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9501 NE 2 AveMIAMI 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 Miam• Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein : •ecified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor w # Z � L L Date Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose • • ilding ( b and for o other purpose. New wilding Remodeling____ Addition r Repairs No. of Stories To be constructed of___ Kind ofLtfimd _ Roof Covrng Estimated Total cost of improvements $__ be sent to peared Amount of Pennl Zone cubage required Notary Public, State of Florida flan Cubage Distance to next nearest building Size of Building Lots Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with referer a to the building and its construction may 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 Ofneral Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all Contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontracto on work to be performed under this permit, as are licensed by Miami' Shores Village. Remarks ( Signed )_ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notpry public, duly authorized to administer oaths and take acknowledgipents, personally ap- -� — - -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - Permit No Date Read, Sworn to and Subscribed befdre me. Disapproved Date (Signed) Building Inspector / My ( Commission Expires ,Q PLANNING BOARD / • //17 ATE Chairman Member / Member Member Member ' ' Member Council Approved • Date Disapproved Date NOTE: A charge of $1.00 will be made for making cijrrections 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. New Building WA 0 SHORES ‘M_LAGE BUILDINiG INSPECTION DEPARTMENT APPLICATIO FOR SUILDONM PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. y � Date - — 2 19 4) / , Owner's Name and Address -. f� / No ,r B ,C Street �^� 9f eV Registered Architect and /or Engineer. ... ,� f Name and address of licensed contractor.. 4 ® ,t v`! Z Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done a- 4) 7 N • c ' t 4 oS' State work to be done and purpose of budding (by floors) and for no other purpose. Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation oq vering Estimated Total cost of improvements $ Amount of Permit $ c 1..e. c Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor A.•l I hereby submit all the plans and s ecificatio s o'r 'said building. All notices with reference to a building and its construction may be sent to. ' jar. 3 AI . GU - / 2 )1-t'c.0-1...... —. The undersigned app cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) FR. 4 - Z 3 .f / STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No /7046, Date ° —'2 —Co / Read, Sworn to and Subscribed before me. Disapproved Date �g (Signed) , ( L P tff Building Inspector Notary Public, State of Florida 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. Disapproved (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date.... ___ _ !.,2_ 2- 2,.._........,19. Owner's Name and Address ... e.az .... .. .2i1/..../ ._ Nog--e StreetllG..e.....t� s Registered Architect and /or Engineer ,.,.• .. , ..:. , 7- +--+. -._ • - -_ -:_ Name and address of licensed contractor �C(1.e L Z.e ...6,1oN....-LL 2zeL.4 ..�7... = (/.b/ Location and legal description of lot to be built on: Lot '° Block Subdivision Street and Number where work is to be done .....2. .f�..1.1/ci —Z 94 r _ — State work to be done and purpose of building (by floors) j/e .7/ 1=-7) 4 M O t t ` - c / 1 - 4 - v , d r 4 - L . rri and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation . Roof Gveving Estimated Total cost of improvements $... vect7,� Amount of Permit Si. Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) ,�, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 fgregoing application, and that he did sign the same, and that all facts therein by him statfd7r Permit No.._____ I 7 Chairman Member Member ...... Council Approved Building Inspector Date UILDIN3 PERMIT Read, Sworn to and Subscribed before me. PLANNIN ' / BOARD _.._ DATE to me well known, Notary Public, State of Florida My Commission Expires Member Member Member - -• -• -- Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is mode necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING 0 Date , 21 19' ELECTRICAL 0 PLUMBING PERMIT N9 8071 Contractor's t t t4 ROOFING License No Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building CONTRACTOR or BUILDER Lot 1 1 Bi Subdi- vision Sq Ft. Value of I Amount of Project $ I I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed• t (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to: perform the work covered hereunder in compliance with all ordinances and regulation:. pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work dome by either, myself, my agent, servant or employee. 6 407 - 0 - 4-- .. cfit BY AUTHORITY l‘s 7_ 42. Owner's Name and Address Registered Architect and /or ly Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. Building Inspecto APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at buildin during progress of the work. - Location and legal description of lot to be built on: Lot Block Subdivision • Street and Number where work is to be done ' 2 0_ q �...S" e State rk t done and purpose of building (by floors) ...\ _ and for no other purpose. New Building s Reglodeling. - . 'tion Repairs No. of Stories P To be constructed of Find of foundation - '' Roof Covering Estimated Total cost of improvements $ in ®c5 y C Zone cubage required Amount of Permit $ plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause be posted for inspection ., the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to em oy on +ram u . a wo to be perf�rmed under this permit, as are licensed by Miami Shores Village. y i Remarks = gne• ` `. STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him s ted are '2---- true. � ? Permit No.._.! Date 3� Read, Sworn to and Subscribed before me. Disapproved _ Date. ._.... �� f f Notary Public, State of Florida (Signed) 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 hoard. 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. ::hcrry ' 20 5.95 Scrim (4 0x36) 13.0 ! C::crry Planked i� 20 5.93 Scrim (40x36) i313.k; '' Crossroads 19 5.95 Scrim (35x33) 72.8 Diplomat Wolnut Hopsack Interplay La Moire Mnndorin Sill. 15 5.95 Scrim (33x33) ■ Planked Prize ?coon 20 5.95 Scrim (40x36) 13.3 12.2 1.6 d loyal Ter Prize Pecan C , ^,oyai Teak 20 n.95 Scrim (40x36) 13.11 12.2 1.6 .020 Type i Sand Stipple Tempo ti crass i i Travertino 6uriap Cel ebrity hopsack imperial Gross Parquet Cork Conquest Escort Hercules Pomanza Sold Spanish C.., S :ute Stardust f l Stoneybrook Torrcin Trellis t.: rI1s :: .S' Third Weight PATTERN oz. /tin. yd. 54'` 1'. iuiF iav_rag� Fabric Type and Count 20 ?5 Scrim (35x33) 13.7 15 5.95 Scrim (33x33) 10.0 19 5.95 Scrim (30x33) 15 5.95 Scrim (33x35) 10.0 8.4 1.5 20 5 .rr °r'i'. ( 13.3 12.2 1.6 73 5.' :7 c. ist (,0x36) 13.0 12.2 1.5 15 5.95 Scrim (3803) 10.0 8.4 1.6' .016 Typ. 9 5.95 Scrim (38x33) 12.S 11.2 1.6 .029 Type. 19 5.95 Scrim (36x33) 12.0 11.2 1.6 .G26 Ty; 5.95 Scrim (3803) 10.0 8.4 1.6 30 2.35 Osnaburg (32x26) 20.0 15.9 4. i 32 2.35 Osnaburg (32x26) 21.3 17.2 4.1 32 2.35 Osncburg (32x36) 21.3 17.2 4.1 , .L 4 1.85 Drill (68x40) 23.1 14 2.35 Osnaburg (32::26) 16.0 11.9 4.1 .025 2.33 Osnaburg (32x26) 21.3 17.2 4.1 .031 :.0 1.85 Drill (68x40) 17.3 12.'