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MIAMI SHORES
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BUILDING2
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date j'! / Z Job Address
Legal Descrpt
fawner / Lessee /
Owner's Address
cq 4- 3 d- 9" G, osq y
rit Xx
7s y. C_ ef
Contracting Co. 2Aeo 6J 1,(W6e
Qualifier "�'J¢?y ■' f�'isrltJ�
State #
Architect /Enginee
Bonding Company.
Mortgagor.
^ 4�
Tax
Master Permit #,?x j
S/ Phone -e tiJ O - 5S7-7
00/,j!�S,, Address��
SS# 261 - Sd - / gs Z Phone � 2 " Z y-,F K
Municipal # 1 fl�0'76
Competency F a012
y 3o��s Go.
e X/�
Address Z t
Addres
Addres
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGC
WORK DESCRIPTION D
Square Ft
Estimated Cost(value) -? Z V
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENT
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an,
on the attached addendum (if applicable). I certify that all work will be performed to meet th,
standards of all laws regulating construction in this jurisdiction. I understand that separat
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 wil
be done in compliance with all applicable laws regulating construction and zoning. Furthermore,
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
FEES: PERMIT 11150 RADON C.C.F.
Ll"�
S ignature of Contractor or Owner - Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires: 4-64111'
NOTARY PUBLIC STATE OF FLORIDA
My COIIAMt SSION EXP.,, "S 549/94
* * * B1Mded thrdtStembieAd3' mS &fI w et
NOTARY R 0-6 TOTAL DUE 41140
APPROVED: Fire �r Other
Zoning Building I"'f Electrical
Mechanical Plumbing: ___ Engineering
lill III 11111111111 lill 1111
MIAMI SHORES
111111 III uulll MINI NII IIII I111111II II IIII IIII IIII
BUILDING3
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date — Job Address S_% 24E 91 S7- Tax Folio
c�o E�t-c e- 4TH Pk 0_ie of
Legal Description t Cci3 tyf Z 3 CZ_ ' Historically Designated: Yes No
Owner/Lessee / Tenant Master Permit #
Owner's Address Cs '7 "�_ /V e- ':Fa ► Phone (
Contracting Co. � /'rL��t c�c_X) 712. C07�p Address '7 3 Ll !7 4LA—i G' C 5 r
Qualifier P . _(,G cm i- i 7` I, SS# . - -S) (� - 'M2 ) Phone 2 h a — 2- C/ _�2 U
State #
Architect/Engineer
Bonding Company
Mortgagor
Municipal #
Competency # Ins. Co.
Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft.
Estimated Cost (value) { 1 ro 1690
I/
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.
Signa weer �uicTlor Condo President Date
LUIS QARCELL
My Commossion 0041810&
aEraires I+Jay. 81, 7959
Notary as to Own r�Cond'�syiay� ate
My Commission Ewe -507a
FEES: PERMIT RADON
APPROVED:
Zoning
Building
Signature of Contractor or Owner -Build Date
Notary as to C ntractor er- Builder Date
My Commissi n Expire .
C.C.F. . J'_U NOTARY TOTAL DUE
Electrical. �-•.���`
Mechanical Plumbing Engineering
II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
MIAMI SHORES
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
BUILDING4
lill III 1111111111111111111I
MIAMI SHORES
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ALARM
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MIAMI SHORES
FENCES
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Ary lieatiork i. St',jLUjL,vni ui we plans and specifications herewith submitted for the build
s herrh)' U)AdC for the approl-al of the detailed
in application is made in compliance and conformity with the Buildin6,,Vidinance of Miami
; or otlier structure hercin tlescribcd. This . g,,
Slim" vilLige, Florid.%, and all provisions of the Laws of the Stale of Florida, all ordinances of Miami Shores Vi and all rules and
regulations of the iwiltiing Division of Miami Shores Wimp shall be complied with, whether herein specified at not. A cvpy of approved
plans and specifications niust be kept at building during progress of the work.
Date.._.
....
O"X-rier's Name and Address 6j.................
Registered Architect and/or Engineer ... . ................
Name and address of licensed cckntrActor_:..... ........
Location and legal description of lot to be built on:
-------------
Lot.... ............ . ....... .... Block. .... . ...... .... Subdivision ..............
Street and Number where work is to be done ....... � ..... ............
. �� / / /,"A'
State work to be done and purpose of building (by floors) .L
.... . ; '/
.......... ......... . . . . ... . ....... . ........................... . .... .................. . . . . . ................ .... .. ................... . ........ . ............ ............. . ..... . . ...... .
.. and for no other purpose.
. ........... __ ........ _ ---------
New Bui!ding ........ ........ ........ Addition...,
._.................... Repairs .... r.......... No. of Stories .... . ......
To be constructed of .. .................. Kind of foundation ... ..•_....•.... ......... ...... ......................... _. Roof Covering.................... . .. ........ .
Estimated Total cost of improvements Permit "I of P ... ......................... . . ......
Zone cubage required ..... .................
Distance -to next nearest building.....
................_....Plan Cubage
......... ............................... ._.....Size of Building
Maximum live load to be bome by each floor ...........................................................................................
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
..........................
be sent to..
............................... .......... .......... ..............
The 11rix1ersigned applicint for this building permit does hereby certify that he understands and accepts his obligations is an employer
of 'Libur under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida. Ferinitn•nt Siijidement,
and his complicd k%id, the irovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
,'n the work to be perfomltA kinder 'this pertnit. 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 Act. The undersigned agrees to employ only such subcontractors, on war ); to .be performed under this
pennit. as are licensed by Miami Shores Viliage.
-Ac Z
STATE OF FLORIDA ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persorially ap-
peared
. .................. ------_.Ao 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, and that all facts
therein by him stated are true. , ry
Permit . . ......... Date ......
Read, Sworn to and Subscribed before me.
Disapproved N Date. - - - - - - - -------------- ..... . - . . . . . . . .. . . ... .. ....... . . . .
. . .......
-- N ot a ry Public, State of Flor! d a
(Signed) ............. . ................ . ..............
Building Inspector My Commission Expires......._ ................. . .......
Chairman . ..... .. ..._ ....... -
PLANNING BOARD ...................... .. !. _.............._.._......DATE
Member....... ......................... ...... ............................ . ....... . .............. -
Member....... ___ .............. . ........................ . ..... - - — ---------- — ------ - --- Member ....... . .......... ........... . .................. . ... . ............ — - --------------------- -
Member. .. ............... ........................... .• -• — ---- - ----- - Member — — ----- - - --- - -------
CouncilApproved..... — -- ----------- — - .... ..............- -....... ........._......Date Disapptuved .. . . . ...... . . . .... ... .............................. .... ... ...... .... Date
NOTE,: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
like 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.
