO. DATE FEE
TEMPORARY SERVICE 26 3Z2ALt49 S 1000
H.W.HEATER CONN. S
ANGE CONN. $
MOTORS S
FIXTURES S
S
INSPECTIONS DATEBY RE-INSPECT BY RE-INSPECT BY
TEMP.SERVICE
ROUGHING4/22149 =I
H.W.HEATER CONN
RANGE CONN.
FIXTURES&FINAL
APPROVAL To CO. R 8 VICE DAlab
Y