. 5.2 .029 32 2.35 Osnaburg (32x26) 21.3 2.53 O3i:aburg (32x26) 16.0 1.35 Drill (68)140) 1.05 Drill (68x40) 17.3 12.1 5.2 2.35 Osnaburg (32x26) 16.0 11.9 4.1 22 2.35 Osnaburg (32x36) 32 2.35 Cs 3aburg (32x26) `-5 2.3 Osnaburg (32x26) Toia d I it To - ail •r'r +��• � ,.... Weigh; l'. ' i );r T; I1 n ss crlc - -_ oz. /sq. yd. !D:'. /s q. 6 . a?. /sq. yd. Inch•::- ::poci ;r . F.r,': L'1 T(;tal Wright Average Averc.:;e i;v.:rage Average CCC - VJ t•'i rnum 1 -- 7 oz. /N,.yd. Type 11 - -- 13 oz. /sq. yd. Type El- 22 oz. /sq. yr:. 17.2 1.�. 19.7 .4.5 17.0 12.2 1.6 .020 12.2 1.6 .020 :: ; 11.2 1.6 .023 12.1 1.6 .016 Type 8.6 1.6 .017 Type i 12.3 11.2 1.6 .323 - i , pe I 10.0 8.4: 1.6 .016 Type 1 17.9 5.2 21.3 17.2 4.1 13.0 4.1 .015 Type I .020 Type .020 .020 T;p. .016 ': ypc .032 Type li 1.35 Drill (63x40) 19.7 14.5 5.2 .030 T'' ri .039 Type is .038 Type it .055 Type li 4.1 .032 Type I. ' 4.1 .024 Tyi. 11 5.2 .025 7 1 1 2 , ti .023 Type if .027 Type Ii .052 Typc 11 21.3 17.2 4.1 .031 • ' Type II .045 Type li 33 1.40 broken twill (60x48) 22.0 15.0 7.0 .032 Typc ill .... .. !Ie. ; as rnanuiactured by Tho C-onerb; TL.: C :It;,:.er Conpeny, and lGY' :::. ... • oil minimums as net ,or;i1 in ,',...,:ill Speciircation CCC -11,1406A. U._.- .... ;1: . •- v•?i cble upon requ;:st. -^ ^r , -no .. ;ir.:cr,n yardage required. "C;c.:c:c L_ . .1 - .•:y, ^ :• -.:; quality vinyl weilccverin1 contains a new ingredient •that provicL _. ceptionu. avr . :. La 1r :cider qualities and is particularly effective against Staphylococcus aurcus, a., iti ell G:;G:: .,;;hoovering. Ty. . 5o60 C Weight CCC- T -191B !041 Type I- 7 y;,e II :lore T ype 111 Brcaeing Strength IVJAF> CCC-T-191B Pounds 'Type 1. • - 40 a 30 wits. Type 11- 50 x 55 min. Type Ili- 100 x 95 min. rear Strength (WxF) CCC -T -19:6 51 s2 ); : I - 14x12min. ype ;1 - ?5 x 25 min. Typc 111 - 50 x 50 rein. Adhes;on (pounds /inch, min) 1 Type 1-2 Tyoe II -3 Type 1II - 3 .;Lrasion Rcsitance CCC- T -191E 5335 Double Rubs %ype I- 200 min. Ty?e 11 - 300 min. Type 111 - 1.000 min. fire H,,zard Class. (Tunrel Test) ,=.3711,-E-84 (,LFPA 255) Spread - Minimum 25 Developed - Minimum 50 Ty ?es : I!, and 111) Type I rr ?stress to Light Typo 11 r 200 hr;. No Ch:,ngc Sicck;r3 000-T-:918 5372 Sc: a No. 2 S:rinkaga CCC -W -405,4 4.4.4 Percent Type 12.0 x 1.0 max. Type I1 2.0 x 1.3 max. Type I11 2.0 x 1.5 max. Cold Crack 7 23 ° F. CCC -W -400: . .Cr, 191 CCC -T -131: 5550 at . Vin Ca:ioral Phis: las t)ivisio.i Ccatract ,rotip 07'9 New Yorl:, Now Yo :, 1 u022 Ilona: (2 2) 3. Viny: T. faces. .7, de- si for exter.or usage. Surfaces riot gencraii' acable for vinyl waP.coverings may fequire special proceduras , )lication tech- . niques prior .o ins:a-anon. Sizz?: pa.,,erns :Iva:di:Me in inch wic.... yard Odds. Cut arche is ,aiso Co:nr: Cve:- s.c,c:t colors avail- able, with c .s,orn c,,j, available upon reques:. 7.•• •_ • V .."7,113■20., . Tw_cds, Linens, Silks, Damasks. asse-, _LT:Gnes, .11arirles, ocks, Leathers, Spec: 'ctuai samples uf al-. r , [..cON Catalog (:f . Spacification s . • of . .N[0. 'r,rn.ot ho, n by CS', 19•!,4, (TeliV.i011 of Tht: • •ut,,ns 1,41ture, Inc., Wash• o.• d. IC tkr. . : Umar- - 1,••ne Lit;:k .e olaT 1' . , ! H .:. -:.....ion ■••■•,4. ',, :.o ,-• . .....A. Bo,..ro, Peasy .... V,V(,!••:. 11, , 2C . 3 ! • \11.1■ 1 .• . —71 Itr..1.1 ...IJ ;:.i a ail ..i. gre..sa, Gld palm: and openings, cracks. eatviaas and 110H, with spack- ling compound. Sana rough spots smoo:::. NEW PLASTEa: Cnack or dryness with moisture met:. r.temove all crystals due to efflorescence. P, Si.51'..'ACE5: Check for any ign1cn bleed. Dull all enamel and :Joss paints hy sar.ding. OTHER SURFACES: or covcring surfaces other than standard wall surfaces, Right Ann Latex Primer which promotes tic!,eso:. of Genon to metal. -. _dass. tile or other vinyl tvallcovcring alay lie used. For spe- cific procedure- and details, please contact your . Canon represcnta- tiVe. : 1 L• ,11■Nr CT-4.60A. A di) ii:.nufactur- er. or roi: Aditcsive uniformly G.1 s. using : gallon l'or every lc, panels: of nonuna.c., Por deiaiied '1 11) iles. 8. - 2;_iA'N.4NC.E ClVj1 5,./DcilicaZIons .;• re- r • accuracy. in ins:ructions, see proce- ,',:res (indosect with every roll .of 1;.±..N vinyl Walicoverings. AND COSTS Marketed in all :i;71Les United States (including Kawaii), Puerto Rico, and ;Lan. foreign cotmtries. kr;t;r:'.: [:ices vary 'tsith weight and Cootaet General Tire Contract Gr local representatives for Ail GENON products are guaran- teed 2abs. rua.tufactufing defects for a period of one year. If defects become evident during this period, manufacturer will replace vinyl and assume installation cos;.s. The manufacturer recommends us- ing any mild detergent for routine cleaning of a GENON Vinyl \\Tat:cov- ering installation. Should unusual soil cotaliCions exist, eamact manu- facturer. 9. r t.ECif - ..11VGAT- For specific: tecknie . -sistance, contact GrEN. •••,:...as, Of- fice or local .oet ral service represtin us .. for preparation nr. • material selection. Uniform Systom BUILDING INSPECTION DEPARTMENT ' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications •yt be kept at • 'Iding during pt gress of the work. �.. Date 1 \ 1 �� 1/...---' Owner's Name and Address > >'. + .,, T .� No �.. StrZ ° $ .... Location and legal description of lot to be built on: Lot Block Subdivision — ern name xstismatts tss■strttertx Street and Number where work is to be done State work to be done and purpose of building (by floors) I hereby sub be sent to Permit No. Disapproved (Signed) ...6<- ,, .�r MIAMI SHORES VILLAGE Read, Sworn to and Subscribed before me. • ..-.-.-....._\; ...... ...._- ..._...... _._._...._ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering — Estimated Total cost of improvements 'S C) a 6.3 Amount of Permit $,. Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor (Signe STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - 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. l ? 