11111111111111111111111111 I
MIAMI SHORES
DRIVEWAY
Page 4
PERMIT APPLICATION
OFFICE USE ONLY
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
REVIEWED AND PREPARED BY
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$ 0
$ D a
$ V (sq.ft. = x/1000
x ¢.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
$ '_ o C)
SECTION
BY
D TE
Zoning
Electrical
f
Mechanical
Plumbing
Fire
Public Works
Structural
A
Building Official
d
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ �*
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
PERMIT APPLICATION
Master Permit No.
$Mo
bVi ;a
Subsidiary Permit No.' t 4-2-t
The following steps niust be taken to FtoRto�
obtain
Step 1. Complete the attached permit application which must be signed by the prpnerty owner and qualifier. B-oth-signatuEes most 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 comD1c1gd aVI21icatio n 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.
X..-ob Address:
Folio Number
() /q-7;e�
Address
Lot Block
Subdivision PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE( )
Buildin
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
ARCHITECT
Name
License No.
Address
Telephone
Fax
Apt. City
!description of Work
r
State
Zoning_ Linear Feet
Zip
Square Feet Units Floors
><Value of Work ? 00 r. 00 Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor
PERMIT CHANGE (✓ )
Ch g. Contractor
Renewal
Revision
Extension
PROPERTY OWNER
(✓ )
Name
Addr�e"ss�}
CJ
-
Ilome Telephone
/
Business Telephone
Fax
h�s -4 r�— aP,.I
TYPE OF MANAGEMENT
(✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'1 Attachment
Other
Add'1 Detachment
Other
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License 1'10.
Address
Telephone Fax
Qualifier Name
5v,- - - -"
iumi ores vi�
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�4OR1D
AFFIDAVIT
STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, L does hereby attest that the
(property owner) -
Rri
attached survey, performed by
(name of sury or's company)
performed on !J is an accurate representation of the exisfing conditions and
(late d survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
kAffiffian owner
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this day of
Affiant is personally known to me, _produced
as identification.
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LOZZ-36L (SO£) :auoydalal
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LEGAL DESCRIPTION
SUBDIVISION'�!� °.•cam .�
ACCORDING TO THE PLAT THEREOF A5 RECORDED IN
OF THE PUBLIC RECORDS OF - COUNTY,
PLAT 600K AT PAGE, �o
FLORIDA.
LOCATION SKETCH
SCALE :I " = /Op'
WE HEREBY CERTIFY:That the attached SKETCH OF SURVEY of the above described property is true and
correct to the best of our knowledge and belief as recently surveyed under our clirection, clso that there are
no encroachments unless shown.
FOR:--4cLif/
ORDER No `s =- PROFESSU AL dh ND SUR YDR NO 1/42a_.
STATE OF FLORIDA
NOT VALID UNLESS EMBOSSED SEAL jQ� / DATE;
CARIBBEAN LAND SURVEYORS, INC.
7175 S. W. 8th STREET, SUITE 216
MIAMI, FLORIDA. 33144
TELEPHONE 264-9151
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111111111111111111 lill 1111
MIAMI SHORES
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII�IIIII
PAINTING
lill III 11111111111 lill 1111l
MIAMI SHORES
ROOFING
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT 0
G ":Z 1 � ' �
Application is hcrchy usadc for the npproyal of the detailed statumi-ric vi we plans and specifications herewith submitted for the build • _Le4e,
in; or other structure herein desc•ribcd. This aptlication is made in compliance and conformity with the Building Ordinance of Miami
$pores Village. Florid-ii. and all l+rovisions of lhC Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and �
regulations of the tluiltling Division of Miami Shores Villap shall be complied with, whether herein specified or not A py of approved
plans and specifications must be kept at building during prggress of the work. nr 1 I y f G �j . 0'J
-t ...._ ................. ..............
._
Ov.�ncr "s Name and Addres.... �,... ��' E............ ».!�,..........:.. S�tretit.�,...:!»....._: L
Registered Architect and /or Engineer ... •.. ,........••...«....«........... .. ............................. .,,.,......rer.•nr • r . rtmrtn ' re +mnntr rr• -•• ,,•.•••.,•- ••,•••• ••
Name and address of licensed contrgctor .......
.�.
Location and legal description of lot to be built on:
Lot ............................................ Block ....... - ...... .................. Subdivision..... .......__ ._ _. - - .... .. ......
......_.
Street and Number where work is to be done,,._,....» �(f . - ..- .-.... —._ ......._- . ................ �..
Stato work to be do�jne and purpgsc of buil ing (by floors). »..,.- ,_ _ ...... ...... , ...-.. _....._.....__.......--_--
. R.C. 3. �?.l r.. ,, SJ :. s 11 ltd. (..i .- ......_.L? ... I .._ .... ...,».... ... ........ ... ........... .. ......... . ... ....... ..._ ..... --- -...._
......................... .. .... .....- ..... - ....... ............... ....».._ 1..... --- ... ... .............. _ ........................................... ..... .............. and for no other purpose.
New Bui!ding .......... Remodeling... ............. ........ Addition................ .. Repairs......... ... ... ... .... No. of Stories ...... .............. —
To be constructed of ..• ...................... Kind of foundation ............................................................. - +Roof Covering .........
.:,h.� !? ..._ - - --
Estimated Total cost of improvements ............... Amount of Permit $....... .................. _ ... __.., ...... .......... .........
Zone cubage required..... .............................................................. ___Plan Cubage ................................................................ _.— ..... ..................
_
Distance.to next nearest building ............. ............................. _ ........ _ ..... Size of Building Lot ..................... ... ..... ._ ......... ,_+. .... ..... .........
,..._........_
Maximum live load to be borne by each f loor ...... ................................................................................ _ ..... _ ................. - ...............
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 umlersirr,cd :applicant for this building perinit does hereby certify than he understands and accepts his obligations as an rini >loyer
of h.ihur under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ceneral Laws of Florida, Perin:anrnt Sulifelement,
and has cnnaphed v ilh the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hire
in the %vo'rk to be performed under this permit, and will post or cause to be posted for inspection on the site of the work such uhlic notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be pedorme under this
pennit. as are licensed by Miami Shores Village. .�
Remarks .... .................. ..................................... _ - -- _ -- (Signed) ___... _
STATE OF FLORIDA, 1
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared ....
_........_.... _...................... ...___ ._..._..........._ ......... ._-..__ .... .................. ....._....._ ...--- ...__ ........ .. ..... .. - -- —....to me well known.
and who, being by me first duly sworn, upon oath deposes and says that he is the . .................. ...................... ............................ ....... .. ... _ ...... ._
of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
Permit No.._ -------- Date_: ;�.. �:�1.. _. -__ Read. Sworn to and Subscribed before me.
Disapproved Date. -_.. ».