3 � - °- � . •D ate.. - - 3_ -4 .ate to me well known, Notary Public, State of Florida Building spector My Commission Expires PL ,: INC 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. • the pl. n and ec' 'c tions for said building. All notices with reference to the building and its construction may The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ onl such .ntractors, ` .rk to be p under this permit, as are licensed by Miami Shores Village. I� Remarks UILDING LECTRICAL LUMBING )caner of uilding A -; P � - MIAMI SHORES VILLAGE, FLORID DATE PERMIT N° 7442 Work to be performed under this Permit rchitect - ontractor Builder .egal Lot iescription ddress of uilding This permit is gran d to the contractor or wilder named above o construc :lion herefor in strict compliance with all ordin ces pertaining thereto and w th tans, drawings, statements or specifications that may have been submitted to and any time if the work is not done in compliance with such ordinances or if the pl Crmit is granted is the understanding that the contractor or builder named above :gulations pertaining to the work covered hereby whether shown on the plans or bility for work done by his agents, servants or employees. In consi >rtaining there accepting thi CON OR ILDER Signed— Subdi- vision BY 2. Contractor's License No r- or to install the equipment or device describe. ' • the appli- ing that the work will be performed in compliance with any e proper municipal authorities. This Permit may be revoked ed witluaut authorization. A further condition upon which this responsil . horough knowledge of e ordinances and in their • ; ecifications and ha e assumes respon- �� INSPECTOR this permit I agree to perform the work covered hereunder in compliance with all ordilances and regulations he plans, drawings, statements or specifications submitted to the proper authorities o Miami Shores Village. all work done by either myself, my agent, servant or employee. AUTHORITY 19 M M R E S VILLAGE BUILDING INSPECTION DEPARTMENT A PI_IIrATICIN FOR BUIL•0 fa PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. (� 7-ezL Date Owner's Name and Address. _.. _� �/ lam' Registered Architect and /or Engineer �_ Name and address of licensed contractor o °'�� y "�A✓d.. Building I" sector Location and legal description of lot to be built on Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) / , StreetPelg a i . %.. and for no other purpose. New Building Remodeling v Addition Repairs No. of Stories To be constructed of Kin. ••f foundation. Roof Covering 11 6 ES . Estimated Total cost of improvements $ A moun t of Permit $ ^- Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. L �1� Remarks (Signed) _ � __ • __ .� f' . �_ .___ STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated e true. / Permit No �� Date - 7 � � 1 Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida 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. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address A Registered Architect and /or Engineer C. Ar p FS cry Name and address of licensed contractor O* 1- ' A.,..)..48. S Location and legal descripti f lot to be built on: Lot ° j31ock Subdivision Street and Number where w k is to be done State work to be done and urpose of building (by floors) 1v. APp re 4- t (\ Building nspector MIAMI SHORES VILLAGE t 4 ■2S Date , 19 4 ° No 24 Street J• E- 7 S'r and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering °sue Estimated Total cost of improvements $ 9 C414-11 Amount of Permit $ Z Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor a I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco tractors, on -ork to be yepfy'med unde this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ��.�. ! Date Disapproved (Signed) 7 - 7_r_&- ‘3 Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ®� ELECTRICAL PLUMBING ❑ ROOFING Owner of Building ❑ PERMIT N? 15898 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE Y. T 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner's Name and Address. -_ - -. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Tot Block.. Street and Number where work is to be done State kit rk to be done and purpose of New Building. STATE OF FLORIDA, COUNTY OF DADE. f sa MIAMI SHORES VILLAGE 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 Miacii Shores Village, Florida, and all provisions of the Laws cf the State: of klurida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shore; \ illage sha be conipLed with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Remodeling To be constructed of _.. Kind of foundation Estimated T ,tal cost of improvements $. e Amount c` Permit $ Zone eubage required___... _-Plan Cubage_ __ ___ _ ___ _ _ ___ _..._... .. _. . Distance to next nearest building_. _Size of Building Lot . .___ ._... Maximum live Load to be borne by each floor 1 hereby submit all the plans and speciii;•ations 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 ibat lie understands and accepts his obligations as an euepiok c r of labor under the Florida Workmen's Compensation Act, being Section 596(3, Compiled Gent ral Laws of Florida, R•rn n nt Suppl, •rota and pars complied with the provisions thereof, and will require similar compliance front all contractors or sub - contractor:, employed by hire in the work to be pc rf.=rmed under this permit; and will post or cause to be posted for inspection on the site of the work such public note, e or tiotices as are requir d by the Act. The uridtrsigued agrees to employ only such subc.•onj rctors,, n work to be perfo n,• d Le der this permit as are hcensed by Miami Shores Village. Remarks_ (Signed).x. Before me, the undersigned authority, a notary public, duly authorized to administ• +ths and take acknowledgments, pci :9p- peered . .. - .. to me well known, and who, being by me first duly sworn, upon oath deposes and says t)iat he is the .. of th • abov, de- . ibed , >>nstructlon, that be has carefully read the fo egoing application, and that he did sign the same, and that all t., therein by him stated are trite o Permit No _� .__ .. _. Date - Q Disapproved (Signed) .. BUILDING INSPECTION DEPARTMENT Subdivision. - --- ...... __ -• aoef Addition .. Date ° /4.° ...... No . -•- Street_ -_- _.... - - -- - Repairs a. (A...2.-,,Q.- _ ,, . ..._ and for no other purpose. . No. of Stories Roof Covering Read, Sworn to and Subscribed before me. Notary Public. State of Florida My Com:ni scion Expires_ ..- ....... . . ,19 p PLANNING BOARD ... -_ .._ . __ ._.__ __.._ -__ -- ..__.DATE Chairman Member Member Member Member - --- - Member Council Approved .._. . .Date Disapprot . Date NOTE: A charge of $1.00 w1ll be made for making corrections cr changes to this application after a1 prok t) l:.rs h-. it obtateed from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is meal necessar} by improper notice for inspr ttae to l.tt ty materials and /or workmanship. 1 i 1 Z , 8 „ 7 ;d. • I i N° 657 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks • This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION Gentlemen: C Z14371'3 - December 17,1948 Ring Construction Company, 420 Lincoln Road Komi Beach, Florida. This is your authority to permit the owners of the store at 209 N.E. 95th Street to start their occupation of this store unit. Proper installation of store fixtures and pUblio safety preoeutions will be the owner's responsibility. Tows very truly, John D. Hansen Billing and Zoning Director. Street and Number where work is to be done APPLICATION FOR BUILDING PERMIT 4pplication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or oti,er 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein .e • ed or not. A copy of approved pla and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer_ Name and address of licensed contractor Location and legal description of lot to be built on: Lot________ _____ ________ Block_ Subdivision r� State work to be clone and purpose of building (by fio9r New Building To be constructed of Estimated Total cost of improvements $_ ° Zone cubage required—__ Distance to next nearest building and who, bei of the above therein by him Permit No.__ STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized appeared e 6 t duly sworn, upo ed co struction, that -b d are true. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Kind of da ion �� __Amount of Permit $__ Buirding In pector My Commission Expires PLANNING BOARD 9 DATE Chairman Member Member Member _ Member t Member Council Approved__ ___ —___ __ Date Disapproved to - -- — = cap , 19 Repairs No. of Stories____ - -___ Remodeling_ _— _____�__ Addition__ —___ p ____ Plan Cubage Size of Building Lot Roof Covering_ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contracto or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be post -•' inspec on n e pjic lof the work such public notice or notices as are required by the Act. The u dersiedcees to employ only s `a. sutcotltraE ora work // to be pegform d under this permit, as are.: eased by Miami Shores Vi Remarks FA, - ' (Si :ned)11/ /A, to administer oaths Notary Public, State of Florida and take acknowledgments, personally to me well known, eposes and says that he is the ully read the foregoing a��ion, and that be did sign the same, and that all facts Let? Re Sworn to and Subscribed before me. _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. 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 ..Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, wheth her:'n specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. -� ' Date `�> ---� ��' �e ��`. ,4=5 r o- No Street Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal escription of lot to be built on: Lot / ____1 _ Block. .22 Subdivision Street and Number where work is to be ne_ State work t ne and purpose of bu' _ nn (by floors / V _ ew Building Remodeling T __ Addition Repairs To be constructed of Kind of fo STATE OF FLORIDA, COUNTY OF DADE. j ss. ( Signed) – APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLA BUILDING INSPECTION DEPARTMENT ,,, o Building nspector PLANNING BOARD ,___DATE • No. of Stories R•�j overjn Estimated Total cost of improvements $___ Lei Amount of Permit $ Zone cubage required __Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ) ,, Remarks ( Signed ) and who, being by me first duly sworn, upon oath deposes and says that he is t of the above described constru tion, that carefully read the foregoing .. Permit No therein by him stat. d are true.) P_ c - �______ ____�_( 4 ' ead, Sworn to and Subscribed before me. D Disapproved and for no other purpose. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, lication, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires 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. BUILDING ELECTACAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 7446 Work to be perfor d under this Permit Architect Contractor or Builder Legal Description Address of Building This permit is gran the contractor or buil named above o construct the cation herefor in strict compliance with all ordinances .ertaining theret and with the plans, drawings, statements or specifications that may ave been submitted to and app at any time if the work is not done in compliance with such ordinances or if the pl permit is granted is the understanding that the contractor or builder named abov regulations pertaining to the work covered hereby whether shown on the plans o sibility for work done by his agents, servants or employees. SP CT In consideration of the issuance to me of this permit I agree - _ ' rm the work covered hereunder in pliance wi pertaining thereto and in strict conformity with the plans, drawings, statemen s or specifications submitted to the proper au In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. O BY buildin •` or to install the equipment or device described in the appli- derstanding that the work will be performed in compliance with any ved by the proper municipal authorities. This Permit may be revoked e changed without authorization. A further condition upon which this es they sponsibility for a thorough knowledge of the ordinances and t. tements or specific +'o s and that he assumes respon- Contractor's License No. 194 all- ordinances andgegulations orities of Miami Shores Village. AUTHORITY BUILDING ELECTRICAL • PL1 ABING Owner of Building Architect Contractor or Builder Legal Description pertai In ac g Lot CON RACTOR OR [TILI)ER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7442 Work to be performed under this Permit Bl. Address of -(-17;',..' , �(s 1 l r r' -ta - -� Building ), y E s' !; — , ) A This permit is gra ed to the contractor oi'/builder named above to constru cation herefor in strict compliance with all ordinances pertaining thereto and with plans, drawings, statements or specifications that may have been submitted to and at any time if the work is not done in compliance with such ordinances or if the p permit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employees. ', Signed. i Subdi- vision Value of *` Project BY ' f� INSPECTOR r a DATE 194 Contractor's License No. r Amt. of Permit j Fa * AUTHORITY S r the buildfiri or to install the equipment or device describe.- the appli- e under a ing that the work will be performed in compliance with any 'pproved .y the proper municipal authorities. This Permit may be revoked ns are c ged without author'zation. A further condition upon which this assum e responsibi dr wi gs or in the tat thorough knowledge of the ordinances and r pecifications anc the/he assumes respon- 4 ! In ons atpn the 'ss �ince to a this permit I agree to perform the work covered hereunder in compliance with_all ordinances an retion's erg nd in rlb coiif6in'iity i the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shbtes Village. it I� s *shine esppnsibih or all work done by either myself, my agent, servant or employee. OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) _09 N E 9511 Street LOT ADDRESS BLOCK SUBDIVISION PHONE NO. LICENSE NO. , ENERAL CONTRACTOR r BUILDING PERMIT NO. 442 7442 DATE p 8 PERMIT FEE $ •00 BUILDER'S BOND NO. DATE ZONE PEQUIREME CU. FT. PLAN CUBE CU. FT. EST. COST S I OCC.CO DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION Installing permanent cooling rooms and package room inside ;Hein store X ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 657 o ISSUED 1 / 2 4/49 i7 BY 'D u TO Shore Building C;or. • BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE rni INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION t l TEMPORARY SERVICE $ BEAMS & LINTELS ` $ SEWER FRAMING SOLAR HEATER $ GAS v S $ INSPECTIONS FINAL 1 JIM BY RE- INSPECT BY ROUGHING CLEAN -UP • • GAS CONTRACTOR City Plumbing Coe PHONE n PERMIT NO. '559.3 DATE 1117/19 ry FEE $ f .25 NEW BLDG. X r ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER S SOLAR HEATER $ GAS S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS I SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INIPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP.SERVICE ROUGHING ' H. W. {THEATER CONN. RANGE CONN. FIXTURES & FINAL • BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build. ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address 44 yY>1 t Registered Architect and / : ::ctor...addrst of lice. ..... �... _kC.e. _ ?fa on and legal description of lot to be built on: Lot .. Block Subdivision ¢� S Street and Number where work is to be done ...-._..•�.- ...Si.._ State work to be done and purpose of building (by floors) New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Co Estimated Total cost of improvements $ 3V Zone cubage required Date NOTE: A charge of $1.00 will be made for the Planning Board. A re inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. 20 94!4..... ?5 it No e PL NINO BOARD Chairman Member Member ....... Council Approved Date DATE Date Read, Sworn to and Subscribed before me. Street .g Notary Public, State of Florida y Commission Expires kid and for no other purpose. Amount of Permit $. Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under theFlorida 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 pennit, as are licensed by Miami Shores Village. Remarks.-._ (Signed)- STATE OF FLORIDA, i COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him s ted ar Permit No..— _t Disapprove (Signed) i Building Inspector Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date — __.... _.._ _...Z *... ,192/ Oµmcr's Name and Address ... _ No ZP..Y......... Street_./1/.t o.. _�..5_ -- S. /_. Registered Architect and /or Engineer .... _ ,.,...:,,...,.- * -. ,,._ . ,.•11.1_ -. . Name and address of licensed contractor... Ai- 4.04e) 5 . .2 i1irI......... C ...._ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 20 ./1/ E.., 25 - _-- -- State work to be done and purpose of building (by floors) l ... .... New Building Remodeling X (Signed) --6v4^ Oi de/ and for no other purpose. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Coverin ao Estimated Total cost of improvements $ Zrg? Amount of Permit St,. __.. Zone cubage required .Plan Cubage Distance to next ne. rest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to • °- •-- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work 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 pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to 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 hirr} stated i io ? _ Z � ? � . Permit No.._...._ Date P Read, Sworn to and Subscribed before me. .. Dis Dat `ed 7 Notary Public, State of Florida // Building Inspectgr My Commission Expires $)r ANN1NC BOARD _.._ DATE Chairman Member \fernber 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 mode, necessary by improper notice for inspection or faulty materials and /or wj4manship. Amount of Permit $ 9 BAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT AP LIGATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :lda, 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 muax be kept at building during progress of work. g fth Q rk � Owner's Name and Address. - 0 c�/�I T C. L #' . ` ea . No 1 G .. Street er F ix� Registered Architect and /or Engineer Employing Electrician's Name . No... f p _ r . - -- '�-oa. i� �- Q7 /.Q4?..Ms Street. f� — e 7-;- ( 3.i3ii Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation — Conduit Tubing.. B.X.L Metal Moulding (Signed) Date ector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob lions as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). Master Electrician. STATE OP FLORIDA, } as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of 51.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS / ® PLUG RECE'P'T'S /6 f) FIXTURES NO. LAMPS / REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER :�' W. HEAT. CONN. SPACE HEATER STRIP HEATER _ TOTAL CONTR. LIST �� 5 e-- . ?�. _. CHECK 47 4j /r n - ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•9 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK Amount of Permit $ 9 BAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT AP LIGATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :lda, 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 muax be kept at building during progress of work. g fth Q rk � Owner's Name and Address. - 0 c�/�I T C. L #' . ` ea . No 1 G .. Street er F ix� Registered Architect and /or Engineer Employing Electrician's Name . No... f p _ r . - -- '�-oa. i� �- Q7 /.Q4?..Ms Street. f� — e 7-;- ( 3.i3ii Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation — Conduit Tubing.. B.X.L Metal Moulding (Signed) Date ector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob lions as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). Master Electrician. STATE OP FLORIDA, } as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of 51.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. I hereby be sent to Disapproved (Signed) Date Building In ctor MIAMI SH RE VILLAGE BUILDING INSPECTION D PARTMENT APPLICATION FOR i= :UILDINlG PERMIT Application is hereby umde 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 ordina s of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied wit . ethe herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. - e3 — No. e ' __. Street + E 4 Owner's Name and Address Registered Architect and /or Engineer... . - • - -• -•• A Name and address of licensed contritct ? or. .. -• - • �} -+,-- o"•L - -t Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done • .a - .•. - - . - - -•• •• - • - - -• • - • - — — - Sta r k be d ne and p rp•se of building (by floors) �.• - •• - - -- Notary Public, State of Florida My Commission Expires DATE .y....M... and for no other purpose. New Building Remodeling V Addition Repairs No. of Stories ' To be constructed of i d o foundaation.. Roof Covering _..— Estimated Total cost of improvements � Amount of Permit $. Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor it all the plans and specifications for said building. All notice with reference to building and its c o truction may The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor 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 spection on a site o the work such public notice or notices as arc required by the Act. The undersigned agrees to employ o• sue •n• .cto • . be performed under this pennit, as are licensed by Miami Shores Village. r � Remarks._._ ( STATE OF FLORIDA, COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him s ted ape true. ^ 1 6 r �J ,S Permit No.. ..&_ " s ate .f . • Read, Sworn to and Subscribed before me. 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 r<eceseary by improper notice for inspection ow faulty materials and/or workmanship. 