Notary Public, State of Florida
(Signed) ,........,- .._.__,... t ... .. . ...._............. ..,............
Building Inspector My Commission Expires.......— ..... ...........— ...........— . - -__.�
PLANNINC BOARD................ .......... .............._.._.._......DATE
Chairman...... .. ...................._.........._............_.... ..._........._................. Member ......._.......................
Merr,ber ................ ..............._.......... -_.. _.._........_ .__.,.._.._. _._ -.. Member ......._........._...........
Member.. . ......... ........ Member ...._................r..-
CouncilApproved ......... _.__ ...................._...... ».._........_....... -.. -Date Disapproved _...._.......................-__............ ............................... Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workinanship.
DAVIS ENGINEERS, P.A.
780 TAMIAMI CANAL ROAD • MIAMI, FLORIDA 33144
305 - 266 -2566
December 30, 1982
Mr. Paul Kittredge
875 Northeast 92nd Street
Miami Shores, Florida
Re: Roof Inspection`;_.
Dear Mr. Kittredge:,'
An inspection of thie -roof structure at your'property at'the above
referenced address was,.conducted o'n December 22; 1982. The inspection
consisted of visual observation of1the wood.f.raming members and complete
measurements of the spans and spacings of these members. The observation
revealed that the wood - framing members, bothi. the rafters'.and the ceiling
joists, apeared to' be-in- good'.condition.'•There was no evidence of excessive
sagging or warping,. .'They did.not appear;to be',termite damaged or rotten.
It is my opinion that= these,wood,members-can "continue °to function in
their present capacity;supporting the existing roof:.or a roof of similar
type weight.
At the request of the residents, Mr. Mrs.:,`Ba,rba, :'structural calculations
were made to determine the adequacy .of.these'.same�.me.Mhers in supporting
a cement tile roof., - ;'My findings -- indicate that these same members are
inadequate to support.the additional weight of.'a.cement.:tile roof. My
calculations indicate that these members would need a bending fiber
stress in excess of 2000 pounds per - square' inch. That particular bending
fiber stress is well beyond what could be ant.icipated'`to'be the allowable
bending fiber stress for the wood observed. I strongly recommend that
the tile not be placed on..this roof as framed in -,its present condition.
If I may be of further assistance', please notify me.,.
Sincerely,
lill III 11111111111 lill 1111
MIAMI SHORES
ELECTRICAL
MIAMI SHORES VILLAGE
EL
APPLIM
Permit No..... �l j....
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied v
building during progress of work.
Owner's Name and Address... _..Byrne
Registered Architect and/or Engineer - ....
Employing Electrician's Name ------- S.bT1�I - - -Sr
Location and Legal Description Lot ..............
Street and Number where work is to be perf
State work to be performed and purpose of 1
New Building ................................ Remodeling
Service Overhead Size Feeders..._. -._ .-
Underground
Type ,r Installation — Conduit.. - _
- ....- .,..... ........ . ....................... .....- ..•_........
`'L
Amount of Permit $ - -. - --
The undersigned applicant for this bu
labor under the ;- lorida Workmen's Compc
has complied with the provisions thereof,
work to be performed under this permit; a:
as are required by the Act. The undersign
licensed by Miami Shores Village,
STATE OF FLORILA, j
COUNTY OF DADE.
Before me, the undersigned authori
appeared........ .... .•. ....... ......................
to me well known, and who, being by me
of the above described construction, a 1
therein by him stated are true.
..................
My Commission Expv
NOTE: A re-inspection fee of $1.0c
materials and /or workmanship.
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PLUG
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OUTLETS
OUTLETS
REc--'P'T's
No. LA
CONTR
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LIST
CHECK
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I D1CIT.
SERV iCE
SERV!
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7_.c P.
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Service Overhead Size Feeders..._. -._ .-
Underground
Type ,r Installation — Conduit.. - _
- ....- .,..... ........ . ....................... .....- ..•_........
`'L
Amount of Permit $ - -. - --
The undersigned applicant for this bu
labor under the ;- lorida Workmen's Compc
has complied with the provisions thereof,
work to be performed under this permit; a:
as are required by the Act. The undersign
licensed by Miami Shores Village,
STATE OF FLORILA, j
COUNTY OF DADE.
Before me, the undersigned authori
appeared........ .... .•. ....... ......................
to me well known, and who, being by me
of the above described construction, a 1
therein by him stated are true.
..................
My Commission Expv
NOTE: A re-inspection fee of $1.0c
materials and /or workmanship.
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MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No......... .. ..........................,..
Date....'... :. -...I '. - �
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu: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.
Owner's Name and Address..... t f.......... . .. .. ........... No.......... ............................. _. Street... �.. .�...N ... .......... .�.., ..Z .. St
Registered Architect and /or Engineer-- .......... .............. ................. .............. ,.............................. ____ ... ......... .................. ... ..............................
Employing $lettricia[a's Name p a ......N ............................. street .
Location and Legal Description Lot .................. ............................... .......... ...... Block ................................ _ ........ Subdivision ... ......................... .............
Street and Number where work is to be performed— No......... .. Z S.f... :..... Street ...........................
State work to be performed and purpose of building (By Floors) -. ..:r-
New Building ...... ....................... Remodeling-- '-'-........i�.........Addition .....- ,................... . Repairs ..... ... .......,...................... No. of Stories ...........
..- ......
Service Overhead Size Feeders ..................Conduit. - - .--- .- - - -- ..Main Sw . __2.. ...I I - -- .....Amps..,... - -...................Main Fuses ..........................Amps
Underground
Type of Installation— C.onduit ..... .......... .Tubing.. ... ."." ....... .BXL.. ........ ,.........Metal Moulding....... ............................................................
Amountof Permit $ '- -- ... (Signed) ....... ...................... ..................... ........ ........ ............ ..,......,..-.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 3966, 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 th►. site of cite. work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub. contractors, on work to be perfo- t under this permit, as are
licensed by Miami Shores Village f I I_- rr
(Signed) .............. �.�"'....... ...........
Master if, ctriaan.
STATE OF FLORIDA,
COUNTY OF DADE. es.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared......... f'. _. e v.......... ................
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the... -a`..4!4-1i: 1.. ............................ .......
of the above described construction, and he has carefully read the foregoing application, and that he id sign the ;' and that all facts
therein by him stated are true.
LUIS GARCELL
7c My.co !ion QCAI41 Ica ......................
ColaxlEisslEdtloevoirtm otary Public, State rrf Florida
NOTE:' flJ�,,9e,{ectior will be made when such rt•inspt is made ntc' ry by improper notice for inspection, or faulty
materials and/or workmanship.
SWITCH
LIGHT
PLUG
FIXTURES
REFRIG.