4. Q I t BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby .nude 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 w' herein specified or not. A copy of approved plans and specifications m be kept at building during progress of the work. Owners Name and Address ... Registered Architect and/er iT er Name and address of licensed contractor Location and legal description of lot to be built on: Disapproved (Signed) MIAMI SHORES VILLAGE Building Inspector Dat 4No Block suba►; i where �R t► • - _ Street and Number where work is to be done 1 R ai State .ork be done and purpose of building (by floors) CXarftaik and for no other purpose. New Building Remodeling. NO' Addition Repairs No. of Stories • To be constructed of. .. Kind of ndation �..... � RRo f Covering ... vie' Total cost of improvements $... V' Amount of Permit $. * Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit a e plans and specific for said building. All notices with reference to the building and its construction may be sent to •• \° ^'®° ' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the ...f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su act • • '- be performed* under this pennit, as are licensed by Miami Shores Village. Remarks..._ (Sign e . Permit No. ._..._ r a 21.— Read, S : orn to and Subscribed before me. Notary Public, State of Florida ommission Expires STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described co struction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stptt d afe/ ru / PLANNIN 'BOARD _.._ DATE Chairman Member Niel Member Member ...... — .--- ._..-- •- --.- .- _....._ Member Council Approved 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. a 2 • s 0, v ti Application is hereby uinde for the approval of the detailed statement ur rile plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progre s of thQwork. L Owner's Name and Address Registered Architect and /or Engi ineer..... .... Name and address of licensed contractor.....1.. \ Location and legal description of lot to be built on: Lot Block , a r ,... bdjvision t+ _ . ...... ........_. �...._�.._. .. Street and Number where work is to be done V _ .. State wo to be d and purpose of buildi (bb floors � # r, ...., New Building To be constructed o Estimated Total cost o Zone cubage required Re n d .L Addition q- �indif foundation l it GOO improvements $ Maximum live load to be borne by each floor MB SHORES VOLL BUILDING INSPECTION DEPARTMENT APPLICATION! FOR BUILDING PERMIT bkvit) gs_ 0R � -) C e*q-ec -- and for no other purpose. No of Stories Roof Covering Amount of. Permit $. .Plan Cubage c Distance to next nearest building r 1' Size of Building Lot r " 1V I hereby bmit all the p Inns t►p pccifications for said buildi ,be sent to.. 'd Dot ®. .._... � _.. �?_. _ ___...._ _ ,19. No ) C Street_. LE. sT f•� Repairs GE A All notices with refere ce to the bu and is construction may The undersigned applicant for this building permit does h .y certify that he understands and accepts his obligations as an employer of Libor under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sop dement, 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on works to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). STATE OF FLOFIDA, COUNTY OF DADE. Ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. �i y Permit No IC/ [00'6 Date ( ` l 1 � / q Read, Sworn to and Subscribed before me. Notary Public, State of Florida Disapproved : Date (Signed) _ Buil•ing Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Mctnber 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 fmm the Plannir,;; Board. A re inspection fee of $1.00 will be charged when such re inspection is modo necessary by improprr notice for insprvtirm or faulty materials anti /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date - L f - 0(7 2 - Job Address ZQ I /Y,e, 912 Tax Folio Legal Description Historically Designated: Yes P . l Noo �( Y- Owner/Les�t (60 4 E 6�N / I,E 7 ( 6L Ia r Permit # \ 7 r O O 'U f Owne?s Address /000 ? J"l ' t f I Vg Phone 3 7S? Contracting Co. / l 6 Pb-f---v 9/ S / J -f Address /-5 IAA v/X /Z uJY /�/. Qualifier I/4 \J) 0 / A4 / SS# Phone 3 0 S = 9 Y7-S State # Municipal # Competency # Z9 3 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE WORK DESCRIPTION 0 NZ ( 1 � � � i C) ' C s P Ld9 5 C (6. DID) A+c 4 (53u77-1. 51 n � ) o, /9-it/ )c i S7 - iA(v Square Ft. + 7 5 Estimated Cost (value) 35 (%U 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that - . k will be done it campliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do +�.tated. • • ' and/o0 31 :r, ; r .e V SEAL mires: STAY I PACHTER NOTARY PUBLIC STATE OF FLORIDA GOMMI9SION NO. CC748560 Signature o : as to My Commission FEES: PERMIT APPROVED: Zoning a Mechanical C— RADON vtu-/0-2 Building s v: Date to S C.C.F. . d NOTARY ottlty as to C tractor or My Commission Expires: 7 -Y- - 6 0 Date 3 -y -o, er- Btild4ltIAL NOTARY SEAL Vat STANLEY I PACHTER NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC748560 MY COMMN FnjUNE V,2002 BOND TOTAL DUE ( 9 U . (-Q. Plumbing Structural Engineer 321C O PLASTIC LETTER INSTALLATION PADS and STUDS CONCRETE BLOCK AND BRICK SURFACES — Combination Studs Top, Pad Balance • Thoroughly dean the surface In the area of the pads. • Tape letters In place (without studs Installed) using the spacing template. Remove one letter at a time, install stud and reposlton biter, banging Into place or Inking stud to mark hole for drilling. Or make a hill sized moun- ting template. • Order studs In-line for mortar joints if background is brick. • Drill IA" holes, 1 W' deep (and remove pattern it used). • Dust out holes and using a wire brush clean surface where the pads are to be adhered. • Fill holes with silicone and apply silicone to pads. • Insert letters and press pads Into place. /`2 /N. 3 tve4 iC 77g, BALANCE PAD STUD ONLY TOP Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/29/02 Applicant: GEORGE Owner: (% JOB ADDRESS: - :E� -AVE Contractor MODERN DISPLAY Local Phone: (305)947 - 5876 Parcel # 1132060133890 If there is no permit packa fee is $50.00, which must be This Permit is granted to the contra ordinances pertaining thereto and witt and approved by the proper municipa authorization. A further condition upo ordinances and regulations pertaining by his agents, servants or employees Signed: In consideration of the issuance to with the plans, drawings, statements myself, my agent, servants or emplo; Signed: JDM INC D B A MODERN DISPLAY 15337 W DIXIE HWY MIAMI, FL 33162 (305)947 -5876 Pay to e % der of fit bo r rrudential Iank PAYABLE DISOWN BANK ONE, COLUMBUS, NA COLUMBUS, OHIO 43271 Permit Number: BENNETT For Fairmt Contractor's Address: 15337 W DIXIE HWY Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 8 Fees: FEE2002 -2345 FEE2002 -2346 Description CCF Building Permit Application Fee Total Fees: Amount $0.60 $60.00 $60.60 Total Fees: $60.