IRON
RANGE
RANGE
WATER
W. NEAT.
SPACE:
STRIP
TOTAL
OUTLETS
OUTLETS
RECE'P'T S
NO LAMPS
OUTLET
OUTLET
OUTLET
CONN.
NEATER
CONN.
NEATER
NEATER
CONTR.
LIST
CHECK
ENT.
DIST.
SERVICE
SERVICE
MOTORS
MOTORS
NEON
RADIO
TOTAL
SW.
CAS.
TEMP.
PERM
0.1 HP
1•5 HP
TRANS.
CONTR.
1
LIST
CHECK
Service Overhead Size Feeders ..................Conduit. - - .--- .- - - -- ..Main Sw . __2.. ...I I - -- .....Amps..,... - -...................Main Fuses ..........................Amps
Underground
Type of Installation— C.onduit ..... .......... .Tubing.. ... ."." ....... .BXL.. ........ ,.........Metal Moulding....... ............................................................
Amountof Permit $ '- -- ... (Signed) ....... ...................... ..................... ........ ........ ............ ..,......,..-.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 3966, 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 th►. site of cite. work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub. contractors, on work to be perfo- t under this permit, as are
licensed by Miami Shores Village f I I_- rr
(Signed) .............. �.�"'....... ...........
Master if, ctriaan.
STATE OF FLORIDA,
COUNTY OF DADE. es.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared......... f'. _. e v.......... ................
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the... -a`..4!4-1i: 1.. ............................ .......
of the above described construction, and he has carefully read the foregoing application, and that he id sign the ;' and that all facts
therein by him stated are true.
LUIS GARCELL
7c My.co !ion QCAI41 Ica ......................
ColaxlEisslEdtloevoirtm otary Public, State rrf Florida
NOTE:' flJ�,,9e,{ectior will be made when such rt•inspt is made ntc' ry by improper notice for inspection, or faulty
materials and/or workmanship.
07/01 -96 20:46 V305 994 7772 BLUE RAVEN POOL 16002:002
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MIAMI SHORES
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MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.-_&4�7 �I
note..._.___/ •� 7k
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida,, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami. Shores Village shall be complied with, Whether herein specified or not. A copy of approved plaids and specifications must be kept at
building during progress of work.
Owner's Name and Address /f? ca ' f?�� —.--. No. �. Street -.
Registered Architect and /or Engineer �! r/G_o
Employing Plumber'; Name.----...-... -
L,ocation and Legal Dmeription Lot- Block Subdivldon.-______.��
Street and Number where work is to be performed- No. k 27?~ y F Street-._ 52 .5. .
State work to be performe8 and purpose of building (BY ----- --- --- ----------------- -- -------------------- ------ ------- - ....__ .
New Build lag-------------- .....__.___ Remodeling_.-...... -_ - -- Addition.--- -_-.__ .... Repairs_ ...... ... .............. No. of Stories....................
BATM
CLO &lT& TUFF
SHOWER&
LAVA-
TORIE/
$INK&
BLOT
aINKF
LAUNDRY
TYFE
URINAL/
CATCH
■AFIN
FLOOR
DRAIN
DRINKING
FOUNTN&
TOTAL
FIXTURES
CONTR.
LIFT
CMECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
GOLAN
MEATER
DEEP
WELL
aPRKLR.
oT ■Txm
SWIMIG
POOL
COWM.
LIFT
CMECK
/
Sin Septic Tana - Type of Tangy - ----------
_____ -_- ..___.._____Corporally Fed of of Drain Tile_.. -G'-Q - Feet of Tank or Drain Field from Well. - -._
Nature of Water Supply: City-Well---- _ - -Size of Soakage
Amount of Permit # -O (Sigma)- ..........
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shares Village.
( Signed)
Master Plumber.
STATE OF FLORIDA, 1 µ
COUNTY OF DADE. j
Before me, the undersigned authority. a notary public, "y authorized to administer oaths and take acknowledgments, personally appeared
to me well know;, and who, being by me first duly sworn, upon oath dewor0 and says dlat he is the- ..- __._._..__.- .- -___ -. _ .._ ................... .... _..
of the above described construction. that he bas carefulbi read thw foregoing aWlIeSdOn# and that he did sign the same, And that all facts
therein by him stated are true.
My Commission Esph"
Notary Pubho. State of Flo"
NOTE: A re inspection fee of $1.00 will be made wbm Mob r*4Lq; @od= is word; asei by ierprog 1 ssptiaa for h spec'tion, Of fauity
nsa mdah and /or workmanail06
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No._____ . . _.. bate.- .__._.._
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address..__.__ r 7 % l No, ___ _ C3 / -�_ Street-,
Registered Architect and /or
Employing Plumber's Name
Location and Legal Description Lot.......
Street and Number where work is to be
State work to be performed and purpose of building (By Floors).,
,'L.�...._ No.. � Street.._ „L.L._. .���`►
Subdivision._...} —_„
Street_.......... .... 2�
New Building------- .-- _ -._ -- - ____ -- Remodeling- -_..______— Addition-- .--- .__ ....... . -... Repaira.._ J.. No. of Stories- - _
Size Septic Tank __— ----- - -_ —__ —. -Type of Tank _ __.____---- .-- .- .----- .......................... Capacity Gals ... ........ _.......
Feet of Drain Tile- ------ ___ - -- -Olaf. Feet of Tank or Drain Field from
Nature of Water Supply: City — Well.-- _- -___ -- -- - - -- -.Size of Soakage
Amount of Permit
( Signed
Plum Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obb ations as an employer of labor
under the Florida Wor3 men's Compensation Act, being Section 5'966, Compiled General Laws of Florida Pen ent Supplement, and Jim com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ern I ed by him in the work to be
performed under this permit; and will post or cause to be postW for inspection ou e s to the work su lic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contract rs, on to be rf red un this permit, as an
licensed by Miami Shares Village. 17� 1
STATE OF FLORIDA,
COUNTY OF DADE.
Plumber.
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 chat he is the --- — ------------------ - ---
_ -•- _ .--- - - - -._ - -
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expire,
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made whm ouch mfnapectiion is suede-necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA •
TORIES
SINKS
SLOP
SINK[
LAUNDRY
TUea
URINALS
CATCH
FLOOR
DRINKING
TOTAL
BASIN
DRAIN
FOUNT'NS
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
SEWER
DRAIN
SOAKAGE
GREASE'
SOLAR
DEEP
SPRKLR.
SWIM'a
TANK
CONN.
FIELD
PIT
TRAP
HEATER
WELL
SYSTEM
POOL
CONTR.
LIST
CHECK
Size Septic Tank __— ----- - -_ —__ —. -Type of Tank _ __.____---- .-- .- .----- .......................... Capacity Gals ... ........ _.......
Feet of Drain Tile- ------ ___ - -- -Olaf. Feet of Tank or Drain Field from
Nature of Water Supply: City — Well.-- _- -___ -- -- - - -- -.Size of Soakage
Amount of Permit
( Signed
Plum Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obb ations as an employer of labor
under the Florida Wor3 men's Compensation Act, being Section 5'966, Compiled General Laws of Florida Pen ent Supplement, and Jim com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ern I ed by him in the work to be
performed under this permit; and will post or cause to be postW for inspection ou e s to the work su lic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contract rs, on to be rf red un this permit, as an
licensed by Miami Shares Village. 17� 1
STATE OF FLORIDA,
COUNTY OF DADE.
Plumber.
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 chat he is the --- — ------------------ - ---
_ -•- _ .--- - - - -._ - -
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expire,
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made whm ouch mfnapectiion is suede-necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No. -_ -/ 7 - - -• --
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building; or othl -I
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 Divisior
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.. - -- - - - - -- - -- -- - - - - -- - - - ---- ------- No. -- - g -- - - - -•- Street.. /Y.
Registered Architect and /or En F.- _..__... _ . ____ _..... �_._.___....- ------ - - - - -- -.- -. -- . ------- ----- _ - - - -- - :- ,--- _-- - - -.. -. _�
Employing Plumber's Name .. __..__ —. —_ — ._._.... No, �.r7'I�!. -. Street..__?- ..........._ -
Location and Legal 1Descri ` n t ..__... - - - - -- T___ ._��B /lock _. _ -.. -- _._ Subdivision -..... _._-..-.......
Street and Number where work is to be - -_.._ Street ._... ........................ _ ...................... -... - ......
State work to be performed and purpose of building (By Floors)-•--------------------- •------ ------------ - - - - -- ---- - - - - -- ---------- •----- - - - - -- ------ •---- - - - - -- - - - -- -
New Building----------------- - - - - -- ---- ...... Remodeling ----- - ---------------- -- -_ Addition- .._._- .......... - - - - -- Repairs. . ...- _ _ No. of Stories... ......
Cu086T9
H
Tubs
SHOWSRD
LAVA-
TORIES
SINKS
SLOP
SINKN
LAUNDRY
TU4B
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N9
TOTAL
FIKTURLI
CONTR.
LIST
-
CHECK
SPRKLR.
SY*T[M
SWIM'G
POOL
_
SEPTIC
TANK
S[W[R
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
Ca"A
LIST
CH[CX
Size Septic Tank - - - -p. - -- - ._... _..
Feet of Drain Tile _ / - - - - -- • - -- ._ -DisT eetfof Tank or Drain Field from Well
-- .Capacity ---------------
6 6w* -. _ Size of Soakage Pit---- - - - - -- -----------_-._-------------
Nature of Water Supply: i. Y .... -- - - -- .• .- -• - - --
Amount of Permit $ - - - -- — -- - --- -- -- (Signed) -- _ _ _— _ •• - . ._. n-sLp- --•- ---
• Plumbing Inspector.
The unders €gni d applicant for this building permit does hereby ceriify that he understands and accepts his obliga'ions as rm . employer of labor
under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and h: ,coin•
plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for Inspection on the site of the work such pubhe notice or notices as are
required by the Act. The undersigned agrees to employ only such slab- contractors, on work to be performed under this relit, as ary
licensed by Miami Shores Village.
( Signed )..., __ _ __ Master Plumber.
STATE OF FLORIDA, l �.
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths, and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon nath 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 tad
therein by him stated axe true,
.. ........
__ .. .
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lad
materials and /or workmanship.
WALTER CHANDLER - MANAGER
Miami Shores Village
City Hall
Miami Shores, Fla.
Gentlemen:
HOTEL EVERG�DES
MiaM u. FLorz1on
October 3, 1939.
We respectfully request a permit to build a 10' x 21'
Porte - cochere on the west side of our C.B.S. five room house,
numbered 875 N. E. 92nd Street, in accordance with attached sketch,
thus completing the building and improving the property.
We submit the following information for your consideration:
That the lot was in the county at the time the building was
begun in July 1937, when a 501 lot was sufficient to enable us to build
a porte- cochere and 14 feet were alloted on the west side for that purpose.
That because of financial reasons we were unable to complete
the building until now, although a hot water tank was installed in the
building and a written agreement entered into with the Solar Water Heater
Company of Miami to complete the installation when the Porte- cochere was
erected. This fact is evidenced by the attached letter from the Solar
Water Heater Company, giving date, dimensions, etc.
We have fourteen feet on the west side of the house and most
earnestly ask your permission to build the 10' x 21' Porte - cochere which was
originally planned and without which it will be impossible to complete our
home and finish the installation of the solar water system.
Respectfully yours,
K.
r
Enclosures. �
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
= "_
Date..
Permit No. - - - -- - - - - -- --
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address - - - -- - j J - - - - -- No ------------- I -------- Street-, --- ------- - - - - --
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Loc.
Street and Number where work is to
State work to be performed and pui
New Building---- -- ---------------------- - - - - -- Remodeling ---- --------
Addition
SLOP LAUNDRY I URINALS I CATCH I FLOOR I DRINKING
SINKS TUBS BASIN DRAIN FOUNT'NS
No. of Stories ----------------
TOTAL
FIXTURES
Size Septic Type of Tank ----- -- - - -- ------------- --------------------- - - - - -- Capacity
Feet of Drain Tile. _--------- .. ---- Dist. Feet of Tank or Drain Field from Well-----------------------------
Nature of Water Supply: City — Well ------------------------------------------------ – ----- Size of Soakage Pit ----------------------------
- - - -- ..
0`111 Id
r
------
f _ .(Signed) wpwli�
Amount of Permit $_____I °" sp ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or, cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. +
(Signed) ...._ –..... – -- – –+
z. ,_ -.._. ... .
�-- Master Plumber.
STATE OF FLORIDA, t ss.
COUNTY OF DADE.
public, dul authorized to administer oaths and take acknowledgments, personally
Before me, the undersigned authority, a notary
appeared
-------------- - - - - -- - -
to me well known, and who, being by me first duly's«<oxn, 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.
-- ------------------------------
---
Idly Commission Expires N ublic. to arida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary bNlptq t notice for inspection, or faulty
materials and /or workmanship.
r ��
CLOSETS
BATH
SHOWERS
LAVA-
SINKS
TUBS
TORIES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
CONTR.
LIST
CHECK
Addition
SLOP LAUNDRY I URINALS I CATCH I FLOOR I DRINKING
SINKS TUBS BASIN DRAIN FOUNT'NS
No. of Stories ----------------
TOTAL
FIXTURES
Size Septic Type of Tank ----- -- - - -- ------------- --------------------- - - - - -- Capacity
Feet of Drain Tile. _--------- .. ---- Dist. Feet of Tank or Drain Field from Well-----------------------------
Nature of Water Supply: City — Well ------------------------------------------------ – ----- Size of Soakage Pit ----------------------------
- - - -- ..