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/21/02 Construction Value: $350.00 Work: ONE SET OF FORMED PLASTIC LETTERS (6" X 4 ") INSTALLED ON FASCIA (SOUTH SIDE) 1 CHECK ONE BO Page 1 of 1 ,ir nc Rc_incnACtion 000 1 L4 3uu 40440008044 4 L 7 L000 1 3 59 500 Prudential BOS WSS&F BLK 29 LOT Date � _?9—O i$ (,O.L Dollars 1143 25- 80/440 ELECTiRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. 'I'YI'E Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8-15 Ton . Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons . Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain . Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture . Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY IIIMIIIIA �� li � D • F �i�I Zonin: Electrical Mechanical WNW _ MOM Plumbing 0'0_ —e —d • '4 Fire Public Works Structural /j Building Official 11/.�� jTIELI� i r .7471 Page 4 OFFICE USE ONLY cliff C KLIST CI OWNER - BUILDER FORM (Attach) CI FIRE DEPARTMENT APPROVAL (Commercial / multi- family) CONCURRENCY (New Construction) LI OTHER (Specify & Attach) ® PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) ® IMPACT FEE (New Construction) Ul OTHER (Specify & Attach) r.PERMIT FEES $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 •_ . ISSUING OFFICIAL REVIEWED AND PREPARED BY: , 6 6 $ (¢.005 /sq.ft.) (sq.ft. = x/1000 x ¢.60) (¢.0l /sq.ft.) PERMIT APPLICATION CONDO ASSOCIATION APPROVAL (Attach) BPR APPROVAL (Restaurants) LI CONTRACTOR REGISTRATION (On File) TOTAL DATE: Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA ,• OF FLORIDA, m TY I`I • I -DADE Sw Public Sta o A subscribed before me this tP day of 6r j! e/ , Fib Awl BE.C.i =41 1 O, 5 rF�0 coz,1 s0'rl FfJW92a SEAL: r f„;.,....1, CC78sE y <C „• " nz R n ...'I";• ` .0 n:�7 .- 0-IN.t3L , .. 1., u'' r < ni set 'Sw l C.1 - Personally known / OR, Produced Identification Type of Identification Produced: �na[ure of Contractor / Qualif Print Name t ►v1,J Sworn t and subscribed before me this PERMIT APPLICATION OF MI• /IADE day of 3ecP(4e.r, Signature of Nota Public - State o Fl. V p OFF;CLAL NOTARY SEAL i 0 �� v6 BARBARA ANN FUGAZZI COMMISSION NUMBER CC723468 "'0; j PAY CCA11PMSSION EXPIRES Personally known �` "•Prc e22 ation Type of Identification Produced: nandO bn i€x ' CONTRACTOR r _ New Construction Name s jj§WigIAMIJ O �, License o. - rt Alteration Exterior Home Telephone c/ v Address n 7 g 2 C 1 ),-ci 9<► - '3%3 3 Tele a P� t S_ .l7 5 _7. // `Fax 3 j ,� _ ?.< Qualifier Nat�� l Shell Only PROPERTY OWNER New Construction Name r O �, Address -- -7= r - Alteration Exterior Home Telephone c/ v Repair Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other R , g p � taken i I is Shores Village: INSTRUCTIONS -The following steps must he �to obtain a permit from the Miam Step 1. Job Address: g' ijL , 9r 5 t a - T Address Apt. Folio Number / / 31- ', or lo S(90 1 7 7--y Block Lot Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing L "GX Roofing Fence Other 8/9,0/ ll// PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. City Zoning ENGINEE Name License No. Address Telephone Fax PERMIT APPLICATION 6 3 co cy Subsidiary Permit No. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Prc c ) 41/0 3 ./C4 3 3 , 3 r O State Zip Description of Work M / iT7tt n. lfS4 X R41.7 Linear Feet Square Feet _ Floors K Value of Wor 2 i J DO . Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. i t 0113drd 34L 01NO:tlid9Nr6ImIMI9itlVN'NO9tlV3•S NI00 •: H01A,VitlY_ONVe NO9aYO1SNN:ONr:tl3dVd dO!373ItlGaVNIONO.ANY.A0.101 NO ,dI,•3'Jtll=M73N0'3H1 NO0103.3H1• d0 A1gLLN3H1Nr 193101 P 1NfOWV N73HO Stf `d�lL_ C9zSl l£9 /LZ - £9 �NI 'SNOS 1 8 33VH9aG AaN314 1NfO7S10 319VAVd'S.L 3v 1Nnowv ssoaO 11311.10 1NfOWV 371OAN1 .1195 5 0L 9009E 00 :'L L 2 001E 90:1 .HE 92 51 0.11 VOW 01A J )Iuo8 ol4DN SMaOHS MVILN /Pa k 50369 1 6161 03HSIl9VLS3 • LL54•69L :3NOHd BE LEE V016O13 'S3HOHS IWVIW • 3f1N3AV PuZ . 3"N LEGS SaO.L")VB1NOD ]V113N39 •DNI `SNOS r8 IJV}1J 3 13 A2IN3H : 3019539tl3A3a J3NLYNO'ONva,N00 /0/0 / ZONM1 30tlO9: JNL1NIIDNIWIadOa3lw :SNItl1NO0:1N3wn300191H 939Odand fA11011339'NOj19 '=MIAMI SHORES VILLAGE, FLORIDA 'A Date BUILDING ❑ ,1_.___.. l� 1 /) i �� / fl ELECTRICAL ❑ . PLUMBING ❑ PERMIT ROOFING ❑ MECH .:_ .. ❑ . Work to be performed ,under this Permit Owner of / /� Building C.' I 1 Architect ` •4 } Contractor / / L.,,/e7 f / �l 1 or Builder / 1 - -• t ?'� ^ - ("? /,.) /.. C ( ) -' Legal Lot � ( I � Bl • Description � . L 7 ) scrition 7 Address of r`, C 15 27 17:46 Building `- (( \ - • : () t) rV'1 Contractor's License No. 31VO AVd Permit:6 6� 0 � '• CCF: 1 C) Subdi- Notary: �,- u.' -) vision Bond: Sq. Ft.: Radon: Value of ,,...- Amount of Project $ •.� c:) 0 0 : 0 0 Permit: C/ .y 10 ,,./ 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 ahoy/Kiln the plans or drawings or in the statements or specifications and that be assumes respon- sibility for work done by his agents, servants or employee, 2 / — r / Signed .....2,..--... . � (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations othnritiea of Miami Shores Village. L BUL■CY ./ SENT BY:X -Ray Equipment Comp. ;11- 8- 1 ; 9 :57AM ; Have - A Nice Day !!!-' 10,DA.K 11 A' O 1 CffsnR YEN7' - 11 " i9��. — �v w/T t3 P - 17" r A x. i9.II PM. MI N- VSL�Mo CbPP6s"' 3 12ASS . SEE K0091 /T/ov NO. 6e8092 . Po.g SSOR Wfli,L O.P WmG.__ tl iAa'y /.: SMO4 1 SCALE: GATE: EL. EC rF I ' ,," 1t,; ,o✓c. . . . • . . . . . . INCOMING 1-/s0 se E' DETAI L ;# 2/ 3 1045 A/''7 f ri . b� a 1101•1 (, O Ma- / /VCo /4-7/w .L_/N • • • • • • • .. . • • • • • . • • . . • • • • F.-DA F 7V /mil e"re e. :. , .. " A. .. • • • •. • • • • • . . • • APPROVED 6Y • • • • • • ... .. bt- TA-Y 57 zit' # - W .,ecs 4e0Le F"ktpNr r_'13 .('- 12 A 3 4- Z.l #/65Tm9N0&2 Kr; 59 8.5 '' .9" 1 .2 i9LL W/.Pif ' ea' CO POFQ .. s`77P9NDra."0 w /Tf/ 4'4" p/crt9 /1-s fir jc7. sok.. --- /2a -2O 9 VaL,r 3. WiRO - AMP C' '/i7 w /,7-J+ JGT" fts o " (R FR 5eL.OW DRAWN BY Al C. Rev IS ED E ) /. P /`7 f NT COA Mt.A�lz. ..F 4 /D A-- DRAWING NUMBER 0 e•• 0 0 0 ••e 0 0 O 00 00 0 0 • 00 00 O 0 0 0 0 0 0 0 0 0 O 0 0 000 0 0 0 O 0 0 0 0 0 0 0 000 0 0 0 0 000 0 0 0 0 000 0 0 O 0 0 0 0 0 00 00 O 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 O 0 0 0 0 0 0 0 O 0 0 0 000 000 00 000 00 0 0 0 00 O 0 0 0 0 0 0 0 0 O 00 0 0 0 • 000 0 O 0 00 0 0 0 0 0 O 0 0 0 0 0 0 0 0 00 000 0 0 0 0 0 00 r SENT BY :X -Ra E ui moot Comp. qr 1s 71icevfm'G COLD WATE=R 11 X 17 PROMO ON NO. 1000N CIEAXPAIM1 • :11- 8- 1 9:57AM ; Have A Nice Day !!!-� • .•. . - • • • •. • • • • • •• _ • • • • • � ti •• • • • •• ••• • • • •• ^2.o,, c %ALL. Foe , PAt)ip7' of w 0" A,F F - --T _ j • • ••. • • • •.• •• . • • • .. ••, . •. . • • • • • • • • • • • • • • • • • • •• 0 00 • • • • • • • • • • • • • • • •• D GI-Ass*. ' # /iNOo w -5 0 4,;A : IC;�. ,NU7 oFf' YAL.VO ri- c, to ". /. 4 p4 Ls 1 qP �/ wArEQ.. A7r7 aR 40 ;# 1/ 3 F7L 3" 9m COLA N' [ • IA" HARD cCPP6P 7 O pRocans D Q , pf •4:= o + D �T P08. PAC No. REMOTE STATION START TIME DUR.ATION WPAGES MODE RESULTS 1 405 751 13872 11- 8- 1 9:53AM 061 2/ 2 EC COMPLETED 0800 SENT BY:X-Ray Equipment Comp. ;11- 8- 1 ; 9:57AM ; Have A Nice Day !!!"-, rowaserewow saa..cdo 4.4:2••"' .4•4 • Pr; • • w • 7 .0410111110 •7•1 Pao •cmare• 6.111A0•410411.• *** SEND *** 1■••04;...0".