0`111 Id
r
------
f _ .(Signed) wpwli�
Amount of Permit $_____I °" sp ector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or, cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. +
(Signed) ...._ –..... – -- – –+
z. ,_ -.._. ... .
�-- Master Plumber.
STATE OF FLORIDA, t ss.
COUNTY OF DADE.
public, dul authorized to administer oaths and take acknowledgments, personally
Before me, the undersigned authority, a notary
appeared
-------------- - - - - -- - -
to me well known, and who, being by me first duly's«<oxn, 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.
-- ------------------------------
---
Idly Commission Expires N ublic. to arida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary bNlptq t notice for inspection, or faulty
materials and /or workmanship.
r ��
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
.'�.
Permit No ............�..__`___..__.__..
Date - - - --- ---- ---- ---------- - - -- --
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wo -rkk..` �^
Owner's Name and Address._. s.� SJ ` ^ _ No—Z-7 _......._.. Street,- .,L�_.
Registered Architect and /or Engineer .........
ei!"l. �._...�.,
Employing Plumber's Nam /.rw k.Xc ni SZA C _ I'rlo..l_7 G Street�lY_. • __ __ ! __�
Location and Legal Description Block -- -__.- __-__.. Subdivision ------- - _..........
Street and Number where work is to be performed ^No._ „ T Street -41::. t':. =.,__ -ter y�
State work to be performed and purpose of building (By Floors)--------_.....__ --- --_--.---.-.-._._.._..._.-..... ._- ---------------------------- __
New Building- ----------- ------- - - - - -- ---- - -- Remodeling- ---------------------- - - - - -- Addition------- •- •- -- -. ------ Repairs--- - - - - - -- ---- ---- -- - - -- No. of Stories- - - -- -------- -- -- - - - - --
Size Septic Tank ._.__.. -- - Type of Tank--------------------------------- ---- ----- --- ------ ---- - - - - -- rapacity Gals——--...-
Feet of Drain Tile.L -� � - --- (I�! JLY --Dist. Feet of Tank or Drain Field from Well ------------------------ - ---- _ ------ __......-- -...__
Nature of Water Supply: City — Well ---- - ---- - ------- - ------- - --- --- ----------- - - - - -- -_Size of Soakage
- ........ - - - - - -- • - - - -- -- ------ - - - - --
Amount of Permit $ -------------
?.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perina0fint Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of a work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on t be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) _ _._. -.__ -- ........ .... .. -----------
Master Plumber.
STATE OF FLORIDA, t �.
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the--- -- - - - - -- ------- .......... -...
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BATH
B
LAVA-
SLOP
LAUNDRY
CATCH
FLOOR
DRINKING
TOTAL
CLOSETS
TUBS
SHOWERS
TORIES
SINKS
SINKS
TUBS
URINALS
UL
BASIN
DRAIN
FOUNT'NS
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
SEWER
DRAIN
SOAKAGE
GREASE
SOLAR
DEEP
SPRKLR.
SW IM'G
yyyyyy
I
TANK
CONN.
FIELD
PIT
TRAP
HEATER
WELL
SYSTEM
POOL
Y
JQ
CONTR.
Co
L15T
[�
CHECK
v
Size Septic Tank ._.__.. -- - Type of Tank--------------------------------- ---- ----- --- ------ ---- - - - - -- rapacity Gals——--...-
Feet of Drain Tile.L -� � - --- (I�! JLY --Dist. Feet of Tank or Drain Field from Well ------------------------ - ---- _ ------ __......-- -...__
Nature of Water Supply: City — Well ---- - ---- - ------- - ------- - --- --- ----------- - - - - -- -_Size of Soakage
- ........ - - - - - -- • - - - -- -- ------ - - - - --
Amount of Permit $ -------------
?.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' tions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perina0fint Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of a work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on t be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) _ _._. -.__ -- ........ .... .. -----------
Master Plumber.
STATE OF FLORIDA, t �.
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the--- -- - - - - -- ------- .......... -...
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No - °'7_y
Date----- --•- °--- - -l- --- � - -_ �'....__ p-- ...._..._ _
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. -
,� _ _ ...- ..._._. No.. — __� _ / f �� Street �'�_ __ _ ......-
Owner's Name and Address. —_. _._ / -- ..._.._�_�. _. ..
Registered Architect and /or En . eer .......... -._ --
_t —�I,`�
f
Employing Plumber's Name.__ �' �lllo.. Street ........
_.._
Location and Legal Descriptio Lot__._ R __ Bl Subdivision ------- - ---------------------- _ - --------
Street and Number where work is to be performed—No ,_6 �'�_— rdet..........._.._.
.State work to be performed and purpose of building (By Floors)- __..__.
New Building --------------- - ---------- - - - - -__
Addition._____._ - __.. Repairs___:._.---------- .---- No. of Stories .. .......
- -_--- ..... -.
SizeSeptic Tank------------- ----------------- - - - - - -- -- - --- -Type of Tank---------------------------------- --------------- ------- - - - --- -Capacity Gals._.___._._._•- .___.......
Feet of Drain Tile ----------------------------- ------ - - - - -- -Dist. Feet of Tank or Drain Field from Well ------------------------ - ---------------------------------- __-------------
Nature of Water Supply: City—Well ------ — -------- ------- - ---- — ----------- -- - - - ---- Size of Soakage Pi
Amount .o.... - --- -
f Permit $. -�- := -- -._� (Signed)-.
Plumbing Inspector,
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas Com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
17 (Signed)
Master Plumber,
STATE OF FLORIDA, 1 �.
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, =d 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 be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BATH
LAVA-
SINKS
SLOP
LAUNDRY
URINALS
CATCH
FLOOR
DRINKING
A MS" �
,�
TOTAL
CLOSETS
TUBS
SHOWERS
TORIES
SINKS
TUBS
BASIN
DRAIN
FOUNT'NS
Ci4i. "BB
FIXTURES
CONTR.
LIST
�Y
CHICK
SEPTIC
SEWER
DRAIN
SOAKAGE
GREASE
SOLAR
DEEP
SPRKLR.
SWIM'G
TANK
CONN.
PIELD
PIT
TRAP
HEATER
WELL
SYSTEM
POOL
�-
CONTR.
LIST
CHICK
SizeSeptic Tank------------- ----------------- - - - - - -- -- - --- -Type of Tank---------------------------------- --------------- ------- - - - --- -Capacity Gals._.___._._._•- .___.......
Feet of Drain Tile ----------------------------- ------ - - - - -- -Dist. Feet of Tank or Drain Field from Well ------------------------ - ---------------------------------- __-------------
Nature of Water Supply: City—Well ------ — -------- ------- - ---- — ----------- -- - - - ---- Size of Soakage Pi
Amount .o.... - --- -
f Permit $. -�- := -- -._� (Signed)-.
Plumbing Inspector,
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas Com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
17 (Signed)
Master Plumber,
STATE OF FLORIDA, 1 �.
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, =d 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 be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
lill III 11111111111 lill 1111l
MIAMI SHORES
1 1 1 1 1 1 1 I!l I I! I I I I I I I I I I I I I I I I I! I I I I I I I I I I I I
SEPTIC TANKS
lill III 11111111111 lill 1111
MIAMI SHORES
MECHANICAL
111111111111111111 lill 1111
MIAMI SHORES
1111111111111111111111I1
IIIIIIIIIIIIIIIIIIIIIIIIIII
GENERATOR
lill III 1111111111111111111
MIAMI SHORES
WINDOWS
lill III III iiiii III lill 1111
MIAMI SHORES
iiiiiiiiiiiiiiiiiiiiiillillillillillillillI
SHUTTERS
lill III 11111111111 lill 1111
MIAMI SHORES
iiiiiiiiiiiiiiiiiiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
MISCELLANEOUS
March 17, 1983
Mr. Frank Lubien
Building & Zoning Manager
Miami Shores Village Hall
10050 Northeast 2nd Avenue
Miami Shores, Florida 33138
Subject: Permit to Replace Windows
Present Windows: Shash Hung Wooden Frames
New Windows: Aluminum frames, Bronze Colored,
with clear window panes
oo�o 7
Dear Mr. Lubien:
Attached please find our check, in the amount of $14.40, representing
the cost of replacing 18 windows @ .80�- per window.
The window work will be done over the next few months as my husband
is doing the work himself and no outside contractor is involved.
I am sending the check to you by mail, as it is difficult for my husband
to get away_during__the day to apply for the permit.
If you have any questions, please feel free to contact me during the
day at work at: 579 -3202.
Thank you in advance for your kind assistance and all of your help.
S-incerely yours,
ELLEN C. BARBA
875 N.E. 92nd STREET
MIAMI SHORES, FLORIDA 33138
10050 �V. ; . EECOND AVENUE
MIAMI SH,'%FES, FLORIDA 33138
(3:: 5) 758 8000
Brian M. Mark, Esq.
Peninsula Federal Bldg., Suite 607
200 S.E, lst Street
Miami, Florida 33131
Dear Mr. Mark:
LESLIE R. FORNEY, JR.
VL LAGe MANAGER
November 9, 1982
Re: 875 N.E. 92nd Street
Miami Shores, Florida 33138
I first inspected above property approximately two to three months
ago at the request of the Village Manager. At that time the roof
was covered with asphalt shingles which were in poor condition,
and there was no sign of a truck. In view of the overall excellent
maintenance of the yard, I did not send a notice.
Since that time, the shingles were replaced with a mopped 90# slate
roof, and the truck appeared. The peeling paint was also noticed.
Our records do not contain permits for roof work, either recent or
five years ago. The original roof was wood shingle (according to
plans), and apparently was replaced with asphalt shingles. Both
these roof coverings are non - conforming, and any re- roofing must
be approved by the Planning and Zoning Board.
As per our standard procedure, I am sending final notice today,
(copy enclosed)
Please call me for further information or answers to any questions
you may have.
Sincerely,
Frank LuBien, Director
FL;gm Building & Zoning
enc.
cc: Kittredge
BRIAN M. MARK
CARON E. SPEAS
LAW OFFICES OF
BRIAN M. MARK
PENINSULA FEDERAL BUILDING, SUITE 607
200 SOUTHEAST FIRST STREET
MIAMI, FLORIDA 33131
November 5, 1982
Miami Shores Village
Building and Zoning Department
10050 N.E. Second Avenue
Miami Shores, Florida
Attention: Frank LuBien
Director Building and Zoning
Re: 875 N. E. 92nd Street
Miami Shores, Florida 33138
Dear Mr. LuBien:
TELEPHONE 358 -6333
AREA CODE (305)
We represent the occupants and owners of 875 N. E. 92nd Street,
Miami Shores, Fla., and are responding to your Notice of Vio-
lation dated 10/22/82 furnished to our clients.
In response thereto, please be advised as follows:
1. The roof work was done approximately five (5)
years ago and we would request specific in-
formation regarding the unlawful materials
used so that this matter can be taken up with
the roof subcontractor.
2. The house is presently under contract for sale
and purchase and the purchasers intend to
repaint same.
3. It is our understanding that the commercial
vehicle has been removed from the premises.
It is interesting to note that these violations, more Particularly
the roof, were not noted by your department for a period of over
five (5) years. We request that you review your records and
advise why this was done. We would also like to know who reported
these violations to you.
Miami Shores Village
Building and Zoning Department
November 5, 1982
Page 2
We intend to cooperate fully with your department and hope you
will give us the corresponding courtesy.
Very truly yours,
W, *W�
Brian M. Mark
BMM: j
cc: clients
lill III 11111111111 lill 1111
MIAMI SHORES
PLANNING
Date:
TO:
NOTICE OF VIOLATION
MIAMI SHORES VILLAGE
BUILDING AND ZONING DEPARTMENT
10050 N. E. SECOND AVENUE #1096
PHONE: 758 8000
NOVEMBER 8, 1982
OCCUPANT (certified mail) cc: RITA A.KITTREDGE FINAL
875 N.E. 92 STREET 8512 HORSESHOE LANE
MIAMI SHORE`, FL 33138 POTOMAC, MARtiLAND NOTICE
PRFMISFS� 8375 N.J:? 92 STREET
You are hereby notified that an inspection of the above premises disclosed that you have violated:
Zoning Ordinance 270 Section (s) -' �- OF REGi;'LATI(-,NS
South Florida Building Code Chapter
Section (s)
XCode of Miami Shores Village, Chapter 5 &
X Article
By: REROOFING WITEOUT PERMIT
REROOFING W]..TH UNLATiTUL MATERIAL .
PEELING PAINT ON HOUSE.
PARKING COM,�IMRCIAL VEETC`I_E (FOOD & DRINK VE IDOR TRUCK) .
Requirements for Correction
Section (s)
& 2. -4
SUBMIT APPLICA'EION FOR PERMIT TO REROOF TPITH PRGPER MATERIAL.
OBTAIN PERMIT. REMOVE PEELING PAINT AND REPAINT. REMOVE COMMERCIAL VEHICLE
(OR PROVIDE GARAGE).
NOTE,, COMiERICAL VEHICLE IS GONE, BUT ROOFIING PEPMI'.l: NOT OBTAINED, PERG'OFING WITH
UNLAWFUL 1,11« ERIAL &}FEELING PAINT ON HOUSU,STILL EXIST.