•.• w,9 ovip-or .pwcAo•dcw....e.7 wr • • • • • • • 'me • ..--.• • • 4 ev • • • • soe • • • 1 1 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ... • • • • • 1 • • • • • • • • • • • • • • ___ ___ t 1 a.atn..da cs......19 w ..... ••••0 7 . . ' ear OW' If= 4 V . • '71177- • • • • • • • • • ** COUNT ** TOTAL PAGES SCANNED : 2 TOTAL PAGES CONFIRMED : 2 • • • • • • • P7.46.•.e...47 (rV _LII:7•11r77 TRANSMISSION REPORT --] TOTAL 0:00 2 • 'if Of 0 •• • • • • •• .41440*.,, verglralCAL THIS DOCUMENT WAS CONFIRMED (REDUCED SAMPLE ABOVE - SEE DETAILS BELOW) d• • "T eV> 0170 7-.•:19 PALIPMeig NOTE: No OPERATION NUMBER 40 : 4800BPS SELECTED EC : ERROR CORRECT G2 : £2 COMMUNICATION PD POLLED BY REMOTE SF : STORE & FORWARD RI : RELAY INITIATE RS : RELAY STATION MB : SEND TO MAILBOX PG : POLLING A REMOTE MI' : MULTI-POLLING RM : RECEIVE TO MEMORY • B c 0 11 X 17 PRINTED ON NO. 1000H CLEARPRINT • 1/32 inch lead or including viewing floor to a `,P; ght PRP 11/10/2001 1/16 inch lead or equivalent for portion of wall subject to direct beam- , , — D � i 7 WZOC / N WA aG O" j .F,F equivalent, window, extendin• from"-, of 7 feet' -,, 1 / DE L5 SUP f?T pf F/ L M Ff / N :;pN O EP �J� BCiTr1' DEV HIP!, o�t D ET ifq/ L /Y- /3 S EE KO1 K PU8 : /CAT /onr No. 666O8Z- .F.a.e PRC ■cESSoP WqL L O.PL'N / NG__ i ' R 6 C e 3 T o r v E - NT - / - 9 " • • • •• • • • •• • • •• •• • • • • •• •• • • • • • • • • • • •. • p i ?,q / N w / TKAP - 17" M /} X, A.FF 4 G.P.A1, MI N- VSF' Ho coPPE1! oI B PASS . • • • • • • • • • ••• ELCC7 /C' L • • ••• • • •• •• • • • • • • •• • • 1 ac. •9 F; - - q 2.4 vo L_7 - s7/v6 c.. P .9.s . :. . :. ' • '2 .b fl :. / /Y C 0 f--71/1/ C L_ / /Y E • U • •• ••• • • • • • • • • ••• •• , NCOr I /C /-/ 6 S E E DFTA/ L •• W /R • 5 8 Y Cc Z1c /00 ,}MP - z4b yo i-T_c/A Beg, - 50 "'(1„..A.Ic ( 1 `1774 7 -ti/OE4 'W Res (- J c-7 96 x Wf C4 tcl-PJLe F'F,7/r 0,,tY =i - 12. 3 _ z4- W// .5 A5 " .9 " 1 .2 A L L w /RE:5- Ta 3£ C O Pi' ST.E' -�'✓7J Ek2 WJ7W 4'i2" P /CTA /L S ITT E,4 W JCT 230X /2a -2o9 VOLE' 3 Whe – Cvi (1 /r B REM - Sp" A c: w/' Jc7 SO" /q FA BEI-OW OK' M /.A ff i s '6IPES SCALE: 1 /2 =1 1 DATE: 11 /17 APPROVED BY: PZ.0:RiO A. - - -- DRAWN BY , i C• REVISED x -R/*Y E'QVI can PANT _F-L, ,C A... DRAWING NUMBER •.. • • • • • • •• •• • • • •• •• • • • • • • • • ••• • • • • • • • • • • • 0e• e • • • ••• • • • • •• • • • e 0 • 0 • • • e o•• 0 • 0•• • • • • • 0 0 0 0 0 • 0 0 0 0 0 e • o 0 0 0 • 0 0 0 0 O 0 000 000 •0 ••• •• • • • ee 0 • •• e e o o see o • e e• • • e 0 • 0 • e e • • • • • 00 000 • 0 • 0 • 00 CASE #P 'r 1619 -01 APPLICANT: State Farm Insurance(tenant) George Bennett (Owner) SITE ADDRESS: 209 N.E. 95 Street Whereas, the applicant has filed an application for sign approval before the Planning and Zoning Board on the above described property. The applicant sought relief as follows: sign approval ( "State Farm Insurance" wall sign). Whereas, a public hearing was held on June 19, 2002, and the Board after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, the drawings, and conditions agreed upon at the hearing. The applicant must satisfy all applicable Miami Shores Village codes, Miami -Dade County Codes, and the applicable building and life safety codes required for development. Action taken today does not constitute a final development order and one or more concurrency determinations will subsequently be required. In addition, the following terms and conditions are imposed: none. Passed and: adopted this 1: day of June, 2002 upon a Motion to Approve by the Planning and Zoning Boardwith`a 4-1 vote as . Member Crutchfield Yes Member Fernandez No Member Sastre Yes Chairman Stobs Yes Member Abramitis Yes Chairman, Planning and Zoning Bd. Date C' t5. / -- O2Job Address AO 9 ie. 95t$7 • 1M Tax Folio Legal Description X Owner 69.41/2-6. 0 lit/f777 2( Owner's Address C 'i7� Contracting Co. - Qualifier State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENC SIGN WORK DESCRIPTION °PI 1 / / ) S� 0"� co AA/060 i L$T/x C X775 oo L-060 7 nNU1�C7VA i2 o� /1 O oiv So Il rtl �/4c /i9 Square Ft. 9 ' oZ 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 construction and zoning. Furthermore, I authorize the above -named contractor to do th tary as t • Owner My Co ssion Ex1 �f� FEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 0 7 — Y Phone 3o �' 7S-' ^) 43 /I' Q �� 71 S Ley Address /J 7 W. P/ ( 2A)?, N. N4 • NA/ t 9 /I/ 1 Lc, 46/in "• �C9I'lt�f�t f0'!`AtiYSEAL ,,aR Tres: STANLEY 1 PACHTER NOTARY PUBUC STATE OF FLORIDA COMMISSION NO. CC748560 MY COMMISSION EXP. JUNE 27,2002 RADON Municipal # Competency # X9a Ins. Co. Address Address Address 4" / ( Zoning L1/1 gri 0O1, Building C.C.F. Historically Designated: Yes No No : ' as to Cgtftractor or My Commis on Expires: NOTARY Master Permit # SS# .. Phone ) os - ;- 9 y 7 - Estimated Cost (value) Y 3 S a U 1 be done in co ' pliance with all applicable laws regulating L.rI.1.1 , .� �D . te Date .0.d 2 0 — 6,2 • NOTARY SEAL STANLEY I PACHTER NOTARY PUBUC STATE OF FLORIDA COMMISSION NO. CC748560 MXCOMISSION EXP. JUNE 27,2002 BOND TOTAL DUE Electrical Mechanical Plumbing Structural Engineer For Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/2/2002 Applicant: STATE FARM 14 Owner: JOB ADDRESS: 9501 Contractor Local Phone: 305 - 512 -1223 Parcel # 1132060133890 Permit Status: Approved Work: INSTALL SIGN JDM INC D B A MODERN DISPLAY 15337 W DIXIE HWY MIAMI, FL 33162 (305)947 -5876 the order of Pay to V, Prudential ( Financial PAYABLE THROUGH BAN[ ONE, COLUMBUS, NA COLUMBUS, OHIO 43271 , B NE AVE Permit Expiration: Building Permit Permit Number: BP2002 -1188 Contractor's Address: 7675 W 2 ND CT Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 8 Fees: FEE2002 -3701 FEE2002 -3702 Description Building Permit Application Fee CCF Total Fees: Amount $60.00 $2.40 $62.40 Total Fees: $62.40 Total Receipts: $0.00 12/29/2002 X112131415161 CHECK ONE BOX Construction Value: Prudential BUSINESSEDCf Account 1310 Date „, J • Ii 00 L 3 LO" I:044000804n 4 V? L000 L 359 50" $3,500.00 1$ ��•` 7 `� Dollars 25- 80/440 Ilubarbotema e- inspection BLK 29 LOT Ilion herefor in strict compliance with all rations that may have been submitted to Dr if the plans are changed without .nsibility for a thorough knowledge of the at he assumes responsibility for work done pertaining thereto and in strict conformity ;ponisibility for all work done by either 440 • 21" 21" X 63" FMN 5 " iNRCE 5" NO@CELE 63" "444.• •‘ 120" • ',44,4••4 PLASTIC LETTER INSTALLATION STUDS COHff1ETE BLOCK ANO BRICK SURFACES — Combtnatlon Studs • Tlnrnnlghly dean the surface In the area • Tape lettere In place (without studs Installed) using the spacing template. Remove one letter at a time, install stud and repoelton leper, banging Into place or inking stud to mark hole for driiflng. Or make a hull sized moun- ting template. • Order studs k► Ilse for mortar joints 11 background is brick. • Dvm 1 /4" holes. 11/2" deep (and remove pattern if used). • Dust out hdes • Fil holes with silicone • Insert letters and press MM. 3 PZ<R hErrrR STUD ONLY