Therefore, you are hereby directed that on or before the
day of
t,TC)VED-WE R
19 82 , you are to correct said violation and notify the Building Division that the violaton has been corrected.
FAILURE TO MAKE THE CORRECTION AND TO NOTIFY THIS DEPARTMENT THEREOF WILL NECESSITATE IN
CHARGES BEING FILED AGAINST YOU IN DADE COUNTY CO OR THE MIAMI SHORES VILLAGE CODE
ENFORCEMENT BOARD, OR BOTH. N
By
B.W. BROt%T-,R, INSI' --TOR
DIRECTOR OF BUILDING AND ZONING
Frank LuBivri
Date-
TO:
NOTICE OF VIOLATION
MIAMI SHORES VILLAGE
BUILDING AND ZONING DEPARTMENT
10050 N. E. SECOND AVENUE
PHONE: 758 -8000
PRFMISFS
__tr 7t•.
r Tx,, p ,rR •,,,rr� ;
r?'�:� .� ,� --; i'- µLai;' f;�.. +, +_ ' "�, •H�
v
You are hereby notified that an inspection of the above premises disclosed that you have violated.
Zoning Ordinance 270 Section (s)
South Florida Building Code Chapter Section(s)
Code of Miami Shores Village, Chapter _ Article — Section (s)
Y
f 1
WEHI, r .i, r� :�j- `.�.: J,: r+?�-_'v a, l=., c1�
Therefore, you are hereby directed that on or before the . day of x " E;, - ; "y 'E'
19 ;'' , you are to correct said violation and notify the Building Division that the violaton has been corrected.
FAILURE TO MAKE THE CORRECTION AND TO NOTIFY THIS DEPARTMENT THEREOF WILL NECESSITATE IN
CHARGES BEING FILED AGAINST YOU IN DADE COUNTY COURT, OR THE MIAMI SHORES VILLAGE CODE
ENFORCEMENT BOARD, OR BOTH. � f
Rv 1
DIRECTOR OF BUILDING AND ZONING
i4'11P''d - ' ';='' -`
Requirements for Correction.
-'' -'
+s -��, '.1. y t. �1�_. l.�i,Tl'r�.�
�t'q'pY'.
���C �l; '�'�.F,1C�i..
?_..,i,,, + r ...
r Pr
Therefore, you are hereby directed that on or before the . day of x " E;, - ; "y 'E'
19 ;'' , you are to correct said violation and notify the Building Division that the violaton has been corrected.
FAILURE TO MAKE THE CORRECTION AND TO NOTIFY THIS DEPARTMENT THEREOF WILL NECESSITATE IN
CHARGES BEING FILED AGAINST YOU IN DADE COUNTY COURT, OR THE MIAMI SHORES VILLAGE CODE
ENFORCEMENT BOARD, OR BOTH. � f
Rv 1
DIRECTOR OF BUILDING AND ZONING
dd Ciami cJ bores d &ge
F L O R 1 D A
PLANNING BOARD AGENDA OF �/�" - 10 -� 19'd *3 ITEM NO.
A -L-ty, t�1.tAN A, MKRk
Name of Owner /Applicant PAUL. !6VVYC"Z- ���o'� Phone No.
Address of Property, and /or Legal Description S7� Nt--
Nature of Request A.t'PMVA► ,, 0'r- 9t -t— cOVA% n ^
Present Zoning
R, l to T16
Area of Present Building
Area with Proposed Addition
Parking Spaces Provided
Parking Spaces Required with Addition
Setbacks as per Code
Setbacks Provided
V a r i a n c e s / E�tar�� r-ia g e
Council Action Required -1 S!
Date of Applicant Notification
Planning Board Action __
Council Action
Director of Building and Zoning
V
10050 N. E. SECOND AVENUE
f�V S ttya MIAMI SHORES, FLORIDA 33138
—OR 1305) 758 -8000 L. R. FORNEY, JR.
VILLAGE MANAGER
February 1, 1983
Mr. Brian M, Mark
Peninsula Federal B1dg,,Suite 607
200 S,E. First Street
Miami, Florida 33131
Dear Mr. Brian:
I am enclosing a copy of the Planning Board Agenda for February
101 1983 meeting, at the 'Village Hall, at 7 :30 P.M. I am also
enclosing copy of your request together with the applicable codes.
It will be necessary for you or Mr. Kittredge to be present to
explain your request,
Please call if you have any questions,
Sincerely,
, W�"
FrankLuBien, Director
BUILDING & ZONING DEPT.
FL: gm.
encls.
BRIAN M. MARK
CARON E. SPEAS
LAW OFFICES OF
BRIAN M. MARK
PENINSULA FEDERAL BUILDING, SUITE 607
200 SOUTHEAST FIRST STREET
MIAMI, FLORIDA 33131
January 26, 1983
Mr. Frank LuBien
Director
Building and Zoning
Miami Shores Village
10050 N. E. Second Avenue
Miami Shores, Florida 33138
Re: 875 N. E. 92nd Street
Miami, Florida 33138
Dear Mr. LuBien:
TELEPHONE 358 -6333
AREA CODE (305)
We recently received a letter from the owners of the above -
referenced property regarding the requirement by the City of
Miami Shores that the re- roofing of their home at the above
address must be done in conformity with the planning and zoning
board which would require tile shingles. The engineering report
enclosed in this letter indicates clearly that the current roof
structure could not withstand the weight of a cement tile roof.
Since this
home was built at
a date that was prior
to the
enactment
of your ordinance, I
would request that you
consider
strongly waiving
the requirement
in this case. If a variance is
necessary
in order to avoid violation of the ordinance,
please
advise and
we will comply with
whatever requirements the City
has.
I appreciate your help and attention to this matter.
Sincerely,
V' `" `V`
Brian M. Mark
BMM:jm
cc: Mr and Mrs. Paul Kittredge
Mr. and Mrs. Rafael Barba
1
MIAMI SHORES
-on
w 03rs�, c .
A cress or Phone
i�
Coptreetpn L Address = honp
de.
nera EY
2on,e R.eq.A"_ Cu.,, Ft. Cub. -. ContT
Pl8tt -.Rest-rictinn Chkd. By
Td Planning ardy� AP'ovecj /4• ejected
Re- SubmLit' ed- to P. Bd. �` � `� ?_- Approved elected
�.; —'Date
Plan & Spec-.'. By_� .
Approved- • T Rejected
To Council pp
Bld Pernt .I�o. ` i Date' a= `�.7 Fee�a- cost
Type :-Stories Roof
e� ^4tlons epairs
New onS
Plumbing PeLrrmil t No. Late Fee
Septic Tank
Sewer
Miscel. -- a airs
New Const. �- oration P